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How I Do It - Patient selection in aesthetic medicine

1 June 2014 | | PMFA - Aesthetic Medicine
After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

1 April 2016 | | PMFA - Oculoplastic
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

Skin dyspigmentation induced by triamcinolone injection treated with Nd:YAG picosecond laser in combination with polynucleotides

3 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Non-surgical rhinoplasty is a popular cosmetic procedure that involves the use of injectable fillers to improve the shape of the nose without surgery. There are many different materials available on the market such as hyaluronic acid, collagen stimulators, etc. Silicone...

Combination therapy for PIH in skin of colour

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...

Integrating lifestyle factors into aesthetic practice

19 March 2021 | | PMFA - Aesthetic Medicine
The COVID-19 pandemic will long be remembered as the most significant global disaster of recent times. As its effects have been observed and investigated there has been an increased focus and attention drawn to lifestyle and how this can impact...

Oral minoxidil: innovations in hair loss

15 August 2023 | | PMFA - Aesthetic Medicine
Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

Lip lift with bull-horn flap for lip and nasal reconstruction

23 May 2024 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...

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...

Ultrasound use in non-surgical, aesthetic medicine clinics

3 October 2023 | | PMFA - Aesthetic Medicine
The use of ultrasound in hospital settings is widespread, however, while the use in aesthetic clinics is in its infancy, it’s steadily increasing [1]. This rise in popularity is a result of an increased desire for safety and accuracy of...

Auricular reconstruction: flip-flop flap

1 June 2022 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

Choosing a 3D printer for reconstructive surgery

1 October 2016 | | PMFA - General Plastic Surgery
3D printing was first developed in the 1980s, but it wasn’t until the early 2010s that the additive manufacturing or 3D printing technology advanced enough to become available to those outside of specialist laboratories. 3D printing has also begun to...

Rejuvenation of the forehead: correction of the frontal concavity

1 June 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
During the ageing process, many different anatomical changes contribute to the aged appearance of the face [1]. Focusing on the forehead, typical age-related changes are regression of the hairline, solar damage, skin laxity, dynamic wrinkles, reduction of fat and bone...