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History of fat grafting

Fat grafting was first described in 1893 by Gustav Neuber, who transplanted adipose tissue from the arm to the orbit to correct depressed scars resulting from osteomyelitis. In 1895, Czerny reported excising a lipoma and grafting it into a breast...

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

The Surgical Art of Facial Makeover (Two Volumes)

This is an excellent two-volume textbook written by a world leader in the field of facial deformity, facial corrective surgery and orthognathic surgery. The two volumes bring together the various subspecialties as well as other non-surgical components of treating facial...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Scar revision synopsis

The authors present a comprehensive synopsis of late scar revision and other soft tissue deformities. They make the reasonable point that maxillo-facial surgery and its management of soft tissue injuries to the face is closely linked to cosmetic surgery. After...

Nanotechnology and regenerative therapeutics in plastic surgery

This review is focussed on how novel nanotech therapeutics can apply to modern plastic surgery. The review does not pose a specific question and, therefore, does not base the review on a particular hypothesis to whether nanotech carries an evidence...

Three-dimensional visualisation of the human face using DICOM data

This is an extended case report and something I would not normally review for the purposes of PMFA News. However, we should welcome innovation and use of simple technologies to potentially improve clinical care. This study describes the use of...

A review of reconstruction of the burned ear

The exposed location of the ear, combined with its thin skin and subcutaneous tissue makes it prone to full thickness burn injuries. As a result, deformity and disfigurement of the ear is a common sequelae of burns. This is a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Effect of skin expansion on acellular dermis

Acellular dermis is widely used in prosthesis based breast reconstruction, however, there is a lack of data concerning its expandability and related skin changes. This experimental study in rats aimed to determine whether acellular dermis could be expanded and whether...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...