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How I Do It - Photoageing treatment: RF microneedling

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...

How I Do It - Patient selection in aesthetic medicine

After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

Evaluation of lateral crural steal

Many techniques to increase nasal tip projection and rotation have been described. The lateral crural steal (LCS) technique appears to be suitable for patients who have an under-rotation associated with poor projection of the nasal tip. The objective of the...

The Linear Bolus Technique and other practical tips for the advanced use of non-traumatic cannulas in aesthetic medicine

Some eight years ago, I read about non-traumatic cannulas in the brochure of a French medical supplies company. I was fascinated by the elegance of these instruments, as they respect the integrity of the tissues by not cutting through them....

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

How I Do It - Tear trough rejuvenation

A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

Making Decisions and Avoiding Complications in Skin Flaps

Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...

Recent developments in hyaluronic acid research

Hyaluronic acid has a role in many medical specialties, not just aesthetics. Anna Baker takes us through the latest evidence and therapeutic indications. The evidence and demand for hyaluronic acid (HA) based technologies continues to expand and evolve across a...

Perfecting the pout

From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

Recognising the key tear trough ligaments

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 anatomical understanding of the periorbital ligaments is critical for mastering tear...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 24) - Prescribing Habits

How do doctors learn to prescribe/use drugs in a safe and effective manner? This is no simple question and when the issue of a prescribing habit being regarded as lethal it becomes highly relevant.