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How I Do It - Innovative delivery devices: Juvapen

The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

Problems in Periorbital Surgery: A Repair Manual

This is a multi-author textbook directed at oculoplastic and plastic surgeons carrying out and managing aesthetic eyelid surgery. The authors are well-known and commonly cite their mentor, Clinton (‘Sonny’) McCord as the main inspiration behind the textbook. Each section contains...

The role of topical peptides in skincare

The sustained global interest in regenerative medicine is evident and increasingly aligned to the emerging field of regenerative aesthetics [1]. Arguably, regenerative medicine is an established and evolving specialism of medicine, and the rise of associated medical aesthetic treatments and...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

Focus on: Cosmeceuticals (part 2)

To start the second part (see also Definitions, regulations and a review of the market and Skin anatomy and photoageing and Focus on: Cosmeceuticals (part 2) - continued) of this special focus on cosmeceuticals the authors will present some of...

Lipofilling for scar improvement

Since Coleman et al. in 1991 reported on lipofilling, numerous applications have been reported; these include but are not limited to contour restoration, lip augmentation and wrinkle therapy. There have also been some one-off reports of improvements in scars following...

Liquid polycaprolactone collagen stimulator for natural facial anti-ageing

Skin ageing is influenced by genetics, environmental exposure, hormonal changes and metabolic processes. With ageing, the supple skin of youth becomes thinned and flattened, with loss of elasticity and architectural regularity. Atrophy of the extracellular matrix is reflected by the...

Reconstructive and Aesthetic Genital Surgery

This book is a comprehensive and contemporary resource covering genital surgery in both male and female patients. The first part is dedicated to reconstruction and follows a logical sequence from principles to practice. Simple techniques are detailed before the reconstructive...

Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

ERAS in microvascular breast reconstruction

Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...