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How I Do It - Peri-orbital rejuvenation using HA fillers

1 April 2015 | | Aesthetic Medicine, Dermatology
The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

1 June 2022 | | Oculoplastics, Aesthetic Medicine
The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

Support groups for hidradenitis suppurativa

1 October 2015 | | Dermatology
Hidradenitis suppurativa (HS) is an inflammatory condition characterised by painful inflamed nodules in the apocrine regions of the body. It follows a chronic relapsing clinical course and is a very difficult condition to treat. It has an estimated prevalence of...

Durjoy – the Hong Kong story

1 August 2014 | | General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

1 December 2016 | | Hand and Wrist Surgery
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

Non-ablative Er:YAG-laser treatment of female patterned hair loss

6 April 2021 | | Aesthetic Medicine, Dermatology
Female patterned hair loss (FPHL) is the most common hair loss disorder in women. Initial symptoms may lead to progressive hair loss [1]. FPHL has emerged as the preferred term for androgenetic alopecia (AGA) in women due to the uncertain...

Submandibular haematoma with airway obstruction following a warfarin overdose

1 June 2017 | | Maxillofacial Surgery
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

How I Do It - Facial peeling using retinol peel

10 October 2017 | | Aesthetic Medicine, Dermatology
An established body of literature acknowledges the efficacy and safety profile of retinoids (a family of compounds derived from vitamin A), in treating a variety of textural skin concerns, such as, coarseness, rhytides, pigmentation, enlarged pores, photodamage and inhibition of...

The role of maxillomandibular advancement surgery in obstructive sleep apnoea

1 August 2014 | | Maxillofacial Surgery
Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

The uses of BTX-A in maxillofacial surgery

1 February 2016 | | 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...

Dermoscopy: an update and personal view

1 April 2018 | | Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...