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Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

MD/PhDs or MD/MBAs: which do we need more to innovate in plastic surgery?

1 February 2014 | | PMFA - General Plastic Surgery
I would like to thank Arlen Meyers and Victor Castro for submitting this article. One of the problems that I have seen in my professional lifetime is the failure of entrepreneurs to grasp that there is no infinite health care...

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...

Hormones, ageing and skinspan

6 August 2024 | | PMFA - Dermatology
Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

1 June 2015 | | PMFA - Facial Plastic Surgery
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

1 December 2021 | | PMFA - Maxillofacial Surgery
Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

Online connections in a post-COVID world

2 August 2022 | | PMFA - Aesthetic Medicine
Looking back at the pandemic, it has brought us unexpected friendships. The lack of direct interpersonal communication, meetings, parties and hugs increased the role of digital sources of contact which used to play a less important role in our lives....

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

12 July 2021 | | PMFA - Dermatology
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

A ventral solution to a perineal problem: a case report

15 December 2022 | | PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

Mercy Ships’ hope and healing in Madagascar

1 April 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Since my last article on the mission of the Mercy Ships in 2013, the current vessel, the Africa Mercy has continued to bring hope and healing to the people of West Africa. Having completed a very successful eight-month visit to...

Botulinum toxin type A for the treatment of allergic & idiopathic rhinitis: The Aller-Tox™ method

17 April 2025 | | PMFA - Maxillofacial Surgery, PMFA - Aesthetic Medicine
Hay fever provides a significant burden on the NHS, according to NHS data, approximately 20% of UK residents are hay fever sufferers. Around one fifth of these patients with allergies struggle with the fear of a possible asthma attack [1]....