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Correction of skin hyperpigmentation by chemical exfoliation

The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...

Pedicle calcification an uncommon problem

Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...

IMCAS 2023

Ethics in Aesthetic Medicine: presented the Consensus Paper of the major international experts

An update from SIME

Since its founding in 1975 SIME (the Italian Society of Aesthetic Medicine) has always set goals revolving around research, study and the acquisition of knowledge in regards to aesthetic medicine. This includes ensuring the sharing of information with its members,...

How I Do It - Peri-orbital rejuvenation using HA fillers

The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Abdominal problems following breast reconstruction using lower abdominal flaps

Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...

Large collar diameter Jones tubes

This is the first report of the success rates of frosted Jones tubes with larger diameter, 4.5 or 5mm collars. This is a retrospective review of 29 eyes of 25 patients who underwent insertion of a large diameter collar frosted...

Complications and long-term patient satisfaction after endoscopic brow lift

The authors present the results of a study of recovery, complications and overall satisfaction of patients with endoscopic brow lift with or without concurrent rhytidectomy made by a single surgeon. The study was performed through a telephonic interview using a...

Complications of otoplasty

Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...

Glow like a queen

Dr Vincent Wong explains why skin health is particularly important when it comes to treating drag queens and how to help them glow. In an era of gender fluidity, facial masculinisation and feminisation treatments are rising in popularity. As we...