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How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - Approaches to lip augmentation: surgical lip lift

A surgical lip lift is particularly effective in lips that require both an increase in vertical height and eversion. Upper lip lifts have been described since the 1980s [1,2] but the most commonly used form was described by Oscar Ramirez...

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...

How I Do It - Micro laser coring: A cutting-edge approach to skin rejuvenation

Micro laser coring is an advanced skin rejuvenation technique offering great precision, customisable treatment and effective skin remodelling. Using the Fotona F-Runner scanner with fractional Er:YAG laser energy, this procedure removes ultra-fine, 250µm wide micro columns of tissue through vaporisation,...

COVID-19: thoughts from an Edinburgh plastic surgeon

The COVID-19 pandemic has affected almost every aspect of life. Ken Stewart, Consultant Plastic Surgeon and Special Advisor for The PMFA Journal, outlines for us how his own plastic surgery department has adapted to the crisis. What did you do...

Facial rejuvenation with the Profound RF System

Ageing of the face has become more noticeable among men and women in the modern world. The new work-from-home environment with more and more online meetings has created surroundings where people see themselves repeatedly on screen and therefore many have...

How I Do It - Auricular reconstruction: Helical advancement flap

As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

The superficial circumflex iliac artery perforator flap in intraoral reconstruction

There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

OPINION - Who should decide the qualification to do cosmetic surgery?

In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

Serving face

(Note: Serving face / giving face is a term used commonly by drag performers. It refers to the face you make as you pose for a photograph.) Dr Vincent Wong showcases the art and science of transforming drag queens into...

Additional venous anastomoses to safeguard DIEP flaps

That DIEP flaps can be troublesome is not news and many descriptions exist trying to circumvent these problems. The most common problem is venous congestion in the flap and this paper presents an ingenious method of anticipating and forestalling such...

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

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.