How I Do It
How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...
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...
How I Do It - Two-Point Eye Lift™: HA dermal fillers for infraorbital rejuvenation
The key to maintaining a youthful appearance is often found in restoring a well-defined periorbital area, characterised by healthy tissue volume (fullness) in the infraorbital region and a clear eyelid crease devoid of excess skin. The use of hyaluronic acid...
How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex
The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...
How I Do It - Nose reshaping using advanced fillers
Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...
How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...
How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy
The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...
How I Do It - A global approach to facial volumising
As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...
Debate - Voluntary registers for medical cosmetic practitioners: friend or foe?
In June this year BACN and PIAPA issued a joint statement criticising voluntary registration bodies such as Save Face. Regulation is a hot topic that many in the industry feel passionately about, and the statement sparked a debate about whether...
How I Do It - Skin peeling
For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...
How I Do It - The original Blue Peel
The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...
How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...
