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Lateral canthal position after lateral orbitotomy

This is a retrospective photographic study of changes in the lateral canthal position following a lateral orbitotomy performed via a lateral canthotomy and cantholysis of both upper and lower limbs of the lateral canthal tendon. Reconstruction of the lateral canthus...

Combination therapy for PIH in skin of colour

Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...

Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities

Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...

Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel

Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

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...

Ethical expert reports by CAPSCO

One of the most stressful days for a surgeon is when a letter marked 'Confidential' comes through the letter box. A firm of solicitors or a complaint manager from a regulatory body such as the General Medical Council or the...

Sushruta and Indian rhinoplasty

Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

BCAM Annual Clinical Review 2021

The British College of Aesthetic Medicine (BCAM) is the only UK body representing aesthetic doctors and dentists that conducts an annual survey of its members’ clinical data, collating information about treatments, complications and trends. The Annual Clinical Review has been...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

How I Do It - Treating acne and acne scarring in all skin types

I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

Perfecting the pout

From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...