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Management of the thick skinned nose

5 October 2015 | | PMFA - Rhinoplasty
The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

Skin grafts vs local flaps in reconstruction of nasal defects

5 October 2015 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Face Eyes Nose 2014

15 May 2014 |
Non-surgical facial aesthetics symposium The non-surgical facial aesthetics symposium provided a stimulating and interesting programme, comprised of a faculty of expert consultant plastic surgeons & cosmetic doctors. The course director, Mr Rana Das Gupta commenced the day and introduced the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Treatment of facial subcutaneous fibrosis with hyaluronic acid

12 October 2021 | | PMFA - CPD
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. Systemic sclerosis (SSc) is a rare and chronic connective tissue disease (CTD)...

Perfecting the pout

31 March 2023 | | PMFA - Aesthetic Medicine
From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

How I Do It - Contouring the lower jaw (surgical)

1 October 2014 | | PMFA - Facial Plastic Surgery
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

Cord lining mesenchymal stem cell exosomal proteins and their effects on hair follicles

4 December 2023 | | PMFA - Aesthetic Medicine
Umbilical cord lining (UCL) mesenchymal stem cells (MSC) produce proteins and growth factors that, when packaged into exosomes in fixed proportions, can stimulate repair and regeneration in recipient cells. The pleiotropic properties of UCL-MSC have been shown to be effective...

The Need for Informed Opinions

2 May 2014 |
It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...

CO₂ laser treatment for burn scars

2 December 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...

IN RESPONSE TO: From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...