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Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

In conversation with Maniram Ragbir

We were delighted to catch up with Maniram Ragbir about his career highlights and his current role as BAPRAS President. Can you tell us a little bit about what led you into the field of plastic surgery and what have...

OPINION - Bridging the surgical and non-surgical: balancing dual careers of non-surgical aesthetics with oral & maxillofacial surgery specialist training

- OPINION - Oral & maxillofacial (OMF) surgery (OMFS) is a unique specialty requiring dual qualification in both medicine and dentistry and the scope of practice of an OMF surgeon in the UK is vast [1]. My early exposure to...

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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments

Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?

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.

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”!

A challenging new year

2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard of the...

How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck

The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...

CQC regulators and private hospitals need more common sense

There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....