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Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

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...

Hyaluronidase is not foolproof prevention is key

The author presents a brief account of some key messages to practitioners undertaking non-surgical nose augmentation using calcium hydroxylapatite (Ca HA); reinforcing a robust, current and accurate knowledge of facial anatomy as well as the established safety profile of CaHA....

Intensed pulsed light for skin rejuvenation

A detailed article exploring many aspects of IPL; the mode of action, the role in photorejuvenation, as well as a useful comparison as to how the scope of IPL compares to laser for similar purposes, with analogies as to how...

Sleep side preference affecting lid laxity in normal subjects

This is an interesting, masked, prospective study examining the hypothesis that increased upper eyelid laxity in normal patients may be related to the side on which they usually sleep. Two hundred and sixty-two normal subjects, over 55 years old, had...

Stairsteps to breathing

Surgery of the nasal valve is a particularly challenging aspect of functional rhinoplasty surgery. The nasal valve area represents the segment with the smallest cross-sectional diameter of the entire airway. The authors of this article present a novel method to...

The pitfalls of having cosmetic procedures abroad

The author presents an interesting and thought-provoking case study, describing the risks of undergoing non-surgical procedures overseas. The account describes the journey of an individual who sought treatment with a dermal filler on the basis of a ‘weekend experience’ in...

Patient-reported outcomes in oculoplastic surgery

This is an important if somewhat difficult to grasp article which tries to formally address the subject of patient-reported outcomes in oculofacial surgery. The authors have conducted an extensive review of the literature searching for instruments (questionnaires) which have been...

Diagnosis and management of orbital vascular malformations

This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...

Conchal cartilage to reconstruct nasal septum

The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...

Nasal reconstruction – short and sweet

This brief article by Stephen S Park presents his modified technique for nasal reconstruction, based on a single-stage forehead flap. The author presents this method as an alternative to a multiple staged interpolated forehead flap and discusses its advantages and...

Measures against female hair loss

The author presents a detailed, well-structured review about female hair transplant surgery. Female hair pattern loss usually differs from male hair pattern loss, resulting in regions of the scalp where hair density falls without complete alopecia. Surgery for female patients...