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A place for nerve transfers in your hand surgery service
The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...
Ethnic characteristics of the hair
The authors of this article discuss various aspects of ethnic differences in the field of hair restoration. They categorise three ethnic groups: Asian, White and African. In the article anatomic and hair characteristics are introduced. Understanding the follicle shape, calibre...
Objective measurement of the available excursion of temporalis muscle-tendon unit for the paralysed face
The transfer of functional muscle tendon units offers the potential for restoration of some facial tone, symmetry and motion after a single-stage procedure in reanimating the paralysed face. Apart from selecting the right donor muscle of adequate strength and excursion,...
Facial hair restoration
The author presents a review of facial hair transplant procedures. Specific areas of interest are eyebrows, beard, with goatee and moustache in detail, eyelashes and facial scars. Most common harvest procedures include the follicular unit extraction (FUE) technique and the...
Alar retraction – background and handling
The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....
Radiotherapy for orbital apex cavernous haemangiomas
This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...
