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Letter from Hong Kong (17 December 2020)
This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.The gender affirmation surgery MDT
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...Perceptions and Deceptions a personal blog by the editor 15 June 2016
It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...How I Do It - Reduction thyroplasty
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...How I Do It - Adipose tissue restoration in response to ageing
The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield
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...Introducing ReSurge Africa
I have just stepped down from the chairmanship of the charity ReSurge Africa. First of all a bit of background... This charity was founded in 1992 by JC Mustarde, a well known ophthalmic plastic surgeon, working at Canniesburn Plastic Surgery...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...A short overview of the evolution of botulinum toxin type A formulations
Botulinum toxin type A (BoNT-A) is a potent neurotoxin produced by the bacterium Clostridium botulinum [1]. BoNT-A has been used for various therapeutic and aesthetic purposes, including the treatment of muscle disorders, chronic pain and facial wrinkles [2-4]. Over the...
