You searched for "Plastic"

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Lip lift with bull-horn flap for lip and nasal reconstruction

This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

How I Do It - Adipocytolysis

Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

Management of post-acne scarring

The author provides a detailed discussion of acne scarring, underpinned by statistics, reflecting the current prevalence. The pathogenesis of acne scarring, different types of scars and severe psychological impact are explored with emphasis on providing evidence-based treatments in aesthetic practice....

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

How I Do It - Treating cellulite: Cellfina

Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

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

It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

How I Do It - Treating the ageing neck with Ellevate™ plus

The ageing and sagging neck cannot always be successfully corrected using standard facelift techniques, even those that include extensive SMAS lift [1]. Adjuncts to treatment can include liposuction, radiofrequency or similar skin tightening procedures, open or closed platysmaplasty, extensive SMAS...

How I Do It - Facial peeling using retinol peel

An established body of literature acknowledges the efficacy and safety profile of retinoids (a family of compounds derived from vitamin A), in treating a variety of textural skin concerns, such as, coarseness, rhytides, pigmentation, enlarged pores, photodamage and inhibition of...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...