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The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...

The origin of the Children’s Burns Club

1 December 2021 | | PMFA - General Plastic Surgery
Burn injuries can affect any of us or our families at any time. A momentary lapse in attention can lead to a lifetime of scarring. Whilst any individual member of a family group can be physically scarred, all the family...

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)...

Napoleon, Ghandi or Jobs: Who would lead today’s healthcare best?

6 August 2025 | | PMFA - General Plastic Surgery
Some leaders build empires. Others build people. And some tear the whole thing down to rebuild it better. The archetypes of power Leadership in healthcare is evolving. Traditional command-and-control structures are evolving into team-based, emotionally intelligent and adaptive approaches. Yet...

Perceptions and Deceptions a personal blog by the editor 8 Apr 2016

8 April 2016 |
I want to post a question on the FB Group supporting the Junior Doctors over their David and Goliath fight with a juggernaut of blind, self-deceiving or just ignorant, elected members of Parliament. I should say that I am not...

The New Doctors Contract NHS England – a brief summary

22 November 2016
This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

4 November 2021 |
I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | PMFA - Oculoplastic
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

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 - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

How I Do It - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...

How I Do It - Thin lips – remodelling with hyaluronic acid

5 June 2020 | | PMFA - Aesthetic Medicine
Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...