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Integrating lifestyle factors into aesthetic practice

19 March 2021 | | PMFA - Aesthetic Medicine
The COVID-19 pandemic will long be remembered as the most significant global disaster of recent times. As its effects have been observed and investigated there has been an increased focus and attention drawn to lifestyle and how this can impact...

Non-surgical rhinoplasty: key indications and considerations for nasal augmentation

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...

Management of alar retraction

1 October 2013 | | PMFA - Rhinoplasty
This paper shows the results of a retrospective study on aetiology and treatment of one of the most common issues in rhinoplasty, alar retraction as defined by Jack Gunter’s classification system. The study was made using pre- and postoperative photographs...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

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...

Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities

5 June 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...

Liposuction – the evolution of the classical technique

1 April 2014 | | PMFA - Aesthetic Medicine
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

12 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...

The scandal of NHS contracts with the independent healthcare sector

20 August 2020 |
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

Young man’s life transformed after scottish surgeon removes life-threatening tumour on board Mercy Ships

12 February 2025 | Maxillofacial, Mercy Ships, charity, Africa, patient stories
A young man from Sierra Leone who was forced to leave school because of a life-threatening facial tumour has had it successfully removed by international charity, Mercy Ships. Scottish Surgeon, Manjit Dhillon, a Consultant Surgeon in Oral & Maxillofacial Surgery...

The three stages of breast reconstruction

1 October 2014 | | PMFA - Breast Surgery
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...