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The role of expert witnesses in miscarriages of justice

2 June 2021 | | PMFA - General Plastic Surgery
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

A picture is worth a thousand words… communicating with your patients more effectively

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

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...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

The incidence of non-surgical rejuvenation in facial aesthetic surgery

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Non-surgical facial rejuvenation has increased exponentially in the last 20–30 years in a society which demands immediate results with minimal downtime. The overall UK market is estimated at £3.6 billion annually. The use of facial injectables increased by 7000% between...

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

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
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...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

The importance of skin preparation

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
With both aesthetic procedures and antibiotic resistance on the rise, good skin disinfection to reduce the risk of infection is more vital than ever. Anna Baker takes us through the evidence behind commonly used skin preparation formulations for aesthetic injectable...

Treating the male patient with dermal fillers

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

Off-label cosmetic use of botulinum toxin in the lower face

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

Breast reduction in the older woman

1 December 2022 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Looking unusual: what it’s like and how skin camouflage can help

1 October 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Appearance matters, nowadays more than ever. We live in a global culture where a smooth, blemish-free and consistent complexion, symmetrical features and perfect teeth are highly prized and believed to be the passport to happiness and success. If you are...