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How I Do It - Contouring the lower jaw (non-surgical)

It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

Editor’s reaction to acid attacks in London

As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...

Letter from Hong Kong (1 June 2020)

It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 17) – A mystery

There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

FDA won’t ban sales of textured breast implants linked to cancer

The US Food & Drug Administration (FDA) has declined to ban the sale of textured breast implants. This is contrary to other countries, including France and Canada, doing so due to concern that they cause a rare form of cancer,...

Professor Firas Al-Niaimi, hosted a 2-day advanced clinical training course

Professor Firas Al-Niaimi, an esteemed figure in laser and clinical dermatology, hosted an intensive two-day advanced clinical training in the captivating city of Riga, Latvia.

Malignant lesions and reconstruction of the pinna

External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

Raising the bar for safer cosmetic surgery in the UK – part 2

In the second of a two-part article (see Part 1 here) Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Medical...

Focus on: Cosmeceuticals (part 2 - continued)

The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

Luminescens® protocol: an efficient tool against recurrent melasma

Melasma is a hyperpigmentary skin disease with a complex multifactorial pathogenesis which is not yet well understood. Risk factors include a genetic predisposition, sun exposure, stress, medications, and pregnancy [1]. It is clinically characterised by asymptomatic light to dark brown...