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Combating winter skin

3 February 2023 | | Aesthetic Medicine, Dermatology
It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

Chronic telogen effluvium reversal using E. coli-derived cytokines and growth factors: a case report

3 June 2024 | | Dermatology
Chronic telogen effluvium (CTE) is a condition where there is prolonged increased hair shedding, primarily affecting middle-aged women. Its exact cause is often unknown. In CTE, many hair follicles enter the resting phase prematurely due to various reasons, leading to...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

1 December 2022 | | Aesthetic Medicine, Dermatology
Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

1 October 2016 | | Aesthetic Medicine
The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | Aesthetic Medicine, Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

Treatment of chrono and photoageing with combined light sources

1 February 2022 | | Aesthetic Medicine, Dermatology
Skin ageing depends on various intrinsic (chronological) and extrinsic (ambiental) factors: chrono and photoageing changes include wrinkles, abnormal pigmentation, skin laxity and telangiectasia. The Nordlys™ system is a multi-platform device that incorporates dual-filtering Selective Waveband Technology (SWT®) and two fractional,...

Glow like a queen

1 September 2021 | | Aesthetic Medicine, Dermatology, ONLINE EXCLUSIVE ARTICLES
Dr Vincent Wong explains why skin health is particularly important when it comes to treating drag queens and how to help them glow. In an era of gender fluidity, facial masculinisation and feminisation treatments are rising in popularity. As we...

Plastic surgery and aesthetic medicine: specialties and specialists

1 February 2015 | | Aesthetic Medicine, Dermatology, Facial Plastic Surgery, General Plastic Surgery
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

How I Do It - Peri-orbital rejuvenation using HA fillers

1 April 2015 | | Aesthetic Medicine, Dermatology
The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Bottoms up

1 November 2022 | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

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

26 January 2022 |
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”!

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

31 March 2022 |
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?