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How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | PMFA - Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

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 - 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...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

31 March 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...

How I Do It - Adipose tissue restoration in response to ageing

4 February 2025 | | PMFA - Aesthetic Medicine
The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

How I Do It- Nipple reconstruction

2 June 2025 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....

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...

Medico-legal forum (VASEP liposuction)

10 October 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question The patient underwent VASER to the abdomen and...

Chin augmentation: filler versus prosthesis

1 August 2016 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

A Reaction to the ‘Keogh Report’

1 October 2013 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...

CQC regulators and private hospitals need more common sense

1 July 2018 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....

Profile of a tertiary referral oculoplastics service in the UK

23 March 2021 | | PMFA - Oculoplastic
The provision of safe and effective ophthalmic care to large patient populations has always been challenging. Severe restrictions of outpatient clinical activity due to the COVID-19 crisis has compounded this problem, with 26,800 appointments cancelled in our unit in the...