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

26 January 2022 |
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”!

Open Ultrasonic Rhinoplasty

4 December 2023
According to Dr Gerbault, “Piezoelectric surgery is a real disruptive technology in rhinoplasty, it allows a paradigm shift in the way of reshaping bones in rhinoplasty. Stable bones can be positioned with an unparalleled accuracy under direct...

A review of reconstruction of the burned ear

5 June 2017 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The exposed location of the ear, combined with its thin skin and subcutaneous tissue makes it prone to full thickness burn injuries. As a result, deformity and disfigurement of the ear is a common sequelae of burns. This is a...

How I Do It - Lip augmentation with hyaluronic acid

5 August 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Marta Duarte takes us through her technique for lip augmentation, from patient selection to aftercare. Lips are considered extremely important for maintaining the overall facial aesthetics. It is no surprise that today, lip augmentation procedures have become the most sought-after...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | PMFA - Rhinoplasty
Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

Recent developments in facelift surgery

3 October 2023 | | PMFA - Facial Plastic Surgery
Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...

Real-world use of telemedicine – a picture is worth a thousand words

1 December 2017 | | PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
Recent advances in mobile phone camera technology and app software design have allowed photos of patients and their wounds to be sent from any smartphone to a secure NHS database, which can then be accessed by the relevant clinician with...

Perspectives on: Polyurethane covered breast implants

1 June 2014 | | PMFA - Breast Surgery
The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...

The creation of PlayDoh<sup>®</sup> models as an educational tool for teaching anatomy of the eyelid

1 December 2018 | | PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
A full understanding of the anatomy of the eyelid is essential for oculoplastic surgeons; the authors guide us through an innovative way to improve the teaching of this important subject. An understanding of the anatomy of the eyelid is essential...

COVID-19: a threat or a warning?

5 March 2020 |
Soon the public health implications of COVID-19 will be clearer. In Hong Kong, life has changed so much these past six months. The riots, the protests, the arson, the anarchy. And now nature shows what she can do.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

3 October 2024 | | PMFA - Aesthetic Medicine, PMFA - Hand & Wrist Surgery
When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...