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How I Do It - The eight-point facelift using STYLAGE®: blending light and shadow

Rationale The best approach for practitioners would be to understand the rheology of the hyaluronic acid (HA) fillers that they are using, and to ensure that the smallest aliquots are injected to produce the most aesthetic outcome. Developed from ‘The...

We need to talk about amputation – a difficult conversation in the developing world

What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

The creation of PlayDoh® models as an educational tool for teaching anatomy of the lips and peri-oral musculature

As lip procedures continue to be popular it is essential that all practitioners have a detailed knowledge of the anatomy of the area. The authors outline an innovative and engaging method of teaching. Detailed knowledge of the soft tissue anatomy...

How I Do It - Laser-assisted submental liposuction

The author shares a low risk, minimally invasive procedure that offers excellent aesthetic results. Liposuction of the submental and jowl regions is a low risk outpatient procedure that gives a profound aesthetic result. Since the late 1960s, the techniques have...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

How I Do It - Body contouring surgery using the body-jet

When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

How I Do It - Body contouring using EndyMed 3DEEP

At Temple Medical we use EndyMed 3DEEP radiofrequency to deliver clinically significant and long-lasting improvements in cellulite and lax, sagging skin on the body without pain or downtime. Skin laxity is caused by a decrease in the quantity and function...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...