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Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

12 November 2025 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Mid-facial augmentation with malar implants

5 June 2020 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
The authors guide us through facial augmentation using implants to restore volume and a youthful appearance. In today’s ‘selfie-obsessed’ culture, there is no other anatomical region which carries greater social prestige and importance, than a well-proportioned ‘youthful’ face. In particular,...

Autologous fat graft in scar treatment

11 February 2014 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...

In Conversation with Dr Wang Xiaolu

3 April 2024 | PMFA - Aesthetic Medicine, PMFA - Dermatology
We were delighted to interview Dr/Professor Wang Xiaolu, Founder and Chair of the International Medicine of Anti-aging & Aesthetics Congress (IMAAC ZIYALAN), about her background and plans for this year’s congress. What motivated you to participate in international medical aesthetics...

Medico-legal Forum (Botulinum toxin)

1 February 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question In 2014 a patient underwent treatment using abobotulinumtoxinA...

Perceptions and Deceptions: a personal blog by the editor 26 September 2016

26 September 2016 |
As I write this blog the noble few, the bold and brave few, are in the High Court in London presenting arguments to Judge. There is strong legal evidence to support a finding that the Right Honourable Jeremy Hunt has...

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....

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

1 June 2016 | | PMFA - Breast Surgery
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

How I Do It - Facial modification with Fotona Nd:YAG 1064nm laser

26 March 2024 | | PMFA - Aesthetic Medicine
The organic combination of Fotona Nd:YAG 1064nm laser second-level ultra-long pulse width piano mode and cold air can increase the penetration depth of the laser while protecting the epidermis from damage. At the same time, the high tolerance of high...