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How long should you wait for your adrenaline to work?

The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...

Sleep side preference affecting lid laxity in normal subjects

This is an interesting, masked, prospective study examining the hypothesis that increased upper eyelid laxity in normal patients may be related to the side on which they usually sleep. Two hundred and sixty-two normal subjects, over 55 years old, had...

Classification and assessment of midfacial fractures: no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...

Revirgination is not the same as hymenoplasty

The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

Plastic Surgery:6-Volume Set, 3rd Edition

This third edition of the great Plastic Surgery volumes was published last year and is now edited by Peter Neligan. It follows those previous works of Converse, McCarthy and Mathes in bringing together a wealth of expertise and knowledge combined...

Complications and long-term patient satisfaction after endoscopic brow lift

The authors present the results of a study of recovery, complications and overall satisfaction of patients with endoscopic brow lift with or without concurrent rhytidectomy made by a single surgeon. The study was performed through a telephonic interview using a...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

Facial contouring with fillers

With the advent of hyaluronic acid fillers, safe and effective non-surgical facial rejuvenation has been advanced. Hyaluronic acid fillers are becoming increasingly popular amongst patient who seek facial enhancement. In 2013, there were over 1.8 million treatments using hyaluronic acid...

Enzymatic debridement of deeply burned faces

This is an interesting study looking at the outcomes following enzymatic debridement of deep facial burns. The authors directly compare enzymatic debridement with NexoBrid® and traditional excisional debridement in deep facial burns. They specifically analyse the debridement efficacy, acute healing...

Editor’s reaction to acid attacks in London

As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...

The use of intravenous tPA for the treatment of severe frostbite

Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...