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COVID-19: a threat or a warning?

Soon the public health implications of COVID-19 will be clearer. In Hong Kong, life has changed so much these past six months. The riots, the protests, the arson, the anarchy. And now nature shows what she can do.

Delayed improvement in Muller’s muscle ptosis surgery

This is a retrospective review of patients undergoing ptosis surgery. The authors had noticed anecdotally that although a posterior approach Muller’s muscle and conjunctival resection (MMCR) appeared to achieve similar results to an anterior approach levator resection (ALR) in the...

Lacrimal gland carcinoma outcomes

This is retrospective review of outcomes of lacrimal gland epithelial tumours treated between 1972 and 2014 at Moorfields Eye Hospital. Seventy-nine patients were reported, comprising 53 adenoid cystic carcinomas, 15 primary adenocarcinomas and 11 carcinomas ex-pleomorphic adenoma. The authors compare...

Encyclopedia of Aesthetic Rejuvenation Through Volume Enhancement

The publication of this reference book on volume enhancement in aesthetic surgery is timely. Volume replacement, whether with fat, fillers, or permanent implants, plays a key role in rejuvenation and beautification of the face and body. This book gives a...

The need for resilience as an aesthetic practitioner

Resilience has been generally described as “the process of negotiating, managing and adapting to significant sources of stress or trauma” [1]. However, it may also be described as a personality trait, indicating that the individual has the human ability to...

NHS NIBEC: Breast Imaging Practice

Nottingham International Breast Education Centre (NIBEC) and Birmingham City University (BCU): Breast Imaging Practice Course

A challenging new year

2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard of the...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

How I Do It - Skin tightening: Profound

Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...

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...