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Optimal placement of brachioplastic scars

1 April 2014 | | PMFA - General Plastic Surgery
The authors present the findings of a survey evaluating four different types of brachioplasty scars. Scars examined were either medial, placed in the bicipital groove (both straight and sinusoidal) or posterior, placed in the brachial sulcus (both straight and sinusoidal)....

A possible role for adipose tissue-derived stem cells in modulation of keloid scarring

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
Keloid scarring remains a challenging clinical problem due to both resistance to treatment as well as high rates of recurrence. Research into possible treatments is also hindered by keloid scarring being a uniquely human phenomenon. Recent evidence supports a role...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

Non-surgical rhinoplasty: key indications and considerations for nasal augmentation

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...

Management of alar retraction

1 October 2013 | | PMFA - Rhinoplasty
This paper shows the results of a retrospective study on aetiology and treatment of one of the most common issues in rhinoplasty, alar retraction as defined by Jack Gunter’s classification system. The study was made using pre- and postoperative photographs...

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.

Young man’s life transformed after scottish surgeon removes life-threatening tumour on board Mercy Ships

12 February 2025 | Maxillofacial, Mercy Ships, charity, Africa, patient stories
A young man from Sierra Leone who was forced to leave school because of a life-threatening facial tumour has had it successfully removed by international charity, Mercy Ships. Scottish Surgeon, Manjit Dhillon, a Consultant Surgeon in Oral & Maxillofacial Surgery...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

How I Do It - Approaches to non-surgical face lifting

1 April 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

A ventral solution to a perineal problem: a case report

15 December 2022 | | PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

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...

Bone augmentation for dental implant surgery

1 October 2016 | | PMFA - Dentistry, PMFA - Maxillofacial Surgery
Crawford Gray, Dental Implant Clinician in Aberdeen, demonstrates how the development of grafting materials and techniques has allowed an improved aesthetic outcome from dental implant surgery. The provision of dental implants has become an accepted part of patient care, encompassing...