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How I Do It - Otoplasty: Anterior scoring technique

Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

How I Do It - Body contouring surgery using the body-jet

When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

How I Do It - Performing a mastopexy or reduction using Breform™ mesh

Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...

How I Do It - Approaches to acne treatment: Pulsed-dye laser

Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...

Using growth factors in skincare protocols to elevate patient results

All patients embarking on an aesthetic journey should be introduced to the importance of skin and why a healthy skin canvas is fundamental in producing the best possible surgical and non-surgical results. Investing in a carefully curated skincare regime can...

How I Do It - Thin lips – remodelling with hyaluronic acid

Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...

How I Do It - A paradigm shift in injecting: MicronJet™ needles

Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

New IPL technology as treatment for melasma

Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...