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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...

Rediscovering the Lost Art of Endonasal Rhinoplasty

The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Chin augmentation: filler versus prosthesis

Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

Letter from Hong Kong (1 April 2020)

By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

Genioplasty

With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

Diced cartilage grafts in rhinoplasty

This article reviews the author’s current techniques and applications of diced cartilage grafts (DCG) in rhinoplasty surgery. Dr Daniel is a renowned rhinoplasty surgeon and he describes the technique that he has been using for more than 30 years. In...

The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Letter from Hong Kong (17 December 2020)

This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.

Lymphatic microsurgery to treat lymphoedema

The authors discuss the role of surgery to manage primary and secondary lymphoedema in patients whose lymphoedema has not been controlled by standard conservative measures and whose symptoms are worsening. There is a brief discussion of the relevant investigations and...

Laser skin resurfacing

The increasing demand from patients to attain more youthful skin has driven the field of facial rejuvenation. Ablative technologies and laser technology are amongst of the most effective modalities. Laser resurfacing is a safe and effective treatment. Newer technologies have...

How I Do It - Treating the lower face with HA fillers in elderly patients

Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...