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Off-label cosmetic use of botulinum toxin in the lower face

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

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...

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:

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.

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...

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...

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...

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...

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...

Letter from Hong Kong (3 November 2020)

3 November 2020 |
It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

Young man’s life transformed after scottish surgeon removes life-threatening tumour on board Mercy Ships

12 February 2025 | Maxillofacial, Mercy Ships, charity, Africa, patient stories
A young man from Sierra Leone who was forced to leave school because of a life-threatening facial tumour has had it successfully removed by international charity, Mercy Ships. Scottish Surgeon, Manjit Dhillon, a Consultant Surgeon in Oral & Maxillofacial Surgery...