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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 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...

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...

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...

How I Do It - Contouring the lower jaw (non-surgical)

It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

How I Do It - Utilising ARES AK and AO as a multi-factorial approach

The Advanced Regenerative Esthetic Solutions (ARES®) line from CMed Aesthetics positions itself as “the most innovative mesotherapy line”. Mesotherapy is a minimally invasive cosmetic treatment that involves injecting small amounts of vitamins, enzymes, hormones, and other substances into the middle...