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How I Do It - How to ‘best-buddy’ strap fingers

3 April 2025 | | PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

Platelet-based aesthetic therapies – to science from fiction

1 March 2018 | | PMFA - Aesthetic Medicine
The author provides an overview of the theory behind platelet rich plasma and summarises the published evidence for its use in aesthetic treatments. Platelet-based treatments, commonly referred to collectively as platelet rich plasma (PRP), have been proposed and advocated for...

Breast reconstruction – techniques from a plastic surgery perspective

3 October 2022 | | PMFA - CPD, PMFA - Breast Surgery, 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. Breast reconstruction following breast cancer surgery has positive physical and psychosocial health...

The use of electrolysis in acne treatment – sebaceous gland ablation

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Sebaceous gland ablation (SGA) offers a long-term solution to persistent acne. This is an exciting new treatment which is bringing hope to acne sufferers everywhere. What is acne? Acne is an unsightly skin condition which causes thickening and inflammation of...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

31 May 2021 |
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

1 December 2016 | | PMFA - Hand & Wrist Surgery
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

How I Do It - Postoperative care following aesthetic breast surgery – treatment of capsular contracture with Celluma low level light therapy

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - Breast Surgery, PMFA - General Plastic Surgery
Breast augmentation is one of the most popular cosmetic surgical procedures performed in the world. Capsular contracture is a common complication and major contributor to dissatisfaction. It is thought to be due to a chronic inflammatory process in the implant...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

Focus on: Cosmeceuticals (part 2 - continued)

1 June 2016 | | PMFA - Aesthetic Medicine
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

Durjoy – the Hong Kong story

1 August 2014 | | PMFA - General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

5 Reasons why before & after photos are everything in any aesthetics business

13 March 2020 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Images have a heavy weight across online platforms and it’s no different for aesthetics businesses. You can have years of experience, certificates of the most prestigious courses, the latest equipment and high-quality products but none of them will be as...

Using growth factors in skincare protocols to elevate patient results

4 December 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
All patients embarking on an aesthetic journey should be introduced to the importance of skin and why a healthy skin canvas is fundamental in producing the best possible surgical and non-surgical results. Investing in a carefully curated skincare regime can...