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Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

10 October 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging
The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

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...

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...

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...

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...

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...

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...

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?

Globe trotter: Vasant Oswal launches memoir

2 June 2022
Vasant Oswal was brought up in an era when public transport in India relied on horses. From humble beginnings in Pune in the western state of Maharashtra, he went on to become a pioneer in laser surgery in the larynx. He would also receive a Fellowship by Election at the Royal College of Surgeons, not to mention serving as Editor in Chief of ENT and Audiology News.

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...