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Non-hormonal treatment options during the menopause

The author gives a comprehensive overview of prescribed treatment alternatives to hormone replacement therapy (HRT), discussing lifestyle, diet, alternative therapies, patient support and nurse education. The author argues that treatments for the symptoms of menopause are complex and that nurse...

A modification of the crescentic flap for nasal skin reconstruction

Non melanoma skin cancers are the most frequent malignant skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction can be challenging. The nasal complex has adjacent concave and convex surfaces, minimal laxity and nasal...

A simplified method for advancement genioplasty

Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...

Update on necrotising fasciitis

As a reviewer, there is always a temptation to select those articles in which one has a particular interest and to review them, rather than those which may very well deserve a review, but are outside one’s personal experience. So...

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...

Nasolabial flap to reconstruct peri orbital defects

The authors present a series of 25, mainly geriatric, patients that had ablative surgery and had complex defects in the paranasal and orbital regions. The paranasal and periorbital regions are extremely important for facial aesthetics and quality of life. These...

The many uses of human amnion

Human amnion has been the focus of myth and superstition. To be born with the ‘caul’ intact was considered lucky and this was transferable, including legitimate selling e.g. caul amulets. In 1910 foetal membranes were first used for transplantation and...

Immediate versus delayed post mastectomy breast reconstruction

The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...

Ethical expert reports by CAPSCO

One of the most stressful days for a surgeon is when a letter marked 'Confidential' comes through the letter box. A firm of solicitors or a complaint manager from a regulatory body such as the General Medical Council or the...

Who is Qualified The debate continues

At the beginning of November the Hong Kong Secretary for Food and Health, Dr Ko reported on the Working Group that was looking at the differentiation between Medical Procedures and Beauty Services. The group had met three times and seven...

Video Atlas of Oculofacial Plastic and Reconstructive Surgery

This second edition textbook is an accompaniment for the extensive video atlas that is available online through Expert Consult (access included with the book). In it, there are over 70 high definition videos – a total of five hours of...

Age-related changes in the menopausal woman

The author explores the aesthetic impact of hormonal ageing during the perimenopausal, menopausal and postmenopausal periods. The author explains that oestrogen levels can impact upon several skin functions, including: excessive hair growth, pigmentation, vascularity, elasticity and water-holding capacity. A detailed...