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Tranexamic acid and platelet rich plasma in the treatment of melasma: efficacy and safety

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a common, acquired, progressive, often symmetrical macular hypermelanosis that is usually localised on the face and more frequently on the forehead, upper lip, central and malar area of the face. It is triggered by a variety of factors,...

Enhancing performance and wellbeing for surgeons: the science of life coaching

3 October 2024 |
Life coaching has emerged as a powerful personal and professional development tool, particularly for individuals navigating high-stakes environments. Life coaching emphasises self-awareness, self-management and self-efficacy, including establishing desired outcomes, goal setting and developing skills and action plans to achieve them....

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | PMFA - General Plastic Surgery
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

OPINION - Bridging the surgical and non-surgical: balancing dual careers of non-surgical aesthetics with oral & maxillofacial surgery specialist training

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Maxillofacial Surgery
- OPINION - Oral & maxillofacial (OMF) surgery (OMFS) is a unique specialty requiring dual qualification in both medicine and dentistry and the scope of practice of an OMF surgeon in the UK is vast [1]. My early exposure to...

What’s new on the horizon for toxins coming to the market?

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
With the ever increasing demand for injectable treatments, it is important to keep abreast of new developments in the field. International expert Michael Gold reviews the new toxins due to be hitting the market in the next year. We are...

Breast reduction in the older woman

1 December 2022 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

12 November 2025 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

The importance of teamwork and leadership in the management of patients in burns centres

1 June 2019 | | PMFA - General Plastic Surgery
The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Perceptions and deceptions: a personal blog by the editor 15 December 2016

15 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part six) I presented my ‘sanitized’ statement to the Hospital Investigation Panel. They had already interviewed Dr David Wong. I discovered...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
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...

The scandal of NHS contracts with the independent healthcare sector

20 August 2020 |
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

How I Do It - Innovative delivery devices: Juvapen

1 August 2017 | | PMFA - Aesthetic Medicine
The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...