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A farcical attempt to uphold the law

4 June 2019 |
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...

Surgical management of refractory osteoradionecrosis

21 February 2020 | | PMFA - Maxillofacial Surgery
This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Liposuction – the evolution of the classical technique

1 April 2014 | | PMFA - Aesthetic Medicine
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

9 June 2016 |
Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

How I Do It - Treatment of pigmentation and melasma

6 April 2021 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

Revolutionising paediatric burn scar management: Unleashing the potential of stromal vascular fraction

6 August 2024 | | PMFA - Dermatology
Burn injuries often result in challenging scars that impact the aesthetic appearance and also pose functional and psychological concerns for the affected individuals. Traditional approaches to treating burn scars have primarily relied on skin grafts, requiring donor sites and often...

Treatment of striae utilising the Frax 1550™ on the Nordlys™ System

3 October 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

21 July 2021 |
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.

The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

1 December 2013 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...

Facial veins – diagnosis and treatment options

1 December 2018 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...