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Melasma treatment – what have we achieved in 42 years?
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...How I Do It - 360° body contouring through combined techniques
Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...A novel integrated practice unit (IPU) approach to periocular skin cancer management
The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...
Assessing acne vulgaris
The author reviews the evidence surrounding acne development, prevalence and assessment, discussing the importance of capturing a detailed patient history, with reference to aspects of the author’s own assessment tool. The crucial role of the pilosebaceous unit in relation to...
Imiquimod for lentigo maligna
This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....
Clinical histopathology of 250 parotidectomy patients
This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...
Nasolabial flap to reconstruct peri orbital defects
The authors present a series of 25, mainly geriatric, patients that had ablative surgery and had complex defects in the paranasal and orbital regions. The paranasal and periorbital regions are extremely important for facial aesthetics and quality of life. These...
