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Longevity of lip augmentation with SMAS

Lip augmentation is an extremely popular cosmetic procedure. Various surgical techniques have been described. However, only a few studies have specifically addressed lip augmentation with superficial musculoaponeurotic system (SMAS). Postoperative analysis never extended beyond one year so far. The authors...

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...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial clinical subject. Because of increased education and earlier diagnosis of skin tumours, surgeons are being presented with an increasing number of defects with limited size and depth....

An analysis of 60 treated cystic lesions in children

This is a retrospective single centre study of 60 consecutive cases in children. Ages are from four months to 14 years and cover the period 2000-2012. All patients were treated under a general anaesthetic. As expected most of the cysts...

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...

How long should you wait for your adrenaline to work?

The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...

Descending branch peroneal artery perforator flap

Reconstruction of distal third defects in the lower limb is a challenge that often requires microsurgical free tissue transfer. The authors introduce a peroneal artery perforator flap based on the deep descending branch for reconstruction of lateral malleolar defects. They...

How I Do It - Approaches to lip augmentation: surgical lip lift

A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...

How I Do It - Bio-remodelling of the face and neck

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Profhilo® is a unique hybrid complex of high molecular weight, 1100-1400kDal (long chain) H-HA and low molecular weight, 80-100kDal (short chain) L-HA pure hyaluronic acid. A propriety process of thermal relaxation and...

Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Vascular complications Part 1: Prevention

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

The truth behind facelift myths

As the number of non-surgical options to treat the ageing face has increased in recent years, so have the number of myths about facelift surgery. This article, from two expert facial plastic surgeons from Stanford Hospital in California, provides the...