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Is the UK justice system colour blind?

5 September 2018 |
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...

How accurate are doctors in estimating burn size

2 April 2015 | | General Plastic Surgery | Accuracy, Body surface area, Burns, Estimation
This was a retrospective review with data collated from two burns units in Sydney, Australia. The purpose of the study was to compare total body surface area (TBSA) burn size estimation between referring centres and burn units in adult patients....

OCT imaging of occluded puncta

1 June 2018 | | Imaging, Oculoplastics
This is a description of the use of enhanced depth optical coherence tomography (OCT) to see whether a patent ampulla or canaliculus is detectable in patients with absent or occluded puncta. Nine occluded puncta of six patients with epiphora were...

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

1 December 2017 | | General Plastic Surgery | Burns, Meta-analysis, Nanocrystalline silver, Silver delivery systems, Systematic review
With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

How I Do It - Patient selection in aesthetic medicine

1 June 2014 | | Aesthetic Medicine
After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...

Imaging for Plastic Surgery

9 February 2016 | | General Plastic Surgery, Imaging
To the best of my knowledge and after an extensive online search, I was unable to find any other textbooks that so extensively tackle the subject of medical imaging as it relates to plastic surgery in general and certainly none...

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

21 March 2022 |
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.

A Timeline of Plastic Surgery

1 October 2013 | | General Plastic Surgery, Facial Plastic Surgery
Where did the name ‘plastic’ surgery come from? It is probable that the first use of the term was by the German von Graefe in his book Rhinoplastik published in 1818. The intention was to describe the moulding of tissue...

Letter from Hong Kong (17 December 2020)

17 December 2020 |
This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

Perceptions and deceptions: a personal blog by the editor 5 December 2016

5 December 2016 |
I have (temporarily) deactivated my Facebook account. Facebook is an indulgence, like chocolate, and I am sure I can exist without it. The Facebook experience reminds me of those happy Easter holidays I used to spend in 1960s and 70s...

Dermoscopy: an update and personal view

1 April 2018 | | Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...