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How I Do It - Innovative delivery devices: Juvapen
The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...Revolutionising paediatric burn scar management: Unleashing the potential of stromal vascular fraction
Burn injuries often result in challenging scars that impact the aesthetic appearance and also pose functional and psychological concerns for the affected individuals. Traditional approaches to treating burn scars have primarily relied on skin grafts, requiring donor sites and often...
Cavernous sinus thrombosis and orbital cellulitis
This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...Coronavirus is making us better people
COVID-19 has brought unprecedented challenges to the world of aesthetic medicine. Simon and Emma Ravichandran offer their perspective on the crisis so far and look to the future. The impact of the coronavirus pandemic that started at the end of...From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...How I Do It - Non-surgical approach to facial palsy – a preliminary case report
In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment
BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).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...
