Journal Reviews
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...
Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
Maximising treatment outcomes with skin peels
The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...
Nutraceuticals and skin health
An interesting discussion on the evidence surrounding nutraceuticals. The author describes nutracosmetics to be one of the fastest growing subsections of the nutraceutical industry. A comprehensive analysis of topical and dietary antioxidant protection is conveyed with conclusive evidence to demonstrate...
ERAS in microvascular breast reconstruction
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...
Ointment related granulomas post-blepharoplasty
This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...
Biodegradable plates in lateral orbitotomy surgery
This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...
Post-cancer prosthodontic reconstruction
A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...
Early facial fat grafting in Treacher Collins syndrome with malar bone grafts
The authors present their experience in three patients with the effect of early fat grafting at ≥6 months of age with later bone reconstruction of the orbitozygomatic area in patients with Treacher Collins syndrome. Fat grafting was performed two to...
Facial asymmetry and nasal septal deviation
The authors’ aim was to evaluate the relationship between nasal septal deviation and facial asymmetry. They performed a study of 60 patients who had facial 3D CT scans from April 2011 to March 2014 and confirmed facial asymmetry, who were...
A review of burns in patients over the age of 90
The authors share their results looking at a retrospective review of burns in patients over the age of 90 in a 15-year period from 1998 to 2013 from a single regional burns centre (Pinderfields Hospital, UK). Twenty-two patients were identified...
A new free flap for the head and neck
Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if...
