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How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

Auricular reconstruction: flip-flop flap

1 June 2022 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

How I Do It - Approaches to lip augmentation: surgical lip lift

1 October 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...

Letter from Hong Kong (13 April 2020)

14 April 2020 |
Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.

Letter from Hong Kong (3 November 2020)

3 November 2020 |
It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

Merz Aesthetics® launches the new indication for RADIESSE® as an aesthetic injectable

6 March 2024 | Research & Development
In the EU, Merz Aesthetics® has announced the approval for Radiesse® to treat the décolleté area. Radiesse® is a regenerative biostimulator with calcium hydroxylapatite capable of regenerating multiple components of the skin tissue, resulting in...

How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

How I Do It - Body contouring surgery using the body-jet

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

How I Do It - Approaches to acne treatment: LED therapy

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

1 December 2013 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

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...