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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong

15 November 2021 |
There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

24 May 2022 |
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

How I Do It - Reduction ­thyroplasty

1 August 2014 | | PMFA - General Plastic Surgery
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Letter from Hong Kong (1 June 2020)

1 June 2020 |
It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

How I Do It - Patient selection in aesthetic surgery

1 June 2014 | | PMFA - General Plastic Surgery
What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...

The use of neuromodulators in the management of TMJ disorders

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Maxillofacial Surgery
The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...

The dangers of unlicensed cosmetic practitioners

2 March 2022 | | PMFA - Aesthetic Medicine
The closing of aesthetic clinics and beauty salons during the COVID-19 lockdown brought an influx in unlicensed practitioners and DIY cosmetic filler kits. This has resulted in thousands now suffering the consequences of their practitioner’s lack of experience. Watermans Solicitors...

Lipoedema awareness – the current state of play

5 September 2023 | | PMFA - General Plastic Surgery
Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

How I Do It - Auricular reconstruction: Helical advancement flap

2 June 2025 | | PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

Plastic surgery and aesthetic medicine: specialties and specialists

1 February 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...