Aesthetic Medicine
Editorial commentary on aesthetic medicine from an emergency physician’s vantage point — the complications that arrive in acute care, evidence versus hype, and the regulatory picture. Nothing here offers, recommends, or implies the availability of any treatment.
Filler-Induced Vascular Occlusion: The Aesthetic Emergency That Arrives in A&E
How a cosmetic injection becomes a time-critical emergency — and why the clock matters more than almost anything else
Counterfeit "Botox" and the Botulism Outbreak Nobody Expected
In 2025, dozens of people in England were hospitalised with botulism after cosmetic injections — and the cause sits at the intersection of a legitimate medicine and an illegitimate supply chain
The Liquid BBL: Why "Non-Surgical" Doesn't Mean Low-Risk
A procedure marketed as a quick, knife-free alternative has been linked to sepsis, life-changing injury and death — and the language around it is part of the problem
Exosomes in Aesthetics: A Treatment Running Ahead of the Law
They are marketed as the cutting edge of regenerative skincare — but in the UK, injecting them is prohibited, the evidence is thin, and the marketing has outpaced both
Polynucleotides and the Regenerative Turn: What "Bio-Stimulating" Actually Means
Aesthetics is shifting from filling lines to stimulating the skin's own biology — a genuinely interesting change, wrapped in language designed to outrun the evidence