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The scandal of NHS contracts with the independent healthcare sector

20 August 2020 |
Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

How I Do It - Buttock augmentation

19 July 2021 | | PMFA - General Plastic Surgery, PMFA - Aesthetic Medicine, PMFA - 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...

How I Do It - Treatment of pigmentation and melasma

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

How I Do It - The original Blue Peel

1 August 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

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...

Temple restoration

1 October 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

6 August 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

The applications of mesotherapy in aesthetic medicine

10 October 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Mesotherapy is a modern form of therapy that consists of injecting medicines, vitamins and minerals as close as possible to the area that needs treatment. It is an astonishingly effective technique in aesthetic medicine as it treats layers of the...

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...

Letter from Hong Kong (21 April 2020)

22 April 2020 |
The PMFA Journal co-editor Andrew Burd looks at the impact of SARS on plastic surgery in Hong Kong.

Medical racism and the surgical ‘correction’ of the nose in Brazil

3 October 2023 | | PMFA - Facial Plastic Surgery
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Dermoscopy: an update and personal view

1 April 2018 | | PMFA - Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...