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Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. How should vascular occlusions be managed? The authors review the evidence on...

Do You Know Your Advertising Standards?

Over the last couple of years we have seen many organisations, including the British Association of Aesthetic Plastic Surgeons (BAAPS) seek to ban or at least rein in some of the advertising practices which go on in this industry [1]....

New IPL technology as treatment for melasma

Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

Treatment of striae utilising the Frax 1550™ on the Nordlys™ System

Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...

How I Do It - Non-surgical approach to facial palsy – a preliminary case report

In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...

Back to the blog: Part II

PART II: Key players in the turf war between the board-certified plastic and reconstructive surgeons and the 'non-accredited' cosmetic surgeons.

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

Recognising the key tear trough ligaments

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The anatomical understanding of the periorbital ligaments is critical for mastering tear...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

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 - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...