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How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....

Mid cheek lift

Middle third rejuvenation is a hot topic in facial plastic surgery nowadays. Surgical versus non-surgical treatments, lifting procedures versus volumising procedures, transtemporal, transblepharoplasy, deep plane, percutaneou. The number of choices clearly points out the lack of a standard procedures to...

Method of surgical resection affects reporting of margins of tumours in the oral cavity

It is important to obtain tumour-free resection margins in patients with oral cancer. Pathological processing is known to cause tissue to shrink, which affects the reported margins, and it is postulated that the method of resection also has an effect....

Aesthetics and Functionality in Ear Reconstruction

Recent years have brought important refinements to the approach and techniques of functional and aesthetic ear reconstruction. Aesthetics and Functionality in Ear Reconstruction by R Staudenmaier is an excellent book providing concise but detailed overview on the state of the...

How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...

Reconstructing large heel defects

A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...

Traumatic split earlobe repair using double triangular skin flaps

Split earlobes are a common secondary deformity of the ear. Numerous techniques have been described to repair a traumatic split earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue...

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...

Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

How I Do It - Combination treatment after nose trauma

At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...