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How I Do It - Non-surgical approach to facial palsy – a preliminary case report

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...

Treating the male patient with dermal fillers

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

How I Do It - Approaches to non-surgical face lifting

1 April 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

Perfecting the pout

31 March 2023 | | PMFA - Aesthetic Medicine
From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

Threads in rhinoplasty: to thread or not to thread?

3 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

26 January 2022 |
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Medico-legal Forum (Botulinum toxin)

1 February 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...

Global surgical crisis and Mercy Ships

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...

Revirgination is not the same as hymenoplasty

1 February 2016 | | PMFA - General Plastic Surgery
The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

1 June 2014 | | PMFA - Breast Surgery
The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Reconstructive Surgery in Post Colonial Africa

1 October 2013 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Maxillo-facial and neck surgery in Iraq and Afghanistan

1 February 2015 | | PMFA - Maxillofacial Surgery
Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...