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Reconstruction of the Head and Neck - a defect-orientated approach

8 October 2014 | | PMFA - Maxillofacial Surgery
Head and neck reconstruction following removal of oncological disease or trauma is the most varied and challenging surgery performed in the world. Techniques range from rotational flaps to free tissue transfer and microvascular anastomosis. All are covered in this textbook....

Perceptions and deceptions: a personal blog by the editor 14 December 2016

14 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...

The flora of Culloden Field: Healing plants of a wounded land

2 June 2025 | | PMFA - General
The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

7 February 2022 |
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

How I Do It - Innovative delivery devices: Juvapen

1 August 2017 | | PMFA - Aesthetic Medicine
The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...

How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | PMFA - Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

How I Do It - Lip augmentation: lip tenting technique

5 August 2020 | | PMFA - Aesthetic Medicine
Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...

How I Do It - The non-surgical rhinoplasty

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...

‘Split’ earlobe repair

31 March 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

In Conversation with Dr Tristan Mehta

9 May 2024 | PMFA - Aesthetic Medicine
We were pleased to have the opportunity to speak to Dr Tristan Mehta, Founder and CEO of Harley Academy, a leading postgraduate training provider of higher education in aesthetic medicine within the UK. Dr Tristan Mehta. What led you to...

Lip lift with bull-horn flap for lip and nasal reconstruction

23 May 2024 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...

Comment in response to Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

26 April 2016
We have what is called a third table list....small cases under local or regional anesthesia...there was an 8 yr old girl with a diffuse, non pinchable swelling in the chin area. After confirming it was not vascular, we decided for...