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Bleb-related changes in upper lid position

This is a review of five patients with upper lid ptosis or lid retraction secondary to large filtering blebs post-trabeculectomy. The authors review each case and apply a model to analyse the separate forces acting on the upper lid to...

How I Do It - Approaches to lip augmentation: surgical lip lift

A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...

In conversation with Ali Pirayesh

Dr Ali Pirayesh. We were delighted to catch up with Dr Ali Pirayesh, esteemed plastic surgeon based in Amsterdam, about this career highlights and his involvement in AMWC Monaco. Can you tell us a little bit about what led you...

When a patient asks for your insurance details…

Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...

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...

Do You Know Your Advertising Standards?

Over the last couple of years we have seen many organisations, including the British Association of Aesthetic Plastic Surgeons (BAAPS) seek to ban or at least rein in some of the advertising practices which go on in this industry [1]....

Recent developments in hyaluronic acid research

Hyaluronic acid has a role in many medical specialties, not just aesthetics. Anna Baker takes us through the latest evidence and therapeutic indications. The evidence and demand for hyaluronic acid (HA) based technologies continues to expand and evolve across a...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Complex auricular reconstruction using a 3D printer

The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...

Preferred upper / lower lip ratio and perception of naturally looking lips, a study across generations and genders

Introduction ‘Beauty is in the eye of the beholder’. Although it sounds true, most often some beauty patterns or preferences can be innate or intuitive [1]. When it comes to the ideal lips, how much of their features can be...

The Evolution of Wood MediSpa

As surgeons we must have all dreamt of owning our own facility. The perfect dream of a stand-alone private hospital with the entire patient journey seamlessly mapped out. It would offer unparalleled continuity of care – the same team doing...

In conversation with Nora Nugent

We were honoured to chat to Nora Nugent, leading Plastic Surgeon and current President of the British Association of Aesthetic Plastic Surgeons (BAAPS). Nora Nugent. Can you tell us a little bit about what led you into the field of...