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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...

Complex auricular reconstruction using a 3D printer

10 February 2014 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...

Chemical peels: a review of types, applications and complications

1 February 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Chemical peeling agents continue to grow in popularity in response to rising patient demand. The author captures this popular treatment modality with a succinct review of some of the commonly used ingredients, classified broadly by depth into superficial, medium and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

7 February 2022 |
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Young man’s life transformed after scottish surgeon removes life-threatening tumour on board Mercy Ships

12 February 2025 | Maxillofacial, Mercy Ships, charity, Africa, patient stories
A young man from Sierra Leone who was forced to leave school because of a life-threatening facial tumour has had it successfully removed by international charity, Mercy Ships. Scottish Surgeon, Manjit Dhillon, a Consultant Surgeon in Oral & Maxillofacial Surgery...

Liquid Face Lift

1 December 2013 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
In recent years aesthetic medicine and aesthetic surgery have been getting closer. This phenomenon is modifying our approach to patients: aesthetic medicine doctors have increased their range of treatments to include more aggressive methods, while aesthetic surgeons tend to choose...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

6 August 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

Fractional laser treatment for medical skin diseases

5 June 2020 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology
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Perceptions and Deceptions a personal blog by the editor 9 June 2016

9 June 2016 |
Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

15 June 2016 |
It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

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 17) – A mystery

3 March 2022 |
There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?