This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...
Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...
We were delighted to catch up with the legendary Wendy Lewis about her career in the aesthetic world and plans for this year’s AMWC. Can you tell us a little bit about what led you into the field of aesthetic...
Regenerative aesthetic medicine aims to restore both the function and the structure of an ageing skin. Patients are looking for safe and subtle treatments to refresh their appearances without structural alteration or downtime. Aesthetics are often included in the management...
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...
This retrospective outcome study looks at patient temperature on admission and if this affected outcome and what variables play a part in the patient’s temperature. Again, this is well written and thought out, but is limited by sample size. They...
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...
The gold standard for the reconstruction of the mandible is a free bony flap, the fibula being commonly used. Following reconstruction optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech...
It is important to obtain tumour-free resection margins in patients with oral cancer. Pathological processing is known to cause tissue to shrink, which affects the reported margins, and it is postulated that the method of resection also has an effect....
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...
Several techniques are described to improve nasal tip shape; most of them include suture techniques or invisible grafts. In this article the author wants to put emphasis in the role of the columellar strut graft as a method to correct...
Principles of Facial Reconstruction is an excellent book for any trainee in plastic surgery, ENT or maxillofacial surgery. It is a well written book, that subdivides facial reconstruction into each subunit, with different chapters for each area. There are 10...