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Lower eyelid retraction is a complex eyelid malposition with varied causes and anatomic features that make correction of eyelid position challenging. This original study presents a new surgical concept for correction of lower eyelid retraction in a particular patient population:...

Simplification measure for costal cartilage grafting

The scalpel is currently the instrument used by most surgeons for carving costal cartilage grafts. However, this method is time consuming, requires a high degree of skill, and is far from ideal for reproducibly attaining uniform slices, even in expert...

Long-term complication after nasal dorsum augmentation

This is a case report describing a 54-year-old man who had had a rhinoplasty 10 years earlier and was unaware that he had had a porous polyethylene dorsal nasal implant inserted. He presented with a small pustule in the lower...

Management of alar retraction

This paper shows the results of a retrospective study on aetiology and treatment of one of the most common issues in rhinoplasty, alar retraction as defined by Jack Gunter’s classification system. The study was made using pre- and postoperative photographs...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Natural regression of brow heaviness in thyroid eye disease

This is a retrospective review of the change over time in the sub-brow fat volume in 104 patients with thyroid eye disease. Standardised photographs taken at diagnosis were compared with those taken after an average period of 10 years (+/-...

Revision of orbital fracture repairs

This is a retrospective review of 13 patients with sub-optimal outcomes following primary orbital fracture repairs who underwent revision surgery. All had fractures of the orbital floor, with four involving other orbital walls, and six also involving other facial bones....

Risk factors for loco regional recurrence for oral SCC

Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

Jawline augmentation: restoring balance in the ageing face

The context of the popularity of injectable treatments is outlined with the American Society of Plastic Surgeons (ASPS) 2018 stats describing the 3% rise in the number of injectable dermal fillers being performed. The author gives a detailed description of...

The Dallas Rhinoplasty and Dallas Cosmetic Surgery Dissection Guide

Although this is the book review section, the first thing to note is that the book isn’t the main event here. This publication is a video and photograph dissection guide, produced from the world-renowned Dallas Rhinoplasty and Cosmetic Surgery Course....

In conversation with Ali Pirayesh

Dr Ali Pirayesh. We were delighted to catch up with Dr Ali Pirayesh, esteemed plastic surgeon based in Amsterdam, about this career highlights and his involvement in AMWC Monaco. Can you tell us a little bit about what led you...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...