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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 20) - Culpability: The judge opines

24 March 2022 |
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

Female Cosmetic Genital Surgery: lifestyle or science?

1 February 2014 | | PMFA - General Plastic Surgery
The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

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...

A picture is worth a thousand words… communicating with your patients more effectively

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

Hand rejuvenation with injectable fillers

1 June 2019 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Hand & Wrist Surgery
The author, an internationally recognised aesthetic dermatologist and Faculty Member for this year’s 5CC meeting in Barcelona, provides an expert guide to the use of injectable fillers in hand rejuvenation. Ageing of the hands can result in discrepancy between a...

An update on BIA-ALCL

1 June 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...

Serving face

25 November 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
(Note: Serving face / giving face is a term used commonly by drag performers. It refers to the face you make as you pose for a photograph.) Dr Vincent Wong showcases the art and science of transforming drag queens into...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

12 July 2021 | | PMFA - Dermatology
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

Plastic surgery and safety issues: a patient perspective

12 October 2021 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
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...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

12 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...