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IN RESPONSE TO: From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...

From female genital mutilation to female genital reconstruction

1 April 2014 | | PMFA - General Plastic Surgery
The demand for reconstruction of mutilated female genitalia is increasing in Europe due to the empowerment of immigrant and naturalised women from Africa. Their wish for reconstruction is more than a matter of surgery, as these women still have to...

Part four: Aye, Aye. AI?

9 April 2025 | | AI, clinical guidelines, good practice, technology, artificial intelligence, oncology, melanoma, cosmetic, aesthetic surgery
“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Rediscovering the Lost Art of Endonasal Rhinoplasty

1 October 2013 | | PMFA - Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

1 December 2021 | | PMFA - Maxillofacial Surgery
Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

Perceptions and Deceptions a personal blog by the editor 26 May 2016

26 May 2016 |
It is only human nature to let emotional elements affect a personal perspective. When I saw pictures of Jeremy saying “Victory” I posted a comment on the Junior Doctors contract forum saying that I thought a non-negotiable part of the...

How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | PMFA - Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

How I Do It - Treating cellulite: TightSculpting

1 December 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
At the Teknon Medical Center, Barcelona, Spain, in the Laser Platform of the Institute of Fotomedicine, we practise laser medicine in dermatology, surgical and gynaecology applications. For unwanted fat removal, we use radiofrequency, cryolipolysis and laser lipolysis. Three years ago...

How I Do It - Adipocytolysis

12 October 2021 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Mesotherapy in combination with chemical peel

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Photo-ageing, pigmentation, acne or rosacea can all have a significant impact on self-confidence and the overall quality of life. BioRePeelCl3 is a patented biphasic technology product based on 35% trichloroacetic acid, which allows safe and effective redermalisation and skin rejuvenation...

New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions

1 June 2016 | | PMFA - Aesthetic Medicine
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...