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Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Chin augmentation: filler versus prosthesis

Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

Improving the anatomical understanding of the causation of fine lines

An interesting piece which explores the current evidence of the factors that are thought to lead to facial ageing through fine lines. The author outlines a detailed discussion of the many intrinsic factors which can lead to the emergence of...

Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

Old age and postoperative complications of head and neck free flaps

This review examined the relationship between free flap survival in older patients and whether this correlated with specific co-morbid conditions and a ‘cut off’ age.The authors did exclude some papers that specifically focused on one co-morbid condition, such as diabetes,...

An effective, affordable and side-effect-free solution for female hair loss

Forty percent of women will experience hair loss by the age of 50. This can have a profound impact on their mental and physical health, including lower self-esteem, a...

Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis

There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...

Modified temporalis muscle transfer for facial palsy

Use of the temporalis muscle to mitigate the deformities of facial palsy is an accepted technique, but getting the temporalis muscle into the correct position, with the correct tension, is difficult but essential if the operation is to be successful....

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...