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Facial rejuvenation with the Profound RF System

1 December 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Ageing of the face has become more noticeable among men and women in the modern world. The new work-from-home environment with more and more online meetings has created surroundings where people see themselves repeatedly on screen and therefore many have...

New IPL technology as treatment for melasma

12 October 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

How I Do It - Adipose tissue restoration in response to ageing

4 February 2025 | | PMFA - Aesthetic Medicine
The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

Bottoms up

1 November 2022 | PMFA - General Plastic Surgery
Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

Post-truth bogus science: Cosmetic surgical research concerns support the need for research integrity watchdog in Australia

17 April 2024 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
The post-truth phenomenon has become a worldwide problem. The absence of a research integrity watchdog in Australia is causing related concern in aesthetic surgery, with the risk of research misconduct being allowed to prosper and benefit vested commercial interests. We...

Fat grafting the buttock: facts and myths

5 February 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

The medial gastrocnemius flap

1 April 2017 | | PMFA - General Plastic Surgery
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

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.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

21 July 2021 |
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

6 June 2022 |
It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

Medical racism and the surgical ‘correction’ of the nose in Brazil

3 October 2023 | | PMFA - Facial Plastic Surgery
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

When a patient asks for your insurance details…

1 April 2015 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...