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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...

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...

The medial gastrocnemius flap

1 April 2017 | | PMFA - General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Perfecting the pout

31 March 2023 | | PMFA - Aesthetic Medicine
From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

1 March 2018 | | PMFA - CPD, PMFA - Breast Surgery, PMFA - General Plastic Surgery
The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

1 October 2016 | | PMFA - Aesthetic Medicine
The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...

How I Do It - Treating the ageing neck with Ellevate™ plus

15 January 2020 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Online exclusive articles
The ageing and sagging neck cannot always be successfully corrected using standard facelift techniques, even those that include extensive SMAS lift [1]. Adjuncts to treatment can include liposuction, radiofrequency or similar skin tightening procedures, open or closed platysmaplasty, extensive SMAS...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

How I Do It - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

Recognising the key tear trough ligaments

3 October 2022 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The anatomical understanding of the periorbital ligaments is critical for mastering tear...

Ultrasound use in non-surgical, aesthetic medicine clinics

3 October 2023 | | PMFA - Aesthetic Medicine
The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

Ultrasound-guided gluteal augmentation with hyaluronic acid (Variofill®)

3 October 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging, PMFA - General Plastic Surgery
Buttock augmentation has gained increasing popularity, driven by the demand for improved body contour and projection. Traditional surgical methods, such as autologous fat grafting or implants, can provide substantial volume but are associated with significant risks, including fat embolism, infection,...