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Global surgical crisis and Mercy Ships

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...

How I Do It - How to ‘best-buddy’ strap fingers

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

14 January 2022 |
I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

Life-transforming reconstructive surgery onboard floating hospital gives new hope to burn survivors in sub-Saharan Africa

18 October 2024 | reconstructive, surgery, charity, international, patient stories, Africa, paediatric, children
Gamai from Guinea was a one-year-old when she suffered a horrific burn accident. With no access to medical care, her family were forced to watch as her skin contracted around her arms and hands, leaving her unable to perform basic...

How I Do It - Earfold<sup>®</sup>: A new technique for the correction of prominent ears

1 April 2017 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
To follow on from the last issue of PMFA News (now The PMFA Journal) in which we featured two different approaches to otoplasty (see HERE and HERE) Dalvi Humzuh, Sub-Editor for the section, approached Norbert Kang, Consultant Plastic and Reconstructive...

How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | PMFA - Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

How I Do It - FracRevive - holistic skin rejuvenation with a combination of full beam and fractional Q-switched Nd:YAG laser

2 August 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
With increasing demand on efficient skin rejuvenation treatment associated with zero to minimum downtime, a two-step FracRevive laser rejuvenation with both full beam and factional Q-switched Nd:YAG laser has been designed by Fotona using the Starwalker system. Starwalker’s unique pulse...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

An epidemic of lower limb gunshot injuries

18 June 2020 | | PMFA - General Plastic Surgery
As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Integrating lifestyle factors into aesthetic practice

19 March 2021 | | PMFA - Aesthetic Medicine
The COVID-19 pandemic will long be remembered as the most significant global disaster of recent times. As its effects have been observed and investigated there has been an increased focus and attention drawn to lifestyle and how this can impact...

Making the most of the temporalis fascia graft in open rhinoplasty: an innovative technique with outcomes of 2000 cases over a 15-year period

2 June 2021 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Rhinoplasty
The authors present a technique that increases the surface area of a temporalis fascia graft when used to provide smooth, dorsal coverage in cases of open tip rhinoplasty. Numerous graft materials have been developed for use in rhinoplasty procedures in...

The medial gastrocnemius flap

1 April 2017 | | PMFA - General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...