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Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Long-term results of lateral brow suspension

The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...

Stability of lateral canthal position following endoscopic forehead-midface-lift

The paper is a retrospective study of the changes on the lateral canthal area following endoscopic forehead-midface-lift in a series of 40 patients operated by the same surgeon. Four different parameters (horizontal width, vertical height, palpebral fissure width and angle...

Alar retraction – background and handling

The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....

Polynucleotides: A scientific explanation

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Introduction and background This article offers an objective analysis of a new...

Reconstructing large heel defects

A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...

The supraclavicular artery flap for head and neck reconstruction

Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...

Conchal cartilage to reconstruct nasal septum

The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...

Polydioxanone in septal reconstruction

Septal reconstruction is a challenging problem and is undertaken for functional or cosmetic reasons or a combination of both. Either autologous cartilage, commonly auricular, or other alloplastic material can be used. The authors describe the use of a polydioxanone (PDS)...

Vascularised composite allotransplantation: an update

Vascularised composite allotransplantation (VCA) includes transplantation of multiple tissues in a single vascularised unit, such as the upper limb, or most dramatically the face. Truly remarkable results have been achieved, such as the one illustrated in this article. More than...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...

A plea for reconstructive plastic surgery in the routine care of sarcoma patients

The authors from the Mayo Clinic demonstrate the advantage of early intervention by plastic surgeons in the care of patients with sarcoma. A retrospective case study review looks at the wound complication rate of surgery for those patients who have...