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Polydioxanone thread-lifting

A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with...

Male facial aesthetics

The author shares experience of treating aesthetic male patients, with discussion surrounding components of effective treatment strategies. Discussion is underpinned by current statistics for a global increase in the number of male patients seeking aesthetic treatments, ranging from laser, chemical...

Maximising treatment outcomes with skin peels

The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...

Vaginal dryness and the menopause

An insightful overview of a specialised topic. The author describes survey findings which indicate a lack of available information to menopausal women about the relationship between vaginal dryness and hormones. Obstacles to affected individuals obtaining specialist input appear to be...

Treatments for hyperpigmentation

Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...

Non invasive simple reshaping of pinnae

The authors of this paper show the results of a prospective controlled in vivo animal model study where the pinnae of 18 New Zealand white rabbits were subjected to electromechanical reshaping (EMR) and three months postoperative splinting. Six voltage and...

The cost of surgery for bedsores

Many plastic surgeons will have experienced a heart-sinking moment when receiving a request to give an opinion on a patient with a bedsore. The surgery is not technically demanding, but the postoperative care and rehabilitation of the patient can be...

Improving cosmesis after breast implant removal

Removing breast implants has a profound effect on the patient’s appearance; in this article the authors, both expert breast surgeons, discuss how to optimise the cosmetic result. Removing breast implants has a profound effect on the patient’s appearance and we...

Focus on Plasma: Total rejuvenation of the face with plasma device

The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...

Cosmetic Surgery Certification Scheme – looking into the future of regulation, quality and safety in cosmetic practice

With plans underway to extend the cosmetic surgery certification scheme to all surgeons performing cosmetic surgery, we share the views of the RCS, BAAPS and BAPRAS. The Royal College of Surgeons (RCS) along with its partners in the Surgical Specialty...

How I Do It - Performing a mastopexy or reduction using Breform™ mesh

Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...

The role of expert witnesses in miscarriages of justice

‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...