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The medial gastrocnemius flap
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...
Treatment of established facial palsy with botulinum toxin followed by half mirror exercises
Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...How I Do It - Neck rejuvenation utilising Silhouette Soft sutures
The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...How I Do It - Auricular reconstruction: Helical advancement flap
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...Wound moisture sensing in traumatic wounds
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....Combined procedures: lipo-abdominoplasty and lipo-inner thighplasty (string technique) and face rejuvenation
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 2 With the evolution of superficial suction lipectomy in the 1990’s the need for skin resection became less common and the...The AMWC 2023 awards
In partnership with the Aesthetic Multispecialty Society (AMS), the 2023 AMWC Awards honours physicians for their innovative protocols and techniques, in addition to treatment results in the field of aesthetic & anti-ageing medicine. The ceremony is also an occasion to...Plastic surgery and aesthetic medicine: specialties and specialists
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...Editor’s reaction to acid attacks in London
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...Aesthetic Dialogue 2025
Now in its third edition, Aesthetic Dialogue returns to the iconic Prague Castle in November – bigger, bolder, and more innovative than ever. This year introduces the Innovation Stage and Innovation Minds Awards, spotlighting forward-thinking ideas and real-world breakthroughs in...
