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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...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

6 August 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

2 February 2024 | | PMFA - Oculoplastic
The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

How I Do It - Approaches to acne treatment: Pulsed-dye laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...

How I Do It - Postoperative care following aesthetic breast surgery – treatment of capsular contracture with Celluma low level light therapy

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast augmentation is one of the most popular cosmetic surgical procedures performed in the world. Capsular contracture is a common complication and major contributor to dissatisfaction. It is thought to be due to a chronic inflammatory process in the implant...

The importance of continuing professional development in rhinoplasty

1 February 2018 | | PMFA - Rhinoplasty
The PMFA Journal team invited two world-renowned rhinoplasty surgeons to reflect on the importance of life-long learning in their chosen specialty. The vital role of continuous surgical training in rhinoplasty By Pietro Palma Rhinoplasty can be a most rewarding operation...

The use of electrolysis in acne treatment – sebaceous gland ablation

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Sebaceous gland ablation (SGA) offers a long-term solution to persistent acne. This is an exciting new treatment which is bringing hope to acne sufferers everywhere. What is acne? Acne is an unsightly skin condition which causes thickening and inflammation of...

When a patient asks for your insurance details…

1 April 2015 | | 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
Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Sushruta and Indian rhinoplasty

25 August 2021 | | PMFA - Rhinoplasty
Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...