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IMCAS 2023

1 February 2023 | Awards, Conferences & Anniversaries
Ethics in Aesthetic Medicine: presented the Consensus Paper of the major international experts

How I Do It - Treatment of pigmentation and melasma

6 April 2021 | | Aesthetic Medicine, Dermatology
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,...

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | Aesthetic Medicine, Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

How I Do It - 360° body contouring through combined techniques

2 December 2019 | | Aesthetic Medicine, Dermatology, General Plastic Surgery
Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | Breast Surgery, General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

Medico-legal forum (VASEP liposuction)

10 October 2017 | Aesthetic Medicine, Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question The patient underwent VASER to the abdomen and...

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

1 June 2017 | | Aesthetic Medicine, Dermatology
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...

Melasma treatment – what have we achieved in 42 years?

1 April 2019 | | Dermatology, Aesthetic Medicine
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

12 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

Periocular burns: a literature review of classification, management protocols and outcomes of treatment

1 February 2022 | | General Plastic Surgery, Oculoplastics
The author provides a review of the current literature regarding the principles of classification, management protocols of acute ocular and periocular burns and the role of the burn and oculoplastic surgeon involved in their care. More than two-thirds of facial...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | General Plastic Surgery, Facial Plastic Surgery, Breast Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...