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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.

Medico-legal forum (VASEP liposuction)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question The patient underwent VASER to the abdomen and...

Natural regression of brow heaviness in thyroid eye disease

This is a retrospective review of the change over time in the sub-brow fat volume in 104 patients with thyroid eye disease. Standardised photographs taken at diagnosis were compared with those taken after an average period of 10 years (+/-...

Nurse Practitioner joins Teoxane UK as product specialist for South Wales & the Southwest

Leading global dermal filler and dermocosmetics brand Teoxane has announced the appointment of experienced Nurse Practitioner Rachael Grey-Smart as Product Specialist for South Wales & the Southwest.

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...

OPINION – Cosmetic surgery: a difficult reality with a simple solution

On 1 September 2022, an Independent Review released its long-awaited Report into Cosmetic Surgery in Australia [1]. Its key recommendation reflected the sentiment of our new, peer-reviewed, paper in the American Journal of Cosmetic Surgery entitled ‘Cosmetic Surgery Regulation in...

Burns care in India: unique and continuing challenges

The author interviews Dr Shobha Chamania, Chief of Choithram Hospital Burn Unit, to obtain an insight into the unique challenges burns care practitioners face in India. Choithram Hospital Burn Unit is an Interburns accredited training centre located in Indore City,...

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

How I Do It - Approaches to non-surgical face lifting

PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

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

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 - Lip augmentation: lip tenting technique

Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...