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Risk factors for loco regional recurrence for oral SCC

Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

Perfecting the pout

From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

The creation of PlayDoh<sup>®</sup> models as an educational tool for teaching anatomy of the eyelid

A full understanding of the anatomy of the eyelid is essential for oculoplastic surgeons; the authors guide us through an innovative way to improve the teaching of this important subject. An understanding of the anatomy of the eyelid is essential...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Acid attacks: part 2

The PMFA Journal Editor Andrew Burd continues with his exploration of the optimum treatment protocol for managing the devastating injuries wrought by acid attacks (see Part 1 here). In part one of this series I outlined the evolution of my...

In conversation with Derek Mendonca

Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

Combination therapy for PIH in skin of colour

Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...

How I Do It - Treating cellulite: TightSculpting

At the Teknon Medical Center, Barcelona, Spain, in the Laser Platform of the Institute of Fotomedicine, we practise laser medicine in dermatology, surgical and gynaecology applications. For unwanted fat removal, we use radiofrequency, cryolipolysis and laser lipolysis. Three years ago...

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 - Combination treatment of acne vulgaris

Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

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...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...