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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.

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

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

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...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

How I Do It - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...

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

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 - Combination treatment of acne vulgaris

Acne vulgaris is a common, globally recognised, chronic condition. According to the Global Burden of Disease (GBD) study, acne vulgaris affects approximately 85% of young adults aged 12-25 years [1]. Acne vulgaris is a disease affecting the pilosebaceous unit (PSU)...

How I Do It - Vaginal rejuvenation - CO2 laser therapy

Women with menopausal symptoms, as well as postnatally, are looking for additional methods as alternatives to traditional hormone replacement therapy (HRT), local oestrogens or topical creams and lubricants, since only 34% comply with their prescribed therapy. Women report an impairment...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

How I Do It - Treating the lower face with HA fillers in elderly patients

Facial rejuvenation treatment of the lower third of the face with hyaluronic acid (HA) fillers in elderly patients can result in the development of fibrous tissue especially after several procedures have been performed. Many patients present with concerns over the...

Focus on Plasma: Total rejuvenation of the face with plasma device

The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...