How I Do It - Auricular reconstruction: Helical advancement flap

As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

How I Do It - Micro laser coring: A cutting-edge approach to skin rejuvenation

Micro laser coring is an advanced skin rejuvenation technique offering great precision, customisable treatment and effective skin remodelling. Using the Fotona F-Runner scanner with fractional Er:YAG laser energy, this procedure removes ultra-fine, 250µm wide micro columns of tissue through vaporisation,...

How I Do It- Nipple reconstruction

A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

How I Do It - A paradigm shift in injecting: MicronJet™ needles

Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

How I Do It - A non-invasive approach to facial and neck rejuvenation

The HoneyCombTM lift is a non-invasive solution for tightening and rejuvenating the face and neck using Fotona’s advanced SMOOTH® technology. By delivering precise thermal stimulation through HC6 optics and the T-Runner® scanner, this innovative procedure addresses skin laxity, fine lines,...

How I Do It - Adipose tissue restoration in response to ageing

The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

How I Do It - Multilayer midface rejuvenation

The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

How I Do It - Wound closure

Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

How I Do It - Utilising ARES AK and AO as a multi-factorial approach

The Advanced Regenerative Esthetic Solutions (ARES®) line from CMed Aesthetics positions itself as “the most innovative mesotherapy line”. Mesotherapy is a minimally invasive cosmetic treatment that involves injecting small amounts of vitamins, enzymes, hormones, and other substances into the middle...

How I Do It - The eight-point facelift using STYLAGE®: blending light and shadow

Rationale The best approach for practitioners would be to understand the rheology of the hyaluronic acid (HA) fillers that they are using, and to ensure that the smallest aliquots are injected to produce the most aesthetic outcome. Developed from ‘The...