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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.

The Art of Aesthetic Surgery, Principles and Techniques, Third Edition

General review Immediately you sense a class act as the transparent cellophane membrane surrounding the book, beautifully adorned by the ‘Three Graces’ painting, is removed and the non-slip textured feel of the hard cover is exposed. This surface prevents the...

How I Do It - Performing a mastopexy or reduction using Breform™ mesh

Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...

The Linear Bolus Technique and other practical tips for the advanced use of non-traumatic cannulas in aesthetic medicine

Some eight years ago, I read about non-traumatic cannulas in the brochure of a French medical supplies company. I was fascinated by the elegance of these instruments, as they respect the integrity of the tissues by not cutting through them....

Wound moisture sensing in traumatic wounds

Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....

5 Reasons why before & after photos are everything in any aesthetics business

Images have a heavy weight across online platforms and it’s no different for aesthetics businesses. You can have years of experience, certificates of the most prestigious courses, the latest equipment and high-quality products but none of them will be as...

Is patient masking leading to an increase in post-op infection after eyelid surgery?

Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...

Sushruta and Indian rhinoplasty

Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

Burnout: is this just a pandemic phenomenon?

The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

Is rhinoplasty still a plastic surgery procedure?

As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...