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The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Business recovery and relaunch: how to grow your patient base in the new economy

As the unprecedented impact of the COVID-19 pandemic continues to be felt, many aesthetic practitioners are facing an uncertain future. In this invaluable article Pam Underdown provides expert advice on how to survive and grow stronger than ever. The global...

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...

Scottish Government intends to introduce a Non-surgical Cosmetic Procedures Bill in 2026

As part of its Year Five Legislative Programme, the Scottish Government has outlined its intention to introduce a ‘Non-surgical Cosmetic Procedures Bill’ during the current session of the Scottish Parliament. This proposal was detailed in the Programme for Government 2025–26:...

Who is Qualified The debate continues

At the beginning of November the Hong Kong Secretary for Food and Health, Dr Ko reported on the Working Group that was looking at the differentiation between Medical Procedures and Beauty Services. The group had met three times and seven...

Joint Press Release from BCAM and BAMAN

The British Association of Medical Aesthetic Nurses (BAMAN) and the British College of Aesthetic Medicine (BCAM) are saddened by the recent death of Alice Webb following a liquid Brazilian Butt Lift (BBL) procedure. As two of the foremost associations which represent statutory registered nurses, doctors and dentists who work in...

The role of topical peptides in skincare

The sustained global interest in regenerative medicine is evident and increasingly aligned to the emerging field of regenerative aesthetics [1]. Arguably, regenerative medicine is an established and evolving specialism of medicine, and the rise of associated medical aesthetic treatments and...

Letter from Hong Kong (6 January 2022)

So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.

The importance of nitric oxide in medicine

The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...

PRP and Microneedling in Aesthetic Medicine

Platelet rich plasma (PRP) makes sense scientifically. Platelets are a bit like biological robots. They do not have a cell nucleus, but they do have a program which directs them to surveil blood vessel walls and, in particular, to respond...

Cutaneous Malignancies: A Surgical Perspective

This is a very informative reference text. Twelve chapters have been written specifically for those involved with dermatological surgery. In the UK several specialties may be involved in the surgical management of cutaneous malignancies from dermatologists to plastic and maxillofacial...

Patient-Specific Hybrid Rhinoplasty

Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...