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How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

An update on BIA-ALCL

The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...

Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Skin dyspigmentation induced by triamcinolone injection treated with Nd:YAG picosecond laser in combination with polynucleotides

Non-surgical rhinoplasty is a popular cosmetic procedure that involves the use of injectable fillers to improve the shape of the nose without surgery. There are many different materials available on the market such as hyaluronic acid, collagen stimulators, etc. Silicone...

What’s new on the horizon for toxins coming to the market?

With the ever increasing demand for injectable treatments, it is important to keep abreast of new developments in the field. International expert Michael Gold reviews the new toxins due to be hitting the market in the next year. We are...

Natural regression of brow heaviness in thyroid eye disease

This is a retrospective review of the change over time in the sub-brow fat volume in 104 patients with thyroid eye disease. Standardised photographs taken at diagnosis were compared with those taken after an average period of 10 years (+/-...

Focus on Cosmeceuticals: Skin anatomy and photoageing

Skin anatomy The skin of the face provides crucial functions of temperature regulation, reparative functions following injury, facial expression, protective mechanisms against infection and ultraviolet radiation, as well as sensory perception. The integument consists of two principle layers, the epidermis...

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

A suggested management pathway for rhinophyma and benign superficial skin lesions that includes the use of plasma

Rhinophyma is an aesthetic embarrassment to many people. It is the result of sebaceous gland hyperplasia within the skin over the alar cartilages of the nose. It has a familial tendency and in addition to being unsightly it can commonly...

Plastic Surgery Volume 6: Hand and Upper Extremity

This is the last of this six-volume textbook, which provides an almost comprehensive coverage of the entire spectrum of hand and upper limb conditions. This remains a formidable task, as evidenced by other more extensive hand surgery textbooks that are...

Video Atlas of Cleft Lip and Palate Surgery

This is a well written textbook containing the basic background information and surgical techniques involved in cleft lip and palate surgery. The information is bestowed upon the reader in a clear, concise and logical way whilst being supplemented by sharp...