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OPINION - Influencers affect us all: but are they as good as we think?
Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...Correction of skin hyperpigmentation by chemical exfoliation
The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...Early treatment of scars with laser therapy
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...Building sustainable global partnerships – the BFIRST perspective on future-proofing global plastic surgery
The British Foundation for International Surgery and Training (BFIRST) marks their 10-year anniversary this year as an organisation. As the international outreach arm of the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS), BFIRST focuses on supporting surgeons in...Globe trotter: Vasant Oswal launches memoir
Vasant Oswal was brought up in an era when public transport in India relied on horses. From humble beginnings in Pune in the western state of Maharashtra, he went on to become a pioneer in laser surgery in the larynx. He would also receive a Fellowship by Election at the Royal College of Surgeons, not to mention serving as Editor in Chief of ENT and Audiology News.Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. How should vascular occlusions be managed? The authors review the evidence on...Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles
Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...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...
Assessment and management of the mature female face with dermal fillers
The author presents an interesting and popular aesthetic topic with discussion on the background of the growth and demand for dermal fillers, including some of the popular types currently favoured. There is discussion on poly-L-Lactic acid and calcium hydroxylapatite (CaHA)...
Upper facial rejuvenation
The author provides a comprehensive overview of a variety of considerations for clinicians to consider when assessing the upper third of the face, through discussion of anatomy, the importance of treatment planning, symptoms of complications, as well as treatment strategies....New IPL technology as treatment for melasma
Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...
