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Anatomy of the ageing lip

1 December 2016 | | PMFA - Aesthetic Medicine
With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus (see here for Part 2) on lips Dr...

Acid Survivors Trust International

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

New IPL technology as treatment for melasma

12 October 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

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...

Cellulite therapy in 2022 – new treatment options making grades for the new year

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
World-renowned dermatologist Michael H Gold introduces two of the newest FDA-approved modalities for the treatment of the common skin condition cellulite. Cellulite is one of the most common skin concerns for women. It is estimated that between 80-98% of women...

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...

Adapting to change in clinical practice: a post-inflammatory hyperpigmentation case

4 February 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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. Post-inflammatory hyperpigmentation (PIH) secondary to any inflammatory cause or cutaneous injury is...

Reconstruction of complex wounds in the trunk and pelvis (part 1)

1 August 2017 | | PMFA - General Plastic Surgery
This is the first part of a two-part article looking at the challenges of reconstruction of complex defects in the torso. The articles are based on a presentation given at the World Union of Wound Healing Societies held in Yokohama...

Handy Solutions

1 October 2013 | | PMFA - Hand & Wrist Surgery
Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...

Could a technology from the past change skin disinfection for the future?

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...

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

12 July 2021 | | PMFA - Dermatology
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...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...