Background: Strict infection control measures in response to the current COVID-19 pandemic are expected to remain for an extended period. In aesthetic clinics, most procedures are provided on one to one basis by the physician or therapist. In such a scenario, guidelines detailing the infection control measures for aesthetic clinics are of particular importance.Methods: An online meeting of an international group of experts in the field of aesthetic medicine, with experience in administration of an aesthetic clinic, was convened. The meeting aimed to provide a set of consensus guidelines to protect clinic staff and patients from SARS-CoV-2 infection. Results:Consensus guidelines for 'preferred practices' were provided for scheduling of patients, patient evaluation and triaging, and for safety precautions about the different procedures. Procedures were categorized into low-risk, moderate risk, and high-risk based on the likelihood of transmission of SARS-CoV-2 virus from the patient to the treating physician or therapist. Conclusions:While not intended to be complete or exhaustive, these guidelines provide sound infection control measures for aesthetic practices. Since guidelines regarding safety measures and use This article is protected by copyright. All rights reserved.of PPEs may vary from country to country, the local guidelines should also be followed to prevent Abstract:Background: Strict infection control measures in response to the current COVID-19 pandemic are expected to remain for an extended period. In aesthetic clinics, most procedures are provided on one to one basis by the physician or therapist. In such a scenario, guidelines detailing the infection control measures for aesthetic clinics are of particular importance.Methods: An online meeting of an international group of experts in the field of aesthetic medicine, with experience in administration of an aesthetic clinic, was convened. The meeting aimed to provide a set of consensus guidelines to protect clinic staff and patients from SARS-CoV-2 infection. Results:Consensus guidelines for 'preferred practices' were provided for scheduling of patients, patient evaluation and triaging, and for safety precautions about the different procedures. Procedures This article is protected by copyright. All rights reserved.were categorized into low-risk, moderate risk, and high-risk based on the likelihood of transmission of SARS-CoV-2 virus from the patient to the treating physician or therapist. Conclusions:While not intended to be complete or exhaustive, these guidelines provide sound infection control measures for aesthetic practices. Since guidelines regarding safety measures and use of PPEs may vary from country to country, the local guidelines should also be followed to prevent COVID-19 infection in aesthetic clinics.

Background: Submental fat (SMF) contributes to an aged or overweight appearance that may negatively impact an individual’s psychological well-being. Deoxycholic acid (ATX-101) is an injectable formulation of deoxycholic acid approved to treat SMF. The Condition of Submental Fullness and Treatment Outcomes Registry (CONTOUR) Australia study was designed to understand treatment patterns and outcomes with ATX-101 in Australia. Methods: CONTOUR Australia was a phase 4, prospective, observational, multicenter registry that enrolled adults considering treatment for SMF reduction. Results: The registry enrolled 86 patients from six sites. Significant changes from baseline through the end of treatment indicated improvement in mild to moderate fullness associated with SMF on the Clinician-Reported SMF Rating Scale and the Patient-Reported SMF Rating Scale, improvement in SMF-associated psychological impact after treatment on the Patient-Reported SMF Impact Scale, no overall worsening in skin laxity based on Submental Skin Laxity Grade, and increased patient satisfaction with the face/chin on the Subject Self-Rating Scale after receiving treatment. Adverse events were all mild and mostly related to the injection site (ie, bruising and swelling). Conclusion: CONTOUR Australia observed clinically meaningful and significant outcomes and further supports ATX-101 as a well-tolerated and effective treatment for SMF reduction.

When rejuvenating the hands, the most aesthetically pleasing results are achieved when the effects of both intrinsic and extrinsic ageing are addressed, which often involves using a number of approaches. Extrinsic ageing affects both the epidermis and dermis, manifesting as dermatoheliosis (wrinkling, skin laxity, crepiness, rough texture and pigmentary changes). The skin of the dorsal hand can be effectively treated with a range of modalities, although their use must be adapted to account for the anatomical differences between facial skin and that on the hand. This second article in a two-part series will look at the various options for skin rejuvenation of the ageing hand.

Rosacea is a common, chronic inflammatory skin condition with a significant psychosocial impact. Photodynamic therapy (PDT) has been found to both selectively destroy sebaceous glands and have an immunomodulatory effect on the skin. Therefore, this modality is being increasingly used in the treatment of inflammatory dermatoses. PDT is simple to perform, using equipment that is often already available in aesthetic clinics. This review summarises the evidence base for the use of PDT in the papulopustular subtype of rosacea, common treatment protocols and the management of potential side effects.

Mid-face procedures can be undertaken in a specific area or as part of the process of global facial rejuvenation. Bethany Hall highlights key considerations related to this treatment, such as patient suitability, product choice and administration technique. She also discusses complications that can occur and the impact of poor product choice on outcomes