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How I Do It - Treating the lower face with HA fillers in elderly patients

Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

How I Do It - Treating skin flaccidity with the Fotona V-SMOOTH protocol

Unwanted fat, cellulite and flaccidity are three of the top reasons for consultation in aesthetic medicine in relation to body contouring. After the age of 30, the production of collagen and elastin decreases, so our skin starts to loose firmness...

How I Do It - A global approach to facial volumising

As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...

How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Contouring the lower jaw (surgical)

It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

Masculinising chest wall surgery (‘top surgery’)

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. In this feature article, we discuss our experience in masculinising chest wall...

A comparison of academic output of Welsh burns and plastic surgery trainees pre- and mid-COVID-19 pandemic: a cross-sectional study

The COVID-19 pandemic has affected the work of doctors worldwide, with surgical resources being diverted and non-emergency surgeries postponed. With surgical activity at 33.6% of expected levels in 2020, this sudden, vast decrease in surgical activity may have granted some...

British Foundation for International Surgery and Training

Two of the UK’s most innovative Plastic Surgeons, Barbara Jemec and Wee Lam, give a fascinating account of the work of BFIRST overseas and, perhaps most importantly, explain how you can get involved. The British Foundation for International Surgery and...

A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...

Living confidently with a distinctive face or body

The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...

Vascular complications part 2: management

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...