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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

26 January 2022 |
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

How I Do It - Skin peeling

1 August 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

How I Do It - Combination treatment of acne vulgaris

1 August 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

3D photography in facial rejuvenation

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

3 June 2024 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

In conversation with Dr Emanuele Bartoletti (2020)

19 May 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General
We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME) about his background, the society and the challenges of COVID-19. Dr Emanuele Bartoletti. You have been involved in plastic surgery and aesthetic...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

3 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Hand & Wrist Surgery
When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

Can 3D facial imaging improve patient management in disfiguring eye disease?

1 August 2015 | | PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fight for Sight is the leading UK charity funder of eye research. Since the 2013 Sight Loss and Vision Priority Setting Partnership we have encouraged our researchers to work on priorities jointly identified by people affected by sight loss and...

Platelet-based aesthetic therapies – to science from fiction

1 March 2018 | | PMFA - Aesthetic Medicine
The author provides an overview of the theory behind platelet rich plasma and summarises the published evidence for its use in aesthetic treatments. Platelet-based treatments, commonly referred to collectively as platelet rich plasma (PRP), have been proposed and advocated for...

OPINION - Who should decide the qualification to do cosmetic surgery?

5 July 2022 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

1 June 2022 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine
The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...