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Treatment of established facial palsy with botulinum toxin followed by half mirror exercises

Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...

Treating the male patient with dermal fillers

Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

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...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

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...

In conversation with Rachna Murthy

We were delighted to catch up with Rachna Murthy, renowned Oculoplastic Surgeon, about her career and plans for the future. You are internationally recognised in the field of oculoplastic surgery – what led you into this specialty? Eyes are arresting...

The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Application of substance P as an osteogenitor in mandibular distraction osteogenesis

In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Hyaluronic acid filler for infraorbital hollows

Volume loss theory has changed the traditional theory of excess tissue as the cause of facial aging. Periorbital area is a challenging region for the injection because of its thin skin, increased vascularity, and compromised lymphatic drainage system. So contour...

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

Medical racism and the surgical ‘correction’ of the nose in Brazil

Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Perceptions and Deceptions a personal blog by the editor 22 Apr 2016

The junior doctors in the UK are facing the reality that if they hold steady there is the very real prospect that ‘an elite group of professional people’ can topple a corrupt and dishonest Government and restore the balance of...