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Ointment related granulomas post-blepharoplasty

This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...

3D photography in facial rejuvenation

The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...

Intensed pulsed light for skin rejuvenation

A detailed article exploring many aspects of IPL; the mode of action, the role in photorejuvenation, as well as a useful comparison as to how the scope of IPL compares to laser for similar purposes, with analogies as to how...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

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...

Masculinising chest wall surgery (‘top surgery’)

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. In this feature article, we discuss our experience in masculinising chest wall...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

The Essential Burn Unit Handbook (Second Edition)

For some time, trainees have been searching for a worthy alternative to the long outdated and out of print Burns: The First Five Days, which used to be supplied free by Smith and Nephew. This pocket sized, reference manual, seems...

Oral photoprotection

The author presents an insightful review of the benefits of systemic photoprotection through orally ingested nutrients, advocating a need for a greater level of protection against free-radicals. Vitamin C is discussed in relation to its role in immune function, collagen...

Managing photodamage

The authors explore components of skin ageing, discussing extrinsic as well as intrinsic factors, with the focus upon the process of photoageing. The anatomy of the epidermis is discussed, supported by diagrams, in relation to extrinsic factors inducing photodamage, in...

The use of intense pulsed light therapy in the treatment of acne vulgaris

Intense pulsed light (IPL) is discussed in relation to its application in acne vulgaris. The author acknowledges that it may not be the most effective, or the first line therapy for managing such a challenging and persistent skin condition, but...