Winter Volume51 2022 AestheticsPractitionersJournalistheofficialpublicationof theAestheticsPractitionersAdvisoryNetworkPTYLTD. LeadersinEducation Decreasedown�me. Improveskinrecovery. Amplifyresults. Anindustryfirst Recovery+FirmingConcentrate
APJ 2
The Australasian College of Health & Wellness offers accredited degrees in Applied Health Science to help recognise you as an expert in the dynamic, rapidly changing field of Aesthetics. The Australasian College of Health and Wellness offers a total of eight qualifications, including the Associate Degree in Applied Health Science (Dermal Therapy) and the Bachelor of Applied Health Science (Clinical Aesthetics).
Australasian College of Health & Wellness
Eligiblenewcomers.students are also able to fund part or all of their degree through FEE-Help.
When it comes to elevating your existing career or applying for new jobs from the broad opportunities offered by a rapidly growing industry, a higher education degree from ACHW enables you to truly stand out from the pack. Our diverse faculty of experts is without equal, including qualified and respected experts in Health, Wellness, Science, Education, Aesthetics, Business Administration, and Digital Marketing.
Academic | Therapeutic | Aesthetic
2. Achievable and LearningMeaningful
We strive to ensure that cost is not a barrier to your study, which is why we offer a range of scholarships for registered nurses, future leaders of the industry, and passionate industry
1. Stand Out in a IndustryGrowing
3. OptionsStudyAccessible
Here are your top three reasons to study with ACHW in 2022:
Become equipped with the knowledge and practical skills to make a difference in the lives of your clients as you learn how to build their confidence through the treatment of conditions such as dermatitis and Ourpigmentation.mixtureof online learning and practical clinics enables you to study at your preferred pace while providing invaluable hands-on experience, with dedicated student support to help you every step of the way.
We have a total of 8 programs for you to choose from: Bachelor of Applied Health Science (Clinical Aesthetics) Applied Health Science Undergraduate Certificate for Cosmetic Advisors Certificate in Facial Care Undergraduate Certificate in Dermal Interventions Undergraduate Certificate in Dermal Science and CertificateUndergraduateinHealthCommunicationsCare Undergraduate Certificate New Scholarships! Available for people already working in industry, those passionate about Dermal Therapy and Clinical Aesthetics, or applicants who are registered nurses. Our new scholarships are designed to support you in furthering your health science knowledge and clinical Scancapabilities.theQR code to visit our website and learn more about our scholarships and higher education programs: Visit the website at www.achw.edu.au
APJ 4 INTHISISSUE WINTERVOLUME51.2022 40 82 92 BUSINESS,PERSONALANDPROFESSIONAL DEVELOPMENT 52-53 EQUINIMITY–THEPOWER OFSTAYINGCALMINTHE MIDDILEOFTHESTORM 63 THEPRACTICEOFSEEING WHAT’SLIKEABLE 81 ISYOURBUSINESSCOACH GOODENOUGH? 82-83 HAMILTONSKINFITNESS:A HAVENFORSKIN REJUVENATIONAND RENEWAL 84-85 INSTAGRAMHACKSYOU MAYNEVERHAVE THOUGHTOF 84-85 INSTAGRAMHACKSYOU MAYNEVERHAVE THOUGHTOF 90-95 TIPSFORBETTERBUSINESS 106 THELUREOFPURCHASING EQUIPMENTDIRECTLY FROMOVERSEAS INDUSTRYREPORTS,NEWS,PRODUCTS ANDCOSMETICMEDICINE 8-9 CEOREPORT 36-38 ABEAUTIFULSMILEIS MORETHANJUSTPLUMP LIPS 68-71 PRODUCTINNOVATIONS 76-77 OFF-LABLEPRESCRIBING: WHATISITANDISIT LEGAL? 78-80 AMULTIDISIPLINARY APPROACHTOCELLULITE ANDWELLNESS 86-89 INDUSTRYREPORT:THE EVOLUTIONOFNEW TRENDSANDADVANCES THATAREDRIVING INDUSTRYGROWTH 98-101 AESTHETICBULLETIN 40-43 EDUCATIONMEETS INNOVATION–APAN AESTHETICSCONFERENCE 54-56 THEANALYSISOFATOPIC DERMATITIS 60-62 UNDERSTANDING INTEROCEPTIVE AWARENESSANDITSSKIN THERAPYIMPLICATIONS 66-67 BIOPSYCHOSOCIAL: CLIENT-CENTRED COMMUNICATIONINTHE CLINIC 74-75 THENEWDIPLOMAIN COSMETICTATTOOING REGULATIONS,STANDARDSAND EDUCATION
WendyNeely-PRand Marke�ng DrDouglasGrose-Scien�fic Content
POBox5448,QSuper CentreQLD4218
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The organisa�onestablishedtoservicetheneedsoftheaesthe�csindustryintheareaofprofessionaldevelopmentandbusiness networking.The ispublishedquarterlyforthebenefitofitsmembersandsubscribersandaimstoinform andeducateitsmembersonbe�erbusinessprac�cesandindustryadvancements.Alleditorialsandar�clesthataresubmi�edfor publishingremainthepropertyofAesthe�csPrac��onersAdvisoryNetworkPtyLtd.Reproduc�oninpartorinwholeisnotpermi�ed withoutpriorwri�enauthorisa�onbythepublishers.Everyefforthasbeenmadetoensurethatallscien�ficandtechnicalinforma�on presentedisasaccurateaspossibleatthe�meofpublishing.However,membersandreadersarehighlyrecommendedtoalsoseek externaladvicefromtheiraccountant,registeredfinancialadviserorhealthcareprofessionalfortheirrecommenda�ons.
Aesthe�csPrac��onersJournal istheofficialpublica�onoftheAesthe�csPrac��onersAdvisoryNetworkPtyLtd,anetwork
Australia Publisher TEVGroupPtyLtd
TerryEveri�-Educa�on Features
Typese�ng&Graphics AngusThompson TEVGroupPtyLtd
Na�onalAdvisoryCouncil JohnFergusson
TerryEveri� ChrisTesta GillFish CaroleJackson JuliaGrinberg
ISSN:1836-9812 PintPostApproved [100000257] Circula�on6900
Editor DrGiuliaD’Anna (07)55930360 editor@apanetwork.com www.apanetwork.com
SCIENTIFICRESEARCH,TREATMENTSAND TECHNOLOGY 18-20 TRANSLATIONAL RESEARCHINSTITUTE (TRI)THEGLOBALLEADER INRESEARCHAND INNOVATION 24-47 THEIMPACTOF MENOPAUSEAND SOLUTIONSFORSKIN ANDBODY 28-29 SPOTLIGHTONTHEPOWER OFAPOLYPHENOL-RICHDIET 30-33 WHYBARRIERREPAIR SOMETIMESDOESNOTFIX ALLSKINCONDITIONS 102-105 SCIENTIFICNEWS FrontCover DERMALOGICA 1800659118 www.dermalogica.com.au/prostore Forfurtherinforma�onsee pages10-13
Autumn Volume51 2022 AestheticsPractitionersJournalistheofficialpublicationof theAestheticsPractitionersAdvisoryNetworkPTYLTD. Decreasedown�me. Improveskinrecovery. Amplifyresults. Anindustryfirst Recovery+FirmingConcentrate18
APJ 5
Adver�sing&Marke�ng TinaViney
Aesthe�csPrac��oners AdvisoryNetwork ACN:136987169 ABN:25136987169
Aesthe�csPrac��oners AdvisoryNetwork POBox5448,QSuper CentreQLD4218
PrintedFor
EDITOR’SLETTER DrGiuliaD’Anna
Eventhoughtheliveconferencemaybeover,thelearningcon�nueswithextended accesstothelectures.Andofcourse,APANneversleeps.TheheadquartersatAPANare busyworkingonanewindustryPosi�onStatementtohelpbusinessesgainsupportwhen dealingwithnewlyseenCOVID-19persistentskinmanifesta�ons.Ihaveseenoral condi�onsthathavebeenconnectedwiththevirus,butofcoursetheskinmanifesta�ons arenowbeingwitnessedandexperiencedbyourclients.Itwillbebrillianttoknowwhat toexpect,whotoseeksupportfromandwheretofromhere.APANismakinggreat stridesinthisarea.
editor@apanetwork.com
HowamazingwastheAPANBloom Conference?Forme,itwasanincredible mixofindustryprofessionalsgatheredon thebeau�fulGoldCoast,allworking togethertoachieveunifiededuca�on.I ams�llbuzzingwiththethrillofalive event,withablendedonlinecomponent tomakelearningpacedbeau�fullyaround allourbusylives.
Thetradeexhibi�onalsobroughttogether agreatmixbetweeneduca�onal,skin equipmenttechnologies,pharmaceu�cals andskincarecombined.Iloved networkingwithlike-mindedindividuals overtheweekend.Imustcongratulate everyoneinvolvedfromAPANitselfandto thedelegatesthatcamealong.APANhas receivedgreatfeedbackaboutthe content,withboththemedical, therapeu�c www.apanetwork.com
Fortheremainderoftheyear,Iwillbefocusingonfurthergrowingmybusinessand makingconnec�onswithlike-mindedskinprac��oners,withsomeaesthe�cmee�ngs thatarecomingup.Each�methe APJ isreleased,Ilookforwardtoreadingthroughthe ar�clesandpromo�onsthatarecomingthrough,inboththebusiness,technologyand advancementinknowledgethatispublishedineachissue.ThisissueisnodifferentandI trustthatyouwillgaingreatvalueditsamazingcontent.
Lookingforwardtothefinalfewbusymonthsfor2022.Connect.Share.Educatethatis mymantrafortheremainderof2022,Itrustitwillalsobeyours.
APJ 6 andskintechnologyandtherapybranchesallcontribu�ngtoaperfectevent.
TrishHammond trish@thepinkroom.com.au
KatherineMcCann k_mccann@me.com
APJ contributers
FionaTuckisahighlyrespectedskincare andnutri�onalexpertandaregular speakerandeducatorontheskin,gutand theroleofnutri�oninop�misingskin health.Shecontributesto APJ throughher columnNutri�onforBe�erSkinand Health.
GayWardle gay@gaywardle.com.au
DebFarnworth-Wood deb@ul�mateskinandbody.com.au
FionaTuck fiona@fionatuck.com
DebFarnworth-Woodasourbusinessexpert responsibleforAPJ’s BusinessWisdom column Debabusinessdevelopmentexperts withamazingachievementsasaseriel entrepreneur.
JacineGreenwood-Drummondholds qualifica�onsinnursing,cosme�c chemistryandisaninterna�onally recognisededucatoroncosme�c ingredients.Jacinecontributesar�cleson ingredientscience.
KatherineMcCannisahighlhexperienced Cosme�cta�ooprac��onerandtrainer. Sheregularlycontributestothoughtprovokingcosme�cta�ooar�clesin APJ.
APJ 7
TrishHammondisanaward-winningblog andsocialmediaexpertandaleaderinher fieldwithintheaesthe�csindustryand beyond.Sheregularlypresents educa�onalar�clesonSocialMedia.
JacineGreenwoodDrummond jacine@roccoco.com.au
DrTiinaMeder �ina.orasmae@mederbeauty.com
TerryEveritt aesthe�ceducators@gmail.com
GayWardleisaqualifieddermalclinician andapassionatelytrainerandeduca�orin skinanalysis,consulta�onandadvanced skintreatments.Herar�cles comprehensivelycoverthesesubjects.
DrMederisadermatologistbasedintheUK. Sheisrenownedgloballyasaneducatorin aesthe�cdermatologyandaregulary conferencespeaker.DrMedercontributesto APJ ondermatologytopics.
ProfessorTerryEveri�ishighlyregarded forhisextensiveknowledgeinevidencebasedscience.Heisresponsibleforthe Scien�ficNews segmentwithin APJ aswell ashisregularwell-researchedar�cleson allthingsaesthe�cs.
Thismonthweallfacedthedevasta�nglossofourbelovedQueen ElizabethII.Ihavealsopersonallyexperiencedthedeathof severalpeoplethatIholdclosetomyheart.Oneofthemwasmy ownphysicianandfriend,andthiswasperhapsthemost trauma�cexperienceformeasSorayaFelixwass�llayoung, courageousandanincrediblyposi�vewoman,notunlikeOlivia NewtonJohn.Theybothhadsimilarjourneys.
TinaViney
APANCEO CEO’SREPORT
Asprofessionalswhoareconstantlygivingtoothers,it’simportant thatwegiveourselvespermissiontoalsobenurturedand supported.
Weareslowlymovingoutofwinterwithspringjustaroundthe corner.Thisistheseasonfornewlifeandnewbeginnings.
YOUAREPROTECTED
APJ 8
Dearcolleaguesandfriends,
Thebeautyofourindustryisthatservicingothersisactuallyour profession.Wemakeourlivingbytouchingpeople’sliveswithour skills,talents,ourcareandencouragement,helpingthemfeeland lookbe�erforhavingspentamoment,oranhour,withus.We aresoprivilegedtobegiventhisopportunitytomakeaposi�ve differenceinthelivesofourclients.
Addi�onally,thiseduca�onwillgiveyoutheconfidenceand protec�onyouneedagainstpoten�alli�ga�on.
Deathhasauniquewayofremindingustonevertakeanyonefor granted.Weneedtovaluethoseclosetousandmakeapointof communica�ngourloveandapprecia�ontotheminten�onally.
Movingforward,ourcurrentprojectthatweareworkingonright nowisourCOVID-19SKINMANIFESTATIONPOSITION STATEMENT.Thisdocumentwillbeevidence-basedandwill provideyouthelatestinforma�ononpersistentskin manifesta�ons,whattheyare,howtosupporttheskinby strengtheningitsdefensemechanismandwhattodoifyou iden�fyaCOVIDmanifesta�on.IfyouareacurrentAPAN financialmemberyouwillreceivethisdocumentforFREE.For non-memberswhowishtoaccessthisdocumenttherewillbea feeof$299.
experiencealevelofnormality.Thisyear,wehavebeenable, onceagaintocongregateanda�endconferenceprograms.Our ownconferenceinJuly18wasagreatsuccess.Thelaughterand joythatweexperiencedwasinfec�ous.Communityisso important–itisrefreshinglytherapeu�c.
Asweslowlymoveforwardfromthepandemic,wearestar�ngto
Inthinkinghowtheywouldliketoberemembered,Iamsurethat theywouldpreferthatwereflectontheirlifewithfondnessand holddeartoourhearttheirmostpreciouscharactera�ributesof courage,op�mism,andfiercedetermina�oninlivingalifeof servicetoothers.Mostimportantly,theywouldwantthatwe rememberthemforthewaysthattheyhaveimpactedourlives individually,becauseindoingsotheirlegacywillcon�nuetolive onthroughus.
Theaimofthisdocumentwillbetoprotectyoubygivingyouan understandingofthevariousskinmanifesta�onsthatyouwill encounterandhowtobestsupportandeducateyourclients,but alsoprovideyouwithrecommenda�onsonwhattodowhenyou encounterthesecondi�ons.
APJ 9
Thisisnotthe�meto‘goitalone’andtakeyour�metofigure thingsout.Advancesarehappeningataveryrapidpace.Seek wisecouncil,supportandadvicefromyourindustrypeers.
Ques�onyourmo�vesandputthesafetyandwellbeingofyour clientfirst.Baseyourdecisionsonethics,ensuringyoudonot violateyourindustry’sCodeofEthicsthatyouarerequiredto abideby.
Ethicsarethestabilisingforceintendedtosupportourcredibility–theyarethefundamentalelementsthatbuildlong-term reputa�onandlong-standingbusinesssuccessregardlessofthe economicclimate.
Pleasereachouttousandaccessourhelp.Weworkhardtotake thepressureoffyouruncertain�esandminimiseyourrisks.
Ethicsprovideuswithhigherlevelsofprotec�on,peaceofmind andsafeguardusagainstpoten�aldisrup�onduetoanerrorof judgementorholdinganunclearposi�on.
Movingforward,wewillneedtobevigilantbyensuringthatwe buildourfuturebasedonwell-researcheddataandsound educa�on.
Ethically,weneedtoadheretotheuniversalprincipleof‘dono harm’. Thiswillrequirethatwemovewithcau�on,stayvigilant andpersonallycommittoensuringourinforma�onisgleaned fromcrediblesources.Credibilityiso�eninfluencedbywhomwe associatewith.Whatisyourreferencepointonwhichyoubase yourprofessionaldecisions?Areyoureferencingyourknowledge throughpeoplewhoares�lltryingto ‘figurethingsout’, orontrue expertsandevidence-basedinforma�on?Inourpersonalservice industry,wecannotaffordtooperatethrough trialanderror. We needtocarefullyseektoensurethatwherewegainouradviceis throughreputable,reliableandaccuratedata.
Togetherwearestronger.
COVIDhasintroducednewrisksandourclientswhocometous forsolu�onsexpectustoprovidethemwithexpertadviceand servicesthatareboth safeandeffec�ve
TinaViney ChiefExecu�veOfficer
Ifyouaredoingthewrongthink,youdon’tmakeroomforthe rightthingtohappen.
“
Inthisissueof APJ Iampresen�ngandindustryreportonTHE EVOLUTIONOFNEWTRENDSANDADVANCESTHATARE DRIVINGINDUSTRYGROWTH.InthisreportIoutlinesomeof themajorchangesthatourindustryisexperiencing.
Ifwewishtobeknownasprofessionals,weneedtobeTRUTH SEAKERS.
” TinaViney
Inreviewingthemostefficientwaytosupportandserveyou, APANisplacingyourPROTECTIONatthetopofitsagenda.This isbecausebuildingconsumertrustandconfidenceinyourability andadviceisthesingle,mostfundamentalconsidera�onfor businessgrowthatthispresent�me.
STAYINFORMEDANDEDUCATED
Ethicsarethestabilizingforceintendedto supportourcredibility theyarethefundamental elementsthatbuildlong-termreputationand long-standingbusinesssuccessregardlessofthe economicclimate.
APJ 10
Theskin’smoisturebarrierdefendsthebodyagainst environmentalthreatswhilesimultaneouslyprotec�ngtheskin’s cri�calwaterbalance.It’smadeupofcorneocytes,heldtogether bylipidsthatcontainceramidesandfa�yacids.Whenthisbarrier iscompromised,eitherbygene�csorexposome-relatedfactors likeUVexposureorover-exfolia�on,irritantscanentertheskin andhydra�oncanescape–leavingtheskindehydrated,red, uncomfortable,andvulnerable.
PRORestoreisconsideredtheFIRSTproductintheindustryto addressthemicro-injurycycleto:
Aclinical-strengthproducteffec�vebothinthetreatmentroomas wellasahomecareproductforop�malskinrecovery.
Whenperforminganadvancedtreatmentthatleveragestheskin’s woundhealingprocess,itisconsideredbestprac�cetostartwith skinthathasahealthybarriersoyou’renotcausinguncontrolled inflamma�onandoverloadingtheskin’shealingsystem.Inother words:theskinneedstobestrongtoefficientlyworkonhealing themicro-injuriesdeliveredthroughadvancedtreatments,with pre-treatmentandpost-treatmentcareplayingacrucialrole.
ANINDUSTRYFIRST
Predictedtobecomethegoldstandardinmicro-injurywound healing,Dermalogica’snewPRORestoredras�callyreduces down�meformicro-injurytreatmentswhileenhancingadvanced procedureresults.Arecoveryandfirmingconcentrateleadingthe wayininnova�onasaproductusedinthetreatmentroom,but alsotakenhometoassistfurtherwithtreatmentrecovery. Designedtoworkwithadvancedskintreatments,this concentratepreparestheskin’sbarrier,restoresitscondi�on, helpsincreasefirmnessandbrightenstheskin.
•Reducedown�me
Accelerateyourpa�ents’healing�me andtakeresultstothenextlevel
•Improveskinrecovery
STRENGTHEN,RESTOREANDAMPLIFYWITHPRORESTORE
COVERSTORY
The MediclinicProgram hasbeenme�culouslydevelopedby leadingdoctorsandchemistsworkingonsiteinDermalogica’s researchanddevelopmentlaboratorytocreateunrivalled professionalandretailinnova�ons.Itisherethatsciencemeets innova�onandeduca�on,resul�nginDermalogicabeingthe numberoneprofessional-gradeskincareproductcompanyinthe world.
•In-clinicbespoketrainingsessions.
Berecognisedasthebestinyourfield:
BENEFITSTOTHEDERMALTHERAPIST,NURSEANDDOCTOR
Therearemanyadvantagestopar�cipateinDermalogica’s Mediclinicprogram,forthedermaltherapistanddoctor,aswellas thebusinessowner.Herearesomeconsidera�ons:
Dermalogica’sexclusive MediclinicProgram hasbeendeveloped forthoseprac��onersqualifiedtoperformmedicalgradeand advancedproceduresontheskin.U�lisedbydermaltherapists anddoctorsalike,specialisededuca�onensuressuccessfulclinical outcomesusingDermalogica’sfullsuiteofprofessionalformulas alongsidemedicaldevicetechnology.Dermalogica’sMediclinic programcoverstheen�repa�entjourney,frompreptoprocedure topostcare.
HavingDermalogicaMediclinicaspartofyourteamwillgiveyou theedgeyouneedtostandoutinacompe��veandthriving environment.
DermalogicaPROisascien�ficrangedevelopedbyhighly qualifiedandexperiencedscien�stswhohavecreatedleading innova�veformulastofurtherpropeltreatmentresultsdeveloped thoughsomeofUnilever’smostexci�ng,patentedingredient technology.
Aleaderinthe skincaresectorfor decades,Dermalogicais advancingtheirinnova�ve formula�onstosupportthemediclinicsectorwiththelaunchofPRO Restore.TheirMediclinicprogrampromises toexcelintheprofessionalspacesteppingup skincareresultstoahigherlevel.
Nowmorethaneveristheperfect�metobecomeaMediclinic partner.Capitalisingonastrongrela�onshipwithDermalogica, togetherthroughunsurpassedsupportandleadingglobal educa�onandthelatestingredientandformulatechnology,you willbeequippedforunparalleledbusinesssuccess.
WHYEMBARKONTHEDERMALOGICAMEDICLINIC PROGRAM
•Post-graduateeduca�onbackedbythe Interna�onalDermalIns�tute(IDI).
•Flexibleeduca�onalop�onscateredtoyourpreferencesand schedulewithablendedlearningpathwayincludingface-toface,webinarandonlinelearning.
BENEFITSTOYOURBUSINESS
•Cu�ngedgeresearchanddevelopment.
•Extensivebusiness,marke�ngandevent supportfromDermalogicaandyourbusiness consultant.
•Outstandingeduca�ontosupportbusinessgrowthand development.
Anexclusiveprogram
APJ 11
•Gaincomprehensiveeduca�ontoensuresuccessinlong-term resultsthataresupportedwithac�vepost-treatment homecareformula�onsforyourclientsandpa�ents.
HowwillIbesupported?
•Dermalogica’sbestin classcustomer servicesupport.
•Excellentcustomercareandsupportfromyourbusiness consultantse�ngyouupforsuccess.
Dermalogicaisattheforefrontofaesthe�ctrendswithitslatest roundofinnova�onsthatgobeyondskincare.Welcometo DermalogicaPROandthelaunchofac�veandunique professionalonlyproducts.Dermalogicaisthe#1Professionals Brandtrainingover100,000professionalskintherapistsglobally withanextensiveprofessionalonlyproductrangeandfullback barforadvancedskintreatments.
Dermalogicaispushingthingsforward,wan�ngtobeatthe forefrontofnewadvances,focusingonallthemedicaltreatment innova�ons,effec�velyu�lisingtherightskincaresupportedby theappropriatedevicetechnology.Theywanttopushthe boundariesandlookforwhat’spossibletotakeresultstothenext level.
DermalogicaPRO isacollec�onofnewinnova�veformula�ons engineeredtoequipthedermaltherapist,nurse,ordoctorwith
LIGHTENERGYMASQUE-AFIRSTOFITSKIND
Thecompanywasfirstfoundedin1983withthelaunchofThe Interna�onalDermalIns�tute(IDI),apost-graduateeduca�on providerfortheprofessionalaesthe�csindustry.By1986the ownersofIDI,anentrepreneurialskintherapistcalledJane WurwandandherhusbandRay,workedcloselywiththeirnewly appointedHeadofResearchandDevelopmentDrDianaHoward tocreateaverynew,verydifferentprofessionalskincarerange thatwouldbethecatalystforgreatindustrychange.
Inaddi�ontoPRORestore,ourlatestprofessionalonly developmentistheinnova�ve LightEnergyMasque thatamplifies thebenefitsoflighttherapy–suppor�ngtheskin’senergy produc�ontosmoothskintexture,lines,andwrinklesfasterthan lighttherapyalone.Thisuniqueproductisdesignedtoworkwith redLED,alongwithIPL.Today,thereisnoprofessionalproduct designedtoworkwiththistechnology–makingourLightEnergy Masqueafirstofitskind.
Dermalogicahasalwaysbeenatthecu�ngedgeofprofessional treatmentandingredienttechnology,butinthepastfewyearshas putalotoffocusonbusiness-to-business,andnowitispayingoff seeingsuccessintheirprofessionalchannelsglobally.
efficacioustreatmentsandproductswithprovenresults,and havingastrongfocusonclinicaloutcomes,supplementedwith ac�vepostcareformulas.
“PeoplewantvisibleresultsandDermalogicaPROishereto facilitatethis.” TolearnmoreortobecomeaDermaologicaPRO stockistgotowww.dermalogica.com.au/ become-a-stockist APJ Professionaluseonlynewinnova�onsandservices
DermalogicaPROhasalsolaunchedavarietyofprofessional servicesinrecentyearsincludingPROMicroneedling,PROClear, PROFibroblast,andPRODermaplaning.SeniorDirectorofGlobal ProfessionalInnova�onLouisChabertconfirmsthatthecompany isalwaysthinkingabouthowtheycanworkwithallthelatest advancesintechnologyinabidtoamplifyresults.“Justafew yearsago,microneedlingwassomethingniche,butnowithas becomemainstream,andwearefortunatetoworkwiththousands ofskintherapiststhatdomicroneedlingeverydayandhavethat exper�se.”Dermalogicalookedatthescienceofmicroneedling, whatconcernsyoucantreat,andwhatproductstoinfusewith microneedlingtoenhanceresults,andsotheycameupwithPRO Microneedling.
PROMICRONEEDLING
APJ 12
Omega-32.restorefrom
• Reduce downtime
Control Pro Restore
Subject received one fibroblast skin tightening treatment on the crow's feet area. On one side, Pro Restore was applied from the second day post-treatment morning and evening. On the other side, nothing was used (conventional method).
• Amplify results
One product with multiple benefits and a complex of active ingredients to work with micro-injury skin treatments.
who’s it for
APJ 13
Panthenol1.strengthen(Pro-Vitamin B5) improves hydration and helps to decrease skin damage Mushroom Extract helps to soothe skin. Hyaluronic Acid helps hydrate the skin.
All skin conditions undergoing advanced treatments such as microneedling, RF microneedling, fibroblast skin tightening, lasers and chemical peels.
To become a Dermalogica Stockist go to dermalogica.com.au/prorestore or call us on 1800 659 118
Right after microneedling at 1.25mm
Algae helps to calm the skin to address post-treatment redness and irritation. Bacillus Ferment helps balance skin’s microbiome. Beta Glucan forms a protective film that prevents skin from dehydration and and helps restore skin back to normal.
Subject received one microneedling treatment all over face. On one side of the face, Pro Restore was applied prior to microneedling, was used during microneedling, and applied post microneedling. On the other side of the face, a control conventional Hyaluronic Acid serum for microneedling was used.
Epidermal Growth Factor (plant derived) to improve skin's texture and resilience. Phospholipids from Olive Stem Cells improve vitality for visibly firm and smooth skin and improves skin firmness.
Day 5 post-treatment
what is it
pro restore recovery + firming concentrate
Post-microneedling treatment: decrease of side effects
Designed to work with advanced skin treatments, this concentrate prepares the skin’s barrier, restores it’s condition, helps increase the appearance of firmness and brightens skin.
• Improve skin recovery
Niacinamide helps fade the appearance of dark spots for a more even skin tone.
Control Pro Restore
Post-fibroblast skin tightening treatment: reduced downtime
Oligopeptide-13.amplify
TheRoleofVita-Solin ProvidingLeadingSkin andWellnessOutcomes
AninterviewwithFionaTuck STARPERFORMER
APJQ2:WHATARETHEFOUNDATIONSTHATYOUCONSIDERIMPORTANTIN OPTIMISINGSKINANDOVERALLHEALTH?
Epigene�csontheotherhandhasmoreto dowithhowourenvironmentandlifestyle factorsaffectthebehaviourofgenes ratherthanjustdependingonthegenes' DNAsequence.
Anewemergingconsumertrendhas iden�fiedthegrowingintegra�onof internalnutri�onalsupportasanessen�al component,notjustforoverallhealth,but alsoasafundamentalpartofahealthy skinandbodystrategy.
APJ 14
getnutrientsisviaawell-balancedhealthydietratherthanasynthe�cvitaminpill. Wolefoodscomewithamul�tudeofmicronutrients,phytochemicals,fibreandprebio�cs thatworkinsynergytoprovideuswithimportantnutrientsandac�vatethebody’sown naturalcellulardefencesystemssuchasdetoxifica�onpathwaysupport,an�oxidant produc�onandreducinginflamma�onbydownregula�ngproinflammatorypathways whichiswhatistermednutrigenomics.Wealsoknowthatmegadosingonisolated nutrientscancomewithsideeffectsandeventoxicityissues,sowhilstthereisa�meand aplaceforvitaminsupplementa�on,Iamabigbelieverinfoodfirstandforemost.
Withover30yrsofindustryexperienceinprofessionalskincareandnutri�onIdeveloped VITA-SOLfortworeasons.Mymotherwasunwell,andIwasstrugglingtofindahighqualitysupplementthatdidn’tcontainfillers,excipients,coloursandhighdosesynthe�c vitamins.Iwantedsomethingthatwashighqualityandwouldgivehersafenutrient support.HavingworkedinprofessionalskincareformanyyearsIalsofelttherewasa needforhighqualitynutri�onalsupportthatwasalsospecificallyformulatedtosupport skinconcernswhicharecommonlyassociatedwithchronicinflamma�on,oxida�vestress, poordetoxifica�onandgutdysbiosis.Thesetwoissueswerethedrivingforcethat inspiredthedevelopmentofVITA-SOLwhichlaunchednearlyfiveyearsago.Inashort �me,wehavequicklybecometheleadingprofessionalnutraceu�calwholefoodpowderin theprofessionalskincareindustry.Eachproductisexpertlycra�edtotargetspecificskin concernsandisdesignedtobetakendaily.
APJQ1:FIONA,PLEASETELLUSHOW VITA-SOLCAMEABOUTANDHOW DOESITENHANCETREATMENT OUTCOMESFORSALONS?
APJQ3:WHATINSPIREDYOUTODEVELOPVITA-SOL?
APJQ4:WHOCANBENEFITFROMVITA-SOL?
AtVITA-SOLwebelieveincombininga healthylifestyleanddietalongsideawellplannedtopicalskincareregimetoprovide theskinwiththetoolsitneedsforop�mal skinhealth.Weknowthatthebestwayto
VITA-SOLisperfectforthosewhowanttotakecareoftheirskinfromtheinsideoutand theoutsidein.Itisforthosewhodotheirbesttohaveahealthylifestyleanddiet,butalso liketoenjoylifeandhavetheoccasionalglassofwine/cocktailandan�wrinkletreatment withouttheguilt.Despiteourgoodinten�ons,some�meslife’spressuresgetintheway andwemaynotdosowell.Ourproductsprovidethehighestqualitynutri�onalsupport andgiveyouthereassurancethatwehaveyoucoveredwhenlifegetsbusyorali�letoo indulgent.
APJ
VITA-SOLbringsmuchneededsupportfor be�erskinandoverallwellbeing.Weare passionateaboutbothskincareand nutri�onandweareinspiredbythe conceptofnutrigenomicsandepigene�cs onwhichwebaseournutraceu�cal formula�ons.Theconceptof nutrigenomicsbuildsonthebeliefthat bioac�vecomponentsinfoodcandirectly influencesbiochemicalpathways,which haveaninfluenceongeneexpressionthat modifymul�plecellularprocesses, includingageinganddisease.
Iampassionateaboutge�ngthefounda�onsofahealthydietright,suchaschoosingan an�-inflammatoryMediterraneanstyledietthatisrichinplantfoodsandlowinultraprocessedfoods.Whenwegetthesefounda�onsrightthisprovidesuswithimportant nutrients,fuelsourhealthygutmicrobes,whichplayakeyroleinourgeneralhealthand wellbeing.Whenwehavethefounda�onsright,wecanthenhaveali�lebitofeverything withouthavingtogoonstrict,restric�vedietswhichul�matelycandomoreharmthan good.Withallgoodinten�onsandabusylifestyle,wecanfallshortinge�ngenough plantwholefoodsintothedietandthisiswhereVITA-SOLcomesin.Weprovideyouwith carefullyformulatedproductstosupportgutbarrierfunc�on,themicrobiome,andthe skin.Ourwholefoodpowdersarefoodgrade,containingnutrients,phytochemicals, polyphenols,andprebio�cstonurturetheskinandbodyfromtheinsideout.
Withtheongoingriseofinflamma�ondue toCOVID-19consumersareseekinga morecomprehensiveapproachbeyond justtopicaltreatmentswhenaddressing theirskincondi�ons.Todiscussthistopic, wespeaktoFionaTuck,theformulatorof VITA-SOLasweexplorewhyVITA-SOL qualitynutraceu�calformula�onsarefast gainingtrac�onna�onally,astheleading nutri�onalproductswithinsalonsand clinics.
It’simportanttounderstandthatnotall stemcellsareeffec�veorsafeinskincare. Asaleaderintheskincareindustryand backedbyscience, NeoGenesis onlyuses healthy,adult,skin-residentstemcellsthat naturallydelivertotheskineverythingit needstorepairandmaintainitself throughoutourlife�me.It’simportantto notethatstemcellsresideineverypartof thehumanbody.NeoGenesisuses�ssuespecificstemcellreleasedmolecules, whichsimplymeanswearereturningto theskinwhatwasalreadytherewhenit wasyoungandhealthy.
NeoGenesisEduca�onOfficer- GayWardle gwardle@neogenesispro.com.au|+61(2)72554646
NeoGenesisAustralianDistribu�onCentre BorkaBuseska-bbuseska@neogenesispro.com.au| +61(2)82033339
APJ STARPERFORMER
NeoGenesisHairThickeningSerum returnstotheskinsurroundingthehairfollicle,and tothefollicleitself,thenutrientsthatwereoncecreatedinabundanceduringouryouth andhavesloweddownasweage.Itcanbeusedaloneorinconjunc�onwithother professionaltreatmentslikemicroneedlingandPRP,provinganefficacious,safe,and affordabletreatmentforthosesufferingfromhairloss.
Deliveringresultstoyourclientsisoneof themanyreasonstheytrustyoutousethe bestproductswiththebestingredients. NeoGenesisisaleaderinsuppor�ng aesthe�ciansandskinprofessionalswith theirwiderangeofpatentedS²RM® technology.NeoGenesisproductswere createdtoaugmentandamplifyother exis�ngproductsyoumayalreadyusein yourclinic.WithourpatentedS²RM® technology,together,theseproductswill worksynergis�callybringingyourresults tothenextlevel.
knowthatmul�plestemcelltypescoordinatetoreleasemul�pledis�nctpoolsofstem cellreleasedmolecules(SRM).That'swherewegetS²RM®,meaningtwoormoretypesin thesepools,AdiposeMesenchymalStemCells,andFibroblasts.Asthemul�plepoolsact togethersynergis�callytoini�ateandmaintainthehealingprocess,thisnaturalstemcell processwithinourbodiesinducesmaintenanceandhealingeffects.
Manyfactorsmaybeinvolvedwhenlookingatthecausesofhairloss.Someofthemore commoncausesarefamilyhistory,hormonalchanges,medicalcondi�ons,medica�ons, chemotherapy,stress,hairstyles,poornutri�on,ageing,orsignificantweightloss.
Throughdecadesofresearch,wenow
Acancerdiagnosisdoesn'tmeanit'stheendforyourskin.NeoGenesiscanhelpby providingthenutrientsneededtosupportskinbeforeanda�er.Whetherexploratory, preventa�ve,ormoreinvasive,cancersurgerycausestraumatotheskinandsurrounding �ssuetakingweekstohealandleavingscarsthatcanbeinconvenientoruncomfortable. NeoGenesisoncology-safeproductsquell,soothe,andstrengthentheskinforbe�er healing.
U�lisingaNeoGenesisskincareprotocolcanenhanceyourprofessionalskintreatment outcomeswithmodali�essuchasmicroneedling,peels,lasers,dermaplaning,andmore. PreppingtheskinwithNeoGenesisbeforeanyadvancedtreatmentwillprovideskin healthbenefitstoensurethebestpossibleoutcomewhileminimisinganynega�veside effects.
NeoGenesisonlyusesstemcellsfoundin thedeepdermalandsubcutaneouslayers oftheskin.Usingthecorrectsetofadult stemcelltypesthatareresidentintheskin (notstemcellsfromotherpartsofthe bodythatservefunc�onsotherthanto maintainandhealtheskin)isthekeyto theNeoGenesistechnology.Thisconcept iscalled“�ssue-specificstemcells”.
SKIN-RESIDENTSTEMCELLS APJ 16
NeoGenesiscreatedoncologyapprovedproductsbackedbysciencetohelpthose impactedbyalife-changingdiagnosisgettheirqualityoflifeback.Thisrestora�ve solu�onisdesignedtosupportpa�entswherevertheyareintheirjourney.NeoGenesis' patentedS²RM®technologystrengthenstheskinpriortotreatmentandrejuvenatesit during,andpost-treatment.
NicheSolu�onsforNicheSkincare
Didyouknowthatthehumanbodyhas millionsofstemcellsthathavebeen assignedaveryspecificjob?Thesestem cellssecretediffusibleproteinspackaged intoexosomesthatdelivertheproper nutrientstohelptheskinrepairitself naturally.Alllivingorganismshavestem cells,includingplantsandanimals.
NextLevelHairSolu�ons
General info@neogenesispro.com.au| www.neogenesispro.com.au
OncologyapprovedSkincare
APJ 17 NEXT GENERATION STEM CELL SCIENCE™ Introducing the next generation of stem cell science for skin and hair care: NeoGenesis patented S²RM® technology. SCIENCEMODERN for the skin To Place An Order: Borka Buseska P: +61 (2) 82033339 E: bbuseska@ neogenesispro.com.au For Training + Education: Gay Wardle P: +61 (2) 72554646 E:PROFESSIONALgwardle@neogenesispro.com.auTREATMENTS Prepare the skin before + after a professional treatment by providing it with the nutrients it needs to achieve superior results. ONCOLOGY SUPPORT Provide restorative solutions + relief with NeoGenesis’ oncology-safe skin and hair products before, during, and after treatment. SKIN + HAIR CONDITIONS From aesthetics + beauty to chronic skin irritation + sensitivity, let our patented stem cell technology go to work and do what it does best.neogenesispro.com.au | info@neogenesispro.com.au HEALTHY BEAUTYONCOLOGY SAFE PATENTED STEM CELL TECHNOLOGY AGEING SKIN Photos Courtesy of Professional Partner Estell Myers, Naturally Well Ren CO2 LASER + PRP Photos Courtesy of Professional Partner B.S.
Tina Viney
Prof.Michael Roberts
FollowingtheAPANconference,Emeritus ProfessorRobertsorganisedfor interna�onalguestStevenMcGeefrom NeoGenesisandTinaVineyfromAPANto viewtheamazingworkofthe Transla�onalResearchIns�tute(TRI) basedinBrisbane.
TRI’smissionistoimprovethetransla�on ofinnova�veresearchintoclinicalprac�ce. Toachievethis,TRIprovidesworld-class researchfacili�es;linkstocliniciansand clinicaltrialfacili�esandexper�se,linksto industry,governmentandotherfunding bodiesandaneduca�onandtraining programaimedatproducingaskilled workforceforthetransla�onalpathway.
hepatology,genomics,immunology, metabolomics,andtrauma.
APJ 18 RESEARCH Transla�onalResearchIns�tute(TRI) THEGLOBALLEADERIN RESEARCH&INNOVATION
Steve McGee
TRIisatrulyuniquestate-of-the-art ins�tu�onandaworld-renownedglobal leaderintheeffec�vetransla�onof researchandinnova�onintoimproved healthcare.Thisimpressivemodern facilityconsistsofover800scien�fic researchers,clinicians,andpartnerswho areundertakingresearchtoprovide solu�onsforcancer,dermatological disorders,gastroenterologyand
WHATISTRANSLATIONALRESEARCH?
Asaworld-renownedacademicProfessor MichaelRobertshasworkedcloselyand mentorednumerousPhDstudentsatTRI intheirleadingcancerresearchstudies.He isrecognisedasbeingamongthetop1% researchscien�stsintheworld.This recogni�onwasawardedtohimbasedon thecita�onsofhisextensivebodyofwork. Acita�onisareferencetothesourceof informa�onusedinone’sresearch.This meansthathisworkishighlyreferencedin numerousstudiesaroundtheworld.We werehonouredtohavehimsupportusand openourAPANConferenethisyear.
Thereareanumberofapproachesto progressionalongthetransla�onal pathway.Oneapproachbeginsintheclinic whereanewdiagnos�cortherapyis appliedtopa�entsreceivinghealthcare, whichul�matelyleadstoevidenceto
Thestart-upcompanythentakesonthe role,usuallyincollabora�onwith researchers,ofprogressingthenew diagnos�cortherapytothenextstageof thetransla�onalpathway(T2and beyond).
InAustralia,weexcelinresearch
economicstosupporttheevalua�onof newevidenceintoprac�ce.The harnessingofclinical,pharmaceu�cal, hospitalisa�onandotherhealthrelated dataisvitalintheconsidera�onofnew therapies.TRI’spartnersalsohave significantknowledgeofdigitalscienceto supportsuchevalua�on.
WemetassociateProfessorFiona Simpson,PhD,PrincipalFellowofthe QueenslandHeadandNeckCancer Centre,whorunsseveralofanimaland humantrialsinourareaofskincancer.We viewedcancercellsbeingblasted.
ProfessorSimpsonsharedwithusthe
Wewereprivilegedtoviewsomeamazing laboratoryworkinthefightagainstskin cancer,aswellasotherformsofcancers.
discoveriesandearly-stagetransla�on. However,thereisagrowingrealisa�onof theimmediateneedtodevelopthe MedTechmanufacturingcapability na�onally.
TRI’spartnershavesignificantexper�sein implementa�onscienceandhealth
Importantly,whennewdiagnos�cand therapeu�cdiscoveriesarereadyforthe clinic,carefulimplementa�onand evalua�onofsuchnewtherapiesinthe clinicarerequired.Thisisanimportant andevolvingareaofmedicalsciencecalled Implementa�onSciencewhichincludes theeconomicandhealtheconomic evalua�onofnewdiagnos�csand therapiesinclinicalcare.
Anotherapproachiswhereadiscovery leadstoearly-stagetransla�on(T1),o�en inanacademicresearchse�ng.Thereare severalop�onsforprogressingfromthis stageincludinglicensingthedevelopment toanexis�ngcompanyorse�ngupa start-upcompanyandseekingfunding.
supportimplementa�ontothebroader pa�entpopula�on.
APJ 19
WealsometseveralofProfessorRoberts’ PhDstudentsthatheiscurrently mentoringandthefutureleadersin inves�ga�veresearch.
libera�ngexperienceascancerpa�ents areallowedtoviewthisprocessofseeing theircancercellsbeingdestroyed.
Asthescienceofskincaretechnology becomesmoresophis�catedandnew pathwaysofpenetra�onandefficacyare iden�fied,wewillprogressivelydiscover novelwaysthatingredientcantranslate intoresolvingsomeofthemorestubborn skincondi�ons.Ifthesemethodologies canbedeliveredthroughnon-drugrelated ingredients,thiswillpoten�allyopenup newpossibili�esandprovideexcellent skincaresolu�ons.Suchadvanceswould indeedheraldanexci�ngnewerainskin andage-management.Welookforwardto theseadvancesandbreakthroughsthat
APJ 20
Currently,thecompanyishavingseveral discussionswithtwouniversi�eswithin Australia–TRIinQueenslandbeingoneof themandtheUniversityofSouthAustralia, aswellaswithotherresearchacademics whoarekeentotesttheproductwithin Australia.
willalsobenefitourindustry.
NeoGenesisisanew-genera�onskincare formula�onsbasedintheUS.Theproduct hasachievedglobalrecogni�onasa leadingskincareinnova�onbasedona patentedformula�onofadultstemcell releasedmolecules.
WewerehonouredtowelcomeSteve McGee,CEOoftheNeoGenesiswho visitedAustraliatoa�endtheAPAN Conferenceandtomeetwithleading researchscien�stsaswellasexplore op�onsofanAustraliandistribu�on centre,aswellasappoin�ngalocal educa�onandtrainingconsultant(see furtherdetailsonpages16-17).
MrMcGeewasveryimpressedwiththe calibreofworld-classandglobally respectedresearchins�tu�onsavailablein Australia,suchasTRIandisthrilledto exploreopportuni�esforNeoGenesisto alsoundergoAustralianclinicalresearch. Nego�a�onsarecurrentlyunderway,and APANisthrilledtohelpco-ordinatethese ini�a�ves. APJ
WHATTHESESTUDIESCANMEANFOR OURINDUSTRY
HavingbeenintroducedinAustralianfor just12monthsNeoGenesisisnowseeking toextenditsresearchstudiesalsoherein Australia.
Thecompanyhasalonghistoryof providingeffec�veskincaresolu�onswith impressiveskinrepairandrejuvena�on capabili�es.TheNeoGenesisRecovery Serumisconsideredtheirheroproductand isalsooncologyapprovedproviding effec�veresultsinavarietyofdifferent skincondi�ons,withextensivearrayof impressivestudiessuppor�ngtheefficacy oftheproduct.
Asfarasourindustryisconcerned,the newmicroscopescaniden�fywithgreater detail,bothac�vityandefficacyofac�ve ingredients.
NEOGENESISSKINCARESEEKSTO ENGAGEINAUSTRALIA-BASED STUDIES
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APJ 21
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Content Creation
•Improvestheapperanceofpigmenta�on(includingpigmenta�onassociatedwith melasma).
DistributedinAustraliabyBausch&LombABN88000222408.CLB.0048.AU.22
•Visiblyilluminatedskintone
Thefounda�onofoursuccessisul�matelyindeliveringskinhealthoutcomestopa�ents. Thatiswhyitisimportantthatourdevicesarebackedbyclinicalevidence,regularclinical training,responsivetechnicalservice,comprehensivemarke�ngsupport,bespokeaccount management,andfairpricing.Collec�velyourdeviceshavedeliveredover6.3million treatmentsaroundtheworldandarebackedbymorethan120clinicalpapers.Theyhave evenwonawardsandenjoyedthespotlightontheredcarpet.Weprovideourservice acrossAustralia,includingin-personprac�calclinicaltrainingandtechnicalservices.Our por�olioofaesthe�cmedicaldevicesincludesthepioneeringFraxel,one-of-a-kind Thermage,andred-carpetfavouriteClear+Brilliant.
The Clear+Brilliant laserusespatented frac�onatedlasertechnologytotarget damagedskincellswithmicroscopiclaser columnsthatpenetratedeepintotheskin. Thelasertreatsonlyafrac�onof�ssueat a�me,leavingthesurrounding�ssue untouched.Thispromotesrapidhealing ands�mulatesthebody’sownnatural healingprocess,replacingtheoldand damagedcellswithnew,glowing,healthy cells,refreshingtheskinfrominsideout.
Clear+Brilliant isavailablewithtwo handpiecesthatofferdifferent
ABOUTSOLTAMEDICAL
•Increaseskinpermeabilitytotopicalan�oxidantsbyupto17�mes,withoutaffec�ng theskin’sbarrierfunc�on.
ith Clear+Brilliant® nowaesthe�c prac��onerscanofferclientsagentle,skin rejuvena�onlasertreatmentthatbridges thegapbetweenmicrodermabrasionor chemicalpeelsandmoreaggressive, correc�velaserprocedures.
Clear+Brilliant isa gentle,clinically-prove new-genera�onfrac�onallasertechnology designedtotakeskinhealthtothenext levelbyhelpingtoimprovetone,texture, elas�cityandporeappearance.Itissimpleto-use,yetaneffec�vewaytohelpyour clientsfighttheearlysignsofageingand maintainyouthful-lookingskin.Bestofall, itisdesignedforallskintypesandcanbe usedallyearround.
Clear+Brilliant www.clearandbrilliant.com.au 1800251150
APJ 22
•Collagenremodellingandenhancedoverallskinappearance
HOWDOESCLEAR+BRILLANTWORK?
Clear+Brilliant®wasdevelopedbySolta Medical,thepioneerthathashelped definethefast-emergingaesthe�cs industrywithaward-winningmedical devicesincludingFraxel®and Thermage®.BothFraxelandThermage arethefirst-of-their-kindandhave influencedthewayskinhealthis addressedintheprac�ceofcosme�c dermatology.
ORIGINAL(1440nm)Skinhealthbenefits:
Thedeviceissosimpletousethatatreatmentcanbecompletedinasli�leas15minutes, withthetotalappointment�mecompletedwithin30-35minutes,soevenyourbusiest, mostac�veclientscanbenefitfromregularClear+Brillianttreatments.Ifyouhaveclients whoareaspassionateandproac�veaboutskinhealthasyouare,thinkClear+Brilliant!
•Reduc�onintheappearanceofpores.
APJ CLEAR+BRILLIANT THENEWGENERATION LASER SOLUTION STARPERFORMER
wavelengths.ORIGINALandPERMEAallowyoutochoosetheclinicalapplica�onand treatmentoutcomethatisbestsuitedtoyourclient’sneeds. Hereishowtheydiffer:
PERMEA(1927nm)Skinhealthbenefits:
•Renewed,so�erandsmootherskintexture
APJ 23 GET BACK THE GLOW RESULTS THAT MATTER Photos have not been retouched. Individual results may vary. Photos courtesy of Solta Aesthetic Center. © 2022 Solta Medical, a division of Bausch Health Companies Inc. All rights reserved. Distributed in Australia by Bausch & Lomb ABN 88 000 222 408. Level 2, 12 Help Street, Chatswood, NSW 2067, Australia. 1800 251 150. CLB.0049.AU.22 G247- 97078 Follow us Instagramonand clearandbrilliant.com.auor@clearandbrilliantauFacebookWeChat@soltamedicalanz ClinicallyprovendowntimeMinimalExpert in skinpreventativetreatments Backed by trainingservicingand Simpletouse BE AN ORIGINAL. DON’T SETTLE FOR IMITATIONS DO YOU HAVE CLIENTS WHO ARE AS PASSIONATE AND PROACTIVE ABOUT SKIN HEALTH AS YOU?BE FORE BE FORE 1 WEEK AFTER 6 TX 1 MONTH AFTER 6 TX ORIGINAL BE FORE 1 MONTH AFTER 5 TX PERMÉA BE FORE 1 MONTH AFTER 6 TX
•Progesteroneproduc�ondecreasesgraduallybutoestrogen changesaremorecomplicated.
DrTiinaMeder
Menopauseisnotaperiodoflife,butratherthepointin�me thatismarkedfollowing12monthsa�erawoman’slast menstrua�on.Tradi�onallyweusethetermmenopauseto describechangesthatawomanexperiencessuchashotflushes, skinorvaginaldrynessandinsomnia,butweshould actually call thisperiodinawoman’slife menopausaltransi�on or perimenopause.
•Theovariesstopreleasingeggscontribu�ngtothedecrease femalehormonessuchasoestrogenandprogesterone.
Menopausetransi�onisanormalpartoffemalelifebuthowdoes ithappen? Hereisabriefexplana�onofthephysiological changesthatoccur:
APJ 24 SCIENCE
Perimenopauseaffectseverywomanuniquelydifferent.One womancouldgainweight,anothercouldloseweight.Othersmay experienceinsomniaandanothersomnolence;alloftheseare normalandphysiologicalchangesofthefemalebody.Itisagerelatedsimilartothewaythatpubertyisachangerelatedtothe transi�onfromchildhoodtoadulthood.Wegothroughlife changingconstantly,likewatertravellingfromthemountainsto theocean.Lifeisbasedonadapta�onandstabilityexistsonly a�erdeath,solet’sstarttoseethemenopauseasaposi�ve event,celebra�ngalongeven�ullifeandnotasacatastropheto beavoided.Nowadays,womenarelivinglongerinpostmenopausethaninthefer�leperiodoftheirlife,solet’shelp themtoprepareandadapttothis.
•ThefallininhibinBandtheincreaseofFSHcons�tute markersofovarianageingandthedisappearanceofboth inhibinAandBareimportantpredictoroftheapproaching menopause.
THEPHYSIOLOGICALCHANGES
Themenopausaltransi�ono�enbeginsbetweenages45and55 andusuallylastsaboutsevenyearsbutcanalsoextendtomore than10yearsforsomewomen.Thedura�on,ageitbegins,and thecharacteris�csofmenopausecandependonlifestylefactors suchassmoking,diet,sunexposure,sleepschedule,physical ac�vity,stressmanagementandmanyothers.Nonetheless,itcan alsobegene�callydetermined,soifthemotherwentthrough earlymenopause,herdaughterhasgreaterchancestoexperience thesame.
•Thebodyundergoesthroughatemporarybutsignificant increaseofoestradiolproduc�onfollowinggradualdeclinein inhibinAandB,bothmajorregulatorsoffollicles�mula�ng hormone(FSH)andanincreaseoffollicles�mula�nghormone levelitself.
WHENITALLBEGINS
•Hormonalproduc�ondoesn’tstopinonedayandthat’sgood news,becausesuchdrama�cchangecankillthebody.
•Also,freeandrogenlevelsrisebuttestosteronelevelsstay rela�velystable.Thereisnotenoughinforma�onabout ‘normal’leveloftestosteroneinwomen,soandrogenchanges arenotfullyunderstood.
TheImpactof Menopauseand SolutionsforSkin andBody
Perimenopausemaybeginasearlyasmid-30soraslateas mid-50s.Somepeopleareinperimenopauseforonlyashort�me, butformostwomenitlastsfourtoeightyears.During perimenopausefer�litydeclines,butitiss�llpossibletobecome pregnantevenifthebodyispreparingtostopreleasingeggs.
PREMATUREMENOPAUSE
Biochemicalchangesleadingtomenopausestartabouteightto10 yearsbeforemenopauseiscompleted.Comple�ngmenopause beforeage40iscalledprematureorearlymenopause.Thiscan alsobetriggeredbymedicalorsurgicalcauses,butitcanhappen withnoevidenttriggers.Inthiscaseitiscalledprimaryovarian insufficiency.Someinfec�ousdiseases,likemumps,autoimmune diseasesandsmokingarewellknownearlymenopausaltriggers.
APJ 25
MENOPAUSALSYMPTOMS
Generally,thefirstsignsofperimenopauseareirregularperiods. Mostwomenwillgofromhavingpredictabletounpredictable menstrualcycles.Manywomenexperiencethemostcommon signslikehotflashesorvaginaldrynessandatrophyfairlyearlyin themenopausaltransi�on.Whilethebodyisadjus�ngtothe changesofoestrogenlevel,symptomsmayvarybutmostwomen experienceatleastoneofthefollowing:
•OneyearbeforemenopauseneitherinhibinAnorinhibinB canbedetected.Hormonalchangesarenotstrictlydegressive, butmostlyfluctua�ng,goingupanddownlikearollercoaster. Themoreitisexperiencedasa“rollercoaster”themoresevere thesymptomsawomancanexperience.
•Irregularorskippingperiods •Heavierorlighterperiods •Hotflashes •Vaginadrynessanddiscomfortduringsex •Urinaryurgency •Insomniaandothersleepproblems •Changeinmoodlikeirritability,depression,ormoodswings •Weightgain •Jointandmusclesachesandpain •Breasttenderness •Eyeandmouthdryness •Headachesandmigraines. Also,hormonalchangescanleadtobonethinning,developmentof osteoporosis,changingcholesterollevelsandcardiovascular problems.
Let’slookattheroleofhormonesinskin health.Oestrogensareessen�alforskin
Oneofthemostunpleasantsymptomsof menopauseishotflushes,affec�ngabout 75%–85%ofwomen.Thesesymptoms usuallylastonaveragesevenyearsandcan beexplainedbythechangeofthermal regula�onofthebody,leadingtospecific vasomotorreac�onwithasuddenincrease ofbodytemperature,faceandneck rednessalongwithprofuseperspira�on followedbychills.
APJ 26
There’sno“treatmenttostop perimenopause”evenifsome interven�onsarewronglynamedassuch. Somewomengothroughthistransi�on smoothly,whileothersneedhelpto managesymptomsinordertoimprove theirqualityoflife.
HOTFLUSHES
Menopausaltransi�oncanbeadifficult periodforwoman,especiallyifthe symptomsareexperiencedina rollercoasterstyle.It’simportanttohave regularcheck-upswithamedical professionaltomonitorchanges.
Somemedica�on,suchasosteoporosis treatmentcouldtriggerhotflushesaswell. Itisalsointeres�ngthatsymptomsare experienceddifferentlybasedona woman’sethnic,educa�onal,and socioculturalbackgrounds.AsianAmerican womenforexample,reportalow frequencyofphysicalandpsychosoma�c symptomscomparedwithblackwomen.
Brazilianwomenontheotherhandhavea higherprevalenceofvasomotorsymptoms (hotflushes)comparedtowomeninall Westerncountries.
Fortunately,hotflushtriggersarewell known.Theseincludeminimisingor elimina�ngsmoking,excessivecaffeine andalcoholintake,hotsaunas,spicyfood, andstress.
Tightclothingcanalsotriggerhotflushes insomewomen,sowearingnaturalfibres andcomfortableclothingishighly recommended.
Nightsweatsarealsotypicalandcanbe partofthehotflushexperience.Frequent hotflushesmakelifedifficultand obviously,it’soneoftheindica�onsfor pharmaceu�calinterven�on,however,the firstconsidera�onistoiden�fyand eliminatetriggers,astriggercontrolcan helptominimise,eveneliminatehot flushes,andso�enothersymptoms,soitis aworthwhileiden�fyingthemand avoidingthem.
SKINCHANGES
Duringmenopauseskinchangesstartto manifest.Hereiswhattolookfor:
Remodellingpep�des,suchasMatrixyl,Rigin,Syn-TCandothers arelargelyusedtostrengthentheskin.Plant-derivedstemcells richofcytokineshelptorestoreregenera�ngabili�esoftheskin aswellastheintegrity.Finally,moisturisingagentsincluding hyaluronicaciditself,carrageenan,glycerine,polylac�cacidsand otherwater-holdingmoleculesshouldbeusedondailybasisto maintainmenopausalskinhealth.
Nowadaysthereisalotofdiscussionaboutmenopausal symptoms,andtheroleofHRTtoassistindelayingthesechanges iso�endebated.TheaimofHRTisnottodelaymenopausebutto manageit,relievemenopausalsymptoms,andmaintainphysical andpsychologicalhealth.
Recentlytheroleofmicrobiomeinmenopausalskinwasdescribed ascrucialinmaintenanceoftheskinbarrierfunc�onand immunity.Nowadays,thereisalargechoiceofprebio�cs,and someprebio�cssuchasbioecolia(alpha-oligosaccharide),inulinor aquaxylareknowntobeefficienttorestoretheskinmicrobiome diversityinoestrogen-deficientcondi�ons.
TOPICALAPPLIEDHORMONALTREATMENT
HORMONEREPLACEMENTTHERAPY(HTR)
Plantderivedpolyphenolsandisoflavonesareknownas phytoestrogenswhichactasSERMs,possessingER-agonist proper�eswithoutanyknownadverseeffectsa�ertopicallongtermusage.Probably,thebest-knowningredientisresveratrol derivedfromgrapes,scien�ficallyproventohavean�inflammatoryandan�oxidantproper�es.Anewformofbiofermentedresveratrol(metabio�cresveratrol)canincrease collagenIandIIIproduc�on,ac�vatesirtuin1(an�-ageingcellular factor)andreduceNF-kBsignallingasoneofthekeyfactors involvedinskinageing.Metabio�cresveratrolisepigene�cally ac�veandevenmimicsan�-ageingeffectsofre�nolwhichmakes itan“idealan�-age”molecule.
Lifestyle,stressmanagement,physicalac�vityandahealthydiet ares�llthepillarsofskinandbodyhealthinmenopause.Skincare complements,whileallofthemplayanimportantroleinthe maintenanceoftheskin’sappearance,psychologicalhealth,and comforttowomen.Thesenewgenera�onofskincareproducts basedonthedeeperunderstandingofmolecularmechanismsof skinageingrelatedtohormonalchangescanbeusedfreelyand safelybywomenofallethnicandsocialbackgrounds. APJ
hydra�onandelas�citybecausetheyincreaseandmaintaina produc�onofglycosaminoglycansandproteins,suchashyaluronic acid,collagen,elas�nandothers.
ManySERMsareusedasanalterna�vetoHRT,asanatural menopausalsupplementa�onoralongsidewithHRTtreatment.
Mostoftheforemen�onedchangesarerealisedinthefirstyears ofthepost-menopause.About30%ofthetotallossofdermal collagenhappensinthefirst2-4years,butfollowingthisperiod, thisprocessissignificantlyslowed.
Anotherinteres�ngphenomenonisthefragilityof postmenopausalskinmakingitpronetoabrasions,thisisdueto thedecreaseofoestrogen-inducedezrinintheepidermis.Ezrinis responsibleforinterlinkingofepidermalcellsthatmaintainthe integrityintheepidermisandthelackofitmakesskinmoreand morefragile.
DespitetheanecdotalevidenceofHRTshowingaposi�veeffect onskinthickness,wrinkles,moisturisa�onandothermeasures, randomisedandblindtrialsarefew,ifanyinexistance.Most formalstudiesshowthatrace,sunexposure,smokingandlifestyle areconfoundingvariableswithmoreinfluenceontheskinthan HRT.Veryprobably,themenopausalchangesoftheskinare relatednotonlytothedecreasedlevelofoestrogensbutalsoto thedown-regulatedexpressionofoestrogen’sreceptors(ER). Non-responsiveERsintheskincellsareresponsibleforlackof significanttherapeu�calresponsetotheHRTintheskin.
SERM-BASEDSKINCARE
SERM-basedskincarecanbeusedasearlyasthefirstsignsof perimenopauseareno�ced,alongsideskinproductshelpingto improvetheskinbarrier,decreaseTEWLandincreasecollagen, elas�n,andhyaluronicacidsynthesis.Oneofthemostpromising ingredientsisanewversionofEGF(epidermalgrowthfactor) derivedfromAustralianwildtobaccoleaveswhichisamazingly morebioiden�calthanalab-designedversionusedpreviously.
Adailyskincarerou�neformenopausalwomenshouldincludeat leastagentlecleanser,followedbyaSERM-basedserum,or concentrate,thenamoisturiserrichinan�oxidantsandessen�al fa�yacids.Allproductsshouldbemicrobiomefriendlyand enrichedbyprebio�csorprobio�cs.Despitestereotypesit’snot mandatorytousere�noloritsderiva�vesaswellashydroxyacids tomaintainmenopausalskinhealthandpromotecollagen synthesis.Newgenera�onofSERMmicrobiome-friendlyskincare helpstoachievebe�erresultssafely,withoutaffec�ng photosensi�vityandorsensi�vityoftheskinglobally.
Foralistofreferences,pleasecontacttheeditor.
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Topicalhormonaltreatmentcanpar�allyreverseorslowdown menopausalchangesintheskin,buteffectsoflow-doselong-term systemichormonetreatmentarenotwellestablishedandare uncertain.Newcosmeceu�calagentssuchas selec�veoestrogen receptorsmodulators(SERM) arenowabigtrendinthecosme�c industry.
Inmenopausalwomen,thedecreaseofoestrogenspromotesa reduc�onintypeIandIIIcollagenaswellasareduc�oninthe ra�ooftypeIIIcollagentotypeI.TypeIcollagenisresponsiblefor thestrengthandtypeIIIforelas�cityoftheskin,sothelossin bothtypesissignificantforage-relatedchangesoftheskin,such assaggingorwrinkleforma�on.Theoestrogen-deficientcondi�on isassociatedwithanincreasedMMPenzyma�cac�vity,resul�ng incellularandextracellulardegrada�onaswellasimpairedbarrier func�onanddecreasedan�oxidantcapacity.
Femalehormonesalsopromotesebumsecre�on,synthesisof lamellarlipids,thereforethedecreaseofhormoneproduc�on leadstoskindryness.Anotherimpactofhormonalchangesleads tothedegrada�onandfragmenta�onofdermalelas�n,a reduc�onofmicrovasculatureandthinningofepidermisand polymerisa�onofglycosaminoglycans.
OtherphytoestrogensareusedforSERM-basedmenopausalskin therapy,suchascloverextract,soyabean-derivedisoflavonesand proteins,genistein,equol,daidzein,coumestrolderivedfrom cloveroralfalfa,clover-derivedbiochaninetc.Newsoy-based probio�cs,likesoymilkfermentfiltrateareusedfortopical applica�onaswell.
Phytoestrogensandothercompoundsaddressingoestrogendeficientskinarehelpingtomanageskinchangesandmakethem moregradualanddelicate,preven�ngthedrama�clossofskin elas�cityandmoisture.SERMcansendoestrogen-likeskinhealth signalsviaoestrogenreceptorsasoestrogenitselfdoes, modula�ngprocessesofproteinsandglycosaminoglycans synthesisaswellasothers.Thetargetistheoestrogenreceptor moleculesthatareabundantinkera�nocytesandfibroblastsinthe skinsotheuseofSERMhasageneraleffectaffec�ngallskin layersandstructures.
SUPPORTANDPROMOTETHEGROWTHOFHEALTHYGUT FLORA
Studiesalsoconfirmthatpolyphenolsmayhelptoprotectthecells fromdamagebyhelpingtoprotecttelomeres.Telomeresarethe capsattheendofthechromosomesthatprotecttheDNA. Telomeresarepar�cularlysuscep�bletooxida�onandsoea�nga dietrichinpolyphenolsmayassistwithslowingtherateof telomeredegrada�on.
SpotlightonthePowerofa Polyphenol-richDiet
FionaTuck
PROTECTTELOMERES
Herearejustsomeofthebenefitsofhowpolyphenolscanhelp supporttheskinandbody: *An�-inflammatory •Immunesystemsupport •ProtectagainstMMPinducedbreakdownofcollagenand elas�n •An�oxidantandDNArepairbenefits •ReduceUVinducedsundamageandpigmenta�on •Reducetheriskofheartdisease •Reducetheriskofdemen�a •Regulatebloodsugarandimproveinsulinresistance •Supportahealthygutmicrobiome •
Ea�ngadietrichinplantwholefoodsthatarerichinthese an�oxidantcompoundscalledpolyphenolsmaysignificantly contributetoourgeneralhealthandlongevity.Therearehundreds ofuniquepolyphenols.Possiblebenefitsofapolyphenol-richdiet includeareducedriskofinflammatoryrelateddiseasesuchas heartdisease,diabetes,somecancersandhormonalimbalance. Polyphenolsplayanimportantroleinprotec�ngthecellsinthe bodyfromfreeradicaldamagethatoccursfromapoorlifestyle, stress,medica�ons,andglyca�on.
Gutmicrobiotaanddietarypolyphenolshaveasymbio�c rela�onship:themicrobiotaenzyma�callytransformspolyphenols toimprovebioavailability,whilepolyphenolsmodulatemicrobial composi�onbyenhancingthegrowthofbeneficialbacteriaand inhibi�ngthegrowthofpathogens,thusexhibi�ngtheprebio�clikeeffect.Inturnthismayhelpwiththehealthofthegutandmay benefitthosewithgutrelateddisordersanddiseases.
NUTRITIONFORBETTERSKINANDHEALTH
Studiesalsoconfirmthatpolyphenolsmayhelpsupportahealthy gutmicrobiomebypromo�ngthegrowthofhealthygutflora. Thereissomeevidencetoshowthatahighpolyphenolintakecan posi�velymodulatetheintes�nalmicrobiomeenablingmoreof theeubio�cbacteriathatproduceshortchainfa�yacids(which areimportantinmaintainingahealthygut).
Plantpolyphenolsareknowntobebeneficialnotonlyforour generalhealthandwellbeingbutalsoforimprovingthe appearanceofourskin.
APJ 28 NUTRITION
Polyphenolsareanaturallyoccurringplantcompoundsor phytochemicalsthatarefoundlargelyinfruit,vegetables, wholegrains,tea,coffeeandredwine.Apolyphenol-richdietis consideredtobesimilartoaMediterraneanstyledietthatbeen showntoprovidesignificantprotec�onagainstthedevelopment andprogressionofmanychronichealthcondi�ons,suchas acceleratedinflamma�onwhichisbecomingacommon phenomenon.
Synthe�cisolatedvitaminsupplementssimplydonothavethe samebenefitasahealthydietandcanevenbedetrimentalwhen takeninexcess.Simplechangestothediet,suchasincludingmore plantfoodscanhavesignificanthealthbenefitsandwhilege�ng thefounda�onsofahealthydietisalwaysmyfirst recommenda�on,forthosewhosimplyarenotea�ngenough plants,thenextbestthingwouldbetolookatsupplemen�ngwith wholefoodpowdersthatprovidepolyphenols,prebio�cs,vitamins, andmineralsintheirnaturalstatetosupportgutandskinhealth fromwithin.
Apolyphenol-richdietmaybebeneficialincontribu�ngto longevityandifwetrulyunderstoodthenutrigenomicbenefitof thesean�-inflammatoryphytochemicalgems,wewouldbemore mindfulofincludingmoreplantfoodsinourdiet. APJ
Polyphenolsmayassistwithhealthyglowingskin.Par�cularly importantforthosewhowishtodelaythesignsofpremature ageing,orthosewan�ngtomanagepigmenta�on,acne,rosacea andinflammatorytypeskincondi�ons.
BOOSTINSULINSENSITIVITY
Dependingonwherethefoodisgrown,howitiscookedor preparedwilldeterminethenumberofpolyphenolsinafood.For example,highheatandprolongedcookingmaydamageordestroy thepolyphenolcontentoffood.So,whataresomeofthemajor foodsourcesthatcontainpolyphenols?
Herearejustafewmorecommonones:
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SKINBENEFITS
Polyphenolsmaybenefitbrainfunc�on,cardiovascularhealthand circula�onbyprovidingbloodvesselsupportandloweringtherisk ofoxida�onsoffatsinthecellularmembranes.
Researchshowsthatea�ngawidevarietyofatleast30different plantfoodsperweekincludingdifferentfruits,vegetables, wholegrains,legumes,herbsandspices,isthesinglebiggest predictorofahealthygutmicrobiomewhichinturnrelatestoour generalhealthandwellbeing.
Polyphenolsarealsoknowntoboostinsulinsensi�vity,aswellas slowdowntherateofhowthebodydigestsandabsorbssugar. HigherflavonoidintakemaybeassociatedwithalowerBMIand waistcircumference.Polyphenolsmayimpactgenesandgene expression.Aperson'sspecificgenescanalsoaffecthowtheir bodyrespondstocertaintypesofpolyphenols.
CARDIOVASCULARSUPPORT
•Coffee •Cocoa •Red,blueandblackberries,grapesandcherries •Olivesandoliveoil •Apples,citrusfruits •Seabuckthorn •Grapeseed •Purpleandredvegetablessuchasbeetroot,eggplant •Tomatoes •Spinach •Broccoli •Kale •Wholegrains–oats,barley,rye •Soy,flaxseedsandlegumes •Herbssuchasrosemary,thyme,celeryseeds,basil,marjoram, andoregano •Nutsandseeds
•Teaincludingblacktea,greenandwhitetea
Psoriasisiseasilytreatedwithproductsthatarespecificallyaimed atincreasingfilaggrinintheskin.Whenyouac�vatefilaggrin produc�onintheskin,youslowdownahyperprolifera�ng epidermis.
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Whenlookingforabarrierrepairproduct,youshouldlookfora productthatcontainsceramides,cholesterolandfa�yacids. Theseareingredientsthats�mulatetheproduc�onofthese componentsintheskin,andanyingredientthatisproducedwithin theskinisfarmoreeffec�veevenifthetopicalac�veis biomime�candskiniden�cal.
Clientswhohavepsoriasisexperienceskincellturnoversofast thattheskindoesnotgetthenecessary�metoformfilaggrin. Normalcellturnoverisanywherebetween14daysforyounger skinto28daysformorematureskin.Thelongerthe�me betweencellturnover,thelongerittakesforwoundhealingas cellstakelongertoregenerate.Thismeansanythingthatyouare doingthatisabla�veisgoingtotakelongerforittoheal.Ifyou spacethingstooclosetogether,you'regoingtoenduphaving massivebarrierdisrup�ontotheskin.
Therearesomeinstanceswheretheskinisphysicallynotcapable ofdoingthis,suchasthosegoingthroughradia�on.Inthis instance,youwouldneedtohaveaproductthatcontains ceramidesandcholesterolinaskin-iden�calform.
SKINSCIENCE WHYBARRIERREPAIR sometimesdoesnotfix ALLSKINCONDITIONS JacineGreenwood-Drummond
BARRIERREPAIRANDPSORIASIS
Theskinisdesignedtoactasabarriertotheexternal environment,preven�ngpollenandbacteriafrominfiltra�ngthe skinandalsolockingmoistureintotheskin.Overthepastthree years,we'veseenanunprecedentedamountofbarrierdisrup�on becauseofmaskmandates.Masksnotonlycausephysical traumatotheskintheyalsochangetheactualmicrobiomeonthe skin.
Barrierrepairproductsarealsoveryeffec�veintrea�ngeczema.
Barrierrepairworksformanyskincondi�onsthatexperience barrierdisrup�onasacauseofdisease,howevertherearesome condi�onswherebarrierrepairsimplywillnotfixtheissue.Inthis ar�clewediscusswhichskincondi�onsbarrierrepairworkswell, andthevariouscondi�onsthatyouneedaddi�onalsupport.
Forthosewhoareinthemedicalfield,mask-wearingiss�ll compulsoryinallse�ngsofhealth.Previouslymaskwearingwas onlyrequiredinsitua�onswhereaclientwasinisola�on,whereas thisisnowstandardforthemajorityofnursingstaff.
Inpsoriasis,theskincellsareturningoverevery,oneandahalf daysinsteadofevery28days.Itwouldbelikepu�ngacakein theoventhatrequires45minutestocook.Whenitiscooked correctly,thetophasafirmcrust.Whathappenswithpsoriasisis that“thecake”ispulledouta�erfiveminutes,soitdoesn’tget �metoformahardshell.Thispresentsintheskinasan inadequatecorneocyteenvelopeandthelackoffilaggrinresultsin majorbarrierdisrup�on.Theresultisextremedryness,redness andinflamma�on.
ECZEMAANDBARRIERREPAIR
long-termacnesufferers,thecauseofacne isagene�cpredisposi�on.
Duringacnetheproduc�onofsebum significantlyincreaseswhichchangesthe composi�onofthesebumthatisproduced. Thiscomposi�onalchangecausessebumto haveahigherpercentageofoleicacid, whichisextremelybarrierdisrup�veand contributestotheforma�onofmoreacne.
Theotherreasonwhybarrierrepairdoesn'tworkisbecauseacne bacteriasecretebiofilms,whichanchortothesurfaceoftheskin, sebaceousglandsandpores.Biofilmsareas�ckyexoskeleton gluethatareproducedbynotonlybacteria,butalsobyfungi.The
Teenagerswillo�engothroughaperiod wheretheymanifestacnethatiscausedby ahormonecalledinsulin-likegrowthfactor (ILGF).Thisiselevatedduetogrowth hormonessecretedduringpuberty.ILGF causesacondi�oncalledinsulinresistance. Thismeansinsulinisnottakenupintothe cellsandmetabolisedlikeitnormallyshould buthangsaroundinthebloodstreamfor muchlonger.Thiscausesanincreaseinnot onlytestosterone,butalsocauses hyperprolifera�onofskincells.
Wheneczemaisofagene�corigin,youwillseeafamiliarhistory ofatopiccondi�on.Askyourclientiftheygetasthmaorhay feverandifthereisanyoneintheirfamilywhohasatopicskin condi�ons.Thiswillgiveyouanindica�onofthelikelihoodof gene�cpredisposi�on.
WHATISNEEDEDINACNEPRODUCTS
Duringpubertythisinsulinresistanceis temporary.Insulinresistancecanalso happenduringpregnancy,whichiswhy pregnantwomencansuddenlybebreaking outwheretheyneverusedto.Gesta�onal diabetescanalsooccurduringpregnancy, eventhoughtheclientisnotnormally diabe�c.
WHYBARRRIERREPAIRDOESNOTWORKWITHACNE
Eczemasufferersaredeficientinceramidesintheirskin.Ifyou replenishtheskinwithceramides,cholesterolandfa�yacids,then thebarriercanrepairrela�velyquickly.Thedegreeof inflamma�onistheimmuneresponseoftheskin.Themoresevere theeczema,thestrongeryouran�-inflammatoryneedtobein orderinordertocounteractit.IngredientssuchasBisabololare powerfulan�-inflammatoriesthatareeffec�vewitheczema.
Whenanacneclientisexperiencingbarrierdisrup�onthe therapistshouldbefocusedontrea�ngtheacneandremoving anyproductsthataredryingtheskin,whilstsimultaneously focusingonac�vesthatnotonlyhavean�bacterialandan�fungal ac�vity,butalsobarrierrepairproper�es.Phytosphingosineis onesuchingredient.Phytosphingosineisaskiniden�calceramide thatisapowerfulan�bacterialandan�fungal,butalsoreplenishes deficientceramidesintheskinandreducesthehyperprolifera�on ofskincellsnormalisingcellularturnoverinahyperprolifera�ve skincondi�on.
Manyconsumersthinkthatthemajorityofeczemaisfrom allergies,howeverthisisnottrue.Only30%ofeczemaisfrom ImmunoglobulinE,whichisanallergicresponsetofoods.The majorityofeczemaisasaresultofagene�callyfaultyskinbarrier. Whentheskinofaneczemasuffererisplacedunderamicroscope, thereare�nycracksintheskin.These�nycracksarepresent evenintheskinwithnoapparenteczemalesions.Witheczema thatisgene�cinorigin,theclientwillneedtomoisturisetheirskin dailywithabarrierrepaircreamortheeczemawillreturn. Withouttreatmenttheskinwillnaturallydegradetoitsatopic normalcondi�on.
Manyoftheac�vesusedfortrea�ngacne arealsodesicca�ngtotheskinand exacerbateanybarrierissues.Benzoyl peroxideisaclassicexample.Benzoyl peroxideisveryeffec�veatlibera�ngfree radicalsthatdestroytheacnebacteria,but itisalsowellknowntobedryingand irrita�ngtotheskin.Theirrita�onand drynessaredependentonboththeformula aswellastheconcentra�on,howevereveninlowpercentagesof 2.5%itcans�llbeproblema�c.Benzoylperoxidehasbeenshown injournalstudiestoalsoincreasetheamountofinterleukin1a producedintheskin.Interleukin1aisadirectcontributortoacne forma�on.
Agoodacneproductshouldhavebarrierrepairingredients includedintheirproductselec�onforacne.Barrierdisrup�onisa naturalconsequenceofacne,howeverthetherapistshouldnotbe focusedfirstonbarrierrepair,insteadthefocusshouldbeon reducingsebumasthiswillpar�allycorrectthedisrup�ontothe skinhomeostasis.
Acnevulgarisisnotcausedbyadisruptedbarrier,ratherbarrier disrup�onisaconsequenceofhavingacne.Forthemajorityof
APJ 31
Thelongerabiofilmispresentonanacneskin,an�microbialsand an�bio�csbecomeresistantandarelessabletoimpactthe condi�on.Bacterialresistanceoccurstothecosme�cac�ves whichiswherethepremiseofchangingproductsupeveryfew monthshascomefrom.Thebeliefisthattheskinadapts,andthe ac�vesdon’tworkanymore.Itismorelikelythattheyarenotable topenetratethebiofilmandtheyloseeffec�venessleadingto resistance.
Demodexareamiteisanormalpartofthefloraofthefacialskin, howeverinrosaceatheycanhaveahigherpopula�onof demodex.ThedemodexcontainabacteriacalledBacillus oleroniuswhichresideinthegutofthemite.Oncethemitedies thecontentsofthemitereleaseontotheskinproducingamajor ac�va�onoftheinnateimmunesystem,whichgeneratesan unregulatedimmuneresponsecausinginflamma�onand vasodila�on.Repairingthebarrierdoesnotaddressthedemodex ortheoccurrenceofflushingintheskin.
WHYBARRIERREPAIRDOESNOTWORKFORROSACEA Rosaceapresentswithbarrierdisrup�on,howeverprimarily rosaceaisanoverac�veimmuneresponsetoan�gensand pathogensthattheskincomesintocontactwith.Normallyour immunesystemwillrespondinacontrolledwaytoaperceived threat,howeverwithrosaceaitisanexaggerated hyperinflammatoryresponse.Theskinreactstocondi�onswhere thereshouldbenoimmuneresponse.Itistheequivalentofa smokealarmgoingoffwhenyouhaven'tputthetoasteron.
BarrierrepairalsodoesnotinfluencetheeffectofUVexposureon arosaceaskin.ExposuretoUVcausesthereleaseofstratum corneumtryp�cenzymeswhichcausethelossofcell-to-cell adhesion.Thismakestheepidermisextremelyfragileandprone totrans-epidermalwaterloss.
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Repairingthebarrierdoesnotreducesebumoutput.Highsebum outputdecreasestheconcentra�onofavailablelinoleicacidinside thefolliclewall.Whenitdilutes,theinsideoftheporestartsto scaleandbecomerough.Thisallowsthebiofilmtoanchormore firmly.Justlikewhenyouwantgluetoadheretoanailbedwith acrylicnails,thesurfaceofthenailplateisroughened.When thereisadeficiencyoflinoleicacidtheinsideoftheporescales andthecorneocytesli�crea�ngaroughsurfacethatisidealfor theacnebiofilmtofirmlyadhere,makingitevenmoredifficultto remove.Itcreatestheperfectstormforacnetoform.
challengeisoncetheygetestablished,theybecomeincredibly difficulttoremove.Whenyoualreadyhavebarrierdisrup�on occurringintheskinandthereisbiofilminvolvement,itinhibits theabilityofrepairduetothebiofilminvolvement.Biofilmshave theabilitytoproducesecretorycytokinesthatinfluencethe barrierfunc�onandenhancethevirulenceofacnebacteria.
Barrierrepaircreamsdonotworkforrosacea,astheydonot addresstheoverproduc�onofan�microbialpep�desthatoccurs withthecondi�on.Every�meitreleasesthesean�-microbial pep�desitcausesvasodila�onintheskinwhichincreasesblood flow.Thiscausescapillaryleakageandgeneratesinflamma�onin theskin.Repairingthebarrierdoesnotaddressthe overproduc�onofan�microbialpep�des.
Telangiectasiaoccursduetotheoverproduc�onofvascular endothelialgrowthfactor(VEGF).Thisgrowthfactoris responsibleforthenumerouscapillariesthatarevisibleona rosaceasufferers'skin.Flushingiscausedbythereleaseofalphaadrenergicagonistsbeingreleasedwhichcausesvasodila�onof thecapillaries.Inordertotreatrosacea,youneedtostrengthen thecapillarywalls.
Barrierrepairisaneffec�vetreatmentmodalityforcondi�ons suchaseczemaandpsoriasisasithastheabilitytoeasilycorrect deficienciesintheskin.
Skincondi�onssuchasacne,seborrheicderma��sandrosacea needamorecomprehensiveapproachwithac�vestarge�ng specificinflammatorypathwaysandbacteriawithintheskinin ordertoresolvetheseskinconcerns.
Skintherapistsshoulddeterminethefastestwaytoalleviateaskin condi�onthroughcorrectproductselec�onbasedonthe ingredientsthey.
APJ
Malasseziaalsoproducebiofilms,butunlikeacnetheamountof exopolysaccharidethatissecretedisamuchhighervolume.Fungi andyeastsproducemorebiofilmsmakingitmuchharderto eradicatethem.
Piroc�neOlamineisanan�fungalac�vethathasahistoryof efficacyforfungalcondi�onsincludingathlete'sfootanddandruff. It'susedintheveterinarianindustryforanimalmange,whichisa fungalskincondi�on.Thisac�veiseffec�veinremovingbiofilms andcontrollingthegrowthofmalasezzia.
APJ 33
SeborrheicDerma��sresultsinyellowscalesoccurringonthe skinandintenseitchingduetothereleaseofhistamineintheskin. Malasseziaistheorganisminvolvedintheforma�onofseborrheic derma��s.Malasezziafeedoffthesebumproducedintheskin, genera�ngoleicacidasaby-productofmetabolisinglipids.The oleicaciddisruptsandcreatesfurtherinflamma�onintheskin.
Manyconsumersfollowtheadviceofonlineblogsforskin treatmentandacursoryglanceonthetopicofseborrheic derma��srevealsblogsrecommendingavoidingvegetableoils. Thisadviceisnotbasedonscien�ficmeritandcanactuallycreate morebarrierdisrup�ontoanalreadycompromisedskin.When youremoveoilsandceramidesfromaskincarerou�ne,theskinis unabletorepairitselfcausingfurtherbarrierdisrup�on.High LinoleicAcidandOmega3Oilsarean�-inflammatoryfortheskin.
Themisinforma�ononlinereferencestudiesshowingthat Malasseziaisabletometabolisecertaincosme�cingredientsasa foodsource.Whatshouldbenotedhereisthatthesestudies wereperformedin-vitroakainaPetriedish.Thisisnotreflec�ve oftheskinmicrobiomewheremul�pleorganismsandyeastsare presentandthebalanceoftheseorganismsismaintainedbyother speciespresent.
Themosteffec�vewayoftrea�ngSeborrheicDerma��siswith an�-fungalac�vesandbyreducingtheirfoodsourcewhichis sebum.Whenyouremovetheirfoodsourcetheycannot reproduceasmuchontheskin.Ingredientssuchasceramidesare alsobarrierrepairandsimultaneouslyan�-fungal,whichiswhy they'resogoodnotonlyforacne,butforanyfungalcondi�on.
WHYBARRIERREPAIRDOESNOTWORKWITHSEBORRHEIC DERMATITIS
INCONCLUSION
Botanicalswasexplicitlydevelopedto targetporesinthreeways.Enlargedpores arecausedbythreefactors– Increased sebum,lossofelas�cityandincomplete corneocytedifferen�a�on.
Theamountofsebumyourskinproduces willinfluencethesizeofyourpores,which iswhyreducingsebumisthefirststepto targe�ngporesize.WildRoseBerrywhich isalsoknownasRosehipisrichin flavonoids;limitssebocytedifferen�a�on reducingtheamountofsebumby91%. Skinisma�fiedandhasaclarified appearance.Rosehipisalsonaturallyrich inVitaminAandanaturalre�naldehyde. Skinturnoverisnormalisedrevealingskin thatissmoothandflawless.
LOSSOFELACTICITY
TheNonifruitisrichinahormone calledAbsicic,whichhasbeenshownto modulatetheclosingandopeningofthe stomata(leafpores).Abscisicacidalso existsinhumanskinandisproducedby kera�nocytes.
Marineac�vesboosthydra�onby120%eradica�ngthelookandfeelofdehydra�onin theskin.
Erup�onEmulsion fromRoccoco
APJ 34
REDUCINGSEBUM
ROCCOCOBOTANICALS 0738071429
Dilatedporeshavehigherlevelsofnucleatedcells,whichs�llretaintheirnucleus,while hornycellsthatdevelopthroughnormalkera�nisa�ondonothaveanucleus.This condi�onwhichcausesinflamma�oniscalledparakeratosisandcontributestothe accelera�onofthekera�nisa�onprocess,givingrisetoincompletehornycellswiththe nucleusretained.
Butwhatiftherewasatargetedwayto reducethesizeofporesby90%within twomonths,anditwasn’tanillusion?
APJ ERUPTIONEMULSION ANOVELSOLUTIONSFORENLARGEDPORES STARPERFORMER
Containing35botanicalIngredients,thispowerhouseclarifyingmoisturiseralsoreduces thenumberofclosedcomedonesby78%withinjusttwomonths.Drama�callyreducing theappearanceofcysts,allowingthemtohealmorerapidly.Itdoesthisbydirectly modula�ngthemicrobiomeofanacneskinbyfavouringthegrowthofacnestrainsnot ordinarilypresentonacneskinandreducingstrainsthattriggertheinnateimmune system.
Howtoreduceporesize”isoneofthe mostfrequentlysearchedbeauty ques�onsontheinternet.Themajorityof productsonthemarketfocusonfillingin theporeswithasiliconeelastomertoblur thelookofthepores,givingtheillusionof perfectskin.Therearemanyproductson themarketincludingbothAHA,BHA’s andre�noidalterna�vesandanalogues butthemajorityofthemarenoteffec�ve inreducingporesize.
NORMALISECORNEOCYTE DIFFERENTIATION
Innova�onhasanewname.Erup�onEmulsion isthemostmul�taskingmoisturiserto date.Oneproductthatallowsyoutoreducesebum,reducepores,preventsmakeupfrom se�linginyourporesandreversesthesignsofageinginjustoneproduct. jacine@roccoco.com|www.au.roccoco.com
Asweage,theskinnaturallyloseselas�citycausinganenlargementofporeseveninskins thatwerenotoilyintheiryouth.Re�nalisanaturalformofre�naldehydethatisjustone stepawayfromre�noicacid.Re�nalhasbeenshowntoincreaseskinelas�cityand increasedermalthickness.Italsoreducestheoccurrenceofacneandimprovesthe vasculariza�onoftheskin.
AUSTRALIANNATIVELY BEAUTYBOTANICAL 78 REDUCED P ORESIZE • • SEE UP TO • •90 PERCENT PERCENTUDERCESCLOS ED COMEDONES • BY UP TO • IMPROVED FORMULA IMPROVED FORMULA 35NATURAL B OTANICALS •INFUS E D WITH• A MULTI-FUNCTIONAL acne AND pore refining MOISTURISER, REMASTERED TO DO MORE! Eruption Emulsion is powered to reduce pore size, banish breakouts, balance the microbiome while rapidly replenishing ceramides and hydration to reveal your smoothest, calmest and clearest complexion ever. Enriched with Magnolia Extract For its antibacterial, anti-fungal and anti-inflammatory properties Infused with Rosehip Extract To mattify skin, reduce sebum and refine the appearance of pores CONTAINS THE WORLDS FIR S •T NATURALRETINALDEHYDE• FLAWLES S SKINIS O U R AND /ROCCOCOBOTANICALS ROCCOCO.COM
DrGiuliaD’Anna
COSMETICMEDICINE
APJ 36
ABEAUTIFULSMILEIS MORETHANJUSTPLUMP LIPS
Youthful,plumlipsarenottheonly elementthatdetermineabeau�fulsmile. Teethandtheirposi�onarealsoan importantconsidera�on.Thesemustbe white,straightandwell-placedinthe mouthwithnogum,orveryli�legum displaywhensmiling.Thegummysmile cansome�mesbeapointof embarrassment.Inthisar�cleDrGiulia D’Annawilldiscussnewadvancesand non-surgicalop�onsforcorrec�nga gummysmile.
Inyearsgoneby,thetradi�onalapproach tocorrec�ngapa�entwithexcessgum displaywasusuallysurgical.Thepa�ent wouldbedirectedtoanorthodon�stfor treatment,whichusuallyinvolved resec�onofthemaxillatoimpactthebone andteeth,followedbyrevision orthodon�ctreatmentoncethesurgical scarshashealed.
Fromapa�entpointofview,thisisanextraordinarydecisiontomakeintermsof �meframe,surgicalrecovery,riskandfinancialburden.Notonlyinthecostofthe
So,whatcausesgummysmiles?Hereare somereasons:
MUSCLESINVOLVEDINASMILE
Smilingcanbeinsincerewhenweengagejustacoupleofmuscles,whereasagenuine smileengagesmanypairsofmusclesinthemiddlethirdoftheface.O�entheupperlip becomesquitethinwhenthemusclesthatcreateasmileengage.Thereareseveral musclesinvolvesinasmile-namelytheRisorius,Zygoma�cusmajor,Zygoma�cusminor andLevatorLabiiSuperiorisAqualaeNasalis(LLSAN),andLevatorLabiiSuperioris.
Excessgumisdefinedasadisplayofgum thatexceeds3mmofmoreabovethe upperfrontteethwhensmiling.Sogiven thattherearemul�plepartstoasmile, eachpartmayberesponsibleforagummy smile.Gummysmilescano�encause distresstoourpa�ents,suchthatthey neverfullyanimatewhenthereisacamera present.Iknowthatmanyofmypa�ents haveadmi�edtotrainingthemselvesto smileinacertainway,sothattheamount ofgumtheyshowishidden.Itis exhaus�ng.
2.Insomepa�ents,theremaybeashort cutaneousupperlip,causinglip incompetence.Assumingthatthe occlusionofthepa�entiswithin normallimits,correc�onofthisless thanidealsmileposi�onmaybe surgical.Anapproachmaybealiplengtheningprocedurewherethe gingival�ssuesinthesulcusare reposi�onedunderlocalanaesthe�cto allowforthelipposi�ontoadvancein adownwardposi�on.Forsome
WHATCAUSESAGUMMYSMILE?
1.Teeththathaveyettoundertake passiveerup�on,suchthatthereis gum�ssueoverlyingtheenamelofthe teeth.Themostcommontreatmentfor thisnon-pathologicaltypeofgummy smileisremovaloftheexcessgum �ssuewithascalpelorlaser gingivectomyprocedure. Once performed,some�mescomplete correc�onofthegummysmileis achieved.
However,eachsetofthesemusclespullsinaslightlydifferentdirec�on.TheRisoriusis mainlyresponsibleforthehorizontalpull(ortheinsinceresmile),whereasthe Zygoma�cusmajorandminormusclespullinamoreobliqueupwardandoutward direc�onontheoralcommissures.Thetwomusclesthataremainlyresponsibleforthe ver�calcomponentofthesmileac�onaretheLevatorLabiiSuperiorisandtheLLSAN.
treatmentitself,butalsointhelossofincomefromtheirusualoccupa�on.AsIamsure youcanappreciate,thistypeofsurgerygenerallytakesplaceoncethepa�entisanadult astheboneshaveceasedgrowing,sothatthesurgicalandorthodon�coutcomeismore stable.
Musclesarejustonepartofthesmile. Obviously,therearetheassociatedbones, par�cularlythemaxilla,theperiodontal �ssuesandgums,andtheteeth themselves.Eachofthesecomponentscan beresponsibleinpartoren�relyforthe forma�onofagummysmile.
Thisexactclinicalproblemwaswhatfirstsparkedmyinterestincosme�cinjectables. Surelytherehadtobeanotherop�on.Butbeforewejumpahead,let’slookatwhat actuallyisthecauseofagummysmile.
APJ 37
3.Maxillaryexcessmayalsobethecauseofagummysmile.In thesecases,bothanorthodon�candsurgicalapproachmay bewarranted.Thiswillini�allycorrectanycompensa�onthat mayhaveoccurredintoothposi�on,followedbysurgical removaloftheexcessbone.Finally,refinementorthodon�cs arethenrequiredtobe�eraligntheteethforapleasingresult.
WHATARETHEBENEFITSOFBOTULINUMTOXIN TREATMENT?
WHATARETHENON-SURGICALOPTIONS?
Thisdoesmeanthatpa�entsthataretreatedwithbotulinumtoxin willneedre-treatmentthreetofour�mesayeartoretainthe benefitofreducedgummysmile. However,let’slookatthe benefitsofthistreatment:
1.Non-surgicaltreatment.Orthognathicsurgerycomeswith risk.Althoughthebenefitsarehuge,notallpa�entsoptfor surgeryduetofear,cost,�meandotherfactorsassociated withmedicalhistoryandsoon.WithBotulinumToxin,thereis veryli�lerisktothepa�entwiththisnon-surgicalapproach. Asidefromthepoten�alforabruise,somemilddiscomfortin theprocedureitself,andallergy,thepa�entusuallyfindsthis procedureverytolerableandcomfortable.
2.Lowfinancialcost.Theaveragetreatmentwillcostthepa�ent around$50-100,dependinguponhowtheprac��oner decidestochargethepa�ent.Whenyouconsiderthe alterna�ves,thecostisverylowperyear.Thecostandneed torepeattreatmentwillalsoconsiderablyreduceoverthe life�meofthepa�ent.Withageing,thefacial�ssueswill stretchanddrop,andthenaturaldownwardprogressionofthe facewithageing,willresultinli�letonogummysmilewith advancingyears.
InnowayamIdiscoun�ngthe tradi�onaltreatmentop�onsfor thecorrec�onofagummy smile.Theyworkwellandare highlysuccessful.Butnotevery pa�entwilloptforthese treatments.Thereisdown�me andhighcostinvolved-bothinfinancialterm,andintermsof �meframe.Andmaybenoteverypa�entissuitableformedicalor otherreasonsforasurgicalapproach.Botulinumtoxinapplica�on isareliable,predictableandhighlysuccessfultreatment associatedwithlowcost,lowriskandnodown�me.Ibelieveit shouldbeofferedtoeverypa�entwithagummysmiletoensure thatyouofferacompletearrayofapplicabletreatmentop�onsto yourpa�ent.
pa�entsthismayalsoinvolvemoreradicalsurgery,wherethe musclea�achmentsarealsoreposi�oned.
TolearnmoreabouttheuseofBotulinumtoxinand Dermalfillers,especiallywiththeuseofbotulinum toxinforcorrec�onofgummysmileandother cosme�ctreatments,visit www.dermaldis�nc�on.com APJ
3.Pa�entlifestyleisretained. Giventhattheusualtradi�onal treatmentofgummysmilesis undertakenasanadult, orthodon�candsurgical treatmentscaninterruptthe workandlifestylehabitsofthe pa�ent.Advancementincareer maybeslowed,�metaken awayfromworkwithsurgical recoverycanbeintenseand protracted.Botulinumtoxin takes15minutesofclinical �me,withnodown�meatall.
Botulinumtoxinworksbyinterrup�ngthereleaseofacetylcholine fromtheneuromuscularjunc�on,suchthatmusclecontrac�onis weakorcompletely“switchedoff”.Thenervesinvolvedeventually regainconnec�onwiththemuscle,wherebynervesproutsbegin forming,causingthemuscletobeginac�ononceagain.Fullreturn ofmuscleac�vityisresumedataroundthethree-to-four-month marka�erini�altreatment.ByapplyingadosetotheLLSAN muscle,themainelevatoroftheupperlipispar�allydisabled.This thendropsthecentralpor�onoftheupperlip,whilstretainingthe pa�ent’sabilitytosmile.Thetreatmenthastheaddedbonusof reducingthedepthandappearanceofthenasolabialfold,which withrepeatedhyperac�vityoftheLLSANmuscle,becomes exceedinglydeepoverthecourseofalife�me.So,intervening
4.Hyperac�vemusclesmayalsocauseagummysmile,where theelevatormusclessimplypulltoohard,causingtheupperlip toriseintoaposi�onthatdisplaysexcessgum. Ofcourse, therearemanypa�entsthatshowexcessgumwhichiscaused bymul�plefactors.
Botulinumtoxincanbeusedtoaltertheac�onofmusclesoffacial expressionandhavewidelybeenusedinthemedicalanddental communityforalongperiodof�me.Therearemanyhigh-quality pa�ent-centredstudiesaroundtheuseofBotulinumtomodify, so�enorcompletelyfreezethemusclesintheface.
withbotulinumtoxinwillalsoreducethisunder-desirablelongtermside-effectofthehyperac�vityoftheLLSANmuscle.
APJ 38
HOWDOESITWORK?
Apar�cularlyusefulapplica�onofBotulinumtoxinisforthe treatmentofgummysmile.Byapplyingasmalldosetothe elevatormusclesoftheupperlip,wecanachieveaso�er,less gummyappearanceofthesmile.Notonlythat,buttherisktothe pa�entislow,thefinancialburdenisminimal,andthe�metaken fortreatmentisbarelyafewminutesofclinical�me.
APJ 39 Study with Dermal Distinction Academy! Lip Artistry using filler & botox Botulinum toxin Chin & Jawline Private training Basic Skin Science Cheek Structure Master Full face Intensive Why you should train with us + Dedicated clinical training facility, with small Training groups + Online access to modules for 12 months + FREE membership for ongoing support and mentoring + Product support: Buy discounted filler, toxin and supplies through us! + Safety protocols & equipment in place + Taught by Dr Giulia D’Anna, esteemed dentist & educator of 7 years + The medical standard in education, safety and patient care + Full facial Aesthetics training pathway Ready to start delivering beautiful results with cosmetic injectables? DERMAL DISTINCTION ACADEMY www.dermaldistinction.com 3 Belmore Road, Balwyn North 3104 (03) 9859 7859 Award-winner Australia’s Best training provider! Trained before? + Attend private training to refresh your knowledge & skills in treatments you would like to focus on.
Followingatwo-yearperiodofrestric�oningatherings,ona beau�fulsunnyGoldCoastmorningonMonday18thJulyAPAN welcomedeagerprac��onersandbusinessownerstothefaceto-facesegmentoftheAesthe�csConference.
Herearesomehighlights:
Presen�ngthelatestadvancesindermatology,DrMichael Freemanhighlightednewinnova�vetechnologiesandaddressed someofthemoreacutedermatologicalcondi�ons.DrFreeman alsopresentedrecentchangesindrugtherapiesthatarenow availableinmuchlowerdosesanddeliveredforshorterperiodsof �me,makingthemsaferwithlesssideeffects,whiles�llachieving greatsuccessinclearingsomeofthemoreaccuteskincondi�ons. Healsodiscussedmorepersistentskinmanifesta�onsthatare presentedduetotheSARS-COv-2virus.
EDUCATIONMEETSINNOVATION APANaestheticsconference Raisingthebarininspira�onaleduca�on CONFERENCE
PriortolaunchingtheconferenceeventaNetworkingDinnerwas enjoyedbyguestsatthewaterfrontEdgewaterrestaurantonthe IsleofCapriasvaluableconnec�onsandrela�onshipswere forgedonwhatturnedouttobeafunandresourcefulevening.
Theconferencecommencedat8.30amonthefollowingday. Therewasarealatmosphereoffunandcelebra�onasdelegates joyfullyinteractedandengagedwitheachother,aswellaswith thespeakersandcompanyrepresenta�ves.Therewasanearnest eagernessforlearningasdelegatesonceagaingraspedthe opportunitytoenjoytheupli�ingexperienceofface-to-face interac�on.Itwastrulyverymoving.
Toopentheevent,world-renownedandleadingacademic ProfessorMichaelRobertsaddressedtheaudiencewithsomeof thelatestadvances,specificallytheareaofingredientscienceand productformula�on.
Followingthispresenta�onDrFreemanwasjoinedbyGayWardle andJacineGreenwoodinaninforma�vepaneldiscussion addressingdifferentstrategiesindealingwithadiagnosedacne condi�on.Theinterac�onbetweenadermatologist,adermal clinician,andacosme�cchemistwaspuremagic!Each prac��onerpresentedtheirrespec�veobserva�onsandtheir approachindeterminingunderlyingconsidera�onsandpreferred treatmentstrategyonhowtheywouldtackletorestoreahealthy microbiomeandskinrecovery.Itwasamazingtoobservean intelligent,professionalandrespec�veinterac�onthatclearly highlightedthepowerofcollabora�on.Gaycomprehensively coveredthediagnos�cconsidera�onsthatwouldgiveher
APJ 40
direc�ononhowtotreattheskin,Jacinediscussednew discoveriesiningredientadvancesandwaystomi�gateskin dysbiosisandpersistantinflamma�on,whileDrFreeman highlightedsomeofthedrugsthatcanalsoprovideexcellent results.Theinterac�onprovidedasynergis�capproach demonstra�ngevidenceofthepowerofcollabora�on.Thiswasa powerfulsession.
DrPhillipBushell-Guthrieintroducedhowhumanadipose�ssue stemcellsareprovidinganovelapproachtoskinrepair.Thepower ofthemicrobiomewaspresentedbyJeffreyFloodwhoaddressed newtechnologiesthatprovideeffec�vewaysofprotec�ngthe deliveryofprobio�csintacttothegutbeforetheyreleasedtheir benefits,whileBenEshelbydiscussednewdiscoveriesonhowto harnessthepowerofthemicrobiomewithinskincareformula�ons andwhatisneededforsuccessfuldelivery.DebFarnworth-Wood providedanexcep�onalpresenta�ononeffec�vewaysof establishingstaffpartnershipsforenhancedloyaltyand produc�vity.WhileKarlMargrainsharedthepowerofclient membershipprogramstosecureclientandbusinessgrowth.Dr GiuliaD’Anna’spowerfulpresenta�onaddressednewnovelways
Cosme�cnurseAnnaliseRosesharedherjourneyintransi�oning intocosme�cnursingandthelessonslearned.Metro-Dora Clifforddemonstratedsomeofthetreatmentmagicthatcan happenedwithleadingtechnologiesprovidingmul�plebenefitsin treatmentoutcomes.AngieGaffneypresentedcompelling sta�s�csonthedirec�onthattheindustryisadvancingandthe newupskillingprogramthathasrecentlybeenlaunchedbyThe FrenchBeautyAcademy.
ofusingBotulinumtoxinsnotjustforappearanceenhancement, butalsoforotherhealthcondi�ons.
NaturopathNickyWoodprovidedanexcellentpresenta�onon howtonourishyourmindforresilienceandsuccess.Shecovered, dietaryconsidera�ons,mentala�tude,evidence-basedherbs,as wellasotherusefultoolstohelpop�misementalhealthand improveenergylevelsandproduc�vity.AndJacineGreenwoodDrummondbroughtheraudienceup-to-dateintrea�ngrosacea andCOVIDaffectedskincondi�ons.RobertMcGowanshared howthenewDiplomainCosme�cTa�ooisbeingrolledoutand howitplanstoraisethestandardsoftheindustry.
AwarmTHANKYOUalsototheamazingcompanieswho SPONSOREDthisprogramandsupportedthisevent,whilealso providinggenerousgi�sforallthedelegates.
Tes�monials:
Forthoseofyouwhowishtopurchaseanyofthelecturesforyour staffdevelopmentandbusinesslibrarypleasevisitourwebsite www.apanconf.com.Allsessionsareavailableforpurchaseother thanProfessorLawrenceWalsh’swhichiscopyrightprotected.
Thisconferencewasveryinforma�ve,thelecturescontainedalot ofnewinforma�onintheaesthe�cfield.Ialsoreallylikedthe businessgrowthandbusinessmanagementlecturesasI’manew businessownerandIfoundthesetobeveryhelpful. Azhar Haman:Ul�mateSkinAesthe�cs–Victoria.
Ia�endedtheAPANConference,anditwasincredible!There weresomanyinteres�ngtopicscoveredandsomevery knowledgeableandpassionateindustryprofessionalspeakers.It wasagreatopportunitytonetworkandlearnaboutnew productsandservicesavailableintheindustry.Iwilldefinitelybe backnextyear. Chris�eCameron,SSKINGoldCoast.
theirbusinessbrandandtheirreputa�on.Thiseventwasabout qualityandprofessionalismallaround.ThankyoutoAPANfor stagingsuchanincredibleevent. Lyne�eRouse–DirectorofBio-Az andBio�ca
Thisyear’sAPANAesthe�cConferencewasphenomenal.The calibreofspeakersandthediversetopicscoveredweretruly excep�onal.Asexhibitors,wemadesomeamazingbusiness contactswithintelligentdecisionmakerswhotrulywanttoexcel
APJ
Followingthein-personeventtheprogramcon�nuedwithnew speakersandpresenta�onslaunchedonthesecondandthirddays totaling45segmentsconsis�ngofadiverseeduca�onalprogram. Oursincerethanksalsotoallourwonderfulspeakerswho contributedtoatrulyrobusteduca�onalprogram.
APJ 44 NUTRITION
ThedesiredOmega-6:3ra�ois3:1.Alackofacorrectra�onfor op�malhealthisverycommonandpeoplewhodon’thavean omega-6supplementcanrecordara�oofupto25:1.Eventhose whoeatfishregularlyandtakeomegasupplementstestfarfrom thetargetvalue,whichis3:1.Thisisnotthefaultofindividuals butratherasignofabrokenglobalfoodsystemandsupplements thataremissingvitalingredientsforthenutrientstobeproperly absorbedinthebody.
OurbodiesrequirebothOmega-3andOmega-6toperform importantfunc�ons.Theseareessen�alfa�yacidsthatmustbe consumedthroughdietandfoodsupplementsasthebodydoesn’t producethemnaturally.Whileomega-3ismainlyfoundinoily fish,greenleafyvegetables,andplants,omega-6canbesourced frommeat,poultry,andeggs.There’snoshortageofOmega-6in
Formostpeopletodaytherhythmoflifeisnotonlyfast-paced, butalsocomplexaswefaceourconstantlychangingworld,not tomen�onhealthconcernsbecauseofthepandemic. Func�oningatourop�malbestisacri�calfactorforbothour personalandbusinesssuccess.Toensurethis,weneedto establishanevidence-basedapproachthatwilleffec�vely supportourhealthandwellbeing.
Thelatestdevelopmentintest-basednutri�onisthenew direc�oninfunc�onalnutri�on.Itisgainingpopularitybecauseit ensuresthatyoucanaccessspecificandpreciseinforma�onon yourcurrentnutri�onaldeficiencies.Armedwiththisinforma�on yournutri�onalsupplementa�oncanbeintroducedinatargeted andprecisemannertoop�miseenergylevelsandsupportoverall health.
Restoringanout-of-balanceOmega-6:3ra�oshouldbeapriority asabodyinbalancemeansnormalbrain,heart,immunecell func�onandaglowingskin.AdietdeficientinOmega-3fa�y acidscannega�velyimpacthealthinseveralways.Thefactis mostpeopledon’trealisethey’relivingoutofbalance. whyyoushouldtestit
ourdiets,thechallengeisge�ngenoughOmega-3,butmore importantly,istheneedtoachievetherightbalancedra�o.
WELCOMETOTHEERAOFPERSONALISEDNUTRITION TheOmega-6toOmega-3Ratioand
Welcometotheeraofpersonalisednutri�on–wherewecan nowleveragescien�fically-provenfoodsupplementstosupport ourindividualnutri�onalneedsandbringourbodiesbackto balanceinaprecise,evidence-basedmanner.
THEOMEGARATIOINTHEWESTERNDIET
Studiesconfirmthatforop�malhealthweneedtohavea permeablecellmembranethatwillallownutrientstoenterand feedourcellsandorgans,whilealsoallowingtheremovalof wastes.Ifourcellmembraneisrigid,itwillinhibitthisprocess, andthiscanresultinfa�gueandpoorassimila�onofimportant nutrientstofeedourcells.Toachievethecorrectra�o,weshould havea3:1balancebetweenOmega-6andOmega-3.Thisra�o protectsourcellsfromoxida�vestress,whichoccurswhen an�oxidantlevelsgettoolowandourbodybecomes overwhelmedandunabletofunc�onproperly,whichcanleadto celldamage.Thegoodnewsisthatitispossibletocorrectthis imbalancewiththerightnutri�onalstrategy.
Sincethepandemic,emergingstudiesareconfirmingtheriseof systemicinflamma�on.Weknowthatageingisprecipitatedbyongoinglow-levelinflamma�on,however,asourinflammatory markersareincreasingthispredisposesustofurtherhealth concerns.
THEBENEFITSOFOMEGA-3AND6
THEDESIREDOMEGA-3RATIOANDWHATITMEANS
APJ 45
APJ
POLYPHENOLOMEGA-3BALANCEOIL+
ThefishoilusedinZinzino’s BalanceOil+ isofthehighestquality primarilyderivedfromshort-lived,smallpelagicfishsuchas sardinesandanchoviesandthefishoilsarederivedfromwhole, unprocessedfish.Manyfishoilsavailableassupplementso�en containhighlevelsofmercury,sopurityisveryimportantin gainingthemaximumhealthbenefits.
anunparalleledlevelsofpolyphenols,oleicacidandseveral phytonutrients,infactthisoilisupto30-�meshigherin polyphenolsthanstandardextravirginoliveoils.
BalanceOil+ isanall-naturalpremiumblendomegabalancefood supplementhighinolivepolyphenols,Omega-3andvitaminD3. Availablealsoincapsuleform,itsafelyadjustsandmaintainsEPA +DHAlevelsandtheOmega-6:3ra�oinyourbody,while protec�ngyourcellsfromoxida�on.
HIGHQUALITYFISHOIL
ZINZINO-NickyHorkings 0407622999 nhorkings@gmail.com
APJ 46
REVOLUTIONARYEXTRAVIRGINOLIVEOIL
Tofurtherenhancethean�-inflammatoryproper�esofZinzino’s fishoilasuperiorquality,coldpressedvirginoliveoilwithahigh polyphenolcontenthasbeenaddedtotheiroilblendtoachieve theOmega6-3radio.Theextravirginoliveoiltheyuseisfroma patentedcer�fiedproduc�onprocessfromKoroneikioliveswith
DrPaulClaytoninhisbook OutoftheFire–Whychronic inflamma�onistherootofalldiseaseandhowtoputouttheflames, discusseswhypolyphenolsareimportantdietarycompoundsthat protectcholesterolfromoxida�oninthebodywheretheyactas potentan�-inflammatoryagents.Addi�onallyhestressedthatthe rightpolyphenolsaddedtofishoilwillrestoreanyan�inflammatoryeffectslostduringtherefiningprocess,enablingthe fishoiltoregainitsoriginalan�-inflammatorybenefits.
VITASAnaly�calServicesinNorwaywillanonymouslyanalysethe percentageof11fa�yacids,whichtogether,represent approximately98%ofthefa�yacidsinthebloodandthevalues reflectedinyourdietforthepast120days,whichisthelife�meof bloodcells.Onceyoustartsupplemen�ngwithZincino BalanceOil+youcanbere-testeda�er90days.Thiswillprovide youwithanindependentevidenced-basedupdateonyourresults.
DrClaytondedicatesawholechapteronhowolivecompounds notonlyprotectcholesterolfromoxida�on,butalsotargetthe arterywallsandquenchanyinflamma�onthatmayhavealready existedthere.“Thisisapowerfulcardio-protec�vestrategyandifwe addOmega-3fa�yacidsthenweachieveaverypotentan�inflammatoryandcardio-protec�veenvironment,hestresses.”
ZINZINOBALANCETEST
TodetermineyourpersonalisedreadingofOmega-6:3ra�o ZincinohavedevelopedtheOmegaBalanceTest.Throughaquick andeasydrybloodtestyourindividualfa�yacidprofilecanbe accuratelymeasured.Thetestisaneasy,self-testthatanalysed thefa�yacidsfoundincapillarybloodobtainedfromafinger�p usingtheDriedBloodSpottechnique.Thisisscien�ficallyproven tobeaccurateasavenousbloodsamplewhenfa�yacidsareto beanalysed.
Removetheguessworkinoptimisingyourwellbeing.Regainyour cellularenergywiththeZinzinoevidence-basedapproach. KeybenefitsofZinzinoPolyphenoland Omega-3BalanceOil+ •Contributestonormalbrainfunc�on •Contributestonormalheartfunc�on •Contributestoanormalimmunesystem •HelpsmaintaingoodlevelsofEPA,DHA andvitaminDinyourbody •Helpsmaintainop�malOmega-6:3levelsin yourbody •Helpsmaintainop�malpolyphenollevels, protec�ngbloodlipidsfromoxida�ve stress •Supportshealthyandnormaleyefunc�on •Contributestonormalbones,muscle func�on,normalteethandcelldivision •Supportsnormalbloodtriglyceride,blood pressureandbloodcalciumlevels •Supportsthebodyagainstinflamma�on •Enhancesskinhealth A�erfollowingyourpersonalisedhealthplanwithBalanceOil+,re-testanddiscoveryournewlevels.Over95%of thosewhotakeZinzinoBalanceproductshaveexperienceabalancedra�oofnear3:1a�erjust120days. Enhancewellbeingforyouandyourclients. NickyHorkings 0407622999 nhorkings@gmail.com
TheBioKlenzAirSystemPlusunitwillprovideyourworkorhome withavirusandgermacidal-freeenvironment.Itcomesinasolid metalhousing,isquiettooperateandeasytomaintain.Madein theUSandcomeswitha5-yearwarranty.
Independ�ngtes�ngwasconductedonthe EnviroKlenzAirFilter cartridgeandtheresultswereveryimpressive:
TheAirCartridgeiseffec�veagainsttoxicornoxiousodoursand chemicalsthroughtheproprietary“Adsorp�veNeutralisa�on” process.
Weight: 15.8kg Dimensions: 55.88cmx38.1cm Roomservice: Treatsofto93squaremetres
NEW-GENERATIONAIRFILTERINGDEVICE
Stage3: UVCLight Ultraviolet,Germicidal,Irradia�on99.9%
OPERATIONALSPECIFICATIONS
Asthefearofthepoten�altransmissionofvirusescon�nuesto beaconcernforbothforconsumersandprac��oenrsalike,there isnowasolu�on.Anew-genera�onairfilteringdevicemadein USAwithGermantechnologyhasbeendevelopedspecificalto mi�gatetheriskofairbornetransmissionsoftoxinsandviruses foravarietyofindustriesincluding:
*99.9%Reduc�oninFungus
Notjustden�st,laserprac��oners,(especialta�ooremoval prac��oners)areatriskofinhalingthetoxicplumereleased duringthisprocedure.Accordingtoexperts,surgicalmasksdonot sufficientlyprotecttheprac��onerfrominhalingthetoxicand evencarcinogenicplumthatisreleased.
Inthistes�ng,onlythefilterinsidetheEnviroKlenzAirCartridge wasexamined.Thetestunitwasplacedinasealedtestchamber measuring1000�andamicrobialsuspensionwasaspiredintothe chamber.
Addi�onally,anyprocedurethatrequiresaveryclosecontact withtheclientorpa�entexposestheprac��onertoapoten�al carrierofarespiratorydiseaseorvirusduetotheirclosecontact andproximitytotheiroropharyngealregion,whichcaninclude aerosolgenera�onofsalivawithintheairspaceofthetreatment se�ng.
TEVGroupPtyLtd 0406239617 sales@tevgroup.com.au
APJ TECHNOLOGY
TheAirCartridgeisdesignedtolast4-6months,ensuringthatthe unitalwaysoperatesatpeakefficacy.
The HEPA Filtercapturespar�culatema�er(mixtureofairborne solidpar�clesandliquiddroplets)assmallas0.3micronsata 99.99%rate.Italsocapturesharmfuldust,par�culate,allergens perdander,microorganismsandmore.Becausethereisnobypass aroundtheHEPAFilter,everyunitperformsatHEPAefficiency. Cleanairflowsthroughtheventsonthefrontoftheunit.
* 99.9%reduc�oninViruses
Thedeviceisportablesoitcanbeeasilymovedfromroomto roomifnecessary.
ThewidespreadtransmissionofCOVID-19hasbecomearisknot onlyforeverydayAustralians,butalsoforhealthcareproviders andprofessionalsinthepersonalservicesindustrywhohavevery closelevelsofcontactwiththeirclientsandpa�ents.
THIRDPARTYMICROBIOLIGICALPERFORMANCETEST REPORTVALIDATION
Eventhoughmaskwearingcanprovidealevelofprotec�on,the AmericanAssocia�onofEndodon�stshavestatedthatin par�cular,dentalprofessionalsareexperiencinghighrisksfor nosocomialinfec�onandevenhavethepoten�altobecome carriersofthishighlytransmissibledisease.
APJ 48
Theunitprovidesa3-stageFiltra�onsystem: Stage1: EnviroKlenzAirCartridge VOCs,Chemicals,OdoursandPathogens
Thisunitdemonstratedtheabilitytoneutralisetoxinandnoxious chemicalsandodoursandalsodemonstratedexcellentmicrobial inac�va�on.
Stage2: HEPAFilter Par�culates-<3micronsat99.9%efficiency
SECUREACLEAN,SAFE, VIRUSAND GERMACIDAL-FREE WORKENVIRONMENT
*99.9%Reduc�oninMould
*99.9%Reduc�oninE-coli.
Den�sts,cosme�cdoctorsandnurses,laserprac��oners,cosme�c ta�ooists,dermalandskintherapistsandnailtechnicians,laboratory workersandcosme�cmanufacturersareatpar�cularrisk.
APJ 49 EnviroKlenz® AIRSYSTEMPLUSwithGermicidal Irradia�onUV-Ctechnology World-leadingAirPurifica�onTechnology Itisawell-knownfactthatthepredominantreasonfor staffabsenteesisasaresultofviraltransmissions,and thisiscurrentlycontribu�ngtobusinessdisrup�ons andfinanciallosses. AccordingtotheAustralianBureauofSta�s�csover 23%ofbusinesseshavefewerstaffcomparedtothis �melastyear. Withinthepersonalservicesindustrythereisnotonly reportedstaffshortages,butalsoasharpincreasein absenteesthatispu�ngbusinessesunderanincredible amountofstress. Thereisnowasolu�on. EnviroKlenzisanew-genera�onportableairfiltering systemdevelopedintheUSwithGermanengineering thatisprovidinganaffec�vesolu�onforbusiness owners. WithEnviroKlenz®putastoptotransmissionofviruses, bacteria,fungus,ortoxicplums,providingasafer workingorhomeenvironmentforyou,yourstaffand yourclientsorpa�ents. Callustoday! TestedandvalidatedbyIntertekLabs,aTGArecognisedtes�nglaboratory, proventodestroy: •Viruses–99.99%removalrate (Phi-X274-0.025micronsinsize) •E.colibacteriagramnega�vebacteria–99.99% removalrate •Gram-posi�vebacteria(staphylococcusepidermidis)99.99%removalrate. TEVGroupPtyLtd 0406239617 sales@tevgroup.com.au DistributedbyTEVGroupPtyLtd.
TACKLINGYOURCLIENTS’BREAKOUTS WHILEREPAIRINGTHEIRSKINBARRIER
APJ
Keyingredients:
Niacinamide:AnotheringredientknownasvitaminB3andnico�nicacid,itvisiblyreduces theappearanceofenlargedpores,finelinesandimprovesskindullness. Itislargelyknown foritsabilitytohelprepairandmaintainahealthyskinbarrier.
OurDermatonicsClearskinisoneofour heroproductsthatdrivesresults,while alsobeinggentlewiththeskin.Italso providesaproductpackedwithac�vesto helptargetbreakouts.
Greenteaextract: Averypowerfulan�oxidant,an�-inflammatoryandan�-ageing ingredient.Arichsourceofepigallocatechingallatethattargetsfreeradicals.Itisan excellentingredienttohelppreventskinbreakoutsandclearupexis�ngbreakouts.
DermatonicsofferstwodifferentversionsoftheirDermatonicsClearskin.Theirregular versionandDermatonicsClearskinForteforthoseclientswithmoredifficulttotreat breakouts.
however,italsohasgreatproper�estohelpcontrolacnebreakouts.
Whenyouareaimingtorebalancetheskin itisimportanttodeliverkeyac�vesthat arenecessarytohelpfightbreakouts.We alsoneedtobegentleontheskin,help calmtheunderlyinginflamma�onandhelp woundhealingand�ssueregenera�on processes.
Curcumaxanthorrhiza: AuniqueCurcuma speciesthathasveryhighan�inflammatoryac�vityandan�microbial proper�es.
Dermatonics (02)91888819 enquiries@dermatonics.com.au www.dermatonics.com.au
SalicylicAcid: isanessen�alingredientforproductsthataredesignedtohelpskinwith breakoutsasithelpsdissolvethetypeofskindebristhatclogsporesandcandirectly dissolvethekera�nplugs.
Thisissomethingthatfrustratedusand droveustodevelopDermatonics.Crea�ng skincareproductsthathelprepairtheskin, addressskinconcerns,allwithoutbeing harsh.
APJ 50 STARPERFORMER
N-acetylcysteine: Anaminoacidprecursornecessaryforthesynthesisofglutathione. Glutathioneisoneofthemostpotentan�oxidantsinthebody.Itisasmallaminoand thereforecantransferthroughtheskinverywell.Supplyingtheprecursortocellshelps theskincellsproducetheirownnaturalan�oxidants.
Theseextractsandotherkeyac�vesarejustafewofthekeyingredientsthatarepartof ourDermatonicsClearskinformula.JustasimportantastheingredientsthatAREin DermatonicsClearskin,aretheonesthatareNOT.Wehaveappropriateconcentra�onsof ingredients,andwedonotincludeingredientsthatarestrippingorharsh.Wealways educateourclinicpartnersthatrepairingtheskinbarrierandcalminginflamma�onisjust asimportantifnotMOREimportantthanaddressingtheskinconcernyourclienthas cometoseeyoufor.
Hempseedoil: Consideredtobeoneofnature’smostbalancedoils.Itcontains21ofthe aminoacidsandhasagoodbalanceofOmega6,thereforeidealforhealthy,balanced skin.Itisexcellentforoilyskinasitaddsmoisturewithoutexcessiveoil.
Howmany�meshaveyouhadanew clientwalkintoyourclinicandyouare completelyshockedatwhattheyhave usedontheirskin?Conven�onal supermarketoronlineproductstargeted totreatacneareo�enharshandstripping eventhoughtheypromisequickresults. Thentheyturntoyou,astheirskinisin badshapeandtheirbreakoutsareoutof control.
Willowbarkextract: Mostcommonlyasa pain-relievingnaturalplantmaterial,
APJ 51
APJ 52 Ihavearealfascina�onindivingdeepintoaninspira�onalword anddiscoveringtheirlayersofmeaningandinterpreta�on–especiallywordsthatspeakofstrength,buildcharacterandhelp usriseaboveourchallenges.Onesuchwordis equanimity. Equanimityisawordthatisnotusedfrequentlythesedays. Perhapsthat’sbecauseinpart,therealityhasbecomeincreasingly rare. Equanimity isatermforcomposure,foremo�onalcalmness andpresenceofmind,par�cularlyintryingcircumstances. Equanimityisaneven-temperedstateofmindthatenablesyouto ridelife’schallengeswithcalmnessandserenity,insteadofbeing tossedaboutlikeashipinastorm.Equanimityariseswhenyou feelOKaboutyourlifenoma�erwhat’shappening.Thatlast phrasewaseasytowrite,butitcarriesabigpunch: noma�er what’shappening.Wouldthatincludelosingabelovedone?Yes. Woulditincludefacinguncertaineconomic�mes?Yes,itcertainly does.Whataboutsomeoneclosetoyoureceivingbadnewsabout ahealthdiagnosis?Yes,tothataswell. ThoseexamplesalonearewhyIcannotalwaysclaimto consistentlydwellinequanimity.ButIamcommi�edtoworking onmasteringequanimityeverydaybecause,whenIgetatasteof it,IknowatthedeepestlevelthatthisistheinnerpeacethatI longforandneedtoenablemetostayfocusedonhowIcanlivea successfullifeandbeofvaluetoothers. Givingtoothersfromaplaceofcalmandfulfilmentmeansthat mygivingwillbeofahighquality,becauseitwillbecomingfroma posi�onofpersonalcalmandpeaceandnotthroughobliga�onor fromaplaceoffrustra�on. Lifeisamixtureofpleasantandunpleasantexperiences, successesanddisappointments,good�mesandsad�mes. Equanimityisamentalstatethatenablesyoutomeetlife’s unpleasantexperiences,disappointments,andsadmomentswith even-temperedcalminsteadofwithaversion.Aversiontakestwo forms:passiveindifferenceasin,“Whocares?”andanger,asin “I’vegottogetridofthisfeeling rightnow!” EQUANIMITYINTHEFACEOFGRIEF Severalyearsago,Ireturnedfromanoverseastriptofindmy motherinthela�erstagesoflivercancer.Herwishwastocome homeandbewithherfamilyinherlastdays,soIhonouredthat wish.WhileIreceivedhospicesupport,theexperienceofbeing hercaregiverandseeingherslowlydeterioratetoashadowofthe womansheoncewas,wasverypainful. Itisquiteextraordinarythatalthoughweknowasa certainty that ourlifeonthisplanetwillonedaycometoanend,deathis somethingthatalwayshitsussohardwhenithappens,asifitwas totallyunexpected.Thepainisusuallyunbearable,andweo�en a�emptanythingtoescapeit. WhileIimmediatelyreturnedtoworkwithastoicdetermina�on EQUANIMITY thepowerofstayingcalm INTHEMIDDLEOFTHESTORM TinaViney PERSONALDEVELOPMENT
APJ 53 tomoveon,therewasnoescapingthepainwhichIfeltphysically asifaballofironhaddroppedintomygutthatIcouldnotbudge. So,howdoyoufindtheinnerpeaceandequanimitywhenyou’re inthemidstofsuchdeepsorrow?Youfinditbybeingwholly presentinyoursadnessandgrief.Forme,thismeantnotpushing thesorrowawayinaversion(thatis,inindifferenceoranger),but instead,acknowledginghowpainfulthelosswasandmakingroom foritinmyheart.Focusingoncelebra�ngmymother’slifeand spending�mecontempla�ngherlegacyandhowIwouldcon�nue itwithinmyownlife.Mymotherwasanamazingcook,soI searchedandfoundsomeofherincrediblerecipeswhichIalways tookforgranted.Nowthatshewasgoneitwasmyturnto a�emptthemandinsodoing,each�meIcookoneofherrecipes Ire-livethejoyofhermemoryandthegloriousfoodthatshe alwaysservedus,aswellastheamazingquali�esoflove,careand kindnessthatmadehersuchaspecialhumanbeing. Andso,thementalqualityofequanimityisthewillingnesstobe presentforyourexperience asitis—evenwhenit’snottheone you’dhaveorderedup. CULTIVATINGEQUANIMITY Equanimityisapursuitworthmasteringbecauseitisalsothekey tohappiness.Buttoachieveit,itrequiresbothmindfulnessand thedisciplinetodevelopit.Itrequiresexaminingwhatisgoingon inyourmindandinyourbody,becausethat’swhereyou feel what’sgoingoninyourmind.Areyouclingingtohowyouwant somethingtobeeventhoughyouhavenocontroloverit?Ifso, canyoufeelthecontrac�onthataccompaniesthatclinging-a contrac�onbothinyourmind(asrigidnessinyourthinking)andin yourbody(as�ghtenedmusclesorgutpain,forexample)? We’relivingin�mesthatcondi�onustooverreactandexplode,in asocietythatrewardsoutrageandoutbursts,whileinpastyears thiswasconsideredunbecomingconductitisnowconsidered totallyacceptabletoswearorabusesomeonebecausetheydon’t goalongwith“yourtruth”,buthowdoesthatservetheabuseror theabused?Weneedtobring equanimity back.Lifeshrinksor expandsinpropor�ontoone’scourageandthechoicestheymake onhowtheywanttofacetheworldeachday. InthewordsofMorganFreeman.Self-controlisstrength, calmnessismastery.Youhavetogettothepointwhereyour mooddoesnotshi�basedontheinsignificantac�onsofsomeone elseoroneventsthatareoutofyourcontrol.Don’tallowothers tocontrolthedirec�onofyourlife.Don’tallowyouremo�onsto overpoweryourintelligence. Whenyoumasteryourbehaviourtolivewithequanimityyouwill nothavetheneedtopredictyourfuture,youwillhavethepower tocreateit. APJ
DERMATOLOGY
Thewordatopicreferstosomeonewithanallergiccondi�onand derma��sisassociatedwithallergies.Topicalsteroidsare prescribedandhavebeenthemainstayoftreatmentformany yearsands�llare.Phototherapyandsystemicimmunesuppressantsdrugsareusedforthemoreseverecases.
Itisimportanttonotethattherearethreephasesofatopic derma��s: a.theinfan�lestage b.thechildhoodphase,and c.theadultphase allofwhichmayhavedifferentseveri�es.
Filaggringenemuta�onsareo�enthestrongestgene�criskof atopicderma��salthough,therearealsostudiessugges�ngthat mostpa�entswithatopicderma��sdonotcarrythismuta�on.
THESKIN’SMICROBIOME
Fortheskintobeintactweneedtohaveahealthybarrier func�on.Thereneedstobestructureintheepidermisandcell-tocelladhesionproteins.OneofthemainproteinsisFilaggrinwhich isanintermediatefilament-associatedproteinfoundinthe stratumcorneum.Ifthereisanabsentoffilaggrin,complica�ons tothebarrierfunc�onoccurresul�ngtoitbecomingdry,soreand canleadtoinfec�on.
GayWardle
Atopicderma��simpacts20%ofinfantsand3%ofadults worldwideandiso�enassociatedwithotherdiseaseslikeallergic rhini�sandasthma.
Whenyouresearchatopicderma��stherearemanystudiesthat statethatgene�csplayaverystrongroleinthepathogenesisof atopicderma��s.Infact,ithasbeendocumentedthat90%ofthe diseaseaccountsfortheearlyonsetofatopicderma��s.
Th17cellsbelongtotheT-Lymphocytegroupandareproinflammatorycellsthatsecretesubstan�alamountsofinterleukin 17A.
Ourskinisalargeecosystemofmicroorganismsthatcaninfluence thepathogenesisofinflammatorydermatosisorskinlesions. Th17-immuneresponseisapro-inflammatoryimmunepathway associatedwithautoimmunediseases.
Atopicderma��sisprevalentinbothmalesandfemales,although interes�ngly,studiesshowintrinsicallyitishigherinfemalesthan males.Ifthecondi�ondevelopsintheearlychildhoodyears,there isastrongchanceitwillnotcon�nuethroughtoadulthoodand usuallystopsbeforepuberty.Thoughinseverecasesthe condi�oncanbealifelongdisease.
APJ 54
Atopicderma��sisoneofthemostcommonandmost burdensomeskindisordersworld-wide.Ithasahugeimpactona person’slife,theirself-esteemandconfidenceanditcaneven haveanimpactontheiremploymentprospects.
ATOPICDERMATITISANDEPIGENETICS
UNDERSTANDING ATOPICDERMATITIS
Therehasbeenahugeexplosionofresearchrelatedtoatopic derma��s,whichhasgreatlychangedtheconceptofthe underlyingpathogenesisofthedisease.Theresearchhasalso focusedongainingabe�erunderstandingofenvironmentalissues thattriggerthecondi�ons,whicharetheexternalfactorstothe responsecomponent,whichareinternalfactors.
Thereareseveralgenesthatareinvolvedinthedevelopmentof theatopicderma��s,however,inveryrarecasesatopicderma��s iscausedbyinheritedmuta�onsinasinglegene.
•Increasedcolonisa�onofS.aureus.
•Reducednaturalskinhydra�on
T-CELLSANDIgE
TherearestudiesshowingthatS.aureusisfoundontheskinof 90%ofpeoplewithatopicderma��s.Thisimbalancebetween commensalandpathogenicmicrobesisahallmarkofatopic derma��s.Duringatopicderma��soutbreaks,skinbacterial diversityisloweredwithincreasedS.aureusanddiminishedS. epidermidis.
FILAGGRIN
Itises�matedthat8-10percentofthepopula�onwillhave gene�cmuta�onwhichcausesfilaggrindeficiency.Becauseof thisdeficiency,theskindoesnotretainwaterwell,whichleadsto drynessandfurtherproblemswitheczema.Whentheskinlacks thisprotein,itsabilitytoshieldagainstexternaldirtand substancesisgreatlyreduced.
Theskinmicrobiotapromotesnormalskinhomeostasisthrougha Th17cellimmuneresponseandsecre�onofan�microbial pep�desthatnourishthecommensalflora.
KERATINOCYTES
Kera�nocyteproducesintercellularproteinsknownas (desmogleinsanddesmocollins)andintracellularproteins (plakoglobindesmoplakinsandintermediatefilaments)thatall formtheintercellularstructuresthatweknowasdesmosomes. Thesearetheproteinsthatconnectthecell-to-celladhesion. Thesedesmosomesalongwithotherproteinscreateastrong bondingthatholdtheepidermistogether.
func�on,theskin’spHandhydra�on.Duringtheregenera�ve cycleofthekera�nocyte,pro-filaggrinistransferredfroma moleculetoaproteinwhereitisthendegradedinto10–12 filaggrinmolecules.Thesemoleculesbecomepartofthe cytoskeletonofkera�ntoformanintensiveprotein-lipidmatrix. Asaresultofthefilaggrinbinding,thecellscollapseandbecome fla�ened(ratherlikeshu�ngdownanumbrellasothatallthe spokesarealigned).Becausefilaggrinhelpstoformpartofthe naturalmoisturisingsubstanceoftheskin,theseproteinsare importanttoourimmunedefencemechanismoftheskin.
APJ 55
Therearethreekeyfeaturesofatopicderma��s.Theseare: •Impairedepidermalbarrier
NMFiscreatedbyfilaggrinmonomersthataredegraded. Filaggrinsproduceacidicmetabolitesandpullmoisturetothe outerlayeroftheskin,thiscreatestheNMF.
Theseareallcausedbylowfilaggrinproduc�on.
AnotherbacteriaStaphylococcusepidermidisisacommensal bacteriumthatsuppressesinflamma�ona�erskininjuryand increasestheinnateimmunityresponse.Thesebacteriaalso restrictgrowthandreproduc�onofpathogenicgram-posi�ve speciesthroughcompe��onforresourcesandsecre�onof an�microbialpep�des.WhenthebacteriaStaphylococcusaureus isabletocolonizeabnormallythereisabreakdownintheskinand anincreasedriskofatopicderma��s.
Environmentalallergens,suchashousedustmite,fungi,pollen andcatfurcontainingserineandcysteineproteases.These proteasesarederivedfromStaphylococcusaureusandarecapable ofphysicallydiges�ngtheepithelialbarrier,theythenrelease enterotoxins,andinducepro-inflammatorycytokines.
Whatisafilaggrinandwhatdoesitdo? Filaggrin proteiniscreatedinkera�nocytes.Theyareformed fromthebreakdownofprofilaggrin,whichisaprotein containedinthegranulesfoundinthegranularlayerof theepidermis.Filaggrinisvitalforskincellstomature properlyintotough,flatcorneocytesthatformthe outermostprotec�velayerofourskinknownasthe cornifiedcellenvelopeorthebarrierfunc�on.Asthe celltransformsfromakera�nocytetoacorneocyte theseproteinsreplacetheplasmamembrane.
Topreventundesirablesubstanceorpathogensfrom enteringtheskin,kera�nocytesproduceproteinsthat formaprotein-dominantphysicalbarriersbetweenthe skinandtheoutsideworld.Thisbarrierisakera�n layerandthekera�nocytesarethesolecelltypethat providetheseproteins,whichincludefilaggrin, involucrinandloricrin.Thisisthestratumcorneum.
Thefilaggringeneprovidesinstruc�onsformakingthe profilaggrin.Profilaggrinarethencleavedorcuttoproduce mul�plecopiesofthefilaggrinprotein,whichisimportantforthe structureoftheepidermis.
Filaggringenemuta�onhasbeendocumentedinpa�entswho sufferfromatopicderma��sandichthyosisworldwide.
Thisallhelpstopreventgrowthofpathogenicspeciessuchas Staphylococcusaureus.
T-cellsareasubsetoflymphocytesthataregeneratedinthe thymus.Theyplayacentralroleintheadap�veimmunesystem. TheyexpressT-cellreceptorsthatrecognisean�genicpep�des boundtomajorhistocompa�bilitycomplex(MHC)presentedby an�genpresen�ngcells.
Whenoneoftheseintercellularcomponentsbecomesweakened, eitherbyexternalfactors,suchasbacterialtoxinorbyinternal causessuchasauto-an�bodies,theadherenceandcoherenceof theepidermisislost.Theresultwillbeforma�onofepidermal blistersandepidermallossoffunc�on.
Filaggrinplaysanimportantroleintheskin'sbarrier
Weknowthatthekera�nocyteisthemajorcelltypethatforms theskeletonoftheepidermis,thereforeitisimportanttoknow theirroleandunderstandtheirrela�onshipinthedevelopmentof atopicderma��s.
T-cellsdifferen�ateintofunc�onallydis�nctanddiverseeffector
INCONCLUSION
APJ
APJ 56
AcellularinfiltratecomprisingpredominantlyT-cellsisakey featureofADskinlesionssuppor�ngtheviewthatthesecellsplay aroleindiseasepathogenesis,andalsopossiblyinresolu�on.
Instudies,atopicderma��spa�entsshowedthattheyhadnonhistaminergicneuronalitchtherefore,an�histaminesarenot effec�veintrea�ngchronicitchinatopicderma��s.
GayWardleisqualifiedDermalClinicianwithextensiveclinical experience.Shesupportsbusinessesthroughherindepth trainingboththroughonlinemodules,aswellasface-to-face traing.Toaccesshertrainingvisitwww.gaywardle.com
Historically,mostpeopleaffectedbyderma��sareconsidered uniformlyextrinsic,andtheyallseemtohaveanelevated ImmunoglobulinE,whichisatypeofan�body.Studieshave demonstratedthatpeoplediagnosedwithintrinsicderma��sdo nothavethesameeleva�onofImmunoglobulinE.
Th2cellsplayakeyroleinatopicderma��srelatedpruritusby directac�va�onofsensoryneuronstotransititchsignalformthe peripheraltocentralnervoussystem.
NEUROSENSORYMECHANISMS
arecategorisedashistaminergicornon-histaminergicdepending onthereceptorstheyexpress.Ac�va�onofthesereceptors resultsintheopeningofionchannelswhichleadstoinduc�onof anac�onpoten�al.Thissignalisthentransmi�edtothespinal cordandisul�matelyprocessedinthecerebralcortexofthebrain, whichinterpretsandsignals“itch”totheperson.
Itchandpainaretwomainsymptomsthatplaymajorrolesin peopleaffectedbyatopicderma��s.Thepersistenceofthese symptomscansignificantlyaffectthegeneralhealthofafflicted pa�ents.Theitchbeginswhen freenervefibresares�mulatedby nerveendingscalledCfibresintheepidermis.Thesenervefibres
Theinterleukin4(IL4,IL-4)isacytokinethatinduces differen�a�onof helperTcells (Th0cells)toTh2cells.When interleukin4isac�vated,Th2cellssubsequentlyproduce addi�onalinterleukin4inaposi�vefeedbackloop.Interleukin4is producedprimarilybymastcells,Th2cells,eosinophilsand basophils.
Whenthebarrieroftheskiniscompromisedandimpairedthere aresomanypathogensthathaveaportalofentrytotheskin.This willandcanincreasefurtherriskofatopicderma��s.
Histamineisaprototypepruritogenthatisinvolvedinacuteitch andreleasedprimarilybymastcells,basophilsandkera�nocytes.
Themul�factorialpathogenesisofatopicderma��siss�ll somewhatdifficulttounderstand.Itsdevelopmentinvolves mul�plepoten�algenes,analteredinnateandadap�veimmune response,andepidermalepithelialdysfunc�onandisinfluenced byseveralenvironmentalriskfactors
T-cells,suchasTh1,Th2andTh17
Tocontrolthecondi�on,weneedtoconsiderguthealth,the barrierfunc�on,gene�csandthelungs.So,whentrea�ngatopic derma��s,itisnotjustacaseofapplyingacor�sonecream.
Similartothesensa�onofitch,painsensa�onisconductedby peripheralnervefibrestotheneuronalcircuitinthespinalcord, andthenascendstothebrain.
Th2isdominantinatopicderma��s.Th2cellsaccumulateinthe upperdermisandlaterpenetratethebasalmembraneinto kera�nocytesasthecellgoesthroughitsregenera�vecycle.They aremainlymediatedbytheTh2cytokines. Th2cellsinduce immunoglobulinE (IgE),thatareregularlyfoundinatopic derma��s.
ImmunoglobulinEarethean�bodiesproducedinanallergic personinresponsetocomingintocontactwithanallergen,so someonewithhayfeverwillproduceIGE.Allergensare substancessuchaspollen,dust,peanuts,orcatfuretc.Those individualsthathaveanallergenwillalsohaveadominanceof Th2.HighlevelsIgEincreasetheitchandthatisasymptomof atopicderma��s.Infact, approximately80%ofatopicderma��s pa�entshaveraisedserumofimmunoglobulinE(IgE).
Thenew Eu-Bodycream targetsacne biofilm,restoringthehealthyskin microbiomeandskinhealthinthefirst
weeksofuse.It'sanoil-freesolu�onbasedonahybridapproachbycombiningtheuseof naturalprobio�csandthelatestplantstemcelltechnology,addressingthebacterial communica�onorQuorumSensingandskin-iden�calan�-inflammatoryvitamins.
•DexpanthenolorVitaminB5 isknownasa"healing"vitaminabletoac�vateand acceleratewoundhealingandrestorethenaturalskinbarrierandwaterholding capacity.Ithasapowerfulan�-inflammatoryeffectmakingitapopularskinburns treatment.VitaminB5isanessen�alcomponentofmanybiochemicalreac�onsin thehumanbody,includinghormonemetabolism.Ithelpsrestoreaskinhormonal balancebyac�ngasskin-iden�calingredientswithnoriskofallergicreac�ons.
Eu-Bodycream isanew-genera�onbiologicalbodyacnetreatment.It'sahypoallergenic andhighlyefficientnaturaltreatmentwithnoriskofskinirrita�onortoxicity.Eu-Body significantlyimprovesskincondi�onbyrestoringskin’shealthanditsnaturalprotec�ve capabili�y.
Anewunderstandingofacnepathogenesis includesamicrocomedonetheory sugges�ngthatthefirststepinthe forma�onofacneisthecomedonewhich isaresultofkera�nandsebumthatis trappedinthepilosebaceousgland.The latestdiscoveryofthebiofilmsproduced byacne-causingagentssuchas Cu�bacteriumacneshelpsusunderstand howthenon-inflammatory microcomedonebecomesaninflamed papuleorpustule.Thebiofilmproducedby C.acnesactsasabiologicalgluethat preventstheexpulsionofthesebumkera�nousplug.Inaddi�ontoitsadhesive proper�es,thebiofilmincreasesthe pathogenicityofC.acnesandtheseverity ofacne.
Intoday'smarket,most"an�bodyacne" productsfunc�onasan�bacterialagents basedonsalicylicacidorbenzoylperoxide. Theregularuseoftheseproducts,while contribu�ngto"skindisinfec�on"can contributetounwantedsideeffects,such asskindrynessandirrita�on.Also,salicylic acidisnotrecommendedduringpregnancy andbreas�eedingbecauseofthepoten�al intoxica�ngeffectsorsalicylism.
•Probio�csofKimchicabbage. Lac�cbacteriausedforbio-fermenta�onofKorean kimchireduceskininflamma�onandsuppressanypathogenicorunwantedbacteria helpingtorestoreahealthyskinmicrobiome.Also,kimchiprobio�csrestorethe skin'snaturalwater-holdingabilitybyac�ngasanaturalmoisturiser.Finally,kimchi extractlightenstheskinbecauseofitsslightlyacidifyingeffect.
WiththeuseofEu-Bodyin-vitrotestsshowedan100%reduc�oninC.acnesanda 97.83%reduc�oninS.epidermidis.Thesmallerreduc�onobservedagainstcommensal C.epidermidissuggeststheEu-Bodycreamismicrobiomefriendlyandcausesminimal disrup�ontothehealthymicroflora.Thetotaleradica�onofC.acneswith24hoursofuse showsthehighefficiencyofEu-Bodycreamasanintenseacnetreatmentabletodestroy aspecificacnebiofilm.
MEDEREu-Body Asolu�onforBackandBodyAcne
KeyingredientsinEu-Bodycreaminclude:
admin@mederbeautyscience.com.au mederbeautyscience.com.au APJ STARPERFORMER
Eu-Bodyisanewgenera�onbiological an�-acnesolu�ondesignedspecificallyto fightbodyacne.60%oftheWestern popula�onstrugglewith"belowtheneck" breakouts,and15%sufferfromac�ve chronicchestacne.Theacneofthechest anddécolletécouldmanifestinthe differentstagesofwomen'slifefollowing hormonalchanges.Thiscouldbeduring pregnancy,breas�eeding,pre-menopause ormenopausestagesofawoman’slife.
APJ 58
•Morindacitrifolia(Noni)plantstemcellsextract.NoniisanindigenousAustralian plantwellknownforitshealingandan�-inflammatorycapaci�es.StemcellsofNoni fruitsarebreakingthecommunica�onofpathogenicbacteriasuchasC.acnes, efficientlybreakingthebiofilmforma�onthanksto"an�-QuorumSensing" molecules.Also,Nonistemcellextractsuppressestheinflamma�onandsensi�vity oftheskin.
•Niacinamide(4%)orVitaminB3 iswellknownforitsan�-inflammatoryproper�es. Scien�ficresearchhasprovenagreaterefficacyofniacinamide4%topicalsolu�on foracnetreatmentcomparedtoan�bio�csclindamycinorerythromycinwithnoside effectsandsignificantimprovementoftheoverallskintexture.Niacinamidereduces sebumproduc�onandimprovesthesebumqualitytohigherviscosityandbe�er an�-inflammatoryac�vity. VitaminB3 is naturallypresentsinthehumanbodyand theskin,itisthereforeclassifiedasaskin-iden�calingredientwithunknownallergic reac�onsorsideeffects.
MederBeautyScience 0466338844
Manypa�entswithbodyacneare ashamedoftheirskincondi�onandtryto avoidsocialsitua�onswhenacnecanbe seen,limi�ngtheirsociallife.Bodyacneis notonlyaphysical,butalsoaheavy psychologicalburden.
APJ 59 Solu�onsforSkin�ghtening|Skinsculp�ng|Acne,Rosacea|Hydra�on|Wrinkles 0466338844admin@mederbeautyscience.com.au mederbeautyscience.com.au PROFESSIONALPREBIOTICANDPROBIOTICSKINCARE FormulatedbyrenowneddermatologistDrTiinaMeder TARGETEDSKINCAREDELIVEREDBYAPROFESSIONALTHERAPIST SUPPORTEDBYMICROBIOME-FRIENDLYSCRIPTEDHOMECARE.
Ontheotherhand,neurocep�onistheunconscious scanningof ourinternalandexternalenvironmentsforcuesofsafetyor danger.Thesetermsarestar�ngtogainalotmoretrac�ondueto theirrela�onshiptoourstateofhealthordis-ease. Sciencenowunequivocallyshowsinterocep�vedysfunc�onat anyleveloftheneuroaxiscan,andwillaffectouren�rebrainto bodysystem,shi�ingthebalanceinourphysiologyaswellasour integra�onof�mepercep�on,sensory,emo�onal,mo�va�onal, cogni�ve,painandhealthrepresenta�ons-allofwhichcouldbe relatedtothequality-of-lifeissueslistedabove. UNDERSTANDING interoceptiveawarenessandits SkinTherapyImplications PiaKynoch NEUROSCIENCE
Ifyouworkwithclientsinanyskincaretherapy,youwillknowhow commonthisis.Itisdifficulttosaywhethertheprimarycauseof any dis-ease beginswithemo�onal,orphysical,stressand overwhelm,aswearethesumofmanyparts.
Thescien�ficliteratureclearlyshowsthatmanypsychological statessuchas,anxiety,dysmorphia,charismaphobia, gerascophobia,lowself-worth,embarrassment,shame, unexpressedgrief,depression,suicidalidea�on,histrionic personalitydisorder,circadianrhythmdisrup�onsandsocial isola�oncanseverelyaffectapa�ent’shealth,wellbeing,their senseofconnec�onandtheirqualityoflife.Thesestatesareo�en commoncontributorstoskindisordersanddiseases.
WHATISINTEROCEPTION?
Duringthedevelopmentalstagesofchildhoodwhenthebody undergoesmanychangesadolescencecanbeseverelyimpacted frombullying,teasingandsegrega�on,commonlyincreasingthe andali�lemorerecentlytheimpactofinterocep�on.
stressandinflammatoryresponse. Wouldyouagreethatallofthesearesymptoma�cofthatfelt senseofnotbelonging,ornotbeingworthytobeintheskinwe arein? PSYCHIATRICDISORDERSANDSKINCONDITIONS Thereportedratesofthecomorbidityasaresultofpsychiatric disordersandskincondi�onsinpaediatricandadultpopula�ons rangefrom8%to80%.Theconnec�onbetweenskindisorders, diseasesandourpsychologicalhealthhasunfortunatelybeen under-recognisedforfartoolong. Ourskin,peripheral(body)andcentral(brainandspinalcord) nervoussystemsarein�matelyrelatedfrombirththroughtheir commonembryonicectoderm.Assuch,theysharecommon biochemicalsignallingsystems,workingindependentlyand interdependentlytoreceiveandactuponbothinternaland externalinforma�oninacohesiveandregulatoryfashion. Centuriesofresearchhaveanalysedourexterocep�onabili�es, lookingathowwesenseandinterpretourexternalenvironment,
Theterminterocep�oniscontemporarilydefinedasthesenseof theinternalstateofthebody.Thiscanbebothconsciousand non-conscious.Itencompassesthebrain'sprocessofintegra�ng signalsrelayedfromthebodyintospecificsubregions—likethe brainstem,thalamus,insula,somatosensory,andanteriorcingulate cortex—allowingforanuancedrepresenta�onofthephysiological stateofthebody.
Inourlivesweperceiveandcreateaninterpreta�onoftheworld weliveinthroughoursensesasexperiencedthroughourskin andbody.Whathappenswhenwehaveadeepsenseofanxiety, ofnotbelongingintheskinwe’rein,oraconstantfeltsenseof unsafetyordistrust?
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APJ 61 Whatisnowclearisthatabnormalinterocep�veabili�esare implicatedintheexpressionandsymptomsacrossavastspectrum ofpsychologicalandphysicalcondi�ons-central,peripheral (includingskin),diges�ve,immune,hormonal,circadian,acquired, developmental,andneurodegenera�ve. Ournervoussystemprovidesusamoment-by-moment, consciousandunconscious,mappingofeverypartofourbody’s landscape,includingourskin,andsounderstandingtherelevance ofinterocep�onasakeycomponentofourclient’sresultisa powerful,andmuch-neededparadigmshi�inourindustry. Thisisbecauseinterocep�onencompassesanumberofneurophysicalac�vi�es,including: •Allofyourconsciousandnon-consciousbodilysignals includingmetabolic,immunologic,andautonomicstatus •Itreceives,encodesandrepresentsthesebodilysignalsinto ourbrainandnervoussystem •Itthengeneratesaresponse,bothautoma�callywithinour body,aswellasinourmindasaconsciouspercep�on-the meaningwemakeofsignals. THEBENEFITOFEVALUATINGINTEROCEPTION Malfunc�oninginterocep�veevalua�onofbodilysignalsis implicatedinnervoussystemdysregula�onstates,suchas hypervigilance,fightandflight(anxiety,panic),freeze (disassocia�on,collapse),andevenfawnresponse(anautoma�c obedienceandpeoplepleasingstate).Wecanunpackthesestates inafuturear�cle. interocep�on,throughaccessingtheimplicitmemoryheldinour nervoussystemfromexperiencesoverouren�relife�me,aimsto predictoutcomesandregulatefuturestatesofourbodytoensure oursurvival. Thisiswhyourresponsetointerocep�vesignals-whetherweare consciousofthemornot-playahugeroleinhowweapproach andrespondorreacttolife,mo�va�ngourdecisions,habits, behaviours,aswellasourphysiologicalstate,eitherina maladap�veoranevolu�onaryway. THEINTERFACEOFSKINANDGUT Considerforamomentthetwolargestinterfacesbetweenour internalandexternalworlds-ourskinandgutthathugelyimpact ourphysiologicalstate.Formanyyearstheguthasbeensaidto representtheprincipalbodysurfaceinterfaceforhostenvironmentinterac�ons,yetrecentstudiesshowthatwhen appendagesareincludedinsurfaceareacalcula�ons,theskinand gutareonpar,aswellasonparwiththeirdiversemicrobial communi�es. Newstudiesnowconfirmthatthefieldsofphysiology, neuroscience,andpsychologyhaveintersectedwithmicrobial studiestoassesshowourskinandourGIprocessesimpactour brainandbehavioursviahigher-levelexecu�vefunc�ons,suchas mo�va�on,intui�on,emo�onalstate,andtherela�onshipto inflamma�on,dysbiosis,permeability,immuneandendocrine dysfunc�onandsoon. Canyounowimaginehowgutandorskindysfunc�oncould interruptinterocep�vesignalling,crea�nganunconsciousthreat responsethatshi�sourpercep�onoftheworldtoonethatis morethreatening,unstableanduncertainwherehealingcanbe hardertoreach?
Ofcoursethereisthespecificsofthegut-skin-brainaxisto consider,butIhumblyremindthereaderthatwhicheveraxisin thebodyyouwishtoobserve,analyseandassess,ournervous systemwillalwaysbeinvolved,andwillbedirec�ngresponses. Theseresponsescanbeinnateand/orcondi�onedthroughlife experienceorlearning.
Withoutadoubt,effec�venervoussystem,stressandemo�onal regula�oninvolvesinterocep�veability.Whenwecanaccurately detectandevaluatecuesrelatedtophysiologicalreac�ons,and especiallytostressfulevents,wehavecreatedenoughawareness tothenmakeaconsciouschoicetoemployappropriateregula�on strategiesthattemperandinfluenceourphysiological, psychologicalandemo�onalresponse.
Self-awareness: Theinsulaandotherbrainnetworksplayan essen�alroleinoursenseofself,howweperceiveourbodies/ skin,feelings,andtheoutsideworld.
Whatisalsoveryinteres�nghere,accordingtoresearchersat GeorgiaStateUniversitytheac�vityinthebrain’sinsularcortex increasesasthedifficultyofmakingadecisionbasedonsensory evidenceincreases-whichIinterpretasmeaningthatifwe mistrustourbody,and/orourbodysignals,wewillmistrustour intui�oninmakingdecisions.
ordina�on,physicalfunc�onofthegastrointes�naltract.Consider how,tovaryingdegrees,theseareimpactedwhenyouarelooking a�eraclientindistresswiththeirskin.Theycanstruggletospeak up,theycanbeclumsyandofcoursealongsideskindisturbances therearecommonlyGIdisturbances.
Sustainedinterocep�veawarenessprac�cemakespossibleand promotesnew-feltexperiencesinourbody,wherewehavethe opportunitytocreatenewassocia�onsbetweenemo�ons, memoriesandmeaning.
Nervoussystemfunc�onality: Theinsulaisinvolvedinavariety ofautonomicfunc�ons,therebyinfluencingalldifferentsystems ofourbody.Again,thevagalnerveplaysalargerolehere.
Note-Cutaneoussensorynervesplayakeyroleinmodula�ngthe microbial,immuneandendocrinelandscapeintheskinfor�ssue development,regenera�on,andrepair.
Emo�on: Itprovidesemo�onalandsocialcontextforagiven sensoryexperience-doesourcurrentexperiencehelpusfeel trust,resentment,sexualarousal,love,disbeliefetc?Theinsular playsaroleindecisionmaking,impulsecontrol,cravings, addic�ons,feelingsofanxiety.Itiscri�calforinstantaneous representa�onsofourbodystate.Again-isitsafe?Isitathreat? Dowehaveenoughresourcestoproperlyrespondandadapt?
Sensoryprocessing: Itfiltersandinterpretsinforma�ontakenin byALLthesenses: sound,smell,taste,sight,andtouch.Itreviews throughthesesensesifthesensa�onisconsideredsafeora threat.Whatpreviouslearnedexperienceshapestheresponse?
Tounderstandthisfurtherlet’slookatsomeoftheac�vi�esof theinsularcortex:
Immunesystemfunc�onality: Theinsulastoresandretrieve specificimmuneresponses,canac�vateperipheralinflamma�on (includingskin,respiratory,andintes�nalinflammatorydisorders)
Motorcontrol: Itisinvolvedinspeechar�cula�on,hand/eyeco-
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Thepathtochronicstressand/ortraumaresolu�onandhealing, fromskintowithin,mustincorporateabodilyreintegra�onand reconnec�on.Mindfulinterocep�veandsoma�cawarenessisa wayofallowingmorefocusedandsustaineda�en�ontoourinner bodyexperience.Inthisprocesswecanfindthatinternal sensa�onsassociatedwithemo�onsbecomemoreno�ceable,ina waythatishelpfultofacilitatesoma�creappraisal,processingand integra�on,especiallywhenweengagewithmindfulnessquali�es ofcompassionateinquiry,pa�enceandnon-judgment.
Workingwithsoma�candinterocep�vetechniquesinyour businessisaholis�candintegra�veapproachthatisdesignedto amplifylong-termresultsofferingbenefitsthataremorethanjust skindeep.
APJ
Thekeyareainourbraintowhichinterocep�vesensa�ons, especiallyfromourvagalnerve,projecttoistheinsularcortex, superblyposi�oneddeepinthemidpointofourbrainasan interfacebetweenourautonomicresponsesandhigherexecu�ve func�ons.
PiaKyochisspeaker,mentorandcoach.Youcancontacther pia@inspira�onplace.com.au
Inourcolourful,butturbulentworlddaily weencounterthegoodthebadandthe ugly.Therewillalwaysbesomethingthat irritatesusanddominatesouremo�ons withfrustra�onandifweharbourthese emo�ons,theywillul�matebecomeallconsumingandleadtoourdemise.
Because“liking”feelsgood,plusit encouragesustoapproachandengagethe worldratherthanwithdrawfromit.
Iamnottalkingaboutcravingorclingingtowhatyoulike.Youcanthoroughlyenjoyand likeapleasantexperience,whilele�ngitflowthroughyouwithoutge�nga�achedtoit.
Consider,howdoyoufeelwhenyouarewithsomeonewhoseeslotstolikeinyou?How doesthatmakeyoufeel?Whenyoufindthingstolikeinothers,it’sabeau�fulgi�to them,andinturn,itleadsthemtotreatyoube�er.
APJ 63 TIPSONMENTALWELLBEING
Why?
Ourbraincon�nuallytrackswhether somethingispleasant,unpleasantor neutral.Naturally,welike–weenjoywhat ispleasantanddislikewhatisunpleasant.
Thesameistrueforotherpeopleandformanyeverydaysitua�ons.Forexample,you mightfeelfineoverallaboutyourjoborcareer,buthavelosttouchwithlotsofthe concretelygoodthingsaboutit.
mostsitua�onsareinthemiddleandformedfrommanyparts.Consequently,our responsetothem–likingordisliking–dependsalotonwhatwepaya�en�ontoandour ownperspec�ve.
Considersomeoneyouknowwell,maybeyourpartnerinlife.Likeeachoneofus,this personisamosaicwithmany�les.Evenifyoulovethisperson,it’seasytogetsousedto theirgoodquali�esthatyoukindoftunethemout.
Naturalopioidsorpleasuremoleculesare releasedwhenyouseethingsyoulike;on theotherhand,dislikingthingscan ac�vatetheneuralnetworksofpain. Likingthingsfeelsgood,soweapproach them;dislikingthingsfeelsbad,sowe avoidthem.
Butthereisawaytoguardourmentaland emo�onalwellbeingandthegoodnewsis thatitiswithinourpowerandcontrolto achieveit.Starteachdaybychoosingto iden�fywhatyoulikeandwhatisgoodin yourlife.
Choosingtodirectyourthoughttosomethingyoucanfindenjoyableisnotaboutwearing rose-colouredglasses.Sure,weneedtoseerealproblemsanddealwiththem.Butwhen weoverlookthingsthatwecouldauthen�callylike,wemissoutonchancestofeelgood, stepintolife,andseizeopportuni�es.
Wearehardwiredtolikesomethings,like thesweetnessofsugaranddislikeother things,likeshiveringfromthecold.But
ThePracticeofSeeing What’sLikeable RickHanson,Phd
APJ MENTALWELLBEING
Today,whatwillyouchoosetolikeandappreciate?Trainyoubraintoseekandseethe goodinlifeandyourdaywillunfoldwithgreaterproduc�vityandease.
Let’slookatyourworkagain.Nurtureyourthoughtsaboutthefinancialsecurityyouare ge�ngbyhavingajobtogoto,whileothersmaynotbesolucky.
Consider,thatthroughoutthedayyougettomeetpeoplethatputtheircareintoyour hands,andyougettheopportunitytomaketheirdaybe�erjustbecausetheyhave visitedyou.Whataboutfinetuningyourskillsbyworkingandrefiningyourprac�ce. Thesearedeliberateobserva�onsthatyoucandirectyourthoughtstoandbydoingso, yourbraincanrewardyoubyreleasingendorphins,andthesehappyhormoneswillbring joytoyourday.
PICOHIisacombina�onoftheNd:YAGlasersystemandapigmentlasersystem,which canbeusedfortwotypesoftreatments.Thesystemiscompa�blewithboththeMLA (MicroLendsArray)handpieceandDOE(Diffrac�veOp�calElement)handpiece.Itis composedofvarioushandpieceswhichincludeDOEhandpiecewithtwowavelengthsof 532nmand1064mndepthadjustableVMLAhandpieceandspot-sizeadjustableZMLA handpiece.
Inthepast,trea�ngpigmenta�onanddarkspotsdidnotrespondedadequatelytothe conven�onallasertoningtreatment,noma�erhowmanytreatmentsweredelivered.The marketwasalsoexperiencingtreatmentlimitsduetotheriskofside-effectsthatmay occurwhentheirradia�ondosageincreases.NowwithPICOHIthatimplementsa300picosecondpulsedura�on,theselimita�onscanbeovercome.
Thisadvantagehasallowedthepicosecondlasersystemstohavesteadilygrownasanew lasertreatmentmethodwithworldwidea�en�oninrecentyears.Nevertheless,itis actuallydifficulttoseepropertreatmenteffectswiththeconven�onalpicosecondlaser systembecausethesystemstabilityordurabilitycannotbeguaranteed.
ABETTERSOLUTION
Picosecondlasersystemsarebasedonthe unitofpicoseconds,whichmeansthey operateonshotsthatareonetrillionthofa second.Picosecondlasersystemsdeliver highdoserateirradia�ontotreatpigment spotswithinashortperiodof�meby emi�nglaserbeams1000�mesfaster comparedtonanosecondlasersystems. Therefore,youcanseeno�ceableresults withasmallnumberoftreatments,while alsominimisingskin�ssuedamagearound thetreatmentareaoranyothersideeffects.
PICOHIcanreducethetreatmentperiodbyusingthe300-picosecondpulsedura�onto breakpigmentsintosmallerpar�clescomparedtotheconven�onalsystem.Thenew systemcanselec�velydestroymelaninpigmentswithinthetreatmentareathatallowsfor treatmentwithalowriskofside-effects,suchashyperpigmenta�on.
Theconven�onalpigmentdisorder treatmentmarketinthepastwas dominatedbytheQ-switchedlasertoning. However,theselasertoningtreatments havesomedrawbacks–thepigmenta�on anddarkspotsdonoteasilyfadeaway evena�ermorethat10treatmentsandit takesalong�meun�lyouseeno�ceable results.Intheaesthe�clasermarket,there hasbeenvariousa�emptstoovercome theselimita�onsandtoimprovethe treatmentoutcomes.Oneofthenew advanceswasthepicosecond-domainlaser system,whichisgaininga�en�onfromthe marketasitofferedmorepromising results.
STARPERFORMER
ClinicalPRO 1800628999
APROVENEFFECTIVE TREATMENTFOR PIGMENTATION
PICOHIalsoac�vatesskinregenera�onandhelpsthetreatmentofporesorscarsby facilita�ngthecrea�onofcollagenandelas�nthroughtheLaserInducedOp�cal Breakdown(LIOB)mechanismthatusestheMLAtechniquetoform�nyscars.Byusing thePICOHI,youcanreducecomplexagespots,freckles,orotherblemishspots,aswellas treatintractablepigmentdisordersorremoveta�oosorpermanentmakeup.Duetothe fasttreatmenteffectwithasmallnumberoftreatments,itcanbeaperfecttreatment methodforvariouspa�ents.
Ifyouwishtoachievehighersuccessrateinclinicaloutcomesrela�ngtopigmenta�on andta�ooremoval,whileexperiencebusinessgrowththenPICOHIissomethingtolook forwardtointroducinginyourclinic.
Apicosecondlasersystemwithapulsedura�onofcloserto300picosecondscandeliver ahigher,morepreciselaserirradia�onrateandcanobtainbe�ertreatmentoutcomes. PICOHIimplements300picosecondspulsedura�onwithstableoutputandisgaining a�en�onasasuitablelaserdevicefortoningtreatments.
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www.clinicalpro.com.au APJ
PICOHI,developedbyHironic,safely implementsa300-picosecondpulse dura�on,andhasopenedanewparadigm intheeffec�vetreatmentof pigmenta�on.
THE LATEST IN PICOSECOND TRUE 300PS PULSE DURATION A short 300ps pulse duration is clinically proven to maximise results. Treatments like Pigmentation require a pulse duration lower than 333ps to successfully achieve results without causing adverse effects. VARIETY OF TREATMENTS PICOHI-300 does more than just tattoo removal. It provides additional sources of income for the business by delivering extra treatment opportunities for Laser Toning, Melasma, Inflammatory Acne, Nevus of Ota, Skin Whitening and Stretch Mark Reduction. SKIN REJUVENATION Call 1800 628 999 www.clinicalpro.com.au PICOHI-300 TATTOOPIGMENTATIONREMOVAL After 5 Tx After 5 Tx After 1 Tx After 1 Tx After 3 Tx After 1 Tx
•Biological (physiologicalandpathology)
GeorgeEngel(1977)firstconstructedthebiopsychosocialmodel beingaphilosophyofclinicalcareandaguideforclinicalprac�ce. Thisrequiresanunderstandingofaperson'sclinicalcondi�onon threedifferentlevels,notsimplythebiologicalfactors. These include:
APJ 66 STARPERFORMER
Aswitheverythingthathaschangedsincethepandemic, consumershavehadmore�metoconducttheirownresearch andthereforehavebecomemoreopinionatedaboutthevalueof servicestheypursue.
Morethananythingelse,communica�onisthemostvitalpartof theclient'sexperience.Communica�ongoesmuchfurtherthan whatyousaytoclients–itisyourmanner,inflec�on,andtone. Thenthereisthebodylanguageandhowyoursurroundings communicatetotheclient,ano�en-overlookedaspect.
Weknowthateffec�vecommunica�onisessen�alinproviding qualitycareandthuspreven�ngconfusion,misunderstandings, complaintsandli�ga�on.Itisnotonlycommunica�onbetween youandtheclient,butalsowitheveryoneandeverythingthatis happeninginyourclinic.Ifcommunica�onbetweenallclinicareas iseffec�ve,manyissuesarepre-emptedandstrategiestomanage clientconcernsimplemented.Theconcernisthatalmosteveryone thinkstheircommunica�oniscompelling,whichisnotalways true.
BIOPSYCHOSOCIAL client-centredcommunication INTHECLINIC
THEBIOPSYCHOSOCIALMODELFORCLIENT COMMUNICATION
EVALUATINGYOURPROFESSIONALSPACE
Ourcommunica�onshouldcontributeonsomanylevelstowards buildingmutualrespectandassisttheclinicandtheprac��onerto achieveanopen,honestandtransparentcommunica�on.Such communica�onlevelswillgofarinbuildingtrustandevenin dealingwithandresolvingthesitua�onifsomethinggoeswrong.
Studiesinbiopsychosocialcommunica�onnowrevealhow consumerbehaviourischangingandtheimportanceofengaging inamorecomprehensivemannerwithourclientsduringour consulta�on,ifwewishtosecuretrustandrespectinour professionalrecommenda�ons.Inthisar�cleProfessorTerry Everi�discusseswhatisbiopsychosocialclient-centred communica�onandhowitisreplacingtheold-styleofclient consulta�on.
ProfessorTerryEveri�
Let’sconsidertheintroduc�onofanewclienttoyourclinicbeforeyougettotheconsulta�on,theclienthasbuiltupaseries ofthoughtsregardingthepresenta�onofthepremiseandpeople.
Haveyouevaluatedyourprofessionalspacewithaverycri�cal eyetodeterminethemessageitcommunicates?Youseeitevery
day,butthefirst-�meclientmayseeyourbusinessdifferently. Howprofessionaldoesitlook?Arethesheetsortowelsonthe bedevenonbothsides?Doesanythinglooklikeitremotelywas le�overfromthelastclient?Theclientgenerallydoesnothave theskillstodetermineyourtechnicalcompetency,sotheywill makeinstantdecisionsonhowtheclinicandstafflookandact.
Weknowtheconsulta�onitselfisvitalfortreatmentsuccess,and howweundertakethisprocesshaschangedrapidlyoverthe decades.Longgonearethedaysofjustassessing “whatareyou herefor?–OK,let'sdoit”.Althoughsadtosay,someconsulta�on con�nuestobealmostlikethat.
Eachofthesefactors affectsapa�ent's subjec�veexperience, clinicaloutcomes,and effec�vetreatment throughoutthetreatment process.
Theroleofhumanbehaviourandpsychologyplayindetermining ouroverallhealthandwell-beingnowhasgreaterunderstanding andimpactintheclinicalse�ng.
Althoughhealthcareprac��onersacknowledgethatclientsshould bemorepar�cipa�vetoensuretheyareinformedabouttheir care,studiesalerttoseveralcommunica�onbarriersthatmay exist. Herearesomeconsidera�ons:
•Prac��onersmayfeeltheylackenough�metolisten,explain andnego�atewiththeclient.Some�mesclientscannotfully ar�culatetheirini�alconcernsbeforebeinginterruptedby theprac��oner.Ittakesless�mefortheclienttotelltheir storythange�ngasentenceoutandbeinginterruptedby theprac��oner–mucheasierandquickertoshutupand listen.
•Social (socio-economical,socio-environmental,andcultural factorssuchasworkissues,familycircumstancesand benefits/economics)
•Nego�a�ngevidence-basedtreatmentplanswithclientscan be�me-consumingyetvaluable.Usedwithoutthetechnical detailsandsta�s�csasaguidealigningwiththeclient'sgoals, values,andpreferences.
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Socialfactorsmayimpactaclient'sbehaviouralresponseto condi�onsandtreatment–theirobserva�onofhowyou communicateoroperatemayaffectstheirwillingnessto par�cipateinyourrecommenda�onandtrustinthetreatment efficacy.Afurthercomplica�ontocommunica�onarisesperhaps withethnicexpecta�ons,culturalnorms,andevensexandage stereotypesaffecttheclient-prac��onerrela�onship.Whatthe biopsychosocialmodelunveilsarethevariouslevelsof communica�onthatcannowimpactaclient’sdecisionthatwe needtounderstand.
Thecornerstoneofanysuccessfultreatmentisconsulta�on.The biopsychosocialconsulta�onaddressesbroaderissuessuchas biological,psychological,andsocialcomponentsthatremain uniquetothatindividualpa�ent,notjusttheclient'sphysical concern(Gatchel&Howard,2021).
•Theprac��oner'sa�tudecanbeabarriertoeffec�veclientcentredcommunica�on.
BARRIERS
Corecondi�onsofsuchcommunica�onrelatetogenuineness, acceptanceandunderstandingofselfandtheclienttoexamine howsuchinforma�onwillimpactyourapproach(Molyneux,2022) totreatmentdecisions.Theconceptoftherapeu�c communica�onisvitalingainingandunderstandingboththe objec�veandsubjec�vevaluesoftheclientinachieving assessmentoftreatmentforthatindividualclientatthisspecific �me.Toop�miseacomprehensiveclient-orientatedconsulta�on, theprac��onermustdiscussnotonlyclientconcerns,butalso treatmentgoals,long-termtreatmentexpecta�ons,andspecific factorsrelatedtotheclientandtheirlifestylethatmayimpede treatmentsuccess.(Layton&Tan,2021).
Iftheclienthasfamilyorpeerpressure,theyfrequentlyfollowthis 'advice'ratherthanfollowyours.
APJ
Foralistofreferences,pleasecontacttheeditor.
THEIMPACTONTHECONSULTATION
Increasingengagementintheconsulta�vecommunica�onand treatmentprocessstrengthensthetherapeu�crela�onship.This leadstotheclientbeingmoreopenaboutrelatedissuesaffec�ng theirtreatmentprogress,workissues,socioeconomicfactors, familyandfriends'opinions.Suchinforma�onimprovesthe pa�ent'soverallexperienceinyourclinicandwithyourservices, otherthanhavingmoresuccessfuloutcomes.
Kwissa-GajewskaandKroemeke(2022)studiedthe communica�onsa�sfac�onofagroupofdermatologistsandtheir clients.Thefindingsrevealeddisagreementbetweenthe dermatologists'self-percep�onofcontentandprocess communica�onskillsandtheirclient'spercep�onofthesame. Outcomesclearlyshowedthatphysiciansdidnotno�cethatwhat theyexperiencedasgoodcommunica�onwasnotnecessarily experiencedinthesamewaybytheirclients.
Trea�ngthecondi�onasaclinicalen�tyisnolongersufficientas thisisonlythepresen�ngexternalfactor.Aholis�capproachto theclientisrequiredtotreatthecondi�onsuccessfully.Thisdoes notmeanyouhavetobetheirpsychologycoachortrytodefine thephilosophicalunderpinningsofthepersonalandsocialculture oftheclient.Yet,suchfactorsarepartofthetreatmentprogress andfrequentlycauseunsuccessfultreatmentoutcomes.
ImagefromInerney(2018).
Clientsknowwhenprac��onerstakethe 'sameforallapproachto treatment’.Alterna�vely,itisevidenttoclientswhenthe prac��onertakesthe�metolearnabouttheirindividualand specificissuesandcircumstances.Some�mesallittakesisac�ve listening.Aswelistentotheclientandconnectwiththem,they engagemorewithyourtreatmentprogram.Wewantclientsto cometoourclinics,par�cipateintreatment,andcon�nuetheir programsandimprovementslonga�ertheyleaveourclinics. Applyingabiopsychosocialapproachtoassessmentandtreatment canhelpmakethisareality.
Suchanapproachisvery differentfromthe biomedicalmodel,which considerstheclienttobe apassiverecipientof theirtreatmentandavic�mofcircumstancewithno accountabilityfortheircondi�on,givingtheclientnoautonomyin possibletreatmentdecisionsdecidedonbyclinician-orientated 'expert'opinion.
Using a'steppingstone’ approach,aphysicalexamina�onofthe client'sconcern,movingthenmoretowardsaspecificassessment thatincludespossiblypsychologicalorsocialfactors,Thiswill allowyoutogainabe�erunderstandofyourclient'sunique condi�onandcanhelpyoudevelopamorecomprehensive treatmentplanuniquetotheclient,thusahigherstandardofcare –notthe 'cookie-cu�er sametreatmentapproach’ foreveryone, withrigidtreatmentprotocolstofollow.
Whileyoufeelthatyoudon'thavemuch�metospend,youare theexpertandwanttogetonwiththehands-onphysical treatment.However,behumbleandlistentotheclient–itwill savesomuch�meinthelongrun(Naughton2018).Ifyoudon't listentoandfullyunderstandtheclient,youwillnotbeableto achievealong-termtreatmentprogress,evenifyoufeelthatyour communica�onskillsareoutstanding.
•Psychological (thoughts,emo�onsandbehaviourssuchas psychologicaldistress,fear/avoidancebeliefs,currentcoping methodsanda�ribu�on)
Thermage®pioneeredthescienceofnon-invasiveradiofrequency energyforthetreatmentoflaxskin.Thisyearthecompanywillcelebrate its20thanniversaryofthelaunchofthistechnology.Thermage treatmentsprovidevolumetrichea�ngtos�mulatecollagen regenera�onandremodelinginpa�entstosmooth,�ghtenandcontour theirskin-fromheadtotoe.Intheyearssincethefirstgenera�on Thermagewasintroducedin2002,op�misedtreatmentalgorithmsand innova�onssuchasAccuREPTMhaveresultedinsuperiorclinicalresults andasignificantreduc�oninpa�entdiscomfort.
Greaterthan90%ofproperlyselectedpa�entsmayachieveposi�ve resultswiththe4thgenera�onThermageFLX™.Treatmentismore tolerablethanpriorgenera�ons,duetothelarger�psize,mul�direc�onalvibra�on,andcoolingcryogenspray.Importantly,sincethe launchofThermageFLX,theoverallincidencerateofadverseevents hasbeenlessthan0.05%.ThermageFLXoffersyouandyourclientsthe versa�litytotreatface,bodyandeyelidswithonehandpiece. THR.0100.AU.22
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PRODUCTINNOVATIONS
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TARGETPORESWITHERUPTIONEMULSION
NeoGenesisAustralianDistribu�onCentre-BorkaBuseska 0282033339|bbuseska@neogenesispro.com.au
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Oneofthesecretstohealthyskinisacustomisedskinmanagement planthateffec�velyrepairsthepast,treatsthepresentandprotects thefuture.Youcanonlyachievethisforyourclientsiftheskin’s overallhealth,bothinsideandout,iscompletelyunderstood.In under60secondstheClairdermSkinAnalyserenablestheclinician todothis.TheHDcameraandlensprovideasuperiorskinanalysis ofboththeepidermisanddermis.Inaddi�on,the3spectrums;PL, RGBandUV,ensureanin-depthdiagnosisof10differentskin condi�ons,suchasenlargedpores,wrinkles,pigmenta�on, hydra�on,oilsecre�on,skinmetabolism,UVdamageetc.
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APJ 70 PRODUCTINNOVATIONS
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TheRed-ApaxMaskfromMederBeautyScienceis excellentatsoothingandcomfor�nghypersensi�ve skin.Itisalsoexcellentforhormonalregula�ngof menopausalskinthatsufferfrompersistentredness anddiscomfort,byhelpingtoreducerednessandthe severityofhotflushes.Itcontainsanaturalyeast-based probio�cthatisabletoenhancecellregenera�onand restoretheskin’shealthymicrobiome.Other ingredientsincludeVitaminB5,CentellaAsia�caforits calmingandan�-inflammatoryeffect,aswellas MarigoldandChamomileextractthatprovidean�sep�c andsoothingeffectstodamagedskin.Thismaskisalso excellentwhenapplieddirectlya�erheat-based treatments,suchaslaserorRFtohelpminimise complica�onsandsideeffects.
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APJ 71
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APJ 72
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APJ 74 THENEWDIPLOMAOFCOSMETICTATTOOING YOURQUESTIONSANSWERED
Whendidthenewdiplomabecomeavailable?
programthatallowedbothexis�ngcosme�cta�ooingandpeople newtotheindustrytheearliestopportunitytostarttheirdiploma journey.
WhatdoestheDiplomaofCosme�cTa�ooinglooklike?
Howmuchinforma�onisinthecourse?
Alot.Noreally,alot.TobeawardedtheDiplomaofCosme�c Ta�ooingeverylearnerneedstocompletenineunitsof competency.Exis�ngcosme�cta�ooistswillo�enbeeligiblefor Recogni�onofPriorLearning(RPL)forsomeoftheunits,which shouldmakethejourneycheaperandquicker.Itisimportant, however,tobringtherightapproachtothisdiplomajourney.Only whenlearnersgetstartedwilltheyseehowmuchinforma�onis providedforthemtodeveloptheirknowledgeandskillsand becomethebestpossiblecosme�cta�ooists.Togettruevalue fromthecourse,theapproachshouldbetoabsorbasmuch informa�onaspossible,exploreallthevideosandlinksprovided, andmakethemostoftheinvestmentandtheopportunity.Simply rushingthroughandtryingtopassthetestsandprac�calsas quicklyaspossiblewilldeprivethelearnerofanopportunityto taketheircareertothenextlevel,andbeyond.
Cosme�cta�ooistsshouldbeexcited.Finally,theindustryhasa formalqualifica�onofitsown,meaningrecogni�onofthe industryandthear�sts.Thepreviousunitofcompetencyinthe beautytherapydiploma,introducedin2015,wasagreatstart, buttheneedforahigherstandardoftrainingwasevident.We nowhaveafulldiploma.
EDUCATION
First,wehavetosaythatdevelopingthecontentforthenew diplomahashadeveryoneatTHinkAesthe�csveryexcitedand workinghardtodevelopthebestpossiblelearningexperienceand qualifica�on.TheASQAspecifica�ons(gototraining.gov.au/ Training/Details/SHB50321)onlyprovidethecourseframework andrequirements.ItisfortheindividualRTOtoworkoutthe coursecontentandhowitwillbedelivered.Asaresult,each providerwillhave(orshouldhave)theirowncontentandstyle.At THinkwewanttobecrea�veandinnova�ve,allowingstudents andlearnerstodoasmuchaspossibleofthecoursefromtheir ownhomeorworkenvironment,includingmanyoftheprac�cals, beforedoing“face-to-face”andhandsonprac�caltraining.
Currently,thereareovertwothousandpeopledoingcosme�c ta�ooinginAustralia,o�enwithoutanyformaltraining.Theneed forproperlystructuredtrainingtoarecognisedstandardhasnever beengreater,andtheindustryisembracingthenewqualifica�on. Withsuchabigchangefortheindustry,thereareofcoursealot ofques�ons,sothisar�cleanswerstheques�onsweget frequentlyatTHinkAesthe�cs.
RobertMcGowan
Atthesame�methediplomarequirementswerepublishedbythe AustralianSkillsQualityAuthority(ASQA)lastDecember,the previousDesignandProvideCosme�cTa�ooingunitwas “Deleted”withimmediateeffect.ThissurprisedalltheRegistered TrainingOrganisa�ons(RTOs)accreditedtodeliverit,withno transi�onperiod,apartfromallowingstudentsalreadyenrolledin DesignandProvideCosme�cTa�ooingtocompleteit.In response,THinkAesthe�csdevelopedastageddiplomaroll-out
WhathappenedtoDesignandProvideCosme�cTa�ooing?
TheDiplomaofCosme�cTa�ooingbecameaformalqualifica�on inDecember2021,withthereleaseofthefinalisedrequirements forknowledge,skills,andprac�caltraining.Thejourneyhadtaken threeyears,andtworoundsofpublicandindustryconsulta�on. APAN,THinkAesthe�csandotherindustryleadersprovided extensiveinputonthecourserequirementssotheywouldform therightstar�ngpointforagreatlearningexperience.Thecourse structureimprovedalotfromconsulta�oninput.
•Providecosme�cta�oofor3Dnippleareolacomplex ta�ooing(SHBBCOS008)
Askyourself:Doyouwanttobethebestcosme�cta�ooistyou canbe?Doyouwanttostandoutfromyourindustrypeersand colleagues?Doyouwantto‘futureproof’yourselfandbeready foranyregula�onschangesthatrequirecosme�cta�ooiststobe formallyqualified?Ifyouranswersareyes,thentheDiplomaof Cosme�cTa�ooingisforyou.
Exis�ngtrainedcosme�cta�ooistsmaybeeligibleforRPLonone ormoreoftheseunits.
Exis�ngcosme�cta�ooistswillnormallyhaveoneofthese qualifica�onstomeetstateandterritoryregula�ons(exceptWA). Thiscountsasoneoftheninerequiredunits.
•Providecosme�cta�ooforeyebrows(SHBBCOS004)
Thefirstpartofthediplomaconsistsoffourcoreunitsof competency.AtTHinkwehavereorganisedtheorderofdelivery oftheseunitsforthebestlearnerexperience(wethinkyouwill seewhy):
Newtothecosme�cta�ooindustry?Herearesome�ps
THinkAesthe�cs,RTO45188 0733000465 info@thinkaesthe�cs.com Thinkaesthe�cs.com.au APJ
Thisverymuchdependsonhowmanytreatmentunitsare selectedandwhetheralearneriseligibleforRPL.Theoverall coursecostrangeisapproximately$7,000to$18,000,withthe specificrequirementsandcircumstancesforeachindividual meaningTHinkAesthe�csprovidescustomisedquota�ons.
•Providecosme�cta�ooforscalpmicropigmenta�on (SHBBCOS007)
Whyshouldanexperiencedcosme�cta�ooistdothediploma? Thediplomaprovidesthemostcomprehensivecosme�cta�oo trainingevermadeavailableinAustralia,andpossiblyworldwide. Itisna�onallyaccreditedtrainingtoahighstandard.Nonaccreditedcoursesarenotdeliveredtoanyrecognisedstandard. DesignandProvideCosme�cTa�ooingwasaccredited,butjust oneunitofcompetency.Thediplomahasnineunitsof competency,andprovidesyouwithana�onallyaccreditedformal qualifica�on,recognisingyouasaqualifiedcosme�cta�ooist.
•WithTHinkAesthe�cs,theseunitsarealldeliveredonline, withprac�calkitsprovidedplussomeassessmentbyvideo submission(fortheconsulta�oncomponents).
Thenextstageiscosme�cta�ootreatmenttraining,star�ngwith atreatmenttheorysec�on(online)andthenprac�caltrainingfor yourchoiceofuptothreeunits,choosingfrom:
•Iden�fythefunc�onandstructureofskinandhairfor cosme�cta�ooing(SHBBSSC004)
•Maintaininfec�oncontrolstandards(SHBBINF002)
•Providecosme�cta�ooforlips(SHBBCOS005)
Tocompetethediploma,thereareunitsonbusinessopera�on andsocialmedia.Thenumberrequiredwilldependonhowmany treatmentunitscompleted,soyoumayneedbetweenoneand three.Thebusinessandsocialmediaunitsareavailablefroma widerangeofRTOs.AtTHinkAesthe�cs,thecontenthasbeen developedtobespecifictocosme�cta�oobusinesses,tobeas helpfulaspossible.
tenmonths,workingintheirown�meattheirownpacewhilst s�llbeingabletomaintaina‘dayjob’.Theprac�caltrainingwill typicallybeheldovermul�pledaysandwillincreasewiththe numberoftreatmentunitsselected.
Howisthediplomastructured?
Normallyadiplomaisdesignedasoneyearofstudy.Withalotof thecoursebeingself-pacedonlinelearning,itverymuchdepends onthelearner.Inourexperienceindeliveringinfec�oncontrol coursestohundredsofstudentsacrosstheaesthe�csindustry,we knowwhatwilltakeonestudentafewhourswilltakeother studentsten�meslonger.Withtheprac�caltrainingtheface-tofaceone-on-oneprac�caltrainingcomponentwillnormallybe threedays.Ifanexis�ngcosme�cta�ooistisfullyRPLeligible theremaybenorequirementforface-to-facetraining.
•Applyknowledgeofcolourtheoryandpigmentologyto cosme�cta�ooing(SHBBCOS002)
70to80%oftheindustryisbasedoneyebrows.Other treatmentsarebecomingmorepopular,butthefounda�onofa successfulcosme�cta�oobusinesswilleitherbeeyebrows,or scalpmicropigmenta�on(forhairlossclients).Lipsandeyeliner willcomplementaneyebrowbusiness.3Dnippleareolacosme�c ta�ooingisagreatskilltohave,butthemarketiss�llsmall,sothis isaspecialisa�onyoumaywanttoaddlaterinyourcareer.
Howlongwillittake?
•Maintaininfec�onpreven�onforskinpenetra�ontreatments (HLTINF005)
•Providecosme�cta�ooforeyes(eyeliner)(SHBBCOS006)
•Providecosme�cta�ooingconsulta�ons(SHBBCOS001)
Wethinkatypicallearnernewtotheindustryshouldallowsixto
Howmuchdoesitcost?
Thefourcoreunitsmustbedonefirst,star�ngwiththeoneon skinandhair.Thisisthemostknowledgeintensiveunitofall,but thefeedbackhasbeenveryposi�vesofar.Ifyouneedan infec�oncontrolqualifica�on,thatalsoneedstobedonebefore theprac�caltraining.
Tomakeyourdiplomaaffordable,selecteyebrows(orSMP)to startwith.Dothebusinessandsocialmediaunitssoyoucanget yourbusinessgoingwithoutmakingthesamemistakesthatsee 50%ofbusinessventuresfailinthefirsttwoyears.Comebackto furthertreatmenttrainingwhenyourbusinessisestablished.Your diplomacanbeupgradedthen.
•Incorporateelementsandprinciplesofdesignincosme�c ta�ooing(SHBBCOS003)
Inaddi�on,beforeanyprac�caltraining,learnersmusthavean infec�oncontrolqualifica�on,selectedfromoneofthefollowing:
Howdoyougetstarted?
’Off-label’prescribingoccurswhenadrugisprescribedforan indica�on,arouteofadministra�on,orapa�entgroupthatisnot includedintheapprovedproductinforma�ondocumentforthat drugonitsAustralianRegisterofTherapeu�cGoods(ARTG)entry. ItisimportanttonotethattheTherapeu�cGoodsActdoesnot provideregula�onforcliniciansonlyforproductsordevicesthat claimtherapeu�cuse.So,theinten�ontouseadeviceor medica�oninan“off-label”wayisadecisionthattheprac��oner mustmake.Thisisacommonareawhereprac��onersget themselves"introuble"inthecaseofanAHPRAcomplaint,as consenttouseadruginanoff-labelwayneedstobeestablished.
•foranotherindica�on
Manyprac��onersusepharmaceu�cals,inpar�cularDermal FillerandBotulinumtoxin,inanoff-labelwayanddon’teven knowit.Forinstance,usingBotulinumtoxintotreatthemasseter andtemporalismuscleisoff-labelandnota‘registered’usewith Therapeu�cGoodsAdministra�on(TGA).Infact,thosethatuse Dysportmightbesurprisedtolearnthatusingthedrugtotreat thehorizontalforeheadlinesisalsooff-label.So,let’slookatOffLabelprescribinganddefinewhatitis,andmoreimportantly,look atwhatyouneedtodoclinicallytokeepbothyouandyour pa�entsafeandinformed.
WHATISOFF-LABELPRESCRIBING?
•forapa�entofanageorgenderoutsidetheregistereduse.
Whenthecliniciandecidestouseadrugordeviceforanoff-label treatment,theprac��onershouldobtain informedconsent from thepa�ent,andthisshouldonlybedonea�erweighingupthe risk-benefitprofileanddecidingthattherewouldbeabenefitto thepa�ent.
Thedecisiontoprescribeoff-labelmusttakeintoaccounttherisks andbenefitstothepa�ent,andtheevidencesuppor�ngthe safetyandefficacyoftheproposedtreatment.Someguideshave beenpublishedbytheCouncilofAustralianTherapeu�cAdvisory Groups,whichstatethat,intheeventofharmtothepa�ent,“if theoff-labeluseofthemedicineinapar�cularsitua�onisaccepted bytheprac��oner’speersascons�tu�ngcompetentprofessional prac�ce,andthepa�enthasgiveninformedconsentforitsuse,then prescribingoff-labelshouldnotimplynegligence.” Thismeansthat theremustbeasignificantbodyofevidencethattheuseofadrug inanoff-labelwayhasbeentestedoveraperiodof�meandthere isgeneralacceptancebyyourprac��onerpeersthatsuchuseis consideredrou�ne.Forexample,thereareamplestudiesinthe useofBotulinumtoxinforthetreatmentofmasseterhypertrophy andbruxism.Althoughthisevidenceexists,thisdoesnotpreclude theprac��onerfromtheresponsibilitytoinformthepa�entof
COSMETICMEDICINE OFF-LABELPRESCRIBING WhatisitandisitLegal? DrGiuliaD’Anna
So,let’sfurtherdefinetheterm‘off-label’.’Off-label’isapplied whenamedicineisusedinwaysotherthanspecifiedinthe AustralianTherapeu�cGoodsAdministra�on(TGA)approved productinforma�on,includingwhenthemedicineisprescribedor administered:
GUIDANCEFOROFF-LABELUSE
APJ 76
•viaanalternaterouteofadministra�on
•atadifferentdose
Ihaveincludedhereaflowchart adaptedfromtheCouncilof AustralianTherapeu�cAdvisory grouptohelpyoudecidewhether usingapharmaceu�caloff-labelis warrantedandethical.
Thismeansthatanyuseoutsideoftheselis�ngsisoff-label.In determiningtheappropriatenessofusingamedicineoff-label, thereshouldbesufficientevidencetosupportitsefficaciousand safeuse,andanoverallfavourableharm:benefitra�oforthe intendedclinicaluseandpopula�on.Thismeansthatyoushould onlyuseTGA-listeddrugsforoff-labelindica�onsifthereisa goodbodyofevidencefortheoff-labeluse.Off-labeluseisvery commonwithBotulinumToxindrugs,aswellasmanyotherdrugs.
Onereasonforpersistenthighrates ofoff-labeluseofpharmaceu�calsamongstprac��oners,isthe lackofincen�vesforpharmaceu�calcompaniestoseekapproval foraddi�onalindica�ons,par�cularlyifthereisunlikelytobeany addi�onalrevenueforthecompany.Whenyouconsiderthe�me andcostofundertakingaddi�onalresearchandobtaining regulatoryapprovalstohaveeachnewuselistedontheARTG register,thiswouldrunintomillionsofdollarsforasingledrug.So onceadrugisavailableontheTGAregister,pharmaceu�cal companieso�enhaveli�leincen�vetoinvestmore�meand moneyandresearchintomoreon-labelusesforthedrug,asthey relyonprac��onerstomakesensibleuseofthedrugsand undertaketheproperconsen�ng.
Ifyouwouldliketolearnmoreabouttheuseof BotulinumtoxinandDermalfillers,especiallywith theuseofsafercannula-use,visit www.dermaldis�nc�on.com
knownandunknownbenefitsand risks.Itisimportantthatthe prescriberdocumentsthereasonfor off-labeluseinthepa�ent’srecord andensuresthatpa�entsareaware ofthetreatmentprocedure,along withanyreviewsthatmaybe required.
Theshortansweris‘Yes”,ifthereisalargebodyofevidencethat statesthatthebenefitoutweighstherisktothepa�ent,andthat itisgenerallyacceptedamongstyourpeers.Ifwelookattheuse ofacannulawithdermalfiller,forexample,thesafetyprofileis verybeneficialforthepa�ent.DrLeeWalker,aglobalspeakeron cosme�cinjec�ngandaden�stfromtheUK,recentlystated (March2022)thattheuseofaneedlewithDermalFilleris associatedwithariskof1:6000ofa vascularincident.However,ifyou deliverdermalfillerwithacannula, theriskbecomes1:40,000.Itmakes totalsensetouseDermalFillervia off-labelcannuladeliverywhenyou considerthissta�s�c,especially sincethereareanoverwhelming numberofstudiesthatarehighquality,andpa�entbasedthatalso supportthisstatement.
WHYDON’TPHARMACEUTICAL COMPANIESOBTAINMORE LISTINGS?
WHERETOFROMHERE?
APJ
APJ 77 theoff-labeluseofthedrug.
Toassistprac��onersseveral professionalorganisa�onshave issuedguidelinesinrela�ontoofflabelmedicineuse.Itisaccepted prac�cethattheprescribersshould informpa�entsanddocument consentwhenprescribingoff-label, includinganopendiscussionabout
ISOFF-LABELUSELEGAL?
Youmustinformyourpa�entoftheoff-labeluseofany pharmaceu�calordevicethatyouplantouseinthepa�ent treatment,toensurethattheyunderstandthatyouaremodifying theTGA-listeduse.Shouldtherebeanadverseeventfollowing off-labeluse,thismaybeapoten�allegalitythatwouldbehardto defendifthepa�entwasnotinformedpriortotreatment.I encourageyoutoincludeoff-labeluseofpharmaceu�calsinyour consen�ngprocess,aswellasonyourconsentforms,par�cularly whenitcomestotheuseofBotulinumToxinandDermalfillers.
TheuseofacannulawithDermalFillerisalsoconsideredoff-label, asthedeliverymethodforthedrugisdifferentthantheARTG lis�ng.However,thisisthesafestdeliverymethod,andis consideredmedicalstandardincosme�cinjec�ng.Thataside,you s�llneedtogainconsentfromyourpa�entinthetreatmentitself, butalsofortheuseofanoff-labeldeliverymethodaswell.
EachBotulinumtoxindrughaspar�cularTGAlisteduse.TheOnlabelusesarelistedinthistablebelow:
ForthepastfiveyearsIhavefocusedmyprivateprac�ceonan�inflammatorytreatmentswithhighdosesofvariousomegaoils andstartedaveryspecialisedpeakperformancewellnesscentrein Ipswich,Queensland.
APJ 78
Igraduatedfrommedicalschoolin2000inMexico,sincethenI wasveryinterestedinge�ngtoknowhowthehumanbodyworks moreindepth,butalsothemind,so,Istudiedadoubledegreein homeopathicmedicineandpsychotherapy.ThemoreIlearned aboutthehumanbodythemoreIwantedtocon�nueexploring, soIfocusedmystudiesonan�-ageingnutri�onandhuman behaviourandstartedaverysuccessfulclinicinMexico specialisingincancertreatmentswithhomeopathy,natural
MEMBERPROFILE AMULTIDISIPLINARY approachtocellulite ANDWELLNESS AninterviewwithOsvaldoCooley
BeforeIcametoAustraliain2006,Igainedcer�fica�onindermal therapiesinUSA,andIdecidedtofocusoncellulitetreatments.I discoveredthattherewasabiggapinwhatweunderstandabout celluliteandwhatitreallyis,sosincethenIhaven’tstopmyquest tofindthebesttreatmentforcellulite.
Duringthisperiod,andbecauseI’mpassionateaboutresearch,I completedamaster’sdegreeinMicroscopyandMicroanalysisat theSydneyUniversityandthencompletedaPhDinAn�-ageing MedicinewithUNSW.
supplementsandmindsetcoachingthattothisday,iss�lla successfulprac�ce.
APJQ1.OSVALDO,PLEASESHAREWITHUSALITTLEABOVE YOURPROFESSIONALBACKGROUNDANDYOURPRACTICE FOCUS?
Ineachissueof APJJournal welovetofeatureandprofile membersandweaimtocelebrateandshowcasetheirknowledge, achievementsandtheirprofessionaljourney.Asyoumaybe awareourmembershipexpandsoverseveralprofessional categories,includingdoctorsandnurseswhospecialisein servicingtheircommunitythroughskinandage-management modali�es.InthisissueweprofileOsvaldoCooleyfromVivitality –aslimmingandwellnesscentre.Osvaldoisatrueexpertinthe treatmentofcelluliteandweighmanagement.Hereheshareshis concepts.
Asaresultofmyyearsofexperienceinnaturaltherapiesand research,Idevelopedmyownbrandofnaturalsupplementsto helponmanydifferentareasofhealth.
Atthisstagewomenstartno�cingthattheyhavecellulite,as beforethisstageitisdifficultforthemtoiden�fyanysignof cellulite.
Hereweofferthemostcomprehensive analysisofhumanbiology,thegoldstandard forpersonalisingnutri�onandworkout programs,andthemostinsigh�ulchronic diseasepreven�onassessment.Wehelpour pa�entstoenhanceandop�misetheirfitness andtoreachtheirpeakperformancefaster.
APJQ4:WHATISTHEDIFFERENCEBETWEENWEIGHTLOSS ANDCELLULITEANDWHATARETHEHEALTHIMPLICATIONS OFEACH?
Sotorespondtoyourques�on,celluliteisnotalifethreatening condi�on,itcouldbeconsideredmoreacosme�cproblem. However,itactuallyaffectswomenonwaysthatmostpeople don’tunderstand,sothiscondi�onshouldbere-evaluated,as manywomenthataresufferingfromcellulitealsodevelop
APJQ2:WHATISYOURAPPROACHIN ADDRESSINGCELLULITECONDITIONSAND WHATRESULTSHAVEYOUBEENABLETO ACHIEVE?
APJQ3:WHYISTHEMULTIDISCIPLINARYAPPROACHMORE SUCCESSFUL?CANYOUPROVIDEBETTERORFASTER OUTCOMESWHENITCOMESTOBODYSHAPING?
•FibrosisandDamage: Fibrosisischaracterisedbytheelas�c fibresandsomefatdepositsbecomingfibro�c�ssue(scar �ssue).Inthecaseoftheelas�cfibres,whentheybecome fibro�ctheyarenotelas�canymoreandthiscausesthe dimpleappearancecharacteris�cinpa�entswithcellulite.In thecaseoffa�ycells,whentheygetfibro�c,theywillshowa micronodularappearance.
•ChronicInflamma�on: A�ermanyyearsofsufferingfrom silentinflamma�onitbecomeschronic,anditwillcausesome degreeoftoxicity.Inthecaseofwomenwhodevelopcellulite themainareasaffectedarethe circulatorysystem, hormones imbalances and guthealth.Thesethreesystemswhen manifestedwillcausetoxicityinthebody,whichwillcausethe thirdstage,whichisfibrosis.
Whilebothhavethesameorigin,whichisinflamma�on,andboth havethesamestageswhichareInflamma�on,toxicity,fibrosisand damage,however,thewayeachonedevelopsisdifferent.
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Sincewestartedthismul�disciplnaryapproachbyfirstreducing inflamma�onwithhighdosesofextrapurifiedomega3,high dosesofpolyphenolsandphysicaltherapy,wehaveachieved excellentresultsandourpa�entsdon’tgetcellulitebackforyears a�erfinishedthetreatment.
Ialwaysstresstomypa�entsnottolookforafasteroutcome,but ratherforanoutcomethatwillgivethemalong-termresult.A mul�disciplinaryapproachmaynotnecessarilygiveyoufaster results,butitwilldefinitelygiveyouabe�er,long-termoutcome.
Weneedtounderstandthatthebodyisnotasinglesystembut thecombina�onofsystems,organs,etc.Allthesesystemsinteract witheachother.Todayweknowtheeffectthatguthealthhason alloursystems.Eachdaywegainmoreandmoreinforma�on fromresearchstudiesthatshowhowthebodyworksasawhole andnotassingleseparatesystems,eachonegoingonadifferent direc�on.Sothatisthemainreasonwhymono-dimensional modelsdon’tworkandwhyeverydaymoreandmorepeopleare seekingtherapieswheretheyfeeltheyareseenasawhole person.
WhatIhavediscoveredover�mewithmostpa�ents,aswellas withprac��onersisthattheydon’treallyknowhowto differen�atethesetwoen��es,sotheytreatbothinthesame way.
Excessfatisthefirstsymptomofsilentinflamma�on,butinthe caseofobesity,itconcentratesonstoringvisceralfatwhileinthe caseofcellulite,itisjustconcentra�ngassubcutaneousfat.
Thetoxicity,fibrosisanddamagethenoccuratdifferentlevels, makingvisceralfataverydangerouscondi�on,asthenextstep willresultinchronicdisease,suchasdiabetes,cardiovascular disease,andinsomecases,evencancer.
Thewayweseecelluliteisasfollows: •SilentInflamma�on: Itallstartswith Inflamma�on.DrSearsexplainsinhisbook ‘TheResolu�onZone’ explainsveryclearly whatsilentinflamma�onis.Takinghis conceptsintoprac�ce,mostpeopledevelopsilent inflamma�onfromayoungage,thisisbecauseofanomega3 deficientdiet,orbecauseofthelackofabsorp�onofomega3 inthebody.Eitherwaythebalancebetweenomega6and omega3ispoorinmorethan97%ofpeopleworldwide.At thisstagethemainsymptomofinflamma�onisfatstorage (overweight).
Asmen�onedbefore,Ifoundtherewasahuge gapbetweenwhatweunderstandabout celluliteandwhatitreallyis,sobyiden�fying therootcauseoftheproblem,Ihavebeenable toofferandachievebe�ertreatmentsresults forourpa�ents.
•HardCellulite: Thefourthandfinalstageofcelluliteisdamage, heretheelas�cfibresandthefa�ycellsgetmoreinvolved, andwomengetdeeperdimplesandamacronodular appearance,dependingontheloca�on,theycangetreally hardcellulite.
APJQ5:INTERMSOFTHENUTRIENTSYOUUSE,WHICH ONESARETHEMOSTEFFECIVEFORREDUCING INFLAMMATION?
OsvaldoCooley-Vivitality 0437205721 osvicool@bslimsydney.com.au
Butagain,Ibelievethemostimportantpointhereistoiden�fy thatwearealldifferent.Weallresponddifferently,andweall havedifferentreasonswhyweexperiencehealthcondi�ons,soit isimportanttotakeanapproachwherewetakeintoconsidera�on thewholepersonandnotjustonesystem.I’veneverseenagut comingbyitselftome,itcomesinsideofahumanbeingthatis sufferingandneedsourhelponmanylevels,solet’shelpthem properly.Thatisourobjec�ve.
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So,myadvicehereisnottoassumethatyourpa�enteatshealthy justbecausetheysayso.Digali�ledeeper.Tellthemwhattypeof exerciseisbe�erforthem,andifyoudon’tknow,justreferthem toapersonaltraineroranutri�onistandgetthemtherealhelp theyneed.
Thisyearwearealsothrilledthatwehavebeenselectedas finalistsintheBestHealthImprovementServicescategorywith thesmallbusinessChampionAwards,thiswillalsobeanamazing achievement.
Onein11adultsintheworlddevelopdiabetes(415million),one intwo(46.5percent)adultswithdiabetesisundiagnosed.Andit couldbeeasilypreventedifweplacegreatera�en�ontoour pa�ent’scondi�ons.Whyisitnecessarytowaitun�lchronic diseasehasdeveloped,whenitcouldbeeasilyavoidedby showingourpa�entshowtoeathealthy,howtoexerciseproperly andhoweasyitistodevelophealthyhabits.
APJ
emo�onalproblems,likelackofconfidence,anxietyand depression,andtheseemo�onalconflictscouldbeconsideredat somestageaslifethreatening.So,myadvicetoanyonetrea�ng celluliteistotakeitseriously,aso�en,womenwhomavecellulite sufferonsomanylevels.
Obesityontheotherhandisalife-threateningcondi�on.Welive inaworldwhereobesityispresentinmorethan65%ofthe popula�onworldwide.Heartdiseaseisthenumberonekillerin theworld.
Manyvisitourclinicsaskingtohavefatfreezingorfatcavita�on, whichisaquick-fix,andwhilewecanprovidethemwiththis treatment,weneedtoconsiderwhatisnext?Howmany prac��onerssitwiththeirpa�entsandtalkaboutdietand exerciseproperly,notjustrandomlyrecommendthemtoeat healthyandexercise.Everysinglepa�entIreceiveinmyclinictells methattheyeathealthy,butwhenIexploredeep,byjustasking themwhatdoeshealthymeansforthemandexplorethisdeeper,I realisethattheirdietisalongwayfrombeinghealthy.
Thesecondreasonforustodevelopinflamma�onisstress (emo�onalorphysical),sothenextstepistoiden�fythestressors andworktolowerthem.
Inorderto reduceinflamma�on,thebestsupplementtoachieve thisisOmega3.However,hereisthecontroversy.Most prac��onerswilltellyouthatthedoseisnotimportantaslongas itgetsabsorbed,soaddingpolyphenolswillhelponthe absorp�on.So,thisruleisfine,aslongasthepa�enthasnoclear symptomsofinflamma�on,inotherwords,excessfat,headaches, lackofenergy,chronicpain,gutproblems,hormonalimbalancesor anydiagnosedchronicdisease.However,ifyourpa�enthasclear symptomsofinflamma�on,thentheywillneedhighdosesof omega3,butthisomega3mustbeultra-purifiedtomakesure youarenotaddingabunchofcontaminantscomingfromthe ocean.Youthereforeneedtobecarefulwhatyouprescribeandbe suretheomega3youuseispureandhighquality.
Thetreatmentforinflamma�onhasthreestages.First,weneedto stopinflamma�onfromcon�nuingtohappen.Asmen�oned earlier,thenumberonereasonforinflamma�onisthroughour diet.So,step1isto adviseonanan�-inflammatorydiet,thisis: 40%Carbsintheformoffruitandvegetables(eightpor�onsof vegetablesandtwopor�onsoffruitperday),30%proteinand 30%fat,richinfermentedfibre(greenvegetables)andalow caloriediet(1200to1300caloriesperday).
Thenextstageisto repairinflamma�on,thisisbe�erdonewith highdosesofpolyphenols.Thebiggestproblemwithpolyphenols though,isthatoncetheyareabsorbed,theylastjustfortwohours inyourbody,soforthemtoworkwell,youshouldbetakingthem atleastthreeorfour�mesperday.InthiscaseIrecommendto mypa�entstouseapowderformthatcanbepreparedinonelitre ofwaterandthentheycantakeitastheirnormalwaterduringthe day.Imakesuretheyaretakingatleastonelitreofwaterperday.
4.DOESTHEIRCOACHING/MENTOR FRAMEWORKMEETYOURNEEDS?
Areyoulookingforamastermindgroup,or one-on-onesession?Thereareprosand consofbothtoconsider.One-on-one trainingcanleadtodependencyonthe coachanddeprivesyouofpeersupport, whilemasterclassesneedtobeskilfully handledtoavoidbecomingtoodilutedor leadingtothe "blindleadingtheblind" Ideally,acombina�onofbothisneeded forthebestresultsandamixtureof trainingandcoachingmodes.
between$60-$100k-somaybenotas impressiveasitsounds.Forevery$1,000 youpayyourcoach,theyneedtoincrease yourrevenueby$10,000justforyouto stayinthesameplace-factorthisinfrom theoutsettoavoidanastyshockdown theline.
BUSINESSWISDOM
Thepandemichas,ifnothingelse,given risetoanincreaseinspamemails.I'msure youareall,likeme,openingyourinbox dailytohundredsofoffersofcoaching, mentorship,ormarke�ngadvice.Inthe seaofconfusion,thereisonlyoneeasy solu�on–Delete,delete,delete!
It'snotuncommonforbusinesscoachesto claimtobeabletotakeyoutoasix-figure business.Yes,"6-figurerevenue"sounds great,butwiththeaveragesalonmaking only6-10%profit,that'sanetprofitof
Ifyouhaveagoodbusinessandare buildingonit,it'simportantthatyou recogniseandvalueitsstrengths,while workingontheweaknesses.Anygood coachwillhelpyoudothat.Onesalon ownerIspoketorecentlyhadchangedher wholebusinessmodela�ersomepoor coachingadviceandlostherbusinessin theprocessduetoheavydiscoun�ngand resultanthighstaffturnover.
DebFarnworth-Woodisaserial entrepreneurhavingfoundedand/or grownanumberofsuccessfulbusinesses includingtheAustralianSkinClinics Franchisewhichshesoldin2019.Sheis currentlytheownerofISSADA073904 2288.
ISYOURBUSINESSCOACH GOODENOUGH?
Isitmarke�ng,HR,customerservice, leadership,scalingandgrowth,someoneto keepyouaccountableorsomethingelse?
2.DOESYOURCOACH'SETHICS MATCHYOURS,ANDWILLTHEY ENHANCEYOURBRANDVALUE?
Also,considerthedepthofexperienceyou arelookingfor.Yourcoachmayhave grownasuccessfulsalonorspa.S�ll,the coacheswiththemostexpansive knowledgecanrelatetoabroader backgroundofbusinessesthanone industry.Theyarelikelytohave experiencedamorediverserangeof challengesandamorecomprehensive networkfortheirgrowthand development.
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Itisknownthatmanybusinesscoaches haveneveractuallyrunabusinessatall, andI'vecomeacrossafewinmy�mewho havefailedspectacularlytoo.
3.WHATWILLBEYOURCOST-BENEFIT MEASURE?
Asacon�nuallearner,Iamalwaysopento educa�on,newknowledge,anddifferent views,con�nuingtoupgrademyskills. However,Ifinditinfuria�ngtoreceive emailsfrompeopleI'veneverheardofand whoofferservicesIdonotneed.Worse s�llis the"let'sbooktenminutestodayto talk" statementwhenmydiaryisalready bookedoutthreeweeksinadvanceand whenthisrandomstrangerknowsnothing aboutme,mybusiness,ormyneeds.
It'sallanumbersgameforsure-spam enoughpeople,andyouareboundtopick upthatpersonlookingforhelpandbe luckyenoughtoclosethedeal.So,ifyou arethatbusinessownerlookingfor coachingormentorship,hereareafew thingsyoushouldconsiderbeforejumping in!
1.WHATAREAOFEXPERTISEDOYOU NEED,ANDHASTHECOACHGOTIT?
Consideringtheabovepointsisimportant beforesigningonthedo�edlinefora coachingplan.Ialsohighlyrecommend makingadetailedlistofspecificareasthat youneedhelpwithandmakingsureyou askthepoten�alcoachiftheycanfulfilall theseneedstoyoursa�sfac�on.
Whathappenedto "knowyourcustomer" and "knowtheproblemthecustomerneeds tosolve"?
DebFarnworth-Wood
Althoughwes�llofferthetradi�onalbeautyservicessuchas waxing,�n�ng,manicures/pedicures,andclassicfacials,weare quitefocusedonskinandofferingskinrejuvena�ontreatments. WehaveintroducedHydraFacialfornon-invasiveresurfacing,Skin
Wealsooffer“OncologyFacialservice”withclinicalconsidera�ons tomeettheneedsofthisspecificclientele.
APJQ4:HOWDOYOUKEEPUPTODATEWITHINDUSTRY ADVANCESANDINGAININGTHEKNOLWELDGETO CONTINUETOPROVIDETHEBESTPOSSIBLERESULTSFOR YOURCLIENTS?
AllthemembersofourHSFteamareexcitedbytheknowledge
APJ 82 MEMBERPROFILE HAMILTONSKINFITNESS AHavenforSkin Rejuvenationand Renewal
APJQ3:WHATMOTIVATESANDEXCITESYOUTHEMOST ABOUTYOURWORK?
Throughcarefullycuratedskintreatmentservices,HamiltonSkin Fitnessismakingitsmarkastheexpertestablishmentin perfec�ngtheartandscienceofbeau�fulskin,andasaleading skintreatmentcliniclocatedatTudorStreet,Hamiltoninregional NSW.Managedandownedbythedeligh�ul,posi�veand energe�cJodieWhiley,whotogetherwithherteam,provide excep�onalhighstandardofservicestotheireagerandloyal clientele.InthisinterviewJodiesharesherexperienceoftaking overtheownershipofHamiltonSkinFitnessatthebeginningof thepandemicandhowshemanagedtomoveforwardand overcomeherchallenges.
Needingforcontrolledage-managementtreatments,LED,Medical PeelsincludingColdPeelsthatfocusontrea�ngMelasmaand enzymetherapyforskinhealth.
HamiltonSkinFitnesswasestablishedinJuly2021;however,the businesswasopera�ngunderasimilarnamefortheprevious34 yearswiththeoriginalowner.Theoriginalbusinesswassuccessful andrunningasatradi�onalbeautysalon,butonceittransi�ons undernewmanagementandrebranding,thefocusoftheclinic becameskinrejuvena�on.Ourfocusisprematureagemanagementwhereweunderstandtheimportanceof incorpora�ngpersonalwellnessandskinhealththattargets excep�onalresultsforourclients,yets�llprovidinganurturing service.
Althougheverybodycanbeouridealclientasweofferarangeof services,weworkmorewithclientswhoarereallya�erskin remodellingandrejuvena�onandthosewhowillcommittothe processoftreatmentregimeandhomecare.
Mypassionliesinskintreatmentsandachievingamazingresults! A�erbeinganindustryeducatorforover15years,skinresults fromingredientsandcorrespondingtreatmentsares�llwhat excitesmethemost.Everydaywegettoarriveattheclinicto planandpreparethedayandknowthatweareabletoseeour clients’skintransformedthroughourknowledgeandcommitment toourclients.Whetheritbethecuratedpackageswehavethat willrevealskintransforma�ons,oreventhedestressingac�onofa well-executedfacialmassage,Iloveseeingtheclientwalkinone wayandleavingfeelingposi�ve,happyandexcitedwiththeir results.
APJQ2:WHATSERVICESDOYOUPROVIDEANDWHOARE YOURCLEINTS?
Wealsooffersomeofthecommon“trend”treatments.suchas lashli�ingandbrowlamina�ons.
APJQ1:JODIE,WHENDIDYOUESTABLISHHAMILTONSKIN FITNESSANDWHATISTHEBRAND’SFOCUSASABUSINESS ENTERPRISE?
Asaclinic,wearemembersofnumerousindustrytraininggroups includingourproductandmodalitycompanies,andindustry boardswherewearemadeawareofindustryupdatesand changes.Thisiswhereweundertakeexternaltrainingonskin condi�ons,ingredientsandtreatmentsthatweareexposedtoin theclinic,givingusanaddedadvantagewiththemostup-to-date informa�onthatwecanuseintreatmentandalsopassontoour clients.
keepingthestocklevelsrighthasalsobeeninfluencedby availabilityandchangestoclientspending.Parlevelshavenever beensoimportantnotonlyontheretailshelf,butalso professionalproduct.
andin-clinictrainingtheyreceive.Wehavemonthlymee�ngsand trainingtoensureourskillsareup-to-dateonadailybasis.
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Clientspendinghaspeakedandtroughed,ashasreschedulingdue toillness,etc.Thishasmadesomedaysunpredictable,butthis instabilityseemstobeslowlystabilising.
A�erdiscussingthe APJ withotherlike-mindedclinicowners,I joinedAPANtoformnewrela�onshipsandcontacts,bekeptup todatewithindustrystandards,changes,industryintelligenceand educa�onaladvances.Theeduca�onwithinthear�clesIhave foundinspiringandmo�va�nginmakingsuremybusinessis movingforwardandwillbeproperlyequippedwithallthingsnew. Ourindustryoffersvaluableservicestothepublicandbyhavinga strongsupportorganisa�onbehindus,Ireallylookforwardtothe future! 0249621959
Stockavailabilityandshippinghasalsobeenaslightchallengeand
APJQ5:WHATCHALLENGESHAVEYOUEXPERIENCEDOVER THEPASTTWOYEARSANDHOWHAVEYOUOVERCOME THEM?
APJQ6:WhydidyoujoinAPANasamemberandwhatvalueand supporthaveyoureceivedandlookforwardtothroughthis rela�onship?
Theunpredictabilityanduncertaintyofour�mesIbelievehas beenthebiggestchallenge.Intruth,takingoverabusinessduring apandemichasn’tbeentheeasiestthing.However,thelockdown madeitpossibleformetoreassessthebusiness’sstrategiesfor growthandiden�fywastomoveforwardduringtheseunusual �mes.
Mostobstaclesincliniccanbeovercomebylisteningtoourclients andgaininganunderstandingofhowwecanbestmeettheir needswithbusinessgrowthinmind.Wehavebeenabletocurate packagesthatdelivertheskinrejuvena�onoutcomesthatour clientsareseeking,whilealsoincludingthenurturingthatthe clientsarenowalsoneeding.
info@hamiltonskinfitness.com.au APJ
JodieWhiley-HamiltonSkinFitness
Beingintheindustryforover20years,Iaminconstantcontact withotherindustryprofessionals,whereweo�enspeakofthe clienteleenvironment,newtrends,emergingtreatmentsand productsthatcouldimproveourbusinessandbusinessplans.
Oncewere-openedandtheimmediateinfluxofappointments createdaposi�veenvironmentleadingintoChristmas,Iknewthat offeringnewandexci�ngserviceswouldenablebusinessgrowth byincreasingtheservicera�o.
Despiteitspopularity,thereares�llsomepeoplewhoarenot ge�ngthebestoutoftheirIGexperience.Manysocialmedia usersareunawareofabunchoffeaturesthattheycouldbe applyingtotheirprofiles.Icallthese“InstagramHacks”andthese hackscanworkwondersforyourbusinessandevenyourpersonal accounts.
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Instagramisoneofthemostpopularsocialmediapla�orms today.Ithasahugecommunityofover1billionuserswholoveto sharetheirphotosandvideos.Theapphasbecomesopopular thatit’shardtofindasinglepersonintheworldwhodoesn’t knowwhatitis!
TrishHammond
UsingtheseIGHackscouldbeyoursecretweapontoa�ractmore followersandmakeyourInstagramaccountstandout.Also,itcan helpyousave�memanagingyourInstagramaccounts,and�meis money!
Whywouldyoudothis?
InstagramHacksYouMay NeverHaveThoughtof
HACK#1-SetupInstagram’s“Archive”func�on,justfollow
•Clickonthehamburgeratthetopofthepostyouwantto removeandselect“archive” •Toreviewallarchivedposts,gotoyourprofileandclickthe hamburgericon •Tap“archive” •Atthetopofthescreenclick“archive”tovieweitherPostsor Stories •Ifyouwanttorestorecontenttoyourpublicprofile,simplytap ShowonProfileatany�meandit’llshowupinitsoriginal spot. HACK#2-TosetupFAQ,justfollowthesesimplesteps: •HeadtoyourInstagramse�ngs. •Tap“Se�ngs”andthen“Creator”or“Business” •GotoFrequentlyAskedQues�ons. HACK#3-ThisIGhackistomanageyourcustomwordlistand willhelpyougetridofthose“DMmetocollaborate”comments: •Gotothehamburgericonandclick“Se�ngs” •Tap“Privacy”thengoto“HiddenWords”.
SOCIALMEDIA
INSTAGRAMHACKSFORSETTINGSANDFEATURES
Here’sacoupleofHackstogiveyouanidea: thesesimplesteps(whenyouwanttohideorgetridofapost, withoutlosingallthegreatIGalgorithmjuice):
APJ 85 •Tap“ManageCustomWordList”,andthen“AddList”. •Addwordsthatyoudon’twanttosee(e.g.DM,Follow)then click“Done”. INSTAGRAMHACKSFORSTORIES,REELSANDLIVES HACK#4-IfyourclinichasanInstagramShop,youcantagone productineachInstagramStorywithaproducts�cker,justfollow thesethreesimplesteps: •BuildyourInstagramStoryandtapthes�ckericon. •Select“product”andchoosetheitemfromyourproduct catalogue. •Customisetheproducts�ckertosuityourbrand. HACK#5-UsingBrandColourstoIGStories: •Saveaphotoofyourbrandcoloursinyourphonegallery. •A�achthisphotoinyourStoryasas�cker. •Grabthedropperandputinthecolourthatyouwanttousein yourStory. HACK#6-LeveragetheuseofSupportSmallBusinessIGStory s�ckers!Here’showtodoit: •GotoyourStoryandaddyourphotoorvideotobeused. •Tapthe“S�cker”iconontheupperrightandscrolldownand lookforthe“SupportSmallBusiness”s�cker •AddthattoyourStoryandtypeinthebusinesseshandle(IG accountname) Fromusinghashtagstogetmorefollowers,toedi�ngyourphotos likeapro,tofindingthebestfiltersforyourimages,thesetricks willdefinitelytakeyourInstagramgameup-a-notch. Andtodaywewanttohelpyouwiththisissuebysharingsomeof themostuseful�psandtricksthatcanmakeyourInstagram experienceevenbe�er! Ifyouwanttostartpos�nglikeanexpert,thencheckoutsomeof ourfavouriteInstagramhacks.They’realleasywaystogetmore likesandrampupyourengagement. Emailusattrish@thepinkroom.com.auwiththeSUBJECTtoget yourcomplimentary“50INSTAGRAMHACKSFORAESTHETIC BUSINESS” APJ
UPDATEONINDUSTRYADVANCES
Aspartofourcommitmenttoprovidingaccurateadvicetothe industry,APANdedicate2-3hoursdailyinves�ga�ngresearch developmentsandnewindustryadvances.Thisreportsummaries themostinfluen�alandpivotalchangesthataresettocon�nue toredefineourevolvingindustry.
Anotherno�ceableadvancementisintheriseofpopularityin electrolysis deliveredthroughmoresophis�cateddevicesthatare fast,efficientanddeliveralsonotjusthairreduc�on,butalso performadvancedskintreatment.
LasersandIPL haveundergoneare-calibra�on,evolvinginto moresophis�cated,new-genera�oncapabili�esforgreatersafety andspeed.Likewise, HIFU hasmovedfromnanosecondto picosecondcapabili�eswiththeHIFU-300deliveringsafer treatmentwithincreasedspeedandenhancedsafetyfeaturesas wellasextendedcapabili�estoaddressadiverserangeof treatmentop�onssuchgreatersuccessinpigmenta�onremoval treatments.
OverthepasttwodecadestheBeautyandAesthe�csindustryhas experiencedincredibletransforma�on.Herearethemajor highlights.
Microcurrent,iscomingbackintovogueinAustraliaason-going
Asanindustrythathasmul�pliedinsizebyafactoroffiveover thepasttwodecades,severalnewadvancesarepromisingto con�nuetotransformtheever-expandingskincare,aesthe�cs andcosme�cmedicinesectors.
2.SKINCAREFORMULATIONS
THEEVOLUTIONOFNEWTRENDS
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Manyofthesedevicesarenowmanufacturedinsmallerunitsizes, whilealsoincludingmul�pletechnologicalfeaturesintheone pla�orm.
andadvancesthatare DRIVINGINDUSTRYGROWTH
1.EQUIPMENTTECHNOLOGY
Inskincare,newmicronizedtechnologiesdeliveringredientsthat
studiespraiseitsskinrejuvena�oncapabili�esanditsextensive therapeu�capplica�onsforskin�ghteningandhealingofinjuries. Despiteitsgentleapplica�onthetechnologyworksatthecellular level,increasingadenosinetriphosphate,orATP,theenergy currencyinyourcellsandthebody’smostbasicfuel.Italsoboosts thebody’sabsorp�onofaminoacids—thebuildingblocksof protein—andformsproteinsinthecellsthatproducecollagenin theskin.
Weareexperiencingaboominaesthe�candmedicaldevices, photo-rejuvena�ontechnologiessuchaslasers,IPLandLEDas wellasothermodali�es–microdermabrasion,Ultrasound, Radiofrequency,Radiofrequencycombinedwithdermalneedling, HIFU(Highintensityfocusedultrasound).Dermalneedling treatmentsdeliveredthroughhigh-speeddeviceswithadjustable capabili�esforprecisionneedledepth.Ionophoresis,Sonophoresis toenhancedeliveryofac�ves,FraxelandPlasmatechnologyfor skin�ghtening.
INDUSTRYREPORT
HereisAustraliabotanicalsarerivallingsynthe�cpep�des,and biotechhavebeensignificantcontributorstothemarket expansion.CompanieslikeRoccocoBotanicalareintroducingnew novelbotanicalingredientsthatsupportanothernotabletrendof rejuvena�onwithoutpain throughadvancedbotanicalsanddelivery systemsthatareabletooutperformmoretradi�onalingredients.
DespitethatwearemovingintothepostCOVIDeraweare seeingahighincreaseinreac�veskincondi�onsandahigh degreeofinflamma�onthatarecontribu�ngtoover100skin manifesta�ons.Thisisnecessita�ngthatwhentrea�ngtheskin,
Dermatonics,anotherAustralian-madeformula�onalsoharnesses uniquebotanicalandan�-inflammatoryac�vessuchasCurcuma xanthrrhiza,seabuckthornberriesandthewoundhealing ingredientmangosteensarejustsomeoftheac�vesintheir botanicalrange.
OthercompaniesfollowingthistreadareIssada.Thiswasunheard oftwodecadesagowherecosmeceu�calwerepredominantly laboratoryderivedingredients.
areabletomovewithindeeperlayersoftheskinrestoringskin integrityandenhancingcellularrenewal,evenwithouttheneed forequipmenttechnology.Indeed,ac�veingredientsremainthe starperformersintheoverallingredientsmarket,whichitselfis oneofthekeygrowthareasforspecialtyingredientsuppliers.
MederBeautyScienceisattheforefrontofneuropep�desthat whentopicallyandstrategicallyappliedtotheskinminimisethe ac�onofmimicmusclecontrac�onandsmoothoutwrinkles.Dr TiinaMeder,thedermatologistbehindthebrandwasalso consideredthefirstcompanytointroducemicrobiomefriendly ingredientsinskincare.
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Fastforwardtothe2020s,theac�vesmarketisover$1billionin annualrevenues,hasenjoyedadouble-digitCAGRoverthelast 20years,andofferssomeofthebestprofitmarginsinthe business.
Withongoingresearchanddevelopmentvalida�ngtheefficacyof theseac�ves,itisgenerallybelievedthattheboominbotanicalsis s�llinitsgrowthphaseaswecon�nuetolearnmoreabouttheir capabili�esinthecomingyears.
Lookingbackattheearly2000s,theUSandEuropeanmarketsfor thethreeleadingac�vescategories(botanicals,proteinsand pep�des,andbiotechnologyproducts)collec�velygeneratedless thanUS$200million.Weareseeingmergersandacquisi�onsas largercompaniesarepurchasingsmallercompanieswhoare bringingtothemarketnew,novelingredients.Sederma,the marketleaderduringthat�mewaspurchasedbyCrodafor$66 million.Anotherkeyplayer,LaboratoiresSerobiologiques,was acquiredbyCognisin1999.Matrixyl,launchedin2000,createda newsegment—synthe�cpep�des,atech-drivenandhighly substan�atedac�veingredientsniche.
3.NEWNOVELINGREDIENTSCHANGINGTHECAPABILITIES OFFORMULATIONS
•Restoringthemicrobiome: Evidence-basedstrategiesfor improvingthebody’smicrobiotaandtheskin’smicrobiome areconsidered essen�alaspartofskinrecoverystrategy.
•Changestotheconsulta�onprocess: Referencingthear�cle onBiopsychosocialModelforclientcommunica�on presentedbyProfessorTerryEveri�inthisissueof APJ the consulta�onprocessisnowtakingamorecomprehensive approachrequiringanunderstandingofaclient’sclinical condi�onsonthreedifferentlevels:
Furtherstudiesarenowconfirminghowguthealthislinkedto overallhealthandthatincludesthehealthofourskin.Thisidea isn’tnew.Researchersasfarbackasthe1930ssuspectedalink betweenguthealthandskindisorders,however,recentstudies provideuswithabe�erunderstandinghowthisoccurs.That meansifweareexperiencinginflamma�oninthegut,wearelikely toseesymptomsappearonourskin.Therefore,bycorrec�ngthe causeofgutinflamma�on,wecanhelpresolveskincondi�ons suchasacne,rosacea,psoriasis,andmore.
•Acceleratedacuteandchronic inflamma�on:Thisisprevalentinbothskin andbodyresul�nginfrequentreac�onsto ingredientsandtreatmentstowhichpreviouslyweverywell tolerated.
FortheirnovelmoleculeBio-Azwasthewinnerofthepres�gious interna�onalNutraIngredients-AsiaAwardsasitwasdeemed innova�veleadersinthisspace.Ifyourequirefurtherinforma�on onanyoftheabovecompanies,pleasecontactAPAN info@apanetwork.comaswecanassistyou.
Bio-Az,throughthesupportofseveralresearchscien�sts,has beenworkingwithsymbio�cresearchanddevelopmentforover 30yearsandwithmoreintensivescien�ficanalysisinthepast fouryears.Thesescien�ficbreakthroughshaveallowedBio-Azto providesolu�onsforfoodandbeverages(suchasthefirst symbio�cwaterknownasBio�caWater)animalhealth,oralhealth andnowskincare.Theseadvancesheraldanexci�ngfutureto providebe�erskinsolu�ons,protec�onandenhanceskincare productperformanceandskintreatmentoutcomes.
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•Tac�letreatmentsarebackinhighdemand. With acceleratedstresslevels,proceduresthatincludetechniques thatlowercor�sollevelsandprovidesoothing,stress managementarenowhighlyvalued.Prac��onerswhohave traininginthesetechniquesareencouragedtoincludethem intheirprotocols.
Wenowhaveabe�erunderstandhowguthealthreliesona healthygutmicrobiotaandtheintegrityofourintes�nalbarrier.If thegutmicrobialcommunityisdisrupteditcauseddysbiosis.
ArecentnewingredientdevelopmenthereinAustraliawas launchedwithinourindustryattherecentAPANConference.The company,Bio-Azhasnowlaunchedamazingskincaremolecules thatcombinepre-bio�c,post-bio�candsymbio�cs.This ingredientcanbeaddedtoexis�ngformula�onsallowingthemto achievehigherandmorestablemicrobiomediversity.Low microbiomediversityisassocia�onwithskindysbiosisthat contributetopathogenicstatessuchStaphylococcusAureus, rosaceaandatopicderma��s.Aswenowknowdysbiosisdrives inflamma�on,acondi�onthatisnowbecomingverycommon.
•Biological: Themoretradi�onalapproachwastolookatthe physiologicalandpathologymanifesta�ons.Whilethismust bereviewed,therearetwoaddi�onalconsidera�ons.
4.GUT/SKINHEALTHCONNECTIONANDWELLNESS STRATEGIES
weimplementamoreadvancedevidence-basedapproachto strengthentheskin’simmunefunc�onandreestablishits microbiome,strengtheningtheprotec�vemechanismand minimisingtheinflammatoryresponse.
Withthecurrentriseininflamma�onthisis oneoftheprimarycontribu�ngfactorsto skincondi�onsthatneedtobeaddressed. Essen�allywhatthatmeansisthatwhile includingingredientsinourskincareto supporttheintegrityoftheskin’s microbiome,itisalsoimportantthatwedo notneglecttosupportthegutmicrobiota throughcorrectdietsothatwecanworkin unisonwithourskinhealthstrategies.This wouldrequirethatweadvanceour edica�on.
•Persistentskinmanifesta�ons. Over100persistentskin manifesta�onshavenowbeeniden�fiedsupportedby studies.Bymid-SeptemberAPANwillbereleasedaPosi�on Statementinsupportofcliniciansandbusinessownswith informa�ononthesecondi�onsanddirec�ononhowto addressthem.
•Theroleofnutri�oninmi�ga�nginflamma�on:Foodbased supplementa�onaimedatmi�ga�nginflamma�on,improving energylevelsandsuppor�ngoverallwellbeingarenow becomingmainstreamandavailablethroughsalonsand clinics.
•CleanBeauty: Thestrongtrendtowardnaturalingredients and“cleanbeauty”isfurtherdrivingthemarket.As consumerslookforhealthierlifestyles,fannedbythe increasedfocusonself-careduringthepandemic,the personalcareindustrywillcon�nuetodevelopproductswith ahigherdegreeofnaturalness.However,thecleanbeauty conceptgoesfurther.Notonlyareconsumerslookingfor ingredientsthatareplant-based,organic,andnaturally occurring,buttheyarealsofocusedoningredientsthatare producedinasustainablemannerandthatarelocallyand ethicallysourced.
Hereisalistofthemorerecentkey changesweareexperiencingasaresultof COVID-19:
CHANGESBROUGHTABOUTBYTHE GLOBALPANDEMIC
•Ariseinli�ga�oncases: Wearealsoiden�fyingarisein clientdissa�sfac�onwiththeoutcometheyarereceiving.In 2022weareseeinga40%increaseinclient/prac��oner disputes,withmanyoftheconcernsbeingveryminorandan issueofinterpreta�on.However,withoutaresolu�onseveral clientsarepursuingthepathofli�ga�on.Consumersappear tobehighlyopinionatedonhowtheprocedureshouldhave beendelivered.Someofthesedisputesarealsobecauseof anincreaseindysmorphiaaswellasinsufficient communica�on(seeabove ChangestotheConsulta�on Process).Prac��onersarewarnedtocarefullyscreentheir clientsandconsidertorefusetoperformaprocedurewhen mentalhealthcondi�onsareiden�fied,forexamplewith dysmorphia,oneo�enisneversa�sfiedwithhowtheylook.
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Asnewinnova�onsarearrivingatamuchfasterratethan regula�onsandevenformalqualifica�ons,theonusliesonthe prac��onerandbusinessownertomoveforwardwithcau�on andseektobeguidedthroughcrediblysourcededuca�onbefore undertakingnewtechnologies.Thisisverymuchanissueof ethics–doingtherightthing.Businessownersmustalsorefrain fromallowingunqualifiedstafftoperformprocedureswithdevices withoutspecificeduca�onandtraining.Unfortunately,thisisa commontempta�onandthereasonwhymanyincidentsoccur.
Inourhighlydisrup�veworld,consumersareseekinga professionalplacetotakecareofthemonmanylevels.Oursalons andclinicscanprovideahavenwheretheycanbeservicedand reassuredtolookandfeelrenewedandsupportedthrough effec�veandsafeprocedures.Itisincumbentonusalltodeliver onourpromises. APJ
•Psychological: Prac��onersarerequiredtoalsoexaminethe emo�onalandmentalstatusoftheclient,aswellaspoten�al psychologicaldistress,theirfears/avoidancebeliefsandtheir currentcopingmechanisms.Thiswilldetermineiftheyhave theappropriatementalandemo�onaldisposi�ontotolerate variousproceduresandaccommodatedthepoten�alchanges thatatreatmentmaydeliver.
*Insufficientknowledgeonhowthetechnologywithimpactthe skin’sstructureandwhatarethepoten�al�ssuechangestheycan deliver.
Withtheongoingadvances,businessgrowthopportuni�eswill con�nuetopresentthemselves.However,risksmustalsobe carefullyconsidered.Byfarthemostcommonareaofconcernis theobserva�onofbusinessownersbeingluredtoquickly introducenewtechnologywithinsufficientknowledgeoftwokey areas:
OPPORTUNITIESANDRISKS
*Acomprehensiveunderstandingofnewtechnologies,theirrisks andlimita�ons
ACASEOFETHICS
INSUMMARY
•Social/cultural: Anotherimportantconsidera�onisthesocioeconomical,socio-environmental,andculturalfactorssuchas workissues,familycircumstancesandbenefits/economics. Beliefsandopinionsarealsoanareathatneedstobe explored.Why?DuringCOVIDmanyconductedtheirown researchonproductsandservicesthatmaybeofvalueto them.Whenvisi�ngyoutheywillcomeloadedwiththese opinionsandposi�onsandmayseektobeinvolvedinthe decision-makingofwhatprocedurewouldbestsuitthem. Forexample,theymaychallengewhetheryoucanachievea be�erresultwithlaseroverIPLandtheymaywishtoalso discussandexplorethetreatmentstrategy.Whilesomeof theopinionsmayincludemisinforma�on,itwillbeuptoyou toiden�fythisandeducatethemthroughaccurate knowledgesothatyoucanbothbeonthesamepageinnot justthegoalsbutalsotheprocessofhowyouwillachievethe outcometheyareseeking.
Thekeytoclienttrustandloyaltyis s�mula�ngclientengagement.Of course,thetopicyouchosetodiscuss witheachclientwilldependonthelevel ofinterestthatyourclientvaluesand appreciatesintheinforma�onyoushare withthem.However,itisimportantthat yourememberthatyourclientispaying youtodeliveraservicethattheyneed. Yourprioritythereforeshouldbeto ar�culateandhelpthemfullyunderstand andappreciatewhyyourserviceswill providethemwithvalue.Thiswill requirethatyougentlyeducatethemon whyandhowyourtreatmentswork.
Herearefivekeystrategiestohelpyou achievesuccesseventhroughyour struggles:
2.Let’stalkaboutsafety:Safeisn't alwaysbest.Whenitcomesto makingbusinessandcareerdecisions, theeasy,safeop�onsaren'talways
theonesyoushouldmake.Instead, makedecisionsbasedonyourdreams andpassions.Youwillnevergrowif youonlypursetheverysafeop�ons.
Educa�onandtrainingareonlyeffec�ve iftheyareconstantlydeliveredand reinforcedun�ltheyliterallybecausean
3.Don'tfeelitisasignofweaknessto askforhelp:Some�mesyouneedto takeastepbackandaskforhelp.It willrequirethatyouremainhumble, butyouwillbethewinnerinthelong runasyouwillgainaddi�onal informa�onthatwillallowyouto reachbe�erconclusionsandmake wiserchoices.
FINDINGSUCCESS
5.Stopfocusingonlyonsuccess.While stayingmo�vatedisimportant, pausingtoreflectonyour achievementsisahealthypursuitthat willhelpmakeyourjourneytowards successenjoyable.Thiswills�mulate yourcrea�vityandsupportyour momentumtostayontracktowards yourgoals.
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STRATEGIESTO ACCELERATETRUST, LOYALTYANDCLIENT GROWTH
Oneofthebestwaystoaddmomentum toyourresilienceistoworkonyour characterandthefirststepistomonitor yourthoughtsandmindset,becausehow youprocessinforma�onwilleither weakenorstrengthenyou.
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1.Obstaclesareopportuni�es:When facinganobstaclethatchallenges yourdirec�on,don’tallowthatto in�midateyou.Consideritasan opportunityforgrowth.Plannotto allowittodefineyou,butrather choosetoactcourageouslyand decideonacourseofac�on,evenifit isnotperfect.Stepoutandtrain yourselftotakecalculatedrisks.
4.Stayhungry:Whenyouhaven't reachedthegoalsyousetforyourself, it'seasytostaymo�vatedandwork hardtowardsthem.Inmanyinstances whenyoureachsuccess,thathunger goesaway.Thisishowyoubecome sta�c,andthiscanleadtopassivity. Read,study,engageandbrainstorm withmentorsandindustryadvisers, reigniteyourpassiontocon�nueto grow.
THROUGHSTRUGGLE
integralpartofyourstaff’sconvic�ons. Yourroleistomakeeduca�onand learningfunandenjoyable,whilealso establishingatrainingrou�nethat contributestothecul�va�onof automa�chabitofdoingthingsinthe rightmannerandwiththerighta�tude throughcourtesy,kindnessand considera�on.
Ontheotherhand,howyou communicatewithyourclientwillrequire carefulobserva�onoftheirstateofmind, whattheyarekeentolearn,andadap�ng yourinterac�ontotheirlevelof comprehensiveofyourtopic.Forthe mostproduc�veoutcomeyouwillneed toremainsensi�vetotheirstateofmind andtheiremo�onalequilibrium,ensuring thatyourcommunica�onisengagingbut notburdensome.
Healthandhygieneprotocolsareonly effec�veiftheyareconsistentlyand methodicallyperformed.Therepe��on ofprotocolforsuchac�vi�esistherefore impera�ve.Itisimportanttonotethat clientsaresupervigilantinobserving yourhealthandhygienehabits.Ensure youestablishclearguidelinesinlinewith yourCouncil’shealthandsafety regula�onsandsupportyourstaffto delivertheminapreciseandexact mannerasaconsistentrou�ne.
Nomorescenariosofvacantseatsand staffsi�ngideallyinthesaloncanbe seenbyimplemen�ngthisprac�ce.In fact,recentstudiesconfirmthat introducingaclientmembershipprogram helpssalonsandclinicsgrowthree�mes morethaninjustlessthanayear.Itisthe bestwaytoturntheoverallgrowthof yourbusiness.Regardlessastowhether youraimiscustomerreten�on,business growth,orenhancedsalesandrevenue, thisstrategycontributesimmenselyto growthinalltheessen�alaspectsofyour business. So,hereareafewkeyreasons whyyoushouldembracethisstrategy:
2. Iden�fyyourbestclient: Tooffer membershipinyoursalon,itisvery importanttoiden�fyyourbestclients. Howdoyougettoknowwhoareyour bestclients?Youwillneedtoconducta thoroughanalysisratherthantakinga wildguess.Doconsiderthefollowing points:
Whilerepe��oncanhelpcreate automa�onthisshouldnotapplyto everything.So,whenshouldyou automateandwhenshouldyouinnovate?
1.Increaseinclientreten�on: Retaining clientsistheprocessofengagingyour exis�ngclientsinavailingofyour services.Beforegoingfurther,itisamust tounderstandwhyisitimportantto retainclients?Clientreten�onnurtures yourbusinessandbecausesa�sfiedclient willcontributetoyourreputa�on,they makegainingmoreclientssomucheasier andthiswillhelptoupli�yourrevenue.
AttherecentAPANconferenceKarl MargrainfromPayleadrdiscussedwhy thegrowingtrendofimplemen�nga ClientMembershipprogramisprovingto bethefastestwaysofgrowingyour business.
•Whicharethoseclientswhovisit
Thelessonlearnedcancomequicklyas businessownerswillsoondiscoverthat standardscanonlybeupheldandremain consistentiftheyareregularlyreinforced, anduntrainedorpoorlytrainedstaff memberscandoirreparabledamageto thebusiness.
Thisisbecauseo�en�metheinvestment intostaffdevelopmentmaynotbeeasily measuredortrackedforpalpable benefits.However,thispercep�onor mindsetcanquicklyturnintoacostly mistake,ifle�unchecked.
Withmanysmallbusinessowners some�meseduca�onaltrainingcanbe viewedasachoreandthe�meinvested inthiscrucialpartofyourbusinesscanbe erroneouslyviewedbysomeas “uncompensatedorunproduc�ve�me.”
TOPSIXREASONSWHY MEMBERSHIPSCANHELP SUPPORTYOURBUSINESS GROWTH
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Ifyouwishtoretainyourclients,offering themmembershipisoneofthebest tac�cs.Thisdoesn’tonlyhelpinretaining theclients,butitincreasestheclients’ loyaltytowardsyouandyourbusiness. Withmembership,theclientmayavailof severalbenefits,andyoucanalsoprovide discountsandspecialofferstoyour targetedclient.Membershipscanalsobe connectedtorewardsbenefitsfortheir loyalty.
Thebestpartisthatmonthlyandyearly membershipstrulycontributeagreatdeal tosecuringyouroverallturnover.Have youobservedthatwithoutamembership plan,evenyourloyalclientsmightvisit you4or5�mesperyear.But,onthe otherhandwithmembership,youcansee amassivehikeinthenumberofvisitsof yourclients.Andfromalladdi�onalvisits, youcanupsellthemmoreortheywill requestaddi�onalservices.
yoursalonfrequentlyandconfidently availedofyouroffersonother occasionsaswell?
3.Boostyourrevenue: Salon membershipsholdthepoten�altotriple salonsales,revenue,profit,and produc�vityinaveryshort�me. Membershipsmaximisecustomers’ tenurewithyou,theywillsurelycometo yoursalonun�ltheirmembershipexpires. However,membershipscreate consistencyandahabitthattheycometo relyonandappreciate.Thus,clientswith membershipsbecomeatruesourceof yourincomeforacertainamountof�me. Thisisbeneficialbothfortheclientand thebusiness.
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Whilewehavereleasedacomprehensive industryreportinthisissueof APJ asit relatesspecificallytotheprofessional aesthe�csindustry,herearethelatest sta�s�calfiguresastheyrelatedto beautyasawhole,thisincludeshygiene andgroomingproductsaswellas informa�ononthemaleconsumer. Whilethesesta�s�csdonotspecifically focusonthesalonandclinical environment,theydoprovidesome interes�ngdataforyourconsidera�on. Takealookatthesefigures:
•Considertheclientswhohave maximum�messharedyour InstagramandFacebookpages?
A�erconsideringtheabove-men�oned points,setuparobustmembership modelasitwillactasamagnetforyour bestclients.Yourbestclientsarethe engineofyourbusinessandiftheengine isstrongandpowerfultherestofthe thingstakeplaceeventually.
youcanseeacon�nuousgrowthofyour business.
6.Itworksasanautomatedsales machine: Anotherbenefitofoffering membershipsis,onceyousetitup,it startsworkingasanautomatedsales machine.Youdon’tneedtomakeapush, automa�callyyouwillstartexperiencing massivecashflow.Yes,ini�allyse�ngup membershipwillsurelytakesome�me andeffort.Buta�erthesuccessfulsetup,
Whenyouhaveamembershipprogramin place,yourbusinessgetsspreadthrough wordofmouthbyyourclientsamong theirfriendsandcircle.Thisinturn enhancesyourpoten�alclient acquisi�on.
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•Theclientswhorecommendyour salontotheirfriendsandrela�ves.
TIPSFORBETTERBUSINESS
•Theclientswhobelievethatthe pricesofyoursalonarereasonable.
Membershipbindsyourclientsfora certainamountoftenure,itmaybefor monthsoryears.Moreandmoreclients areop�ngformonthlyoryearlyplansas thisoffersthemgreatervalueandhelps themestablishhealthyrou�nestoensure theygainthebenefitsofyourservicesin a�melymanner.
•Theclientswholovedtheproducts youuse.
AUSTRALIANBEAUTY INDUSTRYSTATISTICS
5.Enablesyoutobe�erunderstandyour clients: Youunderstandsomeonebe�er whenyouconnectwiththemmore frequently.Thesameappliesinthecase ofbusiness,themoreregularlyyou engagewithyourclientsthestrongerthe bondyouwilldevelopwiththem.You haveno�cedthatclientsvisitregularly allowyoutoknowthembe�er.
OVERVIEW–2022 EDITION
4.Brandawareness: Offering membershipnotonlyhelpswithclient reten�on,makingmoresales,revenue, produc�vity,etc,italsoenhancesthe visibilityofyourbrand.Addi�onally,it alsoholdsamajorsignificanceinbrand awareness.
Membershipsareonamonthlyandyearly basisandthebestpartis,itisagreatway tonurturetherela�onshipwithithelps youbuildlong-las�ngconnec�ons betweenyourclientsandyourbusiness.
3.WOMENINAUSTRALIAUSUALLY SPEND$3,600ONBEAUTYPRODUCTS EACHYEAR. (BeautyPackaging,Roy Morgan,Mozo)
AlotofcashflowsintoAustralia’sbeauty market.Forexample,Australiansspenta substan�alamountof$888,405,000on beautyimportsin2018alone.Andit’s notjustbeautysalonsandcosme�cs brandsthatgettheirshareoftheprofitAustraliansspendaround$1billionon cosme�cproceduresayear.
A�ergoingthroughaminorincomefallin 2020,themarketgotbackonitsfeetthe followingyear.Asrevenueincreasedtoa staggering$8.601millionin2022, predic�onsrevealanevenbiggergrowth inprofitinthenextfewyears.Itis es�matedthatthebeautyindustry’ssize shouldgrowby3.10%between2022and 2026.
4.QUEENSLANDISTHEBIGGEST MARKETFORTHECOSMETIC INDUSTRYINAUSTRALIA. (Beauty Packaging)
What’smore,16%ofmensplurgeon manicuresandpedicures,spending around$736millionayear,whichiss�ll lowerthanthe$1.3billionwomendish outonnailcare.
followedbyNewSouthWaleswitha significantexpenditureof934dollarsper capita.
IBISWorldrevealsthatAustralia’s Cosme�csandToiletryWholesaling industryhasboomedinthelastfive years.Showinganincomegrowthof 2.7%,analy�csforeseetherevenuerising to8.2billiondollars.
BEAUTYMARKETOVERVIEW
5.THEPERSONALCARESEGMENTIS THEMOSTPROMINENTBEAUTY INDUSTRYSECTORINAUSTRALIA (Sta�sta)
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Skincaresta�s�cssuggestthatproducts fromthissegmentgainthemostinterest, astheygeneratedrevenueof$1,905 million,es�matedin2021.Fragrances madeanincomeof$853millionin2021, whilethemarketisenvisionedtogrow annuallyby2.37%CAGRoverthenext fewyears.Cosme�cproductsalsodid verywell,rakinginanes�mated$1,607 millionin2021.
1.INAUSTRALIA,THEBEAUTY MARKETHASANESTIMATED REVENUEOF$7,756MILLION. (Sta�sta)
beenslowlygrowing.In2021,itnoted revenueof$3,391million,withan es�matedgrowthof5.8%inthenext fouryears,i.e.incomeisexpectedto reach$3,737millionby2026.Outofthe personalcaresector,personalhygiene productsaremostin-demand,witha shareof80%,andoralanddentalcareis justrightbehindwith78%.
9.1.2MILLIONAUSTRALIANWOMEN BUYTHEIRSKINCAREANDMAKEUP PRODUCTSFROMPRICELINE PHARMACY (RoyMorgan)
6.REVENUEFROMSKINCARESTANDS AT$2,112.2MILLIONIN2022. (Sta�sta)
astonishing$15billionayearon groomingproducts,menlayout7billion dollars.Australianbeautysta�s�csunveil thatoveronemillionmillennialmenalso usebeautyproducts.Outofthem, around16%buymake-upproducts,but theyusuallydon’tspendmoneyas lavishlyasAussiewomendo.
8.ONLINESHOPPINGHASTAKENUP 36.1%OFALLBEAUTYSALESIN2021. (Sta�sta)
Cosme�cindustrysta�s�csshowthat moreshoppersarege�nginto eCommerce,asthere’sbeenachange since2017,whenthenumberofpeople whowerebuyingbeautyproductsonline wasverylow,atabout22.5%.In2022, therearemoreonlineshoppersthanever, withashareof39.8%.Asmodern technologytakesover,calcula�ons foreseeanevenbiggerjumpinelectronic purchasingofcosme�cproducts,asthe numberwillprobablyreach52.4%.
Thepersonalcareindustryrevenuehas
Althoughonlineshoppinghasbeena trendinthelastfewyears,Aussies
Womenares�lltheleadingtargetgroup forcosme�cbrandsinAustraliaas2.1 millionmillennialwomenreportthatthey buynewskincareproductseverysix months.Whilewomenspendan
2.AUSTRALIANSSPEND APPROXIMATELY$22BILLIONON BEAUTYPRODUCTSEACHYEAR. (Moso,BeautyPackaging)
7.THEMARKETSIZEFORCOSMETICS ANDTOILETRYWHOLESALINGIN AUSTRALIAHASBEENESTIMATED AT$8BILLION. (IBISWorld)
AlthoughallAustraliansgenerallyshow anaffinitytowardsgroomingandbeauty, oneregionismoreinvestedinvanitythan others.Queenslandtakesupthetopof thelistwithannualspendingof$989per person.SouthAustraliaisnotsofarfrom thetop,asAussiesfromthatregion spend$986onbeautyproductsyearly,
market,58.94%ofshoppersgoforother companiesastheirtopchoice.Cosme�c marketresearchbyRoyMorgansuggests that23%ofAussiewomenwhobuy beautyproductspickAustralianbeauty andpersonalcareproductsfroma homegrownbrand.NudebyNatureisat thetopofthelist,withNapoleonand Na�orightbehind.Aussiewomenusually buylocalbrandstocontributetothe animalrightsmovement,asAustralian make-upbrandsputalotofeffortinto crea�ngcruelty-freeskincareandmakeupproducts.
In2020,21.490Aussiesenrolledin beauty-relatedprograms.AISCreveals that68%ofbeautyenrolmentshavea cer�ficateIIIand26%areatahigher qualifica�onlevelorhaveadiploma.Half
con�nuetopurchasecosme�cproducts inphysicalstores.Cosme�cindustrystats showthat24.9%ofwomeninAustralia buytheirproductsfromsupermarkets, withColesandWoolworthsbeingthe mostpopularop�ons,while23.3%buy themfromtheirlocalPriceline pharmacy.Only14.5%ofwomenbuy beautyproductsfromtheChemist Warehouseand9.8%getagoodbargain outofdiscountdepartmentstores.
14.HALFOFTHEBEAUTY-RELATED QUALIFICATIONSINAUSTRALIAARE DELIVEREDBYTAFE. AustralianIndustry andSkillsCommi�ee(AISC)
11.NUDEBYNATUREISONEOFTHE MOSTPOPULARAUSTRALIANBEAUTY BRANDS. (Sta�sta,RoyMorgan)
Thenumberofbeautybrandskeeps rising,butpeopleinAustraliastayloyalto theirfavouritebrand,as11.92%of consumerssaidthattheypreferusing L’orealproducts.Revlonisanother cosme�csbrandthatAustralianslove, withashareof8.32%ofrespondents pu�ngitintothesecondspotofa2019 survey.InthirdplacecomesMAC Cosme�cs,withapercentageof7.19%.
EMPLOYMENTINTHEBEAUTY INDUSTRY
Millennialsaremostinterestedinge�ng intothebeautyindustry’sworkforce,as 35.8%ofthemareemployedasbeauty therapists.Youngadultsfromtheageof 20to24arealsowillingtoworkin beautyservices,astheytakeup20%of theworkforceinbeautytherapy. Australiansaged35-44areclose, occupying18.6%oftheemployment rates.
employees.Furtherbeautyand hairdressingindustrysta�s�csfrom Australiashowthat35,000businesses thatoffersuchserviceemploy80,000 people,andoutofthem,only3%aremen aswomendominatetheworkforcewith 97%.
13.35.8%OFBEAUTYTHERAPISTSIN AUSTRALIAAREBETWEENTHEAGES OF25AND34.(Sta�sta)
LikeHealthcareandEduca�on,Beautyis afemale-dominatedsector.Infact,the latestsurveyshowsthat48.81%offull�meemployeesand49.79%ofAustralia’s part-�meemployedbeautytherapistsare women.Only0.69%ofmenworkingin thepersonalcareindustryarefull-�me employees,and0.71%arepart-�me
EventhoughglobalbrandslikeMACand Maybellinedominatethebeautyindustry
10.AUSTRALIANSPICKEDL’OREALAS THEIRFIRSTCHOICEBEAUTYBRAND. (Sta�sta)
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12.THEMAJORITYOFAUSTRALIAN EMPLOYERSINTHEBEAUTY INDUSTRYAREWOMEN. (Sta�sta, Women’sAgenda)
Accordingtotheinforma�oncollectedby AISC,beautytherapy,hairdressing,makeupar�stryandmassagetherapyarethe mostsought-a�erjobsinthebeauty industry,withJustCuts,oneofthe biggestfranchisesinAustraliabeingthe numberoneemployer.Beautytherapy takesup34%ofenrolmentsinbeauty programs,followedbybeautyservices with29%andmake-upwith16%.
18.46%OFAUSTRALIANWOMEN WOULDAVOIDCOSMETICPRODUCTS IFTHEYWEREINVOLVEDWITH ANIMALTESTING. (RoyMorgan)
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16.THEEMPLOYMENTLEVELFOR BEAUTYTHERAPISTSREACHEDITS PEAKIN2019,WITHASHAREOF 41.8%. (AISC)
TheCOVID-19restric�onsimpactedthe spendingspreeinalotofbeautyand personalcaresectorsin2021,including haircare,make-upservices,and massages.Namely,inthefourthquarter oflastyear,hairsalonsexpandedtheir revenueby84%,whilebeautysalons rapidlydeliveredanupturninincomeby 112%comparedtothesamequarterin 2020.
15.34%OFPEOPLEINBEAUTY PROGRAMENROLMENTSARE INTERESTINGINGETTINGAJOBIN THEBEAUTYTHERAPYINDUSTRY. (AISC)
Inthepastfewyears,therehasbeena shi�inthewaythepublicreactsto unethicalprac�cesinthebeautyindustry. In2012only39%ofAussiewomen considered‘nottestedonanimals’an importantfeaturewhenchoosingwhich
A�erbeautytherapyemploymentlevels reachedtheirhighestpoint,COVID-19 crashedtheemploymentratesdownto
INSUMMARY Australianbeautyindustry sta�s�csshowthatthemarketisstronger thaneverbefore.Andwhileonline shoppingforbeautyproductshass�llnot reachedthecapacityofother eCommercemarkers,itispoisedtotake overasthedominantsaleschannel,while thepoten�algrowththroughpersonal servicesisalsoposedtogrow. APJ
20.4%.Thenumbersonceagain improvedthefollowingyearwitha percentageof35.8%,whichisexpected toreach50.7%by2025.
skincarebrandtobuyfrom,whilethe latestsurveyresultsshowthatnumber hasgoneupto46%.NudebyNaturehas increaseditslikelihoodofpurchaseby 61.2%becauseofthebrand’stendency toproducecruelty-freeandvegan cosme�cs.
BEAUTYINDUSTRYTRENDS
ofthequalifica�onsweredeliveredby TAFEins�tutes,whileprivatetraining providershad39%.TAFEins�tutes mainlyhandovermake-upandbeauty servicesqualifica�ons,whileprivate trainingprovidersofferlaserhairremoval, beautytherapy,andnailcaretechnology qualifica�ons.
17.HAIRSALONREVENUEINCREASED BY84%DUETOCOVID-19 RESTRICTIONS. (Kitomba)
96 Members’needscomefirst Provenreputa�onofstrongindustry commitment Structurestosupportprofessional recogni�on Strongindustryrepresenta�onvoicing yourneedswiththeGovernment Programstoenhanceprofessional development APANsupportsmemberswithknowledgeandexper�seguiding themtooperatewiththehigheststandardsofquality,service andethicalconduct. Helpline|Conferences| APJ Journal|Freewebsitepromo�on| Trainingcourses|Resourcedocuments|CPDPointsRecogni�on| LegalandRegulatorySupport APANSTANDARDSFORCREDIBILITY WHYDOPROFESSIONALSAND BUSINESSOWNERSJOINAPAN?
0755930360 www.apanetwork.cominfo@apanetwork.com
Congratula�onstoReedExhibi�onfor organisingsuchasuccessfulevent. APJ
CONFERENCEAND
Overall,therewasaposi�vevibeasthe industrywasonceagaingiventhe opportunitytocongregate,networkand experiencecommunity,somethingthat hasbeenmissedduringthepastfew years.
EXHIBITIONFRENZYONCE AGAINRETURNSIN2022
APJ 98 AESTHETICSINDUSTRYBULLETIN
otherparaphernalia,someofwhichwere notindustryspecific.
Theexhibi�onareathisyearwaswell designedwithover200brandsfeatured throughvariouscompanieswithcurrent andnewproductsandequipmenton display.
Thisyeartherewerealsoanumberof smallernicheskincarebrandsshowcasing theirinnova�veproductranges,someof whichhavebeeninexistenceforseveral yearsbuthaveneverpreviouslytargeted theprofessionalbeautyindustry.
Whileseveralofthelongstandingbig brandsdidnotfeaturethisyearthere weres�llanexcellentvarietyofboth skincareandequipmentcompaniesthat madetheirpresenceatthisyear’sevent includingProfessionalBeautySolu�ons, Murad,Dermalogica,Waterlily, ClinicalPro,ClairdermMedical,LaserAid, justtonameafew.
speakon WheretheAesthe�cIndustryis Heading? Tinacoveredabriefoverview ofthehistoryoftheAustralianAesthe�c industry,keycontribu�ngfactorsthat haveshapedtheAustralianculturefor ourindustry,changesbroughtaboutby COVID-19andadvancesand opportuni�esforouramazingindustryas wellasrisksthatneedtobeconsidered andwaysofavoidingthemthrough evidence-basededuca�onand informa�on.
ThisyearBeautyExpoAustraliaalso featuredseveralconferencesessionsas wellasdemonstra�onstohelpsupport theevent.TinaVineywasinvitedto
A�erthreeyearsofdisrup�onBeauty ExpoAustraliawasonceagainlaunched attheICCExhibi�onCentre,Darling Harbourovertheweekendof20–21 August2022.
Thecalibreofexhibitorsthisyear featuresamoreconsistentstandardof high-qualitycompanieswithastronger emphasisonskincareandequipment, whileinpreviousyearsahigher percentateofproductsfeaturedwere groomingproducts,jewelry,wigsand
TheFairWorkOmbudsman’slatestreport announcedthatarecord$532millionin unpaidwagesanden�tlementswas recoveredformorethan384,000 workersin2021-22.
DeputyFairWorkOmbudsman–Policy andCommunica�onKristenHannah announcedthefiguresinaspeechtothe Policy-Influence-Reform(PIR)conference inCanberrarecentlyandsaidthiswas goodnewsforworkersandcompliant businesses.
$279million–camefromlargecorporate employers,however,thenumberofsmall businessesthatareemployingstaffor introducingcontractorsintotheir businesswithoutcomplyingwitheither therequiredstructure,termsand condi�onsofemployment,ornot complyingwiththecorrectratesis alarminglylarge.
TheFairWorkOmbudsmancurrentlyhas about50inves�ga�onsunderwayinto businessthathaveself-reported underpayments,includingsomeof Australia’slargestcompanies.
AtAPANwecon�nuetoprovide personalisedassistanceinhelping businessesensuretheyarefully compliantwiththeirstaffpaymentsor contractualobliga�ons.
“TheFairWorkOmbudsman’s strengthenedcomplianceand enforcementapproachhasseenanother recordamountofbackpaidwagesfor Australianworkersinthelastfinancial year,”MsHannahsaid.
Morethanhalfoftherecoveries–almost
FAIRWORKOMBUDSMAN
Therecoveriessumwasmorethanthree �mesthatoflastyear’srecordand
Addi�onally,APANcanalsoprovideyou withguidanceonhowtoimplementyour staffagreementsandcontracts.Wealso provideyouwithupdatesontheWage Awardsandifyous�llrequiredirectlegal advice,wecanalsointroduceyoutoour lawyersforfurtherassistance.
www.apanetwork.com
“Thisisagreatresultfortheworkerswho havebeenreunitedwiththeirwithheld wages,andalsoforthebusinessesthat paycorrectlyandarenolongerata disadvantageasaresult.”
APJ 99 Thissec�onpresentsthelatestnews,trainingdatesandother Aesthe�cIndustryinforma�on
In2021-22,thefederalworkplace regulatorfiledarecord137li�ga�ons, partofeffortstoholdtoaccount employerswhohadallegedlybreached workplacelaws.Thiswasanalmost doublingofthenumberofnewma�ers putintocourttheyearbefore.
RECOVERSHALFABILLION DOLLARSINWAGES
benefi�edfive�mesthenumberof workersacrossthena�on.
AREYOUSUREYOUAREFULLY COMPLIANT?
Thisisnotanareathatyourbusiness shouldtakeanyrisks.Thousandsof businesseshaveachievedpeaceofmind byaccessingalegallywri�enresource document.Atasmallfeeyoucansecure ownershipoftheappropriatetemplate thathasbeenlegallywri�en.
Areyouatriskofnon-compliance?
Eachweek,APANreceivedupdated reportsfromtheFairWorkOmbudsman confirmingbusinessesares�llnot ge�ngtheirstaffpaymentobliga�ons correctresul�nginbothextensivefines aswellasthousandsofdollarsin backpaywhereerrorshavebeen detected.
Ourresourcedocumentsinclude WorkplaceAgreements,HRPoliciesand Procedures,aswellasdifferentcontracts forbothcontractualarrangements,as wellasappropriatecontractsforhiringa roomwithinyourpremises.These documentshavebeenlegallywri�ento ensurealltheelementsofFairWork compliancearefullymetandareavailable astemplates.
IfyouareacurrentmemberofAPANand havedocumenta�oninplacebutwishto
Retailerstoresthattradi�onallyfocused oneverydayaffordablebrandsarenow pushingtoexpandtheirclientreachfrom basicskincaretothemorelucra�ve premiumbeautybrandsmakingthem availableinstores,butalsointheironline shops.
APJ 100 AESTHETICSINDUSTRYBULLETIN
AMENDMENTSTOTHE QUEENSLANDPUBLIC HEALTHACTAND INFECTIONCONTROL
Ifyouareprovidingservicessuchasskin needlingorCosme�cTa�ooingservices andholdalicence,pleasetakenoteof thefollowingtwoamendmentsrela�ng torenewal�meframes:
1.The�meframewithinwhichalicence renewalapplica�oncanbemadehas beenchangedfrom‘atleast1month’to within60days.
applica�onismadewithin30daysofthe licenceexpiring.
Wewouldliketoadvisethattherehave beenrecentamendmentsmadetothe PublicHealth(Infec�onControlfor PersonalAppearanceServices)Act2003 (theAct)underwhichHighRiskPersonal AppearanceServicesarelicensed.
Bothchangesimprovethefunc�onality ofthelicensingprovisionsforbothlocal governmentsandbusinesses.
YoucanalsophoneAPANon07 55930360andspeaktousforfurther assistance.
2.Newprovisionshavebeenintroduced forrestora�onofanexpiredlicence. Meaningthatlicenseesmayapplytohave anexpiredlicencereinstatedifthe
Accordingtoareportpresentedby SafeGraph–adataanalysiscompany,this momentumiscon�nuingin2022asfoot trafficwasup25%versusayearagofor selectedretailers.
RETAILSTORESTARGET PRESTIGEBEAUTY
LICENCES
Theamendmentswillcommenceon15th September2022.Detailsofthe amendmentswhicharecontainedwithin theHealthandOtherLegisla�on AmendmentAct2022onthe QueenslandGovernmentwebsite.ViewQueenslandLegisla�on-Queensland Government
Pres�gebeautybrandsaresteppingup theirformula�onstoa�ractthe discerningclientwhoisseekingfor performanceproducts.Sincethe pandemic,onlineshoppersarenow returningandseekingaface-to-face experiencethroughbrick-and-mortar des�na�onstoressuchaslarge departmentstoresandspecialtystores. WithinAustraliastoressuchasMeccaas wellasSephora,arenowexperiencinga 14%growthindemandsince2021.
ensurethatyourtermsandcondi�onsare legallyup-to-date,APANwillprovideyou withafullservicetoreviewyour documenta�onandevaluatetheir regulatorycompliance.
APJ
Anyques�onsregardinglicensingand theadministra�onoftheActshould con�nuetobedirectedtotherelevant localgovernmentandyourlocalcouncil.
Tomaintaintheircontactwiththemore lucra�vemarketshare,companiesare developingsophis�catedconsumer
APJ
Ifyoudonothavelegallywri�en agreementsandcontracts,pleasecheck theAPANRESOURCEdocumentsonour websiteh�ps://apanetwork.com/ resources/resource-documents
client’streatmentjourneytheycare uncoverwhichmethodologyhasbest helpedthemachievethemostsuccessful outcomes.
Throughcri�calanalysisbasedontheir knowledgeanddetailedevalua�onof theirclients,anexpertskintherapistcan designapersonalisedtreatmentstrategy forthespecificneedsoftheirclientin ordertoachievetheirtreatmentgoals.By carefully,monitoringandrecordingthe
Addi�onally,prac��onersareencouraged todocumenttheirfindings,notjustfor thebenefitofmonitoringtheirclient’s progress,butalsoasbroaderindustryspecificdata.Thisinforma�onis“gold” andhasthepoten�altobepickedupand ives�gatedfurtherthroughresearch studiesatauniversitylevel.Ifyouwishto considerpresen�ngyourourresearchfor furtherinves�ga�onpleasecontact APANforguidance.Addi�onally,ifyou wishtotakepartinauniversitytrialor study,wealsohaveopportuni�esto engageyouwithupcomingstudies.
. APJ
educa�onpla�ormstokeeptheirclients informedthroughbeautydes�na�on pla�ormswherelargevolumesofdata arefeaturedrela�ngtoproduct developmentanduse.Inthatway,they aimtokeeptheirclientsconsistently engagedastheypresentnewinnova�ve productlaunches,specialoffersother exci�ngnews.
Itisalsoes�matedthatover20%ofthe corporateworkforceinAustraliaisnow abletooperateremotelyandthisisgiving individualstheflexibilityand�meto establishnotjustprofessional,butalso personalrou�nestobe�ersupporttheir healthandbeautyneeds. APJ
APJ 101 Thissec�onpresentsthelatestnews,trainingdatesandother Aesthe�cIndustryinforma�on
Sincethepandemicconsumershavealso becomemoreproficientandcomfortable inconduc�ngtheirownonlineresearch todetermineandshopfortheir preferen�alitems.Theyarelearning moreaboutingredientsandwhichones areprofiledtoperformthebestin providingthemwithleadingresults. Addi�onally,consumersaremoreprone toestablishingtheirownrou�neforskin enhancementu�lisingnotjustmore sophis�catedskincare,butalsohand-held devicesthattheycanoperateinthe comfortoftheirownhomes,examples includemicrocurrentandLEDdevices thatallowforenhanceproduct penetra�on.
HOWYOUCAN CONTRIBUTEDTO INDUSTRY DEVELOPMENTS THROUGHCLINICIANBASEDRESEARCH OUTCOMES
Intoday’sskintreatmentenvironment, moreandmoreclientsarevisi�ngsalons andclinicsforcorrec�vepurposes. Thesemaybeinrestoringskinbalance thatmayhavebeencompromiseddueto arecentillness,highstresslevelsor hormonalchangesduetomenopause,or otherhormonalac�vi�es.
Documen�ngtheseoutcomeswillallow boththeprac��oneraswellastheclinic toestablishthemostsuccessfulwayof mee�ngexpecta�ons,aswellasgrowing theirbrandreputa�onoftheirexper�se. Thisisvaluableinforma�onandclinicians areencouragedtorecordtheir observa�onsaspartoftheirownclinic research.
Whileskincarecompaniesareseekingto validatetheirproductsperformance throughindependentuniversitystudies, expertsarerecommendingand encouragingthevalueofskintherapists andclinicianstocarefullymeasure, monitorandrecordtreatmentoutcomes onaday-to-daybasedaspartoftheir ownpersonalisedresearchendeavours withtheirclients.
Femalepar�cipantsalsoratedphotosof maleswithhigh-func�oningnaturalkiller cells,whichdefendagainstviral infec�onsandcancer,asmorea�rac�ve.
Withthisstudy,researchersfocusedon innateimmunity,thedefencesystem individualshaveatbirth,soitwouldbe interes�ngtodoasimilarstudy,examining acquiredimmunity,immunityacquiredby infec�onorvaccina�on.
Thestudyandothersindicatethe complexityofgenderdifferencesinwhatis a�rac�ve,yethowdifferencesinimmune func�onrelatetoperceiveda�rac�veness.
Withstringentlimi�ngfactors, 159studentsatTexasChris�an
ProceedingsoftheRoyalSociety, BiologicalSciences,289(1969).h�p:// doi.org/10.1098/rspb.2021.2476
APJ 102 SCIENTIFICNEWS
ISAPRETTYFACEDUETO IMMUNEFUNCTION?
Theongoingfundamentalproblemisso much'science'isfundedbycompanies withavestedinterestintheoutcomesof thestudies.
Researchersfoundnosignificant rela�onshipsbetweena�rac�venessand cellularprolifera�onorcytokine produc�on.(Higherlevelsofcytokine releaseindicateamorerobustimmune func�on).
MedicinesAustralia hasadatabasefor reportsonpaymentsandtransfersof valuemadetoAustralianhealthcare professionals-doctors,nurses, pharmacists,psychologists,optometrists,
Itseemsso,accordingtothisinfluen�al paper.
Mengelkoch,S.,Gassen,J.,Prokosch,M., Boehm,G.,&Hill,S.(2022).Morethan justapre�yface?Therela�onship betweenimmunefunc�onandperceived faciala�rac�veness.
Australianmedicoscollectedjustover $11.5millioninpaymentsfromdrug companiesinthepastyear.However,the UniversityofSydneystudystatesthese paymentsarenotdeclaredasconflictsof interestwhentheyshouldbe.
A�rac�venessispartofanindividual's health,yetthisstudyspecifiesthehealth directlyrelatedtoimmunecapabili�es.
Then492par�cipantsbetweentheages of18and29(259femalesand233 males),individualsratedasa�rac�ve,had
ONE-IN-FOUR AUSTRALIANMEDICAL RESEARCHERSFAILEDTO DECLAREACONFLICTOF INTEREST
Thestudyexamined120clinicaltrialsof newdrugs,comparingtheauthors' declaredconflictsofinterestinstudies publishedinmedicaljournalswiththe MedicinesAustraliadatabaserecording moneytheyreceived.Inalmosthalfof thetrials,theteamfoundundeclared conflictsofinterest,withanaverage undeclaredpaymentofabout$9,000–withsomerangingupto$97,600.
higherratesofphagocytosisof E.coli and higherbasophilwhitebloodcellcounts; andlowerneutrophilwhitebloodcell counts.
DeclaringconflictsofinterestinAustralia reliesonanhonoursystemwith disclosurescrucialtokeepresearch transparentandfreefrombias.
University(68%white,15%Hispanic,8% AsianorPacificIslanders,9%Black)aged 17-30wereengagedinthestudy.
APJ
Astandardisedphotographwastaken. Bloodtestsforseveralfactors,including howtheirperipheralbloodmononuclear cells(PBMCs)respondedtovarious immunologicals�mulants,thefunc�onal leveloftheirNKcells,andS.aureus growthinplasmatoiden�fythe par�cipants'an�bacterialdefences.
Flood,L.,Mintzes,B.,Chiu,K.,Zhaoli,D., Karanges,E.,&Holman,B.(2022).
UNSUPERVISEDNONPHYSICIANOPERATORS ARECITEDIN75%OF LASERSURGERYLAWSUITS
Thisisonereasonyoushouldnotbelieve anyonestudyinisola�on–whilethestudy maybethefirsttoshowsomething,itneeds tobesubstan�atedbyfurtherinforma�on toshowthesameresult.
Collagensupplementa�onisapromising areaofresearch.Yet,moreextensivetrials withstandardiseddosageandformula�on areneededtoestablishmoresubstan�al
APJ 103
APJ
Rustadetal.(2022)(a)watchedand analysedthefirst100YouTubevideos resul�ngfromasearchof"collagen,"(b) analysedthetop50Instagram photographswiththehashtag"collagen," (c)reviewedthescien�ficliterature regardingskin,nail,andhaireffectsof collagen,and(d)reviewedwebsitesof popularcollagenbrandsforclaimsrelated toskin,nail,andhair.
Rustad,A.,Nickles,M.,McKenney,J., Bilimoria,S.,&Lio,P.(2022).Mythsand mediainoralcollagensupplementa�on fortheskin,nails,andhair:Areview. JournalofCosme�cDermatology, 21(2),438-443.h�ps://doi.org/10.1111/ jocd.14567
Bigpharmamoneyhasfrequentlybeen showntoinfluencetrials–makingthem morelikelytofindwhatthecompanieswant –butsciencecon�nuestorelyonanhonour systembyaskingresearcherstodeclare theirconflictsofinterest.
knowledgeofcollagensupplementa�on's effectsandphysiologicmechanism.While correla�onexists,thereisli�lefirm causa�oninthestudies.
Professionalsshouldbeawareofthe excessiveproclama�onsofcollagen'seffects madebycompaniesandsocialmedia,as pa�entsarelikelytoaskaboutortry collagensupplementa�on.
Thestudyiden�fiedcommoncausesof injuryandliabilityclaimsrelatedto cutaneouslasersurgeryfrom2012to 2020bysearchingonlinethroughthe na�onallegaldatabaseofpubliclegal documentsregardingcutaneouslaser surgeryli�ga�on.
SUPPLEMENTATION
•Financialbiaswascommon(two-thirds oftheYouTubevideosandmost Instagramposts)andassociatedwith recommendingcollagensupplementa�on andclaimingbenefits.
UNSUBSTANTIATED COLLAGEN
Ineveryissueofthejournal,Prof.TerryEveri�ourscien�ficeducator,conveysafewitemsofscien�ficinterest.Initalics, arehisthoughtsonthesubjectma�eroftheresearchstudy.
CLAIMSSPOTLIGHTED
APJ
•Over75%ofYouTubevideosand Instagrampostsrecommendedcollagen supplementa�on,withmostclaimingit benefitstheskin.
•PeopleuploadedmostYouTubevideos andalmostallInstagrampostswithout healthcareormedicalexper�se.
ResearchandScien�ficNewDevelopments
Althoughsomestudieshave demonstratedthatcollagen supplementa�oncanenhanceskin quali�essuchaselas�cityandhydra�on, dermatologicclaimsinthemediasurpass anyevidencecurrentlysupportedbythe literature.Therearestudiesavailablein theliterature.However,allhavevarious
physiotherapists,den�sts,podiatristsor nutri�onists/die�cians.
ThisstudyisfromAmerica,notAustralia; however,thenumbersappearsomewhat similar.OnedifficultyinAustraliaisthat thereisnocentraldatacollec�onpoint, sothenumbersweknowaboutarevery conserva�vefigures.
limita�ons.Suppliersofcollagenfund many,studyauthorsworkforthe companies,mul�pleconfounding variables,smallcohortsize,lackof generalisabilityandsuch.
AustralianClinicalTrialAuthors' Declara�onsofIndustryTies.Journalof GeneralInternalMedicine,E-publica�on March7,2022,beforeprinth�ps:// doi.org/10.1007/s11606-022-07466-9
Sixty-nineliabilityclaimscaseswere iden�fiedduetoacutaneouslaser surgerydevice.Ofthese,49(71%) involvedanon-doctor,12(17%)incidents involvednoncoredoctorsperformingthe procedure,6(9%)casesinvolvedaplas�c surgeon,and2(3%)casesinvolveda dermatologistoperator.
FDA-approvedindica�onsforthis technologyincludecu�ng,coagula�on andabla�onofso��ssueduringopen andlaparoscopicsurgicalprocedures.
Aclinicalstudyhasshownwhatweall knew:skinbiophysicalproper�es, includingskinbarrierfunc�on, significantlyaffectedskinsensi�vityto UVradia�on.
APJ 104 SCIENTIFICNEWS
THEROLEOFSUNSCREEN FORMULATIONAND PHOTOSTABILITYTO PROTECTTHE BIOMECHANICALBARRIER OFTHESKIN
InMarch2022,theUSAFoodand DrugAdministra�onissueda safetycommunica�onwarning againstusingtheJ-Plasma/ RenuvionHeliumPlasmaDevice (alsothesamenameinAustralia) forsomeaesthe�cindica�ons.An increaseinreportsof complica�onsprecededthe warning.
Khalifian,S.,Vazirnia,A.,Mohan,G., Thompson,K.,Jalian,H.,&Avram,M. (2022).CausesofInjuryandLi�ga�onin CutaneousLaserSurgery:AnUpdate From2012to2020. Dermatologic Surgery,48(3),315-319.doi:10.1097/ DSS.0000000000003375
HELIUMISVERY DIFFERENTTO NIYTROGENPLASMA DEVICES
LikeAustralia,theUSAlacksconsistent stateregula�onsonusinglasers.
SuchisnotthesameasPlaxpotARTG (no:326840)andothersimilardevices approvedasaMedicalDeviceClass IIb.Suchdevicesusednitrogen plasma.Theapproveduseisdifferent inthesecasesasusedonthesurface oftheepidermis,notunderit.Assuch non-medicalqualifiedprac��onerscan usethedevice.Such'plasmapens'are notaspowerfulasheliummachinesand areusedverydifferently.
'Theadverseevents,someof whicharepoten�allylifethreatening,associatedwiththe unapproveduseofthe Renuvion/J-plasmadeviceinclude second-andthird-degreeburns,infec�on, changeinskincolour,scars,nerve damage,significantbleedingandairor gasaccumula�onundertheskin,inbody cavi�esandbloodvessels,reported BinitaAshar,MD,directoroftheOfficeof SurgicalandInfec�onControlDevicesin FDA'sCenterforDevicesand RadiologicalHealth.
Whilemorecaseslikethisstudyare reportedtoAustraliancourts,mostare decidedbyse�lementbeforethecourt,so theyarenotlistedandremain'unknown'.
ImageshowingComparisonofminimal erythemadose(MED)amongdifferentbody sites(***p<0.001,N=48)(p.3)
APJ
Laserhairremovalwasthemostli�gated with44cases(64%),followedbylaser skinrejuvena�onwith20cases(30%), with53%(n=19)renderingjudgements infavouroftheplain�ff,withamean indemnitypaymentof$320,975US (range,$1,664-$1.5million).
Procedures:FDASafetyCommunica�on. h�ps://www.fda.gov/medical-devices/ safety-communica�ons/fda-warnsagainst-use-renuvionj-plasma-devicecertain-aesthe�c-procedures-fda-safetycommunica�on?utm_medium=email&ut m_source=govdelivery.
WealsoknowthatalowerMinimal ErythemalDose(MED)indicatesahigher sensi�vitytoUltravioletRadia�on(UVR) damage.
OnedifficultyinAustraliaisthatthereisno centraldatacollec�onpoint,sothe numbersweknowaboutarevery conserva�vefigures.
Itdoesnotma�erwhatyourscopeof prac�ceislegal;comprehensiveknowledge andtrainingofthemodalityisvitaland knowingnoma�erhowmuchthemachine cost,itisnotsuitableforeveryone. APJ
InAustralia,suchadeviceisclassifiedas aMedicalDeviceClassIIbandusedwith Radiofrequencyfordermisapplica�on, nottopical.Aregistereddoctorshould onlyuseit.Designedtobeusedin conjunc�onwithliposuc�onprocedures, itcanbeusedforskin�ghteningin thedermiswithoutlipo.
FoodandDrugAdministra�on(2022). FDAWarnsAgainstUseofRenuvion/JPlasmaDeviceforCertainAesthe�c
Fi�y-threeKoreanwomenwithintact skinhadUVexposure,andMED assessmentwasperformedasdescribed intheInterna�onalStandardISO24444: 2019Cosme�cs—Sunprotec�ontest methods.13Sixareaswithintestsitesof 6×5cm2wereirradiatedwithdifferent UVdoses,withtwoinves�gators determiningresultsviavarioussta�s�cal analysesasthepresenceoferythema 16–24ha�erUVexposureonthe subject'sback,dorsalforearm,andventral forearm.
NotonlySPF,yetthefundamentalskin barrierfunc�onandar�ficiallyaltered skinbarrierfunc�onarecrucialfor protec�onagainstharmfulUVReffects.
TheaverageBMIofLACpa�entswas significantlyhigherthanHACpa�ents(28 kg/m2vs27kg/m2,respec�vely).HAC pa�entswerealsosignificantlymore
Gu�enthaler,V.,andWi�mann,M. (21022)fromtheUniversityHospital Bonnreportthatthoseagedover60 yearswhoconsumepoten�allyunhealthy amountsofalcohol(HazardousAlcohol Consump�onorHAC)reportsignificantly be�ermobility,self-careandfewer problemsundertakingdailyac�vi�es a�ersurgerycomparedtotheirpeers whoabstainfromalcoholordrinkatvery lowlevels(LowAlcoholConsump�onor HAC).
Thus,asignificantcorrela�onwasfound betweenTransEpidermalWaterLoss (TEWL)andMED,increasingskinUVR sensi�vity.
Cumula�veexposurestoUVRcause
OLDERPATIENTSWHO CONSUMEALCOHOL REGULARLYREPORT BETTERQUALITYOFLIFE BEFOREANDAFTER SURGERY
TheEuropeanSocietyof AnaesthesiologyandIntensiveCare (ESAIC).
APJ
Itisnotasapparentasdrinkingmore alcoholtolivelivingbe�er;somemeritto thefindingsthatsupporta'healthy'alcohol intakeisnotasbadaspreviouslythought.
Essen�allyresearchersfoundtheaverage MEDofthebackis29.0mJ/cm2,dorsal forearm40.0mJ/cm2andventral forearm31.3mJ/cm2,indica�ngthatthe backregionismoresuscep�bletoUVinducederythemaforma�onthanthe forearm.
WhileIthinkthisisinteres�ng,thestudyis observa�onalfromques�onnairesinone loca�onwithconfounderssuchas socioeconomicstatus,comorbidi�es,and physicalac�vitynotconsidered.
APJ
h�ps://www.esaic.org/
Ineveryissueofthejournal,Prof.TerryEveri�ourscien�ficeducator,conveysafewitemsofscien�ficinterest.Initalics, arehisthoughtsonthesubjectma�eroftheresearchstudy.
Whentheskinwassignificantlyhydrated byglycerineorar�ficialsebum,MED tendedtoincrease(p=0.154andp= 0.066,respec�vely).Aslightskinbarrier disrup�onbytapestrippingsignificantly reducedMEDsugges�nganincreased skinsensi�vitytoUVexposure(p< 0.001).
Thecompletestudywillbereleaseda�er thefindingispresentedinJuneatthe Euro-anaesthesiaCongressinMilan,Italy.
Filaggrindisrup�onleadstothedisturbed barrierfunc�onandincreasedUV sensi�vity,probablyduetodecreased urocanicacidthatfunc�onsasaUVabsorbingsubstancewithinthestratum corneum.
APJ 105
likelytoreporthighereduca�onlevels.
HACgroupreportedsubstan�allybe�er overallhealth,lesspain/discomfort,were morelikelytoperformself-careandhada be�erabilitytoperformusualac�vi�es thanthoseintheLACgroup;such differencesweremorenotedwith femalesthanmales,withbothgenders repor�ngmoresa�sfac�onwithhealth andlifestylethantheLACgroup.
cutaneousdamages,suchastheinduc�on ofsunburncells,altera�onofLangerhans cells,andac�vemelanocytes,whichoccur evenwithouterythemaforma�on; therefore,afewbiologicaleffectsarelower thanthatofMED
Theamountandtypeofmelaninarethe mostcrucialfactordeterminingskin complexionandUVexposuresensi�vity; however,otherbiophysicalproper�esalso playasignificantpart.
ResearchandScien�ficNewDevelopments
Kim,M.,Jung,Y.,Suh,B.,Lee,N.,&Kim, E.(2022).Skinbiophysicalproper�es includingimpairedskinbarrierfunc�on determineultravioletsensi�vity.Journal ofCosme�cDermatology,00,1–7.DOI: 10.1111/jocd.14964
But,considerthefolloiwng:UnderAustralianlaw,byimpor�ng yourowndevicesorproductsdirectlyfromoverseas,youtakeon theresponsibilityofthemanufacturer.Andthatcouldhave significantimpactsonyourinsurancecosts,liabilityand governmentobliga�ons.Inaddi�on,aninterna�onalwarrantyis noteasilyenforceable,andyoumightendupwithadevicethat doesn’treallyworkormaystopwithinacoupleofmonthsorjust simplyisn’texactlyasdescribed.Thereareevenoccasionswhere thedeviceneverarrivesorisseizedbycustoms.
Impor�ngratherthanpurchasingfromanAustralian-compliant wholesalerislikelytoincreaseyourinsurancepremiums substan�allyperannum.Suddenly,thecost-savingproposi�onof globalshoppingsitesstartstolookali�lebitdifferent.
So,whatdoesthismeantoyou,inthebusinessworld?Itmeans morethanmostpeoplerealise.
Therearequality,reputablecompaniesinAustraliawhohavegone throughtheprocessandexpensesothatyoudon’thaveto.Look intowhoyouarebuyingfrombeforeyoumakeyourpurchase.Do yourduedilligence,checktheaddressandaskques�onsun�lyou aresa�sfied.
THELUREOF PURCHASING equipmentdirectly FROMOVERSEAS
BUSINESS
Withtheever-increasingpressureonbusinessfromthe compe��onandtheeconomy,ithasneverbeenmoretemp�ngto lookatalterna�vestoreduceyourbusinessopera�ngcosts.Inan agewhereaglobalmarketplace(whichnowextendsfarbeyond eBay)offershugesavingsonthecostofproductsandequipment thetempta�ontoimportandtakeadvantageoftheworldwide marketplacecanbeen�cing.However,itisimportanttofully understandwhattheimplica�onsaretoyouandyourbusiness beforemakinganoverseaspurchase.Impor�ngyourowngoods hascertainlybeenmadeeasyespeciallyfromChinese marketplacessuchasAliexpress.
Thisisn’ttosaythatallproductsmanufacturedoverseasareof poorquality.Therearecertainlydifferentlevelsofquality available,anditcanbeextremelydifficulttodeterminewhatis goodversuswhatisnotsogood.Withcopyrightlawsinsome countriesnotasstringentasinothers,itopensthedoortopre�y muchanythingbeingcopied.Wecanallrelatetothefake designerhandbagsinBaliorThailand,thesameappliestoalotof beautyandmedicaldevicesandconsumables.Whilethese machinesinvariousmarketplacesmaylookthesame,thequality cansubstan�allyvary.
APJ 106
Asbusinessesseektogrowbutarealsoconsciousoftheir budget,theop�ontopurchaseapieceofequipmentdirectly fromthemanufactureroverseascanbequitealluring,butwhat areyourresponsibili�esandrisksunderAustralianlaw.Inthis ar�clebyCassandraMarshallhighlightskeyconsidera�onsthat anybusinessshouldconsiderwhenreviewingtheirop�ons.
THEIMPLICATIONSUNDERAUSTRALIANLAW
Ifyouimportyourownproducts,chemicals,orequipment,without compliance,notonlycouldyoufacehugefines,butyoumayalso discoverthatyourbusinessinsurancepolicyisvoidedleavingyou exposedtoli�ga�onifsomethingweretogowrong.Your insurancecouldbevoidnotonlybecauseyouarenotaregistered importer,butalsobecause,ifyoudirectlyimportaproductinto Australiaforcommercialpurposes,thenintheeyesofAustralian law,youtakeontheresponsibilityofthemanufacturer.Itis certainlypossibletohaveappropriateinsurancecoverforthis,and anyreputablewholesale/impor�ngcompanywillhaveit.
Havingstrictregula�onsinAustraliamayat�mes,seemabitover thetop,butthoseregula�onsaretheretoprotectus.Keepyour businessandyourfuturesafeandshopwithcompliantAustralian registeredcompanies,avoidtheglobalshoppingsitesandtakethe stressoutofcompliance.
Youcanalsocontactyourindustrybodyforadvice.APANscreens companiestoensuretheymeetwiththeirqualitystandards criteriabeforerecommendingthemtoanyprospec�vepurchaser.
Devicesgenerallyonlyhaveonegenuineequipmentmanufacturer theseareusuallyproducedbyISO-cer�fiedfactoriesandare pricedaccordingly.Theimita�onsontheChineseshoppingsites areo�ensignificantlycheapermakingpurchasingtemp�ng.
APJ
So,what’stheanswer?AreallAustraliansupplierscompliant? Theyshouldbe,buttheyarenotalways.Whenpurchasinga device,itisthereforeimportanttoensurethecompanyyouare purchasingfromhasalltheircompliances,registra�onsand insurancesinplacetomakesureyouandyourbusinessis protected.Unfortunately,therearesomebackyardoperatorsin theindustrythathaveglossywebsitesbutarenotcompliantand areo�ennotevenregisteredcompanies.
CassandraMarshall ManagingDirector-TeethWhiteningWholesale
Iamsupportedwith —Expertadvice —Resourcedocuments —Regulatoryandbusinesssupport —Educa�onalconferences —Qualifica�ons’recogni�on —Promo�ngmybusinessonSalonHubAustralia.com.au —Connec�ngwithmycommunityonsocial —Strongrepresenta�onformyneedswiththe Government —Representwhatwillbestservemewithinregula�ons Iama proud professional APANmember! (07)55930360info@apanetwork.comwww.apanetwork.com/membership
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