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Thread veins and varicose veins: medical or aesthetic?
I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...Cautions, contraindications and complications in aesthetics
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...Clinical case of hypertrichosis
Laser hair removal remains the best method of eliminating unwanted hair, including cases of hirsutism. Due to the pathogenesis of hirsutism, laser therapy alone can be insufficient to treat it. Male pattern terminal hair growth is caused by androgens and...The First World War and the Development of Facial Surgery
Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...How I Do It - Peri-orbital rejuvenation using HA fillers
The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...Should Plastic Surgeons 'De-skill'?
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...
Sliding lower lid tarsal flap
This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...
