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How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

Diagnosis of osteonecrosis of the jaw

Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...

How I Do It - Bio-remodelling of the face and neck

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Profhilo® is a unique hybrid complex of high molecular weight, 1100-1400kDal (long chain) H-HA and low molecular weight, 80-100kDal (short chain) L-HA pure hyaluronic acid. A propriety process of thermal relaxation and...

Non-surgical neck rejuvenation – how effective can it get?

BY DR. PATCHANON ASAWAWORARIT The aging neck undergoes several complex changes as a part of the aging process. These multifaceted changes include physiological adjustments at skin, fat, muscle, and bone levels. Aging causes thinning of the skin, a decrease in...

IN RESPONSE TO: Plastic surgery and aesthetic medicine - specialties and specialists

I read with great interest the article ‘Plastic surgery and aesthetic medicine: specialties and specialists’ by Professor Andrew Burd published in the Feb/Mar issue of PMFA News. Prof Burd brings up many valid points about the specialty of plastic surgery...

Labbé in children

This is the first report in the literature of orthodromic temporalis tendon transfer or the Labbé technique performed on children. The authors used a modification of the transoral approach to the temporalis tendon, originally described by Byrne and Boahene, which...

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Age-related changes in the menopausal woman

The author explores the aesthetic impact of hormonal ageing during the perimenopausal, menopausal and postmenopausal periods. The author explains that oestrogen levels can impact upon several skin functions, including: excessive hair growth, pigmentation, vascularity, elasticity and water-holding capacity. A detailed...

Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

The role of expert witnesses in miscarriages of justice

‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

Retrobulbar hyaluronidase

Blindness following filler injections is a devastating complication for the patient and the practitioner.

Rediscovering the Lost Art of Endonasal 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...