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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...

How I Do It - Using Nd:Yag laser for correction of vascular anomalies

14 November 2023 | | PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests and...

How I Do It - Surgical upper lip lift

4 December 2023 | | PMFA - Facial 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. The shape and volume of the lips are highly significant features when...

How I Do It - Auricular reconstruction: Helical advancement flap

2 June 2025 | | PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

5 Reasons why before & after photos are everything in any aesthetics business

13 March 2020 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Images have a heavy weight across online platforms and it’s no different for aesthetics businesses. You can have years of experience, certificates of the most prestigious courses, the latest equipment and high-quality products but none of them will be as...

Virtual learning post lockdown

10 July 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The rapid onset and intensity of the COVID-19 pandemic has required some radical changes in most areas of our professional lives, including a chance to update traditional approaches to learning. Virtual learning is the use of remote video conferencing software,...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Is patient masking leading to an increase in post-op infection after eyelid surgery?

21 October 2020 | | PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...

Sushruta and Indian rhinoplasty

25 August 2021 | | PMFA - Rhinoplasty
Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

Stem cells in reconstructive surgery: a bright but cautious future

12 October 2021 | | PMFA - General Plastic Surgery
Regenerative medicine using stem cell technology is slowly becoming a reality in routine clinical practice especially in the field of tissue regeneration [1]. It is therefore not surprising that stem cell technology is starting to be of interest in reconstructive...

Auricular reconstruction: star-pattern reconstruction

30 March 2022 | | PMFA - Facial Plastic Surgery
We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

OPINION - Influencers affect us all: but are they as good as we think?

16 May 2022 | | PMFA - General Plastic Surgery
Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...