Search

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 - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

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 - Skin tightening: Fotona 4D protocol

Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...

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 - 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...

Medico-legal forum (VASEP liposuction)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question The patient underwent VASER to the abdomen and...

Medico-legal Forum (Laser/Polydioxanone)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

Medico-legal Forum (Botulinum toxin)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...