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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...
Ethnic characteristics of the hair
The authors of this article discuss various aspects of ethnic differences in the field of hair restoration. They categorise three ethnic groups: Asian, White and African. In the article anatomic and hair characteristics are introduced. Understanding the follicle shape, calibre...
Objective measurement of the available excursion of temporalis muscle-tendon unit for the paralysed face
The transfer of functional muscle tendon units offers the potential for restoration of some facial tone, symmetry and motion after a single-stage procedure in reanimating the paralysed face. Apart from selecting the right donor muscle of adequate strength and excursion,...
Facial hair restoration
The author presents a review of facial hair transplant procedures. Specific areas of interest are eyebrows, beard, with goatee and moustache in detail, eyelashes and facial scars. Most common harvest procedures include the follicular unit extraction (FUE) technique and the...
Alar retraction – background and handling
The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....
Radiotherapy for orbital apex cavernous haemangiomas
This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...Is rhinoplasty still a plastic surgery procedure?
As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...How I Do It - Contouring the lower jaw (non-surgical)
It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...How I Do It - How to ‘best-buddy’ strap fingers
A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...How I Do It - Facial rejuvenation – treating sun‑damaged skin
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...
