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An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

Perceptions and deceptions: a personal blog by the editor 9 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part three). In the ensuing few months I came up with this idea of an Institute of Aesthetic Medicine. Chris Howse?...

Novel picosecond handpieces for the treatment of pigmentation

Pigmentary disorders are common; several treatment modalities are available, ranging from topical therapy to chemical peels and lasers. The advent of ultrashort pulsed picosecond lasers (PSL) has transformed the way tattoos and benign pigmented lesions are treated. Unlike long-pulsed lasers...

Periocular burns: a literature review of classification, management protocols and outcomes of treatment

The author provides a review of the current literature regarding the principles of classification, management protocols of acute ocular and periocular burns and the role of the burn and oculoplastic surgeon involved in their care. More than two-thirds of facial...

FACE 2015

This was undoubtedly the biggest and most prestigious UK conference of the year. The international mix of both delegates and presenters brought together knowledge, skill and allowed us to experience a jam-packed agenda covering all aspects of aesthetic medicine. The...

Perceptions and Deceptions a personal blog by the editor 4 May 2016

So in the space of just a few days the Junior Doctors in the UK have engaged in the first all-out strike in the NHS since 1975. I was a medical student then and the issue was pay and conditions....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

IMCAS Americas 2025

Brazil, we are back soon! We had such a warm welcome and huge turnout for our first-ever congress in Brazil, we just can’t wait to return! IMCAS Americas will be held in São Paulo April 2025, so let’s start planning...

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...

Fat grafting as therapy for Raynaud’s

The authors have adapted the technique of lipo-filling, previously described for rejuvenation of the hand, to achieve symptom reduction in patients with primary and secondary Raynaud’s that had previously failed to respond to medical treatments. The majority of the subjects...