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A survey of American plastic surgeons of fat grafting to the breast

The authors present results of a survey of the use of fat grafting by American plastic surgeons in order to benchmark current practices in both aesthetic and reconstructive procedures to the breast. A survey was sent electronically to 2584 members...

Facial nerve palsy and Facial Palsy UK

The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

Focus on Cosmeceuticals: Skin anatomy and photoageing

Skin anatomy The skin of the face provides crucial functions of temperature regulation, reparative functions following injury, facial expression, protective mechanisms against infection and ultraviolet radiation, as well as sensory perception. The integument consists of two principle layers, the epidermis...

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 - Neck rejuvenation with a multimodal approach: botulinum toxin and hyaluronic acid stable hybrid cooperative complexes

Combination treatment with botulinum toxin and hyaluronic acid is the standard regimen in facial rejuvenation. However, in rejuvenating the ageing neck a multimodal approach is essential because many factors contribute to the ageing of the neck. In particular there are...

How developments in maxillofacial surgery have contributed to improved quality of life for patients

The patient perspective, functional outcomes and morbidity are key factors that influence ‘quality of life’ [1,2]. There are many examples of how developments in oral and maxillofacial surgery have improved the outcome and ‘quality of life’ for patients with head,...

Congenital ptosis and astigmatism

This is a review of the effect of congenital ptosis surgery on refractive error. Seventy-one eyes of 56 patients were reviewed. The unoperated eye in unilateral cases was used as the control group. The mean age at surgery was 5.1...

Imaging accurately predicting the need for mandibular resection

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

A practical guide to the most commonly used dressings in wound care

The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

Surgical indications for infantile haemangiomas

Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

Autologous fat grafting does not improve burn scar appearance

Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of...