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Making the most of the temporalis fascia graft in open rhinoplasty: an innovative technique with outcomes of 2000 cases over a 15-year period

2 June 2021 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Rhinoplasty
The authors present a technique that increases the surface area of a temporalis fascia graft when used to provide smooth, dorsal coverage in cases of open tip rhinoplasty. Numerous graft materials have been developed for use in rhinoplasty procedures in...

Handy Solutions

1 October 2013 | | PMFA - Hand & Wrist Surgery
Very few people, if any, enjoy the ravages associated with the ageing process. Apoptosis (programmed cell death) occurs throughout life, but for some unknown reason (possibly associated with epigenetics) cellular replacement and therefore matrix volume decreases. The result is that...

Aura: Redefining Precision in Aesthetic Consultations through Digital Twin Technology

1 December 2025 | Research & Development
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...

Lymph node ratio – another predictor of outcomes in tongue SCC

1 August 2017 | | PMFA - Maxillofacial Surgery
Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Risk factors for loco regional recurrence for oral SCC

1 April 2018 | | PMFA - Maxillofacial Surgery
Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

The medial gastrocnemius flap

1 April 2017 | | PMFA - General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

Part three: Aye, Aye. AI?

26 March 2025 | | AI, clinical guidelines, good practice, oncology, melanoma, cosmetic, aesthetic surgery
I wonder whether we should use the term 'augmented intelligence' rather than 'artificial intelligence'. I say this because at this moment in our evolution, artificial intelligence (AI) always begins with human intelligence. In this blog, I want to examine how...

Malignant melanoma, stress and cosmetic surgery

18 February 2026 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - General Plastic Surgery
The epidemiology of cutaneous malignant melanoma (CMM) continues to evolve [1]. Whilst there has been a small but steady increase in incidence of the tumour there has been a significant decrease in lethality. There are several reasons for this; public...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

Body contouring surgery following massive weight loss

1 April 2014 | | PMFA - General Plastic Surgery
There are many different perceptions about what defines the term ‘overweight’. The reality is however that, for many, being overweight is a condition that brings with it significant health and social problems. It is estimated that almost two thirds of...