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Perceptions and Deceptions: a personal blog by the editor 20 December 2016

20 December 2016 |
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part seven) How does anyone decide when to walk away and when to stand and fight? Personal safety? Principles? The cost,...

A farcical attempt to uphold the law

4 June 2019 |
I read in the paper last week that an 86-year-old plastic surgeon, Franklin Li, was being charged with 21 offences that were associated with the death of a top Hong Kong banker, Zoe Cheung, in a beauty clinic in Tsim...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

Female Cosmetic Genital Surgery: lifestyle or science?

1 February 2014 | | General Plastic Surgery
The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | Facial Plastic Surgery, Maxillofacial Surgery
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

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

1 December 2014 | | Aesthetic Medicine, Dermatology, General Plastic Surgery
I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...

BCAM calls for more investigations into the illegal treatment of under 18s

17 July 2023 | BCAM, Wolverhampton, under 18, illegal practice
The British College of Aesthetic Medicine (BCAM) has applauded The City of Wolverhampton Council for its approach to illegal aesthetic treatments and urges other councils to follow suit.

Advances in Rhinoplasty

4 April 2019 -7 April 2019 | Aesthetic Medicine, Rhinoplasty, Facial Plastic Surgery
AAFPRS 2019 Advances in Rhinoplasty takes Orlando by storm Report by Wendy Lewis, President, Wendy Lewis & Co Ltd Global Aesthetics Consultancy. Paul Nassif, MD from Beverly Hills, USA. Over 800 rhinoplasty surgeons traveled from all over the world to...

How I Do It - Single session of 1064nm picosecond laser for ephelides

3 October 2022 | | Aesthetic Medicine, Dermatology
Ephelides is a common pigmentary problem which can appear on all skin types. Ephelides treatment usually involves 532 nm Nd:YAG laser and comes with a certain period of downtime and side-effects such as post- inflammatory hyperpigmentation. With the new StarWalker®...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

9 May 2022 |
Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

Auricular reconstruction: star-pattern reconstruction

30 March 2022 | | Facial Plastic Surgery
We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...