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Perceptions and Deceptions: a personal blog by the editor 3 August 2016

Whistle blowing. What is it? Fascinating discussion with Chris Day, the Junior Doctor in the UK who is challenging the execution of the law in this sensitive area of employment contracts (http://54000doctors.org). More of that later, but just to note,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Buttock augmentation

Buttock augmentation is a popular treatment in high demand in South America. As in all aesthetic treatments, gluteal enhancement is not free from risks. Practitioners looking to expand into the gluteal area should know the gluteal anatomy, and they also...

Bottoms up

Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

Letter from Hong Kong (1 October 2020)

Today is National Day in Hong Kong. A celebration of the founding of the People’s Republic of China on 1 October 1949.

What’s new on the horizon for toxins coming to the market?

With the ever increasing demand for injectable treatments, it is important to keep abreast of new developments in the field. International expert Michael Gold reviews the new toxins due to be hitting the market in the next year. We are...

How I Do It - Treating melasma and PIH

Melasma and post-inflammatory hyperpigmentation (PIH) are among the most common skin disorders in society with prevalence of up to 50% in some populations. Melasma is more prevalent among females and also among those with darker skin types III–V on the...

Is the UK justice system colour blind?

The colour of justice is not blind in the UK. What I am going to say in this blog may not be popular but I am very troubled by certain facts that are being conveniently ignored. Before I knew the...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

Using erythema-directed digital photography in patients with rosacea

The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

How I Do It - Neck rejuvenation using Erbium-Yag laser technology

Individuals with skin laxity and wrinkles around the neck area have, until recently, not had any successful non-invasive treatments available to improve this appearance of ageing around the neck area and upper chest. The Fotona SP Dynamis laser has a...