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The First World War and the Development of Facial Surgery

Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...

Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Size does matter

Megasessions in hair restoration, being defined as transplantation of 3,000 or more grafts, have the potential to definitely treat a significant area of scalp in only one procedure, allowing the patient to achieve their desired goals while minimising their overall...

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

Facial rejuvenation with the Profound RF System

Ageing of the face has become more noticeable among men and women in the modern world. The new work-from-home environment with more and more online meetings has created surroundings where people see themselves repeatedly on screen and therefore many have...

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....

Focus on Plasma: Total rejuvenation of the face with plasma device

The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...

Dr Tijion Esho has announced he is to be an Ambassador for Operation Smile UK

Dr Tijion Esho, TV presenter, cosmetic doctor and philanthropist has announced he is to be an Ambassador for Operation Smile UK today on National Selfie Day.

Objective measurement of the available excursion of temporalis muscle-tendon unit for the paralysed face

The transfer of functional muscle tendon units offers the potential for restoration of some facial tone, symmetry and motion after a single-stage procedure in reanimating the paralysed face. Apart from selecting the right donor muscle of adequate strength and excursion,...

Neck rejuvenation: Combining botulinum toxin type A and hyaluronic acid booster

Ageing of the neck is multifactorial and often more challenging to treat than facial ageing. The dermis of the neck is thinner, containing less collagen and elastin, leading to reduced structural integrity and elasticity. Fewer sebaceous glands result in dry,...

Multiple free flaps for head and neck cancer

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...

Infection and sepsis in burns: potential clinical predictors

In this retrospective study, the authors attempt to identify the most reliable predictors of early infection (within 10 days) in acute burns patients to try to reduce unnecessary antibiotic therapy. They recognise that infections and sepsis represent the leading cause...