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How I Do It - Thin lips – remodelling with hyaluronic acid

5 June 2020 | | Aesthetic Medicine
Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...

How I Do It - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

5 February 2020 | | Aesthetic Medicine, Dermatology, Facial Plastic Surgery
Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | Oculoplastics
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Patient selection in aesthetic medicine

1 June 2014 | | 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...

Skin biorevitalisation with hyaluronic acid

1 December 2022 | | Aesthetic Medicine, Dermatology, CPD - The PMFA Journal
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. While Botulinum toxin A, dermal fillers, chemical peels and laser resurfacing are...

‘Split’ earlobe repair

31 March 2023 | | General Plastic Surgery, Facial Plastic Surgery
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling

3 October 2023 | | Aesthetic Medicine, Dermatology
Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...

Lips and the perioral area: anatomical considerations for safer and natural results

2 August 2023 | | Aesthetic Medicine, Facial Plastic Surgery, CPD - The PMFA Journal
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Minimally invasive cosmetic procedures, including lip augmentation using hyaluronic acid dermal fillers,...

How I Do It - Adipocytolysis

12 October 2021 | | Aesthetic Medicine, Facial Plastic Surgery
Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

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...

OPINION - Who should decide the qualification to do cosmetic surgery?

5 July 2022 | | Aesthetic Medicine, General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

1 December 2013 | | Facial Plastic Surgery, General Plastic Surgery, Maxillofacial Surgery
Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...