On the global scale, the market of aesthetic medicine increased in the years 2015–2016 by 8.2% on average, while in Poland by 12–15%. The reasons for the strong development of the Polish market may be related to a systematic increase in the number of affluent Poles [3], ease of access to aesthetic medicine treatments, a change in the way of thinking about this type of treatment, and increased awareness of the appearance and striving to preserve a young and beautiful look. The share of new patients in the cabinets of this industry is a proof of great interest in aesthetic medicine procedures. In 2017, new patients accounted for between 25% and 50% of all patients. From an economic point of view, current economic conditions with forecasts of further growth of the aesthetic medicine market are the premise for undertaking activity in this industry. To take full advantage of the potential of the facial cosmetic surgery, it is worth taking care of all possible aspects of its functioning — high competences of medical staff, as well as economic aspects of running such activities, including identification of possible risks in order to avoid them.

Introduction. The observed intensive quantitative growth of aesthetic medicine clinics on the market may lead to a lowering of the general price level, although nowadays the high quality of services is a factor that determines the choice of a surgery more often than a low price.Aim. Estimate of average prices of selected facial aesthetic medicine’s procedures in Poland in 2019.Material and Methods. 7 types of facial aesthetic medicine treatments with the use of botulinum toxin or fillers that were used in 112 clinics located in Poland in 2019 were taken for the analysis.Results. The highest prices for wrinkle reduction with botulinum toxin were in the Mazowieckie Voivodeship and the lowest in the Podlasie Voivodeship. Treatments with the use of fillers cost the least in Kuyavian-Pomeranian, and the most in Mazowieckie. The most expensive treatment among the examined was the correction of the shape of the lips - 910 PLN and the cheapest was the reduction of wrinkles around the eyes - 460 PLN.Discussion. Higher prices than average can be expected in provincial cities. This is often dictated by the level of service innovation and / or patient wealth. Sometimes offering lower prices than the average can be an effective way to attract customers.Results. Treatments with the use of fillers are more expensive than those with the use of botulinum toxin by almost half. Most surgeries offer services in the field of facial aesthetic medicine using botulinum toxin and / or fillers at comparable prices.

The occurrence of skin lesions is the earliest symptom of Lyme disease, and the diagnosis of these lesions and appropriate treatment may prevent complications of the disease, which are mainly neurological. The cutaneous presentation in borreliosis is heterogeneous. There are typical lesions that constitute the basis for the diagnosis of Lyme disease, and atypical ones, which cause significant diagnostic difficulties especially when the patient does not remember the tick bite. This study aims to describe the heterogeneous skin symptoms of Lyme borreliosis, as well as offer a practical approach for the recognition of the disease. Based on pediatric cases from clinical practice, rare cutaneous presentations of Lyme disease at various stages of illness and therapy are presented. Diagnostic recommendations for recognizing individual forms are discussed.

Neuroborreliosis is a form of Lyme Borreliosis (LB) that affects various structures of the central and peripheral nervous system. Although most cases of LB can be cured with a course of antibiotics, some children can present prolonged symptoms, which may constitute post-treatment Lyme disease syndrome (PTLDS). The aim of our analysis was the long-term observation of children with NB and the determination of their risk of PTLDS. The clinical observation was supplemented by a laboratory study based on the assessment of the dynamics of anti-VlsE (variable major protein-like sequence, expressed) IgG antibodies in children with NB after antibiotic therapy. The prospective survey based on 40 children presented 1–2 forms of NB. The control group consisted of 36 patients with analogical symptoms for whom LB was excluded. Our long-term observation showed a low risk of developing long-term complications in children who received antibiotic therapy in accordance with the recommendations. The concentration of anti-VlsE IgG demonstrates a statistical significance for differences between the control and the study groups for each measurement period. Higher values of anti-VlsE IgG were observed in the study group, and the concentration decreased from the first measurement period to the next. The article emphasizes the importance of the long-term follow-up of children with neuroborreliosis.

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