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Management of the eye in facial paralysis

Ocular prevention is the first and foremost priority in the management of the patient with facial paralysis. John J Chi presents a review on the management of the upper and lower eyelid in cases of the paralysed face. In the...

Facial hair restoration

The author presents a review of facial hair transplant procedures. Specific areas of interest are eyebrows, beard, with goatee and moustache in detail, eyelashes and facial scars. Most common harvest procedures include the follicular unit extraction (FUE) technique and the...

Prednisolone and/or acyclovir for Bell’s palsy

Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

‘Split’ earlobe repair

Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

Facial rejuvenation with the Profound RF System

Ageing of the face has become more noticeable among men and women in the modern world. The new work-from-home environment with more and more online meetings has created surroundings where people see themselves repeatedly on screen and therefore many have...

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...

First signs of late nodal metastases

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

How I Do It - Lip augmentation: lip tenting technique

Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...

How I Do It - FracRevive - holistic skin rejuvenation with a combination of full beam and fractional Q-switched Nd:YAG laser

With increasing demand on efficient skin rejuvenation treatment associated with zero to minimum downtime, a two-step FracRevive laser rejuvenation with both full beam and factional Q-switched Nd:YAG laser has been designed by Fotona using the Starwalker system. Starwalker’s unique pulse...

In conversation with Dr Ibrahim Galadari

You are internationally recognised in the world of dermatology – what led you to into this field? Many doctors think about different specialties when they graduate from medical school. For myself, it was actually already my hobby to look at...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...