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The impact of 21st century stressors and lifestyle factors on skin ageing

4 February 2025 | | PMFA - Dermatology, PMFA - Aesthetic Medicine
Skin appearance and health play a significant role in everyone’s life and confidence, particularly in today’s 21st century lifestyle and the associated stressors promoting skin ageing. The skin is a dynamic organ, showing apparent signs of ageing and damage, which...

How I Do It - Treating skin flaccidity with the Fotona V-SMOOTH protocol

7 December 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Unwanted fat, cellulite and flaccidity are three of the top reasons for consultation in aesthetic medicine in relation to body contouring. After the age of 30, the production of collagen and elastin decreases, so our skin starts to loose firmness...

How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck

2 June 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...

Hydroquinone-induced hyperpigmentation: a case of exogenous ochronosis in a Hispanic patient

17 November 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Achieving flawless skin as part of the desire to be perceived as ‘beautiful’ is a common sentiment shared by many cultures [1]. Of the many treatment options and products available on the market, the most common chemical agent to achieve...

Preferred upper / lower lip ratio and perception of naturally looking lips, a study across generations and genders

2 February 2024 | | PMFA - Aesthetic Medicine
Introduction ‘Beauty is in the eye of the beholder’. Although it sounds true, most often some beauty patterns or preferences can be innate or intuitive [1]. When it comes to the ideal lips, how much of their features can be...

How I Do It - X neo-umbilicoplasty

2 December 2019 | | PMFA - General Plastic Surgery
Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

Merz Aesthetics® launches the new indication for RADIESSE® as an aesthetic injectable

6 March 2024 | Research & Development
In the EU, Merz Aesthetics® has announced the approval for Radiesse® to treat the décolleté area. Radiesse® is a regenerative biostimulator with calcium hydroxylapatite capable of regenerating multiple components of the skin tissue, resulting in...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

How I Do It - Body contouring using EndyMed 3DEEP

1 December 2014 | | PMFA - Aesthetic Medicine
At Temple Medical we use EndyMed 3DEEP radiofrequency to deliver clinically significant and long-lasting improvements in cellulite and lax, sagging skin on the body without pain or downtime. Skin laxity is caused by a decrease in the quantity and function...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

1 June 2022 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine
The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

A picture is worth a thousand words… communicating with your patients more effectively

1 June 2018 | | 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
Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...