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A short overview of the evolution of botulinum toxin type A formulations

Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

In conversation with Professor Peter Adamson

We were delighted to catch up with Peter A Adamson, Professor of the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto. Professor Peter A Adamson. Can you tell us a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

Medico-legal forum (VASEP liposuction)

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. The case in question The patient underwent VASER to the abdomen and...

Semi dynamic reconstruction of the lower lip

The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...

SIME 2025 (Italian Society of Aesthetic Medicine)

After the successful outcome of the previous edition of their congress at the new venue La Nuvola, this year will be even more special as it will coincide with SIME’s 50th anniversary. This is an opportunity to celebrate the society’s...

Cavernous sinus thrombosis and orbital cellulitis

This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...

Non-surgical rhinoplasty: key indications and considerations for nasal augmentation

The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...

Do the benefits of scaphoidectomy and four-corner fusion for SLAC last?

The paper concisely covers the history and definition of scapholunate advanced collapse (SLAC) wrist. The treatments options are described in broad terms and referenced. Forty patients’ records are assessed retrospectively; their data having been collected prospectively in a structured and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

Tranexamic acid and platelet rich plasma in the treatment of melasma: efficacy and safety

Melasma is a common, acquired, progressive, often symmetrical macular hypermelanosis that is usually localised on the face and more frequently on the forehead, upper lip, central and malar area of the face. It is triggered by a variety of factors,...

An epidemic of lower limb gunshot injuries

As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...