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Choosing anaesthesia for oral surgery

11 February 2014 | | PMFA - Maxillofacial Surgery
This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...

Sliding lower lid tarsal flap

1 August 2016 | | PMFA - Oculoplastic
This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...

The relevance of rhinoplasty and septorhinoplasty from the commissioner’s point of view

1 February 2019 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

12 November 2025 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 15) – Duty of Care

16 February 2022 |
Just to recap; I have been looking at the Reasons for Sentence in the case of HKSAR and Kwan Hau chi, Vanessa. The verdict had been declared: “guilty”. Now, on 4 October 2021, the Hon D’Almada Remedios J is going to present her review of the case and the factors she has taken into account when deciding the sentence. I am referring to an official document which is in the public domain. The case reference is HCCC 200/2018. It is a shameful document, but we must all share in that shame.

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 - A guide to anterior neck lift aesthetic surgery

1 October 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...

Perceptions and deceptions: a personal blog by the editor 4 July 2016

4 July 2016 |
I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

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

15 November 2021 |
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.

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
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...

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

A Timeline of Plastic Surgery

1 October 2013 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Where did the name ‘plastic’ surgery come from? It is probable that the first use of the term was by the German von Graefe in his book Rhinoplastik published in 1818. The intention was to describe the moulding of tissue...