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A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...

Coupler microvascular anastomoses: how good?

This is a paper written by a group of reconstructive surgeons and school of computing. This study used computational fluid dynamics to model blood flow through ‘idealised sutured and coupled’ vessels. They investigate if the anastomotic technique affects intra vascular...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

Letter from Hong Kong (13 April 2020)

Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.

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 - Treating the lower face with HA fillers in elderly patients

Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

How I Do It - The non-surgical rhinoplasty

Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...

How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

How I Do It - Wound closure

Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

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,...