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Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

Perceptions and Deceptions a personal blog by the editor 8 Apr 2016

I want to post a question on the FB Group supporting the Junior Doctors over their David and Goliath fight with a juggernaut of blind, self-deceiving or just ignorant, elected members of Parliament. I should say that I am not...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Tear trough rejuvenation

A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

Building trust and the psychology of relationships

Award-winning business coach and author, Alan S Adams, shares his key insights into how to build and maintain trust, boost effective working relationships, and enhance business growth. “People buy from people they know, like and trust” – Bob Burg In...

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...

How I Do It - Non-surgical blepharoplasty using Plasma Elite® technology

What is plasma? Plasma is produced when an electrical energy is charged or overheated, leading to a dissociation of molecular bonds and the production of a plasma arc. The arc delivers energy to the cell membrane, causing sublimation, changing a...

How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....