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Letter from Hong Kong (2 July 2020)

There is an expression about “living through history”. I am not quite sure what it means but I have the inclination that it conveys a sense of being there, of being alive, when the world changes. Dramatically, irrevocably. We have a before, and we have an after, and we are now in the period of transition.

Letter from Hong Kong (9 July 2020)

“I see hope in the stars. Take time to look at them.”

Old age and postoperative complications of head and neck free flaps

This review examined the relationship between free flap survival in older patients and whether this correlated with specific co-morbid conditions and a ‘cut off’ age.The authors did exclude some papers that specifically focused on one co-morbid condition, such as diabetes,...

Appearance in children with and without single-suture craniosynostosis

A retrospective study was performed of 196 children with single suture craniosynostosis (SSC) and 186 children without. Infants were excluded if premature, major medical or neurological problems, if they had three or more extracranial minor malformations, or major malformations. Control...

Lipoedema awareness – the current state of play

Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...

Chin augmentation: filler versus prosthesis

Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

How I Do It - Treating multiple skin concerns with less down-time

As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

How I Do It - 360° body contouring through combined techniques

Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...

How I Do It - Neck rejuvenation using Erbium-Yag laser technology

Individuals with skin laxity and wrinkles around the neck area have, until recently, not had any successful non-invasive treatments available to improve this appearance of ageing around the neck area and upper chest. The Fotona SP Dynamis laser has a...

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....

How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

How I Do It - Innovative delivery devices: Juvapen

The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...