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How I Do It - Neck rejuvenation with a multimodal approach: botulinum toxin and hyaluronic acid stable hybrid cooperative complexes
Combination treatment with botulinum toxin and hyaluronic acid is the standard regimen in facial rejuvenation. However, in rejuvenating the ageing neck a multimodal approach is essential because many factors contribute to the ageing of the neck. In particular there are...Advances in Rhinoplasty
AAFPRS 2019 Advances in Rhinoplasty takes Orlando by storm Report by Wendy Lewis, President, Wendy Lewis & Co Ltd Global Aesthetics Consultancy. Paul Nassif, MD from Beverly Hills, USA. Over 800 rhinoplasty surgeons traveled from all over the world to...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines
Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.
Approach to the orbital floor, which is better?
During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...
TRALI following fresh frozen plasma resuscitation from burn shock
This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...
Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel
Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...
Assessment of septal deviation in septorhinoplasty
A variety of methods exist to assess the nasal septum, often dependent of the healthcare resources available, and whether there is a specific pathology affecting the function of the nose. The authors present a small series of patients presenting with...
Sialendoscopy assisted excision of parotid stones
This is a retrospective paper from China that looks to assess the efficacy and safety of sialendoscopy with a combined transoral or transcutaneous approach for the removal of parotid stones. Sialolithiasis is known to be a major cause for obstructive...
Facial reconstruction with polyethylene implants
Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...
Factors which predict the utilisation of plastic dressing clinics in paediatric burns
This paper seeks to identify which factors impact on the re-attendance rates at a paediatric outpatient service following a burn. A retrospective review of patients admitted to a single paediatric burns unit (Royal Hospital for Sick Children, Edinburgh) over a...
Biodegradable plates in lateral orbitotomy surgery
This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...
