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How I Do It - Single session of 1064nm picosecond laser for ephelides

Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

CQC regulators and private hospitals need more common sense

There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....

Durjoy – the Hong Kong story

I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Exploration of more effective neurorrhaphy in facial nerve reconstruction

This study was laboratory based and focused on different types of end-to-side neurorraphy, and their effects on treating partial facial paralysis. The ultimate aim of this study was to determine which end-to-side neurorraphy produced the greatest axonal growth across the...

Medico-legal Forum (Botulinum/Laser)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. In our February/March issue we featured a case that involved complications following...

Cosmetic labiaplasty – basic relevant anatomy and surgical considerations

Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...

Malignant lesions and reconstruction of the pinna

External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

The future of energy-based devices: do we have limits?

Victor Gabriel Clatici asks what is the final frontier in dermatology, plastic surgery and aesthetic medicine?

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...

‘Split’ earlobe repair

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...

How I Do It - X neo-umbilicoplasty

Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...