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How I Do It - Skin tightening with bipolar radiofrequency system

Skin tightening procedures occupy an important place in the practice of aesthetic medicine. Physicians have a big choice of energy-based devices (EBD) and sometimes it is difficult to find the right one. Profound Personally, I prefer to use Profound which...

The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

Botulinum toxin type A for the treatment of allergic & idiopathic rhinitis: The Aller-Tox™ method

Hay fever provides a significant burden on the NHS, according to NHS data, approximately 20% of UK residents are hay fever sufferers. Around one fifth of these patients with allergies struggle with the fear of a possible asthma attack [1]....

How I Do It - Approaches to non-surgical face lifting

PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Skin biorevitalisation with hyaluronic acid

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. While Botulinum toxin A, dermal fillers, chemical peels and laser resurfacing are...

COVID-19 elective oculoplastic consent proforma

The advent of COVID-19 will continue to impose major adaptations in how we as surgeons practise and offer elective surgery going forward. In addition to how we try to adapt to make our practice as safe for the patient and our teams as...

Thread lifting – the fundamentals

"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...

Editor's comment on: RCSEd warning over NHS workforce survey results

The PMFA Journal co-editor, Andrew Burd, responds to the RCSEd warning issued in light of an NHS workforce survey results, which suggest that three-quarters of surgeons have considered an overseas move.

Acute dacryocystic retention

This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is chararcterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

Is the UK justice system colour blind?

The colour of justice is not blind in the UK. What I am going to say in this blog may not be popular but I am very troubled by certain facts that are being conveniently ignored. Before I knew the...