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How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential

A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

How I Do It - A global approach to facial volumising

As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...

How I Do It - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

How I Do It - Body contouring surgery using the body-jet

When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

How I Do It - Body contouring using EndyMed 3DEEP

At Temple Medical we use EndyMed 3DEEP radiofrequency to deliver clinically significant and long-lasting improvements in cellulite and lax, sagging skin on the body without pain or downtime. Skin laxity is caused by a decrease in the quantity and function...

How I Do It - Patient selection in 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...

How I Do It - Otoplasty: Anterior scoring technique

Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

How I Do It - Contouring the lower jaw (surgical)

It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...