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How I Do It - Skin tightening: Profound

Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...

OPINION - Influencers affect us all: but are they as good as we think?

Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...

Classification of maxillofacial pain

The patient that presents with oral and facial pain can prove a diagnostic conundrum. Whilst most often dental causes can explain the origin and help from our maxillofacial colleagues is warranted, it is useful to have a system for approaching...

The surgical management of extensive balanitis xerotica obliterans

Balanitis xerotica obliterans (BXO) was initially described by Hallopeau in 1887 [1], when it was known as lichen sclerosis et atrophicus, the designation BXO, first being used by Stuhmer in 1928 [2]. It is a chronic, persistent and unrelenting inflammatory...

Revision facial plastic surgery

This is a timely publication to address some of the contemporary issues we face in dealing with poor results, or remediating results of others. No one escapes dissatisfactory outcomes. Lower lid rejuvenation is no longer a surgical manipulation of the...

Effects of ultraviolet radiation on the skin

A comprehensive paper concerning the dermal effects of sun exposure, including strategies which aesthetic nurses can adopt to guide patients in making evidence-based choices in selecting suitable sun protection. The key principles of ultraviolet radiation (UVR), including the immediate and...

Two for the price of one multiple parotid neoplasms

With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Hyposalivation in the oral cavity

This article is a comprehensive but succinct look at the effects of hyposalivation secondary to Sjogren's syndrome in the oral cavity. These publications are divided into dental manifestations, oral mucosal manifestations and other oral manifestations. The authors discuss caries, gingivitis,...

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Principles of Facial Reconstruction: A Subunit Approach to Cutaneous Repair

Principles of Facial Reconstruction is an excellent book for any trainee in plastic surgery, ENT or maxillofacial surgery. It is a well written book, that subdivides facial reconstruction into each subunit, with different chapters for each area. There are 10...