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The future of aesthetics: Why self-regulation and ethics must lead the way

12 December 2025 | | PMFA - Aesthetic Medicine
As the aesthetics industry in the UK approaches a new era of regulation, the importance of patient safety, ethical practice and continuous professional development (CPD) has never been greater. For healthcare professionals, the challenge is clear: how to stand out...

The principle of construction in teaching complex anatomy

3 October 2025 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
The construction sequence in head and neck anatomy. The human body is anatomically complex, and this makes the teaching of human anatomy, at the outset, a tricky exercise. Add to this the fact that there are areas where the density...

How I Do It - How to ‘best-buddy’ strap fingers

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

How I Do It - Wound closure

4 February 2025 | | PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Breast Surgery
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

How I Do It - The non-surgical rhinoplasty

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...

The REAL Clinic: the sustainable building and running of a new clinic

3 February 2023 | | PMFA - General Plastic Surgery
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

How I Do It - A guide to anterior neck lift aesthetic surgery

1 October 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...

2nd Chance: reconstructive surgery for life reconstruction

1 December 2014 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...

Do You Know Your Advertising Standards?

1 February 2014 | | PMFA - Aesthetic Medicine
Over the last couple of years we have seen many organisations, including the British Association of Aesthetic Plastic Surgeons (BAAPS) seek to ban or at least rein in some of the advertising practices which go on in this industry [1]....

Genioplasty

1 April 2019 | | PMFA - CPD, PMFA - Dentistry, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

15 April 2016 |
This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...