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How I Do It - Treating the lower face with HA fillers in elderly patients

12 October 2021 | | PMFA - Aesthetic Medicine
Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

How I Do It - High-energy acne scar treatment with a fractional Q-switched Nd:YAG laser

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is one of the most common skin diseases, affecting one out of two people in their lifetimes. About 80% of people between the ages of 11 and 30 suffer from acne, of which many will further experience some...

How I Do It - Full body contouring

1 June 2023 | | PMFA - Aesthetic Medicine
Sculpt&Shape® is an innovative RotateRF technology device for full body contouring and facial rejuvenation. It has different tips and modes combined with real-time temperature control and Safe Touch technology. This article will focus on how we use the device for...

How I Do It - Adipose tissue restoration in response to ageing

4 February 2025 | | PMFA - Aesthetic Medicine
The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

How I Do It - Multilayer midface rejuvenation

4 February 2025 | | PMFA - Aesthetic Medicine
The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

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...

How I Do It- Nipple reconstruction

2 June 2025 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....

Focus on Plasma: Total rejuvenation of the face with plasma device

1 June 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...

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...

Debate: cannulas vs. needles - Cannulas

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

Training in Facial Plastic Surgery in the UK

1 December 2013 | | PMFA - Facial Plastic Surgery
Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

A Reaction to the ‘Keogh Report’

1 October 2013 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...