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Perceptions and deceptions: a personal blog by the editor 15 December 2016

15 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part six) I presented my ‘sanitized’ statement to the Hospital Investigation Panel. They had already interviewed Dr David Wong. I discovered...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

24 March 2022 |
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

IMCAS 2023

1 February 2023 | Awards, Conferences & Anniversaries
Ethics in Aesthetic Medicine: presented the Consensus Paper of the major international experts

Prednisolone and/or acyclovir for Bell’s palsy

1 June 2022 |
Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

Chin augmentation: filler versus prosthesis

1 August 2016 | | Aesthetic Medicine, Maxillofacial Surgery, Facial Plastic Surgery
Over recent years, aesthetic medicine and aesthetic surgery have become closer and more combined in daily practice. There is also a gradual shift, with aesthetic doctors performing more invasive techniques, whereas plastic surgeons are also, whenever possible, moving to less...

New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions

1 June 2016 | | Aesthetic Medicine
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | General Plastic Surgery, Facial Plastic Surgery, Breast Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Debate: cannulas vs. needles - Cannulas

1 December 2014 | | Aesthetic Medicine, Dermatology
The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...

How I Do It - Treating multiple skin concerns with less down-time

1 December 2021 | | Aesthetic Medicine, Dermatology
As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

2 June 2021 | | Aesthetic Medicine, Dermatology
More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...