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Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

12 November 2025 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging, PMFA - Oculoplastic
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Mercy Ships’ hope and healing in Madagascar

1 April 2016 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Since my last article on the mission of the Mercy Ships in 2013, the current vessel, the Africa Mercy has continued to bring hope and healing to the people of West Africa. Having completed a very successful eight-month visit to...

Face Eyes Nose 2014

15 May 2014 |
Non-surgical facial aesthetics symposium The non-surgical facial aesthetics symposium provided a stimulating and interesting programme, comprised of a faculty of expert consultant plastic surgeons & cosmetic doctors. The course director, Mr Rana Das Gupta commenced the day and introduced the...

Perceptions and deceptions: a personal blog by the editor 14 December 2016

14 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...

Perceptions and Deceptions: a personal blog by the editor 20 December 2016

20 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part seven) How does anyone decide when to walk away and when to stand and fight? Personal safety? Principles? The cost,...

A farcical attempt to uphold the law

4 June 2019 |
I read in the paper last week that an 86-year-old plastic surgeon, Franklin Li, was being charged with 21 offences that were associated with the death of a top Hong Kong banker, Zoe Cheung, in a beauty clinic in Tsim...

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 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

BCAM calls for more investigations into the illegal treatment of under 18s

17 July 2023 | BCAM, Wolverhampton, under 18, illegal practice
The British College of Aesthetic Medicine (BCAM) has applauded The City of Wolverhampton Council for its approach to illegal aesthetic treatments and urges other councils to follow suit.

How I Do It - Single session of 1064nm picosecond laser for ephelides

3 October 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

IN RESPONSE TO: From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 December 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...