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Threads in rhinoplasty: to thread or not to thread?

3 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...

The creation of PlayDoh® models as an educational tool for teaching anatomy of the lips and peri-oral musculature

4 February 2021 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
As lip procedures continue to be popular it is essential that all practitioners have a detailed knowledge of the anatomy of the area. The authors outline an innovative and engaging method of teaching. Detailed knowledge of the soft tissue anatomy...

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.

‘Split’ earlobe repair

31 March 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

The gender affirmation surgery MDT

1 February 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Plastic surgery and safety issues: a patient perspective

12 October 2021 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...

Encouraging results on treating thinning hair with PRP

1 April 2015 | | PMFA - Aesthetic Medicine
Over the last few years platelet rich plasma (PRP) has made a big splash in the aesthetics world causing much excitement. It has been used for skin rejuvenation, softening lines and wrinkles, as part of an anti-ageing process. With the...

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

15 June 2016 |
It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

The golden nose – reshaping the nose 100 years ago

30 May 2023 | | PMFA - Aesthetic Medicine
Wolf Lűbbers (with the golden nose). Who with a crooked nose would not embrace the chance to go to bed in the evening wearing a surgical device and wake up the following morning with a straight one? And all this...

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

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...

How I Do It - Single session of 1064nm picosecond laser for ephelides

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...