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The medial gastrocnemius flap

1 April 2017 | | General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Durjoy – the Hong Kong story

1 August 2014 | | General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Chin augmentation: filler versus prosthesis

1 August 2016 | | Aesthetic Medicine, Maxillofacial Surgery, Facial Plastic Surgery
Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

How I Do It - X neo-umbilicoplasty

2 December 2019 | | General Plastic Surgery
Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

How I Do It - FracRevive - holistic skin rejuvenation with a combination of full beam and fractional Q-switched Nd:YAG laser

2 August 2022 | | Aesthetic Medicine, Dermatology
With increasing demand on efficient skin rejuvenation treatment associated with zero to minimum downtime, a two-step FracRevive laser rejuvenation with both full beam and factional Q-switched Nd:YAG laser has been designed by Fotona using the Starwalker system. Starwalker’s unique pulse...

Early treatment of scars with laser therapy

30 March 2022 | | Aesthetic Medicine, Dermatology
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...

Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities

5 June 2020 | | Aesthetic Medicine, Dermatology
Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | Aesthetic Medicine, Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

Treatment of striae utilising the Frax 1550™ on the Nordlys™ System

3 October 2023 | | Aesthetic Medicine, Dermatology
Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | Aesthetic Medicine, Oculoplastics, Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

Contemporary aesthetic management strategies for deficient jaw angles

1 April 2015 | | Aesthetic Medicine, Maxillofacial Surgery
Facial aesthetics in the lower facial third is strongly influenced by mandibular profile with the mandibular angle playing an important role. The youthful appearance of a well-defined jaw line and angle, which is regularly seen among leading movie actors, is...

In conversation with Ali Pirayesh

8 February 2024 | General Plastic Surgery, Aesthetic Medicine, Dermatology
Dr Ali Pirayesh. We were delighted to catch up with Dr Ali Pirayesh, esteemed plastic surgeon based in Amsterdam, about this career highlights and his involvement in AMWC Monaco. Can you tell us a little bit about what led you...