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In conversation with Professor Peter Adamson

We were delighted to catch up with Peter A Adamson, Professor of the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto. Professor Peter A Adamson. Can you tell us a...

Prostaglandin-associated periorbitopathy

This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...

The future of energy-based devices: do we have limits?

Victor Gabriel Clatici asks what is the final frontier in dermatology, plastic surgery and aesthetic medicine?

Reconstructive Plastic Surgery of the Head and Neck: Current Techniques and Flap Atlas

Head and neck reconstruction continues to provide a challenge to surgeons, driving innovative approaches in free-flap surgery and a need to embrace developing technologies. This excellent text, written primarily by authors from the renowned MD Anderson Cancer Center in Texas,...

To use or not to use: absorbable sutures for facial wounds

This systematic literature review looked at studies comparing facial skin closure with absorable versus non-absorbable sutures. Studies not published in English, or looking at areas other than the head and neck, and studies focused on suture technique rather than material...

A ventral solution to a perineal problem: a case report

The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

How I Do It - Treating the ageing neck with Ellevate™ plus

The ageing and sagging neck cannot always be successfully corrected using standard facelift techniques, even those that include extensive SMAS lift [1]. Adjuncts to treatment can include liposuction, radiofrequency or similar skin tightening procedures, open or closed platysmaplasty, extensive SMAS...

An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Complications in tissue expansion

This study aims to identify possible risk factors for complications in tissue expansion in all anatomical regions except the breast. The overall complication rate of tissue expansion is up to 48%. Over the 10-year study period, 34 patients had placement...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....