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Cryolipolysis: a review of published clinical data

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...

Facial contouring with fillers

With the advent of hyaluronic acid fillers, safe and effective non-surgical facial rejuvenation has been advanced. Hyaluronic acid fillers are becoming increasingly popular amongst patient who seek facial enhancement. In 2013, there were over 1.8 million treatments using hyaluronic acid...

How I Do It - Approaches to non-surgical face lifting

PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

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...

A picture is worth a thousand words… communicating with your patients more effectively

Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

Perceptions and deceptions: a personal blog by the editor 21 November 2016

The new international word of the year for 2016 is ‘post-truth’. The term refers to the practice of appealing to emotion and personal beliefs rather than objective and verifiable truth when attempting to influence public opinion. Apparently, the usage of...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

3D photography in facial rejuvenation

The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

How I Do It - Combination treatment of acne vulgaris

Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...