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Smile design: Treatment approaches and considerations when performing lip enhancement
A ‘beautiful smile’ is often sought by patients requesting lip fillers, as smiling is one of the most important non-verbal ways of expressing emotions [1]. However, achieving an appealing smile when performing lip enhancement can be a challenging task. When...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.
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...How I Do It - Using Nd:Yag laser for correction of vascular anomalies
Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests 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...
An elegant extension to the facelift, resulting in good neck correction
The author discusses his experience in over 200 cases of an overlapping plication platysmaplasty technique via the facelift incision, thus avoiding a submental incision. A logical argument is made to the benefit of the procedure, providing more extensive retraction in...
IgG4-related disease or Graves orbitopathy
This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...A comparison of academic output of Welsh burns and plastic surgery trainees pre- and mid-COVID-19 pandemic: a cross-sectional study
The COVID-19 pandemic has affected the work of doctors worldwide, with surgical resources being diverted and non-emergency surgeries postponed. With surgical activity at 33.6% of expected levels in 2020, this sudden, vast decrease in surgical activity may have granted some...Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...
Method of surgical resection affects reporting of margins of tumours in the oral cavity
It is important to obtain tumour-free resection margins in patients with oral cancer. Pathological processing is known to cause tissue to shrink, which affects the reported margins, and it is postulated that the method of resection also has an effect....How I Do It - Approaches to lip augmentation: Perioral rejuvenation – a multi-product approach
A video of the authors demonstrating the procedure is available at the bottom of this article When approaching the lip and perioral area it is important to be aware that many non-surgical interventions may be used to treat this area....
