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Use of 50% TCA peeling with CROSS technique for the treatment of atrophic acne scars

10 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Atrophic acne scars (ice pick, boxcar and rolling scars) are a common complication of acne and may significantly impair patients’ quality of life. Several treatment options for acne scarring have been proposed; among them, the localised application of high-concentration trichloroacetic...

Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

1 December 2013 | | PMFA - Breast Surgery
With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...

First signs of late nodal metastases

1 August 2017 | | PMFA - Maxillofacial Surgery
This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

How I Do It - Using Nd:Yag laser for correction of vascular anomalies

14 November 2023 | | PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests and...

Chin augmentation: filler versus prosthesis

1 August 2016 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

In conversation with Ahmed Ali-Khan

16 July 2025 | PMFA - General Plastic Surgery, PMFA - Aesthetic Medicine
The PMFA team were delighted to chat to Ahmed Ali-Khan about his career in plastic surgery and his involvement in BAAPS Support. Can you tell us a little bit about what led you into the field of plastic surgery and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

21 March 2022 |
The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

31 May 2021 |
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

24 May 2022 |
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

How I Do It - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

How to establish a successful practice in aesthetic medicine

1 February 2015 | | PMFA - Aesthetic Medicine
It is no secret that today’s aesthetic patients tend to seek non-invasive, non-surgical solutions as opposed to invasive treatments. According to the latest statistics published by the American Society of Aesthetic Plastic Surgery (www.surgery.org), there were over 11 million surgical...