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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

24 March 2022 |
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

Luminescens® protocol: an efficient tool against recurrent melasma

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Melasma is a hyperpigmentary skin disease with a complex multifactorial pathogenesis which is not yet well understood. Risk factors include a genetic predisposition, sun exposure, stress, medications, and pregnancy [1]. It is clinically characterised by asymptomatic light to dark brown...

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...

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

4 December 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

Non-medical prescribing within the context of aesthetic practice

5 June 2017 | | PMFA - Aesthetic Medicine
The article forms part of a series as a detailed discussion of the legal and professional considerations and boundaries for non-medical prescribing for aesthetic nurses. The history of nurse-prescribing is explored, highlighting the professional accountability outlined by the Nursing and...

Wound moisture sensing in traumatic wounds

1 June 2015 | | PMFA - General Plastic Surgery
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | PMFA - Breast Surgery
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

12 July 2021 | | PMFA - Dermatology
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

Liquid polycaprolactone collagen stimulator for natural facial anti-ageing

1 June 2023 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Skin ageing is influenced by genetics, environmental exposure, hormonal changes and metabolic processes. With ageing, the supple skin of youth becomes thinned and flattened, with loss of elasticity and architectural regularity. Atrophy of the extracellular matrix is reflected by the...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | PMFA - Rhinoplasty
Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

How I Do It - The non-surgical rhinoplasty

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...