Cosmetic news september 2013 by Aesthetics & CCR

COSMETIC NEWS THE UK’S LEADING TRADE TITLE FOR MEDICAL AESTHETIC PROFESSIONALS

MYCOUTURE

INDEPENDENT • CULTURAL • MY LIFE

AESTHETIC AWARDS 2013 SHORT LISTS ANNOUNCED Find out who is in the running for this year’s awards

PURIFIED1 • SATISFYING2,3,4 • CONVENIENT5

Botulinum toxin type A free from complexing proteins

TH ISSUE

Prescribing information can be found on the inside front cover Date of preparation: August 2013 1103/BOC/AUG/2013/LD

ALSO IN THE SEPTEMBER ISSUE OF COSMETIC NEWS... BUSINESS TIPS FOR SUCCESS

THREAD LIFTING

CLINICAL PHOTOGRAPHY

Practitioners & their patients feel the difference... “The favourable safety profile has lead to high patient satisfaction and subsequent recommendations from one patient to another, increasing our practice1” Not palpable2 ®

No Tyndall Effect1 ®

Comfortable on injection2

BEL065/0813/LD

1. Kuhne, U et al. Five-year retrospective review of safety, injected volumes, and longevity of the hyaluronic acid Belotero Basic for facial treatments in 317 patients. J Drugs Dermatol. 2012 Sep; 11(9):1032-5 2. Data on File: BEL-DOF2_001 Belotero Juvéderm Study MRZ 90028_4007

Tel: +44(0) 333 200 4140 Fax: +44(0) 208 236 3526 Email: customerservices@merz.com

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);veryrare(<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. GeneraldisordersandadministrationsiteconditionsUncommon:injectionsitereactions(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. 1. Frevert J. Content in BoNT in Vistabel, Azzalure and Bocouture. Drugs in R&D 2010-10(2), 67-73 2. Prager, W et al. Onset, longevity, and patient satisfaction with incobotulinumtoxinA for the treatment of glabellar frown lines: a single-arm prospective clinical study. Clin. Interventions in Aging 2013; 8: 449-456. 3. Sattler, G et al. Noninferiority of IncobotulinumtoxinA, free from complexing proteins, compared with another botulinum toxin type A in the treatment of glabelllar frown lines. Dermatol Surg 2010; 36: 2146-2154. 4. Prager W, et al. Botulinum toxin type A treatment to the upper face: retrospective analysis of daily practice. Clin. Cosmetic Invest Dermatol 2012; 4: 53-58. 5. Data on File: BOC-DOF-11-001_01 Bocouture® is a registered trademark of Merz Pharma GmbH & Co, KGaA. Date of preparation: August 2013 1103/BOC/AUG/2013/LD

Editor’s Letter Welcome to the September issue of Cosmetic News. This is a particularly landmark edition for us as it not only marks our 50th issue but also marks the beginning of a new era for the Cosmetic News brand as we have a new publisher. Synaptiq has broad interests in healthcare publications, events, training and communications and will be taking the journal forward along with its associated events – the Aesthetic Awards, Aesthetics Conference and Cosmetic News Expo – so you will be seeing some exciting changes and developments in the coming months (see page 6 for full story). As always your input is important to us and, as Cosmetic News is the leading monthly journal for the profession and industry, we want to gauge your views on its content and find out what you want to be reading about in the future. We have created a short reader survey and would be grateful if you could take a few minutes to complete it by visiting http://www.smartsurvey.co.uk/s/CNreadersurvey. As a thank you for completing the survey, you will be entered into a prize draw where you could win a new iPad Mini.

Vicky Eldridge, Editor

In this issue we are also announcing the short lists for the Aesthetic Awards 2013! The calibre of entries is extremely high and I am delighted to see some new names, faces and products appearing in the short lists. See pages 14-20 to find out who is in the running and how each category will be decided. Good luck to all the finalists.

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Contents INDUSTRY INSIDER 4 EDITOR’S CHOICE

Vicky Eldridge on Pliaglis® self-occluding topical local anaesthetic cream 6 INDUSTRY NEWS

We round up the latest industry news 10 ON THE SCENE

Out and about in the industry this month 14 AESTHETIC AWARDS

We announce the short lists for the Aesthetic Awards 2013

CLINICAL PRACTICE 22 CLINICAL EXPERIENCE

Dr Gabriela Mercik on PDO threads 26 CLINICAL STUDY

We summarise a study on the topical treatment of facial photodamage with a novel formulation of retinol (Retriderm®) PRODUCT REVIEWS 30 LASH ENHANCEMENT

Lash conditioning and enhancing products 32 PRODUCT FOCUS

NeoStrata Skin Active Intensive Eye Therapy 34 ADVERTORIAL

We speak to Nazan Damani about the Asclepion Mediostar NeXT laser from Carleton Medical 36 CASE STUDY

Consultant plastic surgeon Mr Brent Tanner shares his one-year results with the new wavelength Cutera Pearl Fusion laser for severe rhitids 38 PRODUCT NEWS

We round up the latest product news IN BUSINESS 42 IN PRACTICE

Keisha Paul, chief consultant at KT Solutions, on conflict management 44 CLINIC MANAGEMENT

We speak to Dr Natalie Blakely about her newly developed patient management system for the iPad 46 BUSINESS FOCUS

We ask some of the industry’s leading business advisors for their top tips for success 50 VIEW ON

Antonia Mariconda on changes to the laws that govern how cosmetic products are sold in Europe 52 BEST PRACTICE

John Castro from Websites for Cosmetics on why images on your website are important and how you should be using your before and after photographs

Editor’s choice Pliaglis®

Like any patient undergoing an aesthetic treatment, I would prefer not to feel any pain or discomfort during the procedure. Pain is a big issue for a lot of people and can be a key deciding factor on whether or not to have certain treatments. Unfortunately many of the most effective treatments in our industry, even those that are considered to be minimally or even non-invasive, do carry with them some level of pain and discomfort, so being able to offer your patients effective pain management is a must. Having heard a lot of positive reviews about Galderma’s new local anaesthetic cream, Pliaglis®(7% lidocaine/7% tetracaine), I wanted to see how effective the product really was. Pliaglis® is the first and only self- occluding and clinically proven, FDA approved topical anaesthetic cream that combines the highest concentrations of lidocaine 70mg/g and tetracaine 70mg/g. One of the most unique features of the product is its self-occluding delivery system. Not only does this ensure rapid onset, within 30-60 minutes, and long lasting effect (my hand was comfortably numb for a few hours after the treatment providing extra post-treatment pain relief), but it also makes using topical anaesthetic in a busy aesthetic clinic easier and less messy. Once the product is exposed to the air it dries to form an occlusive barrier in the form of a ‘pliable peel or mask’, which can be simply peeled off or wiped off. This was markedly different to when I have had local anaesthetic creams before and have been sat with cling film on my face, which then has to be removed before the treatment. Because it has a fast onset of action, Pliaglis® can provide effective relief for injectable treatments within 30 minutes with the maximum anaesthetic effect being achieved after 60 minutes. This makes it ideal for more painful treatments such as laser ablation, dermal rollering or tattoo removal. It is for these indications in particular that Pliaglis® has the potential to improve the conversion rate of patients moving from consultation to actual treatment. Providing adequate pain control in your practice can transform your business and is an investment in-patient care that no discerning aesthetic clinic can afford to ignore. Having happy patients equates to a good reputation, repeat business and word of mouth recommendations. Having tried the product myself I felt absolutely no pain when then needle was stuck into the back of my hand and I would definitely choose to use it again before having any potentially painful procedures. CONTACT THE COSMETIC NEWS TEAM ON 01268 754 897 PUBLISHED BY

54 PEOPLE IN PROFILE

Antonia Mariconda speaks to Dr Linda Eve 56 DATES FOR THE DIARY

The latest dates for your diary

Vicky Eldridge Editor | M: 07880 812 582 | vicky@cosmeticnewsuk.com Hollie Dunwell Sales Manager | M: 07557 359 257 | hollie@cosmeticnewsuk.com Peter Johnson Art Director | 0207 148 0408 | peter@cosmeticnewsuk.com Craig Christie Administration and Production | 01268 754 897 | admin@cosmeticnewsuk.com 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.

LOOK HOW YOU FEEL Azzalure Abbreviated Prescribing Information (UK & IRE)

Presentation: Botulinum toxin type A (Clostridium botulinum toxin A haemagglutinin complex) 10 Speywood units/0.05ml of reconstituted solution (powder for solution for injection). Indications: Temporary improvement in appearance of moderate to severe glabellar lines seen at frown, in adult patients under 65 years, when severity of these lines has an important psychological impact on the patient. Dosage & Administration: Botulinum toxin units are different depending on the medicinal products. Speywood units are specific to this preparation and are not interchangeable with other botulinum toxins. Reconstitute prior to injection. Intramuscular injections should be performed at right angles to the skin using a sterile 29-30 gauge needle. Recommended dose is 50 Speywood units (0.25 ml of reconstituted solution) divided equally into 5 injection sites,: 2 injections into each corrugator muscle and one into the procerus muscle near the nasofrontal angle. (See summary of product characteristics for full technique). Treatment interval should not be more frequent than every three months. Not recommended for use in individuals under 18 years of age. Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the excipients. In the presence of infection at the proposed injection sites, myasthenia gravis, Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and precautions for use: Use with caution in patients with a risk of, or clinical evidence of, marked defective neuro-muscular transmission, in the presence of inflammation at the proposed injection Date of preparation: March 2013

site(s) or when the targeted muscle shows excessive weakness or atrophy . Patients treated with therapeutic doses may experience exaggerated muscle weakness. Not recommended in patients with history of dysphagia, aspiration or with prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory difficulties arise. Facial asymmetry, ptosis, excessive dermatochalasis, scarring and any alterations to facial anatomy, as a result of previous surgical interventions should be taken into consideration prior to injection. Injections at more frequent intervals/higher doses can increase the risk of antibody formation. Avoid administering different botulinum neurotoxins during the course of treatment with Azzalure. To be used for one single patient treatment only during a single session. Interactions: Concomitant treatment with aminoglycosides or other agents interfering with neuromuscular transmission (e.g. curare-like agents) may potentiate effect of botulinum toxin. Pregnancy & Lactation: Not to be used during pregnancy or lactation. Side Effects: Most frequently occurring related reactions are headache and injection site reactions. Generally treatment/injection technique related reactions occur within first week following injection and are transient and of mild to moderate severity and reversible. Very Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid oedema, Lacrimation increase, Dry eye, Muscle twitching

(twitching of muscles around the eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement disorder, Urticaria. Adverse effects resulting from distribution of the effects of the toxin to sites remote from the site of injection have been very rarely reported with botulinum toxin (excessive muscle weakness, dysphagia, aspiration pneumonia with fatal outcome in some cases). Prescribers should consult the summary of product characteristics in relation to other side effects. Packaging Quantities & Cost: UK 1 Vial Pack (1 x 125u) £64.00 (RRP), 2 Vial Pack (2 x 125u) £128.00 (RRP), IRE 1 Vial Pack (1 x 125u) €93.50, 2 Vial Pack (2 x 125u) €187.05 (RRP). Marketing Authorisation Number: PL 06958/0031 (UK), PA 1609/001/001(IRE). Legal Category: POM. Full Prescribing Information is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998. Date of Revision: March 2013

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Galderma (UK) Ltd.

AZZ/021/0313

INDUSTRY NEWS

SAVE THE DATE FOR THE AESTHETIC AWARDS 2013 - DECEMBER 7

Facial anatomy courses hope to raise standards A series of stand-alone facial anatomy teaching courses are being run to help raise standards in the industry.The courses will be led by leading plastic surgeon and trainer Mr Dalvi Humzah and have been accredited by the Royal College of Physicians and Surgeons of Glasgow. The training will cover in detail the upper face (including the tear trough and peri ocular anatomy), the lower face and neck. With each anatomical area, Mr Humzah will discuss technical considerations when treating using

The Official PIP Campaign Group (OPIC) and The PIP Implants Scotland Campaign have joined forces in appealing to women to come forward with their explanted PIP Breast Implants and to submit them to a testing programme in Italy, which is making significant breakthroughs in understanding the impact of the fraudulently made breast implants on the human body. Italian Chemist Giangiacomo Beretta, Italian based plastic surgeon Matteo Malacco, and UK based plastic surgeon Adrian Richards are leading an experimental clinical survey from a laboratory based at the university of Milan. Mr Beretta says, “The first preliminary analysis may help us to understand the complicated picture of the health effects of PIPs. A question that still needs to be answered is why do some PIP implants not show any problems during many years of implantation, whilst others are found ruptured or ‘exploded’ after just a few months of implantation? We need more samples of intact implants to get a more clear picture of the situation. We need specimens of shells from ruptured implants too with attached information about serial numbers and the clinical evolution since implantation”.

New publishers of Cosmetic News announced Cosmetic News and its associated events – the Cosmetic News Expo, Aesthetics Conference and Aesthetic Awards – has a new publisher. Founded in 1999, Synaptiq is a unique healthcare communications group, providing creative marketing services, education, training, publishing and events to both healthcare professionals and the industry. The company has worked closely with a number of high profile pharma companies, including those in medical aesthetics, and its extensive knowledge of the healthcare market make it well placed to lead Cosmetic News forward. The company will be building on the success of the brand and has put together a dynamic new team to spearhead the changes it plans to implement and further cement Cosmetic News’ standing as the premier monthly journal for aesthetic professionals. As well as providing cutting edge editorial informing and educating aesthetic practitioners about the latest news, products and techniques, the journal will be putting a stronger focus on practice management and business-orientated articles and high quality educational CPD accredited content. With its background strongly rooted in healthcare events and education, Synaptiq also has big plans to develop the Aesthetics Conference, Cosmetic News Expo and Aesthetic Awards. Managing director of Synaptiq, Chris Edmonds said, “We will be looking forward to taking the journal and events to new heights using our 15 years of experience of delivering excellence in healthcare knowledge dissemination. We would like to thank Charlotte Body for all her hard work getting to where we are now and look forward to the next exciting chapter for Cosmetic News, bringing even more value to readers and their practices.” Former Cosmetic News publisher Charlotte Body said,” Over the last five years we have developed the Cosmetic News brand to become a household name in the industry. I am excited about the new direction Synaptiq will be taking the brand in and believe this will make our positioning in the market even stronger.” To help ensure the publication is meeting the needs of its readers, their practices and, ultimately, their customers, Synaptiq has created a short reader survey. To take part visit www.smartsurvey.co.uk/s/CNreadersurvey. There will be a prize draw to win an iPad Mini for anyone who completes the survey.

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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 2013 UK/0008/2013a

PIP campaign groups launch appeal for more PIP breast Implants to be analysed

non-surgical (blunt cannulae and needle) and surgical procedures; as well as complications and their anatomical basis. Adequate time is permitted during and after the session to allow for discussion as this will be a very interactive session.The training is independent of any pharmaceutical endorsement with the sole aim to promote a better anatomical awareness when performing aesthetic treatments. Delegates will gain 3 Clinical CPD points for attending the course. For more information visit www.facialanatomy.co.uk.

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Contact us on: Tel: 0845 1707788 info@a-b-c-uk.com, www.abclasers.co.uk © 2013 Alma Lasers, Ltd. All rights reserved. Alma Lasers Ltd., its logos and Soprano, are trademarks or registered trademarks of Alma Lasers, Ltd. Product specifications are subject to change without notice.

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INDUSTRY NEWS

SAVE THE DATE FOR THE AESTHETIC AWARDS 2013 - DECEMBER 7

Cambridge Medical Aesthetics announced as headline sponsors of The Aesthetic Awards

WhatClinic.com reports rise in popularity of fat transfer and removal treatments

Cambridge Medical Aesthetics, the UK distributor of dermal filler Uma Jeunesse, has been announced as a headline sponsor of The Aesthetic Awards 2013.

There has been a massive increase in the popularity of fat transfer procedures, such as breast and buttock augmentations, with enquiries for fat transfer surgery up 188% in the past 12 months, according to new figures from private healthcare search engine WhatClinic.com. The research into the most popular surgical and non-surgical cosmetic treatments over the past 12 months also showed that fat removal treatments were increasingly in demand. Caelen King, CEO of WhatClinic.com, comments, “Demand for both surgical and non-surgical aesthetic procedures shows no sign of slowing down. For example, fat transfer procedures have grown in popularity with patients attracted to the idea of a more natural alternative to the traditional silicone breast and buttock implants. “From breast enlargements and dermal fillers to laser hair removal and botox, Britons are clealy becoming more comfortable taking control of every aspect of their appearance. They are happy to invest in themselves and change things about themselves that they don’t like.”

The biotechnology company manufactures products for use in ophthalmology, dermatology and orthopaedics and is dedicated to bringing cutting edge technology to healthcare and is committed to continuous research into new products for application in medicine. Uma Jeunesse is a monophasic, hyaluronic acid based dermal implant cross-linked with BDDE. Using molecular modulation techniques, the safety and longevity of this implant has been enhanced as shown by a recently concluded clinical trial as well as by data on file.

Eden Aesthetics welcomes new business coordinators Eden Aesthetics has employed three new business coordinators to support customers selling its Epionce and Agera skincare ranges. Kellie Baines will be covering the North of the UK and has 15 years experience working in the beauty industry. Since graduating as a nurse in 2011 she has worked as an aesthetic practitioner specialising in anti-ageing and skin rejuvenation. Sabrine Baccush will be covering the South of the UK. She has a background in beauty therapy and has more recently specialised in training and development of sales and business. Sophie Lewis will be covering the Midlands. She is CIBTAC and CIDESCO trained and has a passion for cosmeceutical treatments.

Two in five beauty product searches are made on mobile devices says study Consumers made over 2.1 million searches on the web for beauty care products in June and 38% were made using mobile devices, reveals the latest online search data from Greenlight. The agency’s ‘ Beauty Sector Report - Issue 1’, the first edition of its quarterly research series covering the sector, identified the most popular keywords used by consumers in June to find skincare and other products on Google UK, when they searched via desktops/laptops and mobile devices. 1.3 million searches for beauty care products were made via computers, and 816,481 were made using mobile devices. Searches across both laptop and mobile devices peaked in January, dropping off sharply in February and into March. Whilst they picked up again in April, desktop search volumes in the lead up to June have remained well below levels seen between July 2012 and January this year.

World class thought leaders love Belotero “Belotero is my must have dermal filler for fine lines and wrinkles” Fredric Brandt, MD1 n

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1. Body Language No. 59 September/October 2013 2. Kuhne, U et al. Five-year retrospective review of safety, injected volumes, and longevity of the hyaluronic acid Belotero Basic for facial treatments in 317 patients. J Drugs Dermatol. 2012 Sep; 11(9):1032-5 3. Prager W et al. A Prospective, Split-Face, Randomized, Comparative Study of safety and 12-Month Longevity of Three Formulations of Hyaluronic Acid Dermal Filler for Treatment of Nasolabial Folds. Dermatol Surg 2012, 38: 1143 – 1150. 4. Data on File: BEL-DOF2_001 Belotero Juvederm Study MRZ 90028_4007

Tel: +44(0) 333 200 4140 Fax: +44(0) 208 236 3526 Email: customerservices@merz.com

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INDUSTRY NEWS

SAVE THE DATE FOR THE AESTHETIC AWARDS 2013 - DECEMBER 7

Hamilton Fraser Cosmetic Insurance Launches New Website Hamilton Fraser Cosmetic Insurance has launched a new website. The site - www.cosmetic-insurance.com - features a ‘Knowledge Centre’ which offers a wide range of interactive information including fact sheets and guides to help you protect your business; links to its monthly e-newsletters and digital magazines and video resources from its expert legal advisors, Bevan Brittan. Eddie Hooker, CEO, said, “The main focus of our new website is to make everything easier for you. Our trusted insurance policies have remained the same in content, but we have created a simpler and more structured way for you to explore their main features. Our website is more informative and efficient, allowing you to get a quote quickly, so you can get back to running your business. With over 15 years’ experience of the cosmetic insurance industry we are the leaders in our field. We want to remain number one by staying at the forefront of our industry and making sure you have the best experience from your insurance company.”

Castle Aesthetics Supplies takes on Beauté Pacifique Castel Aesthetic Supplies is the new distributor of Beauté Pacifique, a patented, skincare line rooted in biomedical science and dermatology. The line currently consists of 38 products within the category of dermacosmetics or cosmeceuticals. One of the signature products is its vitamin A cream Crème Métamorphique. The efficacy of the product has been proven in an independent double blinded, placebocontrolled Danish study, which was carried out by Professor Peter Bjerring at the dermatological department at Marselisborg Hospital. The study showed that the cream, after only five days treatment, can strengthen the skin’s elastic fibrestruture.

Allergan Names Douglas Ingram as president Allergan has named Douglas Ingram as its new president. In this newly established role, Ingram will report directly to David E Pyott, chairman of the board and CEO. He will lead the company’s global commercial operations, with responsibility for the company’s broad portfolio of pharmaceutical, consumer and medical device products. With more than 25 years of professional experience, Ingram has a strong background in the health care industry, both in the US and internationally. He has served Allergan as executive vice president and president for Europe, Africa and the Middle East for the past three years. “During his 17-year tenure at Allergan, Doug has consistently demonstrated leadership and high performance across many segments of our business,” said Pyott. “Doug has built an impressive record of accomplishment and is widely regarded throughout our organization as a leader who is committed to the highest standards of excellence in all areas. I am confident that his broad range of commercial and functional experiences will serve him well as he assumes this new and important role.”

Skincare pioneer launches new book Skincare pioneer Dr Des Fernandes has co-written a new book that demystifies complex scientific studies and cuts through marketing and advertising hype whilst getting to the heart of cosmetic claims. Written along with Jennifer Munro, Your Skin Factory is a clear, concise and reader-friendly explanation of how the skin works and offers an ideal introduction for anyone wanting to understand skin and how to care for and protect it Dr Fernandes relates his ground-breaking discoveries on the most effective ways to maintain healthy and radiant skin, based on more than thirty years of research. He says, “Ageing skin is not inevitable, damage can be reversed. I’m outraged sometimes by how much hype surrounds normal cosmetic creams and how little they actually do for the skin.”

UNIQUE ADVANCED LIPOSOMAL TOPICAL ANAESTHETIC

Indicated for painful topical treatments on large surface skin areas up to 900cm2*

Effective pain control from 30 to 60 minutes*

Well tolerated with low incidence of erythema†

A division of Ferndale Pharmaceuticals Ltd.

FOR FURTHER DETAILS

SCIENTIFIC & CLINICAL INFORMATION

0800 0195 322 INFO@AESTHETICARE.CO.UK PRESCRIBING INFORMATION LMX4 Lidocaine 4% w/w Cream is a topical anaesthetic containing 4% w/w Lidocaine in a liposome base. Indication: Venous cannulation or venipuncture: Adults including the elderly and children over one month of age. Local anaesthetic for topical use to produce surface anaesthesia of the skin prior to venous cannulation or venipuncture. Dose and method of use: Apply 1 to 2.5g of LMX4 Cream to the area of the skin where the procedure will occur. No more than 1g of cream should be applied to children under 1 year of age, 1g of cream equates to approx. 5cm of cream squeezed from the 5g tube or approximately 3.5cm of cream squeezed from the 30g tube. The LMX4 Cream should remain undisturbed on the skin and can be covered with an occlusive dressing to prevent disturbance. Adequate anaesthesia should be obtained after 30 minutes, but the LMX4 Cream can be applied for up to 5 hours under a dressing. Shortly before starting the procedure the LMX4 Cream should be removed with clean gauze and the procedure site prepared in the usual manner. Maximum application time for 1 year and above should not exceed 5 hours. Maximum application time for 3 month up to 12 month infant should not exceed 4 hours and maximum application time for 1 month up to 3 month infant should not exceed 60 minutes. Indication: Painful topical treatments on larger surface areas of intact skin: Adults, including the elderly. Local anaesthetic for topical use to produce surface anaesthesia of the skin prior to painful topical treatments on larger surface areas of intact skin. Apply approx. 1.5g to 2g LMX4/10cm2 of skin up to a maximum of 900cm2. Apply until response is achieved which is generally between 30 to 60 minutes. Typical estimated quantities are 30-40g/200cm2 (approx.

10cm x 20cm or covering a face), 45-60g/300cm2 (approx. 10cm x 30cm or covering an arm), 135g-180g/900cm2 (approx. 30cm x 30cm, or covering torso or back). The LMX4 Cream should be applied evenly at the specified dose with a uniform thickness across the area where the treatment will occur. Measures may be taken to ensure the cream remains undisturbed. Shortly before starting the topical treatment the LMX4 cream should be removed and the site for treatment prepared in the usual manner. Contraindications: Hypersensitivity to Lidocaine, or any of the amide-type local anaesthetics, or any of the excipients. Precautions and warnings: For external use only. Do not apply to irritated skin or if excessive irritation develops. Avoid contact with eyes. Do not use in large quantities or for longer times than those recommended. LMX4 Cream should not be applied to wounds, mucous membranes, or on atopic dermatitis as there is no clinical data relating to its use on such areas. Lidocaine should not be used in any clinical situation in which its penetration or migration beyond the tympanic membrane into the middle ear is possible. Repeated doses of Lidocaine may increase blood levels of Lidocaine. Patients with severe hepatic disease are at greater risk of toxic plasma concentrations of Lidocaine. Production of surface anaesthesia can block all sensations in the treated skin and trauma to the treated area such as exposure to extreme temperatures should be avoided until complete sensation returns. Interactions: Lidocaine should be used with caution in patients receiving Class 1 anti-arryhthmic drugs. Pregnancy and lactation: LMX4 should be used during pregnancy only if clearly necessary. Caution should be exercised when LMX4 is administered to a nursing mother.

Undesirable effects: Application of Lidocaine can cause transient local blanching followed by transient erythema and other effects can include irritation, redness, itching or rash of the skin. In rare cases local anaesthetics have been associated with allergic reactions including anaphylactic shock. Systemic toxicity is unlikely but signs of systemic toxicity are blurred vision, dizziness, difficulty breathing, trembling, chest pain or irregular heart beat. Basic NHS Price: LMX4 5g £2.98, LMX4 30g £14.90. Legal classification: P MA number and holder: PL 20685/0034, Ferndale Pharmaceuticals Ltd, 12 York Place, Leeds, LS1 2DS. Prescribers should consult the Summary of Product Characteristics for further information. Date of revision: July 2013. Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard Adverse events should also be reported to Ferndale Pharmaceuticals Ltd. contact details below Ferndale Pharmaceuticals Ltd, Unit 740 Thorp Arch Estate, Wetherby, West Yorkshire, LS23 7FX, Phone: 01937 541122, Fax 01937 849682, email info@ferndalepharma.co.uk

REFERENCES * LMX4 Summary of Product Characteristics (Date of Revision 28 June 2013) † Taddio et al, CMAJ 2005;172(13) 1691-1695 Date of preparation: July 2013 Item code: LMX4ACare0713

ON THE SCENE |

ON T HE SC E N E Out and about in the industry this month

SKIN CLINIC OPEN EVENING, SEVENOAKS

GENDER MATTERS TO STEREX Sterex welcomed representatives of Gender Matters to its latest Transgender electrolysis course. The company pioneered the first course of this kind in 2009 and has helped build a national database of electrolysists who are willing and able to treat members of the TG community

Dr Hilary Jones was the guest of honour at an open evening at The Skin Clinic, Sevenoaks. The award winning clinic is led by Dr Johanna Ward and the event was a chance for the public to meet the team and to find out about the treatments on offer. Dr Jones spoke to the audience about the importance of choosing a reputable clinic for cosmetic and aesthetic treatments where staff are highly skilled and where patient safety is paramount.

Representatives from ‘Gender Matters’ attend every Sterex course to give information and insight in a fun and inspiring way. Sherrie Tomlinson, CEO and Erika Godwin, Chair, who lecture to the NHS, the Police Force and other organisations, gave a fascinating, deeply moving, challenging and all encompassing presentation. Gender Matters, a registered charity based in Wolverhampton, provides a comprehensive programme of practical support, counselling, advice and information for anyone with any questions or problems concerning their gender identity, or whose loved ones are struggling with gender identity issues. They are great supporters of Sterex and all we are trying to achieve for the community. As a gesture of goodwill, Laurie Cartmell, director of Sterex, was pleased to make a donation to the charity in recognition of all their hard work and support.

Live treatment demonstrations were performed by the medical staff including radiofrequency skin tightening, Hydrafacial and dermal fillers. The clinic has also just taken on Coolsculpting and was introducing the technology to clients. Dr Ward said, “We are so excited to be able to bring the Coolsculpt technology to Kent. Coolsculpting has taken America by storm and offers a safe, non surgical alternative to treatments like liposuction. Only doctor led clinics can offer Coolsculpt treatments and we are proud to be the first in Kent and Essex to have this gold standard body contouring treatment. Dr Hilary Jones certainly seemed wowed by the Coolsculpt technology. Because it is FDA approved we know it that it is safe and effective and the before and after results speak for themselves”. The Skin Clinic Sevenoaks offers free initial consultations with its medical team and will happily advise you on treatments that might be suitable.

93% of patients say they would have Radiesse® again1...

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80% feel more confident2

no wonder you

1. Moers-Carpi M et al, Physican and Patient Satisfaction After Use of Calcium Hydroxylaptite for Cheek Augmentation. Dermatol Surg 2012, 38: 1217-1222. 2. Tzikas T. A 52 month Summary of Results Using Calcium Hydroxlapatite for Facial Soft Tissue Augmentation. Dermatol Surg 2008, 34, (Supp 1): s9-s15

95% would recommend Radiesse2

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1. Sadick N, et al A Multicentre, 47 month Study of Safety & Efficacy of Calcium Hydroxylapatite for Soft-Tissue Augmentation of Nasolabial Folds and Other Areas of the Face. Dermatol Surg 2007; 33 (Supp 2): s112-s127. 2. DoF-1-001_01

no wonder you Call Merz Aesthetics Customer Services now to find out more or place orders: Tel: +44(0) 333 200 4140 Fax: +44(0) 208 236 3526 Email: customerservices@merz.com RAD074/0813/LD

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CLINICAL EXPERIENCE | PDO THREAD LIFTING

Thread work Dr Gabriela Mercik on Polydioxanone (PDO) lifting threads

Summary Polydioxanone(PDO) - a substance previously used to produce absorbable surgical sutures, found many currently used in aesthetic medicine. Due to its collagen production stimulating properties, it is well suited for usage in face lift and neck, abdomen, buttocks or thighs treatments and as well skin tightening and firming around the shoulders. A high safety profile of polydioxanone and confirmed clinical observations, make PDO threads treatments safe and fully predictable. Properly applied PDO thread obtains results similar to a surgical face lift. Keywords: Polydioxanone, face lift, aesthetic medicine, thread lifting, PDO threads. Dr. Gabriela Mercik Cosmetic Doctor. Dr. Gabriela Mercik is Medical Director of Hebe Anti-Aging and Aesthetic Medicine Clinics and Medical Director of Dermagenica Ltd. Her research career began in Poland 15 years ago in cardiology and internal medicine. She worked in the hospital for the transplantation of hearts and lungs for 10 years. She carried out research in field of LDL-apheresis and publicated in American Journal of Cardiology. She is an advanced aesthetic trainer in biomimetic mesotherapy, dermal fillers and Botox. Dr. Gabriela practices cosmetic medicine in her clinics in Belfast and Omagh. She provides mesotherapy and Dermaroller courses across UK and Ireland. Figure 1.1 Polydioxanone synthesis diagram p-dioxanone

Introduction Aesthetic Medicine is one of the branches of medicine, which in recent years have been dynamically growing, both in terms of new surgical procedures and introducing newer and more advanced preparations. Recently the real milestone, in terms of new surgical procedures, was the introduction of PDO(polydioxanone) threads on the market. Through application of PDO threads in treatments, you can achieve the most effective and safest way to prevent and treat symptoms associated with ptosis of tissues, skin stretching and improving its density. This is due to specific feature of polydioxanone that causes mild tissue response, leading to the production of new collagen. Polydioxanone itself is kind of a synthetic fibre, which in turn is produced by the polymerization with opening ring of a monomer p-dioxanone. Figure 1.1 shows the preparation of polydioxanone. In vivo, polydioxanone is slowly hydrolyzed to form monomers of 2-hydroxy-ethoxyacetic. The monomers are further degraded, which results in obtaining water and carbon dioxide - the neutral compounds for the body and completely absorbable through the skin. Fiber made of polydioxanone does not have the pyrogenic properties, therefore does not induce any response from the

immune system. In medicine polydioxanone have been used for more than twenty years. It has been applied to monofilaments, absorbable surgical sutures and orthopaedic implants. Because of that, the material is well known and tested. It features a high safety profile, which plays a key role, when it comes to new products entering the aesthetic medicine market. It often appears that after a few years, some novelties that captured the aesthetic market at the time, are of falling into oblivion, due to a number of complications and side effects. In this case we can be completely confident of the PDO threadsâ&#x20AC;&#x2122; performance in the human body, as the polydioxanone had been used in suturing materials, in tens of millions surgical procedures, that had been performed around the world over twenty years. When introduced into the body, the polydioxanone is absorbed within 180 (up to 240) days. The twenty-first century is a period of time, when the first attempts of using polydioxanone as a tissue-specific promoter, which stimulates the production of a new collagen were made. In 2008, South Korea patented one of the first polydioxanone thread systems positioned on a special needle for use in aesthetic medicine and plastic surgery. Since then the PDO threads permanently become a commonplace in tender procedures in the leading clinics, involved in aesthetic medicine and plastic surgery around the world. The treatments are very popular in Korea, Japan, North and

Table 1.1 Comparison of lifting threads catalyst + heat

polydioxanone (PDO)

22 www.cosmeticnewsuk.com

Threads

PDO threads

Aptos Happy Lift

Contour Thread

Silhouette lift

active substance

Polydioxanone

Polylactic acid derivative

Polypropylene

effect

flabby skin elevation, collagen synthesis stimulation

anaesthesia

local anaesthesia

general anaesthesia

treatment time

30 minutes

60 minutes

side effects

Hematoma, mild swelling

Pain at the site of implantation, hematoma, swelling, asymmetry, mechanical damage to the threads

Country of origin

Korea

Russia/Italy

USA

South America and Russia. Now they start to conquer the Europe. The popularity of the PDO thread treatments is a result of a few basic facts: safety, efficiency, predictability, ease of carrying out the procedures and the prices of the treatment. In all these fields, the PDO threads treatments are unbeatable, compared other thread lifting, or aesthetic medicine treatments. Table 1.1 shows a comparison of the basic features of lifting threads available on the market. In Korea, a method based on the implantation of PDO threads into the acupuncture points have been developed, thus providing a long-term stimulation to the corresponding meridians and energy flow control. This effect is used for many ailments, which are accompanied by chronic pain, decreased immunity and weakened body. In addition, procedures that use PDO strands are developed for incontinence and impotence. The treatment using PDO thread The idea of the procedure is based on two mechanisms of action. The first consists of mechanically stressing the skin. This is done by putting the PDO thread into the deep layer of skin (dermis or subcutaneous tissue). The second mechanism uses biomedical properties of polydioxanone, which through stimulation of fibroblasts stimulates the natural process of collagen synthesis (Figure 1.2 and Figure 1.3). With this synergy desired aesthetic effects are achieved. The process of the skin structure reorganization, takes place in two stages. Immediately after the treatment, wrinkles smoothing and tissues pulling can be observed, due to the mechanical effects of inserted threads. After about a month, begins a visible improvement of the original aesthetic effect, resulting from the increased synthesis of endogenous collagen fibbers. PDO strands are completely absorbed, while the aesthetic effects arising from the increased collagen synthesis last on average approximately 24 months (up to 36 months). The duration of aesthetic effect is dependent on the initial condition of the skin, the quantity of fibroblasts within it, rate of metabolic processes taking place in the skin and the patient’s age and lifestyle (stimulants, photo-protection, skin hydration, etc.). Due to the rapid rate of absorption, the PDO threads do not tend to cause fibrosis and scarring, unlike the large diameter fibbers with biodegradable properties, where the process can take over a year - a period of time, where risks are increased in a statistically significant manner. Indications and contraindications for the PDO threads Due to PDO threads’ mechanism of action, it can be used for firming the skin, increasing the tension, reducing wrinkles or liquidating the consequences skin sagging. Effects of treatments are based on the ability of inducing the synthesis of new collagen fibres.

Figure 1.2 Diagram showing the depth of PDO thread insertion

The main indications for PDO threads: FACE: • Horizontal forehead wrinkles • The lion’s wrinkle • Reduced outer edges of the eyebrows, drooping eyebrows • Sagging skin under the lower eyelid • In-depth lip-nasal folds • Furrow cheek/yoke area • Tuck chin • Puppet lines • V-lifting • Drooping cheeks • Correction of the yoke area • Sagging skin in the area below the jaw • Correction of smoker wrinkles BODY: • The folds and wrinkles of the skin on the neck and décolleté • Firming and shaping the breast, breast lift • Sagging tissue and stretch marks on the buttocks, abdomen, arms and legs • Lifting buttocks • Sagging skin and subcutaneous tissue (after e.g. childbirth, liposuction) • Obesity - arms, abdomen, ribs • Alopecia (assisted surgery in addition to administration of PRP) • Improvement of skin firmness and tightness around the knees and elbows • Correction of atrophic lesions on the backs of the hands Contradictions to the treatments using PDO threads, are the same as general contradictions for other procedures in aesthetic medicine. These include: • • • • • • •

Inflammation of the skin and subcutaneous tissue Autoimmune diseases Adhesions and fibrosis of the skin and subcutaneous tissues Epilepsy Mental illness Clotting Disorders The use of anticoagulant therapy (treatment should be discontinued for at least 14 days prior to the treatment)

Figure 1.2 The synthesis of new collagen improves the density and structure of the skin.

www.cosmeticnewsuk.com 23

CLINICAL EXPERIENCE | PDO THREAD LIFTING In addition, if the thread will be placed deeper within the fatty tissue, the natural lipolysis stimulation occurs. This reduces the volume and the number of adipocytes. With this ability demonstrated by PDO threads, we can get a face slimming effect while stretching the skin - a procedure called V facelift. Implantation of PDO threads can also cause a decreased tension of facial and mimic muscles. By weakening their strength, effects similar to the injection of botulinum toxin are produced. When comparing the effects of botulinum toxin and threads, the latter is slightly weaker, although the aesthetic effects are more natural. This result is particularly desirable, for patients who want to preserve the natural facial expressions while reducing wrinkles. Types of PDO threads The PDO threads consist of two basic components. The first is the thread which is implanted into the skin, and the second is needle, through which we make implantation. One end of the thread is inside the needle and the other is braided around the needle. Types of threads and needles are shown in Figure 1.4. Currently, we have different kinds of PDO threads (MONO, DS, SCREW, TWIN, COG) Their purpose is dependent on the initial condition of the skin, aesthetic defect to be corrected and the experience of the person performing the procedure. This way we gain almost unlimited number of indications for which we can use PDO threads. MONO Threads The mono thread is a single polydioxanone filament. After entering the skin, it causes activation of collagen synthesis. Also exhibits the ability to tense and smooth the skin. It has a relatively low capacity to lift the tissues. Mainly used in treatments aimed at smoothing out facial wrinkles, increasing the volume of the cheeks, blending around neck and neck and lifting the chin. Figure 1.4. Types of PDO threads

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MONO threads were versatile in cases of necessity to increase tension and improve skin firmness also beyond the face. In addition, we can use them to reduce the volume of fatty tissue. MONO threads are also used in combination with other types of threads in advanced facelift treatments, correction of lip-nasal folds, contouring the jaw line, lifting the breast, buttocks, etc. If wrinkles occur in the upper part of the face, MONO threads application can obtain results similar to the administration of botulinum toxin â&#x20AC;&#x201C; by obtaining the effect of smoothing out wrinkles and, depending on the depth of the implanted thread, it can reduce facial muscle activity of the area. There is no need to make special arrangements for patients before the treatment. The procedure itself implants threads into the skin and does not require any cuts and leaves no scar. After the procedure, implemented threads are invisible and imperceptible. TWIN Threads TWIN thread is a MONO thread twisted around its own axis â&#x20AC;&#x201C; it roughly resembles a braid. Twisting the thread allows greater tissue response and higher collagen synthesis around the implanted threads. TWIN Threads can be used in the same locations as MONO threads if higher synthesis of collagen is desirable. Due to their structure, they are much stiffer, than the MONO threads and therefore have greater capacity for smoothing and stretching skin, which is located above them. Comparison of MONO and TWIN threads is shown in Figure 1.5. Twisted threads on the needle, types SCREW and DS Threads twisted on the needle are available in two types: SCREW and DS. SCREW thread is a single MONO thread, whose free end is braided spirally on the needle (Figure 1.6). With such structure it allows the free end of the thread to be literally screwed into the tissue. This allows elevation of the skin and subcutaneous tissue. These threads are ideal for all types of treatments, in which we want to raise the skin, pull the nasal-lip

folds, puppet lines, or lift eyelids. With the SCREW threads we can also perform V-lifting treatment on the middle and lower part of the face. Novelty in the range of PDO threads are the DS threads (Double Screw) They are two SCREW threads emerging from one needle and entangling themselves just as alpha-helix of DNA. DS Threads can be used in the same locations as SCREW threads, in cases when we need to stimulate larger quantities of collagen synthesis and lift the tissue even more. Schematic differences between MONO, TWIN and DS threads are shown in Figure 1.7. COG hook threads The most advanced system of PDO threads are COG hook threads. It is a system, which has similar capabilities to threads, which mechanically suspend tissue structures. The thread contains a number of small hooks, which open one way after implanting into the tissue. This way they are able to raise and maintain the new position of drooping tissue. Because of the simplicity of implantation, the PDO threads are the safest and least patient aggravating alternative, from among all commercially available hooked or tapered threads. Comparison is shown in Table 1.1. COG threads bridge the gap between the idea of implanting PDO threads (the simplicity of the procedure, no complications, stimulation of natural repair and regeneration processes) and tissue lifting by mechanical means (the possibility of lifting similar to surgical procedures). COG thread construction is shown in Figure 1.8 By using 8 to 12 COG threads we are able to lift the entire face, including the eyelids. In combination therapy, the COG threads are primarily used as a frame, which mechanically retain the skin and are additionally supported by other types of threads.

Figure 1.5 Comparison of MONO(upper) and TWIN(lower) threads

Figure 1.6 SCREW threads

Figure 1.7 Differences between MONO, TWIN and DS threads. Summary Threads PDO are an interesting alternative to surgical facelift treatments. Although we are not able to reduce the excessive amount of skin, but we can significantly improve its quality and tension. It is also the first treatment in aesthetic medicine, for guiding effective sagging skins therapy, without having to increase the volume of the structures located below (in contrast to the volumetric facelift treatment). PDO thread implantation procedure is fast and secure, and the results are visible immediately after treatment. In addition, please note that as every tissue stimulator, polydioxanone also causes an increased and deferred aesthetic effect - the first visible changes occur after approximately 14 days. Patients who underwent the treatment with the use of PDO threads claimed that, the discomfort accompanying the procedure is much lower than during the administration of hyaluronic acid or mesotherapy. There-

fore the use of widely available anesthetic creams is quite sufficient as a preparation of the patient before the treatment. Another advantage of the PDO threads is the time during which the aesthetic effect lasts - an average of about 24 months. Of course we must remember to take into account the number of fibroblasts in the skin, which number decreases with age. To obtain similar results in different age groups, it is sufficient to use more threads for elder patients and thus gaining more intensive tissue response in the form of new collagen production. Fibre made of polydioxanone does not does not have any pyrogenic properties, therefore does not induce any response from the immune system. Therefore it can be safely used with allergic patients. Wide range of sizes, a variety of threads (MONO, TWIN, DS, SCREW, COG), the safety and long-lasting aesthetic results, one can predict that the coming years will be dominated by treatments based on the lifting PDO threads.

Figure 1.8 COG thread construction

Intensive Eye Therapy

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CLINICAL STUDY

PHOTO FIX We summarise a study on the topical treatment of facial photodamage with a novel formulation of retinol (Retriderm®) by Michael H. Gold, MD, Leon Kircik, MD, Vivan Bucay, MD and Monika Kiripolsky, MD

INTRODUCTION

RESULTS

Retinoic acid (RA), or Tretinoin, has been shown in clinical studies to reduce the visible signs of photoageing, which include lines and wrinkles, uneven pigmentation, laxity and skin roughness. However, RA can cause skin irritation so interest has emerged recently in the use of Retinol to treat photoaged skin, as it is noted for effects similar to RA but with less skin irritation. Retinol is known to convert to RA in the skin but tissue uptake of Retinol in many current skincare formulations is low. Retriderm® Retinol Protein Rich Serum delivers Retinol in an advanced and patentpending oil-free, aqueous suspension to increase penetration into the skin and conversion of the Retinol to RA. This study describes the results of a small pilot study to determine the efficacy of the 1.0% Retinol formulation and a more extensive study to evaluate the effects of this same formulation at 0.5% Retinol to minimise skin irritation.

The open-label pilot study was carried out at two independent sites at which 5 and 6 patients applied the Retriderm® Retinol 1% Protein Rich Serum nightly for 8 weeks and 12 weeks respectively. At 8 and 12 weeks the percentage of subjects that had improved by at least 1 grade on a 0-5 Dermatologist scale was: • 100% for overall photodamage, crow’s feet and lack of elasticity, • 90% for cheek wrinkles and lack of brightness, • 80% for mottled hyperpigmentation, • 70% for under-eye wrinkles and forehead wrinkles, and • 40% for skin roughness These encouraging results justified an additional study to evaluate the efficacy of a 0.5% Retinol suspension for a short time (e.g. 8 weeks) and to determine the likelihood of skin irritation at this lower concentration. In the follow-up study 30 females with moderate to severe photodamage were enrolled; 22 in the active group using Retriderm® Retinol 0.5% Protein Rich Serum and 8 in the control group using the vehicle only. Each study participant used the active or vehicle product nightly for 8 weeks. Whilst the control group did not show any significant improvements at the end of the study, participants using the active showed significant improvements from baseline at 4 and 8 weeks for: • Hyperpigmentation, • Telangiectasia (spider veins or thread veins), • Skin laxity, • Tactile roughness, and • Actinic or solar keratosis

A 58-year-old female before (left) and after (right) treatment with retinol (1%) for 12 weeks. Photographs courtesy of of Leon H. Kircik MD.

When the active and control groups were compared directly, however, there was no significant difference between from baseline between the groups. Data collected on the presence of burning, dryness, itching and redness showed that side effects in both the active and control groups were negligible in most cases and occasionally mild.

CONCLUSION The use of Retriderm® Retinol 1% Protein Rich Serum over a minimum 8 week period clearly demonstrates significant improvements in photoaged skin, including improvements in lines and wrinkles, pigmentation, lack of brightness and loss of elasticity. Side effects were not assessed in this study.

A 69-year-old female before (left) and after (right) 8 weeks of treatment with retinol (1% suspension. Photographs courtesy of Vivian W. Bucay MD.

A 42-year-old female before (left) and after (right) 8 weeks of treatment with retinol (0.5%) suspension. Photographs courtesy of Michael H. Gold MD.

26 www.cosmeticnewsuk.com

The use of Retriderm® Retinol 0.5% Protein Rich Serum over a minimum 8 week period also induces significant improvements in photoaged skin with minimal skin irritation or side effects. The lack of significant side effects suggests that patient compliance for nightly use of the product would be high. Improvements were greatest and significant for hyperpigmentation, telangiectasias, skin laxity, tactile roughness and actinic keratosis. These improvements were not seen with the vehicle, indicating that the active product appears to improve all five skin characteristics over the treatment period and the vehicle does not. There was no significant difference between the active and control group when compared directly which is probably due to the formulation of the proteins within the vehicle itself which had a positive effect on the skin.

NewDimension Dimension Non-Surgical Technology AANew in in Non-Surgical Technology

AArevolution aesthetic skincare market... revolutionininthe thenon-surgical non-surgical aesthetic skincare market... is set to create a revolution in the is set to create a revolution in the non-surgical Aesthetic skincare market. Following the of of non-surgical Aesthetic skincare market. Following success the success the award winning 3D-lipo which combines technologies for the the award winning 3D-lipo which combines technologies for the effective treatment of of fat,fat, cellulite andand skin-tightening we are effective treatment cellulite skin-tightening we set are set to launch a phenomenal new multi-functional device for the face. to launch a phenomenal new multi-functional device for the face. Here are just some of the reasons why 3D-skintech will become the Here are just some of the reasons why 3D-skintech will become the brand of choice in 2013 brand of choice in 2013 • Complete treatment portfolio for anti-ageing, •pigmentation Complete treatment and acne portfolio for anti-ageing, pigmentation and acne • 4 technologies ensure a prescriptive & total approach •to4your technologies ensure a prescriptive & total approach clients needs to your clients needs • Used in conjunction with medical peel and •cosmeceutical Used in conjunction skin carewith line medical peel and cosmeceutical skin care line • Unsurpassed results ensures maximum •client Unsurpassed results ensures maximum loyalty client loyalty • Highly profitable with a multitude of •services Highly to profitable offer with a multitude of • Provides you services to with offera competitive edge in your area • Provides you with a competitive • Affordable as package edge in your area price is under £10,000 with a product • Affordable as package price is starter pack worth £1,000 under £10,000 with a product • Affordable finance packages starter pack worth £1,000 available • Affordable finance packages available

IT’S ALL YOU WILL EVER NEED…

For more information or a demonstration Please call 01788 550 440 For more information or a demonstration Please call 01788 550 440

Rotational Diamond Peel Microdermabrasion Rotational Diamond Peel Microdermabrasion

Utilising Utilising the latestthe technology available you can work in conjunction latest technology available you can work in conjunction with topical skincare to ensure that hydration and comfort are not with topical skincare to ensure that hydration and comfort are not compromised whilst delivering excellent peeling results. compromised whilst delivering excellent peeling results.

Radio Frequency Radio Frequency Tri-polar Radio Frequency is the most advanced technology Tri-polar Radio Frequency is the most advanced technology

available for skin-tightening ensuring excellent results without the available for skin-tightening ensuring excellent results without the discomfort associated with mono or bi – polar devices. discomfort associated with mono or bi – polar devices.

Mesotherapy Mesotherapy Non-invasive mesotherapy ensures that the active ingredients are

mesotherapy ensures active ingredients are deliveredNon-invasive where they are needed most withoutthat thethe need for needles. delivered where they are needed most without the need for needles.

LED

LEDLED ensures both rapid treatment time and excellent Full canopy Fullachieved. canopy LED ensures both rapid treatment and excellent results are Available wavelengths Red (640nm time - 700nm), Blue (425nm - 470nm), YellowAvailable (590nm) and Green (520 - 564nm) results are achieved. wavelengths Red (640nm - 700nm), ensuresBlue effective treatment for anti-ageing, pigmentation, acne and- 564nm) (425nm - 470nm), Yellow (590nm) and Green (520 detoxification. ensures effective treatment for anti-ageing, pigmentation, acne and detoxification.

3D-skintech peels and clinical skincare

A compact range of medical grade peels and cosmeceutical 3D-skintech peels and clinical skincare skincare productsA complete the Skintech’s unique offering you compact range of medical grade peelsand andenables cosmeceutical skincar to both use as a “stand-alone” or combine equipment products complete theservice Skintech’s unique with offering and enables you protocols. to both use as a “stand-alone” service or combine with equipment protocols.

‘To compliment our core injectable business the 3D-skintech has added an array of new result driven facial services to our clinic’s menu as well as the combination services for ‘Tocurative compliment ourWe core injectablethat business the 3D-skintech has added an array of n our more patients. recognized this device offered the stand alone quality driven infacial services to our clinic’s menu that as well as the combination of eachresult technology a unique machine that will ensure we both deliver the resultsservices but equally can make money from the due its that affordability. As offered a clinician many our more curative patients. We start recognized this device thetoo stand alone qu times inofthe past we have invested huge sums ofthat money in a single has the res each technology in a unique machine will ensure that concept we boththat deliver proven but difficult to profit from. In my opinion this type of system represents the future in our equally can make money from the start due its affordability. As a clinician too m industry.’ Dr Martyn GPhave and Clinical director Skin Clinic times in the King past –we invested huge Cosmedic sums of money in a single concept that proven difficult to profit from. In my opinion this type of system represents the future in industry.’ Dr Martyn King – GP and Clinical director Cosmedic Skin Clinic

www.3d-skintech.com www.3d-lipo.com www.3d-skintech.com www.3d-lipo.com

New! Gentle Pro Hair Removal Large Spot Delivery Systemâ&#x20AC;Ś

…for when Size

Matters

Introducing Gentle Pro Hair Removal Large Spot Delivery System

Bringing this highly competitive laser into a league of its own! • 20, 22 and 24mm new treatment spot sizes – the largest in the market • Faster coverage rate shortens procedure time – up to 28% shorter • Improves patient experience and reduces discomfort • Greater treatment efficiency increases the number of treatments performed in clinic

www.syneron-candela.co.uk | info@syneron-candela.co.uk Tel. 0845 5210698

20mm

22mm

24mm

This is not intended for the U.S. market. ©2013. All rights reserved. Syneron and the Syneron logo are trademarks of Syneron Medical Ltd. and may be registered in certain jurisdictions. Candela is a registered trademark of the Candela Corporation. UltraSculpt and UltraShape are registered trademarks of UltraShape. PB82801EN

EYE SPECIAL/LASH ENHANCERS

N THE LASH Why lash enhancement products are becoming a growing retail trend in aesthetic clinics

The business of medical aesthetics has diversified greatly in recent years with the worlds of cosmetic medicine, dermatology and surgery merging more closely with the worlds of beauty and cosmetics. Long, full eyelashes are one of the many things we associate with youth and beauty and, in recent years, they have even become a fashion statement, with false eyelashes coming back en vogue, so it is only natural that aesthetic clinics are tapping into this trend. In much the same way as cosmeceuticals bridged the gap between pharmaceutical products and over the counter skincare, lash enhancement products and conditioners have become our industry’s answer to lash extensions, mascara and false eyelashes with many clinics now retailing them to their clients. By having a well-equipped retail offering in your clinic you cannot only increase your revenue but also your communication with your clients. By getting your clients to buy results-driven products that they cannot simply buy over the counter on the high street, you will be encouraging them to return to you for future purchases at which point you can engage them in discussions about new or top up treatments. Here we round up some of the leading lash products on the market…

MD LASH FACTOR (MEDICAL AESTHETIC GROUP) MD Lash Factor is a physician formulated eyelash conditioner with patented technology that improves the appearance of natural lash length, thickness and fullness. Developed by Dr Susan F Lin, a prasticing physician in women’s health, anti-ageing and aesthetic medicine for over 21 years, the prostaglandin free formula is opthalmologist tested and combines the latest skincare science with safe, results oriented ingredients. In a one month study 95% of users reported an improvement in the overall appearance of lashes. The active ingredients contained in the product include Cytokine Complex, which delivers nutrients necessary to develop fuller, thicker, longer looking lashes and Thiotaine, a powerful mushroom derived peptide, that conditions and helps protect and nourish lashes. It also allows them to develop to their fullest potential.

ZORIA BOOST LASH INTENSIFYING SERUM (EDEN AESTHETICS) Zoria Boost Lash Intensifying Serum utilises patented polypeptide technology to naturally enhance and support each of the three phases of the eyelash growth cycle, and contains no bimataprost prostaglandin analog. During the Anagen/active growth phase, Zoria Boost stimulates Keratin genes and hair follicles to support natural eyelash growth. During the Catagen/transition phase it strengthens, repairs and protects and during the Telogen/resting phase it conditions the lashes to prepare for the next growth cycle. The benefits for clients are that there is a low risk of side effects, no irritation and no risk of iris or skin pigmentation. The product is also safe for contact lens wearers. R E V I TA L A S H ® A D VA N C E D (SKINBRANDS)

PRIORI® MD LASH & BROW ENHANCER PRIORI® MD Clinical Lash & Brow Enhancer utilises a triple lipopeptide complex – Tx-Peptide Complex™ – a patented technological breakthrough that helps make lashes and brows look fuller, thicker and more voluptuous. The physician-strength cosmetic formulation delivers results in as little as two weeks. It is prostaglandin-free and causes no irritation or side effects. 100% of patients in clinical trial saw results.

30 www.cosmeticnewsuk.com

HYDROPEPTIDE® LASH (BIOACTIVE BEAUTY) HydroPeptide LASH uses the power of plant stem cell and growth factor technology that nourishes and revives while sleeping. Peptide technoinnovation uniquely multitargets the key dimensions of lash and brow hair loss and thinning. HydroPeptide® Lash speeds up the microcirculation of protein-rich amino acids (PEPTIDES) delivered to hair follicles. In a 6 week clinical study evaluating the effects of HydroPeptide LASH on 36 women, ages 21 to 65 - 8 out of 10 users of HydroPeptide® LASH felt their lashes looked fuller in just 4 weeks. 92% of the women said their eyebrows appeared thicker and lusher and 96% said their brows appeared fuller. Just as impressive, 94% of participants said their eyelashes appeared to increase in length and 96% said their lashes appeared more thick, lush and full. Visual analogue scores (VAS) demonstrated statistically significant increase after four weeks (46.05% and 45.68%), six weeks (93.42% and 90.12%) and eight weeks (140.79% and 143.20%) in perceived eyelash/eyebrow thickness. MARINI EYELASH CONDITIONER (JMSR)

Created from the original RevitaLash® cosmetic eyelash conditioner, RevitaLash® Advanced uses an improved cosmetic formula with a selection of powerful peptides and botanicals and is supported by clinical studies. The product was created by Dr Michael Brinkenhoff as a gift to his wife, whose intensive chemotherapy sessions to treat breast cancer had left her once-luscious eyelashes thin and brittle. As a practising ophthalmologist for over 25 years, Brinkenhoff committed his research to creating a product that would restore his wife’s lashes and created one of the first cosmetic eyelash conditioners to be made available to the general public.

Jan Marini Skin Research first launched its proprietary and non-prostaglandin eyelash formulation in 2005. Now the company’s research and development has uncovered a newly discovered proprietary peptide which when combined with other essential factors produces extraordinary eyelash and brow enhancement. Case study subjects have all demonstrated remarkable results. The product has been safety tested by dermatologists and ophthalmologists and will cause no eye irritation or risk of discoloration.

The most advanced non surgical fat reduction and body shaping system

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FAT CELLS BEFORE & AFTER

4 Technologies In 1 i-LipoXcell is the third generation of i-Lipo systems from Chromogenex, a world leader in laser innovation. i-LipoXcell incorporates four technologies for intelligent body fat analysis and measurement, laser diode fat reduction and Radio frequency skin tightening.

Why i-LipoXcell ?

i-LipoXcell is comfortable, safe and clinically proven, backed by independent multi centre studies from leading physicians worldwide.

• No side effects

• Clinically proven • Safe and comfortable • Immediate measurable results • Fast treatment time

Book a demo today www.ilipoxcell.com

F I N A L I S T

For further enquiries call 0800 0378003 or email sales@chromogenex.com UK: +44 (0)1554 755444 • USA: 1-855-438-4547 • South Africa: +27(0)11 079 4242 Australia: 1800 827 817 • Brazil: +55 (11) 4702 4451 • Hong Kong (852) 3965-3175

Made in the UK

chromogenex Leaders in Laser Technology

www.cosmeticnewsuk.com 31

™

PRODUCT FOCUS

EYE FOR AN EYE We find out about NeoStrata Skin Active Intensive Eye Therapy They say the eyes are the ‘window to the soul’ so its no wonder that so many patients visiting aesthetic clinics are concerned about keeping their eyes looking fresh and young. The delicate skin around the eyes is one of the first areas to show the telltale signs of ageing due to unique biological traits, which make it less resistant to UV radiation and other environmental assaults that cause damaging reactive oxygen species (ROS) to bombard skin. NeoStrata Skin Active Intensive Eye Therapy (Aesthetic Source) is specifically formulated with clinically proven powerful ingredients to tackle the visible signs of ageing in the delicate skin around the eyes. It targets crow’s feet and puffiness with a multi-mechanistic approach that plumps the deep layers of the skin, smoothing lines and wrinkles from the inside out so the eye area appears more lifted. The result is noticeably younger looking skin and a more revitalised look.

This unique formula plumps the deep layers of the skin for exceptional results. The ingredients work synergistically in the skin to stimulate cell renewal, even tone and boost collagen to smooth wrinkly lines and firm the eyelid area. Apple Stem Cell Extract protects the longevity of skin’s own stem cells so your skin behaves like younger skin. Peptides stimulate matrix components to produce more collagen, and together with patented NeoGlucosamine™ reinforce collagen’s surrounding support structure to minimise lines and improve skin texture. NeoGlucosamine™ also inhibits a key enzyme in melanin formation, reducing the appearance of uneven pigmentation. Caffeine helps deflate puffiness under the eye, while hyaluronic acid acts as a natural moisture magnet. Vitamin E provides antioxidant benefits. The product is suitable for all skin types and is ideal for anyone who wants to soothe tired eyes, reduce puffiness or reverse the signs of ageing around the eyes; to smooth fine crinkly lines and firm crêpey looking eye lids.

Practitioner Testimonials “NeoStata is a comprehensive skincare regimen. Skin Active Intensive Eye Therapy is formulated to address specific patient concerns about photoageing in the periorbital area. The cream is light and easily absorbed, providing visible benefits which patients demand from around 4 weeks.” Dr Sandeep Cliff, consultant dermatologist, sub dean at Brighton and Sussex Medical School “NeoStrata is an evidence based interactive skincare range suitable for all skin types to treat the visible signs of ageing. NeoStrata Intensive Eye Therapy does what is says on the box; it provides a noticeable improvement to skin texture and appearance in the delicate eye area.” Dr Stefanie Williams, dermatologist, European Dermatology, London

“NeoStrata is the world leader in science backed skin care; the creator and original patent holders of AHS and PHA technologies which are widely used today; a globally recognised brand. NeoStrata Skin Active Intensive Eye Therapy is scientifically proven to be effective and provides impressive results.” Dr Beth Briden, CEO of Advanced Dermatology & Cosmetic Institute in Edina, Minnesota

Case Study: Barbara Ward “I have always been a skincare sceptic, but NeoStrata Intensive Eye Therapy really works and my Visia scans provide irrefutable evidence. My crow’s feet are far less pronounced and my skin feels firmer and smoother. It is worth finding a good cosmeceutical brand that delivers results. I am a total convert and am now using all the NeoStrata Skin Active products.” Reduced Periocular Fine Lines & Smoother Eyelid Texture

Visia Scan - November 2012

Visia Scan - June 2013

0 week

Reduced Periocular Fine Lines & Smoother Eyelid Texture

32 www.cosmeticnewsuk.com

8 weeks Reduced Periocular Fine Lines

0 week

16 weeks

Need we say more? Exploit Excellence, Endorsed by Dermatologists, Proven Clinical Results!

Ellipse SPT+

The chosen market leaders by professionals in Radio Frequency & Magnetic Pulse and Intense Pulsed Light technology

Venus Freeze

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Ellipse IÂ˛PL - Dual Mode Filtering and Square Pulse Technology ensure excellent results and painless treatments.

Radio Frequency (RF) and Magnetic Pulse (MP)2 Technology - giving the best clinical results for face and body.

Hair Removal I Skin Rejuvenation

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Anti-Ageing I Inch Loss Reduction Learn more... Tel: 0208 741 1111 sales@ellipseipl.co.uk www.ellipseipl.co.uk www.venusconceptuk.co.uk

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ADVERTORIAL

The NeXT big thing

We speak to Nazan Damani from the Viva Light Hair and Beauty Laser Clinic about how the Aclepion Mediostar NeXT laser from Carleton Medical is improving patient satisfaction with laser hair removal in her clinic Cosmetic News: What attracted you to the Aclepion Mediostar NeXT laser? Nazan Damani: My research into lasers for hair removal began in Feb. 2013. It was a choice between YAG lasers,IPL systems and diode lasers. There are some excellent YAG lasers on the market but treatments tended to be rather slow,painful and uncomfortable. The cheaper and popular IPL systems can also be uncomfortable and more dangerous on darker skin types. With regard to diode lasers, there were good, average and poor ones available but there was only one system available, which actually combined different wavelengths in one single diode stack when performing hair removal. This was the Mediostar NeXT diode laser from Asclepion. The dual wavelengths offer the perfect combination to target both the hair follicles and the blood supply to them. Where the laser is manufactured was an important factor. Asclepion Laser Technologies are a German based company and are the manufacturers of the NeXT laser. Looking at the company more closely, I saw that that their work was dedicated in the field of medical research and technological innovation. Carleton medical is the sole distributor of the NeXT laser in the UK. They are one of only four laser companies/distributors in the NHS supply chain, which indicated to me that their lasers are clinically effective, as they are used in NHS operating theatres as well as cosmetic clinics. CN: How does it compare to other technologies on the market? ND: The NeXT laser is the fastest and was the latest hair removal laser in the market. It has a larger spot size and coverage rate than most systems available including the Soprano. This meant that it treats more hair faster, speeding up treatment times and ensuring you can treat as many clients as 34 www.cosmeticnewsuk.com

possible with great outcomes. Visually it looks like a quality product with a large full colour touch screen display with a graphic based user interface where you can access a patient database, application support and even treatment pictures and videos. I felt that the NeXT laser had technical advantages over other systems and that no other system treats as quickly and effectively. This has obvious commercial benefits. CN: How important is purchasing the right equipment to the success of your practice? ND: Making the right equipment choice was pivotal to the success of my new business. I wanted to provide a great service but at a workable price and with a laser I could use easily and trust.

ASCLEPION NeXT 810/940nm DIODE LASER • • • • • • •

The world’s fastest hair removal diode laser@12 Hz PAIN FREE SmoothPulse Mode FDA cleared for all skin types Huge 14x10mm spot size 15 million shots per handpiece Portable, 35kg Hair Removal, Acne, Rejuvenation and Vascular treatments • Industry leading 3 year warranty

CN: How has having the Asclepion Mediostar NeXT Laser impacted your business? ND: As with all start up businesses the first few years are the hardest as initial start up costs need to be paid off. Buying the Asclepion laser was a major investment but it has paid off. Without the NeXT laser my clinic would not be such a success. After 13 months of trading I have built up a good reputation and people are realising the quality of my laser is of a high standard and how effective it really is. CN: What are the benefits of using this system for you as a practitioner? ND: It is very easy to use and is lightweight so it is so easy to move. There are no ongoing consumable costs and it has low running costs. It has multiple applications for the future such as vascular treatments, acne treatments, skin rejuvenation and skin whitening and built in safety software. We also get great back-up support from

Asclepion and Carleton Medical in terms of training and technical support.. CN: What are the benefits of this system to patients? ND: It is effective even for dark skin types, is gentle, comfortable and virtually pain-free and has a low side-effect profile. It is also very efficient in cooling the skin. CN: What have you been most impressed by with this system? ND: It is very easy to use and I get exceptional results with my clients. It is very reliable – we have had no problems at all after 13 months of use. CN: What would you say to anyone else thinking of investing in this equipment? ND: They will not be disappointed. The purchase price is a lot lower than similar high profile but lower spec diode lasers.

What’s your Reaction™, Viora’s leading RF device with unique CORE™ technology provides cellulite reduction, contouring and skin tightening treatments for the face and body.

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F I N A L I S T

JOBS: New Harley Street Clinic call: 07711 378689 or email: jwgibson5@gmail.com

PRACTICE MANAGER A golden opportunity for the ultimate practice manager. Dynamic, proactive and self-assured individual with exceptional interpersonal skills required for a totally unique, Harley Street cosmetic clinic that is re-writing the consumer experience.

Duties will include: To oversee the fluidity of a team of at least 2 receptionists, 1 secretary, 3 laser therapists/nurse injectors, 1 IT person, 1 theatre manager and up to 5 doctors. Implementing the smooth running of the clinic's central booking system and multiple diaries. In charge of the consumer experience, from the initial phone call to receiving guests at check in and maintaining clients on an ongoing basis. The candidate should oversee the same exceptional standards of customer care for all subordinate members of staff. Responsible for all finances, book keeping and invoicing. Dealing with human resources and all CQC (Care Quality Commission) Compliance. Salary in line with experience. Ideally the successful candidate would be able to start the first week of October 2013.

LASER THERAPIST

Qualified laser therapist, with at least five years experience working in a busy practice, required for a new Harley Street cosmetic clinic. The ideal candidate will have BTEC qualification in light and laser. Knowledge of different laser systems would also be advantageous. A cheery, can-do attitude and good background knowledge in cosmetic skincare ranges and procedures is also essential. Salary negotiable based on previous experience.

THEATRE MANAGER

Qualified theatre manager, with a cheery, can-do attitude and at least two years previous experience in the private sector, required for a new Harley Street cosmetic clinic. Responsibilities will include organising theatre rotas, managing stock levels, ensuring equipment sterilization and assisting with procedures when required. Salary negotiable based on previous experience.

CASE STUDY

Pearls of wisdom BRENT TANNER MBBS BDS FDSRCS(ENG) MRCSED FRCSED(OMFS) Mr Brent Tanner has worked as a Consultant Plastic and Reconstructive Surgeon since 1984. First and foremost, his work has been at the Queen Victoria Hospital in East Grinstead, where he was Director of the Burns Unit. Mr Tanner trained at Cambridge University and St. Thomas’ Hospital in London. For the last nine years he has

Consultant plastic surgeon Mr Brent Tanner shares his one-year results with the new wavelength Cutera Pearl Fusion laser for severe rhitids

acial rejuvenation is never just about treating lines and wrinkles and, as such, offering your patients a multi-faceted approach to full-facial anti-ageing, results in higher levels of patient satisfaction. Photodamage and deep lines and wrinkles can be challenging to treat without the use of aggressive treatments. Today’s aesthetic patients want to see results without the lengthy downtime of traditional ablative procedures and in recent years a plethora of new technologies has emerged onto the market to meet this demand.

held the post of Honorary Consultant at the Queen Victoria Hospital and devotes himself entirely to Cosmetic Surgery.Mr Tanner is a Fellow of the Royal College of Surgeons, a member of the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Association of Aesthetic Plastic Surgeons (BAAPS) where he has also been a member of the council. He regularly attends international meetings giving lectures and pursuing new techniques and innovations. He also gives many lectures all around the UK and mentors young consultants.

NEW WAVELENGTH CUTERA PEARL FUSION LASER Age 40 Upper lip Fractional E 280 D3 P2

Age 60 Peri-oral Fractional E 280 D3 P2

Age 51 Full face Pearl Fusion Pearl E 3.2 PD 0.4sec Overlap 20% P2 Fractional E280 D3 P2

Age 67 Full face Pearl Fusion Pearl E 3.2 PD 0.3sec Overlap 20% P2 Fractional E240 D3 P2

Age 60 Full face Pearl Fusion Pearl E 3.2 PD 0.4sec Overlap 20% P2 Fractional E240 D3 P2 36 www.cosmeticnewsuk.com

One example is the Pearl Fusion from Cutera. Pearl Fusion combines both the Pearl Resurfacing (fullepidermal renewal) and Pearl Fractional (fractional ablative technology) lasers to deliver the optimal balance between cosmetic benefit and patient downtime. The combination treatment reaches beyond CO² and Erbium and is based on Cutera’s proprietary 2790 nm wavelength using YSGG technology. Together, Pearl Fusion offers a solution for treating BEFORE

deep wrinkles, fine lines, uneven skin texture, pore size, pigmentation and sun damage. Pearl Resurfacing renews the skin’s entire surface and stimulates new collagen. This treatment reduces fine lines, smoothes uneven texture, repairs sun damage, reduces discolouration and gives the skin an overall glow. Pearl Fractional treats deeper into the dermis and is effective on deep wrinkles around difficult-totreat areas including the lip, eyes and cheeks. Combining these two modalities allows practitioners to tailor a treatment for the specific condition of the patient. By combining confluent and fractional ablative resurfacing in a single treatment you can provide more complete results with superior patient satisfaction especially for deep, resistant wrinkles. CASE STUDIES One-year results with the Cutera Pearl Fusion laser for severe rhitids – 10 consecutive patients

3 MONTHS

1 YEAR

WonDERfUL SKin WonDERfUL yoU Restylane Skinboostersâ&#x201E;˘ are a groundbreaking deep skin hydration treatment that improve overall skin quality from within for a natural radiance that shows. Traditional skin care products applied on the skin surface can easily be washed away, while Restylane Skinboosters hold water deep in the dermal layer for lasting hydration and improvements to skin elasticity and smoothness. Discover Restylane Skinboosters and help patients discover the wonders of youthful, radiant skin. To find out more visit www.galderma-alliance.co.uk RES/022/1212n Date of Preparation July 2013

Galderma (UK) Ltd Meridien House, 69-71 Clarendon Road, Watford, Hertfordshire WD17 1DS Galderma Switchboard: 01923 208950 Email: info.uk@galderma.com

PRODUCT NEWS LUTRONIC

ZANCO MODELS

Lutronic® announces FDA clearance for INFINI™

Zancomodels shows its muscles

The FDA has given 510(k) clearance to Lutronic for its INFINI™ system. “Infini’s proven design delivers improved wrinkle reduction through 3-dimensional energy delivery to volumize tissue and deliver improved outcomes for a broad range of skin types, including darker skin types and tanned skin,” said R. Glen Calderhead, PhD and Vice President of Scientific Affairs at Lutronic. “Infini can deliver the RF energy into the dermis up to 3.5 mm deep, which has many clinical benefits. Adjustable target depth control allows for precise and controllable fractionated coagulation zones within a specific layer of the dermis; physicians can choose to provide mild to aggressive treatments, even in delicate areas. Additionally, the treatment is well tolerated by patients, thanks to the ComfortFlow™ technology.”

OCULAR SHIELDS

OCULO-PLASTIK OCULAR SHIELDS PROVIDE PATIENT PROTECTION

With the increasing popularity of eye procedures, providing suitable protection for patients has never been more important.Clinics and operators are warned that eye injuries are occurring due to inadequate safety precautions and safety devices being used. Oculo-Plastik has designed the Cox II and Cox II H metal ocular shields to shield the eye as completely as possible and protect the cornea. Suitable for IPL and laser treatments, the non reflective ocular shields are designed to conform to the globe, with rounded edges to assure the patients comfort and safety. Available from Laser Physics in a range of sizes makes choosing the right ocular shield even easier. The Cox II shield includes a suction cup for removal, whilst the Cox II H has a handle near the lower lid to enable easy removal whilst allowing the patient eye closure.

38 www.cosmeticnewsuk.com

Zancomodels has released a new model showing all of the major muscle groups on a female torso. Ricky Zanco, director of Zancomodels, was approached by Merz Pharmaceuticals to work on a new model for some of their training classes. This model needed to include all the muscles of the face, neck shoulder and back. It needs to be made in a soft and realistic material that can be injected like the popular Facial Injection Manikins. It was a big challenge but they love a challenge. The final model was met with great approval from Merz and everyone on the course, so much so they are already talking about designing some different models. Zancomodels will be making a smaller version of this muscle model which will include just the face and will be available in the near future.

JMSR

JMSR Announces the Launch of Marini BioShield Jan Marini Skin Research, Inc. (JMSR) has launched a new product - Marini BioShield. Marini BioShield is a breakthrough silicon-based, nonpetrolatum technology for advanced post-procedure protection and repair. This patent-pending formulation combines targeted growth factors, peptides and hydrators to speed recovery, reduce downtime and enhance treatment results. BioShield’s near-invisible matte finish significantly increases user satisfaction by minimizing or eliminating the objections and social impact common to post-procedure recovery. Marini BioShield is intended for use following common treatments including fractional ablative and non-ablative laser resurfacing, chemical peels and PDT. Whitney D. Tope, MPhil, MD, Board Certified Dermatologist, states, “Marini BioShield is now my postprocedure product of choice. We’ve used it after PDT and ablative resurfacing and find it markedly improves our patient’s recovery and experience. In fact, our most satisfied patients are those with prior treatment experience who now prefer BioShield. I personally used BioShield post PDT and was impressed by its efficacy and ability to minimize visible downtime. BioShield significantly reduced my erythema, stayed in place beautifully, and its matte surface camouflaged the appearance of recent injury. Back at work two days after PDT, very few people noticed I’d had a procedure or was even wearing anything. BioShield is a significant advancement in post-treatment care.”

ELLIPSE

Ellipse I2PL offers rosacea treatment Ellipse I2PL now offers a treatment to target rosacea. The condition affects five million people in the UK. The treatment uses safe, visible light to reduce the visible symptoms of Rosacea - diffuse redness and small blood vessels. While the client still needs to avoid the triggers (certain foods, beverages, environmental factors) that worsen the condition, Ellipse treatment normalises the visible appearance of the condition, effectively restarting the clock in terms of the symptoms appear. Up to four treatments (typically each lasting 10-15 minutes) are required to treat those clients whose Rosacea has progressed to show individual vessels, while those in early stages require only one or two treatments.

MYCOUTURE INDEPENDENT • CULTURAL • MY LIFE

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,

PURIFIED1 • SATISFYING2,3,4 • CONVENIENT5

Botulinum toxin type A free from complexing proteins

PRODUCT NEWS SKINTECH

HARPER GRACE

SkinTech Atrofillin now available in the UK through Euromedical Systems

Harpar Grace appointed as new UK and Ireland distributor of iS CLINICAL®

SkinTech, has launched a new and innovative daily care antiageing cream which is now available in the UK through Euromedical Systems. Atrofillin combines the technology of SkinTech’s famous Blending and Bleaching Cream with hexapeptide-38, an active ingredient which promotes the growth of adipose tissue by stimulating PGC-1a, resulting in a more eventoned, plumper and healthier looking skin. Atrofillin also contains DMAE to ensure a firmer, tenser dermis and provide its proven anti oxidant benefits.

INNOVATIVE SKINCARE® has appointed Harpar Grace as the official UK and Irish distributor of iS CLINICAL®. The leading cosmeceutical firm believes Harpar Grace, represents the dynamic and entrepreneurial energy that is needed to establish and grow their range of esteemed clinical and consumer lines within the UK & Irish markets. Founder and director of Harpar Grace, Alana Chalmers comments, “iS Clinical is a beautiful brand with exceptional presence within the US and established credence within the global cosmeceutical sector. I am looking forward to the opportunity to leverage my retailing, brand management and commercial experience to establish the range as a leading treatment and aftercare system in the UK and Ireland. Being a smaller entrepreneurial outfit enables us to work closely with each and every account to form a personal and collaborative approach to securing growth for their business and I’m really excited about the creative and commercial opportunities the range offers to the professional sector”

MYCROLATOR

SKINMEDICA

MYCROLATOR helps product absorbtion

SkinMedica Lytera™ wins award Lytera™ Skin Brightening Complex has won the Good Housekeeping USA Best Skin Saviours Silver Award. Rated better than the first place finisher for fading age spots, the product is clinically proven to improve the appearance of dark spots and brighten the skin for a more even, balanced and radiant complexion.

A new device which helps the absorbtion of skincare products has been launched by Black et Blanc. The Mycrolator Skin Prep kit has been developed by medical device experts for both the pharmaceutical Industry to enhance drug absorption, and for the beauty sector to enhance the effect of cosmetic agents. It’s the first of its kind, and is made in the UK specifically for facial use by both men and women, to reduce the appearance of lines, wrinkles, scars and blemishes. The device contains precision-engineered tiny metal micro-projections that are certified medical device quality, set in a carefully designed ergonomic housing. The MYCROLATOR Skin Prep device is gently dabbed onto the skin. This mildly disrupts the uppermost layer of the skin containing dead cells, leading to the creation of micro-pockets. These micro-pockets dramatically increase the skin’s surface area, into which the filtered oils are able to absorb and form what can be called ‘micro-reservoirs’. These reservoirs allow the oils to be gradually absorbed into the skin over a longer duration, as a result of which the beneficial effects are substantially improved

40 www.cosmeticnewsuk.com

This non-prescription skin brightening serum has clinical results that show a similar efficacy to prescription strength 4% hydroquinone in reducing the appearance of hyperpigmentation and dark spots. The trail demonstrated significant improvement in the appearance of facial hyperpigmentation that can be a direct result of too much sun exposure but also of hormonal changes or post inflammation. Improvement was seen as early as 4 weeks with continued improvement at 12 weeks and 6 months.

CACI

New CACI treatment is a breeze CACI has launched a new treatment, which claims to mimic the effects of toxins in a topical application. The Skinbreeze treatment is a hybrid fusion of a skin-resurfacing system, LED light-therapy, and a high-pressure 02 infusion of a unique rejuvenating serum containing neuropeptides. The treatment is ideal for clients who want a less invasive alternative to injectables. The treatment proports to offer visible results after just one appointment with imporved results over a 10 weekly course of 60 minute treatments. The treatment is indicated for wrinkles, lines, dark circles and eye bags, smoker’s lip lines and sun damage. Skinbreeze creator Dean Nathanson says, “The treatment has been devised to achieve remarkable anti-ageing results with a totally natural look, creating youthful looking skin with none of the nasty side-effects associated with injections and fillers.”

20%

Dermaceutic

DISCOUNT

is a range of

ON FIRST ORDERS SIMPLY QUOTE COSMETIC NEWS

personal care products prescribed by skin care specialists to enhance the results of aesthetic treatments. PROFESSIONAL PEELS

THE EXPERT IN AESTHETIC DERMATOLOGY Mandelic acid 15%, idebenone 5%, emblica 5%,retinol 5%, salicylic acid 5%.

SPOT PEEL Fantastic for Melasma, Pigmentation and pregnancy dark spots All Skin types treatable No Hydroquinone No Parabens Minimal Downtime Cost Effective

After spot treatment + homecare

After 1 spot treatment + 1 month homecare

Interested to learn how Dermaceutic can add revenue to your practice? Call for a no obligation demo on 020 8955 7982 or email: daleavery@sigmacon.co.uk Sigmacon (UK) Limited, Heriots Wood, The Common, Stanmore, Middlesex HA7 3HT

IN BUSINESS CONFLICT MANAGEMENT

WAR OF THE WORDS

Keisha Paul, chief consultant at KT Solutions on conflict management

Conflict Resolution is a process that is used to alleviate disputes. Methods such as, negotiation, mediation, bargaining and arbitration are employed to reach an equitable conclusion. If this article was about reaching settlements in court, or remedying international conflict, it would proceed to discuss conflict resolution. To the contrary, this article delves into business in the medical aesthetics arena where conflict may come at any angle; therefore, conflict has to be embraced. Conflict Management is all about minimising the negative aspects of conflict and stimulating the positive aspects of conflict in the hopes of improving the organization for the better. Any sane reader may be wondering why this publication is promoting conflict. The rebuttal to that thought is that since conflict is a part of any commercial organization, one may as well get some good out of it! Before we go forward, this article is going to speak to the requirements of the manager or owner, given that, ultimately the proverbial “buck” stops with them. We are going to prepare you for the most intense conflicts, so you must ask yourself, “Can I handle it?”, if so, proceed with caution. Earlier it was mentioned that in business we should embrace conflict. The reason being is that contrary to past beliefs, the result of conflict will not undermine established authority. Actually, too little conflict leads to apathy and indecision which is horrible for an industry that requires its representatives to be creative and passionate. The other extreme is that you can have an abundance of conflict which can lead to infighting and eventually employee turnover, which is expensive and

42 www.cosmeticnewsuk.com

counterproductive. What we want you to cultivate is functional conflict. Functional conflict helps to improve the organisation, whereas, dysfunctional conflict threatens the progress of the business. The manager or clinic owner is actually going to

be the person to manage conflicts and make sure that they remain functional. The business owner/manager in medical aesthetics will experience conflict internally, with fellow colleagues, and externally, with customers or patients. The two scenarios will have to be handled slightly differently; however, causes for conflict are largely the same. It can be argued that because of the resentment, disruption, and inefficiency caused by conflict among staff, these issues ultimately end up being felt by the consumer who will eventually be swayed to attend a more harmonious practice. It can also be observed that many of these conflicts result either from not taking the time to properly structure your practice, or not enforcing that structure. For

Typical Causes for Conflict Cause

Affecting Staff

Affecting CLIENTS

Affecting BOTH

Competition for Limited Resources

√

Organizational Complexity (Increased Bureaucracy leads to increased conflict)

√

Unclear policies and standards

√

Unmet expectations

√

Unclear job boundaries

√

Intergroup competition

√

Collective Decision Making

√

Decision Making by Consensus

√

Incompatible Personalities or Value Systems

√

Inadequate Communication

√

Unresolved or Suppressed Conflicts

√

example, how can employees work to a certain standard if there was never a clear benchmark in the first place? Likewise, the chances of meeting the expectations of a client are slim to none if there was never a set process to set realistic expectations. The easiest solution to this issue is to create or purchase an employee manual and a treatment or procedural manual. These documents will go over all aspects of your business; including all aspects of human resources, and all the clinical processes. These documents ensure that you and your team are all following the same rules. Moreover, it can clear up a dispute quickly, given that everyone has already been informed of how the practice is to run and everyone’s role and duties. Just like a business plan is worth the dust that it collects if it is not used, so does a manual. All members of the team should be given a copy of the manual upon hiring and it should be incorporated into their training. Your patient process should be clearly communicated and when training new hires role play to make sure the new person is comfortable before having to handle the real thing. For those readers who have created great processes not just for clients, but also for staff, I commend you; however, if you are still experiencing dysfunctional conflict, you probably are not following your own rules! Also, you may be avoiding conflict when you should be facing it head on as soon as you feel there is an issue. Now, please don’t conjure up images of bullfighting or MMA combat; dealing with organisational conflict is actually quite pleasant. If you are having an interpersonal conflict with someone, or you have the unlucky job of finding out what transpired between others, the best thing to do is to ask the person to accompany you to an area that is away from onlookers. Speak with your body at a slight angle and not squared up to them. Additionally, speak loudly enough for them to hear you, but not to inform half of England of what you are discussing. Lastly, everyone hates someone speaking down to them; it’s condescending and makes you feel like a child. If they are sitting; sit, if they are standing, stand with them. Once you are away, ask them how they are feeling. People are complex and we usually have no clue what they are going through. The behaviour that you may be discussing with them could have resulted from something that is quite understandable and you will want that information before you proceed. Let the person know, without blaming them and without making it personal, what the issue is and that you are approaching them in an effort to solve it. Without trying to, we can make things personal with the words we use. State facts, avoid pronouns, and be firm, but pleasant in finding a solution. Observe the proceeding type of language use to illustrate the personal and impersonal use of pronouns and how it can completely diffuse a situation.

CONFLICT RESOLUTION CASE STUDY STAFF SCENARIO

Staff member is continually using mobile phone at work.

LEADING TO DYSFUNCTIONAL CONFLICT – “I keep on seeing you on your mobile during the work day. I am afraid that I’ll have to ask you to either keep it at home or in the break room during the day. Is that ok?” LEADING TO FUNCTIONAL CONFLICT – “I’m glad that you enjoyed your weekend! I am just letting everyone know that in line with the company’s policy on customer service the team has to be attentive at all times and mobiles can get in the way of that. Everyone is making sure to keep it off and away except for lunch and breaks. Customers may notice them even if it is a short text, so please make sure it’s away immediately. Thanks so much.

CUSTOMER SCENARIO Client has received treatment in the past but is now complaining that the price is too expensive and is threatening to leave if you do not give a discount. LEADING TO DYSFUNCTIONAL CONFLICT – “We are sorry that you are not happy with our prices. As you can see here, you signed our medical history, treatment, and product forms and you were fully aware of the price. Nothing has changed since then so you will have to make a decision as to whether or not you want to stay with us. We value our business with you; however, we cannot do anything about the prices.” LEADING TO FUNCTIONAL CONFLICT – “The prices for this service can be seen as expensive as compared to other cosmetic items like make-up or spa services; however, you look great and the results are amazing. Although the prices are not flexible, let’s explore some treatment options that will fit the new budget and that will maintain the results longer. Whenever you wish to return to the original treatment schedule, just inform the team and they will be happy to help. At this point, congratulations are in order; you have almost finished reading about a topic that most would avoid. As with anything, you will learn the most through doing and even though you are a medical superhero, you will make mistakes. Understanding that conflict is not a bad thing when it is managed is going to empower you as a business leader and make your clinic grow from strength to strength.

It can be argued that because of the resentment, disruption, and inefficiency caused by conflict among staff, these issues ultimately end up being felt by the consumer who will eventually be swayed to attend a more harmonious practice www.cosmeticnewsuk.com 43

IN BUSINESS CLINIC MANAGEMENT SOFTWARE

A great i-dea

We talk to Dr Natalie Blakely, medical director of The Light Touch Clinic, about the new patient management system she has developed for the iPad, which helps busy practitioners streamline the consultation process and manage patient records

he medical aesthetics industry is dominated by new technology and innovation, but this isn’t always reflected in the technology used behind the scenes with many practitioners still preferring to hand write or type patient notes and manually file them. But as the industry becomes increasingly competitive this type of traditional record keeping may start to impact on turnover. With the phenomenal rise of cloud computing there has been a recent influx into the market of Apps and e-solutions aimed at the aesthetic practitioner and clinic which promise to handle every stage of the patient management process from the initial consultation through to treatment and follow-up reducing the time spent on paperwork and filing.

as our professional reputation has grown, so has our client base. Everything I’d worked so hard to achieve was being compromised by incomplete patient records and a chaotic administration system.” Becoming increasingly demoralised Dr Blakely decided to set-aside her scepticism about technology and steer her clinic into the 21st century. She says, “I was absolutely convinced there would be something on the App store that I could use. But although there were a many generic systems on the market there was nothing aimed at the aesthetic practitioner with specific features relevant to the industry.” Dr Blakely decided she needed a system that ran on a tablet with off-site data storage that would allow her to put her patient records onto the iPad. With nothing available that met her needs, she decided to create a patient management system for herself and the idea of Consentz was born. Dr Blakely had been introduced to Ollie Maitland, a London-based developer with many years of experience creating software solutions at a business course she was taking and approached him about developing the system with her. She says, “Some of the most frustrating hours of my life have been spent speaking to helpdesk representatives in overseas call centres, so I felt it was important that my product was designed and developed in the UK with a UK-based helpdesk.” Several months and many sleepless nights later, Consentz was up and running in her clinic and it has been a Godsend. Although Consentz is not a CRM software it is designed to integrate with exist-

My primary objective was to create an App that saved time, increased turnover and was quick and easy for the technicallychallenged practitioner One such system is Consentz, which has been developed by Dr Natalie Blakely and represents a revolution in technologically advanced patient management. The idea for Consentz was born out of Dr Blakely’s frustration at the amount of time she was wasting on admin. As the sole practitioner of a busy clinic she was increasingly spending her lunchtimes, evenings and weekends dealing with admin from back-to-back appointments including transcribing treatment notes, completing treatment forms, uploading before and after photos to the clinic PC and organising prescriptions. She says, “My clinic is known for its high level service and aftercare and 44 www.cosmeticnewsuk.com

ing CRM software clinics may have. If your clinic does not have CRM software it works equally well as a stand-alone system. Dr Blakely has an iPad in reception that the patient uses to enter their personal details and fill out the medical questionnaire. This is synced to the iPad in the consultation room so she can then go through the medical questionnaire with the patient and record her consultation notes. The system enables you to either touch type your notes directly onto the iPad as you go or use its voice recognition software, Siri. Dr Blakely is also planning to add medical voice recognition software to the system so it will pick up more complex medical terminology. It also has a treatment selection menu, which can be tailored to your own clinic. This allows you to select the treatments the patient is having and will automatically load the consent form, which your patient can read and sign directly onto the iPad. You can also take your before and after pictures on the iPad which go straight onto the patient records and you can then add any notes directly onto the pictures. Another feature is ‘track and trace’ where you can record lot numbers so, if there is ever a problem with any product, like the PIP implants, you can quickly locate which patients have had that particular product without having to trawl through hundreds of records. One of the other new features under development is an audit tool, which will make it easier for practitioner to audit themselves. “My primary objective with Consentz was to create an App that saved time, increased turnover and was quick and easy for the technically-challenged practitioner like me, to implement and use”, Dr Blakely says. “This isn’t just an App that you buy and that is the end of it, we are constantly listening to our client and evolving and moving forward. There’s no doubt in my mind that cloud based patient management systems will become the norm within our industry in the next five years.”

“ Consentz has streamlined my working life, saving me time and money while increasing the turnover of my business.” Dr Natalie Blakely BA Hons, MBBS, mBCAM, GMC registered

The simple, secure patient record system for your iPad that makes paperwork a thing of the past! Intuitive, easy to set up and use Consentz enables practitioners to obtain proper, informed patient consent that meets the new recommendations set down by the Review of the Regulation of Cosmetic Interventions.

No more after-hours transcribing

Visible record of treatment

A unique speech-to-text recognition function transcribes your patient notes into text as you speak and stores them securely.

High resolution before/after patient photographs, taken with your iPad can be added to your patient’s ﬁle in seconds. A unique colour coded note function enables you to visually record the exact location of treatments.

Lot Number

Amount

C2918 C3

3ml

C2918 C3

5ml

C2918 C3

6ml

Electronic consent forms and digital signatures Patients can complete questionnaires and consent forms on the iPad with a simple, one-touch button and provide a digital signature using a tablet pen.

Appointments diary

Track and trace

Security

Simple set up with Google Calendar, Salesforce or your CRM.

Quickly ﬁnd who has been treated with a speciﬁc batch of product. (Search by lot number).

We take security very seriously. Consentz is hosted on trusted servers over SSL and with industry standard security.

E info@consentz.com T 0845 094 0261

www.consentz.com

IN BUSINESS BUSINESS FOCUS

Tipped for success In a competitive market making sure your practice runs like a well-oiled machine will give you the edge over your competitors and make the service you are able to offer your patients second to none. We have asked some of the industry’s leading business advisors for their top tips for success from recruitment and accounting to the patient experience and marketing

KEISHA PAUL, CHIEF CONSULTANT, KT SOLUTIONS 1. Educate the First Point of Contact! The first point of contact is whoever your potential client is going to speak to first. This may be a receptionist, a family friend, another business, or previous clients. You may be a great clinician, but nobody will ever be able to find out how great you are if those that represent you aren’t properly informed about you, your service, your brand and what makes you special. If your staff are the first point of contact, use interactive training to make sure they understand and can talk to someone about the procedures without sounding like a robot. If your first point of contact is other businesses or acquaintances, make sure that you have attractive, clear, branding material that tells everyone why they should come to you! 2. Work to a Goal Every Day! Any established retailer has a target that they aim to reach every single operating day. These targets are in line with realistic financial goals. As the saying goes, if you fail to plan, you plan to fail, and in medical aesthetics a sound and succinct financial and marketing forecast is one of the most important plans you can make. This plan goes over how to meet your intended financial goal, your weekly schedule, your marketing schedule and the cost of the each marketing activity. This plan is how do you chart if you are en route to meeting your goals or if you need to get back on track. 3. Learn About the Industry! If you were opening a business in any industry, you would have to learn about it extensively in order to know what product to sell, where to sell it, who to sell it to, how much to sell it for and how to sell it. Unfortunately, new entrants to the medical aesthetics industry often forget these guidelines and lose a lot of money, time and energy. A simple read that is packed with the information you need to make your company great is Simple Steps to Building Successful Cosmetic Practices, by Yasmin Khan. Leveraging two decades in the industry, Khan is able to succinctly tell you how to get started, and what mistakes to avoid.

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SABRINE BACCUSH, BUSINESS DEVELOPMENT COORDINATOR, EDEN AESTHETICS DISTRIBUTION LTD. 1. Make sure your initial consultation is thorough Practice great listening skills; really hear what your client is saying to you so you can decide on an accurate course of action. Re-affirm the key reasons your client has come to you. Fully explain your treatment decision and home care plan in line with the results being asked for. Your client will buy into you on this first occasion only, so it’s worth every bit of your time. 2. Build Client Enthusiasm Building client enthusiasm ensures your client’s commitment towards their desired results. Offer facts and case scenarios which illustrate a positive result. Outline a 3-6 month plan for the ideal treatment programme (combining services to achieve their vision), lifestyle advice and correct product usage. Be the first person they come to.

MARCUS AND ZOE DAVITT, BLUE HORIZONS – MARKETING 1. Don’t ignore your existing clients Make the client feel cared for and like an individual person not just ‘another client’. The more genuinely cared for you make the patient feel, the more likely they are to connect with you. Consider newsletters, ezines, birthday/Christmas cards, thank you cards for referrals, loyalty schemes etc. 2. Develop a clear strategy Aim for high quality clients who return and refer like-minded ones. Set clear objectives but be realistic and honest and check your progress against these objectives. 3. Encourage referrals At least 70% of your new clients should be coming from your current clients and working as a snowball effect. In order to do this, you must look after your existing clients as this encourages loyalty. Consider newsletters, ezines, referral cards, incentives to both referring client and referee etc.

Make the client feel cared for and like an individual person not just ‘another client’.

EDEN AESTHETICS DISTRIBUTION LTD. BUSINESS DEVELOPMENT COORDINATORS: SOPHIE LEWIS, KELLIE BAINES AND CARLY PATEMAN 1. Keep your clinic well-stocked A well -stocked clinic is key to success as it is so annoying for a client when they regularly come in and the product is out of stock. This is when they are tempted to go elsewhere or buy online. Also, a clean clinic is paramount because first impressions are everything and if a clinic is dirty, clients will not return. 2. Provide quarterly evaluation forms I would suggest that all customers should receive a quarterly evaluation form/ questionnaire (via email to avoid cost) , asking the customer to comment on any of the services they have received that quarter, either from admin/sales/ training/ etc, and ask for comments on any improvements we could make to our services. This promotes good customer relationships and communication, and will also provide a reliable tool to assess, measure, and evaluate the overall services provided. 3. Have marketing materials on display in your reception It is vitally important for your reception/waiting room to be stocked up with up-to-date marketing materials. Sometimes when clients are early they will flick through your promotional items and may even be persuaded to try different products. They might stumble across products that they feel a friend would benefit from, increasing word of mouth, which is one of the most trusted and cheapest forms of advertising.

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)

IN BUSINESS BUSINESS FOCUS

JOHN SELLERS, MANAGING DIRECTOR OF ARC AESTHETIC PROFESSIONALS – STAFFING AND RECRUITMENT 1. Write a comprehensive job AND person specification Any new employee must fit with the ethics and culture of your organisation. You need to work out exactly what you are looking to achieve in your business by hiring this person. To help you do this you could think about what makes your best employee so good? Should you try and replicate them? Any new employee must fit with the ethics and culture of your organisation. 2. Always look for figures and statistics on a CV that can illustrate an individual’s successes and achievements Sales reps should mention their sales figures from their current and previous positions. Likewise, Clinic Managers should mention savings they have made for their employer or increases in company turnover they are responsible for. Beware CV’s that have short stints in employment or gaps between jobs. It may show a lack of stickability or loyalty, or an inability to hit targets. 3. Don’t make snap decisions There’s a temptation to snap up a skilled person who can help carry out the treatments you want when you have a full diary. But you may be trading that short-term fix for a long-term disappointment. What you’re really looking for in a great candidate are the qualities you can’t list on a CV – essentially brains and passion. 4. Try and get your preferred candidate to spend a day in your clinic or business You can only cover so much ground in interviews. Spending time with you and your existing employees allows both you and the candidate to make the right decision when it comes to hiring them. 5. Look after your employees Once you’ve managed to secure your new employee it’s important you look after them. Offer them an attractive salary and benefits package. Don’t make them work every weekend or too many late evenings. Be fair. If an employee works late one evening, unpaid, let them come in late the next day. Give them a proper employment contract. Keep them motivated. And finally, make sure you tell them when they are doing well in their role. You’ll be amazed how well they’ll respond to praise.

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EDDIE HOOKER, HAMILTON FRASER COSMETIC INSURANCE – INSURANCE 1. Make sure you have adequate insurance Whether you work as part of a clinic or as an individual practitioner it is important to make sure you have adequate insurance in place should the unexpected happen. Before you buy your medical malpractice or surgery insurance policy make sure you understand exactly what cover is included and what is not. This will help you recognise any potential exposure should the unthinkable happen. All too often cover is reduced or excluded to enable premiums to be lowered. This can result in the practitioner being exposed to claims and ultimately left out of pocket. 2. Consider using a two-stage consent process If the treatment is significant, you should see the patient twice, giving him/her details of the risks/benefits at the first appointment and confirming and evidencing the consent at the second. 3. Break the consent form into clearly headed sections In cases where there are a number of risks to the patient, consider breaking the consent form into clearly headed sections with a signature box after each section to draw the patient’s attention to those specific sections and risks. Be aware, the more detailed the form, the more time consenting the patient will take, but consenting is not a process to rush. 4. Keep a copy of your own records If you are a practitioner trading mobile from a clinic and the clinic holds the records, it would be useful for the practitioner to also hold notes in the event of any disputes with clinics in the future. It is a condition that all records are kept for a minimum of 10 years in a secure place and backed up. Any patient has up to 3 years from the date of treatment to pursue a claim. 5. Do not admit liability If you receive notice of a formal claim please remember not to admit any liability at any point, enter into any correspondence without our prior consent or disclose that you have notified your insurers.

ALAN RAJAH, LAWRENCE GRANT PARTNER, HEALTHCARE SPECIALIST AND BEN KORKLIN, LAWRENCE GRANT PARTNER, BEAUTY SECTOR SPECIALIST - TAX AND ACCOUNTING 1. Take out fee protection insurance This insurance will cover the accountants fees in defending an enquiry from HMRC and these costs can often be substantial. HMRC enquiry activity is at a record level and most medical businesses and owner managed businesses are being targeted. 2. Consider incorporating your business to save tax By selling your sole trader or partnership trading business to a Limited company, you will only pay 10% tax on the goodwill sold. A company pays corporation tax of between 20% and 23% as opposed to a potential higher rate tax of 45% if the trade is conducted via a partnership or a sole trader. 3. Ensure that your business has the appropriate accounting and software tools to record all incomeand expenses. This will enable you to manage and control your business on a daily basis. A common problem is the recording and reconciliation of data received from billing agencies. 4. Use a qualified accountant HMRC are targeting high volume agents (HVAs) who submit high numbers of self-assessment returns that result in a repayment of taxes. HMRC have recovered an additional £30m in unpaid taxes from clients of HVAs due to incorrect submission of claims made on individual tax returns. 5. Keep comprehensive records Keep a record of all income (perhaps in a receipts book) as well as a record of all expenses/outgoings. Include as much as you can when giving information to an accountant - Don’t forget a tax return includes details of all taxable income received such as bank interest and dividends. 6. Don’t leave it until the last minute Don’t leave it until the last minute because you may not have the money saved to pay your tax – remember if your tax liability is over £1,000, you will have to pay another 50% on account for the following year on 31st January.

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IN BUSINESS VIEW ON

KEEP A LID ON IT!

After four long years in the process of change, finally, the laws that govern how cosmetic products are sold in Europe are about to tighten up. Beauty and Anti-Ageing Coach Antonia Mariconda shares her thoughts

“In a bid to create customer awareness and better transparency, new tighter EU rules will be enforced ensuring that manufacturers impart clear information that has an emphasis on the safety and efficacy of the product. The new laws came into effect this summer, manufacturers of cosmetic products will be asked to clearly state under new guidelines the possible side effects of any product as well as the inclusion of any nano-materials which are frequently used in cosmetic products that are sun protection products. I’m particularly pleased to see that under new regulations companies that make claims, and sometimes even (exaggerated claims) about their products, such as ‘wrinkles appear reduced’, will be expected to prove the validity of their statements by using six separate criteria, including considerations of honesty and fairness. In a recent informationdaily.com article Enterprise Europe Network Midlands (EEN), the European Union’s sounding board for small and medium sized businesses (SMEs), warned that these guidelines apply to any and all internationally manufactured products which are sold in the EU. This is not the first major overhaul in safety and transparency, earlier this year Sir Bruce Keogh unveiled plans to reform the cosmetic interventions industry after 50,000 women were left stranded

after a health fraud crisis which involved the faulty manufacturing of breast implants that contained ingredients not fit for the human body. The new EU rules have been introduced for safety reasons, and also to better inform people buying cosmetic products, I fully advocate that EU governing laws have a duty to ensure that consumers are being treated honestly and transparently in their choices, there have been far too many examples lately of greedy commercial exploitation of the vulnerable consumer. I have seen this mainly with skin related products such as acne ‘cure’ claims and anti ageing products claiming the eradication of wrinkles and facial lines with a simple tube or jar of cream. What is worse is that the general media will often ‘piggy back’ on unsubstantiated claims of cosmetic products, thus leading the unsuspecting public into believing that the product is a ‘must-have’. I’m forever being asked

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on Twitter, if this or that product is ‘good’ or not, and I try to answer honestly and fairly. I am not paid by any cosmetic brand to endorse them, so I have the privilege of ‘freedom of speech’ through my independence, however it never fails to surprise me when I see so many people being literally ‘duped’ by what is very clearly misleading claims and clever advertising. The products that really do rile me are the so-called ‘botox in a jar’ gimmicks, I am constantly trying to explain that there is no such thing as ‘botox in a jar’. Scientific evidence, extensive trials and thorough patient evaluation through isolated case studies are the true difference between an effective product or just marketing ‘hype’. I am glad that finally we are about to see a new dawn in transparency, and I hope and pray that one again the manufacturers won’t find another crafty way to ‘bend the rules’, although I won’t hold my breath on that one.”

Scientific evidence, extensive trials and thorough patient evaluation through isolated case studies are the true difference between and effective product or just marketing ‘hype’. Antonia Mariconda also known as ‘The Cosmedic Coach’ is a health and beauty writer, and author of four books. She is quoted in national and consumer press such as the BBC, Top Santé, The Evening Standard, Daily Mail, and Metro, for her knowledge on beauty and aesthetics, and cosmetic surgery. Antonia also independently advises clients both from the UK and around the world on where and where not to shop safely for cosmetic surgery, beauty, aesthetic medicine, and antiageing treatments. Her client list includes A-list celebrities, Royalty and VIPs. Follow Antonia on Twitter @CosmedicCoach or join Antonia on Face book where you will be updated about events and happenings in the world of health and beauty. www.thecosmediccoach.com

BACN 2013 ANNUAL CONFERENCE & EXHIBITION

FACING THE FUTURE

FRI 4TH OCTOBER & SAT 5TH OCTOBER

Renais s an c e Ma n c he s t e r C it y C e nt r e Ho t e l

Friday 4th October 08:30 - 09:30 Registration and Coffee 09:30 - 10:00 Introduction: Constance Campion Awaad - Aesthetic Nursing: Past, Present and Future 10:00 - 11:00 Galderma Workshop - Dr Colette Camenisch : Filling, rehydration and relaxing for facial balance 11:00 - 11:30 Coffee 11:30 - 12:30 Allergan Workshop - Marea Brennan-Thorns: Lip Masterclass 12:30 - 13:30 Merz Workshop - Helena Collier: Collagen Stimulators 13:30 - 14:30 Lunch 14:30 - 15:30 Dr Chris Inglefield - Toxin Masterclass 15:30 - 16:00 Coffee 16:00 - 17:00 Kate Hill, Barrister - Consent Saturday 5th October 09:30 - 10:30 Panel Discussion - Suzanne Armstrong , Michelle Irving, Debbie Forsyth, Kate Harding, Marie Dolan : Assessment and Treatment Planning 10:30 - 11:00 Andrew Rankin - The funny thing about GAG’s and thoughts on hyaluronidase 11:00 - 11:30 Coffee 11:30 - 12:30 Dr Lance Setterfield – The Basis for Avoiding the Inflammatory Response in Wound Healing 12:30 - 13:00 NMC (speaker tbc): Portfolio Management 13:00 - 14:00 Lunch 14:00 - 14:30 Dr Stephen Bassett - Managing Complications 14:30 - 15:00 Suzanne Armstrong - The Psychological Impact of Medical Aesthetic Treatments 15:00 - 15:30 Coffee 15:30 - 16:30 BACN matters - discussion

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IN BUSINESS PHOTOGRAPHY BEST PRACTICE

A picture speaks 1000 words John Castro on why images on your website are important and how you should be using your before and after photographs

hey say a picture speaks 1000 words. True or not, an imperative part of any website is it’s images. Some websites my team and I have produced have completely relied on the quality of the images we used to make it what it was. That is how important images can be. However, it is how you use images to send a message to the user that matters. A recent study from Jakob Nielsen, the expert in webpage usability, found that “users pay close attention to photos and other images that contain relevant information, but ignore fluffy pictures used to “jazz up” webpages”. Make sure you hire a web designer that uses

your website attractive and convert website visitors into website enquiries. This cannot be further from the truth. Yes, use images, but use them appropriately. Indeed, people want to see images, but they want to see relevance. Jakob Nielsen’s recent study provided us with some key fundamentals to using images on our websites. I thought it would be beneficial to list the ones that stood out to me and I thought are important to the aesthetic industry. BEFORE AND AFTER IMAGES: An important fundamental error I find with some aesthetic websites is not supplying the user with before and after images. If you are in this business, having before and after shots on your website may encourage potential clients to call and book an appointment. It’s the before and after images that help the user to see your work, gain trust with you and the overall benefits of the treatments. Do not let lack of a camera stop you from taking before and after photos and putting them on your website. Today most smart phones can take high quality pictures that you can add to your website. Also, do not let anyone convince you that you need “professional” pictures before you can put them on your website. Yes, professional is always good, but let’s not let that excuse stop us. Take the images and put them up on your site. They play a major part in

before and after images that help the user to see your work images to provide a message. For example, having a beautiful women to showcase some of your aesthetic treatments is fine, but if that section of your website is promoting anti wrinkle treatments, don’t put a lady in a bikini. It has no relation to what you are trying to promote. Common sense yes? You will be surprised how much this is not considered. Although pictures are an imperative part of any web design process, the myth out there today is your website must have several images to make

GOOD PICTURE PRACTICE • Image fundamentals - size, composition, quality and exposure are four important things to look for in a good image. People actually look for quality in images. • Effectiveness – if the picture creates excitement or interest, then it works. Some characteristics: • Emotional appeal – does the product in the picture look good and make the user want it? • Rational appeal – does the image show the benefits of the product? • Transmitted message – this is about the image sending the right message to the website readers.

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the aesthetic and plastic surgery business. Recently, I had a friend enquire about some plastic surgery and she only called the companies that showed before and after images. Do not bombard your home page with before and after images too. What we have found works best is slider image with one case study with a before and after image and a ‘SEE MORE’ button, which takes the user to a specific section on your website for before and after images.When we design our websites we also try to include a smaller section somewhere on the home page with a few thumbnails of before and after images along with a ‘SEE MORE’ button. This is not always possible when designing, as you do not want the home page too cluttered. Offer an easy way for the user to get to your before and after section without too much hard work, essentially with one click. When I was asked to write an article on use of images on an aesthetic website I immediately knew the importance of getting this content out to aesthetic professionals. Why? Images play a major part of what you should be including on your website. The aesthetic and cosmetic business is all about visual. This is why people want these treatments done most of the time; they want to improve their visual appearance right? Whether it is for reasons they could not prevent or general vanity, your potential customers want to see images. Use them properly and use my advice above to make sure you implement in a way that helps your website generate new enquires. John Castro is the founder and director of Website For Cosmetics, a specialist in Web Marketing to Cosmetic and Aesthetic Healthcare Professionals. www.websitesforcosmetics.com

IN BUSINESS DAY IN THE LIFE

All about Eve

We find out what a typical day in the life has in store for Dr Linda Eve

I live in a beautiful house opposite the sea at Hengistbury Head . I wake up with glorious views of the sunrise over the sea and the Isle of Wight and then watch the magical sunsets over the Purbeck hills in the evenings. It’s a great place to live as it is invigorating and never dull though the view can sometimes make it very difficult to get out of bed when its a beautiful morning! I have two grown up sons of 25 and 28 yrs old. I am a very proud mother, My sons are still my best friends and we all have mutual respect, support and love for each other. I set my alarm at 6:45, however if I wake up before then I often take a walk on the beach, especially in the summer. Most days I simply enjoy a large cup of tea in bed, watching the sea while the day is quiet. It gives me time to be calm and to think about the day ahead. I then regularly do 15 minutes of early

the Heliocare Sun Care range is available in the Spanish Pharmacies so I am always encouraging the purchase of it! I drive to work most days by car and am lucky that it is only 10 minutes away so I never face any major traffic jams. I arrive at the Clinic at 8:45am and attend a short meeting with my Practice Manager and check the appointments scheduled for the day ahead. I then prepare my treatment room and ensure that everything is ready. My clinic officially starts at 9:30am and is normally fully booked with appointments ranging from 15 minutes for a follow up to an hour, depending on the type of treatment being given. This includes time for patient consultations, where I spend 30 minutes to thoroughly assess the patient’s needs and to discuss fully all the treatment options with them.Every patient

It is simply an amazing job that I feel truly privileged to be involved in morning exercises just to keep supple, important as I am getting older! My clinic is called EvenLines and I opened it in 2008. It is in Bournemouth on a main high street and we now have three treatment rooms. I have 2 P/T Nurses who work with me so that I can offer a wide range of non-surgical treatments including numerous Injectables, Laser/IPL , RadioFrequency, Micro-needling , Dermabrasion and Peels etc.I also have three small clinics that I run in Spain. I started these about six years ago and now visit every 6-8 weeks. There is a great need for professional skin care advice for the English, German and Belgium expats and also the Spanish residents. Fortunately

54 www.cosmeticnewsuk.com

has photographs taken before and after each treatment and these are immediately uploaded onto the computer and stored in their personal file. It is an exciting and emotional time when you show the old and new photos to the patient and they see the changes….I love this part of my work! In between patients I respond to e mails, take phone calls and update my power point training slides.I usually take a 45 minute lunch break, though in reality this is usually 15 minutes for a quick and healthy snack and catch up with my staff. I then take the other 30 minutes for admin work, which is of course endless! My afternoons are usually equally as busy as my mornings! If I have time to take a tea break then I use this opportunity to scan the latest Aesthetic Magazines for interesting articles to read later. I have always had an artistic side to me and I love new adventures and challenges! Coming from an artistic family I wanted to be more creative with my work and felt I was unable to achieve this working as a GP. In 2003, whilst working in

General Practice, I discovered the beautiful world of aesthetics! I could see that the industry was expanding at that time, and after a few initial training courses I realised that this was a route I wanted to pursue. I love creating and restoring patient’s beauty, producing lift and volume and repairing the skin condition. I believe that good aesthetic work is all about producing a natural look with soft contours and radiant skin! I am so passionate about my work that often I still feel just like a child, excited every day by the results I see. The changes that my work brings in each patient’s lives, male and female, is amazing to witness, the trust they put in me , their loyalty, their resulting happiness. I cannot think of a better job for me right now than this one! There is nothing I don’t like about my work, However, I do get annoyed and frustrated about unprofessional practitioners providing poor service to the public who then suffer the results of bad treatments. This year I was asked to be the UK Key Opinion Leader for Sculptra by Sinclair IS Pharma and to chair their UK Advisory Board. These roles are exciting and later this year I will be a speaker on the subject of the “Beauty of Sculptra and the Benefits of Cannulas” at the BCAM autumn conference in Oxford and the AMEC conference in Paris. This year we were honoured to win the Dorset Venus Small Business Award for the most successful small business in Dorset run by a woman. It was a spectacular red carpet event which all the team at EvenLines attended and it was definitely an evening to remember! I have always been rather a ‘workaholic’ simply because I love it! However, over the last year, I have made an effort to get a better work/life balance. My final thought of the day? It is simply an amazing job that I feel truly privileged to be involved in.

Large scale exhibition featuring 120 companies International attendance including: Cosmetic Doctors and Nurses I Dermatologists I Surgeons I Clinics I Hospitals 14 days of content at a two day event 3 high level conferences: Non-Surgical I Cosmetic Surgery I Reconstructive Surgery The great live debates Live demonstrations 3 educational workshops Non-Surgical I Surgical I The Business Hub Networking reception

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D AT E S F O R THE DIARY WE ROUND UP UPCOMING EVENTS, TRAINING COURSES AND MEETINGS

• SEPTEMBER

2 CIBTAC ENDORSED Diamond Microdermabrasion for Face and Body, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 2 ZO Medical, Wigmore Medical 21 Wigmore Street, London, training@wigmoremedical.com 2 Epionce Training, Macdonald Hotel, Manchester, 01245 227 752, carly@edenaesthetics.com, www.edenaesthetics.co.uk 3 Agera and Microdermabrasion Training, Macdonald Hotel, Manchester, 01245 227 752, carly@edenaesthetics.com, www.edenaesthetics.co.uk 3 Sculptra, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 3 CIBTAC ENDORSED Ultrasound for skin rejuvenation and wrinkle reduction, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 4-5 CIBTAC ENDORSED Ultrasonic Lipo-Cavitation, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 6 Advanced Non-Surgical Facelift, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 6 CPR & Anaphylaxis Update, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 7 Botulinum Toxin in Facial Aesthetics: new users - includes all major brands, Birmingham, www.innomedtraining.co.uk 7 Advanced Botulinum Toxin: lower face, neck, under-arm hyperhidrosis, Central London, www.innomedtraining.co.uk 8 Advanced Dermal Fillers: facial contours, lip refinements, skin-hydration, Central London, www.innomedtraining.co.uk 8 Dermal Fillers in Facial Aesthetics: new users to hyaluronic acid fillers, Birmingham, www.innomedtraining.co.uk 9 Tattoo Removal Masterclass, The Lynton Clinic, South Manchester, 01477 536975, info@lynton.co.uk 9 Pressotherapy for lymphatic drainage and cellulite reduction, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 9 Medik8 Dermal Roller, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 10 Skincare & Chemical Peels, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 10 ZO Medical, Kingsmead Medical Centre, Regency Way, Kingsmead, Cheshire, training@wigmoremedical.com 10 Infrared for weight loss and detoxification, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 10 Infrared for weight loss and detoxification, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 11 Advanced facial treatment (Combined Course), Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 11 ZO Medical, Medizen Clinic, 282 Lichfield Road, Mere Green, Birmingham training@wigmoremedical.com 11 Intro to Toxins, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 12 Intro to Dermal Fillers, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 12 CIBTAC ENDORSED Cryotherapy Induced Lipolysis, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 13 Refresher Toxins & Fillers, Wigmore Medical 21 Wigmore Street, London, www.wigmoremedical.com/events/ 13 BioSlimming, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com

14 Aesthetox Foundation Botox and Dermal Fillers, London, www.aesthetox.co.uk 14 Aesthetox Microsclerotherapy Course, Birmingham, www.aesthetox.co.uk 15 BioSlimming, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 16 Obagi Blue Peel Workshop, London, www.healthxchange.com 16 Platelet Rich Plasma (PRP), Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 16 Agera and Microdermabrasion Training, Dandury, Essex, 01245 227 752, carly@edenaesthetics.com, www.edenaesthetics.co.uk 17 Epionce Training, Dandury, Essex, 01245 227 752, carly@edenaesthetics.com, www.edenaesthetics.co.uk 18 Skin Laser Applications (Introduction), The Lynton Clinic, South Manchester, 01477 536975, info@lynton.co.uk 23 Agera and Microdermabrasion Training, Upper Wimpole Street, London, 01245 227 752, carly@edenaesthetics.com, www.edenaesthetics.co.uk 23 GloTherapeutics, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 24 GloMinerals, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 28 Aesthetox Foundation Botox/Skin Health and Chemical Peels, Birmingham, www.aesthetox.co.uk 28 Botulinum Toxin in Facial Aesthetics: new users - includes all major brands, Central London, www.innomedtraining.co.uk 29 Dermal Fillers in Facial Aesthetics: new users to hyaluronic acid fillers, Central London, www.innomedtraining.co.uk

October 4-5, 2013 British Association of Aesthetic Nurses (BACN) Annual Conference, Manchester, www.cosmeticnurses.org

â&#x20AC;˘

OCTOBER

1-3 Advanced Skin Laser Applications (Inc. Core of Knowledge), The Lynton Clinic, South Manchester, 01477 536975, info@lynton.co.uk 5 Microsclerotherapy, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 5 Botulinum Toxin in Facial Aesthetics: new users - includes all major brands, Edinburgh, www.innomedtraining.co.uk 6 Dermal Fillers in Facial Aesthetics: new users to hyaluronic acid fillers, Edinburgh, www.innomedtraining.co.uk 7 Platelet Rich Plasma (PRP), Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 8 ZO Medical, Kingsmead Medical Centre, Regency Way, Kingsmead, Cheshire, training@wigmoremedical.com 9 Business Development, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 11 ZO Medical, Wigmore Medical 21 Wigmore Street, London, training@wigmoremedical.com 12 Chemical Peel Systems & Medical Skincare: comprehensive course for new users, Central London, www.innomedtraining.co.uk 13 Mesotherapy for localised fat, cellulite & skin rejuvenation: new users, Central London, www.innomedtraining.co.uk 12 Aesthetox Foundation Botox and Dermal Fillers, Birmingham, www.aesthetox.co.uk 12 Aesthetox Tear Trough Course, Birmingham, www.aesthetox.co.uk 14 Medik8 Dermal Roller, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 15 Skincare & Chemical Peels, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 15 CIBTAC ENDORSED Cosmetic thermotherapy and Cryotherapy, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 16 Intro to Toxins, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 16 Advanced Non-Surgical Facelift, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@academyofadvancedbeauty.com, www.academyofadvancedbeauty.com 17 Intro to Dermal Fillers, Wigmore Medical, 21 Wigmore Street, London, www.wigmoremedical.com/events/ 17 CIBTAC ENDORSED Ultrasound for skin rejuvenation and wrinkle reduction, Ely, Cambridgeshire, 01353 777 303/0774 769 6815, Barbara@ academyofadvancedbeauty.com, www.academyofadvancedbeauty.com

DIRECTORY ABC Laser Contact: Guy Gouldsmit T: 08451 707 788 E: info@a-b-c-uk.com W: www.abclasers.co.uk

Carlton Group Beauty & Spa (The) Contact: UK Sales Office T: 01903 761100 E: info@thecarltongroup.co.uk W: www.thecarltongroup.co.uk

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CLEAN, SIMPLE AND FAST ACTING THE FIRST AND ONLY SELF-OCCLUDING TOPICAL ANAESTHETIC

(7% lidocaine & 7% tetracaine) Indications: For use in adults to produce local dermal anaesthesia on intact skin prior to dermatological procedures

Pliaglis Prescribing Information (UK)

Presentation: 1 gram of cream contains 70mg lidocaine & 70mg tetracaine. Indications: For use in adults to produce local dermal anaesthesia on intact skin prior to dermatological procedures. Dosage and Administration: For procedures such as pulsed-dye laser therapy, Pliaglis should be applied at a thickness of 1mm for 30 minutes. For procedures such as laser-assisted tattoo removal, Pliaglis should be applied at a thickness of 1mm for 60 minutes. After the required time, the peel must be removed from the skin prior to the procedure. The maximum application area should not exceed 400 cm2. For facial procedures, Pliaglis should be applied by healthcare professionals only. Pliaglis should be applied with a flat surfaced tool, never with fingers. Pliaglis is for single patient use. Contraindications: Hypersensitivity to lidocaine, tetracaine, other anaesthetics of the amide or ester type, to paraaminobenzoic acid or any of the other excipients. Should not be used on mucous

membranes or on broken or irritated skin. Precautions and Warnings: Avoid contact with eyes. Treated area should not be occluded before removing Pliaglis from skin. Should not be applied for a longer time than recommended. Local anaesthetics, including tetracaine, have been associated with methemoglobinemia. It is not recommended to use Pliaglis before injection of live vaccines as lidocaine has been shown to inhibit viral & bacterial growth. Use with caution in patients with hepatic, renal or cardiac impairment, and in patients with increased sensitivity to systemic circulatory effects of lidocaine and tetracaine. Avoid trauma to skin whilst under effects of Pliaglis. Interactions: No interaction studies have been performed. Interactions following appropriate use are unlikely as only low concentrations of lidocaine and tetracaine are found in the plasma after topical administration of recommended doses. Patients taking drugs associated with drug-induced methemoglobinemia are at greater risk for developing methemoglobinemia. Undesirable Effects: In clinical

trials, localised skin reactions at the application site were very common but were generally mild and transient in nature. Reported adverse reactions include: Very common (≥1/10): erythema, skin discolouration; Common (≥1/100 to <1/10): skin oedema; Uncommon (≥1/1,000 to <1/100): pruritus, pain of skin, pain; Rare (≥1/10,000 to <1/1,000): paresthesia, eyelid oedema, pallor, skin burning sensation, swelling face, skin exfoliation, skin irritation; Not known (cannot be estimated from available data): urticaria. Rare allergic or anaphylactoid reactions associated with lidocaine and tetracaine or other ingredients in Pliaglis can occur. Prescribers should consult the SPC in relation to other side-effects. Packaging Quantities and Cost: 15g £22.95 (NHS). MA Number: PL 10590/0059. Legal Category: POM. Full Prescribing Information is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, Herts, WD17 1DS. UK. Tel: +44 (0)1923 208950 Fax: +44 (0)1923 208998. Date of Revision: December 2012.

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Galderma (UK) Ltd Date of preparation: March 2013

PLI/018/0313

F or m e d i u m to d e e p d e pr e s s i o n s i n clu d i n g na so - l ab ial F o lds . 1

WITH LIDOCAINE

A highly versatile, injectable gel using VYCROSS™ technology.1

reference: 1. Juvéderm VOLIFT with Lidocaine DFU, 2013. Allergan, Marlow International, 1st Floor, The Parkway Marlow, Buckinghamshire SL7 1YL, UK | May 2013 UK/0658/2013