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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...

Post-treatment advice following botulinum toxin injections

The author gives a detailed review of the advice that is routinely offered to patients following treatment with botulinum toxin, as well as the available evidence to substantiate current recommendations. There is a detailed description of the mechanism of action...

Large collar diameter Jones tubes

This is the first report of the success rates of frosted Jones tubes with larger diameter, 4.5 or 5mm collars. This is a retrospective review of 29 eyes of 25 patients who underwent insertion of a large diameter collar frosted...

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...

Lips and the perioral area: anatomical considerations for safer and natural results

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Minimally invasive cosmetic procedures, including lip augmentation using hyaluronic acid dermal fillers,...

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...

Eyelid and Periorbital Surgery 2nd Edition – NEW REVIEW

When the book to be reviewed arrived in the post we were taken aback – popping the volumes on the scale, each weighed in at 2kg. Reviewing 4000grams of oculoplastics seemed insurmountably daunting until we noticed four things: first, this...

Is rib cartilage a safe material for rhinoplasty

This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...

OPINION - Who should decide the qualification to do cosmetic surgery?

In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 15) – Duty of Care

Just to recap; I have been looking at the Reasons for Sentence in the case of HKSAR and Kwan Hau chi, Vanessa. The verdict had been declared: “guilty”. Now, on 4 October 2021, the Hon D’Almada Remedios J is going to present her review of the case and the factors she has taken into account when deciding the sentence. I am referring to an official document which is in the public domain. The case reference is HCCC 200/2018. It is a shameful document, but we must all share in that shame.

How I Do It - Body contouring using truSculpt® flex

The truSculpt® flex is a ‘next generation’ electrical muscle stimulation (EMS) device that has been cleared by the FDA for strengthening, firming, and toning the abdomen, buttocks, and thighs, as well as improving posture and reducing back pain by up...