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How affective is lignocaine in the infiltration for tumescent liposuction?
The authors present a prospective, randomised, double-blind study to assess whether the inclusion of lignocaine in the standard infiltration for tumescent liposuction, reduces postoperative pain. A cohort of women, aged 18-40, BMI 20-27, and receiving abdominal or back liposuction were...How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...
Ultrastructural changes in keloid scars
One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...How I Do It - Approaches to acne treatment: Pulsed-dye laser
Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...
A new autologous flap option for breast reconstruction
The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...Living confidently with a distinctive face or body
The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...HA dermal filler with lidocaine: initial clinical outcomes
Hyaluronic acid (HA) is a natural occurring body polysaccharide essential for various body functions, present in connective tissues, skin, vitreous humour of eye, extracellular matrix, synovial fluid, etc [1]. It was first isolated in bovine vitreous by Mayer and Palmer...Synergistic regenerative therapy: Stromal vascular fraction and PICO laser for accelerated wound healing
Regenerative medicine stands at the forefront of innovative healthcare, utilising the body’s inherent reparative capacities to address various medical conditions. Within this landscape, stromal vascular fraction (SVF) has gained significant attention for its regenerative prowess. Comprised of mesenchymal / adipose...In conversation with Dr Peter Shumaker
“The views expressed in this interview are those of the member and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government.” Dr Peter Shumaker, Chairman of...
The lateral neck cystic mass – diagnostic dilemma
Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma. These cystic masses often develop in young adults distinguishing a branchial cleft cyst from a cystic lymph node with imaging and even high-quality fine needle aspiration cytology...
