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How I Do It - A guide to anterior neck lift aesthetic surgery

The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

Submandibular haematoma with airway obstruction following a warfarin overdose

Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

In conversation with Fateh Ahmad

We spoke to Fateh Ahmad about his career in plastic & craniofacial surgery, advice to those new to the field and his new role as President of the RSM Section of Plastic Surgery Can you tell us a little bit...

Decision Making in Aesthetic Practice: The Right Procedures for the Right Patients

This is a mini treasure and absolute must for any aspiring aesthetic practitioner. The demand for aesthetic medicine is rapidly growing and this book is a concise haven of knowledge not only for those early on in their training but...

Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

How I Do It - Treating melasma and PIH

Melasma and post-inflammatory hyperpigmentation (PIH) are among the most common skin disorders in society with prevalence of up to 50% in some populations. Melasma is more prevalent among females and also among those with darker skin types III–V on the...

How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...

FACE 2015

This was undoubtedly the biggest and most prestigious UK conference of the year. The international mix of both delegates and presenters brought together knowledge, skill and allowed us to experience a jam-packed agenda covering all aspects of aesthetic medicine. The...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...