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How I Do It - Approaches to lip augmentation: surgical lip lift

A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...

Bottoms up

Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

Diced conchal cartilage with perichondrial attachment graft in 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...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

Perceptions and deceptions: a personal blog by the editor 5 December 2016

I have (temporarily) deactivated my Facebook account. Facebook is an indulgence, like chocolate, and I am sure I can exist without it. The Facebook experience reminds me of those happy Easter holidays I used to spend in 1960s and 70s...

A possible role for adipose tissue-derived stem cells in modulation of keloid scarring

Keloid scarring remains a challenging clinical problem due to both resistance to treatment as well as high rates of recurrence. Research into possible treatments is also hindered by keloid scarring being a uniquely human phenomenon. Recent evidence supports a role...

Facial veins – diagnosis and treatment options

Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

The truth behind facelift myths

As the number of non-surgical options to treat the ageing face has increased in recent years, so have the number of myths about facelift surgery. This article, from two expert facial plastic surgeons from Stanford Hospital in California, provides the...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

The use of electrolysis in acne treatment – sebaceous gland ablation

Sebaceous gland ablation (SGA) offers a long-term solution to persistent acne. This is an exciting new treatment which is bringing hope to acne sufferers everywhere. What is acne? Acne is an unsightly skin condition which causes thickening and inflammation of...

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...