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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...

Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

The role of maxillomandibular advancement surgery in obstructive sleep apnoea

Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

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...

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...

Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus are usually diagnosed early, rarely needing large reconstructions following advanced disease. This is a retrospective looking at 26 patients identified that had undergone treatment for cheek melanomas between 1996 and...

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...

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...

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...

Exploring skin anatomy, function and site-specific treatment options

A detailed paper exploring salient concepts of skin anatomy pertinent to aesthetic practitioners, performing non-surgical treatments. Components of the epidermis and dermis are comprehensively described, with emphasis placed on clinicians developing an in depth understanding of how the ageing process...

Lower facial rejuvenation

The author outlines the anatomical changes of the lower face in meticulous detail, supported by current literature, and accurately describes the senescent skeletal and deep fat compartment changes of the mid face and how these can impact on the presentation...