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When a patient asks for your insurance details…

Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...

How I Do It - Treating melasma and PIH

Melasma and post-inflammatory hyperpigmentation (PIH) are among the most common skin disorders in society with prevalence of up to 50% in some populations. Melasma is more prevalent among females and also among those with darker skin types III–V on the...

OPINION - Who should decide the qualification to do cosmetic surgery?

In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

The beauty of Instagram reels

Alan S Adams, award-winning business coach and author, and Director of The Clinic Coach, explores why aesthetic clinics need to be utilising Instagram Reels in 2023, and how this can lead to ultimate business success. With Instagram declared the most...

A world-first in cosmetic surgery. All eyes are upon Australia.

The past three years have been tumultuous for cosmetic surgery in Australia. Media reporting on the poor practise of a small number of medical practitioners led to multiple administrative processes including the Independent review of the regulation of medical practitioners...

RESPONSE – Who should decide the qualification to do cosmetic surgery?

Patrick Tansley responds to a recent article featured in The PMFA Journal entitled ‘Who should decide the qualification to do cosmetic surgery?’ by Professor James D Frame (with an associated editorial comment by Professor Andrew Burd). When asked to comment...

Allergic eyelid dermatitis

This is a retrospective 12 year review of 61 patients diagnosed with periocular allergic dermatitis. The average age was 66 years, with 74% being female. The commonest indications for referral were epiphora, ectropion and blepharitis; and the main symptoms were...

Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel

Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...

Is sclerotherapy useful for cherry angiomas?

Cherry angiomas are common, often proving to be an irritation for patients as they tend to be deemed cosmetically unattractive, particularly if large numbers start to develop. This is a common condition I see at my clinic so I am...

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...