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A Reaction to the ‘Keogh Report’

In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...

Laser and light based hair removal

Laser hair removal is a popular, and constantly evolving, treatment. Professor Paolo Bonan and colleagues provide us with a comprehensive overview and some ‘top tips’ for how to make the procedure as safe and effective as possible. Hair removal, also...

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...

Regulation of non-surgical cosmetic interventions

As Paul Harris and Mark Henley discussed in a previous article (see here), certification of cosmetic surgery is being encouraged. Sally Taber, from the JCCP, outlines why non-surgical cosmetic interventions are arguably more urgently in need of effective regulation. Regulation...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

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).

How I Do It - Vaginal rejuvenation - Er:YAG laser therapy

I began doing research in 2010 on vaginal laser tissue induction to achieve vaginal tightening and sexual enhancement. I started noticing an improvement of continence in patients who were leaking. I was very excited about the results and more than...

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Higher dose neurotoxins – what’s new?

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. How can we achieve longer lasting results with neurotoxins? With a new...

Treatment of facial subcutaneous fibrosis with hyaluronic acid

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. Systemic sclerosis (SSc) is a rare and chronic connective tissue disease (CTD)...