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Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

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...

In conversation with Derek Mendonca

Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

Perceptions and Deceptions: a personal blog by the editor 3 August 2016

Whistle blowing. What is it? Fascinating discussion with Chris Day, the Junior Doctor in the UK who is challenging the execution of the law in this sensitive area of employment contracts (http://54000doctors.org). More of that later, but just to note,...

Lips and the perioral area: anatomical considerations for safer and natural results

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. Minimally invasive cosmetic procedures, including lip augmentation using hyaluronic acid dermal fillers,...

How I Do It - Laser-assisted submental liposuction

The author shares a low risk, minimally invasive procedure that offers excellent aesthetic results. Liposuction of the submental and jowl regions is a low risk outpatient procedure that gives a profound aesthetic result. Since the late 1960s, the techniques have...

How I Do It - Rejuvenation of the jowls and neck: a combination approach with ‘Radiopeel’

Cutaneous ageing of the jowls and neck gives rise to a combination of multiple symptoms – skin laxity, sagging, wrinkles, dyspigmentation, and textural and volumetric changes to the skin. A single symptom can often be dealt with by a single...

How I Do It - Combination treatment of acne vulgaris

Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

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...

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

Treatment of photoaged skin with Nordlys® SWT® IPL and Matrix Pro® RF microneedling

Skin photoageing is a complex, multifactorial process influenced by both intrinsic ageing and chronic exposure to environmental factors; with ultraviolet radiation playing a significant role. Patients seeking improvement in photoaged skin (skin revitalisation) increasingly prefer minimally invasive treatments that enhance...