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A short overview of the evolution of botulinum toxin type A formulations

Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...

The medial gastrocnemius flap

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...

Thread lifting – the fundamentals

"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...

Unveiling Sculpt&Shape: revolutionizing aesthetic treatments

Sculpt&Shape represents a breakthrough in radiofrequency technology, meticulously designed to...

Face to Face – facial reconstructive surgery mission in Ukraine

Photo featuring Ivanna Nebor, MD, Vitaliy Panchenko, MD, Manoj Abraham, MD, John Frodel, MD, Augustine Moscatello, MD, Gregoriy Mashkevich, MD, Bruce Moskowitz, MD, Ryan Winters, MD, Boris Chernobilski, MD, Mykola Syniuk, MD, Serhiy Spivak, MD. In April 2023, a group...

How I Do It - Treating the lower face with HA fillers in elderly patients

Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

Temple restoration

The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

Why I don’t trust the BMA – and why it matters – 24 January 2017

Editors Note: This is a guest blog from Ankush Dhariwal. It is a personal opinion and posting it on the PMFA News website is not an endorsement of the opinions. However, for those working in the NHS, and in the...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

How I Do It - Hyperdilute CaHA for the ageing neck

Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...