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The REAL Clinic: the sustainable building and running of a new clinic

3 February 2023 | | PMFA - General Plastic Surgery
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Botulinum Toxins in Clinical Aesthetic Practice

1 April 2019 |
This comprehensive guide comes in two volumes. Volume one considers the clinical adaptations of the various toxins and how they can be used with other injectables such as dermal fillers, light and energy base devices. It explores the use of...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...

A short overview of the evolution of botulinum toxin type A formulations

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

Chin augmentation: filler versus prosthesis

1 August 2016 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

24 May 2022 |
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

6 June 2022 |
It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | PMFA - Oculoplastic
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

Melkersson-Rosenthal syndrome

4 February 2025 | | PMFA - Facial Plastic Surgery, PMFA - General, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic
Melkersson-Rosenthal syndrome (MRS) is a rare neuro-mucocutaneous disorder which is defined by a triad of orofacial oedema, furrowing of the tongue, and recurrent episodes of facial nerve palsy [1]. Due to the rarity of the disease and inconsistent presentation, MRS...

How I Do It - Non-ablative fractional laser handpiece for skin resurfacing

1 June 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The development of laser-based aesthetic devices has provided patients with an appealing non-surgical treatment alternative to address clinical aspects of photoageing skin [1]. Many treatments include skin resurfacing of the uppermost skin layers to initiate a skin regeneration process with...

Post-infusion iron extravasation: Cutaneous complications and management strategies

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Intravenous iron infusion is widely used for the treatment of iron-deficiency anaemia, especially in cases where oral supplementation is ineffective or contraindicated. Although generally well tolerated, iron infusion may be complicated by local adverse events, among which iron extravasation is...