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Polynucleotides: A scientific explanation

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. Introduction and background This article offers an objective analysis of a new...

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,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

Temporomandibular disorders – a surgeon’s view

The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

How I Do It - Adipose tissue restoration in response to ageing

The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

Perspectives on: Polyurethane covered breast implants

The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

Temple restoration

The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

Adapting to change in clinical practice: a post-inflammatory hyperpigmentation case

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. Post-inflammatory hyperpigmentation (PIH) secondary to any inflammatory cause or cutaneous injury is...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...