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Comparing the rates of fat necrosis in irradiated muscle-sparing tram versus diep flap breast reconstruction

The authors performed a retrospective cohort study of patients undergoing immediate autologous breast reconstruction with an abdominal free flap. Over a 17-month period, 625 flaps were included in 518 patients, with 40 flaps receiving irradiation. Mean patient age and BMI...

A useful regional flap for head and neck reconstruction

This article explains the experience of the head and neck department of the Massachusetts Eye and Ear Infirmary with a seldom used regional flap, the supraclavicular artery (SCA) fasciocutaneous flap. This versatile flap is based on the supraclavicular artery, a...

Fat grafting within the focus of facial ageing

Volume restoration has become a cornerstone in the current model of understanding and approaching the aging face. Sam Lam offers a review in order to place fat grafting in its proper place, with all of its attendant risks, benefits and...

Another paper advocating resection templates

Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...

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...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

Cryolipolysis: a review of published clinical data

Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...

How I Do It - Innovative delivery devices: Teosyal<sup>®</sup>Pen

As aesthetic practitioners, we should always strive to make our patients’ experiences the best they can be. Teosyal®Pen is the first motorised and cordless device specifically engineered for injecting HA dermal filler. It is lightweight at just 40g and offers...

How I Do It - Buttock augmentation with hyaluronic acid fillers

There has been a notable increase in the popularity of body procedures over the years. The advancement in non-surgical body treatments has made it convenient for people to get the body they desire without having to deal with downtime or...

In conversation with Dr Emanuele Bartoletti (2020)

We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME) about his background, the society and the challenges of COVID-19. Dr Emanuele Bartoletti. You have been involved in plastic surgery and aesthetic...