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Airway first in patients with facial trauma

Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...

Repeated orbital decompression surgery

This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...

Two for the price of one multiple parotid neoplasms

With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

Early facial fat grafting in Treacher Collins syndrome with malar bone grafts

The authors present their experience in three patients with the effect of early fat grafting at ≥6 months of age with later bone reconstruction of the orbitozygomatic area in patients with Treacher Collins syndrome. Fat grafting was performed two to...

The effect of skin graft contracture when using artificial dermis

This is a report of a prospective clinical trial performed in a single centre in Seoul, South Korea. The group attempted to observe the change in size of skin grafts applied to an artificial dermal substitute (matriderm). Two groups of...

Non-surgical periocular aesthetics

The periocular region is the focal point of facial communication. Millimetre increments of change required to achieve bilateral symmetry and harmony can be difficult to achieve by surgical means only. Non-surgical aesthetic modifications offer a number of advantages in selected...

Chemical peels

Chemical peels are methods of skin resurfacing, and date back to ancient Egypt. Chemicals are applied and induce injury at specific depths in skin; the wound promotes collagen remodelling and improved surface appearance. There are three types: superficial, medium and...

Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus are usually diagnosed early, rarely needing large reconstructions following advanced disease. This is a retrospective looking at 26 patients identified that had undergone treatment for cheek melanomas between 1996 and...

Improving cosmesis after breast implant removal

Removing breast implants has a profound effect on the patient’s appearance; in this article the authors, both expert breast surgeons, discuss how to optimise the cosmetic result. Removing breast implants has a profound effect on the patient’s appearance and we...

Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Laser tattoo removal: results and issues

The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...

Choosing a 3D printer for reconstructive surgery

3D printing was first developed in the 1980s, but it wasn’t until the early 2010s that the additive manufacturing or 3D printing technology advanced enough to become available to those outside of specialist laboratories. 3D printing has also begun to...