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Amid today's growing demand for cosmetic medicine, Guide to Minimally Invasive Aesthetic Procedures provides a reliable, up-to-date, and highly illustrated guide to the wide variety of aesthetic procedures commonly requested and performed in this fast-changing field.

Board certification could undermine the knowledge and skills of practicing dermatologists and potentially affect reimbursement rates and availability of Mohs surgery. Declarations Conflict of interest No conflicts of interest to report. Micrographic dermatologic surgery (MDS) diplomates: a demographic evaluation and comparison of Medicare case volume.

We present an 80-year-old patient with a fast-growing lesion on the lower lip, lasting for no longer than one year. The clinical examination revealed the presence of endophytically growing tumour formation along almost the entire length of the lower lip, associated with spontaneous bleeding as well as severe pain on palpation [...].

Tumors of the scalp remain a serious challenge for clinicians since poor locoregional skin elasticity hinders the ability to utilise certain flaps, limiting the choice of reconstructive techniques available. As a result, surgical restoration of medium to large-sized defects are left to the discretion of the surgeon, who with a comprehensive knowledge of restorative techniques, along with the advantages, limitations as well as a sound understanding of the locoregional anatomy, can make thorough decisions on the choice of which flap is best suited for the defect. Here we present two cases where the double hatchet flap was employed as a dermatosurgical approach in order to provide exceptional cosmetic results. On dermatological examination, both patients presented with a medium to large- sized tumour formation but were otherwise in good health. Both underwent radical, widelocal excision, followed by reconstructive manipulation in the form of a double hatchet flap to close the defect. Postoperative follow- up reported positive signs of wound healing with aesthetically pleasing results. Finally, we discuss the use of various flaps in such conditions while providing evidence for the double hatchet flap as a possible alternative that provides perfect aesthetic results as seen in our cases. Such a complex surgical intervention requires the expertise of a multidisciplinary team in order to achieve an overall successful outcome.

Background Medical emergency complications may occur during dermatological, surgical, and cosmetic procedures. Aims This study aimed to investigate the frequency of dermatologists who experienced emergency complications as well as their level of knowledge regarding emergencies and basic life support. Methods The cross‐sectional descriptive study was conducted online among 240 dermatologists to whom a questionnaire was sent via email and a closed social media group. The survey instrument asked about emergency complications during dermatological, surgical, or cosmetic procedures and the dermatologists' level of knowledge regarding emergencies and basic life support. Results Among the dermatologists, 53% reported emergency complications during dermatological and surgical procedures and 43.2% during cosmetic procedures. The most common complications were vasovagal syncope, hypotension/bleeding, and seizures. Emergency complications were more common among specialists, those with more than 15 years of professional experience, those working in their private clinics, and those performing an average of 10–50 dermatological/surgical procedures per week and fewer than 10 cosmetic procedures per week (p < 0.05). The knowledge level of dermatologists was highest among residents, dermatologists with 0–4 years of professional experience, those working in university hospitals, and those who had both theoretical and practical training in basic life support. Conclusions This study shows a relatively high frequency of dermatologists who experienced emergency complications during dermatological, surgical, or cosmetic procedures. Although these complications seem to be common; most of them are mild, self‐limiting, and not life‐threatening. Nevertheless, dermatologists should be competent and prepared to intervene in medical emergencies in daily practice.

With malpractice insurance premiums on the rise, and insurance rates for the practicing anesthesiologist at an all time high, it is important, now more than ever, to have a single source reference related to both anesthesia and analgesia and how they both relate to dermatologic surgery.

A 75-year-old male presented to the dermatology department with a primary complaint of a tumorous lesion, measured 4 cm × 3 cm in diameter, located in the right preauricular region. Histological evaluation revealed a basal cell carcinoma, and surgical excision under local anesthesia was recommended.

A 54-year-old male presented with a painful nodular, tumor-like lesion, in the right occipital region, present for approximately two years, clinically suspected of atheroma. Surgical excision of the lesion was recommended.

A 74-year-old male presented to the dermatology department with primary complaints of a problematic tumor-like pigmented formation located on the vertex of the scalp. A clinical and dermatoscopical diagnosis of lentigo maligna was established, and surgical excision under local anesthesia was recommended.