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Use of photodynamic therapy in the management of papulopustular rosacea

The author presents a review of the current evidence on the use of topical photodynamic therapy (PDT) for treating papulopustular rosacea, initially with a brief overview of the aetiology of the disease and licensed treatment options, before exploring the context...

How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

The Need for Informed Opinions

It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...

Selection of full thickness skin graft donor site influences extent of contraction

Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...

ISBI practice guidelines for burn care

Practice guidelines (PGs) for burn care were first published in 2001 with multiple updates from the American Burn Association (ABA) on specific areas of burn care including resuscitation, electrical injury, pain management and venous thromboembolism prophylaxis. Significantly, previous guidelines have...

Is columellar strut necessary in primary rhinoplasty

This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...

A farcical attempt to uphold the law

I read in the paper last week that an 86-year-old plastic surgeon, Franklin Li, was being charged with 21 offences that were associated with the death of a top Hong Kong banker, Zoe Cheung, in a beauty clinic in Tsim...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

Update on Topical Photodynamic Therapy

As a nurse involved in providing a specialist dermatology service I was invited to attend a continuing professional development (CPD) accredited study day at The University of Hertfordshire on an update for topical photodynamic therapy (PDT). The agenda was comprehensive...

How I Do It - Rejuvenation of the jowls and neck: a combination approach with ‘Radiopeel’

Cutaneous ageing of the jowls and neck gives rise to a combination of multiple symptoms – skin laxity, sagging, wrinkles, dyspigmentation, and textural and volumetric changes to the skin. A single symptom can often be dealt with by a single...

Ethnic Considerations in Facial Plastic Surgery

If you are struggling to address the wide variety of ethnic considerations in your multi-ethnic patient population you could consider a world tour of expert centres, although your carbon footprint might not look smart and your Amex may be burdened....

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...