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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...

The Dallas Rhinoplasty and Dallas Cosmetic Surgery Dissection Guide

16 December 2021 | | PMFA - Rhinoplasty
Although this is the book review section, the first thing to note is that the book isn’t the main event here. This publication is a video and photograph dissection guide, produced from the world-renowned Dallas Rhinoplasty and Cosmetic Surgery Course....

TRALI following fresh frozen plasma resuscitation from burn shock

1 August 2017 | | PMFA - General Plastic Surgery
This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...

Effects of orbital decompression

1 December 2017 | | PMFA - Oculoplastic
This is a retrospective review of 319 orbital decompression operations in 169 patients (73% female) with thyroid eye disease. Three wall decompressions were performed in 92 eyes, 2-wall in 206 (medial and floor), and a single wall (medial) in 18,...

To use or not to use: absorbable sutures for facial wounds

14 March 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
This systematic literature review looked at studies comparing facial skin closure with absorable versus non-absorbable sutures. Studies not published in English, or looking at areas other than the head and neck, and studies focused on suture technique rather than material...

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | PMFA - Breast Surgery
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

Oral minoxidil: innovations in hair loss

15 August 2023 | | PMFA - Aesthetic Medicine
Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

Melkersson-Rosenthal syndrome

4 February 2025 | | PMFA - Facial Plastic Surgery, 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 - Tear trough rejuvenation

1 June 2022 | | PMFA - Aesthetic Medicine
A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

Lasers and the skin

1 August 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers have revolutionised the treatment of many skin conditions and are being used both in terms of a medical and an aesthetic context. Laser technology has been advancing...

Contemporary aesthetic management strategies for deficient jaw angles

1 April 2015 | | PMFA - Aesthetic Medicine, PMFA - Maxillofacial Surgery
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...