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Combined procedures: lipo-abdominoplasty and lipo-inner thighplasty (string technique) and face rejuvenation

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 2 With the evolution of superficial suction lipectomy in the 1990’s the need for skin resection became less common and the...

Making Decisions and Avoiding Complications in Skin Flaps

Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)

In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.

How I Do It - Buttock augmentation with hyaluronic acid fillers

There has been a notable increase in the popularity of body procedures over the years. The advancement in non-surgical body treatments has made it convenient for people to get the body they desire without having to deal with downtime or...

Cosmetic botulinum toxin: minimal invasive facial enhancement

Myriam Loyo and Theda Kontis present a review of indications for minimally invasive facial cosmetic procedures, based on chemodenervation with botulinum toxin A. The authors present the following treatments in a well structured manner: chemical brow lift, treatment of hypertrophic...

Controlled trauma technique when injecting HA dermal fillers

The author presents an interesting discussion regarding the potential for enhanced neocollagenesis through a patented ArqueDerma® dermal filler technique. A thorough overview is conveyed of the dermal collagen matrix, including the characteristics of type I and type III collagen. The...

Treatment of established facial palsy with botulinum toxin followed by half mirror exercises

Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

The Bottom Line: buttock augmentation

The first use of silicone implants for buttock augmentation was by Bartels et al. in 1969 [1]. We must acknowledge the innovative and imaginative brilliance of the Brazilians and the descriptive detail of other surgeons, but especially Mendietta for the...

Rejuvenation of the forehead: correction of the frontal concavity

During the ageing process, many different anatomical changes contribute to the aged appearance of the face [1]. Focusing on the forehead, typical age-related changes are regression of the hairline, solar damage, skin laxity, dynamic wrinkles, reduction of fat and bone...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.