The latest medical research on Cosmetic Medicine

Scalp skin cancers have delayed detection due to their discreet location. Hairstylists are uniquely positioned to alert their clients about possible scalp skin cancers.

This study aimed to educate hairstylists on the basic concepts of skin cancer, increase their confidence in identifying suspicious lesions, and, subsequently, their likelihood of referring to dermatology.

Hairstylist students across 7 cities in the Midwest were surveyed before and after an educational lecture.

A total of 242 students across 8 schools participated in the study. Most participants (79.3%) completed both surveys. The mean knowledge score postintervention was significantly higher than preintervention (9.13 vs 7.93; p < .001). Cosmetology students reported significantly increased confidence in identifying suspicious skin lesions, informing clients about suspicious lesions, educating clients about skin cancer prevention, and referring a client to a doctor on seeing a suspicious skin lesion postintervention compared with preintervention (p < .001 for all).

The authors' lecture significantly improved hairstylists' knowledge of skin cancer basics and increased their confidence in informing clients about suspicious lesions and the likelihood of referring to a dermatologist.

Dermal filler-induced alopecia is a rare yet significant complication of aesthetic procedures primarily associated with vascular occlusion and subsequent tissue ischemia. Hyaluronic acid (HA) fillers, though widely used for facial rejuvenation, can lead to adverse outcomes such as skin necrosis and hair loss, particularly in high-risk areas like the temples and glabella.

This case report aims to highlight the clinical presentation, diagnostic approach, and multidisciplinary management of filler-induced alopecia, contributing to the existing literature with a comprehensive review of previously reported cases.

A 21-year-old female presented with localized skin necrosis and alopecia four days after receiving 7 mL of HA filler injections in the temples, tear trough, and eyebrow glabella regions. Trichoscopy revealed follicular dropout and white dots, consistent with ischemic hair loss. Treatment included hyaluronidase injections (1500 units), intralesional corticosteroids, topical minoxidil, and CO2 laser therapy. Over 1 year of follow-up, the patient achieved complete hair regrowth and resolution of facial scarring.

Only 16 cases of filler-induced alopecia have been documented, predominantly involving HA fillers. This case underscores the importance of early recognition and intervention with hyaluronidase to mitigate ischemic damage. The multidisciplinary management approach employed here demonstrates the potential for full cosmetic recovery.

Filler-induced alopecia, though rare, necessitates heightened awareness among dermatologists and aesthetic practitioners. Adhering to recommended injection techniques and dosages, alongside the judicious use of ultrasound guidance, can minimize risks and improve patient safety.

The purpose of this study is to present an innovative and efficient alternative to conventional silicone drains for seroma prevention, aiming to enhance patient outcomes and satisfaction post-liposuction.

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Seroma formation represented the second most frequent complication (n = 14, 4,6 %). In the "no-drain" group the incidence was 8% (12 patients), and in the "drain" group seroma was recorded in 1.3% (2 patients), supporting a statistically significant reduction in seroma formation (p < 0.05). All cases responded to percutaneous aspiration with more punctures needed in the "no-drain" group. No systemic complications were recorded.

The addition of liposuction during surgical body-contouring procedures does not significantly increase the rate of complications, while achieving excellent aesthetic results. The innovative drain used in our study provided results comparable to traditional tube drains but with less patient discomfort, better compliance, and enhanced postoperative healing quality.

Tunnels of hidradenitis suppurativa (HS) are one of the most challenging aspects to manage, and different surgical techniques have been proposed for their treatment. CO2 laser and surgical deroofing are 2 of the most widely used techniques, but no studies have compared them directly.

The objective of this study was to compare the efficacy and outcomes of CO2 laser treatment versus surgical deroofing for HS tunnels, with a focus on healing time, complication rates, pain perception, and cosmetic outcomes.

The authors performed a multicentric retrospective analysis of 20 patients with HS tunnels who were treated with either CO2 laser (n = 10) or surgical deroofing (n = 10). The primary end point was to compare the 2 procedures in terms of healing time, complication rates, pain, and cosmetic outcome. Outcome measures included Visual Analog Scale for pain, the Vancouver Scar Scale for scar evaluation, and the relapse rate at 6 months. Secondary end point included the identification of variables associated with the healing time.

The mean time to healing was 4.7 ± 1.9 weeks in the CO2 laser group and 10.9 ± 4.1 weeks in the surgical deroofing group (p < .01). Pain score at the first dressing change was lower in the CO2 laser group, with a mean Visual Analog Scale score of 1.7 ± 0.8 in the CO2 laser group and 4.9 ± 1.7 in the surgical deroofing group (p < .01). The mean scar evaluation score using the Vancouver Scar Scale at 6-month follow-up was 2.5 ± 1.3 in the CO2 laser group and 3.4 ± 1.1 in the surgical deroofing group. The number of postprocedural complications was low in both groups (1 in the CO2 laser group and 3 in the surgical deroofing group). The proportion of patients achieving complete healing of the tunnels at 6 months was similar among the CO2 laser and the surgical deroofing group (90% in the CO2 laser group vs 80% in the surgical group).

CO2 laser is a safe and effective treatment for HS tunnels, with fast healing rates and low pain perception.