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How I Do It - Treating the lower face with HA fillers in elderly patients

12 October 2021 | | PMFA - Aesthetic Medicine
Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Skin transition during the menopause

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Menopause, which begins one year after the last period, can bring with it some noticeable changes to skin and hair. As hormone levels drop, skin can become dry, slack, less elastic and thin. It can also cause more facial hair...

In conversation with Mr Marc Pacifico (2019)

3 September 2019 | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
We were delighted to chat to Mr Marc Pacifico, BAAPS Council Member, about his career in plastic surgery and plans for this year’s Annual Meeting. You are internationally recognised in the field of aesthetic plastic surgery – can you tell...

In conversation with Professor Peter Adamson

1 August 2018 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
We were delighted to catch up with Peter A Adamson, Professor of the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto. Professor Peter A Adamson. Can you tell us a...

New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

9 December 2025 | technology, clinical practice, NHS, surgery, education
The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...

Melkersson-Rosenthal syndrome

4 February 2025 | | PMFA - Facial Plastic Surgery, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic
Melkersson-Rosenthal syndrome (MRS) is a rare neuro-mucocutaneous disorder which is defined by a triad of orofacial oedema, furrowing of the tongue, and recurrent episodes of facial nerve palsy [1]. Due to the rarity of the disease and inconsistent presentation, MRS...

HOW I DO IT - Er:YAG laser ablation for enhanced lesion removal

10 February 2026 | | PMFA - Aesthetic Medicine
Ablative lasers, such as CO2 and Er:YAG, may be regarded as superior to traditional surgical techniques – elliptical excision, curettage, cautery and cryotherapy – because they provide greater precision and uniformity in lesion removal. This enhanced accuracy translates into improved...

How I Do It - Buried integra in the management of temporal cavernous haemangioma

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...

How I Do It - Hyperdilute CaHA for the ageing neck

3 October 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...

How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

26 March 2024 | | PMFA - Aesthetic Medicine
The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...