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Preservation rhinoplasty
Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...The REAL Clinic: the sustainable building and running of a new clinic
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....
Oral photoprotection
The author presents an insightful review of the benefits of systemic photoprotection through orally ingested nutrients, advocating a need for a greater level of protection against free-radicals. Vitamin C is discussed in relation to its role in immune function, collagen...
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)...
Marcus-Gunn jaw winking without ptosis
This is a review of 72 cases of Marcus-Gunn jaw winking syndrome. The authors reviewed all their congenital ptoses seen over a 16-year period and found 72 Marcus-Gunn cases out of a total of 848 patients. Within the 72 they...
The effect of smoking status on burn inhalation injury mortality
It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...
Significance of exterior capsular spread in a clinically negative neck
This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...
Topical and systemic interventions for the treatment of rosacea
The author provides current statistical information on the incidence of rosacea and ambiguity surrounding the aetiology of the common, yet complex condition. The paper reinforces the importance of providing symptom specific treatments, as well as the key position of aesthetic...
Beautification or distortion? Tackling the lip augmentation phenomenon
The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....
Classification and assessment of midfacial fractures: no more Le Fort facial fractures
There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...
Surgical exposures of the hand
This paper by Watt and Chung gives the reader an overview of hand anatomy, comments upon the aesthetics of hand surgery and summarizes some surgical approaches to the hand. The introduction presents a concise overview of the relevant anatomy of...
