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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information

1 February 2022 |
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.

Off-label cosmetic use of botulinum toxin in the lower face

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

Acid attacks: part 1

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Letter from Hong Kong (1 April 2020)

1 April 2020 |
By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...

Lymphoedema surgical treatment: myths and facts

1 February 2017 | | PMFA - General Plastic Surgery
Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

1 October 2019 | | PMFA - CPD, PMFA - General Plastic Surgery
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Focus on: Cosmeceuticals (part 2 - continued)

1 June 2016 | | PMFA - Aesthetic Medicine
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

The future of energy-based devices: do we have limits?

7 November 2019
Victor Gabriel Clatici asks what is the final frontier in dermatology, plastic surgery and aesthetic medicine?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

8 December 2021 |
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

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?

How I Do It - Nose reshaping using advanced fillers

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...