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How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

6 August 2025 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

Napoleon, Ghandi or Jobs: Who would lead today’s healthcare best?

6 August 2025 | | PMFA - General
Some leaders build empires. Others build people. And some tear the whole thing down to rebuild it better. The archetypes of power Leadership in healthcare is evolving. Traditional command-and-control structures are evolving into team-based, emotionally intelligent and adaptive approaches. Yet...

Sir Archibald McIndoe and the Guinea Pig Club

1 December 2013 | | PMFA - Facial Plastic Surgery
The early life of Sir Archibald McIndoe Archibald Hector McIndoe was born in Dunedin, New Zealand on 4th May, 1900. His father John was a printer and mother Mabel an artist. He was the second eldest child of four children....

How I Do It - Facial peeling using the Mask Professional non-invasive facial peel

10 October 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The dermatological benefits of vitamin A are well known for their positive impact on acne, pigmentation and anti-ageing / skin rejuvenation (fine lines and wrinkles) as it stimulates cell turnover. At Bodyvie we like to start our patients, when appropriate,...

How I Do It - Nose reshaping using advanced fillers

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

1 December 2015 | | PMFA - Dermatology, PMFA - General Plastic Surgery
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

How I Do It - Patient selection in aesthetic surgery

1 June 2014 | | PMFA - General Plastic Surgery
What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...

How I Do It - Treating cellulite: Cellfina

1 December 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Cellulite is characterised by the dimpling of the buttocks and thighs which causes an uneven texture of the skin surface. Worldwide, cellulite affects 84 million women. Causes of cellulite include genetics, sedentary lifestyle and weight gain. Cellfina targets the structural...

How I Do It - Neck rejuvenation with a multimodal approach: botulinum toxin and hyaluronic acid stable hybrid cooperative complexes

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Combination treatment with botulinum toxin and hyaluronic acid is the standard regimen in facial rejuvenation. However, in rejuvenating the ageing neck a multimodal approach is essential because many factors contribute to the ageing of the neck. In particular there are...

How I Do It - Combination treatment after nose trauma

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

How I Do It - Vaginal rejuvenation - Er:YAG laser therapy

1 October 2019 | | PMFA - Aesthetic Medicine
I began doing research in 2010 on vaginal laser tissue induction to achieve vaginal tightening and sexual enhancement. I started noticing an improvement of continence in patients who were leaking. I was very excited about the results and more than...