Polish Beauty Journal SUMMIT 2022

2022

Zapraszam do Akademii stacjonarnej w Burton-on-trent, duże przestronne i dobrze wyposażone miejsce, które sprzyja nauce. Posiadamy duży darmowy parking.

Kursy są skierowane głównie dla sektoru Beauty oraz dla pielęgniarek, które chcą podnieść swoje kompetencje zawodowe lub usystematyzować wiedzę.

Szkolenia stacjonarne cieszą się dużą popularnością, dlatego miejsca są bardzo oblegane, a ich ilość jest mocno ograniczona.

Ac JOANNA LILIA SKIN EXPERT JOANNALILIASKINEXPERT@GMAIL.COM

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NewMed Aes y the em d a

Zapraszam na kursy stacjonarne: CHEMICAL PEELS: szkolenie z peelingów chemicznych, w tym również kwasy zbuforowane oraz mieszanki. Na bieżąco jest program uzupełniany o nowości z rynku kosmetologicznego.

DERMAPLANING : szkolenie z posługiwania się specjalnym urządzeniem do usuwania martwego naskórka oraz meszku włosowego z twarzy. Kursant potrafi ułożyć sam protokół zabiegowych dla potrzeb danego klienta.

MESOTHERAPY: -microneedling: szkolenie z mezoterapii mikroiglowej, nauka posługiwania się urządzeniem w celu wykonania poprawnie zabiegu jak i doboru preparatu, koktajli lub peelingów chemicznych dla osób zaawansowanych. Dodatkowo szkolenie może być poszerzone o autorska technikę pracy z bliznami " sucha igła ". Jest to terapia manualna, która pomaga zniwelować problem estetyczny i jest bardzo skuteczna.

- needle: szkolenie z elementami anatomii oraz mezoterapii igłowej, na której kursant nabędzie wiedzę, dzięki której będzie potrafił pracować kilkoma technikami mezoterapii igłowej jak i zarówno bedzie mieć płynność w doborze odpowiednich preparatów do iniekcji.

SKIN BOOSTERS: szkolenie z najpopularniejszych biostymulatorow tkankowych dedykowane dla osób doświadczonych w mezoterapii igłowej a dla kursantów zaawansowanych jest panel rozszerzony.

PHLEBOTOMY: szkolenie z pobierania krwi do zabiegów estetycznych kończące się tytułem Phlebotomy.

PLATELET RICH PLASMA (prp/ prf): szkolenie dzieli się na kilka modułów, między innymi Basic na którym uczymy się obsługi wirówki w celu odwirowania krwi pacjenta do zabiegów Osocza bogatopłytkowego, Fibryna lub zabiegu z Autologicznym fillerem.

BOTOX TRAINING: szkolenie z zakresu stosowania toksyny botulinowej e zabiegach estetycznych.

DRIP IV THERAPY: szkolenie z suplementacji drogą wlewów dożylnych.

Joanna Lilia Kaleńczuk -Aesthetic Practitioner, Kosmetolog -Właścicielka placówki szkoleniowej medycyny estetycznej Academy NewMed Aesthetic London LTD - Oficjalny Szkoleniowiec Hylaual Polska - Szkoleniowiec Spa Abyss Polska - Autorka wykładów edukacyjnych online dla firmy Estetik.pl - Autorka publikacji branżowych dla czasopisma "Kosmetologia Estetyczna "- Pracuje aktywnie międzynarodowo głównie poprzez platformy E-Lerningowe dodatkowo stacjonarnie odbywają się szkolenia w Polsce jak i w Anglii - Właścicielka oficjalnej dystrybucji włoskiej firmy Medixa.

Wciąż podnoszę swoje kwalifikacje zawodowe licznymi szkoleniami oraz kolejnymi studiami, co przekłada się na bardzo wysoki poziom kursów akredytowanych, które odbywają się w Academy NewMed.

WYRÓŻNIA NAS PRZEDE WSZYSTKIM MIŁA ATMOSFERA ORAZ ZAWSZE BARDZO DUŻA ILOŚĆ MODELEK NA SZKOLENIACH. NIEDUŻE GRUPY KURSANTÓW SPRZYJAJĄ DUŻEJ PRACY MANUALNEJ, A NA NIĄ JEST NAJWIĘKSZY NACISK PODCZAS SZKOLEŃ.

KAŻDY UCZESTNIK SZKOLENIA OTRZYMUJE CERTYFIKAT AKREDYTOWANY, MATERIAŁY DYDAKTYCZNE ORAZ WSPARCIE SZKOLENIOWCA PODCZAS PIERWSZYCH KROKÓW W NOWYCH ZABIEGACH. BARDZO CHĘTNIE WSPIERAMY I DORADZAMY W WYBORZE RÓŻNEGO SPRZĘTU ZABIEGOWEGO. WSPÓŁPRACUJEMY Z RÓŻNYMI FIRMAMI W ANGLII I W POLSCE.

Oświadczenie, Wydawnictwo Polish Beauty Journal pragnie wydać oświadczenie oraz przeprosić za publikację informacji nie zgodnych z prawdą, opublikowane w wydaniu 8 Luty 2022.

Pani Joanna Kluczna bohaterka z okładki opublikowała nieprawdziwe treści dotyczące jej wykształcenia oraz kwalifikacji. Redakcja Polish Beauty Journal opublikowała treści bez wglądu do dyplomów kwalifikacji zawodowych Pani Joanny Klucznej. Pani Joanna Kluczna nie posiada dyplomu pielęgniarki ani nie jest 'nurse perscriber'.

Za publikację błędnych informacji pragniemy przeprosić oraz zaznaczyć, iż od teraz jesteśmy zmuszeni weryfikować kwalifikacje zawodowe wsyzstkich profesjonalistów pragnących brać udział w publikacji Polish Beauty Journal.

Katarzyna Urmanska Wydawca 'Polish Beauty Journal'

THE ONLY ONE BEAUTY INDUSTRY MAGAZINE PROMOTING POLISH BEAUTY LEADERS IN UNITED KINGDOM

POLISH BEAUTY

IN THIS ISSUE

6

Managing Client Expectations

By Joanna Kuszneruk

12

How NOT to throw in the towel and NOT leave for the unknown preventing burnout among Beauty professionals

By Justyna Bielenda

16 27 36 41

Application of PRP & I-PRF in regenerative and aesthetic medicine.

By Monika Czernik

Holistic approach to diagnostics and pre-treatment client assessment in a beauty salon

By Weronika Kononowicz

Post - treatment complications in Aesthetic Medicine

By Joanna Kuszneruk

How to become qualified as non-medical in aesthetic medicine in United Kingdom

By Monika Czernik

46 56

Innovative & natural solutions at Beauty Boudoir

By Joanna Soch Trusted Tutor Scheme Directory

Issue 9 Summit 2022 Cover:

Read This Digital Global Edition on www.pbjmag.com

Joanna Kuszneruk 'La Estetica Training Academy'

www.laesteticatraining.com

JOURNAL

POLISH BEAUTY

JOURNAL

SUMMIT 2022 FEATURED INDUSTRY LEADER

Joanna Kuszneruk

A leader in aesthetic medicine, owner of JK La Estetica Training salon and training facility in Chelmsford, Essex, United Kingdom and Bialystok, Poland.

Qualified Aesthetic Medicine trainer and assessor in the UK within 16 years of experience in the industry.

Joanna graduated at Nursing School in New York and Aesthetic Medical in New York and in Poland at the University of Medicine in Bialystok, major in public health and cosmetology.

She gained her professional experience in New York and in London. Trained by the best trainers in the world. Qualified assessor.

'My education and professional work have turned into passion and it is about improving another professionals skills.'

Joanna is offering accredited courses by the Cpd Group Training`s in England, Scotland and Ireland. From 2022 successful student of Orthodontics in the UK.

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FEATURED EXPERT

MANAGING CLIENT EXPECTATIONS

by J.Kuszneruk

D

ue to the recent boom of social media within our industry and also in more recent years the significant rise of filter use, we have entered an age where clients strive for the perfection. Rates of the cosmetic interventions continues to increase with nonsurgical procedures being five times more popular than surgical treatments. Along with this is an increase in the clients expectations that a procedure may be instant and risk free thus setting their expectations before they visit the clinic. In order to satisfy the client would be to meet these sometimes unrealistic and unattainable expectations.

When expectations are not met the client will usually make a complaint via a number of channels, one of which that has become more common is through social media. A client may raise their concerns or dissatisfaction directly first and it is down to you to control the complaint and try to meet those expectations that could have been managed at consultation. If you are unable to appease the client then they may set about leaving negative reviews online or through various social media channels damaging your reputation. This could also become more formal and result in a claim for damages.

To avoid many unfortunate situations, it is vital that you undertake a full consultation at every procedure and establish the clients expectations and manage them prior to the treatment. This allows the client to make a more informed decision on whether or not to have the procedure or whether you should refuse the treatment because you know that the expectations are unrealistic.

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FEATURED EXPERT

It is important for the therapist to seek out what motivated the client to book in for a particular procedure. This can be in itself somewhat complex.

Age is often a factor; younger clients are more sensitive to the opinions of their peers and to images on social media as well as celebrities they may look up too. Some may want to correct a feature that may not feel attractive to them or they may wish to enhance their appearance for social media or to look like or behave like a particular celebrity.

Also a media plays a large part in the rise of unrealistic expectations. Television, films, magazines all show images of idealised appearances. Social media and creating the perfect selfies has led to the rise in body image dissatisfaction and appearance. It has also been the mitigating factor for an increase in cosmetic procedures.

Family members and partners as well as friends are extremely influential over an individual’s choices. It may be that the client is wanting the procedure as all their friends are doing the same or they could have been pushed into the treatment by someone else.

It’s good practice to not only enquire if they know of anyone else that has the procedure done already but to ensure that family, friends and their partner are aware they are having it. Finding out the families or partners views can also later alleviate any concerns the client may have. Having a family member or partner point out their concerns over how the client may look post treatment can lead to the client regretting the procedure or wanting reassurance that side effects are normal and will subside.

If the client has low self-esteem this may lead to unobtainable and unrealistic goals and expectations. High neuroticism and anxiety may influence their expectations and the outcome tends to be poorer. Body dysmorphic disorder (BDD) can be a contra-indication to treatment, and it is often very difficult to satisfy or meet the clients expectations.

Once you have educated the client on the treatment and all the potential risks, side effects and complications they may modify their expectations and better knowledge is associated with better outcomes. Sometimes the client may choose an alternative procedure than the one they booked in for that may have lower risks or may meet their expectations better.

What you as a therapist should discussed with the client is the cost of the procedure.

This may be that several treatments will be required to meet their expectations, or they may not be aware of ongoing maintenance costs or treatment longevity itself.

All the therapist`s have a duty to work within the limits of their competence and experience and should have appropriate expectations as to what can be achieved for every client. There may be alternative and more suitable treatment options available especially if several aspects of the client`s appearance is being treated. It is the therapist`s duty to know what is realistic and feasible and prioritise accordingly. In this context, expectations of timescale may also be important, especially if desired results are required prior to a specific event or date.

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It may be necessary to turn down a client’s request for a particular treatment.

It is important that you explain your reasons why to the client to try and avoid them seeking treatment at another clinic where less scrupulous therapists. This discussion should also explain what other treatment options are available and may be more appropriate for the client.

The therapist should have a thorough knowledge base on every product they use in order to know what outcome to expect. This knowledge should not only derive from that from the manufacturer but from regular education and peer to peer discussion.

Clients should be fully informed of the risks and side effects of their chosen treatment plan to reduce dissatisfaction. Ongoing advice and support is also important in modifying a client`s unfulfilled expectations. Ideally all client`s should have a follow up appointment to determine whether expectations have been met or not.

Obtaining informed consent is an essential pre-requisite for any treatment. Informed consent cannot be acquired without an exploration of the factors mentioned above. An understanding of what the client wants and expects along with an educated understanding of the client`s condition and an explanation of what the therapist hopes to achieve are all central to the principles of informed consent. The process of eliciting consent should be recorded as should the explanation of possible adverse effects.

Providing written information to the client may augment the process of consent to the treatments.

Recent GMC guidelines on cosmetic treatments stress the importance of giving clients time to reflect on all the information that they have been given. Also the duration of this ‘cooling off’ period has no time specification.

Managing clients expectation is a part of our Managing complications course. This course is must have to complete for anyone in aesthetic and beauty industry. To book your space please visit our website www.laesteticatraining.com or Instagram @jk_laestetica_training_UK.

Our training offer includes training in aesthetic medicine, permanent make-up and lasers.

The training's are conducted by experienced medical staff and cosmetologists.

Training`s are conducted individually, with an extensive practical part.

During practical workshops, the trainee under the supervision of an instructor learns the technique of treatments by performing them on several models.

Thanks to this, the participant is able to repeat and master every element of the training many times.

We supplement the training of practical skills with an overview of the theoretical knowledge necessary to carry out treatments in medicine and aesthetic cosmetology.

During our training, you will also learn about the current legal regulations in the field of aesthetic medicine. During the workshops, we only work with professional preparations.

We will contact you with a database of proven suppliers.

In order to meet the expectations of our clients, our training in aesthetic medicine is conducted on the basis of the latest English guidelines. We are in constant contact with our students after the training, offering them support.

www.laesteticatraining.com

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We will provide best possible solution to protect your beauty business in United Kingdom

BEAUTY COACH KNOWLEDGE

HOW NOT TO THROW IN THE TOWEL AND NOT LEAVE FOR THE UNKNOWN: PREVENTING BURNOUT AMONG BEAUTY PROFESSIONALS Author: Justyna Bielenda

P

rofessional burnout used to be associated mainly with white collar workers in financial and legal corporations who are exposed to long-term stress caused by work overload and time pressure. However, this problem also affects many other sectors and groups of professionals not sparing the beauty industry. We have all been there: another week of booking clients after business hours, because you have to ‘make up for’ the lockdown or pay off the new equipment you’ve bought for your clinic. Then there are monthly overheads such as bills or staff pay; sometimes you also have to face problems within the team or your competition opens up a new salon in your area – how in all this are you supposed to find energy for personal life?

When we define professional burnout, we talk about its three elements: 1) emotional exhaustion, 2) indifference towards clients, team and other people you deal with, 3) discontent and dissatisfaction with your achievements at work.

The symptoms of burnout affect both mental and physical wellbeing. The most common are: -

sleep problems despite feeling tired, apathy, irritability, low mood, negative thoughts, loneliness, lack of faith that current situation can change, concentration disorders, problems with blood circulation, decreased immunity, headaches, decreased libido

It is worth bearing in mind that ignoring the first signs of burnout can even lead to depression.

Sometimes, people also resort to stimulants to find comfort.

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Overwork leading to fatigue, decreased motivation and efficiency is a problem I frequently hear about from my clients during both training as well as coaching sessions. They admit that chronic exhaustion and stress have negative effect on many other aspects of their lives, such as professional relations, family life and health.

Professional burnout is often accompanied by the lack of purpose and success. In effect, women start doubting the sense of their work and begin to ask questions, such as: “do I really need all this?”, “maybe I should stop running a business?” All those questions and reflections are a good turning point to start running your business consciously, get back from the road leading to burnout and live a full life (not only its professional aspect).

Identifying the causes of professional burnout Before I start any “remedial action” during individual consultations or coaching sessions, I try to identify what has lead to the current condition of the client and her business. The underlying cause of professional burnout is, what I will often repeat, long-term stress related to work – duties overload, obligations and monotony; often there's an additional factor of future uncertainty.

Usually, when we're dealing with burnout, my clients tell me the following scenarios or their combination: I run a business but I feel like I’m its slave - I manage the business and provide the services at the same time, so I can’t take a real holiday because: - I can't afford to hire employees, - I can't delegate tasks and responsibilies, - Staff rotation is so high that I keep hiring new people, and their introduction takes up a lot of time and energy; I am not sure in what direction I should develop my business, I’m trying to introduce new services and products but they do not always guarantee return on the invested time and money (equipment and training cost); I have too many clients and I’m the cheapest in town, but this does not translate into profits proportionate to my efforts; the pandemic and restrictions trigger additional stress and worries about my business; I’ve over-invested in the salon/equipment which forces me to work overtime in order to pay off the lease and cover running costs.

These situations happen when the business has not been built on solid foundations – it either lacks strategy which should be a starting point of any actions taken or the pricing policy is wrong (or non-existent) or the team has been managed incompetently. The burnout I’ve talked about in the examples above could be prevented by building your business responsibly in line with your personality and according to your values.

Prevention over treatment This is how you can reduce stress and prevent professional burnout: 1. To avoid unnecessary stress or getting on the treadmill, start with a solid plan – think of where you want to be in 5, 10 and 15 years time. Regardless of whether you are just starting out in the beauty industry or you’ve been running your business for over ten years – take a step back if you don't have a specific strategy and targets for today, next year or the next 5 years. pbjmag.com

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BEAUTY COACH KNOWLEDGE Having a well-thought strategy, you’ll see the bigger picture and you’ll come outside the “here and now” scheme. Your strategies and targets will be your guidance in the moments of doubt.

2. Learn how to build competent teams, how to manage them and delegate responsibilities, and you will feel you’re supported by people who go in the direction you’ve chosen and that you are not on your own. This comfortable situation will allow you to find time for private life, passions and rest.

3. Make sure you focus your attention and efforts on specific clients – a key target group that will generate the majority of your profits. Find out how to provide the best service for them and adjust your offer; create the right pricing strategy and speak their language. This will allow you to save time and energy you would use to provide services to “all” clients.

4. Look after yourself, especially when you feel that there is too much going on in your life.

Try to increase physical activity, use mindfulness techniques – be more conscious, look at what increases your stress, breathe during yoga or even a simple walk, find your passion – think about what you most loved doing as a child and consider if you could go back to this activity or develop it. Seek balance between your professional and personal life.

Once you’ve looked after yourself, remember about your team too – providing work conditions that foster balance between work and family life for your staff will: - make the team more engaged, motivated, and the teamwork will be more productive, - make you an attractive employer, especially for the Z generation which values freedom, balance between both aspects of life as well as time for passion, friends and family, - allow you to reduce staff absence and resignations of overworked employees.

Remember that stress is called a silent killer. Extended exposure to stressors will not help you achieve your goals. Be watchful, identify the first signals and make necessary changes to what you’ve been doing, give yourself some respite and it will have a positive effect on your professional and business results.

I always remind my clients that while rectifying their businesses they should not forget about selfcare. If, however, the situation goes out of control, the symptoms resemble those of a burnout and last for a long time, then it is worth seeing a psychologist or a therapist.

Any crisis, when properly worked through, can be a turning point in your life and does not necessarily mean that you have to resign from current work and leave everything behind.

Business Psychologist and Coach, Creator of Building Strong Brand, Business Trainer, founder of Beauty Coach Academy, author of “Make-up Removal for your Business - Open Your Eyes” course and “How to successfully sell expensive services in the Beauty Industry without low price offers and discounts”, co-founder of a non-profit foundation: I HELP BEAUTIFULLY.

Justyna Bielenda pbjmag.com

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AESTHETIC EXPERT KNOWLEDGE

APPLICATION OF PRP & I-PRF IN REGENERATIVE AND AESTHETIC MEDICINE Author: Monika Czernik

P

latelet rich plasma is an autologous blood-derived preparation containing concentrated platelets (PLT) suspended in a small volume of plasma. The key element of PRP activity is releasing growth factors from granules which facilitate regeneration of damaged tissue. It is obtained from the patient's blood by spinning it in a centrifuge machine which causes separation of particular morphotic elements depending on their weight. It also makes the PLT thicker. Platelet rich plasma is characterised by a significantly increased concentration of the so called platelet-derived growth factors, proteins secreted from alpha grains during their activation.

This method has been used for over ten years in maxillofacial surgery and cardiovascular surgery, and recently it has also been applied in other areas of medicine such as orthopaedics, dermatology, sports medicine and aesthetic medicine. Recent years have seen a growing interest in therapy using PRP mainly due to numerous media reports on the application of this method by well known athletes and celebrities as well as thanks to a large-scale promotion campaign on the medical services market.

PRP was firstly used during a cardiac surgery. With autologous platelet concentrates and red cells, there is a significantly lower requirement for blood transfusion during operation and, as a result, lower procedure cost. In the following years, there was research on the effect of PRP on the speed of healing as well as on the occurrence of sternum inflammation following a coronary artery bypass surgery, which constitutes a significant clinical problem.

Fot: Monika Czernik

An area where PRP is very widely applied is maxillofacial surgery. The majority of clinical trials involved groups of patients who following a jaw or paranasal sinuses reconstruction surgery with an autologous bone transplant were given PRP in order to achieve quicker implantation. The benefits of PRP application in dentistry were also observed in teeth extraction. Research showed that PRP reduces swelling and pain in the extraction area, enabling a quicker healing of the wound. Similar results were achieved following bone grafting and surgical treatment of periodontal defects. Platelet rich plasma enabled better adhesion of transplanted tissue and more effective haemostasis than in a group treated by standard methods.

Cosmetic surgery is another area where PRP is successfully used, especially in treating chronic wounds (such as diabetic feet). In the majority of cases, regular administration of PRP (approximately every 2 weeks) lead to quicker epithelialisation and closure of the wound in comparison with standard surgical treatment. PRP was also used along with adipose tissue transplantation in face reconstruction surgery. After a year of observation, the face contour was better than in the control group.

Further studies on the effects of PRP application revealed its painkilling effect in prospective study on assessing the subjective feeling of pain and the amount of painkillers taken. The studies were carried out on a selected group of female patients

Fot: Monika Czernik

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after major gynaecological surgeries. Platelet rich plasma was administered in the operated area once homeostasis was achieved. Post-operative pain experience among the patients who received PRP was shorter and less severe. There was also less need for opioid painrelief medication.

Developing the methods of obtaining and applying platelet rich plasma has become possible thanks to tissue engineering. Treatment using platelet growth factors is considered the most dynamically developing area of medicine which focuses on using and strengthening natural regenerative ability of our bodies to treat different conditions.

A-PRF+ and i-PRF are subsequent generations of preparations with blood platelets. Dr J. Choukroun is a pioneer, inventor and a propagator of applying growth factors in the platelet rich fibrin. He was the one who used this technique in dental and regenerative surgery.

A-PRF+ (Advanced Platelet Rich Fibrin Plus) is an improved platelet rich fibrin, while i-PRF (Incjectable Platelet Rich Fibrin) is in a liquid form and as the name suggest, this type of platelet rich fibrin can be injected.

A-PRF Plus and I-PRF, in contrast to PRP, are rich in fibrin - an active form of fibrinogen which, thanks to its structure, creates an elastic matrix for cells.

Fibrin preparations were already applied in medicine a few years ago, however, they were only available as gels which were not injectable, yet they were efficient for example in skin ulcer treatment.

I-PRF is different in these terms. It remains in liquid form for approximately 12 to 15 minutes from its preparation.

From the aesthetic medicine point of view, the main difference between PRP and I-PRF is the quantity, quality and function as well as the potential of blood cells and thrombocytes (PLT) in fibrin. This has direct impact on the results of aesthetic medicine therapies, especially anti-ageing therapy.

Both quantity and the speed of releasing growth factors in PRP and I-PRF preparations differ significantly. Fibrins release some of the growth factors longer and in higher concentrations, especially PGFs that are stored in thrombocytes and then released.

The polymerization process of fibrin in PRF occurs naturally and it facilitates capturing and accumulation of cells and cytokines already during spinning. Then a three-dimensional fibrin network is created which is then naturally “activated” (without thrombin or calcium ion, as in the case of PRP) by the target tissue being in contact with collagen in the application area.

As a result, the PGF factors are slowly released from PLT (over 7 days), which in turn leads to a longer exposure of tissue to their permanent concentration.

I-PRF as well as PRP are obtained from the patient’s blood through its appropriate processing.

Even though I-PRF is obtained in a similar way as PRP, the process is much shorter and slower (less than 700 rpm compared to over 1300 rpm for PRP). Slower spinning speed allows you to obtain a preparation with other fractions, richer in, for example leucocytes, hormones and other proteins.

The fibrin’s great advantage is that it is obtained without using anticoagulants and chemical separators as in the case of PRP. Without a doubt, the asset of I-PRF is the simplicity of obtaining platelet rich concentrate as well as its unique physical and biological properties.

As mentioned above, the outstanding results of the PRP and I-PRF methods are widely applied in the developing aesthetic medicine.

PRP and I-PRF techniques use the great amount of the patient’s body own resources which makes them incredibly safe. As an autologous product, they don’t actually have any side effects. There is also no risk of any intolerance, allergic reactions, immunological reactions or viral transmissions. pbjmag.com

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Using platelet rich plasma and fibrin in treatments is one of the few techniques whose efficiency is supported by many research studies and their results are widely documented.

Here, I’d like to enlist only a few benefits of applying platelet rich plasma right after a treatment: * improves skin healing and shortens down time * accelerates flaking of the skin and its regeneration * amplifies the target result of skin rejuvenation

Fot: Monika Czernik

The types of treatments in aesthetic medicine using patient’s platelets: Platelet rich plasma - PRP When injected subcutaneously, platelet rich plasma releases a large concentration of growth factors that initiate and support the process of regeneration and tissue reconstruction as natural body function.

Skin not firm with small wrinkles and signs of fatigue, uneven skin tone Dull skin needing revitalisation, Simultaneous strong regeneration of a few body areas, e.g. face, neck, neckline and hands Androgenic alopecia Platelet rich fibrin I-PRF Platelet rich fibrin is a new generation platelet concentrate in the form of a threedimensional structure. Thanks to this structure, platelets are stimulated longer to release growth factors, cytokines and enable migration of mesynchymal stem cells to the place of administration.

I-PRF and platelet rich fibrin treatment Significant sign of skin ageing: folds, skin furrows, crow's feet, deep wrinkles collapsed skin with tissue deficiencies Filling and regeneration of acne scars Combined PRP and I-PRF treatment: • comprehensive regeneration of a few body areas at the same time, e.g. face, neck, neckline and hands • recommended for skin without firmness and elasticity, deep wrinkles and skin furrows • quick regeneration and tissue healing after laser therapy, hair transplant and plastic surgery.

Using platelet rich plasma and fibrin in treatments is one of the few techniques whose efficiency is supported by many research studies and their results are widely documented.

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Here, I’d like to enlist only a few benefits of applying platelet rich plasma right after a treatment: * improves skin healing and shortens down time * accelerates flaking of the skin and its regeneration * amplifies the target result of skin rejuvenation The types of treatments in aesthetic medicine using patient’s platelets: Platelet rich plasma - PRP When injected subcutaneously, platelet rich plasma releases a large concentration of growth factors that initiate and support the process of regeneration and tissue reconstruction as natural body function.

Skin not firm with small wrinkles and signs of fatigue, uneven skin tone Dull skin needing revitalisation, Simultaneous strong regeneration of a few body areas, e.g. face, neck, neckline and hands Androgenic alopecia Platelet rich fibrin I-PRF Platelet rich fibrin is a new generation platelet concentrate in the form of a threedimensional structure. Thanks to this structure, platelets are stimulated longer to release growth factors, cytokines and enable migration of mesynchymal stem cells to the place of administration.

I-PRF and platelet rich fibrin treatment Significant sign of skin ageing: folds, skin furrows, crow's feet, deep wrinkles collapsed skin with tissue deficiencies Filling and regeneration of acne scars Combined PRP and I-PRF treatment: • comprehensive regeneration of a few body areas at the same time, e.g. face, neck, neckline and hands • recommended for skin without firmness and elasticity, deep wrinkles and skin furrows • quick regeneration and tissue healing after laser therapy, hair transplant and plastic surgery.

Treatments using platelet rich plasma and fibrin are recommended to those who: • Look for natural products for skin Fot: Monika Czernik regeneration and rejuvenation • Are at risk of allergies • Have problems with: stretch marks, cellulite, fresh scars • Have balding problems • Had laser therapy treatments and will benefit from a natural dressing.

Treatment results: PRP and I-PRF treatments enable natural rejuvenation and regeneration of the skin. The skin becomes better supplied with blood, younger and any unevenness and discolouration repaired. The results of biostimulation are noticeable as early as after the first treatment - at around 2nd or 3rd week after the treatment, and the full effect is seen for up to half a year when the collagen production is activated. pbjmag.com

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• • • • • • •

Smoothing wrinkles Improved elasticity, firmness and density of the skin Skin revitalisation, hydration and suppleness Smooth skin with even skin tone Accelerated healing after aesthetic medicine, e.g. after CO2 laser Improved blood supply Collagen remodelling.

In order to maintain the regeneration results, it is recommended to have 2-3 treatments every 3-4 weeks.

Usually, it is recommended to have one or two treatments a year if you're over 30, and a few treatments per year if you're older, depending on the condition and appearance of your skin.

As mentioned before, PRP and I-PRF as autologous products do not actually have any side effects.

If blood is correctly collected and spun, and if the treatment is carried out appropriately, there is no serious risk of complications. Occasionally, small bruising may appear after the treatment in the puncture area, however, they will disappear after a few days.

It is recommended to apply cream with vitamin K, Arnica or an ointment with heparin in the treated area. If any bruising appears, you can apply some gel to speed up its disappearance (such as Auriderm, Hirudoid, Lioton 1000, Reparil).

Rarely, symptoms such as swelling, erythema, pain or increased sensitivity around the puncture areas would appear.

This is why it is important to follow these post-treatment recommendations: * do not apply make-up for up to 12 hours after the treatment * avoid places with high risk of infection such as gym, swimming pool or sauna for at least 2-3 days after the treatment * avoid tanning beds and do not use sauna for 10-14 days after the treatment * avoid direct sunlight or sunbathing for approximately 6 weeks after the treatment, it is advised to use sunscreen with high UV filter as prevention * do not use products with high concentration of fruit acid Contraindications: • Taking aspirin and other NSAID pain relief medication • Blood diseases: platelet dysfunction syndrome, critical thrombocytopenia, fibrinogen deficiency, hemodynamic instability, sepsis.

• Cancer: a treatment can be carried out at least 5 years from the oncological treatment • Leukemia, myeloma • Pregnancy and lactation • Treatment using anticoagulants • Liver diseases, acute hepatitis or cirrhosis • Acute auto-immune diseases

Monika Czernik

Aesthetic Medicine Leader, MSC in Adult Nursing.

Founder of the Medical Academy of the Medical Sciences Center & Research, Clinic of Aesthetic Medicine, Polish Academy of Aesthetic Medicine (with CQC registration), Laboratorium Pharmastetics and ProMed Training Ltd. Monika is an international trainer and the Assessor of the Renewal Academy accredited by OFQUAL, the trainer of American Aesthetic Medicine. Lecturer at the Social Academy of Sciences in Poland, Faculty of Cosmetology, cooperates with Kings Collage London, Kent, Kingston, Bath and Bristol Universities, training medical staff with clinical skills.

Thanks to the specialization of a certified psychotherapist. customers appreciate its individual and often multi-faceted output.

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EXPERT KNOWLADGE

HOLISTIC APPROACH TO DIAGNOSTICS AND PRE-TREATMENT CLIENT ASSESSMENT

IN A BEAUTY SALON Author. Weronika Kononowicz

A

holistic approach to a client in a beauty salon involves taking comprehensive action with the aim to achieve therapy results in an effective and safe way.

Diagnostics and client assessment is a popular topic often undertaken in conferences and specialist magazines, because it allows sharing experiences and views among therapists in a broadly conceived cosmetology.

PRE-TREATMENT CLIENT ASSESSMENT A pre-treatment assessment should be an obligatory procedure of every therapist, however, even though professionals are aware of the need of carrying out an interview, skin diagnosis and filling in the questionnaire, still not every specialist will actually perform these very important procedures or they will do it inadequately. You should bear in mind that providing a treatment without prior exclusion of potential contraindications or an incorrect skin diagnosis often leads to post-treatment complications, which in this case is considered a mistake of the professional who performs the treatment. Before the treatment, you need to assess the client.

You should explain to your client that this necessary for their benefit and safety, as well as to achieve expected, long-lasting results.

PRE-TREATMENT ASSESSMENT Even as early as during the first telephone conversation with the client, you should make them aware that they need a pre-treatment consultation. Make sure you explain what this consultation involves and what benefits it will bring them.

If the client is not interested in the consultation and the philosophy and policy of your salon do not require clients to be assessed (because on the day of the treatment they will receive a treatment and consent form to complete), make sure you ask the client about their health, medication they take for their skin, cosmetic products they use and any treatments they’ve recently had to exclude any initial contraindications. This will spare you the necessity of sending the client home due to any existing contraindications and losing time you could devote to another client.

COSMETOLOGICAL CONSULTATION A holistic approach in a beauty salon starts with a consultation at the first appointment with a new client. This is when you set up a file for the client where you will keep all the important information obtained during a consultation, health questionnaires, diagnostic assessment results, treatment forms and any photo documentation – all these records will help you control the therapy course and its results.

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Consultation stage 1 – conversation Each consultation starts with asking the client questions to find out what problem they are coming with and what they wanted to change in their appearance. Sometimes the client just needs the treatments to maintain good condition of their skin or for anti-ageing prevention. However, in both cases, instead of focusing on one outcome, you could also make an assessment of the entire face skin and around the area of concern, because if you notice something that the client missed or did not consider a defect, then you can mention it, explain the problem and advise appropriately. This could be done either during a consultation, a follow-up appointment or before every treatment.

During the conversation, it's also a good idea to ask the client about their expectations from the treatment, what results they want to achieve and what their preferences are, e.g. if they enjoy needle treatments or rather painless, care treatments.

Consultation stage 2 – questions about everyday and seasonal care The questions about everyday and seasonal skin care are a must during a consultation.

These could include: ·Salon treatments the client has had so far; ·Types of cosmetics they use in different seasons and what these products do, their form and ingredients; ·Daily skincare – what is their morning and evening routine and what products they use.

This is important when you want to identify the reason behind a skin problem and find out what the client's daily routine is.

Consultation stage 3 – questions about health Then you can move on and ask the client questions about their health condition with the aim to exclude those treatments that would not be appropriate for them. It will also allow you to identify the reason of the client's skin problem. The questions would cover things like:

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Everyday lifestyle: ·Profession, type of job; ·Whether sedentary or standing; ·Amount of sleep; ·Diet; ·Diet supplements taken; ·Amount of fluid taken in (water); ·Smoking; ·Alcohol consumption; ·Daily physical activity.

Current health condition: ·Current medical treatment – if yes, for what condition; ·Medication for long-term conditions; ·Chronic diseases; ·Contagious diseases; ·Pregnancy and lactation periods; ·Skin conditions or skin lesions in the area of concern or elsewhere, and any related dermatological treatment; ·Frequent viral/bacterial/fungal infections; ·Inflammations; ·Problems with wound healing; Allergies.

Medical history: ·Medication taken in the last 6 months; ·Oncological treatment in the last 5 years; ·Hospital treatment in the last 2 years ·Operations/dental surgeries in the last 2 years; ·Dermatological treatment in the last 6-12 months; ·Any other past conditions.

Cosmetic history: ·Plastic surgeries in the last 2 years; ·Beauty or aesthetic medicine treatment in the last 6 months; ·Past fillers/threads in the tissue, botulinum toxin (Botox); ·Predisposition to scarring, bruising and bleeding; ·Complications or side effects after beauty or aesthetic medicine treatments; Any treatments the client is planning to have in the nearest and more distant future.

It is important to bear in mind that the discussion during consultation does not release the client from completing a health questionnaire before each treatment, because there could always be a new problem or contraindication.

Consultation stage 4 – review of the client's laboratory test results A general health diagnosis also includes laboratory tests, i.e. blood test results. They are very useful for identifying the causes of skin problems and for developing a beauty therapy plan, because skin is a reflection of how our body functions. Each parameter affects the skin's appearance and its condition, so on this basis you can find the cause of any problems but also determine whether to carry out a stimulating or a regenerative treatment. If there are any insufficiencies, you can introduce supplements, as otherwise the treatments can be ineffective.

Supplements will enable you not only to achieve the desired results but also ensure that they will last longer.

The topic of interpreting laboratory tests results and the effect of deficiencies on the treatment results is very wide, so it’s important to get some training and learn more if you don’t want any unhappy clients but to provide services at the highest level. pbjmag.com

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Consultation stage 5 – skin diagnostics Skin diagnosis is an obligatory procedure that should be done after the interview. Make sure you remove the client's make-up before you start diagnosing their skin. The diagnosis will allow you to identify the condition and type of skin as well as different types of lesions that could be indicative of a skin condition. It will also enable you to monitor the therapy results. An assessment of your client's skin includes visual and palpable examination, as well as obtaining skin images and parameters using professional diagnostic equipment. The results of a diagnostic examination should be recorded in a skin assessment form and kept in the client’s file. This will enable you to monitor the progress of the therapy.

The tools and equipment you can use include: ·DERMATOSCOPES - a dermatoscope is a magnifying tool that uses light to give you an enlarged view of skin defects that are invisible to the naked eye. ·WOOD’S LAMP - a wood's lamp can be used to see skin lesions, irregularities and superficial infections caused by fungi and bacteria which are invisible in daylight but could cause skin conditions. It also enables you to identify the type of skin as, to detect any hiper- and hipopigmented lesions, to determine whether sunscreen has been correctly applied, and to assess the condition of the skin after some treatments, for example chemical peels. The lamp’s function is based on the phenomenon of fluorescence – it emits ultraviolet light under which different types of skin conditions would show in different colours enabling you to detect and diagnose them. ·TRICHOLOGY CAMERA - it is used to assess scalp and hair lesions and it enables you to see a superficial image of the scalp and hair magnified to such an extent that you will be able to identify lesions in hair follicles, detect any impurities or sebum, and most of all, to diagnose the type of hair loss. Some trychology cameras are also equipped with a module to analyse skin lesions, which allows them to assess and generate a report identifying that lesion. It is also important that the camera emits UV light which will facilitate the diagnosis of a given problem. ·SKIN ANALYSER - a multifunctional device that measures and analyses many biophysical parameters of the skin. The assessment is carried out using a probe or a camera that you apply to the skin and shortly after you receive a report of the condition of your client's skin which will include information such as the level of moisture, oiliness, types of vascular lesions or blemishes, depth of wrinkles and the skin structure assessment. This examination will take literally a few minutes. ·ULTRASONOGRAPHY – uses ultrasound frequencies which enable you to assess layers of the epidermis, dermis and subcutaneous tissue. It's particularly useful for diagnosing cellulite, intrinsic ageing and photoageing, as well as to detect fillers and tissue reaction to fillers.

Ultrasonography is used to monitor how the skin changes in the course of therapy, enabling you to evaluate the effectiveness of aesthetic treatments, such as needle mesotherapy, but also to identify the location of threads and see how the skin reacts to them. It also provides images of skin lesions caused by dermatological conditions and enables monitoring the treatment process as well as any complications in the skin after aesthetic medicine treatments or plastic surgery. ·THERMOGRAPHY - it's a non-invasive examination used to detect thermal radiation, i.e. electromagnetic frequency in the infrared range in order to assess skin heat distribution.

Thermography can detect inflammation, injuries and can help to evaluate the healing process of the skin, sunburns or chemical burns as well as levels of cellulite.

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Consultation stage 6 – photo documentation Once you’ve gathered all the results and images during the diagnostic process, make sure you also have photo documentation in place. This mainly relates to pictures taken at the first appointment (during consultation), but also always before and right after each treatment, making sure the images are dated.

The pictures should be taken at every appointment – it will allow you to see the treatment results, for example, when you compare the pictures taken at the first appointment with the current condition of the skin, after a series of treatments.

Consultation stage 7 – qualification for beauty therapy or diagnosis continuation The last stage of consultation is qualifying the client for therapy. This is when you take into consideration all the results in order to diagnose a given problem that you then discuss with the client and identify its causes; then you can move on to planning or carrying out an individual and comprehensive therapy or alternatively refer the client for more diagnostic examinations – if you think this is necessary.

Education Make sure you educate your client at every appointment. Apart from explaining the treatment procedure, you can also discuss: ·On what basis you have diagnosed the problem; ·Possible causes of current skin problems; ·The way our skin and body function; ·Why the ageing process cannot be stopped; ·Why you treat each client individually; ·The philosophy of treatments, i.e. how a given treatment works and why it should be repeated; ·You can also explain how your clients can care for their skin at home; why everyday skin care routine is important and how it differs from salon care; ·The principles of disease prevention.

This information will make your clients aware that, for example, a series of treatments is not marketing and that you can’t hold the ageing process back, but you can delay it. By educating your client you are gaining their trust, because they will know that they are in professional hands. pbjmag.com

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SELECTING DEDICATED THERAPY Therapy selection, stage 1 – discussion of the proposed treatments

Creating a comprehensive cosmetic therapy starts with selecting and planning a series of salon treatments focused first of all on the problem that the client wants to solve and then suggesting additional treatments for any defects that have been detected during the diagnosis as well as treatments which will boost the future results. You could also discuss details of the treatments such as: ·What kind of treatment this is and what products will be used; ·What the procedure involves; ·The principles of home skin care before and after the treatment; ·Any indications and contraindications of the treatment; ·Potential side effects that could occur or chemical burns as well as levels of cellulite.

Therapy selection, stage 2 – therapy planning

At this stage, it is important to make the bookings for the whole therapy – this will help you keep the client in your salon as well as ensure regularity of the treatments Therapy selection, stage 3 – comprehensive home skin care

This is when you can educate your client about appropriate home skin care routine by discussing the things your client might be doing incorrectly and advising on the principles of adequate skin care. You could also recommend a selected set of products that you sell in your salon for your client to use at home, e.g. ·Make-up removal products, ·Seasonal care products, i.e. scrubs and masks, ·Day and night care products.

It is also worth discussing the ingredients your client should and shouldn't use in their everyday routine (this is important if the client's budget doesn't include salon products); however, make sure you point out the difference between drugstore products and salon products (here: cosmetics that are sold in a salon not the ones used for treatments). It is also important to explain the principles of post-treatment care and it doesn't only include cosmetic products but also general hygiene and other treatments or activities such as sauna, pool, sports and so on.

Therapy selection, stage 4 – everyday lifestyle advice

The next step of the holistic approach is suggesting the client make some changes to their everyday life – if required. This would relate to activities such as meditation and relaxing, the right amount of sleep and, most of all, diet, i.e. dietary recommendations and advice on drinking the right amount of water. Your role here is promoting prevention and pro-health activities – you're also a health promotion specialist, after all.

Therapy selection, stage 5 – supplements

If your client struggles with skin problems and deficiencies, you can recommend supplements as part of the therapy. However, you might need appropriate training in laboratory diagnostics including blood count and biochemistry assessment, elemental analysis, food intolerance or intestinal flora assessment as well as training in selecting the right supplements for dermatoses, because introducing targeted supplements must be, first of all, safe for your client.

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Collaboration:

As a qualified cosmetologist, you should show awareness of health risks, the ability to detect skin and body disorders for your clients; and then be able to refer them to an appropriate specialist. This is why the key for achieving efficiency in a cosmetologist profession is collaboration with a team of specialists: ·Dermatologist; ·Endocrinologist; ·Gyneacologist; ·Laboratory diagnostician – particularly useful when you need to recommend doing blood test or when you need help in diagnosing the client; ·Also cosmetologist, trichologist, podiatrist or linergist – even if you also work in one of those professions, you can refer clients to other professionals, for example, if you don’t offer laser treatments, you can recommend another cosmetologist who specialises in laser treatments. ·Dietician.

Also, if your clients are oncological patients or have other needs, it is good to work with oncologists, radiologists, surgeons, and in some cases with psychologists, masseurs, physiotherapists or personal trainers.

Don’t be afraid to collaborate and refer your clients to other professionals. This will ensure you don't go beyond your qualifications. You can’t be a specialist in everything.

Working together doesn't have to be based only on recommending each other but also on sharing experiences and helping one another – thanks to such collaboration you will be able to discuss each case with a team of experts and, in effect, develop an individual therapy programme for each client.

Weronika Kononowicz

Doctoral candidate specialising in Medical Sciences and Health Sciences at the Medical University of Silesia in Katowice. A graduate of Cosmetology at the Faculty of Medicine of the Katowice Business University in Katowice.

She has gained her experience at the Training Institute and Cosmetology Salons across the Silesia region. Weronika is an editor and author of numerous articles in specialist magazines both in Poland and abroad. She’s a speaker at nationwide conferences in Poland, as well as a co-author of research projects such as: “Beautiful Mum Project” or “Oncological Cosmetology Project” run by the Cosmetology, Cosmetics Science Association at the Katowice Business University, which she chaired throughout her studies. Continuous learning and research work are her priorities, because as a cosmetologist, she believes that development and experience opens up a lot of possibilities in the area of cosmetological therapies.

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AESTHETIC EXPERT KNOWLEDGE

POST-TREATMENT COMPLICATIONS IN AESTHETIC MEDICINE Author. Joanna Kuszneruk

W

hen performing aesthetic medicine treatments, we need to be aware of the risks we're taking and we should know how to help our patients quickly and efficiently.

THERE ARE THREE TYPES OF POST - TREATMENT COMPLICATIONS: Immediate complications appear after 72h after injecting hyaluronic acid, and these are: temporary erythema, swelling, tissue hardening, itchiness, patechiae,immediate hypersensitivity reaction, anaphylaxis, arterial occlusion.

Early complications appear from a few days to a few weeks after the treatment and include herpes reactivation, local infection, over corrections, pigmentation changes, persistent local symptoms and skin necrosis.

Late complications include delayed hypersensitivity reaction, infection, filler displacement, scarring, sharp absorption, foreign body granuloma.

EVERY PROFESSIONAL WHO PERFORMS AESTHETIC MEDICINE TREATMENTS SHOULD HAVE THE FOLLOWING EMERGENCY KIT: Adrenaline 1:100 ml - 2x Hyaluronidase 1500 I.U. - 4x Aspirine 300mg – 4 x 75mg Timolol Eye Drops 0.5% -1 x 5ml

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AESTHETIC EXPERT KNOWLEDGE

Antihistamine 10mg - 1 packet Bicarbonate of soda 50g Saline solution for injection 4 x 5ml Saline solution for eye rinsing Syringes: 2ml - 2x 10ml - 2x 1ml - 3x Needles: 23G – 4x 27G – 2x 30G – 2x Genuine allergic reactions are rare. Even though there is no requirement for an allergy patch test, the patient can be allergic to any of the ingredients, especially lidocaine or sodium hyaluronate.

Conservatives can cause anaphylaxis. In this case it is very important to give an adrenaline injection. Allergic reaction can include swelling after medical treatment or angiodema which can lead to serious deformation of a part of the body. These types of reactions are usually treated with generally administered steroids.

Swelling, itchiness and temporary erythema are non-allergic reactions that appear in the area where the preparation, e.g. filler was injected.

These reactions are common but will resolve spontaneously within 48h. To reduce the swelling you can use an ice mask on the treated area before and after the treatment.

Tissue hardening is a common but temporary side effect of fillers.

Early healing treatment includes a local massage of the treated area.

If the hardening is in the lips area, you can then massage it by pressing the product between your fingers. In the case of a nasal-lip area, you can massage from top to bottom along the fold while pressing maxilla. We don't recommend massaging the zygomatic area, because there is a risk of displacing a high density of injected hyaluronic acid down the cheek. However, if the hardening appears in the area where microfillers were injected, we recommend local massage 2 weeks after the treatment.

Bacterial infections – if the treatment was done in appropriate conditions and if sterile techniques were used, then the risk of a bacterial infection is very low. However, remember that if a treatment involves hyaluronic acid, it is likely that microorganisms can get into the skin tissue. Therefore, it is necessary to disinfect the area with alcohol solution before the treatment. Also, never use the same syringe, because it won’t be sterile anymore. Symptoms of a local infection include redness, swelling, higher temperature and pain, sometimes even fever. Infections related to facial fillers are usually caused by Staphylococcus Aureus. The treatment involves e.g. taking oral antibiotics. pbjmag.com

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Overcorrection is caused by applying to much filler. As a result, patient’s face can become asymmetric. In this case, extra amount of the acid can be reduced by injecting hyaluronidase. Hyaluronidase is efficient in eliminating hypercorrection and hyaluronic acid overdose, dissolves peptide bonds in long chain proteins that bond with hyaluronic acid. Hyaluronidase can cause anaphylaxis in those who are allergic to bee venom, so before doing these treatments, it is very important to be trained in post-treatment complications and hyaluronidase administration.

Tyndall Effect, i.e. bluish hue. This complication is a consequence of a too superficial injection of hyaluronic acid. If this happens, you should reassure the patient that this side effect — blue bumps, round or oblong in shape is caused by superficial application of the solution and will disappear on its own. The bumps usually appear in the valley of tears, lips and eyelids in patients treated by beauticians who are beginners in using hyaluronic acid.

Skin necrosis is one of the most serious complications related to dermal fillers. It can be attributed to interruption in blood supply to a given area due to direct damage, compression or obstruction of the blood vessels by the filler. The areas which are the most exposed to necrosis caused by dermal filler are glabella and ala of the nose. Of these two the most reported is glabella. An incidental application of the filler to the supratrochlear artery can cause pain, swelling, discolouration and, if not treated – necrosis. In this case it is recommended to apply hyaluronidase in the treated area and around it, massage it, and give antihistamine, antibiotic.

A graduate of Nursing School in New York and Aesthetic Medical in New York, the University of Medicine in Poland, Public Health and Cosmetology.

Joanna is an Aesthetic Medicine trainer in the UK with 16 years of experience in the industry. She gained her professional experience in New York and London.

A leader in aesthetic medicine, owner of JK La Estetica Training salon and training facility in Chelmsford, Essex.

Joanna Kuszneruk

'My education and professional work have turned into passions and it is about improving another person.'

Polish Beauty Leaders in UK

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EXPERT KNOWLEDGE

HOW TO BECOME QUALIFIED AS NON-MEDICAL IN AESTHETIC MEDICINE TREATMENTS IN UNITED KINGDOM Author. Monika Czernik

T

he global aesthetic medicine market size was valued at USD 86.2 billion in 2020 and is expected to expand at a compound annual growth rate 9,8% from 2021-28 This is the fastest growing field in the medical beauty industry and for these reason ambitious beauty therapists, cosmetologist who has potential to develop skills and take the business to the next level should take action now.

I receive many inquiries and questions from various professionals in regards to the aesthetic medicine legal qualifications, all steps for people without medical education and qualification who wish to expand their profession. Many of you are worried whether the law might change, and only those with medical degrees will be able to perform treatments involving needles. Others were asking for more information on how to become a medical practitioner/clinician in United Kingdom?

I will focus on bringing closer some more facts and answer few of your questions regarding the quickest and most effective way of becoming a medical practitioner in United Kingdom legally.

Of course, most desired way you could choose to study a medicine or dentistry, which takes at least six years. This is unacceptable to most professionals.

Many training academies in UK accept only medical professionals to participate in more advanced various training in aesthetics. Please note you may find limited insurance opportunities that meet non-medics, most popular insurance companies such as Hamilton & Fraser, who insure medics only. It is popular that companies reserve insurance only for doctors with GMC registration (General Medical Council), dentists with GDC registration (General Dental Council) and nurses from NMC (Nursing and Midwifery Council).

Fortunately, for the purpose of industry development many training academies also accept the so-called non-medics to participate in certain advanced training.

I want to give here some positive news, that there are legal ways to become a medical practitioner/clinician, and more precisely, a nurse, in the United Kingdom within two or three years of study. If you are non medic, this is the fastest way to become a medic.

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EXPERT KNOWLEDGE

THE JOURNEY TO THE MEDICAL TITLE It depends on your individual qualifications which you learned and gained previously.

If you have a Master's or Bachelor's (maybe from Poland or other EU country à You can complete your studies in just 2 years and receive the MSC (Master of Science) title.

If you do not have the diplomas mentioned above, you will continue to study nursing at the university for three years.

Sounds great, right? Only two years and we have a medical qualification!

Unfortunately, the road to it is quite complicated and requires a lot of sacrifices and mobilization from you. Usually, nursing studies are full-time, although some Universities also have extramural programs.

This is first step to becoming a nurse is to take a degree program approved by the Nursing and Midwifery Council (NMC).

To find out more about source of the list of NMC approved courses (including "dual" methods) using the search engine on the official NHS healthcare website https://www.healthcareers.nhs.uk/i-am/looking-course Please note full-time nursing applications in England and Wales can be obtained through UCAS. Now let`s see what is the admission conditions for 2 years masters studies for students with foreign education: 1. English at ILETS 7 level – certificate 2. A translated high school diploma 3. University diploma (if you have one) translated via ENIC 4. Min. 650 hours of experience in medical facilities gained in the last 12 months before applying 5. Cover letter 6. Passing an interview, English and Math test 7. Certificate of no criminal record FEES The tuition fee is around £ 10,000 a year. You can apply for a student loan, which you will get without any problems.

TYPES OF NURSING 1.Adult Nursing 2. Mental Health Nursing 3. Learning Disability Nursing 4. Children Nursing I would recommend Adult Nursing, which has the most clinical practice in its program.

In my opinion, it is more complex but much more enjoyable.

Classes at the university are usually 40 hours a week. In the meantime, students are sent to hospitals for their placements.

In London, I recommend that you also read the offer of Kingston University, University of Greenwich, King's College London University.

Below I have attached a link to all Universities that offer Nursing. Note that the requirements and curriculum may differ. https://www.thecompleteuniversityguide.co.uk/league-tables/rankings/nursing pbjmag.com

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EXPERT KNOWLEDGE How is to study Midwifery?

Studying Midwifery is similar to nursing, but a few facts are worth look into it: Midwifery is only available in one form three year studies (BSc Midwifery).

Year zero or part-time tasks are not open.

Classes are usually about 40 hours a week, which unfortunately excludes working parttime during studies. All universities are accredited in midwifery, so you don’t have to worry about working later.

Classes are conducted in a 50:50 format, i.e. half of the lessons are theoretical, and the other half is practical, i.e. clinical classes in hospitals.

There are in total 2,300 hours of practice in hospitals. This is the minimum requirement to apply for a PIN. The practice itself is challenging work.

From the first day to the last day, you will not be treated less favourably, rather the opposite. In the beginning, you will be given simple but very intense tasks from your mentor, which you have to complete until the last day of the placement. Such charges will increase systematically over time. The practice is spread out over a long time.

What does it mean?

After the first three months of lectures at the university, you will be sent to the hospital for about two months of placement. Later you will need to return to your university, and after some time there, you will be back at the hospital. Learning is intertwined with practice to complete all 2,300 required hours.

Get ready for 12 hour day and night shifts. At high peaks, the lunch break is 30 minutes in 12 hours and two 10 minutes breaks in between. Forget about being late. It will not be appreciated. If the mentor is not satisfied with your work, he/she may fail you. Such situations happen, and the practices should then be extended or repeated.

Working in the NHS is very specific, requiring a solid psyche, plenty of empathy, and for sure a very healthy spine! Teamwork skills are most vital to work in this.

Some universities also offer a so-called Foundation Year for people who do not meet the critical application requirements. As of 2017, there is another option to become a nurse in the UK. Unfortunately, it takes four years, but its advantage is the opportunity to work and earn while studying. This is called: ‘Nursing Apprenticeship’.

The benefits of ‘Nursing Apprenticeship’ learning: 1. You do not pay for your studies; it is done by your employer (usually the NHS).

2. You do not need to have a high school diploma/ qualifications.

3. You get the same qualifications as those who have studied full-time nursing studies.

HOW TO APPLY Go to the government website and search for: find an apprenticeship’, then enter: ‘nursing’ and find your nearest location you want to study. People who already work in a hospital as a health care assistant apply most often; the employer knows them and agrees to pay the fee and further employment.

From 2020, the possibility for students to apply for a ‘one-time non-refundable amount’ of £ 5,000 has been introduced.

After graduation, passing all exams, you can use the Nursing and Midwifery Council for the PIN (registry number). It is a number that is necessary to work as a nurse or a midwife. By receiving this number, you become one of the medical professional in this country. It is pretty interesting that after three years of practice after obtaining the PIN, you can apply for the Nurse Prescribing Course at some universities. Once it is completed, you get qualifications that allow you to write prescriptions in your expertise field. pbjmag.com

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BENEFITS OF BEING NURSE PRESCRIBER As a aesthetic professional it is very important to know major benefits being a Nurse Prescriber. As a Nurse Prescriber you can freely buy all kinds of vitamins, botulinum toxin and medications for your business without any problems.

You can also cooperate with non-medical people by conducting consultations and writing out prescriptions for a given product. In a sense, you are independent medical professional in performing all procedures related to aesthetic medicine.

The road is winding and requires concentration, good English language skills and quite a lot of efforts. Is it worth it?

Of course you gain a vast amount of knowledge and experience, along with the satisfaction of knowing you meet legal requirements to practice and last and quite important your reputation grows and you can develop your aesthetics practice business.

The world is your oyster!

I wish you all good luck!

Monika Czernik

UK Aesthetic Medicine Leader, MSC in Adult Nursing. Registered Nurse.

Founder of the Medical Academy of the Medical Sciences Center & Research, Clinic of Aesthetic Medicine, Polish Academy of Aesthetic Medicine (with CQC registration), Laboratorium Pharmastetics and ProMed Training Ltd. Monika is an international trainer and the Assessor of the Renewal Academy accredited by OFQUAL, the trainer of American Aesthetic Medicine. Lecturer at the Social Academy of Sciences in Poland, Faculty of Cosmetology, cooperates with Kings Collage London, Kent, Kingston, Bath and Bristol Universities, training medical staff with clinical skills.

Thanks to the specialization of a certified psychotherapist customers appreciate its individual and often multi-faceted output.

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BUSINESS PROMOTION

INNOVATIVE & NATURAL SOLUTIONS AT BEAUTY BOUDOIR SPA

By Joanna Soch

Established in 2021 by Professional Massage & Beauty Therapist - Joanna Soch, SPA & Beauty based in Bournemouth, salon brings prestigious facilities with extraordinary massages, treatments and skincare. Here at Beauty Boudoir, we believe that every visit to us should be special. Whether popping in to us in your lunch break for some relax, or choosing to spend the day with us, we want you to feel looked after.

We take inspiration from the ever changing beauty industry to provide you with the most effective, results driven treatments and are dedicated to sourcing advanced treatments that will help you reach your goals. From luxurious in-house designed spa massages, to our specialist facial treatments, we are sure to relax and rejuvenate the body and mind. Beauty Boudoir Spa is bringing affordable luxury to you on the high street.

We strive to provide our customers with the best service, therefore we are able to offer all our clients an on line booking service, the ability to purchase gift vouchers online, a booking app, an appointment text reminder service and we continually add to our wide range of treatments.

At Beauty Boudoir SPA we offer a large variety of massages, specialising in bespoke facial non surgical lift called KOBIDO. Our facial treatments and home care products are provided by Phformula for clinical skin peels, non surgical anti-ageing, anti-acne treatments and Jo Aloe Plus Lanzarote for relaxing spa facials and body treatments.

Our range of massages & treatments…

KOBIDO Japanese Face Massage Facial Cupping Treatments Body Massages with hot stones, bamboo sticks, french candles, honey and more...

Paraffin and Acupressure Treatments Deep facial cleaning, Vit C treatments, Under eye rescue etc.

● ● ● ● ●

Without A Scalpel - Japanese KOBIDO Massage Professional Massage & Beauty Therapist - Joanna Soch is specialising in KOBIDO massage and she is the only licensed KOBIDO masseuse in Dorset. KOBIDO is one of the oldest Japanese massages in the world. It has the largest number and most complex set of manual techniques compared to the usual massage methods which only work on the surface of the facial skin.

KOBIDO, through its complexity and intensity of techniques, works on the deeper layers of our skin and muscles, stimulates them, restores the balance in the tissues and results in the desired lifting effect. It is a natural alternative to aesthetic medicine and various interventional treatments.

Kobido massage is known as a non-surgical face lift, thanks to its techniques you can naturally and over time:

● Reduce the signs of skin aging by stimulating collagen and elastin products ● Model the face oval ● Stimulate cellular metabolism ● Even out skin tone ● Eliminate dark circles under the eyes ● Firming the skin ● Regain a younger appearance Your skin is your body's largest organ and many factors impact its health. Internal factors such as genetics, ageing, hormones, and conditions such as diabetes affect your skin. Some of these internal factors cannot be influenced, but there are many external factors that can.

When your skin is healthy, its layers work hard to protect itself. But, when compromised, the skin's ability to protect itself is impaired. As a result, pHformula has found the best approach to improving your skin’s health and to support your skin in maintaining its protective role.

Here at Beauty Boudoir we are taking really good care of your face, body and mind. Visit us to pamper yourself or your loved ones and we promise you will not regret, you will leave feeling beautiful and relaxed.

Healthy Skin Matters Your skin is your body's largest organ and many factors impact its health. Internal factors such as genetics, ageing, hormones, and conditions such as diabetes affect your skin.

Some of these internal factors cannot be influenced, but there are many external factors that can.

When your skin is healthy, its layers work hard to protect itself. But, when compromised, the skin's ability to protect itself is impaired. As a result, pHformula has found the best approach to improving your skin’s health and to support your skin in maintaining its protective role.

Here at Beauty Boudoir, our pHformula treatment system is based on the technology of regenerative medicine with the concept of creating controlled chemical skin resurfacing. The action of controlled chemical skin resurfacing is totally different than conventional peelings.

Peelings mainly cause skin exfoliation, whereas controlled resurfacing actively provokes an accelerated form of cell regeneration in the different layers of the skin, whilst trauma and superficial irritation are reduced.

For those of you who prefer more natural ingredients, our Jo Aloe Lanzarote line is here for you. We specialize in aloe vera because we are committed to your health, putting at your disposal the many properties offered by this plant. Our products are made in Lanzarote where they have own plantation of Aloe Vera. They also use volcanic ash and wine for some of the products and make them so unique. All products are organic and vegan-friendly.

Here at Beauty Boudoir we are taking really good care of your face, body and mind. Visit us to pamper yourself or your loved ones and we promise you will not regret, you will leave feeling beautiful and relaxed.

07716 378409 196 Commercial Road, BH2 5LX, Bournemouth beauty_boudoir_bournemouth beauty_boudoir_spa beauty_boudoir_spa

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DIGITAL EDITION

Zaufany Szkoleniowiec *This project is for Polish Educators only.

Stowarzyszenie Polskich Profesjonalistów Kosmetologii w Wielkiej Brytanii zaprasza właścicieli placówek szkoleniowych w Wielkiej Brytanii do rejestracji w programie Zaufany Szkoleniowiec.

Projekt dedykowany dla osób świadczących usługi szkoleniowe na terenie Wielkiej Brytanii.

CEL PROGRAMU: - Zwiększanie świadomości i bezpieczeństwa osób zdobywających wiedzę w Wielkiej Brytanii.

- Szerzyć świadomość środowiska branżowego oraz popularyzować wysoką jakość dostarczanych szkoleń.

- Wyróżnienie placówek z wysokim stażem doświadczenia w zawodzie.

- Wyeliminowanie niskiego poziomu oraz nieuczciwej działalności, która niekorzystnie działą na renomę Polaków w branży w Wielkiej Brytanii.

Proces Weryfikacji PRZECZYTAJ I PODPISZ REGULAMIN PROGRAMU dostępny pod linkiem na stronie programu

WYPEŁNIJ ANKIETĘ WERYFIKACYJNĄ Ankieta on-line

PRZYGOTUJ WSZYSTKIE DOKUMENTY DO WERYFIKACJI Scany/zdjęcia dokumentów prześlij mailowo

DOKONAJ PŁATNOŚCI WERYFIKACYJNEJ Dane do wpłaty znajdują się w ankiecie & regulaminie

OTRZYMAJ STATUT 'ZAUFANY SZKOLENIOWIEC' Otrzymanie wpisu do rejestru, publikacja profilu szkoleniowca oraz w magazynie Polish Beauty Journal

KONTAKT: ZAUFANY.SZKOLENIOWIEC@GMAIL.COM

Zgłoś placówkę Szkoleniową do Tutor Directory: zaufany.szkoleniowiec.uk@gmail.com

All Facilities are verified via 'Trusted Tutor in UK' Scheme

Kate Tiu Beauty Academy

Serenity Beauty Academy 40 Costons Ave, Greenford UB6 8RL M: 07525 900065 www.serenity-academy.co.uk

Permanent Makeup Academy 152 Balmoral Road Watford WD24 4EY T: 07834 559444 www.academy.katetiubeauty.com

British Levels 2, 3, 4 i 5 with VTCT/iTEC Semi-permanent makeup, Laser and IPL, Biostimulators, Facial Electrotherapy, Mesotherapy Skin Needling

Accredited Courses with ABT Basic and masterclass training.

PMU Eyebrows - all Microblading Techniques, Perfect Lips Eyeliner Figure 24/7 coach support

Also Accredited Courses: Massage, Laser Treatments as well as short accredited aesthetic courses.

Azalea Hair & Beauty Academy

SensualSpa Institute of Beauty

44 Cheverton Rd, Archway, London N19 3AZ T: 020 8616 4330 www.azalealondon.co.uk

43 Greenwood Dr, Sheffield S9 4GY T: 07598 986989 beautytrainings.co.uk British Levels 2, 3, 4 with VTCT

British Levels 2,3,4 with VTCT Accredited Beauty Courses: Chemical Peels, Laser & IPL Treatments, Injectables, Aesthetic Therapist, Micropigmentation Level 4, Body Waxing, Massage.

Accredited Courses: Cosmetic, massage, nail care, semi-permanent makeup, laser and IPL and also aesthetics courses.

Qualify Levels 5, 7 Aesthetic Medicine

ProMed Training Ltd

La Estetica Training

208 Upper Richmond Road SW15 6TD, London T: 020 8050 4353 facebook.com/medicalprofessionalss Szkoleniowiec Monika Czernik Msc in Adult Nursing, Qualified Tutor, Professional Psychotherapist

Accredited Courses CPD, CQC: Phlebotomy, CANNULATION, Fillers, Botox, PRP, PRF, Mesotherapy, Vitamin drips, Biofillers, Biostymulators

11 Baddow Road, CHELSMFORD, CM2 0BX,ESSEX M: 07711862414 www.laesteticatraining.com Tutor Joanna Kuszneruk - Qualified Nurse, Tutor Accredited Courses: Fillers, Needle Mesotherapy, Micro-needle Mesotherapy, Biostimulators, Plasma and Fibrin, Phlebotomy, Microblading, Permanent Make-up, PDO Threads, Medical Peels, Complications, Laser Make-up Removal, Laser Hair Removal, Anatomy and Physiology. Eyelashes 1: 1 and Russian,

Tao Naturea 2 Spelthorne Grove TW16 7BZ Sunbury-on-Thames T: 07727 158102 facebook.com/Tao-Naturea Tutor Monika Tomczyk

Accredited Massages Courses: Swedish Oriental, Lomi Lomi Nui, Body Modeling Bamboo, Massage with a Warm Herbal Stamp, Candling and Ear Conching - 2 methods. Facelift-GuaSha Massage, Cosmetic Bubble, Transbukal Tao Kobido + Face Tapping 6 months of mentoring, treatment protocols in English and Polish.

Carla Training Health and Beauty 335a Tong Street Bradford BD4 9QY T: 07522120436 www.carlatraining.co.uk Facebook: carlatraininghealthandbeauty British levels 2, 3 and 4 VTCT. Facials and massage, Eletrotherapy, ILP and Laser, Permanent makeup, Level 3 anatomy and physiology, Vitamin drips, Biostymulators, PRP, Needle Mesotherapy and Fat Dissolving Our academy teaches you not only the skills required to create stunning and well-shaped brows, lips and eyeliner but also how to build a strong business that attracts the best clientele.

Program Przeznaczony Tylko Dla Placówek Zarejestrowanych w Wielkiej Brytanii

What they think about 'Trusted Tutor in UK' Scheme?

"Employee vocational training gives a whole workshop. Theoretical knowledge is most important. Knowledge of human anatomy is our responsibility. At the Serenity Academy of Beauty, we teach from and the basics, we study through all stages of education in the UK. We offer British National Vocational Qualifications NVQ Levels 2,3,4,5 and accredited courses for experienced beauticians."

Klaudia Lucas

"As a leader in the aesthetic medicine industry, I focus on the quality, quality of good and safe training. I want to make potential students aware of the importance of choosing the right training facility with accredited training for further of their development. 'Trusted Trainer' is not only a safe choice for a trainer, but also safety customers."

Joanna Kuszneruk

"I value such schemes, because they can verify that a training facility meets all standards in a British market.

There are a lot of dishonest people who conduct training illegally and charge large sums for training that is not recognized in the UK." Kate Tiu

"As a conscious expert in the cosmetics industry and trainer, I believe that the path taken by the students is very important, especially in the initial stage.

I want them to be able to consciously choose a right training facility, and the 'Trusted Trainer' program offers that. It is extremely important that an initiative scheme will help both tutors and students in making a proper choice."

Sandra Bujnowska

Tel: 074000 64308 Email: hello.salco@hotmail.com