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Making the most of the temporalis fascia graft in open rhinoplasty: an innovative technique with outcomes of 2000 cases over a 15-year period

The authors present a technique that increases the surface area of a temporalis fascia graft when used to provide smooth, dorsal coverage in cases of open tip rhinoplasty. Numerous graft materials have been developed for use in rhinoplasty procedures in...

How I Do It - High-energy acne scar treatment with a fractional Q-switched Nd:YAG laser

Acne vulgaris is one of the most common skin diseases, affecting one out of two people in their lifetimes. About 80% of people between the ages of 11 and 30 suffer from acne, of which many will further experience some...

Treatment of rosacea using pulsed dye laser

Rosacea is a common chronic cutaneous inflammatory condition estimated to affect 415 million people worldwide [1]. It characteristically affects the central face and its primary features include flushing, non-transient erythema, telangiectasia and in progressive stages papules and pustules. Secondarily, it...

A Timeline of Plastic Surgery

Where did the name ‘plastic’ surgery come from? It is probable that the first use of the term was by the German von Graefe in his book Rhinoplastik published in 1818. The intention was to describe the moulding of tissue...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

Burns care in India: unique and continuing challenges

The author interviews Dr Shobha Chamania, Chief of Choithram Hospital Burn Unit, to obtain an insight into the unique challenges burns care practitioners face in India. Choithram Hospital Burn Unit is an Interburns accredited training centre located in Indore City,...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

Teaching students head and neck anatomy through the art of drawing

The link, both historical and contemporary, between art and anatomy is apparent. A recent British Broadcasting Corporation (BBC) documentary The Beauty of Anatomy showcased the impressive contributions of artists towards the deeper understanding of anatomy and, by default, surgical practice....

In conversation with Derek Mendonca

Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

Luminescens® protocol: an efficient tool against recurrent melasma

Melasma is a hyperpigmentary skin disease with a complex multifactorial pathogenesis which is not yet well understood. Risk factors include a genetic predisposition, sun exposure, stress, medications, and pregnancy [1]. It is clinically characterised by asymptomatic light to dark brown...