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Temporomandibular disorders – a surgeon’s view

1 August 2016 | | PMFA - Maxillofacial Surgery
The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

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...

Temple restoration

1 October 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

Perspectives on: Polyurethane covered breast implants

1 June 2014 | | PMFA - Breast Surgery
The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...

Letter from Hong Kong (13 April 2020)

14 April 2020 |
Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.

Adapting to change in clinical practice: a post-inflammatory hyperpigmentation case

4 February 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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. Post-inflammatory hyperpigmentation (PIH) secondary to any inflammatory cause or cutaneous injury is...

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...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

1 February 2015 | | PMFA - General Plastic Surgery
Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

Photoshopping the face: simulated outcomes of orthofacial surgery

1 December 2014 | | PMFA - Dentistry, PMFA - Imaging, PMFA - Maxillofacial Surgery
Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

A short overview of the evolution of botulinum toxin type A formulations

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

Face Eyes Nose 2014

15 May 2014 |
Non-surgical facial aesthetics symposium The non-surgical facial aesthetics symposium provided a stimulating and interesting programme, comprised of a faculty of expert consultant plastic surgeons & cosmetic doctors. The course director, Mr Rana Das Gupta commenced the day and introduced the...