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How I Do It - Body contouring

1 June 2023 | | Aesthetic Medicine
Unwanted fat, cellulite and skin flaccidity are three of the top reasons for consultation in aesthetic medical practices, with body remodeling treatments using non-invasive techniques increasingly in demand. The TightSculpting treatment with the Fotona SP Dynamis laser allows practitioners to...

How I Do It - Lip augmentation: new rejuvenation with Er:YAG and Nd:YAG laser

5 August 2020 | | Aesthetic Medicine
Lip augmentation has become progressively popular in recent years, reflecting cultural trends in youth and beauty. Research suggests that the ‘ideal lip’ should have the following characteristics: fullness and volume, correct balance between the upper and lower lips, and a...

How I Do It - Laser hair removal: focus on lighter hair

1 April 2020 | | Aesthetic Medicine, Dermatology
Variable square pulse (VSP) Nd:YAG laser devices are ideally positioned among all available laser sources for hair removal. This is due to the fact that the Nd:YAG wavelength (1064nm) penetrates deeply into the skin. It is strongly absorbed in melanin...

How I Do It - Treating cellulite: Cellfina

1 December 2018 | | Aesthetic Medicine, Dermatology
Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

How I Do It - Contouring the lower jaw (non-surgical)

1 October 2014 | | Aesthetic Medicine
It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

How I Do It - Patient selection in aesthetic surgery

1 June 2014 | | General Plastic Surgery
What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...

How I Do It - Single session of 1064nm picosecond laser for ephelides

3 October 2022 | | Aesthetic Medicine, Dermatology
Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

31 May 2021 |
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

9 May 2022 |
Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

Management of ruptured breast implants

26 March 2024 | | Breast Surgery, General Plastic Surgery
Breast augmentation is a widely sought-after cosmetic procedure and has empowered individuals seeking aesthetic enhancement or reconstruction following mastectomy for breast cancer. Amid its popularity, the occurrence of implant rupture stands as a critical concern, impacting both physical wellbeing and...

The three stages of breast reconstruction

1 October 2014 | | Breast Surgery
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...

The future and a summary of the past

1 August 2014 | | Aesthetic Medicine, General Plastic Surgery
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...