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The need for resilience as an aesthetic practitioner
Resilience has been generally described as “the process of negotiating, managing and adapting to significant sources of stress or trauma” [1]. However, it may also be described as a personality trait, indicating that the individual has the human ability to...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...The Aesthetics Awards 2013
Last December saw the glamorous and eagerly awaited annual Aesthetics Awards, hosted at the Grange Hotel, and complete with winter wonderland atmosphere. A celebrity extravaganza emerged at the drinks reception, creating a vibe and first impression that the event could...
An overview of microsurgical reconstruction of the head and neck worldwide
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...
Early facial fat grafting in Treacher Collins syndrome with malar bone grafts
The authors present their experience in three patients with the effect of early fat grafting at ≥6 months of age with later bone reconstruction of the orbitozygomatic area in patients with Treacher Collins syndrome. Fat grafting was performed two to...
Nasal deformity following CPAP injury
Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy, to provide respiratory support to very low birth weight (VLBW) (<1500g) neonates. Nasal injury is a well recognised complication and figures quoted...
OCT imaging of occluded puncta
This is a description of the use of enhanced depth optical coherence tomography (OCT) to see whether a patent ampulla or canaliculus is detectable in patients with absent or occluded puncta. Nine occluded puncta of six patients with epiphora were...
IgG4-related disease or Graves orbitopathy
This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...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...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...Should Plastic Surgeons 'De-skill'?
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...
