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Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...

Lip augmentation

In the second of our two-part special focus (see here for Part 1) on lips we are delighted to present this comprehensive clinical guide for practitioners undertaking lip augmentation. Lips and eyes enhance facial beauty. Highlighting these has been dated...

The use of electrolysis in acne treatment – sebaceous gland ablation

Sebaceous gland ablation (SGA) offers a long-term solution to persistent acne. This is an exciting new treatment which is bringing hope to acne sufferers everywhere. What is acne? Acne is an unsightly skin condition which causes thickening and inflammation of...

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...

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

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)...

Bone augmentation for dental implant surgery

Crawford Gray, Dental Implant Clinician in Aberdeen, demonstrates how the development of grafting materials and techniques has allowed an improved aesthetic outcome from dental implant surgery. The provision of dental implants has become an accepted part of patient care, encompassing...

How I Do It - X neo-umbilicoplasty

Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

How I Do It - Body contouring: a combined, non-invasive protocol

Non-invasive body contouring has become one of the fastest-growing areas of aesthetic medicine today. There are many approaches to reducing body fat tissue and improving skin laxity, such as cryolipolysis, high-intensity focused ultrasound, radiofrequency, and a variety of laser therapies....

How I Do It - Approaches to lip augmentation: Perioral rejuvenation – a multi-product approach

A video of the authors demonstrating the procedure is available at the bottom of this article When approaching the lip and perioral area it is important to be aware that many non-surgical interventions may be used to treat this area....

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

Bottoms up

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...