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The scandal of NHS contracts with the independent healthcare sector
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.Comment in response to Perceptions and Deceptions a personal blog by the editor 15 Apr 2016
We have what is called a third table list....small cases under local or regional anesthesia...there was an 8 yr old girl with a diffuse, non pinchable swelling in the chin area. After confirming it was not vascular, we decided for...The future of acne treatment is clear
As acne affects 742 million patients daily, an alarming 48% are unsatisfied with their current acne treatment [1,2]. But the landscape is changing with...
The Business of Plastic Surgery, 2nd Edition
This is a valuable insight into running a successful business, provided by American experts in plastic surgery. The book is aimed at an audience from across the pond so much of it is directly targeted to their medical school and...
Hey look! Smaller arms and no scars...
The author of this chapter presents his experience of arm reduction leaving a scar in the axilla only; minimal incision brachioplasty (MIB). The technique is a modification of the Pollack technique to treat axillary hydradenitis. It is suitable for patients...How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...Hair removal: a summary of techniques with a particular emphasis on the importance and versatility of electrolysis
Background and causes of excess or unwanted hair The management of unwanted body and facial hair has been a constant challenge for the human species since the dawn of human culture in the Neolithic era. Of note this was the...Male aesthetic treatments: a review
There is a growing demand for aesthetic procedures for men. Anna Baker provides an overview of the popular treatments and explains the important differences between male and female facial anatomy that need to be considered before treating these patients.Focus on: Cosmeceuticals (part 2 - continued)
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...
Complications of otoplasty
Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...The Linear Bolus Technique and other practical tips for the advanced use of non-traumatic cannulas in aesthetic medicine
Some eight years ago, I read about non-traumatic cannulas in the brochure of a French medical supplies company. I was fascinated by the elegance of these instruments, as they respect the integrity of the tissues by not cutting through them....
