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Raised serum lactate as a marker in the diagnosis of necrotising fasciitis

A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...

From clinician to creator: taking your brand to the next level through experience-based marketing

Woman with Plastic Surgery “addiction” on how it nearly destroyed her marriage (and her face) Huffington Post, 4 November 2015 Cosmetic Crisis Waiting to Happen BBC News, 23 April 2012 I was blinded by fillers: One woman’s horrifying story of...

Differences between compounded BHRT and conventional HRT

Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

Age-related changes in the menopausal woman

The author explores the aesthetic impact of hormonal ageing during the perimenopausal, menopausal and postmenopausal periods. The author explains that oestrogen levels can impact upon several skin functions, including: excessive hair growth, pigmentation, vascularity, elasticity and water-holding capacity. A detailed...

Internal factors contributing to optimal skin health and rejuvenation

The author explores some common internal factors that affect skin health, such as; nutrition, hormonal balance, gut health and emotional wellbeing. The author’s treatment philosophy aims to address internal factors relating to skin health by reducing, preventing and eliminating oxidative...

Cryolipolysis for non-invasive body sculpting

The author provides a clear explanation on the definition and indications of cryolipolysis, reinforcing that it is not a weight loss treatment as it does not shrink fat cells. Some of the popular devices are listed, including CoolSculpting®, Cristal®, as...

Effects of ultraviolet radiation on the skin

A comprehensive paper concerning the dermal effects of sun exposure, including strategies which aesthetic nurses can adopt to guide patients in making evidence-based choices in selecting suitable sun protection. The key principles of ultraviolet radiation (UVR), including the immediate and...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

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...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

How I Do It - Hybrid cooperative complexes and monopolar radiofrequency: A combined regenerative approach for skin harmonisation (CRASH technique)

Preventing facial sagging has become a central goal for both aesthetic practitioners and patients. A deeper understanding of the soft tissue ageing process has highlighted the key role of facial subcutaneous white adipose tissue. Properties of the overlying skin –...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...