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Diagnosis of osteonecrosis of the jaw

Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...

An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

Auricular Reconstruction

In 2013 I sat in a little cafe in Nice with a small band of ear surgeons. We were there to put finishing touches to our plans to form the International Society for Auricular Reconstruction (ISAR). One in our midst...

The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...

How I Do It- Combination Treatment – Frax Pro™ System with Cosmeceuticals

The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

How I Do It - Combination treatment of acne vulgaris

Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

IMCAS 2023

Ethics in Aesthetic Medicine: presented the Consensus Paper of the major international experts

The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

Biorevitalisation and dermal regeneration

The author provides a detailed review of the available evidence regarding the concept of biorevitalisation. A detailed discussion of injectable ingredients used to rejuvenate the skin is explored, with an overview of the history of hyaluronic acid along with a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.