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Barbed threads for philthral shortening and vermilion eversion

10 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...

Part three: Aye, Aye. AI?

26 March 2025 | | AI, clinical guidelines, good practice, oncology, melanoma, cosmetic, aesthetic surgery
I wonder whether we should use the term 'augmented intelligence' rather than 'artificial intelligence'. I say this because at this moment in our evolution, artificial intelligence (AI) always begins with human intelligence. In this blog, I want to examine how...

Breast reduction in the older woman

1 December 2022 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Correction of skin hyperpigmentation by chemical exfoliation

14 June 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

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...

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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Early treatment of scars with laser therapy

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...

Why integrating environmental defence into patient treatment protocols is vital to countering Oxidative Ageing

12 November 2025 | Research & Development
The external environment is leading a savage assault on skin: Oxidative Ageingi is the cumulative, damaging effect of particulate matter, infrared radiation, High Energy Visible Light (HEV, or blue light), pollution, ozone, and UVA/UVB rays, which are outpacing our skin’s...

AlumierMD launches IntelliRET™: Intelligent retinol treatment at new regulatory approved strength

23 March 2026
Clinicians are increasingly seeing accelerated ageing in stressed, structurally compromised skin and noting that it behaves differently from skin they saw even a few years ago. Patients who once moved easily through active skincare now experience fluctuating sensitivity, weakened barriers...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

1 December 2021 | | PMFA - Maxillofacial Surgery
Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?

21 January 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Oculoplastic
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. How should vascular occlusions be managed? The authors review the evidence on...