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New IPL technology as treatment for melasma

12 October 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

How will Keogh impact non-surgical services?

1 June 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Following the PIP implant scandal of 2010, The Department of Health (DH) commissioned a review of the regulation of cosmetic interventions in September 2012. In April 2013, following extensive consultation the review panel published its recommendations. The recommendations set out...

Thermal injury and false eyelashes

1 April 2020 | | PMFA - CPD, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Dermatology, PMFA - Oculoplastic
Please Click here for the CPD Feedback form on this article The authors provide a case of cyanoacrylate glue causing a thermal burn on the eyelid and explain how this type of burn should be managed. The use of false...

Xanthelasma

1 April 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Although the lesion known as Xanthelasma was first described by Addison and Gall in 1851 [1] it was recorded some 300 years previously in the famous painting of the Mona Lisa by Leonardo da Vinci. In this painting, Leonardo da...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

1 December 2016 | | PMFA - Hand & Wrist Surgery
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

How I Do It - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

How I Do It - Using Nd:Yag laser for correction of vascular anomalies

14 November 2023 | | PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests and...

What’s new on the horizon for toxins coming to the market?

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
With the ever increasing demand for injectable treatments, it is important to keep abreast of new developments in the field. International expert Michael Gold reviews the new toxins due to be hitting the market in the next year. We are...

Non-invasive lip and perioral rejuvenation with 1550nm non-ablative fractional laser

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Lips play a significant role in our facial aesthetics and are often considered a focal point of beauty and sensuality [1,2]. Over time, factors like ageing, sun exposure, and lifestyle choices can effect the appearance and condition of our lips....

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...

Acid Survivors Trust International

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...