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Recognising the key tear trough ligaments

3 October 2022 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
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. The anatomical understanding of the periorbital ligaments is critical for mastering tear...

Management of ruptured breast implants

26 March 2024 | | PMFA - General Plastic Surgery, PMFA - Breast Surgery
Breast augmentation is a widely sought-after cosmetic procedure and has empowered individuals seeking aesthetic enhancement or reconstruction following mastectomy for breast cancer. Amid its popularity, the occurrence of implant rupture stands as a critical concern, impacting both physical wellbeing and...

Is rhinoplasty still a plastic surgery procedure?

3 April 2025 | | PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...

Hair regeneration in menopausal and androgenetic alopecia patients using PTT-6® exosomal proteins

4 December 2025 | | PMFA - Aesthetic Medicine
Hair loss is a prevalent but under-recognised concern among menopausal women, often resulting in diminished self-esteem and psychological distress. Estimates suggest that over 50% of women will experience some degree of hair thinning or loss by the age of 50,...

Why I don’t trust the BMA – and why it matters – 24 January 2017

24 January 2017
Editors Note: This is a guest blog from Ankush Dhariwal. It is a personal opinion and posting it on the PMFA News website is not an endorsement of the opinions. However, for those working in the NHS, and in the...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Hydroquinone-induced hyperpigmentation: a case of exogenous ochronosis in a Hispanic patient

17 November 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Achieving flawless skin as part of the desire to be perceived as ‘beautiful’ is a common sentiment shared by many cultures [1]. Of the many treatment options and products available on the market, the most common chemical agent to achieve...

Clitoral reconstructive surgery after female genital cutting

1 April 2018 | | PMFA - General Plastic Surgery
Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

31 March 2022 |
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

How I Do It - Treating melasma and PIH

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma and post-inflammatory hyperpigmentation (PIH) are among the most common skin disorders in society with prevalence of up to 50% in some populations. Melasma is more prevalent among females and also among those with darker skin types III–V on the...

One-point tear trough correction

1 October 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
The authors provide an expert guide to the use of hyaluronic acid dermal fillers to rejuvenate the periorbital area. One of the early signs of periorbital ageing are dark circles around the eye, with patients complaining of a fatigued appearance....

New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

9 December 2025 | technology, clinical practice, NHS, surgery, education
The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...