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Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

The Need for Informed Opinions

It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...

Coronavirus is making us better people

COVID-19 has brought unprecedented challenges to the world of aesthetic medicine. Simon and Emma Ravichandran offer their perspective on the crisis so far and look to the future. The impact of the coronavirus pandemic that started at the end of...

How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

­Plastic Surgery Volume 1: Principles

This volume thoroughly covers the basic principles of plastic surgery beginning with an overview of key developments as well as the innovative personalities and their contribution to the detailed history of this specialty. Whilst the next few chapters are principally...

Three-dimensional visualisation of the human face using DICOM data

This is an extended case report and something I would not normally review for the purposes of PMFA News. However, we should welcome innovation and use of simple technologies to potentially improve clinical care. This study describes the use of...

Higher dose neurotoxins – what’s new?

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. How can we achieve longer lasting results with neurotoxins? With a new...

OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector

On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Practising surgery in a war zone: an interview with Dr Volodymyr Melnyk

It is now nine months since the full-scale Russian invasion of Ukraine commenced in late February 2022, with Putin announcing a “special military operation” to “denazify and demilitarise” Ukraine. The rest of the world, however, saw it for what it...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Selection of full thickness skin graft donor site influences extent of contraction

Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...