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Revision of orbital fracture repairs

1 February 2017 | | Oculoplastics
This is a retrospective review of 13 patients with sub-optimal outcomes following primary orbital fracture repairs who underwent revision surgery. All had fractures of the orbital floor, with four involving other orbital walls, and six also involving other facial bones....

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

1 June 2018 | | Aesthetic Medicine
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...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | Rhinoplasty
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...

Temple restoration

1 October 2015 | | Aesthetic Medicine, Dermatology
The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

Serving face

25 November 2020 | | Aesthetic Medicine, Dermatology
(Note: Serving face / giving face is a term used commonly by drag performers. It refers to the face you make as you pose for a photograph.) Dr Vincent Wong showcases the art and science of transforming drag queens into...

How I Do It - Tear trough rejuvenation

1 June 2022 | | Aesthetic Medicine
A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment

3 August 2021 | | Aesthetic Medicine, Dermatology
BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...

Cautions, contraindications and complications in aesthetics

5 August 2020 | | Aesthetic Medicine
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Vascular complications part 2: management

7 December 2020 | | Aesthetic Medicine, Dermatology, General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...

The future and a summary of the past

1 August 2014 | | Aesthetic Medicine, General Plastic Surgery
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | Aesthetic Medicine, Oculoplastics, Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....