Nursing Careers at 152 Harley Street


152 Harley Street are currently recruiting for the following roles;

Theatre Scrub Nurse – Full Time – We are currently recruiting for a LA/Sedation Theatre Scrub Nurse to work in our leading private day-case hospital/clinic in central London. You will cover a variety of specialties including dermatology, maxillofacial, dental & plastic and cosmetic surgery. Applicants require a minimum of 2 years experience as a Scrub Nurse and will ideally have a background in plastic and cosmetic surgery. We are looking for an exceptional candidate who is a passionate self-starter, responsible and who will go the extra mile. Salary depending on experience.

Registered Nurse – Full Time – We are currently recruiting for a registered nurse to work in our leading private day-case hospital/clinic in central London. You will cover a variety of specialties including dermatology, maxillofacial, dental & plastic and cosmetic surgery, wound care and outpatient clinics. Applicants require a minimum of 2 years experience as a Registered Nurse and will ideally have a background in plastic and cosmetic surgery and some scrub experience. Salary depending on experience.

 
 

New concepts in hand surgery


What is wide-awake hand surgery?

Wide awake hand surgery refers to performing surgery on the hand using local anaesthesia only without the use of a tourniquet. It is abbreviated to WALANT in the medical literature (Wide Awake Local Anaesthesia No Tourniquet).

What conditions can be treated this way?

Many specific hand conditions both traumatic and chronic such as flexor and extensor tendon repair, trigger finger and carpal tunnel release, tenolysis, Dupuytren’s disease, tendon transfer and phalangeal fractures.

What are the advantages of WALANT?

There are many advantages to using WALANT. For example, there is no need for general anaesthesia or sedation. The patient can safely go home after their surgery. The procedure is carried out like a minor surgical operation with the patient being fully awake and cooperative. This is extremely advantageous when performing surgery such as tendon transfer or tenolysis, when full active movement of the joint needs to be determined.

What are the disadvantages of WALANT?

WALANT is not suitable for everyone. The injection of local anaesthesia can be slightly uncomfortable for the first 10 to 15 seconds much like a “bee sting”. It is the same feeling as a dental injection. Additionally, some patients may not like the feeling of being awake during their procedure.

 What should I do if I need surgery on my Hand?

At 152 Harley Street, our expert team of hand surgeons will assess your suitability for the WALANT procedure and advise you accordingly. We look forward to welcoming you soon.

 
 

Acne Scarring


Acne scarring can have a huge negative psychological impact on its sufferers and is the result of acne, which can appear at the same time or months after the acne has settled and treated. There are various types of acne scarring which can be easily divided into atrophic (loss of tissue) or hypertrophic/keloid (excessive thickened tissue).

The majority of acne scars on the face are atrophic which can be further subdivided into: rolling, icepick, and boxcar scars.

ICEPICK

Icepick scars tend to be narrow and deep and are best treated with punch excision. This is a technique where the individual scar is completely removed surgically and the resultant shallow scar is much more amenable to laser treatment afterwards.

BOXCAR

Boxcar scars tend to be less deep with shoulders and often rectangular or round shaped. These scars often respond well to laser resurfacing with CO2.

 ROLLING

Rolling scars tend to have the appearance of hills and valleys and can appear with shadows and can vary in severity. Treatment often includes an initial procedure called subcision where the scarred tissue underneath is cut, allowing for release of the tethered scarring. Subsequently laser resurfacing is used for optimal results. At times, injection with dermal fillers can help too.

HYPERTROPHIC

In terms of looks, the hypertrophic scar is usually red in colour and slightly elevated. They can become quite itchy or, in some instances, even painful. Hypertrophic scars are caused by injury, as with most scars. Common injuries or occurrences that may result in hypertrophic scars are body piercings, burns, cuts or after severe acne.

At 152 Harley Street, our Consultant Dermatologists offer a comprehensive tailor-made individual treatment which can constitute of any (or combination) of the aforementioned treatments. For example if you suffer from both rolling and icepick scars you will be treated with subcision for your rolling scars, followed by punch excision for your icepick scars and finally for the ultimate results with the CO 2 laser.

 
 

Immediate care following a burn


Prevention starts from the very beginning! Burns can be small and minor, such as a small burn from the oven door that may not leave a mark once healed, or burns that can cause really significant injuries that can be life changing. The immediate first aid after a burn injury can make a big difference to the outcome of your injury and so it is really important to know exactly what to do should you or anyone around you get burnt; it could make the difference between being left with a scar and not getting a scar.

You can get burnt from hot liquids, flames, electrical voltage, contact with hot objects and from chemicals. The first aid for most burns is essentially the same, but the advice here is for burns from scalds (hot liquids like tea etc.) and flames. These are the most common types of burn injuries.

Take these first aid steps:

Remove the person/yourself from the source of the burn if safe to do so. Remove any burning or soaked clothing. Burning clothes can be extinguished by water or by ‘drop and roll’; this means falling to the ground and rolling over.

Next, cool the burnt area with ideally cool and running water for 20 MINUTES. Cooling the area with water for anything up to 3 hours following an injury can help. Make sure the person does not get cold from doing this – maybe cover the non-burnt areas with a blanket or something similar.

If there is any jewelry near the burn area, remove it (if not stuck to the burn or wound). Burn injuries can cause swelling, so for example if you burn your hand and don’t remove your rings, as the hands swells over time you may struggle to remove the ring and it can damage your circulation.

Once the burn area is cooled, cover it. Do not put medications or anything else on it, simply cover it with Clingfilm or if not available a clean and dry and non-adherent cloth. Obviously, if the face is burnt, do not cover that with cling film or anything that could interfere with breathing.

It may be that you can manage the injury yourself with first aid but for anything other than very small and superficial burns, you should always seek medical advice from your GP, A&E or 999 or 111, depending on the severity of the injury.

Remember that burns are preventable injuries, so do your best to take care! If you get burnt, think water – 20 minutes.

RuthAnn Fanstone – Clinical Scar Specialist Physiotherapist at The London Scar Clinic, 152 Harley Street.

Reference: British Burn Association First Aid Position Statement – Alice Varley, Julia Sarginson and Amber Young, July 2014

 
 

UltraPulse Co2 Laser now available at 152 Harley Street


152 Harley Street is proud to offer some of the most advanced treatments on the market, performed by our highly trained and skilled Consultant Dermatologists and clinicians. One of our most popular treatments is laser skin resurfacing and we are delighted to announce that we now have the UltraPulse Co2 Laser by Lumenis available.

“Improve fine lines, deep wrinkles, scarring & skin tone & texture in one single treatment”

Laser resurfacing is a highly effective and popular method used to treat a range of skin conditions and concerns. At 152 Harley Street, we have what is considered to be the ‘gold standard’ in CO2 lasers called the UltraPulse by Lumenis. UltraPulse technology was introduced more than 18 years ago and has proven itself with over 34 FDA cleared indications. With its long history of fractional capabilities, UltraPulse has led the way in fractional skin resurfacing and remains to be the most versatile and sophisticated CO2 laser in the world. Due to the variable intensities that UltraPulse is capable of delivering, the system can treat patients who are not only seeking overall skin rejuvenation, but can also effectively treat more dramatic conditions such as burns and scars. It is also the best treatment available for deep wrinkles. Our Consultant Dermatologists are all experts in the use of the UltraPulse Laser in London and in treating scars (including acne scars), burns and other complex skin conditions, in addition to cosmetic applications such as wrinkle reduction.

Like to find out more or arrange an initial consultation with one of expert Dermatologists? Call our friendly team on 0207 467 3000.

 
 

The London Scar Clinic at 152 Harley Street


We are delighted to introduce The London Scar Clinic at 152 Harley Street. We have assembled a multidisciplinary group of Consultant Plastic Surgeons, Consultant Dermatologists, Allied Clinicians and Nursing Staff to offer an holistic approach to the treatment of scars.

We are one of the only specialist scar treatment centres in london that offer a range of specialists under one roof and who work closely together to ensure the best possible treatment plan for each individual.

Scar treatments include:

• Scar consultations
• Plastic and cosmetic surgery
• Dermatology
• Children’s scar management
• Psychology and counselling services
• Make up and scar camouflage
• Scar massage
• Manual lymphatic drainage
• Pressure prosthetics and custom made pressure garments
• Cosmeceuticals
• Medical tattooing

To find out more about The London Scar Clinic or to contact us please click here.

 
 

David Dunaway on treating Stefan Slavic – a BBC World Radio Report


David Dunaway, co-founder and director of the specialist plastic surgery unit at 152 Harley Street, has played his part in changing the life of a young Bosnian boy.

David-Dunaway-152-Harley-StreetStefan Slavic was born with a Tessier facial cleft came to attention of Mr Dunaway via the initiatives of former Staff Sergeant Wayne Ingram, a soldier who had met Stefan while on peacekeeping duties. He followed through with a promise he made to help Stefan, and with the notable help of Mr Dunaway, Stefan’s life has changed for the better.

For more information about this heart warming story please visit the Daily Mail online.

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