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Reversing signs of skin ageing with topical retinoids

1 June 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The reversal of the signs of ageing / aged skin is an important component of any form of facial surgery. The authors here have written a comprehensive paper detailing the biological process in skin ageing and role of topical retinoid...

Choosing anaesthesia for oral surgery

11 February 2014 | | PMFA - Maxillofacial Surgery
This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...

Sliding lower lid tarsal flap

1 August 2016 | | PMFA - Oculoplastic
This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...

The relevance of rhinoplasty and septorhinoplasty from the commissioner’s point of view

1 February 2019 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...

The REAL Clinic: the sustainable building and running of a new clinic

3 February 2023 | | PMFA - General Plastic Surgery
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

In conversation with Dr Uliana Gout

16 December 2021 | PMFA - Aesthetic Medicine
We recently caught up with Dr Uliana Gout, re-elected President of the British College of Aesthetic Medicine (BCAM), about the College’s 20th anniversary year, its plans for 2022 and how it has supported members throughout the pandemic. Are you enjoying...

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...

Plastic surgery founding father Ivo Pitanguy on life, learning and legends – remembering a giant

30 July 2020 | | PMFA - General Plastic Surgery
World renowned Plastic Surgeon Ivo Pitanguy passed away on 6 August 2016 at the age of 93 just a day after carrying the Olympic torch for the Rio Games. Read on to learn about the life of this giant of...

Preferred upper / lower lip ratio and perception of naturally looking lips, a study across generations and genders

2 February 2024 | | PMFA - Aesthetic Medicine
Introduction ‘Beauty is in the eye of the beholder’. Although it sounds true, most often some beauty patterns or preferences can be innate or intuitive [1]. When it comes to the ideal lips, how much of their features can be...

How I Do It - A guide to anterior neck lift aesthetic surgery

1 October 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 15) – Duty of Care

16 February 2022 |
Just to recap; I have been looking at the Reasons for Sentence in the case of HKSAR and Kwan Hau chi, Vanessa. The verdict had been declared: “guilty”. Now, on 4 October 2021, the Hon D’Almada Remedios J is going to present her review of the case and the factors she has taken into account when deciding the sentence. I am referring to an official document which is in the public domain. The case reference is HCCC 200/2018. It is a shameful document, but we must all share in that shame.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?