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How I Do It - Facial peeling using retinol peel

An established body of literature acknowledges the efficacy and safety profile of retinoids (a family of compounds derived from vitamin A), in treating a variety of textural skin concerns, such as, coarseness, rhytides, pigmentation, enlarged pores, photodamage and inhibition of...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

Improving cosmesis after breast implant removal

Removing breast implants has a profound effect on the patient’s appearance; in this article the authors, both expert breast surgeons, discuss how to optimise the cosmetic result. Removing breast implants has a profound effect on the patient’s appearance and we...

OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector

On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...

The New Doctors Contract NHS England – a brief summary

This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

In conversation with Klaus Fritz

We spoke with Dr Klaus Fritz, a board member with 5CC, about his career in dermatology and 5CC’s upcoming congress in Barcelona. Can you tell us a little bit about what led you into the field of dermatology, and what...

Technology for remote working and COVID-19 resources

The COVID-19 pandemic has altered every aspect of how we live, and how healthcare needs to be provided for the welfare of patients and staff. I thought I would try to summarise a few potential technology tools that could be...

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...

How I Do It - Laser hair removal: electrolysis

Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

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

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...

COVID-19: plastic surgeons on the front line

riting, I am now halfway through my second set of 12-hour shifts on our COVID admitting ward. As this crisis loomed, our hospital shut down elective services and drafted in all staff to support the expected surge of ill patients....