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Maxillo-facial and neck surgery in Iraq and Afghanistan

1 February 2015 | | PMFA - Maxillofacial Surgery
Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...

Plastic surgery and safety issues: a patient perspective

12 October 2021 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...

Cosmetic Surgery Certification Scheme – looking into the future of regulation, quality and safety in cosmetic practice

1 October 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
With plans underway to extend the cosmetic surgery certification scheme to all surgeons performing cosmetic surgery, we share the views of the RCS, BAAPS and BAPRAS. The Royal College of Surgeons (RCS) along with its partners in the Surgical Specialty...

Rediscovering the Lost Art of Endonasal Rhinoplasty

1 October 2013 | | PMFA - Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Perceptions and Deceptions: a personal blog by the editor 26 September 2016

26 September 2016 |
As I write this blog the noble few, the bold and brave few, are in the High Court in London presenting arguments to Judge. There is strong legal evidence to support a finding that the Right Honourable Jeremy Hunt has...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

8 December 2021 |
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

How I Do It - The eight-point facelift using STYLAGE®: blending light and shadow

3 June 2024 | | PMFA - Aesthetic Medicine
Rationale The best approach for practitioners would be to understand the rheology of the hyaluronic acid (HA) fillers that they are using, and to ensure that the smallest aliquots are injected to produce the most aesthetic outcome. Developed from ‘The...

Clinical case of hypertrichosis

2 June 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Laser hair removal remains the best method of eliminating unwanted hair, including cases of hirsutism. Due to the pathogenesis of hirsutism, laser therapy alone can be insufficient to treat it. Male pattern terminal hair growth is caused by androgens and...

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

9 May 2022 |
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.