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Older people and skin challenging perceptions of the ageing process
This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...
A place for nerve transfers in your hand surgery service
The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...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...
Three-dimensional imaging of the supratip after lower lateral cartilage repositioning
Cephalically positioned lower lateral cartilages (LLCs) contribute to the bulbous-appearing nasal tip. Repositioning of the LLCs removes volume created in the nasal sidewall / supratip regions leading to better tip refinement. This reshaping of the tip is ameliorated by application...
Chemical peels
Chemical peels are methods of skin resurfacing, and date back to ancient Egypt. Chemicals are applied and induce injury at specific depths in skin; the wound promotes collagen remodelling and improved surface appearance. There are three types: superficial, medium and...
Reconstruction after maxillectomy
Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....
Conchal cartilage to reconstruct nasal septum
The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...
Total nasal tip reconstruction with autologous auricular cartilage
This paper shows an original and effective procedure for total nasal tip framework reconstruction using autologous auricular cartilage. The authors explain how the seagull-wings technique, described some years ago by one of them (Fernando Pedroza) to treat severe nasal tip...
Fat grafting within the focus of facial ageing
Volume restoration has become a cornerstone in the current model of understanding and approaching the aging face. Sam Lam offers a review in order to place fat grafting in its proper place, with all of its attendant risks, benefits 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...
The FLIR ONE thermal imager for the assessment of burn wounds
The authors look at a new system called the FLIR ONE thermal imager in the assessment of burn wound depth. This is a small, handheld device with two cameras that can be attached to iOS or android tablets or smartphones....
