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Reflections on the criticism of the criticism of the NHS

Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

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 - Adipose tissue restoration in response to ageing

The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

Novel picosecond handpieces for the treatment of pigmentation

Pigmentary disorders are common; several treatment modalities are available, ranging from topical therapy to chemical peels and lasers. The advent of ultrashort pulsed picosecond lasers (PSL) has transformed the way tattoos and benign pigmented lesions are treated. Unlike long-pulsed lasers...

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...

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

Life-transforming reconstructive surgery onboard floating hospital gives new hope to burn survivors in sub-Saharan Africa

Gamai from Guinea was a one-year-old when she suffered a horrific burn accident. With no access to medical care, her family were forced to watch as her skin contracted around her arms and hands, leaving her unable to perform basic...

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

Start slowly, stay grounded: The vital role of education in aesthetic medicine

Jude Dunican. Elaine Williams: I still remember the day we first met, with you coming into the clinic on behalf of Health Xchange back in 2018. We quite quickly got into developing ourselves professionally from that very first meeting, and...

The World Association of Plastic Surgeons of Chinese Descent

With the 4th World Association of Plastic Surgeons of Chinese Descent (WAPSCD) coming up in November I thought I would share my experiences with you. I attended the second world congress in Taiwan for plastic surgeons of chinese descent which...

Hair removal: a summary of techniques with a particular emphasis on the importance and versatility of electrolysis

Background and causes of excess or unwanted hair The management of unwanted body and facial hair has been a constant challenge for the human species since the dawn of human culture in the Neolithic era. Of note this was the...