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How I Do It - Peri-orbital rejuvenation using HA fillers

The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Rediscovering the Lost Art of Endonasal Rhinoplasty

The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Recognising the key tear trough ligaments

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The anatomical understanding of the periorbital ligaments is critical for mastering tear...

A suggested management pathway for rhinophyma and benign superficial skin lesions that includes the use of plasma

Rhinophyma is an aesthetic embarrassment to many people. It is the result of sebaceous gland hyperplasia within the skin over the alar cartilages of the nose. It has a familial tendency and in addition to being unsightly it can commonly...

Perceptions and deceptions: a personal blog by the editor 21 November 2016

The new international word of the year for 2016 is ‘post-truth’. The term refers to the practice of appealing to emotion and personal beliefs rather than objective and verifiable truth when attempting to influence public opinion. Apparently, the usage of...

The New Doctors Contract NHS England – a brief summary

This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

The REAL Clinic: the sustainable building and running of a new clinic

Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Encouraging results on treating thinning hair with PRP

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...

The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

New IPL technology as treatment for melasma

Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...