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Lower facial rejuvenation

The author outlines the anatomical changes of the lower face in meticulous detail, supported by current literature, and accurately describes the senescent skeletal and deep fat compartment changes of the mid face and how these can impact on the presentation...

Male facial aesthetics

The author shares experience of treating aesthetic male patients, with discussion surrounding components of effective treatment strategies. Discussion is underpinned by current statistics for a global increase in the number of male patients seeking aesthetic treatments, ranging from laser, chemical...

All about velopharyngeal dysfunction

The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...

Guidelines for the management of craniosynostosis

A Dutch national working group developed this guideline with representatives from the societies representing 11 different specialties and the Dutch national patients’ society. Medical, social and psychological aspects of care for both syndromic and non-syndromic craniosynostosis are included, for both...

A review on contemporary options for facial reanimation

This paper is an up-to-date review on surgical and non-surgical options for the treatment of facial paralysis. The authors thoroughly describe recent techniques, like the masseter-to-facial nerve transfer, explaining the advantages over other more popular transfer techniques like the hypoglossal-to-facial...

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...

How I Do It - Tear trough rejuvenation

A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

Start slowly, stay grounded: The vital role of education in aesthetic medicine

Jude Dunican. Elaine Williams: I still remember the day we first met, with you coming into the clinic on behalf of Health Xchange back in 2018. We quite quickly got into developing ourselves professionally from that very first meeting, and...

Wide en bloc resection of lacrimal sac tumours

This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...

Outcomes of heavily pre-treated oral squamous cell carcinomas

Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...

Propranolol as diagnostic tool for infantile haemangiomas

Infantile haemangiomas are common, benign vascular tumours. Other vascular lesions, which can mimic infantile haemangiomas, include myofibroma, vascular malformations, rhabdomyosarcoma or dermatofibrosarcoma protuberans. The diagnosis of a haemangioma can usually be made based on clinical presentation and medical examination. This...

Cord lining mesenchymal stem cell exosomal proteins and their effects on hair follicles

Umbilical cord lining (UCL) mesenchymal stem cells (MSC) produce proteins and growth factors that, when packaged into exosomes in fixed proportions, can stimulate repair and regeneration in recipient cells. The pleiotropic properties of UCL-MSC have been shown to be effective...