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Letter from Hong Kong (17 August 2020)

So much can change in just a few weeks. In Hong Kong after three weeks with no new cases we started to see a third wave in mid-July. More and more cases with no obvious source.

The Evolution of Wood MediSpa

As surgeons we must have all dreamt of owning our own facility. The perfect dream of a stand-alone private hospital with the entire patient journey seamlessly mapped out. It would offer unparalleled continuity of care – the same team doing...

Failures in 'low risk' beauty treatments leaving consumers with lifelong injuries

Scottish beauty therapists and healthcare practitioners carrying out non-surgical cosmetic treatments such as liquid Brazilian butt lifts and Botox injections must have sufficient insurance to protect customers if things go wrong. The warning comes from not-for-profit campaign organisation APIL (the...

Aesthetics and Functionality in Ear Reconstruction

Recent years have brought important refinements to the approach and techniques of functional and aesthetic ear reconstruction. Aesthetics and Functionality in Ear Reconstruction by R Staudenmaier is an excellent book providing concise but detailed overview on the state of the...

Textbook of Plastic, Reconstructive and Aesthetic Surgery (Volume 1-3)

This is a multi-author comprehensive plastic surgery textbook that comes in three volumes with 175 chapters. Most authors are based in South Asia and take the reader through a journey of patients in the developing world, their priorities and challenges....

PRP and Microneedling in Aesthetic Medicine

Platelet rich plasma (PRP) makes sense scientifically. Platelets are a bit like biological robots. They do not have a cell nucleus, but they do have a program which directs them to surveil blood vessel walls and, in particular, to respond...

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars

This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...

Using autologous blood to reduce post-operative infections

The removal of impacted wisdom teeth is a commonly carried out surgical procedure in maxillofacial surgery. Apart from the usual complications of postoperative bleeding and wound infection, the most painful one is alveolar osteitis. This is mainly dependent on retaining...

IMCAS World Congress 2025

By Anna Maria Fenech Magrin, Aesthetic Doctor, Clinical Senior Lecturer in Aesthetic Medicine, Queen Mary University of London; Medical Director at DoctorAM Clinics, Malta.2025 was another successful year for IMCAS Paris, breaking the record for the largest medical aesthetics congress...

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...

In Conversation with Professor Jian Farhadi

We were delighted to speak with Professor Jian Farhadi, Consultant Plastic Surgeon and past Director Department of Plastic & Reconstructive Surgery at Guy’s and St. Thomas’ Hospital in London. He is a specialist in reconstructive and aesthetic breast surgery and...