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How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

A picture is worth a thousand words… communicating with your patients more effectively

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

How I Do It - Two-Point Eye Lift™: HA dermal fillers for infraorbital rejuvenation

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic
The key to maintaining a youthful appearance is often found in restoring a well-defined periorbital area, characterised by healthy tissue volume (fullness) in the infraorbital region and a clear eyelid crease devoid of excess skin. The use of hyaluronic acid...

Xanthelasma

1 April 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Although the lesion known as Xanthelasma was first described by Addison and Gall in 1851 [1] it was recorded some 300 years previously in the famous painting of the Mona Lisa by Leonardo da Vinci. In this painting, Leonardo da...

A Eulogy for James Partridge

3 September 2020 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
James Partridge died on 16 August 2020. He was a truly remarkable person and I would like to share my sadness at his passing and why I held him in such high personal esteem. We started life just a few...

Thermal injury and false eyelashes

1 April 2020 | | PMFA - CPD, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Dermatology, PMFA - Oculoplastic
Please Click here for the CPD Feedback form on this article The authors provide a case of cyanoacrylate glue causing a thermal burn on the eyelid and explain how this type of burn should be managed. The use of false...

Lipoedema awareness – the current state of play

5 September 2023 | | PMFA - General Plastic Surgery
Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...

Anatomy of the ageing lip

1 December 2016 | | PMFA - Aesthetic Medicine
With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus (see here for Part 2) on lips Dr...

The role of maxillomandibular advancement surgery in obstructive sleep apnoea

1 August 2014 | | PMFA - Maxillofacial Surgery
Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

6 December 2016 |
An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | PMFA - Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...