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How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach
Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...A guide to hair transplantation
A leading hair transplant surgeon provides an overview of the most effective surgical treatments for hair restoration – and how the industry will develop over the next decade. Modern hair transplant techniques were first developed in Japan in the 1930s...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...
The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.Ethical expert reports by CAPSCO
One of the most stressful days for a surgeon is when a letter marked 'Confidential' comes through the letter box. A firm of solicitors or a complaint manager from a regulatory body such as the General Medical Council or the...
Reconstructing the keystone area
This manuscript describes two different ways to stabilise the keystone area during extracorporeal septoplasty. The authors performed a retrospective study on 110 patients who were operated for extracorporeal septoplasty by multiple surgeons. The patients were divided into two groups; in...
Facial asymmetry in patients with deviated noses
Rhinoplasty of a deviated nose is known to be a challenge of its own kind, especially when patients presenting with a deviated nose are unaware of their underlying facial asymmetry. Patients with a successfully straightened nose, continue to perceive their...
Success rates of primary and revision transcanalicular DCR surgery
Transcanalicular laser dacro cysto rhinostomy (DCR) is a relatively rare procedure compared to more conventional external or endonasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser DCR (TCDL DCR), comparing a...How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex
The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...
Better outcomes from early repair of type B blow-out fractures
This paper examines whether early, rather than late, surgical repair results in better motility outcomes for a particular subgroup of orbital floor blowout fractures. The authors divide floor fractures into types A and B, depending on whether or not the...The scandal of NHS contracts with the independent healthcare sector
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.
An overview of microsurgical reconstruction of the head and neck worldwide
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...
