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The importance of teamwork and leadership in the management of patients in burns centres

The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

The Scar Free Symposium

On 30 and 31 October 2024, The Scar Free Foundation is hosting an international symposium at The Royal Society in London to tackle one of the biggest challenges facing surgery today – scar free healing. Scarring is common, costly, and...

Neck rejuvenation: Combining botulinum toxin type A and hyaluronic acid booster

Ageing of the neck is multifactorial and often more challenging to treat than facial ageing. The dermis of the neck is thinner, containing less collagen and elastin, leading to reduced structural integrity and elasticity. Fewer sebaceous glands result in dry,...

Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Endoscopic brow lift in the course of time

The authors present a systematic review on the advantages and disadvantages of various brow-lifting techniques. They present their decision algorithm for closed versus opened approach, including potential complications and their management in general. After a detailed description of the endoscopic...

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

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.

Body contouring modalities for sculpting the abdomen and flanks

The author discusses the importance of appropriately assessing an individual’s BMI in relation to assessing suitability for non-surgical body contouring, with a detailed and balanced discussion of non-surgical methods of contouring the abdomen and flanks. Some of the more commonly...

Lacrimal gland carcinoma outcomes

This is retrospective review of outcomes of lacrimal gland epithelial tumours treated between 1972 and 2014 at Moorfields Eye Hospital. Seventy-nine patients were reported, comprising 53 adenoid cystic carcinomas, 15 primary adenocarcinomas and 11 carcinomas ex-pleomorphic adenoma. The authors compare...

Facelifting after radiotherapy for head and neck tumours

This paper sought to determine whether facelifting in patients with prior radiotherapy for head and neck cancer was safe. This study focuses on a small sample of 16 patients matched to controls who were retrospectively assessed for major surgical morbidity....

Comparing the rates of fat necrosis in irradiated muscle-sparing tram versus diep flap breast reconstruction

The authors performed a retrospective cohort study of patients undergoing immediate autologous breast reconstruction with an abdominal free flap. Over a 17-month period, 625 flaps were included in 518 patients, with 40 flaps receiving irradiation. Mean patient age and BMI...

The First World War and the Development of Facial Surgery

Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...