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Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | PMFA - General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

Oral minoxidil: innovations in hair loss

15 August 2023 | | PMFA - Aesthetic Medicine
Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

In conversation with Fateh Ahmad

28 October 2022 | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
We spoke to Fateh Ahmad about his career in plastic & craniofacial surgery, advice to those new to the field and his new role as President of the RSM Section of Plastic Surgery Can you tell us a little bit...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

3 August 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial 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. The squaring of the lower third of the face can be an...

Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy

5 June 2017 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...

An update on BIA-ALCL

1 June 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

A ventral solution to a perineal problem: a case report

15 December 2022 | | PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

How I Do It - Performing a mastopexy or reduction using Breform™ mesh

1 August 2016 | | PMFA - Breast Surgery
Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

1 June 2015 | | PMFA - Facial Plastic Surgery
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

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...

Botulinum toxin type A for the treatment of allergic & idiopathic rhinitis: The Aller-Tox™ method

17 April 2025 | | PMFA - Maxillofacial Surgery, PMFA - Aesthetic Medicine
Hay fever provides a significant burden on the NHS, according to NHS data, approximately 20% of UK residents are hay fever sufferers. Around one fifth of these patients with allergies struggle with the fear of a possible asthma attack [1]....