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Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Abdominoplasty – current trends and technical considerations

This review article is based on a thorough literature search performed on Pubmed, the aim being to provide a detailed update on the contemporary practice of abdominoplasty. Technical modifications in the use of liposuction, scar placement, progressive tension sutures, elimination...

Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Classical facelift: a modern British perspective

It is clearly impossible to outline the whole of this subject matter in a short editorial article; many theses have been written in this field. This article is designed to give an overview to those reasonably familiar with this area...

Assessment and management of the mature female face with dermal fillers

The author presents an interesting and popular aesthetic topic with discussion on the background of the growth and demand for dermal fillers, including some of the popular types currently favoured. There is discussion on poly-L-Lactic acid and calcium hydroxylapatite (CaHA)...

Autologous fat grafting does not improve burn scar appearance

Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of...

Mid cheek lift

Middle third rejuvenation is a hot topic in facial plastic surgery nowadays. Surgical versus non-surgical treatments, lifting procedures versus volumising procedures, transtemporal, transblepharoplasy, deep plane, percutaneou. The number of choices clearly points out the lack of a standard procedures to...

Z-plasty release of congenital muscular torticollis

Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...

Massive weight loss abdominoplasty with novel technique of umbilicus reconstruction

This paper provides a description of the authors’ technique and thoughts on fleur de lys abdominoplasty including a technique of fashioning of the neo-umbilicus within the vertical scar. It contains good operative and postoperative photographs. The authors starting with the...