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The double-half bilobed flap or traditional bilobed flap – which is better?
Reconstruction of the nasal tip following ablative surgery can be taxing. The nasal tip is a very visible area with largely immovable skin and reconstruction needs an appreciation of the various sub-units to achieve best results. The traditional superiorly based...
Association of skin thickness with alar base reduction
The authors present the findings of a retrospective study including 621 patients who had septorhinoplasty using lateral crural repositioning (LCrep) with lateral crural strut grafting (LCSG) and with or without alar base resection. Study participants’ skin types were determined intraoperatively...
Autologous fat grafting does not improve burn scar appearance
Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of...
The effect of smoking status on burn inhalation injury mortality
It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...Longevity of lip augmentation with SMAS
Lip augmentation is an extremely popular cosmetic procedure. Various surgical techniques have been described. However, only a few studies have specifically addressed lip augmentation with superficial musculoaponeurotic system (SMAS). Postoperative analysis never extended beyond one year so far. The authors...
Another paper advocating resection templates
Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...
Imiquimod for lentigo maligna
This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....
Male facial aesthetics
The author shares experience of treating aesthetic male patients, with discussion surrounding components of effective treatment strategies. Discussion is underpinned by current statistics for a global increase in the number of male patients seeking aesthetic treatments, ranging from laser, chemical...
Intravenous paracetamol in orbital surgery
This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...
Proprioception and ptosis
This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...
Facelifting after radiotherapy for head and neck tumours
This paper sought to determine whether facelifting in patients with prior radiotherapy for head and neck cancer was safe. This study focuses on a small sample of 16 patients matched to controls who were retrospectively assessed for major surgical morbidity....
