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Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

How I Do It - Non-ablative fractional laser handpiece for skin resurfacing

The development of laser-based aesthetic devices has provided patients with an appealing non-surgical treatment alternative to address clinical aspects of photoageing skin [1]. Many treatments include skin resurfacing of the uppermost skin layers to initiate a skin regeneration process with...

How I Do It - Facial peeling using retinol peel

An established body of literature acknowledges the efficacy and safety profile of retinoids (a family of compounds derived from vitamin A), in treating a variety of textural skin concerns, such as, coarseness, rhytides, pigmentation, enlarged pores, photodamage and inhibition of...

Oral supplementation for skin health and rejuvenation

Lauren Jamieson explores the increasing evidence behind the role of supplements in skin health – an exciting development in the world of aesthetic medicine. The fact that lifestyle factors – and diet most especially – have a profound influence on...

Handy Solutions

Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...

Hair regeneration in menopausal and androgenetic alopecia patients using PTT-6® exosomal proteins

Hair loss is a prevalent but under-recognised concern among menopausal women, often resulting in diminished self-esteem and psychological distress. Estimates suggest that over 50% of women will experience some degree of hair thinning or loss by the age of 50,...

How I Do It - Optimising lymphatic recovery following abdominoplasty: The role of advanced postoperative MLD

As abdominoplasty procedures increasingly combine rectus plication and liposuction, patient recovery relies on more than wound care alone. For surgeons and recovery specialists alike, understanding how lymphatic function supports optimal healing is essential. Integrating advanced manual lymphatic drainage (MLD) within...

The new era of advanced AI-powered aesthetics

“AI is the most powerful technology force of our time.” Jensen Huang, Nvidia CEO. The 101 on AI Artificial intelligence (AI) is set to redefine our social, economic and healthcare infrastructure. Artificial intelligence represents machine learning designed to be intuitive...

Topical treatment of dermatological concerns during GLP-1 therapy

GLP-1 receptor agonists (GLP-1) and combined GLP-1/gastric inhibitory polypeptide (GLP-1/GIP) agonists have emerged in recent years to promote weight loss [1]. The incretin mechanisms of GLP-1 agonists help to regulate blood glucose levels and facilitate satiety, which contributes towards weight...

How I Do It - Nd:YAG Laser for erasing periocular veins

Periocular veins are superficial blood vessels located around the eyes, often visible beneath the thin skin of the lower eyelids, temples, and sometimes above the eyes. These veins typically begin at the bridge of the nose and extend outward, joining...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

The future and a summary of the past

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...