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One anastomosis or two

1 August 2018 | | PMFA - General Plastic Surgery
This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

Bone grafting in orthognathic surgery

19 September 2019 | | PMFA - Maxillofacial Surgery
This is a systematic review from Belgium and Saudi Arabia of 48 articles. They reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone...

Hierarchy of orthognathic surgical stability

21 February 2020 | | PMFA - Maxillofacial Surgery
This study was designed as ‘an overview’ of secondary studies and analysed 15 articles. Two procedures were considered highly unstable, a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

VIVACY Academy is a free learning platform

11 May 2023 | Research & Development
VIVACY Academy is a free learning platform is dedicated to medical professionals interested in...

Volunteer Surgeon returns to UK to give prestigious Norman Rowe Lecture, 38 years from where vision for his lifework began

29 August 2025 | charity, Mercy Ships, international, lifetime achievement
Dedicated surgeon, Mr Gary Parker, has spent almost four decades volunteering as an oral and maxillofacial surgeon for international healthcare charity, Mercy Ships. Earlier this year, Mr Parker returned to the UK to give the prestigious Norman Rowe Lecture on...

Combination therapy for PIH in skin of colour

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...

Contemporary aesthetic management strategies for deficient jaw angles

1 April 2015 | | PMFA - Aesthetic Medicine, PMFA - Maxillofacial Surgery
Facial aesthetics in the lower facial third is strongly influenced by mandibular profile with the mandibular angle playing an important role. The youthful appearance of a well-defined jaw line and angle, which is regularly seen among leading movie actors, is...

Vascular complications part 2: management

7 December 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 second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...

How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential

1 December 2016 | | PMFA - Aesthetic Medicine, PMFA - Hand & Wrist Surgery
A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...

How I Do It - 360° body contouring through combined techniques

2 December 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...

How I Do It - Lip augmentation: lip tenting technique

5 August 2020 | | PMFA - Aesthetic Medicine
Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...