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Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Classification and assessment of midfacial fractures: no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...

Lipofilling for scar improvement

Since Coleman et al. in 1991 reported on lipofilling, numerous applications have been reported; these include but are not limited to contour restoration, lip augmentation and wrinkle therapy. There have also been some one-off reports of improvements in scars following...

Male pattern baldness is not all in the genes

Gentlemen, be advised (if it’s not already too late) that you may be able to influence your chances of going bald. The authors of this study compared the patterns of baldness in 92 pairs of identical twins and correlated these...

Improving the anatomical understanding of the causation of fine lines

An interesting piece which explores the current evidence of the factors that are thought to lead to facial ageing through fine lines. The author outlines a detailed discussion of the many intrinsic factors which can lead to the emergence of...

Silkann Aesthetic Cannulas

Why Choose Silkann Aesthetic Cannulas Made in Britain by a company with over 35 years of cannula-making heritage Founded on the precision of fine ophthalmic surgery At Sterimedix, we’ve been manufacturing single-use surgical products since 1989, making a meaningful difference...

The Evolution of Wood MediSpa

As surgeons we must have all dreamt of owning our own facility. The perfect dream of a stand-alone private hospital with the entire patient journey seamlessly mapped out. It would offer unparalleled continuity of care – the same team doing...

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

Non-ablative Er:YAG-laser treatment of female patterned hair loss

Female patterned hair loss (FPHL) is the most common hair loss disorder in women. Initial symptoms may lead to progressive hair loss [1]. FPHL has emerged as the preferred term for androgenetic alopecia (AGA) in women due to the uncertain...

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Liposuction

Liposuction continues to be the number one cosmetic surgical procedure performed world wide. This is a great tribute to Prof Yves-Gerard Illouz, who pioneered the use of suction assisted lipolysis, using blunt cannulae after tissue infiltration. The basic principles are...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...