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Vascular complications Part 1: Prevention

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

Debate: cannulas vs. needles - Cannulas

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

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...

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...

Mercy Ships’ hope and healing in Madagascar

1 April 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Since my last article on the mission of the Mercy Ships in 2013, the current vessel, the Africa Mercy has continued to bring hope and healing to the people of West Africa. Having completed a very successful eight-month visit to...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

1 May 2019 | | PMFA - General Plastic Surgery
The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

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 - Thin lips – remodelling with hyaluronic acid

5 June 2020 | | PMFA - Aesthetic Medicine
Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...

How I Do It - Auricular reconstruction: Helical advancement flap

2 June 2025 | | PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

In conversation with Dr Hema Sundaram

16 January 2020 | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
We were delighted to chat to world-renowned Dr Hema Sundaram about her fascinating career in dermatology and how plans for SEASON 2020 are going. You are internationally recognised in the fields of dermatology and plastic surgery – can you tell...

First there was Sophia

4 January 2019 | Written by
A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol

1 December 2021 |
Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.