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Bone grafting in orthognathic surgery

This is a systematic review from Belgium and Saudi Arabia of 48 articles. They reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone...

Sir Archibald McIndoe and the Guinea Pig Club

The early life of Sir Archibald McIndoe Archibald Hector McIndoe was born in Dunedin, New Zealand on 4th May, 1900. His father John was a printer and mother Mabel an artist. He was the second eldest child of four children....

Raising the bar for safer cosmetic surgery in the UK – part 1

In part one of a two-series article Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Cosmetic surgery is most easily...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

How I Do It - Vaginal rejuvenation - Er:YAG laser therapy

I began doing research in 2010 on vaginal laser tissue induction to achieve vaginal tightening and sexual enhancement. I started noticing an improvement of continence in patients who were leaking. I was very excited about the results and more than...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

The REAL Clinic: the sustainable building and running of a new clinic

Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Continuing personal development

“It is an interesting biological fact that all of us have, in our veins the exact same percentage of salt in our blood that exists in the ocean, and, therefore, we have salt in our blood, in our sweat, in...

Comparison of petrolatum gel with silver sulfadiazine dressings in small superficial burns

This was a randomised controlled trial set up in a single burns centre in Manila in the Philippines. Inclusion criteria were superficial burns not requiring skin grafting, and up to 10% total body surface area in young, fit adults between...

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.