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Perceptions and Deceptions: a personal blog by the editor 5 October 2016
And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...Cellulite therapy in 2022 – new treatment options making grades for the new year
World-renowned dermatologist Michael H Gold introduces two of the newest FDA-approved modalities for the treatment of the common skin condition cellulite. Cellulite is one of the most common skin concerns for women. It is estimated that between 80-98% of women...Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach
In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...Aesthetic restoration following GLP-1 agonist–induced facial volume loss
GLP-1 receptor agonists such as semaglutide (Ozempic®, Wegovy®, Rybelsus®) have significantly improved the management of obesity and type 2 diabetes, providing effective weight loss and cardiometabolic benefits. However, as their use becomes more widespread, there has been an increase in...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.Treatment of striae utilising the Frax 1550™ on the Nordlys™ System
Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.
Submental island flap to reconstruct the lower lip
The lips are necessary for oral competence, cosmesis, speech and feeding. Non melanoma cancers can affect the lips, and the lower lips are about 80% more likely to be affected. A large number of these cancers are squamous cell carcinomas....
The role of thrombolytics in acute and chronic occlusion of the hand
In keeping with much of this edition of the Hand Clinics journal, this article accurately and appropriately sets out the background, epidemiology and current approach to management of acute and chronic upper limb ischaemia. The background sections ease the reader...
