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Lateral crura reinforcement with the sandwich technique

1 April 2016 | | Rhinoplasty | cephalic excess, cephalic malposition, graft displacement, lateral crural strut, ateral crus reinforcement, parenthesis tip, rhinoplasty, sandwiched crural reinforcement graft
Maintaining nasal tip structure and contour is an important goal during rhinoplasty surgery. Tip deformities can occur due to lateral crura malposition, trauma or sometimes due to excess of lateral crura triming during previous surgeries. The consequences of lateral crura...

How I Do It - Reduction ­thyroplasty

1 August 2014 | | General Plastic Surgery
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

How I Do It - Skin tightening: Profound

1 June 2019 | | Aesthetic Medicine, Facial Plastic Surgery, General Plastic Surgery
Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...

Lateral crura-alar ring

1 June 2014 | | Rhinoplasty | alar graft, alar malposition, bossa, caudal border, cephalic orientation, external valve collapse, lateral crura, nostril rim retraction, rhinoplasty alar rim
Lateral crura incision or excision are common procedures for most rhinoplasty surgeons despite the fact that they have potential complications such as nostril rim retraction, bossa tip formation and alar wall collapse during breathing. Fortunately, nowadays there is a trend...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Approaches to non-surgical face lifting

1 April 2018 | | Aesthetic Medicine, Dermatology
PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

Rediscovering the Lost Art of Endonasal Rhinoplasty

1 October 2013 | | Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

14th Annual Euro PDT Congress

14 April 2014 |
The 14th Annual Congress of the European Society for Photodynamic Therapy (PDT) in Dermatology programme contained an abundance of interesting and varied clinical information and research on the licensed and unlicensed indications of PDT. These included the many areas of...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

15 June 2016 |
It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

VITASPARK - a career counselling service with a difference!

7 November 2023 | Research & Development
Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, and colleagues.

Clinical case of hypertrichosis

2 June 2021 | | Aesthetic Medicine, Dermatology
Laser hair removal remains the best method of eliminating unwanted hair, including cases of hirsutism. Due to the pathogenesis of hirsutism, laser therapy alone can be insufficient to treat it. Male pattern terminal hair growth is caused by androgens and...

Liquid polycaprolactone collagen stimulator for natural facial anti-ageing

1 June 2023 | | Aesthetic Medicine, Dermatology
Skin ageing is influenced by genetics, environmental exposure, hormonal changes and metabolic processes. With ageing, the supple skin of youth becomes thinned and flattened, with loss of elasticity and architectural regularity. Atrophy of the extracellular matrix is reflected by the...