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Revirgination is not the same as hymenoplasty

1 February 2016 | | General Plastic Surgery
The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

How I Do It - Laser-assisted submental liposuction

1 February 2018 | | Aesthetic Medicine, Dermatology
The author shares a low risk, minimally invasive procedure that offers excellent aesthetic results. Liposuction of the submental and jowl regions is a low risk outpatient procedure that gives a profound aesthetic result. Since the late 1960s, the techniques have...

Medico-legal Forum (Laser/Polydioxanone)

1 June 2017 | Aesthetic Medicine, Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

How I Do It - Buttock augmentation

19 July 2021 | | General Plastic Surgery, Aesthetic Medicine, ONLINE EXCLUSIVE ARTICLES
Buttock augmentation is a popular treatment in high demand in South America. As in all aesthetic treatments, gluteal enhancement is not free from risks. Practitioners looking to expand into the gluteal area should know the gluteal anatomy, and they also...

COVID-19: thoughts from an Edinburgh plastic surgeon

5 June 2020 | | General Plastic Surgery, COVID-19 - The PMFA Journal
The COVID-19 pandemic has affected almost every aspect of life. Ken Stewart, Consultant Plastic Surgeon and Special Advisor for The PMFA Journal, outlines for us how his own plastic surgery department has adapted to the crisis. What did you do...

Patient-Specific Hybrid Rhinoplasty

1 February 2014 | | Facial Plastic Surgery, Rhinoplasty
Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

7 February 2022 |
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Cleft lip and palate care in low resource countries

2 December 2019 | | General Plastic Surgery
The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...

Plastic surgery and aesthetic medicine: specialties and specialists

1 February 2015 | | Aesthetic Medicine, Dermatology, Facial Plastic Surgery, General Plastic Surgery
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | Breast Surgery, General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | Aesthetic Medicine, Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...