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Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Editor’s reaction to acid attacks in London

As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 17) – A mystery

There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

Perforator Flaps – Anatomy, Technique, & Clinical Application (2nd Edition)

The two-volume second edition of this great work is simply an essential component of all good plastic surgery libraries, both as an inspiring read and a valuable reference. The second edition mirrors the first in its basic structure and layout,...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...

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....

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

FACE 2023

FACE 2023 30 June – 1 July 2023London, UK FACE, the UK’s longest-running aesthetic medicine event, returns to London on 30 June – 1 July 2023 to the beautiful InterContinental London - the O2, celebrating 20 years of science and...