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Further thoughts on hymenoplasty

The interesting and controversial article on hymenoplasty published in the Dec/Jan 16 issue of PMFA News is an example of what can happen when religion and culture clash with modern medicine. In my opinion, medicine and science should be pure...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.

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

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?

Plastic surgery trainees’ exposure to cosmetic surgery during training

Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...

An overview of chemical peels

Chemical peels form an important part of most aesthetic and cosmetic practices. They are an affordable procedure for patients and significant results can be achieved. Generally chemical peels are a safe procedure, but only if used correctly and with caution....

2nd Chance: reconstructive surgery for life reconstruction

Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...

Letter from Hong Kong (3 November 2020)

It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

Treatment of facial subcutaneous fibrosis with hyaluronic acid

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. Systemic sclerosis (SSc) is a rare and chronic connective tissue disease (CTD)...

The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Mercy Ships’ hope and healing in Madagascar

Since my last article on the mission of the Mercy Ships in 2013, the current vessel, the Africa Mercy has continued to bring hope and healing to the people of West Africa. Having completed a very successful eight-month visit to...

Preservation rhinoplasty

Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...