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­Immediate planned reconstruction following complex craniofacial reconstruction

The immediate reconstruction of 3-D craniofacial defects is extremely difficult and can be more difficult than the ablation. Perfect shape and symmetry is required. In the past decade this has largely improved with CAD/CAM engineering. The authors report a one-step...

Combination therapy for PIH in skin of colour

Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...

Reversing signs of skin ageing with topical retinoids

The reversal of the signs of ageing / aged skin is an important component of any form of facial surgery. The authors here have written a comprehensive paper detailing the biological process in skin ageing and role of topical retinoid...

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...

How I Do It - Rejuvenation of the jowls and neck: a combination approach with ‘Radiopeel’

Cutaneous ageing of the jowls and neck gives rise to a combination of multiple symptoms – skin laxity, sagging, wrinkles, dyspigmentation, and textural and volumetric changes to the skin. A single symptom can often be dealt with by a single...

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...

How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential

A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...

In conversation with Dr Suzan Obagi

We caught up with famous cosmetic dermatologist Dr Suzan Obagi following her visit to the UK this summer. Dr Suzan Obagi You are one of the foremost cosmetic surgeons / dermatologists in the United States – can you tell us...

Publish or perish

Most doctors have submitted papers and very rarely is the paper accepted outright. In fact the majority are not accepted initially. Not to worry, you are in good company. Only 9% of 6000 manuscripts submitted annually to the Journal of...

The REAL Clinic: the sustainable building and running of a new clinic

Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling

Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...

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...