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Melasma treatment – what have we achieved in 42 years?

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Female Cosmetic Genital Surgery: lifestyle or science?

1 February 2014 | | PMFA - General Plastic Surgery
The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

1 May 2019 | | PMFA - General Plastic Surgery
The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

The aesthetic triangle: Analysis of lip prominence and clinical implications

3 October 2025 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
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 lips constitute one of the most important facial aesthetic units. Due...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

How I Do It - Treatment of pigmentation and melasma

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

31 March 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

Support groups for hidradenitis suppurativa

1 October 2015 | | PMFA - 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...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

1 December 2015 | | PMFA - Dermatology, PMFA - General Plastic Surgery
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

3 August 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
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 squaring of the lower third of the face can be an...