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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...

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,...

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...

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...

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...

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.

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...

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.

Evaluating the efficacy of 2-millisecond versus 3-millisecond Pulse Duration in Laser Hair Removal using a 755 nm Alexandrite laser

11 September 2023
Abstract: This study evaluates the effectiveness of 2 ms versus 3 ms pulse duration in laser hair removal (LHR) with the GentleMax Pro Plus™ system using a 755 nm Alexandrite handpiece in subjects with Fitzpatrick skin types III and IV....

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.

Dermoscopy: an update and personal view

1 April 2018 | | PMFA - Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...