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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...

New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions

Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...

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...

A history of the Asia Pacific Burn Association

To accompany his Newsround report on the 12th APBC meeting in the October/November issue, Editor Andrew Burd shares the story of how the APBA was set up.

Exploration of more effective neurorrhaphy in facial nerve reconstruction

This study was laboratory based and focused on different types of end-to-side neurorraphy, and their effects on treating partial facial paralysis. The ultimate aim of this study was to determine which end-to-side neurorraphy produced the greatest axonal growth across the...

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...

Wide Awake Hand Surgery

For many years now, Donald Lalonde has been an advocate for the use of performing hand surgery in the awake patient without the use of a painful tourniquet. Also known as wide awake local anaesthesia no tourniquet (WALANT) this book...

Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Multiple free flaps for head and neck cancer

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...

Z-plasty release of congenital muscular torticollis

Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...

The benefits of intense pulsed light

The authors of this paper have conducted a systematic review of the treatment of intense pulsed light (IPL) to treat a number of dermatological conditions. By reviewing existing literature, they intended to establish evidence to support physicians so IPL could...

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...