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Smile design: Treatment approaches and considerations when performing lip enhancement

A ‘beautiful smile’ is often sought by patients requesting lip fillers, as smiling is one of the most important non-verbal ways of expressing emotions [1]. However, achieving an appealing smile when performing lip enhancement can be a challenging task. When...

How I Do It - Peri-orbital rejuvenation using HA fillers

The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Intra-oral implants in posterior maxilla - predictors of failure

Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...

Could epidermal grafting be the solution to vitiligo?

Dr Foutsizoglou shares his thoughts on a recent innovation based on epidermal grafting that could be used on vitiligo patients. I attended the ‘Make Better Summit Meeting’, an international surgical congress organised by Acelity™ and chaired by Professor Dr med....

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Combination treatment with PN-HPT® and croma revitalis®

The rise in interest and demand from patient and medical practitioners in skin quality and associated regenerative treatment modalities continues [1]. Polynucleotides, specifically High-Purification Technology (PN-HPT®), are among some of the most popular regenerative medical treatment approaches [2]. The mode...

Topical treatment of dermatological concerns during GLP-1 therapy

GLP-1 receptor agonists (GLP-1) and combined GLP-1/gastric inhibitory polypeptide (GLP-1/GIP) agonists have emerged in recent years to promote weight loss [1]. The incretin mechanisms of GLP-1 agonists help to regulate blood glucose levels and facilitate satiety, which contributes towards weight...

Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

How I Do It - Buried integra in the management of temporal cavernous haemangioma

Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

The future of aesthetics: Why self-regulation and ethics must lead the way

As the aesthetics industry in the UK approaches a new era of regulation, the importance of patient safety, ethical practice and continuous professional development (CPD) has never been greater. For healthcare professionals, the challenge is clear: how to stand out...