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Polydioxanone thread-lifting

A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with...

Hot or cold?

The authors present a retrospective literature review of non-surgical body contouring technologies, including radiofrequency, low-level laser therapy, cryolipolysis, as well as thermal and non-thermal ultrasound. A useful, referenced statistical table is provided for comparison of abdominal circumference reduction among different...

Advanced botulinum toxin injection techniques for lower facial correction

The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...

The use of intense pulsed light therapy in the treatment of acne vulgaris

Intense pulsed light (IPL) is discussed in relation to its application in acne vulgaris. The author acknowledges that it may not be the most effective, or the first line therapy for managing such a challenging and persistent skin condition, but...

Pliability and elasticity of the external nasal skin in unilateral nasal valve collapse

The authors performed this study to test the hypothesis that the nasal skin of patients with unilateral nasal valve collapse demonstrates reduced elasticity and increased pliability on the side of the collapse compared with the nasal skin on the side...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

In conversation with Emanuele Bartoletti (2024)

We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME), about the latest news from the society. You have been involved with SIME for many years now; what have been the highlights...

Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

How I Do It - Patient selection in aesthetic surgery

What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...

Coupler microvascular anastomoses: how good?

This is a paper written by a group of reconstructive surgeons and school of computing. This study used computational fluid dynamics to model blood flow through ‘idealised sutured and coupled’ vessels. They investigate if the anastomotic technique affects intra vascular...

One anastomosis or two

This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

The Art of Skin Health Restoration and Rejuvenation, Second edition

This book showcases the author’s philosophy and experience as a dermatologist involved in skin care over the past 35 years. It is the second edition of the original book published in 2000. Three of the 15 chapters were written by...