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We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Periocular burns: a literature review of classification, management protocols and outcomes of treatment

1 February 2022 | | PMFA - General Plastic Surgery, PMFA - Oculoplastic
The author provides a review of the current literature regarding the principles of classification, management protocols of acute ocular and periocular burns and the role of the burn and oculoplastic surgeon involved in their care. More than two-thirds of facial...

Combating winter skin

3 February 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

Congenital ptosis and astigmatism

19 September 2019 | | PMFA - Oculoplastic
This is a review of the effect of congenital ptosis surgery on refractive error. Seventy-one eyes of 56 patients were reviewed. The unoperated eye in unilateral cases was used as the control group. The mean age at surgery was 5.1...

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,...

Temple filler: an unusual complication

2 August 2022 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Hollowing of the temples is one the earliest signs of ageing, creating...

Venomous snake bite leaves arm unusable: boy waits seven years for life-changing surgery

1 May 2025 | charity, news, plastic surgery, international, Mercy Ships
An 11-year-old boy from Sierra Leone can finally go to school and use his right arm again after his severely deformed limb was operated on by international health charity, Mercy Ships. Without the free surgery, Yusif’s right hand and arm...

How I Do It - Buttock augmentation

19 July 2021 | | PMFA - General Plastic Surgery, PMFA - Aesthetic Medicine, PMFA - Online exclusive articles
Buttock augmentation is a popular treatment in high demand in South America. As in all aesthetic treatments, gluteal enhancement is not free from risks. Practitioners looking to expand into the gluteal area should know the gluteal anatomy, and they also...

How I Do It - Treating acne and acne scarring in all skin types

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

CO₂ laser treatment for burn scars

2 December 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...

An overview of chemical peels

1 August 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Chemical peels form an important part of most aesthetic and cosmetic practices. They are an affordable procedure for patients and significant results can be achieved. Generally chemical peels are a safe procedure, but only if used correctly and with caution....

The scandal of NHS contracts with the independent healthcare sector

20 August 2020 |
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.