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Medico-legal Forum (Botulinum toxin)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

Bottoms up

Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

The principle of construction in teaching complex anatomy

The construction sequence in head and neck anatomy. The human body is anatomically complex, and this makes the teaching of human anatomy, at the outset, a tricky exercise. Add to this the fact that there are areas where the density...

In conversation with Emanuele Bartoletti (2024)

We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME), about the latest news from the society. You have been involved with SIME for many years now; what have been the highlights...

Facial rejuvenation with the Profound RF System

Ageing of the face has become more noticeable among men and women in the modern world. The new work-from-home environment with more and more online meetings has created surroundings where people see themselves repeatedly on screen and therefore many have...

New IPL technology as treatment for melasma

Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

Treatment of striae utilising the Frax 1550™ on the Nordlys™ System

Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...

Post-truth bogus science: Cosmetic surgical research concerns support the need for research integrity watchdog in Australia

The post-truth phenomenon has become a worldwide problem. The absence of a research integrity watchdog in Australia is causing related concern in aesthetic surgery, with the risk of research misconduct being allowed to prosper and benefit vested commercial interests. We...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

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.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.