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Neck rejuvenation: Combining botulinum toxin type A and hyaluronic acid booster
Ageing of the neck is multifactorial and often more challenging to treat than facial ageing. The dermis of the neck is thinner, containing less collagen and elastin, leading to reduced structural integrity and elasticity. Fewer sebaceous glands result in dry,...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%...Coronavirus is making us better people
COVID-19 has brought unprecedented challenges to the world of aesthetic medicine. Simon and Emma Ravichandran offer their perspective on the crisis so far and look to the future. The impact of the coronavirus pandemic that started at the end of...Factors influencing a career choice in plastic surgery as a UK medical student
The medical school curriculum is increasingly focusing on the role of a general practitioner, which has resulted in medical students having reduced exposure to surgical specialties. There has been a longstanding concern that plastic surgery teaching and exposure in the...
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....
Loosen up
Lower eyelid retraction is a complex eyelid malposition with varied causes and anatomic features that make correction of eyelid position challenging. This original study presents a new surgical concept for correction of lower eyelid retraction in a particular patient population:...The dangers of unlicensed cosmetic practitioners
The closing of aesthetic clinics and beauty salons during the COVID-19 lockdown brought an influx in unlicensed practitioners and DIY cosmetic filler kits. This has resulted in thousands now suffering the consequences of their practitioner’s lack of experience. Watermans Solicitors...The role of angiogenesis in wound healing, scarring and tissue regeneration
In the UK alone there are 175,000 people who visit Accident & Emergency departments with burns each year. This results in around 13,000 hospital admissions, of which 1000 are due to severe burns [1]. Over half of these admissions are...The principle of construction in teaching complex anatomy
The construction sequence in head and neck anatomy. The human body is anatomically complex, and this makes the teaching of human anatomy, at the outset, a tricky exercise. Add to this the fact that there are areas where the density...In conversation with Professor Goh Chee Leok
You are internationally recognised in the field of dermatology – can you tell us a little bit about your background? I have been interested in medicine since school days. After graduation from medical school of the National University of Singapore,...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...
