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Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

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...

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]....

An open letter to young plastic surgeons (from an old UK plastic surgeon)

You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Skin biorevitalisation with hyaluronic acid

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. While Botulinum toxin A, dermal fillers, chemical peels and laser resurfacing are...

In conversation with Mehmet Manisali

We were delighted to catch up with Mehmet Manisali, President of the RSM Section of Oral & Maxillofacial Surgery, about his background and plans for the Section. Can you tell us a little bit about what led you into the...

Debate - Voluntary registers for medical cosmetic practitioners: friend or foe?

In June this year BACN and PIAPA issued a joint statement criticising voluntary registration bodies such as Save Face. Regulation is a hot topic that many in the industry feel passionately about, and the statement sparked a debate about whether...

The role of expert witnesses in miscarriages of justice

‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

Stratifying preoperative risk in revision augmentation: the six Cs

Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Rejuvenation of the forehead: correction of the frontal concavity

During the ageing process, many different anatomical changes contribute to the aged appearance of the face [1]. Focusing on the forehead, typical age-related changes are regression of the hairline, solar damage, skin laxity, dynamic wrinkles, reduction of fat and bone...

Optimal placement of brachioplastic scars

The authors present the findings of a survey evaluating four different types of brachioplasty scars. Scars examined were either medial, placed in the bicipital groove (both straight and sinusoidal) or posterior, placed in the brachial sulcus (both straight and sinusoidal)....

Lipoedema awareness – the current state of play

Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...