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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...

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 - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Approaches to lip augmentation: more than just increasing size

Having full lips is commonly associated with beauty and youthfulness. This is the reason why lip enhancement is one of the most frequently requested procedures. The complete perioral frame should be taken in to consideration to achieve a more natural...

How I Do It - Rejuvenation of the jowls and neck: a combination approach with ‘Radiopeel’

Cutaneous ageing of the jowls and neck gives rise to a combination of multiple symptoms – skin laxity, sagging, wrinkles, dyspigmentation, and textural and volumetric changes to the skin. A single symptom can often be dealt with by a single...

How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....

How I Do It - Vaginal rejuvenation - CO2 laser therapy

Women with menopausal symptoms, as well as postnatally, are looking for additional methods as alternatives to traditional hormone replacement therapy (HRT), local oestrogens or topical creams and lubricants, since only 34% comply with their prescribed therapy. Women report an impairment...

How I Do It - X neo-umbilicoplasty

Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

How I Do It - 360° body contouring through combined techniques

Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...

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...

How I Do It - Laser hair removal: electrolysis

Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...