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Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

A guide to hair transplantation

1 June 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
A leading hair transplant surgeon provides an overview of the most effective surgical treatments for hair restoration – and how the industry will develop over the next decade. Modern hair transplant techniques were first developed in Japan in the 1930s...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

3 October 2023 | | PMFA - General Plastic Surgery
Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

Ultrasound use in non-surgical, aesthetic medicine clinics

3 October 2023 | | PMFA - Aesthetic Medicine
The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

Auricular reconstruction: star-pattern reconstruction

30 March 2022 | | PMFA - Facial Plastic Surgery
We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

1 December 2015 | | PMFA - Dermatology, PMFA - General Plastic Surgery
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

Should Plastic Surgeons 'De-skill'?

28 March 2014
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...

A history of the Asia Pacific Burn Association

5 September 2019 |
To accompany his Newsround report on the 12th APBC meeting in the October/November issue, Editor Andrew Burd shares the story of how the APBA was set up.

Letter from Hong Kong (1 June 2020)

1 June 2020 |
It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Edinburgh cosmetic doctor fundraises for local NHS workers

9 April 2020
Regular contributor to The PMFA Journal, Dr Nestor Demosthenous, has created a JustGiving page to generate support for Edinburgh and Lothians' healthcare workers currently at the forefront of the COVID-19 response.

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...