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Body dysmorphic disorder in a facial plastic and reconstructive surgery clinic

Body dysmorphic disorder (BDD) is under recognised and under detected among patients undergoing facial plastic and reconstructive surgery. Patients with BDD require psychiatric care not cosmetic surgery. In order to protect patients and surgeons, sound screening for BDD preoperatively should...

Lymphoedema surgical treatment: myths and facts

Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

How I Do It - Neck rejuvenation using Erbium-Yag laser technology

Individuals with skin laxity and wrinkles around the neck area have, until recently, not had any successful non-invasive treatments available to improve this appearance of ageing around the neck area and upper chest. The Fotona SP Dynamis laser has a...

Outcomes of heavily pre-treated oral squamous cell carcinomas

Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...

Laser tattoo removal: results and issues

The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...

Patient-related outcomes in rhinoplasty surgery

This paper centres on defining and providing a patient-related outcome tool in rhinoplasty surgery. There are currently no validated tools specifically for cosmetic alteration of the nose alone. The authors devised specific scales within the FACE-Q framework to specifically assess...

The use of intravenous tPA for the treatment of severe frostbite

Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...

Loosen up

Lower eyelid retraction is a complex eyelid malposition with varied causes and anatomic features that make correction of eyelid position challenging. This original study presents a new surgical concept for correction of lower eyelid retraction in a particular patient population:...

BAS (British Association of Sclerotherapists) 2019 Conference

Report by Hilary Furber, BAS Operations Manager. An enthusiastic group of over 80 surgeons, doctors and nurses gathered in May at the magnificent lakeside Eton Dorney Conference Centre near Windsor for the British Association of Sclerotherapists’ (BAS) 2019 Conference. This...

Do the benefits of scaphoidectomy and four-corner fusion for SLAC last?

The paper concisely covers the history and definition of scapholunate advanced collapse (SLAC) wrist. The treatments options are described in broad terms and referenced. Forty patients’ records are assessed retrospectively; their data having been collected prospectively in a structured and...

Business recovery and relaunch: how to grow your patient base in the new economy

As the unprecedented impact of the COVID-19 pandemic continues to be felt, many aesthetic practitioners are facing an uncertain future. In this invaluable article Pam Underdown provides expert advice on how to survive and grow stronger than ever. The global...