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The role of expert witnesses in miscarriages of justice

2 June 2021 | | PMFA - General Plastic Surgery
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

1 June 2015 | | PMFA - Facial Plastic Surgery
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

Cellulite: does wearing compression hosiery work?

1 October 2015 | | PMFA - Aesthetic Medicine
Cellulite affects a large proportion of women. Recently several companies have produced compression hosiery claiming to reduce the appearance of cellulite. One of the latest products are ‘Silver Wave’ stockings, made by Solidea, which claim to reduce cellulite using ‘patented...

Serving face

25 November 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
(Note: Serving face / giving face is a term used commonly by drag performers. It refers to the face you make as you pose for a photograph.) Dr Vincent Wong showcases the art and science of transforming drag queens into...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

First there was Sophia

4 January 2019 | Written by
A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol

1 December 2021 |
Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.

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...

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...

Vascular complications Part 1: Prevention

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

Debate: cannulas vs. needles - Cannulas

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | PMFA - General
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...