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Closed rhinoplasty Serdev techniques

Why is rhinoplasty so important? Facial beauty and harmony are dependent on correct aesthetic angles, volumes and proportions. The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio...

Use of spacers for mandibular defects after resection of mandible preceding definitive osseous reconstruction

The authors propose the use of rigid polyethylene and silicon spacers in mandibular defects as an interim measure before definitive osseous reconstruction after mandibular resections for locally aggressive benign disease. The authors point out that the current intermediate reconstruction systems...

Synergistic regenerative therapy: Stromal vascular fraction and PICO laser for accelerated wound healing

Regenerative medicine stands at the forefront of innovative healthcare, utilising the body’s inherent reparative capacities to address various medical conditions. Within this landscape, stromal vascular fraction (SVF) has gained significant attention for its regenerative prowess. Comprised of mesenchymal / adipose...

Letter from Hong Kong (1 October 2020)

Today is National Day in Hong Kong. A celebration of the founding of the People’s Republic of China on 1 October 1949.

Glow like a queen

Dr Vincent Wong explains why skin health is particularly important when it comes to treating drag queens and how to help them glow. In an era of gender fluidity, facial masculinisation and feminisation treatments are rising in popularity. As we...

An epidemic of lower limb gunshot injuries

As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

Modern laser-assisted acne therapy in practice

Laser and light-based technologies have expanded the therapeutic arsenal for acne, and can improve the skin appearance of inflammatory acne and scarring in a short time, which increases patient compliance and satisfaction. Acne is an inflammatory dermatosis in which pathophysiological...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

Serdev Techniques in Rhinoplasty

I have never had the pleasure of meeting Nikolay Serdev but his book exudes the personality of a fascinating free thinking maverick. Each of the six chapters outlines a nuanced minimally invasive technique that challenges modern conceptions and bias towards...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 24) - Prescribing Habits

How do doctors learn to prescribe/use drugs in a safe and effective manner? This is no simple question and when the issue of a prescribing habit being regarded as lethal it becomes highly relevant.

How I Do It - Body contouring - PAL-HD liposculpture in men and women

Both men and women seek to improve their physical appearance, contour their figure, and achieve results that cannot be always be obtained solely with diet and exercise. Therefore, liposuction is one of the most popular aesthetic procedures. Power-assisted liposuction (PAL)...