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How long should you wait for your adrenaline to work?

1 December 2013 | | PMFA - General Plastic Surgery
The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...

Exosomes: everything you always wanted to know and questions to ask your exosome provider

4 December 2023 | | PMFA - CPD, PMFA - Aesthetic Medicine
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. What are exosomes? Exosomes are just one subset of extracellular vesicles (EVs),...

Medical tattooing for a better life

5 June 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Dermatography (medical tattooing), was first documented in the 19th century, and is nowadays frequently performed for nipple reconstruction after mastectomy. Despite its popularity in the field of breast reconstruction, this procedure is not used on a broad scale in any...

Descending branch peroneal artery perforator flap

1 December 2013 | | PMFA - General Plastic Surgery
Reconstruction of distal third defects in the lower limb is a challenge that often requires microsurgical free tissue transfer. The authors introduce a peroneal artery perforator flap based on the deep descending branch for reconstruction of lateral malleolar defects. They...

How I Do It - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

Runny nose after nonsurgical rhinoplasty – review of cases

3 September 2024 | | PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery, PMFA - Aesthetic Medicine
Hyaluronic acid filler injections have become a popular procedure worldwide; according to the American Society of Plastic Surgeons (ASPS) from 2019 to 2022 filler procedures have increased by 70% [1]. Non-surgical rhinoplasty is becoming a popular procedure because of the...

In conversation with Dr Benjamin Ascher (2019)

1 January 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
The PMFA Journal was delighted to chat to internationally renowned plastic surgeon Dr Benjamin Ascher for his thoughts on training and changes to the world of aesthetics. Dr Benjamin Ascher How have things changed since you first started working in...

Aesthetic restoration following GLP-1 agonist–induced facial volume loss

3 October 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
GLP-1 receptor agonists such as semaglutide (Ozempic®, Wegovy®, Rybelsus®) have significantly improved the management of obesity and type 2 diabetes, providing effective weight loss and cardiometabolic benefits. However, as their use becomes more widespread, there has been an increase in...

Consultation on cosmetic interventions

17 December 2014 |
On 9 December 2014 the Health Education England (HEE) held a stakeholder consultation to discuss the qualification requirements, information on how different groups of practitioners will be able to meet these requirements, options for accreditation and recognition of qualifications and...

Adapting to change in clinical practice: a post-inflammatory hyperpigmentation case

4 February 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Post-inflammatory hyperpigmentation (PIH) secondary to any inflammatory cause or cutaneous injury is...

Handy Solutions

1 October 2013 | | PMFA - Hand & Wrist Surgery
Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...

Combined procedures: lipo-abdominoplasty and lipo-inner thighplasty (string technique) and face rejuvenation

1 June 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 2 With the evolution of superficial suction lipectomy in the 1990’s the need for skin resection became less common and the...