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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’...

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...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

1 March 2018 | | PMFA - CPD, PMFA - Breast Surgery, PMFA - General Plastic Surgery
The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | PMFA - Oculoplastic
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Skin tightening: Profound

1 June 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

2 June 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

26 March 2024 | | PMFA - Aesthetic Medicine
The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...

Liposuction – the evolution of the classical technique

1 April 2014 | | PMFA - Aesthetic Medicine
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

Training in Facial Plastic Surgery in the UK

1 December 2013 | | PMFA - Facial Plastic Surgery
Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

1 December 2013 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...