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Melasma treatment – what have we achieved in 42 years?
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...How I Do It - Combination treatment of acne vulgaris
Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...
Perioperative management of the head and neck cancer patient
The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...
Bruxism: a practical guide to treatment with botulinum toxin type A
The aetiology of bruxism is outlined and referenced, giving a clear context to the reader. Recommended treatment options are listed, with a brief summary of the evidence concerning pharmaceutical options, oral appliances, splints, psychology and physiotherapy. The author discusses a...
Autologous fat graft in scar treatment
A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...The patient journey in DIEP flap breast reconstruction
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...The three stages of breast reconstruction
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...
Dental implant rehabilitation in fibula free flaps
The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...In conversation with Annalisa Calisti
We were delighted to catch up with renowned vascular surgeon, Dr Annalisa Calisti, about her career highlights and involvement in SIME (the Italian Society of Aesthetic Medicine). Can you tell us a little bit about what led you into the...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....Early treatment of scars with laser therapy
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...
