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How I Do It - Combination treatment after nose trauma

At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...

How I Do It - Laser hair removal: focus on lighter hair

Variable square pulse (VSP) Nd:YAG laser devices are ideally positioned among all available laser sources for hair removal. This is due to the fact that the Nd:YAG wavelength (1064nm) penetrates deeply into the skin. It is strongly absorbed in melanin...

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...

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...

CO2 laser treatment of rhinophyma

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The authors describe their technique and experience of treating rhinophymas with a...

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....

Barbed threads for philthral shortening and vermilion eversion

Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...

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...

The superficial circumflex iliac artery perforator flap in intraoral reconstruction

There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

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...

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...