AESTHETIC AWARDS SUPPLEMENT The winners, the party, the pictures
REGISTER ONLINE FOR YOUR DELEGATE PASS. COSMETICNEWSUK.COM
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Top tips for running your practice in 2013
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BU S INES S S PE C I A L
NO SMOKE WITHOUT LINES
The ageing effects of smoking on the skin
ALSO IN THE JANUARY ISSUE OF COSMETIC NEWS... STEM CELLS
CRYOLIPOLYSIS
EYEBROWS
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COSMETIC NEWS THE UK’S LEADING TRADE TITLE FOR MEDICAL AESTHETIC PROFESSIONALS
Your partner in injectable facial aesthetics
Belotero® now approved by the FDA • One of only 3 HA fillers approved by the FDA currently promoted in the US • Optimal integration1 for superior evenness2 • Minimal local inflammation3 for sustained patient satisfaction4
BEL050/1111/JH
Call Merz Aesthetics Customer Services now to find out more or place your orders: Tel: +44(0) 333 200 4140 Fax: +44(0) 208 236 3526 Email: customerservices@merz.com 1 Histological examination of human skin (eyelid dermis layer). Courtesy Dr. J. Reinmüller, Wiesbaden, Germany 2 Prager W, Steinkraus V. A prospective, rater-blind, randomized comparison of the effectiveness and tolerability of Belotero Basic versus Restylane for correction of nasolabial folds. Eur J Dermatol 2010;20 (6):748-52. 3 Taufig A, et al. A new strategy to detect intradermal reactions after injection of resorbable dermal fillers. J Ästhetische Chirurgie 2009; 2: 29-36 4 Reinmüller J et al. Poster presented at the 21 World Congress of Dermatology, Buenos Aires, Argentina, Sept 30 – Oct 5, 2007. Thereafter published as a supplement to Dermatology News: Kammerer S. Dermatology News 2007; 11: 2-3.
www.belotero.uk.com Merz Pharma Uk Ltd 260 Centennial Park, Elstree Hill South Elstree, Hertfordshire, WD6 3SR Tel: +44(0) 333 200 4140
Editor’s Letter Welcome to the January issue of Cosmetic News. Welcome to the first issue of Cosmetic News for 2013. I hope you all had a wonderful Christmas and are looking forward to the year ahead. We ended 2012 on a high with our second annual Aesthetic Awards event taking place at the Grand Connaught Rooms in London’s Covent Garden and what a night it was! Following on from the success of our inaugural event in 2011, the 2012 Aesthetic Awards was an even more glamorous and grand affair and we would like to thank everyone who supported us in making this amazing evening such a huge success. To commemorate the event we have created a special 28-page supplement along with this month’s issue, which contains details about all the winners as well as pictures from the night. Also in this issue… January is a month when many people endeavour to give up smoking and, as such, may be starting to think about the effects that cigarettes have had on their skin. Smoking is by far one of the biggest factors in premature ageing of the skin so, as part of this month’s special feature, we examine some of
cosmetic news the uk’s largest trade aesthetics exhibition and conference
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the best treatments for smoking related indications (p18-19). This month is also our Business Issue, where we kick off the new business year by giving you advice and tips on how to make your practice even more successful; from insurance and HR to the use of tablet devices and credit card fraud, our In Business section (p40-52) is packed with everything you need to know to make 2013 your most successful and prosperous year yet! I would like to take this opportunity to wish you all a very Happy New Year from all of us here at Body Media – we look forward to an exciting year ahead!
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Contents INDUSTRY INSIDER
Pixel Q-Switched handpiece 4 EDITOR’S CHOICE
34 TREATMENT SPOTLIGHT
Vicky Eldridge on Stylage® HydroMAX
We take a look at the Lynton Q-PLUS C
6 INDUSTRY NEWS
36 PRODUCT FOCUS
We round up the latest industry news
How Thermavein is set to revolutionise the treatment of thread veins
10 COSMETIC NEWS EXPO/ AESTHETICS CONFERENCE 2013
Everything you need to know about the aesthetic event of 2013
38 PRODUCT NEWS
We round up the latest product news
Following the tragic death of Obagi Territory Manager Janeé Parsons, her friend and Cosmetic News writer Antonia Mariconda pays tribute to her Out and about in the industry this month 16 PEOPLE IN PROFILE
We chat to mesotherapy expert Dr Glaaceran Montal about his career and passion for aesthetics CLINICAL PRACTICE IN BUSINESS – BUSINESS SPECIAL 40 PRIVATE PRACTICE
We take a look at the damaging effects of smoking on the skin
Is being a private practice limiting your business potential?
20 [DEVICES] CRYOTHERAPY
41 HUMAN RESOURCES
Mike Murphy on the new trend for fat freezing treatments
HR tips for clinic owners and managers
22 [ANATOMY] Eyebrows
42 INSURANCE
Dr Patrick Treacy on the importance of eyebrows in facial aesthetics
Eddie Hooker, CEO of Hamilton Fraser Cosmetic Insurance, discusses the types of insurance you should consider when establishing your aesthetic business
Professor Syed Haq and Wendy Lewis give their views on stems cells in skincare PRODUCT REVIEWS
Due to its long-lasting anti-oxidative hydration, skin that has been compromised by age, stress, poor diet, smoking, sun exposure, frost, wind and hormonal imbalances can now drink in the benefits of this painless procedure and appear healthy and glowing again. After putting on some local anaesthetic cream to numb the area, Dr Dancey delivered the product into my skin using a series of multiple, micro fine injections. The treatment was relatively painless and comfortable, as you would expect when you are being treated by one of the UK’s pioneers of mesotherapy. It also did not take very long, which was a bonus for me as the patient. The hyaluronic gel creates an intense smoothing, hydrating and plumping effect and the sorbitol immediately reduces the negative effects of free radical damage. The risk of bruising and swelling is also greatly decreased and the sorbitol protects the product from degrading, creating a longer lasting effect. Dr Dancey recommended that I have a course of four treatments in oneweek intervals to obtain the best results, but you do get an immediate hydrated and plumping effect after just one treatment. This is an ideal treatment for anyone who wants to freshen up dehydrated skin on their face or body and was the perfect solution for me.
44 TECHNOLOGY
Richard Crawford-Small explores the uses of tablet devices in the clinic environment
26 TRIED AND TESTED
We find out about the dramatic results that can be achieved with the Cellulaze laser
While I am not ready to try dermal fillers on my face, one area of my body that is starting to show the tell-tale signs of ageing and could do with an injectable boost is my décolletage.
Stylage® HydroMAX is the very first mesotherapy treatment to cross link hyaluronic acid filler with sorbitol. Sorbitol is a potent anti-oxidant naturally found in fruits and vegetables, which reduces the negative effects of free radicals and optimises the longevity of the treatment. It restores proper levels of skin hydration and improves elasticity and firmness to produce a perfectly natural smoothing effect on lines and wrinkles.
14 ON THE SCENE
24 [VIEW ON] Stem cells
Stylage® HydroMAX Treatment
I have started to notice a few creases appearing in this area, as well as on my neck and, like any woman, they are not something I enjoy looking at in the mirror. So when I got the chance to try out the new Stylage® HydroMAX treatment at the very capable hands of Dr Elisabeth Dancey at Bijoux Medi-Spa, I was keen to give it a shot!
12 IN TRIBUTE
18 [SPECIAL FEATURE] NEW YEAR’S RESOLUTIONS – SMOKING
Editor’s choice
48 CREDIT CARD FRAUD
charlotte@creativemedialtd.co.uk
Vicky Eldridge Editor M: 07940 083 677
Could you be unwittingly storing your clients’ credit card details and putting them at risk of fraud?
Kevin Hogg Publications Manager
Corinne Winkworth Operations Manager
Charlotte Body Publisher
kevin.hogg@creativemedialtd.co.uk
Peter Johnson, Art Director
32 Q&A
50 A DAY IN THE LIFE OF…
peter.johnson@creativemedialtd.co.uk
We speak to plastic surgeon Chris Inglefield about the Harmony XLi
Antonia Mariconda finds out what a day in the life has in store for
Sean Rice Senior Designer
sean.rice@creativemedialtd.co.uk
vicky@creativemedialtd.co.uk
corinne@creativemedialtd.co.uk
Sophie Belcher Events/Production sophie@creativemedialtd.co.uk
Carly Mcfarlane Sales and Events Assistant carly.mcfarlane@creativemedialtd.co.uk DISCLAIMER
The editor and the publishers do not necessarily agree with the views expressed by contributors and advertisers nor do they accept responsibility for any errors in the transmission of the subject matter in this publication. In all matters the editor’s decision is final.
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duction Fat Re
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ing
Skin Tighten
Cellulite
A Powerful Three Dimensional Alternative to Liposuction
No other system offers this advanced combination of technologies designed to target fat removal, cellulite and skin tightening without the need to exercise
Why choose 3D-lipo? Cavitation
• A complete approach to the problem • Prescriptive • Multi-functional • Inch loss • Contouring • Cellulite • Face and Body skin tightening • Highly profitable • No exercise required
Complete start up and support package available from under £400 per month
Cavitation is a natural phenomenon based on low frequency ultrasound. The Ultrasound produces a strong wave of pressure to fat cell membranes. A fat cell membrane cannot withstand this pressure and therefore disintegrates into a liquid state. The result is natural, permanent fat loss.
Cryolipolysis Using the unique combination of electro and cryo therapy 20-40% of the fat cells in the treated area die in a natural way and dissolve over the course of several months.
Radio Frequency Skin Tightening Focus Fractional RF is the 3rd generation of RF technology. It utilises three or more pole/electrodes to deliver the RF energy under the skin. This energy is controlled and limited to the treatment area. Key advantages of this technology are high treatment efficacy, no pain as less energy is required, shorter treatment services and variable depths of penetration.
3D Dermology Combines pulsed variable vacuum and skin rolling for the effective treatment of cellulite.
What the experts say... ‘As a Clinician I need to know that the treatments we offer are safe, effective, scientifically based and fit in with our ethos of holistic care for our clients.
Before
After
3D-Lipo has delivered this to us’ Dr Mohamed Dewji – GP & Medical Director LasaDerm Ltd (Milton Keynes)
For further information or a demonstration call: 01788 550 440
www.3d-lipo.com www.3d-skintech.com
B O O K YOUR T I CK ET F OR TH E C O S M E T I C N E W S E X P O 2 0 1 3 INDUSTRY NEWS
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JANEÉ PARSONS
Aesthetic industry in shock after tragic death The aesthetics industry is in shock after hearing news of the tragic murder of Obagi territory manager Janeé Parsons. The 31-year-old mother of two died of multiple stab wounds after an altercation at her home in Bicester, Oxfordshire on Saturday December 1. Janeé was well known and loved in the industry as a territory manager selling Obagi Medical Skincare for the Healthxchange Pharmacy. Tributes poured in to her Facebook page after people heard the devastating news.
Friends described her as a ‘warm’, ‘beautiful’, ‘kind’, ‘professional’ and ‘gentle soul’.
Cosmetic News writer Antonia Mariconda was a personal friend she wrote: “Janeé. was a genuine, kind person and someone with loyalty and sincere compassion. In a cynical world of mistrust she was a genuine beacon of light and support and friendship. I am heartbroken as only a fellow mother can be at the devastation that one single fleeting act of craziness has caused upon her family now left behind in shattered pieces. Janeé adored her kids and was a beautiful human being. RIP angel I am going to miss you so much.” Janeé’s husband Andrew, 38, has been charged with her murder. See page 12 for our special tribute to Janeé.
ALLERGAN
HEALTHXCHANGE PHARMACY
Julia and Bahar join Allergan
Healthxchange Pharmacy supports AIDS orphan charity
Allergan has welcomed two new members to its internal PR and communications team.
Tumaini, which is Swahili for ‘hope’ helps orphans establish themselves in mainstream society through education and training. With the help of its customers, Healthxchange Pharmacy is supporting the charity in training dispensers and building village dispensaries, thus giving thousands of underprivileged people access to vital healthcare for the first time.
Bahar Turkoglu (below right) has come on board as manager of Corporate Affairs and Public Relations for Allergan EAME Neurosciences and Ophthalmology. Julia Kendrick (above right) will take on the role of manager of Corporate Affairs and Public Relations for Allergan EAME Medical Aesthetics. Both will be reporting to Director of Corporate Affairs and PR EAME, Janet Kettels.
Healthxchange Pharmacy has been giving its support to a charity which works with AIDS orphans in Tanzania.
Marketing and sales manager, Steve Joyce, said, “With your help, via your purchases in 2013, we are continuing to fund the training of some 15 dispensers so that the much needed medication can actually be distributed to those who need it.” To find out more about the charity and its work visit its website at www.tumainifund.org.uk.
DR PATRICK TREACY
SMART IDEAS
Dr Treacy opens orphanage in Liberia during Christmas
SMART IDEAS seminar to take place this month
While the rest of us tucked into our turkey this Christmas, Dr Patrick Treacy was out in Liberia opening an orphanage in memory of his friend and patient Michael Jackson.
On Saturday January 26 The Consulting Room™ will host its 3rd annual SMART IDEAS symposium in Manchester.
Dr Treacy was given the role of Honorary Ambassador and invited to open the Everland Children’s Home on Christmas Day. The opening was attended by the Vice President of Liberia and other government dignatories. Eventually, in keeping with Michael Jackson’s dream of a children’s hospital, it is hoped that Everland will encompass a small clinic as the nearest medical facility is over two hours drive away, along an extremely bumpy, dirt track. Until then, children will be treated on a clinical bed donated by the Ailesbury Clinic in Dublin, where Michael found a special place of solace during his trip to Ireland.
6
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Supported by Syneron Candela and Merz Aesthetics, the meeting, entitled ‘Proven Business Strategies and New Product Ideas to Increase Your Profits in 2013’, will provide a choice of parallel business sessions alongside clinical presentations and demonstrations delivered by experienced doctors and marketeers who own and work in their own aesthetic businesses. Tickets costs just £15 per delegate. Places are limited. For more details and to register visit www.smartseminar.co.uk.
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aesthetic awards 2012-13, triple win for aBc lasers Aesthetic Medical Treatment System
Contact us on: Tel: 0845 1707788 info@a-b-c-uk.com, www.abclasers.co.uk
EquipmEnt Brand of thE YEar aBc lasers
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trEatmEnt of thE YEar (facE)
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B O O K YOUR T I CK ET F OR TH E C O S M E T I C N E W S E X P O 2 0 1 3 INDUSTRY NEWS
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BAAPS
SYNERON CANDELA
BAAPS releases stats on filler complications
Syneron Candela welcomes new team member
The British Association of Aesthetic Plastic Surgeons has unveiled new survey results detailing a rise in problems stemming from dermal fillers.
Syneron Candela has welcomed Vanessa Bird to its growing team as business development manager in its new Body Division. This is one of the first appointments in the division Globally, as the company expands into this growing sector of the market.
The internal poll revealed 69% of surgeons had seen patients suffering complications from temporary fillers, while nearly half (49%) of surgeons saw problems with semi- or permanent fillers. Out of those patients who suffered problems with permanent substances, nearly nine out of ten (84%) required corrective surgery or were deemed untreatable due to the damage caused.
CHROMOGENEX
GALDERMA
Galderma acquires Spirig Galderma has acquired Spirig Pharma, a leading company in the development, production, and marketing of dermatological products. Spirig’s products treat conditions such as solar damage and skin barrier function impairment. In addition, the company has a range of medicallyproven products that prevent pre-cancerous conditions, such as actinic keratosis. “We are delighted to join forces with Spirig Pharma” said Humberto Antunes, CEO of Galderma. “Spirig has a holistic approach to protecting, treating, restoring and preventing dermatological conditions which is closely aligned to that of Galderma. With this acquisition, Galderma will become the dermatology market leader in Switzerland, our home country. Additionally, with our global presence, we will be able to make Spirig’s outstanding products available to a larger number of patients around the world.”
G
Chromogenex named one of the Sunday Times Virgin Fast Track 100 Chromogenex has been included in the recent Sunday Times Virgin Fast Track 100, which ranks Britain’s fastest-growing private companies. The Sunday Times Virgin Fast Track 100 has been published annually since 1997 and is the definitive league table of Britain’s private companies with the fastest growing sales (excluding technology firms, which are served by the Tech Track 100). Chromogenex was the only medical equipment manufacturer listed and was one of only two businesses based in Wales. Other firms included on the list include Jamie’s Italian restaurants, TV retailer Genuine Gemstone and Lenstore.co.uk. Peter McGuinness, CEO of Chromogenex commented, “We have grown rapidly over the past three years as a result innovative new products and expansion into new markets such as USA, South Africa, Brasil and Australia’. “Despite a difficult economic environment we continue to do well in the UK with an excellent marketing and customer service support for our UK customers.”
Smooth texture for a natural look and feel1 ive them a lift with new
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LaSting volume – up to 18 months1
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SatiSfaction – 96% of patients would recommend Juvéderm® vOLumA® with Lidocaine to a friend 2 WITH LIdOCAINe
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References: 1. Raspaldo H. J Cosmetic and Laser Therapy, 2008;10:134–142. 2. Fischer TC. Poster presented at EMAA, 1–3 October 2009, Paris. 3. Allergan Data on File (DoF), 2011. 4. Allergan Data on File (DoF) Marketing overview, 2011. Instructions and directions for use of JUvéDeRm® vOLUmA® with Lidocaine are available on request. Lidocaine does not affect the intrinsic performances of JuvéDERM® vOLuMA® and its safety profile, therefore, JuvéDERM® vOLuMA® data is representative of JuvéDERM® vOLuMA® with Lidocaine3
Date of Preparation: January 2012 UK/0023/2012
The last BAAPS survey on this theme was done in 2009 and showed only 23% of surgeons were seeing problems with permanent fillers and just under a fifth (19%) with temporary ones, showing that in the space of three years the numbers have doubled for the former and tripled in the latter. According to consultant plastic surgeon and BAAPS President Rajiv Grover, “Although it is known that plastic surgeons are not the main providers of cosmetic injectables, it is surgeons who are called upon to deal with problems when they do arise. The growing popularity of these non-surgical treatments has clearly led to complacency regarding how they are performed and by whom. As shocking as these figures may appear to the public, none of us in the profession are actually shocked by the results of this survey. The BAAPS has been voicing concerns over the lack of regulation in this arena for years – the statistics simply prove what we’ve
As a qualified personal trainer and with a sound business sense added to her background working with Wigmore Medical and Endermology, Vanessa will be looking at new ways to help clinics promote their body treatments. She will focus on the Ultrashape and Velashape products and develop the consumer awareness of body contouring in the UK.
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CosmetiC News expo 2013
knowledge is power cosmetic news from exhibitor workshops to business seminars and The aesthetics conference, the 2013 cosmetic news expo is all about value for money education and cPD points
They say that “knowledge is power” and that is why education has always played a key role at the Cosmetic News Expo. Now in its fourth year, the Cosmetic News Expo and adjoining Aesthetics Conference will take place at the Business Design Centre in Islington on February 16-17, 2013.
ConferenCe Calling The Aesthetics Conference is an excellent opportunity to gain CPD points and hear from the very best UK and international speakers, discussing the latest topics and demonstrating the most up-to-date techniques. This year the conference not only has a new look and a new name but, for the first time, is being organised by an independent consultant with years of knowledge and experience of the aesthetics industry to make it even more cutting edge. Because the event is now also taking place on the earlier dates of Saturday February 16 and Sunday February 17, 2013, the Cosmetic News Expo and Aesthetics Conference will now be the first key professional meeting in the UK aesthetics calendar and is the first chance for you to hear what is new in 2013 on home soil. And because tickets for The Aesthetics Conference are a fraction of the cost of other industry events, this is one opportunity you cannot afford to miss.
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The SoCial neTwork There is no doubt about it, one of the best ways to grow as a business is by networking with fellow aesthetic professionals and sharing ideas. The Cosmetic News Expo and Aesthetics Conference are centered around making peer-to-peer networking a priority. With long breaks in between lectures, to allow you to browse the exhibition and catch up with fellow delegates, and with all delegates receiving a VIP invite to our exclusive Japanese themed after show party at The Chapel bar on the evening of Saturday February 16, the Cosmetic News Expo is the ideal place to make contacts and get your face seen in the industry. The party is attended by all the speakers from the day as well as exhibitors and the Cosmetic News team. This always proves to be a highlight of the event and is something that adds incredible value to the price of a ticket.
Book Today! Tickets for the 2013 conference cost £49 for one day or £85 for both days, if you book in advance, or £75 per day/£150 for both days if you pay on the day. A complimentary lunch will be incorporated into the delegate package, with refreshments provided throughout the conference breaks. You will also receive a VIP invite to the after show party. To book your place visit www.cosmeticnewsuk.com or call Carly on 01268 754 897. If you are booking tickets for more than two people from the same organisation you will receive a 20% discount. Quote booking reference BL123 when you book for one day or BLW123 when you book for two days. We also offer a discount of 10% for members of the British Association of Cosmetic Nurses. Please quote reference EX123 when booking.
SPeaker SPoTliGhTS: here are JuST a feW of The SPeakerS confirMeD for The 2013 aeSTheTicS conference Dr raJ acquilla Dr Raj Acquilla has developed a deserved reputation as one of the most skilled, experienced and trusted cosmetic physicians in the UK and is a recognised Key Opinion Leader in the field of non-surgical facial aesthetics. MiSS Jonquille chanTrey Miss Chantrey has more than nine years of plastic surgery experience. She has published articles in various peer-reviewed journals including The Lancet and presented at international conferences. She is also recognised as an expert and trainer in VASER liposuction, Macrolane and Sculptra. Dr Galcerán MonTal Dr Galcerán Montal has worked as medical director
in some of the most prestigious anti-ageing clinics in Barcelona, including Clínica Virtalia, Oxycell, Elixir Clinic and Revital. He is also the medical director of Mesoestetic Pharma Group. Dr kaTe GolDie Dr Kate Goldie is the founder of Medics Direct (Europe) Ltd, one of the largest and most successful Medical Cosmetic training companies in the UK and is renowned in the industry as an expert in non-invasive facial restructuring. Dr ariel hauS Dr Ariel Haus has carried out advanced training in dermatology and cosmetic medicine and has a special interest in anti-ageing medicine. He has clinics in Harley Street and Ipanema in Rio de
Janeiro. Mr Dalvi huMzah Mr Dalvi Humzah is a consultant plastic reconstructive and aesthetic surgeon and is the medical director of Plastic and Dermatological Surgery and BUPA Cosmetic’s clinical lead. He has been the STEP® Tutor for the Royal College of Surgeons of England and is an examiner for the Intercollegiate MRCS for the Royal College of Surgeons of Glasgow. Mr chriS inGlefielD Mr Chris Inglefield has worked as a consultant plastic and reconstructive surgeon since 1998. He has written several papers and contributed to many specialist books and journals within the field of plastic and reconstructive surgery and has lectured at national and international
meetings. Sharon kinG Sharon King is a Clinical Nurse Specialist and Independent Nurse Prescriber with over ten years experience working at Cosmedic Skin Clinic & Training Academy Staffordshire. Dr barbara kubicka Dr Barbara Kubicka is one of the fastest rising doctors in UK aesthetic medicine, she has unique combination of medical knowledge and aesthetic appreciation having studied for 2 years at the world-renowned College de International de Medicine Esthetique in Paris. Her expert opinion is sought at the cutting edge of aesthetic medicine. Mr Mike Mazza – Is an Internet
entrepreneur and launched his first company in 1995 Having developed a blue print in the UK market, we have now opened over 120 clinics in 30 countries with 175 plastic surgeons contracted. We are now the world’s largest beauty group and part of Xatti Media Group providing us with funds and a global media reach. We will be branching into Non-surgical and dental in the new year with a flag ship clinic opening in February on Harley Street subject to building finishing on time! Dr Gabriela Mercik Dr Gabriela Mercik is medical director of Hebe Anti-Ageing and Aesthetic Medicine Clinics and Dermagenica Ltd. She is an advanced aesthetic trainer in biomimetic mesotherapy, dermal fillers and toxins.
aeSTheTicS conference 2013
gET cPD poI NTS
conference programme S ATurDAy FE B r uA ry 1 6
S u N D Ay F EB r u A ry 1 7
MORNING SESSION - Chaired by Mr Dalvi Humzah 9.45-10.20
10.20 -11.30
MORNING SESSION – Chaired by Mr Chris Inglefield
Managing the Versatility of Dermal Fillers – Dr Kate Goldie
9.45 - 10.15
Introduction to Lasers in Cosmetic Practice
This session will analyse the facial indications for fillers as well as looking at treatment plans and key matrices for dermal fillers.
10.15 - 11.00
Multi-Application Lasers – Dr Ariel Haus This session will explain the value of a multi-application laser and how it can benefit your bottom line while offering your patients the best results with the least downtime.
New Trends in Fillers Including Facial Volumising and Lip Shaping and Live Demonstration – Dr Raj Acquilla and Miss Jonquille Chantrey New techniques are being developed all the time. This masterclass session will focus on the latest treatments with emphasis on anatomical placement and risk management using the most effective products and techniques.
11am-11.30am Coffee Break 11.30 - 11.55
This session will look at the latest combination of light and laser based technologies that provide total anti ageing and skin rejuvenation solutions for all skin types
11.30am-12pm Coffee Break 12.00-1.00
How to Treat the Tear Trough Area: From Injection Techniques to Managing Complications (Including Live Demonstration) – Dr Patrick Trevidic
11.55 - 12.15
1pm-3pm Lunch Break/Exhibition Viewing AFTERNOON SESSION – Chaired by Dr Tracy Mountford
12.15 - 1.00
Treatment and Maintenance of Redness and Inflammation - Dr Stefanie Williams and Mr Chris Inglefield
1pm-3pm Lunch Break/Exhibition Viewing AFTERNOON SESSION
A Topical Approach To Wrinkles – Dr Barbara Kubicka Confused by cosmeceutical ingredients? With patients seeking advice for an array of differing conditions, from the ravages of photoaging through dermatological conditions and hyperpigmentation to simple dry skin conditions, understanding and differentiating the ingredients and products available is critical to successful skin care. Covering both well established and novel ingredients this session will provide you with all the facts you need to make informed choices about cosmeceutical skin care that will meet your patients’ needs.
4.20 - 5.10
Advanced Body Shaping and Skin Tightening: Obtaining the Best Results Using Radio-Frequency and Ultrasound Technology. – Mr Jan Stanek There is much new technology for skin tightening and body shaping but do these devices work? This session will present the findings of clinical practice.
A presentation of a study based around rosacea/redness and the effects it has on skin ageing. To include new findings around triggers, symptoms and treatments for the skin condition to ensure correct diagnosis and treatments for sufferers.
3.40 – 4.20
Using Fractional CO2 to Repair Damage in Skin – Dr Tapan Patel CO2 Lasers have come a long way over the last ten years and the antiaging breakthrough of the decade, according to many doctors, is skin-resurfacing with CO2 fractional laser therapy. Combining the effectiveness of traditional carbon dioxide lasers -- long thought to be the gold standard in wrinkle removal -- with a new application technique, it delivers powerful results without the traditionally harsh side effects.
The eye area has always been notoriously difficult to treat. This session will cover treatment and management of this delicate anatomical area using dermal fillers.
3.00 - 3.40
New Innovations and Advancements in Platform Technology Dr Robin Stones
Exilis
3.00 - 4.00
Mesotherapy with Biomimetic Nano-Peptides: A New, Quick, Injectable Treatment for a Wide Variety of Indications - Dr Gabriela Mercik Find out how the latest cutting-edge mesotherapy technology can enable quick, non-invasive solutions for many different indications including skin brightening, hair restoration, rejuvenation, and lipolysis.
4.00 - 5.00
...best in class
The Impact of the Menopause on Ageing Skin – Dr Tracy Mountford and Dr Nick Panay
During the menopause the skin undergoes significant changes due to the hormonal imbalance. The collaboration of gynaecologist and skin specialist is an exciting partnership to improve care for this group of women. EXILIS...the award winning system for
Medical Devices for Intradermal Injections and the Use of Mesotherapy Techniques for Rejuvenation – Dr Galcerán Montal Mesotherapy has been used widely in Southern Europe but with little uptake in the UK. Now, as techniques and results improve, we are seeing an upsurge in treatments. Dr Galceràn Montal is an expert in his field and this session will focus on the treatment of the hands and neck as well as other problem areas that have previously been very difficult to treat.
ADVANCED BODY SHAPING & SKIN TIGHTENING... ...voted “The Best Skin Tightening Device Award TAS 2012”, Las Vegas
rejuvenation techniques and won the accolade of Dr Sach Mohan ‘Speaker of the Year’ at the 2011 Aesthetic Awards. A leading Cosmetic Physician Dr Mohan is at the forefront of Dr nicholaS non-surgical medical Register forPanay our aesthetics. Dr Mohan’s expertise is in using his Dr Nicholas is a consultant experience in the use of all aesthetic treatments Workshop on 4thPanay NOV obstetrician and gynaecologist including skinneedling, fat-loss body sculpting and at www.bodyconference.co.uk and sub-specialist in reproductive medicine evidence based skincare to provide an integrated and surgery. He is the chairman of the British approach to the appearance enhancement of his Presented by MR Jan Stanek and hosted by BTL, titled “ADVANCED BODY SHAPING Menopause Society and The National Association clients. Dr Mohan has developed enhanced techniques & SKIN TIGHTENING” or for a free demonstration contact sales@btlnet.com. for Premenstrual Syndrome. using the Dermaroller™ medical device and has taken on the role of Medical Advisor and Clinical Dr TaPan PaTel Trainer with AesthetiCare® for medical-skinneedling. Dr Tapan Patel has over 14 years of clinical experience and has been Dr Tracy performing aesthetic treatments MounTforD for 10 years. Dr Patel is passionate about standards Dr Tracy Mountford is the in Aesthetic Medicine and ensures that along with founder and medical director day-to-day clinic work he also attends as many of The Cosmetic Skin Clinic. She has over 21 conferences and meetings as possible. Despite years experience in advanced non-surgical facial
BTL Industries Ltd, Unit 83, Greenway Business Centre Harlow Business Park Harlow, Essex CM19 5QE
finishing Postgraduate Medical training over a decade ago, Dr Patel still participates in active learning. Mr Jan STanek Mr Jan Stanek has lectured across the world, published more than 20 articles in journals on surgical procedures and written a number of books. He is well known as the resident surgeon on TV’s 10 Years Younger and featured in the ground breaking Channel 5 series ‘Plastic Fantastic’. Dr robin SToneS Dr Robin Stones is the Court House Clinic medical director for the North of England and director of non-surgical business for Surgicare. He is a national trainer for doctors interested in the use of lasers in dermatology and holds a BTEC Advanced Award in Lasers, Light and Associated Aesthetic Applications.
Tel: +44 866-285-1656 Fax: +44 888-499-2502 Phone: +44 7508 621607 www.exilis.com www.btlaesthetics.co.uk sales@btlnet.com
BTL-Exilis_210x297mm _2012_UK.indd 1
2.10.2012 10:54:31
aliSon Telfer, rGn, niP Alison has been working as a nurse prescriber in medical aesthetics for the past 5years and is an active, well respected member of the BACN. Alison has been providing Genuine Dermaroller™ treatments in her clinic since its launch in the UK, routinely using the Dermaroller™ medical devices for acne scarring and skin rejuvenation treatments as either a standalone treatment or alongside a secondary, complementary procedure. Dr PaTrick TreviDic Dr Patrick Trevidic is a plastic reconstructive aesthetic surgeon. He has published more than 50 scientific articles in periodicals and international journals. He is also director of the Anti-Ageing Medicine World Congress and Face2Face.
Dr STefanie WilliaMS Dr Stefanie Williams is a dermatologist with special interest in cosmetic dermatology. She is an international speaker, lectures at university and has published more than 100 scientific articles.
Book T o d ay !
call 01268 754 897 for updates on the conference programme and speakers visit cosmeticnewsuk.com
IN TRIBUTE JANEÉ PARSONS
IN TRIBUTE The aesthetics industry was shocked to hear the news of the tragic death of Obagi territory manager Janeé Parsons last month. Here her friend and Cosmetic News writer Antonia Mariconda pays tribute to her
On Saturday December 1 the aesthetics industry gathered in London for The Aesthetic Awards 2012. Whilst the evening progressed, one chair sat notably empty as Obagi territory manager Janeé Parsons absence was marked by the shocking news of her tragic murder earlier that day. A domestic altercation saw Janeé become the victim of a fatal stabbing on Saturday morning in her hometown of Bicester, Oxfordshire. News spread rapidly over the next 48 hours of her passing that sent shockwaves through the entire aesthetics industry. Within hours of her sudden death becoming public knowledge, floods of tributes poured in over social media and it became rapidly apparent just how well loved and regarded Janeé was. Her tragic loss struck a chord within the close knit industry and a sense of bewildered disbelief still lingers today as I write this as so people connected to her are still struggling to come to terms with the news. Janeé was born in Wichita Falls in Texas on October 2, 1981. She lived in Bicester with her husband and children Owen, eight, and Max, five. In a statement released soon after Janeé’s death, her mother, Mary Brady, paid tribute to her daughter. She said, “Janeé made me laugh and cry and was one of the brightest lights in my life. She was a wonderful mother and was a tireless worker I will deeply miss her and cherish her as the great gift from God that she was.” I met Janeé Parsons at a champagne reception in Covent Garden just over two years ago. She came up to me tapped me on the shoulder and said “you’re Antonia right?” Her big beautiful blue eyes beamed and glittered and she smiled her signature ‘Janeé’ smile.
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Since that time we stayed in touch (when the frantic chaos of a busy work/family life allowed!) Our scattered conversations, whether by telephone, in person or on social media, always revolved around our passions and work, which she was always enthusiastic about. She seemed to truly love her job and have a genuine ‘belief’ in the products she represented. Her colleagues at Healthxchange Pharmacy, whom she valued dearly as her ‘work family’, all described Janeé as a ‘warm, fun loving, genuine lady’. Her closest friends and of course her family, will be the ones who are feeling the absence of her warm laughter the most. In a tribute statement issued after Janeé’s death her sister, Jocelyn Brady, stated how “there was not one person that Janeé met that she didn’t impact in some way”. How very right she is. We will all remember how kind-hearted Janeé was and how obliging and cooperative she was in her work as well as her personal life. She was a thoughtful and considerate professional and I know that everybody who worked closely with her at Healthxchange Pharmacy would have admired her for all of these reasons and many more. Janeé was a genuine warm human being, with humour, love and compassion. A loving mother and cherished daughter and sister and the most amazing friend to a handful of people who must be missing her immensely since she left us all so suddenly and prematurely. Many of them were still too choked with grief to take part in this tribute. Her sister’s words summarised
her perfectly, “she was the most passionate, vivacious and magnetic person”. Janeé Parsons was 31 years of age when she passed away on December 1, 2012. Words cannot describe the sorrow and the hurt of her sudden loss, so here on this special tribute page, some of the friends and colleagues who admired her, pay tribute to her. We will not forget you Janeé , rest in peace and may God watch over you and your family as you return to the place where you emerged from…. Heaven. “I met Janeé as an industry colleague back in 2011. Janeé was a dynamic businesswoman who always had a hunger to help people. She came to my clinic and brought not only Obagi, but a huge aura of energy. God only knows why this wonderful person was taken away from us, but may her soul find peace in the heavenly abode” Ajay Shah, MD of London Harley Clinics “Janeé was beautiful inside and out, professional and very intelligent, she always had an extensive knowledge of the Obagi system. I was very fortunate to know her and I really wish I could turn the clock back” Wendy Demir, aesthetic practitioner “Janeé was a delightful, warm and a true professional, she will be deeply missed” Ash Labib, ENT surgeon and cosmetic specialist
“Janeé was loved by all who knew her...a beautiful heart, warm and sincere. Her tragic death is devastating and she will be dearly missed by her many friends and colleagues in the industry” Dr Raj Aquilla, director at Cheshire Cosmetic Ltd “She was such a bright, kind and sweet individual, one that left a real lasting impression every time you met with her” Jazz Dhariwal, MD of Breit Aesthetic Ltd “‘I connected and warmed to Janeé on much more than a professional level, not only through her passion and insatiable knowledge base, but as a doting mother juggling the trials and tribulations of a successful career” Marie Dolan, lead nurse practitioner, DestinationSkin “So gentle, such a sweet girl; Janeé was the loveliest person you could hope to meet. Always a smile on her face, her beautiful blue eyes simply radiated genuine kindness and warmth. Janeé had an infectious, boundless energy and positivity you rarely find. You touched my life tremendously Janeé and I will miss you so very much and will always remember you” Claire Oliver, MD of Air Aesthetics Clinic “I had the pleasure of meeting Janeé several times, both through work colleagues and mutual friends. She was a a caring, polite and wonderful lady. She will be truly missed. RIP Janee. All my love” Gemma Samantha Bloxham, regional sales manager at Wigmore Medical “Janee was a kind gentle soul with a positive outlook on life” David Edward Taylor, MD of North West Lasers “Janeé was a very warm, kind and generous person. She touched everyone she met and was a well liked and loved person. A lovely girl who will be terribly missed” Terina Denny, business development and account manager, Skin Geeks A memorial service for Janeé will take place in the UK to enable those who knew and loved her to pay their respects. At the time of going to print no details had been announced.
“Janeé was the most special person with the funniest sense of humour, drive and amazing business mind. Both personally and professionally a massive void is left. We are all so shocked and heartbroken” Samantha Philips, friend and Healthxchange colleague
“I think we are all touched and deeply saddened by her tragic passing. Janeé was such a warm and gentle person; a true professional and she will be greatly missed”
Sharon King, RN, NIP Cosmedic Skin Clinic
“Janeé was a consummate professional - she was always available to chat or come to see me when needed. Away from work she was always a pleasure to meet and talk to about life. Her knowledge of the industry was well founded in a practical and theoretical level and she will be sadly missed” Dalvi Humzah, plastic surgeon
Janeé Parsons October 2, 1981 December 1, 2012
www.cosmeticnewsuk.com 13
ON THE SCENE | OUT AND ABOUT IN THE INDUSTRY THIS MONTH
ON TH E S C E N E CHROMOGENEX WINS MEDIWALES AWARD
SKINCEUTICALS REDNESS NEUTRALIZER LAUNCH
Chromogenex has scooped an award, which recognises companies that seek opportunities and develop new markets, with outstanding performance in areas of international trade. This is the third consecutive year that the company has taken home a gong at the prestigious MediWales Awards. The MediWales Export Achievement Award was sponsored by the Welsh Government’s Life Sciences Sector team and acknowledges Chromogenex’s international success with its products including Fusion SLR facial rejuvenation, Regenliteskin correction, i-Lipo fat-burning and Phaser 808 hair removal. Commenting on the win Justin Richard, Chromogenex marketing manager for UK and International markets, said, “We’d like to extend our thanks to MediWales for their support, as well as a further thank you to Finance Wales and the staff at Chromogenex making this award possible.”
TAIMUR SHOAIB PIONEERS NEEDLE-FREE VAMPIRE FACE-LIFT
Scottish surgeon Taimur Shoaib has recently hit the headlines for pioneering the laser-based version of the vampire face-lift. The term has been used to described PRP therapy however this new needle-free procedure uses the powerful ALMA C02 in motion laser technology to create thousands of microscopic holes all over the face before the plasma is pushed into the skin using Harmony™ XLi Impact Ultrasound technology. Mr Shoaib said that less painful alternative to the traditional needle-based procedure works with the skin rather than against it; “It removes deep surface lines and wrinkles and enables the skin to produce collagen, its own youth serum. I wanted to get away from using artificial chemicals and by using a patient’s own fat Mr Shoaib creates thousands of perforations deep into the skin using or blood plasma there won’t be any adverse reactions the world’s Alma CO2 laser. and the results look and feel very natural.”
LAUNCH OF ‘MAPPING MY JOURNEY’
Sterex Electrolysis was a part of the recent launch of ‘Mapping My Journey’ by registered charity Gender Matters. The project will record, collate and celebrate the personal journeys and histories of members from the trans community and will culminate in a major exhibition at the Shout Festival exhibition February 2014. The launch at the MAC building in Birmingham brought together local public and third sector organisations and members of the trans community to raise awareness of GM’s work and celebrate their success. Elaine Stoddart, director of education for Sterex Electrolysis said, “The day was inspiring and thought provoking. Any electrologist, laser and IPL practitioner needs to answer the call to arms and help trans people on their journey so that they can be who they are and not fear their own reflection. Being trans is not a mental illness nor a life style choice and they need the skills that electrologists and other experts in the field of hair removal can offer. Sterex offers help and support in training those who wish to help but are apprehensive due to lack of knowledge or confidence”. 14 www.cosmeticnewsuk.com
The Ice Tank Studio in London was the location for the launch of SkinCeuticals’ latest product, Redness Neutralizer. Members of the press joined leading dermatologist Stefanie Williams and cosmetic surgeon Chris Inglefield to find out about the product which is proven to help prevent and correct the onset of skin redness and flushing from patients suffering from any specific redness inflammation. It works by helping to protect the skin against environmental triggers, which stimulate the sensory nerve endings, causing the onset of flushing, burning and discomfort for redness sufferers.
NICOLA MCLEAN IS LATEST LIPOGLAZE FAN Reality TV star Nicola McLean is the latest in a line of celebs to put their name to the Lipoglaze treatment. Lipoglaze removes stubborn areas like muffin tops and bingo wings by freezing fat cells in one 60-minute session. Nicola, 32, said, “We all need a bit of help shifting those stubborn areas of fat – even if, like me, you eat well and exercise regularly.” Other celebrities who have tried Lipoglaze include Lizzie Cundy, 42,who had treatment on her tummy and Simon Webbe, 34, and Antony Costa, 31, from the boy band Blue who both toned up their six pack.
≤ 25°C
Bocouture® 50 Abbreviated Prescribing Information Please refer to the Summary of Product Characteristics (SmPC). Presentation 50 LD50 units of Botulinum toxin type A (150 kD), free from complexing proteins as a powder for solution for injection. Indications Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar frown lines) in adults under 65 years of age when the severity of these lines has an important psychological impact for the patient. Dosage and administration Unit doses recommended for Bocouture are not interchangeable with those for other preparations of Botulinum toxin. Reconstitute with 0.9% sodium chloride. Intramuscular injection (50 units/1.25 ml). Standard dosing is 20 units; 0.1 ml (4 units): 2 injections in each corrugator muscle and 1x procerus muscle. May be increased to up to 30 units. Not recommended for use in patients over 65 years or under 18 years. Injections near the levator palpebrae superioris and into the cranial portion of the orbicularis oculi should be avoided. Contraindications Hypersensitivity to Botulinum neurotoxin type A or to any of the excipients. Generalised disorders of muscle activity (e.g. myasthenia gravis, Lambert-Eaton syndrome). Presence of infection or inflammation at the proposed injection site. Special warnings and precautions Should not be injected into a blood vessel. Not recommended for patients with a history of dysphagia and aspiration. Adrenaline and other medical aids for treating anaphylaxis should be available. Caution in patients receiving anticoagulant therapy or taking other substances in anticoagulant doses. Caution in patients suffering from amyotrophic lateral sclerosis or other diseases which result in peripheral neuromuscular dysfunction. Too frequent or too high dosing of Botulinum toxin type A may increase the risk of antibodies forming. Should not be used during pregnancy unless clearly necessary. Interactions Concomitant use with aminoglycosides or spectinomycin requires special care. Peripheral muscle relaxants should be used with caution. 4-aminoquinolines may reduce the effect. Undesirable effects Usually observed within the first week after treatment. Localised muscle weakness, blepharoptosis, localised pain, tenderness, itching, swelling and/or haematoma can occur in conjunction with the injection. Temporary vasovagal reactions associated with pre-injection anxiety, such as syncope, circulatory problems, nausea or tinnitus, may occur. Frequency defined as follows: very common (≥ 1/10); common (≥ 1/100, < 1/10); uncommon (≥ 1/1000, < 1/100); rare
(≥ 1/10,000, < 1/1000); very rare (< 1/10,000). Infections and infestations; Uncommon: bronchitis, nasopharyngitis, influenza infection. Psychiatric disorders; Uncommon: depression, insomnia. Nervous system disorders; Common: headache; Uncommon: facial paresis (brow ptosis), vasovagal syncope, paraesthesia, dizziness. Eye disorders; Uncommon: eyelid oedema, eyelid ptosis, blurred vision, eye disorder, blepharitis, eye pain. Ear and Labyrinth disorders; Uncommon: tinnitus. Gastrointestinal disorders; Uncommon: nausea, dry mouth. Skin and subcutaneous tissue disorders; Uncommon: pruritus, skin nodule, photosensitivity, dry skin. Musculoskeletal and connective tissue disorders; Common: muscle disorders (elevation of eyebrow), sensation of heaviness; Uncommon: muscle twitching, muscle cramps. General disorders and administration site conditions; Uncommon: injection site reactions (bruising, pruritis), tenderness, Influenza like illness, fatigue (tiredness). General; In rare cases, localised allergic reactions; such as swelling, oedema, erythema, pruritus or rash, have been reported after treating vertical lines between the eyebrows (glabellar frown lines) and other indications. Overdose May result in pronounced neuromuscular paralysis distant from the injection site. Symptoms are not immediately apparent post-injection. Bocouture ® may only be used by physicians with suitable qualifications and proven experience in the application of Botulinum toxin. Legal Category POM. List Price 50 U/vial £72.00. Product Licence Number PL 29978/0002. Marketing Authorisation Holder Merz Pharmaceuticals GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt/Main, Germany. Date of revision of text FEB 2012. Full prescribing information and further information is available from Merz Pharma UK Ltd., 260 Centennial Park, Elstree Hill South, Elstree, Hertfordshire WD6 3SR. Tel: +44 (0) 333 200 4143 Adverse events should be reported. Reporting forms and information can be found at yellowcard.mhra.gov.uk. Adverse events should also be reported to Merz Pharma UK Ltd at the address above or by email to medical.information@merz.com or on +44 (0) 333 200 4143.
1084/BOC/JUN/2012/JH
Date of preparation June 2012
Bocouture® is a registered trademark of Merz Pharma GmbH & Co, KGaA.
PEOPLE IN PROFILE
Spanish wise
In advance of his symposium at The Aesthetics Conference in London next month, we speak to Dr Fernando Galcerán Montal about his experience using mesotherapy
Dr Fernando Galcerán Montal is an expert in the field of mesotherapy. On Sunday February 17 he will be giving a presentation on ‘Medical Devices for Intradermal Injections and the Use of Mesotherapy Techniques for Rejuvenation’ at The Aesthetics Conference as part of the Cosmetic News Expo. We speak to him about his experience using this technique and get a taster of what he will be speaking about at the show. Cosmetic News: Tell us a bit about your background? Dr Fernando Galcerán Montal: I have a degree in Medicine and Surgery from the Autonomous University of Barcelona (1988). I did a Masters in Aesthetic Medicine delivered by the Spanish School of Aesthetic Medicine in 1990. I went into cosmetic medicine because I started working with plastic surgeons. Since then, I have worked as medical director in different aesthetic medicine clinics such as clinical virtalia, Oxycell, Revital and now I’m currently medical director of mesoestetic®. CN: When did you first start using mesotherapy? FGM: I started using the techniques of mesotherapy in 1990. It was the boom of this technique in Spain and all the doctors were very amazed by the results you could obtain using this new technique. CN: What are the main benefits of mesotherapy? FGM: Mesotherapy is an unaggressive outpatient treatment with good results. It can also be combined with many other treatments. CN: Why do you think the UK has been slow to start using this technique in comparison to the rest of Europe? FGM: Mesotherapy was born in France in the hands of Dr Pistor and the Anglo world (USA and UK) did not introduce it until there were established safe and effective protocols. At the
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same time, the weather that you have in the UK also affects aesthetic treatments. By this I mean that in a sunny country it is more common to find faces with more wrinkles. For this reason, I believe the beauty “behaviour” also started before in Europe. CN: What are the main indications for mesotherapy treatment? FGM: Mesotherapy is indicated to treat cutaneous ageing, hyperpigmentation and body concerns, such as cellulite. CN: How does mesotherapy work? FGM: Mesotherapy works by combining two actions. Firstly, a mechanical action is produced by the needle and, secondly, a physical action is produced by the substance introduced and injected into the dermis. There are many clinical studies published by other colleagues proving the effects that I have described. CN: Are there any contraindications? FGM: Contraindications of mesotherapy in aesthetic medicine are skin diseases in their active forms and the use of anti-coagulants. CN: What other treatments does mesotherapy work well in combination with? FGM: Mesotherapy can be combined with peels, fillers, radio-frequency, Botox®, face-lifts, and cosmeceutical products, etc. Of course, not all these other therapies can be done in the same session.
CN: What products do you use and why? FGM: I only use products with the CE mark because they are safer and it ensures more safety for my patients and also for me. CN: Which products has mesoestetic® registered to be applied intradermally? FGM: At the moment there are nine CE marked products manufactured by mesoestetic Pharma Group: mesohyal Hyaluronic, mesohyal NCTC 109, mesohyal Vitamin C, mesohyal Biotin, mesohyal DMAE, mesohyal Artichoke, mesohyal Melilot, mesohyal Carnitine and mesohyal Organic Silicon. CN: Why is it useful having different products with the CE mark? FGM: Having different CE marked products provides the possibility to combine them in order to create specific cocktails. This way, we can personalise the treatment. It is very important to personalise the treatment in accordance with the aesthetic concerns of the patient. This way, we can provide the most effective treatment, boosting the results and increasing the patient’s satisfaction. Using products with the CE mark is important for doctors because it guarantees safety and quality standards. But the CE mark is not only interesting for doctors; it is also interesting for the patients because it also means effectiveness and results. CN: You are speaking at the Cosmetic News Expo and Aesthetics Conference in February can you give us a taster of what your lecture will be about? FGM: My lecture is based on the following topics: a brief introduction of mesotherapy; the importance of the CE mark; mesotherapy techniques; a description of the different medical devices; indications and protocols for face and body treatments; different cocktails and combined therapies with other treatments, such as peels and skin lightening creams etc.
C R O S S - L I N K E D H YA L U R O N I C A C I D + L I D O C A I N E
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see us at
cosmetic news the uk’s largest trade aesthetics exhibition and conference
expo
exhibition and conference
a Galderma Division
1 6 th a n d 1 7 th february
stand 72
INJECTABLE PRODUCT OF THE YEAR
NEW YEAR’S RESOLUTIONS | SMOKING
No smoke without lines
As many people vow to give up smoking for the New Year, we look at the effect cigarettes have on the skin and the treatment options available
January is a time when everyone makes a fresh start for the New Year and giving up smoking is high up there on the New Year’s Resolution list for many people. Smoking is by far one of the biggest causes of premature ageing of the skin and, as such, addressing smoking related side effects is a big part of any busy aesthetic clinic’s repertoire. This combination makes January the perfect month to highlight the aesthetic effects of smoking and what you can do to help your clients whose faces are paying the price of their habit. SMOKING STATS According to a 2012 NHS report on smoking, 20% of adults are still reported to smoke. Moreover two thirds (67%) of current smokers reported wanting to give up smoking, with three quarters (75%) reporting having tried to give up smoking at some point in the past. Smoking is becoming more and more of an unsociable habit, particularly since the smoking ban in 2007. That coupled with the fact that the cost of cigarettes is now astronomical means that more and more people are trying to quit. Based on a 20-a-day habit, the average smoker will consume 7,300 cigarettes a year and giving up will free up roughly an extra £3,000 in extra cash. Back in 2009 SurgiCare reported a 70% increase in women booking themselves in for cosmetic injectables as a result of giving up smoking following the UK wide smoking ban in public places. It is no surprise then that giving up smoking
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is often a catalyst for people to seek aesthetic treatment and spending the cash they are saving from kicking the habit on making themselves look and feel better. Of course the effects of smoking are far wider reaching and damaging than aesthetics however for our industry it is the cosmetic effects on the skin that practitioners are regularly faced with in their clinical practice. The effects of smoking in terms of ageing are significant. The free radicals present in cigarette smoke damage the skin’s collagen and reduce its elasticity as well as dulling its appearance. The classic signs of a smoker are lines and wrinkles on the face, particularly present around the upper and lower lips and corners of the eyes. Smoking can take up to 10 years off a person’s life, while adding at least 10 years to their looks. Dr Johanna Ward, medical director of The Skin Clinic in Sevenoaks and Brentwood comments, “Cigarette smoking
and chronic sun exposure are the two most significant causative factors in premature ageing. The effects on the skin from smoking occur as a result of the chemicals and toxins in cigarettes that cause a prolonged state of oxygen and nutrient deprivation, robbing the skin of its vitality and elasticity. “Put it this way, when a person inhales cigarette smoke they inhale carbon monoxide. Blood absorbs this highly toxic gas 200 times faster than oxygen so the carbon monoxide effectively displaces oxygen and starves the skin of oxygen. Without oxygen cells cannot function properly and are severely impaired. Add to this the vasoconstrictive effect of nicotine and its no wonder that the skin of smokers becomes wrinkly and saggy much faster than nonsmokers. Aside from general poor skin health, one of the most common side effects of smoking seen in the aesthetic clinic environment is marionette lines or smokers lines. Dr Ward says, “The repetitive muscular actions of smoking such as pursing the lips, sucking in the cheeks or squinting to avoid smoke in the eyes can lead to premature ageing, with more wrinkles forming around the lips, mouth and eyes in smokers.”
TREATMENTS FOR SMOKERS Aesthetic practices have a wide armamentarium of treatments at their disposal for smokers and this is the perfect time of year to be marketing them to your clients – smokers and quitters alike. “Smoking results in some unfavourable aesthetic consequences”, says Dr Ward. “The skin of smokers often lacks vitality and luminosity and ages more quickly from hastened collagen and elastin loss. “There are many treatments available for smokers that will help restore skin health but the most powerful and effective thing that people can do for their skin is to give up smoking. In those who have recently quit then treatments should be aimed at replenishing vitamins, minerals and nutrients to help restore skin’s health and vitality.” From laser treatment to peels, skin needling and
The effects on the skin from smoking occur as a result of the chemicals and toxins in cigarettes that cause a prolonged state of oxygen and nutrient deprivation, robbing the skin of its vitality and elasticity injectables, nearly every treatment designed to address the cause of ageing can benefit a smoker. Here Dr Ward tells us about her favourite treatments for smoking clients…
INJECTABLES Injectables are the bread and butter of any aesthetic practice and injectable treatments can go a long way to addressing one of the biggest side effects of smoking – lines and wrinkles. Smokers often have crow’s feet around their eyes which can be treated with botulinum toxin while thinning lips and marionette lines, otherwise known as smokers lines, are two of the most common smoking side effects that fillers are used to treat. For those patients who have not yet bitten the bullet and given up it may also be worth reminding them that he effects of aesthetic treatments are much more short-lived if you smoke. If they are having HA filler, the fact they smoke will mean that their body degrades the hyaluronic acid more quickly. Mesotherapy and skin boosters are also becoming popular as they can improve the appearance and hydration of the skin as well as addressing fine lines and wrinkles. Dr Ward says, “Skin boosters such as Restylane vital are a great way of correcting fine lines and wrinkles and help restore the hydrobalance of the skin. They can be used in the upper lip where smokers commonly have fine lines from repeated pursing of the lips or can be used as an overall corrective and rehydrating treatment to problem areas such as the décolletage, lower face and hands.”
“Mesotherapy is another great tool for revitalizing the skin of smokers. It delivers a customized blend of collagen stimulating aminoacids, antioxidants, vitamins, minerals and hyaluronic acid to rejuvenate and rehydrate the skin. It promotes the production of collagen and packs the skin with vital nutrients that promote cellular health and revitalisation. We often combine skin boosting treatments such as Restylane vital and mesotherapy with medical microneedling for a really dramatic improvement in the skin’s tone and elasticity.”
SKINCARE An at-home skincare regime benefits and enhances any aesthetic treatment outcome and with smokers this is particularly relevant as smoking can deplete the skin of essential vitamins and anti-oxidants. “Smoking uses up the body’s supplies of Vitamin C”, explains Dr Ward. “Vitamin C is essential for skin health and collagen preservation. Vitamin C cannot be manufactured by the body so levels deplete quickly in smokers if they are not continuously replaced. “I would advise anyone that has recently quit to see a skin specialist who can devise a bespoke daily skincare regime that will help rehydrate and replenish the skin. Antioxidants, SPF’s and vitamin A’s will all help upregulate the skin and kick start the recovery process”. Prescribing a vitamin C product can help boost levels in the skin especially with the latest cutting edge skincare which has delivery systems and active ingredients that are potent enough to have an effect.
Dr Johanna Ward is a GP with a special interest in dermatology, minor surgery and cosmetic medicine. She is the Medical Director of The Skin Clinic Sevenoaks and its sister clinic The Skin Clinic Brentwood. Dr Ward is passionate about dermatology and raising dermatology standards in the aesthetics industry and was awarded a distinction in the Diploma in Clinical Dermatology from Queen Mary’s University London. She is also a Hamilton Fraser approved trainer in cosmetic injectables.
www.cosmeticnewsuk.com 19
CLINICAL
DEVICES/CRYOLIPOLYSIS
THE BIG FREEZE Mike Murphy asks if cryolipolysis is the future of body contouring?
C Mike Murphy is a physicist/ bioengineer who has been involved in medical laser research since 1986 and in the commercial sector since 1989. His original research group developed the scar-free removal of tattoos by Q-switched ruby laser in Canniesburn Hospital, Glasgow. He now runs training courses on IPL systems and aesthetic lasers and their applications. www.dermalase.co.uk
ryolipolysis is a relatively new, non-invasive procedure with the first published1,2 research data appearing in 2008 in America. Since those original studies the technology and results have improved rapidly resulting in a number of commercial systems now available.The first reports into this procedure revealed a “grossly obvious loss of several mm of subcutaneous fat” with “no clinical or histological evidence of injury to skin, and no scarring.” Cryolipolysis is a relatively straightforward process based on the principle that human cells are susceptible to cold temperatures. In particular, it appears that human adipose tissue is preferentially damaged by exposure to very low temperatures, compared with skin cells. A subsequent inflammatory response, known as ‘cold panniculitis’, along with a marked increase in macrophages appears to be the main mechanism behind the removal of non-viable adipocytes resulting in a significant improvement in the body contour (fig. 1). The first devices used for this process simply consisted of a flat, circular copper plate which was gently pressed against the skin. While this method produced some results they were not consistent, nor particularly good. An improved device allowed a section
Figure 1:
Precisely controlled When the fat cells cooling is applied are exposed to through the skin precise cold, they targeting the begin to crystalize, fat layer. deteriorate and die. 20 www.cosmeticnewsuk.com
For several months after treatment the fat cells continue to deteriorate, and are naturally eliminated from the body.
The removal of fat cells from the targeted area results in a natural looking reduction of the fat layer.
of skin to be sucked into a ‘cup’, using vacuum pressure, which allowed for two cold plates to be applied on either side of the skin/fat section (obviously, only those parts of the body where the skin laxity allows such a procedure such as the stomach, thighs and back). In addition, the pressure was sufficient to minimise cutaneous blood flow in that section of skin thereby reducing the heating effect of the blood during the procedure. Typical treatment temperature settings are typically in the range -4 to -7°C applied for up to 60 min in order to achieve thermal equilibrium in the treated tissue volume. After an initial mild discomfort felt by the patient the process is well tolerated by virtually everyone – indeed, patients have been known to read a magazine or make phone calls during the treatment! Over the period of the treatment session the skin and fat layers lose heat to the cold plates – hence their temperatures drop. Studies indicate that, after a suitable period of time, the tissue temperature between the plates can become nearly as cold as the plate temperature. However, this does not result in any significant damage to the dermis or epidermis in humans3. Observations suggest that the freezing point of cytoplasmic lipids in adipocytes is higher than that of water. Hence the freezing process will result in ‘lipid ice’ before the formation of water ice. Histological studies1 reveal the presence of lipid crystals within the adipocytes after the above procedure. To achieve this there must be sufficient heat extracted from the lipid such that the latent heat of freezing is induced resulting in crystallisation. This, therefore, requires a suitable low temperature being applied for a suitable time (the opposite of thermally raising cell temperatures to achieve protein denaturation, as in the removal of hair and blood vessels). Hence, a level of selectivity is achieved since
Figure 2:
BEFORE
AFTER
there is a significant difference in the freezing temperatures of lipids and water! Consequently this process is known as ‘selective cryolipolysis’ (similar to ‘selective photothermolysis’ for the opposite process). Ultrasonic investigations reveal a direct correlation between the level of the cooling intensity and the measured reduction in fat layer thickness. However, there may also be an additional effect due to reperfusion. It is known that fatty tissue is susceptible to injury by reperfusion4,5, which will occur at the end of this procedure when the cutaneous blood flow is re-established. It may be that the combination of lipid freezing and reperfusion damage is required to successfully destroy the affected adipocytes. This is still under investigation. Further cell damage appears to occur as a result of the inflammatory response posttreatment. This process may also damage those cells which were not adversely affected in the freezing process thereby increasing the total
As with most treatments there are some contraindications including pregnancy, circulation disorders, diabetes, skin infections, dermatitis, cold urticaria, systemic treatment with The thickness of the subcutaneous layer may be reduced by an average of 20% isotretinoin (e.g. after 2–3 months, and even more after 6 months. Further reduction may be Accutane, Roaccutane), achieved with additional treatments. cancer chemotherapy, radiation therapy, steroid treatment, recent a result the adipocytes shrink in size although use of NSAID (Non Steroid Anti Inflammatory they usually remain viable. As with cryolipolysis Drugs) medication (since both these drugs this technique delivers useful energy through will increase the risk of getting severe the overlying skin into the fatty layer. However, bruises), Raynaud’s disease or other peripheral unlike cryolipolysis or RF procedures this vascular diseases. (Note: this technique relies upon a mechanical breakdown list is not exhaustive). Typical fees have been of the adipocytes rather than a temperaturequotes at between £500 and up to £1500 per induced reaction. session depending on the area(s) treated. Low Power Diode lasers – using a large
volume of affected adipocytes. However, it was noted that the epidermis and the dermis did not suffer from any inflammation post-treatment and that the blood vessels remained undamaged. A study2 into the potential damaging effects of cryolipolysis on nerve tissue found minimal, transient problems in most patients with only mild numbness and erythema lasting for up to seven days post-treatment. However, these mainly affected the pain receptors for up to two weeks with no long term after-effects. The researchers also observed minimal effects in other tests including temperature sensitivity, light touch stimulation, two-point discrimination and a pin-prick stimulation. All of these effects were resolved within two months following the treatment. However, they also measured an average of 20% fat reduction in the treated areas at two months post-treatment and 25.5% reduction at six months, thereby verifying the original study results Most healthy people may present for this treatment but it is not recommended for obese patients - it is not a weight loss procedure. Rather, it is useful for fat contouring of those hard-to-lose parts of the body such as ‘lovehandles’, thighs, the back and buttocks. A patient may undergo a number of treatments in a single session on different body areas. Results can be expected to be visible within four to six weeks in most cases. Multiple treatments can be applied to patients after a suitable period, typically three
Patients may require up to three hours in a single session if more than one treatment site is tackled. Follow-up assessment sessions are required at three and six months post-treatment. In some cases further treatment sessions on the same area can be carried out three months after the previous treatment.
Cryolipolysis – Although this is a relatively new procedure there are a small number of backed by peer-reviewed clinical studies available1,2,3. These reports clearly indicate a demonstrable loss of fat in the treated areas using both visual inspection and histological evidence. Radio-Frequency – This process uses heat generated by low level currents to raise the temperature of tissues. However, there is no selectivity between the different cells hence all cells respond similarly to the heating. Various clinical studies report a range of results but they all recommend a dieting/exercise regime concurrent with the treatment. An advantage of RF is its ability to tighten the skin by targeting collagen. Ultrasound – This technique has been around for a few years and utilises high-intensity, ultrasonic sound waves in an attempt to ‘alter’ the adipocyte membrane resulting in a release of the triglycerides contained within. These are
Cryolipolysis body contouring is ideal for removing limited amounts of body fat particularly in the stomach area, flanks, thighs and back; however, this cannot be considered a weightloss treatment; multiple treatment may be required in some cases; the skin may be a little numb immediately after the treatment and the patient may lose some nerve sensation for a few days post-treatment; erythema is likely for a few hours post-treatment. The non-invasive body contouring procedures usually require little, if any recovery periods. In most cases the patients can return to normal, daily activities immediately after the treatment. My feeling is that cryolipolysis offers the best, non-invasive methods of body contouring, based on the available clinical evidence. The side-effects are minimal and not long-lasting while the benefits are obvious. Compared with other therapies cryolipolysis appears to be the ‘best’ option available, with only the invasive laser lipo procedure yielding better fat-loss results. If the photographic evidence is to be believed I can see this procedure becoming very popular in the UK
to six months.
then used as energy or excreted by the body. As
in the very near future.
References Ref 1 – ‘Selective Cryolysis: A Novel Method of Non-Invasive Fat Removal.’ Dieter Manstein, Hans Laubach, Kanna Watanabe, William Farinelli, David Zurakowski, Rox Anderson. Lasers in Surgery and Medicine, 40:595-604 (2008). Ref 2 – ‘Cryolipolysis for Noninvasive Fat Cell Destruction: Initial Results from a Pig Model.’ Zelickson B, Egbert BM, Preciado J, Allison J, Springer K, Manstein D. 2009 ASLMS Conference poster.
A comparison between non-invasive technologies
Ref 3 – ‘Clinical Efficacy of Noninvasive Cryolipolysis and Its Effects on Peripherial Nerves.’ Sydney Coleman, Kulveen Sachdeva, Barbara Egbert, Jessica Preciado, John Allison. Aesth Plast Surg (2009) 33:482 – 488. Ref 4 – ‘Pressure-induced skin lesions in pigs: reperfusion injury and the effects of vitamin E’, R. Houwing, M. Overgoor, M. Kon, G. Jansen, B.S. van Asbeck, J.R.E. Haalboom. Journal of Wound Care, Vol. 9, Iss. 1, 01 Jan 2000, pp 36 - 40 http://www.internurse.com/cgi-bin/go.pl/library/abstract.html?uid=25939
number (typically >30) of low level diode lasers outputting around 5 mW each this procedure claims to induce fat loss via a photochemical process. However, I cannot find any valid, peer-review clinical studies which support these claims in the literature6.
In summary
Ref 5 – ‘Ischemia-reperfusion injury of adipofascial tissue: an experimental study evaluating early histologic and biochemical alterations in rats.’ C oban YK, Kurutas EB, Ciralik H. Department of Plastic Surgery, Medical Faculty, Sutcuimam University, Kahramanmaras, Turkey. Mediators of Inflammation (2005), 2005(5):304-308 Ref 6 – http://www.lidlift.com/blog/zerona-laser-research-review/ Dr Steinsapir’s critical analysis of the Zerona Diode Laser Lipo System
www.cosmeticnewsuk.com 21
CLINICAL
EYEBROWS
BROWING DOWN Dr Patrick Treacy on the importance of eyebrows in facial aesthetics
Dr Patrick Treacy is medical director of Ailesbury Clinics Ltd and Ailesbury Hair Clinics Ltd. He is a renowned international guest speaker and features regularly on Irish breakfast television (TV3), RTE and as an expert panelist with the BBC World Service. He had a series on Discovery Health and the Discovery Channel (New York) filmed a programme about his work. He is an active member of many international medical societies and is a Fellow of The Royal Society of Medicine.
According to a newly published study in the Clinical Plastic Surgery Journal, the arched brow is becoming a thing of the past. It appears analysers at the University of Southern California examined the brows of models and women in fashion magazines from 1946 onward and found an interesting trend: not only have eyebrows gotten progressively fuller, but the peak of them has moved further from the nose; in other words, women are taking on a more masculine look. Few facial features are as powerful as the eyebrows. They can express wide-ranging and subtle emotions, even when the rest of the face is neutral. Elevated, they suggest surprise, lowered, they indicate fatigue, and puckered, they signal anger. This analysis provided objective evidence that the ideal youthful brow peak has migrated laterally over time to lie at the lateral canthus and has repercussions regarding endoscopic brow lift and aesthetic forehead surgery. Mark Soldin, a spokesperson for the British Association of Plastic, Reconstructive and Aesthetic Surgeons, agrees with the findings and explains it this way: “Upward curvature of the eyebrows was considered to be an attractive feminine feature in the past. We are finding that more and more women are looking for a flatter, straighter, more masculine look. I think it has to do with the increasing equality of the sexes. Women are subconsciously favouring a masculine brow.” However, famed doctor Arnold Klein feels the results are nonsense and said on LinkedIn that the medial aspect of the eyebrow should begin at a point defined by a straight line drawn from the lateral nose upward. The eyebrow should maximally arch at a point defined by a line drawn from the lateral nose through the pupil. The eyebrow should end at a point defined by a line drawn from the lateral nose through the lateral aspect of the eyeball. He recommends not to let Botox® change the face aesthetic. Closer analysis of the paper methodology shows that microfilm versions of fashion magazines printed between 1946 and 2011 were examined for full-frontal photographs of models or actresses taken in the Frankfort plane. This position was considered important because even a relatively minimal head turn or tilt will change the
22 www.cosmeticnewsuk.com
apparent eyebrow characteristics. Images were excluded if eyes were closed, squinting, or there was any visible forehead rhytids. Appropriate photographs were broken into seven blocks of time for analysis: 1946-1955, 19561965, 1966-1970 (the hippie era), 1971-1980, 1981-1990, 1991-2000, and 2001-2011. A line was drawn between the lateral canthus (LC) to set a true horizontal. This line usually crossed the inferior pupil. A digital caliper was then used to draw a line 90° perpendicular to this up to the eyebrow peak. The position of the brow peak in relation to the palpebral fissure was recorded as falling at one of four locations.The brow take-off angle between the true horizontal and this vector was measured using a digital caliper. Finally, the height of the brow above the LC was calculated in millimetres. The authors surmise that this is, in part, a response to the increasing parity between men and women in the workplace. With the eyebrow shape alone less able to convey femininity, the fullness or luminance of the female brow may become increasingly important. They predict that in the future, adding volume to the upper lid–brow complex with injectable fillers, autologous fat, or fat transposition will augment and possibly supplant many of the traditional open and endoscopic brow-lift procedures. Personally, I cannot say that I have seen any evidence of any change in the female brow. Women with long faces should have lower and straighter eyebrows to prevent adding to the impression of an already long face. For square faces, typically heralded by a broad, angular jawline, the brow peak should be very gradual and the lateral brow segment should point more inferiorly, which softens the otherwise angular face. With me the jury remains out....
Announcing the New Highgate Private Hospital for 2013. The Highgate Private Hospital has invested £13 million in an extensive redevelopment and expansion project, allowing one of the UK’s largest private hospital providers for Cosmetic Surgery to further it’s ability to provide aftercare and peace of mind to the thousands of Plastic Surgeons and Medical Aesthetic Professionals throughout the UK. As part of our investment we are delighted to announce the launch of the new Highgate Cosmetic Clinic which will include Cosmetic Surgery, Weight Management, Vascular Surgery, Non-Surgical Clinic and now VASER 2.0 which features improved technology that is excellent for fat transfer procedures as well as improved body sculpting efficiency. Established over 25 years, we are renowned as one of London’s leading cosmetic surgery centres but also offer everything you would expect from a private hospital including outpatient clinics and treatment in most medical specialties, diagnostic imaging, physiotherapy and more. We pride ourselves on our high standards of nursing care, friendly atmosphere and exceptional customer service.
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CLINICAL VIEW ON
SKINCARE T H AT C E L L S Stem cells and growth factors are two of the dermatology buzzwords of the moment but how does this exciting and often controversial technology fit into the world of skincare? We asked two experts for their views.
The cosmeceutical skincare industry is undoubtedly one of the fastest growing and rapidly expanding sectors of dermatology. Every month we are seeing new, cutting edge technologies and anti-ageing ingredients emerging. This is driving consumer demand. When it comes to skincare, consumer interest is quite often driven by whatever the latest buzzword happens to be and, right now, ‘anti-oxidants’ and ‘peptides’ have been taken over by ‘stem cells’ and ‘growth factors’ in the buzzword top 10. Whether the ingredients
from plants or humans, the power of stem cells and growth factors are now being harnessed in many professional serums, creams, and skincare products as well as in over-the counter (OTC) brands. Clinical data and anecdotal evidence shows that the use of specific stem cells and growth factors applied topically can repair damaged skin by stimulating the cells to build new collagen and elastin; target pigmentation; protect the skin against environmental aggressors, such as UV damage; and replenish and regenerate dying cells and DNA damage. All sounds very promising, but many powerful anti-oxidants and peptides already claim to do the same, so what is so special about stem cells and growth factors or is this just another gimmick to sell skin creams? Two experts from opposite sides of the pond give their views.
are sourced
PROFESSOR SYED HAQ, CONSULTANT PHYSICIAN AND FOUNDER OF THE LONDON PREVENTATIVE MEDICINE CENTRE “Stem cells are biological cells that are found in multicellular organisms. They have the unique ability to divide and differentiate into specialised cells and can undergo a process of self-renewal, at the same time as being able to maintain a population of undifferentiated stem cells. They can be broadly categorised into two groups: embryonic and adult. For the purposes of our discussions we will focus primarily on adult stem cells, as there is less controversy over them. Adult stem cells are lineagerestricted (multipotent) and generally referred to by their tissue of origin. Sources of adult stem cells include bone marrow, adipose tissue, blood and umbilical cord blood. In addition to the use of adult stem cell technology, the use of plant stem cells in current preparations of cosmeceuticals has become an increasing trend. Plant stem cells are innately undifferentiated cells located in the meristems of plants. Importantly, unlike adult stem cells, plant stem cells can differentiate into all cell types (totipotent) and never undergo the ageing process, in other words they are immortal. Advances in plant stem cell isolation as reported by Loake and coworkers in Edinburgh will I believe allow greater future expansion of this technology over and above the use of human stem cells. A more cost-effective and environmentally friendly platform for sustainable production of a variety of important plant natural products that could be used in medicines, perfumes, pigments, antimicrobials, insecticides and cosmeceuticals is now within our grasp. Safety concerns when using human stem cells from the transmission of bacterial or viral pathogens or more worryingly prion diseases has led to constant vigilance. The introduction of transformed human cell lines would likely reduce these
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safety issues, at the same time benefiting from the release of several of their soluble factors which have found to have rejuvenating properties. The use of stem cell derived secreted growth factors (vascular endothelial growth factor [VEGF], insulin-like growth factor-1 [IGF-1], basic fibroblastic growth factor [bFGF] and transforming growth factor-1b [TGF-1b] and anti-inflammatory chemokines (interleukins -4, -6 and -10) have more recently been established. Such secreted proteins can have rejuvenation and anti-inflammatory properties and, as such, have been used at optimal concentrations and combinations as constituent parts of several modern day cosmeceutical products. Several cosmeceuticals using plant and human stem cell technology have been used in the treatment of common skin complaints from skin laxity, reduced elasticity or dryness, wrinkle formation, photo-ageing, hyperpigmentation, acne, rosacea and burns. The use of this technology in the field of skincare is an extremely exciting one. The speed of change is breathtaking. As our understanding of the area increases, this will no doubt reflect upon more improved formulations being developed in the future that lead to greater efficacy and longer lasting results.”
WENDY LEWIS, PRESIDENT OF WENDY LEWIS & CO GLOBAL AESTHETICS CONSULTANCY While there are numerous skincare brands on the market touting the use of human stem cells, there seems to be a cloud of confusion surrounding how, or even if, they actually have an effect. One has to wonder about the disruptive effect that preservatives, fragrance, colourants, and stabilising ingredients used in topical products could potentially have on stem cells. The current terminology is also exceedingly vague. What stem cells are being used in these products? Is it even possible to incorporate living cells into an off the shelf skincare product? Some brands are using human stem cell extracts, which indicates that the formulations are based on epidermal growth factors found in human skin stem cells. Epidermal growth factors have been known to exhibit repair benefits to the skin in sufficient concentrations and under specific applications. Other brands are creating products with specialised peptides and enzymes or plant stem cells which, when applied topically to the skin’s surface, may help protect human skin stem cells from damage and degradation, or possibly stimulate the skin’s own stem cells. Plant stem cells in topical skincare are already revolutionising the cosmetics industry. These little horticultural marvels may turn out to enable over the counter solutions not only to protect and repair ageing skin cells, but also to replace damaged cells with healthy new skin cells. All plants contain stem cells that are located at their apical and root meristem. Meristems are composed of stem cells capable of generating an entire organism. Plant stem cells are found in the areas of plants where growth takes place. Plant stem cell extracts have been shown to have an agereversing effect on skin in vitro and in vivo. By combining plant-derived stem cells with other anti-ageing ingredients, such as peptides and enzymes, it may
The use of plant stem cells in current preparations of cosmeceuticals has become an increasing trend
be possible to rejuvenate skin cell DNA and turn back the clock. Plant stem cells may indeed represent the newest weapon in the fight against ageing skin, rather than the flavour of the month in anti-ageing. There are ingredients being developed that target a wide range of skincare applications, including acne, wrinkles, inflammation and pigmentation. This is clearly a promising area generating buzz and excitement for future discoveries, but it is also a new frontier for charlatans looking to cash in on consumers’ endless quest for hope in a jar. The research is underway, and it looks like plant stem cells are here to stay.”
Plant stem cells may indeed represent the newest weapon in the fight against ageing skin www.cosmeticnewsuk.com 25
PRODUCT
TRIED AND TESTED
ON A CELLULAZE LEVEL
Mr Hassan Shaaban, lead clinical trainer in the UK for Cellulzae tells us about his experience with the product
Cellulite is one of the four holy grails of cosmetic surgery, and a condition that, until now, has been impossible to treat long-term. More than 85% of women over the age of 20 are affected by the “orange peel” effect, which has gained all manner of ugly nicknames over the years. SO WHAT IS CELLULITE? Cellulite describes the uneven appearance of the skin on the thighs and buttocks. It consists of fat deposits, which get trapped between stiffened fibrous bands that connect the skin to underlying tissues. The bands squeeze the fat under the skin, resulting in a lumpy texture. Cynosure’s Cellulaze laser is the world’s first minimally invasive treatment to address the core structure of cellulite. It was introduced to the market after four years of intense research on a clinical study, which involved 120 patients in the USA. Cellulaze received the European approval in January 2011. Six months later we introduced this new technique into the UK at Liverpool Laser Clinic where I performed the first case on a patient with second degree cellulite. FDA approval was received in January 2012. Cellulaze directly attacks this fat tissue, cutting through the bands to release them and even out the skin’s surface. The device has been engineered to target and breakdown the very structure of cellulite, resulting in smoother, tighter, healthier looking
skin.I presented the result of my first 12 cases of Cellulaze at the recent meeting of the British Association of Aesthetic and Plastic Surgeons (BAAPS 2012). All patients were female aged between 23yrs and 56yrs. The cases were performed as walk-in, walk-out procedures under local anaesthesia.Six patients had the Cellulaze treatment combined with Laser Assisted Liposuction (LAL). Four patients had multiple stages treatment (each stage is the size of A4 paper sheet on each leg). All patients showed much improvement in the appearance of their cellulite with high patient satisfaction rate. All patients had mild bruising and swelling which settled within the first week.Two patients showed temporary numbness of the treated area but recovered within four weeks. A single patient had a single hypertrophic (lumpy) scar which responded well to laser treatment. TREATMENT PROTOCOLS Cellulaze delivers a targeted laser beam under the skin through 2-3 incisions. It treats all components of cellulite at the same setting. The patented side-firing laser dissolves fat bulges, divides fibrous band to release skin dimples and also tightens the skin through stimulation of collagen formation. Cellulaze gives a long lasting result after a single treatment, with follow ups of early cases in the US demonstrating no recurrence of cellulite three years posttreatment. Creams and lotions have minimal effect on cellulite. A very few may stimulate the skin to
produce collagen but they have no effect on fat bulges or skin dimples. Also, they have to be used daily and for an extended period of time to get any result. External cellulite therapy like ultrasound, radiofrequency, external laser and Endermologie has limited success as most of these techniques stimulate the skin to produce collagen, some can dissolve some fat but none has any effect on the fibrous bands (skin dimples). They also need to be applied frequently (may be weekly) to maintain any effect. Cellulaze is different from any currently available cellulite treatment. To date, Cellulaze has proven to be an effective safe technique to treat the dreaded orange-peel appearance of cellulite. It requires a single minimally invasive treatment but shows immediate result, which continue to improve over time, up to twelve months later. However, a consultation with an expert is paramount to assess the degree of cellulite and suitability for the treatment. All of patients to-date have benefited from Cellulaze, however, the degree of improvement depends on the severity of cellulite at the time of having treatment. Cellulaze represents a very good chance to have a minimally invasive and predictable therapy for the treatment of cellulite. Though treatment outcomes may vary slightly from case to case, overall it can improve the clinical picture of cellulite on a grade scale measurement.
Mr Hassan Shaaban is a consultant plastic surgeon practising at Mersey Regional Burns and Plastic Centre. He is a member of British Association of Plastic and Reconstructive Surgeons (BAPRAS) and a fellow of the Royal College of Surgeons. He was awarded the colleges coveted “Hallett Prize” for his performance in the fellowship exam and has published over 20 international peer reviewed papers. His interest lies in the field of facial, breast and body contouring cosmetic surgery. He has a specialist interest in cosmetic laser therapy and also non-surgical cosmetic procedures such as wrinkle reduction injections, tissue fillers and chemical peels.
26 www.cosmeticnewsuk.com
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PRODUCT
TREATMENT SPOTLIGHT
A STRONG PAIRING We find out about the new SkinCeuticals Delicate Skin Repair and Strengthening Treatment Developed by Debbie Thomas
C
osmeceutical pioneers SkinCeuticals and leading skincare expert Debbie Thomas have teamed up to launch a new treatment designed to help rejuvenate and strengthen skin, whilst targeting redness and areas of sensitivity. Incorporating red light and ultrasound therapy, the new SkinCeuticals Delicate Skin Repair and Strengthening Treatment begins with a double-cleanse using the Gentle Cleanser, followed by the SM Gel Peel (Salicylic and Mandelic acid). The hydroxy acids in the peel penetrate the epidermis sloughing off the outer layers of dead skin, making way for new skin to grow. Salicylic acid is known to clear pores, increasing the rate of cell turnover, which in turn makes it the ideal treatment for imperfections and redness. Once removed and after a light facial massage is incorporated, Phyto Corrective is applied because it contains anti-inflammatory cucumber and anti-bacterial thyme to soothe and calm the skin. Before the red light therapy begins, anti-oxidants Phloretin CF Gel and AOX+ Eye Gel are applied to help dispel any free radicals which might form during the red light therapy process. The second half of the facial treatment incorporates light microdermabrasion on
I wanted to develop a treatment which would really help strengthen the skin congested areas or if not needed, a gentle scrub. This is followed by another round of red light therapy, as published medical trials have noted improved results when the red light is introduced twice, with a short break in between each session. The Vitamin C Masque is then applied and left to dry, whilst Debbie performs a neck and shoulder massage. Once the masque has dried Debbie uses her NovaSonic sound wave machine over the skin which helps revive cell tissue, excrete skin wastes, and facilitate skin metabolism. The application of ultrasound is commonly used to plump up tired, aged skin and smooth away the appearance of fine lines and wrinkles. Ultrasonic treatment can also help shrink enlarged pores, relieve puffy eyes, fade dark eye circles, freckles and old age spots, improve the appearance of acne and even repair past scar damage. The process is so gentle it is even tolerated by the most sensitive skin types, such as those with rosacea. The masque is then removed followed by cold therapy, which is either the application of a cold compress or the use of a small device with a cooling tip. The final stage of the treatment is the application of anti-oxidants and a broad-spectrum sunscreen to shield the skin from outside aggressors. Phloretin CF Gel, AOX+ Eye Gel and Sheer Mineral Defense SPF50 are the ideal SkinCeuticals products to follow this treatment, leaving skin feeling nourished, hydrated and protected. Debbie says, “Due to a rise in reactive/sensitive skin types I wanted to develop a treatment
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PRODUCT SPOTLIGHT PHLORETIN CF GEL (£150, 30ML) Phloretin CF Gel is a light, fresh gel that immediately penetrates the skin, combating signs of ageing. It diminishes hyperpigmentation, accelerates cell renewal and retexturises the skin, protecting it against free radicals. Potent Action: Formulated with an optimised acid combination of 2% Phloretin, 10% L-Ascorbic acid and 0.5% Ferulic acid, to protect skin from the range of reactive molecules created by environmental insults and help regulate pigment production. This trusted antioxidant trio also accelerates cell turnover and stimulates collagen synthesis to boost skin’s structure for a firmer, brighter complexion. AOX+ EYE GEL (£70, 30ML) AOX+ Eye Gel is a triple antioxidant treatment which combats photo ageing and signs of fatigue. Potent Action: A synergistic antioxidant combination of 1% Phloretin, 5% L-Ascorbic acid and 0.5% Ferulic acid to combat damaging ROS to prevent signs of accelerated ageing and improve skin texture. Ruscus Aculeatus and caffeine support under-eye circulation, improve drainage and the congestion of fluids and reduce the appearance of puffiness and the look of under-eye bags. SHEER MINERAL DEFENSE SPF 50 (£31, 50ML) Sheer Mineral Defense is a weightless, mattifying, protective fluid with a transparent finish. Containing 100% mineral filters, it is paraben and chemical-filter free, providing broad-spectrum coverage for all skin types, even the very sensitive. It protects uniformly across UVB and short and long UVA rays. which would really help strengthen the skin. I have worked with SkinCeuticals products for many years and already incorporate the peel and serums in to my DNA facial with great success. With the introduction of the new Phloretin CF gel and the Sheer Mineral Defence, I was able to really target sensitive skin types, significantly reducing redness and visibly calming the skin. And due to the calming nature of the treatment, any skin type that needs a little TLC will benefit.” The treatment will be available nationwide from November 2012.
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PRODUCT Q&A
A N AWA R D WI NNI NG C OM B I NAT I ON We speak to plastic surgeon Chris Inglefield about the Harmony® XLi Pixel Q-Switched handpiece
The demand for low-downtime, non-invasive treatments is continuing to grow and, as the market develops to meet this need, so new technologies emerge. ABC Lasers has always been ahead of the game when it comes to meeting industry demand, a fact that was further strengthened by the company winning the accolade of Equipment Brand of the Year for the second year in a row at the Aesthetic Awards recently.
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n 2012 Alma Lasers, for which ABC is the UK distributor, introduced the latest addition to its market-leading Harmony® Xli Laser platform – the Pixel Q-Switched handpiece – a silver award winner for Best Product Innovation at the awards. Described as ‘The Laser Face-Lift’ in the press, the handpiece adds yet another modality to the multi-application laser, which now has more than 20 different treatment modules for numerous combination therapy protocols and 11 distinct technologies with over 70+ FDA cleared medical and clinical treatment indications. Here we speak to leading cosmetic surgeon Mr Chris Inglefield, who also came out on top at the awards winning Best New Clinic and Lifetime Achievement.
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Cosmetic News: What is the Harmony® XLi Pixel Q-Switched laser? Chris Inglefield: Pixel Q is a pulsed laser from Alma Lasers, which creates microscopic perforations in the skin (only 15-20% of the surface is affected) leaving surrounding tissues intact for rapid healing and repair with improvement in skin tone and texture. The Pixel Q is also gentle enough to treat the décolleté, neck and hands. CN: What interested you in the new Harmony® XLi Pixel Q-Switched technology? CI: The main advantage is the comfort and minimal to no downtime offered by the Pixel Q while achieving very good results in treating all of the signs of ageing – skin laxity, texture and pigmentation. CN: The treatment has been hailed by the media as the “Laser Face-Lift” do you think this is the first real alternative to face-lift surgery? CI: Too many treatments are labelled ‘face-lift’ procedures – it is better to look at these as defence against a face-lift! With more younger patients having effective skin treatments to maintain collagen and reduce the loss of skin tone seen with ageing, we will see many fewer patients in their late 40s or 50s needing a face-lift. So I
“I advise my patients that the Pixel Q is their best defence against a face-lift!” advise my patients that the Pixel Q is their best defence against a face-lift! CN: How do you integrate the technology into your clinic? CI: We use the Pixel Q either on its own for patients with early signs of ageing or sun damage, or in combination with the LASER 360i in which we combine the benefits of 3 LASERs for complete facial rejuvenation. Our Skin Health program with SkinCeuticals is also an integral part of achieving the optimum results with the Pixel Q. CN: In your experience which patients respond best to this type of treatment and typically what results are you seeing? CI: Patients who respond best to this treatment are those with mild to moderate facial ageing, generally in their 30s and 40s. However, many patients now in their 50s and even 60s can achieve significant improvement with a course of Pixel Q especially in combination with radiofrequency and our SkinCeuticals Skin Health program. So I would recommend this to most of our patients in a bespoke program tailored to their needs and goals.
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Best Newcomer (Pr od uct or tr eatmeN t )
Date of Preparation: February 2012 RES/004/0212
NEW RESTYLANE FOR LIPS. IRRESISTIBLE SOFTNESS.
PRODUCT TREATMENT SPOTLIGHT
Q RIGHT ON
The Q-Plus C is a unique laser platform offering what are considered to be the three most effective wavelengths for multi-coloured tattoo removal. This powerful combination of Q-Switched Nd:YAG at 1064/532nm and Ruby Laser at 694nm is a world first. The three output wavelengths allow all treatable tattoo colours to be effectively removed, as well as pigmented lesions. The Q-Switched output at 1064nm is ideal for tattoos with blue and black pigments, as well as benign dermal pigmentation. The Q-Switched output at 532nm is effective for the treatment of red and orange tattoo pigments as well as benign superficial pigmentation (e.g. Café au lait macules and age spots) and the 694nm Ruby laser is best in class for green inks. The Q-Plus C is an ACTIVE Q-Switched system, meaning it produces a single laser pulse only a few nanoseconds long that delivers very high peak powers (hundreds of megawatts) to the target chromophore, resulting in an efficient photoacoustic effect and very little thermal interaction with the skin tissue. As a result, the unwanted pigments in the skin are fragmented into small particles that are then expelled through the body’s normal phagocytosis process. Other less effective methods include Passive Q-Switch systems that deliver laser typically through a ‘gun’ shaped handpiece rather than a mirrored articulated arm. These systems deliver the energy as a series of smaller, low energy pulses. Good results can still be achieved with this method to reduce/fade tattoo’s but it will be difficult to achieve complete tattoo removal. The Q-Plus C also utilises three ‘true’ wavelengths rather than wavelengths that are passed through dye 34 www.cosmeticnewsuk.com
cells for conversion. The extra conversion process can reduce the peak powers achieved, and therefore the effectiveness, and can also reduce overall reliability of the system. An exclusive characteristic of the Q-Plus Series is its utilisation of Optibeam® technology hand pieces. The square spot profile allows more consistent and effective treatments due to the homogeneous energy distribution over the treated area. This results in less skin trauma and decreased incidence of side effects. Easier and more precise coverage of the entire treatment area is possible, which, because it avoids unwanted overlapping; can result in up to 20% reduction in the number of treatments required for clearance. The Q-Plus C is part of the Q-Plus Series of lasers which also includes the option of a powerful 1.7 J Q-Switched Nd:YAG and the option to combine the Q-Switched laser technology with long pulsed Nd:YAG or Alexandrite lasers increasing the potential return on investment for a clinic. Q-Switched Lasers are considered by dermatologists to be the most effective, safe and reliable way to remove unwanted multi-coloured tattoos with consistent predictable results.
How does the treatment feel? Most patients describe the sensation as similar to a hot pinprick or the flick of an elastic band. Whilst mildly uncomfortable, most people tolerate treatment well. A skin-cooling device may be utilised to reduce any discomfort. How does the skin look after treatment? An instant whitening of the skin is seen after treatment, but this generally fades quickly. The area is likely to feel tender for a few hours and can be red and swollen for up to 48 hours. Some tattoos will form a graze, which must be left to heal naturally. Initially the tattoo is unlikely to look any different but will fade over the next 4 to 8 weeks as the body disperses the ink. Are there any side effects? Very rarely the skin may become lighter or darker, or a small blister may form. Change to skin texture and scarring are possible, though uncommon, and are more likely if any grazes are not allowed to heal naturally. There may be loss of the natural tanning ability in the area treated, which usually improves with time. However many clients will accept such possible outcomes as they are preferable to the unwanted tattoo.
How many treatments are necessary? This depends on several factors, including the density and colour of inks and the age of the tattoo. Amateur tattoos can be quick to remove, taking 1 to 6 treatments, whereas professional tattoos vary considerably and some can take up to 12 treatments. Treatment sessions are spaced 6 to 10 weeks apart.
Q PLUS - THE ULTIMATE TATTOO REMOVAL PLATFORM ex po
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British manufacturer for over 18 years Approved supplier to the NHS supply chain Training courses approved by Manchester University & BMLA
Including both Nd:YAG & Ruby Q-Switched La sers
• • • • • •
World’s first fully specified Ruby/YAG combina tion Nd:YAG 1064nm & 532nm, Ruby 694nm High pea k power & fa st repetition ra te Multi-coloured ta ttoo remova l - including green Epiderma l & derma l pigmented lesions Optibea m technology, squa re spot profile
Before
Before
A er
A er 7 treatments
stand 76
PRODUCT FOCUS THERMAVEIN™
ON THE RIGHT VEIN
We find out about a new machine which harnesses the gold standard Veinwave™ technology for the treatment of thread veins – ThermaVein™
Thread veins are largely considered to be a cosmetic problem and as such many medical aesthetics clinics have branched into treating them as part of their clinic’s offering. There are many different and effective methods of treating thread veins but one of the latest and most exciting treatment modalities for this indication to be introduced to the aesthetics market recently is ThermaVein™. After almost 15 years of use within the international medical markets ThermaVein™ is being made available to the aesthetic, spa and beauty industries for the treatment of thread veins. The product launch comes after a new company, backed by Landmark Investments Group, secured the exclusive use of Veinwave™ technology. Mark Hawthorn, managing director of ThermaVein™, had no intention of getting involved in the aesthetic industry - his other interests all centre around property, finance and investment. It was a chance discussion with consultant surgeon, Dr Brian Newman, that led to the development of a new treatment option set to change the way this common condition is treated. Hawthorn said, “Initially it was just a bit of a chat about how the product could work in the non-surgical market. Although I have a reasonable amount of business experience, the direction we have taken wasn’t something we were looking into at the time. However, we are a business and need to follow wherever the opportunity lies. We commissioned an in-depth research report into the market and competing technologies, we very quickly realised that this product was superior in every single way. ThermaVein™ is not laser, IPL, electrolysis or diathermy - it really is in a class of it’s own” Things moved very quickly from that point in late 2011 and in just under 12 months ThermaVein™
has gone from strength to strength. Until then the technology had only previously been used in the medical field where it was internationally recognised as the gold standard for treatment. John Fisher, who has worked with the technology for over 15 years, commented, “I have been involved with this technology with Dr Newman since the very first clinical trials. In that time I am aware of well over 100,000 treatments successfully carried out Worldwide by medical practitioners. Of course there are other technologies within the market offering this treatment for the removal of thread veins, medically known as telangiectasia. I have well over a decade of experience treating this condition and in that time I have seen a host of unneccessary injuries suffered by patients who have chosen alternative treatment options. I am supremely confident that ThermaVein™ offers a safe, instant and effective treatment to this condition that other options simply cannot match” The treatment is very impressive to observe and we witnessed veins instantly disappear upon contact from the treatment pen. The technology is very different to others in that it simply seals the vein walls preventing blood from re-entering and
BEFORE AND AFTER TREATMENT WITH THERMAVEIN™
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therefore permanently removing the vein. The results really are instant and most patients are completely treated in one session lasting around 15 minutes. Fisher added, “We don’t expect people to simply take our word for it or believe the TV coverage on which we have featured. I am so confident in the product and its ability that our demonstrations all involve a live patient treatment which leaves clients in no doubt about our claims. I am not aware of any other technology that even comes close to what we have developed” The treatment also offers a high return on investment. The company recommends charging around £200-£400 per treatment, depending on the area and time required. An average treatment takes around 15 minutes, which will generate you very high returns per hour. The company’s website www.thermavein.com has a Potential Earnings Matrix on its homepage where you can calculate your estimated monthly, weekly and annual profits based on the number of treatments performed per week as well as costs per treatment. Using this calcuator shows that doing just two treatments per week could generate an annual income of £18,200. ThermaVein™ recently entered into an agreement for the supply of machines in the USA, an incredibly tough market to crack for a new product. We understand the value of this deal to be well in excess of $20m. ThermaVein™ is destined to become the treatment of choice both sides of the Atlantic. Hawthorn added, “We are very fortunate to have such a strong product coupled with our group infrastructure for support and development. We have an exclusive worldwide agreement for distribution and have been approached by a number of other territories which we are in talks with”.
Now you can safely and instantly remove unsightly facial veins with our clinically proven treatment
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Tel: 0845 62 62 400 or email info@thermavein.com Treatment featured on
PRODUCT NEWS 3D-SKINTECH
CRYSTAL CLEAR
3D-Skintech set to launch this month
Crystal Clear Lift Away the Years The latest innovation from Crystal Clear is Lift Away the Years. Using new sonic technology Crystal Clear Lift Away the Years is clinically proven to increase skin firmness by 45% and reduce wrinkles by 27% after just eight weeks treatment. The hand-held ‘magic wand’ was developed by Sharon Hilditch, MBE, to give an instant firming and lifting effect to the whole face including the eyes, brows, jawline and cheeks, plumping lines and wrinkles in less than two minutes. The battery-powered device combines vibration and skincare in a two-part system that maximises wrinklefighting, moisturising and firming performance. Used daily on the face and neck, it stimulates facial muscles to tone and tighten and enhances the absorption of anti-ageing ingredients. Lift Away the Years releases an intensive anti-ageing serum through the oscillating applicator head. Combined, the unique delivery system and powerful anti-ageing serum become a force for immediate lifting, firming and hydrating whilst plumping fine lines and wrinkles and improving skin texture. Vibration also causes the muscles to contract, stimulating blood flow and increasing oxygenation of
The makers of 3D-Lipo will be launching a new cutting edge facial treatment this month. 3D-skintech offers a new dimension in non-surgical facial rejuvenation by combining four key technologies in one. These include tri-polar radio-frequency for skin tightening; wet and dry rotational diamond peel microdermabrasion; non-invasive mesotherapy for nonneedle delivery of active ingredients and full canopy LED to ensure both rapid treatment time and excellent results are achieved.
SINCLAIR IS
The company is also launching a medical peel and skincare line, which can be used in conjunction
Sculptra®, New-Fill® and Succeev® now available through Sinclair IS Pharma
BIOACTIVEBEAUTY
BioActiveBeauty Launch Pumpkin Peel
the skin to restore the shape and contour of the face.
Sculptra, New-Fill® and Succeev® are now available through Sinclair IS Pharma after the company entered into distribution agreement with Valeant Pharmaceuticals International Inc. Sinclair IS will be responsible for sales, marketing and distribution of the products in Western Europe. The company is already established in the European aesthetics market with Kelo-cote®. The company will now take its ambitions in aesthetics a step forward by leveraging its sales and marketing infrastructure, including providing promotional support exhibition and conference for the products. Sculptra® is expected to become Sinclair IS’s third 16 and 17 february largest brand after Kelo-cote® and Flammazine® in terms of sales. BRONZESPONSOR The company are Bronze Sponsors of the 2013 Cosmetic News Expo and Aesthetics Conference.
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MURAD RESURGENCE®
Two new products added to Murad Resurgence® range
BioActiveBeauty has introduced the latest product in the HydroPeptide® range – Pumpkin Peel. The peel simultaneously clarifies, exfoliates and draws out impurities while nourishing skin with peptides, vitamins, enzymes and anti-oxidants. The naturally occurring salicylic acid and enzymes in pumpkin remove dead surface cells, leaving skin looking and feeling smoother and clearer and glowing after one treatment. The product is suitable for break outs, acne, scarring, photodamage, dull and fatigued complexion.
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Two new products have been added to the Murad Resurgence® range. Rejuvenating Lift for Neck and Décolleté rapidly firms, smoothes and rejuvenates fragile skin to reduce the signs of ageing. Clinically proven to increase skin firmness 42% after just one application, Rejuvenating Lift also helps to improve elasticity and retexture skin to diminish thinness and sagging while helping to reduce the appearance of age spots, resulting in a more youthful look and feel. Age-Diffusing Firming Mask is a rich, at-home skin firming booster that targets dull, dry, lackluster skin by delivering essential moisture. This formula enhances skin elasticity and promotes instant firming to diminish the appearance of fine lines and wrinkles while helping to improve overall skin health. The Resurgence line is the first comprehensive line of products to address the signs of hormonal ageing.
LUTRONIC®
Lutronic® Announces FDA Clearance for Healite II™ Lutronic® has received FDA Clearance for the Healite II™, an advanced 830nm LED Phototherapy System. The system has been given 510k clearance and is now available for sale in the US, following its successful global launch in Europe, the Middle East, Asia and South America. Ann Marie Collier, Global products and marketing officer said, “The 830nm LED phototherapy system will do well in the US market, appealing to physicians looking to expand their clinic’s services, with a wider range of applications including aesthetic, surgical, and even in geriatrics.” RG Calderhead, vice president of the Medical and Scientific Affairs Division of Lutronic said, “LED phototherapy has been known in the market for many decades by virtue of its various therapeutic benefits. However we wanted our product to stand out from the low‐powered and low‐quality LED products prevailing in the current market. Healite II™ offers technological advances to ensure maximum energy delivery to the tissue and ease of use features that physicians will appreciate.” In the US, the 830nm Healite II™ is cleared for use in temporary relief of minor muscle and joint pain, arthritis and muscle spasm; relieving stiffness; promoting the relaxation of muscle tissue and temporarily increasing local blood circulation where applied. Each of these applications can be expanded into a variety of useful treatments. Professor Won‐Serk Kim, associate professor and chairman, Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, South Korea, revealed, “Healite II™ is a useful adjunct to almost any aesthetic treatment. It is so important now that I couldn’t imagine practicing aesthetic medicine without it. It brings benefits to everything from injectables to laser and light‐based treatments.” In Europe, Healite II™ received CE clearance for wound healing, skin rejuvenation and pain relief. Dr Franco Lauro, Plastic Surgeon, Casa Di Cura Villa Torri,Italy, stated “Healite II™ can reduce patient downtime consistently by 30% to 40%. It is unique and has virtually no competition. I can use it anywhere but I see the best response on the face and neck.”
LASER PHYSICS UK
Laser physics launches new products Laser Physics UK has launched a new range of clinic products for their medical cosmetic clients. In addition to providing patient and practitioner protection, the new range will expand their range of clinic consumables. As requested by its customers, the new range includes; aloe vera gel, couch rolls, wooden spatulas, disposable razors, gauze, prep swabs, disposable g-strings and disposable gloves. Technical director, Peter Bennett commented, “This wider range of consumables complements our existing Laser and IPL products and enables Laser Physics to provide our customers with the easy one stop shopping they want, shipping next day, from stock. The feedback we have received has been excellent, we’re always looking for ways in which we can help and we are looking forward to working closer with our customers.”
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BUSINESS SPECIAL
PRIVATE PRACTICE
A GOOD IDEA IN P R A C TI C E Chartered Accountants Lawrence Grant ask whether being a private practice is limiting your business potential?
Up to 80% of medical professionals are freelance. The majority of medical professionals would like to have their own practice at some point in their career. For many, it is the pinnacle of achievement. It is of little surprise then, that more and more practising medical experts are considering this as an option. One of the main considerations that new private practice owners have to consider is whether to be a private practice, a partnership, or become a limited company. Many new private practice owners are not recognising the importance of this decision and how much of an impact it can have on the success and profitability of their new practice. We have put together a brief overview of each company structure option, which you can find below. THE PRIVATE PRACTICE There are many advantages of being a private practice. They are relatively easy to set up with minimal red tape. Everything you make after tax belongs to you, as your profits are taxed as income by HMRC. Expenses such as business travel and some of your premises costs, even if you are working from home, are tax deductible. However, being a private practice means you are self-employed, which means your tax returns will have to be self-assessed. There are other consequences to consider. UK law ordinarily assumes the private practice business and the private practice owner as the same; the owner alone is liable for any financial commitments made in the name of the practice. If the financial situation of the practice becomes unstable, your assets could be at risk.
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PARTNERSHIP Partnerships are an extremely common expansion of the sole trader/private practice structure. This model is considered, when for example, two business colleagues or a husband and wife, decide to work together to grow their practice. The financial benefits of a partnership are very similar to those of a private practice with regards to what monies are received after tax. There is also the added benefit of a shared responsibility in the management of the business. As with the private practice structure, each partner has to be registered as self-employed and must complete a separate tax return. The same liabilities apply with regard to the owner’s assets and finance holdings. If the structure of a partnership is chosen, a financially stable arrangement must be made between both partners with regard to income sharing and joint ownership of premises. LIMITED COMPANY The UK tax system favours a registered company higher than other business structure models. There are more tax breaks for limited companies, such as the UK small profits corporation tax rate, which is significantly lower than the normal business tax rates. This can be applied for when earning up to £300,000. Unlike private practices and partnerships, the financial assets of the business owners can
be protected. It is the limited company that shoulders the financial risk should the business become unstable. You can feel safe in the knowledge that your home, your family and your assets are all protected. ACCOUNTING CONSIDERATIONS Along with choosing the right business structure, there are many more tax obligations that have to be considered. If income is received from different sources, such as hospital PAYE work, private patients, advisory panels, different tax and financial rules apply. Also, if a medical professional (who owns a private practice and is technically self-employed) is also participating in the NHS Pension Scheme; appropriate tax planning needs to be undertaken to ensure that the pension rules are not breached. The VAT registration for each business structure can be very different, for example, dispensing practices have a very complicated registration, which if completed incorrectly, could have a huge impact on the liability and legality of the practice. At Lawrence Grant we have built up years of service to the medical profession and have accumulated a wealth of experience in dealing with the complex tax and compliance issues faced by medical professionals helping our clients to minimise their tax bill, and make the most of their income. We also understand that each practice has its own unique requirements; if you would like more information, please do get in touch, or you can request a copy of our medical expenses checklist which outlines many of the tax deductible expenses you can claim.
HR
BUSINESS SPECIAL
THE HU MAN RE SO UR CES C ONDIT ION Ian Murdoch from ISR Consulting on the hidden costs of HR
“Our people are our most valuable asset”. You’ve probably heard that a dozen times or more – you may even have said it a few times yourself. Why? Well because you have to of course. The stereotypical image of the employee/employer relationship generally sees each trying to get the most they can out of the other for the minimum cost. Phrased like that, it makes good sense. It is merely economic efficiency. Replace the word ‘cost’ with ‘effort’ however, and you have a very different picture that is unfortunately much nearer the truth in most organisations. It is this realisation that sees phrases like the opening line bandied about as employers embark on a crusade to convince doubting and cynical employees that they really do care as much about their work force as they do about their profit margins. In the majority of cases however, the actions that follow, whether they are redefined KPIs, PDPs or the introduction of SMART objectives to the appraisal scheme, are seen as little but an encumbrance by those upon whom they are thrust, and an additional workload to HR (and therefore cost) by the board. So if the employees just want to be left to get on with the job, and the board want to keep the costs at a minimum, why do we bother with it all? There is some empirical evidence that ‘happy workers work harder’. There is more however to suggest that actually it doesn’t make any difference; that human nature will dictate that they will find something to be unhappy
about, no matter how hard you try. In which case, can’t we just all be grown-ups about it and get on with what we’re here to do? If only. The fact is that it is entirely counter intuitive to do nothing. Our basic business sense tells us that to do something, even if it doesn’t work, is better than doing nothing. Combine this with a generation of senior and middle managers who can still recall, and are terrified by the militancy of workforces in the pre Thatcher years, and you have a recipe for multiple headless initiatives designed with little more in mind than to provide the ability to say, ‘We’re trying’. So what is HR? You may not think that you have an HR department, but you do. Whether you have one employee or 10,000, they need to be paid, you need to ensure that you meet your statutory obligations, you need to deal with problems, whether they be of a disciplinary nature, or grievances from the employees themselves and you need to administer their holidays and sick leave etc. It may or may not be a discreet department, but it is a resource that you must deploy in some form to stay in business. In terms of what you do as a company
“There is some empirical evidence that ‘happy workers work harder’. There is more however to suggest that actually it doesn’t make any difference”
however, it is essential, but it is the least productive part of the organisation. So in an attempt to become productive, you produce a series of pro-active (can you do something propassively?) initiatives. This usually starts with asking the employees what they want to achieve. It then progresses to how they want to achieve it, which becomes ‘write a development plan’, or to put it another way, getting them to do your job for you. Because in reality, the answer to the first question comes back to the fact that they want to be left to get on with the job. The focus is almost always on the employee, and how you can help them to develop, but this is wrong. As politically incorrect as it may sound, the focus needs to be on how the organisation will benefit from an employee’s development. It is not an intrinsic truth that their development will benefit you as a company, and you are not a charity. Understand the business and its needs, and you can then sensibly start planning for how you can contribute to it, rather than just service it. The development of your employees will undoubtedly be a part of this, but as a means to an end, rather than an end in itself. The hidden costs of HR are not in the payroll or the administration. They are what economists call opportunity costs. They are the benefits you are missing from the things you aren’t doing, while you’re busy doing the things you think you should be. ISR Consulting is a specialist consultancy that focusses on strategic HR planning and communication, from policies and procedures to HR Business Partnering. You can contact ISR at imurdoch@isrconsulting.co.uk
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BUSINESS SPECIAL
INSURANCE
U N D E R CONSIDERATION
Eddie Hooker, CEO of Hamilton Fraser Cosmetic Insurance, discusses the types of insurance you should consider when establishing your aesthetic business. EDDIE HOOKER Eddie Hooker has been involved in the insurance industry since 1985. He worked with many large insurers such as Legal & General prior to setting up his own brokerage, Hamilton Fraser Insurance, in 1995. Hamilton Fraser Insurance now employs over 115 staff out of their North London office. Eddie and Hamilton Fraser Insurance first started to insure cosmetic practitioners as early as 1996 when they became involved with nurses practising in collagen injections. Hamilton Fraser launched the UK’s first ‘aesthetics specific’ medical indemnity policy in 1998 and now insure over 2,500 individual practitioners and businesses within the sector, growing by over 100 new practitioners each and every month. By working closely with the sector’s leading practitioners and distributors, Eddie and his team have built up a detailed knowledge of the aesthetic
G
etting the right insurance is essential for any new business.There will be some policies you may choose purely for peace of mind, such as insurance for equipment and stock, whereas others are a statutory requirement including employer’s liability if you employ staff. Here are the different kinds of insurances typically needed by aesthetic businesses:
Contents insurance – This covers not just equipment and machinery, but general fixtures and fittings, and furniture. Computer insurance (including hardware and software) – appointments and records systems can be sophisticated and expensive to replace. Include them in your cosmetic Salon and Surgery insurance for peace of mind.
market which has been highlighted in a recent customer survey finding that 95% of Hamilton Fraser’s customers were satisfied or more than satisfied with the service provided by the company. In 2005, Eddie and his team bid and were successful in securing one of only three government authorised tenancy deposit protection schemes, mydeposits.co.uk, and the scheme was launched in April 2007. To date mydeposits has protected in excess of 1,000,000 tenant rent deposits for more than 200,000 landlords country wide, increasing at a rate of over 20,000 new deposits each month.
Public liability insurance – This is not the same as professional indemnity cover for negligence claims. Public liability covers the award of any damages given to a claimant, or member of the public, because of an accident that caused injury or damage caused by your business. While this element of cover is not required by law, all businesses with contact with the public should have adequate public liability insurance as claims can be very high indeed. Without cover, a large claim could potentially sink the organisation involved. Cost of any drugs and vaccines stored on the premises – Pharmaceuticals are expensive and inconvenient to replace. In addition to the drugs themselves, the cover should also include loss of specialist medical supplies.
Business interruption insurance – Cover is provided for lost income of the cosmetic clinic in the event of an insured claim. In many instances it is not the actual claim that puts financial strain on a business but the loss of income whilst the business recovers from the claim.
Employers liability – This is compulsory for anyone who is an employer. This cover is designed 42 www.cosmeticnewsuk.com
to protect you against claims made by your employees for any injury they have suffered as a result of their employment with you.
Buildings insurance – If your cosmetic clinic premises are rented, check the lease to ascertain whether the landlord or the tenant is responsible for insuring the structure. Medical negligence insurance – Covers cosmetic practitioners giving advice or providing cosmetic treatments. Professional indemnity insurance responds to claims arising from bodily injury which may include its more intangible forms such as mental injury, distress or psychological harm. The injury can arise from treatment or advice or from a combination of the two. In addition, cover is provided for financial loss arising from the injury. As most medical professionals give treatments rather than advice or give a mixture of the two, there must be bodily injury in order to trigger a claim. Directors and officers of a limited company can be held personally liable for their actions in certain circumstances. You can purchase insurance to provide cover against this liability. Finally, when selecting your insurance cover consider the quality of service the provider is able to offer. A good provider will not necessarily be the cheapest but should be able to offer you a quality, specialist service and look after your policy from start to finish, including underwriting and dealing with claims. As part of its professional service, it should fully understand your business and specialist equipment/ premises as a cosmetic practice, as well as having expert knowledge of your particular needs. Choosing a non-specialist broker who does not have this expert knowledge could lead to you not receiving the best advice or therefore the best protection for your practice. The last thing you want in the event of a claim is to discover your policy is designed for offices not a salon or surgery and therefore your equipment or vaccines/drugs are not fully covered.
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BUSINESS SPECIAL
TABLET DEVICES
TA K I N G THE TA B L E T Richard Crawford-Small on using tablet devices within aesthetic practice It happened on June 29 2007, with this simple slogan: “This is only the beginning”. It really was the beginning, and suddenly the Apple iPhone leapt into the global consciousness. It was sleek, cool, expensive and everyone wanted one – everyone except me. I really couldn’t see the point - I had my Blackberry for work and my very powerful, capable and awesome Windows Mobile for playtime.
RICHARD CRAWFORD SMALL A true professional in the medical aesthetics industry, Richard has enjoyed a career that has seen service in The Royal Navy to Medical Device Sales and Corporate Account Management with Allergan. Richard started RCSConsulting in January 2012 and has successfully use his “Think-Plan-Do” methodology in driving greater success for clients including Allergan, Schuco International, The Hospital Group, Transform and Harley
“Why do I need to spend £400 on a poxy Apple iPhone?” I thought, shortly followed by “Oh I see, it does that too. Wow, it’s really easy to use, and I can ditch my iPod too. Ooh Angry Birds.” Sold. One iPhone to the man in the Panama hat. A similar process happened in April 2010, with another simple slogan: “The iPad is...” Is what? Again, I couldn’t see the point initially, to me it was a big iPod Touch, it didn’t seem to do much. I was clearly wrong as Apple sold 1 Million units in half the time it took the iPhone to reach that number. Then, with the iPad 2 it all became clear, I instantly saw the opportunities for it. I didn’t need a PC anymore - we were ‘Post PC’.
Aesthetics. Richard is also an accomplished speaker and presents regularly at industry conferences and meetings.
The term ‘Post PC’ was coined in June 2012 when Tim Cook, CEO of Apple proudly launched the 3rd Generation iPad, and, when you consider that the 4th Generation iPad launched in Oct 2012, Post PC also means ‘Apple have mastered the art of extracting cash out of you!”A bit like children. Anyway, “This thing is going to kill laptops” I said confidently to Mrs RCS, waving around an iPad trying to work out how to spend £500 on a ‘toy’ without her noticing. Unlike the 1st Gen iPad, the iPad 2 just worked, it’s a beautiful piece of modern design.
44 www.cosmeticnewsuk.com
We now have many iPads and there isn’t a six year old around who can’t beat me at Angry Birds. I now know the truth, tablets won’t just kill laptops, they will within the next few years change everything to do with personal and business computing, become the main tool for browsing the net, checking emails, watching films, reading the newspaper and magazines, interactive educational textbooks, making online purchases and business operations. Currently 29% of adults in the US own a tablet or eReader - three years ago that was only 2%. Consumers want information, they want a lot of it and yet a small fraction of websites are mobile optimised, or ‘mobilised’ as I call it. If you have a site with an abundance of Flash animations it won’t work on an iPad. Ever. However they’ll work fine on Android tablets, and Google are also beginning to favour ‘mobilised” sites in their search rankings, but currently around 70% of tablets owned in the UK are iPads, so put ‘mobilisation’ of your site top of your 2013 list. Once the consumer has found you, you want them to buy something, so the next revolution to keep an eye out for is for ‘mCommerce’.
“M, or ‘mobile commerce’ will drive the web forward. Currently only 10% of all global internet traffic is through mobile devices, yet some observers in the IT industry expect mobile web searches to overtake desktop usage in 2014” M, or ‘mobile commerce’ will drive the web forward. Currently only 10% of all global internet traffic is through mobile devices, yet some observers in the IT industry expect mobile web searches to overtake desktop usage in 2014.
customers will be able to buy from you. With the introduction of 4G in to the UK and pretty much everywhere having WiFi there will be no where that you will be unable to get a reliable connection to t’internet.
This unprecedented level of consumer uptake and investment is pushing development, with solutions like ‘PayPal Here’ www.paypal.com/ here, that turn your smartphone into a credit card terminal promising to revolutionise small business transactions in the US. You can buy from Ebay, Amazon, Tesco, Pizza Express, pretty much anyone on your phone, soon your
Everyone wants their own “App”, and there are great parallels with the late 1990’s when websites were ferociously expensive to build, but eventually as more people became capable of building low tech sites the cost reduced. This will happen with Apps, as there are a growing number of App Developers and demand for low capability apps is growing, but as long as Apple have an App Store
this development will be slow for iPad. The tablet has crossed over to become a legitimate business tool, that you no longer feel like a bit of a prat using to take notes in meetings. Evernote is an awesome notebook app, and recently has had a complete redesign making it very intuitive and highly recommended. Despite being sat here using a MacBook to write this article, (Tablets are not great for word processing) my iPad has become to my business like Milk is to Cornflakes, or Baxter is to Ron Burgundy. I use Dropbox to constantly ensure that all of my files are synchronized across all of my devices, which means that I can attend meetings without having to lug my laptop across London but if I need a file, I can access it without a panic. Brilliant. Once I get home however, it is still swiped by one of the kids and begins its evening role by saving me from having to watching endless Peppa Pig. Apart from the TV, I can’t think of any other item I own that can be used by all members of my family, from aged two through to 68.
The Medical Professional’s First Choice for Insurance Providing a first class service for Doctors, Dentists and Nurses since 1996 ✓ Specialist medical indemnity and surgery insurance ✓ Free advice from our industry experts ✓ 89% of customers renew with us every year due to the service they receive* You were always available when we need to have some guidance from you by phone as well as email. We appreciate your high level of care and professionalism. Mr Shailesh Vadodaria
Call free on 0800 63 43 881 and quote: CR01, or visit us online at www.cosmetic-insurance.com Hamilton Fraser Cosmetic Insurance | Kingmaker House | Station Rd | New Barnet | Herts | EN5 1NZ Hamilton Fraser Cosmetic Insurance is a trading name of HFIS plc. HFIS plc is authorised and regulated by the FSA. (*Figure from June 2012)
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BUSINESS SPECIAL
TABLET DEVICES
How did I ever doubt it? If this sounds a bit like an iPad commercial, you’ll have to forgive me. There are advantages to using Android tablets such as the Google Nexus 7, Kindle Fire HD and Samsung Galaxy Tablet - they are cheaper than the iPad and have very good reviews. Check out www.techradar.com for some really good reviews on the top 15 Android tablets. You’ll just have to call me old fashioned, but despite Apple being the most annoying company in the world, I really like my iPad, and the iPad Mini is a great size. So this is the tablet revolution in action, however there is also the danger of forgetting the pioneer of all this; the Smartphone. In the UK the majority of Smartphones sold are Android, and there is a still a big opportunity for them in the Post PC Era, there is opportunity for EVERYTHING, as it is all being reinvented.
Tablet and aesthetics So what are the opportunities that are specific to Medical Aesthetics? Well in short, lots. Most would agree that the Healthcare sector in the UK is not that technologically advanced, nor is it particularly geared to servicing a ‘consumer’, and we have a great opportunity to be able to stop playing catch up with the rest of society and propel ourselves forward by fully embracing the ‘Post PC Era’ and leading the way. The US is leading the charge with ‘mHealth’ and there is an abundance of Apps and technology to support the healthcare industry over the pond. Check out www.imedicalapps.com for a good guide and reviews. For me, one of the strange truths that always exists in medical aesthetics is that the consumer is often treated as a patient from the moment they decide to enter the process. Consumers vs Clients vs Patients. They have different goals. The consumer wants information; clients want value; patients want an outcome. Different goals means they cannot all be treated in the same way. It seems that the obvious thing to do, is to use the technology available to enable the individual to transition between these phases in a much smoother way and provide a far more compelling experience. It makes no sense to me that in a cash pay environment, the consumer should not be experiencing the cutting edge of technological development, not paper based practices and handwritten notes. Surely it makes sense for them to be consulted using familiar technology, tablets can also take photos and record video, make notes and link into databases.
“It makes no sense to me that in a cash pay environment, the consumer should not be experiencing the cutting edge of technological development, not paper based practices and handwritten notes” 46 www.cosmeticnewsuk.com
Recording images, video and data, such as consent, product, medical history etc would have a huge impact on patient safety and really engage them in the process. Technology can also be used to raise standards, as what can be recorded can be measured, if it can be measured it can be audited. Surely we can already do this? Well, apparently not. I have searched high and low for a solution that would help the Medical Aesthetics industry to capitalise on these simple truths and I couldn’t find one. To achieve this I have been testing a new solution called iConsultAesthetic for a little while now, and it is ready for launch. iConsultAesthetic is a tablet based tool that helps a busy medical practitioner capture patient data, perform a consultation and has a fully functioning digital consent process. It will be launching next month (Febuary 2013) so go to the website: www.iconsult-aesthetic.com to register for details. I hope that 2013 provides you with health, wealth and happiness and don’t forget to prioritise the ‘mobilisation’ of your website and embrace emerging technologies. Will this era of austerity also be remembered as the era of reimagination, and the era when personal computers really came of age? I really think it will and I am really excited about how we can use technology to reimagine medical aesthetics and shape the industry’s future. It’s too good an opportunity to miss! But who am I to predict the future? Let’s have a go. Next weeks lottery; 26,17,14,39,47,2,
A New Dimension in Non-Surgical Technology
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Rotational Diamond Peel Microdermabrasion Utilising the latest technology available you can work in conjunction with topical skincare to ensure that hydration and comfort are not compromised whilst delivering excellent peeling results.
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BUSINESS SPECIAL
DATA PROTECTION
PAY I N G IT SAFE Could you be unwittingly storing your clients’ credit card details and putting them at risk of fraud?
Paying on plastic is big business, with the majority of people nowadays choosing to pay by card rather than cash, but could businesses taking credit card transactions be unwittingly putting their customers at risk of fraud? A new study says, yes. According to identity protection specialists Ground Labs, the vast majority of UK businesses are accidently storing customer credit card details and are taking inadequate steps to safeguard customers’ credit card details.Storing credit card numbers in this way is in breach of the Payment Card Industry Data Security Standards (PCI DSS) compliance obligations and can attract up to a £500,000 fine by the Information Commissioner Officer (ICO) in a case of a data breach. Latest figures from the Financial Fraud Action UK report, 2012 show that £341 million was stolen in the UK in 2011 through credit card fraud. There is a global black market for credit card data and hacking incidents have risen by 19% in the past six months (RSA (security division of EMC Corp) Online Fraud Report, July 2012). The UK is consistently among the top three most targeted countries and in August 2012 suffered 69% of worldwide phishing attacks (RSA Monthly Online Fraud Report, September 2012). Retention of credit card data is an issue for businesses of all sizes. A random
survey of security experts who use Ground Labs software across more than 100 consumerfacing businesses found that every one of them had credit card details unwittingly stored on IT equipment. On average more than 1,000 credit card records were found by Ground Labs’ software within each business sampled. Even businesses that claimed to be compliant with agreed global standards for credit card data security held rogue details, the Ground Labs survey has found. There are various possible reasons for this, all linked to standard computer processes such as browser caches or email duplications. Amongst the worst examples uncovered was a company that firmly believed it had no records. It was found that the business actually held more than 20 million credit card numbers on servers throughout its network.“We have more than 1,000 businesses across the UK and Europe that have used our software and every single business found erroneous card records in its IT systems”, said European director for
“the vast majority of UK businesses are accidently storing customer credit card details and are taking inadequate steps to safeguard customers’ credit card details” 48 www.cosmeticnewsuk.com
Ground Labs, Mohamed Zouine. “What we have found is that even those businesses that believe that their systems are clean are carrying records that could be easily acquired by hackers.” Many UK businesses have adopted an open mind, accepting there may be hidden data, and have already taken steps to identify and resolve any possible problems. Ground Labs is advocating the use of a simple software programme called Card Recon as part of the standard systems maintenance routine to detect and remove credit card details. Zouine added, “We believe a routine check should be as frequent as anti-virus checks. There are many ways in which card details can remain on businesses’ IT infrastructure unwittingly. Transaction logs sent back from banks, browser caches, email duplications and more can hold sensitive data that has a black market value in the wrong hands and can be used to defraud consumers.” Zouine continued, “The issue for small businesses is that they are far less protected than large corporations. It is relatively easy for an entrepreneurial thief to steal IT equipment or hack in to a business and retrieve valuable credit card data.” The software is also beneficial for consumers. A similar routine test of 50 PCs and laptops found that all but one of them held credit card details without the owner’s knowledge. “It is surprising to learn that many businesses continue prompting customers to email their credit card information as part of completing a transaction such as a hotel reservation for example’, Zouine commented.
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IN BUSINESS A DAY IN THE LIFE
Nursing ambition Sue Ibrahim shares a day in her life with Antonia Mariconda
Sue Ibrahim is a busy lady. A nurse consultant in dermatology and aesthetic medicine, she is managing director of the Elan Medical Skin Clinic and is on the editorial board of The Journal of Aesthetic Nursing. She is also an active member of the British Association of Cosmetic Nurses, which recently won the award for Association of the Year for the second year in a row at the Aesthetic Awards 2012. Here she shares a day in her life with Antonia Mariconda and gives Cosmetic News readers an aesthetic nurse’s perspective. “I live in Rayleigh, a cute little town in between Basildon and Southend, right in the middle of Essex. I live with my husband of 30 years and we have two wonderful kids together. They are now grown and have flown from the nest but they are always around and we are a close family. I normally sleep through my alarm, only waking up to the smell of freshly made coffee that my husband brings to me in bed, along with my iPad, which has been buzzing all night. I normally drink my coffee, answer a few Tweets, check my emails and check in the to the BACN closed group on Facebook. Luckily my clinic is only a 10-minute drive away from home. I always arrive in clinic like a whirlwind. Fortunately my staff are very serene and well organised and as usual, my clinic runs like clockwork. When I am sat in front of a client/ patient I realise how lucky I am to be in a job that I love so much. Over the years I have had to accept that you can’t please 100% of the people
“I have enjoyed seeing the role of nurses develop over the last 30 years. We are no longer the handmaidens of doctors. We are autonomous practitioners who have particular skills” 50 www.cosmeticnewsuk.com
BACN ASSOCIATION
100% of the time, but I get so much satisfaction from truly being able to make a difference to so many of my clients; particularly when they present with problems that their GP has been unable to help them with. Female hirsutism may not be a medical problem in the eyes of the NHS, but it causes so much psychological stress to the individual; so too does melasma and rosacea. Although I am unable to cure these conditions I can offer treatments that help to manage these problems on a day-to-day basis. My morning clinic normally ends around one o’clock. I spend an hour or so after this, dictating letters to GPs, paying bills and getting back to clients who have left messages at reception for me to call them back. I never like to leave a client waiting for a reply from me more than an hour or so. A small concern can turn in to a huge crisis very quickly if left unmanaged. As I live only 10 minutes away from home, I do go home in the afternoon. I am back in to work at 5pm for my evening clinic. This can go on until 9pm at night as so many of my clients commute to London and cannot get to see me until after 8pm. Having qualified as a registered nurse back in 1983, I set out to be a nursing force within gynaecology. When I had my daughter, I went into practice nursing, working alongside a group of male GPs. I set up a Well Woman Clinic and it was during this time that I became interested in skin conditions. I saw so many women suffering from adult forms of acne and pigmentation problems during pregnancy. I realised that I was in the privileged position of being able to offer them support. I managed to persuade the health authority to send me on a dermatology course. They had the money in those days to fund the whims of nurses. It paid off though, because I was then able to develop dermatology services within the group practice. I later went back into secondary care as a nurse specialist in dermatology. Having enjoyed the autonomy that my days as a dermatology nurse gave me, I decided to open Elan Medical Skin Clinic in October 2000. With the encouragement of my GP mentor, I was able to extend the support I was able to give within the NHS to offer the services that were emerging within the private sector – laser hair removal, microdermabrasion etc.
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My most proud moment was being honoured by the members of the BACN for all the support I offer to nurses working in aesthetics. I had no idea that I was going to receive an award at the BACN conference in October and it was a wonderful feeling to see so many of my peers giving me a standing ovation. By 9pm I am exhausted. I arrive home to the smell of a freshly poured glass of wine and a beautiful dinner cooked by my wonderful husband, who happily listens to my events of the day. I am fortunate to have a career that I love. I am sometimes asked if I would have preferred to be a doctor. I honestly have to say that I have enjoyed seeing the role of nurses develop over the last 30 years. We are no longer the handmaidens of doctors. We are autonomous practitioners who have particular skills. Understanding one’s limitations is important. Public safety is paramount and I do believe that the medical aesthetic industry needs tighter regulation. One of my biggest faults is that I have made my work my hobby. I think a lot of us in medicine tend to do this. I have a beautiful home in Turkey, with views over the crystal clear waters of the Adriatic coast and an infinity pool. Yet invariably, you will see me sitting poolside with my laptop, working on my website, answering posts from nurses on the BACN site etc. I just can’t seem to relax when I am away on holiday. Final thought of the day: Is there anything I have done today that with hindsight I could have done better?”
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• Antonia Mariconda, also known as The Cosmedic Coach, is recognised as a leading authority on health, beauty and cosmetic surgery in the UK. Quoted in publications such as Top Santé, and newspapers such as The Evening Standard, and Daily Mail, Antonia is also a national health and beauty journalist and the author of The Essential Guide to Acne published in September 2009 (Forward Press), and most notably The Cosmetic Surgery Companion – Look and Feel Beautiful (Apple Press) 2010. In her role as The Cosmedic Coach, Antonia advises clients around the world on where and where not to shop for cosmetic surgery, beauty and anti-ageing treatments. Her client list includes A-list celebrities, royals and VIPs.
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D AT E S F O R THE DIARY WE ROUND UP UPCOMING EVENTS, TRAINING COURSES AND MEETINGS
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exhibition and conference
1 6 th a n d 1 7 th f e b r u a r y INCORPORATING
• JANUARY 15 Level 1 Basic HA Dermal Filler: Lines and Folds Course, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 16 Level 1 Basic Toxin: Upper Face, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 16 Level 1A Basic Toxin: Hyperhidrosis, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 17 Cosmetic Courses Dermaroller, www.cosmeticcourses.co.uk 18 Cosmetic Courses Chemical Peel and Medical Microdermabrasion, www.cosmeticcourses.co.uk 19 Aesthetox Foundation Botox and Fillers, Birmingham, www.aesthetox.co.uk 19 Aesthetox Chemical Peels, Birmingham, www.aesthetox.co.uk 20 Boston Training Academy Mesotherapy: Face. Body and Hair, Bayswater, London, 0207 727 1110, www.bostontrainingacademy.com 21 Innomed Training Sculptra Beginners: Day 1 (Day 2 on February 25) Southampton, www.innomedtraining.co.uk 21 Obagi Workshop, London, www.healthxchange.com 22 Level 3 Masterclass HA Dermal Filler: Tear Troughs using Redensity 2, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 24 Level 2 Advanced HA Dermal Filler: Lip Course, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 26 Innomed Training Botulinum Toxin in Facial Aesthetics: New Users (incl. all major brands), Edinburgh, www.innomedtraining.co.uk 26 Cosmetic Courses Foundation Botulinum Toxin and Dermal Fillers, www. cosmeticcourses.co.uk 27 Innomed Training Dermal Fillers in Facial Aesthetics: New Users to Hyaluronic Acid Fillers, Edinburgh, www.innomedtraining.co.uk 29 Level 4 Masterclass HA Dermal Filler The Ultimate “V” Lift with Cannula and Needle, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 31-3 Feb IMCAS, Palais des Congres, Paris, www.imcas.com
• FEBRUARY 2 Aesthetox Foundation Botox and Fillers, Birmingham, www.aesthetox.co.uk 2 Aesthetox Masterclass Botox and Fillers, Birmingham, www.aesthetox.co.uk 4-5 Ultrasonic Lipo-cavitation The non-invasive alternative to Liposuction, Cawood House, Sutton, Ely, Cambs, 01353777303/07747696815 52 www.cosmeticnewsuk.com
Obagi Blue Peel Workshop, (18 March ), London, www.healthxchange.com Obagi Blue Peel Workshop, (11 April ), London, www.healthxchange.com 5 Level 2 Advanced Toxin: Lower Face, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 5 Level 2A Advanced Toxin: Easy Switching Between Toxins, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 6 Ultrasound for Skin Rejuvenation and Wrinkle Reduction, 01353777303/07747696815, barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 7 Diamond Microdermabrasion for Face and Body,01353777303 /07747696815, barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 8 Advanced Facial Treatment, 01353777303/07747696815, barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 9 Innomed Training Chemical Peeling Systems: Comprehensive Course for New Users, Central London, www.innomedtraining.co.uk 9 Innomed Training Advanced Botulinum Toxin: Lower Face, Neck, Under-Arm Hyperhidrosis, Southampton, www.innomedtraining.co.uk 10 Innomed Training Advanced Dermal Fillers: Facial Contours, Lip Filler, Skin-Hydration, Southampton, www.innomedtraining.co.uk 10 Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation: New Users, Central London, www.innomedtraining.co.uk 10 Aesthetox Foundation Botox and Fillers, London, www.aesthetox.co.uk 16 Aesthetox Foundation Botox and Fillers, Birmingham, www.aesthetox.co.uk 16 Innomed Training Botulinum Toxin in Facial Aesthetics: New Users (incl. all major brands), Central London, www.innomedtraining.co.uk 16-17 Cosmetic News Expo and Aesthetics Conference 2013, The Business Design Centre, Islington, London, www.cosmeticnewsuk.com 17 Innomed Training Dermal Fillers in Facial Aesthetics: New Users to Hyaluronic Acid Fillers, Central London, www.innomedtraining.co.uk 21 Microsclerotherapy, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 22 Cosmetic Courses Business, Marketing and Managing Complications Seminar, www.cosmeticcourses.co.uk 23 Cosmetic Courses Foundation Botulinum Toxin and Dermal Fillers, www.cosmeticcourses.co.uk 25 Obagi Workshop, London, www.healthxchange.com 25 Innomed Training Sculptra Beginners: Day 2 (Day 1 on January 21) Southampton, www.innomedtraining.co.uk 26 Level 3 Toxin Masterclass: Neck, Jawline and Nefertiti Lift, Medex House, Loughborough, Leicestershire, www.aesthetictrainingcourses.com or 01509 239696 28 Cosmetic Courses Dermaroller, www.cosmeticcourses.co.uk The Dates for the Diary section is now a paid for section of the magazine and is a chance for you to advertise your training courses to our readers both in the magazine and online. Advertisers will get free listings of any training courses as part of their campaign. Anyone else wishing to publish training courses can do so for £300 a year. For more details contact Carly McFarlane on 01268 754 897 or e-mail carly.mcfarlane@creativemedialtd.co.uk
ass o c i at i o n of the year
Representing and Supporting Nurses
BACN - V300 University Challenge The BACN recognises that many nurses in aesthetics, who are not prescribers, are facing up to the challenges (and expense!) of providing Botox on the treatment menu. Also employment opportunities are limited these days for non-prescribing nurses in aesthetics. The winds of regulation are also blowing clearly in the direction of prescribing nurses - and we don’t want our members to be left out in the cold, particularly when we have all worked so hard to establish ourselves and have loyal clients who trust and depend upon us. With this in mind we are providing, with the support of sponsors, an opportunity for aesthetic nurses to attend events around the country to find out about the V300 Non-Medical Prescribing course – have your questions answered by university lecturers and nurses who have undertaken the course. Let us address your fears, and see if we can’t get you past the barriers you perceive, real or imagined.
Our V300 ‘University Challenge’ Events will be held in: • LONDON – 24th January 2013 • EDINBURGH – 29th January 2013 • BIRMINGHAM – 31st January 2013 • MANCHESTER – 5th February 2013 • BRISTOL – 7th February 2013
The agenda: * What is The V300? An introduction by a University lecturer * The Role of the DMP * A nurse’s experience of the course * Q&A - Put your questions to the University panel. For more information and to book your place (for £50 deposit, refundable on attendance) contact Liz on 01749 836328
The BACN offers • • • • • •
Regional meetings across the UK Mandatory Basic Life Support training Informative Website with Blog/Forum Discounts on Insurance Sharing Expertise and Advice Education
• • • • •
Workshops Recruitment section on website Discounted services Offering Support Members only Facebook page
We off support er non-pre for scr registe ibing red nurses
www.cosmeticnurses.org | email: admin@cosmeticnurses.org | tel: 01749 836 328
DIRECTORY A
L ABC Laser
Chromogenex Service: Laser System Manufacturer Contact: Lauren Roberts T 01554 755444 E: lroberts@chromogenex.com W: www.chromogenex.com
Contact: Guy Gouldsmit T: 08451 707 788 E: info@a-b-c-uk.com W: www.abclasers.co.uk Aesthetic Academy + Training
Clarisonic UK Service: Skincare Contact: Ann Terrington E-mail: uksales@clarisonic.com Website: www.clarisonic.co.uk Telephone: 0800 988 4864
Contact: Chantalle Coombes T: 0845 519 4823 W: www.aestheticstraining.co.uk E: training@aestheticacademy.co.uk Allergan Contact: Customer Service
Cutera (Europe) Contact: Stephen Ritchie T: 07969993296 E: sritchie@cutera.com W: www.cutera.com
T: 0808 2381500 W: www.juvedermultra.co.uk Aesthetox Academy Service: Training Contact: Lisa Tyrer
D
T: 0870 0801746 E: treatments@aesthetox.co.uk W: www.aesthetox.co.uk AZTEC Services Service: Exclusive UK distributor for Viora product range
E
T: 07747 865600 E: sales@aztecservices.uk.com
Contact: Kevin Rendell T: 020 8550 9108
DermaFx Micropigmentation Service: Permanent Make Up Contact: Evie Adams T : 08703002078 E: dermafx@evieadams.com W: www.evieadams.com
catalog BioActiveBeauty Hydropeptide...the next generation of Anti-Ageing Skincare .. using peptides at
G
clinical levels. T: 01753 830931 M: 0791 941 6392 E: info@bioactivebeauty.com Bioptica Laser Aesthetics
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Contact: Mike Regan
Medical Aesthetic Group Contact: David Gower T: 02380 676733 E: info@magroup.co.uk W: www.magroup.co.uk Mesoestetic UK Contact: Adam Birtwistle T: 01746 718123 E: contact@mesoestetic.co.uk W: www.mesoestetic.co.uk Services: Cosmeceutical Skincare Treatment Solutions.
T: +44 (0)7917 573466 E: mike.regan@bla-online.co.uk W: www.bla-online.co.uk Services: Core of Knowledge Training and Laser Protection Adviser (LPA) Services. Boston Medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.boston-medical-group.co.uk
C Candela UK Ltd Contact: Michaela Barker T: 0845 521 0698 E: MichaelaB@syneron-candela.co.uk W: www.syneron-candela.co.uk
Energist Contact: Andrew Snoddon T: 01792 798768 E: enquiries@energist-international.com W: www.energist-international.com
Merz Aesthetics Contact: Merz Aesthetics Customer Services T: 0333 200 4140 E: info@merzaesthetics.co.uk My Cells/Scandinavian UST Ltd Contact: John Tucker T: +35361 312979 E: info@mycells.ie W: www.my-cells.net
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Healthxchange Pharmacy Contact: Steve Joyce T: +44 (0)1481 736837 F: +44 (0)1481 736677 E: SJ@healthxchange.com W: www.healthxchange.com W: www.obagi.uk.com Holistic Garments â&#x20AC;&#x201C; COMPRESSION GARMENTS Contact : Holistic Garments Team T: +44(0) 20 7603 1576 E: info@holisticgarmentsdirect.co.uk W: www.HolisticGarmentsDirect.co.uk
54 www.cosmeticnewsuk.com
Cosmelan. Antiagaing, Depigmentation, Anti Acne, Dermamelan.
Galderma Contact: Azzalure Sales Team T: 01923 208950 E: info.uk@galderma.com W: www.galderma.co.uk Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: cosmetic@hamiltonfraser.co.uk W: www.hamiltonfraser.co.uk
Sound Surgical (UK) LTD Contact: Raj Jain T: +44 7971 686114 E: rjain@soundsurgical.com Web: www.SoundSurgical.co.uk Specialist Make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: enquiries@permanent-makeup.com W: www.permanent-makeup.com Services: Permanent Make-Up
Med-fx Contact: Faye Price T: 01376 532800E: sales@medfx.co.uk W: www.medfx.co.uk
E: enquiries@beehive-solutions.co.uk W: http: //www.beehive-solutions.co.uk/
Skin Geeks Ltd Contact: Customer Services T: +44 (0)1865 338046 E: info@skingeeks.co.uk W: www.skingeeks.co.uk
MACOM Compression Garments Contact: MACOM Customer Services T: 020 7386 0011 E: info@macom-medical.com W: www.macom-medical.com
Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com
Beehive Medical Solutions
Lynton Contact: Customer Services T: 0845 6121545 E: info@lynton.co.uk W: www.lynton.co.uk
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W: www.aztecservices.uk.com
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SkinBrands Contact: Tracey Beesley T: 0289 983 739 E: tracey@skinbrands.co.uk W: www.skinbrands.co.uk
Lifestyle Aesthetics Contact: Sue Wales T: 0845 0701 782 E: info@lifestyleaestheics.com W: www.lifestyleaesthetics.com
E-Clinic Contact: Mark Lainchbury T: 01274 530 505 E: info@e-clinic.uk.com W: www.e-clinic.uk.com
Contact: Anthony Zacharek
S Laser Physics Contact: Customer Services T: 01829773155 E: info@laserphysics.co.uk W: www.laserphysics.co.uk
Pronokal Service: Medically supervised weight loss programme E: info@pronokal.co.uk T: 0845 604 8834 W: www.pronokal.co.uk Polaris Lasers Contact: Neil Calder T: 01234841536 E: njc@polaris-laser.com W: www.polaris-laser.com
Q Q-Med, a Galderma Division Contact: Customer Service T: 01923 208950 E: info.uk@galderma.com W: www.q-medpractitioner.com/uk
Surface ImageingSolutions Contact: Nick Miedzianowski-Sinclair Service: Skin Analysis systems & services Telephone : +447774802409 E: nms@surfaceimaging.co.uk W: www.surfaceimaging.co.uk
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Vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: SDavies@soundsurgical.com W: www.vaser.com Wellness Trading Contacts: Adam Birtwistle T: 01746 718123 E: contact@wellnesstrading.co.uk W: www.wellnesstrading.co.uk
Z Zanco Models Contacts: Mr Ricky Zanco T: 08453076191 E: info@zancomodels.co.uk W: www.zancomodels.co.uk
For less than ÂŁ25 per month, you can list your company details here. For more information contact Carly McFarlane 01268 754897 carly.mcfarlane@creativemedialtd.co.uk
Your partner in injectable facial aesthetics
The
Effect
Volume enhancement for a youthful appearance ■
Immediate result due to elastic gel-matrix
■
Prolonged effectiveness due to CaHA-induced collagen production
Comprehensive studies confirm a robust safety profile
· RAD003/1010/KV
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For more information, please contact Merz Aesthetics Customer Services Phone: 0333 200 4140, Fax: 0208 236 3526 MerzAestheticsUK@merz.com, www.radiesse.com
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onfidence is Reliable1,2 Rewarding3 Performance4,5 BOTOX® is licensed for the treatment of moderate to severe glabellar lines Delivers long-lasting patient satisfaction, time after time2,3 Has been used for over 20 years in over 26 million treatment sessions worldwide6 Is the world’s first and most studied botulinum toxin*7
see us at
cosmetic news the uk’s largest trade aesthetics exhibition and conference
e xpo
exhibition and conference
1 6 th a n d 1 7 th february
stand 49
BOTOX® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 or 100 or 200 Allergan Units/vial. Indications: Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar lines), in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years. Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: total dose 20U. Contraindications: Known hypersensitivity to any constituent. Infection at proposed injection site(s). Warnings/Precautions: Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Do not exceed recommended dosages and frequency of administration. Adrenaline and other anti-anaphylactic measures should be available. Reports of side effects related to spread of toxin distant from injection site, sometimes resulting in death. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with underlying neurological disorder and history of dysphagia and aspiration. Patients should seek medical help if swallowing, speech or respiratory disorders arise. Clinical fluctuations may occur during repeated use. Too frequent or excessive dosing can lead to antibody formation and treatment resistance. The previously sedentary patient should resume activities gradually. Caution in the presence of inflammation at injection site(s) or when excessive weakness/ atrophy is present in target muscle. Caution when used for treatment of patients with peripheral motor neuropathic disease. Use with extreme caution and close supervision in patients with defective neuromuscular transmission (myasthenia gravis, Eaton Lambert Syndrome). Contains human serum albumin. Procedure related injury could occur. Interactions No interaction studies have been performed. No interactions of clinical significance have been reported. Theoretically, the effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of excessive neuromuscular weakness. Pregnancy: BOTOX® should not be used during preganancy unless clearly necessary. Lactation: use during lactation cannot be recommended. Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). In general, reactions occur within the first few days following injection and are transient. Pain/burning/stinging, oedema and/or bruising may be associated with the
injection. Frequency By Indication: Defined as follows: Very Common (> 1/10); Common (>1/100 to <1/10); Uncommon (>1/1,000 to <1/100); Rare (>1/10,000 to <1/1,000); Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection. Psychiatric disorders. Uncommon: Anxiety. Nervous system disorders. Common: Headache. Uncommon: Paresthesia, dizziness. Eye disorders. Common: Eyelid ptosis. Uncommon: Blepharitis, eye pain, visual disturbance. Gastrointestinal disorders. Uncommon: Nausea, oral dryness. Skin and subcutaneous tissue disorders. Common: Erythema, Uncommon: Skin tightness, oedema (face, eyelid, periorbital), photosensitivity reaction, pruritus, dry skin. Musculoskeletal and connective tissue disorders. Common: Localised muscle weakness, Uncommon: Muscle twitching. General disorders and administration site conditions. Common: Face pain, Uncommon: Flu syndrome, asthenia, fever. The following other adverse events have been reported since the drug has been marketed: dysarthria; abdominal pain; vision blurred; pyrexia; focal facial paralysis; hypoaesthesia; malaise; myalgia; pruritus; hyperhidrosis; diarrhoea; anorexia; hypoacusis; tinnitus; radiculopathy; syncope; myasthenia gravis; erythema multiforme; dermatitis psoriasiform; vomiting and brachial plexopathy; rash; psoriasiform eruption; anaphylactic reaction (angiodema, bronchospasm); alopecia and madarosis. Adverse reactions possibly related to spread of toxin distant from injection site have been reported very rarely (exaggerated muscle weakness, dysphagia, or aspiration pneumonia which can be fatal). NHS Price: 50 Units: £77.50, 100 Units: £138.20, 200 Units £276.40. Marketing Authorization Number: PL 00426/0074 Marketing Authorization Holder: Allergan Pharmaceuticals (Ireland) Ltd., Westport, Co. Mayo, Ireland. Legal Category: POM. Date of preparation: November 2011.
Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk Adverse events should also be reported to Allergan Ltd. UK_Medinfo@allergan.com or 01628 494026. References: 1. De Almeida A et al. Dermatologic Surgery 2007;33:S37–43. 2. Carruthers A et al. J Clin Res, 2004;7:1–20. 3. Stotland MA et al. Plast Reconstr Surg, 2007;120:1386–1393. 4. Beer KR et al. J Drugs Dermatol, 2011;10(1) :39–44. 5. Lowe et al. Am Acad Dermatol, 2006;55:975-980. 6. Allergan data on file. BOTGL/001/SEP 2011 7. Allergan Data on File VIS/006/JUL2011. *Allergan botulinum toxin type A. Global figures. Launched in 1989 in the US. UK/1010/2011 Date of Preparation November 2011