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How I Do It - Photoageing treatment: RF microneedling
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...The New Doctors Contract NHS England – a brief summary
This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....
Serology testing in periocular inflammatory disease
This is a review article of serological tests in thyroid eye disease, IgG4-related disease and myasthenia gravis. The authors provide an overview of the current serology with a brief description of how they relate to the pathogenesis of each condition....How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...The flora of Culloden Field: Healing plants of a wounded land
The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...The World Association of Plastic Surgeons of Chinese Descent
With the 4th World Association of Plastic Surgeons of Chinese Descent (WAPSCD) coming up in November I thought I would share my experiences with you. I attended the second world congress in Taiwan for plastic surgeons of chinese descent which...From clinician to creator: taking your brand to the next level through experience-based marketing
Woman with Plastic Surgery “addiction” on how it nearly destroyed her marriage (and her face) Huffington Post, 4 November 2015 Cosmetic Crisis Waiting to Happen BBC News, 23 April 2012 I was blinded by fillers: One woman’s horrifying story of...
In vivo animals model shows no disadvantages of osteosynthesis with pins compared to titanium screws for condylar fractures
The advantages of resorbable pins have been proved in craniofacial surgeries. Here the authors extend its use to fractures of the condylar head, which are surgically challenging. The authors aimed to compare in vivo, the stability of fixation of condylar...
Submental island flap to reconstruct the lower lip
The lips are necessary for oral competence, cosmesis, speech and feeding. Non melanoma cancers can affect the lips, and the lower lips are about 80% more likely to be affected. A large number of these cancers are squamous cell carcinomas....
ERAS in microvascular breast reconstruction
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...
