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Plastic Surgery Volume 3: Craniofacial, Head and Neck Surgery, Paediatric Surgery

A detailed description of all aspects of head and neck surgery is a considerable challenge for any single volume but the fourth volume of this series is nonetheless fairly comprehensive and attempts to cover the anatomy, craniofacial trauma and head...

Being Ex-PLISSIT

The author advocates that aesthetic nurses are potentially well placed to offer patients the opportunity to engage in conversations relating to intimate visible differences, proposing the use of an EX-PLISSIT model of interaction (Davis & Taylor, 2006). This is a...

Lower facial rejuvenation

The author outlines the anatomical changes of the lower face in meticulous detail, supported by current literature, and accurately describes the senescent skeletal and deep fat compartment changes of the mid face and how these can impact on the presentation...

Inferior alveolar nerve (IAN) recovery after ORIF fractured mandible

Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra oral or extra oral incision. Nerve injury or dysfunction is often seen preoperatively and...

Beautification or distortion? Tackling the lip augmentation phenomenon

The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....

Advanced botulinum toxin injection techniques for lower facial correction

The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...

Laser tattoo reduction and removal

A detailed and concise article concerning many important aspects of laser treatment for tattoo removal, the technical discussion is largely focused upon Q-Switch laser for this purpose but other types, including wave lengths, are acknowledged. A strong emphasis is placed...

Dermal filler complications

The author presents a useful overview of some of the contributory factors for impending necrosis. It is important to note that compression may not always be due to excessive placement of product or placement within a vessel; the viscosity and...

Facial nerve injuries in fixing mandibular condylar fractures

The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...

Intra-oral implants in posterior maxilla - predictors of failure

Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...

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...