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How I Do It - Body contouring surgery using the body-jet

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

Stratifying preoperative risk in revision augmentation: the six Cs

1 February 2016 | | PMFA - Breast Surgery
Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Transgender breast surgery

2 December 2018 | | PMFA - General Plastic Surgery, PMFA - Breast Surgery, PMFA - Aesthetic Medicine
Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...

How I Do It - Single session of 1064nm picosecond laser for ephelides

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

How I Do It - Neck rejuvenation using Erbium-Yag laser technology

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Individuals with skin laxity and wrinkles around the neck area have, until recently, not had any successful non-invasive treatments available to improve this appearance of ageing around the neck area and upper chest. The Fotona SP Dynamis laser has a...

How I Do It - Treating acne and acne scarring in all skin types

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | PMFA - General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

How I Do It - Approaches to acne treatment: LED therapy

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

6 August 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

Body contouring surgery following massive weight loss

1 April 2014 | | PMFA - General Plastic Surgery
There are many different perceptions about what defines the term ‘overweight’. The reality is however that, for many, being overweight is a condition that brings with it significant health and social problems. It is estimated that almost two thirds of...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

1 June 2014 | | PMFA - Breast Surgery
The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....