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Life after medicine

Our Editor, Andrew Burd, renowned burns surgeon, takes us on a fascinating journey from his early days as a medical student travelling in the USA through his search for scarless healing in the 1980s and finally to his current work...

Genioplasty

With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

Acid attacks: part 1

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...

Rhinoplasty for cleft nose deformity

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. Modern cleft lip and palate repairs produce excellent functional and aesthetic results...

Mid-facial augmentation with malar implants

The authors guide us through facial augmentation using implants to restore volume and a youthful appearance. In today’s ‘selfie-obsessed’ culture, there is no other anatomical region which carries greater social prestige and importance, than a well-proportioned ‘youthful’ face. In particular,...

The place of BoNT in TMD: review article and case report

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. Over the last decade, there has been a great deal of interest...

CO2 laser treatment of rhinophyma

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 authors describe their technique and experience of treating rhinophymas with a...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

Letter from Hong Kong (3 November 2020)

It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

First Scottish patients to benefit from new national Digital Dermatology pathway

Patients in Dumfries and Galloway and Greater Glasgow and Clyde will be the first to benefit from a new technology to allow faster diagnosis and assessment of skin conditions. Using a secure mobile phone app, the new national Digital Dermatology...