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In conversation with Dr Yannis Alexandrides

We were delighted to chat to Dr Yannis Alexandrides, the American and British board certified Plastic Surgeon, specialising in facial reconstructive surgery. You are internationally renowned in the field of plastic surgery – what made you choose this as a...

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...

Treatment of established facial palsy with botulinum toxin followed by half mirror exercises

Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

The Linear Bolus Technique and other practical tips for the advanced use of non-traumatic cannulas in aesthetic medicine

Some eight years ago, I read about non-traumatic cannulas in the brochure of a French medical supplies company. I was fascinated by the elegance of these instruments, as they respect the integrity of the tissues by not cutting through them....

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities

Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...

Postoperative antibiotics after a free flap surgery – is one dose enough?

Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Changing trends in the management of osteoradionecrosis (ORN)

In the wake of new drugs that have been introduced for ORN like pentoxifylline, tocopherol, clodronate etc, traditional ‘conservative’ management of osteoradionecrosis (ORN) including minimal surgical debridement and hyperbaric oxygen therapy (HBOT) is under review. This study is a retrospective...

Effects of orbital decompression

This is a retrospective review of 319 orbital decompression operations in 169 patients (73% female) with thyroid eye disease. Three wall decompressions were performed in 92 eyes, 2-wall in 206 (medial and floor), and a single wall (medial) in 18,...

Risk factors for loco regional recurrence for oral SCC

Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

Rib grafts for mandibular reconstruction

The mandible provides support for the function of the lips, floor of mouth and tongue, and provision of oral competence and function such as swallowing, chewing and speech. Reconstruction of the mandible following ablation thus requires good bone stock to...