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Debate: cannulas vs. needles - Needles

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

Cautions, contraindications and complications in aesthetics

5 August 2020 | | PMFA - Aesthetic Medicine
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

‘Split’ earlobe repair

31 March 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

CO₂ laser treatment for burn scars

2 December 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | PMFA - Rhinoplasty
Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

An epidemic of lower limb gunshot injuries

18 June 2020 | | PMFA - General Plastic Surgery
As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

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...

Could a technology from the past change skin disinfection for the future?

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...

Focus on: Cosmeceuticals (part 2 - continued)

1 June 2016 | | PMFA - Aesthetic Medicine
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

Photorejuvenation: Light & Bright™ treatment for enhanced skin quality

4 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Improving skin quality has emerged as a significant trend in recent years, driven by the synergy between at-home skincare routines and diverse aesthetic procedures administered by medical professionals. With sun-induced skin damage manifesting early in life, there’s a surging demand...

How I Do It - Congenital midline cervical cleft excision and reconstruction

29 June 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

An overview of chemical peels

1 August 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Chemical peels form an important part of most aesthetic and cosmetic practices. They are an affordable procedure for patients and significant results can be achieved. Generally chemical peels are a safe procedure, but only if used correctly and with caution....