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Exosomes: everything you always wanted to know and questions to ask your exosome provider

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. What are exosomes? Exosomes are just one subset of extracellular vesicles (EVs),...

Stratifying preoperative risk in revision augmentation: the six Cs

Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Building sustainable global partnerships – the BFIRST perspective on future-proofing global plastic surgery

The British Foundation for International Surgery and Training (BFIRST) marks their 10-year anniversary this year as an organisation. As the international outreach arm of the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS), BFIRST focuses on supporting surgeons in...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Innovative delivery devices: Teosyal<sup>®</sup>Pen

As aesthetic practitioners, we should always strive to make our patients’ experiences the best they can be. Teosyal®Pen is the first motorised and cordless device specifically engineered for injecting HA dermal filler. It is lightweight at just 40g and offers...

How I Do It - Lip augmentation: a multi-product approach

Dr Beatriz Molina shares her technique for lip enhancement using a multi-product approach in both younger and more mature patients. Lips are an important feature of the face which can be treated with non-surgical interventions. Millenials are looking for lip...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

Introducing ReSurge Africa

I have just stepped down from the chairmanship of the charity ReSurge Africa. First of all a bit of background... This charity was founded in 1992 by JC Mustarde, a well known ophthalmic plastic surgeon, working at Canniesburn Plastic Surgery...

Focus on: Cosmeceuticals (part 2 - continued)

The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

Prostaglandin-associated periorbitopathy

This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...

Better outcomes from early repair of type B blow-out fractures

This paper examines whether early, rather than late, surgical repair results in better motility outcomes for a particular subgroup of orbital floor blowout fractures. The authors divide floor fractures into types A and B, depending on whether or not the...