CN-JAN-2011b

the uk’s only free of Charge MediCal aesthetiCs trade MagaZine

THE VOICE OF YOUR INDUSTRY www.cosmeticnewsuk.com january 2011

LOOKING FORWARD

Industry opinion leaders give their views on what’s in store for 2011

WATER WORKS

Hydradermabrasion

CONfERENCE CALLING

Cosmetic News Expo 2011 Programme

WEIGHT LOSS AND BODY CONTOURING SPECIAL

We take a look at the rapidly expanding weight loss and body shaping market and examine the role psychology plays when offering these treatments

starting out Calculating set-up costs

ALSO IN THIS ISSUE

under Control? return on inVestMent laser and iPl regulation latest is your laser giving you a good roi?

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EDITOR’S LETTER

WELCOmE TO THE fIRST ISSUE Of COSmETIC NEWS fOR 2011. I HOpE yOU aLL Had a GOOd CHRISTmaS aNd aRE LOOKING fORWaRd TO THE yEaR aHEad. Weight loss is big business and no more so than at this time of year. The guilt of post-Christmas

indulgence, coupled with the tradition of making New Years’ resolutions, means that a huge percentage of your clients will be prioritising losing weight as we move into 2011. January is the month when most people start thinking about making changes in their lives and weight is top of the agenda for many. As such this is the perfect time of year for cosmetic practitioners to be marketing their body shaping and weight loss treatments. It is also equally as important not to forget the psychological factors that are so closely associated with weight problems and to offer your clients the best service possible by helping them to address these. This will not only enhance the results they get from treatment but will give you the edge over your competitors. as part of this month’s special feature we explore this in more detail and look at some of the best treatments for removing unwanted fat from laser lipo to ultrasound and Rf (p26-28) and speak to health psychologist James Lamper about the psychological factors associated with weight (p30-31). as well as this we have asked key opinion leaders in the industry to give us their views on the year ahead (p20-22) and take a look at the rise in popularity of hydradermabrasion (p36-37).

I hope you enjoy this issue and look forward to bringing you more in 2011. Happy New year!

“The guilt of postChristmas indulgence, coupled with the tradition of making New years’ resolutions, means that a huge percentage of your clients will be prioritising losing weight as we move into 2011”

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EDITOR’S ChOICE

CONTENTS 4

EdITOR’S CHOICE

6

INdUSTRy NEWS

10

NEWS SpECIaL

12

VOICE Of THE INdUSTRy

14

EXpO pREVIEW

Vicky Eldridge tries out the ChromaPeel diamond microdermabrasion and colour therapy treatment We round up the latest industry news Laser and IPL regulation latest Dr Brian Franks takes the reins for this month’s column The latest on the event of 2011 – the Cosmetic News Expo. Find out how you can register for free

18

ON THE SCENE

20

VIEW ON THE yEaR aHEad

22

pEOpLE IN pROfILE

Out and about in the industry this month As we move into 2011, we find out what some of the industry’s key players are looking forward to in the year ahead and what their highs and lows of 2010 were We chat to Consulting Room™ and ABS directors Ron Myers and Martyn Roe

26-31 WEIGHT-LOSS aNd BOdy CONTOURING SpECIaL We take a look at the rapidly expanding weight loss and body shaping market and examine the role psychology plays in this field

26 30

BOdy CONTOURING

We examine some of the best body contouring and weight loss treatments available on the market

BOdy ImaGE aNd pSyCHOLOGy

Health psychologist James Lamper talks to us about the underlying psychological issues that should be considered with weight loss patients

32

Q&a

36

TREaTmENT SpOTLIGHT

40

pROdUCT NEWS

CHROmAPEEL

They say that diamonds are a girl’s best friend, but while my Christmas stocking was sadly lacking in gifts of the sparkly two karat variety, thankfully my skin has benefited from diamonds this festive period. I was invited by The Carlton Group to try out the ChromaPeel treatment, which combines diamond microdermabrasion, colour therapy and brushing.

The treatment is designed to regenerate the skin by boosting the natural process of skin renewal, which slows down as we age. Its main advantage over other microdermabrasion treatments is that, as it uses no crystals, and therefore no vacuum to remove them, it is fast, comfortable and virtually silent. The four variable speeds and choice of two diamondencrusted heads also allow the treatment to be tailored for any skin type, from sensitive to oily.

The therapist started by cleansing my skin with a non-oily make-up remover to remove any impurities. She then performed the brushing procedure, an optional part of the treatment, which loosens the dead skin cells, increases blood flow to the skin and helps to eliminate toxins and waste, brightening the skin and giving it a youthful glow. The microdermabrasion treatment was then performed. She made two passes over my face with the handpiece, using small circular motions, but even on the second pass the treatment was not at all uncomfortable.

The treatment ended with colour therapy, which was very relaxing and at the same time stimulating. Used in combination or separately, the colour therapy treatment stimulates the skin’s cells to facilitate change. The inclusion of four colours (red, green, blue and yellow) using LEd lights, set at varying wavelengths, offers a wide range of benefits. for example, green cools and reduces redness, blue reduces swelling and offers anti-bacterial effects for the treatment of acne, red rejuvenates and stimulates the lymphatic system and yellow tones and smoothes the skin, as well as promoting the production of collagen. four pulsed modes are also included which allow penetration of the wavelengths into the skin at different levels providing stimulation for the epidermis, dermis, subcutaneous tissue and deep into the circulatory system.

The whole treatment took around 45 minutes and my skin instantly looked brighter and more refreshed, with results improving over the next two or three days. a course of 10-12 treatments is usually recommended for best results. There was no downtime and I was able to go straight out for lunch afterwards and even resisted the urge to apply make-up.

We speak to Dr Michael Brinkenhoff, the founder of RevitaLash® Lorna Jackson on hydradermabrasion We round up the latest product news

42

BEST pRaCTICE

44

BUSINESS fOCUS

46

pROfESSIONaL BEaUTy

Anna Saprykina on calculating start-up costs How to get a return on investment from your laser Find out about Cosmetic News’ involvement in this year’s Professional Beauty Show

48

daTES fOR THE dIaRy

50

dIRECTORy

Training course, conference and meeting dates Our guide to the manufacturers, suppliers and business services featured in this month’s issue

Charlotte Body Publisher 01268 754 897 charlotte@creativemedialtd.co.uk Vicky Eldridge Editor 01268 754 897 m: 07940 083 677 vicky@creativemedialtd.co.uk Emilia Cops Associate Publisher 01268 754 897 emilia@creativemedialtd.co.uk peter Johnson, Art Director 01268 754 897 peter.johnson@creativemedialtd.co.uk Charlie Crocker Designer 01268 754 897 design@creativemedialtd.co.uk Hollie-Jane dunwell Account manager 01268 754 897 hollie.jane@creativemedialtd.co.uk Shauna peters Production Assistant 01268 754 897 shauna.peters@creativemedialtd.co.uk

DISCLAIMER The editor and the publishers do not necessarily agree with the views expressed by contributors and advertisers nor do they accept responsibility for any errors in the transmission of the subject matter in this publication. In all matters the editor’s decision is final.

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Industry News | Round Up

gALDERmA ANNOuNCES INTENT TO ACquIRE q-mED Two of the industry’s leading companies could become one if a multi-million dollar bid by Galderma to acquire Q-med goes ahead. In a joint venture between L’Oreal and Nestle. Galderma, the makers of Azzalure®, launched a reported $970 million bid for the Swedish manufacturer of Restylane® at the end of 2010.

The acquisition would create for the first time a company with a portfolio strong enough to rival the makers of Botox® and Juvederm®, allergan. a spokesman for Galderma said, “This transaction would bring two strong companies together who each are leaders in their respective fields and share a common commitment to science, clinically-demonstrated product excellence and medical education. as such, the combined company would be uniquely able to fulfill Galderma’s near-term and long-term strategic needs.

“Q-med’s portfolio is complementary to our current and future corrective and aesthetic dermatology product offering. Q-med’s Restylane® product range is recognised around the world as the ‘gold standard’ and provides Galderma with a quantum leap in the aesthetics market. In addition, we remain committed to the launch of our Emervel dermal filler, an innovative product with demonstrated clinical benefits. Together, these two products will enable Galderma to have a portfolio of dermal filler products tailored to the different needs of the market. Q-med´s macrolane product has tremendous potential in many aesthetic and medical applications around the world. Combining Q-med’s products with azzalure®, Tri-Luma, Emervel and pliaglis will improve our ability to serve patients’ needs better.

“Each year Galderma invests approximately 20% of revenues to discover and develop new drugs and access innovative technologies. Q-med’s research and development organisation has led the world with the creation of their NaSHa™ technology. Combining Q-med’s engineering and chemistry expertise with Galderma’s insights into the biology of the skin has the potential to develop breakthrough products that further extend patient benefits and meet doctor’s needs.

“By partnering with dermatologists and dermatological institutions throughout the world we look forward to realising our ambition to be recognised as the most competent and successful innovation-based company focused exclusively on meeting the needs of dermatology patients and physicians.”

SuRgEON NAmED ONE Of uK’S ‘TOP DOCTORS’ The Times newspaper has named Professor Simon Kay, consultant plastic and reconstructive surgeon at Spire Leeds Hospital and Leeds Teaching Hospitals NHS Trust, as one of ‘Britain’s Top Doctors’. Published in a special edition of The

NEwS IN BRIEf AllERgAN lAUNCHES JUVÉDERM® App Allergan has teamed up with Rosetta, a leading digital agency in the USA, to create a new iphone app, designed to equip women with the knowledge and tools they need to ‘realise their beauty potential’ using the Juvederm® family of dermal fillers. The Juvederm® Mobile app provides guidance for those who are keen to understand what treatments will work best for them, and even allows users the facility to locate a local practitioner. The app is simple and easy to use, and incorporates ‘What’s Right for Me?’, a tool that gives users the opportunity to explore facial problem areas and learn about the Juvederm® solution; Juvederm® Product Suite; Before and After Gallery and a Clinic Locator, which helps users to find a qualified practitioner in order to set up a consultation.

The Juvederm® Mobile app is free and can be downloaded now at the iTunes store www. apple.com/itunes/.

BOTOx® IMpROVES QUAlITY OF lIFE A study published in Dermatologic Surgery, has shown that patients treated with botulinum toxin Type A or Botox® Cosmetic showed an increase in overall quality of life and self-esteem. As part of the doubleblind randomised placebo-controlled study, participants were photographed and randomised to receive injections of Botox® Cosmetic to the glabellar area, forehead, and crow’s feet or injections of a saline solution.

Statistically significant improvements in participants treated with Botox® Cosmetic were observed in answers to quality of life questions pertaining to physical health, mood, household activities, overall life satisfaction, body satisfaction, self-consciousness, intellect, self-worth, appearance, comprehension, weight satisfaction, attractiveness, and sense of well-being.

Times magazine, the guide to the elite of Britain’s doctors was compiled in conjunction with professional bodies and associations, specialists and charities, who listed candidates considered to be leaders in their medical fields, based not just on academic brilliance but also personal qualities such as dedication, empathy and drive. a former president of the British association of plastic, Reconstructive and aesthetic Surgeons, professor Kay has 25 years’ experience in plastic surgery, specialising particularly in breast surgery, children’s hand surgery and major nerve surgery. patients are referred to see professor Kay from all over the world. His practice also includes the full range of cosmetic surgery procedures and non-surgical treatments at Spire Leeds Hospital. Commenting on the accolade, Spire Leeds hospital director anna Tchaikovsky said, “We are delighted, although not surprised, that professor Kay has been named one of ‘Britain’s Top doctors’ by The Times.

He is an immensely talented surgeon at the forefront of his field, and his work brings untold benefits to the lives of his patients, not just in UK but internationally. Spire Leeds Hospital prides itself on working with the most talented medical consultants to offer patients the best possible advice and treatment.”

6

cosmeticnewsuk.com

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I am happy to confirm that the Soprano XL Hair Removal system has been very well received by our patients and that they have all been truly amazed that it is a pain free treatment.

The staff have found the laser system very easy and safe to use and we have been very pleased with the service and support we have received from ABC Lasers. dr rita rakus mBBs Founder member of the BaCd, Clinic in Knightsbridge. Known as the London Lip Queen.

“Soprano painless hair removal has transformed the laser hair removal experience for our clients. Working with other Lasers too, the Soprano hits all the right notes.” dr patrick Bowler. Founder & medical director of Court House chain of 10 Clinics and co founder of the British association of Cosmetic doctors BaCd.

“We offer a wide range of treatment modalities for clients seeking to remove unwanted hair using technology supplied

by ABC lasers. The Soprano XL has enabled us to provide previously unavailable pain-free treatment and successfully include darker skin types in our patient pool. We recommend the Soprano XL without reservation.” dr. peter ilori is the founder of ‘the Beauty society’ - a premier provider of medical spa, aesthetic, dental and specialist orthodontic services.

When opening my new clinic I was looking for a system which stood above the rest. The painless technology from the Soprano XL has opened up a new and increasing market for my business in both Laser Hair Removal and Skin Tightening. One year on, results are excellent and many of our new clients come by word-of-mouth recommendations from our happy client. dr ravi Jain, BaCd, owner riverbanks Clinic, winner Best new clinic award 2008-2009.

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Industry News | Round Up

NEwS IN BRIEf

AADA ISSuES uPDATED POSITION STATEmENT ON ISOTRETINOIN

IMCAS TO TAkE plACE IN pARIS THIS MONTH

The American Academy of Dermatology Association (AADA) has updated its position statement on

together some of the premier mnds in ant-ageing

the use of isotretinoin. The updated position states that ‘a correlation between isotretinoin use and

and aesthetic medicine from across the globe. The

The 13th annual IMCAS (International Master Course on Ageing Skin) congress will take place in Paris this month. The event will be held at the Palais des Congres from January 6-9 2011. IMCAS brings

depression/anxiety symptoms has been suggested but an evidence-based causal relationship has not

Cosmetic News team will be attending the show.

been established’ and that ‘other studies give evidence that treatment of acne with isotretinoin was

See our February issue for a full report.

accompanied by improvement of both depressive and anxiety symptoms, as well as improved quality of life of patients with acne’.

lUMENIS AND AlMA REACH SETTlEMENT

It also states that current evidence is insufficient to prove either an association or a causal relationship between

Lumenis and Alma Lasers have settled all patent

isotretinoin use and inflammatory bowel disease (IBd) in the general population. While some recent studies have

claims and counterclaims in a litigation between

suggested such a relationship, further studies are required to conclusively determine if anassociation or causal

them and their subsidiaries that were pending in

relationship exists and/or whether IBd risk may be linked to the presence of severe acne itself, the aada says.

the United States District Court in Chicago. Under

finally it says that compliance should still be maintained with the manufacturer-sponsored and fda-approved risk management program for prescribing isotretinoin (ipLEdGE). The aada opposes on-line Internet dispensing, sharing, or use without physician supervision, because these activities do not provide for sufficient patient education about isotretinoin risks and do not require participation in the ipLEdGE program.

“Isotretinoin continues to be considered a critically important drug for treating patients with severe acne who fail other therapies,” said William d. James, md, faad, president of the aada and its sister organisation, the american academy of dermatology (aad). “Isotretinoin offers our patients with severe acne significant, life-changing benefits. providing this medicine safely is our top priority. physicians should to be alert to potential concerns, including IBd or psychiatric disturbance, educate their patients about these and other potential risks, and monitor their patients for

the settlement agreement, Lumenis granted Alma a license to its complete patent portfolio for use by Alma with respect to all of Alma’s products in the aesthetic field. Alma will pay Lumenis $6.5 million dollars for the license.

ATOpIC DERMATITIS kNOwlEDgE CENTRE EPG Health Media has launched a new interactive Atopic Dermatitis knowledge centre. The new

any indication of these symptoms.”

resource is hosted on www.epgonline.org an

The updated position statement is based on review of the latest evidence regarding isotretinoin and the treatment

online medical education resource for healthcare

of severe acne. “The effectiveness of isotretinoin therapy in the treatment of acne has been demonstrated in

professionals (HCPs). Atopic dermatitis (or eczema)

numerous clinical studies which are referenced in the position statement,” said Stephen p. Stone, md, faad, chair

is a highly prevalent chronic inflammatory skin

of the aada’s retinoids task force. “When and if new data become available, additional updates to the position

disorder, affecting 10-30% of children and 1-3%

statement will be considered.”

of adults. The Atopic Dermatitis knowledge centre is designed to provide information and support

gET yOuR fACE ON TV

The MyFaceMyBody Show, the UK’s first cosmetic surgery and aesthetics TV chat show, is looking for experts to take part in its second series.

The series will be shown on Sky Channel 166 and Freesat 402, as well as on MyFaceMyBody.com, early in 2011. Founder and presenter Stephen Handisides and his team are looking for experts from the fields of cosmetic surgery, dentistry, non-surgical aesthetics, laser and semi permanent make-up to take part. He said, “Series one was amazing – as well as speaking to highly regarded surgeons about topics as diverse as male breast reduction and weight loss, we got out and about for our ‘Myth Busters’ section. We now want to grow and involve a more diverse team covering a host of new issues, which will reflect the changing needs of our viewers. We believe that there are some amazing practitioners doing some incredible work out there and we want to help them promote themselves and their practices.”

SANDRA gILES jOINS COSmECEuTICALS

Cosmeceuticals is pleased to announce the appointment of Sandra Giles as its customer service and sales co-ordinator.

Sandra will be based at Cosmeceuticals head office in Basildon, Essex. Sandra understands the importance of customer service and joins the Cosmeceutical team with more than six years experience at a leading energy provider.

She said, “I am so excited to be joining the team at Cosmeceuticals, I was seeking a challenging role for further professional development and now I have found it! I believe that good customer service is integral to the company and can potentially lead to new business opportunities. The team at Cosmeceuticals has a strong ability to perform effectively and I am looking forward to working with them.”

BIAE LAuNChES CONSumER AwARENESS DRIVE fOR ELECTROLySIS

To support its growing membership and safeguard the interests of the British public, the BIAE (British Institute and Association of Electrolysis) is embarking upon a consumer communications drive that will raise the profile and understanding of electrolysis and advanced electrolysis- and assist clients in choosing a suitable practitioner.

Through a long-term campaign of print and online publicity, a wide range of consumer groups will be reminded that electrolysis is still the only officially approved form of permanent hair removal and that advanced electrolysis offers a multitude of additional benefits. The message will come with the proviso that treatment should be carried out by a BIAE member, with warnings against bad electrolysis and scam treatments. Non-member practitioners are urged to secure their inclusion in this promotional drive, by applying to join the increasingly influential register of BIAE-qualified practitioners at the earliest opportunity. According to BIAE Chair, Mandy Painting, “BIAE is a not-for-profit organisation that was set up in the interests of consumers, with a multitude of consequent benefits for practitioners. In a country where licensing and educational requirements for electrolysis vary significantly, BIAE’s dedication to maintaining consistently high UK-wide standards through registration-by-qualification makes its membership list the definitive guide for consumers.

This recognition is set to increase as our communications drive progresses.”

to HCPs involved in the diagnosis, treatment and care of atopic dermatitis. It outlines the clinical approach to management, from initial assessment and diagnosis through to taking the decision to treat and ongoing treatment.

HAMIlTON FRASER gETS A MAkEOVER Hamilton Fraser Cosmetic insurance, one of the UK’s leading providers of specialist medical liability insurance for the cosmetic industry, has announced the launch of its new dedicated cosmetic insurance website. The site has been completely redesigned to provide cosmetic practitioners with specialist information about medical liability and salon and surgery insurance policies, including policy features and benefits, available treatments to be insured, how to make a claim and how to find a Hamilton Fraser recognised training course. There is also a useful frequently asked questions and related links section. Eddie Hooker, managing director of Hamilton Fraser said, “Our website represents another step in our continuing commitment to improve our products and the services we provide.

Our customers are at the heart of our business and we will continue to respond to their needs to ensure we provide a transparent service, which allows practitioners to purchase the right policies at the right price. During 2010 we conducted a series of research programmes with a number of our customers and the results have influenced our new website.”

8

cosmeticnewsuk.com

Face the future

with confidence Azzalure® is a Botulinum Toxin Type A for aesthetic use.

• Fast onset of action (median time to onset 2-3 days)1 • Long duration of action (up to 5 months)1 • High level of patient satisfaction (93% after 6 months, following one treatment session)2

Azzalure® is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines seen at frown, in adult patients under 65 years, when the severity of these lines has an important psychological impact on the patient.

an aesthetic choice Azzalure Abbreviated Prescribing Information Presentation: Botulinum toxin type A (Clostridium botulinum toxin A haemagglutinin complex) 10 Speywood units/0.05ml of reconstituted solution (powder for solution for injection). Indications: Temporary improvement in appearance of moderate to severe glabellar lines seen at frown, in adult patients under 65 years, when severity of these lines has an important psychological impact on the patient. Dosage & Administration: Botulinum toxin units are different depending on the medicinal products. Speywood units are specific to this preparation and are not interchangeable with other botulinum toxins. Reconstitute prior to injection. Intramuscular injections should be performed at right angles to the skin using a sterile 29-30 gauge needle.

Recommended dose is 50 Speywood units (0.25 ml of reconstituted solution) divided equally into 5 injection sites,: 2 injections into each corrugator muscle and one into the procerus muscle near the nasofrontal angle. (See summary of product characteristics for full technique). Treatment interval should not be more frequent than every three months. Not recommended for use in individuals under 18 years of age. Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the excipients.

In the presence of infection at the proposed injection sites, myasthenia gravis, Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and precautions for use: Use with caution in patients with a risk of, or clinical evidence of, marked defective neuro-muscular transmission, in the presence of inflammation at the proposed injection site(s) or when the targeted muscle shows excessive weakness or atrophy. Patients treated with therapeutic doses may experience exaggerated muscle weakness. Not recommended in patients with history of dysphagia, aspiration or with prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory difficulties arise. Facial asymmetry, ptosis, excessive dermatochalasis, scarring and any alterations to facial anatomy, as a result of previous surgical interventions should be taken into consideration prior to injection.

Injections at more frequent intervals/higher doses can increase the risk of antibody formation. Avoid administering different botulinum neurotoxins during the course of treatment with Azzalure. To be used for one single patient treatment only during a single session. Interactions: Concomitant treatment with aminoglycosides or other agents interfering with neuromuscular transmission (e.g. curare-like agents) may potentiate effect of botulinum toxin. Pregnancy & Lactation: Not to be used during pregnancy or lactation. Side Effects: Most frequently occurring related reactions ®

are headache and injection site reactions. Generally treatment/injection technique related reactions occur within first week following injection and are transient and of mild to moderate severity and reversible. Very Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid oedema, Lacrimation increase, Dry eye, Muscle twitching (twitching of muscles around the eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement disorder, Urticaria. Adverse effects resulting from distribution of the effects of the toxin to sites remote from the site of injection have been very rarely reported with botulinum toxin (excessive muscle weakness, dysphagia, aspiration pneumonia with fatal outcome in some cases). Packaging Quantities & Cost: UK 1 Vial Pack (1 x 125u) £64.00 (RRP), 2 Vial Pack (2 x 125u) £128.00 (RRP) IRE 2 Vial Pack (2 x 125u) €183.78 (RRP). Marketing Authorisation Number: PL 06958/0031 (UK), PA 1609/001/001(IRE). Legal Category: POM. Full Prescribing Information is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998.

Date of Revision: September 2010.

Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Galderma (UK) Ltd. References 1. Azzalure® Summary of Product Characteristics.

2. Ascher B et al. J Am Acad Dermatol 2004; 51: 223-33.

Azzalure® is a registered trademark of Galderma.

Date of preparation: November 2010 AZZ/543/1110

News Special Report | Laser and IPL egulation

UNDER CONTROL?

We report on the IHAS progress on finding a way forward for the future regulation of certain laser and intense pulsed light treatments Class 3B, class 4 lasers and intense light treatment systems for non-surgical use were deregulated by the department of Health in October 2010. Nevertheless, these systems potentially cause damage if used wrongly, and this means that the industry using them needs to have standards widely known and followed, to assure patient safety. as such, the Independent Healthcare advisory Services (IHaS), association of Laser protection and Healthcare advisors (aLpHa), Hair and Beauty Industry authority (Habia) and the British association of Cosmetic doctors (BaCd) have formed a working group, in association with the department of Health, Health protection agency and engaging with Local Government Regulation (LG Regulation, previously LaCORS) to develop an industry registration scheme to establish essential standards for the laser and intense lights cosmetic industry.

requirements. It aims to ensure no unnecessary burdens are placed on business, and to use existing legislation.

The standards would ensure a more consistent approach from officers of different local authorities. Without this there is a significant risk that these providers will be subject to varying approaches of regulatory activity with no consistent standard of safety for consumers.

The standards are designed with the cosmetic and beauty sector in mind, but the IHaS hopes that they can be accepted more widely and that they may be considered by other regulators involved with a wider range of laser treatments, such as the Care Quality Commission and Health Inspectorate for Wales. a number of specified operators of Class 3B lasers, for example those healthcare professionals that were afforded exemption prior to the de-regulation, will be exempted from the requirements.

In addition to testing out the standards the

following direction from government, the IHaS

the lasers and intense pulsed light systems

working group wants to create a one-stop

and aLpHa have drafted model standards

and will be reviewed after their first year

information resource for the public and local

to provide essential safety requirements.

of implementation. The IHaS group, with

authorities where there is clear independent

Compliance to the standards will rely upon

department of Health backing, is planning

information about those providers that have

existing statutory legislation of the Health and

a project to test out these standards and

met the standards. This can benefit both

Safety at Work act 1974, which is inspected by

is in discussions to establish a pilot scheme

the consumer and the service provider by

local authority inspectors and, for a number of

with the London Local authorities, using their

demonstrating that key safety and quality

areas, the local authoritiesâ&#x20AC;&#x2122; special treatments

regulatory framework under the Health and

requirements are being met. Comprehensive

licensing provisions. piloting of the scheme

Safety at Work act 1974 and London Special

information about lasers and intense light

will take place over six months during 2011,

Treatments Licensing. The work is in early stages

treatments and accredited providers

and will then be rolled out across the industry.

but the project should complete within six

remains available to Local authority Councils

a public register of those who meet these

months from inception and will report on how

and the public. The other work stream is to

standards will be available, supported by a

the standards are being used and if they are

create and agree high-level principles for

registration scheme. Complementary training

realistic, inclusive, and proportionate for use

training for laser and intense light treatment

standards are also being developed.

by local authorities. This may lead to further

operators, inspectors, and educators so that

development of the standards to ensure

a consistent approach to essential training

a set of standards is ready to be agreed

their continued usability in the industry. It is

is available. The IHaS is developing a new

for use in the industry, based on the draft

envisaged that, by testing this out, a model of

addition to the IHaS website to provide a

standards developed by IHaS and aLpHa.

proportionate yet effective regulation can be

dedicated webpage as an information

These minimum essential standards have

created. This could mean a lighter regulatory

portal for the project as well as general

been developed from within the industry

touch and a focus on essential safety

updates and to facilitate information sharing.

and encompass aspects of the service specific laser and IpL standards that were first introduced in 2002 by the department of Health (National minimum Standards for Independent Healthcare). They reflect the arrangements needed for safety and quality in the provision of the non-surgical use of

10

cosmeticnewsuk.com

â&#x20AC;&#x153;a set of standards is ready to be agreed for use in the industry, based on the draft standards developed by IHaS and aLpHa.â&#x20AC;?

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Voice of the Industry | Dr Brian Franks

T

RuST ISSUES

dR BRIaN fRaNKS

DR BRIAN FRANKS ON TRUSTING ‘TREaTmENTS yOU CaN TRUST’

But should I have been doing this? my whole outlook and attitude changed when I was treating a client with dermal fillers for the nasolabial folds. after injecting an

Dr Brian Franks is the

initial small amount, I placed a mirror in the client’s hands and said, “Well, what do

clinical director of cosmetics

you think so far?” “perfect”, came the reply, “It’s just what I want!” I looked at the

(non-surgical cosmetic

dermal filler syringe to confirm the rather small amount of filler I had placed. “are

procedures) for Bupa Health

you sure?” I said “Wouldn’t you like me to place some more, I really have used only

and Wellbeing UK as well

a minimal amount”. “No!” came the firm reply “This is just right”. It then dawned on

as their clinical director of

me – how things look is in the eye of the beholder!

dentistry. an experienced lecturer and teacher on

I was wearing that day a suit and other attire, which I thought were smart and

the dental and aesthetics circuits, dr franks became

trendy. But it may not have appeared that way to the client (Oh, the indignity!).

involved in facial aesthetics as a natural progression

So, if people want to have large pouting lips and breasts, then fine. Well, fine up to

from dentistry. as well as being the lead cosmetic

a point – as long as all options and possible adverse events and side effects have

clinician for Bupa, he treats clients at his private clinics

been discussed with the client who has given their informed consent for treatment.

in Harley Street and Totteridge. He is an endorsed

The treating clinician can then make their choice as to whether or not they want to

teacher for wrinkle reduction treatment and dermal

provide the treatment.

fillers. He has also produced an endorsed training

However, sadly, appropriate treatment is not always provided. The cosmetic

course for administration of local anaesthesia for

industry has in the past been completely unregulated and there are regrettably

dermal filler treatment and formed dr Brian franks

many ‘rogue’ injectable cosmetic practitioners who do not operate under

Training Courses in 2008 for dentists, doctors and

appropriate clinical qualifications, ethics and safety policies and this harms the

nurses running botulinum toxin and dermal fillers

regulation of the industry.

training at foundation, Intermediate and advanced

To this end the Independent Healthcare advisory Services (IHaS) working group

levels. In march 2008, dr franks was invited onto

has developed the IHaS register of Injectable Cosmetic providers Quality

the Independent Healthcare advisory Services

assurance mark.

(IHaS) Injectable Cosmetic providers Working Group

The registration scheme, and the associated standards and training required of

whose task was to set up an industry-led regulatory

registered providers, was created at the request of the department of Health,

scheme. He is a member of the British academy of

which has provided funding to support its development. all funds generated will be

Cosmetic dentistry, the British dental association,

reinvested into the continual management and updating of the register.

Royal Society of medicine, the Royal College of

during the last 12 months, the IHaS Working Group has worked in consultation with

Surgeons of England, the International academy of

the department of Health and taken advice from the professional regulators to

advanced facial aesthetics and the association of

develop the IHaS Register of Injectable Cosmetic providers standards to assure

facial aesthetics.

patient safety. The IHaS standards relate to all non-surgical injectable cosmetic treatments, which include botulinum toxin and injectable fillers, as well as the

Sometime ago, as I walked around the exhibitors’ stands at one of the cosmetic trade shows, a huge pair of lips moved towards me. These were matched by the size of bosoms (please do believe me when I say that one could not help but notice them!). As the lips moved closer I could see they belonged to a face with taught skin and a fixed glare. Not aesthetically pleasing at all I thought, in fact quite the opposite. So there I was, in breach of what I preach, by using two of the three ‘do not’ C’s – criticising and condemning (the other being complaining).

12

cosmeticnewsuk.com

administration of local anaesthesia for pain relief in advance of these injectable cosmetic treatments.

The IHaS Register of Injectable Cosmetic providers was formally launched to the industry on april 13 2010 and went live to the public on September 13 2010. In a major step forward in patient protection, consumers will, for the first time, be able to ‘shop responsibly’ for injectable cosmetic treatments through a Government backed online register of medically qualified practitioners and sites – www.treatmentsyoucantrust.co.uk. Treatments you Can Trust has been established to help consumers make an educated decision on how to choose a provider through a comprehensive directory of those regulated dentists, doctors and registered nurses who meet all the standards and training principles required to administer cosmetic injectable treatments safely. There has been a public awareness campaign and a publicity drive to raise the profile of the scheme amongst consumers. It encourages any potential patient to select their practitioner only from those that are registered with the scheme.

Dr Brian Franks

Cosmetic News Expo 2011 | Preview

CONFERENCE CaLLING

With the Cosmetic News Expo 2011 taking place in may, we give you the lowdown on our exciting FREE educational programme

In april 2010 Body media launched the UK’s largest free of charge conference and exhibition, the Cosmetic News Expo. We are now looking forward to our second event, which will take place once again at the Business design Centre in Islington on may 6 and 7 2011. One of the key philosophies behind the Cosmetic News Expo was enabling aesthetic practitioners to gain Cpd accredited education for free. The only free trade show and educational meeting in the UK, Body media believes that education should be available to everyone, no matter what their budget, so we have designed an event that allows you to gather knowledge about the latest treatments and developments at the same time as attending hands on workshops and lectures, for free. a conference and workshop programme will be taking place throughout the two-day event with industry leading figures educating you on how to improve your business and get the most out of your clinic by offering the best treatments and products.

T

aesthetics, are dedicated to offering continued education and training to professionals working within this exciting and expanding sector and what better way to showcase you their products than through a dedicated hour-long workshop. Exhibitors signed up so far include: mcdiamid Hall, Lash perfect, meder Beauty, Lynton, merz aesthetics, Business Beauty Intellect Services, Blue Horizons, faceTec and Needle Concept. as well as this we will be running short business workshops on the main exhibition floor giving you advice on every aspect of running a successful practice from marketing and setting up a website to consultations, insurance and managing staff. These proved to be hugely popular at the 2010 Expo, so we will be packing even more into the programme this year.

REGISTER fOR fREE TODAY

all you need to do is visit our website www.cosmeticnewsuk.com and register for a ticket.

CONTACTS for further information regarding exhibition space please contact: Hollie Dunwell T: 01268 754 897 E: hollie.jane@creativemedialtd.co.uk for event related sponsorship opportunities contact:

he main programme will be running in the

Emilia Bronze

conference auditorium upstairs, which has

T: 01268 754 897

the capacity for 450 people, focusing on

E: emilia@creativemedialtd.co.uk

‘The Three Tiers of Cosmetic dermatology’ and ‘Beyond the face: Body Treatments, Nutrition and patient psychology’. These

topics will be split across the two days – friday may 6 and Saturday may 7 2011. although the event is free, delegates are advised to register in advance for the conference to reserve their place on the educational programme.

cosmetic news expo 2011 sponsored by: platinum sponsors

as well as our conference programme in the main auditorium we will be running a series of exhibitor workshops and live demos on the exhibition floor. Our exhibitors, including our platinum Sponsors, Galderma and SkinCeuticals, and our Silver Sponsor, merz

silver sponsor 14

cosmeticnewsuk.com

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Cosmetic News Expo 2011 | Preview

• COSMETIC NEWS EXPO 2011 CONFERENCE PROGRAMME • FRIDAY MAY 6

SATURDAY MAY 7

9am-10am Coffee and Registration

9am-10am Coffee and Registration

10am-1.30pm THE THREE TIERS OF COSMETIC DERMATOLOGY PART 1: SKIN

10am-1pm BEYOND THE FACE PART 2: BODY AESTHETICS

TEXTURE AND TONE

Body aesthetics has become big business in recent years. We explore a whole

Aesthetic medicine is not just about filling lines and wrinkles, it is also about improving

spectrum of body treatments from body needling to high definition VASER and even

the appearance of the skin. We look at the wide range of treatments designed to improve

some controversial new uses for lasers.

skin texture and tone from skin revitalisation to chemical peeling, fractional lasers and

10am-10.30am Body Contouring: What Aesthetic Practitioners Can Learn from

skincare.

Plastic Surgeons – Chris Inglefield

10am-10.20am What’s New in Cosmetic Dermatology – TBC

10.30am-10.50am Latest Developments in Body Contouring: The ‘Popcorn Laser’ –

10.20am-10.40am Platelet Rich Plasma Rejuvenation – Ita Murphy

Dr Ayham Al-Ayoubi

10.40am-11am Skin Revitalisation Using Injectables – Dr Toni Phillips

10.50am-11.10am High-Definition VASER – Dr Ravi Jain 11.10am-11.40am Coffee Break

11am-11.30am Coffee Break BODY AESTHETICS CONTINUED SKIN TEXTURE AND TONE CONTINUED

11.40am-12pm Micropigmentation: Corrective Uses – Karen Betts

11am–11.30am Platinum Sponsor Session – SkinCeuticals

12pm-12.20pm Laser Beyond Cosmetics: New Applications – Dr Martin

11.30am-11.50am Skin Needling and Growth Factors – Elliot Isaacs

Kinsella

11.50am-12.10pm Radio-Frequency Skin Tightening – Dr Rita Rakus

12.20pm-12.40pm Laser Lipolysis – TBC

12.10pm-12.40pm Pigmentation: Causes and Treatments – TBC 12.40pm-1.10pm Managing Acne – TBC

12.40pm-1pmBody Needling: Treating Scars and Stretchmarks – AesthetiCare 1pm-2.30pm Exhibition Viewing and Lunch

1.10pm-1.30pm Laser Resurfacing – Dr Patrick Treacy 2.30pm-3.10pm BEYOND THE FACE PART 2: NUTRITION 1.30pm-3.30pm Exhibition Viewing and Lunch

In this session we look at the role of nutrition in aesthetic medicine, from skin ageing to weight loss, and tell you how understanding these can enhance your treatment

3.30pm-4.10pm BEYOND THE FACE PART 1: PATIENT CONSULTATION AND

results.

PSYCHOLOGY

2.30am-2.50pm Incorporating Diet and Nutrition into the Aesthetics Practice – Prof

When it comes to aesthetics understanding patient psychology and giving a thorough consultation is an important factor. In this session we will explore issues such as Body Dysmorphic Disorder and body image issues as well as looking at the consultation

Syed Haq 2.50pm-3.10pm Nutrition and Skin Skin Ageing – Tarryn Van Toppel 3.10pm-3.30pm Coffee Break

process and how to manage patients’ expectations.

3.30pm-3.50pm Body Image and Body Dysmorphia – James Lamper

3.30pm-5pm THE THREE TIERS OF COSMETIC DERMATOLOGY PART 3:

3.50pm-4.10pm Patient Consultation: Selection and Assessment – Constance

VOLUME AND CONTOURING – DERMAL FILLERS

Camipon 4.10pm-4.30pm Coffee Break

In recent years facial aesthetics treatments have gone beyond chasing the line to placing more value on volume replacement and facial contouring. In this session we explore the dermal fillers and other treatments for this indication.

4.30pm-6pm THE THREE TIERS OF COSMETIC DERMATOLOGY PART 2: LINES

3.30pm-4pm Platinum Sponsor session – Galderma (speaker TBC)

AND WRINKLES – BOTULINUM TOXIN

4pm-4.20pm Silver Sponsor session – Merz Aesthetics (speaker TBC)

Botulinum toxin is one of the staple treatments of any aesthetics practice and one of the most successful ways of erasing lines and wrinkles. In this session we explore the latest

4.20pm-4.40pm Heart Shaped Lips – Dr Bob Khanna 4.40pm-5pm Nose Reshaping with Fillers – Paul Banwell

advances, products and techniques with this wonder drug and hear from the key players

*Please note the programme is subject to change please visit

in the toxins market.

www.cosmeticnewsuk.com for regular updates

4.30pm-4.50pm What’s New in Botulinum Toxin – Mr Dalvi Humzah 4.50pm-5.20pm Platinum Sponsor session – Galderma (speaker TBC) 5.20pm-5.40pm Botulinum Toxin in Practice – Dr Bob Khanna

cosmetic news expo 2011 sponsored by: platinum sponsors

5.40pm–6pm Sponsored session – Allergan (speaker TBC) 6pm-7pm Exhibition viewing 7pm After show party

Can you afford not to?

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Available for the first time in a striking, elegant box, each pre-packaged Skin Care Management System includes five, pre-selected full retail sized Jan Marini products with home care usage instructions. These packs have proved an instant success, with participating clinics reporting an immediate, positive impact on revenue.

Your patients can also enhance their skin care programmes with additional JMSR accelerators, intensifiers and supplemental products.

Three pre-packaged options are available for oily, dry and normal/combination skin. An SCMS system is also available for Men. Full details are available on 020 8868 4411 and on our website www.janmarini.co.uk

JMSR Europe Ltd. www.janmarini.co.uk info@jmsreurope.com

ON ThE SCENE BRITISH ASSOCIATION OF COSmETIC DOCTORS WEBSITE RE-LAUNCH, KENT

OUT AND ABOUT IN THE INDUSTRY THIS mONTH

ENvIRON® WINS STYLIST mAGAzINE ‘PRODUCT OF THE YEAR’ AWARD AvST, Environ’s skin enhancing, vitamin-packed

The British Association

cream, has won over the

of Cosmetic Doctors

expert judges at Stylist

celebrated the re-launch

magazine, who named it

of its with a small get

‘Product of the Year’ in the

together at its HQ in

Stylist Skincare Awards. From

Kent. The website www. cosmeticdoctors.co.uk

1,000 products entered by the new BaCd website

400 brands, beauty experts,

has been given a face-lift by digital, creative and direct

top facialists and readers

marketing agency North Laine Solutions.

had voted to choose the 24 most-essential products in skincare.

International Institute for anti-ageing (iiaa) training director Tracy Tamaris and communications manager Lindsay Stewart went along to pick up the award at a champagne tea reception at Claridges in London. Stylist said,

BaCd administrators kim geear and sharon turner-fry

international institute for anti-ageing communications manager lindsay stewart was presented with the Product of the year award for environ’s aVst cream by glenda Marchant, publisher of stylist, at a champagne tea reception at Claridges in london

“Stylist’s beauty team love this lotion’s core offering of vitamin a and antioxidants, and its ability to enhance the skin of people who’ve tried everything else.”

This new site provides a valuable source of information for

aVST 1 is one of five daily facial moisturisers within the aVST (advanced Vitamin Skin

members of the public, who are seeking help and advice

Therapy) range, containing progressively higher levels of skin normalising ingredient

on medical cosmetic treatments, as well as a including

vitamin a, plus other active ingredients to promote healthy, radiant skin at any age.

interactive forum for members to share information and

The potent aVST approach combines vitamin a with penta-peptides, powerful

communicate. The BaCd was set up in 2001 to advance

antioxidants and plant flavonoids, such as resveratrol. Together these protect, restore

safe and ethical practice for the benefit of medical

and assist the skin to repair and maintain itself.

practitioners and members of the public. There are now approximately 300 members who are all GmC registered and meet the stringent committee criteria for membership (proof of medical insurance and cover for cosmetic treatments, qualifications, ongoing training). This year the BaCd launched the first post Graduate/diploma in Cosmetic medicine specifically for doctors with the University

STEREx STUDENT EDUCATION DAY, SHEPPEY COLLEGE Elaine Stoddart, director of training and PR for Sterex Electrolysis, recently accompanied Angela Wheat, the Sterex regional trainer for Kent, to provide a Student Education Day at Sheppey College.

of Leicester medical School. The current chairman is dr mike Comins and the dedicated voluntary committee for the

Sterex educational days enable students to experience up to date treatments and

association consists of dr Samantha Gammell, dr Harryono

techniques thus furthering their knowledge of current practices available.

Judodihardjo and dr Simon Connolly.

The day consisted of an introduction to Blend following practical and theoretical input on Galvanic and diathermy and also a presentation on advanced electrolysis. Skin

by Sterex Limited presented a short presentation on their Stage Line make-up and mist air

from left to right: kim geear, Zoe richards and Ben ferns (north laine solutions), sharon turner-fry, lynne thomas (flipside Pr) and natalie Mifsud (hamilton fraser Cosmetic insurance)

18

cosmeticnewsuk.com

airbrushing systems to complete the day.

t he uk’ s o n ly f r e e o f c h a r g e a es th etic s exh ibi t i on

cosmetic news expo 2011 sponsored by: platinum sponsors

silver sponsor

CosmetiC News expo 2011 the next step in the evolutioN of your aesthetics practice register oNliNe now for your tickets to the UK’s only free of charge aesthetics exhibition.

Bringing together the best manufacturers, distributors and retailers alongside educational seminars and workshops featuring speakers from across the globe.

• CATCH UP WITH ALL YOUR SUPPLIERS UNDER ONE ROOF • NETWORK WITH OTHER AESTHETIC PRACTITIONERS • RECHARGE YOUR ENTHUSIASM • INCREASE YOUR CLINIC’S OFFERINGS • TAKE ADVANTAGE OF DEALS • SEE NEW PRODUCTS FIRST • GAIN CPD ACCREDITED EDUCATION FOR FREE • ATTEND FREE EXHIBITOR AND BUSINESS WORKSHOPS

register online for free trade entry

w w w. c o s m e t i c n e w s u k . c o m | 0 1 2 6 8 7 5 4 8 9 7

View On | The Year Ahead

LOOKINg FORWARD We find out what some of the industry’s key players are looking forward to in the year ahead and what their highs and lows of 2010 were...

DR MIkE COMINS, ChAIRMAN, BRITISh ASSOCIATION OF COSMETIC DOCTORS “Cosmetic medicine has only been around for the last 15 years, but in the last five it’s really come of age as doctors discover just what we can achieve non-surgically. It’s about using safe and effective treatments and perfecting them.

The most popular procedures performed by the BACD in 2010 were Botox® and volumising fillers, which suggests that the plastic fantastic look is well and truly out and more subtle look is in. Cosmetic doctors have refined treatment techniques to give a refreshed rather than ‘frozen’ look so, although some celebrities may claim that they are no longer having these procedures, what they are probably having is what is known as ‘Botox® Lite’ or ‘Baby Botox®’ where we use less to achieve a more subtle look. Skilled cosmetic doctors are even using Botox® in the jawline to produce a lift that is subtle and far more cost effective than expensive cosmetic surgery for women in their late 40s and 50s.

“The BACD predicts that 2011 will see the rise of facial contouring such as ‘the fluid facelift’, a procedure that adds filler to the cheeks, hollows beneath the eyes, side of the forehead and angle of the jaw to plump and lift the areas where fat has depleted to such a point that the face begins to hollow slightly and deep furrows in the nose to mouth lines, the sides of the mouth and sagging jowls become far more noticeable. In the past these lines were simply filled, but as the ageing process is now better understood, doctors now realise it is facial volume depletion and migration that causes the face to age much more than lines simply appearing.

Placing fillers deep under the skin adding volume to areas that need it leads to a more youthful appearance that is refreshed rather than ‘Wildensteined’.

“The number of men seeking cosmetic treatments also rose in 2010 and will continue to grow in 2011. Men are increasingly self-conscious about their bodies and more are coming forward for body contouring procedures like for Liposculpture and Vaser. These procedures do not require long periods of downtime and are ideal for treating problem areas like ‘moobs’, love handles and the abdomen.

“The British Association of Cosmetic Doctors also predicts that 2011 will see a big trend towards regulation of cosmetic medicine and professional qualifications, such as The Diploma of Cosmetic Medicine that we launched though the University of Leicester in 2010, will be highly sought after as a standard of excellence.Regulation took a backward step in 2010 with the de-regulation of lasers. The public need to be aware that it’s who is administering the treatments rather than what is being used that causes problems. With the de-regulation of laser and the threat of treatments such as Botox® and fillers being classified as ‘beauty’ rather than medical we will see the rise of more and more problems in 2011 as these treatments fall into the wrong hands and so the call for regulation will certainly become louder which is something the BACD fully supports”

20

cosmeticnewsuk.com

PAul STAPlETON, MAPPERlEy PARk “2010 was a consequential year as continuing hard times combined with government’s de-regulation agenda to further destabilise the cosmetic treatments market. 2011 will also be about consequences as spending looks set to contract further while lowquality, un-regulated competition is encouraged by government’s continuing anti-regulatory health policies.

While claims for strong growth in cosmetic medicine

are plausibly made, outside the London ‘bubble’ recovery looks a mirage and with consumer confidence, liquidity and employment continuing to fall, the consequences for the overstretched will be severe. Where we can predict growth is in the low-cost, un-regulated sector where a wide range of medical treatments are now delivered by non-healthcare professionals, whether legally or not. New government continues to see regulation as a last resort, choosing instead to encourage all and sundry to operate class 4 lasers, to inject injurious substances and even to carry out surgical procedures without coherent controls; after all, what could possibly go wrong? If the risks are as experts claim, this is where the consequences of reckless de-regulation and the need for coherent regulation will crystallise.

Regulation itself is proving to be a capricious pick-and-mix of disjointed regulatory policy where arbitrary rules and dictatorial pronouncements intend to remove regulatory burden but instead create a bureaucratic nightmare of overlapping responsibilities (and non-responsibility) that already dwarfs the scale of regulation required under universal rules. The CQC still holds responsibility for medical aesthetics, under certain arbitrary conditions, while those deregulated find themselves responsible to Local Authority Environmental Health Department that might be able to license or might entirely ignore, there being no funds or legislation to support regulation.

De-regulation is not the consistent or proportionate outcome claimed but an expensive and messy postcode lottery. However, new government promise to be more inclusive than under Brown’s diktat but also continue to promote the same ‘self-regulation’ agenda and the all-new concept of ‘co-production’ to add to the pot. More encouraging, the DH does now support a proposed pilot statutory licensing scheme by some London Local Authorities, with the support of industry bodies within the IHAS forum. Perhaps government is right in seeing little risk in the sector, but the DH has also agreed that if evidence is available of serious risk to the public, statutory regulation would be reconsidered – but this would not be any time soon.

So, for 2011, we have the inconsistency and expense of funding a postcode lottery to determine whether you are regulated and by whom depends. Large parts of the cosmetic sector are in recession right now, recovery is not certain and our sector will be at the leading edge of each and every reverse, for there are few services more easily shelved by worried consumers than our own. The corollary of such consumer sensitivity is that recovery should pick up quickly in what will be a long-term growth market – but only when sustained confidence returns and this does not look likely for much of the UK in 2011.”

JAMES BACkhOuSE, GENERAl MANAGER OF

we close 2010 with more UK employees than we started with, which will give us an

Q-MED (UK) LTD

even greater ability to support our customers. The changes that have occurred have

“2011 sees Restylane® entering its 15th year in the market.

all been implemented to align the business with our new strategic vision, which will

With more than 11 million treatments with Restylane® now

roll out in 2011. One of the many exciting new initiatives is the Q-Med Academy,

made worldwide, Q-Med (UK) considers 2010 to have been

a Faculty composed of high profile aesthetic practitioners is now in place to

a very successful year full of change to ensure we stay ahead

provide expert market insight, develop and deliver training and high value clinical

of the game. We have grown sales and, having reviewed our

education and support and to work with us to build and promote our safe, natural

business, put in place an internal realignment programme so

and effective proposition.

that we are fully prepared for the exciting challenges ahead.

All the remaining secrets of Q-Med and Restylane® will be revealed soon – watch

Considering the current economic climate, we are really proud of the fact that

this space!”

RON MyERS, DIRECTOR,

ROBIN SEARS, VP AND MANAGING DIRECTOR OF AllERGAN MEDICAl FOR EuROPE,

ThE CONSulTING ROOM

AFRICA AND ThE MIDDlE EAST

“2010 has been yet another fascinating year in the history

“2010 was a great year for Allergan with the launch of two new products; the first specifically designed

of the aesthetic industry. With

lip product to contain lidocaine - Juvederm® Ultra Smile and Juvederm Hydrate for deep skin hydration.

large established companies

One of the key trends we are noticing is a move away from just filling lines to volume replacement (using

changing hands, including BMI

products like Juvederm® Ultra 4 and Juvederm® Voluma). The cosmetic mega-brand Botox®/Vistabel®

buying Transform, The Hospital

continues to grow, fuelled by increasing consumer acceptance in the procedure as well as the global mega-

Group purchase of Surgicare

trend/desire to look as good on the outside as people feel on the inside. Media intrigue with the treatment

and consolidation in the device

remains high and we saw an increase in consumer magazine reporting about trusted practitioners.

industry with the merger of Syneron and Candela Lasers

Considerable opportunity remains to reassure consumers that it is possible to achieve great looking, natural

to form the leading global aesthetic device company

results from non-surgical treatments when they ask for the leading, science-based products and visit trained

and Galderma’s acquisition of Q-Med.

medical aesthetics practitioners. We are confident that together we can look forward to continued success across the sector as consumer confidence strengthens further.”

We saw the launch of Bocouture®, Merz’s approved cosmetic botulinum toxin brand, alongside some crazy things reported in this particular market sector; including

EMMA DAVIES, ChAIR, BRITISh ASSOCIATION OF COSMETIC NuRSES

increased reporting of “Do It Yourself” toxin injections,

(BACN)

the rise of ‘Teen Toxing’, beauty therapist and non-medic

“2010 was a busy and exciting year for The British Association of Cosmetic Nurses.

training courses for Botox, extreme pricing discounts

Membership has been growing at a steady pace and our inaugural meeting in September

by clinics and increased availability of unlicensed Far

was a huge success and will be remembered for the electric atmosphere and enthusiasm of

Eastern toxins easily purchased on the Internet.

both the delegates and speakers.

It is clear that cosmetic nurses recognise the need to come together and work together on

Equally, we saw Merz take responsible action when

issues that concern all those in cosmetic practice and as a body we are in a position to

their dermal filler product, Novabel®, caused some

ensure nurses have a voice and that the expertise and experience we have is recognised

adverse reactions in a small number of patients. This

and celebrated.

unprecedented action by a product manufacturer of pulling sales a few months after launch, pending

We have taken on the issues that most concern nurses in the industry. In 2010 we had many nurses in a state of

investigation, is laudable.

confusion over the issue of administering prescription only medicines. Understanding remote prescribing, which does not meet NMC Standards, and Remote Assessment which, according to independent legal opinion, does.

The surgical market also saw bad publicity with the uncovering of defective French PIP breast implants, with

In the year ahead we will be getting to know our members better as the Regional Groups become more active

all regulators and interested organisations differing in

and we roll out a programme of national and Regional Workshops and networking events, launching a new look

their opinions of the best course of action for patients.

website and working towards our second AGM, this time, in Birmingham on 17th September, when we gather

There was plenty of heated debate concerning CQC

together in numbers for what will be a fantastic programme of speakers and an opportunity to network and shop

deregulation of IPL/Lasers (in England) and new self-

for the best products and services.”

regulation aimed at improving standards in the cosmetic injectables sector with the launch of the IHAS Treatments You Can Trust scheme, alongside proposals for European Regulation of the Cosmetic Surgery Market.

2011 will undoubtedly bring another year of controversy, scare stories, new products, maybe some consensus regarding VAT (?!), and more madcap news about cosmetic treatments!

From a business perspective we will see more consolidation in all areas of the industry as oversupply in many segments struggles against weaker growth rates in the current economic conditions. However, as in all industry shakeouts, the ones left standing will exponentially thrive and prosper in the coming decade.

ADRIAN RIChARDS, MEDICAl DIRECTOR, AuRORA ClINICS “2010 was a real success story for Aurora Clinics in terms of developing the potential of mass-media technology. Our youtube channel (clinicsaurora) saw a staggering 1.4 million hits worldwide this year!

The team is delighted by the popularity of these educational videos which provide a uniquely honest insight to all aspects of the Aurora Clinics experience. Videos introduce the specialists; discuss techniques, pros, cons and results of procedures; show actual surgical footage (for the non-squeamish!) and provide patient testimonials.

The key to the success of the clincsaurora youtube channel for Aurora as a clinic is the ability to be more open with potential clients than ever before. Company identity has also been strengthened by demonstrating Aurora’s caring team ethos and revealing real individuals behind the procedures and technical jargon.

We also launched educational podcasts this year on a variety of plastic surgical topics. These can be downloaded via itunes or the new look Aurora Clinics website, www.aurora-clinics.co.uk/new/.”

cosmeticnewsuk.com

21

View On | The Year Ahead

SAlly TABER, IhAS

EDDIE hOOkER, hAMIlTON FRASER COSMETIC INSuRANCE

“In response to the escalating

“2010 started with an air of concern within the cosmetic industry due to the continuing

number of rogue providers of

recession and concerns over self-regulation. However, the reality has not been as bleak as

cosmetic injectable treatments, in

predicted. Whilst the recession continues to bite, we continue to experience an increased

February 2010 with Government

number of both new and established practitioners requesting information and purchasing

backing, we announced plans

new policies. This leads me to believe that the aesthetic industry remains strong. This trend

for the launch of IHAS Register of

prompted us to re-launch our brand identity as ‘Hamilton Fraser Cosmetic Insurance’ to

Injectable Cosmetic Providers –

further cement our reputation for delivering high quality and competitive cosmetic insurance

Treatments You Can Trust. In April,

products. As an industry first, we were also able to remove the policy excess applicable to the

Treatments you can Trust went live to providers across the UK, enabling them to apply for

medical malpractice section of the policy for many low-risk treatments, such as botulinum toxin and certain temporary dermal, in recognition of the improving claims ratio for these treatments.

registration. In September the register went live to the public as a tool to safeguard them from these cosmetic cowboys.

“In terms of insurance premiums it appears that some stability has returned to the market with current prices expected to remain unchanged for the foreseeable future. Claim values continue to be a concern especially with regards to higher

The register has already proved a real success, with a

risk treatments such as permanent fillers and certain laser lipolysis techniques. Whilst the frequency of claims remains in

great initial response from dentists and many of members

proportion to the number of policies purchased over the past two years, the average value of a claim has substantially

of the cosmetic industry. We were also delighted to see

risen. This is mainly due to the increasing costs of litigation and the increasing popularity of higher risk treatments.

that as a result of the launch the NMC and the RCN

Currently there is no evidence to suggest that practitioners are being trained to a lesser degree than normal, but as the

identified instances of bad practice, particularly in relation

treatments are predominately elective, there is a higher expectation from the customer.”

to remote prescribing, and therefore will be bringing in stricter guidelines for registering nurses.

However, while we have had support from much of the

MORAG hAGuE, COSMETIC COuRSES

industry, the register has come under criticism from some

“Unbelievably we are looking back at 2010 already! It was with a sigh of relief that the

sectors, in particular the British Association of Aesthetic

country shut the door on 2009, hoping that the words recession, downturn and double-dip

Plastic Surgeons. We are all continuing to argue for

would be replaced by much nicer words like green shoots, upturn and growth. The 2010

full regulation in many areas of cosmetic treatments.

New Year was like someone had flicked the switch from caution to confident, a surge in

However, in this particular case the Government has been

the number of new practitioners booking places spoke volumes, although still nervous of

very clear that statutory regulation is not going to happen,

growing a new business there was a readiness to embark on their journey rather than

so we have devised the self regulation scheme to protect

holding back waiting for better times. Existing practitioners have sought to grow their

patients’ safety immediately. The indirect regulation

aesthetic businesses by coming to us for training in advanced procedures using toxins and fillers, then further courses in cosmoceuticals and chemical peeling. The confidence

provided by the statutory professional regulators, the Health and Safety at Work Act Section 3 and the

to either start a new venture or increase the skill set of an established business has increased this last year

Medicines Act 1973 does give us the necessary teeth.

substantially...even with a General Election!

As we move into 2011 our mission is to get these negative

The last year has been a busy one, Cosmetic Courses launched the Training Academy Website, built to support

industry sectors to work with us and not against us. We

and update its members with the latest industry news giving access to video tutorials, blog posts, downloadable

are very optimistic for 2011 which will see the launch of a

documents and podcasts. Mr Adrian Richards, Consultant Plastic Surgeon is the leading lecturer for the training

Governance Group with members drawn from all areas of

courses and as Medical Director of Cosmetic Courses has recorded a series of interviews covering a wealth of

the industry, as well as the Department of Health , consumer

subjects with many of the industry experts, even Vicky Eldridge herself has not escaped the microphone!

and patient bodies. There is so much good practice out there – please can organisations and practitioners celebrate

2011 brings the arrival of our new Genuine Dermaroller course which we are thrilled to launch alongside all the

that by getting on the Treatments you can Trust register and

first class training and ongoing mentorship to both newcomers and existing practitioners in Medical Aesthetic

ensuring that patients do not go to the organisations and

Treatments. We hope that 2011 will continue to bring optimism and stability to this exciting industry, and a sense of

practitioners who are operating inappropriately.”

humour firmly in place to cope with the wrath of the VAT hike!”

22

DAVID GOWER, MEDICAl AESThETIC GROuP

Pressure on sales and margins is only part of the challenge. During 2009 we have seen

“In this column last year I expressed my caution for 2010. My prediction

the promotion of the IHAS as a “Quality Assurance Mark”. Upon closer inspection IHAS

of a 20% VAT rate was premature, but will be delivered on January 4th

is actually a privately owned and managed marketing business which operates on the

2011. Up to November 2010 Medical Aesthetic Group have grown our

proposition that if you do not pay £500 p.a. you may be discredited. The last Government

businesses satisfactorily with both Beauty By Post and Innomed Training

tipped in £200,000 of public money and Capita PLC, which has grown rapidly by

returning particularly good results. In October 2010 Medfx, the fast

acquiring outsourcing contracts such as NHS Choices and CHKS, an “informatics”

growing comprehensive supplier to the Aesthetic practitioner, appointed

company and Premier Medical Group, a provider of reporting and screening services. The

Innomed as its partner to provide professional training in locations

latest financial statements for IHAS are to 30th April 2009 and reveal one share has been

through out the UK. The financial year does not finish until March 2011,

issued and only £13,000 of current assets remain from the £200,000 of public money.

however, so there is still time for disappointment.The reduction in VAT by

Clinics may be cautious before revealing their individual treatment protocols and paying

the hapless Labour Government in 2009 had little effect on sales. Logically an increase

£500 p.a. for which they may not receive a return. In any event it is difficult to see how the

of 2.5% (or £25 on a £1,000 purchase) should not have much effect either, but I suspect

IHAS will prevent poor practice as it only admits Doctors, Dentists and Registered Nurses

it will, particularly in the first quarter of 2011. There are many indications that Christmas

who as professionals are by definition already responsible to their peers and Professional

sales for retailers are slow. This has been a feature for the last few years, but then we hear

body such as GMC. Good practice is achieved only by good training and an attitude of

in January that there was a sudden surge and a new record has been set. There may well

mind. If Quality Assurance is required, then cosmetic and non surgical treatments should

be a last hurrah before shopping ends on the perfectly placed Friday Christmas Eve and

be brought under the legislation provided by the Care Quality Commission.

perhaps an even stronger surge to 3rd January, but none of this is likely to do our chosen

There is little doubt that 2011 will present some difficulties, but suppliers such as Medfx

business much good! The net result will be a dearth of spending right through the first

offering an excellent and valuable service will continue to flourish as will established

quarter and the probability of an increase in interest rates by April 2011 slipped in under

clinics with a passion for their chosen treatment plans. As my solicitor once said to me “It

cover of the Royal Wedding!

is never as good as you hope, but rarely as bad as you fear” Bring it on!”

cosmeticnewsuk.com

The time has come for those injectable cosmetic providers who believe in the highest quality treatments to stand up and be counted. For too long, unqualified practitioners with little regard for best practice have compromised the industry’s image and put patients at risk. Now there is an opportunity to restore consumer confidence in the industry.

Registration for this Government-backed register is now open.

Once accepted, providers will be listed on the register’s public website Treatments You Can Trust, which will launch to the public in September. To ensure providers are directory enabled by this time, they can just follow the five easy stages of registration:

THE TIME HAS COME

STAGE 1: Initial Expression of Interest – Providers to pay £50 +VAT to record their initial interest in the scheme, enables access to the standards and training principles which all providers must meet to gain registration.

STAGE 2: Self Assessment against Standards and Training Principles – Providers are required to complete self-assessment forms and submit evidence of their practice and pay the full registration fee of £500 +VAT for individual practitioners or £1000 +VAT for larger organisations. Review of the evidence will take a maximum of 10 working days.

STAGE 3: Assessment and Award of the Quality Mark – Practitioners will be contacted by email to inform them of whether they have been awarded the Quality Assurance Mark they will then be issued with a certificate to display in the practice demonstrating that they achieved the standards required for the quality mark STAGE 4: Inspection – Inspections will be conducted of registered organisations.

STAGE 5: Annual Renewal – Registration is valid for 12 months, after which time practitioners will need to complete the process again and pay the appropriate renewal fee.

To find out more on how to register, providers can visit www.treatmentsyoucantrust.co.uk or email the CHKS at Ihascosmetics@CHKS.co.uk

HOW TO APPLY The web-based applications are being managed by CHKS, the UK’s leading independent provider of healthcare intelligence and quality improvement services.

People in Profile | Ron Myers and Martyn Roe

IT

takes TwO

We chat to the two men behind one of the best-known and well-respected partnerships in the aesthetics industry, Ron myers and martyn Roe

They say two heads are better than one and in the case of Ron myers and martyn Roe that is probably true. Two of the most well-known and respected figures in the industry, the pair have worked side by side for more than 15 years and have been instrumental in shaping the aesthetics market.

S

advice to clinics and practitioners and designing and hosting websites. Ron says, “The ideal business model revolves around developing a group of loyal customers who spend money with you every year, and become advocates so that they actively refer other people to add to your database. In principle it sounds easy, but not everyone can do it! At the end of the day business is

uccessful both in their individual rights and

the responsibility to look at how we would manage

business there are certain aspects that are different in the

as a team, Ron and Martyn not only run

enquiries and facilitate training.”

medical aesthetics market place but the fundamentals work

three businesses together but are also firm

Originally Ron was working just half a day a week on the

across the board. I enjoy studying other market places to

friends. In fact if you looked up the definition

cosmetic side but as both the medical benefits and wrinkle-

look at what is working in other industries and see how I

of the term ‘Bromance’ (the latest buzzword

erasing effects of the drug became more widely known

can apply and tailor this towards our market place, some

used to define a close friendship between two men that

about demand grew and more resources were needed to

things are relevant, some things aren’t.”

is not sexual) in the dictionary there would probably be

help develop this side of the business. This is when Martyn

a picture of The Consulting Room™ duo next to other

came on board, originally looking after the North West

PUTTING IT INTO PRACTICE

famous double acts such as Ben Affleck and Matt Damon,

of the Country for Botox®. Soon he and Ron were each

Martyn and Ron put their idea into practice when they

Sherlock Holmes and Dr Watson, Batman and Robin

working one-day a week on the cosmetic market for the

teamed up with Dr David Eccleston to launch their own

and Fred Flintstone and Barney Rubble. After studying

drug and eventually full time. Martyn says, “Eventually

clinic, MediZen. Ron explains, “I met David in the 90’s

for a degree in biology, Ron went on to have a variety of

we were full time on the cosmetic side as demand for

when I introduced him to Botox®, and we knew he was

marketing, sales management and business development

information and training continued to escalate, which

an entrepreneurial guy. He wanted to develop a medical

roles in the pharmaceutical industry, working for Smith

posed a problem for Allergan as it was still being used

aesthetic clinic, but didn’t have the time or knowledge

Kline Beecham and Novartis. Martyn studied history and

off-license.”

to do this which is why we formed a partnership and created Medizen to establish our version of a non-surgical

sports science and also went on to work in a number of business and sales roles within the pharmaceutical

During their time at Allergan Ron and Martyn also

medical aesthetic clinic.” At the same time Martyn and

industry, including working as a regional sales manager

worked extensively on the business development side

Ron spotted an opportunity to help develop Wigmore

for Takeda Pharmaceuticals with the product Candesartan,

of the business, helping clinics to set up and establish

Medical as a leading one-stop shop for aesthetics supplies

for the treatment of hypertension.

their business from marketing and product selection

in the UK and began working with David Hicks and Bedo

to understanding the patient journey and retention

Eghiayan. “The advantages of the doctors ordering

The pair met while working for Allergan in the 90s

strategies. In 2002 they left Allergan and set up their

Botox® on a prescription on a named patient basis meant

helping to launch Botox® into the UK market. At this time

own business, Aesthetic Business Services (ABS) Limited.

that they didn’t pay the VAT so it made sense to approach

their focus was not on the aesthetic indications of the

Martyn remembers, “We went over to America to train in

Wigmore to look at how to develop that and look at

drug but on the medical uses, but they quickly realised

business development – to tell the Americans about what

bringing in other products that complemented Botox®

the potential for growth into the new and emerging

we did and to learn from them as well. On the plane over

such as Restylane®, skincare peels”, explains Martyn.

cosmetic beauty market. Ron says, “Allergan back then

Ron said ‘Why don’t we set up our own business?’, and

Ron adds, “The two opportunities of working on the clinic

was an ophthalmology company who had acquired

by the end of the nine hour flight, we had a plan. At that

supply side with Wigmore and the consumer side with

Botox® to promote it for blepharospasm which is treated

time, (and it’s still true today) clinicians were very good at

MediZen kick started our business, although we weren’t

by Ophthalmologists. As soon as it was launched in the

carrying out the treatments but they are often not so skilled

entirely sure what direction it was going to go in at the

UK in 1994 we were receiving enquiries from Harley

at marketing and other aspects of running a business.”

time.” During their time working with Wigmore, Martyn

Street plastic surgeons who were already using Dysport,

The company was set up to provide business

and Ron also helped develop its associated conferences

as it was manufactured by Speywood Pharmaceuticals

development and consultancy services to the aesthetics

FACE and BODY. Ron has put together the programme

in the UK. They had read about Botox® in the States

industry and since its establishment has been involved

for FACE every year since its launch in 2003 and has

but Allergan were not really geared up (for the cosmetic

in a wide range of activities from organising and

more recently been involved with organising its sister

side) because it wasn’t licensed and hence there were

running aesthetic product training courses to arranging

show BODY. Martyn worked full time as a consultant with

restrictions regarding promotion so I kind of took upon

large aesthetic conferences to providing business

Wigmore for a number of years bringing in brands such

24

cosmeticnewsuk.com

as Syneron and DEKA to help firmly establish the aesthetic

one night! - but Dan’s suggestion of ‘The Consulting Room’

spiraled too and the pair are often called on to write articles

equipment sales division of its business. Since then he has

made a lot more sense”, says Ron. “We knew at that stage

or give lectures on various business and web-related topics

maintained the consultancy aspect of Aesthetic Business

that we wanted to make it an information rich site because

(which they have also done under their own SMART Ideas

Services working on projects with Merz, helping to launch

we had the industry contacts and the knowledge. Today

meetings) and have managed to maintain the holy grail

Belotero and work on pre-launch activities with Xeomin;

there are literally hundreds of online business directories

of remaining unbiased – no mean feat particularly in the

Lifestyle Aesthetics with Teosyal; and latterly ABC Lasers with

trying to sell clinics a listing. The Consulting Room’s unique

current climate.

Soprano and Accent and SkinBrands, who he is currently

difference, (which still hasn’t been copied) is to combine the

helping to roll out its Hydrafacial treatment concept.

benefits of cost-effective new client referrals with access to a

“The Consulting Room™ underpins everything that we

member’s area full of useful industry information, alongside

do now”, says Martyn. “People know the information

a package of other member benefits. Because we run our

on it is good and unbiased. Even though I consult for

One thing Ron and Martyn’s names are most synonymous

own clinic it really helps us to look at the issues that we are

different clients if someone rings the Consulting Room™ for

with is The Consulting Room™. The pair set the website

facing and then reflect that in the content of the information

advice on what products/equipment to buy they will get

up in 2003 as a resource, not only for consumers

that we host in the members area and send out in our

independent advice.”

seeking information about aesthetic and cosmetic surgery

monthly online magazine.”

“We’ve had a lot of fun and met and worked with some

procedures but also for practitioners and manufacturers

The Consulting Room™ has now grown into the UK’s largest

fantastic people in this dynamic industry”, concludes Ron

and suppliers working within this sector. “The Consulting

independent cosmetic information website. In 2008 the

– “ and as for the future, we’re continuing to launch and

Room™ was predominantly launched because the internet

team won the Aesthetic Medicine Award for ‘Best Website

develop additional services including a new reception

was starting to be used a lot more and when we looked

for Patients’ beating off competition from five other websites.

training program in 2011, as this can often be a weak link

at what was available from a consumer perspective in the

The site has more than 26,000 pages of information

in the growth of many cosmetic businesses”.

UK there wasn’t really anything that provided what we felt

listed on Google™

was quality information”, explains Ron. “We actually had

about the industry

no understanding or concept about how to build a website

including treatment

because that wasn’t our background but we understood a

FAQ’s, news, suppliers

lot about the market and there wasn’t a site there, so we

directory, blogs and

knew there was an opportunity.”

opinion pieces as

The Consulting Room™ team also includes editor Lorna

well as information on

Jackson who produces the monthly newsletter and writes

legislation and industry

in-depth articles for the site; Danny Large who recently

stats and more than

joined the team in customer services and Dan Huxley, a

4,500 clinical articles.

friend of Marytn’s from university who has been with the site

And it is not just the

since the beginning as their website designer. “Dan built

site that has grown,

and designed the website and came up with the name as

Ron and Martyn’s

well. Martyn and I could only come up with ‘less lines.com’

knowledge of all things

after some serious thinking over a few pints down the pub

web related has also

THE CONSULTING ROOM™

The Consulting Room™ team at The Cosmetic News Expo 2010 from left to right: Dan Huxley, Lorna Jackson, Martyn Roe and Ron Myers

REMOTE CONSULTATIONS • Remote consultations by phone or video call 9am-9pm 7 days/week

• Free UK and European Advanced Training

• Scripts forwarded instantlycomplies with MHRA and NMC standards (+£20,000 indemnity)

• For information on V300 visit realnurseprescriber.com

• BOTOX® TRAINING £400 FOR FULL DAY

• Discounted Aesthetic Products and Insurance

cosmeticnewsuk.com

25

Special Feature | Weight Loss and Body Contouring

Slim pickings

We examine the weight loss and body contouring market

Weight loss is big business and no more so than at this time of year. The guilt of postChristmas indulgence, coupled with the tradition of making New years’ resolutions, means that a huge percentage of your clients will be prioritising losing weight as we move into 2011. as such this is the perfect time of year to be marketing your body shaping and weight loss procedures and services.

SURGICAL OPTIONS WEIGHT LOSS/BARIATRIC SURGERY

the total amount of weight loss depends on how well the person maintains lifestyle changes related to eating and exercise. After six months, the ORBERA™ is removed in a 20-minute procedure similar

With obesity on the rise, the number of obesity surgeries being

to that of the placement. The patient can usually return home within

performed, such as gastric banding, gastric balloons and gastric

24 hours. Patients treated with ORBERA™ can expect to experience

bypasses, has also been on the up. These procedures have proven to

significant weight loss in the first six months. In 2004, a Brazilian study

be one of the most effective ways of helping morbidly overweight

found the average weight loss among patients to be around 15kg

people to dramatically reduce their body size in a matter of months.

after six months with ORBERA™. Similarly a large European study found an average weight loss of 20kg after six months with ORBERA™.

The idea of bariatric or weight loss surgery is to restrict the amount of food being absorbed by the body. This can either be achieved by

LIPOSUCTION

reducing the size of the stomach by using staples or a band so that

When it comes to surgery that shapes and contours the body,

the amount of food the person can eat is dramatically lessened and

liposuction remains the most popular choice among surgeons,

therefore making them feel full faster, or by bypassing part of the

although its prevalence has seen a slight decline in recent years,

digestive system so that food intake and the number of calories being

possibly due to the ride in popularity of cheaper and less invasive

absorbed is restricted.

non-surgical options. That being said the British Association of Aesthetic Plastic Surgeons reported an 8% increase in the number

The recommended BMI for a patient seeking bariatric surgery has

of liposuction procedures performed by their members in 2009

traditionally been 40 or above or a combination of a BMI over 35 and

compared to 2008 when the figures were down by 29%.

at least one serious weight related health problem, however one of the UK’s leading bariatric surgery providers recently announced it is

Liposuction has been used to remove stubborn areas of fat from

to lower the threshold at which it offers gastric band procedures for

the body in order to enhance aesthetic appearance since the 1970s,

people who are obese. Gravitas, a network of weight loss surgeons,

when it was first used by Italian gynaecologist Dr Giorgio Fisher. Early

said patients with a body mass index (BMI) of between 30 and 35

techniques carried high risks however following the introduction of

would now be eligible for the increasingly popular gastric band

the use of tumescent anaesthesia in the 1980s the procedure became

procedure at its clinics throughout the UK and Republic of Ireland.

far safer and its popularity soared.

It follows a recommendation by an advisory panel of the Food and Drug Administration (FDA) in the US that certain types of gastric

Today there are a variety of techniques favoured by different

bands should now be made available to people with a BMI as low

surgeons. All involve an incision being made into the skin and

as 30, if associated with obesity related health problems such as

a tube or cannula being inserted to facilitate the removal of

diabetes, high blood pressure and sleep apnoea. In line with the

the fat. This can either be removed by suction or via a large

US recommendations, Gravitas will also reduce the cut off BMI for

syringe. These include the fluid injection technique, where a fluid

patients with no medical history of weight related health problems

containing lidocaine and adrenaline is injected into the fatty

from 40 down to 35.

areas before liposuction is performed; the tumescent technique, where large amounts of fluid are injected into the fat before the

26

cosmeticnewsuk.com

Allergan has also recently developed a gastric balloon for patients

liposuction is performed. The amount of fluid used can be up to

with a lower BMI. The ORBERA™ Intra Gastric Balloon is a non-surgical,

three times more than the amount of fat that is being removed;

weight-loss device for moderately obese individuals with a BMI

the super-wet technique, which is similar to the tumescent

(Body Mass Index) of 27 or more. The device itself is a soft, silicone

technique but uses far less fluid and can be carried out in less

balloon that is inserted via the mouth into the stomach and filled

time and the Body Jet technque where fluid containing lidocaine

with sterile saline. The balloon is designed to partially fill the stomach,

and epinephrine, to constrict the vessels and reduce bleeding

giving a feeling of fullness. Patients not only feel less hungry, but feel

and bruising, is instilled into the areas via cannulas specifically

fuller more quickly after small meals. The balloon is removed after

to simultaneously gently suck out the fat while it is broken apart

six months, with an average weight loss of around 20kg, however,

with the high-pressure spray.

NON-SURGICAL OPTIONS

ULTRASOUND

While non-surgical procedures are not a quick fix

There are a variety of different ultrasound based treatments currently on the market that all work in different ways. One

solution to weight loss or an option for those who

of the most talked about procedures in recent years has been VASER Liposelection. Although it was launched in the

are obese, they are ideal for patients who are at,

US in 2002 and the UK in 2005, the technique has gained huge popularity since last year. The system uses a patented

or near to, their ideal weight and have pockets of

device/probe, which delivers ultrasound energy from all sides, as well as from the tip, allowing the practitioner to sculpt

fat that have not responded to a healthy lifestyle

more precisely. This means that there is less risk of damaging the surrounding structures such as blood vessels or nerves

including diet and exercise.

than with previously used ultrasound liposuction techniques. Like many forms of surgical liposuction, a saline solution

A plethora of new non-invasive technologies,

containing adrenaline and lignocaine is also introduced through a small incision in order to numb the area and loosen

which can add the ‘finishing touches’ to any

up the fatty tissue before the fat is liquefied and sucked out.

weight loss bid by getting rid of stubborn love

Although VASER is less invasive than liposuction, the treatment still has downtime and should be considered as a

handles or tummy fat, which can be hard to shift,

minor surgical procedure and, as such, a number of non-invasive systems also utilising ultrasound to break down

even for those who have a healthy BMI, have

fat have also emerged. One of the first of these was Ultrashape. Ultrashape is a non-invasive ultrasound device

emerged in the market in recent years.

that uses focused selective ultrasound waves to break down fat cells with no associated heat generation and

While cellulite and skin tightening treatments

therefore no side effects or down time. The patient lies on a bed while the treating practitioner runs a hand-held

have also benefitted from the weight loss market,

device over their problem areas. The ultrasound beams penetrate the skin, without causing any damage to nerves

it is non-surgical body contouring that has seen

or blood vessels, and destroy the fat cells. The fat is then metabolised by the body. The treatment takes between

the most significant boom in medical aesthetics

45 and 90 minutes to complete and a course of treatments is recommended to get the best results. The best

with ultrasound, radio-frequency and laser

candidates for this treatment weigh no more than 6kg (just under a stone) over their ideal weight.

dominating the arena.

ABC Lasers has also added ultrasound to its portfolio by introducing the Accent Ultra. The treatment combines two modules: The Ultra™ module provides ultrasound energy for treating cellulite and reducing fat whilst the UniForm™ module provides radio-frequency energy and lymphatic drainage for body reshaping and skin tightening.

The Ultra™ module combines two advanced ultrasound technologies. The ‘cold mode’ shear waves deform the fat cell membrane integrity to induce a gradual and natural elimination of the cell. The surrounding non-fat cells tissue remains intact. The ‘hot mode’ compression waves preheat the target fat tissue enhancing the effectiveness of the shear waves.

The UniForm™ module combines Alma Lasers’ core RF UniPolar™ technology in parallel with mechanical lymphatic drainage technology for non-invasive cellulite treatment and skin tightening.

Lynton is another company to cash in on the trend for ultrasound assisted body contouring with its ACCENT ULTRA

LIPAWAY system. The system uses the latest biological cavitation ultrasound technology to achieve volume reduction in body tissue. The cavitation effect relies on the formation of bubbles within interstitial areas of the body. When these bubbles collapse the resulting shock wave leads to a temporary change in the permeability of the fat cell walls, which allows fatty material to drain out of the cell and be removed by the body’s lymphatic system. The power density and frequency of the Lynton LIPAWAY system make it particularly effective for the

LIPAWAY

destruction of consistent quantities of adipose mass most typically found in areas such as the abdomen, gluteus and thighs. After just one treatment it is possible to achieve a reduction in body circumference of up to 3cm.

ACCENT ULTRA BEFORE

ACCENT ULTRA AFTER

ULTRASHAPE

LASER LIPOLYSIS The advent of laser lipolysis enabled non-surgically trained practitioners, such as cosmetic

the laser lipolysis procedure. One is better suited for liquefying

doctors, to start performing fat reducing treatments in their clinics under local anaesthetic,

and coagulating and the other is more aggressive and suited

offering patients an alternative to more invasive surgical liposuction for the first time.

for targeted tightening. The 1064nm wavelength has a

Deka’s Smartlipo system was the first on the market and has since been followed by a

greater affinity toward oxyhemoglobin, but demonstrates less

plethora of other devices including: Smartlipo MPX (Cynosure), Slim Lipo (Eden), ProLipo

absorption in water, which produces a larger scattering effect

Plus (Sciton), OSYRIS Pharaon Laser Lipolysis System and the Fotona XP2 (AMBETech).

than the 1320nm wavelength. Due to this strong scattering

Laser lipolysis works by using laser energy (delivered by inserting a fibre-optic probe

effect with the 1064nm wavelength, the laser energy would

under the skin) to break up and liquefy the fat cells. The liquefied fat can be left to be

be distributed in a more homogenous manner (broader

naturally eliminated by the body however experience has shown that far superior results

region) in fat tissue. The 1064nm wavelength also has a more

are gained by also using aspiration.

diffused distribution of the laser energy which will help to

ILIPO

safely heat the collagen bundles in dermis, resulting in tissue Cynosure Smartlipo MPX is seen as one of the premier laser lipo systems on the market. The

tightening. The 1320nm wavelength has strong absorption

first FDA approved dual wavelength laser lipolysis workstation on the market, the Smartlipo

and less scattering in fat tissue; therefore, most of the laser

MPX allows the physician to customise treatment protocols based on the patients needs. It

energy is deposited into a small (localised) region near the

allows each wavelength to be used individually and sequentially in a ‘blended fashion’ for

laser fiber tip in the subcutaneous layer. This makes it very

optimal results. The Smartlipo MPX utilises both the 1064nm and 1320nm wavelengths. Each

efficient at heating the subcutaneous layer and disrupting

of these wavelengths brings unique characteristics to

fat cells with the 1320nm wavelength. This blending of

cosmeticnewsuk.com

27

Special Feature | Weight Loss and Body Contouring

wavelengths is actually called Multiplexing (MPX). Multiplexing or blending wavelengths

removing it from the body for good. This

gives you the ability to maximise safety, effectiveness and overall patient outcomes and

mechanism is a natural biological process that

satisfaction. It allows the physician the option to blend these wavelengths to achieve

the body undergoes every day in the storage

optimal results.

and use of calories.

Distributed by Eden, the Palomar SlimLipo body-sculpting laser ‘melts’ unwanted fat

i-Lipo is a low level laser diode system and

efficiently and effectively by selectively targeting adipose tissue. The laser wavelengths

therefore is painless and completely safe.

used in SlimLipo (a blend of 924nm and975nm) are preferentially absorbed by lipids for

It can be used on all skin types and body

efficient fat melting, and produce just enough heat to provide skin tightening without

areas and you can return to normal activity

causing unnecessary and unsafe heating of surrounding tissue. The combination of

immediately after treatment. i-lipo enables

continuous wave output and selective wavelengths of SlimLipo allow for better, safer

the client to specifically target stubborn

control of energy deposition to surrounding tissue. Small incisions mean faster healing,

problem areas for fat reduction, a major

less bruising, reduced pain, and minimal blood loss and swelling and less downtime

advantage over just simply dieting and

for patients who need to return to work or other activities the same day. The SlimLipo

exercise, which would result in a slower all

treatment tip moves easily through all treatment

over reduction in

areas - even fibrous tissue. Physicians can treat

stored fat.

patients in areas that are not normally treated with

Independent

traditional liposuction, such as small areas and contour

clinical studies have shown i-Lipo to be, in some

deformities. Continuous wave technology gives

cases, comparable to results achieved by liposuction.

superior control of thermal effects while dual laser

Ultrasound imagery shows up to 30% reduction in the

wavelengths of 924nm and 975nm give optimised fat

fat layer depth after just one treatment. Results can be

and dermal tissue lasing.

seen immediately after each treatment as the fat cell contents are released and the fat cell shrinks in size.

The i-Lipo, from Chromogenex Ltd, uses painless

Realistic results of 2-4cm loss in abdomen circumference

low levels of laser energy to stimulate each fat

can be achieved with every treatment. A course of eight

cell to release its stored fat contents without any

treatments is recommended over four weeks with two

damage to neighbouring structures such as skin,

treatments per week.

blood vessels and peripheral nerves. This involves the breakdown of triglycerides into fatty acids and glycerol inside the cell which then escape through pores in the

The New Ultra accessory for i-Lipo incorporates vacuum massage and infrared

cell wall and are then picked up by the bodies lymphatic system and transported to

skin tightening to target more stubborn fatty deposits, enhance lymphatic

SLIM LIPO BEFORE

SLIM LIPO AFTER

the rest of the body

drainage, improve blood circulation and promote skin renewal. The vacuum

for use in normal

massage action of the i-Lipo ultra enhances the removal of released fat cell

metabolic processes

contents after the laser stage of the treatment by enhancing lymphatic drainage

to produce energy.

and movement and by its suction action optimises absorption of infra red

A short exercise

laser light in the dermis to promote collagen growth, cellular rejuvenation

session after

and enhance blood circulation in the area. The result is a slimmer, tighter and

each treatment

smoother looking skin with dramatic improvement in the appearance of any

will ensure the fat

cellulite.

is metabolised,

RADIO-FREQUENCY

to reduce inflammation

Radio-frequency (RF) treatments use radio-frequency energy to penetrate the skin,

of the skin.

without damaging it, in order to break down fatty cells and stimulate collagen

SmartSculpt

production, which improves skin tone and elasticity. Radio-frequency treatments can

was designed

be used to treat excess pockets of fat on the stomach, hips and thighs, reduce cellulite

for ease of

and tighten saggy skin caused by weight loss or pregnancy. There are a variety of

use also

different machines used for cosmetic body treatments which utilise radio-frequency

including user

technology, some of which combine RF energy with other modalities such as infrared

changeable

light. Treatments utilising RF include Accent, Velashape, SmartSculpt and Thermalipo.

treatment tips which enable the therapist to target very fine lines in very delicate

The Accent systems has become one of the most recognised RF systems on the

areas of the face, these include areas around the lips (perioral) and around the eyes

market. Accent uses two separate hand-pieces to deliver different types of RF

(periorbital). For the body a typical treatment course consists of six to eight sessions.

energy into the deep tissue lasers (2mm to 6mm depth under the skin). Its biopolar

THERMALIPO II (LYNTON) uses unique AMFLI (Automatic Multi-Frequency and Low

handpiece is designed to tighten the skin while its monopolar hand-piece reduces

Impedance) technology to break down fat cells and promote collagen formation

cellulite and fat. Patients have described the treatment as feeling like a ‘warm

without causing damage to surrounding tissues, nerves or blood vessels. It represent

massage’. The treatment takes less than an hour and requires no recovery time. The

a new era in medical cellulite control and facial sculpting. With visible results

treatment works by using controlled heating of the tissue to break down cellulite;

after the first few sessions the Thermalipo II represents a true alternative to invasive

releasing and flushing away toxins and fatty deposits; draining excess fluid; and

liposuction surgery and laser techniques. Treatments are easy to administer, very

boosting collagen production to improve the skin’s appearance. The Accent treatment

gentle, low risk and pain-free. Body treatments are recommended for localised fat

has been cleared by the FDA and risks are extremely low.

reduction, a reduction of the appearance of cellulite, and circumference and volume

Launched last year the SmartSculplt system (Energist) includes two separate RF

reduction. Treatments also induce collagen contraction, which results in tightened,

hand pieces: Monopolar and Bipolar as well as red LED. The monopolar and bipolar

younger looking skin. Facial treatments are recommended for tightening the skin,

hand pieces can be used sequentially in the same session. Red LED has been

reducing wrinkle appearance and pore size, and improving skin tone and texture.

clinically proven to help combat the signs of ageing by stimulating collagen and elastin production, resulting in further skin texture and tone and is also widely used

28

cosmeticnewsuk.com

Tightened, younger, natural looking skin is now a reality with our revolutionary ThermaLipo ii and LipaWaY face and body shaping systems. our non-invasive, painless rF, Lipomassage and Ultrasound technologies break down localised fat zones and induce collagen contraction to effectively eliminate cellulite and reduce volume and circumference from problem facial and body zones.

ThermaLipo ii or LipaWaY are perfect

ask about our range of Body Ask us about our range of Sculpting workshops for 2011.

Body Sculpting workshops

for 2011. ideal if you are looking at Ideal if you are looking at introducing new technology at introducing new technology at your clinic. your clinic.

Call 0845 612 1545 Call 0845 612 1545

partners to endermologie速 techniques.

Long lasting results comparable to those previously available only with liposuction or surgery are now achievable in just a few ThermaLipo ii or LipaWaY treatment sessions.

- No risk - No pain - Non-invasive - No downtime

eliminate cellulite

re-Shape YoUr BoDY To discover how Lynton can benefit your business and your clients call 0845 612 1545 or visit www.lynton.co.uk.

endermologie速 is a registered trademark of LpG

Weight Loss Special | Psychology

BODy AND

mind

We chat to health psychologist James Lamper about the importance of understanding psychological factors when offering weight loss and body contouring procedures

for many people suffering from weight problems there are underlying psychological issues that are causing them to over eat. While these can range dramatically in severity, for some people they are a dominating factor in their lives with food being used as a way of dealing with emotions. many people with low self-esteem and negative body image as a result of their weight believe that having a surgical or non-surgical procedure will be like waving a magic wand to solve their problems, but sadly this is rarely the case. It makes sense then that anyone offering weight loss and body contouring procedures needs to take into account the psychological aspects associated with being overweight. making sure your patients are emotionally suitable for treatment will ensure a better outcome for both you and them. We speak to leading health psychologist James Lamper about the relationship between psychology and weight and find out why weight loss is more than just a physical issue…

30

and you become cut off from these emotions.

Emotionally eating is probably the biggest psychological issue that I come across. also I work with a lot of people who have limiting or negative beliefs about themselves in that their cognitive style, the way that they hold their beliefs, their attitudes and their perceptions about themselves are holding them back. If a person has limiting or negative beliefs or their thought patterns are irrational they basically build a box around themselves where they feel they are trapped, but the only thing that is keeping them trapped is themselves. In this case it is important to help people re-frame the way they think about themselves, about the world, and about other people – it is about building a new framework and thought patterns and as they do that they can slowly let go of the old scaffolding of thoughts and beliefs they don’t need any more.

Cosmetic News: How important are psychological factors when it comes to weight loss?

James Lamper: psychological factors are

CN: What are the main psychological issues that may affect a person’s weight?

JL: Emotional eating is the biggest reason that

very important when it comes to weight loss.

people over eat. They have an inability to deal

How you think and how you feel determines

with emotions in an effective way and use food

CN: If someone is seeking surgery or non-surgical treatments for their weight what warning flags would suggest to you that they may not be a good candidate emotionally?

JL: When I do pre-assessment for weight loss

your behaviours so if you want to change your

to soothe themselves, to make themselves feel

surgery or even for non-surgical clients it is

behaviours to lose weight you need to start

better. If you are feeling emotions, which are

important to check for any seriously disordered

with what is in your head. If you have limiting

unpleasant, such as anxiety, anger or frustration,

eating patterns, that is people who binge eat

beliefs about your skills and ability to lose weight

that can be overwhelming, so people will use

or are bulimic or have anorexic tendencies.

– maybe you have dieted many times before,

food in a way to cut off from that. When you

Research shows us that these eating patterns

maybe you feel that you are a failure or maybe

eat something that tastes nice it has an effect in

(even though with weight loss surgery there is a

you think that to lose 20lbs in weight will take too

your brain because it releases dopamine, which

change in the physiology that allows them to

long – then all of these thoughts will work against

is a nice soothing and relaxing neurotransmitter.

lose weight or they have reduced their body

you in your ability to lose weight.

Basically your body becomes relaxed and calm

fat visibly non-surgically), the way that they see

cosmeticnewsuk.com

themselves or feel about themselves doesn’t

though they can read about it or be told about

change so the ‘head hunger’ still needs to be

it beforehand when they are going through

dealt with. In the case of weight loss surgery

it it is a different story and it can be quite

they can come out with new behaviors,

traumatic, so people need the support and the

such as grazing or continual picking at food

understanding post-surgery.

or something called ‘post-operative eating avoidance disorder’, a new eating disorder that

There will also be emotional changes taking

has emerged where people who have had

place within that individual and they will need

weight loss surgery are so afraid of eating that

to learn to adapt. a lot of it will be jubilation

they will avoid food so they don’t generate any

and happiness because they are getting

of the nasty symptoms following their surgery.

something positive and different but again they may still have very negative beliefs about

also, if you are offering these sorts of treatments

themselves that still need to be updated and

and something goes wrong and their hasn’t

which don’t go with their new look or their

been a full psychological assessment of the

new feel. If they have had head hunger in the

patient beforehand then you could find yourself

past and they have used food to help them

facing legal action. I have been referred

get through situations then they can no longer

patients that have been refused weight loss

do that if they have had weight loss surgery

or bariatric surgery because the practitioner

so they can be overwhelmed by emotions

felt that their psychological issues made them

and need to find another way of soothing

unsuitable, which is best practice at the end of

themselves.

caused by gastric bypass it reinforces the fact

the day. If people are vulnerable and suffering

that if they abuse food they are going to feel

and pretending that there is nothing wrong

CN: If someone is unhealthily over weight what, in your opinion, is the most effective line of treatment?

JL: The research that is coming through is that,

and not be honest about their eating problems.

for people who are severely obese, so we

However that will quite often manifest itself

are talking a BmI of 40 or above or a BmI

post treatment and come back and bite the

of 35 with co-morbidity such as diabetes or

practitioner on the bum, so to speak!

hypertension, weight loss surgery is the most

from psychological issues associated with their weight then they can cheat the system by going to a surgeon or cosmetic practitioner

“How you think and how you feel determines your behaviours so if you want to change your behaviours to lose weight you need to start with what is in your head.” horrible – it is like giving an electric shot to a rat to change its behaviour.

effective treatment. people that have a

CN: What role can a health psychologist play in enhancing the results of diets/treatments?

JL: my job as a health psychologist is to aid

CN: If someone has an unhealthy body image/relationship with food how likely is it that they will put the weight back on straight after treatment unless those issues are addressed?

JL: Very likely. If someone has a problem with

gastric bypass or gastric band can lose 70%

binge eating and is a little bit overweight and

of their body weight within a space of 18

they go for a non-surgical cosmetic treatment,

months, which is a huge amount of weight

or something like liposuction, if the emotional

loss, and can go into remission from their

issues and body image issues surrounding their

the transition from pre-procedure to post-

type II diabetes. It can have a huge effect

eating haven’t been addressed then, in certain

procedure, so I help clinics and clinicians with

on their health and give them their life back.

trigger situations, post-treatment it is very likely,

the pre-assessment, to make sure the patient

These people are in this situation because

in my experience, that those patients will revert

has had a full psycho-social assessment,

behavioral treatments or pharmacological

to the same behaviour and regain the weight

which evaluates their readiness to have

treatments haven’t been able to work so they

or will transfer their emotional crutch to another

the procedure and checks to see if there

need something more extreme which gives

area of their life such as gambling, shopping,

are any psychological issues that might be

them almost negative feedback. If there

sex addiction, drugs or alcohol. Unless the

detrimental to the procedure. It is also to fully

is a restriction in their stomach because of

physiological issues are treated, they will remain

report to the client what is going to happen

the band or they have dumping syndrome

regardless of the results of the procedure.

next – what will happen to them mentally once the procedure has occurred – so they have a full understanding of the changes that will take place to their lifestyle, to their eating behaviour, to their relationships, and to really

James Lamper

help them assess how it will effect their social

is a health psychologist who specialises in the

circumstances so, for example, what will it be

psychology of eating behaviour and health

like when they are eating at a diner party?

behaviour change. He has an extensive

What will it be like in their relationship with their

background of more 20 years experience in

partner and how will it affect them going to

the fields of psychology, fitness and nutrition. His

BBQ s in summer? etc It is very important to help them understand what is going to happen next. There are different things that you can expect after having a gastric band or gastric

unique combination of skills and training allows him to work with obesity, body image and eating disorders from a combined therapeutic, nutritional

bypass that people need to understand. people

and coaching perspective, where he builds a

often don’t fully understand, for example, that

new toolkit of coping strategies for his clients,

they will have to liquidise or puree their food

resulting in positive change and recovery. James

for at least the first week after surgery or there

has worked with Gary Barlow and myleene Klass

is something called ‘dumping syndrome’ that

and is a popular TV and media commentator.

can occur if you have had a gastric bypass where, if you have something sugary, you end up getting nauseous and start vomiting. Even

cosmeticnewsuk.com

31

Q&A | Dr Michael Brinkenhoff

q&a

We speak to Dr michael Brinkenhoff, the founder of RevitaLash®, about how he developed the revolutionary product and how he is continually evolving the brand dr michael Brinkenhoff has been a practicing ophthalmologist for more than 25 years and developed eyelash enhancing product RevitaLash® after his wife, Gayle, who had been suffering from breast cancer, lost most of her eyelashes. The product is now a global leader in premium cosmetic eyelash enhancement and is distributed in the UK by SkinBrands.

Cosmetic News caught up with dr Brinkenhoff along with his wife Gayle and daughter dariel Sidney on a recent trip to the UK… Cosmetic News: How did you come to develop RevitaLash®?

Dr michael Brinkenhoff: It’s a two-fold story. years. I was specialising in LaSIK and general

CN: Did your experience as an ophthalmologist give you an advantage when creating a safe cosmetic product for the eye? mB: as an ophthalmologist I really made sure

ophthalmology and in the course of my practice I

that whatever we created was going to be

had a very large population of patients who had

eye safe. There is a product out there that has

glaucoma. In the last decade we have learnt

had some controversy – where people have

that there are a number of molecules, or family

reported on the internet that their blue eyes have

of molecules, that are very safe and effective in

turned brown. We can confidently say that our

treating glaucoma but they have one interesting

RevitaLash® is eye colour safe.

I have been an ophthalmologist for the last 25

to keep debris out of the eye however this experience over the last few years with RevitaLash® has shown me how psychologically, eyelashes are so important to how most women feel about themselves.

CN: You have just developed a new formula for RevitaLash® can you tell us about that and how it differs from the old formula? mB: One of the things about our company that I try to emphasise is that we are science

side effect, namely they grow eyelashes. That

based and the products that we make are

alone. This caused lopsided lashes so I started to

CN: There has been some controversy surrounding some other eyelash products and certain ingredients used in them – how is RevitaLash® different? mB: Our formula is proprietary and the ratio of

develop methods for applying the medication to

the ingredients in our product is what helps the

The previous formula worked very well but we

the other eyelid to grow those patients’ eyelashes

safety of this as opposed to other products on the

decided we wanted to add some botanicals

longer so they could be more equal. This was part

market and we are extremely proud of this. We

and some peptides which research shows have

one of the story.

also have a thickener in our product that makes

a very nice synergistic effect with the other

part two of the story is that my lovely wife Gayle,

sure it is not so watery, so that it will stay put and

functional cosmetic ingredients in the product.

who has been courageously fighting breast

won’t seep through the eyelashes into the eyes.

Basically to give the product some boost – I would

was never really a problem for my patients, however I would have some who had glaucoma in just one eye and using the molecules to treat this resulted in longer lashes in the treated eye

effective. We have got active research and development going on all the time to try and make improvements in the products and make sure we are always at the cutting edge.

call it evolutionary rather than revolutionary in

cancer for the last 20 years, and has gone

thick and long, they didn’t grow back at all. She

CN: Gayle, how did you feel when you lost your eyelashes and how has having RevitaLash® changed things for you?

GB: I was very good at using eyeliner to take

was extremely upset about this and asked if there

away from the fact that I didn’t have any

was a possibility that there was something I could

eyelashes, so not that many people noticed.

do to help. I started taking what knowledge I had

But for me losing my lashes was way more

from the medical side of my practice and put

uncomfortable than knowing I had a bald head.

it into a formulation that could be applied as a

I have had chemotherapy about 14 times and

CN: You have also bought out a product for the brow – RevitaBrow® how does that differ from RevitaLash®? mB: It is a similar formula but because the

cosmetic rather than a medicine. I gave this to

during my latest session, thanks to RevitaLash® I

eyebrow hair and the skin that the brow hair

Gayle to use and she loved the results.

didn’t lose my lashes until towards the very end of

grows out of is a little different to the eyelid skin,

my treatments. Knowing that I have RevitaLash®

we juggled the concentrations of the formula to

Gayle Brinkenhoff: We weren’t actually

gives me confidence that I am going to have

make it more specific for the brow. We also use a

thinking of selling the product at the time. I was

beautiful long lashes again.

different applicator.

gave it to a neighbour and then michael gave it

mB: as a physician and a man I didn’t realise just

GB: It’s my favourite product – the way it

out in his office and one thing led to another and

how important eyelashes were. I always thought

goes on is so smooth, its just one swipe on each

it became a successful product.

that they were very important functionally

eyebrow, and it works really quickly.

through chemotherapy multiple times, lost all her eyelashes during a chemo session about five years ago and, instead of growing back nice and

that we are making progress and trying to get the exact balance that will give users the quickest results, but keeping safety as one of our top concerns.

just using it to see if it would work and then we

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cosmeticnewsuk.com

Dariel Sidney: We have had a lot of glowingly

as a company trying to make sure we only bring to

the heart of the particular cancer cell. One of

positive responses to the eyebrow product. It

market products that really work..

those in particular that we have been supporting

was developed out of the fact that so many

is at the University of Washington in Seattle.

RevitaLash® strive to give back to the community

RevitaLash® on their eyebrows. They were getting

CN: You have done a lot of work to support breast cancer research and charities – tell us about that DS: We do so much in the breast cancer

great results but using an eyeliner brush on your

community – every month we have a ‘team

chemotherapy they can start using RevitaLash®

brows is a little tricky and they were using more

RevitaLash®’ who actively take part in walks and

and it boosts them towards feeling better about

of the product than they needed. We decided

events where we sponsor, with not only products but

themselves.

there was a need to develop something specific

financial donations to cancer research.

people were using their RevitaLash® way more quickly than we had anticipated. We found out that this was because they had also been using

that helped us originally develop the product. We donate a lot of our products to various cancer centres so after women have gone through their

GB: That is one of the most important things for

and RevitaBrow has been a huge hit.

me. We did a walk a few weeks ago and we had

CN: As the ingredients stimulate hair growth have you got any plans to move into the hair loss market in the bigger sense? mB: as a matter of fact we are currently in the

mB: There are a number of research initiatives going on in the States and we are always keen

about 16 people from our team and it just feels so

to support them. I am especially focused on

good that we have given the money and helped

those research initiatives for breast cancer that

sponsor the whole walk. That’s my favourite thing.

as opposed to being chemotherapy based are

I am hopefully going to do the avon walk next fall

more targeted therapies. I think if there is going

which I’ve always wanted to do but unfortunately I

process of doing some clinical studies specifically

to be a cure in the future then it won’t come

end up getting cancer right before. So I am crossing

to document the hair product that we have

from generalised chemotherapy, it will come

my fingers I can do this walk and help raise a lot

created and to substantiate what we have been

from targeted therapy such as immunologic or

of money. We want a cure – and my goal is to do

told anecdotally by a number of people who

genetically based products that go straight to

everything we can to help facilitate that!

have used the product and loved it. Because it is also a cosmetic product rather than a drug we don’t say that it grows hair but we do say that it will improve the look and fullness of the hair. I think Hair

by RevitaLash® is a product that will be good for men but I also think post-menopausal women will be really happy with the results. after menopause, probably because of loss of oestrogen, women’s hair becomes thinner and what we have found with the hair product is that fine hairs actually start to grow thicker. That is part of what we are doing

“as a physician and a man I didn’t realise just how important eyelashes were. I always thought they were very important functionally however this experience has shown me how psychologically, eyelashes are so important to how most women feel about themselves.”

w w w. c o s m e t i c - i n s u r a n c e . c o m / c o s m e t i c n e w s

The leaders in our profession are back at ExCeL London Professional Beauty has been transformed.

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27&28 FEBRUARY EXCEL LONDON

Incorporating:

totalbeauty 2011

Treatment Spotlight | Hydradermabrasion

WATER wORKS LORNA JACKSON ON THE RISE IN pOpULaRITy Of

HydRadERmaBRaSION

h

ydradermabrasion is a similar concept to microdermabrasion however the primary difference is the lack of any crystals used to assist in the exfoliation process, and the use instead of a specially shaped spiral tip which exfoliates and removes impurities along with delivering pneumatically applied serums that cleanse, hydrate and provide antioxidant infusion during the treatment process.

Lorna Jackson has been editor of www.consultingroom.com, the UK’s largest aesthetic information website, for six years. She has become an industry commentator on a number of different areas related to the aesthetic industry, collating and evaluating statistics and writing feature articles and reports for The Consulting Room™ and various consumer and trade publications.

Hydradermabrasion takes its name from the word ‘hydrate’ meaning to ‘cause to take up moisture’.

This ability to actively moisturise the skin during the treatment process sets it apart from all other skin resurfacing procedures available, such as microdermabrasion, chemical peeling and laser/ IPL treatments.

HydraFacial™ The Hydrafacial™ system is clinically proven to improve the appearance of fine lines, wrinkles, congested and enlarged pores, oily or acne-prone skin and hyperpigmentation and was first introduced at the american academy of dermatology annual meeting in 2005. It won the industry's ‘Best of The Best award’ in 2006 and was nominated for the award again in 2007 and 2008. It became available in the UK in 2009.

The special tip, which is the unique part of the Hydrafacial™ devices, is known as the Hydropeel™ Tip. It is passed over the surface of the skin in smooth, stroking movements, whilst proprietary serums are simultaneously directed onto it and then vacuumed away, along with loosened dead skin cells and other debris. all the waste is retained in a separate closed container to avoid any risk of contamination. Treatment is generally considered to be painless and a new treatment tip is used per patient.

The treatment works differently from traditional microdermabrasion due to the spiral shape of the tip, which has multiple abrasive edges, meaning that the skin is exfoliated several times as the tip is moved over it in a planing motion, whilst the serums applied soften the skin and sebum making it much easier to extract away impurities.

coloured skins; however those individuals who have been treated with isotretinoin for severe acne within the last six months, those with active skin infections, such as herpes simplex, or with a history of problems associated with skin healing are not suitable candidates for treatment.

The proprietary serums within the Hydrafacial md™ range, which are delivered direct to the skin’s surface via the Hydropeel™ Tip, include activ-4™ which contains glucosamine and lactic acid, as well as active botanicals for cleansing and hydrating all skin types, beta-hd™ which contains salicyclic acid for cleansing and hydrating oily and acne prone skin and antiox-6™ an antioxidant treatment serum for all skin types containing hyaluronic acid, vitamins a and E and white tea extract designed to combat the damage created by free radicals within the environment, and deeply moisturise the skin.

The manufacturers of the Hydrafacial™ device have also teamed up with leading skincare company Skinmedica® to enable them to offer their TNS® (Tissue Nutrient Solution) Serum which contains NouriCel md™, a proprietary mix of human growth factors, cytokines, soluble collagen, antioxidants and matrix proteins, discovered through more than a decade of woundhealing research. Growth factors and cytokines are proteins that the body produces for regular growth and repair of tissue. The proteins are believed to work in concert with each other to produce the desired effects of reducing the appearance of fine lines, wrinkles and sun damage. a home use kit of Skinmedica products is often recommended following the Hydrafacial™ TNS® Serum treatment to enhance and maintain the results. additionally the Hydrafacial™ system offers a chemical peeling treatment in conjunction with the hydradermabrasion procedure. There are three Glysal™ peel strengths available, ranging from the mild Glysal™ prep (7.5% glycolic acid and 2% salicylic acid) which is suitable for most skin types as a pre-peel or preparation product, the moderate Glysal™ peel (15% glycolic acid and 1.5% salicylic acid) for oily, acne prone skin and to target fine lines and hyperpigmentation and the stronger aggressive Glysal™ peel (20% glycolic acid and 1.5% salicylic acid). finally red and blue LEd (Light Emitting diode) handpieces can be applied to the Hydrafacial™ treated skin to aid skin rejuvenation and acne treatment respectively.

Treatment is said to be safe for most skin types and colours, including thinning or ageing skin, dry or oily skin and ethnic

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The energy delivered by red LEd light has been shown to enhance cellular metabolism, accelerate the repair and renewal of damaged skin cells, as well as stimulate the production of collagen leading to improved skin texture and firmness. The del Sol™ red light handpiece

emits 615nm red light. Unlike more powerful laser and IpL treatments there is no pain associated with the delivery of the LEd light to the skin.

The del Sol™ blue light handpiece emits 420nm blue light. propionibacterium acnes or p.acnes bacteria is known as the cause of acne and porphryin which is a compound generated by p.acnes is photosensitive and has been proven to react to the wavelength of 405-440nm (blue) light, which leads to the destruction of the bacteria. The combination of Hydrafacial™ as a pre-treatment to the blue LEd light means that dead skin and debris is removed first so that the blue light is better targeted at the acne prone skin layers beneath.

Treatment sessions usually take approximately 30 minutes, with most people returning to work or normal activities immediately after treatment with only slight redness to the skin and a possible tight feeling, which should resolve in less than one to two hours. Treatments using the peel products may prolong any redness however.

Other Options Although the Hydrafacial™ systems are becoming the most widely known and heavily marketed devices within the hydradermabrasion arena. There are some other systems available which also use the concept of high pressure fluids to exfoliate or hydrate the skin as part of an abrasion treatment.

Jetpeel™-3 from Israeli company TavTech Ltd and distributed in the UK by Cross medical Ltd is also a hydradermabrasion device, in that it uses a pneumatically applied liquid to exfoliate the skin; however the company manufacturing it have chosen a name to market it aligned with a peeling process rather than a microdermabrasion process. Some clinics offering treatment with this device are however choosing to use the term ‘hydrodermabrasion’ to emphasise the use of water, rather than the implied peeling products.

Each Jetpeel™ treatment effectively ‘pressure washes’ the skin using microdroplets of water (saline) and pressurised oxygen or air, delivered at supersonic speed – up to 200m/sec. When the jet stream of droplets strikes the skin the kinetic energy of the droplets causes an exfoliation effect. It is claimed that this gentle cleansing unclogs pores and removes any dead skin cells and debris that has built-up on the skin. Unlike other systems, this device doesn’t use any kind of vaccum system to remove the resulting waste. The saline can be combined with other topical products containing vitamins and supplements such as hyaluronic acid designed to address different skin conditions, which are said to penetrate better in combination with the superficial exfoliation achieved and barometrically pressure environment caused by the pressurised gas upon the skin.

Clinical Results A number of clinical trials into the use of hydradermabrasion and the associated application of antioxidant serums, both as a stand-alone treatment and in conjunction with other non-surgical skin rejuvenation procedures, such as Intense Pulsed Light (IPL), have been carried out by influential American physicians Dr Patrick Bitter and Dr Bruce Freedman. a study by dr freedman involved 20 volunteers being split into two groups, one group had six hydradermabrasion treatments using the mechanically applied antioxidant serum, spaced seven to 10 days apart, and the other group simply had the serum applied manually, again for six treatments spaced seven to 10 days apart. Results gathered two weeks after the final treatment showed that the group treated with hydradermabrasion demonstrated increased thickness in the epidermal and papillary dermal skin layers, with the deposition of new collagen fibres and increased levels of antioxidants in the skin. fine lines, pore size and hyperpigmentation were also decreased following treatment. The other group showed no change in skin structure, clinical attributes (such as wrinkling, hyperpigmentation etc.) or antioxidant levels. It was therefore concluded the Hydrafacial™ treatment effectively improved skin quality and increased the antioxidant levels present in the skin, whilst the lack of an abrasion element and a manual application of antioxidants did not result in detectable skin changes.

If we are to criticise this study in any way, it would be to note that a third group was not established who were treated with traditional microdermabrasion and topical antioxidant application, so as to establish the exact effect of the differing types of skin abrasion (wet versus dry) and the subsequent take up of the serums by the skin.

In a study by dr Bitter, presented at the aSLmS conference in 2009, he looked at how hydradermabrasion worked in conjunction with IpL on facial skin. Two groups of patients were treated with either a series of IpL treatments alone or a combination of IpL and hydradermabrasion. In the combination group, results showed that fine lines, texture, pore size and overall skin appearance were improved. This study showed that hydradermabrasion appeared to enhance the effects of the IpL, which was due to the antioxidant infusion which is part of the Hydrafacial™ treatment’s uniqueness.

although, like the Hydrafacial™ system the accelafuze™ targets the mechanical application of topical products and the use of LEd light, the use of traditional crystal based microdermabrasion means that this device cannot truly be classed as a hydradermabrasion option as it still relies on the use of dry crystals for the exfoliation element.

In conclusion The manufacturers consider that not only is the return on investment (ROI) significantly higher than compared to other devices such as lasers, given the reduced capital costs, but that it is also common for Hydrafacial™ treatments to become one of the most requested treatments within a clinic.

With the low cost of consumables, up to £12, aligned with a relatively low capital asset investment and treatments able to be performed by aesthetic therapists and nurses, the profit margins at £100+ per treatment are pretty attractive. marketed as a long term treatment programme for maintaining healthy, glowing skin with improved appearance in wrinkles, sun damage and acne or as a one-off, special occasion treatment for weddings etc. this treatment, which is less invasive than the mainstay of microdermabrasion, could indeed become more popular in the future as clients demand the minimum of downtime along with quick and relatively inexpensive treatments.

Before hydradermabrasion

Fine lines, wrinkles and hyperpigmentation are less visible; skin texture is more refined.

Images courtesy of Edge Systems/Skin Brands Ltd.

US company Genesis Biosystems, a long standing producer of microdermabrasion machines, launched the accelafuze™ in 2008; (distributed in the UK by Eden aesthetics). The device combines traditional microdermabrasion using crystals followed by a rapid ‘dermalinfusion’ of various topical solutions such as a glycolic acid based cleanser, moisturising, lightening and peptide replacement serums and a lactic acid based peel with LEd treatment options using red, blue and yellow light.

Before hydradermabrasion

Fine lines and nasolabial folds are less visible; skin texture is more refined and redness is decreased.

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Product News | Round Up

News

PRODuCT

ImaGE SKINCaRE INTROdUCES dOCTOR ONLy pEELS the Jessner’s Peel: Lite and Rx.

THE WORLdS fIRST SERUm WITH pLaNT dERIVEd EGf

The TCa Orange peel is a 12% TCa/ 2% salicylic acid peel that aggressively

A decade of extensive

treats advanced ageing, sun damaged skin and pigmentation. The treatment rejuvenates skin

Green Biotechnology

Image Skincare has introduced two physician-only skin peels, the TCA Orange Peel and

with just one application, and can be re-applied after an interval of three to six months. The TCa peel is ideal for clients looking for a treatment for a special occasion or fast results. Image offers three levels of peeling, allowing the skin professional to create and customise their approach.

Level 1 is superficial peeling, designed to rejuvenate and restore the skin; Level 2 is moderate

research in Iceland has resulted in the devlopment of the world’s

peeling, which is designed for tightening, lightening and brightening and Level 3 is advanced

first serum with plant

peeling for advanced anti-ageing results.

derived EGF – BIOEFFECT™ EGF Serum.

The Jessner’s peel: Lite and Rx is a unique blend of salicylic acid, fruit enzymes, resorcinol and lactic acid, used in combination with retinol, which means effective skin resurfacing vailable in two strengths, so that you can tailor for your clients. available

BIOEffECT™ EGf Serum was developed on the

the treatment to the individual, this

basis of the latest advances

peel is highly effective in addressing

in molecular biology,

the main reasons chemical peels are administered: ageing (moderate to

and is the first skincare

severe photo damage, discolouration

product to contain cellular

or mottled skin, fine lines and wrinkles)

activators made in plants.

and acne (rough texture, clogged and

The next-generation anti-

congested skin). It is also ideal for acne

ageing serum improves the

grades III and IV.

appearance and health of the skin by encouraging

NEW! HyaLURONIC aCId SERUm aNd HyaLURONIC aCId mOISTURISER fROm OXyNERGy Koreesa Group has launched two new products – Oxynergy Hyaluronic Acid serum and Hyaluronic Acid moisturiser.

Oxynergy Hyaluronic acid Serum (30ml, £48) provides long-lasting hydration with continual

it to repair its own cells. Its key ingredient is Epidermal Growth factor (EGf), a substance, which occurs naturally in human skin and which has the ability to speed up the rate of cell turnover within the skin.

moisturising and anti-ageing ingredients including hydromanyl and hyaluronic acid.

By stimulating the renewal

Recommended to be massaged into the face and neck twice daily, this intensive serum has a

of skin cells, BIOEffECT™

silky soft texture that forms and maintains a hydrating moisture reserve without a hint of oiliness.

EGf Serum regenerates the

Oxynergy Hyaluronic acid moisturiser (50ml, £40) is a rich facial treatment specially formulated

skin’s health, resulting in a fresher, revitalised and glowing

for normal to dry skin. This soft, light cream is non-greasy and non-sticky, so it can be applied

complexion. Clinical trials have indicated that by using

to the face, neck and décolleté two to three times a day for intense hydration. Enriched with active ingredients including algicium C and hyaluronic acid, the dual action formula both reduces the sources of skin ageing within the cells and promotes the repair of skin damage,

just two to four drops on the face each day, is effective at improving common skin concerns.

including collagen breakdown, hypersensitivity, wrinkles and loss of moisture.

pEER REVIEWEd STUdy SHOWS faNTaSTIC CLINICaL OUTCOmE WITH SOpRaNO BLUE™ A study published in Lasers in Medical Science has shown positive

treatments on the face and various body areas. Objective

results with the Soprano Blue™ for hair removal.

and subjective assessment, as well as histologies, showed a high index of patient satisfaction due to the high efficacy of

The study entitled ‘Six-month follow-up multicenter prospective study of 368 patients,

hair elimination, also proved histologically by the damage

phototypes III to V, on epilation efficacy using an 810-nm diode laser at low fluence’

observed at hair structure level. There was also a low index

showed the treatment was a safe, effective and convenient therapeutic resource for

of adverse events.

patients of high skin phototypes. The authors noted that traditional high-fluence laser

The study concluded that laser epilation was well-accepted,

treatment for hair elimination is associated with discomfort and adverse events and

comfortable, and complication-free, for dark and tanned

it is restricted to low phototype skins. The multicenter study of hair epilation with low

skins. The researchers also concluded that the treatment was easy to conduct but

fluences and high repetition pulse rate using the 810-nm diode laser was carried out on

requires adapting the movement of the handpiece to a constant speed, in order to

368 patients (phototypes III to V) to test its efficacy in a six-month follow-up after five

achieve high-energy deposit on tissue and avoid the risk of burning.

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TWO NEW pROdUCTS fOR aBC LaSERS ABC Lasers (the UK and Ireland distributor of

between1mHz and 6mHz. This high frequency

Alma Lasers) has added two new products to its

allows the energy to go deeper into the skin and

portfolio – the Accent Compact Skin Tightening

deliver a higher scale of radio energies into its

and Body Contouring Device and the ABC Cryo

deeper layers within a given treatment time. The

Premium Skin Cooling Device.

accent family uses 60Watts on eye-lid tightening treatments, for example, and 300Watts on

Like its big brother, the accent XL, the accent

thighs, while some other lower powered Rf

Compact is a powerful radio-frequency device

devices on the market use only up to 50Watts on

which utilises clinically proven accent technology.

the thighs.

The system is american fda and CE approved and is indicated for cellulite reduction, body contouring

The aBC Cryo premium Skin Cooling device

and skin tightening for both body and facial

blows extremely cold air at temperatures as low

applications.

as -32c, which is used to cool the skin surface during aesthetic treatments. The device is

The accent Compact can be used pre and post

clinically proven to increase laser treatment

treatment for liposuction, Vaser Lipo, BodyTite

safety and dramatically reduce pain for a wide

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dramatically enhancing the results and recovery.

The new compact machine is also highly mobile,

This cutting edge cooling system is used for laser

weighing only 14kg.

and IpL skin cooling, and is also useful to reduce sensation for injectable treatments such as for

The treatment is pain free due to accent’s ‘in-

Botox® and fillers. The manufacturers claim it

motion’ technology and, as there is no need

is the ‘most powerful cooler on the aesthetic

for consumables, there are no on-going costs

market’ with 20% more cooling air flow power

per treatment. The key secret to the accent

than its competitiors. The product also comes

technology’s success is its use of 40mHz frequency,

with three years limited manufacturer’s warranty

compared to other devices which utilse

(one year on the hose).

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Best Practice | Finance

STARTINg OUT Anna Saprykina on how to calculate the start-up costs for your business

Starting your own practice or salon is an exciting thing, but it is a challenging one as well. you are now responsible for everything at the same time – clients, suppliers, employees, contractors, the list goes on...

In our discussion last month, we talked about the first

background, you must feel comfortable enough to make

practical step towards launching your salon or clinic –

a reasonable judgment about your cash abilities while

finding the right premises. Today’s discussion is about the

projecting your cash flow to open the doors for your

estimation of the initial capital or start-up costs, that is how

business and to keep it floating during the first six to 12

much money you will need to keep your business going

months.

until it starts generating money.

WHERE WILL yOUR mONEy GO? Start-up capital is the money needed to begin your

Some of your expenses will be one-off, others will be

business. It is the funding that will help you pay for

fixed. One-off expenses will relate to the part of your

equipment, rent, supplies, etc. for the first six to 12 months

calculations on the initial capital. It would help to draw

anna Saprykina, has a diploma in

or so of operation and would include everything essential

up a spreadsheet to see how you can budget for the

financial management from aCCa

for the development and launch of your business.

one-off expenses as well as for the fixed costs. an excel spreadsheet is a simple tool that you can use for your

and is the author of the business workshops ‘from Beautician to

If you are borrowing money to start your business, make

Entrepreneur’. after many years of

sure you know how much you will need, and then how

experience in analysing businesses

you will apply those funds. Being as specific as possible

and industries during her career in

with the plans for the money will increase the likelihood

finance, anna became a business

that your business will get financed. It is an essential part

owner herself and is a founder of

of your business plan, which is likely to undergo lots of

London-based Body Silk Consulting,

adjustments as you go along. In other words, figuring

providing business training for young

out your start-up costs means regularly reviewing your

entrepreneurs with a focus on the

assumptions and changing your initial business model.

beauty and aesthetics industries.

Writing a business plan is good because it forces you to write down literally everything you are going to need to start your business – legal help, tax help, office supplies, equipment, postage, office space, salaries, insurance, and so on. But that initial plan is likely to change repeatedly as you learn new things and incorporate them into your business plan. We will discuss business plan writing in one of our next articles.

They say that many businesses fail during their first year.

The most common reason is lack of cash due to overly optimistic expense/income forecasts and unnecessary spending. Even if you do not have a business or finance

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calculations.

Your main one-off expenses: • Company registration fees • Website registration and design • design of the company logo • Licenses • fitting costs • furniture • Rent deposit • Equipment • Training • Legal expenses • One-off marketing expenses (company sign boards, door signs, etc) The main type of fixed expenses will be: • Salaries • Utilities (phones, electric, internet/communications, etc.)

• Rent • marketing and sales-related costs • Supplies • maintenance • Insurance • Taxes

make sure you allow enough money for the true

cut expenses, take out a loan or get rid of some stock by

expenses associated with running your practice for the

launching a discounted sales campaign.

first year of operation – and don’t forget to pay yourself! make sure you have also planned for more employees,

There is no great deception to preparing it: the cash-

marketing and miscellaneous needs. Realistically estimate

flow outcrop is just an onward look at you checking the

your financial needs and leave room for the unexpected,

account. for each item, determine when you actually

or you may unexpectedly be out of business.

expect to receive cash (for sales) or when you will really have to write a cheque.

12-mONTH PROFIT AND LOSS PROJECTION

you should track necessary operating data, which is not

many business owners think of the 12-month profit and

unavoidably part of cash flow but allows you to track

loss projection as the centerpiece of their plan. This is

items that have a heavy impact on cash flow, such as

where you put it all together in numbers and get an idea

sales and inventory purchases. you should also track cash

of what it will take to make a profit and be successful.

outlays prior to opening in a pre-start-up column. you should have already researched those for your start-up

The distinction between profit and cash flow is a common

expenses plan.

cause of confusion. The profit and loss (p&L) as such is not concerned with cash flow. The function of p&L is to

your cash flow will show you whether your working capital

identify the total revenue earned and the total costs

is adequate. Clearly, if your projected cash balance ever

incurred over a certain accounting period – whether the

goes negative, you will need more start-up capital. This

business is going in profit or loss. your sales projections will

plan will also predict just when and how much you will

come from a sales forecast in which you estimate sales,

need to borrow or to inject some of your own money.

cost of goods sold (in your case, cost of treatments and

Clarify your major assumptions – especially those that

products sold), expenses, and profit month-by-month for

make the cash flow differ from the p&L projection.

one year. It helps to accompany your profit projection

for instance, if your client wants to buy a course of

with a list of the major assumptions used to estimate

treatments, when do you actually collect the cash – is he/

company’s income and expenses. There are a number of

she going to pay every time he gets a treatment or pay

“If the profit outcrop is the heart of your business plan, cash flow is the blood. Businesses fail because they cannot pay their bills” case studies available through various business sources on

for the entire course up front? When you buy cosmetic

how to make those projections in three scenarios: realistic,

products materials, do you pay in advance or much

worst-case, and best-case. The worst-case scenario will

later? How will this shape your cash flow?

likely be the one that you will use to estimate how much The realistic scenario will be useful to pitch your business

FACTOR IN THE TImE TO GET YOUR START-UP BUSINESS OFF THE GROUND

idea to the potential investors. The best-case scenario will

One critical component of getting an accurate start-up

help you ‘plan for success’. The latter is a separate topic

cost estimate is to determine the length of time it is going

for discussion, and we will talk about it some other time.

to take you to open your start-up business. It might be

money you will need to get your business idea financed.

very different if you’re opening a salon/clinic versus an

pROJECTEd CASH FLOW

eBay business.

If the profit outcrop is the heart of your business plan, cash flow is the blood. The cash flow statement shows

you have to take into account everything you will spend,

the exact position of liquidity in a firm – how much cash is

from the moment you dig in to the start-up process,

incorporated in business and how much is expensed over

through the time you are ready to sell a product or a

various heads during the financial year. Every part of your

treatment. If you need three months from the time you

business plan is important, but none of it means a thing if

sign a lease to the time you can put the ‘open’ sign up,

you run out of cash. Businesses fail because they cannot

calculate how much money you will need for salaries,

pay their bills.

electricity, rent or your mortgage/lease payment during those three months.

The point of cash flow projection is to plan how much you need before start up, from beginning expenses to

Cash flow projection is the most powerful tool in cash

operating expenses. you should keep updating it and

management. It enables you to see the cash flowing in

using it afterwards. It will enable you to foresee shortages

and out of your business so that you can plan for surpluses

in time to do something about them - you may need to

as well as deficits.

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Business Focus | Equipment

The value of the UK cosmetic surgery market is estimated at £2.3 billion. In addition, statistics show that 47% of adults would like to have some form of cosmetic surgery. a higher awareness of safety, coupled with scare-stories of treatments gone wrong, are all factors influencing people to opt for non-surgical treatments. Non-surgical procedures are an area of the market which has seen extensive growth in the past three years – in fact it is estimated that non-surgical accounts for almost 91% of all procedures.

T

he reasoning behind this new trend is that the

long term by being the first in your area to offer the latest treatment

non-surgical options provide customers with a

and therefore acquiring new customers before your competitors’

more affordable, accessible alternative to surgical

do, whilst also building up a positive reputation, which will benefit

treatment. Television programmes such as ‘Ten

your business if, and when, competitors follow the trend and begin

years younger’ highlight the regularity of cosmetic procedures in today’s society and the normality of this behaviour. Such media attention also provides customers with a greater knowledge of what is involved during cosmetic procedures, from what equipment is used, to how long the procedures take, to the after care and life changes they can result in.

to provide what you already do. Having competitive advantage from the onset will allow your reputation to build – customers are more likely to choose the clinic/salon which has a great reputation, over one that is following all the others. Keeping up with market trends will provide a firm grounding for future success.

WHO ARE THE BEST PEOPLE TO SPEAK TO? When you consider investment in new equipment consider both

further influencing this trend is the fast-paced life of today’s

your competitors and customers. you should already know who your

society, seeing the need for minimal downtime post treatment.

main competitor is, and often, looking at what the competition are

Customers want to fit treatments into their lives without sporting

doing provides insight for what you should or shouldn’t be doing. Take

bandages for several weeks post-treatment. Non-surgical

some time to visit your competitors, acting as a potential customer,

procedures provide this quicker, more convenient solution.

ask what treatments they have available and what technology they are using, gather information and analyse how you can set yourself

WHAT TO CONSIDER WHEN CHOOSING NEW EQUIPmENT

apart. What can you do that your competitors do not?

Speak to several equipment suppliers and discover what they offer in terms of training and post purchase support. Think about how you will

The key people to speak to are your customers – they are the

market your new treatment(s) and whether you will get support for

reasoning behind every decision you, as a business owner, should

this from your equipment provider.

make. find out what your customers want, which treatments they would consider getting next. do you provide everything they

Suppliers of equipment often offer a wide range of financial options,

want? Calculate the amount of expected treatments you would

from purchasing or leasing equipment to renting the equipment;

realistically do.

gather as much information as possible and take time to work out the best option for your business.

NEW YEAR, NEW EQUIPmENT The New year is a perfect time to introduce new equipment into

Before investing in new equipment, speak to your customers, find out

your business. The after Christmas period is usually seen as a quiet

what they want. an early investment can maximise revenue in the

time for the cosmetic industry, so make an investment before the spring rush, which often sees an increase in trade. The expected

“Customers want to fit treatments into their lives without sporting bandages for several weeks post treatment. Nonsurgical procedures provide this quicker, more convenient solution.”

44

cosmeticnewsuk.com

quiet month of January will allow you and your staff members to get to grips with new technology, attend full training sessions, practice using equipment and create your own before and after pictures – these before and after pictures can then be used on your marketing which will draw in even more customers in the following months.

Having your own photos will also reassure customers of your own use of equipment, whereas having no photos questions whether you will have performed a treatment before.

Redefine over time Sculptra速 has been successfully redefining the way your patients look for quite some time.

Sculptra速 replenishes lost collagen for a more natural-looking, gradual effect that can last up to 25 months. Popular with patients, this aesthetic result has got to be good for your business over time.

In partnership with Succeev速 it can also successfully widen your Medical Aesthetics opportunity.

For more information visit www.sculptra.co.uk or talk to your sanofi-aventis Medical Aesthetics Account Manager.

M E D I C A L

A E S T H E T I C S

|

C O N F I D E N C E

T H A T

S H O W S

sanofi-aventis, One Onslow Street, Guildford, Surrey GU1 4YS. Date of preparation: May 2010. GB.POL.10.05.03a.

Events | Professional Beauty

A BEAuTIfuL DAy

Cosmetic News will be organising a one-day medical aesthetics seminar at this year’s professional Beauty show here’s what will be going on…

The beauty and medical aesthetics industries are more closely associated than ever before, with more and more beauty therapists becoming aestheticians and more and more salons incorporating medical aesthetics treatments into their offering. as such Cosmetic News will be organising a one-day medical aesthetics seminar at this year’s professional Beauty show on Sunday february 27, sponsored by SkinCeutcials.

Here is what the programme has in store…

MEDICAL AESTHETICS SEMINAR IN ASSOCIATION WITH COSMETIC NEWS MAGAzINE – SuNDAy FEBRuARy 27 11AM-12PM COSMETIC INjECTABLES From Botox® and fillers to mesotherapy, cosmetic injectable procedures are the bread and butter of any good medical aesthetics business. This session will examine the role of these treatments, the dos and don’ts of providing them within a beauty setting, and the latest products and developments.

11.00-11.20 Cosmetic Injectables: An Overview – Dr Brian Franks 11.20-11.40 Cosmetic Injectables Register: Why Beauty Therapists Shouldn’t Inject – Sally Taber 11-.40-12.00 Skin Revitilisation – Marea Brennan Thorns and Stephanie Green 12PM-1PM THE BUSINESS OF AESTHETICS From introducing aesthetic treatments to your salon to regulation and marketing, this session will explore all aspects of running a successful business in this emerging field.

12.00-12.20 Bringing Aesthetics into the Beauty Salon Environment – Anna Saprykina 12.20-12.40 From Beauty Therapist to Advanced Skin Practitioner – Lesley Reynolds Khan 12.40-1.00 Giving Your Business the X Factor Through Online Marketing – Stephen Handisides 1PM-2PM LASER AND IPL Laser and IPL treatments were the first treatments to bridge the gap between the medical and beauty fields. From hair removal to facial rejuvenation and skin tightening, this session will bring you the latest advances in laser and light based treatments.

1.00-1.20 Laser and IPL in the Salon Environment: Advances and Future Developments – Jon Exley 1.20-1.40 Choosing the Right Laser or IPL Machine for Your Salon – Mike Murphy 1.40-2.00 Making a Profit from Laser Hair Removal – TBC 2pm-3.30pm ADVANCED SKINCARE Today’s beauty clients and more discerning than ever and demand both at-home skincare products and in-salon treatments that go beyond pampering. This session will focus on the role of cosmeceuticals and providing advanced skin health restoration treatments such as chemical peels.

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cosmeticnewsuk.com

2.00-3.30 Adult Acne and the Latest Skincare Treatments – Dr Stephanie Williams 2.30-2.50 Advanced Skin Assessment – Constance Campion 2.50-3.10 Chemical Peels – Michael Pugliese 3.10-3.30 Hydradermabrasion – Martyn Roe 3.30PM-4.10PM BODY CONTOURING Body contouring has become big business in recent years, with a plethora of non-surgical treatments targeting excess fat and cellulite emerging onto the market. Hear from leading experts in this field about the latest innovations in the body shaping market and find out how you can benefit from incorporating these treatments into your salon’s offering.

3.30-3.50 Non-Surgical Body Contouring – Dr Mike Comins 3.50-4.10 Treating Cellulite – Michael Pugliese 4.10PM-5.10PM MEDICAL MAKE-UP Make-up is not only about looking pretty it has a far more expansive role within the cosmetic clinic. From semi-permanent make-up to post-procedure minerals and camouflage, this session will look at the ever-expanding role of make-up within aesthetics.

4.10-4.30 Semi-Permanent Make-Up – Debra Robson Lawrence 4.30-4.50 Skincare Minerals the Next Generation – Tracy May-Harriott 4.50-5.10 Camouflage Make-Up – Anylene Adams 5.10PM-6.10PM SKIN NEEDLING Skin needling has been one of the most talked about treatments in the last year. Helping the skin to create new collagen and increasing the penetration of products, the treatment can be use not only for facial rejuvenation but as a way of reducing scars and stretch marks on the body.

This session will look at its multiple uses within the salon environment.

5.10-5.30 Collagen Induction Therapy and the Micropgimentation Technician – Dawn Forshaw 5.30-5.50 Body Rollering – Dr Matthias Aust 5.50-6.10 Dermal Rollering in Combination with Mesotherapy and Dermal Fillers – Frances Furlong

MEET THE SPEAKERS DR BRIAN FRANKS

SALLY TABER

MAREA BRENNAN THORNS

ANNA SAPRYKINA

LESLEY REYNOLDS KHAN

STEPHEN HANDISIDES

jON EXLEY

MIKE MURPHY

CONSTANCE CAMPION

DR STEPHANIE WILLIAMS

MICHAEL PUGLIESE

MARTYN ROE

DR MIKE COMINS

DEBRA ROBSON LAWRENCE

TRACY MAYHARRIOTT

ANELYNE ADAMS

SEE US AT stand num

353

DAWN FORSHAW

FRANCES FURLONG

Professional Beauty is the UK’s largest beauty show taking place over two days (February 27-28 2011) at London’s ExCel. More than 400 companies will be exhibiting at the event, which attracts thousands of health and beauty specialists from across the UK. The show is back under the control of its original founders who have managed to double the event’s size with a particular focus on skincare, spa and medical aesthetics. Show features include Europe’s only live purpose-built exhibition spa where visitors can try the latest spa treatments, a luxury organic wellness concept stand, plus live demonstration stage and six conference programmes of which Cosmetic News is taking a lead. Readers can guarantee their seat for only a £5 per session registration fee.

Entry to the show itself is free and you can book online at www.professionalbeauty.co.uk

ber

DATES fOR ThE DIARy

We round up upcoming events, training courses and meetings

January 2011

V.I.A Method contains L-Ascorbic 30% to insert into CMS as 100-300nm of MLV type. As a result, it protects L-Ascorbic30% from the oxidizing environment to produce 6 high-tech cosmeceutical systems, which include call membrane penetration, cell activation, Vitamin C 10-30% stabilisation, skin barrier recovery, biological membrane kinds recovery, and ionization.

CmS cell Membrane Structure DUAL Liposome Vitamin C

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PROFESSIONAL MEDI-SKINCARE & EQUIPMENT SUPPLIER OF REPUTAbLE CLINICS ONLy

hialuroFrax is an italian patent in the field of an application of hyaluronic acid into the skin. it is the first device in the world allowing for both noninvasive application of hyaluronic acid into the skin as well as for injection due to specially created system of very thin needles, affecting any wrinkles and lines precisely.

Laser Safety Training Courses, Dates on Request, www.bioptica.co.uk 6-9 International Master Course on Ageing Skin (IMCAS), Palais des Congres, Paris, www.imcas.com 8 Botox Training, Glasgow, www.medicsdirect.com 9 Dermal Fillers Training, Glasgow, www.medicsdirect.com 10 GMT TEC and Sally Durrant, Advanced Skin Science for the Clinical Skincare Therapist, London, www.sallydurant.com 11 GMT TEC and Sally Durrant, Investigative Consultation, Advanced Skin Assessment and Effective Treatment Planning, London, www.sallydurant.com 11 Botox Training, Manchester, www.medicsdirect.com 12 Dermal Fillers Training, Manchester, www.medicsdirect.com 15 Body Silk Consulting Introductory One-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 19 Dr Bob Khanna Training Institute, Botulinum Toxin – Beginners, www.drbobkhanna.com 20 Dr Bob Khanna Training Institute, Botulinum Toxin – Advanced, www.drbobkhanna.com 21 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 22-23 Body Silk Consulting Intermediate Two-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 24 Laser Hair Removal and Skin Rejuvenation, Lynton Clinic, Cheadle, info@lynton.co.uk 24 GMT TEC and Sally Durrant, The Definitive Guide to Acne Vulgaris, London, www.sallydurant.com 24 Vein Train Venepuncture and Cannulation (2010), Grantham, www.veintrain.co.uk 28 Vein Train IV Drug Administration, Birmingham, www.veintrain.co.uk 28-29 Dr Brian Franks Training Courses: Foundation Botulinum Toxin and Dermal Fillers Training, Watford, jan@drbrianfranks.com 29 Body Silk Consulting Introductory One-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 29 Botox Training, London, www.medicsdirect.com 30 Dermal Fillers Training, London, www.medicsdirect.com

February 2011

Laser Safety Training Courses, Dates on Request, www.bioptica.co.uk 3 Vein Train Venepuncture and Cannulation (2010), London, www.veintrain.co.uk 4 Vein Train IV Drug Administration, London, www.veintrain.co.uk 5 Botox Training, Glasgow, www.medicsdirect.com 5-6 Body Silk Consulting Advanced Two-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 6 Dermal Fillers Training, Glasgow, www.medicsdirect.com 7 Laser Hair Removal and Skin Rejuvenation, Royal Society of Medicine, London, info@lynton.co.uk 7 GMT TEC and Sally Durrant, The Physiology and Management of the Skin Ageing Process, London, www. sallydurant.com 8 Botox Training, Belfast, www.medicsdirect.com 8 GMT TEC and Sally Durrant, The Art of Skin Resurfacing and Regeneration, London, www.sallydurant.com 9 Dermal Fillers Training, Belfast, www.medicsdirect.com 11 Dr Brian Franks Training Courses: Lip Augmentation (including local anaesthesia), North London, jan@drbrianfranks.com 11 Vein Train Venepuncture and Cannulation (2010), Birmingham, www.veintrain.co.uk 12 Botox Training, Manchester, www.medicsdirect.com 12-13 Body Silk Consulting Intermediate Two-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 13 Dermal Fillers Training, Manchester, www.medicsdirect.com 18 Dr Brian Franks Training Courses: Genuine DermaRoller Training Course, North London, jan@drbrianfranks.com 19-20 Body Silk Consulting Advanced Two-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 25-26 Dr Brian Franks Training Courses: Foundation Level Botulinum Toxin and Dermal Fillers, North London, jan@drbrianfranks.com 26 Body Silk Consulting Introductory One-Day Business Course for Beauty and Medical Start-ups, www.bodysilk.co.uk 27 Professional Beauty, ExCel, London, www.professionalbeauty.co.uk 28 GMT TEC and Sally Durrant, Nutrition and the Skin, Birmingham, www.sallydurant.com 28 Dr Bob Khanna Training Institute, Botulinum Toxin – Beginners, www.drbobkhanna.com

March 2011

office@mayfairmedicalgroup.co.uk

07940144935

Laser Safety Training Courses, Dates on Request, www.bioptica.co.uk 1 Dr Bob Khanna Training Institute, Botulinum Toxin – Advanced, www.drbobkhanna.com 2 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 2 Botox Training, Manchester, www.medicsdirect.com 3 Dermal Fillers Training, Manchester, www.medicsdirect.com 5 Advanced Botox and Dermal Fillers Training, Birmingham, www.medicsdirect.com 5-6 Body Silk Consulting Intermediate Two-Day Business Course for Beauty and Medical Start-ups, www. bodysilk.co.uk 7 GMT TEC and Sally Durrant, Advanced Skin Science for the Clinical Skincare Therapist, Birmingham, www. sallydurant.com • If you have any dates you would like to add to our Dates for the Diary section please email vicky@creativemedialtd.co.uk •

8300 Cosmentic Update 2:Layout 1 08/12/2010 10:16 Page 1

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CORE OF KNOWLEDGE

Wednesday 12th January, London The classic laser and light training day covers the MHRA 2008 syllabus, hence plenty of interesting layman’s physics and basic photobiology. October 2010 brought significant changes to both laser and the wider cosmetic sector, with deregulation providing the impetus to liberalise the cosmetic market and bring cosmetic treatments into the scope of VAT. The Core of Knowledge is an ideal introduction for those new to laser/ILS technologies and a useful CPD refresher for more experienced practitioners.

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DIRECTORY merz Aesthetics Contact: Merz Aesthetics Customer Services T: 0333 200 4140 E: info@merzaesthetics.co.uk

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

Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com

ABmE Tech Contact: David Leahy T: 01843 297110 E: david.leahy@abmetech.com W: www.abmetech.com

Energist Contact: Andrew Snoddon T: 01792 798768 E: enquiries@energist-international.com W: www.energist-international.com

Allergan Contact: Customer Service T: 01628 494444 W: www.juvedermultra.co.uk

Ericson Laboratoire Contact: Mike Filapiuak T: +44 02076296269 E: mike@ericson-laboratoire.co.uk W: www.ericson-laboratoire.com

Barnes Roffe LLP Service: Chartered Accountants, Business and Tax Advisors Contact: Shen Yap T: 020 8988 6100 E: s.yap@barnesroffe.com W: www.barnesroffe.com

Galderma Contact: Azzallure Sales Team T: 01923 208950 E: info.uk@galderma.com W: www.galderma.co.uk

Beehive medical Solutions Contact: Kevin Rendell T: 020 8550 9108 E: enquiries@beehive-solutions.co.uk W: http: //www.beehive-solutions.co.uk/catalog

Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: cosmetic@hamiltonfraser.co.uk W: www.hamiltonfraser.co.uk

QUTIS Contact: Marea Brennan Thorns T: 01844 213007 E: info@qutisclinics.co.uk W: www.qutisclinics.co

Bioptica Contact: Roy Henderson T: 01223 441548 E: roy@biotica.co.uk W: www.bioptica.co.uk

Harley Aesthetics Contact: Dr Mark Harrison T: 02074872772 E: enquiries@harleyaesthetics.com W: www.harleyaesthetics.com Services: Training

RECOvA COmPRESSION GARmENTS Contact: Eva Sanchez-Smith E: eva.sanchez@recovapostsurgery.com W: www.recovapostsurgery.com T: 0207 000 1044

Blue Horizons marketing T: 01242 236600 E: info@bluehorizonsmarketing.co.uk W: www.bluehorizonsmarketing.co.uk Services: Websites, patient literature, referral literature, brand image, advertising, e-marketing and more.

Health xchange Contact: Customer Service T: +44 1481 736832 E: orders@healthxchange.com W: www.healthxchange.com

Boston medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.boston-medical-group.co.uk

Janssen & Rosactive Cosmeceutical U.K Contact: Mr. Naci Gulsan T: 020 85090907 E-Mail: hunalp@hunalp.co.uk Web: www.hunalp.co.uk www.rosactive.co.uk

Candela UK Ltd Contact: Ben Savigar-Jones T: +44 08455210698 E: alex@alexsilver.co.uk W: www.candelalaser.co.uk

LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315 E: admin@lcsacademy.co.uk W: www.lcsacademy.co.uk

Cordcourt Limited Service: Uniform Supplier Contact: Gina Unsworth T: 0161 724 6009 E: sales@cordcourt.co.uk W: www.cordcourt.co.uk

Lynton Contact: Customer Services T: 0845 6121545 E: info@lynton.co.uk W: www.lynton.co.uk

Cosmedix Contact: Aysha Capion-Awward T: 0844 855 2499 E: info@cosmedix.com W: www.cosmedix.com Cosmetic Courses Contact: Morag Hague T: 0845 230 4110 E: info@cosmeticcourses.co.uk W: www.cosmeticcourses.co.uk

Lifestyle Aesthetics Contact: Sue Wales T: 0845 0701 782 E: info@lifestyleaestheics.com W: www.lifestyleaesthetics.com mACOm Compression Garments Contact: MACOM Customer Services T: 020 7386 0011 E: info@macom-medical.com W: www.macom-medical.com mapperley Park Training www.mapperleypark.co.uk/training Email: training@mapperleypark.co.uk Tel: 01159 690 111

morning Star Surgical S.A. (Pty) Ltd Contact: Brian Nielsen T: +27 (82) 667 2506 E: brian@morningstar-medical.com W: www.morningstarsurgical.co.za my Cells/Scandinavian UST Ltd Contact: John Tucker T: +35361 312979 E: info@mycells.ie W: www.my-cells.net Polaris Lasers Contact: Neil Calder T: 01234841536 E: njc@polaris-laser.com W: www.polaris-laser.com Q-mED Contact: Customer Service T: 0207 796 3290 E: info.uk@q-med.com W: www.q-medpractitioner.com/uk

Sanofi Aventis Contact: Customer Service T: 01483 554 809 W: www.sanofi-aventis.co.uk Skin brands Contact: Tracey Beesley T: +44 (0) 2089978541 E: tracey@skinbrands.co.uk W: www.skinbrands.co.uk Skin Geeks Ltd Contact: Trishna Shah T: +44 (0)1865 338046 E: trishna@skingeeks.co.uk W: www.skingeeks.co.uk Specialist make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: enquiries@permanent-makeup.com W: www.permanent-makeup.com Services: Permanent Make-Up Surface Imaging Solutions Contact: Nick Miedzianowski-Sinclair Telephone : +447774802409 E: nms@surfaceimaging.co.uk W: www.surfaceimaging.co.uk Service: Skin Analysis systems & services vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: SDavies@soundsurgical.com W: www.vaser.com Wealden Projects Contact: Kevin Dewhurst E: kevin@wealden projects.com W: www.wealdenprojects.com T: 01892 611552 M: 07969 697593

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Vistabel® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 Allergan Units/vial.

Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown, in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years.

Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: Total dose 20U. Contra-indications: Known hypersensitivity to any constituent. Myasthenia gravis, Eaton Lambert syndrome. Infection at proposed injection sites. Pregnancy or lactation. Warnings/Precautions: Use for one patient treatment only during a single session. Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Product contains less than 1mmol sodium (23mg) per dose. Do not exceed recommended dosages and frequency of administration. Epinephrine (adrenaline) or any other anti-anaphylactic measures should be available. Very rare reports of adverse reactions possibly related to spread of toxin distant from site of injection. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with history of dysphagia and aspiration. Patients or caregivers should seek immediate medical care if swallowing, speech or respiratory disorders arise. Too frequent or excessive dosing can result in risk of antibody formation, which may lead to treatment failure. Caution in the presence of inflammation at the proposed injection site(s) or when excessive muscle weakness or atrophy is present. Caution when used in patients with amyotrophic lateral sclerosis or with peripheral neuromuscular disorders. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of

excessive neuromuscular weakness. Interactions: Theoretically, the effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission.

Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). These adverse reactions may be related to treatment, injection technique or both. In general, reactions occur within the first few days following injection and are transient and of mild to moderate severity. Pain/burning/stinging, oedema and/or bruising may be associated with the injection.

Frequency By Indication: Defined as follows: Very Common (≥1/10), Common (≥1/100, <1/10), Uncommon (≥1/1,000, <1/100), Rare (≥1/10,000, <1/1,000), Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection. Psychiatric disorders. Uncommon: Anxiety. Nervous system disorders. Common: Headache. Uncommon: Paresthesia, dizziness. Eye disorders.

Common: Eyelid ptosis. Uncommon: Blepharitis, eye pain, visual disturbance. Gastrointestinal disorders. Uncommon: Nausea, oral dryness. Skin and subcutaneous tissue disorders.

Common: Erythema, Uncommon: Skin tightness, oedema (face, eyelid, periorbital), photosensitivity reaction, pruritus, dry skin. Musculoskeletal and connective tissue disorders. Common: Localised muscle weakness, Uncommon: Muscle twitching. General disorders and administration site conditions. Common: Face pain, Uncommon: Flu syndrome, asthenia, fever. The following have been reported rarely for glabellar lines and other indications: Rash, urticaria, pruritus, erythema multiforme, psoriasiform eruption, anaphylactic reaction (angiodema, bronchospasm), alopecia, madarosis, tinnitus and hypoacousia. Adverse reactions possibly related to spread of toxin distant from injection site have been reported very rarely (muscle weakness, dysphagia, or aspiration pneumonia which can be fatal). Price: £85.00 per vial. Marketing Authorization Number: PL 05179/0010 Marketing Authorization Holder: Allergan Pharmaceuticals (Ireland) Ltd., Westport, Co. Mayo, Ireland. Legal Category: POM. Date of preparation: December 2008.

Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk Adverse events should also be reported to Allergan Ltd. UK_Medinfo@allergan.com or 01628 494026 1

Stotland MA, Kowalski JW, Ray BB, Plastic and Reconstructive Surgery, Volume 120, October 2007; 5: 1386-1393. 2 UK launch April 2006. 3 Data on file, Allergan, Inc.; Safety Analysis.

UK/0596/2010 and Date of preparation: July 2010