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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...

Auricular Reconstruction

In 2013 I sat in a little cafe in Nice with a small band of ear surgeons. We were there to put finishing touches to our plans to form the International Society for Auricular Reconstruction (ISAR). One in our midst...

Sunscreens and their properties for skin protection

A highly relevant discussion on the many facets of photoageing, with a sound overview of different UV rays, supported by clear diagrams showing the penetration depth of different light wavelengths. The composition and some of the myths surrounding physical and...

Septal perforation repair and rhinoplasty

The authors present the findings of a retrospective study included 17 patients who underwent rhinoplasty with concurrent septal perforation repair. They analysed the aetiology of the deformity, presenting symptoms, perforation size, intraoperative surgical techniques and complications. They evaluated postoperative subjective...

Polydioxanone thread-lifting

A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with...

PIP experience in the United Kingdom

This interesting study had three end-points. The accuracy of operative and radiological findings on explantation of PIP implants following the PIP scandal. The volume between intact and ruptured implants, with the hypothesis larger implants were more likely to rupture, and...

The supraclavicular artery flap for head and neck reconstruction

Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...

Choosing anaesthesia for oral surgery

This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...

Prophylactic postoperative antibiotics for enucleation or evisceration

The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...

Fat grafting within the focus of facial ageing

Volume restoration has become a cornerstone in the current model of understanding and approaching the aging face. Sam Lam offers a review in order to place fat grafting in its proper place, with all of its attendant risks, benefits and...

Principles of facial allotransplantation

In the seven years since the first partial face transplant was performed, a number of units around the world have raced to stamp their mark on this exciting and promising advance. In doing so, some have allowed their ambitions to...

How to establish a successful practice in aesthetic medicine

It is no secret that today’s aesthetic patients tend to seek non-invasive, non-surgical solutions as opposed to invasive treatments. According to the latest statistics published by the American Society of Aesthetic Plastic Surgery (www.surgery.org), there were over 11 million surgical...