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We need to talk about amputation – a difficult conversation in the developing world

What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Encouraging results on treating thinning hair with PRP

Over the last few years platelet rich plasma (PRP) has made a big splash in the aesthetics world causing much excitement. It has been used for skin rejuvenation, softening lines and wrinkles, as part of an anti-ageing process. With the...

Use of spacers for mandibular defects after resection of mandible preceding definitive osseous reconstruction

The authors propose the use of rigid polyethylene and silicon spacers in mandibular defects as an interim measure before definitive osseous reconstruction after mandibular resections for locally aggressive benign disease. The authors point out that the current intermediate reconstruction systems...

Righting the paralysed lip

Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...

Preferred upper / lower lip ratio and perception of naturally looking lips, a study across generations and genders

Introduction ‘Beauty is in the eye of the beholder’. Although it sounds true, most often some beauty patterns or preferences can be innate or intuitive [1]. When it comes to the ideal lips, how much of their features can be...

Complex auricular reconstruction using a 3D printer

The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.

Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling

Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...

Non invasive simple reshaping of pinnae

The authors of this paper show the results of a prospective controlled in vivo animal model study where the pinnae of 18 New Zealand white rabbits were subjected to electromechanical reshaping (EMR) and three months postoperative splinting. Six voltage and...

Eyelid and Periorbital Surgery 2nd Edition – NEW REVIEW

When the book to be reviewed arrived in the post we were taken aback – popping the volumes on the scale, each weighed in at 2kg. Reviewing 4000grams of oculoplastics seemed insurmountably daunting until we noticed four things: first, this...

Reconstruction paediatric lower facial defects with an expanded flap from the submental region

Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...

Perceptions and deceptions: a personal blog by the editor 5 December 2016

I have (temporarily) deactivated my Facebook account. Facebook is an indulgence, like chocolate, and I am sure I can exist without it. The Facebook experience reminds me of those happy Easter holidays I used to spend in 1960s and 70s...