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Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

1 December 2013 | | Breast Surgery | Breast reconstruction, DIEP, Fleur-de-lis
With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...

Recognising the key tear trough ligaments

3 October 2022 | | Aesthetic Medicine, Facial Plastic Surgery, Oculoplastics, CPD - The PMFA Journal
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 anatomical understanding of the periorbital ligaments is critical for mastering tear...

Reconstruction of complex wounds in the trunk and pelvis (part 1)

1 August 2017 | | General Plastic Surgery
This is the first part of a two-part article looking at the challenges of reconstruction of complex defects in the torso. The articles are based on a presentation given at the World Union of Wound Healing Societies held in Yokohama...

Could epidermal grafting be the solution to vitiligo?

1 February 2017 | | Dermatology
Dr Foutsizoglou shares his thoughts on a recent innovation based on epidermal grafting that could be used on vitiligo patients. I attended the ‘Make Better Summit Meeting’, an international surgical congress organised by Acelity™ and chaired by Professor Dr med....

Non-surgical neck rejuvenation – how effective can it get?

11 September 2023
BY DR. PATCHANON ASAWAWORARIT The aging neck undergoes several complex changes as a part of the aging process. These multifaceted changes include physiological adjustments at skin, fat, muscle, and bone levels. Aging causes thinning of the skin, a decrease in...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

3 August 2021 | | Aesthetic Medicine, Facial Plastic Surgery, Maxillofacial Surgery, CPD - The PMFA Journal
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...

Facial aesthetics and orthognathic surgery

1 April 2014 | | Maxillofacial Surgery, Dentistry
Most maxillofacial procedures have an aesthetic element. Reconstructive procedures and surgery to correct congenital abnormalities such as cleft lip have an obvious aesthetic impact. When making surgical incisions for access to the underlying facial skeleton consideration will be made to...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

3 August 2021 | | Aesthetic Medicine, Oculoplastics, Dermatology
Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | 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...

COVID-19: plastic surgeons on the front line

7 May 2020 | COVID-19 - The PMFA Journal, ONLINE EXCLUSIVE ARTICLES
riting, I am now halfway through my second set of 12-hour shifts on our COVID admitting ward. As this crisis loomed, our hospital shut down elective services and drafted in all staff to support the expected surge of ill patients....

Regulation of non-surgical cosmetic interventions

2 December 2019 | | Aesthetic Medicine, Dermatology, General Plastic Surgery
As Paul Harris and Mark Henley discussed in a previous article (see here), certification of cosmetic surgery is being encouraged. Sally Taber, from the JCCP, outlines why non-surgical cosmetic interventions are arguably more urgently in need of effective regulation. Regulation...

Liquid polycaprolactone collagen stimulator for natural facial anti-ageing

1 June 2023 | | Aesthetic Medicine, Dermatology
Skin ageing is influenced by genetics, environmental exposure, hormonal changes and metabolic processes. With ageing, the supple skin of youth becomes thinned and flattened, with loss of elasticity and architectural regularity. Atrophy of the extracellular matrix is reflected by the...