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Overview of non-invasive treatments for submental fat reduction

Submental fat (SMF) is a growing aesthetic problem that is colloquially known as a ‘double chin’. It is a concern for both younger and older male and female patients. The 2017 American Society for Dermatologic Surgery Consumer Survey on Cosmetic...

Acid attacks: part 2

The PMFA Journal Editor Andrew Burd continues with his exploration of the optimum treatment protocol for managing the devastating injuries wrought by acid attacks (see Part 1 here). In part one of this series I outlined the evolution of my...

Aura: Redefining Precision in Aesthetic Consultations through Digital Twin Technology

Aura sets a new benchmark in aesthetic medicine with its photorealistic 3D Imaging System, creating instant digital twin visualisations of the patient’s face and neck. Designed for both practitioners and patients, Aura revolutionises consultations by combining clarity, precision, and realism—empowering...

Surgical indications for infantile haemangiomas

Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...

How long should you wait for your adrenaline to work?

The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Further thoughts on hymenoplasty

The interesting and controversial article on hymenoplasty published in the Dec/Jan 16 issue of PMFA News is an example of what can happen when religion and culture clash with modern medicine. In my opinion, medicine and science should be pure...

Mohs and Cutaneous Surgery - Maximizing Aesthetic Outcomes

This text is a well written review of the techniques available to maximise postoperative outcomes after Mohs and cutaneous surgery. Topics include intraoperative surgical techniques with tips and tricks to try to achieve optimal postoperative scars, complications in Mohs surgery,...

Auricular Reconstruction

In 2013 I sat in a little cafe in Nice with a small band of ear surgeons. We were there to put finishing touches to our plans to form the International Society for Auricular Reconstruction (ISAR). One in our midst...

Perforator Flaps for Breast Reconstruction

This book has been authored by a number of recognised authorities in the world of perforator based flaps for breast reconstruction. It is a thoughtful and well set out book that looks at the requirements for providing this type of...

Surgical exposures of the hand

This paper by Watt and Chung gives the reader an overview of hand anatomy, comments upon the aesthetics of hand surgery and summarizes some surgical approaches to the hand. The introduction presents a concise overview of the relevant anatomy of...

The role of thrombolytics in acute and chronic occlusion of the hand

In keeping with much of this edition of the Hand Clinics journal, this article accurately and appropriately sets out the background, epidemiology and current approach to management of acute and chronic upper limb ischaemia. The background sections ease the reader...