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How I Do It - Non-surgical blepharoplasty using Plasma Elite® technology
What is plasma? Plasma is produced when an electrical energy is charged or overheated, leading to a dissociation of molecular bonds and the production of a plasma arc. The arc delivers energy to the cell membrane, causing sublimation, changing a...
AlloDerm for correction of lower lid retraction
This is a retrospective review of 95 eyes of 54 patients undergoing orbital decompression for Graves’ orbitopathy. All patients had a swinging eyelid approach across the whole of the lower lid. Thirty-six eyes also had insertion of a 0.3mm thick...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!The development of PDO threadlifting in the UK
Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...Reconstruction of complex wounds in the trunk and pelvis (part 2)
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...
Analysis and outcome of explanted hydroxyapatite orbital implants
This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...
Filleting the lobule in otoplasty
The correction of lobular deformities continues to represent a challenge during otoplasty, due to its three major anatomic components: the axial angular protrusion, the coronal angular protrusion and the inherent shape. These aspects make controlled lobule repositioning less predictable. The...
Evaluation of lateral crural steal
Many techniques to increase nasal tip projection and rotation have been described. The lateral crural steal (LCS) technique appears to be suitable for patients who have an under-rotation associated with poor projection of the nasal tip. The objective of the...Opinion: Non-health groups and facial cosmetic injections: When prophecy fails
It was in the late 1950s that the Psychologist Leon Festinger first developed his theory to explain how members of a cult were persuaded by their leader, Dorothy Martin that the earth was going to be destroyed by a flood...
Transgender facial surgery
In this review article the author outlines the various elements of this subspecialty, with reference to published literature and his own clinical experience in the field. The article does not present new data, and lacks the detail necessary to appeal...
