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How I Do It - Treating the lower face with HA fillers in elderly patients
Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...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.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...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 - 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...
Acute dacryocystic retention
This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is chararcterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...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...How I Do It - Wound closure
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...
