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Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Photorejuvenation: Light & Bright™ treatment for enhanced skin quality

Improving skin quality has emerged as a significant trend in recent years, driven by the synergy between at-home skincare routines and diverse aesthetic procedures administered by medical professionals. With sun-induced skin damage manifesting early in life, there’s a surging demand...

How I Do It - Innovative delivery devices: 3DOSE Unit Dose Injector

3DOSE Unit Dose Injector is a unique and innovative disposable injector for BoNT injections, with a patented clicker system which produces audible and tactile feedback per injected dose. This new device, developed and launched by TSK Laboratory/Vlow Medical, aims to...

How I Do It - Innovative delivery devices: Juvapen

The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...

How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

How I Do It - Skin tightening: Fotona 4D protocol

Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...