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Delayed intraoral wound healing in patients on bisphosphonates

Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...

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...

Post-truth bogus science: Cosmetic surgical research concerns support the need for research integrity watchdog in Australia

The post-truth phenomenon has become a worldwide problem. The absence of a research integrity watchdog in Australia is causing related concern in aesthetic surgery, with the risk of research misconduct being allowed to prosper and benefit vested commercial interests. We...

Cosmetic Facial Surgery (Second Edition)

I do not know who Joe Niamatu I or Joe Niamtu II were and sadly I have never met Joe Niamtu III. I have, however, read his book from cover to cover and feel that I got to know his...

The role of angiogenesis in wound healing, scarring and tissue regeneration

In the UK alone there are 175,000 people who visit Accident & Emergency departments with burns each year. This results in around 13,000 hospital admissions, of which 1000 are due to severe burns [1]. Over half of these admissions are...

Selection of full thickness skin graft donor site influences extent of contraction

Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...

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...

Augmentation rhinoplasty

Rhinoplasty refers to a procedure in plastic surgery in which the structure of the nose is changed by adding or removing bone or cartilage, grafting tissue from another part of the body, or implanting synthetic material to alter the shape...

Ethnic characteristics of the hair

The authors of this article discuss various aspects of ethnic differences in the field of hair restoration. They categorise three ethnic groups: Asian, White and African. In the article anatomic and hair characteristics are introduced. Understanding the follicle shape, calibre...

Conjunctival mapping biopsies in sebaceous carcinoma

This is a retrospective review of conjunctival mapping biopsies in patients with periocular sebaceous cell carcinoma. The authors reviewed the biopsy technique and outcomes of 45 patients who had mapping biopsies performed over a 25-year period. A total of 429...

Body dysmorphic disorder and addiction to medical aesthetic procedures

This article by two expert authors within the field of anxiety disorders covers a highly poignant subject of growing interest within aesthetic medicine. It covers the definition and manifestation of body dysmorphic disorder (BDD), underpinned by robust and current references,...

How I Do It - Hyaluronic acid in anti-ageing

Dr Irfan Mian, Cosmetic Physician specialising in non-surgical aesthetic treatments, provides readers with a comprehensive guide to his preferred product and procedure in dealing with ageing skin. The product Hyaluronic acid (HA) or hyaluronan, a glycosaminoglycan, is the main molecule...