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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...

In conversation with Derek Mendonca

3 November 2021 | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

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,...

Reconstruction of complex wounds in the trunk and pelvis (part 1)

1 August 2017 | | PMFA - General Plastic Surgery
This is the first part of a two-part article looking at the challenges of reconstruction of complex defects in the torso. The articles are based on a presentation given at the World Union of Wound Healing Societies held in Yokohama...

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 - 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...

Maxillo-facial and neck surgery in Iraq and Afghanistan

1 February 2015 | | PMFA - Maxillofacial Surgery
Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

Transcutaneous scarless buttock lift via the Serdev Suture<sup>®</sup> Technique

1 February 2015 | | PMFA - General Plastic Surgery
The Serdev Suture® buttock lift presents a scarless surgical procedure for the treatment of the flaccid, flat and ‘unhappy buttock’ form by a closed approach without any requirement for incision and excision scars. The outcome is a visual change in...

Facial nerve palsy and Facial Palsy UK

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

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...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

1 October 2019 | | PMFA - CPD, PMFA - General Plastic Surgery
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Cord lining mesenchymal stem cell exosomal proteins and their effects on hair follicles

4 December 2023 | | PMFA - Aesthetic Medicine
Umbilical cord lining (UCL) mesenchymal stem cells (MSC) produce proteins and growth factors that, when packaged into exosomes in fixed proportions, can stimulate repair and regeneration in recipient cells. The pleiotropic properties of UCL-MSC have been shown to be effective...