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How I Do It - Facial rejuvenation – treating sun‑damaged skin

1 April 2019 | | Aesthetic Medicine, Dermatology
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

Off-label cosmetic use of botulinum toxin in the lower face

1 February 2016 | | Aesthetic Medicine, Dermatology
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

The Evolution of Wood MediSpa

16 June 2021 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
As surgeons we must have all dreamt of owning our own facility. The perfect dream of a stand-alone private hospital with the entire patient journey seamlessly mapped out. It would offer unparalleled continuity of care – the same team doing...

Raising the bar for safer cosmetic surgery in the UK – part 1

1 August 2018 | | General Plastic Surgery
In part one of a two-series article Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Cosmetic surgery is most easily...

Recent developments in facelift surgery

3 October 2023 | | Facial Plastic Surgery
Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...

Laser tattoo removal: results and issues

1 August 2017 | | Aesthetic Medicine
The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...

Lasers and the skin

1 August 2015 | | Aesthetic Medicine, Dermatology
Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers have revolutionised the treatment of many skin conditions and are being used both in terms of a medical and an aesthetic context. Laser technology has been advancing...

Medico-legal Forum (Botulinum/Laser)

1 April 2017 | Aesthetic Medicine, Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. In our February/March issue we featured a case that involved complications following...

Cryolipolysis: a review of published clinical data

1 February 2016 | | Aesthetic Medicine
Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...

How I Do It - Treating acne and acne scarring in all skin types

30 March 2022 | | Aesthetic Medicine, Dermatology
I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

Novel picosecond handpieces for the treatment of pigmentation

4 February 2021 | | Aesthetic Medicine, Dermatology
Pigmentary disorders are common; several treatment modalities are available, ranging from topical therapy to chemical peels and lasers. The advent of ultrashort pulsed picosecond lasers (PSL) has transformed the way tattoos and benign pigmented lesions are treated. Unlike long-pulsed lasers...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | Aesthetic Medicine, Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...