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Living confidently with a distinctive face or body

1 April 2015 | | PMFA - General Plastic Surgery
The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

3 October 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

Barbed threads for philthral shortening and vermilion eversion

10 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

4 December 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

How I Do It - Optimising lymphatic recovery following abdominoplasty: The role of advanced postoperative MLD

10 February 2026 | | PMFA - General Plastic Surgery
As abdominoplasty procedures increasingly combine rectus plication and liposuction, patient recovery relies on more than wound care alone. For surgeons and recovery specialists alike, understanding how lymphatic function supports optimal healing is essential. Integrating advanced manual lymphatic drainage (MLD) within...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

3 October 2023 | | PMFA - General Plastic Surgery
Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

Factors influencing a career choice in plastic surgery as a UK medical student

1 June 2016 | | PMFA - General Plastic Surgery
The medical school curriculum is increasingly focusing on the role of a general practitioner, which has resulted in medical students having reduced exposure to surgical specialties. There has been a longstanding concern that plastic surgery teaching and exposure in the...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

Medico-legal Forum (Botulinum/Laser)

1 April 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. In our February/March issue we featured a case that involved complications following...

Could epidermal grafting be the solution to vitiligo?

1 February 2017 | | PMFA - Dermatology
Dr Foutsizoglou shares his thoughts on a recent innovation based on epidermal grafting that could be used on vitiligo patients. I attended the ‘Make Better Summit Meeting’, an international surgical congress organised by Acelity™ and chaired by Professor Dr med....

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

1 February 2015 | | PMFA - General Plastic Surgery
Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...