The Consulting Room™ Industry Magazine Edition 109, June 2012

[COVER]

From The Editor's Desk Welcome to The Consulting Room™ Industry Magazine For June 2012 60 years as Queen and looking good for it – perhaps we all need to know the secrets to her ‘elixir for youth and vitality’! I hope you all enjoyed the Diamond Jubilee celebrations and the extra holiday that it brought!

In this issue for June, our Feature Article looks at the discovery of the use of botulinum toxins for aesthetic indications, include a timeline history of developments by our Guest Author, Andy Pickett, Founder and Director of Toxin Science Limited.

Latest News this month includes some news from Merz on their e-pharmacy service, as well as detailed looks at advertising for this sector. Our Product Reviews highlight some of the new skincare lines being launched by existing popular ranges. We look at how the BMA is looking to support doctors facing fitness to practice hearings in our Legislation section and some up to date techie news in our Business Corner. Plus there are lots of classified ads this month for Equipment Sales so don’t miss those at the end. Finally we cover the successful Golf Day in our Eye Spy With My Industry Eye.

Lorna Jackson

As always the magazine is packed with Clinical Information and Interesting News Articles and Blogs That You May Have Missed. I hope you enjoy it!

Launching New Look Digital Magazine We have recently taken the decision to move away from our original digital magazine software provider Yudu due to a sudden inferior service provision to us by the company which led to some delays in our ability to publish exactly when we wanted earlier this year. This was unfortunate, as being a British company, and with us feeling all patriotic what with the Diamond Jubilee we really hoped we could stay with them, but alas, we have now had to go all American and bring you our magazine using Issuu.

We hope you will enjoy this new platform which has more features that were previously available with Yudu, but as always, we still provide the PDF version for those of you who would like to either print it out or not bother with all the fancy page flipping!

With so many different formats of devices these days, PCs, MACs, iOS based systems like iPad and iPhone and Andriod based tablets and smartphones too, we hope that anyone who is trying to view either the digital magazine or the PDF on a particular platform and who has difficulty will feed this information back to us so we can investigate.

Issuu themselves have an Android based app for their software and are currently working on an iOS version for Apple based systems (having had their first attempt refused by iTunes for unknown reasons!). The Android App can be installed on your smartphone from here.

We hope you will enjoy reading our newsletter magazine in this new look.

Got something to say about it, email me lorna@consultingroom.com

Cosmetic Videos Website Has Unique ‘Members Only’ Area JUST FOR YOU! Our new specialist video website – www.cosmeticvideos.co.uk is aimed at featuring a collection of educational videos with discussions and demonstrations on cosmetic surgery, medical aesthetic and beauty treatments.

Our Member’s Only section contains videos that are more instructive and aimed at purely at medical professionals such as yourself, relating to the detailed explanations of concepts, techniques, procedures, protocols and dealing with problems.

To access this section of the site is quick and easy.

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.

Members Only Featured Video (Must be logged in to view): Botox and Azzalure – How to Convert Between Them

Have You Looked at The Consulting Room™ Really Useful Guide to Aesthetic Industry Suppliers Yet? From compression garments to patient animation software and breast implants to training services, The Consulting Room’s™ Really Useful Guide to Aesthetic Industry Suppliers has all the products and services needed to run a successful clinic.

This unique directory of aesthetic industry suppliers and distributers has been compiled by us and is available to our members only to help practitioners match their supplier needs with the right aesthetic company.

The guide (in PDF format) will be updated regularly to maintain accuracy and can be found in the Member’s Area.

Please Help With Our Consumer Pricing Audit We are instigating a consumer pricing survey via you, our members to see what you charge for a variety of common aesthetic treatments. By collating this data we hope to analyse country and region specific trends, price variations and their cause, as well as letting you see if the prices you are charging are in line with the national average. All results will be published in the Members Area.

This audit will only work, and be statistically significant, if as many as you as possible participate.

We NEED more of you to take part.

To take part in our anonymous survey, visit - www.surveymonkey.com/s/PYPW63P

Some Recent Blogs You May Have Missed Are You Addicted to Carbs?

By Kim Pearson For a long time, we have waged diet wars against fats believing that eating fat will make us fat. However, evidence now shows that it is in fact sugars and refined carbohydrates that cause us to pile on the pounds. Not only do foods such as white bread, sweets and biscuits cause you to gain weight, they have now been shown to be physically addictive. The rise in the availability of these foods has also led to a rise in the numbers seeking bariatric or weight loss surgeries such as gastric banding. www.consultingroom.com/Blog/Display.asp?Blog_ID=297

What are dark under eye circles and how can you treat them?

By Sarah Brechon One of the areas disliked most by visitors to Aurora Clinics is the area under their eyes: dark circles here can appear even more ageing than wrinkles or grey hair. One of the common misconceptions is that under-eye dark circles, bags and puffiness are the same thing. In fact, they vary in looks and are generally caused by different factors. www.consultingroom.com/blog/Display.asp?Blog_ID=296

Information about changes to NHS funding of varicose vein procedures

By Mr. Eddie Chaloner In approximately 2007 the NHS began to restrict access to vein surgery, such as endovenous laser ablation (EVLA) and sclerotherapy in parts of the UK. Recently this restriction has become much tighter and much more widespread. www.consultingroom.com/blog/Display.asp?Blog_ID=294

Phytonutrients and Skin Health

By Kim Pearson It was once thought that fats, proteins, carbohydrates, vitamins, and minerals were all the nutrients essential for growth and health; however we are now increasingly aware of another group of nutrients necessary for optimal health – phytonutrients. Phyto is the Greek word for plant, meaning that the word phytonutrient (also known as phytochemical) literally means a ‘nutrient from a plant’. Research is revealing that these compounds, responsible for giving plants their colour, have numerous health benefits. www.consultingroom.com/blog/Display.asp?Blog_ID=292

Is the USA really `untouchable` in light of the PIP crisis?

By Antonia Mariconda On a recent trip to New York, I explored how the PIP breast implant crisis has affected the “untouchable” American Market, in an interview with top Manhattan based plastic surgeon, Nicholas Vendemia we gain an insight as to how America is handling the situation and what advice it is giving to potential PIP victims. www.consultingroom.com/blog/Display.asp?Blog_ID=291

Podcasts PIP Breast Implants - Part 2 In this podcast Adrian Richards talks to Ron Myers from The Consulting Room. They discuss some of the big issues surrounding PIP breast implants including litigation, rupture rates and the differences between FDA and CE Marked breast implants. www.consultingroom.com/blog/Display.asp?Blog_ID=298

Looking For Best Prices on Toxins & Fillers?

Compare Prices With The Consulting Room™ 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 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. (*Login required.)

Prices ex.VAT Botox 100U Azzalure 2 x 125U (Twin pack) Restylane 1ml

Juvéderm Ultra 2 (2 x0.55ml)

Wigmore Medical

Health XChange

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N/A £100.00 4+ packs @ £91 each £67.00* + Free Fluid Connector N/A

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Nip & Tuck - Facts & Stats

“Smartphone Face”

61% of women with breast implants are having more sex post surgery than before according to a survey.

The latest buzz word to describe sagging and jowling of facial skin caused by staring downwards at devices.

Source: RealSelf.com

Source: The Week

$2.9 Billion The forecast for the value of the global Botulinum Toxin market by 2018.

Source: GlobalData (Research and Markets)

$24.99

£2 million

The cost of the ‘Facelift Bungee’, designed to stretch your face from ear to ear so no need for surgery!

The estimated annual cost to the NHS of treating injuries caused by botched cosmetic laser treatments since deregulation.

Source: Daily Mail

Source: Daily Mail

ADVERT

Latest News Merz Launch Aesthetic Partners Portal including e-Pharmacy Merz Aesthetics have been thinking of ways to help their clients run their businesses with a little more ease and this has led to a leap forward in their pharmacy service provision.

Until now Merz have always asked clients to mail their original prescriptions to them so that they can meet all the regulatory standards necessary to run a pharmacy. They have been listening to their customers and understand their frustrations with regards to postal systems. So now they have launched their new e-pharmacy.

You can join their Partners Portal at www.merzaesthetics.co.uk, where you will find their e-pharmacy, the first of many portal areas where you can access services at any time of day or night that suit you.

Simply register, allow them a few hours to validate your prescriber’s status, (between 9am & 5pm Monday to Friday they will endeavour to complete validation within 4 hours) then load your patient’s details and prescribe at your convenience.

The individual prescriptions you raise remain data secure per patient but your overall purchase of products are combined to provide you with the advantage pricing you are used to receiving when buying the Merz Aesthetics product portfolio for several patients treatment. E-pharmacy operates with credit card settlement at check-out.

Simply visit: www.merzaesthetics.co.uk and follow the on-screen instructions.

TYCT Governance Group Mourns Chair Baroness Ritchie of Brompton, the chair of the Treatments You Can Trust Governance Group, has sadly passed away on 24th April after a private battle with illness.

Baroness Ritchie’s ongoing commitment as a champion for disadvantaged women and in health related advocacy meant she was well placed to lead the group and was a driving force behind the register.

Sally Taber, director of the IHAS and responsible for managing www.TreatmentsYouCanTrust.org.uk said: “Baroness Ritchie will be greatly missed, and as Chair of the Governance Board played an instrumental role in determining the success of www.TreatmentsYouCanTrust.org.uk. She will be remembered for her longstanding commitment to ensuring patients are greeted with the best standard and a champion of improvements to public health, particularly for women.”

PIP e-petition Launched An e-petition to the government was launched at the end of May asking for a public enquiry by the Department of Health into the PIP breast implant fraud. The petition is calling for a public enquiry into the PIP breast implant scandal to establish if official reaction was sufficient. So far 124 people have backed the move.

Those behind the campaign state; “We want full public disclosure of the exact details of MHRA toxicity testing. These devices have been in our bodies for many years, we feel we have a right to know what has been found in relation to substance properties, in particular molecular weight, capacity to migrate across membranes, and chemical content.

We want a full investigation into the set of symptoms commonly-reported by women who have had PIP implants, through gathering patient-reported experiences, and also through the examination of medical records.”

They also call on the government to enforce the law and hold those clinics who sold PIP breast implants to the public to account, claiming that said clinics have a 'legal and moral' obligation to remove and replace the faulty product, or refund consumers and should lose their license to practice if they don’t comply.

For more information on the e-petition, visit: http://epetitions.direct.gov.uk/petitions/34293

DOH Publishes Review into PIP Breast Implants th

Information according to the statement by the Department of Health on 14 May 2012.

A review into PIP breast implants has found that, although the regulator acted appropriately and followed scientific and clinical advice, there is room for improvement and serious lessons must be learned.

Health Minister Lord Howe’s report into PIP breast implants (available in PDF) has looked at whether the UK regulator – the MHRA – and the Department of Health, acted appropriately both before, and after, information about the problems with these implants came to light.

The review calls for improvements for the MHRA, these include that it should:   

identify ways of gathering better evidence on the safety of devices broaden its approach to analysing reported problems with higher risk medical devices find better ways of communicating with the public

The review also calls for operation of the European regulatory system to be improved and for health professionals and providers to be better at reporting problems when they occur.

However, the review finds that the regulator did act reasonably, and that, in taking difficult decisions on how to communicate the problems with PIP implants to the public, it followed clinical and scientific advice.

Health Minister, Lord Howe, said: “This report won’t prevent the distress caused to women who have PIP implants, but it should give them and the public reassurance that we have identified the lessons; that we will take all steps to act on them; and that, should something like this happen again, our systems for dealing with it will be stronger.”

Wider regulation for cosmetic interventions Sir Bruce Keogh, the NHS Medical Director, is currently carrying out a separate review of the wider system of regulation for cosmetic interventions.

His independent expert group will look at whether a breast implant registry could be put in place in this country, to help monitor any problems that occur and perhaps make it easier to trace people affected if there is ever a problem in the future.

The government is also publishing today its response to the House of Commons’ Health Committee. The response notes the Committee’s many helpful suggestions, many of which will be taken forward in Sir Bruce Keogh’s review.

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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: ‘Daily Deal’ site gets caught in hot water advertising a cold therapy!

Claims on wowcher.co.uk, a 'deal a day' website, seen in November 2011, stated "CryoLipo permanent fatreducing treatment ... slim down in time for Christmas and save 80%". Smaller, bulleted points stated "Eliminate areas of unwanted fat", "Non-invasive and totally safe". "Uses cold temperature to gently remove fat". "Permanent results" and "Up to 30% fat loss".

The complainant challenged whether the following claims were misleading and could be substantiated: "permanent fat-reducing treatment" and "Permanent results"; "Up to 30% fat loss"; and "Non-invasive and totally safe".

Associated Newspapers (Wowcher) said that the advert was approved by Aesthetics of London who provided the treatment in line with how they marketed the treatment on their own website. Wowcher provided the ASA with a study on the effects of non-invasive Cryolipolysis.

All three complaints were upheld by the ASA. They noted the study provided by Wowcher only highlighted reductions in the fat layer of the test subjects up to six months after treatment and they considered that there was no evidence in the study which indicated that Cryolipolysis was a "permanent fat-reducing treatment" or that it could offer "Permanent results". The ASA understood the treatment would not prevent new fat cells from forming in the same area and therefore concluded that the claims were misleading.

The ASA noted the study provided by Wowcher showed the effects of the treatment on ten subjects but also noted that four of these did not complete the six-month follow-up evaluation. Because of the low number of test subjects, they did not consider that the study was robust enough to support the claim "Up to 30% fat loss".

Based on the description of the treatment, the ASA understood that cryolipolysis was a superficial treatment which did not puncture or break the skin and considered that it was therefore reasonable to describe it as non-invasive.

However, they noted that the CAP Code required advertisers to hold proof before claiming that a product or therapy was absolutely safe and considered that Wowcher therefore needed to demonstrate with robust scientific evidence that cryolipolysis would be safe for all users. Because they had not seen evidence that cryolipolysis was "totally safe" they therefore concluded that the claim was misleading.

Full Adjudication Laser hair removal – not just a one off session!

An advert, in "RH10 Uncovered", a regional magazine, for hair removal treatments, featured text which stated "The Crawley Clinic Need to get rid of unwanted hair growth then try the real laser hair removal NOT IPL". The advert also included a list of reduced prices. Further text stated "No more waxing / no more pain Get rid of unwanted hair ... Only clinic in Sussex with 2 lasers for permanent hair removal".

The complainant challenged whether the advert was misleading, because it did not make clear that the prices shown were for an individual session and that more than one session may be required.

Crawley Clinic did not provide a written response to the complaint. The ASA was concerned by Crawley Clinic's lack of response and apparent disregard for the Code. They reminded them of their responsibility to respond promptly to ASA enquiries and told them to do so in future.

The complaint was upheld, as the ASA noted that the advert did not make clear that the prices related to an individual session and that more than one session may be required. They also noted the advert included the claims “need to get rid of unwanted hair growth”, “no more waxing / no more pain” and “get rid of unwanted hair”. In that context, they considered consumers would interpret the advertised prices to reflect the total cost they would incur to remove hair from the specified area. Since they understood that that was not the case, they concluded that the advert was likely to mislead. The advert must not appear again in its current form.

Full Adjudication

Clinique gets away with using consumer’s subjective claims for their product A TV advert, for Repairwear Laser Focus wrinkle serum, seen in September 2011, featured a young woman looking at the camera as a beam of light swept across her face giving the impression of a before and after shot.

The voice-over stated "Women agree, skin is smoother and looks younger. Even around the eye. Three drops, twice a day, to help forgive the past and support the future. A second chance for every skin ..." On-screen text stated "79% of 221 women".

A viewer challenged whether the use of a young looking model in the advert gave a misleading impression of the efficacy of the product, because her skin was likely to be in good condition; and whether the claim "Women agree, skin is smoother and looks younger" based on "79% of 221 women" was misleading and could be substantiated.

Neither compliant was upheld. The ASA noted the advert claimed that the product could help make skin smoother and appear younger looking and, in the context of impressionistic subjective claims of that type, they considered that the use of a young looking model was acceptable and likely to be regarded as an aspirational image. They noted the beam of light that crossed the model's face but also noted that there was no difference in the appearance of her skin before or after and considered that viewers were likely to understand the image to imply that using the product could help the model's skin remain smooth and young looking in appearance. They therefore concluded that the use of a young looking model would not mislead viewers about the efficacy of the product.

The ASA noted the Consumer Perception study data had shown that the participants had rated the product positively for perceived improvement in skin smoothness, younger looking skin and younger looking skin around the eyes. They considered that, in the context of a general claim that referred to the appearance and feel of the skin, a consumer perception test was relevant substantiation. They noted the on-screen text made clear the number of women surveyed and the percentage of those participants who had responded positively. The ASA considered that the survey results supported the claims in the advert and, because it was clear that the claims related to subjective perception of the skin's smoothness and appearance, they concluded that the advert was not misleading on this point.

Full Adjudication

CAP Reviews Production Techniques in Cosmetics Advertising 12 Months on In April 2011, CAP and BCAP launched a Help Note on the use of production techniques in cosmetics advertising.

Consumers have come to expect an element of ‘glamour’ in cosmetics advertising, and the use of styling, make-up, lash inserts, hair extensions is acceptable provided these techniques do not mislead. However, an uplift in complaints to the ASA about visuals used in cosmetics advertising, and particularly marketing for mascara, led it to consider that some marketing might be going too far. So where should the line be drawn?

Marketers using pre- or post-production techniques must be able to demonstrate that these do not go beyond what a consumer would expect to achieve using the product. The ASA position in 2007, arising from an adjudication on an ad featuring Penelope Cruz, allowed mascara ads featuring models wearing false eye lashes to disclaim that fact in the small print.

However, an increase in complaints to the ASA about mascara ads led to concerns that this policy was being interpreted by advertisers as permission to show unduly exaggerated and misleading images of a mascara’s lengthening, volumising and defining capabilities.

The CAP/BCAP guidance, produced in consultation with the industry, is not intended to restrict creativity in cosmetics advertising, but lays down some basic principles for ensuring that pre- and post-production techniques commonly used within the cosmetics industry do not mislead consumers.

How has that guidance impacted on complaint levels and ASA adjudications over the past 12 months?

Complaints about a TV ad for mascara seen in October 2011 were ‘not upheld’ by the ASA because evidence showing consumer use of the product on natural lashes led it to consider that, although some post production had been used, the length and volume of lashes shown in the ad did not exaggerate what a consumer could expect to achieve. Similarly, the ASA did not uphold a complaint about a magazine ad for mascara because the advertiser provided it with details of the post-production techniques used and demonstrated that the effect shown in the image was in line with tests on actual consumers. These are good examples of advertising that complies with the Code.

However, it is not only in mascara ads that use of production techniques can mislead by exaggerating the achievable effect of the product. Cosmetic products that smooth and even out skin tone, or reduce the appearance of fine lines and wrinkles are ever-popular with consumers. But the re-touching of photographic images in relation to such products requires particular attention to avoid misleading consumers, and the ASA is likely to ask for evidence of exactly how an image has been altered if it receives a complaint.

An ASA adjudication published in 2011 upheld a complaint about the digital manipulation of an image in a magazine ad for foundation, because it believed the enhancement of the final image exaggerated the effect the product could achieve for consumers; whereas a further complaint about a foundation was upheld because the advertiser did not send sufficient evidence for the ASA to determine whether the ad accurately illustrated the effect that could be achieved.

Treatments that are fantastical, particularly in broadcast media, may be acceptable provided that consumers understand the context of any marketing claims. A TV ad for a moisturiser which used digital effects to transform an ‘older’ woman into a ‘younger’ version was deemed acceptable because the visuals were clearly fantastic in nature, on-screen text confirmed this, and the voiceover clearly clarified “No moisturiser can make you grow young”. The ASA considered that consumers would not interpret the visuals literally to mean the advertised products would make them younger.

However, a magazine ad for an anti-wrinkle cream that used an image which had been altered to make the model’s complexion look smoother and more even, in conjunction with claims “skin looks smoother” and “complexion looks more even” was judged by the ASA to have used post-production techniques in a way that was likely to misrepresent what was achievable and thereby mislead.

Overall, the 12 months since the publication of the CAP/BCAP Help Note has seen a welcome reduction in complaints about the misleading use of production techniques in cosmetics advertising.

The advice set out in the Help Note, reinforced by the ASA adjudications referenced above, can be outlined in a few simple dos and don’ts: Don’t:   

Re-touch visuals related to any characteristics directly relevant to the apparent performance of the product Use false or artificial enhancements (e.g. lash inserts, artificial nails) for ads promoting the effects of the product on lashes and nails unless it can be shown the effect illustrated is achievable by the consumer without those enhancements.

Remove skin blemishes or reduce wrinkles in ads making claims for the effects of the products on those areas.

Do:   

Ensure that pre- and post-production techniques do not alter the effect beyond what is achievable by the consumer Hold evidence (e.g. in the form of ‘before and after’ photographs) to demonstrate how production techniques have been used.

Ensure that any superimposed text clarifies rather than contradicts a primary claim or visual effect.

Content sourced from the CAP Code website.

New Product Reviews PRIORI® Skincare “Boosts” Formula of its CELLULAR RECOVERY SERUM with DNA Enzyme Complex™ We are all familiar with the need to protect our skin with key antioxidants to reduce the effects of environmental damage but imagine if you could also repair damage after it has happened to give a second level of protection.

DNA gives our cell essential instructions on how to function and is present in our nucleus and mitochondria; it is a very vulnerable structure, so the ability to repair it effectively reduces premature ageing and skin imperfections dramatically.

PRIORI®’s Cellular Recovery Serum mimics the skin’s own repair enzymes to normalise and repair the cell. It is the only product to contain patented DNA Enzyme Complex™ which utilises three powerful enzymes from natural sources such as Blue Green Algae and Mustard Seed combined with protective antioxidants for visible, clinically proven results.

The impressive performance of new PRIORI® Cellular Recovery Serum is enhanced with double the amount of DNA repair enzymes to boost results and technologically advanced Oxyzomes - a new ingredient that provides Vitamins E and C in a stable liposome delivery system to increase collagen and help to even out skin tone.

The formula also provides added soothing properties, due to higher levels of Evodiox (Evodia Fruit Extract), a powerful anti-inflammatory and calming agent for the skin.

Unique benefits:    

This ‘super serum’ can be used with any of your favourite skincare products to further boost their results DNA Enzyme Complex™ repairs DNA damage both in the nucleus and the mitochondria to improve skin healing and reduce wrinkles and imperfections Suitable for skin sensitivity and damage caused by environmental stress and lifestyle All natural product, oil, fragrance, colorant, paraben free, non-comedogenic and dermatologically tested

Cellular Recovery Serum leaves the skin with a wonderful matte finish, making it ideal for use as a primer while boosting the anti-ageing performance and effectiveness of any skincare regimen for faster, more visible results.

For more information, please visit www.cosmeceuticals.co.uk or telephone 0845 555 2121.

Medik8® Introduce Hydr8™ Day XD Medik8 has introduced its new anti-ageing moisturiser especially designed for extra dry skin. The Hydr8™ Day XD is the first ever extra dry day moisturiser that incorporates Medik8® Triple-Filtered Epidermal Growth Factor™ to help keep even the driest of skins youthful and hydrated.

The Hydr8™ Day XD is a rich and creamy formula with visible anti-ageing results that has been especially formulated to address the concerns of dry skin. Keeping skin youthful has never been so easy with this everyday moisturiser containing five key ingredients designed to boost vitality and skin regeneration.

ACTIVE INGREDIENTS:      

Epidermal Growth Factor (Triple-Filtered EGF) is clinically proven to activate the skin's natural regeneration mechanism and stimulate skin cell renewal.

Vitamin C works synergistically with EGF to boost collagen production.

Ectoin is a natural active ingredient derived from a form of bacteria with strong moisturizing abilities. Ectoin have the ability to live in the harshest environments and offer strong DNA and cell membrane protection.

Superoxide Dismutase is an antioxidant derived from an enzyme for superior free radical scavenging.

Moisture Magnets™ are Medik8’s trademarked blend of humectants that significantly increases the level of hydration in the skin.

Cocoa Butter deeply nourishes the skin and provides long lasting hydrations.

Hydr8™ Day XD is the perfect moisturiser for those who wish to combine intense hydration with the latest antiageing technology. Simply apply to the face, neck and décolleté every morning.

RRP: £59.00

NEW SkinMedica® Daily Physical Defense™ SPF 30+ New to the renowned SkinMedica® Solar Care line, this ultra-sheer sunscreen provides broad spectrum defense against UVA/UVB rays to aid in fending off sun damage and signs of ageing, keeping skin protected and looking youthful.

Suitable for all skin types, this is the perfect solution for those looking for top-notch protection but is still gentle on the skin. It is even light enough to be applied under make-up. Hypoallergenic and non-comedogenic this sunscreen is oil free, paraben-free and is made from a 100% dual-mineral formulation for the ultimate natural protection.

KEY INGREDIENTS:  

 

7.3% Titanium Dioxide – A patented dispersion of natural mineral titanium dioxide provides excellent UVA and UVB protection whilst leaving the skin silky smooth and soft.

3.4% Zinc Oxide – A patented dispersion of natural mineral zinc oxide, the latest innovation in micronized technology. It provides maximum UVA and UVB protection in a single ingredient and unlike normal zinc; it is transparent, virtually invisible on the skin and won’t stain clothing.

Green Tea Leaf Extract – Provides excellent antioxidant properties that help protect skin from free radical damage initiated by environmental factors Caffeine - Helps protect the skin from damaging effects of UV exposure and environmental factors

Simply liberally apply to face and neck before sun exposure, remember to reapply as needed.

RRP: £33.50 For more information on Medik8 and SkinMedica ranges, contact the UK distributor Skin Brands Ltd, visit www.skinbrands.co.uk

Business Corner LinkedIn Suffers From Password Hack – Are You Secure?

Online business social media site LinkedIn.com has confirmed that it was the victim of a hack at the start of June 2012 in which some of its user passwords were stolen in a security breach.

A Russian hacker said that he stole 6,458,020 encrypted passwords from the site, which he then posted online to a hacker forum (without the associated usernames) to prove his claim.

For the technical amongst you, the passwords were encrypted with the SHA-1 crytographic hash function used in SSL and TLS and considered to be relatively secure by those in the business, although not foolproof, which led to an attacker being able to crack the passwords using very cheap resources in a relatively short amount of time, which appears to be what happened.

LinkedIn have confirmed that some user accounts have been compromised and have apologised to its members.

Although the hacker only published the passwords online, most security experts believe that it’s likely that whoever they are they are in possession of the associated user names (email addresses) as well.

With many people using the same email addresses, user names and passwords for all sorts of internet based accounts: email, Facebook, Twitter, online banking as well as LinkedIn for example, experts are recommending that people change the password that they use, not only for their LinkedIn account but any other websites where this password may be used, particularly in association with the same user name as stored at LinkedIn. Despite the inconveniences to ones memory, it is good practice to not always use the same passwords for all Internet based accounts, in case of such security breaches. Various software tools such as 1Password and LastPass are available on the market to help with password management for creating and tracking secure passwords for multiple accounts.

In their blog on 6th June, LinkedIn wrote; “We can confirm that some of the passwords that were compromised correspond to LinkedIn accounts. We are continuing to investigate this situation and here is what we are pursuing as far as next steps for the compromised accounts: 1. Members that have accounts associated with the compromised passwords will notice that their LinkedIn account password is no longer valid.

2. These members will also receive an email from LinkedIn with instructions on how to reset their passwords.

There will not be any links in this email. Once you follow this step and request password assistance, then you will receive an email from LinkedIn with a password reset link.

3. These affected members will receive a second email from our Customer Support team providing a bit more context on this situation and why they are being asked to change their passwords.

We sincerely apologize for the inconvenience this has caused our members. We take the security of our members very seriously.”

‘Reaching Out’ With Facebook, 5 Top Tips For Your Page Here are five ways to help you expand the reach or your brand, company using your page on Facebook.

1. Know your audience Study those who like your page to know what content they want, when they want it and the form in which they want it. Have a look at the Insights statistics for your page (available within the Admin panel) to see the demographics of your fans and the content that they are viewing most. Catering specifically to your audience will result in more engagement and increase your chance of appearing in a fan’s news feed.

2. Be brief, topical and get them engaging To be effective it's important that posts on your page are succinct. Studies have shown that people simply don't like to read, so lengthy posts are likely to discourage them and will go unread. Snippets of information are easily digested and more likely to provoke interaction. Mentioning current events, topical news or even holiday periods, if relevant, will all help fans to engage, and don't forget your calls to action. Don't be afraid to shout these out by telling your fans to “like”, comment or share your post, you'll be surprised how many people 'do as they're told'! This is what you want as all this interaction will be divulged to their friends (potential new likes) via their news feed.

3. Have good content Content is king and quality content even more so. Don't just stick with words either, quality content includes multimedia content such as images and video, all of which are often easier for readers to digest than words alone. Don't be afraid to ask your fans questions, it's a great way to encourage engagement and keep your page dynamic, as well as a mechanism to learn more about what they want from you.

5. Turn your fans’ friends into fans Friends of your fans are extremely important to you, they are likely to live in the same location and have similar interests to the person who already likes your page so they are more likely to visit your Facebook page and become fans themselves. Organically, these Facebook fans can easily be reached through the Facebook ticker which you see in the top right of your news feed screen showing all the recent activity of your friends. If you can keep your fans interacting with your page then their friends will see them liking or commenting on posts in this ticker and could get curious themselves and hopefully go along and like your page too.

Is Your Site Giving Twitter The Bird?

Twitter, the 140 character micro-blogging site has somewhat revolutionised our ability to get up close and personal with friends, family, celebrities, strangers and business customers. The little tweeting bird image has become as recognisable at the McDonald M, but has it?

Although Twitter have their own ‘bird’ logo, it seems that many graphic artists have created all manner of bird related icons, logos that people have now included on their websites and marketing materials to demonstrate their involvement with this social media platform, along with various ‘t’ and ‘follow us on twitter’ logos.

Now Twitter has taken a stance against this home grown artwork and declared that not only have their now changed their logo and launched a new one but that they have issued guidance on the use of their logo and associated web buttons to try and stop the use of non-official artwork.

So if you have a twitter link on your site or you mention it in brochures, adverts or pamphlets, now is the time to double check your compliance. As far as we know Twitter isn’t actively ‘going after’ people but we would always recommend compliance with service providers and their content when it comes to your Internet marketing strategy in particular.

For more information on the do’s and don’ts of Twitter logo use, please visit: https://twitter.com/about/logos

Moving Business Premises Businesses that take the decision to relocate do so for a number of reasons. Increased growth could lead to a requirement for a larger premises, or new branch, but likewise, downsizing might be needed in order to maintain the business as a going concern. New markets might open up or the opportunity to purchase a competitor might simply be too good to resist.

All of these reasons can lead to all or part of the business relocating and moving into new premises.

Yet organisations often find themselves unnecessarily incurring costs for fixing health & safety issues after they have moved into new premises. Many issues can be avoided with better planning and by asking the right questions.

Prior to purchasing premises or signing building leases, you should ensure that a competent solicitor and building surveyor are contracted to provide advice about the process of taking on the premises and the potential issues with the premises.

These could include:    

Building and equipment integrity Legal restrictions Suitability of the premises for your staff, clients, equipment, fittings, treatments, etc Presence of hazardous materials (e.g. asbestos).

There are a number of things you should consider prior to purchasing, and also numerous pieces of information you should ask for too.

These include: Asking vendors, solicitors, landlords for:     

A copy of the health & safety file, if compiled under the requirements of the Construction, Design and Management (CDM) Regulations Site asbestos register and findings of any asbestos survey reports Maintenance, inspection and test records for equipment provided by the vendor/landlord. This could be the fire alarm system, electrical mains installations, local exhaust ventilation (LEV) equipment, lifts, gas boilers, etc The Legionella management plan, where relevant Any structural or environmental surveys.

In addition, you should consider the proposed use of premises in respect of:    

Welfare arrangements, such as toilets, ventilation, work space, equipment/furniture layout, glazing, temperature, etc.; are they suitable for the proposed activities and number/type of staff/clients?

Chemicals, equipment; how and where they will be stored, located, handled and used Building work, repair and maintenance Access and egress, traffic management, pedestrian movement in and outside the premises.

Once information relating to the building has been obtained, the organisation’s contractual duties defined and the lease/purchase contracts signed, the following health & safety tasks should be implemented to help prepare for the move.

Prior to moving into new premises, prepare:  

A fire risk assessment and start to develop a fire management and emergency plan A business continuity risk assessment.

Consider:         

The requirements of the CDM Regulations which will need to be followed if building work, repair or maintenance is planned Emergency and first aid arrangements for when the site is occupied What safety signs are needed The building layout, along with controls for reducing potential noisy areas and equipment Storage and waste disposal arrangements Racking and shelving requirements, including procedures to minimise manual handling tasks Developing an asbestos management plan, where relevant Purchasing safer equipment Preparing a list of approved suppliers.

Actions for when staff have moved in: You should already have your existing health & safety management system in place for your existing/old premises and this will need reviewing for the new business location.

Normally only slight modifications will be needed and it is usually preferable to do much of this prior to the move but often it is not possible until staff and equipment are installed in the building.

The actions listed below should be reviewed, amended or created, where relevant, to reflect the activities and nature of the new premises:       

Risk assessments and safe systems of work, e.g. hazardous equipment, manual handling, COSHH, etc.

Ensure old versions of assessments are archived Display screen equipment workstation assessments in laser equipment etc.

Equipment register to cover any new equipment or plant, such as ladders, electrical equipment, laser equipment etc.

Ventilation in areas where laser equipment or chemicals are used A maintenance schedule for any equipment Procedures for controlling contractors and visitors on site Procedures for undertaking staff induction at the new premises.

Organisations will also need to display an up to date health and safety law poster ‘What you need to know’, a valid Employers Liability Insurance Certificate and monitor health & safety practices regularly.

Additional Support from Citation plc Citation clients have the support of its Helpline that can be contacted 24 hours a day, 7 days a week, every day of the year to give advice on handling cases around Health & Safety as well as Employment Law. Citation plc is one of the UK’s largest Health & Safety and Employment Law firms, with over 6,500 UK businesses as clients. For further details call 0845 844 1111 or visit www.citation.co.uk/affinity/abs.

Legislation BMA to Offer Support Services for Doctors Facing Fitness to Practice Cases From the end of May 2012, Doctors facing GMC fitness to practise cases can use a confidential support service.

The GMC has commissioned the BMA to provide the Doctor Support Service, which will be run as a one-year pilot.

It will offer emotional help from fellow doctors and will function independently of the GMC. The service consists of initial phone contact from a doctor supporter who can accompany the caller for up to two days at a hearing.

BMA Doctors for Doctors unit head Michael Peters said: ‘This exciting service will support colleagues through a very stressful time, which not only affects their professional lives but also has an impact on their personal lives.’

GMC deputy chief executive Paul Philip said: ‘We, of course, have a duty to protect the public but at the same time we understand that it can be a very stressful experience for doctors having their fitness to practise investigated.’

To contact the service, call 0207 383 6707 or email doctorsupportservice@bma.org.uk.

Badging Staff Meets Care Quality Commission Outcome Since 2010 healthcare practices regulated by the Care Quality Commission (CQC) must meet service delivery criteria including the clear identification of individual staff members.

The guidance publication entitled Essential standards of quality and safety specifies that, for providers to achieve the required standard of care and welfare of people who use their healthcare services, their users “can be confident that, wherever possible, they will know the names and job titles of the people who provide their care, treatment and support” (part of Outcome 4C).

Compliance with this standard is simple according to Badgemaster, the UK’s leading supplier of name badges.

“Providing name badges to customer-facing staff is a proven and very cost-effective solution to the Care Quality Commission regulations” confirms John Bancroft, Managing Director of Badgemaster.

Nottinghamshire-based for 20 years, Badgemaster designs and manufactures ready-to-wear employee name badges for thousands of hospitals, surgeries and care homes and well understands the needs of healthcare professionals. Badgemaster’s experience suggests that its own high product and service quality is greatly valued where time and budget come under pressure.

“Badgemaster has built excellent customer loyalty by providing a wide choice of name badge styles with clothesfriendly and patient-safe fasteners and high quality logo reproduction, together with a very fast and easy ordering and delivery process, all at the most competitive prices with no minimum order” states John Bancroft. “It’s also notable that many of the customers who compliment our staff for being so friendly and helpful are in the healthcare sector” he adds.

For more information, call Badgemaster’s Customer Services team on 01623 723112 or visit their website at www.badgemaster.co.uk.

Eye Spy With My Industry Eye SMART IDEAS Seminar 2012 th

We held another successful free Smart Ideas event on Friday 18 May at The Belfry in the West Midlands.

Delegates were able to take advantage of presentations and demonstrations which included new product launches from Syneron Candela, the eLase™, the fastest pain free diode laser for hair removal and the eTwo™ for sublative facial rejuvenation, as well as talks on Elure™, the advanced topical skin lightening technology. Additionally Merz discussed the full facial approach with their portfolio of dermal fillers and botulinum toxins. An exhibition was also available including representatives from Syneron Candela, Merz, Wigmore Medical & FACE Media Ltd, Lustre Pure Light and Rosmetics. As well as this free business reviews by Consulting Room Directors, Ron Myers and Martyn Roe and website reviews by Editor, Lorna Jackson and Website Designer, Dan Huxley were available.

The events during 2012 were such a success that we are planning more in the future. We will keep you updated with details in forthcoming magazines. You can also keep up to date by visiting www.smartseminar.co.uk

Syneron Candela Win Consulting Room™ Golf Challenge Trophy Golfers representing industry suppliers and clinics walked in the footsteps of legends as they competed for trophies on the famous Brabazon Golf Course at The Belfry, which has played host to more Ryder Cup matches than any other venue in the world.

The Consulting Room's 2nd Annual Golf Tournament, following the Smart Ideas Seminar day, provided the forum for friendly competition on a challenging course followed by an evening of awards and entertainment.

This year's overall star was Paul Simmonds from Syneron Candela who collected the best individual male trophy, closest to the pin in two, best supplier team and overall Consulting Room Challenge Cup winner with partner Martyn Roe, Director of The Consulting Room. Bothers - Dr Hugo and Mr James Kitchen from Stratford Dermatherapy Clinic were in close contention and clinched the Best Clinic Team trophy, sponsored by Cosmetic News.

To see all the photos from the event, please visit our Facebook page. If you're interested in joining next year's event, please email danny@consultingroom.com.

Consulting Room Golf Challenge Tournament Results Best Clinic Team (sponsored by Cosmetic News): Mr James Kitchen and Dr Hugo Kitchen - Stratford Dermatherapy Best Supplier Team (sponsored by NOIR): Paul Simmonds and Martyn Roe Best Female (sponsored by FACE Ltd): Pauline Barker Best Male (sponsored by Epionce): Paul Simmonds - Syneron Candela Best Hacker (sponsored by Ambicare): Simon Haroutunian & Raffi Eghiayan - FACE Ltd Longest Drive (sponsored by Rosmetics): Dan Huxley - The Consulting Room Closest to the Pin (sponsored by Rosmetics): Dr Simon Knowles – Aesthetic Solutions Closest to the Pin in Two (sponsored by Syneron Candela): Paul Simmonds - Syneron Candela Mystery Prize - Best score on randomly selected holes (sponsored by Boston Medical): Dr Simon Knowles Consulting Room Challenge Cup Winner: Paul Simmonds and Martyn Roe

Feature Article Clinical Researcher Details the Discovery of Neurotoxin for Aesthetic Uses

By Andy Pickett, Ph.D., B.Sc., Founder and Director of Toxin Science Limited For many, history is a nuisance that gets in the way of life today. To others, it is a rich source of knowledge and information, the foundation of who and where we are. Many fascinating and key facts from the past can positively contribute to our current lives, but agreeing on history – the facts, events and reality – can be fiercely argued, sometimes to extremes.

The discovery of botulinum toxin (BoNT) and how nature makes such a potent protein is well documented and universally agreed upon. Frank Erbguth, M.D., a professor in Nuremberg, Germany has often published on these aspects1. However, the history of BoNT use for the benefit of man is another chapter that tells us a real story of discovery and ingenuity by two enterprising professionals.

Alan Scott, M.D., an ophthalmologist from the Smith-Kettlewell Institute of Visual Sciences in San Francisco, Calif., was extremely interested in 2 strabismus and was trying to find a way to improve treatment without using surgical techniques applied to the ocular muscles. Edward Schantz, a biochemist, worked on BoNT since the 1940s; originally for the U.S. Army Department of Defense laboratory at Fort Detrick (Frederick, Md.), and then at the University of Wisconsin (Madison, Wis.) in 1972. Dr. Schantz was fascinated by biological toxins and especially BoNT, to the point of considering medical uses, but he never advanced those aspects. Together, Dr. Scott and Dr. Schantz recognized how a protein with such high specific potency could be adapted to treat actual human conditions.

Botulinum Toxin Timeline 1895

1928

In 1973, when Dr. Scott published his work, Maumenee was ophthalmologist-in-chief at Johns Hopkins Hospital and held The William Holland Wilmer Chair in Ophthalmology at The Johns Hopkins University School of Medicine. His knowledge of, and ideas about BoNT, however, will be reported at a later date, when historians have unearthed the mystery!

1 Tessmer Snipe and P. Hermann Sommer isolated the Clostridum botulinum toxin for the first time.

1949

Arnold Burgen’s group discovered that botulinum toxin blocks neuromuscular transmission through decreased acetylcholine release.

1973

Earliest existing data on using botulinum toxin for a medical investigation published by A.B. Scott, A. Rosenbaum and C.C. Collins. This study looked at using either botulinum toxin, alcohol, α- bungarotoxin (a snake neurotoxin) or a chemical di-isopropylflurophosphate as a means of affecting the ocular muscles in rhesus monkeys.

1981

A.B. Scott filed a trademark for the neurotoxin Oculinum® (number 1212107). A few days later Scott announced this new name.

1985

By 1985 a significant number of patients were being treated for strabismus, spasmodic torticollis (cervical dystonia), and a range of other muscular conditions.

The earliest existing work on using BoNT for a medical investigation was published by Scott, Rosenbaum and Collins in 1973. They looked at using either BoNT, alcohol, α-bungarotoxin (a snake neurotoxin), or a chemical di-isopropyl-flurophosphate as a means of affecting the ocular muscles in rhesus monkeys3. Although most of the publication is devoted to discussions on the use of BoNT, notably, a sentence at the end acknowledges A. E. Maumenee for the suggestion of actually using BoNT, which leads us to wonder; “who was Maumenee and what does that acknowledgment mean”?

Alfred Edward Maumenee Jr., M.D., was one of the great early American ophthalmologists. In a career spanning over 50 years, he had nearly 350 publications to his name in all areas of ophthalmology4. Maumenee’s life and times are described in detail in a fascinating interview published in 19945.

The bacterium Bacillus botulinum (later renamed Clostridum botulinum) was identified by Professor Emile Pierre van Ermengem.

The early years of Dr. Scott and Dr. Schantz’s work have been mostly described by Dr. Schantz and his successor Eric A. Johnson, M.S., Sc.D., who is currently a professor of bacteriology at the University of Wisconsin, and one of the world’s leading researchers into many aspects of BoNT. Professor Johnson joined Dr. Schantz at the University of Wisconsin in 1985 and has since served as guardian of the history of the university’s involvement, through Schantz, in the BoNT story6.

1989

Also in this year, the journal Plastic and Reconstructive Surgery published the first verifiable report addressing the use of botulinum toxin for aesthetic treatment. Written by Richard Clark, M.D., and Craig Berris, M.D., from Mercy General Hospital in Sacramento, Calif., this short report defined the published baseline for aesthetic uses of botulinum toxin.

According to Dr. Schantz’s account, his collaboration with Dr. Scott began around 1968, when he was still at Fort Detrick7. Dr. Scott’s descriptions of the historical events are shorter but no less informative than those from Dr. Schantz8,9. In particular, the ever-increasing use of BoNT in these earliest years, from treating ophthalmic conditions to 8,9 larger muscle problems, is an exceptional story .

Word of this promising new approach to treatment of ophthalmic conditions soon spread around the world. In particular, clinicians from the U.K. visited and trained with Dr. Scott to learn his techniques with this new product. One of the first was John Lee, D.M., M.R.C.P., F.R.C.S., F.R.C.O.phth, from Moorfields Eye Hospital in London. Dr. Lee visited Dr. Scott in 1981 and returned from the trip with a few vials of the product in his pocket10. It was from these initial ophthalmic treatments that the first indications of effects on facial muscles in general were identified.

1991

In those early days, many ophthalmic clinicians reported anecdotes of patients who returned for examinations after initial treatment with BoNT and declared that their face never looked better with less wrinkles, or even that their migraines had disappeared! Dr. Lee even wryly joked that had he realized the future cosmetic potential of BoNT, he would have been a wealthy man. Regrettably, none of these early observations were committed to case reports.

Interestingly, also in 1981, Dr. Scott and Dr. Schantz named their product Oculinum®, since “the original name of the toxin, which is of course the most lethal substance known, is indeed scary to the 11 patient .” Dr. Scott filed the trademark Oculinum (number 1212107) just a few days prior to announcing the new name at a conference.

So the questions still remain: What was the earliest published report on the aesthetic use of a BoNT, and who actually discovered this use?

Many physicians, including neurologists, would say this was not a discovery per se, since they always re-balanced the facial muscles after a BoNT treatment in order to obtain an acceptable aesthetic appearance for the patient. This was particularly the case in larger facial treatments requiring BoNT, such as hemifacial spasm. Apparently, treating unaffected areas of the face to obtain the correct appearance for the patient was always on their minds.

Allergan acquires Oculinum® and subsequently changes its name to BOTOX Dysport originates in the U.K. to treat neurological conditions.

Also in this year, Jean and Alistair Carruthers present their first data on aesthetic use of botulinum toxin at the American Society for Dermatologic Surgery annual meeting in Orlando, Fla.

1992

The Carruthers’ study of 18 patients treated for glabellar lines titled: Treatment of glabellar frown lines with C. botulinum-A exotoxin was published in the Journal of Dermatologic Surgery and Oncology.

1994

A more extensive series of treatments (corrugator, procerus, and other conditions) with neurotoxin was documented by Guyuron and Huddleston of Mount Sinai Medical Center in Cleveland, Ohio.

1995

Benjamin Ascher’s first published work explored botulinum toxin for the treatment of glabellar lines and crow’s feet in 19 patients that were followed every month for 12 to 24 months.

By 1985, four years before the product was licensed by the Food and Drug Administration (FDA), significant numbers of patients were being treated for strabismus12, spasmodic torticollis (also called cervical dystonia)13 and a range of other muscular conditions9.

Allergan acquired the Oculinum trademark in July 1991 and subsequently changed its name (after the product was first licensed in the U.S. in 1989 for the treatment of strabismus). Dr. Scott reported that prior to this he had presented the product to Allergan and many other organizations and was turned down.

Oculinum receives licensing from the U.S. Food and Drug Administration for the treatment of strabismus.

In August 1989, the journal Plastic and Reconstructive Surgery published the first verifiable report14 that addressed the use of BoNT for aesthetic treatment. Written by Richard Clark, M.D., and Craig Berris, M.D., from Mercy General Hospital in Sacramento, Calif., this short report described treatment of the frontalis on one side to re-balance a unilateral facial nerve paralysis. This defines the published baseline for aesthetic uses of BoNT. There is no doubt that Drs Clark and Berris were working in the field of aesthetics. Their patient is clearly identified as having a two face lifts previously as well as surgical correction for crow’s feet. Both are still practicing aesthetic surgeons today in Sacramento!

At that time, Jean Carruthers, M.D., was working as an ophthalmologist 15 at the University of British Columbia in Vancouver . Dr. J. Carruthers and her husband Alistair Carruthers, M.D. report that they first encountered BoNT in 198815 using it for the treatment of strabismus in 16 adults , not for aesthetic treatment. Their first data on aesthetic use of BoNT seems to have been presented at the American Society for 17 Dermatologic Surgery annual meeting in Orlando, Fla., in 1991 . Their data on 18 patients treated for glabellar lines was published a year later18.

In 1994, a more extensive series of treatments (corrugator, procerus, and other conditions) was documented by Guyuron and Huddleston of Mount Sinai Medical Center in Cleveland, Ohio.

In February 1995, Benjamin Ascher, M.D., a plastic surgeon in Paris, France, published the findings from his study which explored BoNT for the treatment of glabellar lines and crow’s feet in 19 subjects. Patients were followed every month for 12 to 24 months. At the time, this was considered a long study19. Dr. Ascher reported an increase in effectiveness with repeated injections.

2002

BOTOX® Cosmetic receives FDA approval in the U.S. for dosing specifically to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age.

2003

Vistabel begins receiving international approval for aesthetic use outside of the U.S.

2009

Azzalure begins receiving international approval for aesthetic use.

Dysport receives FDA approval for temporary improvement in the appearance of moderate to severe glabellar lines, or frown lines between the eyebrows, in adult patients.

2010

Bocouture / Xeomin begins receiving international approval for aesthetic use.

Xeomin receives FDA approval for temporary improvement in the appearance of moderate to severe glabellar lines, or frown lines between the eyebrows, in adult patients.

According to published literature and available information, the aforementioned chronology is accurate, which begs the question; Did the early publicized work of the Carruthers capture the imagination of many plastic surgeons and encourage their use of BoNT, or was this work already ongoing in various places and in various guises? The general indications suggest that many clinicians were realizing the potential of BoNT for aesthetic uses at that time and were already engaged.

2011

What, if anything, can we learn from this history? First and foremost, there is no evidence that any one person “invented” the use of BoNT for aesthetic purposes. Based on the information available, published and unpublished, the aesthetic effects of neurotoxin were acknowledged early on, but its full potential was not realized for many years. The earliest published report predates anything claimed today. Therefore, stories claiming that investigators 20 have not “benefitted” from the invention are baseless .

It is also clear that the therapeutic uses of BoNT fuelled the aesthetic uses, which is common in medicine. Science as a whole is full of chance discoveries, fateful events and surprising results.

Also, we can observe distinct grey areas between these two worlds of BoNT use, in which doses are similar (strabismus and glabellar lines), muscles are the same, and targeting is essential (both conditions suffer from the same side effects of BoNT if not administered correctly).

We also realize that the intense interest in aesthetic applications is promoting both an advanced understanding of how BoNT is applied in practice (for example the number of cadaver dissection workshops being offered that look at facial muscles in detail), and new applications not previously considered, such as wound healing, scar 21, 22 elimination and its effects on skin quality . Many of these developments are equally applicable in both worlds.

Finally, there is a simple lesson to be learned: If you observe something new or novel when using BoNT, regardless of the application, publish it.

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Erbguth, F.J., From poison to remedy: the chequered history of botulinum toxin. J.Neural Transm., 2007. 115(4): p. 559-565.

Scott, A.B., Editorial: Strabismus--beyond the cover test. Invest Ophthalmol, 1973. 12(10): p. 719-20.

Scott, A.B., A. Rosenbaum, and C.C. Collins, Pharmacologic weakening of extraocular muscles. Invest Ophthalmol, 1973. 12(12): p.

924-7.

Alfred Edward Maumenee, Jr, MD. Obituary, San Francisco Chronicle, 21 January 1998.

A. Edward Maunemee, MD. Opthalmology Oral History Series, Link with Our Past, an interview conducted in 1990 by Sally Smith Hughes, Regional Oral History Office, University of California, Berkeley, in coopertaion with the American Academy of Opthalm ology.

Allen, J. (1998). Warf's New Wrinkle. On Wisconsin; Fall 1998: 39-43.

Schantz, E.J. and E.A. Johnson, Botulinum toxin: the story of its development for the treatment of human disease. Perspect Biol Med, 1997. 40(3): p. 317-27.

Scott, A.B., Development of botulinum toxin therapy. Dermatologic Clinics, 2004. 22(2): p. 131-3, v.

Scott, A.B., Development of botulinum toxin. Disability & Rehabilitation, 2007. 29(23): p. 1757-1758.

Lee, J. (2010). Obituary, Guardian newspaper, 15 December 2010. http://www.guardian.co.uk/science/2010/december/15/johnlee-obituary accessed 31 December 2011.

Schantz, E.J. and A.B. Scott. Use of crystalline type A botulinum toxin in medical research. in International Conference on the Biomedical Aspects of Botulism. 1981. Fort Detrick, MD: Academic Press.

Scott, A.B., Botulinum toxin treatment of strabismus. American Orthoptic Journal, 1985. 35: p. 28-29.

Tsui, J.K., et al., A pilot study on the use of botulinum toxin in spasmodic torticollis. Can.J.Neurol.Sci., 1985. 12(4): p. 314-316.

Clark, R.P. and C.E. Berris, Botulinum toxin: a treatment for facial asymmetry caused by facial nerve paralysis. Plastic and reconstructive surgery, 1989. 84(2): p. 353-5.

Carruthers, J., Common problems in pediatric ophthalmology. Can Fam Physician, 1988. 34: p. 1103-10.

Carruthers, J.D.A., R.A. Kennedy, and D. Bagaric, Botulinum vs Adjustable Suture Surgery in the Treatment of Horizontal Misalignment in Adult Patients Lacking Fusion. Arch Ophthalmol, 1990. 108(10): p. 1432-1435.

Carruthers, A., K. Kiene, and J. Carruthers, Botulinum A exotoxin use in clinical dermatology. Journal of the American Academy of Dermatology, 1996. 34(5 Pt 1): p. 788-97.

Carruthers, J.D. and J.A. Carruthers, Treatment of glabellar frown lines with C. botulinum-A exotoxin. J Dermatol Surg Oncol, 1992.

18(1): p. 17-21.

Ascher, B., et al., [Botulinum toxin in the treatment of frontoglabellar and periorbital wrinkles. An initial study]. Ann Chir Plast Esthet, 1995. 40(1): p. 67-76. http://articles.nydailynews.com/2010-07-26/entertainment/27070889_1_jean-carruthers-botox-patent accessed 31 December 2011 Pickett, A., On the Surface. Body Language, 2011. 45: p. 39-41.

Pickett, A., A Healing Toxin. Body Language, 2011. 46: p. 53-54.

Dr. Andy Pickett Dr. Pickett is the director and founder of Toxin Science Limited, and adjunct professor in the department of chemistry and biochemistry, Botulinum Research Center at the University of Massachusetts, Dartmouth (North Dartmouth, Mass.).

For over 30 years he has worked in the pharmaceutical industry on a wide-range of biological products, and especially botulinum toxin for the last 23 years.

His responsibilities provided scientific and product support, as well as technical expertise on botulinum toxin structure, function, physiology, assay technologies, quality, regulatory and production areas.

For the last several years, Dr. Pickett has focused on translating the science and technology of botulinum toxin to enable clinicians, dermatologists, plastic surgeons, rehabilitation specialists and medical students to have a clear understanding of the toxin products available, how they work and how they can be used.

If you have any comments or suggestions regarding this article, please email clinicarea@consultingroom.com

Book Review Get 20% Off* Books From Informa Healthcare With The Consulting Room™!

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Disorders of Fat and Cellulite Advances in Diagnosis and Treatment Edited By: David J. Goldberg, M.D., J.D. Mt Sinai School of Medicine, New York, New York and Skin Laser and Surgery Specialists of New York and New Jersey, New York, New York; editor of Journal of Cosmetic and Laser Therapy; author of Fillers in Cosmetic Dermatology (2006) and Laser Hair Removal.

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Conferences Dates For Your Diary FACE 2012 The UK’s premier medical aesthetic conference and exhibition is now celebrating 10 years. In 2012, FACE will be even bigger than years past, with the prospect of four parallel agendas on each of the days. th

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15 – 17 June 2012 at The Royal College of Physicians, London

Clinical Excellence in Medical Aesthetics - Journal of Aesthetic Nursing Launch Event Clinical Excellence in Medical Aesthetics is an independent, nurse-led event promoting safe and effective practice. Celebrating the launch of the Journal of Aesthetic Nursing, the event will provide an exciting platform for nurses to enhance their skills and engage in lively discussion and debate with their peers. For more information, see the event brochure (PDF), please click here.

18th July 2012 at America Square Conference Centre in London

IAAFA Annual Conference & Charity Ball 2012 The dates for this year’s IAAFA conference have been announced, including a Bollywood themed charity ball on the Saturday evening. The event will feature a number of highly distinguished speakers, who between them offer comprehensive and extensive experience in all fields of facial aesthetics. An exhibition will be held for both days alongside the conference. To download the conference flyer (PDF), please click here. st

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Friday 31 August and Saturday 1 September 2012 at The Royal Society of Medicine, London.

BAAPS Annual Meeting 2012 The programme will include guest speakers such as Fritz E Barton from Dallas Texas who will talk about avoiding problems following lower lid blepharoplasty and his integrated approach to facial rejuvenation surgery. Dr Claude Le Louarn from Paris will speak on body contouring, pan facial treatment with Botox and midface lifting. Dr Alexis Verpaele from Ghent, Belgium will speak on reducing capsular contracture following breast augmentation as well as techniques for fat grafting to the face and modifications of the MACS lift. For more information, please visit: www.baaps.meeting.org.uk 20th – 21st September at The Royal College of Physicians, London

BACN Annual Conference 2012 The BACN are happy to announce their third annual conference being held in London on the 6th October 2012.

The venue we have chosen for its wonderful views over the Thames and beyond to Westminster and the London Eye. The BACN have managed to secure a great team of speakers to make this a wonderful informative day with drinks and canapés to allow you to relax, wind down and network before your journey home.

6th October at the IET London Savoy Place, London

For details of all upcoming UK and Non-UK conferences and exhibitions please visit our Cosmetic Training website.

FACE 2012 CELEBRATING ITS 10TH ANNIVERSARY 15TH - 17TH JUNE 2012 - THREE DAYS OF PARALLEL AGENDAS AND WORKSHOPS PACKED WITH UNMISSABLE INFORMATION FEATURING Dr Klauss Hoffmann | Dr Nick Lowe | Dr Sabine Zenker | Dr Sam Rizk | Dr Timothy Flynn | Dr Zein Obagi | Mr Alex Karidis | Mr Rajiv Grover One of the Consulting Room’s Directors, Ron Myers is busy completing the line up for this year’s FACE conference which will offer even more value for delegates with the inclusion of two separate parallel agendas running over the three days, and the "FACE of The Clinic" Business Agenda providing an additional selection of lectures on Saturday and Sunday.

THIS YEAR'S EVENT INCLUDES:      

Treatments for Pigmentation and Skin of Colour; Review of the Many Different Non-Surgical and Surgical Options for Facial Rejuvenation; Talks on the Latest Equipment for Wrinkle Reduction and Skin Tightening; Cosmetic Injectables Workshops; FACE of the Clinic Business Forum; SKIN Disease and HAIR Treatment Workshops

On Friday 15th June, we have organised a special “Evening with” Dr Zein Obagi – for a special insight into what has made him one of the world’s most well known Dermatologists and on Saturday 16 th June The Gala Dinner will return to one of our most popular venues: Madame Tussaud’s.

With over 65 National and International lecturers plus a range of exhibitor workshops and leading suppliers to the facial aesthetic market, FACE 2012 provides fantastic value for money for delegates wanting to update their knowledge and learn more about new opportunities in this exciting market. All medical practitioners, clinic owners and aestheticians involved in the facial aesthetic market will want to attend this premier UK conference to update their knowledge and skills.

For more information about the event, and to view the agenda details visit: www.faceconference.com

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:

Cosmetic Training Features:      

Conferences & Meetings Bespoke Training and Mentoring Cosmetic Industry Qualifications Training Venues for Hire Training Courses & Webinars Business Related Seminars

With over 40,000 Procedures performed in Britain in 2010 we are constantly seeing emerging trends, new innovations, new products and new procedures. Therefore it’s important for you and your staff to keep constantly updated on all the changes in this fast paced business.

Receive a FREE monthly email update on the upcoming and latest events and opportunities.

For those members who offer training/mentoring or rooms for hire we also offer a range of competitively priced advertising options - including listing of training courses in our directory, targeted banner advertising in our training search results pages and opportunities to sponsor our monthly training update e-newsletter. Click on the image to learn more.

www.cosmetictraining.co.uk

NEW SCOTLAND VENUE, TRAINER AND IMAGE FOR INNOMED TRAINING ACADEMY! Innomed Training Academy is delighted to announce the addition of a new Scottish venue and trainer for its awardwinning hands-on cosmetic training courses and, at the same time, launches a new refreshed, contemporary logo.

Courses are now available at the prestigious Skintalks Clinic in Edinburgh, run by respected cosmetic independent nurse prescriber Helena Collier BSc RGN DNC IP PGDp. Helena also joins Innomed Training Academy’s team of trainers as its Scottish representative and trainer.

Helena’s beautiful clinic is located in Musselburgh on the outskirts of Scotland’s Capital and with excellent transport links; the clinic provides a convenient venue with a luxurious new training suite.

Welcoming Helena to the Innomed Training Academy team, lead trainer and medical director Dr Xavier Goodarzian says: “I am delighted to not only extend our hands-on courses into Scotland; I am privileged to have such an experienced and well-respected figure in our field join my team. As well as running a successful and beautiful clinic, Helena is Consultant Editor of the Journal of Aesthetic Nursing and she is the only nurse practitioner in Scotland to hold a Post Graduate Diploma in Aesthetic Medicine as well as working towards the prestigious Master’s Degree in Cosmetic Medicine at Greenwich University.”

The first training date at our fantastic new Edinburgh venue is 4th and 5th August for Botulinum Toxin (new users) and Dermal Fillers (new users) respectively. Both courses are one-day courses with full hands-on practice on live models as well as CPD credits, a free post-course advice service and buyone-get-one-free offers on injectable products to get you started.

David Gower, Innomed Group managing director commented; “We are dedicated to positioning Innomed Training Academy as the gold standard in the aesthetic sector. The addition of Helena and her training venue to the team provides us with better national coverage throughout the United Kingdom.”

Innomed Training Academy was established in 2006 and provides a wide range of award-winning basic and advanced hands-on training in cosmetic treatments. It adds its new Scottish venue to others in Central London, Birmingham, Greater Manchester, Newcastle-upon-Tyne and Southampton.

For more details of training courses, prices, special post-course product offers and training dates please visit www.innomedtraining.co.uk or call Martin MacKenzie on 023 80 67 67 33.

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OnabotulinumtoxinA Dose-Ranging Study for Hyperdynamic Perioral Lines.

Cohen JL, Dayan SH, Cox SE, Yalamanchili R, Tardie G. AboutSkin Dermatology and DermSurgery, Englewood, Colorado; Department of Dermatology, University of Colorado, Denver, Colorado.

Clinical Information

Dermatol Surg. 2012 May 23.

BACKGROUND: Few dosing data on onabotulinumtoxinA to treat hyperdynamic perioral lines (POLs) are available. Studying onabotulinumtoxinA in controlled settings is beneficial to treating a hyperfunctional orbicularis oris.

OBJECTIVE: To compare the dose-response relationship of two doses of onabotulinumtoxinA in hyperdynamic POLs. METHODS: Female subjects (N = 60) received injections of onabotulinumtoxinA at four sites totaling 7.5 U or 12.0 U. Subjects returned at weeks 2, 4, 8, 12, 16, and 20. POL severity and total lip satisfaction (TLS) were assessed at all visits.

RESULTS: Investigator-assessed POL severity was reduced through week 20 for 12.0 U (p < .01). POL reduction for 7.5 U persisted until week 16 (p < .05). Responder rates did not differ until week 12 (12.0 U, 77%; 7.5 U, 36%; p = .003). Subject-assessed TLS was improved (p < .05) at all time points for both groups except at week 20 (12.0 U; p = .06). Most adverse events (AEs) were mild to moderate in severity and typical for onabotulinumtoxinA treatment in the lips, and the incidence was dose-dependent.

CONCLUSION: OnabotulinumtoxinA provides significant reductions in POL severity and high levels of subject satisfaction. Lack of dose response and fewer AEs suggest that treatment of hyperdynamic POLs with 7.5 U appears adequate for up to 16 weeks.

The causes of the nasolabial crease: A histomorphological study.

Beer GM, Manestar M, Mihic-Probst D. Institute of Anatomy, Department of Macroscopic Anatomy, University of Z端rich-Irchel, Z端rich, Switzerland.

Clin Anat. 2012 May 23.

There are two main conflicting theories on how the nasolabial crease is formed: a muscular theory and a fascial theory. The muscular theory states that the nasolabial crease is mainly formed by the musculodermal insertions of the lip elevator muscles. The fascial theory claims that the nasolabial crease is mainly formed by dense fibrous tissue and by the firm fascial attachments to the fascia of the lip elevator muscles. If the muscular theory was true, the musculodermal insertions of the facial muscles could be interrupted directly by intradermal injections of low doses of botulinum toxin. Eight cadavers who presented with bilateral nasolabial creases were enrolled in the study. The nasolabial creases were harvested from 14 facial halves in their entire lengths and breadths with 5-mm medial and lateral rims. The horizontally cut samples were stained with hematoxylin-eosin (H&E) and Elastica van Gieson (EVG). Immunohistochemistry for the smooth muscle marker actin and the skeletal muscle marker desmin was also performed. In each of the nasolabial creases, numerous skeletal muscle fibers were found in the dermis, which confirmed the muscular theory of the cause of the nasolabial crease. In addition, muscle fibers were present in the dermis 4 mm medial and 4 mm lateral to the nasolabial crease, but the amounts were significantly less than the amount located directly in the crease. Botulinum toxin injected intradermally into the nasolabial crease might constitute a new treatment option to minimize or even eradicate the crease and the fold.

Clinical comparison of two hyaluronic acid-derived fillers in the treatment of nasolabial folds: Mesoglow® and IAL System®.

Ahn JY, Lee SH, Park KY, Hong CK, Song HJ, Park MY, Choi YS, Seo SJ. Department of Dermatology, National Medical Center, Seoul, South Korea.

Int J Dermatol. 2012 May;51(5):601-8.

Hyaluronic acid (HA) dermal fillers are widely used to reduce the appearance of aging. However, comparative research on the efficacy and safety of products of similar composition is limited. We compared outcomes achieved with two non-cross-linked HA fillers of almost identical composition, Mesoglow® and IAL System® . Forty subjects with visible nasolabial folds (NLFs) were enrolled in a randomized study. Wrinkle severity was rated using the 5point Wrinkle Severity Rating Scale (WSRS). Each subject was injected with Mesoglow® in one NLF and IAL System® in the other. An optimal cosmetic result was established at two weeks after a second treatment.

Participants were then reassessed at 2, 6, and 12 weeks, respectively, post-optimal cosmetic result using the WSRS. The degree of improvement was also assessed by subjects and investigators using the Global Aesthetic Improvement Scale (GAIS). At baseline, the mean WSRS score was 3.20 ± 0.41. At the optimal cosmetic result, 98% of subjects showed a 1- or 2-point change in WSRS score with either treatment. All subsequent WSRS scores were significantly improved over baseline for both treatments. There was no significant difference between treatments or improvement in WSRS score at any point in time. Investigator GAIS scores at weeks 4 and 6 were slightly but not significantly higher for Mesoglow®-treated skin. There was no significant difference in the frequency of local adverse responses. No serious systemic adverse events occurred. This study indicates that Mesoglow® and IAL System® are equally effective in achieving short-term correction of NLFs, but the longevity of their effects is limited.

Hyaluronic acid plus mannitol treatment for improved skin hydration and elasticity.

Taieb M, Gay C, Sebban S, Secnazi P. 11 Avenue d'Eylau, Paris, France 6 Place de la Madeleine, Paris, France 22 Place Georges Pompidou, Levallois Perret, France 49 Bis Avenue Franklin Roosevelt, Paris, France.

J Cosmet Dermatol. 2012 Jun;11(2):87-92.

Background: Mesotherapy treatment of aging skin aims to replace depleting levels of minerals, vitamins, amino acids, and hyaluronic acid (HA).

Aim: To investigate the efficacy of 13.5 mg/g uncross-linked HA+0.9% mannitol (HA+mannitol) on skin hydration and elasticity.

Patients/Methods: Four centers enrolled 34 women: Subgroup 1 comprised 27 subjects injected using a "depot" technique; Subgroup 2 comprised seven subjects injected using a "picotage" technique.

Results: A notable difference was seen between the two subgroups in outcome and subject satisfaction. In Subgroup 1, a significant improvement was seen in hydration, anisotropy, and skin roughness, but Subgroup 2 showed no significant improvements. Most physicians assessed HA+mannitol as "easy/very easy" to inject.

Physician esthetic assessment in Subgroup 1 was "improved/very improved" for >90% of subjects at Day 60, and >80% according to subject assessment. 95% of subjects were delighted with treatment, and 85% would undergo repeat treatment and would recommend treatment to a friend. However, results for Subgroup 2 indicated 86% of subjects were unhappy with treatment and 83% would refuse to undergo repeat treatment.

Conclusions: HA+mannitol is effective for skin hydration, anisotropy, and roughness when treated using a depot technique.

Autologous Fat Transfer for Face Rejuvenation with Tumescent Technique Fat Harvesting and Saline Washing: A Report of 215 Cases.

Rusciani Scorza A, Rusciani Scorza L, Troccola A, Micci DM, Rauso R, Curinga G. Skinlaser, Private Office, University of Rome 'La Sapienza', Plastic and Reconstructive Surgery, Rome, Italy.

Dermatology. 2012 May 16.

Various materials have been used for tissue augmentation and for the treatment of rhytids. Autologous fat transfer (AFT) is considered ideal regarding biocompatibility and patient concerns. This study was performed on a series of 215 female patients for face rejuvenation with tumescent technique fat harvesting and saline washing. The study was based on two AFT procedures for each patient. Second treatment was performed at least 1 month after the first operation. Their mean age was 55.5 ± 2.1 years. High-definition photographs in five standard views, front (n = 1), side (n = 2) and oblique of 3/4 (n = 2), were taken for the preoperative morphological study. Aesthetic outcomes were evaluated by the operating surgeon, the patient and an independent dermatologist. Outcomes were evaluated by comparing the preoperative photographs with those taken 1 month after the first procedure and at the end of the 1-year follow-up period. At 12 months all the patients except one noted an improvement. Of these 85.6% (184 patients) were satisfied with the treatment. The operating surgeon and the independent observer noted respectively a sufficient correction in 88.8 and 95.3%. AFT was considered painless by 94.9% and slightly painful by 5.1% of subjects. Fat tissue harvesting by tumescent anesthesia and purification with saline washing enable adipocyte viability to be preserved throughout the procedure and to perform the treatment under local anesthesia.

Hair transplant for acne scars: an innovative approach.

Sarangal R, Yadav S, Dogra S. Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

J Cosmet Dermatol. 2012 Jun;11(2):158-61.

Postacne scarring is a common entity that affects patients both physically and psychologically. Treatment of facial scarring is rarely a mono-dimensional process. Various modalities of treatments from cheaper subcision, punch techniques and excision to expensive laser resurfacing techniques are available. Treatment of postacne scars in a particular case has to be individualized, taking into consideration many factors like age, gender, types of scarring, Fitzpatrick skin type, and socioeconomic status of the patient. In this article, we describe an innovative method of simply doing hair transplantation in acne scars and hence making them less visible and cosmetically well acceptable to the patient.

A randomized double blind, vehicle controlled bilateral comparison study of the efficacy and safety of finasteride 0.5% solution in combination with intense pulsed light in the treatment of facial hirsutism.

Farshi S, Mansouri P, Rafie F. J Cosmet Laser Ther. 2012 Jun 1.

Objective: We sought to determine whether topical finasteride can enhance the efficacy of intense pulsed light hair removal.

Materials and methods: An intense pulsed light (IPL) treatment with radiofrequency (RF) was performed every four weeks, resulting in up to three sessions, and again at the end of the study-six months after the start of the experiment. Each patient also applied either finasteride or placebo solution twice daily to each side of the chin in a double-blinded manner.

Results: A total of 77 patients were included in the study. Mean hair density before treatment in finasteride side of the patient's chin was 19.7 ± 11.7 and in placebo side was 19.1 ± 11.3. After three sessions of IPL+RF treatment, combined with twice daily application of finasteride and placebo solutions, at the end of six-month period mean hair density of 8 ± 6.3 and 9 ± 5.6 was achieved in finasteride and placebo side respectively. Statistically significant difference was found between finasteride and placebo solution.

Conclusions: We have demonstrated that the addition of finasteride solution to IPL+RF hair removal may result in a more reduction of unwanted facial hair in women when the combination is used for up to six months.

Single-Session Combination Treatment with Intense Pulsed Light and Nonablative Fractional Photothermolysis: A Split-Face Study.

Kearney C, Brew D. Sydney Specialist Dermatology, Bondi Junction, Australia.

Dermatol Surg. 2012 May 10 BACKGROUND: Intense pulsed light (IPL) and fractional photothermolysis (FP) are effective nonablative treatments for photoaging.

OBJECTIVE: To investigate the safety and efficacy of administering these two treatments in the same session with the aim of maximizing results while maintaining safety and minimizing downtime. We sought to compare the efficacy of the combination treatment with that of individual treatments of IPL and FP by conducting a split-face study.

MATERIALS AND METHODS: Twenty-nine subjects received a full-face standard-strength treatment with IPL immediately followed by treatment with 1550-nm FP. A further 14 patients underwent a split-face study comparing combined IPL and FP on one side of the face with these two treatments performed in isolation, 4 weeks apart, on the other side.

RESULTS: The combination treatment achieved results statistically superior to treatment with IPL alone, FP alone, and treatment with IPL and FP performed 4 weeks apart. Downtime and adverse events were similar to those expected with individual treatments of IPL or FP alone.

CONCLUSION: Intense pulsed light and PF appear to be synergistic when performed together in a single session, and the combination treatment is associated with a good safety profile and minimal downtime.

SOURCE: PubMed

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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 would appreciate it if you would inform us by emailing info@consultingroom.com so we can make every attempt to remedy it.

Allergen receives subpoena over its anti-obesity device U.S. healthcare group Allergan has received a subpoena from the U.S. government over its gastric banding system that is used to treat obesity.

In a filing with the U.S. Securities and Exchange Commission (SEC) on Monday Allergan said the subpoena from the Department of Health and Human Services, Office of the Inspector General, requests the production of documents relating to its Lap-Band gastric banding system.

In December the U.S. Food and Drug Administration sent warning letters to eight California surgical centers and a marketing firm for providing misleading information while advertising Lap-Band.

SOURCE: Reuters News

Botched laser skin treatments `costing NHS well over £2m` Experts have warned that the deregulation of laser treatments could be leaving people scarred for life - and also the taxpayer with a huge bill for botched jobs.

Injuries caused by botched cosmetic laser procedures are costing the NHS far more than the £2million a year it estimated, experts warn.

SOURCE: Daily Mail

L’Oreal Loses EU Court Challenge Over Botox-Like Trademarks L’Oreal SA (OR)’s effort to register trademarks that sound similar to Botox, a wrinkle treatment made by Allergan Inc. (AGN), was rejected by the top European Union court.

The EU Court of Justice backed the earlier refusals by the EU trademark office for L’Oreal to own the rights to the words “botolist” and “botocyl” for cosmetic products.

SOURCE: Bloomberg

Surgeons welcome PIP report, renew call for implant register The British Association of Aesthetic Plastic Surgeons today welcomes the Government’s review into the PIP scandal and agrees with its recommendations that more stringent criteria should be required into monitoring medical devices. The BAAPS reiterates its previous calls for a compulsory implant register and mandatory safety audits for all practitioners.

SOURCE: BAAPS

Visceral fat may increase after liposuction Women who undergo abdominal liposuction and don`t follow an exercise regimen may add visceral fat after the procedure, according to a small study.

Researchers at the University of Sao Paulo noted a potential for increased visceral fat surrounding the abdominal organs of patients following abdominal liposuction procedures, Reuters reports.

SOURCE: Modern Medicine

Israel: Dentists banned from cosmetic Botox business Dentists will no longer be allowed to perform cosmetic treatments that do not involve the oral cavity, including Botox injections, according to new regulations to be issued shortly by the Ministry of Health.

The rules are being changed in the wake of a barrage of complaints by patients who have received cosmetic facial treatments from their dentists.

SOURCE: haaretz

Kythera IPO is Seeking $86.2M for ATX-101 U.S. Phase III Aesthetic specialist Kythera Biopharmaceuticals Inc. filed an S-1 with the SEC seeking to raise $86.2 million in an initial public offering, with "substantially all" of the net proceeds used to fund U.S. Phase III trials of lead compound ATX-101.

SOURCE: BioWorld

Get 'em off: ban cosmetic surgery ads in public places According to todayâ&#x20AC;&#x2122;s report published by the All Party Parliamentary Group (APPG) on Body Image, half the UK public suffer from negative body image.

The British Association of Aesthetic Plastic Surgeons agrees with the recommendation that a separate code of regulations be drawn up governing cosmetic surgery advertising and today calls for an outright ban on ads of this type in public places such as billboards and public transport.

SOURCE: BAAPS

Understanding Womenâ&#x20AC;&#x2122;s Complicated Relationship to the Mirror Facial aesthetic treatments are among the most popular cosmetic procedures around the world, but why do so many women want to change what they see in the mirror? And what features do they most like or dislike about their faces?

SOURCE: ASAPS

Dr Botox Danielle Meagher faces possible prosecution for promoting Botox!

Danielle Meagher may soon have a cause to develop frown lines: it emerged that the reality star could face prosecution by the Irish Medicines Board for the manner in which she is promoting the anti-wrinkle treatment.

SOURCE: Daily Mail

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Equipment Sales SaveOnKit (formerly Moorgate Consulting) 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/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/Equipment/Display.asp?Equipment_ID=458 E Light IPL Laser Hair removal Rejuvenation Wrinkle Vascular salon beauty System For Sale at £3,800 + VAT More info - www.consultingroom.com/Equipment/Display.asp?Equipment_ID=496 Depilex Multivac Plus suction cup machine with Stand Vacuum for facial treatment to de-congest and improve circulation. Good condition and full working order For Sale at £570 *PRICE REDUCED £380 + VAT* More info - www.consultingroom.com/Services/Equipment-Display.asp?Equipment_ID=536 Depilex Dermapeel Professional Microdermabrasion System In good condition, full working order For Sale at £912 *PRICE REDUCED £760 + 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 Body Ultimate Skincare Facial Toning System In good working order complete with attachments, bands and pads For Sale at £1,500 + VAT *PRICE REDUCED AGAIN £760 + VAT* More info - www.consultingroom.com/Equipment/Display.asp?Equipment_ID=455 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 Luxury Natural Wood Style beauty treatment table, seat + trolley In pristine condition, top quality natural wood style For Sale at £500 + VAT each (2 available) *PRICE REDUCED £380 ex VAT each* More info - www.consultingroom.com/Equipment/Display.asp?Equipment_ID=432 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/Eq0uipment/Display.asp?Equipment_ID=446

Lumenis Aculight HR HR655 HR695 HR745 Treatment heads and warranty For Sale at £400 + VAT More info - www.consultingroom.com/Equipment/Display.asp?Equipment_ID=145 Ultimate Skincare Body Contour System Latest Model Designed to achieve body toning by stimulating nerve endings to improve tone in the muscle tissue.

For Sale at £700 + VAT More info - www.consultingroom.com/Equipment/Display.asp?Equipment_ID=185 Phenix USB 2 Neuromuscular Stimulation and Biofeedback System In good condition and full working order only 2 years old, cost £6000 when new For Sale £2,100 + VAT *PRICE REDUCED £1,900 + VAT* More info - http://www.consultingroom.com/Equipment/Display.asp?Equipment_ID=435 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/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/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/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/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/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/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/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/Equipment/Display.asp?Equipment_ID=516 Pollogen ReGen Tripollar Radio Frequency skin body facial beauty machine salon In very good condition, full working order The 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/Equipment/Display.asp?Equipment_ID=515

Classifieds – For Sale Skin Abrasive System Easy to use crystal microdermabrasion system with variable power settings to give more patient personalisation.

Two crystal types - a normal grade and a medical grade for client’s needing extra abrasion, with extra fine corundum crystals for greater control. Simple and smart design eliminates blockages and keeps the system in perfect working order.

Single use cartridges and tips provide superior hygiene standards.

Price: £2,500 plus VAT

Lynton LUMINA Q system Available now a pre-owned LUMINA Q system including: • 650 handpiece for permanent hair reduction on skin types 1 – 5 and skin rejuvenation through collagen stimulation.

• 585 handpiece for removal of skin blemishes, superficial benign pigmentation, superficial vascular lesions, active acne and skin tone rejuvenation • 1064 Nd:YAG Laser (delivered through articulated arm) for deep leg veins, skin tightening and hair removal in skin types 4-6 • Q-Switched 1064nm & 532nm Laser for multi-colored powerful tattoo removal Comes with a touchscreen display that is easy to use, a patient database to hold 10,000 client records and built in safety parameters. 2009 model, can be provided with full training, protective goggles, before & after photos, consent forms, user manuals, marketing leaflets and support.

Price: £35,000 plus VAT

Q PLUS C – Tattoo Removal Laser The Q-PLUS C is an active Q-Switched Nd:YAG 1064nm & KTP 532nm laser with the addition of an active 694nm RUBY laser with extremely high peak powers for complete tattoo removal. It treats a range of coloured amateur and professional tattoo inks, traumatic tattoos and pigmented lesions with precision and superb results. It has large spot sizes, fast repetition rates and an easy to read large display. This laser is very robust and in excellent condition, only 1 year old – can be provided with full training, protective goggles, before & after photos, consent forms, user manuals, marketing leaflets and support.

Price: £39,950 plus VAT

For interest in the above three adverts, please get in touch with:

Contact: Hayley Jones at The Lynton Clinic Tel: 01477 536970

Strawberry & Cream Laser Lipo Machine, class 3B laser I have a strawberry & cream laser lipo machine, class 3B laser, 6 paddle, 48 diode machine. Treatment times are half an hour. I bought this machine at the end of last year but due to unforeseen circumstances it’s never been used, it has less than 10 hours on the clock.

I paid £14,000 +VAT; I will sell for £8,000 no VAT More information about the product can be found at www.strawberry-laser.com Full training provided, I may also be willing to lease the machine with a view to selling.

Price: £8,000 no VAT Contact: Chris Wood Tel: 07843204306 Email: woodchris51@yahoo.co.uk

The Lynton Luminette Advance The Lynton Luminette Advance is a compact and portable Intense Pulsed Light system offering the most popular aesthetic treatments such as permanent hair reduction, vascular treatments (thread veins, rosacea, PWS), photo rejuvenation, pigmentation removal and active acne control.

Luminette Advance delivers swift results at a truly cost-effective price. The specifications of the Luminette Advance make it an ideal first system for start up clinics.

This machine was purchased from Lynton in April 2011 it has only fired 315 shots out of a possible 20,000 shots before you need to replace the lamp and is in excellent condition. The machine comes complete with 650 handpiece for hair reduction, 585 handpiece is for removal of skin blemishes, superficial pigmentation, superficial veins and active acne. It also comes with trolley, marketing pack, treatment gels and applicators and aftercare gel, 2 sets of Sperian protective goggles. The machine has been in operation in a private skin clinic and is being sold due to a business closure. The machine has been serviced by Lynton engineers and has not been in use since.

Price: £8500 Contact: Mrs Whitehead Tel: 07920053206 Email: thelodgeastc@yahoo.com

Clinic For Sale Profitable aesthetic clinic with large and loyal patient base (over 600 patients), with lots of opportunity for growth.

Sale to include full patient database on e-clinic software and all equipment (no Lasers) chairs, table, display cabinets etc. Two websites; one on first page of Google.

Based in superior Health Clinic Environment with parking. North West Thames Valley city location.

Reason for Sale - moving from area.

For Sale for £50,000 which equates to 1 year’s profit on 2 1/2 day week. Fantastic opportunity for practitioner to have a thriving ready to go practice, hours to suit.

Price: £50,000 Contact: Derycke Woodward Email: deryckewoodwards@gmail.com

Fraxel Restore Pre-owned but lightly used system – in perfect working order and comes with all attachments, footswitch and support arm (zimmer cooler not included).

Price: £30,000

LPG CelluM6 Ex demo unit – lightly used, in great condition and perfect working order.

Comes with all attachments and accessories.

Price: £15,000

LPG Huber New boxed device and never used.

Price: £15,000

LPG Integral System New device - boxed and never used – come with all standard accessories and attachments.

Price: £20,000

LPG Lipo M6 New device – boxed and never used – comes with all standard accessories and attachments.

Price: £10,000

For interest in the above five adverts, please get in touch with:

Contact: Jane Balde Location: Dublin, Southern Ireland.

Tel: +353862058938 Email: janebalde@gmail.com

For a full list of second hand equipment sales, please see: www.consultingroom.com/Equipment

Advertisement S.A.F.E.â&#x201E;˘ 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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