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Fundamental Topics in Plastic Surgery

The format of the book is sectioned into topics not too dissimilar to most commonplace recommended plastic surgery textbooks, including principles (wound healing, negative pressure therapy, local anesthetics, fat grafting) and techniques (suturing, flaps, tissue expansion, microsurgery, facial trauma and...

Breast augmentation from a patient perspective

When I was 17 and saw Pamela Anderson on Baywatch I knew I wanted to have breast implants. A plastic surgeon had an office nearby so I went to find out more. The woman who spoke with me was lovely,...

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

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...

Facial aesthetics and orthognathic surgery

Most maxillofacial procedures have an aesthetic element. Reconstructive procedures and surgery to correct congenital abnormalities such as cleft lip have an obvious aesthetic impact. When making surgical incisions for access to the underlying facial skeleton consideration will be made to...

Diagnosis of osteonecrosis of the jaw

Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...

Facelifting after radiotherapy for head and neck tumours

This paper sought to determine whether facelifting in patients with prior radiotherapy for head and neck cancer was safe. This study focuses on a small sample of 16 patients matched to controls who were retrospectively assessed for major surgical morbidity....

A new method for free-flap total nasal reconstruction

Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...

Long-term results of lateral brow suspension

The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...

Laser skin resurfacing

The increasing demand from patients to attain more youthful skin has driven the field of facial rejuvenation. Ablative technologies and laser technology are amongst of the most effective modalities. Laser resurfacing is a safe and effective treatment. Newer technologies have...

­Immediate planned reconstruction following complex craniofacial reconstruction

The immediate reconstruction of 3-D craniofacial defects is extremely difficult and can be more difficult than the ablation. Perfect shape and symmetry is required. In the past decade this has largely improved with CAD/CAM engineering. The authors report a one-step...