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Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...

Transcutaneous scarless buttock lift via the Serdev Suture<sup>®</sup> Technique

The Serdev Suture® buttock lift presents a scarless surgical procedure for the treatment of the flaccid, flat and ‘unhappy buttock’ form by a closed approach without any requirement for incision and excision scars. The outcome is a visual change in...

Augmentation rhinoplasty

Rhinoplasty refers to a procedure in plastic surgery in which the structure of the nose is changed by adding or removing bone or cartilage, grafting tissue from another part of the body, or implanting synthetic material to alter the shape...

How I Do It - Photoageing treatment: RF microneedling

Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...

Fat grafting the buttock: facts and myths

Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

A Reaction to the ‘Keogh Report’

In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...

An interview with Mr Miles Berry, Consultant Plastic and Aesthetic Surgeon

Mr Miles Berry has been working as a specialist in plastic and aesthetic surgery for the last 15 years. As well as spending nearly four years in Manchester as a Specialist Registrar, Mr Berry was Locum Consultant at the eminent...

IgG4-related disease or Graves orbitopathy

This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...

Marcus-Gunn jaw winking without ptosis

This is a review of 72 cases of Marcus-Gunn jaw winking syndrome. The authors reviewed all their congenital ptoses seen over a 16-year period and found 72 Marcus-Gunn cases out of a total of 848 patients. Within the 72 they...

Dark circles in the periorbital region

The author provides an insightful paper on the aetiological factors involved in dark circles and explores the treatment options. An emphasis is placed on the importance of undertaking a thorough patient consultation and history to establish causative factor(s), as well...

Imiquimod for lentigo maligna

This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....

Addressing eyelid ptosis in upper lid blepharoplasty

The authors of this article thoroughly explain the anatomical basis of upper eyelid asymmetry and the impact it may have on blepharoplasty. The eyelid is divided into three different areas (brow fat span, tarsal plate show and margin reflex distance)...