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Cryolipolysis: a review of published clinical data

1 February 2016 | | PMFA - Aesthetic Medicine
Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...

Vascular complications Part 1: Prevention

7 October 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 first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

15 April 2016 |
This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong

15 November 2021 |
There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.

Letter from Hong Kong (6 January 2022)

6 January 2022 |
So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

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

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - 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)...

Peeling away the years: bespoke framework technique for using Definisse™ Peel Program from RELIFE in acne

4 December 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is the most common potentially scarring skin condition seen in dermatology and general practice. A recent network metanalysis [1] confirmed the efficacy of oral pharmacological therapies but questioned the consistency of effect of topical agents and peels. Factors...

The new era of advanced AI-powered aesthetics

4 December 2024 | | PMFA - Aesthetic Medicine
“AI is the most powerful technology force of our time.” Jensen Huang, Nvidia CEO. The 101 on AI Artificial intelligence (AI) is set to redefine our social, economic and healthcare infrastructure. Artificial intelligence represents machine learning designed to be intuitive...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

5 September 2023 | | PMFA - General Plastic Surgery
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

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...

An anecdotal and historical review of the median forehead flap

1 December 2016 | | PMFA - Facial Plastic Surgery
The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...