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Raised serum lactate as a marker in the diagnosis of necrotising fasciitis

A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...

Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale

While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...

The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release

Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...

Locked or unlocked

This is as systematic review and meta-analysis from the Netherlands, evaluating postoperative complications of mandibular fractures using locking and non-locking systems. It is suggested that postoperative complications of surgical treatment of mandibular fractures occur in 20-26% of patients, and it...

The development of PDO threadlifting in the UK

Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...

MD/PhDs or MD/MBAs: which do we need more to innovate in plastic surgery?

I would like to thank Arlen Meyers and Victor Castro for submitting this article. One of the problems that I have seen in my professional lifetime is the failure of entrepreneurs to grasp that there is no infinite health care...

Cryolipolysis: a review of published clinical data

Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...

Botulinum Toxins in Clinical Aesthetic Practice

This comprehensive guide comes in two volumes. Volume one considers the clinical adaptations of the various toxins and how they can be used with other injectables such as dermal fillers, light and energy base devices. It explores the use of...

Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

The beauty of Instagram reels

Alan S Adams, award-winning business coach and author, and Director of The Clinic Coach, explores why aesthetic clinics need to be utilising Instagram Reels in 2023, and how this can lead to ultimate business success. With Instagram declared the most...

In Conversation with Professor Jian Farhadi

We were delighted to speak with Professor Jian Farhadi, Consultant Plastic Surgeon and past Director Department of Plastic & Reconstructive Surgery at Guy’s and St. Thomas’ Hospital in London. He is a specialist in reconstructive and aesthetic breast surgery and...

Dr Tijion Esho has announced he is to be an Ambassador for Operation Smile UK

Dr Tijion Esho, TV presenter, cosmetic doctor and philanthropist has announced he is to be an Ambassador for Operation Smile UK today on National Selfie Day.