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How I Do It - The True Lift Technique™: facial ligament retightening, an anatomical approach

Facial ageing is a complex process which is multifactorial, involving loss of bony support, elongation of the facial ligaments, displacement of fat compartments, attenuation of the superficial muscular aponeurotic system (SMAS) layer and thinning of subcutaneous and dermal tissue. This...

Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

The applications of mesotherapy in aesthetic medicine

Mesotherapy is a modern form of therapy that consists of injecting medicines, vitamins and minerals as close as possible to the area that needs treatment. It is an astonishingly effective technique in aesthetic medicine as it treats layers of the...

How I Do It - Utilising ARES AK and AO as a multi-factorial approach

The Advanced Regenerative Esthetic Solutions (ARES®) line from CMed Aesthetics positions itself as “the most innovative mesotherapy line”. Mesotherapy is a minimally invasive cosmetic treatment that involves injecting small amounts of vitamins, enzymes, hormones, and other substances into the middle...

Cautions, contraindications and complications in aesthetics

All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

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 - Treating cellulite: Cellfina

Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

Maxillo-facial and neck surgery in Iraq and Afghanistan

Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

Facial contouring with fillers

With the advent of hyaluronic acid fillers, safe and effective non-surgical facial rejuvenation has been advanced. Hyaluronic acid fillers are becoming increasingly popular amongst patient who seek facial enhancement. In 2013, there were over 1.8 million treatments using hyaluronic acid...

The importance of teamwork and leadership in the management of patients in burns centres

The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

The importance of nitric oxide in medicine

The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...