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How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...

How I Do It - Treating multiple skin concerns with less down-time

As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

Medico-legal Forum (Botulinum toxin)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...

Chin augmentation: filler versus prosthesis

Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions

Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Prednisolone and/or acyclovir for Bell’s palsy

Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

Oral minoxidil: innovations in hair loss

Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

IMCAS 2023

Ethics in Aesthetic Medicine: presented the Consensus Paper of the major international experts

In conversation with Dr Yannis Alexandrides

We were delighted to chat to Dr Yannis Alexandrides, the American and British board certified Plastic Surgeon, specialising in facial reconstructive surgery. You are internationally renowned in the field of plastic surgery – what made you choose this as a...