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How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

Focus on Cosmeceuticals: Skin anatomy and photoageing

Skin anatomy The skin of the face provides crucial functions of temperature regulation, reparative functions following injury, facial expression, protective mechanisms against infection and ultraviolet radiation, as well as sensory perception. The integument consists of two principle layers, the epidermis...

Differences between compounded BHRT and conventional HRT

Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Biorevitalisation and dermal regeneration

The author provides a detailed review of the available evidence regarding the concept of biorevitalisation. A detailed discussion of injectable ingredients used to rejuvenate the skin is explored, with an overview of the history of hyaluronic acid along with a...

Nanotechnology and regenerative therapeutics in plastic surgery

This review is focussed on how novel nanotech therapeutics can apply to modern plastic surgery. The review does not pose a specific question and, therefore, does not base the review on a particular hypothesis to whether nanotech carries an evidence...

Non-surgical periocular aesthetics

The periocular region is the focal point of facial communication. Millimetre increments of change required to achieve bilateral symmetry and harmony can be difficult to achieve by surgical means only. Non-surgical aesthetic modifications offer a number of advantages in selected...

Immediate versus delayed post mastectomy breast reconstruction

The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...

Body contouring surgery following massive weight loss

There are many different perceptions about what defines the term ‘overweight’. The reality is however that, for many, being overweight is a condition that brings with it significant health and social problems. It is estimated that almost two thirds of...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Letter from Hong Kong (2 July 2020)

There is an expression about “living through history”. I am not quite sure what it means but I have the inclination that it conveys a sense of being there, of being alive, when the world changes. Dramatically, irrevocably. We have a before, and we have an after, and we are now in the period of transition.