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Combating winter skin

It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

Total lower lip reconstruction

Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

Facial nerve palsy and Facial Palsy UK

The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

Letter from Hong Kong (1 June 2020)

It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

Emerging from 2020 – positive stories from the world of aesthetics

2020 was the year of shifting our mindset, pivoting our business and our priorities, whilst quickly adapting and responding to change, uncertainty and negativity. For some, this past year brought extraordinary hardship and suffering and for others, unexpected, but welcome...

How I Do It - Multilayer midface rejuvenation

The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

Dark circles in the periorbital region

The author provides an insightful paper on the aetiological factors involved in dark circles and explores the treatment options. An emphasis is placed on the importance of undertaking a thorough patient consultation and history to establish causative factor(s), as well...

Blepharoplasty and orbital fat repositioning

The authors present their personal technique on lower blepharoplasty with preserving a strong orbicularis oculi sling and maintaining lower eyelid position with periosteal fixation of the lateral canthus and skin- muscle flap. In their technique, after elevation of skin flap,...

A comparison between the American European Consensus Group and the American College of Rheumatology classification criteria for Sjogren's syndrome

This article highlights the challenges in diagnosing Sjogren's syndrome. As is pointed out in the introduction, there is no one gold standard for diagnosis and since 1965, there have been 11 sets of classification criteria for Sjogren's syndrome. The authors...

Medial conjunctivoplasty for epiphora associated with conjunctivochalasis

The authors describe a retrospective review of 18 patients (25 eyes) who underwent medial conjunctivoplasty for epiphora between 2000 and 2012. In all cases, the epiphora was felt to be predominantly due to the mechanical disruption of normal tear flow...

The perfect upper lid blepharoplasty

The authors share their thoughts on how to achieve the best blepharoplasty results based on their 35 years of experience. Are you a surgeon wishing to offer the best upper lid surgery to your discerning patients? To help chart the...