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A short overview of the evolution of botulinum toxin type A formulations

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

Tranexamic acid and platelet rich plasma in the treatment of melasma: efficacy and safety

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a common, acquired, progressive, often symmetrical macular hypermelanosis that is usually localised on the face and more frequently on the forehead, upper lip, central and malar area of the face. It is triggered by a variety of factors,...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

Focus: Opinions on regulation

1 June 2019 | | PMFA - Aesthetic Medicine
Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

10 October 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging
The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

Acid attacks: part 2

1 October 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The PMFA Journal Editor Andrew Burd continues with his exploration of the optimum treatment protocol for managing the devastating injuries wrought by acid attacks (see Part 1 here). In part one of this series I outlined the evolution of my...

Fat grafting the buttock: facts and myths

5 February 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

1 May 2019 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

The role of angiogenesis in wound healing, scarring and tissue regeneration

1 October 2014 | | PMFA - General Plastic Surgery
In the UK alone there are 175,000 people who visit Accident & Emergency departments with burns each year. This results in around 13,000 hospital admissions, of which 1000 are due to severe burns [1]. Over half of these admissions are...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Breast reduction in the older woman

1 December 2022 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Vascular complications part 2: management

7 December 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...