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Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling

3 October 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...

How I Do It - Hyperdilute CaHA for the ageing neck

3 October 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...

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....

How I Do It - A non-invasive approach to facial and neck rejuvenation

4 February 2025 | | PMFA - Aesthetic Medicine
The HoneyCombTM lift is a non-invasive solution for tightening and rejuvenating the face and neck using Fotona’s advanced SMOOTH® technology. By delivering precise thermal stimulation through HC6 optics and the T-Runner® scanner, this innovative procedure addresses skin laxity, fine lines,...

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...

In conversation with Fateh Ahmad

28 October 2022 | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
We spoke to Fateh Ahmad about his career in plastic & craniofacial surgery, advice to those new to the field and his new role as President of the RSM Section of Plastic Surgery Can you tell us a little bit...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 15) – Duty of Care

16 February 2022 |
Just to recap; I have been looking at the Reasons for Sentence in the case of HKSAR and Kwan Hau chi, Vanessa. The verdict had been declared: “guilty”. Now, on 4 October 2021, the Hon D’Almada Remedios J is going to present her review of the case and the factors she has taken into account when deciding the sentence. I am referring to an official document which is in the public domain. The case reference is HCCC 200/2018. It is a shameful document, but we must all share in that shame.

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

1 December 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

Malignant melanoma, stress and cosmetic surgery

18 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - General Plastic Surgery
The epidemiology of cutaneous malignant melanoma (CMM) continues to evolve [1]. Whilst there has been a small but steady increase in incidence of the tumour there has been a significant decrease in lethality. There are several reasons for this; public...

Part three: Aye, Aye. AI?

26 March 2025 | | AI, clinical guidelines, good practice, oncology, melanoma, cosmetic, aesthetic surgery
I wonder whether we should use the term 'augmented intelligence' rather than 'artificial intelligence'. I say this because at this moment in our evolution, artificial intelligence (AI) always begins with human intelligence. In this blog, I want to examine how...

The First World War and the Development of Facial Surgery

1 October 2013 | | PMFA - Facial Plastic Surgery
Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....