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How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...

How I Do It - Contouring the lower jaw (surgical)

It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

Facial nerve injuries in fixing mandibular condylar fractures

The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...

COVID-19 Isolation Syndrome

James Frame looks at the psychological effects of lockdown on plastis surgery patients.

Congenital ptosis and astigmatism

This is a review of the effect of congenital ptosis surgery on refractive error. Seventy-one eyes of 56 patients were reviewed. The unoperated eye in unilateral cases was used as the control group. The mean age at surgery was 5.1...

When to treat a fractured mandible?

This is a prospective study from Brisbane of 215 patients with a total of 359 fractures of the mandible. Nine outcome variables were analysed with a further 19 included to adjust for potential confounding. Treatment delay was found not to...

Myopathic ptosis and lower lid retraction surgery

This is a description of a surgical technique which simultaneously addresses both the upper lid ptosis and lower lid retraction in patients with moderate to severe myopathic ptosis. The procedure was performed on 16 eyes of nine patients and involved...

How to decrease postoperative swelling in rhinoplasty

Postoperative bruising and facial swelling is one of the main concerns of rhinoplasty patients. There is sustained controversy on the surgical manoeuvres, medication and postoperative measures to reduce it, and many published papers address this topic. The authors of this...

Beautification or distortion? Tackling the lip augmentation phenomenon

The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....

Sentinel node biopsy in oral cancer

Sentinel node biopsy (SLNB) is not new and is well established in the management of early breast cancer and melanoma. New trials such as the European Sentinel Node (SENT) trial and others sought to address the question of the clinical...

Recognising the key tear trough ligaments

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. The anatomical understanding of the periorbital ligaments is critical for mastering tear...

Perceptions and Deceptions a personal blog by the editor 19 May 2016

Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...