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Columellar strut in rhinoplasty
Several techniques are described to improve nasal tip shape; most of them include suture techniques or invisible grafts. In this article the author wants to put emphasis in the role of the columellar strut graft as a method to correct...Letter from Hong Kong (17 December 2020)
This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.MD/PhDs or MD/MBAs: which do we need more to innovate in plastic surgery?
I would like to thank Arlen Meyers and Victor Castro for submitting this article. One of the problems that I have seen in my professional lifetime is the failure of entrepreneurs to grasp that there is no infinite health care...Glow like a queen
Dr Vincent Wong explains why skin health is particularly important when it comes to treating drag queens and how to help them glow. In an era of gender fluidity, facial masculinisation and feminisation treatments are rising in popularity. As we...
Is rib cartilage a safe material for rhinoplasty
This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...
The use of intense pulsed light therapy in the treatment of acne vulgaris
Intense pulsed light (IPL) is discussed in relation to its application in acne vulgaris. The author acknowledges that it may not be the most effective, or the first line therapy for managing such a challenging and persistent skin condition, but...
Wide Awake Hand Surgery
For many years now, Donald Lalonde has been an advocate for the use of performing hand surgery in the awake patient without the use of a painful tourniquet. Also known as wide awake local anaesthesia no tourniquet (WALANT) this book...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...
Abdominal problems following breast reconstruction using lower abdominal flaps
Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...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.The role of expert witnesses in miscarriages of justice
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...
