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Perceptions and Deceptions: a personal blog by the editor 5 October 2016
And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...Focus on Plasma: Total rejuvenation of the face with plasma device
The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...
Sunscreens and their properties for skin protection
A highly relevant discussion on the many facets of photoageing, with a sound overview of different UV rays, supported by clear diagrams showing the penetration depth of different light wavelengths. The composition and some of the myths surrounding physical and...
Chemical peels: a review of types, applications and complications
Chemical peeling agents continue to grow in popularity in response to rising patient demand. The author captures this popular treatment modality with a succinct review of some of the commonly used ingredients, classified broadly by depth into superficial, medium and...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.Continuing personal development
“It is an interesting biological fact that all of us have, in our veins the exact same percentage of salt in our blood that exists in the ocean, and, therefore, we have salt in our blood, in our sweat, in...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...Recognising the key tear trough ligaments
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. The anatomical understanding of the periorbital ligaments is critical for mastering tear...How I Do It - Photoageing treatment: RF microneedling
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...
SPECT scans not justified in growth of the mandibular condyle
This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...
