[COVER]
From The Editor's Desk Welcome to The Consulting Room™ Industry Magazine For January 2013 The Consulting Room™ Team would like to wish all our members a very Happy New Year. We hope 2013 will be truly prosperous for all. There is no doubt that it will be another eventful year in the Aesthetic Industry, particularly as the much anticipated Keogh Review into Cosmetic Interventions comes to a climax in the Spring, details of the interim findings are in this month’s Legislation section, along with a forward looking statement from Sally Taber at TYCT. We may also see results from the European CEN Standard formulation. In this January issue of our Member Magazine we kick start the year with our Feature Article which gives a round-up of website traffic statistics for last year to give you a broad overview of the site’s online presence, and your return on investment as we embark on our 10th year online.
Lorna Jackson
Our Latest News includes details of the first dermal filler patent granted to ArqueDerma® along with another recent ASA adjudication relevant to dentists. As always the magazine is packed with our Business Corner, Clinical Information, Equipment Sales, and Interesting News Articles and Blogs That You May Have Missed.
Have You Looked at Our New Member’s Area Yet? At the end of 2012, The Consulting Room™ launched our newly upgraded, feature packed Member’s Area. If you’ve not yet had a look, login today and see the great new layout and content. Available only to you, Consulting Room subscribers, it is packed with all the great information and resources you have come to know and rely on including a database of clinical paper abstracts, a supplier directory, details of industry organisations and legislation, plus comparison charts for botulinum toxins and dermal fillers as well as financial reports for the industry. We also have an archive of past editions of this magazine, along with past feature articles. As always you will need your login details provided as part of your membership to access this area, which you can do by visiting www.consultingroom.com/members. With the new upgrade we are also allowing you to log in via one of two ways – using your traditional username and password or by using the email address attached to your account and the password. We are also now employing cookies which allows the site to ‘remember you’ so the next time you visit you won’t have to log in again, unless you actually logged out of the site on your last visit. New additions included in this upgrade design include an ‘Ask Ron’ feature. So if you have got a burning question about the cosmetic industry or running an aesthetic business then you can 'pick our brains'. We have also included a variety of ‘Deals’ from industry suppliers which you can take advantage of, new deals are highlighted on the home page of the Member’s Area and in the deals section so don’t forget to come back regularly and have a look at what’s on offer. Of course, also don’t forget that this is where you can update your clinic profile listing to include the treatments, products and ‘which treatment?’ areas that you provide services for, along with your contact information and staff biographies. You can also load up to 6 images and 3 videos to truly highlight your clinic to potential clients.
Give Your Aesthetic Business a Competitive Edge & Attend Be Sure To Join Us. Register Today!
Practical Business Strategies & Product Ideas to Increase Your Profits in 2013 The Consulting Room™ are again hosting several special SMART Ideas events during 2013, in conjunction with the world’s largest laser and radiofrequency device manufacturer - Syneron Candela, and cosmetic injectables manufacturer – Merz Aesthetics.
Saturday 26th January 2013 in Manchester Saturday 27th April 2013 in London This unique seminar includes a full day business agenda, featuring the very latest practical business and marketing tactics related to running an aesthetic clinic, alongside a parallel agenda devoted to the latest devices, injectable aesthetic techniques and other concepts that you can incorporate to increase your clinic's profits during 2013. CPD Points applied for and Registration from just £15 inc. lunch. See details of the two agendas here: www.smartseminar.co.uk/agenda The SMART Ideas format provides an opportunity for you to explore the very latest product innovations, alongside reviewing core business principles related to running an aesthetic clinic. SMART ideas provides an informal and friendly opportunity for you to explore unique new products, have personal demonstrations, discuss your business model and network with industry colleagues all in one day! A range of industry exhibitors will also be attending the events. Delegates attending these unique seminars will learn the very latest information related to practical use of cosmetic injectables for total facial contouring; lasers and RF devices for hair removal and skin rejuvenation; topical skin lightening treatments; and web marketing and business development techniques.
To register your interest please call Danny Large on 01788 577 254 or visit www.smartseminar.co.uk/Register/
Still Undecided About Attending? Watch this short video of comments from delegates who have attended past SMART IDEAS Seminars to hear what they gained from the day. www.youtube.com/watch?v=qA67ncb4a3I
Some Recent Blogs You May Have Missed The Consulting Room Alternative (Christmas) Aesthetic Industry Awards by Lorna Jackson Recent months have seen two lots of aesthetic industry awards events, namely the MyFaceMyBody Awards 2012 in November and the most recent Aesthetic Awards 2012-2013 from Cosmetic News Magazine. This is all a bit too serious for us at this time of year though, so we have decided to come up with our own ‘Alternative’ awards. www.consultingroom.com/blog/346
Mind the Gap - There must be psychological screening for cosmetic surgery patients by Antonia Mariconda As aesthetic surgery becomes increasingly popular, proper patient selection becomes even more important to the entire surgery process. Before agreeing to operate, a surgeon must evaluate the psychological condition of a patient. www.consultingroom.com/blog/343
Are IV vitamin drips the intravenous solution to feeling a bit run down and partied out? By Lorna Jackson Well one clinic in Cheshire believes so. Dr Martin Kinsella has become the first clinician, through his re-enhance Skin and Body Clinic in Hale, to offer intravenous vitamin drips to combat fatigue and improve health and well being. www.consultingroom.com/blog/342
Saline vs Silicone: which is the better breast implant? By Dani Porter Two Florida plastic surgeons have gone public in the saline versus silicone breast implant debate. So which of the two is better, and what verdict did they ultimately reach? www.consultingroom.com/blog/341
Understanding Mole Removal for Patients. Options and Techniques By Dr. Ross Perry Moles are very common in the UK. The average adult will have around 30, but some people can have many more. Mole removal surgery is a relatively straightforward procedure to do and with modern techniques and equipment the treatments are pain free and scarring is now much reduced for most procedures. www.consultingroom.com/blog/340
The Consulting Room™ 3rd Annual Golf Challenge Day Whether you're an amateur or experienced golfer join us to eat, drink, play, relax, network and play a round of golf. After the success of the last two Consulting Room Golf Days in 2011 and 2012 we are pleased to announce the th date for our 2013 tournament: 18 May 2013 at Old Thorns, Surrey. We will be looking for clinics to enter a team of two and to compete for the Consulting Room Challenge Cup. If you can't find a partner, we'll aim to find one for you on the day, which will be a great opportunity to enjoy a round of golf - with a competitive edge, whilst networking with industry colleagues and friends.
Members who book before 31st January 2013 will get a 15% discount on all packages. Spa options are available for non-golfing partners! For more information and to reserve your place, please visit www.consultingroomgolf.co.uk
Looking For Best Prices on Toxins & Fillers? This Month’s Deals The Consulting Room™ Product & Price Comparison Charts for Dermal Fillers and Botulinum Toxins have been recently updated with some of the head line products highlighted below. Located in the Product Comparisons section (login required) within our Members Area you can compare the prices and bulk deals available through direct purchase from manufacturers/distributors or through the major third party wholesalers and pharmacies such as Wigmore Medical Ltd, Health XChange Pharmacy and Med-fx. Prices ex.VAT Botox 100U / 50U Azzalure 2 x 125U (Twin pack)
Wigmore Medical
Health XChange
Med-fx
N/A £100.00 4+ Packs @£91.00 each
£140.00 / £76.01 N/A
£145.00 £95.00
N/A
£64.50* Buy 5 & Get a FREE Cold Bag £119.90 / £53.00
£83.24 £95.50
£72.00 £93.35
Azzalure 1 x 125U (Single)
Xeomin 100U / Bocouture 50U
Restylane 1ml Juvéderm Ultra 2 (2 x0.55ml)
£118.00 / £53.95 10+ Packs @ £107.00 each / 20+ Packs @ £51.00 each £89.50 N/A
st
* offers end 31 January 2013
Nip & Tuck - Facts & Stats
13
1 in 10
The number of charges facing a Scarborough Beauty Therapist for alleged unqualified administration of ‘Botox’.
The estimated number of Brits who would invest in cosmetic surgery as their first purchase if they won the lottery. Source: Euromillions Survey
Source: Scarborough News
1.4kg The quantity of cocaine sealed into two fake breast implants found inside a female Panamanian drug mule at a Spanish airport. Source: The BBC
Over 180
7,917
The number of responses received to the Call for Evidence for the Bruce Keogh Review of Cosmetic Interventions.
The number of NHS referrals for woman who had PIP implants put in privately.
Source: Department of Health
Source: The NHS (figures up to 30 November 2012)
th
Latest News First Patent for Dermal Filler Technique Granted to ArqueDerma® The InjectAbility Institute has been granted United States method patent approval for its ArqueDerma Artistic Restoration Lift technique which is a technique that uses dermal filler to restores facial volume loss. Unlike conventional volume replacement procedures, the ArqueDerma technique utilises HA fillers, such as Juvéderm, Restylane and Perlane to redirect sagging skin toward hollows that have formed, anchoring it in place while stimulating collagen production to stabilise the results. According to Leslie Fletcher, RN, MEP-C and creator of the ArqueDerma lift, the popularity of aesthetic injectables continues to expand due in large part to innovations by practicing clinicians, which result in improved outcomes for their patients. To date, Fletcher has trained and licensed more than 350 medical practitioners in six different countries in this patented technique. “Before ArqueDerma, many of my patients thought their only option for lifting sagging skin was a facelift,” says Fletcher. “They’d come in, lift parts of their face up in the mirror and say ‘This is what I want, I think I need fillers.’ The truth was that many of them had enough facial volume, it was just in the wrong place, which is what inspired me to create this technique that would redirect their own tissue where they needed it most.”
Breast Implant Company Behind Nagor & Eurosilicone Secures €10m Investment GC Aesthetics which designs, manufactures and distributes breast implants and medical devices, based in Ireland, is becoming a major player in the breast implant industry following its acquisitions of the Nagor and Eurosilicone brands. It has now secured nearly €10m in funding from its wealthy backers, including software tycoon Bill McCabe's Oyster Technologies, Tony Barry and the Cork-based Barry's Tea empire, along with the former AIB executive and Sherry Fitzgerald director Walter Coakley and the private-equity group Montreux Equity Partners Llc (who have previously invested €23m in the company), to help expand the fast-growing business.
Not got a New Year’s Resolution yet? Here’s one.... Visit our sister site www.cosmeticvideos.co.uk and check out all the great videos, including Member’s Only content!
The Member’s Only section of our specialist video website contains videos that are more instructive and aimed at purely at medical professionals, relating to detailed explanations of concepts, techniques, procedures, protocols and dealing with problems. If you haven’t accessed this section already, it’s quick and easy to do so... Simply Register using your Consulting Room membership information (username or email address and password) and if everything matches you will be authorised automatically and you can then log in to the Cosmetic Videos Members Only Area whenever you like; all free of charge to Consulting Room members.
So what are you waiting for, tick one 2013 resolution off your list right now!
www.cosmeticvideos.co.uk
Round-Up of ASA Health & Beauty Adjudications The Advertising Standards Authority polices the content of Health & Beauty advertising through all mediums in accordance with rules set out in the CAP (Committee of Advertising Practice) code. This month we did a quick round-up of the naughty advertisers in our industry, in the hope that we can all learn a thing or two: Dentists: The GDC and BDA may say you can use the title ‘Dr’, but the ASA don’t like it! Claims on www.woodvaleclinic.com/qual.htm stated: "Welcome to the Woodvale Clinic Dr. John W. Stowell L.D.S R.C.S. (Eng) B.D.S F.D.S R.C.S (Edin) G.D.C. Registered Specialist in Oral Surgery". The complainant challenged whether the use of the term "Dr" was misleading, because it implied that the practitioner, a dentist, held a general medical qualification. Woodvale Clinic said the honorary title 'Dr', which featured on the website, was also used by most of the 39,700 dentists in the UK. They said the General Dental Council (GDC) and British Dental Association (BDA) allowed the use of the honorary title 'Dr'. They provided correspondence which showed that the Royal College of Surgeons and CareQuality Commission also used the title 'Dr' when liaising with the advertiser. They said they had consulted with a number of colleagues, who all considered that the ASA was out of step on the issue. They stated that the BDA was a responsible body, which was the main representative body of dentists in the UK, as well as the main negotiating body for dentists in the UK and the trade union. They said the GDC also represented patients by registering and disciplining dentists. They therefore considered that the BDA and GDC were very important in showing the current thinking and further supported the position that 'Dr' was a recognised title used by the dental profession. They felt that, because the BDA considered it acceptable for dentists to use the honorary title 'Dr', it did not act to the detriment of patients and was not misleading. They understood that 'Dr' was an internationally recognised title used by dentists globally and they were not aware of any countries which did not allow dentists to use the title 'Dr'. They stated that many dentists who had trained and qualified abroad had a dental degree which allowed the title 'Dr', such as DDS (Doctor of Dental Surgery). They stated that title was not a doctorate in line with a PhD, but was a title conferred by that degree. They added that the website specifically stated that Dr. John W. Stowell was a registered Dental and Oral Surgeon (Specialist List inclusion) and listed his dental degrees. They stated that if he were a medical doctor, then that would have been made clear in the list of qualifications, as he would have listed the relevant degree, such as MB, BS or MD. They provided several examples of randomly selected websites for other dentists in the local area which they noted all used the honorary title 'Dr'. The ASA upheld the complaint and noted that they understood that the honorary title 'Dr' was widely used by dentists. They noted that the claims featured in the "Qualifications" section of the website and stated that the practitioner was a "Registered Specialist in Surgical Dentistry and Oral Surgery". They understood that, since 1995, the GDC had allowed dentists to use 'Dr' as a courtesy title, providing they did not otherwise imply that they were qualified to carry out medical procedures. They considered, however, that the title 'Dr' before a practitioner's name should not be used in adverts unless the practitioner held a general medical qualification, a relevant PhD or doctorate (of sufficient length and intensity) or unless the similarities and differences between the practitioner's qualifications and medical qualifications were explained in detail in the advert. They noted from the list of qualifications included in the website that the practitioner was not medically qualified and did not hold a relevant PhD or doctorate qualification. They also considered that the website did not explain the differences between the practitioner's qualifications and medical qualifications. They therefore concluded that the use of "Dr" in the ad was likely to mislead. The claim must not appear again in its current form. Full Adjudication
Feature Article Consulting Room™ 2012 Website Statistics Unfortunately, the UK does not have a central body tracking the UK aesthetic and cosmetic industries, but instead relies on data auditing and reporting from the British Association of Aesthetic Plastic Surgeons (BAAPS) and the larger cosmetic surgery chains such as The Hospital Group and Transform who regularly report on their numbers, along with market research gatherers such as Mintel who tend to produce a trend report every 3 to 5 years. This however, all tends to reflect the data for the surgical side of the industry, with analysis of the non-surgical marketplace somewhat lacking, leading to guesstimates from various sources. Statistics that we have derived from analysing pages viewed and searches made within The Consulting Room™ provide a unique view of what the average consumer is researching, the effect the media and new product/device/procedure introduction has on this and also which products/treatments they may actually be seeking to undertake by finding a local provider offering the service. From January 1st to December 31st 2012 just over 1 million unique visitors came to www.consultingroom.com. This figure shows the consist levels of web traffic being received by the site as we enter our tenth year online. In general, our nine year traffic performance continues to show a healthy long term trend for the site and of course demonstrates the growth since our launch in May 2003 when the aesthetic and cosmetic industries were just starting to become part of mainstream awareness.
9 Year Website Traffic Trend For www.consultingroom.com 1400000
1200000 1000000 800000 Website Traffic 600000 400000 200000 0 2004
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The visitor data for the last few years had indeed remained relatively stable, despite widespread economic concerns which is affecting general consumer spending, alongside scandals which have, and continue to plague the cosmetic industry and affect consumer confidence in medical professionals and regulators, with health scares for both breast implants and dermal fillers hitting the tabloids and TV screens during 2012.
With consistent numbers of visitors to The Consulting Room™ during the last twelve months, in line with 2010 and following a reduction in 2011, we can only conclude that the public appetite for and desire to spend money on cosmetic enhancements has returned. This of course follows another dip in our numbers during 2008 and 2009 (during the global financial banking crisis) which saw global cosmetic surgery auditing figures fall sharply. In fact, these more recent figures highlighting an increase in our traffic would seem to fly in the face of current government talk of a continued widespread recession which they claim is putting the padlock on people’s wallets. Perhaps the continued media focus, including celebrity and reality TV star endorsements for cosmetic surgery, weekly write-ups on ‘new’ treatments in glossy magazines and daily newspapers, alongside more social acceptance, is maintaining the public confidence and the desire to spend on luxuries such as beauty and antiageing treatments as well as more expensive elective cosmetic surgery, despite the apparent scandals. Reports and surveys show that the younger population is more keen than ever before to go ‘under the knife’ or rid themselves of chores such as shaving and waxing by embracing cosmetic treatment options now widely available to them. Of course, the spending power of the baby-boomers (those born between 1946 and 1964) must not be ignored. With the oldest now reaching their mid-sixties and the youngest fast approaching the big 50 – this population has savings to spend and a desire not to be put on the ‘scrap heap’ just yet!
What Treatments Are People Researching As statistics concerning the UK market place are lacking, we believe that our breakdown of statistics is one of the most authoritative in terms of reflecting the UK consumer’s interest in different cosmetic procedures marketed in this country. We have delved deeper into our 2012 website statistics to give you a broader idea of what a Consulting Room™ user is actually looking for on the website. We wanted to find out which treatments/procedures visitors are looking at most often, in terms of researching treatment options available to them by looking at page views from our Treatment FAQs section; this helps us see which procedures are most popularly researched by our visitors. In total, just under 700,000 of our total annual site visitors viewed our various Treatment and Product FAQ information during 2012. The top fifteen most popular Treatment/Procedure FAQs were as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Laser & IPL Hair Removal Radiofrequency for Facial Rejuvenation Penile Augmentation Surgery Laser Tattoo Removal Dermal Fillers Vaginal Surgery Fractional Laser Skin Resurfacing Microdermabrasion Ultrasonic Body Contouring Specialist Skin Cream Laser & IPL Skin Rejuvenation Chemical Peels Radiofrequency for Cellulite & Fat Medical Skin Needling Umbilicoplasty (Belly Button Surgery)
The top ten most popular Product FAQs were as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Pixel Teosyal Restylane Vital Belotero Accent Dermaceutic Peels Thermage CPT Juvederm Ultra Eurosilicone Breast Implants Restylane (Perlane & SubQ)
Clinic Searches Those taking the final step and searching our database for a clinic or practitioner providing a specific treatment, procedure or product in a geographical location (within the UK & Ireland) were significantly higher than ever before in 2012. With our search directory allowing visitors to find clinics by a variety of methods, including business classification, products, treatments, towns, which treatment areas and postcode; 2012 saw a total of over 1.13 million searches for clinics and practitioners in the UK & Ireland using these various parameters (figures for 2010 were approximately 300,000 and 500,000 in 2011). This means that the number of clinic searches performed on The Consulting Room™ has more than doubled in a year! You will no doubt have seen this reflected in the number of referrals generated by us for your business as consumers truly shop around and get comparative quotes and information from various service providers in their area. With many changes having taken place in the wider Internet during recent years, particularly in the way that Google™ (the world’s largest search engine) ranks web content and the value which is places on the information that is finds on an individual site, for those more technically minded amongst you we are referring to Penguin and Panda updates; 2012 also saw us upgrade some areas of the site to adapt to the newer optimisation requirements, which, as we move into 2013, are creating a faster and better search engine optimised service for those looking for (and finding) providers of aesthetic treatments and products. The uplift in our traffic statistics following the roll out of changes during the Autumn of 2012 (as demonstrated in the following charts) shows the significant affect that recent upgrades and SEO changes to the Clinic Search pages is having to our organically generated website traffic. Some of the underlying changes have also been rolled out to other areas of the website to improve organic search engine traffic flow. We expect this to grow exponentially into 2013, as we continue to monitor our performance and make changes where applicable.
Breaking this data down even further we are able to see which are the most popular treatments/procedures and products that visitors are searching The Consulting Room™ database to find service providers for. This is a useful comparison with the data on popularly researched Treatment and Product FAQs featured above as, although many people will be interested and motivated to read about and research options which may be suitable for them, we all know that many others will simply visit the site and immediately search for a clinic based on what they ‘want’, without embarking on any research first. This is borne out in the differences in the most popular clinic searches by treatment and product search selections. The top fifteen most popular clinic searches by treatment or procedure during 2012 were as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Laser & IPL Hair Removal Microdermabrasion Dermal Fillers Botulinum Toxin Vaginal Surgery Laser / IPL Treatment Pigmented/Vascular Problems Breast Implants Abdominoplasty (Tummy Tuck) Liposuction Sclerotherapy and Microsclerotherapy Chemical Peels Laser and IPL Skin Rejuvenation Laser Tattoo Removal Penile Augmentation Surgery Medical Skin Needling
The top fifteen most popular clinic searches by product during 2012 were as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Botox ® Juvéderm ® ULTRA Restylane ® (Perlane, Lipp, SubQ & Touch) Dysport ® VASER ® Lipo Restylane ® Vital Genuine Dermaroller™ Radiesse ™ Sculptra ® Juvéderm ® VOLUMA Azzalure ® Obagi Blue Peel VelaSmooth™ & VelaShape™ Teosyal ® Belotero ®
For those of you offering the traditional range of non-surgical medical aesthetic treatments such as facial injectables and laser/light treatments, this is great news and truly highlights that the public is indeed seeking out providers for these treatments and products, and is doing so via The Consulting Room™. During 2012, over 22,500 visitors searched our directory specifically for a provider of Botox® for example, along with over 11,500 for Juvéderm ULTRA and just under 11,500 for Restylane®. Similarly over 22,000 looked for a clinic providing laser or IPL hair removal, while over 15,000 were looking for a microdermabrasion clinic. This again shows the level of potential client referrals which our site is able to generate. As we approach our tenth birthday, we thought it might be fun to see just how the search data for clinic providers has changed over the years as facial aesthetics has become more widely available, socially accepted and embraced by the public. The following chart shows the growth in searches through The Consulting Room™ for clinics providing the most well known brand of botulinum toxin, leading it to become the ‘Hoover’ of the toxin world in the eyes of the public, Botox®. This chart clearly shows how searching for treatment providers has expanded both in general and through The Consulting Room™ as our online presence has grown too.
9 Year Graph Showing Number of Clinic Searches for Botox® Providers via The Consulting Room 25000
20000
15000 Number of searches 10000
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Another useful measure within our clinic search data is to take a look at regional breakdowns. In the past we have used Yellow Pages™ defined areas, counties (this will be returning shortly) and more recently right down to town and city level to enable site visitors to really hone in on their local area when searching for a clinic or practitioner. Although, the results will be somewhat predictable, based on proliferations of clinics and people in and around the larger cities in the UK & Ireland, it is still a useful indicator of regional trends for interest in the services which our members provide. The top fifteen most searched for towns or cities as locations for clinics in 2012 were as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
London Birmingham Manchester Aberdeen Glasgow Liverpool Bath Altrincham Aldershot Leeds Edinburgh Bristol Cardiff Wilmslow Belfast
All our top level statistics (site visitors and site searches) show that there are a significant number of people visiting The Consulting Room™ seriously looking for information with an intention to actually visit a clinic for treatment and it is all the reason you should need to make your profile stand out from your competition! If you haven’t recently reviewed your clinic profile listing, may we recommend it as an urgent note on your 2013 ‘to do list’; as we predict that we will continue to grow our traffic numbers further during the next year, as optimisation of the website is an ongoing project. Overall, we believe that these figures reinforce our position as the UK’s No.1 specialist aesthetic information website - even though there are now many more information and clinic directory websites competing for traffic than there were when we started the site almost a decade ago, such as myfacemybody.com, goodsurgeonguide.com, and whatclinic.com, as well as more recently launched websites for cliniccompare.co.uk, treatmentsaver.com and treatmentadviser.com. We offer the consumer and our members much more quality content than any of our competitors which can only be a benefit for all parties.
Further in-depth data highlights the way in which The Consulting Room™ can generate client referrals for clinics through a number of mechanisms. Over 557,000 clinic profiles were viewed on the site during 2012; that works out at an average of just under 150 views per Consulting Room Member. During the upgrade in the autumn of 2012, we implemented a new mechanism to track the number of telephone referrals generated for our Members. Visitors to a clinic profile must click on a button to display the telephone number for a clinic. Since going live this has generated an average traffic result of just under 700 clicks a month across our membership, making an average of 2 calls per clinic per month (regional variations will apply). Alongside this a new general ‘Contact Clinic’ button was also rolled out. On clicking this within the profile pages of each member, the visitor is taken to a page featuring links to all the various direct contact methods for communicating with a clinic, including your own website, social media links (Twitter, Facebook and Blog), along with email and telephone. Since launch at the end of last year we have tracked that an average of over 10,000 clicks are being made per month to directly get in touch with a clinic for referral, averaging over 30 per clinic. Finally during the whole of 2012, over 3,500 direct emails were sent to clinics from interested members of the public looking for treatment, making an average of 300 per month, and 11 emails a year per clinic generated by us (regional variations will apply). We have always maintained that you really only require a single, paying client for facial injectables per year to cover the cost of subscribing to The Consulting Room™. With data showing the potential averages for both email and telephone contacts (and not taking into account those who contact you via your own website or social media pages) we hope you can see the true return on investment that your clinic listing with The Consulting Room™ is generating for you. Why not take a look at the statistics for your own website too and see how much direct traffic is being referred through your Consulting Room profile page. Additionally, for more bespoke statistics you can log into our Member’s Area and see the statistics which apply directly to your clinic profile alone. Just go to the ‘Clinic Update’ section once logged in and a menu of statistics is available on the left hand side.
Conclusion We are continuing to develop the website in terms of search engine optimisation as we reach our 10th year online during 2013; whilst also working with the press and our ongoing social media profile to continually increase the number and quality of the traffic visiting our site. 2013 brings yet more challenges which include the results and inevitable fall-out from the Keogh report into the cosmetic industry, due in March. With a likely shake up in the way clinics advertise, particularly in relation to offers and deals, the format and professional nature of The Consulting Room™ website will continue to provide a platform for those clinics who value their patients, their reputation, and best practice and want to showcase their services. We hope you will stick with us on this journey as we continue to strive to maintain our status as the UK’s largest, and dare we say most comprehensive aesthetic information website well into the next decade!
Lorna Jackson Lorna has been Editor of The Consulting Room™, the UK’s largest aesthetic information website, for over nine years. She has become an industry commentator on a number of different areas related to the aesthetic industry, collating and evaluating statistics and writing feature articles, blogs, newsletters and reports for The Consulting Room™ and various consumer and trade publications, including Aesthetic Medicine, Cosmetic News and Aesthetic Dentistry Today.
Business Corner HMRC: Intermediaries Legislation (IR35) Guidance HM Revenue & Customs’ risk-based approach, that uses low, medium and high risk bands to gauge how likely it is that it will need to check whether IR35 applies to a particular taxpayer, is explained in new guidance that uses 12 business entity tests and example scenarios to illustrate when and why IR35 will apply to an engagement and when and why it will not. IR35 – which is commonly known as the ‘intermediaries legislation’ – was introduced to prevent individuals from using personal service companies (PSCs) and other ‘intermediaries’ to be better off than they would have been if their end clients had paid them directly. Intermediaries Legislation (IR35) business entity tests: Example scenarios is available at www.hmrc.gov.uk/ir35/guidance.pdf or contact your own local Tax Office.
Health & Safety: Unnecessary Electrical Safety Tests Cost Firms £30m Per Annum Low-risk, office-based businesses are wasting an estimated £30m a year on unnecessary portable appliance testing (PAT), confirms revised Health & Safety Executive guidance that points out the law simply requires employers to ensure appliances are maintained in order to prevent danger without stating that every item needs testing once a year. At the launch of ‘Maintaining portable electrical equipment in low-risk environments’, the HSE blamed misleading advice and advertising as being mainly responsible for low-risk businesses such as offices, shops and hotels paying for over-the-top maintenance regimes. The revised guidance is available at www.hse.gov.uk/pubns/indg236.htm or call the HSE helpline on 0845 345 0055.
Business Rates Deferral Scheme The Dept for Communities is urging local authorities to take every opportunity to make businesses aware they can spread the retail price index (RPI) linked increase in their business rate bills for 2012/13 over three years, under the business rate deferral scheme announced in the Chancellor’s Autumn Budget. The scheme allows ratepayers to defer their payments at any time throughout the financial year. Contact DCLG for further information: alternativeformats@communities.gsi.gov.uk
Legislation Forward Looking Statement From Sally Taber & TYCT 2013 will be an important year for the cosmetic injectables industry. With the outcome of the Cosmetics Intervention Review due in March, www.TreatmentsYouCanTrust.org.uk will carry on our mandate to protect patient safety and build on the foundations we have laid since our launch in 2010 with encouragement from the Department of Health. It is also encouraging to see Rt Hon Stephen Dorrell MP, Chairman of the Health Select Committee, speaking out in the media and urging the Government to bring the review to a “timely conclusion” and make sure the person administering injectable treatments are a member of a regulated profession, chiming with www.TreatmentsYouCanTrust.org.uk’s regulatory scheme and structure. At the heart of our work is our online register which provides patients with an easy and accessible tool enabling them to shop responsibly for cosmetic injectable treatments. We will continue to strive to educate patients and to safeguard those who are considering cosmetic injectable procedures are given the correct information, advice and time for reflection to make an informed choice. We believe that only qualified healthcare professionals trained in facial anatomy are competent to handle injections and who are responsible and competent at undertaking medical procedures; that is doctors, dentists and registered nurses. We have called on the Department of Health to safeguard the patient by restricting who can administer these injections. When administered by suitably qualified clinicians, cosmetic injectables including Botox® and dermal fillers are a safe aesthetic treatment, which can give great results for the patient. However it is imperative that we make patients understand that only appropriately trained doctors, dentists and registered nurses have the required clinical training that is suitable to administer such injectables safely. If administered in a non-clinical setting by non-healthcare professionals, such as beauty therapists, cosmetic injectables can pose health risks to patients when mistakes are made. We will be carrying on giving patients the power and equipping them with the ABCs- Always Background Check, as launched by Dr Hilary Jones in 2012. Further to educating patients in 2013 we will look to work with our partners such as the Professional Regulators, MHRA and ASA to ensure patient safety is paramount in the industry, clamping down on any cowboy providers and particularly looking at the training schemes available and their accountability. Non-medical professionals rarely have the same levels of mandatory training or experience with injectables as doctors, dentists and registered nurses. Their training also often does not cover all the areas, including pharmacology and systemic disease, to take all the potential risks and outcomes into consideration. Although complications are rare, they often require treatment, such as dissolving enzymes, steroids or antibiotic therapy, that need to be prescribed and administered by a medical professional. This year we will also be looking towards Local Authorities; how we can work with them and the role they can play in identifying poor practice and safeguarding patient safety. The number of injectables carried out is set to rise in 2013; with new and emerging treatments, the influence of celebrity culture, readily available quick credit and money off offers; consumers can be easily lured into making the wrong decision without carrying out the correct background checks, making it so important that we continue to clamp down on rogue providers. Local Authorities can play a role in this by ensuring providers without the appropriate skills or qualifications, such as beauty therapists, are not given licences for their premises to carry out injectable treatments. www.TreatmentsYouCanTrust.org.uk is of the opinion that Local Authorities can utilise local licencing alongside the Health & Safety at Work Act and risk based enforcement to work towards our goal and protect patient safety.
Cosmetic Interventions Review: ‘Call For Evidence’ Responses Following the fall-out from the PIP breast implant scandal during 2011-2012, which brought the cosmetic surgery industry to the forefront of public awareness and concerns, the Health Secretary Andrew Lansley asked the Department of Health to investigate the whole industry. This job was given to NHS Medical Director, Professor Sir Bruce Keogh along with an expert panel and was officially launched on 15th August 2012 with a ‘call for evidence’ which ran until 15th October 2012. The ‘call for evidence’ was designed to include experiences and views from both the industry and patients in order to assist the inquiry. It asked for people’s views on the regulation and safety of products used in cosmetic interventions; how best to ensure that the people who carry out procedures have the necessary skills and qualifications; how to ensure that organisations have the systems in place to look after their patients both during their treatment and afterwards; how to ensure that people considering cosmetic surgery and procedures are given the information, advice and time for reflection to make an informed choice; and what improvements are needed in dealing with complaints so they are listened to and acted upon. On 31st December 2012, the Department of Health published details of the responses to the call for evidence. They received over 180 responses from a wide range of individuals and organisations, which broke down as 63% individuals (either professional working in the sector or member of the public), 10% industry bodies, 6% professional bodies, 4% charities, 4% private providers, 4% regulators, 3% insurers, 2% devolved administration, 2% manufacturers, 1% lawyers and 1% membership. The DOH noted that the report was designed to present the key messages received from respondents on the various themes discussed; however they point out that “this summary cannot cover in detail all the responses or reflect all the perspectives put forward, nor is it intended to present an indication of the Review Committee’s emerging recommendations However, all responses have been analysed in depth and the data and evidence supplied will be used to inform the final recommendations, which are due to be published at the end of March”. The summary document states that there were a wide range of views on the future regulation of cosmetic interventions but some consistent key messages emerged from respondents. These included:
the current regulatory framework was inconsistent and did not reflect the many changes and innovations in such a fast-growing and dynamic sector training requirements were felt by many to be disproportionately weak compared to the potential risks of a procedure and more specialised training was welcomed dermal fillers and intense pulsed light and laser procedures were highlighted by many as an area where there was insufficient legislation to protect the public respondents were concerned about the lack of data being collected on implants, procedures, adverse incidents and outcomes the Review was timely and an important part of restoring public trust in the cosmetic interventions sector following the issues with PIP breast implants
The summary report also highlighted some of the suggestions put forward by respondents which they wanted to see implemented by the Review recommendations. These included:
banning free consultations for cosmetic surgery so that people don’t feel obliged to go through with surgical procedures ensuring consultations are with a medical professional, not a sales adviser imposing tighter restrictions on advertising including banning two-for-one, time limited deals and cosmetic surgery as competition prizes requiring a two-stage written consent for surgery so people have time to reflect before making a decision providing better information for patients including photos of expected bruising and scarring, and more detail on the risks associated with surgery
Of more interest to the non-surgical sector of the aesthetic marketplace were the sections of the report which focused on responses in relation to dermal fillers and lasers and light treatments. This showed that many respondents felt that the current regulation of fillers was inadequate and tighter regulations were needed in terms of both the safety and administration of the product, as well as a need for greater regulation of lasers and light treatments given the potential risks to consumers. There was strong support for tighter regulation for fillers used in cosmetic interventions. Most respondents felt that those not currently treated as a medical device, because they only had cosmetic and not medical applications,
should be reclassified as devices. It was suggested that this could be done through revisions to the EU Medical Devices Directive but some felt something needed to be done sooner and that the Government should act to reclassify them as prescription only medical devices. Some respondents also called for manufacturers to be required to tell the Medicines and Healthcare products Regulatory Agency (MHRA) or Notified Body when they brought a new filler product to market in the UK to help ensure better surveillance of product safety. Some suggested that new devices should be subject to the same surveillance processes as new medicines through the MHRA ‘Black Triangle Scheme’. Respondents all agreed that those administering fillers should be required to have some kind of accredited training but there were differing views about whether the administration of them should be restricted only to certain healthcare professionals, all healthcare professionals or all those who have undertaken accredited training. There were also concerns that any legislation in this area would need to keep pace with new and emerging procedures such as ‘vampire facelifts’ or injectable stem cell treatments. The regulation of laser equipment was felt to be inconsistent and not in line with the possible risks of improper use. For many, the growing popularity of these treatments increased their concerns about unscrupulous or ill-trained providers springing up to take advantage of consumer demand. There were concerns that laser and light treatment providers were no longer regulated by the CQC and some respondents felt that there had been an increase in adverse incidents (mainly burns) as a result. Trading Standards and Environmental Health officers do inspect some premises but resources make it very difficult for this to be a priority and some highlighted that the nature of such inspections were better suited to a healthcare regulator. A large number of respondents suggested that accredited training for practitioners should be made mandatory. Some noted that insurers had withdrawn cover for beauty and dental therapists due to concerns about risks. Most respondents said that performing laser and light treatments didn’t need to be restricted to medical professionals only. Commenting in the report, Sir Bruce Keogh stated; ”The responses to the Call for Evidence send a clear message that the current regulatory framework doesn’t do enough to support consumer rights or patient safety The supply and demand for procedures in this fast-growing sector has outgrown the existing legislation around the products used, the people providing treatments, and the information and advice available to the public. Over the next few months we’ll be using information gathered from the Call for Evidence alongside our engagement with the sector to formulate our recommendations. I hope what we propose will deliver a cosmetic interventions industry that will lead the world in terms of patient care without stifling consumer choice.” The full report is available at: www.dh.gov.uk/health/files/2012/12/Review-of-the-regulation-of-cosmetic-intervention1.pdf
Landmark Court Case of Beauty Therapist Charged With 13 Counts of Administering Botulinum Toxin to the Public A Beauty Therapist, Jamie Winter, is due to appear in court again on 30th January 2013, charged with 13 counts of alleged unqualified use of botulinum toxin over a 14 month period. She is accused of injecting ‘Botox’ into clients in the Scarborough area, charging between £180 and £360 a time. The beautician was originally arrested in May 2012, following interviews with various men and women who had been administered the drug by her, including a colleague. She was then charged with ‘fraud by false representation’ by claiming to be a person qualified and authorised to administer the drug, which is a prescription only medicine. It is alleged that she imported the drug from America and also used it on herself. Following initial appearances at Hull Magistrates’ Court in September and December 2012, her solicitor has confirmed that she has not entered pleas to the charges at this stage and that he asked the case to be committed to the Crown Court, which it has been for the end of the month. We will await the outcome of the next court session with interest. This will be something of a landmark case to watch as many reports are abound of cases of underqualified individuals offering injectable treatment to the public, so a conviction could prove to be a useful precedent as discussions on the regulation of facial aesthetics continues this year. It is currently not yet know if Ms. Winter had received training, was insured or the exact source or type of product which she used. We will keep you updated on published reports.
Educational Opportunities
Training, Events, Mentoring etc... Ensure that you are kept up to date with all educational opportunities, including webinars, seminars and conferences. www.cosmetictraining.co.uk is a focused directory that brings together key training opportunities and events. The dedicated and unique reference site will provide information about all areas of the Aesthetic business:
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Conferences Dates For Your Diary SMART IDEAS Seminar: Proven Business Strategies and New Product Ideas to Increase Your Profits in 2013 This unique seminar, organised by The Consulting Room , includes a full day business agenda, featuring the very latest practical business and marketing tactics related to running an aesthetic clinic, alongside a parallel agenda devoted to the latest devices, injectable aesthetic techniques and other concepts that you can incorporate to increase your clinic's profits during 2013. CPD points applied for. For more information on the two agendas and to register, please visit: www.smartseminar.co.uk Saturday 26th January 2013 (Manchester) Saturday 27th April 2013 (London)
Cosmetic Expo 2013 Incorporating The Aesthetic Conference 2013 The Cosmetic News Expo is the UK’s largest aesthetic conference and exhibition. Entry to the exhibition and workshops is free but there is a charge for the conference. th
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16 & 17 February 2013 at the Business Design Centre, Islington, London.
Aesthetic Medicine 2013 Aesthetic Medicine 2013, within Professional Beauty, offers a dedicated exhibition and conference for both surgical and non-surgical professionals and brings together national and international experts that will share their clinical and market knowledge. There are more than 350 exhibitors and a two tier programme covering 4 agendas for surgeons, doctors, nurses, clinic owners and qualified professionals who are considering offering aesthetic medical treatments in the UK. For more information please visit: www.amevent.co.uk 24th & 25th February 2013 at the ExCel in London
FACE Conference 2013 FACE 2013, the UK’s premier medical aesthetic conference and exhibition is moving to a larger venue in 2013 to help accommodate the growing lecture programmes. For more information as the agendas unfold, please visit: www.faceconference.com 21st – 23rd June 2013 at the QEII Conference Centre, Westminster, London
For details of all upcoming UK and Non-UK conferences and exhibitions please visit our Cosmetic Training website.
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Clinical Information
A randomised, double-blind comparison of 20 units of onabotulinumtoxinA with 30 units of incobotulinumtoxinA for glabellar lines. Moers-Carpi M, Dirschka T, Feller-Heppt G, Hilton S, Hoffmann K, Philipp-Dormston WG, Rütter A, Tan K, Chapman MA, Fulford-Smith A. hautok und hautok cosmetics, München , Germany. J Cosmet Laser Ther. 2012 Dec;14(6):296-303. Background: Biological activity data indicate that the units of incobotulinumtoxinA are not equivalent to those of onabotulinumtoxinA. Objective: This study compared 20 units of onabotulinumtoxinA with 30 units of incobotulinumtoxinA in the treatment of glabellar lines. Methods and materials: In this multicenter, randomised, double-blind study, subjects with moderate or severe glabellar lines received a single treatment with 20 units of onabotulinumtoxinA (n = 112), or 30 units of incobotulinumtoxinA (n = 112). The primary endpoint was the percentage of subjects with a reduction of ≥ 1 point on the Facial Wrinkle Scale at maximum contraction as rated by injectors on day 28 post injection. The same variable was evaluated on days 84, 98, and 112. Results: At the primary endpoint, 20 units of onabotulinumtoxinA was as effective as 30 units of incobotulinumtoxinA (96% vs. 95% responders, respectively; difference in proportion of responders = 0.02, 95% confidence interval [CI] - 0.04, 0.07). At subsequent time points, a trend towards a higher percentage of responders was observed in the group treated with 20 units of onabotulinumtoxinA. Given that the 95% CI surpassed the upper equivalence margin at these time points, equivalence was not established. Conclusion: These data support the non-interchangeability of units of onabotulinumtoxinA and incobotulinumtoxinA, and the absence of a fixed dose ratio in clinical practice.
The Optimal Filler: Immediate and Long-Term Results With Emulsified Silicone (1,000 centistokes) With Cross-Linked Hyaluronic Acid. Fulton J, Caperton C. J Drugs Dermatol. 2012;11(11):1336-1341. Background: Silicone is one of the oldest and longest lasting of the dermal fillers. Microdroplet silicone injections have proven to be safe and effective. This paper describes how to obtain microdroplet silicone (1,000 centistokes) in a consistent manner, including a discussion of its efficacy and safety. Methods and Materials: A simple, permanent method of tissue augmentation is described. U.S. Food and Drug Administration- approved liquid silicone (Silikon®) is emulsified with cross-linked hyaluronic acid through a LuerLok to Luer-Lok connector between two 3-cc syringes. This stable emulsion is injected through a 27G needle or through a 25G or 27G microcannula into the middermis, subcutaneous tissue, or periosteum. Results: The results of 95 cases are described. The emulsion is most beneficial for distensible acne valleys, nasolabial folds, glabellar frown lines, augmentation of the vermilion border of the lips, and projection of the nose, cheekbones, and chin. Exterior nasal deviations and soft tissue defects are also improved. Complications are minimal and include temporary bruising, erythema, and mild edema. Any temporary small nodules are easily leveled with massage. Occasionally, it takes a repeat session at 1 month to completely elevate depressions. The resulting elevations remain stable during the 2-year follow-up period. No silicone granulomas have developed. Conclusions: This methodology has replaced many indications for temporary, semipermanent, or permanent fillers.
Pocketed microneedles for rapid delivery of a liquid-state botulinum toxin A formulation into human skin. Torrisi BM, Zarnitsyn V, Prausnitz MR, Anstey A, Gateley C, Birchall JC, Coulman SA. School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK. J Control Release. 2013 Jan 28;165(2):146-52. Botulinum toxin A (BT) is used therapeutically for the treatment of primary focal hyperhidrosis, a chronic debilitating condition characterised by over-activity of the eccrine sweat glands. Systemic toxicity concerns require BT to be administered by local injection, which in the case of hyperhidrosis means multiple painful intradermal injections by a skilled clinician at 6-monthly intervals. This study investigates the potential of a liquid-loaded pocketed microneedle device to deliver botulinum toxin A into the human dermis with the aim of reducing patient pain, improving therapeutic targeting and simplifying the administration procedure. Initially, β-galactosidase was employed as a detectable model for BT to (i) visualise liquid loading of the microneedles, (ii) determine residence time of a liquid formulation on the device and (iii) quantify loaded doses. An array of five stainless steel pocketed microneedles was shown to possess sufficient capacity to deliver therapeutic doses of the potent BT protein. Microneedle-mediated intradermal delivery of β-galactosidase and formaldehyde-inactivated botulinum toxoid revealed effective deposition and subsequent diffusion within the dermis. This study is the first to characterise pocketed microneedle delivery of a liquid formulation into human skin and illustrates the potential of such systems for the cutaneous administration of potent proteins such as BT. A clinically appropriate microneedle delivery system for BT could have a significant impact in both the medical and cosmetic industries.
Botulinum Toxins for Facial Lines: A Concise Review. Lowe NJ, Lowe P. The Cranley Clinic, Cavendish Square, London; UCLA School of Medicine, Los Angeles, USA. Dermatol Ther (Heidelb). 2012 Dec;2(1):14. This is a concise review of the uses of botulinum toxins (BTXs) in dermatology and cosmetic procedures. It is a clinical rather than a basic science, pharmacological review. BTX had been initially used for selectively reducing and balancing periorbital muscle activity; thereby, reducing childhood strabismus and blepharospasm. This clinical research was initiated by Dr. Alan Scott over 40 years ago. BTX type A (BTX-A) was serendipitously observed to reduce forehead frown lines in patients being treated for blepharospasm. Extensive clinical research and development resulted in widespread aesthetic uses for BTX-A by reduction of selected hyperfunctional facial muscles. BTXs are also used for reduced localized hyperhidrosis. A topical BTX-A is being developed as a potential alternative to injected BTX.
New Insights into Lidocaine and Adrenaline Effects on Human Adipose Stem Cells. Girard AC, Atlan M, Bencharif K, Gunasekaran MK, Delarue P, Hulard O, Lefebvre-d'Hellencourt C, Roche R, Hoareau L, Festy F. France. Aesthetic Plast Surg. 2012 Dec 13. BACKGROUND: Adipose stem cells have gained great interest in plastic and reconstructive surgery with their ability to improve engraftment after fat transfer for soft tissue filling. It is therefore essential to know the effect of the drugs commonly used during the lipoaspiration procedure, such as lidocaine and adrenaline. Indeed, these drugs are infiltrated at the fat donor site for local anesthesia and for reduction of bleeding. This study analyzed the effects of these drugs on the viability of adipose-derived stem cells and on their inflammatory status. METHODS: Adipose-derived stem cells from lipoaspirates were grown in culture before being treated with different clinical doses of lidocaine at different times of exposure (1-24 h), and with adrenaline (1 μg/mL). Cytotoxicity was measured by lactate dehydrogenase assay and by flow cytometry with annexin V/propidium iodide staining. In parallel, the secretion of the proinflammatory cytokines tumor necrosis factor-alpha (TNFα), interleukin-6 (IL-6), and monocyte chemotactic protein-1 (MCP-1) was tested by enzyme-linked immunoassay. RESULTS: Lidocaine affected cell viability after 24 h, even when the cells were exposed for only 1 or 2 h. Apoptosis was not involved in lidocaine cytotoxicity. Regarding inflammation, no TNFα was produced, and lidocaine decreased the levels of IL-6 and MCP-1 in a dose-dependent manner. In contrast, adrenaline did not influence cell viability or cytokine secretions. CONCLUSIONS: Adipose tissue should be handled appropriately to remove lidocaine and adrenaline, with such procedures as washing and centrifugation. This study provides new insights into the use of lidocaine and adrenaline for fat transfer or stem cell isolation from lipoaspirates.
Transdermal delivery of adipocyte-derived stem cells using a fractional ablative laser. Oni G, Lequeux C, Cho MJ, Zhang D, Lazcano E, Brown SA, Kenkel JM. Dr Oni is a research fellow in the Department of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas, Texas. Aesthet Surg J. 2013 Jan 1;33(1):109-16. Background: Chronic wound healing problems can pose a significant clinical challenge. Transdermal delivery of adipose-derived stem cells (ADSC) may be a possible solution to healing these recalcitrant, debilitating wounds. Pretreatment of the skin with a fractionated laser has already been shown to assist transdermal drug delivery both in vitro and in vivo and may be an ideal approach to facilitating delivery of ADSC to the target tissue. Objectives: The authors investigate in a porcine model whether ADSC can be delivered transdermally following pretreatment with a fractional laser. Methods: After ethics approval was obtained, the abdomens of 2 adult female domestic pigs were pretreated with an erbium:YAG fractionated ablative laser. Following laser treatment, 20 × 10(6) bromodeoxyuridine (BrdU)-labeled ADSC were applied topically to the first animal for 4 hours. The same number of BrdU-labeled ADSC was applied to the second animal for 48 hours. The animals were euthanized at the end of their respective treatment periods, and the BrdU-labeled ADSC were counted after tissue harvest. Results: At 4 hours, an average of 2.40 × 10(6) cells, or 12.0% of the total cells applied, were found in the tissue. At 48 hours, an average of 1.1 × 10(6) cells, or 5.5% of the total cells applied, were seen. Conclusions: This pilot study demonstrates that ADSC can be delivered transdermally through skin that has been pretreated with a laser. Potential future applications of this approach might include wound-healing or aesthetic indications. Further studies need to be conducted to determine the optimal number of ADSC to use in this approach, the best methods of application, and the effect of transdermally delivered ADSC on wound healing.
Prospective Multicenter Clinical Trial of a Minimally Invasive Temperature-Controlled Bipolar Fractional Radiofrequency System for Rhytid and Laxity Treatment. Alexiades-Armenakas M, Newman J, Willey A, Kilmer S, Goldberg D, Garden J, Berman D, Stridde B, Renton B, Berube D, Hantash BM. School of Medicine, Yale University, New Haven, Connecticut; Dermatology and Laser Surgery Center, New York. Dermatol Surg. 2012 Dec 28. BACKGROUND: A minimally invasive fractional bipolar radiofrequency (FRF) was developed. OBJECTIVE: To evaluate safety and efficacy of FRF in reducing face and neck rhytides and laxity. MATERIALS AND METHODS: This prospective, open-label, multicenter clinical trial enrolled 100 subjects with mild to severe facial and neck rhytides and laxity at seven centers in a per-protocol analysis. One single-pass FRF treatment was administered through five 32 g-needle electrode pairs at a preselected real-time fixed temperature of 62 to 78°C, energy duration for 3 to 5 seconds, and impedance restrictions of 200 to 3,000 Ohms, ensuring intradermal delivery. Five blinded dermatologists and plastic surgeons graded randomized standardized baseline and follow-up photographs of 53 and 42 subjects at 3- and 6-month follow-up intervals, respectively, using the Fitzpatrick wrinkle and Alexiades-Armenakas laxity scales. Subject assessments and adverse events were recorded in 100 subjects. RESULTS: Blinded evaluations revealed correct pre- and post-treatment identification in 100% of scored cases, mean improvement of 25.6% on the Fitzpatrick Wrinkle Scale and 24.1% on the Alexiades-Armenakas laxity scale at 6 months, and 100% response rate for rhytides and 95% for laxity. Subgroup analysis revealed maximal rhytid reduction in the mean target temperature of 66.7, energy duration of 4.2 seconds, and volume of denatured collagen of mm(3) denatured collagen group. Adverse events included transient erythema, edema, and ecchymoses, resolving within 1 to 5 days, and two incidents of temporary pinpoint depressions. More than 90% of subjects were satisfied or very satisfied. CONCLUSION: Real-time temperature-controlled FRF is a highly reproducible, safe, effective nonsurgical treatment of face and neck rhytides and laxity and provides important insights into neocollagenesis, neoelastogenesis, and clinical outcomes. SOURCE: PubMed
Interesting News Articles You May Have Missed Due to global copyright laws the Consulting Room™ is unable to reproduce entire news articles; therefore we provide an abstract and a link to the original news article. Although every effort is made to ensure that these links continue to function, there are occasions when third party websites will remove or archive the news article, leading to a broken link. We apologise if you find such a problem, and woul d appreciate it if you would inform us by emailing admin@consultingroom.com so we can make every attempt to remedy it.
NHS to pay for ops after private Newport clinic goes bust The taxpayer will foot the care bill for patients who had gastric balloons fitted at a now defunct Newport clinic. The NHS has stepped in to provide aftercare for 33 people in Wales who had the pioneering weight loss treatment at the Celtic Springs Clinic, which shut last month. SOURCE: South Wales Argus
Silicone Breast Implants with Spider Silk-Based Coating Show Reduced Side-Effects in Preclinical Studies AMSilk is developing a novel spider silk-based coating, called BioShield-S1, for silicone breast implants designed to reduce commonly known side effects that are initiated when the immune system reacts to the implants. Preclinical tests conducted jointly with the University of Bayreuth and the Department of Trauma, Hand, Plastic and Reconstructive Surgery of the University of Wuerzburg, Germany, showed the efficacy of the implant coating. SOURCE: Bionity.com
Cynosure Receives FDA Clearance for PicoSure™, the First Picosecond Device to Remove Tattoos and Benign Pigmented Lesions Cynosure, Inc. announced that it has received FDA 510(k) clearance to market the PicoSure™ laser workstation for the removal of tattoos and benign pigmented lesions. The Company expects to sell PicoSure initially through its U.S. direct sales force to aesthetic dermatologists and plastic surgeons beginning in early 2013. SOURCE: PRNewswire
The Wright Initiative launches the PaPPS Initiative New initiative examines psychology behind cosmetic surgery. What motivates someone to seek cosmetic surgery. Respected psychotherapist Norman Wright has launched a bold scheme that will address the psychology behind cosmetic surgery. The PaPPS Initiative, an innovative new programme from The Wright Initiative(TWI), will offer patients one-to-one support, both before and after treatment. SOURCE: PRWeb
In the Flesh: The Embedded Dangers of Untested Stem Cell Cosmetics Unapproved procedures and skin care products endanger consumers and clinical research. When cosmetic surgeon Allan Wu first heard the woman's complaint, he wondered if she was imagining things or making it up. A resident of Los Angeles in her late sixties, she explained that she could not open her right eye without considerable pain and that every time she forced it open, she heard a strange click—a sharp sound, like a tiny castanet snapping shut. SOURCE: Scientific American
Cosmetic Scientists to discuss safety of light-based cosmetic devices In light of the vast amount of light-based cosmetic devices being launched in recent years, the UK Society of Cosmetic Scientists is concerned about their safety and is therefore set to meet to discuss the segment on the 10th of January. Hair removal and skin rejuvenation devices are becoming increasingly popular in Europe and the US and major cosmetic and non-cosmetic multinational giants are starting to invest in a category the Society reckons is set to rake in billions of Euros. SOURCE: Cosmetic Design
Scientists Can Now Gauge Skin's True Age With New Laser Technique Wrinkles, dryness, and a translucent and fragile appearance are hallmarks of old skin, caused by the natural aging of skin cells. But while most of us can recognize the signs of lost youth when we peer into the mirror each morning, scientists do not have a standardized way to measure the extent of age damage in skin. Now a group of Taiwanese researchers has used a specialized microscope to peer harmlessly beneath the skin surface to measure natural age-related changes in the sizes of skin cells. SOURCE: Medical News Today
USA: Fake Botox Warning By FDA To 350 Medical Practices The US FDA has written to over 350 medical practices about unapproved versions of Botox as well as other medications they may have purchased from a foreign supplier. The FDA (Food and Drug Administration) says these products may be contaminated, counterfeit, ineffective, unsafe, and/or wrongly stored and transported. SOURCE: Medical News Today
Flushing woman performed illegal buttock surgery A Flushing resident who decorated her home like a doctor`s office and performed a buttock enhancement procedure involving Krazy Glue sent one woman to the hospital and may have caused a lifelong medical problem, Queens` top prosecutor said last Thursday. And according to a plastic surgeon at a borough hospital, it is a problem he sees all too often. SOURCE: Times Ledger
Thousands of women have received NHS help for PiP breast implants Almost 8,000 women have received NHS help in the wake of the PiP breast implant scandal, new figures show. Up to November 30th, there had been 7,917 referrals from women who had their implants put in privately. A total of 5,255 scans have now been completed and 633 women have decided to have their implants removed on the NHS, with 418 of these operations already completed. SOURCE: NetDoctor.co.uk
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Take advantage of this great offer!
For more information on the products and to discuss this and other great laser/IPL eye protection deals, call us on 01788 577254.
Advertorial Laser Servicing & Repairs Expansion Cosmetic Laser Servicing are proud to announce that they have teamed up with Lasertronics, one of the most experienced service organisations in this specialist area, to deal with the ever increasing number of requests for laser servicing and repairs. Lasertronics’ team of seven operate nationwide through strategically placed Laser Engineers in the North, Midlands and South to offer an on demand, speedy service cover at a competitive price. Lasertronics is now in its 20th year of operation and has mostly gained experience through maintaining a fleet of over 250 lasers for national chain sk:n clinics. They are now expanding their operation to work with Cosmetic Laser Servicing. David Base, Director of Engineering ensures that his engineers are kept up to date with training from a variety of major manufacturers. This ensures that the team are able to look after a wide range of equipment in order that Lasertronics can act as a “one stop shop� for clinics operating various makes of lasers, cryo-cooling devices, cold air blowers and microdermabrasion equipment. Service Manager, Paul Allen is the principle contact for service calls. His aim is to ensure that faulty equipment is back up and running with minimal delay and that clinic operators are kept up to date with repair progress. He also schedules the team to complete routine maintenance and other support tasks. Paul has access to loan equipment such as Zimmer Cryo 5 and 6 machines so can quickly resolve a problem with equipment failure. Lasertronics have an extensive range of spare parts. Many of these are no longer available directly from the manufacturer, thus enabling Lasertronics to repair equipment that may otherwise be obsolete. Lasertronics aims to project a professional engineering service second to none that compliments that of the clinics it supports. To this end a customer satisfaction survey is conducted at the end of each visit to ensure that objectives are met. For more information or to book a visit please go to www.cosmeticlaserservicing.co.uk or telephone on 01788 577254
Equipment Sales SaveOnKit pride themselves on excellent customer service. They stock a large inventory of high quality medical, dental and beauty equipment at vastly reduced prices. They are very pleased to offer a high quality service for all your equipment needs. All orders are processed quickly and sent to UK addresses free of charge; they will ship worldwide. Below are the various devices that they currently have for sale. Lutronic Mosaic non-ablative Fractional Laser Er:Glass skin-resurfacing System In good condition and full working order For Sale at £14,000 + VAT *PRICE REDUCED £13,300 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=506 Chromogenex NLite V Pulsed Dye Laser Hair removal Rejuvenation System In good condition and full working order For Sale at £3,800 + VAT More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=458 Lynton Lumina IPL Laser Hair Removal + YAG Skin Rejuvenation Acne Beauty System In very good condition and full working order For Sale at £9,500 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=651 Depilex Dermapeel Professional Microdermabrasion System In good condition, full working order For Sale at £912 *PRICE REDUCED AGAIN £570 + VAT* More info – www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=537 RVB active 7 touch beauty machine facial toning professional System This unit has had very minimal use and the condition reflects this some items are new in original packaging For Sale at £475 More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=599 Yperion L900 SR PSR002012 beauty treatment head Brand new, in original box. For use with L900 Hair removal and photolifting beauty machine. For Sale at £912 *PRICE REDUCED £760* More info – www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=539 Eporex K69 Mesotherapy Cellulite Fat Reduction and Skin Rejuvenation System In good condition and full working order, costs £20,000 brand new For Sale at £8,400 + VAT *PRICE REDUCED AGAIN £3,166 + VAT* More Info - http://www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=446 E Light IPL Laser Hair removal Rejuvenation Wrinkle Vascular salon beauty System For Sale at £3,800 + VAT More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=496 Cosmopro Eye-O-Matic facial restore & skin rejuvenation Full working order. Helps restore and rejuvenate the face and delicate eye contour maximising product absorbency. For Sale at £285 + VAT More info – www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=598 Nemectron Noblesse for Face and Body Facelift Wrinkles In good condition and full working order For Sale at £1,500 + VAT *PRICE REDUCED AGAIN £950 + VAT* More info - http://www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=437 Beauty Scope BS-888 Skin and Hair Analyser Intelligent skin/sebum/moisture/pigment diagnosis system For Sale at £300 + VAT *PRICE REDUCED £237.50 + VAT* More info - http://www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=438
Over line Xilia Stim 8 Face + Body Skin tightening System In good working order complete with attachments, cables, user manual and stand. For Sale at £1,400 + VAT *PRICE REDUCED AGAIN £1187 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=434 Nemectron Nembrasion Professional Microdermabrasion System In good condition and full working order For Sale at £1,425 + VAT More Info - http://www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=439 Smart Peel Microdermabrasion with LED Light Therapy professional system In good working order complete with attachments For Sale at £2, 280 *PRICE REDUCED £1,425 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=535 Caci Future-Tec Skin Rejuvenation Beauty Machine In good working order complete with attachments - Vaculase, Microlase, Actuator attachments & foot pedal For Sale at £1,700 + VAT More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=367 Bio –Therapeutic L.A. Smile Teeth whitening system Cost £12,600 new in 2006. Current model, in good condition, had very little use. For Sale at £3,000 + VAT *PRICE REDUCED £1,900 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=325 Biotec Bioskin LAS Skin Resurfacing Microdermabrasion System Bioskin Las Technology utilises a unique two-element approach to activate skin regeneration. For Sale at £1,425 + VAT More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=344 Nora Bode OxyJet Star Oxyaroma Oxyspray facial and body treatment salon machine In very good condition, had had low usage and in full working order For Sale at £7,500 +VAT *PRICE REDUCED £6,175 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=516 Pollogen ReGen Tripollar Radio Frequency skin body facial beauty machine salon Very good condition, full working order. Unit was removed from a small clinic which closed shortly after it opened For Sale at £8,000 +VAT *PRICE REDUCED £7,600 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=515 No+Vello IPL Laser Hair Removal & Skin Rejuvenation Treatments Beauty System In very good condition and full working order. Supplied new in 2010 For Sale at £6,650 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=638 Beau Visage Facial Skin Imaging Diagnosis Treatment Beauty Therapy System In very good condition and full working order For Sale at £3,800 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=640 CACI Flash 1 IPL Hair Removal & Skin Rejuvenation Acne Treatments Beauty System In good condition and in full working order For Sale at £4,000 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=649 New Meridian Lapex BCS Pro 2000P Liposuction Cellulite Fat Laser Beauty Machine New in original packaging. Supplied to a clinic which closed shortly after opening in Late 2011. Unit never used. For Sale at £9,500 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=677 Biorem Skin Master Plus Multi-functional Ultrasonic Beauty Treatment Machine In good condition and full working order For Sale at £1,330 + VAT More info - www.consultingroom.com/services/equipment-display.asp?equipment_id=678
Classifieds FOR SALE Ex-Demonstration Elite MPX Laser (December 2009 model) with Integral Cryo-C Cooling Unit Combined variable long-pulsed alexandrite and variable long-pulsed neodymium YAG laser with Multiplex (Cynosure Elite MPX) For hair removal (all skin types), epidermal pigmented lesions (age spots, sun spots, freckles), facial and leg veins, skin tightening and sun-damaged skin (LaserFACIAL). With 1.5 to 18 mm spotsizes. Integrated Zimmer chilled-air skin cooling system 12 month Warranty Full Clinical Training
Used Elite MD Laser (February 2010 model) with used Cryo-6 Skin Cooling Unit Combined variable long-pulsed alexandrite and variable long-pulsed neodymium YAG laser (Cynosure Elite) For hair removal (all skin types), epidermal pigmented lesions (age spots, sun spots, freckles), facial and leg veins, skin tightening and sundamaged skin (LaserFACIAL). With 1.5 - 15 mm spotsizes. 12 month Warranty Full Clinical Training
Prices: On Request Contact: Ben Savigar-Jones, Sales & Marketing Manager at Cynosure UK on 07795 412281
I-lipo (8 pads) Machine from Chromogenex Selling a hardly used I-lipo (8 pads) machine from Chromogenex. Bought about one year ago. Original price was £15,000 plus VAT, selling for £8,000. Will consider offers......if not too far from asking price. Please contact for any questions.
Price: £8000 Contact: Katia on 07775993675 or email katia81b@libero.it
Lynton Lumina IPL The machine is IPL only but you can add on the laser hand piece and also the tattoo removal head piece, it is only just two years old and just had its first service, it has three hand pieces which are all as new with hardly any usage, the 650 advanced with only 4065 shots, the 650 with 6372 shots, the 585 with only 366 shots, bare in mind that the average yearly usage is 20,000 shots, the unit is unmarked and very clean. IT IS ADVISABLE TO CHECK OUT HOW MUCH THIS MACHINE IS WITH LYNTON AND YOU CAN SEE IT IS A BARGAIN Here is some info from Lynton about the machine. LUMINA is unrivalled in its system lifetime and flexibility. Ideal for the treatment of deep and superficial vascular lesions, unwanted hair, superficial and dermal pigmentation, photo-rejuvenation, active acne treatment and multi-coloured tattoo removal. LUMINA has many unique features, including integral printer for treatment record keeping, patient database for instant and accurate records and digital imaging, as well as Interchangeable Light Guide (ILG) technology, all in a platform designed to accept application upgrades. Uniquely, LUMINA can be taken as an ‘IPL only' specification at first and upgraded to add further IPL and laser hand pieces as required onto its small single platform, giving a truly lifetime service. ALL IN ALL THIS IS A VERY ADVANCED PIECE OF EQUIPMENT AT A BARGAIN PRICE.
Price: £17,000 Contact: Andrew on 07979598423
Ellipse machine This is a 2007 model purchased direct from Ellipse with full service history. Excellent condition available for quick sale, price negotiable. Ellipse systems are used to treat a wide range of skin conditions, including the removal of unwanted hair, vascular lesions, epidermal pigmented lesions, photo-damage, wrinkle reduction and acne vulgaris. Large spot sizes, fast repetition rates and great clinical results. Ellipse is internationally recognized as a leading provider of Intense Pulsed Light as well as laser systems that are clinically proven to be safe and effective.
Contact: 0114 244 8888 or email essential.beauty@btconnect.com
Quantum IPL Machine In excellent condition – recently serviced. 2 x Vascular Heads and 1 x Hair Removal Head.
Price: £17000 Contact: Rita Sinclair on 01202 572727 or email info@harleycourt.co.uk
ENERGIST ULTRA PLUS IPL MACHINE Handpieces: Hair removal– 610-950nm output Skin rejuvenation– 530-950nm output Acne – 415/630-950nm output Treating a wide range of conditions from unwanted hair, to active acne, thread veins, fine lines and wrinkles, age and sun spots and rosacea. VPL™ minimises the discomfort by allowing the skin to cool during each shot. Windows based system, very user friendly with 2 modes of use, safe and experienced. Operates by multi-pulsing for more effective results. Service history available. Excellent condition - for quick sale.
Price: £10,000 Contact: Sue Ohri on email info@adore-me.co.uk
IPL Quantum SR 230V with brand new Yag head Model - GA3690000 We purchased the machine, heads and accessories new. Cost new £64,600. Sale price £18,000. Price includes 3 heads - SR 560, HR695, YAG (These heads will only be sold with the machine.) Full Service History, Funnel assembly, Power meter, Operator Manual, Umbilical Support, 2 pairs of safety glasses, 2 x 0.25Ltr coupling gel bottles. Buyer to collect from us, we have no way of sending / transporting it to them.
Price: £18000 offers welcomed Contact: Lyn Sutherland on email medaltlyn@gmail.com
FOR RENT Licensed Clinic Rooms For Rent Licensed Clinic Rooms in South Croydon Area. 1 Consultation Room and 1 Clinic Room, within large Chalet Bungalow. Close to all amenities and train station. Large driveway for 8-9 cars
Price: Details on request Contact: Karen, 07775 775 756 For a full list of second hand equipment sales, please see: www.consultingroom.com/services/equipment.asp
Advertisement S.A.F.E.™ System Surgical Smoke Evacuation The Smoke Evacuator vacuums the plume created by laser and electrocautery treatments such as hair removal, tattoo removal and erbium procedures and protects physicians and staff performing these operations. The U.S. FDA approved and European CE marked SAFE System smoke evacuator is built to handle any type of surgical smoke. Costs are low to purchase and operate. Application:
The removal and filtration of laser and surgical smoke
Used by:
Hospitals, Plastic Surgeons, Cosmetic Surgeons, and more
Economical:
Due to the real time filter life pressure gauge
Compact:
9" x 9" footprint, 14" high
Quiet:
Less than 52dBA, quieter than the competition
Filtration:
ULPA: 99.999+%@ 0.12 micron
Weight:
24 lbs.
Electrical:
100-120 VAC, 50/60 HZ 220-240 VAC, 50/60 HZ
Regulatory:
UL, CSA, CE
Tubing:
Vacuum Tubing 7/8" x 8'
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