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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...

How I Do It - Treating skin flaccidity with the Fotona V-SMOOTH protocol

7 December 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Unwanted fat, cellulite and flaccidity are three of the top reasons for consultation in aesthetic medicine in relation to body contouring. After the age of 30, the production of collagen and elastin decreases, so our skin starts to loose firmness...

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...

How I Do It - Wound closure

4 February 2025 | | PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Breast Surgery
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

1 December 2015 | | PMFA - General Plastic Surgery
This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

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...

The Re-humanising Revolution: Breaking the conspiracy of silence

3 June 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Over the last few years, the mental and emotional wellbeing of those who work in medicine has come under scrutiny. The author introduces a new resource. Working in healthcare has always been stressful but never more so than today. In...

Breast augmentation from a patient perspective

21 June 2022 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
When I was 17 and saw Pamela Anderson on Baywatch I knew I wanted to have breast implants. A plastic surgeon had an office nearby so I went to find out more. The woman who spoke with me was lovely,...

The mission to provide equal access for the treatment of port wine stain birthmarks

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
The Vascular Birthmarks Foundation (VBF) is the leading charity in the world for networking individuals with vascular birthmarks, anomalies, and related syndromes (VBARS) into proper medical treatment. The VBF currently monitors over 80,000 individuals / families, worldwide, who are affected...