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

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.

In conversation with Klaus Fritz

We spoke with Dr Klaus Fritz, a board member with 5CC, about his career in dermatology and 5CC’s upcoming congress in Barcelona. Can you tell us a little bit about what led you into the field of dermatology, and what...

Profile of a tertiary referral oculoplastics service in the UK

The provision of safe and effective ophthalmic care to large patient populations has always been challenging. Severe restrictions of outpatient clinical activity due to the COVID-19 crisis has compounded this problem, with 26,800 appointments cancelled in our unit in the...

Lip lift with bull-horn flap for lip and nasal reconstruction

This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Vaginal dryness and the menopause

An insightful overview of a specialised topic. The author describes survey findings which indicate a lack of available information to menopausal women about the relationship between vaginal dryness and hormones. Obstacles to affected individuals obtaining specialist input appear to be...

Headache relief and onabotulinumtoxinA injections

This is an evaluation of the treatment efficacy of cosmetic doses of onabotulinumtoxinA (approximately 15-50 units) on the frequency and severity of headaches in patients. This study is marred by its own self-admitted bias, and fault lines exist in the...

ENT and facial surgeons issue guidance to protect doctors and dentists during COVID-19 pandemic. 

Two surgical specialty associations have come together for the first time to protect dentists and doctors examining and treating patients who may have COVID-19 (coronavirus), but do not yet know they are infected. The British Association of Oral and Maxillofacial...

Medico-legal Forum (Laser/Polydioxanone)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

Platelet rich plasma

Claudia McGloin provides an overview of this misunderstood procedure. Platelet rich plasma treatment is commonly known as PRP, Dracula Therapy, Vampire Facial / Facelift, S3, Self-Stimulated Serum, Liquid Gold or Vampire Therapy. Platelet rich plasma has been around for a...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...