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A new technique for correction of medial ectropion with a lax medial canthal tendon
This is a prospective study of a new technique for repair of medial ectropion associated with medial canthal tendon (MCT) laxity. The procedure was performed on 79 eyes and involved excision of an ellipse of tissue from below the punctum...
Revision facial plastic surgery
This is a timely publication to address some of the contemporary issues we face in dealing with poor results, or remediating results of others. No one escapes dissatisfactory outcomes. Lower lid rejuvenation is no longer a surgical manipulation of the...
Ointment related granulomas post-blepharoplasty
This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)
In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.How will Keogh impact non-surgical services?
Following the PIP implant scandal of 2010, The Department of Health (DH) commissioned a review of the regulation of cosmetic interventions in September 2012. In April 2013, following extensive consultation the review panel published its recommendations. The recommendations set out...How I Do It - Optimising lymphatic recovery following abdominoplasty: The role of advanced postoperative MLD
As abdominoplasty procedures increasingly combine rectus plication and liposuction, patient recovery relies on more than wound care alone. For surgeons and recovery specialists alike, understanding how lymphatic function supports optimal healing is essential. Integrating advanced manual lymphatic drainage (MLD) within...Medicinal leech therapy in plastic surgery
The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...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...Looking unusual: what it’s like and how skin camouflage can help
Appearance matters, nowadays more than ever. We live in a global culture where a smooth, blemish-free and consistent complexion, symmetrical features and perfect teeth are highly prized and believed to be the passport to happiness and success. If you are...
Fingers and toes and how to do it!
The authors provide an excellent historical and current overview of the options for reconstruction of injuries of the thumb and finger tips. This takes you through the reconstructive ladder in its entirety, but also discusses philosophically the different approaches we...The incidence of non-surgical rejuvenation in facial aesthetic surgery
Non-surgical facial rejuvenation has increased exponentially in the last 20–30 years in a society which demands immediate results with minimal downtime. The overall UK market is estimated at £3.6 billion annually. The use of facial injectables increased by 7000% between...
