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How I Do It - A guide to anterior neck lift aesthetic surgery
The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...Recent developments in facelift surgery
3 October 2023
| Alwyn D’Souza, Salwa Al Maamari, Eugene Wong
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PMFA - Facial Plastic Surgery
Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...
Suspension thread lift combination treatments
5 February 2020
| Nestor Demosthenous
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PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
A true facelift can only be achieved through surgical means, at least for now, and given advances in techniques and anaesthesia, this has become far safer. Not everyone, however, requires a facelift. Non-surgical modalities such as thread lifts with or...
Rediscovering the Lost Art of Endonasal Rhinoplasty
1 October 2013
| Pietro Palma (Prof), Iman Khodaei
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PMFA - Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...
How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach
3 August 2021
| Walter King Wing Keung, Yvonne So Yee Woon
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PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....
How I Do It - Approaches to non-surgical face lifting
1 April 2018
| Martyn King, Paolo Bonan (Prof), Nicola Bruscino, Vesna Tlaker
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PMFA - Aesthetic Medicine, PMFA - Dermatology
PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...
Corneal neurotisation with an allograft
1 June 2019
| James Hsuan
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PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Oculoplastic
This is the first reported use of an acellular nerve allograft for corneal neurotisation. Seven patients received a 7cm long commercially prepared acellular nerve allograft. This was coapted to a functioning supratrochlear, supraorbital or infraorbital nerve and then tunnelled to...
Facial asymmetry and nasal septal deviation
5 October 2015
| Aina Greig
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PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery, PMFA - Rhinoplasty
The authors’ aim was to evaluate the relationship between nasal septal deviation and facial asymmetry. They performed a study of 60 patients who had facial 3D CT scans from April 2011 to March 2014 and confirmed facial asymmetry, who were...
Auricular reconstruction: flip-flop flap
1 June 2022
| Christopher Thompson, Miles Bannister
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PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...
How I Do It - Congenital midline cervical cleft excision and reconstruction
29 June 2023
| Valerie Kim, Miles Bannister
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PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...
Diced conchal cartilage with perichondrial attachment graft in rhinoplasty
1 August 2015
| Eduardo Morera Serna
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PMFA - Rhinoplasty
This article shows the experience of a single surgeon with the use of diced conchal cartilage with perichondrial attachment in 37 consecutive patients. The graft was used to camouflage asymmetries on the lateral wall of the nose, for tip contouring...