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Acid attacks: part 1

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

Classical facelift: a modern British perspective

1 April 2017 | | PMFA - Facial Plastic Surgery
It is clearly impossible to outline the whole of this subject matter in a short editorial article; many theses have been written in this field. This article is designed to give an overview to those reasonably familiar with this area...
The Art of Aesthetic Surgery book cover image.

The Art of Aesthetic Surgery, Principles and Techniques, Third Edition

4 March 2021 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
General review Immediately you sense a class act as the transparent cellophane membrane surrounding the book, beautifully adorned by the ‘Three Graces’ painting, is removed and the non-slip textured feel of the hard cover is exposed. This surface prevents the...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Perceptions and deceptions: a personal blog by the editor 18 August 2016

18 August 2016 |
I am back in the UK for a sabbatical and taking stock of all the changes since I left in 1999. An HK versus UK comparison becomes even more fascinating when looking at information sources ‘on the ground’. Social networking...

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 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?

Emerging from 2020 – positive stories from the world of aesthetics

4 February 2021 | | PMFA - Aesthetic Medicine
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...

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | PMFA - Breast Surgery
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

Wound moisture sensing in traumatic wounds

1 June 2015 | | PMFA - General Plastic Surgery
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....