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Can I quit the gym? Low level laser and body contouring

Is low level laser the answer for patients seeking a non-invasive method for body contouring? Balancing energy intake and energy expenditure is the healthiest and most sustainable means of weight loss and toning, but despite this, areas of local fat...

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

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...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

Thread lifting – the fundamentals

"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...

Medical racism and the surgical ‘correction’ of the nose in Brazil

Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Focus on Plasma: The application of plasma devices in aesthetic medicine

AESTHETIC FOCUS Plasma: An ionised gas consisting of positive ions and free electrons in proportions resulting in more or less no overall electric charge, typically at low pressures (as in the upper atmosphere and in fluorescent lamps) or at very...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...

An overview of chemical peels

Chemical peels form an important part of most aesthetic and cosmetic practices. They are an affordable procedure for patients and significant results can be achieved. Generally chemical peels are a safe procedure, but only if used correctly and with caution....

The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

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...

Soft tissue augmentation – a review

The author explains how treating the face as a 3D structure is key to a good result with invasive or non-invasive procedures. History Rejuvenation of the face and trying to reverse the effects of ageing dates back centuries. Facial volume...