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How I Do It - Adipocytolysis

Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

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...

Ultrasound use in non-surgical, aesthetic medicine clinics

The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

Biorevitalisation and dermal regeneration

The author provides a detailed review of the available evidence regarding the concept of biorevitalisation. A detailed discussion of injectable ingredients used to rejuvenate the skin is explored, with an overview of the history of hyaluronic acid along with a...

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

How to measure functional outcome after nose surgery

The authors of this paper perform a systematic review of the literature on two of the most popular patient-reported measures for nasal obstruction, the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). They compare pre and postoperative...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 17) – A mystery

There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?

Cosmetic Injection Techniques: A Text and Video Guide to Neurotoxins and Fillers

This is a very well-written, concise guide to aesthetic injecting with plenty of useful, high-quality illustrations throughout. Six chapters take you from your initial consultation through to advanced injection techniques covering neurotoxins, fillers and fat-dissolving injections. The consultation chapter is...

Intra-oral implants in posterior maxilla - predictors of failure

Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...

In and out of love with surgery

Growing up with books shaped me into a hopeless romantic believing in heroes, magic and achieving the impossible. Throughout the years as I sat patiently waiting on my letter from Hogwarts I instead received my acceptance letter to medical school....

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

BAPRAS Congress 2025

BAPRAS Congress 2025 returns to Belfast for the first time since the 1990s, bringing together the plastic-surgery community at the ICC from 3–5 December 2025. As the flagship event of the British Association of Plastic, Reconstructive and Aesthetic Surgeons –...