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How I Do It - Adipose tissue restoration in response to ageing
The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...
Eyelid and Periorbital Surgery
Many specialities in surgery intersect, allowing for clinical and research collaboration. Plastic surgery and ophthalmology are one such example wherein a number of different principles have been combined in order to develop reconstructive techniques for conditions affecting the orbital soft...
Treatments for hyperpigmentation
Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...The life cycles and biological end pathways of dermal fillers
This is an extremely comprehensive and well-designed study of short-term and long-term degradable fillers as well as permanent fillers. Having identified and reviewed 109 relevant manuscripts between 2001 and 2013, Ahn and Rao have produced an excellent paper on this...
Outcomes of heavily pre-treated oral squamous cell carcinomas
Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...
Exposures of the wrist and distal radioulnar joint
The article Exposures of the Wrist and Distal Radioulnar Joint presents its anatomical material in a logical manner, with headings and sub-headings clearly delineating the subject matter. The ‘Pitfalls’ and ‘Pearls’ sections adequately summarise the material covered, in a format...
The dynamic nature of orbital cavernous haemangiomas
This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...
Harvesting the flexor hallucis longus what is the increased morbidity
The free fibula flap and its variations are now widely used in various clinical applications for microvascular reconstructions. Occasionally and to add bulk the flexor hallucis longus (FHL) muscle is harvested along with the fibula. Additionally, the postoperative morbidity is...
A tarso-conjunctival flap for paralytic ectropion
This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...
Malar mounds and festoons
Periorbital rejuvenation and blepharoplasty, in particular, are very common procedures nowadays in aesthetic practice. More than 153,000 blepharoplasty procedures were peformed in the USA during 2012. Blepharoplasty can sometimes be a very challenging surgery, especially if the patient presents with...
