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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...When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts
In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...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...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...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...Evaluating the efficacy of 2-millisecond versus 3-millisecond Pulse Duration in Laser Hair Removal using a 755 nm Alexandrite laser
Abstract: This study evaluates the effectiveness of 2 ms versus 3 ms pulse duration in laser hair removal (LHR) with the GentleMax Pro Plus™ system using a 755 nm Alexandrite handpiece in subjects with Fitzpatrick skin types III and IV....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...
