Aesthetic Medicine - March 2019 by Aesthetic Medicine

INSPIRING BEST PRACTICE IN MEDICAL AESTHETICS

SHOW TIME AESTHETIC MEDICINE LIVE 2019

AS A WHOLE THE FULL FACE APPROACH BREXIT WHAT IMPLICATIONS COULD LEAVING THE EU HAVE FOR AESTHETICS?

March 2019

March 2019 | aestheticmed.co.uk

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U S E F U L I N F O R M AT I O N

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Contents MARCH

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

ADVERTISING Jack Diamond

10 NEWS The latest news from the industry

52 BREXIT What impact could leaving the EU have on aesthetics, asks Gary Conroy

18 NEWS SPECIAL REPORT With Superdrug to provide mental health checks for injectables patients, we examine this issue 24 AESTHETIC MEDICINE LIVE 2019 Find out what will be happening at our London event

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

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

BUSINESS

16 REGULATION Dr Philip Dobson discusses CQC registration for threads

EDITORIAL Vicky Eldridge

CLASSIFIED Nur Suleyman

NEWS AND ANALYSIS

56 STAFF TRAINING Gilly Dickons on why ensuring your front of house staff are properly trained is key 58 EMPLOYMENT Victoria Vilas gives her tips on how to improve as a team manager 60 ASK THE EXPERTS Our experts answer your questions

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

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

DESIGN AND PRODUCTION ICD www.icd.gb.com

PRINTING Walstead United Kingdom walstead-uk.com

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. M 2 Media Unit 1.17 The Plaza 535 Kings Road London SW10 0SZ

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CONTENTS

IN THIS ISSUE...

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SKIN

INJECTABLES

HEALTH

DEVICES

OUT AND ABOUT

64 INNOVATIONS We find out about Endo-Test, the latest innovation from AQ Skin Solutions

74 INTERVIEW Dr Kuldeep Minocha shares his expertise on full facial rejuvenation through the use of toxins and fillers

80 GUT TESTING How gut testing can give us insights that will help patients from the inside out

88 EDITOR’S CHOICE Vicky Eldridge tries out DEKA’s Motus AY

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

66 Q&A We chat to Pamela Marshall about why she chose to partner with Exuviance 68 INGREDIENT SPOTLIGHT Dr Pamela Benito talks to us about sodium DNA 70 SKIN OF COLOUR Dija Ayodele gives her tips to help attract and retain clients of colour 72 SKIN NEWS The latest skin product launches

84 WOMEN’S HEALTH We speak to Dr Shirin Lakhani about why more and more women are coming to aesthetic clinics for intimate health concerns

90 NEW LAUNCHES 3D-lipos latest body sculpting treatment 3D-Lasersculpt 92 TREATMENT SPOTLIGHT Mr Brent Tanner speaks to us about the Strawberry Lift 94 DEVICES NEWS The latest device-based launches

Welcome

to the March issue of Aesthetic Medicine You may notice that our cover has a different look this month and that is because we have undergone a rebrand as part of a wider company strategy to bring our portfolio of magazines and shows under one banner. The new look has been launched in time for our flagship event – Aesthetic Medicine Live – which takes place this month (March 23-24) at Olympia London.

This issue also marks 50 issues since Aesthetic Medicine re-launched onto the market and, after five years, we are excited to be continuing to grow and expand our offering. Aesthetic Medicine Live is even bigger than ever with more access to CPD-accredited education and we have launched our inaugural Aesthetic Medicine Video Awards to recognise those using the medium of the moving image to promote good practice in aesthetics. The awards will take place at a roof top after party on the Saturday night of Aesthetic Medicine Live. Turn to pages 24-50 for all you need to know about what will be happening at the show and to make sure you don’t miss out. Vicky Eldridge - Editor

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INDUSTRY NEWS

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Concerns over aesthetic regulation heard in Westminster

MP Alberto Costa put forward a debate in the House of Commons last month over the regulation of non-surgical cosmetic procedures. Costa, who is the MP for South Leicestershire has been campaigning to bring the issue to the attention of Government after being contacted by constituent Rachael Knappier, who experienced severe complications following a lip filler treatment by a beauty therapist – a story which has had significant media coverage over the past few months. In January he raised the issue on topical debate programme Prime Minister’s Questions, tackling Prime Minster Teresa May about the growing concerns for patient

safety and regulation. He then raised a debate on February 12 and was accompanied to Westminster Hall by Knappier and Safety in Beauty founder Antonia Mariconda. Costa said it was “beyond belief” that a foreign substance could be injected by someone with no medical expertise. He added, “As MPs we have a duty to protect the health and safety of our consumers, so allowing them to make informed choices in respect of seeking treatment from professional beauticians. It is not the case of why people are having it done. It is that we need to regulate what is being done.” May replied, stating, ”We recognise that this growth in non-surgical treatments does increase the need for consumer protection. We are currently working with stakeholders to strengthen the regulation and we are committed to increasing the safety of these procedures in a number of ways. “For example, better training, robust qualifications for practitioners and clear information where people can make an informed decision about their care. We would urge anyone who is looking to have a cosmetic procedure to take the time to find a reputable, safe and qualified practitioner who is subject to statutory regulation or on a voluntary accredited register.”

Study gives new insight into age-related changes of upper lip A new study has shown the role significant loss of volume plays in ageing of the upper lip in older adults. The research was led by Patrick L.Tonnard, MD, PhD, of the Coupre Centre for Plastic Surgery, Ghent, Belgium and was published in the February issue of Plastic and Reconstructive Surgery. “Our results suggest that the ageing perioral area is affected with a combination of soft tissue lengthening, thinning, and volume loss,” Tonnard said. The study went on to find that age-related lengthening and thinning of the lip represents more than ‘sagging’ and that “volume loss is an obvious feature of the ageing upper lip.”

VAT-registered businesses must prepare prior to April 2019 MTD requirement, says tax expert Businesses that are over the VAT threshold are being advised to prepare ahead of the Making Tax Digital VAT rollout, due on April 1 2019, which makes it a mandatory requirement that VAT records be digitised for all businesses with a taxable turnover of £85,000, the current threshold for VAT registration. Businesses below the current threshold that are currently registered for VAT, may choose to opt into MTD for VAT but they are not legally obliged to. HMRC issued its VAT Notice 700/22 in January to provide businesses with further information regarding the MTD for VAT requirements. David Redfern, managing director of DSR Tax Claims, commented, “The future may be paperless but MTD won’t initially remove the requirement to keep any physical business records. It may still be necessary to retain a paper copy of the business record.”

Additionally, Redfern cautioned businesses to consider their data backup arrangements carefully in order to ensure that vital financial data is not irretrievably lost in the event of technological failure.

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INDUSTRY NEWS

Virtual reality could help patients with fear of needles and pain Virtual reality (VR) could replace local anaesthesia to reduce pain and discomfort during simple medical procedures, and could help people with needle phobia, according to research published in the British Journal of Dermatology. In the US, nine patients, aged between four and 70 years, were provided with VR headsets during minor procedures that would normally be painful and may require local anaesthetic. The researchers found that all participants included in the study experienced minimal pain, with half experiencing no pain at all. All participants, regardless of age, reported finding the technology simple to use. VR is believed to have this positive effect on pain due to the multi-sensory, immersive nature of the simulated environment. This acts as a distraction in the brain, which interacts with how pain is perceived. Holly Barber of the British Association of Dermatologists, said, “There are a huge number of people for whom minor medical procedures, such as getting injections or having stitches, are incredibly stressful. This leads to people putting them

off for as long as possible, potentially endangering their health. This research is at a very early stage, but it suggests that VR could be a way to solve this problem.”

Clinic group sk:n announces new ownership Clinic group sk:n has been acquired by private equity company Tri Span. The chain, which operates 51 clinics across the UK, was acquired for an undisclosed sum from fellow private equity company Graphite Capital. Chief executive Darren Grassby and chief financial officer Simon Hope remain in their positions on the senior management team. Grassby commented, “sk:n is an ambitious brand with exciting plans to grow over the coming years and Tri Span’s strategic approach is a perfect fit for our business.

“We’re very excited to take sk:n to the next level and confident that the combination of our highly experienced team with Tri Span’s experience in rollouts, plus its network and its international exposure, will enable us to propel the business forward.” The acquisition was led by TriSpan’s European private equity partners, Fady Michel Abouchalache and Joseph-Patrick Dib. sk:n said it plans to expand into more locations across the UK and further strengthen the brand.

Cancer causes premature ageing says study Leukaemia promotes premature ageing in healthy bone marrow cells, according to new research from the University of East Anglia. The findings, published in the journal Blood, showed that healthy bone marrow cells were prematurely aged by cancer cells around them. It is well known that ageing promotes cancer development, but this is the first time that the reverse has been shown to be true. Importantly, the aged bone marrow cells accelerated the growth and development of the leukaemia – creating a vicious cycle that fuels the disease. The study also identified the mechanism by which this process of premature ageing occurs in the bone marrow of leukaemia patients and highlights the potential impact this could have on future treatments. The research was led by Dr Stuart Rushworth from UEA’s Norwich Medical School. He said, “Our results provide evidence that cancer causes ageing. We have clearly shown that the cancer cell itself drives the ageing process in the neighbouring non-cancer cells. Our research reveals that leukaemia uses this biological phenomenon to its advantage to accelerate the disease.”

The research team established that the NOX2 enzyme generates superoxide which drives the ageing process. By inhibiting NOX2, researchers showed that the reduction in aged neighbouring non-malignant cells resulted in slower cancer growth. Dr Rushworth added, “It was not previously known that leukaemia induces ageing of the local non-cancer environment. We hope that this biological function can be exploited in future, paving the way for new drugs.”

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INDUSTRY NEWS

NEWS IN BRIEF BD SHOWCASES THE FIRST GLASS PRE-FILLABLE SYRINGE

BD (Becton, Dickinson and Company) has launched BD HylokTM, a new glass pre-fillable syringe for the administration of viscous solutions such as hyaluronic acid dermal fillers. Unveiled at Pharmapack 2019 in Paris, France, BD HylokTM is the first glass pre-fillable syringe that is validated for the delivery of intravenous drugs. It is strongly affixed, using new bonding technology, and reduces the risk of LLA rotation or disconnection.

DR DANIEL SISTER TO BE UK TRAINING PARTNER FOR MINT LIFT®

Dr Daniel Sister has been announced as the UK training partner for the MINT Lift® and is offering the treatment in clinic for his patients. Originating in South Korea, the name MINT stands for Minimally Invasive Non-surgical Thread. Dr Sister said he has been particularly impressed by the results of the PDO thread lift, as it provides an immediate and obvious lift, something his patients are looking for.

RACHAEL KNAPPIER JOINS SAFETY IN BEAUTY AS AMBASSADOR

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Paper examines use of botulinum toxin type A for hypertrophic and keloid scars A paper published in the Journal of Cosmetic Dermatology has reviewed the evidence demonstrating the role and mechanism of action of botulinum toxin type A in the treatment and prevention of hypertrophic scars and keloids. Botulinum toxin type A has been shown to include action on wound tension, action on collagen, and action on fibroblasts. The authors performed a literature search in PubMed for clinical studies, clinical trials, case reports, controlled trials, randomised controlled trials, and systemic reviews, which yeiled 1,000 articles. In their conclusion they noted: “Even though neither the etiology of hypertrophic scars and keloids nor the mechanism of Botox in their treatment is clearly understood, the positive clinical effects of Botox in the treatment and prevention of hypertrophic scars and keloids is undeniable. Although it has shown positive results as one of the methods for the prevention and treatment of hypertrophic scars and keloids, the mechanism of action should be further investigated.”

Rachael Knappier, the woman who has featured in the global press over the last few months as a victim of a botched aesthetic lip treatment, has joined The Safety in Beauty campaign as a public safety ambassador. Knappier, who had a severe reaction to fillers administered by a beauty therapist, has vowed to use her traumatic experience to help make changes and stop other people suffering the same fate.

SAVE FACE SUCCESSFULLY RENEWS PSA ACCREDITATION

Save Face has successfully renewed its accreditation with the Professional Standards Authority. Save Face was the first voluntary register of non-surgical cosmetic practitioners to become accredited by the authority in 2016. Christine Braithwaite, director of standards and policy at the PSA commented, “We are pleased that Save Face continues to meet our demanding standards and has successfully passed its annual reassessment.”

FDA APPROVES NEW TOXIN

The US Food and Drug Administration (FDA) has approved Jeuveau, a new botulinum toxin type A, for the temporary improvement in the appearance of moderate to severe glabellar lines. The product is manufactured by USbased company Evolus. The FDA approval was supported by clinical data from Phase III randomised, multi-centre, double-blind placebo-controlled clinical trials. It was reported that 67.5% of subjects in study one and 70.4% of subjects in study two met the primary endpoint, compared to 1.2% and 1.3% of patients in each placebo arm respectively.

Prejuvenation becomes a millennial mainstay, says AAFPRS Research shows millennials are all about ‘prerejuvenation’, a new term that refers to when young women start non-invasive beauty treatments like Botox, fillers and chemical peels earlier in order to prevent ageing rather than correcting it. The recent American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) annual members’ survey found that 72% of facial plastic surgeons had seen an increase in demand for cosmetic procedures in patients under 30. This is a significant increase from 2017, where more than half of members noted this influx of younger patients. In fact, this year’s survey reveals a 24% increase in cosmetic surgery or injectables in patients under age 30 since 2013 (58% to 72%). “The advances in minimally invasive technologies and demand for nonsurgical treatments grows each year, with many millennials picking Botox for routine wrinkle treatment, hyaluronic acid fillers for lip augmentation, and lasers or chemical peels as standard practice for slowing down the clock on sun damage,” says Phillip R. Langsdon, AAFPRS president. “Our younger patients are monitoring the ageing process and taking prevention seriously.”

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INDUSTRY NEWS

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NEWS IN BRIEF CRISPR GENE EDITING MAY HAVE APPLICATIONS IN PLASTIC SURGERY

The CRISPR genome editing technique promises to be a “transformative leap” in genetic engineering and therapy, affecting almost every area of medicine. This includes plastic surgery, with potential advances ranging from prevention of craniofacial malformations, to therapeutic skin grafts, to new types of rejection-free transplants, according to a paper in Plastic and Reconstructive Surgery the official medical journal of the American Society of Plastic Surgeons (ASPS).

EF MEDISPA FOUNDER ESTHER FIELDGRASS LAUNCHES PODCASTS

EF MEDISPA founder Esther Fieldgrass has launched her first-ever podcast series. The Beauty Biz explores a variety of trends and topics within the beauty, aesthetics, wellness, and health industries. Episodes include conversations with Aysha Awwad, (MD of Medico Beauty) and Dr Ahmed Al-Qahtani (founder of AQ Solutions). Aesthetic Medicine editor Vicky Eldridge has also been a guest. You can listen on iTunes or SoundCloud.

BAS ANNOUNCES LINE UP OF GUEST SPEAKERS FOR 2019 CONFERENCE

The British Association of Sclerotherapists (BAS) has announced the line up for its 2019 conference, taking place on May 14 at Dorney Lake near Windsor. Guest speakers will include: Dr Marianne De Maeseneer, a high profile vascular surgeon and phlebologist from Antwerp; Prof Andrew Bradbury, professor of vascular surgery at the University of Birmingham; and Mr Ian Franklin, consultant vascular surgeon at Imperial College Healthcare NHS Trust and programme director of the annual International Charing Cross Venous Course.

CYNOSURE INTRODUCES CUSTOMER SERVICE INITIATIVE TO MARK 20 YEARS

Cynosure has launched a new customer service initiative in association with its learning and development platform, Aesthetic Exchange, to mark its 20-year anniversary in the UK aesthetic medical laser industry. The company will be hosting a series of specialised customer training, educational events and workshops covering technological advances, best clinical practice and business growth tips.

33% of Brits take vitamin D supplements daily Vitamin D is now the most popular single vitamin supplement taken by Brits, with usage increasing by 7% in the past year. According to research by market analyst Mintel, vitamin D is now taken daily by 33% of vitamins, minerals and supplements (VMS) users, up from 27% in 2017, overtaking vitamin C in the popularity stakes. The 35 to 54-year-old age group is the main driver behind the boom, with vitamin D supplement usage among these people rising from 22% in 2017 to 35% in 2018, the report found. The other four most popular single vitamin supplements taken by Brits are vitamin C (27%), vitamin B complex (15%), vitamin A (12%), and vitamin E (10%). Sales of vitamins and supplements are estimated to reach £442 million this year, a 6% increase from £417m in 2013, and the market is forecasted to reach a staggering £477m by 2023, said the analyst. “Vitamin D has proved to be a star performer in the sector, with its health benefits during the winter months continuing to be a popular topic. This will have undoubtedly helped boost usage, raising its profile among Brits,” said Anita Winther, research analyst at Mintel. Over the past year, more than half of Brits (59%) have taken VMS, with around one in three (34%) ingesting a supplement daily. The research also showed that women (38%) are more likely to invest in vitamin supplements than men (29%), while only a quarter of Brits have never taken a vitamin, mineral or suppliment.

Alice Hart-Davis publishes new book and website on aesthetic treatments Awarding-winning consumer beauty journalist Alice Hart-Davis has published a new book and accompanying website. The Tweakments Guide: Fresher Face and thetweakmentsguide.com act as a comprehensive guide to the fast-growing field of non-surgical cosmetic ‘tweakments’. Hart-Davis has tried the treatments herself and aims to provide clear unbiased information on how they work as well as advice on how to find and choose a good aesthetic practitioner. Hart-Davis has spent 20 years writing about beauty and examining what really works. Her articles have been published in a range of newspapers and magazines.

NEWS IN PICTURES The International Association for the Prevention of Complications in Aesthetic Medicine (IAPCAM) hosted a cadaver workshop at King’s College London Anatomy and Surgical training centre at the end of January. Cadaveric training was provided on the relevant facial anatomy with prosected specimens, and delegates had a chance to dissect through the layers of the face to see how non-surgical procedures and injectables can be misplaced and cause complications. Discussion then followed on how to rectify these complications, as well as how to use hyaluronidase.

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REGULATION

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Thread your way through Dr Philip Dobson discusses Care Quality Commission registration for thread lift treatments

here have been a number of instances recently where aesthetic practitioners have been approached by the Care Quality Commission (CQC) in relation to carrying out thread lift procedures and told that they were required to register in order to carry out these treatments. This has, however, been very inconsistent and other inspectors have categorically told other practitioners that no registration was required. Regulation 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, as amended, states that the activities listed in Schedule 1 to the regulations are ‘regulated activities’. In England, regulated activities may only be carried out by a healthcare professional, where the provider is registered with the CQC. Regulated activities cover a wide range of healthcarerelated services, including the treatment of disease, disorder or injury, diagnostic and screening services, personal care and the management and supply of blood and blood-derived products. In addition, paragraph 6 of Schedule 1, which relates to ‘surgical procedures’, including all pre- and post-operative care carried out by a healthcare professional, states that the purpose of such procedures is for the treating of disease, disorder, injury, sterilisation or reversal thereof; for cosmetic purposes; or for purposes of religious observance (such as circumcision). On first reading of the above, it would seem this covers virtually all cosmetic procedures. However, when the regulations were drafted certain treatments were specifically excluded from

the scope of the regulations, such as nail surgery on the foot, curettage, cryocautery for warts, verrucae or other skin lesions within certain limitations, piercing, tattooing or the subcutaneous injection of a substance for the purposes of enhancing a persons appearance (botulinum toxin and dermal fillers,) the removal of hair roots by the application of heat (laser and IPL hair removal). Thus, for a number of years, many aesthetic practitioners have carried on their practise without the need for CQC registration provided they were covered by the caveats from the requirement to register. As is often the case, treatments move on in ways which were not foreseen when the regulations were drafted and in the case of thread lifts, a perfect case in point is identified. The insertion of thread lifts, where instruments, in the form of canulae, are passed under the skin introducing medical devices into the subcutaneous tissue for the purposes of changing the anatomy particularly of the face, is a relatively recent development, which on strict interpretation would fall under regulation as a surgical procedure. However, some have argued that the exclusion for ‘subcutaneous injection of a substance of substances for the purposes of enhancing a person’s appearance’ could also be applied causing them to fall outside the scope of regulation. In order to address this, we contacted the CQC directly and posed the question, asking for a definitive statement in relation to thread lift procedures under the regulations. After many months and significant chasing, having consulted its registration team and legal department, the CQC has now given a formal response as below:

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REGULATION

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“Where the procedure of thread lift (i.e. involving the insertion of threads) is carried on by a healthcare professional, it falls within the Care Quality Commission (CQC) scope of registration, requiring the provider to register with CQC for the regulated activity of surgical procedures.” What does this mean to aesthetic practitioners? Because the CQC has now decided that this treatment falls within the scope of the regulations, all healthcare professionals carrying out these treatments must be registered, before they are legally permitted to provide this service to patients. Failure to obtain registration is a criminal offence and could render practitioners liable to prosecution for carrying on a regulated activity without CQC registration. In addition, practitioners should also be aware that where they carry out these procedures without registration and they are therefore acting illegally, their professional indemnity insurance may be invalidated in the event of a claim. Advice on CQC registration can be obtained from the author. AM

Dr Philip Dobson is medical director of LCS Healthcare, a company specialising in regulatory compliance in the healthcare sector. He continues to work as a cosmetic physician, carrying out a range of procedures and holds the postgraduate diploma in skin surgery. In addition, he holds the Graduate Diploma in Law, the Legal Practise Course (LPC) (with Distinction) and he has been awarded the degree of Master of Laws (with Distinction) in Professional Legal Practice. He practises law as a Notary Public.

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NEWS SPECIAL REPORT

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Piece of mind Safeguarding mental health has been more and more under the spotlight recently and with calls from the NHS for Superdrug to deliver tougher psychological wellbeing checks for patients, we explore the wider issues involved

ast month Superdrug hit the news again after vowing to introduce additional mental health safeguards for patients undergoing cosmetic injectable treatments at its Skin Renew Service. The move came after the health and beauty retailer received a letter from NHS England medical director Stephen Powis, who voiced concerns over the safety and ethics of the high street chain providing Botox and fillers. Powis first wrote to Superdrug chief executive Peter Macnab in September 2018, outlining his concerns and asking for reassurance that staff providing the injectable treatments would be appropriately trained to identify and screen out people with body dysmorphic disorder.

It was then announced on January 19 that Superdrug had agreed to introduce the checks in the form of additional questions during each patient’s initial one-hour consultation. A spokesperson for Superdrug commented: “We remain fully committed to including recommended protections for mental health. We met with the NHS to ensure we have the highest safety standards and quality of patient care. “We’ve always assessed a patient’s mental health as part of our Skin Renew consultation process. This assessment is woven through the consultation by our trained and qualified aesthetic nurse practitioners, whose experience and qualifications far exceed current standards.”

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NEWS SPECIAL REPORT

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But many practitioners are still concerned that offering Superdrug is the most appropriate place to have a clinic such procedures in a high street store that also sells targeted at millennials however I applaud the proposed cosmetics and personal care items undermines their mental health questionnaire. Psychological and underlying medical nature. Cosmetic doctor and hair restoration mental health indications in the main are not addressed surgeon Dr Max Malik, who also holds a MRCPsych in most clinics. I think this must begin to be addressed as qualification, commented, “There are many potential integral in initial consultations.” problems with high street stores offering Botox and fillers. The obvious point is that it devalues medical treatments THE WIDER DEBATE and puts them almost in the same bracket as buying lips The news has stirred a wider debate about the importance tick or make-up. These are medical treatments and should of safeguarding patients’ mental health and wellbeing only be performed by medically qualified and suitably within aesthetic practice. trained professionals. This needs to be clearly enshrined DRG Plastic Surgery, based in London’s Harley Street in law. We have all seen what can go wrong if recently announced that it has taken on a specialist safety is not paramount. Those affected are cosmetic surgery psychotherapist to help often scarred for life.” identify and safeguard patients who are Nofie Johnston who is an aesthetic approaching a major surgical procedure nurse but also a qualified mental health for the wrong reasons. nurse commented, “Our specialty Consultant plastic surgeon and coneeds now, more than ever, to rise to founder of DRG Plastic Surgery David the challenge in ensuring we practice Gateley explained, “Those carrying out ethically. I would ask Superdrug both surgical and non-surgical cosmetic which mental health conditions are procedures have a duty of care to their they screening for? More than half of patients, not just in terms of how a Nofie Johnston people aged 16 to 64 years who meet procedure is delivered and the aftercare, the diagnostic criteria for at least one but in terms of turning away patients for common mental health disorder experience whom a cosmetic procedure is not appropriate. co-morbid anxiety and depressive disorders. No one wins if surgery is undertaken for the wrong There are ethical concerns regarding treatment of a reasons, both the patient and surgeon will get their fingers person with a mental health condition that is not stable burned. If the patient is unhappy the surgeon will be required and the risk of psychological decompensation for certain to complete multiple follow up surgeries – and for those diagnostic groups. seeking a physical solution to a psychological problem “I would also want to know, does the screening or these could be endless. assessment of body image dysphoria and other mental “Many surgeons and cosmetic practitioners believe their health conditions include more than a questionnaire and experience alone is enough to pick out patients that aren’t has sufficient time been given to the appointment for good candidates for surgery and some practices do use other aspects of a mental health assessment to be psychometric questions. But often it is a tick box exercise followed to accurately check the information provided in and surgeons do not have the psychological understanding the questionnaire? And do the nurse practitioners have to correctly diagnose inappropriate drivers which lie under access to post-registration training in mental health or at the surface of patients’ answers. Sadly, some surgeons are the least have access to mental health colleagues who can also not willing to walk away from cases for commercial provide supervision?” reasons. A much more integrated approach is needed with Aesthetic nurse Lou Sommereux, who also has a psychotherapists working in-clinic alongside surgeons to background in mental health, commented, “I don’t think help identify and safeguard those at risk.” >

“Our specialty needs now, more than ever, to rise to the challenge in ensuring we practice ethically”

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RECOGNISING BDD

Aesthetic practitioners may be more likely to come into contact with patients with Body Dysmorphia Disorder due to its its association with fixation on appearance. Dr Steve Harris commented, “BDD is fairly common – up to 15% of aesthetic patients. It has been shown that aesthetic procedures lead to an exacerbation of BDD symptoms in the long run. Patients with BDD have significant comorbidity with severe depression and have an unusually high suicide rate so this is very worrying. They tend to be very dissatisfied with the outcome of aesthetic procedures and seek multiple revisions often involving multiple practitioners. When dissatisfied they can become aggressive and violent and are the most likely to sue their practitioner. As a general rule patients with BDD should never be treated with aesthetic procedures. They should always be referred for specialist care which will typically involve a combination of Cognitive Behaviour Therapy (CBT) and antidepressant (SSRI) medication. The prognosis in such cases is fair.” Sommereux believes more training should be available for aesthetic Plastic surgeon Mr Paul Banwell was practitioners in this area. She said, one of the first to introduce psychological Dr Steve Harris “Mental health and body dysmorphia are support on site at his clinic, The Banwell fortunately spoken about issues these Clinic, back in 2015 when consulting days, however, I feel much more education and psychologist and psychotherapist Gaylin workshops are needed in the aesthetic arena. Not Tudhope joined the team. This continues to just in a foundation training but as part of our continual be a key part of consultation and assessment b e f o r e professional development. Patients with varying degrees and after any procedure. He said, “We took the pro-active of body dysmorphia are usually the red flag patients we decision to introduce the service following the Keogh all meet. My simple advice is don’t treat. There is a lack of review, which identified the need for better regulation, standards in assessing mental health practitioners need training and professional support in the cosmetic to have the ability to recognise these issues. Aesthetic surgery industry.” professionals with a mental health background have Malik added, “I believe the psychological aspect is one different skill sets to identify underlying issues and may of the most important factors when offering any cosmetic have signposts for patients with recognised mental health procedure to a patient, whether it is a surgical face-lift, issues. In my practice I am adjacent to a CBT center staffed hair restoration surgery or an anti-wrinkle treatment. The by psychotherapists whom I can refer my patients to if I most common complication in aesthetic medicine is not feel the intervention is needed. I would encourage others to vascular occlusion or even lumps and bumps, it is, in fact ‘the source a similar pathway.” dissatisfied patient’ by a huge percentage. Malik agrees and has developed a psychological “I psychologically screen all my patients. I am fortunate complications course entitled ‘Your Psychological Aesthetic in that I am also a psychiatrist, however, I do believe Consultation and The Patient Journey’, which he will soon be aesthetics requires higher levels of communication skills delivering for aesthetic practitioners. He said, “The course and understanding of the patient than many medical is designed to help us improve our psychological skills in consultations.” aesthetic medicine so that we can pick up problems such as Johnston added, “There has been a role for psychiatric or BDD, which are not always quite so obvious and in fact are psychological assessment and evaluation prior to surgical often missed even in psychiatric clinics. treatments because there is an evidence base that indicates “I believe it is essential that we improve the quality of a significant proportion of patients seeking surgery have a our practice of this in aesthetic medicine. When we mental health condition (see K Hayashi 2007, BAAPS 2006 understand the psychological importance of our etc). However in non-surgical cosmetic medicine, perhaps consultation for our patients’ wellbeing, that is what will the temporary nature of the treatments and/or reversibility give us better outcomes, not only aesthetically but in the has potentially led clinicians to not apply the same rigour as patients’ understanding and satisfaction levels. It is clear surgical colleagues. Although GMC (2016) guidance clearly that the majority of complaints and legal actions revolve states to consider the psychological needs of the patient. around communication, or a lack of clear communication. “Screening via a questionnaire is an efficient and As practitioners we can minimise the risk of sleepless discrete method of collecting information which assists nights to us and increase patients’ satisfaction, if we adopt with a mental health assessment. However, validated a more of a high-quality medical approach. Within this questionnaires and screening tools in cosmetic medicine there is no scope or justification for high street medical inevitably focus on patients with dysmorphic views of their treatments, these are simply bad or even dangerous for the body. They are only as reliable as the information entered public and bad for aesthetic medicine.” AM into them and also only form part of the assessment.”

“As a general rule patients with BDD should never be treated with aesthetic procedures”

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THE FUTURE OF AESTHETIC MEDICINE Register for free tickets and book education at www.aestheticmed.co.uk/ booktickets

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Get yourself to Aesthetic Medicine Live at Olympia London this month (March 23-24) and reinvigorate your business for 2019

esthetic Medicine Live will be opening its doors this month at Olympia London and with so much to see and do across the two days, you can’t afford to miss out. At 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. Aesthetic Medicine Live provides the ideal opportunity to do this and reinvigorate your business for 2019. So, why not come and meet with like-minded people and restoke the fires of your enthusiasm, find out about the latest product launches and trends on the market that could add commercial value to your clinic, gain valuable CPD-accredited education and connect 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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• 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 the MSc in Aesthetic Medicine at Queen Mary University of London. It will be 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, where you can 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. Enjoy 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 by experiencing it for yourself.

FIND OUT ABOUT THE LATEST SURGICAL INNOVATIONS

For the fourth year running, Aesthetic Medicine Live will host the UK Assocation of Aesthetic Plastic Surgeons (UKAAPS) annual conference. The one-day programme is dedicated to cosmetic surgery practice and features 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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Live Stage Our Live Stage programme offers you a chance to see free live demonstrations and listen to talks from KOLs on some of the treatments and brands on display at the show Saturday, March 23 11.00

11.30

Microneedling scar tissue using Bellus Medical’s SkinPen Precision Mr Andrew Williams (BioActive Aesthetics)

12.00

Destroying the past to clear the future Kevin Williams (Lumenis)

12.30

Combination treatments for total skin rejuvenation Dr Ivona Igerc (Venus Concept)

13.00

10.30

Inmode Dr David Jack

11.00

Celluma Dr Aamer Khan

11.30

Advances in Skin Resurfacing Dr Raul Cetto (Wigmore Medical)

12.00

Specific depth tissue tightening with 3rd generation HIFU Dr Beatriz Molina (Beamwave)

Painless hair restoration using PRP Dr Edwin Anthony (PRP Lab)

12.30

Say goodbye to stretch marks Dr Claudio Urbani (Fusion GT)

13.30

Advanced Esthetics Solutions

13.00

14.00

Submental fat and the facts behind the treatments for this area Mr Brent Tanner (Strawberry Lift)

Face and body beautiful, without injectables or surgery - The latest laser technology with Fotona Dr Tania Phillips (Castle House Medical)

13.30

Are all plasma devices the same? Dr Vincent Wong (Jett Medical)

14.30

The four ways vitamin C affects collagen Victoria Hiscock (AlumierMD)

14.00

15.00

Scars and Resurfacing – Optimising Results Dr Neil Walker (Syneron Candela)

A modern approach to using HIFU technology for non-surgical face lifts and body reshaping Dr Alex Karkhi (Enoura Aesthetics)

15.30

Combination Therapies for Skin Rejuvenation with Chemical Peeling Jacqueline Naeini (AestheticSource)

14.30

How to make Neogen nitrogen plasma skin regeneration a game changer for your clinic Dr Mark Holmes (The Smart Group)

16.00

SkinGen

15.00

How to protect your business Naomi Di Scala (Hamilton Fraser)

16.30

SmartGraft

15.30

Bioidentical hormones Dr Martin Kinsella (Bio ID)

DON’T MISS

SATURDAY MARCH 23 • 12:00PM Destroying the past to clear the future (Lumenis)

SUNDAY MARCH 24 • 13:30PM Are all plasma devices the same? (Jett Medical)

Kevin Williams

SUNDAY MARCH 24 • 13:00PM Face and body beautiful, without injectables or surgery – the latest laser technology with Fotona (Castle House Medical) Dr Tania Phillips

SUNDAY MARCH 24 • 12:30PM Say goodbye to stretch marks (Fusion GT) Dr Claudio Urbani

Sunday, March 24

Using new microwave technology to selectively target fat cells Dr Aamer Khan (Lynton Lasers)

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Dr Vincent Wong

SUNDAY MARCH 24 • 14:00PM A modern approach to using HIFU technology for non-surgical face lifts and body reshaping (Enoura Aesthetics) Dr Alex Karkhi

SUNDAY MARCH 24 • 15.00PM How to protect your business (Hamilton Fraser) Naomi Di Scala

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Speaker spotlights Aesthetic Medicine Live offers a broad range of education across the two days including some top-name speakers who you can see for free on the Live Stage. Here we highlight some of the talks you don’t want to miss WHO: DR AAMER KHAN WHAT: Using New Microwave Technology to Selectively Target Fat Cells WHERE: The Live Stage WHEN: 11am, Saturday March 23 SESSION INFORMATION: Dr Khan will look at and assess the world’s first body shaping and cellulite platform to use a specialist microwave technology, which claims to work by focusing heat in the subdermal fatty tissues, with 80% more energy than its radiofrequency counterparts. It is believed that the application of noninvasive high-energy 2.45 GHz microwaves to body areas with adiposity may direct a focused action toward the subdermal fatty tissues in order to promote adipocyte cells heating with no interest of the upward dermal epidermal layers. This lead to a totally metabolic compatible macrophage adipolysis with reduction of subdermal fatty tissues and consequential reduction in circumference. WHO: MR ANDREW WILLIAMS WHAT: Microneedling Scars and Burns using Skinpen Precision WHEN: 11.30am, Saturday March 23 SESSION INFORMATION: Mr Andrew Williams is a locum consultant plastic surgeon at Chelsea and Westminster NHS Fdn Trust. Chelsea and Westminster Hospital is one of two burn centres covering London and Southeast England. As part of its management of patients recovering from burns and other trauma, the team regularly uses Skinpen Precision to treat lumpy,contracted and pigmented scars and finds it a vital tool for scar management which is simple, cost-effective and well tolerated by patients. Mr Williams will share his tips and tricks for using Skinpen. WHO: MR BRENT TANNER MA FRCS WHAT: Submental fat and the facts behind treatments for this area WHEN: 2pm, Saturday March 23 SESSION INFORMATION: Mr Brent Tanner trained at Cambridge University and St. Thomas’ Hospital in London before going on to hold junior posts at the Canniesburn Hospital in Glasgow, the Birmingham Accident Hospital, Great Ormond Street Hospital for Sick Children and the Royal Marsden Hospital in London. Since 1984 he has been a Consultant Plastic Surgeon at the Queen Victoria Hospital in East Grinstead and Director of the McIndoe Burns Unit. For the last 10 years he has solely devoted his time to cosmetic surgery and recently nonsurgical techniques. He also enjoys public speaking, teaching and acts as an expert for Strawberry Laser.

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WHO: VICTORIA HISCOCK WHAT: The Four Ways Vitamin C Effects Collagen WHEN: 2.30pm, Saturday March 23 SESSION INFORMATION: Victoria Hiscock is a clinical educator for AlumierMD. She is a CPD-accredited speaker and has over a decade of experience teaching advanced skincare and cosmetic science to medical and healthcare professionals. Victoria has been a speaker and hosted workshops at a variety of aesthetic conferences. Working closely with UK beauty editors and journalists, Victoria’s professional mission is to educate skin care professionals and consumers alike on the power and potential of medical skin care. Victoria’s personal experience with acne drives her passion for chemical peeling and skincare, resulting in an inspiring and aspirational training style.In this session she will give a detailed exploration of the multiple and surprising effects of vitamin C on collagen and subsequently, ageing. WHO: JACQUELINE NAEINI WHAT: Combination Therapies for Skin Rejuvenation with Chemical Peeling WHEN: 3.30pm, Saturday March 23 SESSION INFORMATION: Clinical director and nurse practitioner, Jacqueline Naeini will showcase her techniques for combining chemical peels, using the AestheticSource portfolio of clinically proven fruit acid formulations (NeoStrata Company’s Exuviance and Skin Tech Pharma Group’s Peel2Glow) in conjunction with an instant exfoliation treatment, Dermaplaning. She will discuss her protocols, patient selection and results. There will be a live demonstration following a short presentation. WHO: DR BEATRIZ MOLINA WHAT: Specific depth tissue tightening with 3rd generation HIFU WHEN: 12pm, Sunday March 24 SESSION INFORMATION: This session is presented by the multi award-winning Dr Beatriz Molina, who has a wealth of experience in aesthetics. She will be covering the latest techniques in aesthetic medicine using the 3rd generation Doublo GoldTM High Intensity Focussed Ultrasound device. Covering the patient journey with the medical grade, super-fast Doublo GoldTM. The how, the why and the results you should be safely achieving. Dr Molina will explain the multiple depths treated, discuss the bio-mechanical tissue tightening and collagen denaturation effects, which are taking HIFU to a new level! AM

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On show We round up some of the products and technologies on show at Aesthetic Medicine Live 2019 on March 23-24 at Olympia London

3D-LIPO Brand new for 2019, Equipment Manufacturer, 3D-lipo has launched 3D-lipo LaserSculpta brand new device offering the latest in laser technology for non-surgical fat reduction and body contouring in just 25 minutes. 3D-lipo LaserSculpt is the latest body-contouring treatment designed to reduce stubborn fat in problem areas such as the abdomen, love handles, and flanks, offering clinics the ultimate in advanced technology, to help their clients to achieve a slimmer appearance without surgery or downtime.

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ABC LASERS ABC Lasers has just launched Alma’s latest device the Soprano Titanium. By combining four proprietary technologies, the equipment offers improvements in the treatment experience for patients, as well as enhanced productivity for practitioners. The Quattro™ applicator (the device includes dual connectors, enabling sequential use of two separate applicators if desired) features a large 4cm² spot size that promises to shorten treatment time by 40%.

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ADVANCED ESTHETICS SOLUTIONS New from AES is the dual laser treatment, Shelase, for the resurfacing and tightening of the mucosa. The mixed-laser technology performs a treatment of the vaginal tissue by creating the production of new collagen to regain elasticity. AES will also showcase the Thunder device offering a solution for hair removal, dermatological vascular lesions and skin rejuvenation treatments.

AQ SKIN SOLUTIONS AQ Skin Solutions will be bringing its cosmeceutical line, including products such as the Eye Rejuvinating System, formulated to stimulate collagen production for increased skin firmness.

AZTEC SERVICES Aztec Services will be showcasing the Tixel by Novoxel, a thermal fractional skin-rejuvenation system. The compact, ergonomic design ensures that the system is comfortable to use. The Thermo-Mechanical Technology is less painful than lasers offers quicker down time.

AESTHETIC SOURCE Aesthetic Source is the UK distributor for NeoStrata, Exuviance, Skin Tech, Skinbetter Science and Clinisept. Among the company’s new launches will be the Skin Tech Peel2Glow system, a safe and easyto-use professional skin radiance peel which can be incorporated into an existing treatment portfolio as well as retailed in clinic for regular home use or for a pre-event glow. As well as this a a full size SPF50 Tan Cream will be in the subscription bags that visitors can buy.

THE BALDAN GROUP One of The Baldan Group’s latest launches is the multipurpose InfraBaldan 3.0, meanwhile, combines moderate, constant physical activity with infrared radiation to activate aerobic metabolism and aid weight loss. The machine uses sensors to measure the patient’s heartbeat and then converts that information to action pulses of infrared radiation at precise times. The result is a targeted workout that suits the client’s body type and metabolism. ALUMIER MD 2018 saw the launch of AlumierMD’s ground breaking vitamin C product EverActive C&E serum, described as the most optimally active vitamin C and E serum on the market. The product stays fresh from the moment it is opened due to a unique delivery system that ensures the complex is always optimally active. Each bottle of EverActive C&E incorporates two chambers – the first containing the active serum and the second containing the vitamin C crystals, which are released into the serum by snapping the air-tight seal.

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CHURCH PHARMACY - PCA SKIN PCA Skin will be introducing its latest launch, the C & E Advanced with hexylresorcinol and silymarin, formulated to diminish dark spots, soothe irritated skin and reduce signs of ageing using ingredients such as L-ascorbic acid and tocopherol.

BIOACTIVE AESTHETICS BioActive Aesthetics will be offering a show discount of ÂŁ300 for the SkinPen Precision, a mechanical micro-needling device, which includes a full day of training for two delegates, patient safety treatment packs and marketing support.

BTL BTL will bring the Emsella system to the show, a treatment that combats SUIs in women. The company will also launch new applications for intimate health and sexual wellbeing alongside the SUI systems already available on the Emsella system.

THE CONSULTING ROOM The Consulting Room will bring the HydraFacial machine, a non-ablative facial-rejuvenation system that uses vortex cleansing, HydroPeel exfoliation, vortex extraction and vortex fusion.

CELLUMA - BIOPHOTAS BioPhotas will be bringing the Celluma Pro. The light therapy tool has three pre-programmed settings for acne, anti-ageing and dermal wound healing and pain. The flexible component conforms closely to the treatment areas, optimising light therapy efficacy.

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COSMEDITECH Cosmeditech will be showcasing the Primelase Hair Removal device, offering a combination of solid state laser and diode laser for quicker and safer hair-removal treatments.

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CUTERA Among the devices on display on the Cutera stand will be the truSculpt iD system. 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.

INMODE InMode will be showcasing the Optimas system, providing light, laser and radiofrequency devices for skincare and hair removal in one work station.

LEVURA Levura will be launching a medical-grade LED photodynamic therapy device, offering blue, red, yellow and infra-red light through a multi-focus head. The Levura LED light therapy improves fine lines and wrinkles, rejuvenates skin and reduces pigmentation.

CYNOSURE Cynosure will be showcasing its newest launches including the PicoSure, a picosecond aesthetic laser. Ultra-short pulse bursts of energy are delivered to the skin in trillionths of a second, ideal for tattoo removal, skin revitilasation and the removal of pigmented lesions.

ENDOSPHERES UK/ FENIX GROUP Machines brand Endospheres UK will be showcasing its Eva Facial new device as well as the AkSensorALL, a single device for face and body treatments with two hand pieces.

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LUMENIS The new NuEra Tight system by Lumenis 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.

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JETT MEDICAL Jett Medical will be bringing its Jett Plasma Pen as well as the VinDoc Lab, a new training and product range launched by Dr Vincent Wong, and the VinDoc PRP. Dr Vincent Wong will be offering free booster shot training to everyone who signs up for the IV Vitamin Course at the show.

PROTOCOL Protocol, will be bringing its skincare range, including the Collagen Cordial, a clinical-grade collagen drink that contains vitamins B6, C & E, zinc, biotin, copper and bioactive collagen peptides for improved skin health and wound healing.

LYNTON Lynton will be showcasing the Onda device. A non-surgical body-shaping device using Coolwaves that bypass the uppermost layers of skin tissue, delivering heat directly to the subcutaneous fat cells. ROSMETICS Rosmetics will be offering over ÂŁ100 off the VI Peel Collection Box at the show as well as showcasing the Carbomed Carboxytherapy machine that can be used for a range of conditions including body contouring and anti-ageing, stretch marks, and scars and dark circles.

PERFACTION TECHNOLOGIES PerfAction will be bringing the JVR powered Enerjet 2.0. The combined effect of controlled micro-trauma and healing compounds promotes collagen generation, creating thicker dermal tissue and correcting skin imperfections for long-lasting, healthy aesthetic improvement.

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SKINGEN SkinGen will be bringing its flagship product range, SkinGenuity. Focused and targeted growth factors in the product range aid a range of conditions such as skin ageing, redness, hair loss and acne.

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SKINBRANDS Skinbrands will be showcasing the new Triple Turmeric Complex collection from Priori. Containing the brand’s triple turmeric complex, the clean skincare line uses three kinds of turmeric root extracts as well as green tea, grape seed and licorice.

STRAWBERRY LIFT (LASER LIPO) Laser Lipo will exhibit Strawberry Lift, an aesthetic device that combines class-three lasers with silent ultrasound to lift the face and neck.

TRULY CONTENT Truly Content is an online marketing service, covering a broad range of essential marketing components, including online marketing packages, social media management, online ad campaigns and website design.

SKYNCARE Skyncare will be showcasing the HIFU MediLift, a non-invasive skin-tightening treatment, Biocare-lite, an advanced IPL, SHR and SSR device, and Biocareone, an all-in-one aesthetic platform. THE SMART GROUP The Smart Group will be displaying a variety of innovative new devices including its MedJet no-needle injection device for subcutaneous, intramuscular and intradermal delivery of skin substances such as Botox for hyperhidrosis and HA fillers under 15mg per ml. Also launching at AM Live will be the medicalonly A|C|C|O|R® MD device using low frequency plasma technology. The company will be running a competition to win an A|C|C|O|R® MD pen worth £7k.

VENUS CONCEPT Venus Concept will be showcasing a range of its devices including the Venus Versa a multi-platform device offering IPL photo rejuvenation, IPL hair removal, radiofrequency skin tightening and nonablative skin resurfacing.

AESTHETIC MEDICINE LIVE takes place at Olympia London on March 23–24. Attendance to the exhibition is free if you register in advance online at aesthetic medicine.co.uk/register

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A meeting of minds Find out what’s in store for our 2019 CPD-accredited education programme

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 Emma Ravichandran, Dr Simon Ravichandran, Dr Katherine Taylor Barnes, Dr Steve Harris, Mr Ash Labib, Dr Ash Dutta, Mr Kambiz Golchin, Rosemary Drewitt-Staples, Cheryl Barton, Mr Max Malik, Dr Beatriz Molina, Dr Anna Hemming, Dr Shazhadi Harper, Dr Aamer Khan and Prof Mukta Sachdev

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

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Medicine, one of the future growth sectors of our industry. Chaired by Mr Ali Ghanem and organised in conjunction with Queen Mary University of London (QMUL), 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: MEETING THE CHALLENGES 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, Dr Shirin Lakhani, Dr Justine Hextell, Dr Paolo Bonan, Victoria Hiscock, Dr Ahmed Haq, Dr Beatriz Molina, Dr David Jack and Anna Baker Conference delegate passes cost £139+VAT for 1 day and £195+VAT for 2 days. Price includes entry to the Business workshops. 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.

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CLINICAL CONFERENCE SATURDAY MARCH 23 CURRENT INJECTION TECHNIQUES – A ONE-DAY CLINICAL CONFERENCE

SUNDAY, MARCH 24 SKIN MEETING THE CHALLENGES – A ONE-DAY CONFERENCE

8:30 - 9:30

COFFEE AND REGISTRATION

8:30 - 9:30

COFFEE AND REGISTRATION

9:30 – 11:00

INNOVATIVE INJECTION TECHNIQUES

9:30 – 11:00

SKIN: MEETING THE CHALLENGES

MORNING SESSION PART 1 Topics covered will include: the Impact of PDT on skin quality, healthy skin from within and fractionated CO2 in skin quality

MORNING SESSION PART 1 Topics covered will include: advertising and promoting injections, using toxins and fillers to rejuvenate selected areas and psychological aspects in aesthetics Speakers include: Dr Ash Dutta (chair), Mr Kambiz Golchin (chair), Rosemary DrewittStaples, Cheryl Barton, Mr Max Malik

Speakers include: Dr Uliana Gout (chair) Dr Shirin Lakhani (chair), Dr Justine Hextell, Dr Paolo Bonan

11:00 – 11:15

COFFEE BREAK

11:00-11:30

COFFEE BREAK

11:15-12:45

INNOVATIVE INJECTION TECHNIQUES

11:30-12:30

SKIN: MEETING THE CHALLENGES

MORNING SESSION PART 2 Top skin experts will discuss choosing and using a peel

MORNING SESSION PART 2 Topics covered will include: correcting ear lobes, the non-surgical lip lift, nasal corrections using HA and the latest techniques in non-surgical rhinoplasty (including live demo) Speakers include: Dr Emma Ravichandran (chair), Dr Simon Ravichandran (chair), Dr Katherine Taylor Barnes, Dr Steve Harris, Dr Kanliarda and Mr Ash Labib 12:45 – 14:45 LUNCH AND EXHIBITION VIEWING 14:45– 15:45

INNOVATIVE INJECTION TECHNIQUES

AFTERNOON SESSION PART 1 In this afternoon session leading injectors will demonstrate their techniquyes live on stage. Speakers include: Dr Beatriz Molina, Dr Anna Hemming and Prof Mukta Sachdev

Speakers include: Dr Uliana Gout (chair) Dr Shirin Lakhani (chair), Victoria Hiscock, Dr Ahmed Haq and Anna Baker

12:30 - 14:30

LUNCH AND EXHIBITION VIEWING

14:30 – 16:30

SKIN: MEETING THE CHALLENGES

AFTERNOON SESSION Topics covered will include: using RF to improve skin quality, using plasma to improve skin quality, skin of colour and The AML Dermatology Group panel discussion. Speakers include: Dr Uliana Gout (chair), Dr Shirin Lakhani (chair) Dr David Jack, Prof Mukta Sachdev and Dr Beatriz Molina

15:45-16:00

COFFEE BREAK

16:00-17:30

INNOVATIVE INJECTION TECHNIQUES

AFTERNOON SESSION PART 2 In this final session of the day speakers will discuss indications for injectables in other areas including using HA’s in vaginal rejeuvenation and body contouring Speakers include: Dr Aamer Khan and Dr Shazhadi Harper

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Conference delegate passes cost £139+VAT for 1 day and £195+VAT for 2 days. Price includes entry to the business workshops, UKAAPS and BAHRS conferences To register visit aestheticmed.co.uk/live

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The future of aesthetics Mr Ali Ghanem speaks to us about the two-day aesthetic regenerative medicine conference in conjunction with the MSc in aesthetics at QMUL

s Aesthetic Medicine Live prepares to host the UKâ&#x20AC;&#x2122;s first ever two-day conference on aesthetic regenerative medicine, the MSc in Aesthetics at Queen Mary University of London (QMUL), we speak to conference chair Mr Ali Ghanem about this growing trend for a 360-degree approach to aesthetics from the inside out. Aesthetic Medicine: Aesthetic Medicine Live is hosting your first two-day aesthetic regenerative medicine conference in the UK, how did this collaboration come about? Mr Ali Ghanem: Its very exciting that our collaboration with Aesthetic Medicine Live and Queen Mary University, which started a couple of years ago, is culminating in this event. We look at aesthetic regenerative medicine as the future of medicine and aesthetics. At our masters programme we have a module dedicated to this. Over the last decade or so, the excitement over stem cells and growth factors and their potential to transform medicine as we know it, as well as surgery and healthcare, has lent itself to the introduction of so many different applications in the aesthetic domain. Although many are without strong evidence, some have remarkable principles that are promising. Until now, we havenâ&#x20AC;&#x2122;t been able to bring together a multidisciplinary faculty in the UK to tackle these issues and introduce the latest in aesthetic regenerative medicine. We have organised this programme to be accessible to those treating patients and to be able to understand what regenerative medicine is. We will start with the very basic principles of cell biology and stem cell differentiation in a way that takes away the confusion and controversy surrounding such an important topic. AM: What can people expect to learn? AG: The programme will run over two days. The first day is aimed at healthcare workers because we will be highlighting

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growth factors and the regenerative potential of blood. We will then move on to the fat and dermis as a source of regenerative solutions over the entire programme. We will also invite a combination of industry professionals and academics to have a critical appraisal of these solutions that will bring clarity and understanding to all. AM: Tell us more about the MSc in Aesthetic Medicine at QMUL and what role regenerative medicine plays in that? Why are you encouraging your students to attend Aesthetic Medicine Live? AG: Since the Keogh report we have understood that in the UK there is a lack of regulation in aesthetic practise. This has been mirrored with several reports from the Department of Health and royal collages, culminating in the Health Education England industry and profession wide consultative document covering recommendation of training in this field. These recommendations on the essence of the programme we run at QMUL and we were the first in the UK to offer aesthetic medicine as a university module. The topic of regenerative medicine makes up only one module of that course but it is the one that is the most controversial and least understood. Because it is only one module covered at the end of the second year, I felt that the Aesthetic Medicine Live partnership would give more insight in a more extensive way to my students much earlier than just the last two months of their two-year programme. I also hoped it would be a vehicle to showcase the industry and the up to date issues that we have not yet updated in the curriculum, and finally be a bridge from the university to unmatriculated people who are interested in this topic. AM: Why should people attend Aesthetic Medicine Live? AG: As an aesthetic practitioner myself as well as an educator, I know that modern life, the distractions we have and our commitment to provide evidence-based medicine

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for our patients makes it a challenge to keep upto-date on the state-of-the-art inventions and available tools and technologies, let alone to learn and incorporate it in our practice. These events are great because they have several educational domains. At Aesthetic Medicine Live we have the British Association of Hair Restoration Surgery, the UK Association of Aesthetic Surgeons and the main injectables and aesthetic medicine stream. It is a great opportunity for continuous professional development, updating knowledge, seeing experts and colleagues and sharing tips. AM: What are you most looking forward to at the show? AG: I am most looking forward to the Aesthetic Regenerative Medicine stream. This is a milestone in aesthetic medicine in the UK, introducing this topic. Rather than just a lecture, we will have a whole conference

stream in that field and I am very much looking forward to all the insights I will learn from it and the interaction. Another thing I am looking forward to is the aesthetic regernative domain of hair restoration. I will be contributing to a lecture on the BAHRS programme, introducing new concepts of micro grafts that I have introduced to the UK to the community of hair restorative practitioners and I am looking forward to them sharing their opinions and evaluations of the evidence. I am also looking forward to the meeting of UKAAPs where I will meet my mentors and colleagues and discuss the recent controversy about breast implant related anaplastic large cell lymphoma (ALCL) and buttock augmentation and regulation that should accompany lipo filling to reduce the risk to our patients – and of course the rest of the very rich programme there too. AM

AESTHETIC REGENERATIVE MEDICINE IS THIS THE FUTURE? In collaboration with the QMUL MSc in Aesthetic SATURDAY MARCH 23

SUNDAY MARCH 24

8:30 - 9:30

COFFEE AND REGISTRATION

8:30 - 9:30

COFFEE AND REGISTRATION

9:30 – 11.00

MOLECULAR REGENERATIVE MEDICINE

9:30 – 11:00

TISSUE SPECIFIC STEM CELLS FOR SKIN, FOLLICLES AND BEYOND

Topics covered will include: carboxytherapy, Ozone Therapy, bio identical hormones Speakers include: Mr Ali Ghanem (conference chairman), Dr Aamer Khan (chair), Dr Anna Maria Fenech Magrin (chair) Dr Daniel Sister, Dr Irfan Mian and Dr Martin Kinsella

This session will include a workshop on micrografting. led by Mr Ali Ghanem Speakers: Mr Ali Ghanem, Dr Aamer Khan (chair), Dr Cormac Convery (chair) and Dr Rodrigo Aucia

11:00-11:15

COFFEE BREAK

11:00-11:30

COFFEE BREAK

11:15 – 12:45

RECOMBITANT REGENERATIVE MEDICINE

11:30-12:30

FAT DERIVED STEM CELLS

Topics covered will include: Placenta derived stem cells, recombitant stem cells and harnessing growth factors Speakers include: Dr Ash Dutta (chair), Charlotte Eckhardt (chair), Dr Ivor Lim, Dr Shirin Lakhani, Dr Anna Hemming and Dr Ahmed Al-Qahtani

Topics covered will include: fat microtransfer, nano fat in aaesthetic medicine and mechanical systems for fat stem cells Speakers: Dr Dimitrios Karypidis (chair), Dr Bashar Shatta (chair) and Dr Ifeoma Ejikeme

12:45 – 14:45

LUNCH AND EXHIBITION VIEWING

12:30 - 14:30

LUNCH AND EXHIBITION VIEWING

14:45– 15:45

BLOOD DERIVED FACTORS PART 1

14:30 – 16:30

TECHNOLOGY IN REGENERATIVE MEDICINE

Topics covered will include: PRP, PRF, combination therapies, combining PRP and PRF as a filler including live demos. Speakers include: Dr Alex Kharki (chair), Dr Charlotte Gribbin (chair), Dr Anna Maria Fenech Magrin and Dr Daniel Sister

15:45-16:00

COFFEE BREAK

16:00-17:30

BLOOD DERIVED FACTORS PART 2

Topics covered will include injectable HA’s in skin quality, applying technology for regenerative medicine, a paradigm shift in womens treatments, energy guided regenerative systems and lips and dermal fillers. Speakers: Dr Anna Hemming (chair), Professor Bacci (chair), Lee Brine, Dr Charlotte Gribbin and Dr Vanya Dalmeido

Topics covered will include: Combining PRP and PRF as a filler, PRF in aesthetic dentistry, PRF for hair restoration and PRP/PRF with energy devices. Speakers include: Dr Ramia Mokbel (chair), Dr Aamer Khan (chair), Dr Charlotte Eckhardt and Dr Haidar Hassan

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Business workshops Get involved, inspired and invigorate your business for 2019 at the Aesthetic Medicine Live business workshops They say two heads are better than one and at Aesthetic Medicine Live we believe that the best knowledge and learning is gained when people come together. Our 2019 Business Workshop programme is all about brining people together. We are passionate about helping aesthetic practices grow and flourish and as such our business workshops are a key component of the educational programme. Chaired by Richard Crawford-Small, the theme this year is interaction between the audience and with the speakers. From audience participation and panel discussions to take away tips and role plays, this two-day programme will excite and ignite your passion.

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 11.45am-12.30pm Workshop 2: What Entrepreneurs Do? Panel session with Dr Monah Mansoori, Dr Simon Zokaie, Dr Dev Patel, Helen Taylor and Nikki Zanna 12.30pm-1.15pm Workshop 3: My Three Key Takeaways: Tips from Top Business Coaches on Building and Growing Your Business Richard Crawford-Small, Mark Masters, Alan Adams and Dr Harry Singh, 1.15pm-2pm 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 Jean Johnston

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. 11am-11.45am Workshop 1: Developing your USP – What’s your Special Sauce? Richard and Amy Crawford-Small 11.45am-12.30pm Workshop 2: How to Get the Right Media Coverage Alice Hart-Davis Rebecca Barnes, Lynne Thomas, Sophie Attwood, Debbie Thomas 12.30pm-1.15pm Workshop 3 : How to stand out from the crowd with your brand and online profile Dr Abdul-Karim Nassimizadeh, Adam Hamson, Dr Roshan Vara, Russell Turner 1.15pm-2pm 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

2.45pm-3.45pm Workshop 6: How I Boosted Sales in My Business Panel

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.

3.45pm-4.30pm Workshop 7 KEYNOTE SPEAKER: Standout Selling: Top Tips from a World Leading Sales Coach Andy Preston

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

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

2.45pm-3.30pm Workshop 6: Money Talks: Creating Budgets and Financial Plans Richard Weare and Alan Adams 3.30pm-4.15pm Workshop 7: Creating a Social Media and Video Marketing Plan Mark Masters, Dr Zoya Diwan and Dr Sanjay Trikwan

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.

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Business speaker spotlights Here’s some of the people you can see speaking as part of the Aesthetic Medicine Live Business Worskhops WHO: RICHARD CRAWFORD-SMALL WHAT: Business Workshop Chair WHEN: Saturday March 23 & Sunday March 24 Richard Crawford-Small has more than 14 years’ experience in helping to grow aesthetic businesses. His unique approach to consultancy has led to the creation of the award winning iConsult system and the Aesthetic Entrepreneurs, the fastest growing aesthetic business online community. Crawford-Small who is also the author of the best-selling book, Changing Faces, will be heading up the Business Workshops at Aesthetic Medicine Live 2019. He will also be taking part in our panel on My Three Key Takeaways: Tips from Top Business Coaches on Building and Growing Your Business at 12.30pm on Saturday March 23 as well as being joined by wife Amyon Sunday at 11am for their presentation on Developing your USP – What’s your Special Sauce? WHO: ANDY PRESTON WHAT: Keynote: Standout Selling: Top Tips from a World Leading Sales Coach WHEN: 3.45pm, Saturday March 23 Andy Preston is the world’s top recommended sales expert on LinkedIn and travels the globe coaching businesses and individuals on sales techniques. A motivational speaker, sales influencer and master sales trainer this is a unique opportunity to hone your sales skills with one of the best in the world. Preston has spoken at more than 2,000 events in more than 30 countries . WHO: DR MONAH MANSOORI WHAT: What Entrepreneurs Do? Panel discussion WHEN: 11.45am Saturday, March 23 A trusted voice in media, with regular appearances spanning Sky News, Channel 5 News, ITV News, ITV This Morning, BBC News, LBC Radio, and the Victoria Derbyshire Show, Dr Monah Mansoori combines her passion for science and medicine with her natural talent for presenting and explanation. She will be leading the chat show style panel debate on What Entrepreneurs Do at 11.45am on Saturday, March 23. WHO: ALICE HART-DAVIS WHAT: How to Get the Right Media Coverage WHERE: Business Workshops WHEN: 11.30am, Sunday March 24 Alice Hart-Davis is an award-winning journalist and author of the newly published book The Tweakments Guide and accompanying website thetweakmentsguide.com, a comprehensive guide to the

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fast-growing field of non-surgical cosmetic “tweakments”. Hart-Davis’s career in the beauty and aesthetics sectors spans two decades and she is considered an authority on the latest trends in the consumer press writing for leading publications such as The Times, the Telegraph, the Daily Mail, Marie Claire, Good Housekeeping and Reader’s Digest. She will be joining fellow journalist Rebecca Barnes as well as beauty and aesthetic PR specialists Lynne Thomas and Sophie Attwood and clinic owner Debbie Thomas who regularly features in the press for our panel on how to get the right media coverage. WHO: ALAN S ADAMS WHAT: My Three Key Takeaways: Tips from Top Business Coaches on Building and Growing Your Business WHEN: 12.30pm Saturday, March 23 SESSION INFORMATION: Alan S Adams is an award-winning business coach and bestselling author. His third book, The Beautiful Business: Secrets to Sculpting Your Ultimate Clinic, focusses on the medical, cosmetic and aesthetic clinic sector. Adams will be joining other top business coaches to give his three tips for success. He will also be taking part in our sales and planning sessions and speaking across the weekend. WHO: DR HARRY SINGH WHAT: Time is of the Essence – How to More Effectively Plan and Manage Your Time to increase Productivity and the Bottom Line WHEN: 2pm-2.45pm Sunday, March 24 SESSION INFORMATION: Dr Harry Singh is an award-winning medical professional and owner of the Botulinum Toxin Club. A published author, his book Let Go of the Handbreak has received wide acclaim and focuses on how business success relies on the three concepts of attraction, conversion and retention of patients. If you can master all three, you’ll be able to turbo boost your proﬁts from aesthetics. WHO: RICHARD WEARE WHAT: Workshop 6: Money Talks: Creating Budgets and Financial Plans WHEN: 2.45pm-3.30pm Sunday, March 24 Session information: Richard Weare is a director of the highly successful D.Thomas Clinic and will be sharing his tips for how to successful plan your finances when opening a new clinic. Weare, who has been a business owner for more than 15 years and has experience working in the city as well as seven years working specifically within the aesthetics sector, will give his insights into how to keep on top of your spend and what to do when things go off budget. AM

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UKAAPS Surgeons’ Day Aesthetic Medicine Live will be welcoming surgeons from around the globe to the fourth annual UKAAPS conference Leading plastic surgeons from around the world will be coming to London for the fourth annual UKAAPS conference in association with Aesthetic Medicine Live 2019. The one-day agenda is free to access for UKAAPS members and AM Live delgates with full delgates passes. The programme will include presentations on a wide range of both facial and body techniques for surgery. The global faculty of speakers will include Mr Ali Ghanem, Mr Taimur Shoaib, Mr Dalvi Humzah, Dr Greg Mueller, Mr Fuan Chan, Prof James Frame, Mr Pericles Foroglou, Mr Shailesh Vadodaria, Mr Shadi Ghali, Dr Rudo MadadaNyakauru, Prof Charles Malata, Mr Riccardo Frati, Mr Tariq Ahmad, Ros Hannen, Mr Paul Baguley, Neil Wolfenden and Peter Cranstone. The face and neck will be the focus of the morning with topics covering everything from new frontiers in aesthetic practice, the role of injection therapy and the “one stitch hitch, to surgical and non-surgical rejuvenation of the neck, the mini-facelift, autologous fat revolumisation, closed rhinoplasty and the Earfold Implant System for correction of bilateral prominent ears.

The afternoon will see a focus mainly on the body with topics including breast pocket and implant selection, breast reduction, mastopexy and mastopexy augment complications, skin reducing surgery in gynaecomastia treatment and forming a consensus on BIA-ALCL. The controversial issue of Brazillian Butt Lifts will then be discussed with 100 cases of buttock augmentation using fat graft being presented followed by a message on the dangers of fat graft to buttocks and an update on the procedure.

BAHRS conference Aesthetic Medicine Live is proud to be partnering with the British Assocation of Hair Restoration Surgery (BAHRS) to host its annual conference 2018 saw Aesthetic Medicine Live’s first collaboration with the British Assocation of Hair Restoration Surgery (BAHRS) and this year they are back with a two-day conference at the show. Covering the latest advancements and trends in this exciting and developing field, the theme of Day 1 is Hair Surgery and Simulation: Multi-Modality Options and Pitfalls

with topics including managing hair loss in Afro-textured hair; integrating adjuvant therapies into a hair loss practice; what is the role of SMP and prosthetic hair fibres in hair loss and optimising your practice and avoiding problems. The theme of Day 2 will be Hair Restoration: NonSurgical Injectable Options and Other Treatments with topics including injectable options for hair loss, such as mesotherapy, botulinum toxin and carboxytherapy; stem cell and growth factor therapy for hair loss; platelet rich injections for hair loss and the best of the non-injectable, non-pharmacological hair loss therapies. BAHRS Delegate 1 day £125 + VAT BAHRS Delegate 2 days £175 + VAT AM Conference Delegates / BAHRS Members FREE

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BUSINESS

BREXIT

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Brexit strategy Gary Conroy discusses the potential impact of Brexit on aesthetic businesses

hether you were in favour of leave or remain, we didn’t see issues around cosmetic regulations raised on the side of a red bus! However, while we have probably all heard about chlorinated chicken, formaldehyde in your tinted foundation sounds like the stuff of nightmares. The implications of Brexit on the regulatory framework for the medical aesthetic and cosmetic marketplace could have a significant impact on product choice, price, safety, and even availability. This article aims to reflect on our current regulatory framework for the products we select and use, with the aim of helping clinicians to keep patient safety at the forefront of their product choice as we move into a potentially different regulatory environment.

SKINCARE REGULATIONS

The idea of chlorinated chicken should we enter into a free trade agreement with the US post-Brexit raises alarm for most of us, particularly given that EU regulations are seen as the gold standard when it comes to skincare. In the EU, if there is any reasonable doubt about an ingredient’s safety it is banned. All products sold in the EU must comply with a tough regulatory framework.

Since 2007, patients have been protected in the EU by a ‘precautionary principle’. This essentially means that any ingredient linked to cancer, genetic mutation or birth defects can’t be used. This has led to 1,328 chemicals being banned in the EU, including formaldehyde, asbestos and coal tar, which have all been deemed to have no safe level of exposure. By comparison, in the US only 11 ingredients have been banned, and chemicals are only banned if they pose an ‘unreasonable risk’. When we look at the products used in our marketplace, they fall into six main categories under EU legislation: 1. A CE-marked device: this indicates conformity with health, safety and environmental protection standards for products sold within the European Economic Area (EEA). 2. A CE-marked medical device: any apparatus, appliance, software, material or other article (whether used alone or in combination - including the software intended by its manufacturer for use specifically for diagnostic and/or therapeutic purposes and necessary for its proper application) intended by the manufacturer to be used for by human beings for the purpose of:

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BUSINESS

BREXIT

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“There will be significant changes after March 29, some of which may have an impact on some clinic owners who import products from the EU”

Diagnosis, prevention, monitoring, treatment, or alleviation of disease; Diagnosis, monitoring, treatment, alleviation, or compensation for an injury or handicap; Investigation, replacement, or modification of the anatomy or of a physiological process; Control of conception; and which does not achieve its principal intended action in or on the human body by pharmacological, immunological, or metabolic means, but which may be assisted in its function by such means.

Pharmaceutical POM: a pharmaceutical drug (also 3. prescription medication or prescription medicine) that legally requires a medical prescription to be dispensed. The reason for this difference in substance control is the potential scope of misuse, from drug abuse to practising medicine without a license, and without sufficient education. Different jurisdictions have different definitions of what constitutes a prescription drug. 4. Pharmaceutical PO: a medicine that is licensed as a General Sale List (GSL) medicine, but is restricted to sale through pharmacies only. 5. Pharmaceutical GSL products: these are sold over the counter in retail outlets and pharmacies. All GSL medicines, except those that have been designated as food or cosmetics, must be licensed. 6. Cosmetic product: any substance or preparation intended to be placed in contact with the various

external parts of the human body (epidermis, hair system, nails, lips and external genital organs), or the teeth and the mucous membranes of the oral cavity with a view exclusively or mainly to cleaning them, perfuming them, changing their appearance and/or correcting body odours and/or protecting them or keeping them in good condition. It is important to remember that there are a lot of marketing claims around certain kinds of products to support increased sales uptake, such as ‘cosmeceutical’. However, this category does not exist in the legislation and all products must fit into one of the categories listed above. Up until March 29, the UK cosmetic industry will be regulated under Regulation (EC) N° 1223/2009 on cosmetic products, the main regulatory framework for finished cosmetic products placed on the EU market. This regulation strengthens the safety of cosmetic products, streamlining the framework for all operators in the sector and simplifying procedures, to the extent that the internal market for cosmetic products is now a reality. All products must be listed on the Cosmetic Products Notification Portal (CNPN) and must only contain ingredients listed on Cosing the European Commission database for information on cosmetic substances and ingredients. The manufacturer is the ‘responsible person’ and must ensure products are safe for human health when used under normal, or reasonably foreseeable, conditions of use. The manufacturer should take into account, in particular, presentation 87/357/ECC, labelling and instructions for use, and must also hold a Product Information File. >

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BREXIT

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CHANGE IS COMING

“This could potentially open up a more unregulated market place and have an impact on product safety”

There will be significant changes after March 29, some of which may have an impact on some clinic owners who import products from the EU. Specifically, according to Article 4(5) of Regulation (EC) No 1223/2009, for cosmetics imported into the EU from a third country, the importer must be the the responsible person (by default), but they can designate, by written mandate, another individual established within the EU to be the responsible person. This must be accepted in writing. As of the withdrawal date, responsible persons can no longer be established in the United Kingdom. Rather, if the cosmetic product is manufactured in the United Kingdom, the importer in the EU-27 becomes the responsible person (by default) or can designate by written mandate another person to be the responsible person, also established within the EU, who shall accept in writing. The same applies if the cosmetic product is manufactured in another third country, imported into the United Kingdom and subsequently imported into the EU-27. Where, currently, a responsible person established in the United Kingdom is designated by an EU-27 manufacturer/importer, that manufacturer/importer should take the necessary measures to ensure that, after the withdrawal date, a responsible person is established in the EU-27. According to Article 13(1) of Regulation (EC) No 1223/2009, prior to placing the cosmetic product on the market, the responsible person shall provide a list of information relating to the cosmetic product to the Commission, through the Cosmetic Product Notification Portal (CPNP). As of the withdrawal date, prior to placing a cosmetic product on the EU-27 market, the new responsible person in the EU-27 will have to make product notifications in the CPNP. As regards existing notifications made before the withdrawal date

by a responsible person established in the United Kingdom, the CPNP offers the possibility to transfer notifications to another responsible person. Thus, a UK-based responsible person can transfer an existing notification to the future EU-27 responsible person. This EU-27 responsible person will then be able to edit the notification and complete it by adding their own required information, such as the name and address of the responsible person (Article 13(1)(b) of Regulation (EC) No 1223/2009), and details of any new labelling (Article 13(2) of Regulation (EC) No 1223/2009). However, this transfer is only possible until the withdrawal date. As of the withdrawal date, the former UK-based responsible person will no longer have access to the CPNP. New responsible persons established in the EU-27 can already indicate before the withdrawal date that cosmetic products manufactured in the United Kingdom will be, as of the withdrawal date, imported into the Union from the United Kingdom as a country of origin. While the UK government has committed to a transfer of EU laws, which one can assume will also apply to cosmetics, there has been no announcement on what will replace the CPNP or Cosing in the UK from next month. This could potentially open up a more unregulated market place and have an impact on product safety. For any healthcare professional working in our speciality maintaining ongoing due diligence on the products they use and recommend will provide a competitive edge and reassurance to patients that their safety and an optimal aesthetic outcome is at the forefront. AM REFERENCES www.ec.europa.eu www.ema.europa.eu

Originally a biotechnologist and EEC researcher, Gary Conroy has spent 16 years in pharmaceutical sales, marketing and research and was involved in blockbuster drug launches. Latterly, he has been working in the medical aesthetics industry for the past 15 years. He co-founded 5 Squirrels Ltd in 2014, a start-up company that supports healthcare professionals working in medical aesthetics to build their brands, increase patient recruitment and retention by launching their own brand skincare products. The company has helped to set up more than 250 skincare brands internationally.

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Aesthetic Awards Supplement January 2019

18/01/2019 12:27

BUSINESS

STAFF TRAINING

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Training on the front line Gilly Dickons asks, how important is it to train clinic staff in a client contact role?

o start this thought process, I would encourage you to ask yourself the following questions: as a practitioner, would I treat someone using a product I am not familiar with and am not trained to use? Would I feel comfortable simply talking to a client about a product I have no knowledge of? If you are a practice manager, would you expect to be able to juggle the demands of the day-to-day business without the appropriate experience? It is my sincere hope that your instant response to these questions is “of course not!”. Appropriate training and experience is essential to achieving success in any role, so why is it that many clinic owners do not focus on training their front of house staff? Often, inexperienced staff members are left to meet and greet high-value clients, and to answer those client calls and new enquiries, resulting in lost new business opportunities and client retention issues. If you are lucky enough to recruit staff who have worked in an aesthetic clinic previously, you are in a great position; they will already have a strong foundation in terms of product knowledge and the ability to build relationships.

When recruiting someone from a different sector, you cannot assume that because your new employee has been a receptionist or a front of house person in a different environment that you will be able to throw them in a the deep end – this could be damaging both for the person you have recruited, for your client relationships and, ultimately, your business. While some people thrive in a sink or swim environment, most people need to feel their way into a new job role, ensuring that they feel confident and knowledgeable. Here at Aesthetic Response (AR), we truly appreciate the value of high quality training for our team. We ensure that anyone who calls our clients’ clinics is connected to an advisor who can answer questions and provide reliable information about treatments offered, the clinic, the practitioner, prices, downtime and anything else that can be discussed outside of a consultation. To secure new enquiries, it is vital that your staff can do the same, which means you will need to spend some time training them in their enquiry handling skills. This will benefit your practice and will enhance the skill set of your employees.

“Listening skills are critical to building great relationships remember: two ears, one mouth”

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STAFF TRAINING

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KNOWLEDGE IS POWER

Ensuring that your staff have sufficient knowledge of you, the practitioner, and the treatments offered, will enable them to answer any questions posed by either clients attending the clinic, or enquiries made over the phone, via email or social media. In terms of phone calls and online responses, knowledge of your skills, training and background, along with the treatments and products that you offer, are crucial to overcoming any objections that potential new clients may have prior to making a booking. Not only does this help callers feel at ease, enabling them to make informed decisions, but it also reflects on you, demonstrating the skills and professionalism that patients can expect from your clinic. Consider, too, that by upskilling and building your staff’s knowledge they will be able to fully service enquiries without disturbing you for answers, allowing you to get on with your treatments. With a combination of soft-selling skills and product training, you can ensure that your staff will have the ability to up-sell products such as cosmeceuticals to clients when they are in reception. If you also encourage your staff to use these products themselves, they will be genuinely excited to share their experience with the clinic’s clients. Your reception or waiting room can provide a natural environment for conversations to evolve about products that may be on display. It is very natural for a client to assume that your front of house staff will have a degree of knowledge about the products and treatments that you offer. First impressions count A poor start could mean patients turn to another clinic. Educate staff so that they know exactly what first impression you want them deliver to callers; they won’t know what to say or do unless you spend time training them and give them them the tools for the job. There are several steps that we believe are critical in the training of our team. Here are a few of them: Understanding and using USPs Identify four to five key unique selling points about yourself/ your practitioners, the clinic and the treatments offered. Train your staff to refer to these in their conversations to enable them to promote the clinic and secure those valuable consultation appointments. This is the ‘why’ that they need to provide the caller, the reasons they should come to your clinic instead of going to a competitor.

Equip staff to overcome objections on the phone Anyone taking calls will be faced with objections and it is important that they learn to handle them rather than fear them. Objections are an opportunity to build a relationship with the caller. Objections may be related to: price, appointment availability, accessibility, location or distance, fear of pain or problems after treatment or the lack of support from a partner or loved one. Establish suitable responses for your staff to provide if they are faced with these objections – empower them! The importance of data capture on a call Your staff need to ensure that they capture the contact details for every new caller. Not everyone will be ready to book a consultation during their first call and you need to be able to follow up. It is also important for you to know how the caller heard about you, especially if you are running different adverts, online campaigns and events. Ensure the following data is captured: Name Telephone number Email address Where they heard about you Show your staff how you want data to be captured from each call that is logged so that you can analyse the efficiency of your lead generation and marketing campaigns. Consistent data capture across your team will allow you to track conversions and enquiries better better, allowing your business to grow. None of these areas are left to chance here at AR, we don’t assume that new staff members are going to be equipped with this knowledge simply due to a previous job role. By training your staff to an excellent standard, you will soon start to see the rewards. With staff upselling treatments and products, and using their exceptional customer service skills, your conversion and retention rates are sure to increase. AM

The importance of listening Listening skills are critical to building great relationships – remember: two ears, one mouth! Train your staff to be great listeners and they will be able to unravel and identify the clients true needs rather than their immediate wants, building and securing confidence in your team. Gilly Dickons is the managing director of Aesthetic Response, which provides an award-winning, expert enquiry handling and diary management service to UK aesthetic practices. Dickons’s 30-year career in the aesthetic arena has provided experience in multiple roles, including client facing, marketing, and clinic management. AR’s management of more than 150,000 calls a year on behalf of aesthetic practices across the UK and Ireland enables Dickons to share a unique and valuable insight into the constantly evolving aesthetics sector and the challenges business owners face in this increasingly competitive marketplace.

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BUSINESS

EMPLOYMENT

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Management skills Victoria Vilas on how to improve as a manager

uilding an efficient, productive and motivated clinic team isn’t just about hiring great employees; even the most talented staff members will need guidance and encouragement to work well as a team. Effective leadership from a strong manager is essential, but it comes with much responsibility, and management techniques can take some time to perfect. Here are 10 tips for improving your leadership skills.

1. LEARN FROM YOUR COLLEAGUES

Even if you are the only manager in your clinic, you can still learn from your colleagues. Observing the interpersonal skills of others, whether they are your boss or report to you directly, can be a great way to learn how to improve your own. How does the aesthetician with a sunny disposition who everybody warms to interact with her colleagues? And what does the person who irritates some of their colleagues do that may not be wise?

2. LEARN FROM YOUR MISTAKES

Even if you are an experienced manager, you will on occasion make mistakes; you will misjudge situations and you may not handle every problem flawlessly. That doesn’t make you a bad person or a terrible manager, it makes you human. Instead of being crushed by your mistakes, embrace the opportunities for learning and development. Did your team member leave their appraisal looking dejected? Don’t fall into a gloomy mood yourself, think of how you could give that person a boost the next time you speak. Did you hire someone who ended up performing poorly and had to be let go? Revisit your hiring process to see how you could be more thorough next time.

3. IDENTIFY YOUR OWN STRENGTHS AND WEAKNESSES

As a manager, you may end up spending the majority of your day trying to improve the performance of your team, rather than analysing your own. Look at your list of tasks and duties and try dividing them into two lists. Firstly, note the tasks you feel confident performing or those that generally end in a positive result, and then note down those you find more challenging or those that don’t always go to plan. Identifying areas for improvement will help focus any management training you undertake or targets you set yourself, and you won’t waste time revisiting areas you are already skilled in or comfortable with.

4. SET YOURSELF TARGETS

You may have clinic targets to measure team performance, but how well have you performed in motivating your team? How much time did you spend improving one of your areas of weakness? A senior manager or business owner may set you personal targets to work towards, but that doesn’t stop you from setting some for yourself, too. Each month, try and set yourself a challenge to improve your management skills, be it attending a training course, or increasing positive feedback from one-to-one meetings.

5. PRACTICE COMMUNICATION TECHNIQUES

Good communication between managers and their team members is essential in building a happy and productive team. Clarity, sincerity, honesty, and consistency are all qualities that will help you gain trust, respect and engagement from your direct reports. Make sure goals and instructions are clearly defined, speak the truth, show

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8. DON’T TRY AND BE SOMEONE YOU’RE NOT

When you are promoted to a management position, you don’t have to create a culture of ‘them and us’. Being a manager means that you will need to lead by example and act with professionalism, but that doesn’t mean you can’t have friendly chats with your team members. If you’re a naturally warm person, you don’t have to pretend to be stern to garner respect from your team. In fact, if your team notice you are putting on a pretence, they may become mistrustful of you. Do try and learn effective communication techniques; don’t try to change your personality.

9. TAKE TRAINING COURSES

that you believe in what you say, and stick to what you have promised to do. Perfecting your techniques may take a bit of practice as ‘managerial communication’ isn’t necessarily the way we would naturally speak to each other, but it can be learned. And remember that good communication isn’t just about how well you put forward what you have to say, it is about how well you listen, too.

6. DEVELOP YOUR EMOTIONAL INTELLIGENCE

Training courses aren’t only for learning practical clinical skills. There are various training courses, provided both online and in person, to help you hone your management skills. The Chartered Management Institute (CMI) is an awarding body that works in partnership with education centres throughout the UK to provide accredited leadership and management training courses. You may also find a number of independent training providers in your local area that have developed their own training programmes. Courses covering many aspects of leadership, from coaching and mentoring to strategic management, are available.

“Effective leadership from a strong manager is essential, but it comes with much responsibility”

While emotional intelligence is arguably something that cannot be learnt from scratch, there are ways to tap into your existing abilities to more effectively manage your own emotions, and heighten your awareness of the emotions of others. Consider some elements of high emotional intelligence and try and apply those to your working methods. For example, the ability to control negative emotions will help when dealing with difficult team members. Empathy will help you understand how a struggling employee may be feeling, and what may motivate them. Self-awareness will help you identify your own strengths and weaknesses.

10. IMPROVE YOUR TIME MANAGEMENT

It is important to make time to improve as a manager, even if you run a very busy clinic. If you feel you don’t have a spare moment to consider your own development, examine your time management and perhaps look at reprioritising your workload. The more skilled you are in effective management techniques, the easier it will be to manage and motivate your team, and achieve both team and individual goals. Set aside time to improve as a manager and you will soon realise the benefits. AM

7. EXPLORE NEW METHODS AND STYLES

Not all teams will be motivated by the same management styles, so it’s a good idea to explore and experiment. Some management techniques may not fit with your own ideas or personality, so don’t force yourself to adopt techniques you don’t feel comfortable with. Yes, sometimes you will have to adopt some methods that don’t come naturally, and adapt to the evolving needs of the clinic business, but don’t simply make yourself into a puppet for prescribed management styles. Add your own ideas and create your own interpretations that fit with your team.

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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ASK THE EXPERTS

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Ask the Experts How can I gauge accurate feedback from my customers and improve the service we offer?

ost businesses think that a customer feedback questionnaire will give them a true evaluation of a customer’s experience – wrong! How many times have you filled out a questionnaire in haste without really giving your brutally honest opinion? Even if you offer a cash incentive, a discount or engage the services of a trusted friend or family member, are you absolutely sure you are getting unbiased feedback in return? The truth is, you’re not. Engaging the services of a mystery shopping service is the only way to find out about a customer’s experience and how your business ranks compared to your competitors. Honest, detailed and professional feedback will empower your business with the knowledge to evolve to be the best that it can possibly be or confirm that your business is indeed amazing! Here are our basic five top tips to improving your customers’ experience: 1. First impressions – Promptly answering the phone and not keeping a customer on hold for too long sounds like very basic advice, but you’d be amazed at some of the waiting times we’ve experienced. Customers calling 30-40 times just to make an appointment isn’t good for customer retention. 2. Smile – Acknowledging a customer with a smile within the first 15 seconds of them entering your clinic can have a huge

impact. Smiling at a customer, especially if they are new to your business, relaxes them and ensures that they feel welcome and comfortable. 3. Communication – Ensure staff keep customers informed. Tell them what you’re doing, what is coming next and how long it will take. It is poor customer service to leave your clients in the dark during intimate treatments; keeping them involved ensures that they remain confident in what you are doing. 4. Good customer service – This can be a distinguishing factor in an industry bursting with individuals and organisations offering the same procedures, products and services. How does a customer differentiate between one treatment and the next? By the customer service they received. 5. Staff engagement – Make sure all your staff know the expected standards of customer service. Most customers will have a preferred therapist or practitioner but they won’t always be available. Training your staff to work to the same high standards reduces the risk of clients going elsewhere after receiving poor service. Applying the above and creating the perfect experience for your clients can lead to: Increased customer loyalty Increased referrals/recommendations Widespread awareness of your brand A full appointments book Increased profits

Helen Lowes is a director at Sidney Mylls Mystery Shopper Agency. A business owner, entrepreneur and qualified therapist with more than 25 years’ experience, she understands the importance of great customer service to encourage customer retention and referrals.

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Tel: 0845 521 0698 Email: ukinfo@syneron-candela.com Webinar: Watch the webinar via the QR > Untitled-13 1

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BUSINESS

ASK THE EXPERTS

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I’m thinking of starting an aesthetics business, what are the benefits of becoming a business owner in this sector? Aesthetics is one of the fastest-growing industries around. Demand for procedures is high, so there is the potential for frequent business and plenty of customers – which is the end goal for all businesses of this nature. Many people who set up an aesthetic business already have previous experience in the medical world. However, while a dentist may get bored of doing the same procedures on the same part of the body every day, an aesthetics business will allow you to diversify your skills and you will continue to learn and take on new challenges regularly. Variety is the spice of life, as they say. Unlike other businesses that require tonnes of expensive stock and a stylish storefront, an aesthetics business is relatively simple to set up and doesn’t require as much outlay as some other industries. However, while the property of the store may not as be as important as it is in the fashion industry, your business still needs to be clean, clinical and trustworthy.

The key to all business is profit. No matter what industry you choose, you want to make money. With the growing demand for aesthetic procedures, the cheap costs for materials and the quick turnaround time for procedures, the world of aesthetics can be a profitable one. Given that procedures such as Botox and fillers are temporary, if you choose to set up your own aesthetics business, you are likely to receive repeated businesses from customers coming back for a top up. Similarly, if you are good at your job, not only will your clients come back to you, but word will get out about your skills and you will attract new customers.

Dr Harry Singh is an award-winning medical professional and owner of the Botulinum Toxin Club. A successfully published author, Dr. Singh uses his knowledge and understanding of facial aesthetics to provide an award-winning service that also informs delegates on how to run and successfully market a facial aesthetics business. This knowledge and understanding of the profession saw the business awarded the Most Outstanding Business of the Year at the 2018 Dental Industry Awards.

Other than bonuses, how can I incentivise and reward my staff? People are attracted and motivated by different things. This can range from the type of culture and environment you offer, to career and development opportunities, to staff perks and rewards. To successfully retain staff, you must be aware that everyone has different wants and needs. While fair pay is important, not everyone is driven by money. Some individuals feel rewarded by the number of training opportunities they receive and by the amount of time managers spend with them. Beyond bonuses and pay rises, other types of staff incentives (which can be more memorable and lasting) could include perks such as providing discounts on treatments for family and friends in addition to product discounts for staff members and complimentary treatments for the team. Team competitions, birthdays off, gift vouchers, extra holidays, flexible working hours, relocation packages, team away days and other team activities are also successful. Personally, I really love to recognise staff performance with gestures of kindness. For those staff who really go the extra mile, or perhaps for employees that complete training successfully, I always make a point of recognising this in staff meetings by giving them a thank you card or flowers. AM Stefania Rossi is owner of Utopia Beauty and Advanced Skincare in Essex and founder of recruitment company Hidden Talent.

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

INNOVATIONS

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A topical issue We find out about the innovative new hormone-free solution to boosting levels of testosterone from AQ Skin Solutions

estosterone has many important functions in the body and depleted levels can not only affect men and women’s physical health, but also mental wellbeing. Low levels of testosterone can occur after the age of 35 for reasons including ageing, lifestyle changes and disease. Low testosterone levels can also affect mood, weight, energy levels, sex drive and the reproductive system which can often cause life changing problems. Dr Ahmed Al-Qahtani, immunologist and founder of AQ Skin Solutions, has always been an innovator when it comes to finding topical solutions to problems and his latest offering is a hormone free product to combat low levels of testosterone, restore hormonal balance and increase energy. Four years in the making, AQ Skin Solutions EndoTest uses peptide specific signaling technology to help boost the body’s natural production of free testosterone by activating the proteins involved in testosterone production. It is rubbed into the arms and also includes caffeine, which helps to open the pores and carry the product into the body. The active ingredients then stimulate the hypothallus in the brain and pituitary gland to enhance natural hormones to encourage testosterone production. The product was exclusively launched last month in the UK alongside EF MEDISPA London at its clinics

in Kensington, Chelsea, St. John’s Wood and Richmond. CEO and creative director Esther Fieldgrass said, “Endo-Test is the ideal solution for both men and women who are looking for a more natural solution to tackle the symptoms of low testosterone levels” Dr Al-Qahtani said, “Endo-Test is a new direction within anti-ageing medicine. In today’s world, so many people, both men and women alike, are becoming increasingly concerned with the effects of putting pills into their bodies, especially when it comes to hormone replenishment products. “Both men and women require testosterone, even though the hormone is more associated with men. Depleted levels can cause numerous side effects, including fatigue, heightened PMS symptoms and low sex-drive for women, as well as fat gain, erectile dysfunction and depression for men. In seeing that I could help my patients, quite easily and effectively, presenting with these symptoms, I created Endo-test. To be applied topically on the arms, Endo-Test has been designed so that when the testosterone levels are replenished, the body quite simply refuses to absorb anymore, no matter how much excess product is used. Endo-Test is a testament to the future of anti-ageing.” AM

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Q&A

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Q&A

We chat to co-founder of Mortar & Milk Pamela Marshall about her product preferences and why she chose Exuviance for her clinic

oday’s beauty consumers are a sophisticated set: not only do they expect great results from in-clinic procedures, they are increasingly well-informed about which proven ingredients to look for in a home skincare regimen. While medi-spas and clinics deliver luxurious experiences, the true value for a consumer often comes with the literal and metaphorical ‘personal’ touch via bespoke skincare recommendations based on their unique needs. This is where Exuviance comes in: a dermatologist-developed, anti-ageing skincare brand, clinically proven to visibly transform all skin types. Ideal for both in-clinic and home use, this luxurious and sensorial range provides the perfect option for clinics to bridge the gap between treatments, helping the patient achieve great results in the comfort of their own home. Aesthetic Medicine: Are we seeing a resurgence in cases of skin conditions, meaning consumers need more help with skincare? Pamela Marshall: When I first started in skincare 16 years ago, the main concern was anti-ageing. Today I am definitely seeing more clients with acne problems and inflammatory conditions like rosacea and eczema. With some of my rosacea clients, when I use Exuviance Purifiying Clay Masque their redness can go down by 50%. For acne sufferers, I recommend Exuviance Night Renewal HydraGel for use in the morning and at night as it contains Phytotal®, which reduces excessive oil production without drying out the skin. It also exfoliates the complexion with PHAs and AHAs for a smoother, brighter skin with no itchy dryness.

AM: Are we seeing a real shift away from high-street or department store skincare purchasing? PM: I believe consumers are increasingly purchasing their skincare in clinic rather than from a department store. This is not just because we provide medi-spa grade products that can’t be sold in a regular retail environment, but because we put the emphasis on educating our clients. They know and can see that if they stick to an Exuviance regime prescribed by a professional, their skin will visibly and measurably improve. AM: Why are Exuviance skincare products so effective? PM: It’s the patented polyhydroxy acids in the majority

of Exuviance products, which I believe is the future of skincare. This is because it repairs skin as well as reducing inflammation with antioxidants, while moisturising all at the same time. The delivery system is also essential to the efficacy of the range. The size of the molecules is crucial: it has to be a lower weight combined with a low pH to enable the ingredients to penetrate beneath the stratum lucidum, the skin layer below the stratum corneum. AM: If you had to choose one hero Exuviance product, what would it be? PM: Day in, day out, I would choose the Exuviance SkinRise Bionic Tonic pads.They smooth, firm, lift and protect the dermis and are real game-changers – I’ve seem them change people’s skin for the better. My other option would be the Exuviance Bionic Oxygen Facial. This takes just five minutes to infuse even the most sensitive of skins with oxygen, detoxifying a stressed dermis where deep dirt has fixed. What I love about Exuviance is that it delivers real results and is a joy to use, not only on my clients, but also on myself! AM

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INGREDIENTS

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Sodium DNA Dr Pamela Benito talks about sodium DNA as a skincare ingredient

t’s hard to keep track of all the weird and wonderful skincare ingredients out there, but one in particular promises to be talked about a lot this year: sodium DNA. So, what is it, what’s it for, and does it really work? With plenty of experience in aesthetic and skincare treatments, backed up by a DDS degree from Madrid University, Dr Pamela Benito knows a thing or two about the best skincare ingredients out there. Here, she answers five questions on sodium DNA, why it matters, and what you should know about it:

tests, which have shown how sodium DNA fragments pass through the cell membranes. That means they work on the inside of skin cells, not just superficially. AM: Are there any risks? PB: Clinical evidence shows there’s no risk when applying sodium DNA to the skin.

“Sodium DNA stimulates cell repair activity, regenerates tissues, and reduces inflammation”

Aesthetic Medicine: Where does sodium DNA come from? Dr Pam Benito: Like many skincare ingredients old and new, it comes from the animal world. It is extracted from the gonadal tissue of male sturgeon, a long-lived, late-maturing fish. Once extracted, it’s purified, depolymerised and neutralised with sodium hydroxide.

AM: What can we expect to see in 2019? PB: This ingredient is already getting a lot of attention for its regenerative properties and anti-wrinkle effects, so expect to hear about it often.

AM: Is it a just a fad or does it truly work? PB: As a skincare professional, I have no issues recommending it for its anti-ageing benefits. It does great things for the skin, strengthening its structure, restoring brightness and elasticity, and encouraging the creation of new cells to help skin look smoother and more youthful. What’s not to like? AM

AM: What are the benefits? PB: Sodium DNA stimulates cell repair activity, regenerates tissues and reduces inflammation, which in turn helps wounds heal faster. This has all been confirmed in clinical

With more than 10 years’ experience in facial aesthetics, Dr Pamela Benito obtained her DDS degree at Madrid University in 2006. Her CV features a stellar academic career, including an internship in the prestigious Aesthetic Postgraduate Program at New York University. Dr Benito’s experience has allowed her to provide high-quality facial aesthetic work in a diverse range of treatments.

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SKIN OF COLOUR

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Tailored approach Follow these 10 tips to help attract and retain clients of colour, writes aesthetic therapist and founder of Black Skin Directory Dija Ayodele

n many respects, regardless of colour, skin is just skin and clients are simply after the best treatments and practitioners to help them enhance and preserve their skin health. But, living in a multicultural society means we have to tailor our approach to take into account the diversity of clients that walk through our doors. The skincare concerns of a black client can be different from those of a white client, and there is an advantage in taking the time to understand the needs and expectations of clients of colour. In doing so, not only are you able to treat the patient effectively, but you’re far more likely to retain their loyalty. Whether you completed your studies years ago or more recently, did you cover any specific training for skin of colour? 2019 is set to be a big year for training in this area, so updating your knowledge is now easier than ever. Training providers such as Sally Durant Aesthetic Education & Training, Harley Academy and Dalvi Humzah Aesthetic

Training all address different skin tones in depth within their modules. I often hear complaints that practitioners either bluff their way through a treatment or refuse to treat a condition, leaving the client with no further options of where to go next. Avoid this by developing a wide network of fellow professionals who you can call on when you encounter a challenging condition you’re not equipped to treat. This enables you to refer a client to an appropriately qualified practitioner, rather than risk creating further damage or distress. Your choice of clinic brand can influence your success in treating darker-skinned patients. Select those that provide extensive clinical data on Fitzpatrick I–VI. Professional brands, including NeoStrata, AlumierMD, ZO Skin Health and Skinbetter Science, undertake clinical trials on all skin tones and provide detailed results to practitioners.

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SKIN OF COLOUR

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Carry out your own case studies that show your ability to treat darker skin. This is especially handy when you’re treating long-term skin complaints such as hyperpigmentation or melasma. Brands don’t always provide case study information, but by taking the initiative you can put yourself ahead of the game.

A picture tells a thousand words, so use models of all skin tones in your marketing. Our data tells us that when a person of colour sees a representation of themselves in advertising, engagement is increased. In a survey by Black Skin Directory, more than 80% of respondents said they used social media and the internet to seek out clinics and aesthetic professionals. If you use social media, have you ever checked to make sure your images show the diverse range of skin tones you can treat? If you have the budget, engage social media influencers of colour who can act as ambassadors of your expertise to a much larger BEM (black and ethnic minority) audience.

Don’t be shy or reserved when talking about skin colour or ethnicity. It is right and respectful to describe people according to their appropriate ethnic origin. If in doubt, confirm with the patient. It’s fine to use the terms “fairer skin” or “darker skin” when discussing a spectrum of skin tones. Use a celebrity for comparison if it helps; for example, Beyoncé as fairer skinned and Oprah Winfrey as darker skinned.

“Misinformation has meant that black women tend to stick to heritage products due to a misunderstanding of cosmeceuticals”

Misinformation has meant that black women tend to stick to heritage products due to a misunderstanding of cosmeceuticals, so having an understanding of cultural products; for example, Dudu Osun black soap and shea butter, is important so that you can

educate your client about professional alternatives that will be better for their skin. Additionally, people of colour who engage in skin bleaching rarely admit it. Rather, they may say they are “toning” or “brightening” their skin. It’s crucial to be sensitive to these cultural norms to better serve the demographic.

Start a blog on your website where you can show your expertise and knowledge on darker skin tones and display your case studies. When writing, expand the information to target a multicultural audience. For example, when describing inflammation, distinguish that on black skin there may not be any redness – it may be that skin takes on a more purplish hue.

Be prepared to answer the question, “when was the last time you performed this procedure on someone with my skin tone?” To this end, it’s helpful to keep track of ethnicity data so you can answer accurately. It’s also a good idea to have a bi-annual audit of clients, popular treatments and outcomes so that you can have more informed discussions with clients of colour.

Request higher standards from the industry and be a leader among your peers. It’s crucial to be a source of change and constantly look for ways in which the industry can improve its service offering to people of colour. Be vocal about what needs improving and join change-advocate platforms such as Black Skin Directory. AM

Dija Ayodele is a London-based aesthetic therapist and beauty writer. She has a special interest and experience in skincare for women of colour and is the founder of Black Skin Directory, an online resource connecting women of colour to expert skincare professionals in the UK.

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SKIN NEWS

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DNA-matched skincare from ALLÉL Created in Sweden by Dr Anne Wetter, founder and head of Esthetic Dermatology, and Dr Elisabet Hagert, associate professor of orthopaedics and hand surgery at the Karolinksa Institute, ALLÉL is a DNA-matched skincare and nutritional supplement subscription service. Based on the fact that 60% of how we age is determined by inherent genetic factors, ALLÉL uses its Power of Prediction skin DNA test to analyse the 16 genetic markers in the five key drivers of ageing: intrinsic ageing, glycation, photoageing, oxidative stress, and inflammation. The test, developed in partnership with DNA-testing specialist Dynamic Code, involves certified partner clinics taking a swab from the inside of a client’s cheek, which is then sent to Dynamic Code’s lab in Sweden for analysis. The client returns to the clinic approximately a week later to receive the results and undergo a skin consultation. Based on the combined scores of the DNA analysis and the skin consultation, a personalised ALLÉL Skin Genetic System is then put together for the client containing a DNA-matched face serum, face cream and nutritional supplements. Products from ALLÉL’s award-winning Genial range are also available to complement the system. AM

Medik8 announces a skincare first For the first time in a skincare formulation, Medik8 has combined two molecules – crystal-stabalised retinaldehyde and polymer-encapsulated retinyl retinoate – to deliver a vitamin A complex that is eight times stronger than retinol and 11 times faster acting. This ground-breaking blend forms the basis of Medik8’s r-Retinoate Intense, a moisturising night cream that promises to rejuvenate skin during sleep and leave it looking revitalised and brighter over time. A cocktail of ceramides, which help to repair the skin’s protective barrier, and a drone-targeted copper peptide, which stimulates collagen and elastin synthesis, are also included to help increase the firmness of the skin and leave fine lines and wrinkles visibly smoothed.

5 Squirrels introduces Illuminate 5 Squirrels, the private label cosmeceutical supplier, has further expanded its Your Signature Range. Illuminate is a highly active skin brightening day serum that has been formulated to address hyperpigmentation and an uneven skin tone. Containing alpha arbutin and glutathione to inhibit melanin synthesis, the main cause of pigmentation, the product also includes azelaic acid to help calm inflammation, vitamins E and C to provide antioxidant protection, liquorice root extract, and glycolic acid. Launched in 2014 to provide aesthetic practices with a product line that can be branded with their own logo, 5 Squirrels has since helped to launch 200 skincare brands around the world. Speaking about the new product, Gary Conroy, co-founder of 5 Squirrels, said, “Illuminate has been extensively tested in clinic and is delivering great results.”

New indications for SkinCeuticals’ H.A. Intensifier SkinCeuticals has announced that H.A. Intensifier, its multifunctional corrective serum, has been clinically proven for use on lips and under the eyes. During an eight-week, singlecentre clinical study, where H.A. Intensifier was applied twice a day, participants demonstrated visible improvement in lip plumpness and the reduction of under eye hollows. Containing a high concentration of hyaluronic acid, Pro-Xylane™ and purple rice extract, the serum boosts skin’s hyaluronic acid levels and delivers surface hydration, resulting in improved the firmness and plumpness. Already effective on crow’s feet, nasolabial folds and marionette lines, H.A. Intensifier perfectly complements in-clinic procedures, such as dermal fillers and botulinum toxin injections, and helps clients to optimise the results at home. AM

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I N J E C TA B L E S

INTERVIEW

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Aesthetic Medicine â&#x20AC;¢ March 2019

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I N J E C TA B L E S

INTERVIEW

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Finding the perfect balance Dr Kuldeep Minocha shares his expertise on full facial rejuvenation through the use of toxins and fillers Aesthetic Medicine: Why is it important to consider the whole face when recommending treatments? Dr Kuldeep Minocha: As aesthetic practitioners, we are moving away from treating one particular area, such as marionette lines or frown lines, to provide a more holistic assessment that takes into account the balance and the harmony of the entire face. In the first consultation with a new patient, it is vital to use this opportunity to showcase what you can do with the modalities of treatment you have at your disposal, as this is what really makes you stand out from your competitors. My first consultation with any new patient usually takes around 45 minutes and I spend this time assessing the patient and communicating the treatment options available. It is important to get an idea of the patient’s concerns and to take the time to explain the process of age-related change, particularly with regards to what is going on in the skin, the subcutaneous fat, the muscles, the deep fat compartments and the bones. I believe one of the most important things to consider is what the patient looks like in profile and in the threequarter view, so you are able to properly assess the balance of the forehead, the nose, upper and lower lip and chin. There are various parameters that you can measure but, with experience, you get a feel for what needs to be balanced; it is amazing what difference a small tweak or enhancement can make. I regularly have patients who want work on their lips. However, the problem is often not the lips themselves, it’s that the chin sits too far back relative to the midface and needs to be brought forward. This can be easily corrected with one or two injection points in the chin, creating a very different balance in the entire face. You can treat the lips in isolation, but you need to view them in relation to every other aesthetic subunit. As practitioners, we are moving away from talking to our patients about injecting 1ml of filler to educating them about different treatment areas. If you are treating the midface, for example, you’re going to treat the cheeks as

well as the nasolabial folds, and that’s all going to have an impact on the entire face. You need to think more broadly and consider other, often neglected, aesthetic subunits of the face: the temple, the youthful convexity of the female forehead, how the lower face sits in relation to the midface, and how the lip proportions are not necessarily balanced. If you address all these concerns, you maintain the essence of the individual patient while also making them look more refreshed and youthful. AM: Have you seen a rise in the number of people opting for the full-face approach? KM: I would say that there has been a rise in demand for the full-face approach and people are more open to having the conversation. Due to social media and the fact that this kind of treatment is much more socially acceptable, people know what is available and what is achievable. Often patients will seek you out requesting specific treatments because they have seen before and after images on the internet, or they have read reviews or testimonials.

“I believe one of the most important things to consider is what the patient looks like in profile and in a three-quarter view”

AM: When deciding on the treatment options, how do you assess a patient? KM: I did some work with Galderma where we considered the facial assessment scale and concentrated specifically on the five universally accepted facets of natural beauty and attractiveness. The first is skin quality, so looking at skin hydration, skin damage, fine lines and wrinkles. The second is facial shape. We don’t want a square shape where most of the weight is in the lower third of the face, which is what happens naturally with ageing; we want to recreate the heart-shaped face or restore the natural facial oval. Next, we examine the face in the frontal view, the profile view and the three-quarter view to consider its proportions and contours. We also look at facial symmetry and what patients look like when they are animated while laughing, smiling and speaking. Finally, and just as important, is the emotion a patient’s face may convey. Do they look sad, angry or tired? >

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I N J E C TA B L E S

INTERVIEW

aestheticmed.co.uk

When you see a patient, especially when you have been treating them for several years, it is important to view them with a fresh pair of eyes and remain objective when assessing their face. It is very easy to be drawn into the subjective viewpoint and to begin to collude with your patient on a treatment plan. Unfortunately, we see a lot of this in our speciality and the result is that the patient begins to metamorphose into a caricature of themselves. AM: Do you have any recommendations on how best to talk to a patient about the importance of treating the whole face? KM: Not all patients want to hear everything at their first consultation – you need to gain their trust. As

an individual practitioner, you know intuitively when you can begin to have those conversations. Sometimes, the patients will direct the conversation and ask us, as experienced practitioners, what we think. Look for the right opportunity to begin to communicate with the patient more generally about the causes behind facial ageing. The facial assessment scale can also help to guide the consultation in a more holistic way. AM: If a customer has only considered either fillers or toxins, how do you explain the benefit of both types of treatment? KM: Often patients don’t know the difference between toxins and fillers. I know from studies that have been done, and from my own experience, that the average patient takes at least three years to make the decision to come and see an aesthetic practitioner. Once they have made an appointment, it is then my duty to take the time to explain, very thoroughly, the various modalities of treatment used generally, and specifically, for their face and what kind of result can be expected. I will use this opportunity to talk to the patient about fillers, why I use certain products and what toxins are able to do.

“When you see a patient, especially when you have been treating them for several years, it is important to view them with a fresh pair of eyes and remain objective”

AM: When treating the lips or the lower face, are there any other areas that you would consider treating to maintain the natural proportions of the face? KM: Absolutely. It is important to look at the patient in profile as you need to understand how the nose and the chin relate to the lips. There are various planes one can reference, such as the Ricketts E-plane, which defines the lip position in relation to a line drawn from the nasal tip to the pogonion of the chin. The idea is that the upper lip and lower lip should be 4mm and 2mm respectively behind this line. AM: What criteria do you look for in fillers and toxins when taking the full-face approach and are there any products that you would recommend that complement each other? KM: Patients will seek you out because of your reputation. They often come because they have been recommended by a friend and because you’re able to reproduce consistently safe, excellent results. I only ever use products from the Restylane portfolio and I have done so for more than a decade. I know how the gels within this range work; I know exactly how much to use and where I need to inject in any given skin type to consistently produce the results I want for my patients. There are nine different gels within the Restylane product range and these vary in consistency, firmness and the ability to integrate into tissues. I have a broad range of gels within my artistic

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I N J E C TA B L E S

aestheticmed.co.uk

INTERVIEW

palette that I can use depending on what I’m trying to achieve. You can’t do this if you have only one or two fillers in a range. Everyone’s face is different, their skin quality is different and what you’re trying to achieve is different. Are you trying to hydrate, lift, volumise, restore or enhance your patient’s face? By understanding the characteristics of the various gels, you can personalise the treatment for each patient. At the end of the day, patients have put their faith in you so you need to have trust in the product you are injecting. AM: When deciding on a treatment plan, do you have any recommendations for the delivery method (cannula versus needle, for example), product selection, the order of treatment and the time required between different treatments? KM: I am used to using a needle to inject, primarily because cannulas were not around when I started injecting. Personally, I find one advantage of using a needle is that you have more awareness of the plane into which you are placing your product. For example, if I am injecting into the cheek, I prefer to inject deep onto bone, beneath the muscle and deep fat layer. I feel it is far less obvious to the practitioner that they are on the bone when injecting with a cannula. This can result in placement of the gel too superficially – above the muscle, for example – which can cause displacement of the gel during animation. In the tear trough area, this can similarly result in the ‘speed-bump’ effect (where product becomes visible) and the Tyndall effect (bluish discolouration). Of course, the advantage of injecting with a cannula is the safety it offers in an intravascular injection; it is almost impossible to inject into a vessel with a 25-gauge cannula. I certainly use a cannula when injecting in a more superficial plane (sub-dermal) and over larger areas, for example in the temple, submalar and preauricular areas. When it comes to product selection, it is about understanding the characteristics of each particular gel and how it behaves in the tissue. This is, of course, dependent on how much you have used and into which plane you have injected. To familiarise yourself with a particular product range, I suggest selecting one or two products from the range and using them in an aesthetic subunit (the midface, for example) until you feel comfortable. In terms of the order of treatment, part of this is going to be dictated by the patient and their main concerns. If this is significantly different from your opinion as a clinician, then I would say that you should decide >

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I N J E C TA B L E S

INTERVIEW

aestheticmed.co.uk

the priority of treatment. Generally, as a rule, you would start with the upper face and work your way down. This is because all the tissues in the upper face (including the temple) affect what is happening in the lower face. The tissues of the lower face sag because there is loss of volume and support higher up and, thus, you are going to influence what is happening lower down the face. The timing between treatments is an interesting question. Most of my clients will have a full-face treatment

Before

After

CASE STUDY: JOSEPHINE GOODGER

Josephine was 48 years old when I treated her in June 2018. She presented in a very typical way, describing her appearance as being tired, drained and sagging. The causes of this are many and include loss of elasticity and hydration of the skin, loss of volume in the fat compartments beneath the skin, as well as remodelling of the bony platform. One typically sees shadows forming over the temples, tear troughs, nasojugal groove of the cheeks, nasolabial folds and marionettes. The lips also begin to lose volume and become thinner over time, almost looking pursed. For me, a full facial treatment is designed to address all of these changes and affect the way in which light reflects from the face. By softening the peaks and troughs produced by facial ageing, we restore the convexities of a more youthful looking face. In Josephine’s case, this involved softening the hollows in her temples with Restylane Volyme, as well as supporting the deep fat compartments of the midface using Restylane Lyft. This had the effect of also reducing the tiredness around her eyes without directly treating her tear troughs. I used Restylane Defyne deep onto the piriform fossa to support the nasolabial fold before injecting the same product into her lower lip, deep to

and often this will be done in one or two sessions. If I am treating an aesthetic subunit of the face which may directly influence another aesthetic subunit (i.e. if the result of what I am doing in one area is going to influence the result of what I’m doing in another area), then I will treat this at the second session. For example, treating the midface directly affects the tear trough and, as a consequence, the two areas are unlikely to be treated on the same day.

the muscle with a cannula, to achieve more fullness and anterior projection of her lower lip. This balanced the upper and lower lip volume and supported the lower lip, compensating for her slight overbite. I also used Defyne to support the mandibular retaining ligament in the lower face, creating a smoother contour between the mid and lower face around the perioral area. I completed the lip restoration with Restylane Classic in the vermillion border for structure and support of the lip line and philtral columns. Finally, Restylane Refyne was used for the fine lines in the lower face, before injecting Restylane Lyft over the mandibular angle to support Josephine’s jawline. I managed to address Josephine’s concerns about the appearance of her skin and made her look more youthful. She still looks very natural and not ‘overdone’, maintaining the very essence of who she is.

THE PATIENT’S VIEW

“My decision to have dermal fillers came about because my skin had lost its radiance; it was looking tired, drained and I had some sagging. I had quite heavy bags under my eyes and I was keen to address the tear trough area. I also felt my lips were small and I wanted to give them some volume. “After having my consultation with Dr Kuldeep Minocha, he recommended an injection into my temple area and cheeks to achieve a more youthful look overall. He advised that my eye bags were, unfortunately, not suitable for a tear trough procedure and that I would need surgery to correct this. However, with the filler injected into my cheeks and temples I was assured that this would lift my brow. I also had my bottom lip filled, as well as the lines in between my mouth and nose, which lifted my top lip slightly. “I had a few concerns and felt a little nervous. Would it hurt? Would I bruise? Mostly, I wondered whether it would suit me? However, Dr Minocha made me feel totally at ease. The procedure didn’t hurt at all, I didn’t have any bruising and I am super happy with the results. The look is subtle; I look refreshed and I would say that Dr Minocha has knocked a good few years off my appearance. I feel more confident and am happier with the way I look.” AM

Dr Kuldeep Minocha studied medicine at Southampton University and qualified as a GP in 1996. After working for the NHS as GP principal in Essex for a number of years, he commenced training and practice in facial aesthetics in 2006. He founded Minocha Health, his aesthetic practice, the same year, before concluding his NHS commitments in 2011 to take up a full-time career in aesthetics. Dr Minocha specialises in Botox and dermal fillers and has mastered techniques such as the Nefertiti Neck Lift and masseter reduction. He is a global brand ambassador and key opinion leader for Galderma and is also an international trainer for Silhouette Soft.

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H E A LT H

GUT HEALTH

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H E A LT H

GUT HEALTH

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Gut feeling With the growing trend for inside-out aesthetics, we examine the importance of gut health within the clinic environment

ellness was one of the biggest trends in 2018 and with regenerative medicine and a move towards taking a 360-degree approach to rejuvenation, aesthetic clinics are expanding the scope of their practice

into this arena. The inside-out approach means not just addressing the external problems your clients have, but also looking at the root causes and addressing them in order to enhance outcomes. Medical practitioners are wellplaced to put their clinical skills to use here by incorporating different aspects of medicine into their offerings to enhance their clinic’s services. From aesthetic gynecology to bioidentical hormones, aesthetics is no longer about filling lines and wrinkles. And there is one area in particular that is gaining traction – gut health.

chemical toxins, stress, and alcohol.1 In other words, modern living is a catastrophe for our gut health. Our digestive tracts contain trillions of bacteria. It is estimated that this number is about 40 trillion – that’s 10 trillion more bacteria than there are human cells. 2 Bacteria along with fungi and viruses are known as the microbiome and the link between our gut microbiome and our health is only just beginning to be understood on a deeper level. The human gut microbiome is a combination of a functional human organ and microbial communities of remarkable size, diversity, and complexity. With the advent of rapid, culture-independent surveys of microbiomes, and the relative ease with which these can be conducted in patient populations, a host of microbiome-disease associations has emerged, with gut health now linked to everything from depression and anxiety to cancer and skin disorders . As such we are now starting to think of the gut almost like our second brain, an organ capable of telling us much more about what is going on with our health and our bodies than we previously thought

“The human gut microbiome is a combination of a functional human organ and microbial communities of remarkable size, diversity, and complexity”

THE RISE OF THE UNHEALTHY GUT

Modern living is taking its toll on our gut health, with studies suggesting that most people born after 1950 will have a disturbed microbiome due to overuse of gut depleting antibiotics, hormones, medicines, processed foods, sugars,

THE GUT MICROBIOME AND HUMAN HEALTH Correlations are now evident between many disease processes and patterns of microbiome dysbiosis in both gut dysfunction and extra-intestinal disorders, such as: I BS, IBD and Clostridium difficile colitis Cardiometabolic disease A variety of malignancies, including colorectal, head and neck, pancreatic, and lung cancers Immune-Mediated Inflammatory Diseases (IMIDs), including rheumatoid arthritis, psoriasis, and multiple sclerosis Psychiatric disorders, such as major depression and anxiety Neurobehavioral disorders including autism, anorexia nervosa, and attention-deficit/ hyperactivity disorder (ADHD) Skin conditions, particularly those with substantial inflammatory components, such as psoriasis, atopic dermatitis (eczema), and rosacea.

THE GUT AND SKIN

Dermatologists John Stokes and Donald Pillsbury first established the relationship between gut flora and healthy skin, as well as depression and anxiety, more than 70 years ago, after they began to notice gut flora was altered in people with severe acne. Gut health is particularly linked to skin conditions with substantial inflammatory components, such as psoriasis, atopic dermatitis (eczema) and rosacea. But why is this? The answers apparently lie in the balance of good and bad bacteria in the gut flora, a complex >

Source: Genova Diagnostics

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GUT HEALTH

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GEN0VA DIAGNOSTICS’ GI EFFECTS® COMPREHENSIVE STOOL PROFILE I’ve been working closely with nutritionist Kim Pearson for the past 18 months. She has helped me to lose weight and change my diet, and I’ve been feeling a lot better for it. However, I was still suffering with various gut-related issues and acne flare ups, so Kim suggested we do the GI Effects Comprehensive Stool Profile from Genova Diagnostics to give her a better idea of what was going on inside me to help address these problems. Kim uses the lab for her clients because it is a highly advanced stool test that provides actionable clinical information for the management of gut health. The test was sent to me and I collected stool samples over three days. It was actually a lot easier than I imagined and the accompanying instructions were very clear and easy for a layman like me to follow. Once I’d completed the final sample, I called the lab’s appointed courier and the samples were picked up the same day. A couple of weeks later, the results were sent to Kim as my overseeing practitioner and we sat down together to go through the report, which was incredibly comprehensive. The tests utilise cutting-edge technologies and premier biomarkers to examine a variety of different markers, giving a valuable insight into digestive function, gut inflammation, and the gut microbiome – areas affecting not only GI health, but overall health as well. It gave Kim and I a very clear idea as to what was going on inside my gut, clarity I’d not had during discussions with my GP about my symptoms, which included painful cramps,

inconsistent bowel movements, bloating, and problems with eating and digesting certain foods. The report showed I had very low levels of certain strains of beneficial (good) bacteria at the same time as having presence of pathogenic (bad) bacteria, elevated inflammatory markers and the presence of fecal fat. They also found two different strains of candida. Kim said that, given the results, it was no wonder I was struggling but that there were actionable steps we could take to address what was found. She also said that I would need to work alongside a doctor as well as her to address the problems as some would require medical input. This was a huge relief. I’ve struggled for years with my gut and knowing that it was all fixable with the right help was great news. It was also amazing to finally have a clear picture of what was going on. I know my own body and I knew something wasn’t right, but because I wasn’t diagnosed with a disease (thankfully) or even something such as IBS, my GP had been dismissive. Having the tests done has given Kim and I something to work with. She now knows which probiotics would be most beneficial to me rather than recommending them blind, and this allows for a much more targeted approach to treatment. I’d highly recommend getting patients to have these tests done if you suspect there are underlying gut health issues.

As the largest organ in the body the skin acts as a mirror to what is going on elsewhere, so it makes sense that the presence of inflammatory skin conditions could be a red light warning of wider issues in the body. We are beginning to realise that products and treatments alone cannot support the skin holistically and, as such, many clinics now advise on dietary and lifestyle changes that may support good skin health. However, gut testing allows us to go one step further in our diagnosis.

UNDER THE MICROSCOPE

community of microorganisms that live in the digestive tract, and the hundreds of millions of neurons in the stomach’s lining that communicate with the brain and play an important role in the immune system. If we’re not getting enough goood bacteria to fight off the bad, the microbial load becomes imbalanced and creates inflammation in the body. Many of the usual suspects are to blame for compromising gut flora: sugar, heavy carbs, caffeine, alcohol, and processed foods. High stress levels and a lack of sleep can also throw the body off whack by affecting the microbial load thanks to altered levels of the stress hormone cortisol, weakening the body’s anti-inflammatory response.

An easy way to incorporate gut testing or profiling into your clinic is to partner with a lab. Nutritionist Kim Pearson, who is passionate about gut health, works with Genova Diagnostics, a diagnostic testing lab for wellness and preventative medicine. The company sends out kits directly to the client, allowing them to carry out the tests in the comfort of their home. The results are then sent to the client’s practitioner. A wide of variety of tests are available, ensuring practitioners can develop targeted treatments for their patients. The easy-to-read colour graphic reports synthesise test results into actionable information and facilitate practitioner-patient communication. AM

REFERENCES 1 Dr Johanna Ward, Skin and Nutrition, Aesthetic Medicine, June 2018 2 Sender R, Fuch S, Milo R. Revised Estimates for the Number of Human and Bacteria Cells in the Body. PLoSBiol. 2016 Aug; 14(8): e1002533.

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H E A LT H

WOMEN’S HEALTH

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An intimate issue We speak to Dr Shirin Lakhani about why more and more women are coming to aesthetic clinics for intimate health concerns and symptoms of the menopause

enopause is something every woman has to face and with many of the changes that occur during this phase having an effect on their appearance as well as their health, it is no surprise that more and more women are speaking to their aesthetic practitioners about their concerns. Over recent years we have also seen the demand for aesthetic gynaecology treatments grow exponentially but there is a much bigger picture than just “designer vaginas”. Dr Shirin Lakhani is passionate about women’s health and has steered the focus of her practice towards offering a 360 degree support for women suffering from the effects of the menopause and other sexual and hormonal related health issues. We chatted to her about why she thinks women feel more comfortable coming to practitioners like her rather than their GP and why aesthetic clinics are so well-placed to deal with this demographic.

Aesthetic Medicine: What happens to women during the menopause and what symptoms do they experience? Dr Shirin Lakhani: The menopause usually takes place between the ages of 45-55 when the ovaries stop producing eggs and the levels of the sex hormones oestrogen, progesterone and testosterone fall. One of the most common symptoms associated with menopause is hot flushes and many women are concerned about this as well as having fear around losing control of their body and emotions, gaining weight and losing their libido, all of which can be common side effects. The symptoms of the menopause can be categorised according to the system they affect for example, vasomotor symptoms include hot flushes and night sweats; cognitive symptoms include depression, anxiety, sleep disturbance, memory loss and mood swings; metabolic symptoms can include cardiovascular disease, digestive problems and weight gain; musculoskeletal symptoms can include joint

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H E A LT H

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pain and osteoporosis. There are also changes to the skin and hair such as loss of collagen, increased wrinkling, dry skin, brittle nail and hair loss. Of course there are also the genitourinary symptoms such as decreased libido, dyspareunia, vaginal dryness, itching and burning and urinary tract symptoms. More than half of women experience these symptoms known as Genitourinary Syndrome of Menopause (GSM) and also described as atrophic vaginitis or vulvovaginal atrophy. These symptoms can all be distressing. Studies have shown that more than 80% have admitted to their symptoms affecting them at work with 50% finding work somewhat or fairly difficult due to symptoms of menopause. Around 10% of women have actually given up work all together as a result of their symptoms. AM: Do you think there is more open discussion today about menopause and are more women seeking treatments? SL: I definitely think both women themselves and the media are becoming more open about discussing female intimate health. The internet and the advent of social media has also

WOMENâ&#x20AC;&#x2122;S HEALTH

meant that there is more information available (not always good information) and people are more open in general about their lives. Menopause used to be thought of that something that happened to women towards the end of their life, but with people living longer and many women having very full and active lives, including active sex lives in their 50s and beyond, it means that minimising the impact of the menopause on quality of life has become more of a priority for many women. AM: What treatments are available or recommended by the NHS? SL: The most well-known treatment for menopause is Hormone Replacement Therapy (HRT) but I think there is still an overwhelming fear of prescribing it because there have been concerns raised about the potential risks. However, more recently published findings show that it remains the most effective solution for the relief of menopausal symptoms and is also effective for the prevention of osteoporosis. It may, in certain age groups, >

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H E A LT H

WOMEN’S HEALTH

provide protection against heart disease and can reduce cognitive impairment. The balance of benefit to harm always needs to be assessed but appears to have shifted favourably for HRT. If women start HRT around the time of menopause the risk is very small, but there is only limited data for continued usage beyond the age of 60. It is not usually appropriate for women over 60 to be starting HRT, but this does not mean that women who started HRT earlier should have to stop it on reaching 60. Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used to treat the mood and vasomotor symptoms of menopause, while supplements or bisphosphonates are used to prevent osteoporosis. Lifestyle changes are often also recommended. For urinary incontinence, the treatment options include pelvic floor exercises, medications and bladder retraining. Until recently, TVT (Tension-free Vaginal Tape) was a common surgical option but due to the ongoing vaginal mesh scandal, these are no longer being frequently performed. In terms of sexual dysfunction, the choices available on the NHS are even more lacking, with the options being psychosexual counselling, vaginal lubricants or antidepressants.

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We also used energybased devices such as the BTL Ultra Femme 360, which is phenomenal. BTL’s new device Emsella is also showing huge promise. This uses high intensity focussed electromagnetic waves to cause supramaximal contraction of the pelvic floor equivalent to over 11,000 Kegels in one session. Bio-identical hormones are hormone preparations which are identical molecules to those produced by the body. In practice the term is used for preparations made by compounding chemists which are claimed to be safer than ‘traditional’ hormones used in HRT. In fact, some traditional HRT preparations are actually ‘bio-identical’, using oestradiol 17-beta which is the natural human oestrogen, or using micronised progesterone capsules which is the natural human progesterone. A major benefit of compounded BHRT is that the hormones are specifically tailored to the individual, so many of the side effects associated with a one-size-fitsall approach of conventional HRT can be eliminated. There are many more available, including treatments to restore volume in the labia majora, and topical and injectable treatments to restore the lining of the vaginal canal. In addition to its gynaecological effects, the menopause can wreak havoc with our skin, hair and bodies. Weight gain is common due to fluctuating hormone levels. Menopause causes many changes to skin. Collagen production decreases, there is a reduction in subcutaneous fat and the skin’s elasticity drops. That, combined with dryness caused by hormonal changes, can cause sagging – especially around the neck, jawline, and cheeks – and fine lines and wrinkles. It is also extremely common for women to complain about thinning hair. It is important as aesthetic practitioners to remember that we have a remarkable toolkit available to address these concerns and this should form part of the holistic approach to menopause. There is no doubt that due to financial constraints, the NHS is going to be less able to serve women suffering from the menopause. Many of our patients are in this age category and more of them will come forward as they become aware of the treatments we can offer. It is clear that we have access to safe, effective treatments that will never be available on the NHS, but we have a responsibility and a duty of care, to ensure the treatments we offer have a suitable evidence base behind them for safety and efficacy, and have the appropriate certification. AM

Many women having very full and active lives, including active sex lives in their 50s and beyond

AM: Why do you think more women are coming to practitioners like you rather than their GP about their symptoms? SL: I think it is a multitude of things. Firstly there is a lack of resources within the NHS as well as a failure to provide adequate support and treatment for women in the postreproductive phase of their lives. Over the last few years, I have seen the potential of treatments we, as aesthetic doctors, can offer our patients. Where the scope of the NHS is shrinking due to severe underfunding, we can fill the void. An important factor to bear in mind is that anyone choosing to embark in the field of aesthetic gynaecology must have sound experience and knowledge of women’s health. It is essential to be able to accurately diagnose and treat gynaecological conditions, especially red flag symptoms, and have appropriate pathways for onward referral. In my clinic I offer a range of treatments that can help women in the peri-menopause and menopause including bioidentical HRT, intimate rejuvenation with PRP (The O-Shot®) and intravenous micronutrient therapy and treatments for hair and skin.

Dr Shirin Lakhani has an extensive background in medicine having trained in the NHS in various hospital sub-specialities. During her time as a GP she developed a passion for aesthetics, and in 2013 she founded Elite Aesthetics in Kent. She has a particular interest in women’s health.

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DEVICES

EDITOR’S CHOICE

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DEKA Motus AY Vicky Eldridge tries out the DEKA Motus AY pain-free Alexandrite laser hair removal treatment from Lynton

t wasn’t until my 30s that I started developing facial hair. I began noticing one or two hairs here and there and I would immediately pluck them out. However, as I got older, the amount of hair growth began to increase and I was discovering new hairs on a daily basis. Plucking them made my chin sore and spotty, so, in 2016-17, I decided to have a course of hair removal using the Nordlys device by Ellipse. The results were great and, until fairly recently, I had experienced no regrowth at all. However, I had been warned that, because my hair growth was hormonally driven, it would more than likely come back – and it did. As a woman and someone with very naturally dark hair, I found developing facial hair really distressing and embarrassing. Having had a couple of years hair and tweezer free, I didn’t want to have to put up with it again when I knew there was a solution. I’d written about Lynton’s 2018 launch of the DEKA Motus AX, which was billed as the world’s first FDA-approved primary Alexandrite laser for pain-free hair removal treatments on all skin types. One of the goals of many device manufacturers today is to obtain the gold standard of painless but effective treatments with no downtime and, as market leaders, both DEKA and Lynton are constantly innovating their technologies. This, combined with a surge in demand for permanent laser hair reduction treatments in recent years, led them to develop the Motus AX and subsequently the AY. So, what makes the Motus AY different? Alexandrite lasers used to only be safe to use on skin types I-III, due to their exceptional melanin absorption capability’s, making it unsafe to use on any skin of colour, due to increased risk of adverse reactions. The Motus AY overcomes these restrictions, providing the advantages of pain-free laser hair removal, but with the unsurpassed clinical efficacy and results associated with the Alexandrite laser. So how does it do this? Traditionally, the Alexandrite laser loses 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 for the client. The Motus AY’s Moveo technology directly addresses this issue by drastically reducing the amount of energy reflected and keeping the Alexandrite laser in constant

contact with the skin. Using light circular movements at a reduced power allows the Alexandrite laser to work at 100% efficiency, therefore avoiding wasted energy. A 20ml contact-cooled sapphire tip combined with optimum peak powers (6,000W) and

ultrashort pulse durations of up to 2ms, aid the Motus AY Alexandrite laser when treating more challenging fine and fair hair. I always take the term pain-free with a pinch of salt. I’ve tried a lot of lasers in my time in the industry and, in general, they just smart a bit, even if you wouldn’t describe them as painful. They almost always make me jump involuntarily every time they fire. That being said I’m prepared for a bit of discomfort if something works and like many of us I’ve been brought up with the adage “no pain, no gain”. I have to say I was expecting the treatment to be a bit uncomfortable but it really wasn’t, at all. In fact I barely felt any sensation at all, other than the contact-cooled sapphire tip running over my skin. There were no hot spots, no sharp pings, no increased discomfort when it went over my acne and not even really any heat. I didn’t jump once. It was also super quick. As with any laser treatment you need a course to really see results and so I’m looking forward to reporting back on the outcome, but I’m certainly not dreading hopping back in the chair for my next appointment and that can only be a good thing. AM

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DEVICES

NEW LAUNCHES

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3D-lipo LaserSculpt We find out about the latest body contouring device from 3D-lipo

emand for minimally invasive body shaping procedures has continued to rise over recent years, with global statistics naming them as a market driver and a factor in the decline in surgical procedures. Fat and circumference reduction, as well as contouring and defining the silhouette without significant downtime or pain, has become the goal of a plethora of manufacturers in the aesthetic devices arena. One brand which has certainly stamped its mark on this rapidly expanding sector of the industry is 3D-lipo. With a band of celebrity followers and significant column inches dedicated to its treatments, it’s no surprise that significant interest is already building in the company’s latest launch – LaserSculpt. Brand new to the market for 2019, the 3D-lipo LaserSculpt was officially launched last month and claims to offer the latest in laser technology for non-surgical fat reduction and body contouring. The 25-minute treatment is designed to reduced stubborn fat in problem areas, such as the abdomen, love handles and flanks, and helps clients achieve a slimmer appearance without surgery or downtime. During treatment, applicators are secured onto the chosen area of skin, which deliver the laser energy through the epidermis, without affecting it. 3D-lipo LaserSculpt uses the latest 1060nm diode laser, operating at the speed of light, to destroy fat cells. The targeted application of laser energy heats fat cells under the skin, raising the temperature to between 42 and 47°C until the cells temperature is raised to a point that it can no longer withstand. At this point, the

“The targeted application of laser energy heats fat cells under the skin, raising the temperature to between 42 and 47˚C”

cells’ structure is damaged, leading to necrosis (cell death) in which the body will identify these as waste and process it naturally via the lymphatic system. Results are seen within six to 12 weeks.

BENEFITS OF 3D-LIPO LASERSCULPT: Advanced comfort cooling Non-invasive Fast, 25-minute treatment time Versatility in treating a variety of areas with stubborn fat Precise targeting without damaging surrounding tissue Controlled temperature technology No downtime Fast results six to 12 weeks Competitively priced for both clinics and clients 3D-lipo’s founder and managing director, Roy Cowley says, “Hot is the new cold! This technology is set to take over the body contouring market, replacing more traditional methods such as fat freezing due to its fantastic capabilities to achieve great results in such a fast treatment time of just 25 minutes. “The highly anticipated 3D-lipo LaserSculpt treatment is being introduced to the market at an affordable price to clinics, without compromising on technology or specification…ensuring that clinics make a fast return on investment, while offering clients the most advanced treatment of its type.” AM

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HIFU MediLIFT

FACELIFT & BODY SCULPTING

HI FU Me diL IFT

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DEVICES

TREATMENT SPOTLIGHT

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Strawberry picking Ahead of his talk at Aesthetic Medicine Live this month, we speak to consultant plastic surgeon Mr Brent Tanner about the Strawberry Lift and why he chose his for his practice Aesthetic Medicine: As a surgeon, have you seen a rise in demand for non-surgical options in your clinic? Mr Brent Tanner: Since retiring two years ago and focussing on Botox and fillers and other nonsurgical interventions, I have noted that my clinic numbers have not noticeably decreased. In other words, I hold the same clinics that I used to and there are enough patients to sustain non-surgical procedures. So, in the last two years, I would suggest non-surgical procedures are now preferred to surgical ones, except when patients want a significant improvement. The trend is to have smaller operative procedures more frequently, combining nonsurgical procedures with skincare, rather than the big face, forehead and eyelid lift. AM: What indications have you found non-surgical options to be particularly useful in treating? BT: For me, the best non-surgical options are for localised fat removal. Conventional liposuction is excellent, but it can leave ripples in the skin and irregularities, especially on the abdomen. It also is not particularly beneficial for skin tightening in an older patient. Non-surgical fat removal with fat freezing, radiofrequency, ultrasound, and lasers are preferable for stubborn areas and do usually aid skin retraction and tightening. The non-surgical treatment options that we promote Purity Bridge are Botox, fillers, skincare and facial peels. We also promote a very strong Pearl fractional laser,

Before

After

which smooths out seriously sun damaged skin wrinkles. To combat double chins and facial jowls and for non-surgical facial contouring, we offer the Strawberry Lift treatment. AM: What made you choose Strawberry Lift? BT: I favour Strawberry Lift for the right person with elastic skin and an obvious chubby neck because there is no downtime and, apart from some redness for a few minutes, no specific complications. Freezing options could lead to a skin burn as can radiofrequency, so I always recommend Strawberry Lift as an alternative to fat freezing. AM: How does it work? BT: Ultrasound alone has some benefits, but most of the machines are very cumbersome. Strawberry Lift’s laser combines laser destruction of the fat cells and is used in conjunction with high energy focused ultrasound. The laser and ultrasound disrupt the cell membranes of the fatty cells and the fatty contents are cleared up by the lymphatic system. AM: What kind of results have you seen? BT: The best results are in young people with a heavy chin, but it does work for people who do not have much skin laxity. Almost everyone who has a treatment will see some degree of improvement, including myself! The before and after photographs are standardised as much as possible and will show very reasonable results. My patients like this treatment because it is easy to undergo – you just sit in the chair for half an hour although the whole treatment takes one hour. There is no downtime and you can feel the tightening straight away. Strawberry Lift appeals to my patients who want something that is painfree and non-invasive, but still shows instant results! AM

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CALL FOR ARTICLES

Are you interested in becoming a contributor to Aesthetic Medicine magazine? Do you have any articles you would like to write or any thoughts, treatment tips or techniques you would like to share? Then we want to hear from you. Whether itâ&#x20AC;&#x2122;s writing about running an aesthetics business or sharing your case studies and clinical expertise, then get in touch and let us know your ideas by emailing vicky@aestheticmed.co.uk or calling 0207 351 0536. /AestheticMedicineMagazine

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DEVICES

DEVICES NEWS

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BioPhotas expands its product line BioPhotas, the manufacturer of the Celluma Series of therapeutic LED devices, is expanding its product line and has opened a new London-based sales office. Products in the Celluma range make use of light energy to improve cellular health and accelerate the repair and replenishment of tissue cells. The company’s flagship device is the Celluma PRO, which has three pre-programmed settings (emitting either blue, red or near-infrared wavelengths) for the treatment of acne, anti-ageing, wound healing and pain. The flexible panel can be moulded to the treatment area and is an ideal post-procedure light therapy tool. However, four new versions of the Celluma are being introduced this year, providing aesthetic practices with equipment that will be tailored to a specific clinical speciality or condition. BioPhotas’ president and CEO, Patrick Johnson, said, “We understand that our customers are sometimes very focused in their practices, wanting products that are specifically tailored to a particular clinical specialty and/or condition. This product line expansion is intended to address this desire.”

Two new launches from Baldan Group Iridium Eyes Pressotherapy and InfraBaldan 3.0 are the latest non-invasive devices to be launched by the Baldan Group. Pressotherapy has long been used as an alternative to manual lymphatic drainage, but the Baldan Group is one of the first to harness it for use in the eye area. Worn as a mask, Iridium Eyes Pressotherapy is a facial lymphatic draining system that delivers an intelligent, vibrating massage to help ease lymphatic congestion and promote the drainage of fluids from under the eyes. Acupuncture points are stimulated and, by gently heating the skin, muscle tension is eased and blood circulation in the eye contour area is improved. Plus, with meditative music built into the device, the treatment is a deeply relaxing one for clients. The multi-purpose InfraBaldan 3.0, meanwhile, combines moderate, constant physical activity with infrared radiation to activate aerobic metabolism and aid weight loss. The machine uses sensors to measure the patient’s heartbeat and then converts that information to action pulses of infrared radiation at precise times. The result is a targeted workout that suits the client’s body type and metabolism.

Alma introduces Soprano Titanium Alma Lasers says it is reinventing laser hair removal technology and practice with the launch of its latest device, Soprano Titanium. By combining four proprietary technologies, the equipment offers improvements in the treatment experience for patients, as well as enhanced productivity for practitioners. The Quattro™ applicator (the device includes dual connectors, enabling sequential use of two separate applicators) features a large 4cm² spot size that promises to shorten treatment time by 40%. The applicator also utilises Alma’s 3D technology to deliver three of the most effective wavelengths for hair removal (755nm, 810nm and 1064nm) simultaneously, allowing for effective treatment across a range of skin types. And with IcePlus™ delivering continuous cooling to the skin and the SmartClinic cloud-based data centre allowing practitioners to review performance and productivity in real time, Soprano Titanium is smart, fast and effective for patients and practitioners alike. AM

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OUT AND ABOUT

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3D-lipo 3D-LaserSculpt launch, Rugby 3D-lipo’s new state-of-the-art showroom and head office in Rugby was the setting for the launch of its latest device – 3D-LaserSculpt. 3D-lipo LaserSculpt uses the latest 1060nm diode laser technology, operating at the speed of light, to destroy fat cells and reduce stubborn fat in problem areas such as the abdomen, love handles and flanks. The highly anticipated 3D-lipo LaserSculpt treatment is being introduced to the market at an affordable price to clinics, without compromising on technology or specification, ensuring that clinics make a fast return on investment. The launch event included live treatment demonstrations, presentations from founder and managing director of 3D-lipo Roy Cowley and exclusive launch offers.

Out and about Out and about in the industry this month

ABC LASERS WIN BEST DISTRIBUTOR FOR THE SIXTH YEAR, IMCAS, PARIS ABC Lasers has announced that it has been named the Best Distributor for the 6th consecutive year by Alma Lasers. The award, presented at EMEA sales meeting at IMCAS Paris, honours the best performing distributors worldwide. Guy Goudsmit, CEO of ABC Lasers said, “Alma is the leader in energy-based medical and aesthetic solutions and is globally recognised for its groundbreaking technologies and we are delighted to share in its global success. I would like to thank my team and all our clinics that have supported us and enabled us to pick up this prestigious award. To win for six years in a row is a very great honour.”

Mesoestetic Global Trainers Meeting, Barcelona Mesoestetic’s UK training managers, Kat Coleman and Katie Hassall were invited to attend a world training event held at Mesoestetic pharma group’s head office in Barcelona. More than 20 countries were represented for a packed three days, organised to share information about new products to be launched onto the market. The trainers had the opportunity to learn the latest trends in medical aesthetic treatments by cross referencing procedures and learn how to optimise these treatments to achieve the best outcomes. During the meeting everybody had the opportunity to learn and share all their experiences of conducting Mesoestetic’s treatments on all skin types and in different climates, discussing how protocols have been adapted by each country to suit their particular environment.

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