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Quantity for quality

Although facial paralysis is not uncommon, the number of patients who require free muscle transfer is much smaller. Besides that, the diversity of surgical and non-surgical interventions, the multitude of methods for perioperative assessment, and outcome measurements likewise lead to...

A short overview of the evolution of botulinum toxin type A formulations

Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

Letter from Hong Kong (3 November 2020)

It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

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:...

Oral photoprotection

The author presents an insightful review of the benefits of systemic photoprotection through orally ingested nutrients, advocating a need for a greater level of protection against free-radicals. Vitamin C is discussed in relation to its role in immune function, collagen...

Prophylactic postoperative antibiotics for enucleation or evisceration

The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...

Anatomy of the ageing lip

With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus (see here for Part 2) on lips Dr...

Revision facial plastic surgery

This is a timely publication to address some of the contemporary issues we face in dealing with poor results, or remediating results of others. No one escapes dissatisfactory outcomes. Lower lid rejuvenation is no longer a surgical manipulation of the...

Mucormycosis: In conversation with Dr Deepak Haldipur and Dr Aditya Moorthy

COVID-19 has ravaged the world in the past 18 months. The second wave in many countries was deadlier than the first. Mucormycosis, infamously labelled ‘the black fungus’ has affected some countries, such as India, in epidemic proportions within this COVID...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

BCAM calls for more investigations into the illegal treatment of under 18s

The British College of Aesthetic Medicine (BCAM) has applauded The City of Wolverhampton Council for its approach to illegal aesthetic treatments and urges other councils to follow suit.

Closed rhinoplasty Serdev techniques

Why is rhinoplasty so important? Facial beauty and harmony are dependent on correct aesthetic angles, volumes and proportions. The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio...