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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Letter from Hong Kong (21 April 2020)

22 April 2020 |
The PMFA Journal co-editor Andrew Burd looks at the impact of SARS on plastic surgery in Hong Kong.

How I Do It - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

How I Do It - Approaches to acne treatment: Pulsed-dye laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...

How I Do It - Two-Point Eye Lift™: HA dermal fillers for infraorbital rejuvenation

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic
The key to maintaining a youthful appearance is often found in restoring a well-defined periorbital area, characterised by healthy tissue volume (fullness) in the infraorbital region and a clear eyelid crease devoid of excess skin. The use of hyaluronic acid...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

How I Do It - Reduction ­thyroplasty

1 August 2014 | | PMFA - General Plastic Surgery
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Fractional laser treatment for medical skin diseases

5 June 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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.

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

6 August 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

Restoring youth to the upper midface by blending the lid-cheek junction

3 February 2023 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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. Rejuvenation of the eyes has a very high impact on the overall...

OPINION - Who should decide the qualification to do cosmetic surgery?

5 July 2022 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...