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How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime

More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...

How I Do It - Treating skin flaccidity with the Fotona V-SMOOTH protocol

Unwanted fat, cellulite and flaccidity are three of the top reasons for consultation in aesthetic medicine in relation to body contouring. After the age of 30, the production of collagen and elastin decreases, so our skin starts to loose firmness...

How I Do It - Laser hair removal: an overview

Laser hair removal is the most performed aesthetic procedure worldwide, with a continuous and increasing demand over the last two decades. It was introduced to the market in the early 1990s and several million procedures have been performed since then....

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

Skin dyspigmentation induced by triamcinolone injection treated with Nd:YAG picosecond laser in combination with polynucleotides

Non-surgical rhinoplasty is a popular cosmetic procedure that involves the use of injectable fillers to improve the shape of the nose without surgery. There are many different materials available on the market such as hyaluronic acid, collagen stimulators, etc. Silicone...

Modern laser-assisted acne therapy in practice

Laser and light-based technologies have expanded the therapeutic arsenal for acne, and can improve the skin appearance of inflammatory acne and scarring in a short time, which increases patient compliance and satisfaction. Acne is an inflammatory dermatosis in which pathophysiological...

Novel picosecond handpieces for the treatment of pigmentation

Pigmentary disorders are common; several treatment modalities are available, ranging from topical therapy to chemical peels and lasers. The advent of ultrashort pulsed picosecond lasers (PSL) has transformed the way tattoos and benign pigmented lesions are treated. Unlike long-pulsed lasers...

CO₂ laser treatment for burn scars

Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...

Platelet-based aesthetic therapies – to science from fiction

The author provides an overview of the theory behind platelet rich plasma and summarises the published evidence for its use in aesthetic treatments. Platelet-based treatments, commonly referred to collectively as platelet rich plasma (PRP), have been proposed and advocated for...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...