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Perfecting the pout

From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy

The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...

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...

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;...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

An overview of chemical peels

Chemical peels form an important part of most aesthetic and cosmetic practices. They are an affordable procedure for patients and significant results can be achieved. Generally chemical peels are a safe procedure, but only if used correctly and with caution....

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

Liposuction – the evolution of the classical technique

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 1 The history of attempts to sculpture fat dates back to the beginning of the 20th century, but Professor Yves-Gerard Illouz...

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...

A practical guide to the most commonly used dressings in wound care

The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

Immediate versus delayed post mastectomy breast reconstruction

The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...