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How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

Repeated orbital decompression surgery

This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...

Sir Archibald McIndoe and the Guinea Pig Club

The early life of Sir Archibald McIndoe Archibald Hector McIndoe was born in Dunedin, New Zealand on 4th May, 1900. His father John was a printer and mother Mabel an artist. He was the second eldest child of four children....

Form versus function concerning the external nasal valve

External nasal valve dysfunction is known to be a common cause of nasal obstruction. The authors present a prospective case series (n=19) including primary and revision cases of functional rhinoplasties. All patients reported nasal obstruction and were diagnosed with external...

Rejuvenation of the forehead: correction of the frontal concavity

During the ageing process, many different anatomical changes contribute to the aged appearance of the face [1]. Focusing on the forehead, typical age-related changes are regression of the hairline, solar damage, skin laxity, dynamic wrinkles, reduction of fat and bone...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

How I Do It - Hyperdilute CaHA for the ageing neck

Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...

The flora of Culloden Field: Healing plants of a wounded land

The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...

How affective is lignocaine in the infiltration for tumescent liposuction?

The authors present a prospective, randomised, double-blind study to assess whether the inclusion of lignocaine in the standard infiltration for tumescent liposuction, reduces postoperative pain. A cohort of women, aged 18-40, BMI 20-27, and receiving abdominal or back liposuction were...

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

20th Music City SCALE 2025

The premiere multispecialty meeting for aesthetic medicine, plastic surgery, and medical dermatology.

Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale

While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...