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Hair removal: a summary of techniques with a particular emphasis on the importance and versatility of electrolysis

Background and causes of excess or unwanted hair The management of unwanted body and facial hair has been a constant challenge for the human species since the dawn of human culture in the Neolithic era. Of note this was the...

Do You Know Your Advertising Standards?

Over the last couple of years we have seen many organisations, including the British Association of Aesthetic Plastic Surgeons (BAAPS) seek to ban or at least rein in some of the advertising practices which go on in this industry [1]....

Patient-Specific Hybrid Rhinoplasty

Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

Threads in rhinoplasty: to thread or not to thread?

Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

We need to talk about amputation – a difficult conversation in the developing world

What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

The importance of teamwork and leadership in the management of patients in burns centres

The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Melasma treatment – what have we achieved in 42 years?

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...

The importance of skin preparation

With both aesthetic procedures and antibiotic resistance on the rise, good skin disinfection to reduce the risk of infection is more vital than ever. Anna Baker takes us through the evidence behind commonly used skin preparation formulations for aesthetic injectable...