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Topical treatment of dermatological concerns during GLP-1 therapy

GLP-1 receptor agonists (GLP-1) and combined GLP-1/gastric inhibitory polypeptide (GLP-1/GIP) agonists have emerged in recent years to promote weight loss [1]. The incretin mechanisms of GLP-1 agonists help to regulate blood glucose levels and facilitate satiety, which contributes towards weight...

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

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

The importance of skin preparation

With both aesthetic procedures and antibiotic resistance on the rise, good skin disinfection to reduce the risk of infection is more vital than ever. Anna Baker takes us through the evidence behind commonly used skin preparation formulations for aesthetic injectable...

Cavernous sinus thrombosis and orbital cellulitis

This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...

Durjoy – the Hong Kong story

I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Laser and light-based treatments for pigmented lesions

The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Lymphoedema surgical treatment: myths and facts

Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...

The 5 Rs of the renaissance. The new paradigm in aesthetic medicine

The Renaissance was a period of great importance in human history where art and science came together to define ideal beauty. This same search for harmony is reflected in current aesthetic medicine, where proportion and symmetry are considered fundamental. For...

OPINION - From ethics to commerce: challenges faced by cosmetic practice for 2025 and beyond

Cosmetic medicine and surgery have seen remarkable and ongoing increases in popularity, reflecting advancements in medical technology and evolving societal norms based on, for example, social media, cultural expectations, and globalisation of beauty standards. Unlike with other medical specialties, these...

Malignant melanoma, stress and cosmetic surgery

The epidemiology of cutaneous malignant melanoma (CMM) continues to evolve [1]. Whilst there has been a small but steady increase in incidence of the tumour there has been a significant decrease in lethality. There are several reasons for this; public...