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RCS England response to latest NHS waiting times data

The latest NHS consultant-led referral-to-treatment data shows that the total waiting list increased by 6,002 in October 2025, reaching 7.3 million. Analysis reveals the percentage of patients who began treatment within 18 weeks slightly decreased to 61.7%, indicating minimal progress...

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...

Burnout: is this just a pandemic phenomenon?

The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...

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.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 3)

14 June 2021 is the day in the Chinese calendar to celebrate the Dragon Boat Festival. These local holidays are a reminder of the deep cultural heritage enjoyed by the Chinese people.

Utility and outcomes of hydroxocobalamin use in smoke inhalation patients

The authors propose to investigate the usefulness of the routine administration of hydroxocobalamin in burns patients who are suspected to have an inhalational component to their injury. Mention is made of the important fact that no previous published literature has...

How I Do It - Approaches to non-surgical face lifting

PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

The applications of mesotherapy in aesthetic medicine

Mesotherapy is a modern form of therapy that consists of injecting medicines, vitamins and minerals as close as possible to the area that needs treatment. It is an astonishingly effective technique in aesthetic medicine as it treats layers of the...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

Laser tattoo removal: results and issues

The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...

Focus on: Cosmeceuticals (part 2)

To start the second part (see also Definitions, regulations and a review of the market and Skin anatomy and photoageing and Focus on: Cosmeceuticals (part 2) - continued) of this special focus on cosmeceuticals the authors will present some of...

Temple restoration

The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...