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Perspectives on: Polyurethane covered breast implants

1 June 2014 | | Breast Surgery
The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | Breast Surgery, General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Editor’s reaction to acid attacks in London

14 July 2017 |
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...

Thread veins and varicose veins: medical or aesthetic?

1 June 2015 | | Aesthetic Medicine, Dermatology
I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

Liposuction – the evolution of the classical technique

1 April 2014 | | Aesthetic Medicine
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

The gender affirmation surgery MDT

1 February 2019 | | Breast Surgery, Facial Plastic Surgery, General Plastic Surgery, Maxillofacial Surgery
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Dermoscopy: an update and personal view

1 April 2018 | | Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

Lymphoedema surgical treatment: myths and facts

1 February 2017 | | General Plastic Surgery
Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | Breast Surgery
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...

Cautions, contraindications and complications in aesthetics

5 August 2020 | | Aesthetic Medicine
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Submandibular haematoma with airway obstruction following a warfarin overdose

1 June 2017 | | Maxillofacial Surgery
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

Non-invasive lip and perioral rejuvenation with 1550nm non-ablative fractional laser

26 March 2024 | | Aesthetic Medicine, Dermatology
Lips play a significant role in our facial aesthetics and are often considered a focal point of beauty and sensuality [1,2]. Over time, factors like ageing, sun exposure, and lifestyle choices can effect the appearance and condition of our lips....