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How I Do It - Hyperdilute CaHA for the ageing neck

Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...

5 Reasons why before & after photos are everything in any aesthetics business

Images have a heavy weight across online platforms and it’s no different for aesthetics businesses. You can have years of experience, certificates of the most prestigious courses, the latest equipment and high-quality products but none of them will be as...

Masculinisation of the male face – ‘power-face’ surgery

What do men want when seeking facial improvement? Authors from the world-renowned European Face Centre explore the modern approach to ‘power-face’ surgery. A growing number of men are seeking the ‘ideal face’ for physical and psycho-social reasons. Orthofacial surgery aims...

Surgical management of subungal melanoma

The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

ISBI practice guidelines for burn care

Practice guidelines (PGs) for burn care were first published in 2001 with multiple updates from the American Burn Association (ABA) on specific areas of burn care including resuscitation, electrical injury, pain management and venous thromboembolism prophylaxis. Significantly, previous guidelines have...

Non-surgical rhinoplasty: key indications and considerations for nasal augmentation

The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...

Is columellar strut necessary in primary rhinoplasty

This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...

Hair Loss and Restoration

Shapiro and Otbeg elegantly address the causes of hair loss, both idiopathic and pathological, and explain the treatments currently and the evidence behind them Our understanding of the pathophysiology of hair loss has evolved greatly in recent years. Before the...

Factors affecting the success of canalicular repairs

This is a 10-year retrospective review of 137 canalicular laceration repairs, looking for factors which affected the outcome. A successful outcome was defined as no epiphora at three months or more after removal of the stent. Overall the success rate...

A retrospective comparison between standard septoplasty and extracorporeal septoplasty

This paper shows the results of a retrospective study made on 169 patients with nasal obstruction due to a deviated nasal septum who were operated using a standard septoplasty technique or performing an extracorporeal septoplasty. Postoperative nasal patency, aesthetic outcome,...

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...