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Perceptions and Deceptions: a personal blog by the editor 7 December 2016

Zoey had two sisters, Leung Lee Michelle and Leung Mei. On 11 June, 2010 one of them made a formal statement to the police. She had questions that needed to be answered. She presented her queries in the form of...

Clones and tigers

Shortly after I qualified MB, ChB in 1963, I had a position in the pathology department of the Glasgow Royal Infirmary. I was surprised to discover there that there was a word that I didn't know – ‘clone’. I did...

Repeated orbital decompression surgery

This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...

Making the most of the temporalis fascia graft in open rhinoplasty: an innovative technique with outcomes of 2000 cases over a 15-year period

The authors present a technique that increases the surface area of a temporalis fascia graft when used to provide smooth, dorsal coverage in cases of open tip rhinoplasty. Numerous graft materials have been developed for use in rhinoplasty procedures in...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

Liquid Face Lift

In recent years aesthetic medicine and aesthetic surgery have been getting closer. This phenomenon is modifying our approach to patients: aesthetic medicine doctors have increased their range of treatments to include more aggressive methods, while aesthetic surgeons tend to choose...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

A Reaction to the ‘Keogh Report’

In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...

How I Do It - Non-ablative fractional laser handpiece for skin resurfacing

The development of laser-based aesthetic devices has provided patients with an appealing non-surgical treatment alternative to address clinical aspects of photoageing skin [1]. Many treatments include skin resurfacing of the uppermost skin layers to initiate a skin regeneration process with...

How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck

The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...

How I Do It - Laser hair removal: an overview

Laser hair removal is the most performed aesthetic procedure worldwide, with a continuous and increasing demand over the last two decades. It was introduced to the market in the early 1990s and several million procedures have been performed since then....

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....