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Case-based illustration and discussion of surgical modalities to manage traumatic hand defects

The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...

­Distal edge necrosis in cervicofacial rotation-advancement flaps

Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...

Cheek augmentation from A to Z

An outline of facial assessment principles and anatomical considerations regarding augmenting the cheek and mid-face is explored. Background statistics are stated regarding the number of injectable procedures performed, referenced to American Society for Aesthetic Plastic Surgery (ASAPS) data, 2016. Attention...

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Maximising the results of blepharoplasty

The aesthetic anatomy of lower eyelid is detailed leading to discussion of operative technique to achieve the goals of blepharoplasty; for the lower lid these are a youthful lid cheek junction, a positive canthal tilt and no scleral show. The...

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

Dark circles in the periorbital region

The author provides an insightful paper on the aetiological factors involved in dark circles and explores the treatment options. An emphasis is placed on the importance of undertaking a thorough patient consultation and history to establish causative factor(s), as well...

Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Imiquimod for lentigo maligna

This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....

The use of intense pulsed light therapy in the treatment of acne vulgaris

Intense pulsed light (IPL) is discussed in relation to its application in acne vulgaris. The author acknowledges that it may not be the most effective, or the first line therapy for managing such a challenging and persistent skin condition, but...