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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...Threads in rhinoplasty: to thread or not to thread?
Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...How I Do It - Skin tightening: Profound
Areas of skin laxity are a concern to many patients. A decline in collagen and elastin production arising from chronological or environmental ageing often presents as sagging skin on the face, neck or body, and patients frequently enquire about availability...Retrobulbar hyaluronidase
Blindness following filler injections is a devastating complication for the patient and the practitioner.
Cryolipolysis for non-invasive body sculpting
The author provides a clear explanation on the definition and indications of cryolipolysis, reinforcing that it is not a weight loss treatment as it does not shrink fat cells. Some of the popular devices are listed, including CoolSculpting®, Cristal®, as...
The psychological impact of living with Russell-Silver syndrome
The authors present an insightful overview of the rare condition, Russell-Silver syndrome (RSS), with focus upon the psychological impact and required support for affected individuals. The challenge of ascertaining the prevalence of RSS is argued to be due to ill-defined...
Dark circles in the periorbital region
The author provides an insightful paper on the aetiological factors involved in dark circles and explores the treatment options. An emphasis is placed on the importance of undertaking a thorough patient consultation and history to establish causative factor(s), as well...
Recognition and treatment of common skin infections
A useful piece for aesthetic nurses who are clinically treating the skin, reinforcing the importance of recognising any signs of possible infection, that may contradict treatment or potentiate complications. The author gives a concise overview of common skin infections, with...
Beautification or distortion? Tackling the lip augmentation phenomenon
The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....
Maximising treatment outcomes with skin peels
The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...
Treatments for hyperpigmentation
Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...
