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How I Do It - Body contouring using truSculpt® flex

The truSculpt® flex is a ‘next generation’ electrical muscle stimulation (EMS) device that has been cleared by the FDA for strengthening, firming, and toning the abdomen, buttocks, and thighs, as well as improving posture and reducing back pain by up...

Ethical expert reports by CAPSCO

One of the most stressful days for a surgeon is when a letter marked 'Confidential' comes through the letter box. A firm of solicitors or a complaint manager from a regulatory body such as the General Medical Council or the...

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...

Fat grafting the buttock: facts and myths

Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

Genioplasty

With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

Focus on Cosmeceuticals: Skin anatomy and photoageing

Skin anatomy The skin of the face provides crucial functions of temperature regulation, reparative functions following injury, facial expression, protective mechanisms against infection and ultraviolet radiation, as well as sensory perception. The integument consists of two principle layers, the epidermis...

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...

How I Do It - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

Female Cosmetic Genital Surgery: lifestyle or science?

The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

Cryolipolysis for non-invasive body sculpting

The author provides a clear explanation on the definition and indications of cryolipolysis, reinforcing that it is not a weight loss treatment as it does not shrink fat cells. Some of the popular devices are listed, including CoolSculpting®, Cristal®, as...