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Columellar strut in rhinoplasty
Several techniques are described to improve nasal tip shape; most of them include suture techniques or invisible grafts. In this article the author wants to put emphasis in the role of the columellar strut graft as a method to correct...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!Genioplasty
With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...
Non-surgical rhinoplasty: key indications and considerations for nasal augmentation
The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...
Recognition and treatment of common skin infections
A useful piece for aesthetic nurses who are clinically treating the skin, reinforcing the importance of recognising any signs of possible infection, that may contradict treatment or potentiate complications. The author gives a concise overview of common skin infections, with...
A useful guide for performing non-surgical rhinoplasty
This study details a single-centre, nonrandomised, prospective trial of 150 consecutive patients undergoing non-surgical rhinoplasty using hyaluronic acid fillers. The study’s aim was to develop an injecting protocol for different anatomical anomalies to achieve consistent results. Virgin noses and previously...
Body contouring modalities for sculpting the abdomen and flanks
The author discusses the importance of appropriately assessing an individual’s BMI in relation to assessing suitability for non-surgical body contouring, with a detailed and balanced discussion of non-surgical methods of contouring the abdomen and flanks. Some of the more commonly...
Prophylactic postoperative antibiotics for enucleation or evisceration
The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...The development of PDO threadlifting in the UK
Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...
AlloDerm for correction of lower lid retraction
This is a retrospective review of 95 eyes of 54 patients undergoing orbital decompression for Graves’ orbitopathy. All patients had a swinging eyelid approach across the whole of the lower lid. Thirty-six eyes also had insertion of a 0.3mm thick...
Filleting the lobule in otoplasty
The correction of lobular deformities continues to represent a challenge during otoplasty, due to its three major anatomic components: the axial angular protrusion, the coronal angular protrusion and the inherent shape. These aspects make controlled lobule repositioning less predictable. The...
