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What’s new on the horizon for toxins coming to the market?

With the ever increasing demand for injectable treatments, it is important to keep abreast of new developments in the field. International expert Michael Gold reviews the new toxins due to be hitting the market in the next year. We are...

Medico-legal Forum (Laser/Polydioxanone)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...

A model for Lentigo Maligna recurrence

Lentigo Maligna presents a difficult problem for both the histopathologist and the plastic surgeon. The pathologist has great difficulty in assessing where the borders of the lesion lie, while the plastic surgeon is dealing with these lesions which commonly occur...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong

There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.

Life-transforming reconstructive surgery onboard floating hospital gives new hope to burn survivors in sub-Saharan Africa

Gamai from Guinea was a one-year-old when she suffered a horrific burn accident. With no access to medical care, her family were forced to watch as her skin contracted around her arms and hands, leaving her unable to perform basic...

Body dysmorphic disorder in a facial plastic and reconstructive surgery clinic

Body dysmorphic disorder (BDD) is under recognised and under detected among patients undergoing facial plastic and reconstructive surgery. Patients with BDD require psychiatric care not cosmetic surgery. In order to protect patients and surgeons, sound screening for BDD preoperatively should...

Problems in Breast Surgery A Repair Manual

Breast surgery is one of the most commonly performed plastic surgical procedures with a high incidence of revisions carried out, not only for complications, but also due to the natural evolution of the breast, ageing, or the consequences of long-term...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)

In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

The cost of surgery for bedsores

Many plastic surgeons will have experienced a heart-sinking moment when receiving a request to give an opinion on a patient with a bedsore. The surgery is not technically demanding, but the postoperative care and rehabilitation of the patient can be...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.