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OCT imaging of occluded puncta

1 June 2018 | | PMFA - Imaging, PMFA - Oculoplastic
This is a description of the use of enhanced depth optical coherence tomography (OCT) to see whether a patent ampulla or canaliculus is detectable in patients with absent or occluded puncta. Nine occluded puncta of six patients with epiphora were...

Is it time for cone-beam CTs to replace the traditional orthopantomogram in the primary diagnosis of temporomandibular joint disorders?

5 August 2014 | | PMFA - Maxillofacial Surgery | Cone beam computed tomography, Decision making, Diagnosis, Disorders, Temporomandibular joint, Temporomandibular joint, Female pattern hair loss, Fleur-de-lis
Cone-beam computed tomographic (CT) requires a lower dose of radiation compared to the multidetector CT and provides much more detailed information in 3D about the bony structures of the temporomandibular joint (TMJ) when compared to the traditional OPG. In this...

Three-dimensional visualisation of the human face using DICOM data

6 April 2016 | | PMFA - Facial Plastic Surgery
This is an extended case report and something I would not normally review for the purposes of PMFA News. However, we should welcome innovation and use of simple technologies to potentially improve clinical care. This study describes the use of...

Perceptions and Deceptions a personal blog by the editor 8 Apr 2016

8 April 2016 |
I want to post a question on the FB Group supporting the Junior Doctors over their David and Goliath fight with a juggernaut of blind, self-deceiving or just ignorant, elected members of Parliament. I should say that I am not...

How I Do It - Tear trough rejuvenation

1 June 2022 | | PMFA - Aesthetic Medicine
A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Multilayer midface rejuvenation

4 February 2025 | | PMFA - Aesthetic Medicine
The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | PMFA - Oculoplastic
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Patient selection in aesthetic medicine

1 June 2014 | | PMFA - Aesthetic Medicine
After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

4 December 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

How I Do It - A non-invasive approach to facial and neck rejuvenation

4 February 2025 | | PMFA - Aesthetic Medicine
The HoneyCombTM lift is a non-invasive solution for tightening and rejuvenating the face and neck using Fotona’s advanced SMOOTH® technology. By delivering precise thermal stimulation through HC6 optics and the T-Runner® scanner, this innovative procedure addresses skin laxity, fine lines,...

How I Do It - Micro laser coring: A cutting-edge approach to skin rejuvenation

2 June 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Micro laser coring is an advanced skin rejuvenation technique offering great precision, customisable treatment and effective skin remodelling. Using the Fotona F-Runner scanner with fractional Er:YAG laser energy, this procedure removes ultra-fine, 250µm wide micro columns of tissue through vaporisation,...