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Cosmetic Surgery Certification Scheme – looking into the future of regulation, quality and safety in cosmetic practice

With plans underway to extend the cosmetic surgery certification scheme to all surgeons performing cosmetic surgery, we share the views of the RCS, BAAPS and BAPRAS. The Royal College of Surgeons (RCS) along with its partners in the Surgical Specialty...

Response to the Keogh Review

On 13 February 2014 the UK Government published its response to the Keogh Review of the regulation of cosmetic interventions (https://www.gov.uk/government/publications/regulation-of-cosmetic-interventions-government-response). This response has been much anticipated by the fields of plastic surgery and aesthetic medicine and inevitably has provoked...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Face to Face – facial reconstructive surgery mission in Ukraine

Photo featuring Ivanna Nebor, MD, Vitaliy Panchenko, MD, Manoj Abraham, MD, John Frodel, MD, Augustine Moscatello, MD, Gregoriy Mashkevich, MD, Bruce Moskowitz, MD, Ryan Winters, MD, Boris Chernobilski, MD, Mykola Syniuk, MD, Serhiy Spivak, MD. In April 2023, a group...

A short overview of the evolution of botulinum toxin type A formulations

Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Patient-Specific Hybrid Rhinoplasty

Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...

How I Do It - A guide to anterior neck lift aesthetic surgery

The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

Cellulite therapy in 2022 – new treatment options making grades for the new year

World-renowned dermatologist Michael H Gold introduces two of the newest FDA-approved modalities for the treatment of the common skin condition cellulite. Cellulite is one of the most common skin concerns for women. It is estimated that between 80-98% of women...

Emerging from 2020 – positive stories from the world of aesthetics

2020 was the year of shifting our mindset, pivoting our business and our priorities, whilst quickly adapting and responding to change, uncertainty and negativity. For some, this past year brought extraordinary hardship and suffering and for others, unexpected, but welcome...