EWJ June 61 2025 web - Flipbook - Page 72
Other sub-types include :
Atrophic (sunken or thinned), Pigmented or
depigmented, Adherent or contractile, especially
over joints or in mobile areas
Prevention and treatment
An initial set of strategies to minimize the risk of scar
formation is applicable to all types of scars and is indicated before, during and immediately after surgery.
These include optimal surgical management, this includes measures to reduce skin tension, and to provide taping, hydration and ultraviolet (UV) protection
of the early scar tissue. Silicone sheeting or gel is universally considered as the first-line prophylactic and
treatment option for hypertrophic scars and keloids.
Other (more specialized) scar treatment options are
available for high-risk patients and/or scars. Pressure
garments may be indicated for more widespread scarring, especially after burns. At a later stage, more invasive or surgical procedures may be necessary for the
correction of permanent unsightly scars and can be
combined with adjuvant measures to achieve optimal
outcomes.
Medicolegal reports
As Consultant Plastic and Hand Surgeon, Mr
Ragoowansi has been instructed in a wide range of
medico-legal cases involving scars, burns, and soft tissue injuries — from road traffic collisions to workplace
and public liability incidents. These types of injuries,
although sometimes underestimated in the legal
context, can result in life-changing consequences
that are not only functional and physical but also
psychological and social.
Contact details and appointments
Senior Secretary, Jacquie Taylor Tel: 0203 752 1565
Email: medsec@mmp.london Website: www.millimetreperfect.co.uk
Address: 101 Harley Street, London, W1G 6AH Area of work: Greater London and Nationwide
• Appointments within 3-4 weeks of instruction,
including out-of-hours availability.
• Reports delivered within 3-4 weeks after
consultation.
The choice of scar management measures for a
particular patient should be evidence-based taking individual patient and wound characteristics into
consideration.
• Court dates and hearings efficiently scheduled by
the administration team.
Consultation locations:
101 Harley Street, London, W1G 6AH (Adults &
minors)
The location of the injury is crucial. A small scar on
the face, neck or hands may be more significant than
a larger scar on the back or thigh, particularly in
cosmetic and functional terms.
Hospital of St John & St Elizabeth, NW8 (Adults &
minors)
Mr Raj Ragoowansi MB MSc FRCS (Plast)
Consultant Plastic & Aesthetic Surgeon
Mr Ragoowansi is a renowned exper t in the field of Plastic, Reconstructive and Hand/Wrist Surger y
and is a senior Consultant at Bar ts Health NHS trust. He has over 19 years of experience with Medico-Legal repor ts and with acting as
exper t in Clinical Negligence cases.
Specialities
General Plastic Surgery & Reconstructive Surgery: Accident and trauma (industrial, domestic) surger y, scarring & skin defects,
lacerations, crush injuries, animal bites which have necessitated skin graft, local flaps and free flaps. Burns and scalds, Spor ts injuries.
Hand & Wrist surgery Emergency: soft tissue lacerations and fractures, amputation finger/thumb, finger/thumb replant, burns, crush injuries.
Peripheral nerve injuries
Hand & Wrist surgery Elective: Dupuytren’s contracture, joint rebalancing for osteo and rheumatoid ar thritis and post trauma, tendon
repair or transfer, ner ves injuries/neuroma relocation/excision, ligament reconstruction. Hand swellings, upper limb ner ve decompression –
carpal and cubital tunnel. RSI, DeQuer vain’s tenosynovitis, Vibration white finger, Raynaud’s disease.
Soft tissue trauma including scars: hyper trophic, keloid scars
Burns & scalds
Skin lesions/lumps: benign, pre-malignant, malignant
He completes between 120-150 medicolegal repor ts annually, with the majority per taining to Personal Injur y (road traffic accidents, trauma
in the work place, domestic injuries – in the kitchen, DIY, gardening and assaults).
Medico-legal repor t profile is 65% claimant, 30% defendant, 5% joint.
Personal Injury cases include Hand & Wrist surger y, Skin lacerations and scars, Burns and Scalds and Aesthetic Surger y – specifically breast
and body contouring.
Clinical negligence cases include causation, prognosis or a combination of the two. Between 3-7 per year, are carefully vetted and selected
(in order to avoid conflict of interest).
Contact: Senior Secretar y, Jacquie Taylor - Tel: 0203 752 1565
Email: medsec@mmp.london - Website: www.millimetreperfect.co.uk
Address: 101 Harley Street, London, W1G 6AH - Area of work: Greater London and Nationwide
EXPERT WITNESS JOURNAL
70
JUNE 2025
