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How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

31 March 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

How I Do It - Treating acne and acne scarring in all skin types

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

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...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | PMFA - General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

A guide to hair transplantation

1 June 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
A leading hair transplant surgeon provides an overview of the most effective surgical treatments for hair restoration – and how the industry will develop over the next decade. Modern hair transplant techniques were first developed in Japan in the 1930s...

Lymphoedema surgical treatment: myths and facts

1 February 2017 | | PMFA - General Plastic Surgery
Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | PMFA - Breast Surgery
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

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...

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...

The three stages of breast reconstruction

1 October 2014 | | PMFA - Breast Surgery
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...

Platelet-based aesthetic therapies – to science from fiction

1 March 2018 | | PMFA - Aesthetic Medicine
The author provides an overview of the theory behind platelet rich plasma and summarises the published evidence for its use in aesthetic treatments. Platelet-based treatments, commonly referred to collectively as platelet rich plasma (PRP), have been proposed and advocated for...