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Laser tattoo removal

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The authors, experts in dermatologic laser surgery, provide us with a comprehensive review on the use of lasers for tattoo removal. The advanced development in laser devices that can be used for tattoo removal has helped patients and clinicians attain...

The importance of nitric oxide in medicine

6 April 2021 | | PMFA - General Plastic Surgery
The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...

A comparison of academic output of Welsh burns and plastic surgery trainees pre- and mid-COVID-19 pandemic: a cross-sectional study

3 February 2023 | | PMFA - General Plastic Surgery
The COVID-19 pandemic has affected the work of doctors worldwide, with surgical resources being diverted and non-emergency surgeries postponed. With surgical activity at 33.6% of expected levels in 2020, this sudden, vast decrease in surgical activity may have granted some...

One-point tear trough correction

1 October 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
The authors provide an expert guide to the use of hyaluronic acid dermal fillers to rejuvenate the periorbital area. One of the early signs of periorbital ageing are dark circles around the eye, with patients complaining of a fatigued appearance....

Success rates of primary and revision transcanalicular DCR surgery

5 August 2014 | | PMFA - Oculoplastic
Transcanalicular laser dacro cysto rhinostomy (DCR) is a relatively rare procedure compared to more conventional external or endonasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser DCR (TCDL DCR), comparing a...

Lymphatic microsurgery to treat lymphoedema

1 October 2013 | | PMFA - General Plastic Surgery
The authors discuss the role of surgery to manage primary and secondary lymphoedema in patients whose lymphoedema has not been controlled by standard conservative measures and whose symptoms are worsening. There is a brief discussion of the relevant investigations and...

How I Do It - Auricular reconstruction: Helical advancement flap

2 June 2025 | | PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

6 December 2016 |
An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | PMFA - Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

How I Do It - Otoplasty

1 February 2017 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Approaches to lip augmentation: surgical lip lift

1 October 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...