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Barbed threads for philthral shortening and vermilion eversion

Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...

14th Annual Euro PDT Congress

The 14th Annual Congress of the European Society for Photodynamic Therapy (PDT) in Dermatology programme contained an abundance of interesting and varied clinical information and research on the licensed and unlicensed indications of PDT. These included the many areas of...

Emerging trends in the aesthetics of rhinoplasty: from local to global

The concept of ‘beauty’ can be bewildering in its scope and variation through time and geographical location. As the aim of facial plastic surgery consists of restoration of form and function, the definition of beauty takes on immense importance. Although...

The applications of mesotherapy in aesthetic medicine

Mesotherapy is a modern form of therapy that consists of injecting medicines, vitamins and minerals as close as possible to the area that needs treatment. It is an astonishingly effective technique in aesthetic medicine as it treats layers of the...

Management of major burns – a role for Oxandrolone

Oxandrolone The authors present a retrospective single centre based study assessing the effect of Oxandrolone (OX) on the length of stay (LOS) following ≥15% of total body surface area (TBSA) burns. One hundred and sixty-seven surviving patients were retrospectively analysed...

Enzymatic debridement of deeply burned faces

This is an interesting study looking at the outcomes following enzymatic debridement of deep facial burns. The authors directly compare enzymatic debridement with NexoBrid® and traditional excisional debridement in deep facial burns. They specifically analyse the debridement efficacy, acute healing...

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...

Facial nerve injuries in fixing mandibular condylar fractures

The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...

Surgical management of subungal melanoma

The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...

Marcus-Gunn jaw winking without ptosis

This is a review of 72 cases of Marcus-Gunn jaw winking syndrome. The authors reviewed all their congenital ptoses seen over a 16-year period and found 72 Marcus-Gunn cases out of a total of 848 patients. Within the 72 they...

Letter from Hong Kong (13 April 2020)

Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...