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Should Plastic Surgeons 'De-skill'?

For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...

Facial Plastic and Reconstructive Surgery: A Comprehensive Study Guide

This book was conceived as a simple study guide / aide memoire for those sitting the American board exams in facial plastic and reconstructive surgery and indeed was largely written by residents approaching these exams, on the premise that they...

Plastic Surgery Volume 3: Craniofacial, Head and Neck Surgery, Paediatric Surgery

A detailed description of all aspects of head and neck surgery is a considerable challenge for any single volume but the fourth volume of this series is nonetheless fairly comprehensive and attempts to cover the anatomy, craniofacial trauma and head...

Advanced botulinum toxin injection techniques for lower facial correction

The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...

Labbé in children

This is the first report in the literature of orthodromic temporalis tendon transfer or the Labbé technique performed on children. The authors used a modification of the transoral approach to the temporalis tendon, originally described by Byrne and Boahene, which...

Lipofilling for scar improvement

Since Coleman et al. in 1991 reported on lipofilling, numerous applications have been reported; these include but are not limited to contour restoration, lip augmentation and wrinkle therapy. There have also been some one-off reports of improvements in scars following...

The supraclavicular artery flap for head and neck reconstruction

Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...

Frontal and lateral facial attractiveness

The authors examined the association between frontal and lateral facial attractiveness and identified anatomical features that may influence discordance between frontal and lateral facial beauty. They studied paired frontal and lateral facial synthetic images of 240 white women by using...

Auricular reconstruction: flip-flop flap

Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

How I Do It - NSR with dermal fillers

Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

Columellar strut in rhinoplasty

Several techniques are described to improve nasal tip shape; most of them include suture techniques or invisible grafts. In this article the author wants to put emphasis in the role of the columellar strut graft as a method to correct...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...