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How I Do It - Treating the ageing neck with Ellevate™ plus

The ageing and sagging neck cannot always be successfully corrected using standard facelift techniques, even those that include extensive SMAS lift [1]. Adjuncts to treatment can include liposuction, radiofrequency or similar skin tightening procedures, open or closed platysmaplasty, extensive SMAS...

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?

The fault in our scars

A groundbreaking study recently presented to the British Association of Plastic, Aesthetic and Reconstructive Surgeons (BAPRAS – www.bapras.org.uk), conducted at Great Ormond Street Hospital, in collaboration with the University of Toronto's Hospital for Sick Kids and University College London, has...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

Submandibular haematoma with airway obstruction following a warfarin overdose

Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

Letter from Hong Kong (6 January 2022)

So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

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”!

Emerging from 2020 – positive stories from the world of aesthetics

2020 was the year of shifting our mindset, pivoting our business and our priorities, whilst quickly adapting and responding to change, uncertainty and negativity. For some, this past year brought extraordinary hardship and suffering and for others, unexpected, but welcome...

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

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

Platelet-rich plasma from androgenetic alopecia: a pilot study

The authors demonstrate some encouraging results in this pilot study, exploring the benefit of injecting platelet rich plasma (PRP) into the scalp on patients with androgenetic alopecia. This suggests the need to now proceed with a randomised control study to...

Virtual learning post lockdown

The rapid onset and intensity of the COVID-19 pandemic has required some radical changes in most areas of our professional lives, including a chance to update traditional approaches to learning. Virtual learning is the use of remote video conferencing software,...