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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...

Vascular complications Part 1: Prevention

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol

Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

First there was Sophia

A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

In conversation with Dr Hema Sundaram

We were delighted to chat to world-renowned Dr Hema Sundaram about her fascinating career in dermatology and how plans for SEASON 2020 are going. You are internationally recognised in the fields of dermatology and plastic surgery – can you tell...

How I Do It - Auricular reconstruction: Helical advancement flap

As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

How I Do It - Thin lips – remodelling with hyaluronic acid

Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...

Exploration of more effective neurorrhaphy in facial nerve reconstruction

This study was laboratory based and focused on different types of end-to-side neurorraphy, and their effects on treating partial facial paralysis. The ultimate aim of this study was to determine which end-to-side neurorraphy produced the greatest axonal growth across the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.