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Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

Hormones, ageing and skinspan

Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...

Soft tissue augmentation – a review

The author explains how treating the face as a 3D structure is key to a good result with invasive or non-invasive procedures. History Rejuvenation of the face and trying to reverse the effects of ageing dates back centuries. Facial volume...

14th Annual Euro PDT Congress

The 14th Annual Congress of the European Society for Photodynamic Therapy (PDT) in Dermatology programme contained an abundance of interesting and varied clinical information and research on the licensed and unlicensed indications of PDT. These included the many areas of...

Letter from Hong Kong (17 August 2020)

So much can change in just a few weeks. In Hong Kong after three weeks with no new cases we started to see a third wave in mid-July. More and more cases with no obvious source.

PRP and Microneedling in Aesthetic Medicine

Platelet rich plasma (PRP) makes sense scientifically. Platelets are a bit like biological robots. They do not have a cell nucleus, but they do have a program which directs them to surveil blood vessel walls and, in particular, to respond...

Textbook of Plastic, Reconstructive and Aesthetic Surgery (Volume 1-3)

This is a multi-author comprehensive plastic surgery textbook that comes in three volumes with 175 chapters. Most authors are based in South Asia and take the reader through a journey of patients in the developing world, their priorities and challenges....

Aesthetics and Functionality in Ear Reconstruction

Recent years have brought important refinements to the approach and techniques of functional and aesthetic ear reconstruction. Aesthetics and Functionality in Ear Reconstruction by R Staudenmaier is an excellent book providing concise but detailed overview on the state of the...

Using autologous blood to reduce post-operative infections

The removal of impacted wisdom teeth is a commonly carried out surgical procedure in maxillofacial surgery. Apart from the usual complications of postoperative bleeding and wound infection, the most painful one is alveolar osteitis. This is mainly dependent on retaining...

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars

This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...

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...