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

31 March 2022 |
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?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Otoplasty

1 February 2017 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

How I Do It - Neck rejuvenation using Erbium-Yag laser technology

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Individuals with skin laxity and wrinkles around the neck area have, until recently, not had any successful non-invasive treatments available to improve this appearance of ageing around the neck area and upper chest. The Fotona SP Dynamis laser has a...

How I Do It - Laser hair removal: electrolysis

1 April 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Electrolysis remains the only method of hair removal permitted by law in the UK [1] and USA [2] to be described as permanent. This is distinct from light-based methods which are permitted the description “permanent hair reduction”. Electrolysis is very...

How I Do It - Non-surgical blepharoplasty using Plasma Elite® technology

7 October 2020 | | PMFA - Aesthetic Medicine
What is plasma? Plasma is produced when an electrical energy is charged or overheated, leading to a dissociation of molecular bonds and the production of a plasma arc. The arc delivers energy to the cell membrane, causing sublimation, changing a...

Medico-legal Forum (Laser/Polydioxanone)

1 June 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

An epidemic of lower limb gunshot injuries

18 June 2020 | | PMFA - General Plastic Surgery
As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Integrating lifestyle factors into aesthetic practice

19 March 2021 | | PMFA - Aesthetic Medicine
The COVID-19 pandemic will long be remembered as the most significant global disaster of recent times. As its effects have been observed and investigated there has been an increased focus and attention drawn to lifestyle and how this can impact...

Bottoms up

1 November 2022 | PMFA - General Plastic Surgery
Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...