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Lymphatic microsurgery to treat lymphoedema
The authors discuss the role of surgery to manage primary and secondary lymphoedema in patients whose lymphoedema has not been controlled by standard conservative measures and whose symptoms are worsening. There is a brief discussion of the relevant investigations and...Rediscovering the Lost Art of Endonasal Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...UK allergy crisis: deploy the ‘LIMED’ mnemonic
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.My experience of setting up a nurse-led independent aesthetics and dermatology clinic
An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...
Histologic changes after two different protocols of facial skin fat grafting
The authors of this study show the results of two different protocols of fat grafting using adipose-derived stem cells. This is a prospective study with six consecutive patients in whom bilateral fat grafting was performed using centrifuged stromal cells on...
Filleting the lobule in otoplasty
The correction of lobular deformities continues to represent a challenge during otoplasty, due to its three major anatomic components: the axial angular protrusion, the coronal angular protrusion and the inherent shape. These aspects make controlled lobule repositioning less predictable. The...
Treatments for hyperpigmentation
Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...A suggested management pathway for rhinophyma and benign superficial skin lesions that includes the use of plasma
Rhinophyma is an aesthetic embarrassment to many people. It is the result of sebaceous gland hyperplasia within the skin over the alar cartilages of the nose. It has a familial tendency and in addition to being unsightly it can commonly...How I Do It - Non-surgical approach to facial palsy – a preliminary case report
In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...Perceptions and Deceptions a personal blog by the editor 4 May 2016
So in the space of just a few days the Junior Doctors in the UK have engaged in the first all-out strike in the NHS since 1975. I was a medical student then and the issue was pay and conditions....CQC regulators and private hospitals need more common sense
There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....
