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How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

1 June 2015 | | PMFA - Facial Plastic Surgery
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

How I Do It - Non-surgical approach to facial palsy – a preliminary case report

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...

Could a technology from the past change skin disinfection for the future?

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...

The development of PDO threadlifting in the UK

1 October 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

Could a left-sided facial perceptual bias affect satisfaction with oculoplastic procedures?

1 December 2021 | | PMFA - CPD, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial 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. Facial symmetry is usually a priority for both patient and clinician when...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

Hormones, ageing and skinspan

6 August 2024 | | PMFA - Dermatology
Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

How I Do It - Tear trough rejuvenation

1 June 2022 | | PMFA - Aesthetic Medicine
A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

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...

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....