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Complex auricular reconstruction using a 3D printer

The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...

Chemical peels: a review of types, applications and complications

Chemical peeling agents continue to grow in popularity in response to rising patient demand. The author captures this popular treatment modality with a succinct review of some of the commonly used ingredients, classified broadly by depth into superficial, medium and...

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

In conversation with Emanuele Bartoletti (2024)

We were delighted to catch up with Dr Emanuele Bartoletti, President of Società Italiana di Medicina Estetica (SIME), about the latest news from the society. You have been involved with SIME for many years now; what have been the highlights...

Nasal reconstruction – short and sweet

This brief article by Stephen S Park presents his modified technique for nasal reconstruction, based on a single-stage forehead flap. The author presents this method as an alternative to a multiple staged interpolated forehead flap and discusses its advantages and...

Fractional laser treatment for medical skin diseases

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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Liquid Face Lift

In recent years aesthetic medicine and aesthetic surgery have been getting closer. This phenomenon is modifying our approach to patients: aesthetic medicine doctors have increased their range of treatments to include more aggressive methods, while aesthetic surgeons tend to choose...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

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)...

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

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?