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

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®...

Further thoughts on hymenoplasty

The interesting and controversial article on hymenoplasty published in the Dec/Jan 16 issue of PMFA News is an example of what can happen when religion and culture clash with modern medicine. In my opinion, medicine and science should be pure...

Management of ruptured breast implants

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

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

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...

Recurrent corneal erosions secondary to isotretinoin use

This article originally appeared in Eye News Dec/Jan 2021 Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations,...

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Response to the Keogh Review

On 13 February 2014 the UK Government published its response to the Keogh Review of the regulation of cosmetic interventions (https://www.gov.uk/government/publications/regulation-of-cosmetic-interventions-government-response). This response has been much anticipated by the fields of plastic surgery and aesthetic medicine and inevitably has provoked...

Revirgination is not the same as hymenoplasty

The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...

Xanthelasma

Although the lesion known as Xanthelasma was first described by Addison and Gall in 1851 [1] it was recorded some 300 years previously in the famous painting of the Mona Lisa by Leonardo da Vinci. In this painting, Leonardo da...