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The REAL Clinic: the sustainable building and running of a new clinic

3 February 2023 | | PMFA - General Plastic Surgery
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Malignant melanoma, stress and cosmetic surgery

18 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - General Plastic Surgery
The epidemiology of cutaneous malignant melanoma (CMM) continues to evolve [1]. Whilst there has been a small but steady increase in incidence of the tumour there has been a significant decrease in lethality. There are several reasons for this; public...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

12 July 2021 | | PMFA - Dermatology
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

The New Doctors Contract NHS England – a brief summary

22 November 2016
This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

31 March 2022 |
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

How I Do It - Laser-assisted submental liposuction

1 February 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The author shares a low risk, minimally invasive procedure that offers excellent aesthetic results. Liposuction of the submental and jowl regions is a low risk outpatient procedure that gives a profound aesthetic result. Since the late 1960s, the techniques have...

How I Do It - The original Blue Peel

1 August 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

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....

In conversation with Dr Hugues Cartier

13 November 2019 | PMFA - Aesthetic Medicine, PMFA - Dermatology
We were delighted to chat to Dr Hugues Cartier, Dermatologist and IMCAS Global Course Co-ordinator. Can you tell us a bit about your background and what led to you becoming a dermatologist? The question could simply be summed up as...

Post-infusion iron extravasation: Cutaneous complications and management strategies

10 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Intravenous iron infusion is widely used for the treatment of iron-deficiency anaemia, especially in cases where oral supplementation is ineffective or contraindicated. Although generally well tolerated, iron infusion may be complicated by local adverse events, among which iron extravasation is...

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...

In conversation with Nora Nugent

11 December 2024 | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
We were honoured to chat to Nora Nugent, leading Plastic Surgeon and current President of the British Association of Aesthetic Plastic Surgeons (BAAPS). Nora Nugent. Can you tell us a little bit about what led you into the field of...