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Exposures of the wrist and distal radioulnar joint

The article Exposures of the Wrist and Distal Radioulnar Joint presents its anatomical material in a logical manner, with headings and sub-headings clearly delineating the subject matter. The ‘Pitfalls’ and ‘Pearls’ sections adequately summarise the material covered, in a format...

Focus: Opinions on regulation

Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

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 squaring of the lower third of the face can be an...

Napoleon, Ghandi or Jobs: Who would lead today’s healthcare best?

Some leaders build empires. Others build people. And some tear the whole thing down to rebuild it better. The archetypes of power Leadership in healthcare is evolving. Traditional command-and-control structures are evolving into team-based, emotionally intelligent and adaptive approaches. Yet...

Oral minoxidil: innovations in hair loss

Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...

How I Do It - Using 3D imaging technology in aesthetic medicine

In recent years, there has been a shift in how patients see themselves. The ‘selfie generation’ are constantly exposed to idealised images, which means that many patients are hyper-aware of subtle facial asymmetries and textural irregularities. They no longer look...

Business recovery and relaunch: how to grow your patient base in the new economy

As the unprecedented impact of the COVID-19 pandemic continues to be felt, many aesthetic practitioners are facing an uncertain future. In this invaluable article Pam Underdown provides expert advice on how to survive and grow stronger than ever. The global...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

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.