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A place for nerve transfers in your hand surgery service

The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...

Coupler microvascular anastomoses: how good?

This is a paper written by a group of reconstructive surgeons and school of computing. This study used computational fluid dynamics to model blood flow through ‘idealised sutured and coupled’ vessels. They investigate if the anastomotic technique affects intra vascular...

Blindness after orthognathic surgery

This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...

How I Do It - Treating multiple skin concerns with less down-time

As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities

Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...

Decision Making in Aesthetic Practice: The Right Procedures for the Right Patients

This is a mini treasure and absolute must for any aspiring aesthetic practitioner. The demand for aesthetic medicine is rapidly growing and this book is a concise haven of knowledge not only for those early on in their training but...

Combating winter skin

It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

Back to the blog: Part II

PART II: Key players in the turf war between the board-certified plastic and reconstructive surgeons and the 'non-accredited' cosmetic surgeons.

Threads in rhinoplasty: to thread or not to thread?

Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...

AI facial filters have the ability to change who we find attractive

We can use them to alter lighting, smooth out our complexion and even change our hair colour, but now researchers have found that AI facial filters, when used in real time, could even have the power to influence who we...

How I Do It - Nose reshaping using advanced fillers

Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...

How I Do It - Contouring the lower jaw (surgical)

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...