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A short overview of the evolution of botulinum toxin type A formulations

Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

In Conversation with Dr Tristan Mehta

We were pleased to have the opportunity to speak to Dr Tristan Mehta, Founder and CEO of Harley Academy, a leading postgraduate training provider of higher education in aesthetic medicine within the UK. Dr Tristan Mehta. What led you to...

Living confidently with a distinctive face or body

The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...

How I Do It - Single session of 1064nm picosecond laser for ephelides

Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

How I Do It - Mesotherapy in combination with chemical peel

Photo-ageing, pigmentation, acne or rosacea can all have a significant impact on self-confidence and the overall quality of life. BioRePeelCl3 is a patented biphasic technology product based on 35% trichloroacetic acid, which allows safe and effective redermalisation and skin rejuvenation...

Lip augmentation

In the second of our two-part special focus (see here for Part 1) on lips we are delighted to present this comprehensive clinical guide for practitioners undertaking lip augmentation. Lips and eyes enhance facial beauty. Highlighting these has been dated...

Aesthetic Plastic Surgery of the East Asian Face

One can think of very few communities to which the East Asian diaspora has not migrated over the course of the last few centuries. Thus, even northern European surgeons such as myself are regularly faced with aesthetic challenges pertaining to...

TRALI following fresh frozen plasma resuscitation from burn shock

This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...

Autologous vs. irradiated costal cartilage in rhinoplasty

The authors present the findings of a retrospective study included 63 patients had rhino-septoplasty using autologous costal cartilage (ACC) and 20 had rhino-septoplasty using irradiated homologous costal cartilage (IHCC) to compare the clinical results of major augmentation rhinoplasty using ACC...

The dynamic nature of orbital cavernous haemangiomas

This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...

Harvesting the flexor hallucis longus what is the increased morbidity

The free fibula flap and its variations are now widely used in various clinical applications for microvascular reconstructions. Occasionally and to add bulk the flexor hallucis longus (FHL) muscle is harvested along with the fibula. Additionally, the postoperative morbidity is...

A tarso-conjunctival flap for paralytic ectropion

This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...