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Reconstruction of complex wounds in the trunk and pelvis (part 1)

1 August 2017 | | PMFA - General Plastic Surgery
This is the first part of a two-part article looking at the challenges of reconstruction of complex defects in the torso. The articles are based on a presentation given at the World Union of Wound Healing Societies held in Yokohama...

Use of spacers for mandibular defects after resection of mandible preceding definitive osseous reconstruction

1 October 2013 | | PMFA - Maxillofacial Surgery
The authors propose the use of rigid polyethylene and silicon spacers in mandibular defects as an interim measure before definitive osseous reconstruction after mandibular resections for locally aggressive benign disease. The authors point out that the current intermediate reconstruction systems...

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...

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....

Hormones, ageing and skinspan

6 August 2024 | | PMFA - Dermatology
Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...

How I Do It - Skin tightening: Fotona 4D protocol

1 June 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...

First there was Sophia

4 January 2019 | Written by
A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

How I Do It - Body contouring surgery using the body-jet

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

Skin transition during the menopause

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Menopause, which begins one year after the last period, can bring with it some noticeable changes to skin and hair. As hormone levels drop, skin can become dry, slack, less elastic and thin. It can also cause more facial hair...

Modern laser-assisted acne therapy in practice

4 December 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Laser and light-based technologies have expanded the therapeutic arsenal for acne, and can improve the skin appearance of inflammatory acne and scarring in a short time, which increases patient compliance and satisfaction. Acne is an inflammatory dermatosis in which pathophysiological...

How I Do It - Using 3D imaging technology in aesthetic medicine

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging, PMFA - Facial Plastic Surgery
In recent years, there has been a shift in how patients see themselves. The ‘selfie generation’ are constantly exposed to idealised images, which means that many patients are hyper-aware of subtle facial asymmetries and textural irregularities. They no longer look...