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Hydroquinone-induced hyperpigmentation: a case of exogenous ochronosis in a Hispanic patient

17 November 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Achieving flawless skin as part of the desire to be perceived as ‘beautiful’ is a common sentiment shared by many cultures [1]. Of the many treatment options and products available on the market, the most common chemical agent to achieve...

Melasma treatment – what have we achieved in 42 years?

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Reconstruction of the Head and Neck - a defect-orientated approach

8 October 2014 | | PMFA - Maxillofacial Surgery
Head and neck reconstruction following removal of oncological disease or trauma is the most varied and challenging surgery performed in the world. Techniques range from rotational flaps to free tissue transfer and microvascular anastomosis. All are covered in this textbook....

Dental implant rehabilitation in fibula free flaps

1 February 2018 | | PMFA - Maxillofacial Surgery, PMFA - Dentistry
The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...

Laser and light-based treatments for pigmented lesions

1 December 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

Off-label cosmetic use of botulinum toxin in the lower face

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

How I Do It - X neo-umbilicoplasty

2 December 2019 | | PMFA - General Plastic Surgery
Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

12 November 2025 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Recent developments in hyaluronic acid research

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
Hyaluronic acid has a role in many medical specialties, not just aesthetics. Anna Baker takes us through the latest evidence and therapeutic indications. The evidence and demand for hyaluronic acid (HA) based technologies continues to expand and evolve across a...

Focus on: Cosmeceuticals (part 2 - continued)

1 June 2016 | | PMFA - Aesthetic Medicine
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

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...

How I Do It - Non-surgical approach to facial palsy – a preliminary case report

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...