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The surgical management of extensive balanitis xerotica obliterans

Balanitis xerotica obliterans (BXO) was initially described by Hallopeau in 1887 [1], when it was known as lichen sclerosis et atrophicus, the designation BXO, first being used by Stuhmer in 1928 [2]. It is a chronic, persistent and unrelenting inflammatory...

How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

How I Do It - Body contouring - PAL-HD liposculpture in men and women

Both men and women seek to improve their physical appearance, contour their figure, and achieve results that cannot be always be obtained solely with diet and exercise. Therefore, liposuction is one of the most popular aesthetic procedures. Power-assisted liposuction (PAL)...

The role of bacterial biofilms in aesthetic medicine prioritising prevention

The author provides an overview of literature pertaining to the complex and specialist subject of biofilms that may occur in aesthetic medicine. A brief overview is presented concerning the pathophysiology of biofilms with some discussion concerning differential presentations; early and...

The day to day running of an aesthetics clinic

With the booming aesthetics industry expected to continue growing at the rate of 10% per year, the move into setting up and running your own aesthetics clinic may seem increasingly tempting. PMFA News’ very own Victoria Smith takes you through...

Sir Archibald McIndoe and the Guinea Pig Club

The early life of Sir Archibald McIndoe Archibald Hector McIndoe was born in Dunedin, New Zealand on 4th May, 1900. His father John was a printer and mother Mabel an artist. He was the second eldest child of four children....

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

Early hypothermia as risk factor in severely burned patients

This retrospective outcome study looks at patient temperature on admission and if this affected outcome and what variables play a part in the patient’s temperature. Again, this is well written and thought out, but is limited by sample size. They...

Melanoma skin cancer: how can we improve early detection in the UK?

With melanoma rates increasing globally, should there be screening of high-risk groups? Stephen Hayes takes a look at how Australia has reduced its melanoma mortality and asks whether a similar model should be adopted elsewhere. In Britain, some 16,000 new...