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Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

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

3 February 2023 | | PMFA - General Plastic Surgery
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....

Cellulite therapy in 2022 – new treatment options making grades for the new year

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
World-renowned dermatologist Michael H Gold introduces two of the newest FDA-approved modalities for the treatment of the common skin condition cellulite. Cellulite is one of the most common skin concerns for women. It is estimated that between 80-98% of women...

‘Rhinofiller’: non-surgical correction of the nose

1 April 2018 | | PMFA - CPD, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
Dr Agolli from Italy advocates the use of filler to quickly and easily achieve a non-surgical rhinoplasty without downtime for the patient. Cultural basis It is believed that Dante Alighieri was not a handsome man, probably because of his appearance,...

Plastic surgery and aesthetic medicine: specialties and specialists

1 February 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

12 July 2021 | | PMFA - Dermatology
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

The importance of nitric oxide in medicine

6 April 2021 | | PMFA - General Plastic Surgery
The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...

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

5 July 2022 | | PMFA - Aesthetic Medicine, PMFA - General Plastic 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...

Perceptions and Deceptions a personal blog by the editor 19 May 2016

19 May 2016 |
Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...

Perceptions and deceptions a personal blog by the editor 27 June 2016

27 June 2016 |
I left the last blog with the statement that Zoey had been unlawfully killed. That is a pretty bold statement to make when the legal verdict is death by misadventure. But that was not a verdict based on validated evidence....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 15) – Duty of Care

16 February 2022 |
Just to recap; I have been looking at the Reasons for Sentence in the case of HKSAR and Kwan Hau chi, Vanessa. The verdict had been declared: “guilty”. Now, on 4 October 2021, the Hon D’Almada Remedios J is going to present her review of the case and the factors she has taken into account when deciding the sentence. I am referring to an official document which is in the public domain. The case reference is HCCC 200/2018. It is a shameful document, but we must all share in that shame.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?