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Is columellar strut necessary in primary rhinoplasty
This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...
Decision Making in Aesthetic Practice: The Right Procedures for the Right Patients
This is a mini treasure and absolute must for any aspiring aesthetic practitioner. The demand for aesthetic medicine is rapidly growing and this book is a concise haven of knowledge not only for those early on in their training but...Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...
A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars
This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...
Nanocrystalline silver compared to alternative silver delivery systems in the management of burns
With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...How I Do It - Skin tightening with bipolar radiofrequency system
Skin tightening procedures occupy an important place in the practice of aesthetic medicine. Physicians have a big choice of energy-based devices (EBD) and sometimes it is difficult to find the right one. Profound Personally, I prefer to use Profound which...How I Do It - Lip augmentation: new rejuvenation with Er:YAG and Nd:YAG laser
Lip augmentation has become progressively popular in recent years, reflecting cultural trends in youth and beauty. Research suggests that the ‘ideal lip’ should have the following characteristics: fullness and volume, correct balance between the upper and lower lips, and a...
Facial reconstruction with polyethylene implants
Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...
Temporary tracheostomies are not always necessary for head and neck free flap reconstruction
Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...
