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Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment

3 August 2021 | | PMFA - Dermatology, PMFA - Aesthetic Medicine
BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Photoageing treatment: RF microneedling

3 October 2022 | | PMFA - Aesthetic Medicine
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

How I Do It - Skin tightening: Fotona 4D protocol

1 June 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...

How I Do It - Combination treatment of acne vulgaris

1 August 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

How I Do It - Body contouring: a combined, non-invasive protocol

2 December 2019 | | PMFA - Aesthetic Medicine
Non-invasive body contouring has become one of the fastest-growing areas of aesthetic medicine today. There are many approaches to reducing body fat tissue and improving skin laxity, such as cryolipolysis, high-intensity focused ultrasound, radiofrequency, and a variety of laser therapies....

How I Do It - Laser hair removal: an overview

1 April 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Laser hair removal is the most performed aesthetic procedure worldwide, with a continuous and increasing demand over the last two decades. It was introduced to the market in the early 1990s and several million procedures have been performed since then....

How I Do It - Treatment of pigmentation and melasma

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

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...

In conversation with Paul M Friedman

3 February 2023 | PMFA - Aesthetic Medicine, PMFA - Dermatology
We spoke with Dr Paul M Friedman, President of the American Society for Laser Medicine & Surgery (ASLMS), about his career and the society’s plans for this year. Can you tell us a little bit about what led you into...