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Cautions, contraindications and complications in aesthetics

All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

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...

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

Bone thickness and split pattern in mandibular osteotomies

This paper looked at 63 sagittal split ramus osteotomy sites. The type of split was classified according to the Plooij paper and bone measurements were taken at four sites. Of these sites, the thickness of the bone in one point,...

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...

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

How I Do It - Lip augmentation with hyaluronic acid

Marta Duarte takes us through her technique for lip augmentation, from patient selection to aftercare. Lips are considered extremely important for maintaining the overall facial aesthetics. It is no surprise that today, lip augmentation procedures have become the most sought-after...

Sialendoscopy assisted excision of parotid stones

This is a retrospective paper from China that looks to assess the efficacy and safety of sialendoscopy with a combined transoral or transcutaneous approach for the removal of parotid stones. Sialolithiasis is known to be a major cause for obstructive...

Autologous fat graft in scar treatment

A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...