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Acid attacks: part 1

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Using erythema-directed digital photography in patients with rosacea

1 August 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging
The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

Differences between compounded BHRT and conventional HRT

1 August 2019 | | PMFA - Aesthetic Medicine
Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

One-point tear trough correction

1 October 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
The authors provide an expert guide to the use of hyaluronic acid dermal fillers to rejuvenate the periorbital area. One of the early signs of periorbital ageing are dark circles around the eye, with patients complaining of a fatigued appearance....

A Eulogy for James Partridge

3 September 2020 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
James Partridge died on 16 August 2020. He was a truly remarkable person and I would like to share my sadness at his passing and why I held him in such high personal esteem. We started life just a few...

The Evolution of Wood MediSpa

16 June 2021 | | PMFA - General Plastic Surgery
As surgeons we must have all dreamt of owning our own facility. The perfect dream of a stand-alone private hospital with the entire patient journey seamlessly mapped out. It would offer unparalleled continuity of care – the same team doing...

Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment

3 August 2021 | | PMFA - Dermatology, PMFA - Aesthetic Medicine
BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...

Combating winter skin

3 February 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

2 February 2024 | | PMFA - Oculoplastic
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...

The challenge of reinterpreting past data through the lens of advances in skin biome research

2 February 2024 | | PMFA - Dermatology
Advances in technology have allowed scientists to expand their understanding of the complex interactions that occur between humans and the microbes that reside on and inside their bodies. However, these same advances present a challenge to scientists and clinicians to...

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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

31 May 2021 |
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.