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Perceptions and deceptions: a personal blog by the editor 8 December 2016
A Death in Hong Kong An evolving essay and insight into medicine and the law in contemporary Hong Kong (part two). The death of a young person. A fit and healthy person. A person for whom adult life has only...How I Do It- Nipple reconstruction
A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....
Cheek and lip reconstruction
The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...The role of expert witnesses in miscarriages of justice
‘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...Chronic telogen effluvium reversal using E. coli-derived cytokines and growth factors: a case report
Chronic telogen effluvium (CTE) is a condition where there is prolonged increased hair shedding, primarily affecting middle-aged women. Its exact cause is often unknown. In CTE, many hair follicles enter the resting phase prematurely due to various reasons, leading to...
Laser skin resurfacing
The increasing demand from patients to attain more youthful skin has driven the field of facial rejuvenation. Ablative technologies and laser technology are amongst of the most effective modalities. Laser resurfacing is a safe and effective treatment. Newer technologies have...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)
In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.Raising the bar for safer cosmetic surgery in the UK – part 1
In part one of a two-series article Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Cosmetic surgery is most easily...How I Do It - Contouring the lower jaw (non-surgical)
It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...How I Do It - Neck rejuvenation utilising Silhouette Soft sutures
The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...
Headache relief and onabotulinumtoxinA injections
This is an evaluation of the treatment efficacy of cosmetic doses of onabotulinumtoxinA (approximately 15-50 units) on the frequency and severity of headaches in patients. This study is marred by its own self-admitted bias, and fault lines exist in the...
