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Letter from Hong Kong (1 April 2020)

By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...

Could a left-sided facial perceptual bias affect satisfaction with oculoplastic procedures?

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. Facial symmetry is usually a priority for both patient and clinician when...

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

Assessment of septal deviation in septorhinoplasty

A variety of methods exist to assess the nasal septum, often dependent of the healthcare resources available, and whether there is a specific pathology affecting the function of the nose. The authors present a small series of patients presenting with...

Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis

There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...

How I Do It - Contouring the lower jaw (surgical)

It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

When a patient asks for your insurance details…

Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...

Encouraging results on treating thinning hair with PRP

Over the last few years platelet rich plasma (PRP) has made a big splash in the aesthetics world causing much excitement. It has been used for skin rejuvenation, softening lines and wrinkles, as part of an anti-ageing process. With the...

Perceptions and Deceptions a personal blog by the editor 19 May 2016

Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...

Combating winter skin

It is well documented that colder temperatures can have detrimental effects on the skin [1]. Individuals living in countries far from the equator, such as northern parts of Europe and North America are exposed to harsh weather during winter months,...

OPINION - Influencers affect us all: but are they as good as we think?

Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...