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Age-related changes in the menopausal woman
The author explores the aesthetic impact of hormonal ageing during the perimenopausal, menopausal and postmenopausal periods. The author explains that oestrogen levels can impact upon several skin functions, including: excessive hair growth, pigmentation, vascularity, elasticity and water-holding capacity. A detailed...
Internal factors contributing to optimal skin health and rejuvenation
The author explores some common internal factors that affect skin health, such as; nutrition, hormonal balance, gut health and emotional wellbeing. The author’s treatment philosophy aims to address internal factors relating to skin health by reducing, preventing and eliminating oxidative...Is rhinoplasty still a plastic surgery procedure?
As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...Melkersson-Rosenthal syndrome
Melkersson-Rosenthal syndrome (MRS) is a rare neuro-mucocutaneous disorder which is defined by a triad of orofacial oedema, furrowing of the tongue, and recurrent episodes of facial nerve palsy [1]. Due to the rarity of the disease and inconsistent presentation, MRS...
A new technique for correction of medial ectropion with a lax medial canthal tendon
This is a prospective study of a new technique for repair of medial ectropion associated with medial canthal tendon (MCT) laxity. The procedure was performed on 79 eyes and involved excision of an ellipse of tissue from below the punctum...Recurrent corneal erosions secondary to isotretinoin use
This article originally appeared in Eye News Dec/Jan 2021 Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations,...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 7) – South Korea
South Korea is a truly amazing country and has, over the last thirty years, transformed into one of the most dynamic and innovative economies in the world.
Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy
The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...Tranexamic acid and platelet rich plasma in the treatment of melasma: efficacy and safety
Melasma is a common, acquired, progressive, often symmetrical macular hypermelanosis that is usually localised on the face and more frequently on the forehead, upper lip, central and malar area of the face. It is triggered by a variety of factors,...
