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How I Do It - Skin tightening: Profound

Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

BCAM responds to the recent BBC news story regarding the seizure of unlicensed dermal fillers and suspected illegally traded botulinum toxin

The British College of Aesthetic Medicine (BCAM) continues to push for regulation in Aesthetic Medicine to protect patients from the risk of dangerous unlicensed products and procedures...

Is columellar strut necessary in primary rhinoplasty

This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

The use of neuromodulators in the management of TMJ disorders

The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...

Another paper advocating resection templates

Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...

Use of acellular dermal matrices in revisional breast reconstruction

In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol

Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...