From December 1 next year, Wales is changing to an 'opt out' system. England has no plans to follow their lead. Here Caroline Scott talks to two people affected by the issue. No says Carla Gair, 38, left, although she could die waiting for a new heart. Yes says Tor Tremlett, 27, right, who owes her life to a double lung transplant.

It has long been known that alcohol can damage your looks over time, but now a new online tool allows you to upload a picture of yourself and simulate exactly what effect it will have on your features. The tool, created by California-based company Rehabs, aims to provide an extra incentive for people to cut their alcohol consumption. The interactive computer programme shows how your facial features will deteriorate in attractiveness over time, allowing users to see what they will look like after two, five, 10 and 20 years of heavy drinking .

WARNING: GRAPHIC CONTENT: Ben Thomas, 5, from Waltham Abbey in Essex, spent three weeks in intensive care at a burns unit (pictured left and right) due to a rare skin condition Staphylococcal scalded skin syndrome (SSSS). This is where a bacteria causes a rash and the entire outer layer of skin sheds (Ben's leg is pictured on the inset). Ben was misdiagnosed with tonsilitis and given antibiotics, but then was misdiagnosed again as having Steven-Johnsons Syndrome- a severe allergic reaction to antibiotics. He was taken off medication for 18 hours, and Ben's mother Ms Annette Devonshire (pictured right with her son), 38, claims a new doctor eventually realised it was SSSS and screamed he should be put back on antibiotics. By then it was too late and he was sent to a specialist burns unit for treatment. Ms Devonshire said she felt powerless watching her son in pain. She said: 'I couldn't even give him a cuddle because he'd be left in agony.'

Flaky, itchy hands? Upper arms the texture of sandpaper? Nose dry and chapped even though you've not had the sniffles for a day? There's only one diagnosis: you've got 'winter skin'.

Lewis Unwin, 21, from Hornchurch in Essex, (right) was diagnosed with Rasmussen syndrome, a condition which causes nerve cells in the brain to malfunction, triggering epileptic seizures. The now 21-year-old suffered fits almost 24 hours a day throughout his teenage years, before opting to have a life-changing operation. Doctors at Great Ormond Street Hospital performed the hemispherectomy in 2011, disabling half of Mr Unwin's brain (left and inset). The operation has enabled him to pursue his dream of becoming a personal trainer, after he had been banned from the gym over fears for his health and safety. He said: ''I still have problems with weakness on my left side but I've learnt to adapt. I will not let my disability hold me back and I want to teach people that message.'

Looking down at the exquisite diamond twinkling on her finger, Rosetta Citton's heart sank. The 59-year-old jewellery designer, from London, had slipped on the eternity ring to show one of her customers, but felt distraught at the stark contrast between the glittering stone and her ageing hands.

Brian Blanchard, pictured with his sister, Pam Morphett, who donated one of her kidneys to him, has become the first man to be given a kidney transplant by keyhole surgery in the UK. The former soldier faced a lifetime of dialysis after suffering kidney failure. Surgeons removed his sister's kidney through an incision in her groin, rather than her abdomen. Her kidney was then inserted through a two-and-a-half inch opening in Brian's abdomen. Previously the procedure would have required a 10-inch opening to be cut.

Lily Burrows was given just a 5 per cent chance of survival when she was born at 23 weeks (inset). But Lily, pictured with mother Gillian Lindsay, had other ideas - and now, aged five, she is thriving in her first year at St Mary's Primary School in Bonnyrigg, near Edinburgh. She is just one of a number of children surviving after being born weeks earlier than the abortion limit of 24 weeks. One top paediatrician says care for very premature babies has improved so significantly that at his hospital those born at 22 and 23 weeks are now more likely to live than die. About 560 babies are aborted at 23 weeks' gestation every year.

Midwives at Burnley General Hospital, Lancashire, had almost given up on little Isla Simpson (pictured in hospital, top right, and today, bottom right) when she was born on September 21 and they realised her heart was not beating. She was immediately given CPR after a long 26 minutes her heart started again. Her mother Becky Simpson, 20, (pictured left) from Clayton-Le-Moors in Lancashire, has said she feels like 'the luckiest mum in the world'. Isla has suffered brain damage due to a lack of oxygen to the brain and it is likely she will have cerebral palsy.

'My pretty friend held up two outfits and asked which she should wear to the party that night. One was a dowdy, floral frock, the other a sexy, black leather number. What did I recommend? The frumpy dress, of course,' writes Julia Stephenson.

Australian doctors have successfully brought three dead hearts back to life and transplanted them into patients in a world-first operation. The doctors at St Vincent's Hospital in Sydney used a preservation solution developed by the Victor Chang Cardiac Research Institute to transplant the organs into 57-year-old Michelle Gribilas, 44-year-old Jan Damen (pictured right with his wife Silvana) and a third patient still in recovery. Pictured left is the ground-breaking heart-resuscitation console and preservation solution.

Pippa Middleton has decided to share the simple 30-minute total body workout that helps her achieve her toned behind - and keeps it in shape. The 31-year-old - dubbed Her Royal Hotness ever since the Duke and Duchess of Cambridge's wedding in 2011 - has been given a monthly column in Waitrose Weekend Magazine in which to share her diet and exercise tips. She swears by four key exercises - ladders, plié squats, wall pushes and the 'classic plank' - that are 'quick and great for toning all over'.

EXCLUSIVE: Kyle, 45, told MailOnline she has been suffering from dry eye syndrome for five years. The common condition leaves the eyes red and swollen due to a lack of tears. She said dry eyes left her constantly uncomfortable and irritable, needing eye drops every five minutes. She used them so often she hid them in her handbag, in different locations in her house and on set. But using eye drops when filming meant her mascara ran. Eight months ago she was diagnosed and prescribed drug Restasis, which helps the body produce more tears. Now she says she is free to get on with her life, including the fifth season of Real Housewives of Beverly Hills, which she says is 'interesting, to say the least...'

Researcher Meredith Brower from the University of California, Los Angeles, said eggs needed for pregnancy rises 'almost exponentially' after 42, and urged women to freeze their eggs without delay.

Gillian Relf, 69, from Kent, regrets having her son, Stephen, 47, because he was born with Down's Syndrome.'While I do love my son, and am fiercely protective of him, I know our lives would have been happier and far less complicated if he had never been born. I do wish I'd had an abortion. I wish it every day,' she writes here.

EXCLUSIVE: Rachel Baker, 32 from Surrey, had gained weight ever since her teens as she is a self-confessed lover of food. She said: 'I love food, I love Italians, Chineses, Mexican, Indian. I always ate dessert, that was the pleasing part of the meal.' But after giving birth to her son, her weight ballooned (as seen in the two left-hand pictures) and one day she was shocked to find she was breathless when bending down to tie her shoelaces. She went to a GP who confirmed that her BMI, which before she became pregnant was formerly classed at 'morbidly obese' at 43, was now 'off the scale'. She decided to join the LighterLife weight loss programme and in less than a year had lost more than nine stone (as seen in the right-hand picture and inset). Now, at a slim size eight, she has achieved her goal of looking elegant while driving a horse and carriage, one of her hobbies. She can also finally race around after her son.

Natasha Mash, 26, from Watford, Hertfordshire, tried to wipe away a brown spot on her arm, believing it was a melted blob of chocolate from a bar she had been eating. When she realised it was a mole, she went to her doctor, but was told it was nothing to worry about. It was only more than a year later - after a different doctor noticed her mole during an appointment for a chest infection - that suspicions were raised. In February this year, Miss Mash was diagnosed with melanoma, the most deadly form of skin cancer. She underwent three operations to remove the cancer and now wants to help other young people be aware of the signs.

Paul Burkhardt, 36, from Crewkerne, Somerset, bought a packet of 70p ibuprofen from his local Spar after coming down with flu. Two days later he woke up in the night with red, itchy hives all over his body (pictured top and bottom right) and a face the size of a balloon (pictured left). He drove to the GP before his eyes closed over and was given antihistamines and steroids to bring down the reaction. The effects lasted a week, and Mr Burkhardt believes one more dose of the painkillers could have been fatal.

Clare Evans, 24, from Newport, South Wales, was complaining of abdominal pain and called her out-of-hours GP surgery. They advised her to visit the doctors in case it was a kidney infection. When she arrived she was asked to give a urine sample. but when she went to the toilet her waters broke.She was examined and doctors could see a head and said she was 9cm dilated. Her contractions were so close together she was unable to go into an ambulance, so she gave birth in the GP's treatment room with the baby delivered by her GP and partners and the surgery staff. She also managed the 30 minute birth with no pain relief. Baby Erin Louise Roberts was born weighing 6lbs 12oz. Despite the shock of finding out she was pregnant, Ms Evans says she loves being a mother. 'I love motherhood, even though it was completely unexpected I wouldn't change it for the world' she said.

Thousands of patients have been forced to eat meals costing as little as an average 89p - less than the price of a packet of crisps - while the Scottish Government has cut NHS spending by £200million. The Scottish Daily Mail yesterday launched a campaign to highlight the appalling state of many hospital meals - with tiny portions of unappetising food and ready meals condemned by a nutritionist - and to raise standards. Further details have emerged of poor hospital catering which appears to pay little heed to the needs of sick and recuperating patients.

Two-year-old Ellie Harrington, from Ely, Cambridgeshire (pictured on the right of the left-hand picture), has learnt to walk, talk and even dance through copying her four-year-old sister Evie (pictured on the right of the left-hand picture). Ellie's parents Lisa Moden (pictured right with her daughters), 42 and Mark Harrington, 43 say she has learnt to walk early in order to keep up with Evie. The girls play together 24/7, and as children with Down's syndrome are known to be visual learners who often learn through copying, Ellie's say her sister's involvement has been key to her development. Although she was initially devastated to find out she had a baby with Down's syndrome, Ms Moden said she soon saw past the diagnosis. 'Evie loved her little sister from the moment she saw her, she was no different in her eyes' Ms Moden said. She added: 'Evie told me that when she grows up she wants to live with Ellie forever it melted my heart.'