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Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’
The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...How I Do It - Tear trough rejuvenation
A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...Handy Solutions
Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...Encouraging results on treating thinning hair with PRP
Over the last few years platelet rich plasma (PRP) has made a big splash in the aesthetics world causing much excitement. It has been used for skin rejuvenation, softening lines and wrinkles, as part of an anti-ageing process. With the...Perspectives on: Polyurethane covered breast implants
The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...
Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns
Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....Sweet and sour thoughts from Hong Kong – a preview to my next 'Letter'
The weather was beautiful and there was a holiday atmosphere in the air. Five consecutive days without a new case. The goal is 28 consecutive new-disease-free days.How I Do It - Skin tightening: Fotona 4D protocol
Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...Could a technology from the past change skin disinfection for the future?
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...
