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Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | ONLINE EXCLUSIVE ARTICLES
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

Submental island flap to reconstruct the lower lip

1 December 2016 | | Facial Plastic Surgery
The lips are necessary for oral competence, cosmesis, speech and feeding. Non melanoma cancers can affect the lips, and the lower lips are about 80% more likely to be affected. A large number of these cancers are squamous cell carcinomas....

ERAS in microvascular breast reconstruction

5 October 2015 | | Breast Surgery | Autologous breast reconstruction, DIEP flap, ERAS, Enhanced recovery after surgery, Microsurgery
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...

The superficial circumflex iliac artery perforator flap in intraoral reconstruction

1 April 2014 | | General Plastic Surgery | Free flap, Head and neck cancer, Intra-oral reconstruction, SCIP
There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

What’s new in treating hypertrophic scars and keloids?

1 June 2018 | | Dermatology
World renowned dermatologist, Michael H Gold, explains new treatments available in the challenging field of hypertrophic scar and keloid management. The treatment of hypertrophic scars and keloids remains one of the most challenging conditions that dermatologists face on a regular...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | Facial Plastic Surgery, Maxillofacial Surgery
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

How I Do It - Photoageing treatment: RF microneedling

3 October 2022 | | Aesthetic Medicine
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...

How I Do It - Laser hair removal: focus on lighter hair

1 April 2020 | | Aesthetic Medicine, Dermatology
Variable square pulse (VSP) Nd:YAG laser devices are ideally positioned among all available laser sources for hair removal. This is due to the fact that the Nd:YAG wavelength (1064nm) penetrates deeply into the skin. It is strongly absorbed in melanin...

How I Do It - Combination treatment after nose trauma

1 April 2019 | | Aesthetic Medicine, Facial Plastic Surgery, Rhinoplasty
At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | Aesthetic Medicine, Dermatology, Oculoplastics, Facial Plastic Surgery
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

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....

Anatomy of the ageing lip

1 December 2016 | | Aesthetic Medicine
With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus (see here for Part 2) on lips Dr...