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Use of photodynamic therapy in the management of papulopustular rosacea

The author presents a review of the current evidence on the use of topical photodynamic therapy (PDT) for treating papulopustular rosacea, initially with a brief overview of the aetiology of the disease and licensed treatment options, before exploring the context...

All about velopharyngeal dysfunction

The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...

Management of post-acne scarring

The author provides a detailed discussion of acne scarring, underpinned by statistics, reflecting the current prevalence. The pathogenesis of acne scarring, different types of scars and severe psychological impact are explored with emphasis on providing evidence-based treatments in aesthetic practice....

Transnasal endoscopic choanal atresia surgery

Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...

How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck

The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...

The Re-humanising Revolution: Breaking the conspiracy of silence

Over the last few years, the mental and emotional wellbeing of those who work in medicine has come under scrutiny. The author introduces a new resource. Working in healthcare has always been stressful but never more so than today. In...

Do bicycle helmets prevent facial injuries

This is an analysis from Germany where they reviewed over 7000 bicycle accidents over a 16-year period that met their inclusion criteria. Over 1000 had a facial injury (bone or soft tissue) with helmets being worn in 11.8% of accidents....

Differences between compounded BHRT and conventional HRT

Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

Encouraging results on treating thinning hair with PRP

Over the last few years platelet rich plasma (PRP) has made a big splash in the aesthetics world causing much excitement. It has been used for skin rejuvenation, softening lines and wrinkles, as part of an anti-ageing process. With the...

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...

How I Do It - Innovative delivery devices: Juvapen

The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...

In and out of love with surgery

Growing up with books shaped me into a hopeless romantic believing in heroes, magic and achieving the impossible. Throughout the years as I sat patiently waiting on my letter from Hogwarts I instead received my acceptance letter to medical school....