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The gender affirmation surgery MDT

1 February 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Interview with Cambodia’s first Plastic Surgeon: Professor Theavy Mok

6 August 2025 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Maxillofacial Surgery
Allow me to recount the extraordinary journey of Professor Theavy Mok, a pioneering force in the field of medicine. Dr Mok, a man of great distinction, was the first plastic surgeon to emerge from the rich soils of Cambodia. His...

How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)

4 June 2021 |
In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

14 January 2022 |
I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

Medico-legal Forum (Botulinum toxin)

1 February 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...

Combination treatment with PN-HPT® and croma revitalis®

2 June 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The rise in interest and demand from patient and medical practitioners in skin quality and associated regenerative treatment modalities continues [1]. Polynucleotides, specifically High-Purification Technology (PN-HPT®), are among some of the most popular regenerative medical treatment approaches [2]. The mode...

The three stages of breast reconstruction

1 October 2014 | | PMFA - Breast Surgery
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

How I Do It - Buried integra in the management of temporal cavernous haemangioma

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...

How I Do It- Nipple reconstruction

2 June 2025 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....

Liposuction – the evolution of the classical technique

1 April 2014 | | PMFA - Aesthetic Medicine
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...