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Response to the Keogh Review
On 13 February 2014 the UK Government published its response to the Keogh Review of the regulation of cosmetic interventions (https://www.gov.uk/government/publications/regulation-of-cosmetic-interventions-government-response). This response has been much anticipated by the fields of plastic surgery and aesthetic medicine and inevitably has provoked...Facial aesthetics and orthognathic surgery
Most maxillofacial procedures have an aesthetic element. Reconstructive procedures and surgery to correct congenital abnormalities such as cleft lip have an obvious aesthetic impact. When making surgical incisions for access to the underlying facial skeleton consideration will be made to...Focus: Opinions on regulation
Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...Thread lifting – the fundamentals
"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...Genioplasty
With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...New approaches to soft tissue reconstruction involving adipose tissue engineering
Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...Ultrasound-guided gluteal augmentation with hyaluronic acid (Variofill®)
Buttock augmentation has gained increasing popularity, driven by the demand for improved body contour and projection. Traditional surgical methods, such as autologous fat grafting or implants, can provide substantial volume but are associated with significant risks, including fat embolism, infection,...How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...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....A Reaction to the ‘Keogh Report’
In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...
