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Melasma treatment – what have we achieved in 42 years?

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

The gender affirmation surgery MDT

1 February 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

CUT AND RUN: The European Society of Plastic, Reconstructive and Aesthetic Surgeons (ESPRAS) highlights Gen Z's worrying exodus to private practice

26 March 2025 | industry, private sector, espras
A new study has highlighted the impact of Gen Z on the surgical workforce, who are driving a worrying change as they move away from reconstructive surgery in favour of lucrative opportunities in the aesthetics sector. Gen Z are those...

Plastic surgery trainees’ exposure to cosmetic surgery during training

2 February 2019 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty, PMFA - Breast Surgery
Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...

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.

Breast reconstruction – techniques from a plastic surgery perspective

3 October 2022 | | PMFA - CPD, PMFA - Breast Surgery, PMFA - General Plastic Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Breast reconstruction following breast cancer surgery has positive physical and psychosocial health...

Cutting it fine online: social media and reputation management on the web

1 August 2014 | | PMFA - Aesthetic Medicine
Social media is an amazing tool which, in its finest form, can be utilised to heighten your profile, increase brand awareness, promote your services, and fruitfully interact with colleagues, patients and the public. It is important, however, to remember that...

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

5 October 2016 |
And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

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 - 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 - Anti-ageing focus: Combination therapy for treating the ageing neck

2 June 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | PMFA - General Plastic Surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...