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Perceptions and deceptions: a personal blog by the editor 18 August 2016

18 August 2016 |
I am back in the UK for a sabbatical and taking stock of all the changes since I left in 1999. An HK versus UK comparison becomes even more fascinating when looking at information sources ‘on the ground’. Social networking...

How I Do It - Reduction ­thyroplasty

1 August 2014 | | PMFA - General Plastic Surgery
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

How I Do It - High-energy acne scar treatment with a fractional Q-switched Nd:YAG laser

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is one of the most common skin diseases, affecting one out of two people in their lifetimes. About 80% of people between the ages of 11 and 30 suffer from acne, of which many will further experience some...

ERAS in microvascular breast reconstruction

5 October 2015 | | PMFA - Breast Surgery
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...

Modified anterior septal transplant

1 June 2018 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
The authors describe an anterior septal graft technique, which consists of complete resection of the caudal septum and reconstruction with extended spreader grafts and a columellar strut, without a separate caudal septal replacement graft. This study was a retrospective case...

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...

Can 3D facial imaging improve patient management in disfiguring eye disease?

1 August 2015 | | PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fight for Sight is the leading UK charity funder of eye research. Since the 2013 Sight Loss and Vision Priority Setting Partnership we have encouraged our researchers to work on priorities jointly identified by people affected by sight loss and...

How I Do It - Body contouring surgery using the body-jet

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

Lipoedema awareness – the current state of play

5 September 2023 | | PMFA - General Plastic Surgery
Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...

The fault in our scars

5 July 2024 | | PMFA - Dermatology
A groundbreaking study recently presented to the British Association of Plastic, Aesthetic and Reconstructive Surgeons (BAPRAS – www.bapras.org.uk), conducted at Great Ormond Street Hospital, in collaboration with the University of Toronto's Hospital for Sick Kids and University College London, has...

Early treatment of scars with laser therapy

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...

How I Do It - Treating acne and acne scarring in all skin types

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...