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The use of neuromodulators in the management of TMJ disorders

The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...

Overview of non-invasive treatments for submental fat reduction

Submental fat (SMF) is a growing aesthetic problem that is colloquially known as a ‘double chin’. It is a concern for both younger and older male and female patients. The 2017 American Society for Dermatologic Surgery Consumer Survey on Cosmetic...

Debate - Voluntary registers for medical cosmetic practitioners: friend or foe?

In June this year BACN and PIAPA issued a joint statement criticising voluntary registration bodies such as Save Face. Regulation is a hot topic that many in the industry feel passionately about, and the statement sparked a debate about whether...

Living confidently with a distinctive face or body

The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

A new method for free-flap total nasal reconstruction

Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...

Choosing anaesthesia for oral surgery

This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...

What’s new in treating hypertrophic scars and keloids?

World renowned dermatologist, Michael H Gold, explains new treatments available in the challenging field of hypertrophic scar and keloid management. The treatment of hypertrophic scars and keloids remains one of the most challenging conditions that dermatologists face on a regular...

Text Atlas of Wound Management

The authors in the preface of Text Atlas of Wound Management acknowledge that this is a challenging and difficult area of medicine. Their book aims to deconstruct and simplify the management of different types of wound by showing us real...

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...