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

1 October 2013 | | Breast Surgery, 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...

Stratifying preoperative risk in revision augmentation: the six Cs

1 February 2016 | | Breast Surgery
Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Facial veins – diagnosis and treatment options

1 December 2018 | | Aesthetic Medicine, Dermatology, Facial Plastic Surgery, Oculoplastics, CPD - The PMFA Journal
Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?

21 January 2021 | | Aesthetic Medicine, Oculoplastics, Dermatology, CPD - The PMFA Journal
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. How should vascular occlusions be managed? The authors review the evidence on...

Vascular complications part 2: management

7 December 2020 | | Aesthetic Medicine, Dermatology, General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...

Perceptions and Deceptions a personal blog by the editor 8 Apr 2016

8 April 2016 |
I want to post a question on the FB Group supporting the Junior Doctors over their David and Goliath fight with a juggernaut of blind, self-deceiving or just ignorant, elected members of Parliament. I should say that I am not...

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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

4 November 2021 |
I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

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”!

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

31 March 2022 |
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?

How I Do It - Buttock augmentation with hyaluronic acid fillers

7 December 2020 | | Aesthetic Medicine, Dermatology
There has been a notable increase in the popularity of body procedures over the years. The advancement in non-surgical body treatments has made it convenient for people to get the body they desire without having to deal with downtime or...

How I Do It - Thin lips – remodelling with hyaluronic acid

5 June 2020 | | Aesthetic Medicine
Volumetric changes in treating thin lips remain a challenge for all aesthetic medical practitioners. Obtaining an optimum result requires a good knowledge of facial anatomy, an excellent injection technique and adequate and careful patient selection. With inappropriate patient choice, even...