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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...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

Delays in oral cancer

This is a review from Canada where they attempt to relate the delays in oral cancer presentation to treatment and the impact on stage, diagnosis and survival. They recognise that potentially the most significant delay is between the patient first...

Rosacea: approaches to a complex and chronic skin condition

The complexity surrounding the causes of rosacea are briefly outlined, such as organism colonisation, susceptible skin types, and the challenge of misdiagnosis. The author classifies the condition into the following sub-types: erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea and ocular rosacea....

Perioperative management of the head and neck cancer patient

The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...

Post-treatment advice following botulinum toxin injections

The author gives a detailed review of the advice that is routinely offered to patients following treatment with botulinum toxin, as well as the available evidence to substantiate current recommendations. There is a detailed description of the mechanism of action...

Otologic concerns for cleft lip and palate

The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...

Upper facial rejuvenation

The author provides a comprehensive overview of a variety of considerations for clinicians to consider when assessing the upper third of the face, through discussion of anatomy, the importance of treatment planning, symptoms of complications, as well as treatment strategies....

Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment

BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...

How I Do It - Approaches to non-surgical face lifting

PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

Marllor Biomedical to launch Alidya, the first injectable to treat cellulite

Marllor Biomedical, the Italian manufacturer of Aqualyx, will host a big event in London next month to officially launch Alidya, the first injectable specifically developed to treat cellulite.

The Need for Informed Opinions

It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...