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New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions

1 June 2016 | | PMFA - Aesthetic Medicine
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...

How I Do It - Using 3D imaging technology in aesthetic medicine

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging, PMFA - Facial Plastic Surgery
In recent years, there has been a shift in how patients see themselves. The ‘selfie generation’ are constantly exposed to idealised images, which means that many patients are hyper-aware of subtle facial asymmetries and textural irregularities. They no longer look...

Aye, Aye. AI?

26 November 2024 | | AI, editorial commentary, artificial intelligence, technology, ChatGPT, OpenAI
This is the first in a series of blogs where I look at artificial intelligence (AI) beyond the horizon. To do so, I must present the evidence that takes us to the horizon and then, using both experience and imagination,...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

Acid Survivors Trust International

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

Global surgical crisis and Mercy Ships

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...

Rediscovering the Lost Art of Endonasal Rhinoplasty

1 October 2013 | | PMFA - Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

6 June 2022 |
It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...

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...

In conversation with Professor David Sines

1 August 2018 | PMFA - Aesthetic Medicine, PMFA - Dermatology
In January 2016 a new voluntary regulatory register was established – the Joint Council for Cosmetic Practitioners (JCCP), chaired by Professor David Sines. Since that time the JCCP has met with challenges from many within the aesthetics industry. We spoke...