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Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential

1 December 2016 | | PMFA - Aesthetic Medicine, PMFA - Hand & Wrist Surgery
A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...

How I Do It - Approaches to acne treatment: LED therapy

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

How I Do It - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...

In conversation with Dr Emanuele Bartoletti (2020)

19 May 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General
We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME) about his background, the society and the challenges of COVID-19. Dr Emanuele Bartoletti. You have been involved in plastic surgery and aesthetic...

OPINION - Who should decide the qualification to do cosmetic surgery?

5 July 2022 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

The uses of BTX-A in maxillofacial surgery

1 February 2016 | | PMFA - Maxillofacial Surgery
Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

Letter from Hong Kong (1 April 2020)

1 April 2020 |
By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...

How I Do It - Auricular reconstruction: Helical advancement flap

2 June 2025 | | PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

3 October 2023 | | PMFA - General Plastic Surgery
Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

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...