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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 - A paradigm shift in injecting: MicronJet™ needles

3 April 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

Modern laser-assisted acne therapy in practice

4 December 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Laser and light-based technologies have expanded the therapeutic arsenal for acne, and can improve the skin appearance of inflammatory acne and scarring in a short time, which increases patient compliance and satisfaction. Acne is an inflammatory dermatosis in which pathophysiological...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

15 April 2016 |
This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

Part two: Aye, Aye. AI?

14 February 2025 | | AI, artificial intelligence, blog, personal, ChatGPT, DeepSeek
This is the second blog in this series looking at the current trends in AI. In the first, I reviewed a 'chat' with ChatGPT regarding the limitations of the program in editing work. This is actually a highly skilled human...

When a patient asks for your insurance details…

1 April 2015 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...

Handy Solutions

1 October 2013 | | PMFA - Hand & Wrist Surgery
Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...

Raising the bar for safer cosmetic surgery in the UK – part 2

1 October 2018 | | PMFA - General Plastic Surgery
In the second of a two-part article (see Part 1 here) Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Medical...

Runny nose after nonsurgical rhinoplasty – review of cases

3 September 2024 | | PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery, PMFA - Aesthetic Medicine
Hyaluronic acid filler injections have become a popular procedure worldwide; according to the American Society of Plastic Surgeons (ASPS) from 2019 to 2022 filler procedures have increased by 70% [1]. Non-surgical rhinoplasty is becoming a popular procedure because of the...

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

The future and a summary of the past

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...

Platelet-based aesthetic therapies – to science from fiction

1 March 2018 | | PMFA - Aesthetic Medicine
The author provides an overview of the theory behind platelet rich plasma and summarises the published evidence for its use in aesthetic treatments. Platelet-based treatments, commonly referred to collectively as platelet rich plasma (PRP), have been proposed and advocated for...