Aesthetic Medicine - January 2019

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JANUARY 2019

ISSUE 48

M EDICI N E

JANUARY 2019

GUT FEELING

LIP SERVICE

BOTTOMS UP

Enzymes and gut health

The Nonsurgical Lip Lift

Cellulite treatments dossier

• INSPIRING BEST PRACTICE IN MEDICAL AESTHETICS •

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aestheticmed.co.uk

Contents JANUARY

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EDITORIAL Vicky Eldridge E: vicky@aestheticmed.co.uk T: +44 (0) 207 351 0536

NEWS AND ANALYSIS

BUSINESS

06 NEWS The latest news from the industry

20 PATIENT JOUNREY Dr Harry Singh discusses the importance of good consultations

14 AM LIVE 2019 Find out what will be happening at Aesthetic Medicine Live in March

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ADVERTISING Jack Diamond

CLASSIFIED Nur Suleyman

36 BRANDING Sue Thomson and Jean Johnston on deciphering your business’s personality

E: nur@aestheticmed.co.uk T: +44 (0) 207 349 4796

Chloe Skilton

30 SOCIAL MEDIA Jemma Edwards shares hertop Facebook ad design secrets for 2019 34 EMPLOYMENT Victoria Vilas discusses staffing in a competitive industry

E: jack@aestheticmed.co.uk T: +44 (0) 207 349 4792

MARKETING

24 INTERVIEW We speak to Lou Sommereux about how she has used social media to grow her business

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E: chloe@aestheticmed.co.uk T: +44 (0) 207 351 0536

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PUBLISHER Mark Moloney E: mark@aestheticmed.co.uk T: +44 (0) 207 351 0536

DESIGN AND PRODUCTION ICD icd.gb.com

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PRINTING Wyndeham Grange

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SUBSCRIBE Annual print subscription UK: £44.50 or DD £39.50; Europe: £59.50; outside Europe: £67.30.

To receive your copy of Aesthetic Medicine every month call 01371 851875 or see escosubs.co.uk/aestheticmedicine The publisher accepts no responsibility for any advertiser whose advertisement is published in Aesthetic Medicine. Anyone dealing with advertisers must make their own enquiries.

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Aesthetic Medicine • January 2019

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CONTENTS

IN THIS ISSUE...

aestheticmed.co.uk

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54

SKIN 38 CASE STUDY Dr Sophie Shotter shares the results of a case study using NeoStrata Tri-Therapy Lifting Serum

74

NUTRITION

INJECTABLES

DEVICES

OUT AND ABOUT

48 GUT HEALTH Kim Barnouin, author of the best-selling book Skinny Bitch, on gut enzymes

50 LIPS Dr Steven Harris on the Nonsurgical Lip Lift

60 DOSSIER Cellulite treatments

74 CLINIC PROFILE We visit Dr Shahzadi Harper’s clinic in Harley Street

42 PRODUCT FOCUS We take a look at Oxygenetix postprocedure make-up

54 ACOUSTIC NEUROMA Treating the side effects of acoustic neuroma with injectables 58 INNOVATION We find out about the latest needle-fre injecting technology

44 SKIN NEWS The latest skin product launches

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68 EDITOR’S CHOICE The treatments we’ve tried this month 70 TREATMENT SPOTLIGHT Cutera’s new truSculpt iD system

76 OUT AND ABOUT Out and about in the industry this month

72 DEVICES NEWS The latest device-based technology launches

Welcome

to the first issue of Aesthetic Medicine for 2019

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I hope everyone had a lovely festive break and is motivated and ready to start the new year? The beginning of the year is often a time of change; we often look back over the previous year, what we achieved and what we struggles we faced, and make plans and resolutions for the year ahead.

2018 was another year of growth for the aesthetics sector with more and more people entering the market and yet more new products and technologies being launched. While rapid growth has its positives as well as its negatives, let’s try and start 2019 by focussing on the best of our industry, how it can transform and change lives and how many amazing professional people work within it.

Our motto at Aesthetic Medicine is “inspiring best practice in medical aesthetics” and we are starting 2019 by getting ready for our London event – Aesthetic Medicine Live, which takes place on March 23-24 at Olympia.

Attending events like AM Live is a fantastic chance to connect with other practitioners, build your knowledge and find out about the latest trends.

Turn to pages 14-17 for a taster of what will be going on this year and to find out how you can attend.

Vicky Eldridge - Editor

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N E W S A N D A N A LY S I S

INDUSTRY NEWS

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Popularity of lip fillers leading to more botched procedures, says Save Face in annual report A rise in the popularity of lip fillers is driving the number of official complaints about non-surgical procedures, according to Save face, which received 934 complaints regarding unregistered practitioners between 2017 and 2018.

The voluntary register reported that, of the sub-standard treatments it heard about, 387 had resulted in the patient seeking corrective procedures by other practitioners.

The majority of complaints were about dermal filler procedures, with 616 patients reporting unsatisfactory results. Most (72%) related to lip filler, while 13% were about tear trough treatments, 9% related to cheek filler and 6% to non-surgical rhinoplasty.

Of the complaints, 156 patients reported lumps and nodules in the injected area post-treatment, 122 felt they looked worse, 27 developed an infection and six suffered

from vascular occlusion or impending necrosis – potentially life-threatening conditions.

There were 224 botulinum toxin procedures reported. Of these, 76% of patients were unaware that the medicine was prescription-only, while 68% didn’t have a face-to-face consultation with a prescriber and 31% didn’t know what qualifications or training their practitioner had.

11% of botulinum toxin cases took place at a ‘botox party’, and, when these were investigated by Save Face, eight practitioners were found to be pretending to be healthcare professionals.

Most (62%) of the unregistered practitioners involved in the reported treatments were found by patients via social media, while 18% came from discount voucher websites.

Some 84% of patients said they didn’t know what products were used or where they were sourced from.

Millennials driving UK’s high interest in aesthetics According to a recent survey by RealSelf UK, interest in medical aesthetic treatments is on the rise in UK and it is millennials that appear to be driving the growth.

The RealSelf UK Aesthetics Interest Survey, conducted online by The Harris Poll, revealed that 40% of adults are considering a cosmetic treatment in the next 12 months, with 37% considering non-surgical treatments and 22% considering surgery. Nearly two-thirds (62%) of millenials, those aged 18-34, are considering non-surgical treatments (vs. 28% aged 35+) and close to half (44%) are considering surgical treatments (vs. 14% aged 35+).

“The younger generation is a key force behind the UK’s growing interest in cosmetic procedures, due in large part to the new technologies and treatment options that have made aesthetic treatments accessible to a wider audience,” said Dr Lara Devgan, RealSelf chief medical officer and board-certified plastic surgeon. “Many millennials look at cosmetic enhancements as part of their larger self-care routine, not unlike going to the gym or taking care of their skin. They are more open to the idea that beauty is a feeling of confidence rather than a particular physical feature, and it can be unique and customised for every individual.”

ISO standard to be used for professional certification for the first time in aesthetics sector, announces IQV IQV has announced that, for the first time, an ISO standard (internationally recognised standards ensuring products and services are safe and reliable), will be used for professional certification within the aesthetics sector.

The IQ Verify learning provider scheme (in accordance with ISO 17065:2012) and personnel certification scheme in Skin Rejuvenation (in accordance with ISO 17024:2012), have been developed and will be accredited by UKAS, the UK regulator, and delivered through IQ Verify, a UKAS accredited certification body.

Under the learning provider scheme, any organisation offering training and education services successfully audited

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against this standard is able to demonstrate that its organisation has met an internationally recognised and accepted standard to offer high calibre training delivery.

The Skin Rejuvenation personnel certification scheme has been mapped against the requirements of the regulated qualification framework, providing a pathway for aesthetic practitioners to progress from Level 4 to Level 7.

Mark Salt, IQ Verify director, said, “This is an exciting development in the aesthetics industry which not only offers international recognition but also ensures the continued raising of the bar in terms of the knowledge and competence of practitioners.”

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N E W S A N D A N A LY S I S

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INDUSTRY NEWS

Hair removal among young British males is on the rise Having a hair-free body has grown in popularity among young British males, with 46% now opting for hair-removal treatments, compared to 36% in 2016, according to a new report by market analyst Mintel.

More than half (57%) of men aged 16-24 remove hair from their pubic region, up from 40% two years ago, choosing to shave, wax or laser their way to a smooth finish.

Hair removal from the chest has risen from 15% in 2016 to 30% in 2018, from the back figures have risen from 10% to 12% in the same time period, and when it comes to underarms, 42% now go hair-free compared to 16% just two years ago, the report found.

Facial hair removal is also on the up, from 73% in 2016 to 80% in 2018, and more than four in 10 young Brits are now doing eye-brow tidy-ups as part of their grooming routine.

Today, young British men are removing body hair almost as much as women of the same age – 29% of men versus 34% of women.

“Consumers today are feeling the pressure to be hair-free.

However, while the pressure on women remains higher, we’re seeing more and more young men in particular feeling the need to be hair-free too,” said Roshida Khanom, associate director, beauty and personal care at Mintel. “Reality TV shows such as Love Island have popularised hairless torsos, normalising the hair-free aesthetic among men.”

Counterfeit dermal fillers seized by MHRA Fake medicines and medical devices worth £2 million, including dermal fillers, have been seized by the Medicines and Healthcare products Regulatory Agency (MHRA) as part of a global operation to target counterfeiting.

During Interpol’s Operation Pangea, a worldwide initiative involving 116 countries, a number of property raids were carried out around the UK and unlicensed dermal fillers, the anxiety drug diazepam, modafinil, which is prescribed for sleeping disorders, and medical devices were confiscated.

The operation, which also targeted airports and mail delivery centres, led to 869 arrests worldwide and the seizure of items worth approximately £10.9 million.

Study shows that bakuchiol has comparable efficacy to retinol A study has compared the antiageing properties of retinol with an ingredient found in a plant, leading to “promising” findings for the botanical ingredient.

Bakuchiol is derived from babchi, a plant found in China, India and Southern Africa, and has recently been discovered to have antioxidant and anti-inflammatory properties.

Researchers from universities across the US wanted to see how the efficacy and side effects of bakuchiol compared with vitamin A derivative retinol, a popular and thoroughly researched anti-ageing ingredient.

The goal was to find out whether bakuchiol could give similar anti-ageing results to retinol without the side effects often experienced when using it, which can include redness, irritation and peeling.

Forty-four volunteers were split into two groups and were asked to apply either bakuchiol 0.5% cream twice daily or retinol 0.5% cream daily to their face for 12 weeks.

Photographs were taken of each participant with an analytical camera before the experiment and at four, eight and 12 weeks.

A dermatologist analysed pigmentation and redness at each marker and volunteers answered questions about any side effects. Both ingredients were found to “significantly decrease” pigmentation and wrinkle surface area at the end of the trial with no notable statistical difference, though the researchers noted “more scaling and stinging” in the retinol group.

At week 12, 59% of the bakuchiol participants showed improvement in skin pigmentation, compared to 44% of those who had been using retinol.

Dr Raja Sivamani, the study’s lead investigator, said, “For consumers who value natural products, bakuchiol provides appeal due to its origin in several plant species. Although retinol may also be derived from various natural sources, it can cause unwanted side-effects that make it less comfortable to use.”

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INDUSTRY NEWS

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Study examines the relationship between age and facial asymmetry A study published in Plastic Reconstructive Surgery has examined the relationship between age and facial asymmetry.

The authors imaged normal subjects using threedimensional photogrammetry. Facial symmetry was calculated by identifying the plane of maximum symmetry and the root-mean-square deviation. Regression analysis was used to assess the relationship between age and symmetry.

Subgroup analyses were performed among facial thirds.

The authors imaged 191 volunteers with an average age of 26.7 ± 22.2 years (range, 0.3 to 88 years). Root-meansquare deviation of facial symmetry clustered between 0.4 and 1.3 mm (mean, 0.8 ± 0.2 mm). The authors found a significant positive correlation between increasing age and asymmetry (p < 0.001; r = 0.66).

The upper, middle, and lower facial third’s average rootmean-square deviations were 0.5 ± 0.2 mm (range, 0.2 to 1.2 mm), 0.6 ± 0.2 mm (range, 0.2 to 1.4 mm), and 0.6 ± 0.2 mm (range, 0.2 to 1.2 mm), respectively. Asymmetry also increased with age across all facial thirds (p < 0.001).

Facial asymmetry increases with age in each facial third, with a greater asymmetry and increase in asymmetry in the lower two-thirds.

Contributing factors may include asymmetric skeletal remodelling along with differential deflation and descent of the soft tissues. The observed correlation between increasing facial asymmetry and age may be a useful guide in plastic surgery to produce age-matched features.

Breast and Cosmetic Implant Registry publishes its first report The Breast and Cosmetic Implant Registry (BCIR) has released its first report.

The voluntary register was launched in October 2016 in the wake of the Poly Implant Prosthese (PIP) scandal and the inability to trace women who might be affected.

The English registry is one of only three comprehensive databases in Europe, behind just the Netherlands and Sweden.

The report showed that so far 20,095 patients have been recorded as having at least one operation. 275 organisations had entered their data including 109 from the NHS and 166 from the independent sector.

Following the release of the report, a joint statement was released by the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); The British Association of Aesthetic Plastic Surgeons (BAAPS); and The Association

of Breast Surgery (ABS). It said: “The registry is a vital patient safety initiative which enables the collection of long-term safety data and ensures the patient recipients of specific makes of implants can be traced, if needed.

“The associations look forward to this invaluable patient safety asset becoming available across all devolved nations.”

Letters of Vladimir Nabokov highlight the psychological impact of psoriasis A new research letter published in the British Journal of Dermatology has hypothesised that Vladimir Nabokov, the famous 20th century author best known for his novel Lolita, suffered from severe psychological distress due to his chronic psoriasis.

The condition is a recurring theme in his letters to his wife Vera between 1923 to 1977.

The link between psoriasis and psychological distress has since been researched with the rate of psychiatric distress and depression being around 10% to 58% and suicidal thoughts ranging from 2.5% to 7.2% Nabokov himself struggled with suicidal thoughts,

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writing in 1937: “I’m so tortured by my Greek”*… “now I can tell you straight that […], I’d reached the border of suicide”.

Nabokov’s psoriasis made him extremely itchy, causing insomnia, and worsening his mood, something that is not uncommon amongst people with psoriasis.

The researchers hypothesised that a particularly severe flare of psoriasis that occurred during his time in France may have been linked to the stress of being unfaithful to his wife.

Adultery is a theme addressed in Nabokov’s work, notably in novels such as Lolita and Pnin.

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MINUTE LASER BODY SCULPTING

N E W S A N D A N A LY S I S

INDUSTRY NEWS

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NEWS IN BRIEF SINCLAIR PHARMA INCREASES SHELF LIFE OF SILHOUETTE SOFT

Silhouette Soft sutures now have an 18-month shelf life, extending their longevity from 12 months, an increase of 50%. Silhouette Soft trainer Dr Victoria Manning commented, “By increasing the viability of Silhouette Soft by 50%, doctors will be able to order and keep more Silhouette Soft sutures in stock, safe in the knowledge that they won’t expire before they can be used. From a business perspective, this means that prospective patients won’t need to return to the clinic for a second appointment while the doctor waits for a fresh consignment of sutures to be despatched.”

FDA APPROVES SEYSARATM FOR MODERATE TO SEVERE ACNE

The US Food and Drug Administration (FDA) has approved SeysaraTM (sarecycline), a new, first-in-class tetracycline-derived oral antibiotic for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients nine years of age and older. SeysaraTM, a part of Allergan’s Medical Portfolio Dermatology portfolio until it was acquired by Almirall last summer, is expected to launch this month in the US. The oral tablet has proven significant reduction of inflammatory lesions as early as three weeks and is generally safe and well tolerated.

AESTHETIC RESPONSE GAINS GDPR MANAGEMENT ACCREDITATION

Aesthetic Response became the 15th UK company to gain certification in compliance with the requirements of the QG-GDPR Management Standard, having initially secured Cyber Essentials accreditation.

Compliance director, Carla Gilbert, said, “Working towards the GDPR Fundamentals certification has been very rewarding. We have been able to scrutinise each aspect of our business to strengthen policies and procedures while also creating a solid base for future analysis and development.”

RSM A-11 (AESTHETICS 11) TO BE HELD IN LONDON NEXT MONTH

RSM A-11 (Asthetics 11) will take place at the Royal Society of London on February 22. The meeting will bring together a multi-professional faculty and delegate community to identify and discuss the best options for aesthetic clinical care, with optional workshops running throughout the day. Lectures will be led by 12 of the world’s top aesthetic experts, with the plenary lecture given by an Ig Nobel Prize winner, Professor Karl Grammer. Other speakers will include Carol Bryan, Dr Albina Kajaia, Professor Andreas Katsambas, Dr Han Jin Kwon, Dr Wolfgang RedkaSwoboda, Dr Sabrina Shah-Desai, Dr George Sulamanidze and Dr Ines Verner.

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Plastic surgeons call for warnings on packaging for fireworks The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) is calling on Government to tighten regulations around firework packaging, making it mandatory to include graphic warnings.

Despite awareness campaigns and repeated safety warnings issued each year, a significant number of life-altering injuries occur across the UK every winter, particularly among those who are not attending organised events. BAPRAS believes that an overhaul of firework packaging is required to reduce the growing number of unnecessary, life-changing injuries sustained from the misuse of fireworks, which often require extensive reconstructive surgery.

Research carried out by YouGov found that nearly 70% of parents in Great Britain would support the introduction of graphic warnings on firework packaging.

In 2017, 4,436 individuals attended A&E in England because of an injury caused by a firework – a figure that has more than doubled since 2009.

Commenting on the campaign, consultant plastic surgeon and president of BAPRAS, David Ward, said, “We are extremely concerned about the continued misuse of fireworks. With many of our surgeons having to attend to these types of injuries each year, BAPRAS is calling on the Government to make a common-sense change by legislating to ensure all firework packaging in the UK includes mandatory graphic warning notices, similar to those found on cigarette packaging.”

Offering his support to the campaign, member of parliament for Poplar and Limehouse Jim Fitzpatrick MP said, “The alarming figures raised by BAPRAS make clear the urgent need for Government to introduce graphic warnings on firework packaging demonstrating the dangers of misuse.

“We have sensibly legislated to ensure the risks of other harmful products such as smoking and alcohol are made clear on packaging – without similar changes for fireworks, I fear the numbers of those injured will only continue to rise.”

British men hide their grooming habits A new survey by Atomik Research has revealed that 38% of British men have a stash of beauty products that they keep hidden from their partners.

Nearly four in 10 (39%) treat themselves to treatments in their lunch hour, which is higher than women (24%), with the most popular rituals being facials (14%), hair removal (13%) and botulinum toxin (11%).

The most-used beauty product was moisturiser (49%), followed by face wash (47%), hair styling products (40%) and fake tan (22%), the report found.

Millennial men (25 to 34) are the most secretive about their beauty regime (65% hide products), followed by 18 to 24-year-olds (33%). The older generation are the most open about their beauty habits, with only 13% hiding their products. Men in London are the most secretive, with those living in the North East coming in second and those in Wales third.

Aesthetic Medicine • January 2019

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N E W S A N D A N A LY S I S

INDUSTRY NEWS

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NEWS IN BRIEF SIMON MARSH APPOINTED AS 3D-LIPO OPERATIONS MANAGER

3D-lipo has appointed Simon Marsh as head of operations. Marsh, who will be responsible for strategic planning and implementation, goal setting and resource management, new product implementation and stakeholder relationship management, joins at a time of rapid growth the company. His expertise and experience will be used to steer the company forward and take it through ISO 13485.

ALMIRALLSHARE SEEKS NOVEL TARGETS FOR SKIN HEALTH

AlmirallShare has launched a new call with the aim of finding novel targets and concepts in the treatment of dermatological diseases. Targets of interest may be proteins or nucleic acids whose function can be modulated by a small molecule or biological therapy that have a scientific rationale in a dermatological disease. Concepts may be mechanisms, pathways, or cell players not previously linked to a disease of interest. The call is open until February 28 and is addressed to universities, research centers, start-ups, biotechs and pharma companies all over the world with an interest in pharmaceutical R&D.

NUFFIELD HEALTH TOPS COSMETIC SURGERY DIGITAL MARKETING POLL

Following a 9% increase in its visibility over the past year, Nuffield Health remains top of the cosmetic surgery market, a report by Salience Marketing has revealed. The Cosmetic Surgery Insight Report ranks 46 of the leading websites within this competitive market according to their online performance. Ramsay Health recorded the most significant increase among the top 10, while Transforming Lives and Circle Health both fell out of the top 10. They were replaced by HS Hair Clinic and My Breast.

JCCP APPOINTS NEW TRUSTEES

The JCCP has appointed two new trustees to oversee its running and ensure it meets its charitable objectives. Andrew Masheter has more than 30 years’ experience at senior level in the not-for-profit and public sectors, while Victor Ktorakis has more than 14 years’ experience as an Environmental Health Officer (EHO) and is currently a senior EHO for the London Borough of Enfield.

Differences in beauty devices preference intensify among markets Sales of beauty devices continue to be strong around the globe, but numbers vary dramatically from one region to another, Kline’s Beauty Devices: Global Market Analysis and Opportunities report found.

Beauty devices that can be easily connected to mobile apps are increasing in popularity, as they allow consumers to achieve a more personalised treatment.

While cleansing continues to be the leading skincare concern globally, with sales registering a growth of more than 14%, the segment is leading in Asia.

Hair removal is by far the largest concern in the European at-home beauty devices market, with nearly 40% of total market share. The category sales slowdown in Europe due to market saturation. Hair removal devices have also seen declining sales in the United States. However, sales of these devices have skyrocketed in China, registering triple-digit growth in 2017.

Europe, along with the United States, is currently enjoying momentum of acne elimination devices. This the fastest-growing skincare concern, with a doubledigit growth in 2017.

Brits waste thousands each year on inaffective weight loss methods Britons spend huge amounts of money on weight loss methods yet many still struggle to achieve the results they want, with increasing pressure to conform to the perfect ‘Instagram body’ exasperating the problem, according to studies.

Research carried out by the University of New South Wales and Macquarie University revealed that scrolling through Instagram for just 30 minutes a day can cause women to fixate negatively on their body shape, with participants becoming increasingly unhappy with their own physiques the longer they spent looking at celebrity ‘fitness inspiration’ images.

Research by Topcashback revealed that gym memberships are the most wasted monthly subscription, with 50% of members failing to visit the gym.

MyProtein claimed the average person spends £124 per month on health and fitness, while a further study revealed that most women attempt three diets each year, totalling an average yearly spend of £485.25.

NEWS IN PICTURES Galderma’s Restylane was a massive hit at Condé Nast’s Brides Magazine’s Beauty Hub in central London. Demand for complimentary consultations was so high that more than 100 brides waited patiently in line to ask consultant dermatologist Dr Sandeep Cliff, how they could give their skin that all-important glow for their big day. “I’ve seen a huge surge in the number of people looking for aesthetic treatment before their wedding, and aesthetic procedures are now seen as an essential part of getting ready for the big day by many people,” said Dr Cliff.

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AM LIVE 2019

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Get connected with a visit to Aesthetic Medicine Live at Olympia London this March 23-24 and reinvigorate your business for 2019

A

t Aesthetic Medicine, we believe that one of the keys to running a successful business is making the right connections. As aesthetic clinic owners or practitioners that means partnering with the right suppliers, products and treatments; networking and sharing your experiences with your peers; and learning from global key opinion leaders and other successful business owners. Taking place at the end of the first quarter of 2019 – March 23-24 – Aesthetic Medicine Live is the ideal opportunity to reinvigorate your business for the year ahead.

We may all start the new year feeling motivated with big plans for our businesses, but that can quickly wane as daily life takes over. So why not come and meet with likeminded people and restoke the fires of your enthusiasm by finding out about the latest product launches and trends on the market that could add commercial value to your clinic, gaining valuable CPD-accredited education and connecting with world-class speakers and business leaders?

Over the next few pages we share some of the highlights of our 2019 event…

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Aesthetic Medicine • January 2019

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• DISCOVER the latest treatment trends and products by walking around our bustling exhibition featuring market-leading brands.

• LEARN by attending our CPD-accredited education programme including the UK’s first ever two-day conference on aesthetic regenerative medicine.

• WATCH live demonstrations of treatments from our exhibitors and hear from KOLs about exciting product developments for free on the Live Stage.

• CONNECT with your peers and network in the delegate lounge or in the cafes within the exhibition.

• BUY products and devices and take advantage of exclusive offers only available to visitors to the show.

• INVIGORATE your passion for your business at our two-day CPD-accredited business workshop programme with new features for 2019.

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BOOST YOUR BUSINESS SKILLS

Our Business Workshop programme gives you access to successful clinic owners and leading business consultants to inspire you to grow and develop your clinic.

NEW FOR 2019

UK’S FIRST TWO-DAY CONFERENCE ON AESTHETIC REGENERATIVE MEDICINE

New for 2019, our conference will feature a two-day programme on aesthetic regenerative medicine in collboration with Queen Mary University of London and chaired by leading regenerative medicine expert, Mr Ali Ghanem.

LEARN ABOUT HAIR RESTORATION

Aesthetic Medicine Live will once again be hosting the British Association of Hair Restoration Surgery’s (BAHRS) annual conference. Learn about the growing trend for hair restoration.

WATCH FREE DEMONSTRATIONS

Our Live Stage provides visitors to the exhibition with free education on the show floor, featuring demonstrations of the latest treatments and techniques from our exhibitors.

GET CPD-ACCREDITED EDUCATION

Aesthetic Medicine Live’s two-day CPD-accredited clinical conference features global key opinion leaders and cutting-edge topics.

EXPERIENCE THE LATEST TREATMENTS FOR YOURSELF

At Aesthetic Medicine Live, many of our exhibitors offer you the chance to try out their treatments for yourself on their stands. If you are thinking of investing in a new brand, there’s no better way to see if it’s right for your clinic and your patients than experiencing it for yourself.

FIND OUT ABOUT THE LATEST SURGICAL INNOVATIONS

For the third year running, Aesthetic Medicine Live will host the UK Assocation of Aesthetic Plastic Surgeons’ (UKAAPS) annual conference with a one-day programme dedicated to cosmetic surgery practice featuring an international faculty.

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DON’T FORGET TO DOWNLOAD THE SHOW APP

To get the most out of the show, why not download our app to search the exhibitors, products and offers? Stay up-to-date with the wide range of seminars and other features of the show. Don’t forget to turn on notifications for instant updates.

Download the show app at aestheticmed.co.uk/showapp

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AM LIVE 2019

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Knowledge is power Find out what’s in store for our 2019 CPD-accredited education programme

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ow in its fifth year, our two-day, two-agenda CPDaccredited conference, chaired by David Hicks, has grown from strength to strength. Featuring leading speakers from around the globe, its interactive format inspires discussion and audience participation. This year we will be hosting three individual conference streams, the first on Saturday March 23 on Agenda 1 will be on current injection techniques while Agenda 2 will feature day one of the Aesthetic Regenerative Medicine programme, new for 2019 and a UK first. On Sunday March 24 Agenda 1 will focus on the Skin while Agenda 2 will see the regenerative medicine programme continue for its second day.

DON’T’ MISS

SATURDAY MARCH 23 - CURRENT INJECTION TECHNIQUES A ONE-DAY CLINICAL CONFERENCE Injectables are key treatments in aesthetic clinics, but what are the latest techniques and innovations in this area of aesthetics? As part of this one-day conference, learn from some of the UK’s leading injectors about how they achieve their results and watch live demonstrations.

Speakers include: Dr Anna Hemming , Dr Beatriz Molina, Dr Steven Harris and Dr Ash Labib

DON’T’ MISS

THE UK’S FIRST TWO-DAY CPD-ACCREDITED AESTHETIC REGENERATIVE MEDICINE CONFERNECE Aesthetic Medicine Live is proud to be hosting the UK”s first two-day conference dedicated solely to Aesthetic Regenerative Medicine, one of the future growth sectors of our industry.

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Chaired by Mr Ali Ghanem and organised in conjunction with Queen Mary’s University, this programme will educate you on the growing trend for a 360-degree approach to aesthetics, which utilises medical skills to not only address the outward signs of ageing but also those internal issues that exasperate aesthetic concerns. From bioidentical hormones to stem cells and more, examine the latest procedures and science that can expand your services and take your practice to the next level.

DON’T’ MISS

SUNDAY MARCH 24 SKIN: THE LATEST TRENDS The skin is the largest organ in the body and imporving its appearance is a huge part of what aesthetic medicine is about.

Today’s one-day conference on skin will cover all areas of rejuvenation, from anatomy and assessment to the latest treatments and techniques using devices and products.

Speakers include: Dr Uliana Gout, Anna Baker, Prof Mukta Sachdev Conference delegate passes cost £139+VAT for 1 day and £195+VAT for 2 days. Price includes entry to the Business workshops. Book before january 25 and take advantage of our Early Bird Offer 1 Day - £118 + VAT or 2 Days - £166 + VAT. To register visit aestheticmed.co.uk/live * Please note that entry to sessions on Saturday’s conference programme on Current Injection Techniques is limited to medically trained practitioners only and you will be asked to provide proof of your membership to a professional regulatory body such as the GMC, NMC or GDC. Aesthetic Medicine reserves the right to refuse entry to anyone not meeting that criteria.

aestheticmed.co.uk/live

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#AMLive 12/12/2018 09:59

AM LIVE 2019

aestheticmed.co.uk

Business bootcamp The Aesthetic Medicine Live business workshops have a new format for 2019 with more interaction and take home tips to help you boost your business

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t the start of the new year many of us set fitness goals, but what about getting your business in shape?

By March some of the initial new year enthusiasm can begin to wane, so it’s time for bootcamp!

We are passionate about helping aesthetic practices grow and flourish and that’s why our business workshop programme has become one of the strongest parts of our educational programme. And, in 2019 we are shaking things up with a new format that makes the sessions more interactive than ever before. From audience participation and panel discussions to take away tips and role plays, this two-day programme chaired by Richard Crawford-Small will excite and invigorate your passion for your business. So come on, flex your business muscles and sign up today!

Saturday March 23 – Chair Richard Crawford-Small

Sunday March 24 – Chair Richard Crawford-Small

11am-1.30pm SESSION 1 GET MOTIVATED FOR SUCCESS IN 2019

11am-1.30pm SESSION 3 STANDING OUT FROM THE CROWD – HOW TO DIFFERENTIATE YOURSELF AND YOUR BUSINES S IN A COMPETITIVE MARKET

At the end of the first business quarter how do you keep yourself and your team motivated to drive your business to success?

This session will examine different skills and techniques to reinvigorate you and your business for 2019. When you are operating at your best, your business will flourish too.

11am-11.45am Workshop 1: Fred Brandt Memorial Lecture “Physician Heal Thyself” Dr Sadequr Rahman

Aesthetics is a rapidly growing industry and with that comes both huge opportunity and competition so how do you stand out from the crowd and make your clinic shine? This session will focus on everything from creating engaging content such as video and social media marketing to developing your USPs and brand identity.

11.45am-12.30pm Workshop 2: What Entrepreneurs Do? Panel session with Dr Monah Mansoori

11am-11.45am Workshop 1: Developing your USP – What’s your Special Sauce? Richard and Amy Crawford-Small

12.30pm-1.15pm Workshop 3: My Three Key Takeaways: Tips from Top Business Coaches on Building and Growing Your Business Alan Adams, Mark Masters, Richard Crawford-Small

12.30pm-1.15pm Workshop 3 : How I Did it Clinic owners panel

12.30pm-1.15pm Workshop 4: Strategies to Motivate You and Your Team for Success 2pm-4.30pm SESSION 2 SALES COACHING BOOTCAMP Many medical practitioners find it hard to sell but working in the private sector means being able to sell yourself and your services is an important aspect of running a booming business. This session will include role plays, live interactive Q&As and coaching advice from the experts.

2pm-2.45pm Workshop 5: How to Sell: Getting into the Sales Mindset Sue Thomson and Jean Johnston 2.45pm-3.45pm Workshop 6: How I Boosted Sales in My Business Clinic owners panel 3.45pm-4.30pm Workshop 7 KEYNOTE SPEAKER: Standout Selling: Top Tips from a World Leading Sales Coach Andy Preston 4.30pm-5.30pm Workshop 8: Mr and Mrs – The Secret of our Success presented by Martyn Roe Dr Beatriz Molina and Stephen Barlett, Dr Shirin Lakhani and Jay Shah, Debbie Thomas and Richard Weare, Dr Aamer Khan and Lesley Reynolds-Khan, Richard and Amy CrawfordSmall and Drs Simon and Emma Ravichandran

11.45am-12.30pm Workshop 2: How to Write a Press Release and Get the Right Media Coverage 12.30pm-1.30pm Workshop 4 Role Play and Improv to Improve Customer Service Customer service is one of the most important ways you can make your clinic stand out from the crowd but how do you keep your cool and maintain those standards when dealing with difficult or challenging clients? in this role play session trained actors will play the role of a different variety of patients and volunteers will be coached on how to deal with them.

2pm-4.30pm SESSION 4 THE BEST LAID PLANS: PLANNING FOR SUCCESS How do you create a business plan, plan your business growth strategies or plan your marketing budgets and campaigns?

Proper planning can make you more time efficient and help boost your business and drive growth.

2pm-2.45pm Workshop 5: Time is of the Essence – How to More Effectively Plan and Manage Your Time to increase Productivity and the Bottom Line Dr Harry Singh 2.45pm-3.30pm Workshop 6: Money Talks: Creating Budgets and Financial Plans Panel 3.30pm-4.15pm Workshop 7: Creating a Social Media and Video Marketing Plan Panel

Business workshops can be booked individually for £10 each or for those who want to attend multiple sessions as well as the clinical edication, buy a full delegate pass and access all the CPD-accredited education on offer.

@AestheticMLive

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BUSINESS

CONSULTATION

aestheticmed.co.uk

In consultation In the second part of his article about the patient journey, Dr Harry Singh discusses the consultation process

“

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W

hat do you think I need?” This is, by far, the most common question I get asked by my facial aesthetics patients. My standard response has always been, “No one needs wrinkle-relaxing injections; it’s all about what you want.” Wrinkle-relaxing injections are ‘wants’based treatments. No one needs them, no one is going to get ill from not having them done, and certainly, no one will die if they aren’t undertaken.

The consultation process is one of the most important aspects of your business success. If you can master this and stand out from your competition, you will succeed. The biggest mistake is rushing through this and not giving it the time it deserves.

The actual consultation process is not the start of the buying process for patients; it starts way before that and a patient’s own research and awareness of a brand plays a big part. It’s never wise to try and sell to your patients, you simply need to guide them to a purchasing decision. Replace ‘sell’ with ‘help’ and replace ‘fee’ with value; sales = value + communication.

We need to get away from the old-school belief that we

are the experts and we tell the patients what they need. We need to engage with our patients and involve them in the decision-making process. That is why a good consultation is vital. I believe it is a three-step process that must be completed in the correct order:

STEP 1: RAPPORT

According to Wikipedia, rapport is “a close and harmonious relationship in which the people or groups concerned are in sync with each other, understand each other’s feelings or ideas and communicate smoothly”.

You need to master the skill of active listening, where you really listen to your patients’ concerns and the feelings behind their words. Don’t half-listen while getting ready to respond. Silence is good. Ask for clarification where needed and show genuine empathy for the patient in front of you.

This is one of those instances where you can’t ‘fake it until you make it’.

Identify the purpose of the consultation. My purpose is to serve the patient as much as I can in a way that aligns with their values and the problems they want solving. And even before this, I am grateful that the patient has given me the

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opportunity to serve them and I don’t take this choice that they made lightly.

Get to know the patient: ask questions about their family, job, hobbies and where they live. If, like me, you have the memory of a goldfish, keep notes about their personal lives in their records. It will prompt you when you next see them.

Because you are better able to meet your patient’s needs, this will allow you to build trust and develop a long-term relationship, one with fewer complaints.

The best salesperson I ever met was a woman in New York who was selling some shaving products I was interested in buying. She asked me numerous questions about problems that I would face when only buying part of the package and what I would do to solve these problems. So, indirectly, the solution I said I needed was the products they were selling!

STEP 2: VALUES

show genuine empathy for the patient in front of you

Impact + Influence = Income Building rapport with your patients is a critical skill that can be learned. First, it must come from the correct place – a genuine place and a dedication to being interested in the patient.

Step into their shoes. Ask yourself what is going through their mind? What concerns may they have? What objections are they perhaps contemplating? What are their wants and needs?

You will need to invest time and energy during this rapport-building exercise. It may even cost you money, but look at this as an initial investment for a profitable longterm relationship. We don’t want a transactional business, where patients just buy products or services as a one-off.

We want a relationship business where patients seek our advice because we are their trusted adviser and they have no hesitation in taking up our treatments.

Some tips for achieving and maintaining rapport: Maintain eye contact Nod to acknowledge what they are saying Focus is on hearing Ask questions for clarification Use positive body language: do not fold arms or legs; keep the same head height as the patient; lean forwards; Summarise what they have told you Paraphrase if unsure or to clarify, for example, “Let me understand what you are saying” Don’t interrupt Don’t finish their sentences Never talk over the person Never offer advice too soon Pay attention, don’t be distracted by interruptions, phones or computers Use their first name often Listen with your heart as well as your head Be sincere

What does the patient value – and does it match your values? Patients will buy what they value, and this essential piece of information is found out during the consultation.

Questions will include: What is the patient hoping to achieve?

Is it reasonable?

Can you deliver the results they want?

Are they motivated by pain or pleasure?

(Pain is trying to get away from something and pleasure is going towards something. Normally, pain is a stronger motivator of action than pleasure. Pain is the catalyst for action and pleasure is the continuation of the action.)

A patient will have two needs: implied needs – a clear indication of problems or difficulties with a current situation, or explicit needs – a clear indication from the patient of what they want and/or desire.

All humans have six basic needs, which are divided into personal needs: certainty, uncertainty/variety, significance, connection/love and spiritual needs, growth and contribution.

Continuing with the questions for the consultation: What are the patient’s expectations? Are they realistic regarding the results they want?

What is their timescale? When do they want the results by?

Is there any reason why they have chosen to address their concerns now? >

You can consider using Neuro-Linguistic Programming (NLP) techniques to connect with the patient. In this instance, we are referring to matching and mirroring; copying the patient’s actions such as body posture, breathing, the speed of speed of speaking, the tone of speaking and their energy levels. We ultimately want to achieve attunement. This is the ability to bring one’s actions and outlook into harmony with other people and the context you are in. There are three principles to this.

The first is to come from a viewpoint where you have less power than the other individual because it will help you see their perspective. The second is to use your head as much as your heart; that’s empathy. The third is to mimic.

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Kinesthetic learners use phrases such as “can you feel that”, “get a sense of that”, “does it resonate?” Their tonality is slow, with pauses, boring even. Their movements are also slower and lower, with hands down. This information is very useful when we come to case presentation.

Have they got a major function, a wedding, anniversary or a birthday party coming up very soon? I don’t like to treat a patient too close to a major event as the results may not be optimal; they may suffer potential side effects such as swelling and bruising and these need time to subside.

Do they have a budget in mind?

If so, can we deliver the results within it?

Have they had treatment previously from another practitioner? If so, why have they changed?

STEP 3: PAIR THE BENEFITS WITH THE VALUES

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We are not selling features but the benefits of the service we offer, and these have to match the patient’s values that have been elicited from the consultation.

Let’s say you have a patient who has a very rigid timeframe of one week and they are enquiring about anti-wrinkle injections. After careful assessment, you have agreed that they will benefit from anti-wrinkle injections. The benefits of the treatment are numerous, but since it doesn’t meet the criteria of a rigid time frame that is valued by the patient, they will not buy from you.

Avoid asking closed questions which only yield yes or no responses and instead stick to open-end questions. For example, you could ask, “How do you rate your from one to 10?” When they give you a number - and it’s very rate for a patient to rate anything a 10 out of 10 - I will ask them what they think they need to do to achieve a 10 in that particular area.

Less is more. In Gordon Ramsay’s Kitchen Nightmares, he always gets rid of excess dishes on restaurant menus. Most of the menus have too many dishes and his argument, which I agree with, is that you can’t make them all amazing, so cut out the excess and concentrate on what you are good at. AM

If you cannot improve upon what they have and can’t see where you can make a difference, then do not treat them

There are two reasons for this question. First, I want to know who they have seen. If it is someone I respect who delivers outstanding results, then alarm bells will start ringing. If they are not happy with them, then they will have the same problem with me. Second, I don’t want to repeat the same mistakes the previous practitioner made, such as they were rushed, it hurt, costs were not explained or no review appointment was offered, etc.

During this process, you are determining what learning style the patient has. They will fall into one of three styles known as VAK - Visual, Auditory, Kinesthetic.

Visual learners use phrases like “picture this”, “imagine”, “see what I mean”. Their tonality is fast, excitable, loud, and their movements are active, fast, with hands high up.

Auditory learners use phrases like “hear me out”, “sounds good”, “do you get what I’m saying?” Their tonality is up and down, sing/song, wavy, and their movements tend to be sideways, slower, with hands in the middle.

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You can’t treat every single facial aesthetics patient and your aim is not to treat everyone. Learn to say “no”. I have had a couple of patients whose lips come through the door before they do and they request a lip augmentation as they feel their lips are too small! If you cannot improve upon what they have and can’t see where you can make a difference, do not treat them.

It all starts with a detailed consultation and assessment. In a perfect world, the ideal patient would have the following traits: Is happy to listen to your recommendations and not be led by advertising campaigns Is able to communicate their concerns and the results they want Understands what can be achieved and what cannot be done Balances results with possible complications Accepts the duration of results Accepts they are responsible for a good skincare regime.

Dr Harry Singh has been carrying out facial aesthetics since 2002 and has performed more than 3,000 cases. He is not only a skilful facial aesthetician but also a keen marketer, which he feels is vital to attract and retain patients requesting facial aesthetic services. He has published numerous articles on the clinical and non-clinical aspects of facial aesthetics and has spoken at dental and facial aesthetics conferences on these topics. He was shortlisted at the Private Dentistry Awards in 2012 and 2013 in the Best Facial Aesthetic Clinic category and was a finalist in 2012 at MyFaceMyBody Awards for the Best Aesthetics Clinic. To find out how to turbo boost your facial aesthetics business into profitability, buy Dr Singh’s book Let Go Of The Hand Brake at letgoofthehandbrake.com.

Visit botulinumtoxinclub.co.uk to download his free Conversion Assessment Template.

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07/12/2018 08:23

BUSINESS

INTERVIEW

aestheticmed.co.uk

The Power of Social Media

We speak to aesthetic nurse Lou Sommereux about how she has used social media to grow her business

Aesthetic Medicine: Why is it important to use social media to promote your business?

Lou Sommereux: Social media opens up our clinic to new audiences who aren’t on our clinic database. It reaches people who haven’t heard about the clinic via word of mouth or the website. It also creates a brand image and a reference point for clients who want to hear about new treatments or learn how things work. It’s another form of advertising that has become very popular.

AM: Which social media channels do you use to promote your business?

LS: We use Instagram, Facebook and Twitter. It’s good to use a variety of social media channels as it allows us to target a variety of demographics. Different audiences veer towards different forms of social media and we need to recognise that and skew our marketing strategy accordingly.

AM: Do marketing activities on social media need to be different to attract mature women compared with millennials?

LS: The more mature patients tend to be influenced to seek treatment by what they see in the mirror while celebrity influence plays a much larger role in the younger generation seeking treatment. This influences the way you appeal to them over social media.

I find Instagram is more suitable for the younger audience and they tend to favour before and after posts, things that are much more visual. To appeal to the younger audience, images must be aesthetically pleasing, and if we have offers we will promote these through the Instagram feed as well.

When it comes to the more mature audience, we tend to rely on word of mouth and our website. They engage more with Facebook posts, but these tend to be more about me and what I’m doing in terms of treatments, training, and achievements.

AM: How must the style of posts be varied across the social media channels?

LS: We use an online design tool – Canva – for Instagram, as it allows us to design personalised

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descriptive posts. On Facebook we get the most engagement with posts about me and my training rather than treatment in the clinic. On the other hand, Twitter posts are much snappier and will be a combination of Facebook and Instagram content.

AM: Would you say Instagram stories are gaining more power in social media?

LS: Yes absolutely, Instagram is vital in creating the brand image and something that existing or perspective clients can refer to.

We make more use of Instagram stories now and make our own announcements around them. I would say my Instagram stories are similar to our regular stream because the Instagram posts remain whereas Instagram stories get taken down after 24 hours.

AM: Social media makes it easy for people to criticise or complain in a public forum. How do you recommend responding to comments and addressing negative reviews?

LS: We don’t get many negative reviews but we have had a couple. We tend to thank them for giving us the opportunity to explain ourselves, and we then go into a very neutral and professional explanation.

We have had people who come in and said that they have seen the way we have responded to a review or comment and think we responded beautifully. We also always invite them in to the clinic to discuss their issue with us face to face, or through a forum. But we always start off by thanking them for bringing whatever it is to our attention and then we address it.

Different audiences veer towards different forms of social media and we need to recognise that and skew our marketing strategy accordingly

AM: How do you maintain a professional tone that is still appropriate for social media?

LS: It can be difficult. This is a medical field and we are trying to educate the public about medical devices.

It has taken some time, but we feel that we have adopted a balance between fun and entertaining, but also medical and informative. It’s difficult but I think we’ve got it now. We post appealing images and use an informative voice.

AM: How do you incorporate seasonal trends into your social media posts?

LS: At the moment we are posting much more of a winter feel, using crisp blues and white with our images. We will also incorporate >

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BUSINESS

INTERVIEW

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seasonal holidays into these. It’s all about the skin and looking fresh in winter, so we will be posting about being party ready and devices that give your skin a great glow.

Laser hair removal, cool sculpting, fat removal and fat reduction are also trends we will be incorporating into our posts this winter.

AM: How do you source materials for your social media posts?

LS: We use materials created by the industry. There’s no point reinventing the wheel. Quite often we will take ideas from these toolkits and then make our own on Canva and use these for social media.

They then have more of an individual feel, and we use a range of materials. The recent one from Galderma, ‘Your Little Winter Helper’, includes winter themed Restylane branded materials as well as non-branded customisable clinic promotion materials.

We love using them, there’s so much choice in them we could just use one idea a day until the next campaign comes around again.

AM: What would be your top dos and don’ts for using social media to promote your business?

LS: Think about the times of day you are posting, and how this can maximise engagement.

We feel that suppertime is good, around 6pm, or later.

People have finished work and are sitting on the sofa,

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looking at their phones. So, these are the times we get the most engagement, but we post outside of these times as well.

We also have to keep the rules and regulations in mind. This normally means not posting about neurotoxins or prescription medicine. We are mindful of MHRA advertising laws and guidelines, so we don’t want to be promoting prescription drugs and we don’t want to step over the line with our advertising and violate the code of practice. That’s very important. It’s a balancing act to be ethical and professional while still promoting your business. We adhere to the GMC code of practice. It’s not good practice to be giving incentives by offering rewards for liking/sharing a page.

Maintaining a professional style and keeping evidence of good practice is very important.

Everything gets run by me first to make sure it is in keeping with what we want to put out.

AM: What lies ahead for your social media strategy?

LS: We need to address the younger group because they will be tomorrow’s middle aged.

We want to incorporate them on a journey with us to build that trust and relationship. So, it’s quite different to when I started 17 years ago when most advertising was hard copy in glossy magazines in and around Cambridge. You have to adjust to what is happening out there in the market place. AM

Lou Sommereux is a highly experienced nurse prescriber with a background in mental health and general nursing. She is the founder and clinical director of the Cosmex Clinic in Cambridgeshire, which she set up in 2002. She is an honorary and active member of the British Association of Cosmetic Nurses (BACN).

She is a key opinion leader for Galderma. In 2014 she was named Aesthetic Nurse Practitioner of the Year.

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12/12/2018 10:12

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More collagen collagen fifibres, less fat cells – with More bres, less with the the exclusive, exclusive, patent ® for pending ve ingredient patentedacti active ingredientCHacoll CHacoll® forfirm firmskin. skin.** “Visibly better anti-cellulite efficacy than any other product tested by dermatest.”

Dr. Werner Voss, dermatologist, founder of dermatest *Clinical study results: up to 58% less fat cells and 33% more elastic skin within 12 weeks.

www.skin689.com Also try our products for upper arms and decolleté.

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Ad value Jemma Edwards gives her six top tips for your Facebook ads in 2019

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espite recent bad press, Facebook continues to dominate the world of social media. In fact, as of Q2 2018, there were more than 2.23 billion active Facebook users – a year-on-year growth of 11%. However, when you look at how internet advertising revenue has grown ($69.4bn/£54.51bn in 2017, up from $36.6/£28.75bn in 2012) compared to the decline in newspaper advertising ($18.4bn/£14.45bn in 2017, down from $22.8bn/£17.91bn in 2012), some might see how it would benefit the newspapers if the biggest thief of their advertising revenue was to fail. And they don’t come much bigger than Facebook.

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So love it or loathe it, Facebook looks here to stay. But it is always changing and to stay ahead of the competition you need to keep up with change and adapt.

So here are six of the latest methods for you to use in your ads. And, yes I do mean ads and not posts.

1. USE VIDEO

This one is huge. Video gets more engagement on Facebook than anything else. Using video for your marketing is so important and Facebook is encouraging greater use of video.

There are a few reasons why video is such a valuable tool in your marketing.

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The first one is simple: people love watching videos and they respond well to them. Video not only lets you get across more information than a text ad could ever do, but a user doesn’t have to scroll down to finish a story either.

Videos are more eye-catching in the news feed. It’s human nature to pay attention to movement and you can’t help but be drawn to moving pictures when scrolling down through static articles and posts in a news feed.

Your video will get users to stop scrolling which straight away gives you an edge. You can tell a story very easily when using a video and you don’t always need to use sound.

In fact, you might be better off not using any sound at all, particularly as 85% of videos are watched without the user listening to the sound. Closed captions are very useful here and many video editing software packages (such as iMovie or Screenflow) allow you to insert them.

Facebook also has the facility to insert captions when a video is uploaded.

If you can keep the video short, even better.

People switch off quickly so try to get your messages across in less than 15 seconds. At a push, no more than 30seconds.

Don’t entirely overlook text. You need to attract the viewer to the video, so using a short headline will help.

This means that there is a much higher chance of people clicking on the ad and converting into a customer. This is a big time saver, particularly if you have a lot of different products or services to offer, you no longer need to manually produce ads for every single one.

3. PROVIDE VALUE

Too many small businesses focus on what’s happening in their world. I regularly drive past a local dentist surgery which has a big sign outside announcing, “New dentist started” and all I think is, “So what?”

Would that make me want to get some work done on my teeth? The point I’m trying to make here is that you need to put yourself in the shoes of your customer.

You might think that offering 20% off your treatments is going to get the clients flying in. However, not if you were already 20% more expensive than your competitors.

When you offer value, you are giving patients a reason to engage with you. Explain what problems you are going to solve for them and what it is about your service that makes it a no-brainer to choose you over your competitor, even if you are 20% more expensive. People only choose on price when they can’t see any difference in the offer.

You can demonstrate value when designing your ads in a number of ways, such as:

Clearly explaining the features and benefits of your product and service in both the headline and main text – stating what is unique about your proposition will also help A visual demonstration of the treatment or product in action will show how easy it is to use or the benefits and/ or results of using it Using customer testimonials or having some sort of social proof that your service works and gives the results you say it will. >

Video gets more engagement on Facebook than anything else

2. USE AUTOMATED DESIGNS

A great addition is the Dynamic Ads feature that takes a lot of the effort out of video ad design. You can upload your own product catalogues and create templates, before Facebook uses its magic to produce multiple ads for you that will automatically match the product with its respective description, price and technical details.

These ads get used a lot when doing retargeting campaigns, so the people that see them are those that have already looked at some of your website.

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4. USE STORYTELLING

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Using short stories to get your message across in your ads is an incredibly powerful way to communicate

Using short stories to get your message across in your ads is an incredibly powerful way to communicate.

Storytelling gives you exceptional results as it combines the logical appeal of the product or service with the emotional sides, which people relate to.

You can set a scene for storytelling just with a single image and by using your own descriptions to enhance the story. Using carousel ads can help here too as you can set a different scene with each image.

Of course, video ads are probably the best medium for storytelling and, as previously mentioned, get incredible levels of engagement.

When telling your story, don’t mix several emotions or messages into one story. You only have a short amount of space so just go for one effect, otherwise you risk confusing the user and losing them.

5. USE DIFFERENT AD FORMATS

Facebook has introduced a number of different ad formats.

While this can feel a little overwhelming, the variety of formats does increase the scope for creativity. You now have shopping and product focused ads called collection ads, carousel ads, story ads and canvas ads. The diversity with which you are now able to stand out to your audience

will help you get noticed, as long as you use the placements and formats correctly.

6. USE THE VERTICAL

People spend less time on their desktops and more time looking at their smartphones and this has an impact on how ads should now be designed.

If you are creating videos that mean the user has to turn their phone sideways to watch it, then you may just lose that viewer. So although you don’t need to optimise all of your content for the vertical format, make sure you at least do so for your video ads.

THERE’S MORE TO FACEBOOK ADS THAN YOU MIGHT THINK…

Strong performing Facebook campaigns depend on a number of factors; your offer, your bids, your copy, where you choose to place the ads and your target audience can all impact the outcome.

Get all of those right and you still need to make sure that the design is strong enough to get people to pay attention to your message.

The key is keep focussed on your message and who it is you are aiming your message at when you are putting together your Facebook ads. And make sure you keep testing to see which of these design strategies work best for your audiences. AM

Jemma Edwards is owner of deliveringdemand.com, helping aesthetics professionals and cosmetic surgeons get more patients and grow their practice.

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Stiff competition Victoria Vilas discusses staffing in a competitive industry

T

he competition for top talent can be stiff, especially if your clinic is in an area where there are similar businesses vying for the attention of the same aesthetic professionals. Your clinic may be in an attractive, high-end location, it may be kitted out with industry-leading equipment and products, you may have a skilled and friendly team, and you may receive some great reviews online from your patients. But, if the competing clinics nearby can also claim the same, then it may be hard to separate you, in the eyes of a job seeker.

way process, so give interviewees the chance to find out more about the benefits of being one of your employees.

Job applicants tend to be drawn towards employers or managers who present themselves as professional, fair and personable. Even if you are an industry-leading aesthetic clinician with excellent credentials, your manner during an interview could affect an interviewee’s perception of your clinic.

MAKE YOUR CLINIC LOOK ATTRACTIVE TO JOB SEEKERS

Some job seekers will be looking to move for a higher salary.

If they feel that their current employer hasn’t recognised their level of experience or responsibility financially, they may be happy to move to a similar role but for greater compensation. When deciding on what package to offer an applicant, take a few key details into consideration. Look at where their skills and level of experience sit when compared to your other team members, check what the current market rates are for someone of their level, and remember to ask what they earn including any commission or bonuses. Use this information to put together an attractive but sensible offer. Offering much less than the going rate could make an experienced aesthetic practitioner feel insulted, but equally, don’t get carried away and offer a compensation package that is way above what would be expected. If an employee’s starting salary is at the uppermost limit of what you should or could pay, you’ll have no room for rewarding them with a pay rise when they deserve it.

Some job seekers aren’t hunting for a higher basic salary, but a job that makes their work/life balance better. Some employees will care more about the amount of leave they get or the hours they work each week. If they are currently working a six-day week including evenings and weekends, they may search for a clinic that offers a five-day working week, or one that gives them more time off at weekends.

When you ask what an applicant receives from their current employer, remember to ask about their benefits, not just their salary. Ask what they are looking for in a package, and what matters to them most. That way you can tailor your offering to both your needs and theirs, and it may not cost you extra in terms of compensation.

A job seeker is unlikely to research a clinic advertising a vacancy by paying a visit to the premises. They are highly likely to look up your clinic online though. How you present your clinic online matters, whether it be your website, social media, or thirdparty sites where you receive reviews or advertise. You may look at your clinic’s branding and online presence solely in terms of attracting patients, but consider how it will help attract industry professionals when you’re hiring, too.

Your website may be checked by job seekers who are looking to find out about your clinic’s ethos, signature treatments and history, and see the profiles of key team members. A sparse site that tells a viewer nothing about these aspects of your clinic may put off some applicants. If you’ve won awards or have been featured in the press, don’t be afraid to shout about it, and be proud to show off your patient testimonials. Every bit of positive publicity will help job seekers feel excited about the possibility of joining your clinic team.

Third-party websites may not be willing to delete negative reviews at your request, so it does tend to look better if you respond with a courteous comment. This way, even if you think the review was entirely unjustified, you can show that you take all reviews seriously.

The most professional employees will be looking for that same professionalism in their employer, and will take a clinic’s reputation seriously.

It helps to have photos of your clinic online, not only so patients see that it looks welcoming, but also so job seekers can see that it looks like a pleasant environment to work in. Some clinics use glossy stock images as promotional imagery on Instagram, which may look aesthetically pleasing, but it doesn’t tell the viewer anything about the reality of your clinic. It certainly won’t hurt to include some photos of your clinic team at work, or to share a team photo of everyone looking happy.

When you invite applicants to interview, they will then have the chance to see and hear the benefits of joining your clinic team in person. Remember that interviews are a two-

CREATE COMPENSATION AND BENEFITS PACKAGES THAT ARE FAIR AND CONSIDERATE

Your website may be checked by job seekers who are looking to find out about your clinic’s ethos, signature treatments and history

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RETAIN YOUR STAFF WITH GOOD MANAGEMENT AND A PLEASANT COMPANY CULTURE

Ultimately, you won’t have to worry about filling a clinic vacancy if you retain staff members long term. It’s inevitable that you will lose some staff members over time, even if you treat your team very well. People’s circumstances can change, they may decide to change career or move

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to another location, and occasionally employees wish to take a step back from an intensive full-time role. Such life circumstances can’t be helped, but you can try and avoid losing your employees to other competing clinics.

Make the time to listen to your employees and address their concerns, reward them fairly for their hard work and

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EMPLOYMENT

dedication, and keep an eye on your team to make sure they are getting along with each other. Encourage your team members, but don’t push them so hard they feel stressed.

Try to create a pleasant working environment where all team members feel appreciated and supported by both their peers and their employer. AM

Victoria Vilas is marketing and operations manager at ARC, an aesthetics recruitment consultancy.

The ARC team helps organisations in the industry grow their businesses by hiring the most talented aesthetic professionals.

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BRAND IDENTITY

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Who do you think you are?

Sue Thomson and Jean Johnston on finding your business personality

W

hile the concept of personality testing may feel like a somewhat modern phenomenon, temperament theory and its analysis can be traced as far back as ancient Egypt.

Although believed to have been conceived in Egypt, it was the Greek physician Hippocrates who developed temperament analysis as a medical theory. He believed that our moods, emotions and behaviours were all a result of either an excess or lack of bodily fluids which we have come to know as ‘humors’. Galen, a physician and philosopher in the Roman Empire, subsequently took these temperamental categories and defined them as ‘sanguine’, ‘choleric’, ‘melancholic’ and ‘phlegmatic’. Today, among many other terms, we more commonly know these categories as ‘the expressive’, ‘the driver’, ‘the analyst’ and ‘the amiable’. Each personality can be plotted along an axis of introversion and extroversion as no one fully fits into one definition but has levels of all temperaments.

Task Orientated

ITO

ETO

Introvert

Extrovert

KNOW YOURSELF TO KNOW YOUR PATIENT

Myriad personality testing models have been developed over the years, with varying levels of complexity, but even the modern formats remain true to the ideals of the early thought-leaders. Although many tests are able to give us a detailed and accurate result as to our specific personality styles, we all predominantly fit into one of the four well-established categories. This therefore means that 75% of the population has a different personality type from you, and we may only be really fully connecting with 25% of our patients, family, friends and colleagues at any given time if we do not fully

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IPO

EPO

People Orientated ITO - Introvert Task Orientated

IPO – Introvert People Orientated

ETO – Extrovert Task Orientated

EPO – Extrovert People Orientated

EP-ITO-ME Model ®

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understand what they say, mean and feel. Understanding and being able to identify the personality types of others means we are able to adapt our communication styles – and this can be applied to the practitioner-patient relationship.

When you meet with a new patient, you will subconsciously pick up ‘tells’ about their personality. But how often do you listen to this natural intuition and adapt your own style accordingly?

As an example, you are an incredibly successful practitioner in a busy fast-paced practice and you work with world-class products that have been clinically and medically proven which is why you have chosen to work with them. You have more patients to see and you feel it’s important to complete this procedure to allow you to conclude the tasks that you have set for yourself that day. Now, in front of you is a softly-spoken middle-aged lady who is visiting your clinic for the first time. She is a little nervous and indeed may be feeling guilty about being here as there are so many other things that she feels she could spend her money on. She has been considering treatment for a very long time but has always put her family first. She is taking a leap of faith and feels that this might be the time to look after herself. She makes most of her decisions based on how people around her make her feel and building a personal relationship is key ensuring she feels confident to decide.

If no thought or consideration is made in terms of recognising and adapting your style to suit this patient, you run the risk of treating this patient once, as they are less likely to say no in front of you. She is unlikely to return for future treatments if she does not feel heard, is given no time to build a relationship with you or is bombarded with too many facts and figures and not enough of a personal touch. Each personality type has many strengths, but if we do not recognise them we communicate less effectively.

require more energy and conscious thought. If we know and understand our own personal boundaries, we can improve our efficiency, productivity and time management skills.

Benefits of understanding personalities Enables us to know what motivates an individual, our teams, our patients and our friends and family.

An indicator as to the things an individual will be naturally inclined to do or not do.

Tells us how individuals will fulfil a role, for example the role they play in teams, their unique way of leading others and their style of learning.

Can help you identify and isolate team and personal issues that arise from personality clashes before they happen.

Perhaps next time you are faced with a rather gregarious patient who wants to achieve the most ambitious, and unrealistic of goals, by adapting your style to theirs, you will be able to unravel the layers and truly discover the genuine reasons that they are here to see you and how you can manage their expectations and outcomes without compromising either your own ethical, moral or personal position. AM

SOUL SEARCHING AND SELF-DISCOVERY

If you aren’t already aware of your personality type and its implications on working with those around you, there are many online tests capable of providing a starting point in your journey of selfdiscovery. There is some natural skepticism around the practice, as well as common misconceptions and a sense of not wanting to be pigeon-holed. However, by knowing and understanding our own working styles, this allows us to be the most efficient, effective and, in reality, the most comfortable with who we are. We are also able to become more aware of when we are working outside of these parameters and that it will

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Understanding and being able to identify the personality types of others means we are able to adapt our communication styles

Sue Thomson and Jean Johnston are the co-founders and directors of SJ Partnership, a sales optimisation and aesthetics recruitment consultancy practice. SJ Partnership has recently developed EP-ITO-ME, a personality profiling tool designed to build better teams. Visit sjpartnership.co.uk for more information.

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S K I N / D E R M AT O L O G Y

CASE STUDY

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CASE STUDY

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Sophie’s choice Dr Sophie Shotter shares her experience with NeoStrata Tri-Therapy Lifting Serum

I

’m a self-confessed skincare junkie. Even before I trained in aesthetics I loved products, even though I now realise I wasted a lot of money on the wrong ones. As a doctor and clinic owner, I am passionate about encouraging my injectable patients to use great skincare. After all, a patient with glowing skin and a few lines and wrinkles looks far better than a patient with no lines but skin as dull as leather. However, the problem is often budget. Our patients are already spending a lot of money with us and they don’t necessarily see the value of investing part of that in skincare products.

Whenever I’ve evaluated a new product range in the past, I’ve evaluated an entire skincare regime – often five products. We know we can get results this way, and we can demonstrate that using our Visia scanner. But can our patients always afford it?

When NeoStrata launched its new Tri-Therapy Lifting Serum earlier this year, I was excited to try it. The results and research looked almost too good to be true. This beautiful serum is a combination of Aminofil (a proprietary ingredient shown to boost endogenous hyaluronic Aaid levels), 8% gluconolactone (a polyhydroxy acid), and hyaluronic acid. Even better this product can be used on the entire face, including the periorbital area. I knew I could slot it into any of my patients’ skincare regimes and they would see a difference. But, what I really wanted to know was, how much of a difference could just one product make? Sure it’s an extremely advanced, heavily researched product with top notch ingredients. But it’s still just one product.

I looked for one patient who was budget conscious and concerned about crow’s feet lines, who wasn’t already on a medical-grade skincare regime. Cue Katie, a 31 year old professional make-up artist who had struggled with her skin since her teens. Teenage acne had left her skin uneven, scarred and pigmented. As she hit 30, she started noticing crow’s feet lines which were really bothering her, and she had previously asked me about Botox. She was using a skincare regime from The Ordinary, which she had bought without any medical advice. Katie never went out without carefully applied make-up, so taking part in this study was a big deal for her.

Her instructions were: 1. To not change anything else about her skincare regime 2. To not have any facial treatments during the study period 3. To apply the NeoStrata Tri-Therapy Lifting Serum to her entire face, including the eye area, morning and evening 4. To attend the clinic for a Visia scan before starting the product and at four weeks.

Visia Explained A Visia is a camera system that takes different photographs to enable skin analysis. Using normal, ultraviolet and polarised light photography, it can assess different characteristics of the skin. It compares the results to 100 other women or men of your age and gives you a percentage for each parameter. If you get 50% that means you’re average for your age and gender; above 50% means above average and below 50% means below average.

We did a baseline scan, and repeated this after four weeks of using the Tri-Therapy Lifting serum twice daily.

I had never really believed that taking just one product away would be enough for a patient to see this level of improvement in their skin

Spots In Visia terms, spots don’t mean pustular eruptions on the face, it refers to the evenness of the skin tone across the cheeks.

Baseline – 27% 4 weeks – 53% >

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I attribute this dramatic improvement to the gluconolactone in the Tri-Therapy lifting serum. Gluconolactone and other polyhydroxy acids are gently exfoliating and are also kinder to the skin than alpha-hydroxy acids, such as glycolic acid. It provides a controlled smoothing, which can be tolerated by sensitive and mature skin types. By exfoliating the top uneven layers of skin a more even skin tone has been revealed, a feature synonymous with youth.

Texture Texture is a measure of the roughness of the skin across the cheeks. Smooth skin looks more even and luminous, whereas rough skin looks dull and uneven.

Baseline – 33% 4 weeks – 83% For me this is due mainly to the gluconolactone causing gentle exfoliation. Sloughing off dead keratinoyctes will make the surface of the skin smoother and more radiant.

Hyaluronic acid is also a powerful collagen stimulator. It’s also possible that collagen stimulation has been induced in any atrophic areas, making scarring appear smoother.

Pores This is a measurement of the tightness of the pores across the cheek area. Youthful skin has tight pores that are barely visible. Oily skin can prompt pores to stay open due to persistent sebum secretion. Pores also loosen as the skin loses collagen with age.

Baseline – 22% 4 weeks – 80%

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For me, this result has two main causes. The TriTherapy Lifting Serum is extremely light – hydrating without being thick and heavy. It’s a perfect choice for people prone to oilier skin, which Katie’s skin tends towards. Aminofil is a powerful ingredient, proprietary to NeoStrata. It is an amino acid derivative which stimulates collagen and hyaluronic acid production in the skin. Combined with the hyaluronic acid in the serum, we can expect collagen stimulation leading to improved firmness of the skin and contraction of pores.

Brown Spots Brown spots is a measurement of surface pigmentation. This is what we can see as pigmentation abnormalities on the skin’s surface.

Baseline – 25% 4 weeks – 58% This improvement has to be thanks to the gluconolactone.

By exfoliating gently, more of the dead keratinocytes containing the melanin will be sloughed off. This will reveal smoother unpigmented skin underneath, or, at the very least, decrease the density of the pigmented patches.

UV Spots On a Visia scan this measurement refers to UV damage which isn’t yet visible to the naked eye, but is sitting beneath the surface.

Baseline – 18% 4 Weeks – 54% Katie had spent her teens and 20s sunbathing without sunscreen, and the low initial measurement

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reflects this. I have to be honest, I’m at a loss as to how to explain this one!

I’d be interested in any theories if anyone would like to email me.

Wrinkles We specifically focus this on the crow’s feet lines.

It measures the depth of wrinkles around the eyes – the darker the green, the deeper the wrinkle.

Baseline – 18% 4 weeks – 42% This drastic improvement is due to the Aminofil and hyaluronic acid. The delicate periorbital skin is very prone to drying out, particularly in people who wear heavy makeup. It’s also the thinnest skin on the face and so collagen loss is particularly noticeable here. The collagen stimulation and enhanced hydration provided by the Aminofil and hyaluronic acid has plumped the skin, smoothing wrinkles and targeting the area that Katie most wanted to improve.

Porphyrins Porphyrins are also known as P. acnes. They are bacteria living in the skin which can cause spots. This isn’t an indication of someone who doesn’t cleanse, but more that active bactericidal ingredients aren’t being used.

Baseline – 8% 4 weeks – 63%

Hydroxyacids are known to have bactericidal activity, and I would explain this improvement through the gluconolactone killing the P. acnes in the skin. Additionally, by prompting better exfoliation there will be less dead keratinocytes blocking pores, creating a less hospitable environment for bacterial growth.

MY VERDICT

I never expected to see a result like this from just one product. When I saw the Visia scans at four weeks I was gobsmacked. I had never really believed that taking just one product away would be enough for a patient to see this level of improvement in their skin. I always worried that they wouldn’t see enough of a result with a one product purchase, and so it would be difficult to encourage them to invest in their skin more in the future. Seeing these results has changed my perspective. If I have a budget conscious patient I give them this as their one product. They all come back to repurchase and usually invest in other products too, once they’ve seen how much this one does. AM

Dr Sophie Shotter has worked full-time in aesthetics for five years, setting up her own clinic in Kings Hill, Kent and working for the Cosmetic Skin Clinic two to three days per week. Her passion is for achieving natural balanced results through injectables and skin quality treatments. She is a trainer for Aesthetic Source and key opinion leader for Venus Concept. She is also personally mentored by Dr Mauricio de Maio through the Allergan Mentorship programme, with a view to joining its faculty.

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PRODUCT FOCUS

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Cover up We discover the benefits of applying Oxygenetix Oxygenating Foundation after aesthetic procedures

H

ailed as a “breakthrough therapeutic foundation”, Oxygenetix was initially developed to help conceal skin imperfections post cosmetic surgery.

Formulated with chemical peels and laser treatment in mind, Oxygenetix Oxygenating Foundation can be used on sunburned skin while providing long-lasting coverage. The prime ingredient in the product is pro-healing, patented Ceravitae, a supercharged oxygen complex that promotes collagen cell production and connective tissue growth to promote youthful, firm and smooth skin.

Unlike many products which are water-based and can attract bacteria to the skin, Oxygenetix is a natural aloe barbadensis gel, which provides antibacterial qualities, while astringently removing dead surface cells.

Other skin-loving ingredients include grape seed extract, green tea, hyaluronic acid, salix alba extract and glycerin to soothe, heal and replenish moisture loss.

The foundation is available in 14 shades, including seven yellow-base colours and seven blue-base colours. However, for those who want the product benefits but not the colour, Oxygenetix has also launched the Hydro-Matrix. This has all of the skin rejuvenating benefits of the foundation, but without the pigment.

The brand’s UK advisory board is also made up of leading medical practitioners. They include Sharon Bennett, Dr Tapan Patel and Dr Stefanie Williams.

Debbie Thomas, founder of the D.Thomas Clinic and an advanced skincare and laser expert, said, “As a laser specialist clinic, we take particular pride in helping our patients manage post-procedure downtime and redness so

they can get on with their daily lives quickly after treatment.

“We often recommend Oxygenetix foundation because it is formulated with a pro-healing Aloe Vera base and a breathable Ceravitae formula, which promotes skin healing and reduces inflammation.”

She adds, “Patients really like the weightless formulation, which can be built up to provide very effective coverage, particularly for that immediate post-procedure redness as they leave clinic – but without compromising the delicate skin underneath.”

The US brand is also popular among celebrities including Hugh Jackman, Kate Bosworth, Jared Leto, Emilia Fox, Michelle Rodriguez, Eva Green, Rebel Wilson, and Gal Gadot; and is used backstage at the Oscars and London Fashion Week. Oxygenetix has contracts with 12 of the major motion picture studios in Hollywood and is often used for films and TV. While it is sold internationally in the UK and Europe, the brand is set to debut in Mexico and Russia. AM

Patients really like the weightless formulation, which can be built up to provide very effective coverage

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Post-Laser treatment

After applying Oxygenetix

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UPLIFTING. ONE SERUM. TRIPLE SOLUTIONS.

Tri-Therapy Lifting Serum Aminofil® Amplified.

A proprietary Triple Anti-ageing Complex helps to volumise and sculpt skin, filling the look of deep wrinkles and improving the appearance of skin laxity.

VOLUMISES Slack Skin with Aminofil® 79% improvement in wrinkles RENEWS Tone with Gluconolactone 90% skin brightness and improved clarity SMOOTHES Skin with LMW Hyaluronic Acid 97% reduced appearance of fine lines Volumises Slacked Skin

©2018 NeoStrata Company, Inc.

Week 0

Smoothes Skin

Week 0

Renews Tone

Week 0

*% of subjects with clinical improvement at week 12.

Week 12

Week 12

Week 12

Data on file, NeoStrata Co., Inc.

Meeting the needs of your business, delivering high satisfaction to your patients Call us on 01234 313130 info@aestheticsource.com www.aestheticsource.com

S K I N / D E R M AT O L O G Y

SKIN NEWS

aestheticmed.co.uk

New products from Murad Murad’s new Multi-Vitamin Infusion Oil aims to keep skin moisturised all winter long. It works with the skin to deliver what it needs to target lines, wrinkles, dullness and dryness, rough texture and uneven skin tone.

The oil is powered by six vitamins in every drop, and Murad says that while it’s heavy on vitamins, the oil is lightweight on feel.

Vitamins A to F target signs of ageing as well as boosting hydration, brightening skin and defending from free-radicals for a more youthful-looking complexion.

Murad has also added a blemish treatment to its portfolio. The Outsmart Blemish Clarifying Treatment features The brand’s patented Penta-Acid technology which includes salicylic acid, hydroxydeconic and sebacic acid,lysophosphatidic acid and glycolic acid to target existing breakouts and help keep skin clear of acne-causing bacteria, oiliness and blackheads while minimising dryness and irritation.

Fillerina introduces new products for eyes and eyelids Eyes & Eyelids is Fillernia’s new product for at-home use.

It’s designed to treat the entire eye contour area with no needles and no downtime. Applied twice daily, the hyaluronic acid-rich product treats fine lines, dark circles, and the eyelids.

Fillerina Eyes & Eyelids is a triple threat formula that targets a number of areas of concern. These include fine lines and wrinkles and loss of elasticity and firmness to the skin, which can lead to sagging skin on the upper eyelid and swelling of under-eye bags.

The product contains a modulated blend of eight types of hyaluronic acid.

The different molecular weights ensure that the formula effectively penetrates the skin. In doing so, the eye contour benefits from the reshaping of the eyelids and the filling of fine lines, wrinkles, and tissue.

Acne-fighting duo introduced

by Epionce Priori launches ‘clean’ collection The TTC (Triple Turmeric Complex) is a complete collection of products formulated with an exclusive, highly potent natural compound of three kinds of colourless turmeric root extracts along with green tea, grape seed, and licorice.

The combination delivers ‘powerful adaptive multifunctional activities’ for antioxidant, brightening, and antiinflammatory properties.

The clean formulas are free of sulfates, SLS and SLES, parabens, formaldehydes, formaldehyde-releasing agents, phthalates, mineral oil, oxybenzone, coal tar, hydroquinone, triclosan, and triclocarban.

TTC is available as a cleanser, an illumination treatment, an eye serum, an enzyme peel and masque, two creams, and a series of powder-based minerals.

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Epionce has launched a new acne-fighting duo specifically designed to clear stubborn acne-prone skin on the face and body.

Purifying Spot Gel was created to rapidly reduce occasional acne breakouts, particularly tender and deep blemishes on the face and body and is clinically proven to reduce blemishes by 84.8%.

Purifying Wash is a formulated for daily use on the face and body, to help prevent acne blemishes from forming and help diminish breakouts. The formula was created specifically for adults with acne-prone skin that tends to be drier and features salicylic acid to penetrate pores and control blemishes.

Aesthetic Medicine • January 2019

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S K I N / D E R M AT O L O G Y

SKIN NEWS

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Cetaphil wins at OK! Beauty Awards 2018 Cetaphil Daily defence Moisturiser with SPF50+ won Best New Facial Moisturiser in the OK! Beauty Awards 2018. With the awards now in their 17th year, each product went through rigorous testing over a one-month period by an expert panel of judges. Their votes determined a shortlist of products which were showcased in OK! magazine, where readers voted on the shortlist.

The lightweight Cetaphil Daily Defence Moisturiser with SPF50+ is easily absorbed and provides high SPF protection for daily usage. With broad-spectrum UVA/UVB photo-protection, this moisturiser helps to defend against the effects of daily exposure to sunlight. It’s also the perfect size to pop in your bag for instant protection top-ups throughout the day. Use immediately after cleansing to help lock in moisture.

PlasmaElite launches skincare range PlasmaElite has launched PlasmaCare, an aftercare brand to support clients post-treatment. The aftercare kit has a Skin Sterilising solution to keep the area bacteria free; a dry healing solution to reduce itchiness and which is also great for use post micro blading and semi-permanent make-up; and a five-star SPF 50 rating, which is essential after every plasma treatment.

Vitage adds new hand cream to its offering Environ launches Focus Care Clarity + Range Environ’s new Focus Care Clarity + Range has been designed to reduce breakouts for clearer skin. The three-phase system has been specifically formulated to help target the root causes of breakouts.

Phase one comprises the Sebu-Wash Gel Cleanser, a foaming face that washes away dirt and excess surface oil, leaving the skin feeling refreshed and clean; and Sebu-Tone Clarifier, containing sebum-regulating ingredients to help remove the build-up of dead skin cells. Phase two is SebuLac Lotion and Sebu-ACE Oil, formulated with botanicals and vitamins to prevent breakouts, and Sebu-Spot Blemish Gel to minimise the appearance of visible spots.

The final phase is the Sebu-Clear Masque containing a combination of exfoliating acids to clear the appearance of existing breakouts.

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Vitage’s new Revive & Repair Hand Cream, available through SkinBrands, is a non-greasy high-performance cream which helps to reduce the appearance of age spots and fine lines.

The moisturising formula contains shea butter, which is high in vitamins A, E and F to moisturise, protect and repair. It also promotes nail growth and improves skin conditions including blemishes and fine lines. Antioxidant-rich mango butter, which contains high levels of vitamins A to help skin appear plumper and tighter, is also included.

Other ingredients include: baobab oil, which nourishes and soothes the nail structure strengthening the nails; liquorice, which helps to naturally lighten and even out the skin tone and bisabolol, which helps to condition, soothe and calm irritated skin, while acting as an anti-inflammatory.

Fractionated coconut and apricot oil are also included. These fast absorbing oils aim to leave skin hydrated and help heal and provide relief from dryness. AM

Aesthetic Medicine • January 2019

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NUTRITION

GUT HEALTH

aestheticmed.co.uk

GUT feeling Kim Barnouin, author of the New York Times’ bestselling book Skinny Bitch, discusses discusses enzymes and how they keep us healthy

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here is a growing realisation that what we eat affects not just our bodies, but our minds and moods as well.

And digestive enzymes have been (figuratively) under the microscope recently, with fantastic claims that they can do everything from curing depression to helping weight loss.

Since our entire body runs on vital nutrients, an inability to break down food effectively can affect the whole body in a host of ways. There are some common symptoms people may notice if their digestion is compromised: Feeling full after only a few mouthfuls Feeling bloated for days at a time Diarrhoea or constipation Abdominal pain or discomfort Chronic flatulence Undigested food in the stools Steatorrhea (stools that float) Food allergies and intolerances

If left untreated, these issues can cause more complex issues such as obesity, depression, anxiety, fatigue, and pre-menstrual symptoms.

WHAT DO ENZYMES HAVE TO DO WITH IT?

At each stage of digestion – from the mouth to the large intestine – different enzymes are released that help break down different nutrients. Lingual lipase, for example, begins to break down lipids (fats) in the mouth, with gastric lipase taking over the task in the stomach, and so on.

Food won’t be broken down properly if any part of that digestive journey is lacking in the right enzymes. This is when people start to get a heavy, bloating, ‘rock-like’ feeling in their stomach.

CAUSES OF LOW ENZYME LEVELS

Although there are loads of potential causes – from gallstones and serious illnesses, to excessive alcohol consumption and smoking – some common ones include:

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Low-grade digestive tract inflammation – Often caused by infections, food sensitivities, certain foods like coffee, sugar and highly-processed foods, or a disruption to the organisms living in the intestine.

Low stomach acid – Stomach acid is needed to break down food, kill pathogens, and to activate certain enzymes. Medications that reduce stomach acid are some of the most prescribed in the UK – being used to treat almost any acute digestive issues like heartburn or indigestion. But there are lots of other causes for these problems and antacids could be making the underlying issue worse rather than better.

Chronic stress – When stressed or anxious the body gets ready to protect itself by moving the blood supply away from digestive areas to the limbs, getting you ready to fight or run (the so-called fight-or-flight response). If people are chronically stressed then their body never gets back into the relaxed (rest-and-digest) mode necessary for digestion.

Ageing – The amount of digestive enzymes reduces as you get older. It’s not entirely clear whether this is completely natural or whether it’s the build-up of other issues, like alcohol and smoking damage, or long-term stress.

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NUTRITION

GUT HEALTH

aestheticmed.co.uk

ENZYME SUPPLEMENTATION

For those who are suffering from enzyme deficiency, one of the quickest and easiest ways to fix it is by taking enzyme supplements. These usually come in tablet form, to be swallowed or chewed around 30 minutes before eating.

There are three key sources of enzymes used in supplements: those from fruits like pineapple and papaya, those from animal sources, and those from microbial sources (fungi and bacteria including yeast). However, not all enzyme sources are equal.

Pineapple and Papaya – Both sources contain enzymes that help break down protein. The benefit of these is that they’re vegan and, if you eat the fruit, contain other nutrients such as fibre and vitamins. But these enzymes can find it difficult to make it through the harsh stomach acid intact and only help break down protein, limiting their helpfulness.

Animal Sources – While not vegan or veggie-friendly, these sources do contain the enzymes needed to break down proteins, fats and carbohydrates in the small intestine. Unfortunately, enzymes from these sources are unstable which limits their effectiveness. Additionally, pancreatin – a common animal-derived enzyme – may limit the body’s ability to absorb Vitamin B folate. Not good.

Microbial Sources – These enzyme supplements are completely vegan and veggie-friendly and contain all the key enzymes needed to break down foods. The added benefit of these enzymes is that they can help to break down plant-based foods as well, such as beans and legumes, as well as cellulose, which is found in plants. They are also very stable and can easily make it past the stomach acid unaffected.

When stressed or anxious the body gets ready to protect itself by moving the blood supply away from digestive areas to the limbs

Many people are moving to a more plant-based diet, or are hoping to lose weight through healthy eating so microbial sources of enzymes are especially useful.

They also complement the enzymes produced naturally in the pancreas, rather than ‘overriding’ the natural system. Ultimately, the hope is people can move away from supplements once their digestive enzymes are back in balance, so it’s better to take supplements that support natural processes rather than take over these processes and potentially weaken natural enzyme production.

PROMOTING ENZYME BALANCE

Supplements are the best way to make up for lacking enzymes, but there are other things people can do to support the natural rebalancing process.

In the first instance, cut down or eliminate foods that might be causing gut inflammation. Moving towards a more plant-based diet while reducing sugar, highly-processed foods, coffee and alcohol will all help reduce inflammation and keep the enzyme balance healthy. Plants also contain lots of fibre which helps digestion and makes people feel fuller for longer.

Next, people need to make sure they are drinking enough water. Digestion (as well as almost everything else in our bodies) requires water, so drink at least 1.5-2 litres a day.

Finally, people need to take steps to de-stress their lives.

Chomping down meals quickly and rushing to the next thing will limit the digestion which starts in your mouth while putting the body into ‘stress mode’. Slowing things down a little, taking time to eat food by chewing more slowly and spending some time relaxing after eating can aid digestion and lead to better overall health.

Slower chewing also allows time for the brain to receive signals from the stomach to let it know that the person is full. Slower eating means people feel fuller while eating less, helping to reduce calorie intake and lose weight as a result. AM

Kim Barnouin is the author of the New York Times’ bestselling book Skinny Bitch and founder of the Skinny Bitch approach to weight loss which is based around three key pillars: nutrition, exercise, and effective supplementation. Skinny Bitch offers a range of weight loss programmes, recipes and food products to help you lose weight naturally and healthily.

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I N J E C TA B L E S

LIPS

aestheticmed.co.uk

LIP

service Dr Steven Harris discusses his Nonsurgical Lip Lift (NLL) and the Aesthetic ‘o’

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he lips, along with the eyes, are arguably the most important aesthetic features when it comes to judging beauty. Studies involving eye tracking show that we tend to fixate on the eyes followed by the mouth (eye-mouth gaze continuum) much more so than any other area of the face.1 It is no surprise then that lip procedures involving dermal fillers rank as one of the most popular non-surgical treatments with increasing interest, especially on social media. However, the lips are probably the most challenging non-surgical facial procedure to perform as they require an artistic acumen and great technical skills in order to produce subtle, beautiful and natural-looking results.

During assessment for lip treatment, it is very important to first consider the face as a whole. There are a number of reasons for this. As we age, the facial skeleton shrinks with inward rotation. The unsupported soft tissues weigh in on the lips which collapse due to loss of their own support.

Treating the lips directly without restoring the surrounding framework will invariably lead to an unbalanced and unsatisfactory result. A more aesthetic result can be achieved by restoring the peripheral outline (facial reshaping) and areas immediately around the mouth to improve the overall appearance of the face from the front

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Figure 1: The lips should always be considered as part of facial proportions (left). Ideally the lower lip should be 2mm behind and the upper lip 4mm behind Ricketts’ Aesthetic Line (right).

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I N J E C TA B L E S

LIPS

aestheticmed.co.uk

(frontal view) and the side (profile view), while providing a supportive framework for the lips (figure 1).

The ideal facial shape for both genders is oval, but there can be considerable variation from a heart shape in women to a more square shape in men. Facial reshaping involves deep periosteal injections on the bony outline (forehead, temple, lateral cheek, angle of the jaw and chin) to outwardly rotate the ageing face and restore its ideal shape.2 During this process, the lips themselves will to a large extent correct through a process of ‘indirect beautification’ which leads to more natural and harmonious results (figure 2a and b).

with smaller size eyes. There are also important differences to consider between men and women. In men the lips tend to be wider and flatter, often described as rectangular.

In women, the lips are fuller and curvier with a more pronounced Cupid’s bow.

Figure 2a: Facial Reshaping - Restoring the ideal facial shape

Figure 3: Different lip shapes

Figure 2b: Indirect Beautification. Lips may be treated indirectly by restoring the shape of the face and the structure immediately surrounding the lips

The shape of the lips cannot be fundamentally changed, however they may be improved in terms of definition, symmetry and proportions. The ideal lips are well defined, symmetrical (left to right) and well-proportioned in relation to surrounding structures and the face as a whole. Their definition may be enhanced by subtly treating the fine vermillion border, but care should be taken not to overtreat this delicate structure as the filler can escape into the perioral area to create the very commonly observed and unsightly ‘duck look’. Symmetry in the face is desirable, but in the lips it is essential and as with all other areas of the face, it is advisable to start treatment on the weaker side (to match the stronger side).

The ideal lip ratio top:bottom is often said to be 1:1.618 in line with the ‘golden ratio’, but a 1:1 ratio may be more suitable depending on the rest of the face.

The lips, along with the eyes, are arguably the most important aesthetic features when it comes to judging beauty

In my opinion, facial reshaping and indirect beautification should always be considered first before directly treating any area of the face, and the lips are no exception. An integral part of indirect beautification is ‘myomodulation’, the potential change in muscle activity when a filler is placed next to it. For example, injecting a bolus of filler on the zygomatic bone deep to zygomaticus major raises the point at which the muscle contracts to lift the corner of the mouth more effectively. Placing a filler deep to the depressor anguli oris (DAO) appears to inhibit its contraction to also raise the corner of the mouth, but the underlying mechanism here is less clearly understood.

Along the facial midline, support for the lips may further be provided by injecting the nasolabials on the pyriform fossa to lift the upper lip, while filler placed more superficially in the labiomental crease has the effect of lifting the lower lip. Finally, the dentition needs to be assessed for signs of malocclusion which may range from a slight overbite (class 1) to retrognathism (class 2), or prognathism (class 3).

Once the face as a whole and surrounding structures have been addressed, the lips should be assessed in terms of their shape and size. Lips come in different shapes and sizes (figure 3). The ideal size should be matched to the size of the face as well as the facial features, in particular the eyes. Larger lips fit large size eyes, but look out of place

NONSURGICAL LIP LIFT (NLL)

The Nonsurgical Lip Lift (NLL) which I developed is an artistic approach to lip augmentation involving dermal fillers which safely and reliably leads to subtle and beautiful natural looking results. The NLL makes use of the natural anatomy of the lip, in particular the lip tubercles (figure 4), to gently and subtly augment them while increasing vertical height from under the vermillion border (upper lip) or above (lower lip) rather than directly inside the border itself. Only fillers made of hyaluronic acid (HA) should be used as these are relatively safe compared to other fillers and fully reversible with hyaluronidase. Ideally, the HA filler of choice would be ‘soft’, cohesive and predictable causing minimal swelling.

The NLL involves 10 steps (figure 4), but depending on the lips being treated, there may be a wide variation to the number and order of steps (figure 5). >

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I N J E C TA B L E S

LIPS

aestheticmed.co.uk

Figure 4: The Nonsurgical Lip Lift (NLL) technique showing the injected tubercles (white circles) and threads of fillers (arrows). The steps: 1.

Bolus injection into the right lower tubercle 2. Linear thread above the vermillion border 3. Curved thread below the vermillion border 4.

Linear thread along the right side of the Cupid’s bow (starting from the middle tubercle) 5. Bolus injection into the right upper tubercle 6.

Bolus placement in the left lower tubercle 7. Linear thread above the vermillion border 8. Curved thread below the vermillion border 9. Linear thread along the left side of the Cupid’s bow (starting from the middle tubercle) 10. Bolus injection into the left upper tubercle.

The typical amount of filler used is between 0.51ml in total and usually between 0.05-0.1ml per step. All the steps involve very slow injections anteriorly well in front of the superior labial

Figure 6: The Aesthetic ‘o’ formed (or accentuated) in the centre of the lips following the Nonsurgical Lip Lift (NLL).

artery and inferior labial artery. The steps are described in the example in figure 4 where approximately 0.1ml of filler was used in each. When injecting, the bevel of the needle should face inward to avoid the filler from showing. However, when injecting under the upper vermillion border the bevel should be facing upward (to help lift the border). The ‘curved thread’ technique (steps 3 and 8) is a variation on the linear thread technique involving a curving motion when injecting to accentuate the upper lip curve. Steps 1, 4 and 5 involve augmenting the tubercles which can lead to a small and round pouty gap - I have named this the Aesthetic ‘o’ (figure 6).

Finally, the NLL is a relatively safe and effective technique which makes use of the natural anatomy of the lips to gently and subtly augment them. It enhances definition, shape, symmetry and proportions without compromising the vermillion border. When performed correctly the NLL leads to consistently subtle and beautiful natural looking results with a very high patient satisfaction rate. AM

The shape of the lips cannot be fundamentally changed, however, they may be improved in terms of definition, symmetry and proportions

REFERENCES 1. Rogers, S.R., Speelman, C.P., Guidetti, O., Longmuir, M. Using dual eye tracking to uncover personal gaze patterns during social interaction.

Nature International Journal of Science 8, 1-9 (2018)

Figure 5: The Nonsurgical Lip Lift (NLL) technique showing variation in number and order of steps according to lip presentation and desired results

2. Harris, S. Facial Reshaping. Aesthetic MedicineSeptember, 72-74 (2017)

Dr Steven Harris MB BCh, MBCAM, MSc completed his medical studies in Johannesburg in 1997.

He has been practising aesthetic medicine at his clinic in North London since 2004 and has gained an international reputation for producing entirely natural-looking results. Dr Harris is also a trainer and educator. His regular educational posts may be viewed on Instagram @drharrisclinic

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Aesthetic Medicine • January 2019

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06/08/2018 17:32

I N J E C TA B L E S

ACOUSTIC NEUROMA

aestheticmed.co.uk

Restoring symmetry

Correcting the profound facial asymmetry of a tumour patient non-surgically using collagen stimulating treatments

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n acoustic neuroma is a non-cancerous and usually slow-growing tumour that develops on the main (vestibular) nerve leading from the inner ear to the brain. Branches of this nerve directly influence balance and hearing, and pressure from an acoustic neuroma can cause hearing loss, ringing in the ear, sleep apnoea and lack of co-ordination.

For Stevie Jenkins, the first sign of her acoustic neuroma occurred when she woke one morning, nine years ago, and found she was deaf in one ear. Initially, thinking it was an infection, she visited her doctor, who monitored her condition, and over the space of around a year, and multiple tests, Stevie was formally diagnosed and given regular, annual brain scans. At the time, Stevie lived with her husband and they both undertook volunteer work with underprivileged women in Thailand.

Three years after diagnosis, in 2012, Stevie woke one morning, and on getting out of bed, fell over. She felt drunk.

Her latest brain scan had only taken place around eight months previously, however, during this time, Stevie’s tumour

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had grown significantly, wrapping itself around her facial nerve. Her balance was severely affected and the decision was taken to operate. Surgery lasted 15 hours. Much of the tumour was removed, however, the surgery transected her facial nerve and she was left with facial paralysis of around 60% initially, which reduced to a more ‘acceptable‘ 35% after two years of facial exercises and massage – she said she looked like she had had a major stroke.

She was keen reduce the effects her facial paralysis had on her appearance. Muscle relaxing injections with botulinum toxin helped a little, as did facial exercises, and slowly she began to see small improvements, but Stevie didn’t like the look that the muscle relaxants had on her face and she didn’t feel like herself.

In 2015, Stevie’s husband was taken ill in Thailand and she nursed him tirelessly until he passed away, losing three stone in the process. Shortly after, she returned to England to try and rebuild her life. The stress and weightloss took their toll on Stevie’s appearance and she felt as though her face had ‘collapsed.

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I N J E C TA B L E S

ACOUSTIC NEUROMA

aestheticmed.co.uk

Following her bereavement, Stevie was keen that people did not feel sorry for her. She freely admits that life has thrown a lot at her, but she knows she can deal with it. She joined an online support group, which she now runs, called Acoustic Neuroma Tumour Survivors (ANTS for short), which encourages members to discuss anything regarding their tumour and dealing with issues related to surgery.

“I write blogs for the group and one of my best received pieces was about grief. Not the grief of a passed loved one, but a grief many people with acoustic neuroma feel about the loss of the person they once were. It can take time to get used to what the condition has done to your appearance – our new normal. There are members of the group who are almost agoraphobic and I think it’s important to discuss how we feel, and to share our experiences, not only of the condition, but, even more importantly, steps we have taken which may be life enhancing.

“I’ve always been keen to present a good image of myself. I am keen to look my best self and, for me, I want to look ordinary, like everyone else. I have recently met a new man and felt very strongly that when people meet us as a couple that they don’t feel sorry for me, or think ‘what is he doing with her?’ I was recommended to visit a doctor-led aesthetics practice called River Aesthetics, which recommenced treatment to reduce the asymmetry of my face. This took around an hour and a half. The results were great immediately and actually got better over the next few weeks.”

Dr Victoria Manning and Dr Charlotte Woodward of River Aesthetics, who treated her, explain, “When we first met Stevie and heard her story, we felt we had to help her and make a difference to her life. What we loved about her was her completely positive can-do attitude and the way she

used her experience to help others. However, caring for her husband with terminal cancer and having had an acoustic neuroma herself had taken quote a toll on her. She was left with a facial palsy and subsequent asymmetry which she found extremely embarrassing. She came to us initially not for a cosmetic enhancement but for a treatment to make her look and feel ‘normal’. She has a new partner and she wanted to look the best she could.

“At rest she had marked asymmetry on the left side, with loss of volume and a general ptotis of the midface.

The asymmetry was heightened on animation.

She’d had a blepharoplasty previously to try and help the hooding that she had but she said when tired she developed a ptosis that affected her vision. She also had a deep scar on her chin from having her head clamped in a brace through the extensive surgery.

“As this was a complex case, a multidisciplinary case meeting was held to discuss potential treatment plans to ensure the best outcomes were achieved for her. We opted to correct her profound asymmetry using Ellansé collagen stimulating dermal filler and tried to balance Stevie’s face both at rest and in animation. Small boluses were deposited in the deep medial cheek fat pad on the left side to balance the volume deficit, in addition to supporting the lateral cheek using a cannula.

At her first appointment, 3mls of product was used.

“For life-changing treatments like these, our ethos is to develop the effects and improvements over time so a phased approach is often adopted in our practice.

Interestingly Stevie felt that her left eye felt supported straight after treatment. At her three month review we tweaked the jaw line, jowls and marionettes with an additional 3ml of Ellansé and inserted a single eight cone >

Before

15 weeks into treatment

I’m keen to increase awareness about the treatment options for people with acoustic neuroma.

There is no need to hide away

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I N J E C TA B L E S

ACOUSTIC NEUROMA

aestheticmed.co.uk

Acoustic neuroma is a benign intracranial tumor that can lead to hearing loss or facial paralysis

Silhouette Soft suture in her left brow to support the lateral aspect of her left eye. Not to overtly lift the brow but to help maintain the eye position when the muscle tired. A total volume of 6mls Ellanse M was used and 1 Silhouette Suture”.

The two non-surgical treatments used in Stevie’s treatment come from the Sinclair Pharma portfolio. Ellansé is the first dermal filler which provides both instant and gradual results; increased volume occurs immediately post-treatment, however volumisation continues to develop for up to four months as the initial carrier gel is absorbed by the body, but not before microscopic spheres suspended in the gel have stimulated the body to create its own healing collagen. The results can last for up to four years.

Silhouette Soft threads initiate a unique two-stage process – an immediate skin lift and gradual collagen regeneration. Think of it as the creation of scaffolding for drooping areas of the face. The threads, which are dotted with a series of tiny cones along their length, are introduced just under the top layer of the skin. The cones are bi-directional which secures the threads in place in the subcutaneous layer and allows them to be pulled in two directions to lift the skin.

The threads and cones are made from polylactic acid, which is the same material as dissolvable stitches, and in the ensuing three months before they are absorbed by the body they bring about the process of collagenesis. This is the method the body uses to repair a damaged area – in this case created by the agitation of the cones. This brings about a biological lift, where the skin becomes firmer and tighter as a result of the augmentation from newly laid down collagen underneath the surface to fill it out naturally.

Stevie concludes, “Since treatment my confidence has built steadily. I met my new man’s friends for the first time recently and was so pleased to feel I looked normal. I am now

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After

ready to face the world feeling good about myself. People have even commented that I look glamourous which has really boosted my confidence further. I am buying brighter coloured clothes, I am more sociable and happier to meet new people; confident people aren’t feeling sorry for me.”

“I’m keen to increase awareness about the treatment options for people with acoustic neuroma. There is no need for them to hide away because they don’t want others to see them. I did have the option of major surgery to correct some of my concerns, but results can take years and I know that some suffer with horrendous scarring. I’m so pleased there was a non-surgical option – it’s been so lifeenhancing for me.” AM

Dr Victoria Manning and Dr Charlotte Woodward are award-winning facial aesthetics doctors. They both have a special interest in non-surgical face lifts and are national trainers for PDO threads.

Dr Manning has great skill treating with Silhouette Soft threads and is a national trainer for Sinclair Pharma. Dr Woodward is a national trainer for Ellansé. Their ethos is less is more and they aspire to help patients look refreshed rather than ‘done’.

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I N J E C TA B L E S

INNOVATIONS

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Needle free We find out about the new needle-free injection devices from The Smart Group

I

njectable treatments are without a doubt one of the most popular aesthetic procedures but even though only 3.5 % to 10% of the population are actually classed as ‘needle phobic’, many people still don’t like the idea of needles and up to 40% are thought to suffer from some sort of needle fear. This means there is a huge untapped market for those put off by treatments because they don’t want to have injections and would prefer to opt for a needle-free option.

The Smart Group has just launched two innovative devices for needle-free treatments – The Med-Jet and the Meso-Jet.

MED-JET

Initially designed for the safe and effective delivery of vaccines into avian food stock ( chickens) the manufacturer of Med Jet (which has been making needle free injectors since 2002) expanded its capabilities into animals to eventually provide technology suitable for human applications.

Now sold world-wide to clinicians and with various clinical papers published on its uses, the manufacturers claim it presents a credible alternative to the needle.

Using Co2 gas to propel adjustable amounts of drug or product through an aperture six times smaller than a 30G needle, practitioners can deliver accurate, consistent dosages at intra-dermal, subcutaneous and even intra muscular levels effectively and without pain.

The applications are wide and varied from mesotherapy injections, PRP, hair restoration, dermal volumisation and thickening, adipose fat reduction and hyperhidrosis.

“We believe the Med-Jet offers todays clinician the opportunity to widen their client base by attracting consumers who suffer from needle phobia or needle fear”, says Josh Yardley from The Smart group. “ “Furthermore painful, complicated and time consuming treatments such as hyperhidrosis and hair restoration can be completed effectively in a fraction of the time, and pain free.”

The risk to both practitioner and patient that is associated with needles is also eliminated when there is no needle.

Dr Vincent Wong comments, “The MedJet needle-free injector is a revolutionary device that has made medical aesthetics treatments now available to those with needle phobia. The fact that it is pain-free is an extra bonus.”

MESO-JET

The Meso-Jet system delivers precise amounts of product directly into the subcutaneous and intradermal areas of the skin accurately. Using low pressure gas to propel the products through an aperture 6 x smaller than a needle in a pain free treatment.

Meso-Jet delivers a set dosage (0.03 or 0.05ml) of product quickly, achieving over 600 shots per hour making the treatments quick and comfortable for the

practitioners can deliver accurate, consistent dosage intra-dermal, subcutaneous and even intra muscular effectively and without pain

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client. Meso- jet is delivered with an exclusive range of 4-high quality biomimetic peptide growth factors to stimulate skin cells.

Treatments offered are: 1. Meso- Jet SR- Multi Vitamin antiaging Treatment- with 14 vitamins, 24 amino acids, 4 minerals and 4 coenzymes, 2. Meso- Jet HSR –(Filler) Multivitamin antiaging treatment with added Hyaluronic acid for fine lines and wrinkles.

3. Meso-Jet SB- Pigmentation and skin brightening 4. M eso-Jet HL- Anti hair loss and hair regrowth action and follicle stimulation.

The peptide treatments are delivered in courses of four to six treatments.

The Meso-Jet system has been clinically proven and now allows beauty therapists to be able to deliver the latest in advanced skincare directly to the skin cell receptor that requires it.

Meso-Jet makes puts the professional therapist at the forefront of advanced treatments with a precise noninvasive delivery system as accurate as a needle and a smart technology skin serums that communicate with the living skin cell to enable change and provide anti-ageing, repair, regeneration and hair stimulation. AM

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Bottoms up In this month’s dossier, we take a look at the latest treatments to fight cellulite

No matter your body type, cellulite does not discriminate, and it seems that women across generations are hung up on those little patches of orange-peel skin. Cellulite isn’t just excess fat – which is why even thin, toned women can still sport those dreaded lumps and bumps.

Instead, it’s the result of fat cells pushing up against the skin, constricted by tight, short fibrous bands in the dermis.

One medical definition of cellulite is ‘oedematous fibrosclerotic superficial panniculitis’, meaning inflammation of the fat cells in the adipose or superficial layer of the dermis, combined with scar tissue or hardening of the connective tissues, plus water retention.

The lumps or troughs are caused by the collagen strands tightening, pulling the skin down, and the bumps or nodules are the results of fat cells pushing against the skin. Which is why in recent years a number of companies have been using the latest in innovations and technology to dramatically improve the appearance of cellulite.

3D-ULTIMATE (3D-LIPO)

The 3D-Ultimate system offers a powerful combination of technologies for the treatment of cellulite, skin tightening and fat.

The machine incorporates 3D-Cavitation for localised fat and deep cellulite, as well as Shockwave Therapy specifically for cellulite. This works by stimulating fat breakdown, collagen synthesis and lymphatic drainage via the delivery of radial shockwaves.

The technology is clinically proven to reduce the appearance of cellulite and increase skin elasticity.

3D-shockwave is delivered by placing a probe up against the areas of cellulite. As it passes over the area, it emits radial waves through the skin. For cellulite, sound waves stimulate microcirculation within the fat layer, increasing the metabolic function of the area and cellular membrane permeability. Free fatty acids and glycerol are released from the fat cells and sit in the intercellular space. Lymphatic movement and increased blood supply remove these waste products from the body.

3D-shockwave can be performed on many areas of the body including the outer and inner thighs, knees, arms, hips, buttocks, and stomach.

A course of treatment is typically eight to 10 individual 30 minute sessions. Results are seen as quickly as two weeks after starting the course, with improved results in those

60

who exercise and increase water intake. 90% of women who took part in a clinical study said they would recommend the treatment.

ACCENT PRIME (ABC LASERS)

Alma’s Accent Prime is FDA-approved for face and body and uses a combination of patented ultrasound and radiofrequency (RF). Its special handpiece for body contouring can target 60cmsq in one go, making treatments quicker, more comfortable and cost effective.

The device delivers focused depth controlled heating to precisely target the epidermis, the dermis and the hypodermis. This allows for a more precise and effective treatment with enhanced results.

For cellulite, Accent Prime utilises selective resonance ultrasound with both cold and hot ultrasonic waves that selectively resonate with and destroy fat cells, while leaving the surrounding tissue unharmed.

The selective sound waves disrupt fat cell membranes, leading to the gradual breakdown and release of stored fat through the lymphatic system, thereby helping to improve the appearance of cellulite.

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and relaxes the fibrous structures that create the dimpling effect in the skin.

The shock wave therapy then increases microcirculation of the blood and removes the static lymph fluid.

Dr Rita Rakus, the first doctor in the UK to start using the device, says, “It is generally believed that cellulite is due to having excess fat on the body and something that can be addressed through diet and exercise alone. Sadly, this is not the case and there are many other factors outside of your control, which is why I’m thrilled to be able to offer my patients the new BTL Unison treatment. Being able to provide a solution without any downtime is very important to us and we are looking forward to seeing the great results.”

CELLUBUST BY EUDELO

BTL UNISION (BTL AESTHETICS)

BTL Aesthetics has unveiled its latest innovation for cellulite reduction, the B TL Unison.

The treatment uses monopolar radiofrequency and shock wave therapy to address all five causes of cellulite. It works by increasing the production of collagen and reducing the amount of fatty deposits in the area, which in turn increases the skin’s elasticity

CelluBust is a bespoke treatment protocol devised by Dr Stefanie Williams at Eudelo, London. It includes four key treatment types delivered across 12 clinical treatment sessions, each with their own function.

The treatment involves carboxytherapy, an infusion of medical grade CO2 gas into the fat tissue to help shrink fatty deposits. It breaks down adipose cells, causing them to leave the body naturally via the lymphatic system.

Step 2 includes Cellutrix mesotherapy, an injection of an anti-cellulite mesotherapy solution, that includes various natural vitamins, minerals and other active ingredients to activate tissue metabolism and strengthen the skin on a cellular level.

Cryostimulation is then used to stimulate the skin with extreme cold to make it more resistant to dimpling and to activate fat cell metabolism.

This is followed by shock acoustic wave therapy, which has numerous effects including tightening of the skin and loosening of the fibrous strands that pull down and create the ‘craters’ in the skin surface.

Clients are given a power pack cream containing multiple active ingredients to apply daily at home.

CELLULAZE (CYNOSURE)

Representing a true breakthrough in cellulite treatment, Cellulaze is a minimally invasive surgical approach to targeting cellulite precisely at the source, in the underlying structural tissue. >

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From its SideLaze3D™ sidefiring fibre, to its ThermaGuide™ thermal sensing cannula, Cellulaze delivers laser precision with clinical data showing long lasting results up to three years.

The aiming beam faces down to coagulate fatty tissue and target fat; faces sideways to thermally Subcise the fibrous septae; and faces up to thermally stimulate collagen production to thicken the dermis and improve elasticity.

CRYOSKIN CRYOS 3.0 (LONDONCRYO)

Before

The CryoS 3.0 from LondonCryo aims to remove cellulite in a 20-30minute treatment with no recovery time. It includes Cryo Toning Cellulite which

applies cold therapy to imporve local metabolism and microcirculation in the treated area. This boosts the production of collagen which eliminates cellulite, tones the area, improves skin elasticity, and reduces pore size. By increasing nutritional supply to the cells, Cryo Toning Body treatments have a tightening effect on the skin.

DEKA ONDA COOLWAVES (LYNTON)

ONDA uses revolutionary new technology for non-surgical body contouring and fat reduction – Coolwaves by DEKA. As manufacturers of the previously globally-renowned Laserlipolysis treatment, DEKA has again developed a technology that aims to change the way in which non-surgical body shaping procedures are delivered.

Unlike other body shaping or radiofrequency devices, the ONDA uses specialist microwaves at 2.45 GHz – a frequency that is preferentially absorbed by fat molecules deep down in the subcutaneous cells, rather than the two outermost layers of skin. This

Before

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then prevents heating in the dermis and epidermis and helps the energy penetrate directly through to the target.

Its two handpieces differ in their depth of action, each designed for different body areas or types of blemishes. The contact skin cooling system is integrated into the handpieces to counterbalance the heat issued by the microwaves.

After

ENDOSPHÈRES THERAPY (FENIXGROUP)

Endosphères Therapy is a new treatment harnessing the power of micro vibrations. The mechanism of action of compressive micro vibrations has five positive effects on the tissue resulting in increased circulation, restructuring of connective tissue, improvement in lymphatic drainage and blood circulation.

This treatment allows the therapist to work at higher frequencies to help the tissue restore its natural balance. In turn, results are seen faster and treatments are therapeutic with an overall improvement to the connective tissue and the lymphatic drainage.

The Endosphères Therapy has five specific actions that make this treatment ideal for treating cellulite and blemishes. They include action on vascular system, lymphatic system, reduction of pain, remodelling, and muscle toning and relaxation.

Endosphères Therapy can be carried out on the whole body.

Depending on the areas being treated, the timing of a single session will vary from a minimum of 20 minutes to around 1hr and 30 minutes for the full body treatment, which involves cycles of six, 12 or 18 sessions carried out two or three times a week, depending on the patient’s physical condition.

The duration of the results obtained is dependent on certain characteristics of the patient and starting conditions, i.e. age, degree of inflammation, and weight.

After

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EDNA PRO (INDIBA)

After 35 years of successfully treating cellulite, Indiba have just launched the Indiba EDNA and Indiba EDNA Pro, incoproating Cell Boost Technology.

Effective at treating facial wrinkles and expression lines, bags under the eyes, double chins, ageing skin, saggy arms and cellulite, the new generation of Indiba Deep Beauty treatments uses high radiofrequency currents to raise the internal temperature of the tissue.

The patented technology combines capacitive and resistive modes at a 448kHz frequency to create the ‘proionic effect’ inside the tissue. The ions that have vital functions in the metabolism of cells are mobilised and rebalanced.

The thermal action then increases capillary circulation and oxygenates the tissues, draining and eliminating impurities.

The radio frequency skin tightening treatment also increases elasticity, reduces fibrosis and improves cell metabolism.

Before

After

LIPOFIRM PRO LP CELLULITE ERASER (ADVANCED ESTHETIC SOLUTIONS)

LP Cellulite Eraser targets unwanted toxins in the body to break down the fatty deposits. The LP cellulite eraser uses TriLipo technology with dynamic muscle activation to improve the appearance of cellulite by enhancing and stimulating blood circulation, oxygenation, and lymphatic drainage.

While targeting cellulite, it also provides an instant lift, tone, and contours the area providing a smooth and tighter appearance. Perfect for breaking down and eliminating cellulite, this rejuvenating treatment helps to smooth the skin, banish dimples, and leave clients looking toned.

During treatment, a handpiece is moved across the buttocks and/or legs delivering energy which not only breaks down the fat but also tightens the skin.

Before

After 4 weeks

After 8 weeks

MACOM CRYSTAL SMOOTH MACOM’S Crystal smooth anticellulite range includes leggings, shorts and sleepwear, scientifically proven to treat cellulite.

The potent anti-cellulite garments are made from emana® fibre – a patented smooth intelligent fabric, woven with bioactive crystals that absorb body heat and return it in the form of far infrared rays.

The rays penetrate the skin and stimulate blood microcirculation, cellular metabolism and lymphatic drainage. The increase in blood flow to the area nearest the skin significantly reduces the likelihood of the irregular build up of fat and blockage to the lymph cells. They also help regulate body temperature, increase skin elasticity and create smoother skin.

The leggings and cellulite shorts are comfortable and discreet and can be worn under clothing while the sleepwear helps target cellulite while you sleep.

Crystal Smooth can also help enhance the results of in-clinic treatments.

NUERA TIGHT (LUMENIS)

The new NuEra Tight system by Lumenis is a temperaturecontrolled radiofrequency device.

NuEra tight uniquely works with one resistive bipolar handpiece and two monopolar handpieces with Coated Capacitive Energy Transfer (CCET) electrodes in a wide variety of capacitor head sizes – from small to very large.

NuEra Tight also uses APIC (Automatic Power and Impedance Control) which reads the live skin temperature and impedance to automatically regulate the system’s power and maintain the target temperature on an entire treatment area. The advantages of this technology include better efficacy and heat coverage, patient comfort (due to the temperature increasing based on impedance) and easier to operate than other systems that do not auto regulate the temperature.

The treatment provides an immediate contraction of collagen as well as long term stimulation in producing new collagen. It also increases blood flow and stimulates lymphatic drainage.

Results can be see after a single 20-60 minute treatment with some immediate results being visible.

The system is FDA-cleared for the reduction of cellulite, relief of pain/muscle spasms and increase in local circulation and CE cleared for cellulite treatment, collagen regeneration and skin tightening. >

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SKIN689’S CREME ANTI-CELLULITE TREATMENT Swiss brand skin689 has recently received a patent for its molecule CHacoll – the active ingredient exclusively used in its anti-cellulite creme. CHacoll promotes the build-up of collagen fibres and has been backed by Dermatest and various renowned dermatologists and scientists alike. It penetrates the skin deeply and stimulates collagen synthesis.

In addition, CHacoll increases the elasticity of the skin and smoothes its surface. Unlike many other cellulite products, skin689 says that the solution helps to structurally improve the condition of the skin.

Dr Penelope Typanidis, a consultant dermatologist at Harley Street-based Dermaperfect, says, “When I first discovered about the active ingredient CHacoll in skin689’s Anti-Cellulite Creme, I was quite taken by the innovation. To know that such innovations are taking place gives viable options for those who are looking for alternatives and accessibility in treating cellulite.”

T-SHAPE (BALDAN GROUP)

The latest technology from Italian aesthetic manufacturer and distributor, The Baldan Group, is the T-Shape. The three-in-one treatment for body remodeling and facial skin re-composition helps to fight fat, improve elasticity and treat cellulite.

This is an advanced, pain-free treatment harnessing the power of multiple technologies, simultaneously targeting cellulite on a deeper level.

Radiofrequency and infrared light help to generate collagen production, tightening and firming the skin and smoothing out the dimpled texture, while the cold laser therapy targets stubborn fat on common trouble areas such as stomach, arms, thighs, and buttocks.

Vacuum aspiration mechanically stimulates the fat tissue and feels like a deep massage to improve blood circulation and encourage lymphatic drainage to help eliminate toxins. Treatment can take between 30-60 minutes with no downtime and a course of six to 10 sessions is recommended, depending on the area being targeted.

Dr Margaret Grabicka at the Medical & Aesthetic Clinic says of the system, “The T-Shape is a turning point for patients with unwanted fat and cellulite.

It has a unique technology and has proven to be very effective with stubborn fat and cellulite. All my patients love the treatment Before After and the results.”

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THERAGEM FUSION LIGHT THERAPY (MEDICA HEALTH INTERNATIONAL)

Medica Health International’s Theragem fusion light therapy fuses precious metals, gems, crystals and minerals with colour and sound for healing capabilities. By focusing the wavelengths and targeting the light, practitioners are able to cause photostimulation in cells, glands, organs, and tissues, whereby a chain of chemical responses is triggered in the targeted area. Cells and tissues are stimulated to emit enzymes that encourage photons (light energy) to be more readily transmitted to the cell photoreceptors, increasing cell activation and spurring the body’s selfhealing capacities.

With over 30 carefully chosen blend of 30 carats of gems and crystals used over the cellulite covered areas, Theragem’s light increases vascularity, reduces inflammation and stimulates lymphatic drainage to speed the healing process.

Underlying toxicity and hormone fluctuations, often a cause for cellulite, are also targeted.

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VELASHAPE III (SYNERON CANDELA)

VelaShape III provides a highly effective solution for comfortable, non-invasive, body contouring for a wide range of patients and treatment areas.

Cellulite and circumference reduction treatments with VelaShape III have no downtime and little or no discomfort.

Treatment sessions are also short, with results from as little as a single session.

The device incorporates bi-polar radiofrequency, vacuum, mechanical massage and infrared light. The VelaShape III also has increased power from 60-150 watts, without any added discomfort to the patient.

The RF heats to a depth of 2mm20mm. This deep tissue heating improves circulation, while the infrared heats to 3mm, to stimulate collagen and firm and tighten. Mechanical massage aids with lymphatic drainage, while vacuum enables precise delivery.

The Guided Mode offers an enhanced treatment experience – for both patients and operators. The advanced software simplifies operation and minimises technique sensitivity, further improving comfort level. Standardised treatment guidance minimises operator dependency and allows safe delegation to operators while a step-by-step guided process eliminates the need to count pulses and navigate, reduces user fatigue, and improves the operator experience.

The operator can also choose between foot pedal or hand trigger operation in Guided Mode or Free Style with a choice of four applicator covers.

Before

VariPulse technology, which gently pulls the skin upward, allowing the radiofrequency to penetrate deeper into the tissue. This triggers improved cellulite reduction, as well as stimulating healthy circulation.

After

Before

TRUSCULPTID (CUTERA)

truSculpt iD is the new non-surgical minimally invasive energy-based device from Cutera.

The treatment is designed to sculpt and reshape clients’ bodies in one 15-minute session. truSculpt iD uses radiofrequency (RF) energy to heat and destroy fat cells permanently. The body then naturally expels the remnants of the fat cells.

This powerful, non-invasive, monopolar RF platform tailors to patients’ individual needs and features real-time temperature control for clinically proven results, safety, and patient experience. truSculpt iD treats the entire fat layer, resulting in an average of 24% fat reduction. It offers unique handpiece and placement location versatility and customised 15-minute protocols to treat a full abdomen or multiple body areas simultaneously.

The device delivers heat to the entire fat layer while maintaining a comfortable skin temperature – optimising clinical efficacy and maintaining patient comfort. AM

After

VENUS LEGACY (VENUS CONCEPT)

Venus Legacy uses heat to naturally boost collagen production and break down fat cells, which smoothes out cellulite and makes the body look slimmer and more toned.

Venus Legacy is powered by multipolar radiofrequency combined with pulsed electromagnetic fields. The radiofrequency causes a thermal reaction in the tissue, which stimulates the body’s natural healing response.

This process works to break down the volume of fat cells in the treatment area and tighten the skin, which improves the look of cellulite.

The machine also uses advanced

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C O M M E R C I A L F E AT U R E

LYNTON LASERS

www.aestheticmed.co.uk

An alex laser to treat all skin types Introducing Motus from Lynton, designed for the practitioner that values efficacy and the client who chooses pain free

B

ritish aesthetic technology manufacturer Lynton has formed a new partnership with Italian counterpart DEKA. With over 50 years of laser expertise between them, Lynton will now be supporting the Italian manufacturer in the launch of its pain-free alexandrite hair removal laser: The Motus.

Lynton and their customers have witnessed a surge in consumer demand for pain-free permanent laser hair reduction treatments in recent years. Pain Free’ laser treatments, usually using a diode laser in a gradual heating method, have helped address the previously held notion that laser hair removal treatments are particularly uncomfortable. This provides salons and clinics more scope in persuading their clients to move away from more traditional and arduous methods of hair epilation, onto a less time consuming and often, a more profitable course of treatments for the business.

When marketing pain-free laser hair removal, it is important that operators clearly explain that the method can be a more gradual process than traditional laser treatment, (e.g. true alexandrite 755nm) and that it can require regular top-up sessions. The new Motus Alexandrite laser overcomes all these issues.

POINT OF DIFFERENCE

The Motus is the world’s first pain-free primary alexandrite laser that is FDA approved for use on all skin types. Traditionally the alexandrite has only ever been safe to use on paler Fitzpatrick 1–3 skin types due to its exceptional melanin absorption capabilities and consequent risk of adverse reactions in darker skins.

The Motus overcomes these restrictions, providing the advantages of “pain-free” laser hair removal but with the clinical efficacy and results associated with the alexandrite laser.

Practitioners can now treat every client, regardless of skin type. A 20ml contact-cooled sapphire tip, combined with optimum peak powers (6,000W) and ultrashort pulse durations of up to two miliseconds aid the Motus alexandrite laser when treating more challenging fine and fair hair.

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Before

After

Before

After

Before

After

THE TECHNOLOGY

Traditionally alexandrite lasers lose a vast amount of energy as it is reflected by the skin when delivered in a traditional shot-by-shot method. This results in a slow and sometimes very uncomfortable treatment.

Moveo technology directly addresses this issue by delivering the alexandrite laser in constant contact with the skin, drastically reducing the amount of energy reflected.

Using light circular movements at a reduced power allows the alexandrite laser to work at 100% efficiency, avoiding wasted energy.

TRAINING

As with all Lynton systems, in-depth practical and theorybased training is free of charge and comes as part of an extensive post-purchase support network available to all Lynton customers. AM

Tel: 01477 536975 Email: info@lynton.co.uk www.lynton.co.uk

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DEVICES

EDITOR’S CHOICE

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This month we try out some of the latest device-based facials WHAT: BYONIK® LASER FACIAL WHERE: FOUR SEASONS HOTEL, MAYFAIR, LONDON TRIED BY: VICKY ELDRIDGE Last year I attended the UK launch of the BYONIK® laser system, a new non-thermal laser for skin rejuvenation with pulse-triggered-laser and hyaluronic acid. In November I finally got a chance to try it with Sarah-Jayne Tipper from Pure Swiss Aesthetics at The Four Seasons Hotel in Mayfair, London.

The BYONIK® is the first ever skin rejuvenation system to be guided by the patient’s pulse.

The laser simultaneously delivers two wavelengths – 658nm and 806nm –and adjusts its frequency to the individual’s pulse throughout the entire treatment, allowing for optimal antioxidant absorption into the skin cells.

The pulse-triggered laser technology is non-invasive and painless, with no downtime or thermal action. It stimulates cell metabolism, protects telomeres and improves cellular function to effectively reverse the signs of ageing at a cellular level.

I was in need of a bit of R&R so it was nice to lie back on the heated treatment bed and enjoy an hour-long facial. Having been in the industry for more than 20 years Sarah-Jayne is a fantastic facialist and brought an element of a spa ritual to the treatment. It was relaxing and totally pain free.

The BYONIK®’s three-step procedure to ‘power up’ each individual skin cell maximises the skin’s regenerative capacity and slows down the cellular ageing process. The skin cells are activated when they receive the treatment, stimulating collagen and elastin production and enhancing the skin’s microcirculation. At the same time, the specialised combination of BYONIK® HA Gels with antioxidants are absorbed into the skin. The antioxidants travel into the cells themselves and the HA is integrated into the cellular matrix.

The BYONIK® Hyaluronic Acid Gel is massaged into the skin before each pass of the laser. The gel molecules penetrate to their predetermined depth within the skin during the laser treatment. There are three gels to choose from, depending on the client’s skin type and concerns. All three HA Gels are ECOCERT-certified and paraben-free.

Treatments can be carried out all year around, even after sun exposure and during pregnancy, and work alongside invasive and non-invasive treatments such as surgery, injectables, threads, skin peels and other types of laser, to support skin integrity and boost recovery.

I felt thoroughly rejuvenated afterwards and my skin looked great the next day.

I was given post-treatment aftercare to take home with me – the BYONIK® CONCUR Anti-Pollution and Anti-Ageing skincare, which strengthens the skin’s natural protective barrier and nourishes it with its high-quality detoxifying and anti-ageing formulas.

The pulse-triggered laser technology is non-invasive and painless, with no downtime or thermal action

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WHAT: ENDOSPHÈRES’ EVA FACIAL WHERE: THE MANDRAKE HOTEL, LONDON TRIED BY: GEORGIA SEAGO The Eva Facial is a new treatment that applies Endosphères’ compressive microvibration technology to the face. The Eva facial is a three-phase treatment that uses three handpieces on different layers of the skin to exfoliate, lift and define facial contours and nourish the complexion.

Those with dull skin presenting poor laxity and wrinkles or open pores, congestion and overall bad condition would benefit most.

My therapist Sara Vannella performed the treatment on one side of my face first so I could compare results. The first phase is called sensorised ablative microvibration, a deep exfoliation, which Sara explained uses gel microspheres to ablate the upper layers of the skin while stimulating the tissue to prepare for the second phase. She concentrated the exfoliation, particularly in areas of congestion, but was careful to avoid active breakouts.

Next came the main event – the compressive microvibration handpiece that Endosphères’ body treatment is known for. The device has a built-in sensor that applies the correct pressure to each part of the face, and it felt completely comfortable throughout, kneading my facial muscles and releasing tension.

Sara stuck with the gel microspheres for me, but therapists have the option of switching them out for a silicone version that has a higher density and gives a more intense vibrational massage.

The third and final phase is vibro-electric delivery. Sara applied a hyaluronic acid serum to my face and hooked me up to the transdermal electroporation handpiece that delivers square symmetrical pulses into the dermal-epidermal layer, stimulating down to the muscular level. This was the only part of the process that was slightly unpleasant, as

the pulses are deepened when the device is passed over bone, and it felt quite intense across the frontal bone of my forehead.

Post-treatment, it really looked and felt as though my face had had an intense workout, and I definitely noticed the effects of the lymphatic drainage and vascular actions of the compressive microvibration.

The compressive microvibration handpiece’s built-in sensor takes the guesswork out of optimal treatment delivery for therapists and ensures a comfortable experience for clients.

There’s no branded skincare to buy into along with the machine, so salons can incorporate their existing favourite products into the treatment. AM

The device has a builtin sensor that applies the correct pressure to each part of the face, and it felt completely comfortable throughout

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B O DY

TREATMENT SPOTLIGHT

Show your iD We discover the secrets of the new truSculpt iD system from Cutera uick, painless procedures with minimal downtime are the gold-standard when it comes to what clients want from device-based treatments, and fat reduction is in high demand, especially as we move into a new year and clients start making weight loss resolutions.

In recent years, the medical aesthetic industry has seen rapid growth in the number of body sculpting and body contouring procedures performed. The trend is projected to continue growing with the overall market growth of 16.3% year over year through 2020 (Medical Insight 2017.

Energy-Based Body Shaping/Skin Tightening).

TRUSCULPT ID

truSculpt iD is the new non-surgical minimally invasive energy-based device from Cutera. The treatment is designed to sculpt and reshape clients’ bodies in one 15-minute session. truSculpt iD uses radiofrequency (RF) energy to heat and destroy fat cells permanently. The body then naturally expels the remnants of the fat cells.

This powerful, non-invasive, monopolar RF platform tailors to patients’ individual needs and features real-time temperature control for clinically proven results, safety, and patient experience. truSculpt iD treats the entire fat layer, resulting in an average of 24% fat reduction.

The device delivers heat to the entire fat layer while maintaining a comfortable skin temperature – optimising clinical efficacy and maintaining patient comfort. “truSculpt iD is a great addition to my practice and the body sculpting solutions I offer. My patients rave about how

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“My patients rave about how fast and comfortable it is” Dr Anne Chapas director, Union Square Laser Dermatology, New York

fast and comfortable it is. This revolutionary new sculpting device is perfect for those who want sculpting in as little as 15-minutes,” said dermatologist Anne Chapas, director, Union Square Laser Dermatology in New York City.

Designed to be suitable for all body shapes and types, truSculpt can be used to contour larger areas such as the abdomen and flanks, as well as smaller spots. The manufacturer says that treatments feel like a hot stone massage with no post-treatment discomfort. Clinical trials have shown that the newest truSculpt reduces fat thickness by up to 24% after one session.

The device offers the versatility to customise the number of selected handpieces and placement locations, along with the ability to treat multiple areas simultaneously. AM

VERSATILE HANDPIECES For stationary use with up to six 40 cm² hands-free handpieces placed simultaneously over multiple localised fat pockets. Handpieces cover up to 300 cm² treatment area on the abdomen and flanks in 15 minutes.

For use in a gliding motion over fat pockets contained within the small or medium treatment templates.

Handpiece covers up to 144 cm² treatment area on the body in 15 minutes.

For use with a stationary placement over soft tissue in areas that are smaller than the templates or anatomically difficult areas. Handpiece covers 16 cm² petite treatment area in five minutes.

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Personalized Body Sculpting: The Next Evolution Revolutionize your practice with truSculpt® iD, the powerful, noninvasive, body sculpting platform that tailors to patients’ individual needs.

Regardless of body or skin type, fat cells are permanently destroyed in as little as one comfortable 15-minute treatment.

• Multiple body areas treated simultaneously • Fast 15-minute treatment protocols • Average 24% fat reduction • FDA clinically proven results for permanent fat cell destruction • Real-Time Temperature Control for consistent results Learn how truSculpt® iD can revolutionize your business at cutera.com/truSculptiD.

Fast | Hands-Free & Hand-Held Versatility | ~24% Fat Reduction

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DEVICES

DEVICES NEWS

aestheticmed.co.uk

Fusion GT releases solution for stretch marks Fusion GT has released a new solution for stretch marks, the Biodermogenesi. The treatment relies on a powerful and unique combination of electromagnetic energy and vacuum technology to increase oxygenation, rebuild Type III collagen, recover toxins and completely restructure damaged cells within the skin to give visible results,workingtoimprovetheappearance of stretch marks by filling the hollow area gradually, allowing the natural tanning process to occur. The treatment is also proven to be effective against cellulite and skin hypotonia, showing both quantitative and qualitative increase in elastin fibres and a visible increase in firmness.

BTL launches EMSCULPT BTL has launched the EMSCULPT, a new, non-surgical contouring treatment that uses an electromagnetic field to simultaneously build muscle and cause fat cell disruption.

The FDA-approved procedure reduces the ab-fat layer by 20% and increases the muscle layer by 18% which can give transformative, non-invasive results in just 30 minutes with no side-effects or bruising.

The procedure involves lying down while a paddle device, which channels an electromagnetic field, is placed on the abs or buttocks for 30 minutes, stimulating 20,000 rapid contractions during that time, the equivalent of 20,000 sit ups or squats.

The device also bypasses the brain’s neurones and enables 100% use of the muscle as opposed to using only 40% if the muscle was exercised consciously.

New body contouring device from Lynton for 2019 New for 2019, British Laser and IPL manufacturer Lynton has introduced the first body shaping device to use a new technology known as Coolwaves™.

The ONDA system offers localised fat loss, skin tightening and cellulite reduction with an 80% penetration depth for fat-loss treatments.

The technology also targets the connective tissue to reduce stubborn cellulite, causing immediate shrinkage and stimulation of the collagen fibres for dramatic skin tightening.

Finishing Touches Group introduces Vytal Skin Finishing Touches Group has launched a new, easy to use, portable skin needling machine with a customised handpiece, made specifically with a scaled marker to strategically monitor the depth that the aesthetician works to.

The Vytal Skin machine has three different needle variations: a plastic needling system for gentle abrasion, a 0.3 metal needle for more intense treatments and a 0.5 needle for ultimate targeted results. The procedure is gentle so it has no downtime or need for topical numbing agents and it also reduces fine lines and wrinkles to leave the skin looking plumped and glowing.

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AES_Advert_SheLase.qxp_Layout 1 23/08/2018 08:40 Page 1

RESTORING BALANCE FROM WITHIN

The World’s First Mixed Technology Laser for Female Wellness Quanta Systems is proud to introduce the first and only mixed technology laser, combining the gold standards of the C02 10600nm and GaAs 1540nm wavelengths in a sequential or simultaneous fractional emission for female wellness.

Shelase is a dual laser treatment for the effective resurfacing and tightening of the mucosa. The mixed technology of shelase performs an exclusive treatment of the vaginal tissue by delivering both non ablative and ablative wavelengths at the same time, stimulating the mucosa’s contraction and creating the production of new collagen to regain normal vaginal elasticity.  Scanner with integrated gorilla glass touch screen  Vaginal and Vulvar treatment  No consumables  Maintenance free  Gold pyramidal reflector within probe (no need to rotate handpiece)  Dual wavelengths to enhance collagen formation  15 minute treatment

Treatment Benefits: Stress Urinary Incontinence (SUI) Vaginal Laxity Vaginal Dryness and Discomfort Menopause Post Child Birth

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09/10/2018 17:55

OUT AND ABOUT

CLINIC PROFILE

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The feminine touch We speak to GP Dr Shahzadi Harper about her new female holistic wellbeing centre on Harley Street and why she uses the FemiLift laser treatment to address female hormonal needs.

D

r Shahzadi Harper recently launched The Harper Clinic, her new female holistic wellbeing centre on Harley Street, London.

The clinic will address female hormonal needs and a range of symptoms including concerns with premenstrual syndrome, perimenopause, menopause and libido.

Among the treatments on offer is the FemiLift, a minimally-invasive treatment for postmenopausal vaginal dryness using a Pixel CO2 laser from ABC lasers. Here we chat to her about the new clinic and why she chose this device.

People underestimate the impact menopause can have.

It can be a turbulent time, but we can make it as positive as possible

Aesthetic Medicine: Tell us what inspired you to launch your first clinic?

Dr Shahzadi Harper: I’ve been working with lots of women experiencing symptoms of perimenopause and menopause, and quite often they’ll come to me and say, “I don’t feel as sexy as I use to”. It’s concerning because they’ve gone to their doctors but still feel like they can’t approach that subject, or that they’re not being taken seriously and they don’t want to come across as vain.

When women get into their mid-40s they’re sought of pushed into the background and made to feel invisible. As a woman in my 40s, I’m not prepared to be invisible, I don’t see anything wrong about feeling sexy and enjoying a

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healthy and fulfilled sex life if that’s what you want, particularly now that we’re living more than a third of our lives after menopause.

People don’t know where to go to or who to speak to and how to approach it, particularly within the NHS.

AM: What effect can the menopause have on women?

SH: People underestimate the impact. Menopause can have a ripple effect on the partner and family, so you’re not just treating one person you’re actually managing everyone around.

People think of sex from a male perspective and the physical element. But a lot of it is about intimacy, it’s communication and if you’re not feeling good about yourself then you won’t want to engage in that activity.

When your hormones are impacting on your wellbeing, vaginal dryness or the fact that you’re tired and you’re not sleeping so well, you’re not going to engage in [sex].

I often say to couples that women in their 40s and 50s may lose their initiative drive but they still retain their reactive drive. So both parties sigh in relief.

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CLINIC PROFILE

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AM: How did the FemiLift fit into that?

SH: I thought, not only can I address these postmenopausal vaginal dryness issues but also help with stress incontinence.

When you’ve had children, combined with hormonal changes, it can impact the body. Not everybody is going to be rushing to the toilet when they sneeze, but sometimes it can just be that they can’t hold on for as long as they used to, so they need to frequent the toilet regularly. One of the things I wanted to offer women was a way of managing that.

AM: How effective is the FemiLift and what is the client’s perception of it?

SH: This isn’t just about improving your sex life. I’m a doctor and there has to be a functional element to it. I like things to look nice but I’m also very much a practical person so they have to perform well. For me, there were two elements that needed treatment – postmenopausal vaginal dryness and stress incontinence and the FemiLift was the right machine for that.

AM: What excites you most about the clinic?

SH: Seeing lots of women and helping them. I want women walking down the streets to be the best of who they are. The menopause can be a turbulent time, but we can make it as positive as possible by seeing the right people and getting the right advice. AM

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N O I T U L O V IN THE RE

rowing g t s e t s a f the unity. m m o C ’ s Be part of r repreneu t n E c i t e h Aest iscover d d n a , t r o lth of supp a e w a s s e ourses, c Acc s s e n i s u ge of b our full ran orum. and f resources : apply visit o t d n a n nformatio m For more i eneurs.co r p e r t n e c theti www.aes

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OUT AND ABOUT

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CynoSure Aesthetic Exchange launch, ME Hotel, London This month saw the launch of the Aesthetic Exchange programme, a new learning and development concept from CynoSure UK. The Aesthetic Exchange has been designed to deliver a complete educational and networking experience for successful aesthetic practices.

Delegates from more than 40 clinical practices attended the launch, which took place during a prestigious two-day educational symposium at the ME Hotel in London, hosted by international aesthetic laser specialist Dr Diane Quibell. The event was filled with panel discussions led by industry experts, including Flo Goshgarian, as well as presentations, live demonstrations, and peer-to-peer networking.

The Aesthetic Exchange will provide an educational forum for discussion and networking, allowing practitioners to experience hands-on demonstrations of CynoSure industry-leading aesthetic laser technologies alongside training, networking and access to expert marketing support for increased business success.

“In today’s changing environment, it is now more important than ever to be on top of emerging trends, best practices, and new procedures,” said Ben Savigar-Jones, UK and Ireland sales director at CynoSure. “The Aesthetic Exchange provides exactly that with access to today’s top industry experts from both clinical and commercial fields.”

Out and about Out and about in the industry this month

SKINCEUTICALS MASTER PHYSICIAN BUSINESS SEMINAR, LONDON SkinCeuticals held its first Master Physician Business Seminar in London. Key industry experts from the business world were invited to the event aimed at helping delegates improve and hone their business skills to increase client acquisition and develop their clinics.

The afternoon focused on the practical aspects of digital marketing and ways to build customer relationships to increase business profitability, while a session on social media helped delegates find the right unique strategy for their individual businesses.

“The day was a huge success and the feedback has been excellent. It was great to see the delegates absorbed and motivated by new ideas. We plan to hold more business seminars in the future,” said Antonia Parsons, medical affairs and content manager, SkinCeuticals UK.

Dr Harry Singh celebrates Dental Industry Award win Dr Harry Singh’s Botulinum Toxin Club (BTC) has won the ‘Outstanding Business of the Year’ category at the 2018 Dental Industry Awards.

Dr Singh has been carrying out facial aesthetics since 2002 and offers accredited workshops covering the forehead, frown and eyes under the umbrella of the BTC. Speaking about the win Dr Singh said, “I love my job and to receive this honour is the icing on the cake. I set up BTC to share with fellow dentists how they can unlock a new revenue stream from their existing patient base as well as win new customers by offering facial aesthetics.

It is a skillset that offers great satisfaction and improves business, and I would want to help others in these endeavours irrespective of receiving incredible recognition like this, so I am gob-smacked, to turn a phrase, somewhat overwhelmed, humbled and delighted.”

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BACN Autumn Conference Edgbaston Cricket Ground, Birmingham A record 300 nurses flocked to the Edgbaston Cricket Ground for the British Association of Cosmetic Nurses (BACN) autumn conference.

The event was held over two days, with 100 attending on the first day for a workshop day and 300 for the main conference on day two.

Two big announcements were made at the event: the establishment of the BACN Church Pharmacy Bursary Fund for members, and a 12-month project to develop a new competency framework for the Specialist Aesthetic Nurse Career Profile.

The bursary scheme will launch this month (January 2019) and will offer financial support to BACN members wishing to undertake a broad range of education, CPD and specialist training.

The project will be overseen by the Education and Training Committee and will be led by aesthetic nurses prescribers and BACN board members Anna Baker and Mel Recchia. The aim is ‘to establish a clear education, training and competency-based framework for establishment of levels of the Specialist Aesthetic Nurse in the UK’.

Sharon Bennett, chair of the BACN said, “I am delighted with the largest conference we have had to date. The exhibition hall was fully sold and feedback from both delegates and exhibitors has been very positive. The conference concentrated on reinforcing the message of accountability in cosmetic practice and the need to develop the role of the specialist nurse.”

The BACN’s 2019 conference will take place at Edgbaston Cricket Ground on November 7-8.

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1 Fractional CO2 laser for vaginal tightening

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Perfect Eyes First Birthday Party, Harley Street, London Lydia Mormen, Aesthetic Medicine’s editorial assistant, attended the first birthday party of the Perfect Eyes clinic hosted by oculoplastic surgeon Mrs Sabrina Shah-Desai. The celebrations included prosecco and canapes, as well as makeovers by celebrity make-up artist, Nicola Chapman and PCA skincare specialists offering complimentary skin peels.

A number of industry brands such as Skinade and Aesthetic Source supported the event by providing items for the goody bags and Church Pharmacy kindly sponsored the photo booth.

The occasion was marked with a donation of £5,000 to the Akshaya Patra Foundation, which helps to provide food and education for underprivileged girls in India.

Mrs Shah-Desai, said, “I was very fortunate growing up as my parents valued education and always supported and encouraged me.

In countries around the world, children are still working to support their family to generate income. In India, the Akshaya Patra Foundation is providing funding for schools to feed children for whom a school meal might be their only meal of the day. The Akshaya Patra school lunch programme fed more than 1.6 million children in 2017.”

MYFACEMYBODY AWARDS USA, BEVERLY WILSHIRE HOTEL, LOS ANGELES

©Joe Alvarez

The stars and the elite of America’s aesthetics industry lit up the red carpet at the MyFaceMyBody Awards USA 2018 at the iconic Beverly Wilshire Hotel, Los Angeles.

The Global Aesthetic Awards celebrate and honour those at the pinnacle of the beauty business. MyFaceMyBody Awards USA 2018 winners were selected from hundreds of applicants from across America. The lucky few now hold the prestigious title of a MyFaceMyBody Global Aesthetic Award winner.

The gala ceremony was attended by 350 of the industry’s leading professionals, top plastic surgeons, brands, journalists, celebrities and beauty bloggers. Celebrities included Dr. Paul Nassif from Botched, Dr. Bill Dorfman and Dr. Brian Boxer Wachler. Actors, Emmanuelle Vaugier – Mistresses and Two and a Half Men, Alice Amter, Big Bang Theory, Sheldon Bailey, Game Shakers, and Massi Furlan American Crime Story, Versace and Asifa Mirza from Shahs of Sunset and many more.

Elite Aesthetics invited members of the press and clients to an open day and red carpet event as part of the HydraFacial World Tour.

Dr Shirin Lakhani and her team were on hand to speak to guests about the treatments on offer at the clinic and were fully-booked for Hydrafacials all day. Zoe Myers from The Consulting Room Group, which distributes the device in UK, was also in attendance. Guests enjoyed prosecco non-alcoholic cocktails canapes and branded cupcakes. They also received goodie bags to take away with them.

The tour also included other events in cities around the globe, introducing thousands of people to HydraFacial.

Dr Lakhani said, “We were delighted to be invited to take part in the HydraFacial World Tour and used this opportunity to welcome patients and press into our clinic to experience this highly effective facial. It was an incredibly successful day – we managed to hit a new record for sales on a HydraFacial Red Carpet Day.” AM

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Elite Aesthetics HydraFacial World Tour red carpet event, Greenhithe, Kent

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AlumierMD peels use only pure acids. The antioxidants, anti-ageing and brightening booster ingredients are applied post-peel in our Brightening Accelerator so all components remain effective. Peels remove the outer dead layers of the stratum corneum, so the booster ingredients are better absorbed when applied post-peel.

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