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Vascular complications Part 1: Prevention

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

How affective is lignocaine in the infiltration for tumescent liposuction?

The authors present a prospective, randomised, double-blind study to assess whether the inclusion of lignocaine in the standard infiltration for tumescent liposuction, reduces postoperative pain. A cohort of women, aged 18-40, BMI 20-27, and receiving abdominal or back liposuction were...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

RESPONSE – Who should decide the qualification to do cosmetic surgery?

Patrick Tansley responds to a recent article featured in The PMFA Journal entitled ‘Who should decide the qualification to do cosmetic surgery?’ by Professor James D Frame (with an associated editorial comment by Professor Andrew Burd). When asked to comment...

In conversation with Naveen Cavale

We were delighted to catch up with Naveen Cavale, Consultant Plastic Surgeon and President of the RSM Section of Plastic Surgery. Can you tell us a little bit about what led you into the field of plastic surgery? A bit...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.

Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. How should vascular occlusions be managed? The authors review the evidence on...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

A systematic review of silver sulphadiazine in the conservative management of burns

Silver sulphadiazine (SSD) has been used in conservative management of partial thickness burns (PTB), for over 50 years. Concerns have been raised over potential disadvantages of SSD including need for daily dressing changes, impairment of wound healing and expense. The...

Burns debridement: VersajetTM vs. conventional debridement

A prospective randomised controlled trial was undertaken to compare conventional tangential burn wound debridement against the use of Versajet™ hydrosurgery in the treatment of partial thickness paediatric burns. Seventy-five children under the age of 16 were recruited for the study...

Genioplasty

With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

How I Do It - Skin peeling

For thousands of years chemical peels have been used for ameliorating the signs of photoageing, reducing scarring and skin lightening. The term ‘chemical peel’ is both loose and frightening to consumers. Some patients only think of the images they see...