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Laser safety – do you think you are safe?

The author explains the importance of proper qualifications and training to ensure both patients and practitioners are protected. Safety concerns For those working with lasers, safety must be everyone’s concern. We should all be checking equipment and safety glasses routinely,...

An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

How to establish a successful practice in aesthetic medicine

It is no secret that today’s aesthetic patients tend to seek non-invasive, non-surgical solutions as opposed to invasive treatments. According to the latest statistics published by the American Society of Aesthetic Plastic Surgery (www.surgery.org), there were over 11 million surgical...

OPINION - Influencers affect us all: but are they as good as we think?

Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...

Consultation on cosmetic interventions

On 9 December 2014 the Health Education England (HEE) held a stakeholder consultation to discuss the qualification requirements, information on how different groups of practitioners will be able to meet these requirements, options for accreditation and recognition of qualifications and...

Modified temporalis muscle transfer for facial palsy

Use of the temporalis muscle to mitigate the deformities of facial palsy is an accepted technique, but getting the temporalis muscle into the correct position, with the correct tension, is difficult but essential if the operation is to be successful....

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

Evidence based review of management for common head and neck cancers

As part of the PRS evidence based review series, this well written review summarises the up-to-date knowledge regarding the surgical and non-surgical management of the common facial skin cancers. The review is limited to BCC, SCC, MM and Merkel Cell...

Early hypothermia as risk factor in severely burned patients

This retrospective outcome study looks at patient temperature on admission and if this affected outcome and what variables play a part in the patient’s temperature. Again, this is well written and thought out, but is limited by sample size. They...

How I Do It - Patient selection in aesthetic 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...

Debate - Voluntary registers for medical cosmetic practitioners: friend or foe?

In June this year BACN and PIAPA issued a joint statement criticising voluntary registration bodies such as Save Face. Regulation is a hot topic that many in the industry feel passionately about, and the statement sparked a debate about whether...

Mandibular asymmetry: Importance of personalised treatment

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Human facial symmetry is a key determinant for assessing facial attractiveness, and...