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Perceptions and deceptions: a personal blog by the editor 4 July 2016

4 July 2016 |
I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

1 December 2016 | | PMFA - Hand & Wrist Surgery
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

5 September 2023 | | PMFA - General Plastic Surgery
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | PMFA - General
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

Revolutionising paediatric burn scar management: Unleashing the potential of stromal vascular fraction

6 August 2024 | | PMFA - Dermatology
Burn injuries often result in challenging scars that impact the aesthetic appearance and also pose functional and psychological concerns for the affected individuals. Traditional approaches to treating burn scars have primarily relied on skin grafts, requiring donor sites and often...

The challenge of reinterpreting past data through the lens of advances in skin biome research

2 February 2024 | | PMFA - Dermatology
Advances in technology have allowed scientists to expand their understanding of the complex interactions that occur between humans and the microbes that reside on and inside their bodies. However, these same advances present a challenge to scientists and clinicians to...

Part three: Aye, Aye. AI?

26 March 2025 | | AI, clinical guidelines, good practice, oncology, melanoma, cosmetic, aesthetic surgery
I wonder whether we should use the term 'augmented intelligence' rather than 'artificial intelligence'. I say this because at this moment in our evolution, artificial intelligence (AI) always begins with human intelligence. In this blog, I want to examine how...

Acid attacks: part 1

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

How I Do It - Treating multiple skin concerns with less down-time

1 December 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

How I Do It - High-energy acne scar treatment with a fractional Q-switched Nd:YAG laser

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is one of the most common skin diseases, affecting one out of two people in their lifetimes. About 80% of people between the ages of 11 and 30 suffer from acne, of which many will further experience some...

Laser and light-based treatments for pigmented lesions

1 December 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

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...