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Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

Thread lifting – the fundamentals

"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

Oestrogen receptors in breast capsules – experimental findings

This study from Rome, on humans, is stated by the authors to be not definitive and further work is required before any treatment can be recommended. But careful analysis of oestrogen receptors in breast capsules and the number of fibroblasts...

Ultrasound use in non-surgical, aesthetic medicine clinics

The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

How I Do It - Buried integra in the management of temporal cavernous haemangioma

Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...

Recent developments in facelift surgery

Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...

Aye, Aye. AI?

This is the first in a series of blogs where I look at artificial intelligence (AI) beyond the horizon. To do so, I must present the evidence that takes us to the horizon and then, using both experience and imagination,...

Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

Rare grapefruit-sized tumour removed from behind two-year-old's ear

A two-year-old girl from Madagascar has received free life-changing surgery after a benign tumour weighing 280g was removed by the Christian international healthcare charity, Mercy Ships. Without the timely surgery, the tumour would have continued to grow, putting pressure on...

Management of ruptured breast implants

Breast augmentation is a widely sought-after cosmetic procedure and has empowered individuals seeking aesthetic enhancement or reconstruction following mastectomy for breast cancer. Amid its popularity, the occurrence of implant rupture stands as a critical concern, impacting both physical wellbeing and...