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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

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...

Perceptions and deceptions: a personal blog by the editor 14 December 2016

14 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...

Comment in response to Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

26 April 2016
We have what is called a third table list....small cases under local or regional anesthesia...there was an 8 yr old girl with a diffuse, non pinchable swelling in the chin area. After confirming it was not vascular, we decided for...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong

15 November 2021 |
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 incidence of non-surgical rejuvenation in facial aesthetic surgery

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Non-surgical facial rejuvenation has increased exponentially in the last 20–30 years in a society which demands immediate results with minimal downtime. The overall UK market is estimated at £3.6 billion annually. The use of facial injectables increased by 7000% between...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

How I Do It - Surgical tear trough treatment and periorbital procedures

1 February 2015 | | PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

Plastic surgery founding father Ivo Pitanguy on life, learning and legends – remembering a giant

30 July 2020 | | PMFA - General Plastic Surgery
World renowned Plastic Surgeon Ivo Pitanguy passed away on 6 August 2016 at the age of 93 just a day after carrying the Olympic torch for the Rio Games. Read on to learn about the life of this giant of...

How I Do It - Approaches to non-surgical face lifting

1 April 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
PDO threads By Martyn King Polydioxanone or poly-p-dioxanone (PDO, PDS) is a colourless, crystalline, biodegradable polymer of multiple repeating ether-ester units and has been used in many disciplines of surgery as subcutaneous and cutaneous stitches for over 30 years. It...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

1 December 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...