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Neck rejuvenation: Combining botulinum toxin type A and hyaluronic acid booster

Ageing of the neck is multifactorial and often more challenging to treat than facial ageing. The dermis of the neck is thinner, containing less collagen and elastin, leading to reduced structural integrity and elasticity. Fewer sebaceous glands result in dry,...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

Oral supplementation for skin health and rejuvenation

Lauren Jamieson explores the increasing evidence behind the role of supplements in skin health – an exciting development in the world of aesthetic medicine. The fact that lifestyle factors – and diet most especially – have a profound influence on...

How I Do It - Adipocytolysis

Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

Combating winter skin

It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

Medical tattooing for a better life

Dermatography (medical tattooing), was first documented in the 19th century, and is nowadays frequently performed for nipple reconstruction after mastectomy. Despite its popularity in the field of breast reconstruction, this procedure is not used on a broad scale in any...

An update on BIA-ALCL

The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...

How I Do It - Peri-orbital rejuvenation using HA fillers

The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

A new technique for correction of medial ectropion with a lax medial canthal tendon

This is a prospective study of a new technique for repair of medial ectropion associated with medial canthal tendon (MCT) laxity. The procedure was performed on 79 eyes and involved excision of an ellipse of tissue from below the punctum...

Facial changes caused by smoking

Smoking is a well known factor in facial ageing. In this interesting evidence level II article, the authors have decided to evaluate the effect of smoking in monozygotic twins with different smoking histories using standarised photography. Seventy-nine pairs of twins...

Severe bone resorption in expanded polytetrafluoroethylene chin augmentation

This is a case report describing a 35-year-old woman who had had an expanded polytetrafluoroethylene chin implant inserted 13 years previously through an intraoral incision. She complained of pain in her chin and lower anterior teeth. A cephalogram showed severe...

New recombinant human BMP for augmentation of the floor of the maxillary sinus

There has been a recent interest in the use of bone morphogenetic protein-7 (rhBMP-7) to augment the floor of the maxillary sinus. Loss of teeth in the posterior maxilla results in rapid horizontal and vertical reabsortion of alveolar bone because...