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How I Do It - Performing a mastopexy or reduction using Breform™ mesh
Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...
All about velopharyngeal dysfunction
The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...
Purse string closure after excision of paediatric facial lesions
Circular excision and purse-string closure has been described for infantile haemangiomas as an alternative to lenticular excision. Records of 77 consecutive paediatric patients with facial skin lesions treated with circular excision and purse-string closure from 2007-2014 were reviewed. Lesions excised...Temple restoration
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...Fat grafting the buttock: facts and myths
Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.The importance of continuing professional development in rhinoplasty
The PMFA Journal team invited two world-renowned rhinoplasty surgeons to reflect on the importance of life-long learning in their chosen specialty. The vital role of continuous surgical training in rhinoplasty By Pietro Palma Rhinoplasty can be a most rewarding operation...Auricular reconstruction: flip-flop flap
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...
Approach to the orbital floor, which is better?
During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...Facial nerve palsy and Facial Palsy UK
The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex
The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...
Is columellar strut necessary in primary rhinoplasty
This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...
