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The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

How I Do It - Approaches to acne treatment: LED therapy

The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

Reflections on the criticism of the criticism of the NHS

Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

Patient-Specific Hybrid Rhinoplasty

Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...

Editor's comment on: RCSEd warning over NHS workforce survey results

The PMFA Journal co-editor, Andrew Burd, responds to the RCSEd warning issued in light of an NHS workforce survey results, which suggest that three-quarters of surgeons have considered an overseas move.

Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling

Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...

Fat Injection from Filling to Regeneration, Second Edition

This is an incredible multi-author book which gives the most comprehensive account of the use of fat as a biological material for soft tissue augmentation and regenerative medicine. After a brief introduction and a description of the evolution of fat...

Burns debridement: VersajetTM vs. conventional debridement

A prospective randomised controlled trial was undertaken to compare conventional tangential burn wound debridement against the use of Versajet™ hydrosurgery in the treatment of partial thickness paediatric burns. Seventy-five children under the age of 16 were recruited for the study...

Management of major burns – a role for Oxandrolone

Oxandrolone The authors present a retrospective single centre based study assessing the effect of Oxandrolone (OX) on the length of stay (LOS) following ≥15% of total body surface area (TBSA) burns. One hundred and sixty-seven surviving patients were retrospectively analysed...

Contemporary aesthetic management strategies for deficient jaw angles

Facial aesthetics in the lower facial third is strongly influenced by mandibular profile with the mandibular angle playing an important role. The youthful appearance of a well-defined jaw line and angle, which is regularly seen among leading movie actors, is...

Perceptions and deceptions: a personal blog by the editor 14 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...