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Medial conjunctivoplasty for epiphora associated with conjunctivochalasis

The authors describe a retrospective review of 18 patients (25 eyes) who underwent medial conjunctivoplasty for epiphora between 2000 and 2012. In all cases, the epiphora was felt to be predominantly due to the mechanical disruption of normal tear flow...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Maxillomandibular advancement for sleep apnoea

This is a meta-analysis compiled from India. Of the initial 103 publications 20 were analysed. Surgical cure was defined as postsurgical AHI of fewer than five events per hour. Of the 251 patients assessed for AHI, 12 where considered normal,...

Pliability and elasticity of the external nasal skin in unilateral nasal valve collapse

The authors performed this study to test the hypothesis that the nasal skin of patients with unilateral nasal valve collapse demonstrates reduced elasticity and increased pliability on the side of the collapse compared with the nasal skin on the side...

Perceptions and Deceptions a personal blog by the editor 8 Apr 2016

I want to post a question on the FB Group supporting the Junior Doctors over their David and Goliath fight with a juggernaut of blind, self-deceiving or just ignorant, elected members of Parliament. I should say that I am not...

The injectable buttock procedure

Gluteal contouring has become an extremely popular procedure led by celebrity images and patient requests.

How I Do It - Innovative delivery devices: Juvapen

The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...

How I Do It - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

How I Do It - Lip augmentation: lip tenting technique

Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...

How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - Treating acne and acne scarring in all skin types

I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...