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How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

How I Do It - Body contouring: a combined, non-invasive protocol

2 December 2019 | | PMFA - Aesthetic Medicine
Non-invasive body contouring has become one of the fastest-growing areas of aesthetic medicine today. There are many approaches to reducing body fat tissue and improving skin laxity, such as cryolipolysis, high-intensity focused ultrasound, radiofrequency, and a variety of laser therapies....

How I Do It - Multilayer midface rejuvenation

4 February 2025 | | PMFA - Aesthetic Medicine
The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

Acid Survivors Trust International

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

Aye, Aye. AI?

26 November 2024 | | AI, editorial commentary, artificial intelligence, technology, ChatGPT, OpenAI
This is the first in a series of blogs where I look at artificial intelligence (AI) beyond the horizon. To do so, I must present the evidence that takes us to the horizon and then, using both experience and imagination,...

Global surgical crisis and Mercy Ships

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...

Rediscovering the Lost Art of Endonasal Rhinoplasty

1 October 2013 | | PMFA - 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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

6 June 2022 |
It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

In conversation with Professor David Sines

1 August 2018 | PMFA - Aesthetic Medicine, PMFA - Dermatology
In January 2016 a new voluntary regulatory register was established – the Joint Council for Cosmetic Practitioners (JCCP), chaired by Professor David Sines. Since that time the JCCP has met with challenges from many within the aesthetics industry. We spoke...

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...