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Older people and skin challenging perceptions of the ageing process
This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...
Body contouring surgery: Use common sense!
This informative article, which kicks off this excellent edition of Clinics in Plastic Surgery, provides a sensible and balanced review of when, why and what to do with the massive weight loss patient group. The recommended wisdom will be familiar...
Treatments for hyperpigmentation
Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...
The pitfalls of having cosmetic procedures abroad
The author presents an interesting and thought-provoking case study, describing the risks of undergoing non-surgical procedures overseas. The account describes the journey of an individual who sought treatment with a dermal filler on the basis of a ‘weekend experience’ in...
Cognitive behavioural therapy (CBT) and appearance anxiety
An interesting overview of the impact which appearance anxiety can create upon an individual’s wellbeing. Studies estimate one third of individuals with a visible difference are thought to develop anxiety and stress as a consequence. Whilst the discussion surrounding this...
Successful nose replantation
This case report describes a superb result following the delayed replantation (after eight hours) of the distal right nostril following a dog bite. The patient was a heavy smoker. Two arteries and two veins were anastomosed, one measuring 0.6mm and...
Patient-reported outcomes in oculoplastic surgery
This is an important if somewhat difficult to grasp article which tries to formally address the subject of patient-reported outcomes in oculofacial surgery. The authors have conducted an extensive review of the literature searching for instruments (questionnaires) which have been...
USA resident working patterns and on-call
As debate rages at home regarding the uneasy relationship between the restriction on trainees’ working hours, on-call patterns and the goals and outcomes of plastic surgery training programmes, it is interesting to read of similar concerns across the Atlantic. This...
Success rates of primary and revision transcanalicular DCR surgery
Transcanalicular laser dacro cysto rhinostomy (DCR) is a relatively rare procedure compared to more conventional external or endonasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser DCR (TCDL DCR), comparing a...
How to measure functional outcome after nose surgery
The authors of this paper perform a systematic review of the literature on two of the most popular patient-reported measures for nasal obstruction, the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). They compare pre and postoperative...
Diagnosis and management of orbital vascular malformations
This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...
