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Acute dacryocystic retention

1 October 2018 | | Oculoplastics
This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is chararcterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...

Clinical outcome of patients with self-inflicted burns

1 August 2017 | | General Plastic Surgery | Burns, Suicide, Self-immolation, Self-inflicted burn, Non-suicidal self-injury
This study examines the link between patients presenting with self-inflicted burns (SIB) and key outcomes including length of stay (LOS) and mortality. The authors describe current ambiguity in the literature relating to this topic in burns care. They highlight similar...

How I Do It - Approaches to acne treatment: LED therapy

1 August 2018 | | Aesthetic Medicine, Dermatology
The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

Support groups for hidradenitis suppurativa

1 October 2015 | | Dermatology
Hidradenitis suppurativa (HS) is an inflammatory condition characterised by painful inflamed nodules in the apocrine regions of the body. It follows a chronic relapsing clinical course and is a very difficult condition to treat. It has an estimated prevalence of...

Reconstruction paediatric lower facial defects with an expanded flap from the submental region

3 June 2015 | | Facial Plastic Surgery, Maxillofacial Surgery
Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...

Thermal injury and false eyelashes

1 April 2020 | | General Plastic Surgery, Facial Plastic Surgery, Dermatology, Oculoplastics, CPD - The PMFA Journal
Please Click here for the CPD Feedback form on this article The authors provide a case of cyanoacrylate glue causing a thermal burn on the eyelid and explain how this type of burn should be managed. The use of false...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | Aesthetic Medicine, Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | Aesthetic Medicine, Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

How I Do It - Mesotherapy in combination with chemical peel

2 August 2023 | | Aesthetic Medicine, Dermatology
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...

How I Do It - Photoageing treatment: RF microneedling

3 October 2022 | | Aesthetic Medicine
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...