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How I Do It - Adipose tissue restoration in response to ageing

The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

Oral minoxidil: innovations in hair loss

Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

How I Do It - Multilayer midface rejuvenation

The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

How I Do It - A non-invasive approach to facial and neck rejuvenation

The HoneyCombTM lift is a non-invasive solution for tightening and rejuvenating the face and neck using Fotona’s advanced SMOOTH® technology. By delivering precise thermal stimulation through HC6 optics and the T-Runner® scanner, this innovative procedure addresses skin laxity, fine lines,...

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

How I Do It - A paradigm shift in injecting: MicronJet™ needles

Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

Combination treatment of acne and pigmentation disorders

Regenerative aesthetic medicine aims to restore both the function and the structure of an ageing skin. Patients are looking for safe and subtle treatments to refresh their appearances without structural alteration or downtime. Aesthetics are often included in the management...

Ultrasound use in non-surgical, aesthetic medicine clinics

The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

Auricular reconstruction: flip-flop flap

Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

Stem cells in reconstructive surgery: a bright but cautious future

Regenerative medicine using stem cell technology is slowly becoming a reality in routine clinical practice especially in the field of tissue regeneration [1]. It is therefore not surprising that stem cell technology is starting to be of interest in reconstructive...

Choosing a 3D printer for reconstructive surgery

3D printing was first developed in the 1980s, but it wasn’t until the early 2010s that the additive manufacturing or 3D printing technology advanced enough to become available to those outside of specialist laboratories. 3D printing has also begun to...