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How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential

A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23) - Snoring

We all know what snoring is, but do we understand what snoring means?

Review of free flap use in burns

The authors looked at 346 studies of the use of free flaps in burns and undertook a systematic review of 30 of these studies after applying inclusion and exclusion criteria. They found that the use of free flaps could be...

A place for nerve transfers in your hand surgery service

The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...

Mucormycosis: In conversation with Dr Deepak Haldipur and Dr Aditya Moorthy

COVID-19 has ravaged the world in the past 18 months. The second wave in many countries was deadlier than the first. Mucormycosis, infamously labelled ‘the black fungus’ has affected some countries, such as India, in epidemic proportions within this COVID...

Preservation rhinoplasty

Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...

Cooltech Define

The most advanced cryolipolysis technology for full body contouring is called Cooltech Define.

Cosmeceuticals and Active Cosmetics (Third edition)

The editors have taken a subject about which I am passionate and the contents list makes fascinating reading. I am also delighted to read that there is a demand for more vehicle controlled studies in dermatologic science – this is...

Facial Paralysis - A Comprehensive Rehabilitative Approach

Facial Paralysis – a Comprehensive Rehabilitative Approach provides a thorough account of the surgical management of facial nerve disorders. It is an enjoyable read – being a manageable size yet covering the topic in sufficient detail to appeal to the...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Conjunctival mapping biopsies in sebaceous carcinoma

This is a retrospective review of conjunctival mapping biopsies in patients with periocular sebaceous cell carcinoma. The authors reviewed the biopsy technique and outcomes of 45 patients who had mapping biopsies performed over a 25-year period. A total of 429...

Three-dimensional imaging of the supratip after lower lateral cartilage repositioning

Cephalically positioned lower lateral cartilages (LLCs) contribute to the bulbous-appearing nasal tip. Repositioning of the LLCs removes volume created in the nasal sidewall / supratip regions leading to better tip refinement. This reshaping of the tip is ameliorated by application...