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How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...

Treating the male patient with dermal fillers

Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....

Submandibular haematoma with airway obstruction following a warfarin overdose

Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

IMCAS World Congress 2025

By Anna Maria Fenech Magrin, Aesthetic Doctor, Clinical Senior Lecturer in Aesthetic Medicine, Queen Mary University of London; Medical Director at DoctorAM Clinics, Malta.2025 was another successful year for IMCAS Paris, breaking the record for the largest medical aesthetics congress...

The New Doctors Contract NHS England – a brief summary

This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Reflections on the criticism of the criticism of the NHS

Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

Advanced botulinum toxin injection techniques for lower facial correction

The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...

An update on BIA-ALCL

The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...

Carnoy’s and the KOT

This is a retrospective review of 105 patients with keratocystic odontogenic tumours treated over a 23-year period with a mean follow-up of 86 months. The recurrence rate was 11.4%. Permanent neuro-sensory deficit of the inferior alveolar nerve was 16%. Younger...

Facial nerve palsy and Facial Palsy UK

The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

In conversation with Dr Michael Gold (2019)

We were delighted to chat to Dr Michael Gold, President of the 5CC Congress in Barcelona, about his renowned career in dermatology. You are internationally recognised in the field of dermatology – can you tell us a little bit about...