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Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...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...Off-label cosmetic use of botulinum toxin in the lower face
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....
Advanced botulinum toxin injection techniques for lower facial correction
The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...
Creation of natural double eyelids in Asian patients
This article shows a simple, safe and elegant technique to deal with single eyelids in Asian patients, addressing the lack of supratarsal crease and the puffiness of the lid without needing a full upper lid blepharoplasty incision. The use of...Mercy Mission: all aboard with Mercy Ships off the coast of West Africa
Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines
Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.Debate: cannulas vs. needles - Needles
It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...Continuing personal development
“It is an interesting biological fact that all of us have, in our veins the exact same percentage of salt in our blood that exists in the ocean, and, therefore, we have salt in our blood, in our sweat, in...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 27) - Time To Sum Up (cont.)
I have made a breakthrough. I have now determined the voice of the book. The target audience will be students of The Law and of Medicine.Durjoy – the Hong Kong story
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....
