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Letter from Hong Kong (17 August 2020)

So much can change in just a few weeks. In Hong Kong after three weeks with no new cases we started to see a third wave in mid-July. More and more cases with no obvious source.

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

Risks and benefits of sunlight exposure

The author provides a timely summary of recently published National Institute for Health & Care Excellence (NICE) (2016) guidance regarding the risks and benefits of sunlight exposure and capturing the challenges which face healthcare professionals in communicating key messages focusing...

Enzymatic debridement of deeply burned faces

This is an interesting study looking at the outcomes following enzymatic debridement of deep facial burns. The authors directly compare enzymatic debridement with NexoBrid® and traditional excisional debridement in deep facial burns. They specifically analyse the debridement efficacy, acute healing...

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Form versus function concerning the external nasal valve

External nasal valve dysfunction is known to be a common cause of nasal obstruction. The authors present a prospective case series (n=19) including primary and revision cases of functional rhinoplasties. All patients reported nasal obstruction and were diagnosed with external...

Medical racism and the surgical ‘correction’ of the nose in Brazil

Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

Marllor Biomedical to launch Alidya, the first injectable to treat cellulite

Marllor Biomedical, the Italian manufacturer of Aqualyx, will host a big event in London next month to officially launch Alidya, the first injectable specifically developed to treat cellulite.

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...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

Evaluating the efficacy of 2-millisecond versus 3-millisecond Pulse Duration in Laser Hair Removal using a 755 nm Alexandrite laser

Abstract: This study evaluates the effectiveness of 2 ms versus 3 ms pulse duration in laser hair removal (LHR) with the GentleMax Pro Plus™ system using a 755 nm Alexandrite handpiece in subjects with Fitzpatrick skin types III and IV....