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Part four: Aye, Aye. AI?

9 April 2025 | | AI, clinical guidelines, good practice, technology, artificial intelligence, oncology, melanoma, cosmetic, aesthetic surgery
“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

1 December 2015 | | PMFA - General Plastic Surgery
This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

Masculinising chest wall surgery (‘top surgery’)

31 March 2023 | | PMFA - CPD, PMFA - General Plastic Surgery
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. In this feature article, we discuss our experience in masculinising chest wall...

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,...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

2 February 2024 | | PMFA - Oculoplastic
The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

The truth behind facelift myths

1 February 2019 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
As the number of non-surgical options to treat the ageing face has increased in recent years, so have the number of myths about facelift surgery. This article, from two expert facial plastic surgeons from Stanford Hospital in California, provides the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

4 November 2021 |
I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

26 January 2022 |
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

How I Do It - Non-surgical blepharoplasty using Plasma Elite® technology

7 October 2020 | | PMFA - Aesthetic Medicine
What is plasma? Plasma is produced when an electrical energy is charged or overheated, leading to a dissociation of molecular bonds and the production of a plasma arc. The arc delivers energy to the cell membrane, causing sublimation, changing a...

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...