Biomedical subjects
Publications and source records attributed to G W Isaacs.
The changing appearance of the upper lip may be a significant component in the "ageing face" syndrome. Its typical features are described. These can be corrected by a simple "lip lift". Complications are few and the manoeuvre has proved to be an excellent adjunct in restoring a more youthful outlook. It has little effect on "purse-string" lines of the upper lip that usually require dermabrasion or a chemical peel.
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A contour deformity, clinically reminiscent of a large lipoma, can develop after a severe shearing-type injury to the upper thigh, hip, or sacrum, particularly in young women. As the injury is rarely dealt with in the first weeks, it usually presents after a deep scar has contracted. At this stage active surgical intervention seriously increases the aesthetic problem. Conservative treatment with massage, pressure, and possibly injection of steroids is more effective. To the best of our knowledge, this condition has not previously been described.