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Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

The medial gastrocnemius flap

1 April 2017 | | PMFA - General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

How I Do It - Congenital midline cervical cleft excision and reconstruction

29 June 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

How I Do It - Surgical upper lip lift

4 December 2023 | | PMFA - Facial Plastic Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The shape and volume of the lips are highly significant features when...

Malignant lesions and reconstruction of the pinna

2 August 2022 | | PMFA - General Plastic Surgery
External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

Runny nose after nonsurgical rhinoplasty – review of cases

3 September 2024 | | PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery, PMFA - Aesthetic Medicine
Hyaluronic acid filler injections have become a popular procedure worldwide; according to the American Society of Plastic Surgeons (ASPS) from 2019 to 2022 filler procedures have increased by 70% [1]. Non-surgical rhinoplasty is becoming a popular procedure because of the...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

15 June 2016 |
It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

Perceptions and deceptions a personal blog by the editor 27 June 2016

27 June 2016 |
I left the last blog with the statement that Zoey had been unlawfully killed. That is a pretty bold statement to make when the legal verdict is death by misadventure. But that was not a verdict based on validated evidence....

Ethical expert reports by CAPSCO

2 June 2021 | | PMFA - General Plastic Surgery
One of the most stressful days for a surgeon is when a letter marked 'Confidential' comes through the letter box. A firm of solicitors or a complaint manager from a regulatory body such as the General Medical Council or the...

Virtual learning post lockdown

10 July 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The rapid onset and intensity of the COVID-19 pandemic has required some radical changes in most areas of our professional lives, including a chance to update traditional approaches to learning. Virtual learning is the use of remote video conferencing software,...

Correction of skin hyperpigmentation by chemical exfoliation

14 June 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

A ventral solution to a perineal problem: a case report

15 December 2022 | | PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...