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The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Wide Awake Hand Surgery

For many years now, Donald Lalonde has been an advocate for the use of performing hand surgery in the awake patient without the use of a painful tourniquet. Also known as wide awake local anaesthesia no tourniquet (WALANT) this book...

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...

Focus on Plasma: The application of plasma devices in aesthetic medicine

AESTHETIC FOCUS Plasma: An ionised gas consisting of positive ions and free electrons in proportions resulting in more or less no overall electric charge, typically at low pressures (as in the upper atmosphere and in fluorescent lamps) or at very...

Medical treatment of orbital lymphatic malformations

This is a literature review of the use of Sirolimus, to treat orbital lymphatic malformations. Sirolimus is an immunosuppressant used in renal transplants, and acts by inhibiting mammalian target of rapamycin (mTOR), which in turn inhibits activation of T and...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Emergenza Sorrisi – Doctors for Smiling Children

History Our association was born in 2007, originally under the name SmileTrain Italy Onlus, with the aim of operating on children affected by cleft lip and palate in the developing world, offering them the possibility to smile and to have...

Reconstructive Facial Plastic Surgery: A Problem-Solving Manual (Second edition)

There are many other books that describe the principles and techniques for head and neck reconstruction but few are so comprehensive and yet concise enough to be easy to read from cover to cover or simply browse for ideas. This...

Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Can I quit the gym? Low level laser and body contouring

Is low level laser the answer for patients seeking a non-invasive method for body contouring? Balancing energy intake and energy expenditure is the healthiest and most sustainable means of weight loss and toning, but despite this, areas of local fat...

Coronavirus is making us better people

COVID-19 has brought unprecedented challenges to the world of aesthetic medicine. Simon and Emma Ravichandran offer their perspective on the crisis so far and look to the future. The impact of the coronavirus pandemic that started at the end of...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...