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How to establish a successful practice in aesthetic medicine
It is no secret that today’s aesthetic patients tend to seek non-invasive, non-surgical solutions as opposed to invasive treatments. According to the latest statistics published by the American Society of Aesthetic Plastic Surgery (www.surgery.org), there were over 11 million surgical...
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...
Surgical management of subungal melanoma
The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...Looking unusual: what it’s like and how skin camouflage can help
Appearance matters, nowadays more than ever. We live in a global culture where a smooth, blemish-free and consistent complexion, symmetrical features and perfect teeth are highly prized and believed to be the passport to happiness and success. If you are...
Abdominal problems following breast reconstruction using lower abdominal flaps
Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...
Complications of otoplasty
Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...
Raised serum lactate as a marker in the diagnosis of necrotising fasciitis
A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...
Large collar diameter Jones tubes
This is the first report of the success rates of frosted Jones tubes with larger diameter, 4.5 or 5mm collars. This is a retrospective review of 29 eyes of 25 patients who underwent insertion of a large diameter collar frosted...In conversation with Derek Mendonca
Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...Correction of skin hyperpigmentation by chemical exfoliation
The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...
Marcus-Gunn jaw winking without ptosis
This is a review of 72 cases of Marcus-Gunn jaw winking syndrome. The authors reviewed all their congenital ptoses seen over a 16-year period and found 72 Marcus-Gunn cases out of a total of 848 patients. Within the 72 they...
