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Nasal appearance evaluations following spreader graft placement

Widening the nasal dorsum has been one of the major aesthetic concerns after using spreader grafts to improve nasal airway obstruction in patients with nasal valve problems. In this study the authors evaluated the association of functional septorhinoplasty using spreader...

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

NOVUMA®: Redefining regenerative aesthetics in the UK

NOVUMA® has officially arrived in the UK, heralding a new era in regenerative aesthetic medicine. As a next-generation calcium hydroxyapatite (CaHA) collagen biostimulator, NOVUMA® sets a new benchmark for practitioners seeking progressive, natural looking improvements in skin quality through advanced,...

Perceptions and Deceptions: a personal blog by the editor 20 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part seven) How does anyone decide when to walk away and when to stand and fight? Personal safety? Principles? The cost,...

Combination treatment of acne and pigmentation disorders

Regenerative aesthetic medicine aims to restore both the function and the structure of an ageing skin. Patients are looking for safe and subtle treatments to refresh their appearances without structural alteration or downtime. Aesthetics are often included in the management...

HOW I DO IT - Er:YAG laser ablation for enhanced lesion removal

Ablative lasers, such as CO2 and Er:YAG, may be regarded as superior to traditional surgical techniques – elliptical excision, curettage, cautery and cryotherapy – because they provide greater precision and uniformity in lesion removal. This enhanced accuracy translates into improved...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

Bleach peeling for melasma

Identifying and treating melasma is a continued challenge in aesthetic practice and the dermatologist author shares an insightful piece outlining some of the treatment options for topical bleach peel depigmenting approaches. A brief summary of current literature findings are explored...

Staying in touch

Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...

Video Atlas of Cleft Lip and Palate Surgery

This is a well written textbook containing the basic background information and surgical techniques involved in cleft lip and palate surgery. The information is bestowed upon the reader in a clear, concise and logical way whilst being supplemented by sharp...

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....

Wide en bloc resection of lacrimal sac tumours

This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...