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

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...

The development of PDO threadlifting in the UK

Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...

How I Do It - Photoageing treatment: RF microneedling

Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...

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...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

Liposuction – the evolution of the classical technique

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

Application of substance P as an osteogenitor in mandibular distraction osteogenesis

In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Basics in Dermatological Laser Applications

As part of the Current Problems in Dermatology series this volume provides an excellent grounding in both the history and principles of laser development and laser physics. Subsequent sections on laser / tissue correction and laser safety are followed by...

Basic principles of bioengineering and regeneration

The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....

How I Do It - Treating cellulite: Cellfina

Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Enzymatic debridement of deeply burned faces

This is an interesting study looking at the outcomes following enzymatic debridement of deep facial burns. The authors directly compare enzymatic debridement with NexoBrid® and traditional excisional debridement in deep facial burns. They specifically analyse the debridement efficacy, acute healing...