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Improving cosmesis after breast implant removal

Removing breast implants has a profound effect on the patient’s appearance; in this article the authors, both expert breast surgeons, discuss how to optimise the cosmetic result. Removing breast implants has a profound effect on the patient’s appearance and we...

The surgical management of extensive balanitis xerotica obliterans

Balanitis xerotica obliterans (BXO) was initially described by Hallopeau in 1887 [1], when it was known as lichen sclerosis et atrophicus, the designation BXO, first being used by Stuhmer in 1928 [2]. It is a chronic, persistent and unrelenting inflammatory...

Lymphatic microsurgery to treat lymphoedema

The authors discuss the role of surgery to manage primary and secondary lymphoedema in patients whose lymphoedema has not been controlled by standard conservative measures and whose symptoms are worsening. There is a brief discussion of the relevant investigations and...

Orbital filler for enophthalmos in Parry-Romberg syndrome

This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...

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...

Cosmetic Injection Techniques: A Text and Video Guide to Neurotoxins and Fillers

This is a very well-written, concise guide to aesthetic injecting with plenty of useful, high-quality illustrations throughout. Six chapters take you from your initial consultation through to advanced injection techniques covering neurotoxins, fillers and fat-dissolving injections. The consultation chapter is...

Luminescens® protocol: an efficient tool against recurrent melasma

Melasma is a hyperpigmentary skin disease with a complex multifactorial pathogenesis which is not yet well understood. Risk factors include a genetic predisposition, sun exposure, stress, medications, and pregnancy [1]. It is clinically characterised by asymptomatic light to dark brown...

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...

OPINION - Who should decide the qualification to do cosmetic surgery?

In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

The 5 Rs of the renaissance. The new paradigm in aesthetic medicine

The Renaissance was a period of great importance in human history where art and science came together to define ideal beauty. This same search for harmony is reflected in current aesthetic medicine, where proportion and symmetry are considered fundamental. For...

In conversation with Professor Peter Adamson

We were delighted to catch up with Peter A Adamson, Professor of the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto. Professor Peter A Adamson. Can you tell us a...

Raising the bar for safer cosmetic surgery in the UK – part 2

In the second of a two-part article (see Part 1 here) Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Medical...