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Gross negligence manslaughter in healthcare: The medico-legal dilemma

13 October 2025 | | medico-legal, hypoxia, blog, Andrew Burd, Vanessa Kwan
Three years ago, I concluded a multi-part blog series looking at a case of gross negligence manslaughter in Hong Kong. The specific case related to a doctor who had operated on a patient who tragically died some 40 minutes after...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

14 January 2022 |
I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
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)...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

Fat grafting the buttock: facts and myths

5 February 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

Laser and light-based treatments for pigmented lesions

1 December 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

Melasma treatment – what have we achieved in 42 years?

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 3)

14 June 2021 |
14 June 2021 is the day in the Chinese calendar to celebrate the Dragon Boat Festival. These local holidays are a reminder of the deep cultural heritage enjoyed by the Chinese people.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 26) - Time To Sum Up

6 June 2022 |
It is a little over six months ago that I began these blogs and now I am beginning the stage of summing up.

Fractional laser treatment for medical skin diseases

5 June 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

1 June 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....

New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

9 December 2025 | technology, clinical practice, NHS, surgery, education
The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...