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Letter from Hong Kong (6 January 2022)

6 January 2022 |
So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.

Closed rhinoplasty Serdev techniques

1 December 2017 | | General Plastic Surgery, Facial Plastic Surgery, Rhinoplasty
Why is rhinoplasty so important? Facial beauty and harmony are dependent on correct aesthetic angles, volumes and proportions. The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio...

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

21 July 2021 |
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.

A short overview of the evolution of botulinum toxin type A formulations

1 June 2023 | | Aesthetic Medicine, Dermatology
Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

Real-world use of telemedicine – a picture is worth a thousand words

1 December 2017 | | Facial Plastic Surgery, General Plastic Surgery, Breast Surgery, Aesthetic Medicine, Dermatology, Maxillofacial Surgery, Hand and Wrist Surgery, Imaging, Rhinoplasty, Oculoplastics
Recent advances in mobile phone camera technology and app software design have allowed photos of patients and their wounds to be sent from any smartphone to a secure NHS database, which can then be accessed by the relevant clinician with...

How I Do It - Laser hair removal: focus on lighter hair

1 April 2020 | | Aesthetic Medicine, Dermatology
Variable square pulse (VSP) Nd:YAG laser devices are ideally positioned among all available laser sources for hair removal. This is due to the fact that the Nd:YAG wavelength (1064nm) penetrates deeply into the skin. It is strongly absorbed in melanin...

How I Do It - Treating cellulite: Cellfina

1 December 2018 | | Aesthetic Medicine, Dermatology
Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

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

1 October 2014 | | Aesthetic Medicine
It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

How I Do It - Patient selection in aesthetic surgery

1 June 2014 | | General Plastic Surgery
What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...

How I Do It - The eight-point facelift using STYLAGE®: blending light and shadow

3 June 2024 | | Aesthetic Medicine
Rationale The best approach for practitioners would be to understand the rheology of the hyaluronic acid (HA) fillers that they are using, and to ensure that the smallest aliquots are injected to produce the most aesthetic outcome. Developed from ‘The...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

3 October 2023 | | COVID-19 - The PMFA Journal, General Plastic Surgery
Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...