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How I Do It - Hybrid cooperative complexes and monopolar radiofrequency: A combined regenerative approach for skin harmonisation (CRASH technique)

Preventing facial sagging has become a central goal for both aesthetic practitioners and patients. A deeper understanding of the soft tissue ageing process has highlighted the key role of facial subcutaneous white adipose tissue. Properties of the overlying skin –...

A challenging new year

2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard of the...

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

Ultrasound-guided gluteal augmentation with hyaluronic acid (Variofill®)

Buttock augmentation has gained increasing popularity, driven by the demand for improved body contour and projection. Traditional surgical methods, such as autologous fat grafting or implants, can provide substantial volume but are associated with significant risks, including fat embolism, infection,...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

Dermoscopy: an update and personal view

With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

Stratifying preoperative risk in revision augmentation: the six Cs

Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Crushed cartilage and fibrin sealant graft for radix augmentation

This paper shows a new technique for radix augmentation on Asian patients using crushed cartilage layers stacked on the nasal dorsum and stabilised with fibrin sealant. The study was made on 51 patients operated by the same surgeon in two...

How to measure functional outcome after nose surgery

The authors of this paper perform a systematic review of the literature on two of the most popular patient-reported measures for nasal obstruction, the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). They compare pre and postoperative...

Textbook of Plastic, Reconstructive and Aesthetic Surgery (Volume 1-3)

This is a multi-author comprehensive plastic surgery textbook that comes in three volumes with 175 chapters. Most authors are based in South Asia and take the reader through a journey of patients in the developing world, their priorities and challenges....

Improving the anatomical understanding of the causation of fine lines

An interesting piece which explores the current evidence of the factors that are thought to lead to facial ageing through fine lines. The author outlines a detailed discussion of the many intrinsic factors which can lead to the emergence of...

Plastic surgery and safety issues: a patient perspective

Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...