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3D photography in facial rejuvenation

The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

Practising surgery in a war zone: an interview with Dr Volodymyr Melnyk

It is now nine months since the full-scale Russian invasion of Ukraine commenced in late February 2022, with Putin announcing a “special military operation” to “denazify and demilitarise” Ukraine. The rest of the world, however, saw it for what it...

The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

Mandibular asymmetry: Importance of personalised treatment

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Human facial symmetry is a key determinant for assessing facial attractiveness, and...

Medical tattooing for a better life

Dermatography (medical tattooing), was first documented in the 19th century, and is nowadays frequently performed for nipple reconstruction after mastectomy. Despite its popularity in the field of breast reconstruction, this procedure is not used on a broad scale in any...

How to decrease postoperative swelling in rhinoplasty

Postoperative bruising and facial swelling is one of the main concerns of rhinoplasty patients. There is sustained controversy on the surgical manoeuvres, medication and postoperative measures to reduce it, and many published papers address this topic. The authors of this...

Airway first in patients with facial trauma

Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...

Long-term outcome of the Turkish delight graft

The author of this study shows the long-term results of the Surgicel-wrapped diced cartilage, better known by rhinoplasty surgeons as the Turkish delight (TD) graft. The graft, originally described by the author of the article, was meant to be used...

A new method for free-flap total nasal reconstruction

Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...

Facial sensory rehabilitation

The authors of this paper show the results of their method for facial sensory rehabilitation using cross-face sural nerve grafts in three patients. All three patients had hemifacial anaesthesia after trauma or intracranial tumour resections and their symptoms varied from...