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Perceptions and deceptions: a personal blog by the editor 5 September 2016

5 September 2016 |
The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

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?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

24 May 2022 |
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

3 August 2021 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The squaring of the lower third of the face can be an...

Closed rhinoplasty Serdev techniques

1 December 2017 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Rhinoplasty
Why is rhinoplasty so important? Facial beauty and harmony are dependent on correct aesthetic angles, volumes and proportions. The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio...

Cleft lip and palate care in low resource countries

2 December 2019 | | PMFA - General Plastic Surgery
The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

1 March 2018 | | PMFA - CPD, PMFA - Breast Surgery, PMFA - General Plastic Surgery
The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

The role of expert witnesses in miscarriages of justice

2 June 2021 | | PMFA - General Plastic Surgery
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

Plastic surgery and aesthetic medicine: specialties and specialists

1 February 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

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

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
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...

Melanoma skin cancer: how can we improve early detection in the UK?

1 April 2020 | | PMFA - Dermatology
With melanoma rates increasing globally, should there be screening of high-risk groups? Stephen Hayes takes a look at how Australia has reduced its melanoma mortality and asks whether a similar model should be adopted elsewhere. In Britain, some 16,000 new...

Business recovery and relaunch: how to grow your patient base in the new economy

7 October 2020 | | PMFA - Aesthetic Medicine
As the unprecedented impact of the COVID-19 pandemic continues to be felt, many aesthetic practitioners are facing an uncertain future. In this invaluable article Pam Underdown provides expert advice on how to survive and grow stronger than ever. The global...