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Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Polynucleotides: A scientific explanation

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. Introduction and background This article offers an objective analysis of a new...

CO₂ laser treatment for burn scars

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...

A farcical attempt to uphold the law

I read in the paper last week that an 86-year-old plastic surgeon, Franklin Li, was being charged with 21 offences that were associated with the death of a top Hong Kong banker, Zoe Cheung, in a beauty clinic in Tsim...

Long-term results of lateral brow suspension

The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...

Stability of lateral canthal position following endoscopic forehead-midface-lift

The paper is a retrospective study of the changes on the lateral canthal area following endoscopic forehead-midface-lift in a series of 40 patients operated by the same surgeon. Four different parameters (horizontal width, vertical height, palpebral fissure width and angle...

Alar retraction – background and handling

The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 27) - Time To Sum Up (cont.)

I have made a breakthrough. I have now determined the voice of the book. The target audience will be students of The Law and of Medicine.

Gender Affirmation – Medical & Surgical Perspectives

This book is one of the few, well-written books aimed at clinicians and surgeons with an interest in the field of gender affirmation (reassignment). It is concise and comprehensive. The authors of the chapters are international leaders in their respective...

Ethnic Considerations in Facial Plastic Surgery

If you are struggling to address the wide variety of ethnic considerations in your multi-ethnic patient population you could consider a world tour of expert centres, although your carbon footprint might not look smart and your Amex may be burdened....

Reconstructing large heel defects

A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...