A challenging new year

AESTHETIC FOCUS 2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard...

A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...

The Linear Bolus Technique and 
other practical tips for the advanced use of non-traumatic cannulas in aesthetic medicine

AESTHETIC FOCUS Some eight years ago, I read about non-traumatic cannulas in the brochure of a French medical supplies company. I was fascinated by the elegance of these instruments, as they respect the integrity of the tissues by not cutting...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

Temple restoration

AESTHETIC FOCUS The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One...

Cellulite: does wearing compression hosiery work?

AESTHETIC FOCUS Cellulite affects a large proportion of women. Recently several companies have produced compression hosiery claiming to reduce the appearance of cellulite. One of the latest products are ‘Silver Wave’ stockings, made by Solidea, which claim to reduce cellulite...

HA dermal filler with lidocaine: initial clinical outcomes

AESTHETIC FOCUS Hyaluronic acid (HA) is a natural occurring body polysaccharide essential for various body functions, present in connective tissues, skin, vitreous humour of eye, extracellular matrix, synovial fluid, etc [1].It was first isolated in bovine vitreous by Mayer and...

Lasers and the skin

AESTHETIC FOCUS Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers have revolutionised the treatment of many skin conditions and are being used both in terms of a medical and an aesthetic context. Laser technology has...

Facial nerve palsy and Facial Palsy UK

The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

Thread veins and varicose veins: medical or aesthetic?

AESTHETIC FOCUS I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE...

IN RESPONSE TO: Plastic surgery and aesthetic medicine - specialties and specialists

I read with great interest the article ‘Plastic surgery and aesthetic medicine: specialties and specialists’ by Professor Andrew Burd published in the Feb/Mar issue of PMFA News. Prof Burd brings up many valid points about the specialty of plastic surgery...

When a patient asks for your insurance details…

AESTHETIC FOCUS Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with...