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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]....

Business administration for aesthetic practitioners – why be managed when you can manage?

Do you know what the difference is between a profit and loss account or a balance sheet? Have you wondered how you will market your practice? What can you do to drive your team to success? These are just some...

The aesthetic triangle: Analysis of lip prominence and clinical implications

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. The lips constitute one of the most important facial aesthetic units. Due...

The role of expert witnesses in miscarriages of justice

‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Complications of rhinoplasty

Whilst rhinoplasty is one of the more common procedures performed by facial and general plastic surgeons, it is associated with a wide range of complications. Complications increase with the complexity of the surgery and in particular when there are both...

Stratifying preoperative risk in revision augmentation: the six Cs

Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Making Decisions and Avoiding Complications in Skin Flaps

Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...

Raising the bar for safer cosmetic surgery in the UK – part 1

In part one of a two-series article Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Cosmetic surgery is most easily...

OPINION - Influencers affect us all: but are they as good as we think?

Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...

Cutting it fine online: social media and reputation management on the web

Social media is an amazing tool which, in its finest form, can be utilised to heighten your profile, increase brand awareness, promote your services, and fruitfully interact with colleagues, patients and the public. It is important, however, to remember that...

TRALI following fresh frozen plasma resuscitation from burn shock

This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...