Cosmetic News June 2010 by webwax

the ukâ&#x20AC;&#x2122;s only free of charge medical aesthetics trade MAGAZINE

THE VOICE OF YOUR INDUSTRY www.cosmeticnewsuk.com JUNE 2010

CELLULITE SPECIAL

We examine the most effective treatments for the dreaded orange peel

busting the myths

Permanent fillers

my way

My Cells PRP Treatment

ALSO IN THIS ISSUE A nu age in skincare THE PRICE IS RIGHT chiral correction Obagi Nu-Derm Fx under the microscope

The importance of pricing in your practice

Sam Dhatt gives his View On chirality

You get more from Med-fx At Med-fx we give you more. Not only do we supply an ever-increasing range of Botulinum Toxins, Dermal Fillers, Skin Peels and Cosmeceuticals but also a huge range of

Free Next Day Delivery*

thousands of essential surgical accessories and general consumables. Add to this free next-day delivery,* a full

Chemical Peels

pharmacy service, our on-going promotions and specialist training courses and you can see just how much Med-fx has to offer.

Dermal Fillers

So if you want more from your aesthetic

Full Pharmacy Service Botulinum Toxin Type A

Surgical Accessories

product supplier, why not call Med-fx today?

Special Offers Featured here are just a few of the special offers currently available…

Restylane Vital

Mineral Make-up

For use on all skin areas that give away a persons age – face, neck décolletage and the backs of hands.

Hands-on Training Courses

Consumable Items

Restylane Vital 1ml

Now only £72.50

Skin Rejuvenation Products

600185

Restylane Vital 2ml Pen Injector

Now only £90.00

600184

Restylane Vital Light Specifically designed to benefit younger, less photo-damaged skin where there is a need to maintain a healthy hydro-balance. Ideal for the delicate dermis e.g. around the eyes contour, perioral area, the neck, décolletage and the hands.

Restylane Vital Light 2ml Pen Injector

Now only £80.00

600177

You can call us FREE on:

0800 783 06 05 or why not visit us on-line:

medfx.co.uk

NEW LOW PRICE!

For these offers and more call our sales team today.

Med-fx Limited, Unit 3, Perry Way, Witham, Essex CM8 3SX Tel: 01376 532832 Fax: 01376 532801 Email: sales@medfx.co.uk Offers are valid 1st - 30th June 2010 and are subject to availability. All prices are subject to VAT. *Excludes Saturday deliveries.

The on e stop a e sthetic s s ho p

EDITOR’S LETTER With summer fast approaching, many of your clients’ minds will be turning to thoughts of how their bodies look on the beach and cellulite will be top of the list of body hang-ups for a large percentage of them. Despite the fact that 85% of women, no matter what their size and shape, suffer from the dreaded orange peel, many women are so self-conscious about it that they are embarrassed to show off their bodies. Cellulite has always been notoriously difficult to treat and, while there is still no miracle cure, aesthetic practitioners now have a variety of treatments that are effective in reducing the appearance of cellulite and giving women back some body confidence. In this month’s special feature, we examine some of the best methods of getting rid of cellulite (p23-28). Also in this issue, we talk to Ita Murphy about My Cells Platelet Rich Plasma Rejuvenation (p30-32) and look at how your business can sustain long term growth, even in hard economic times (p4244). We also examine the importance of pricing when marketing your business (p47-48) and look at some of the myths about permanent fillers (p34). As we put this issue to bed my publisher, Charlotte Body, and I are about to head off to Las Vegas for the Aesthetics Show, a massive US medical aesthetics meeting. We will be finding out about some of the latest developments from across the pond and speaking to some leading American experts. I am very excited about my first trip to a US show and look forward to telling you all about it in next month’s issue!

Get more from your patients · · · · · · ·

Book appointments and manage rooms Patient database with clinical notes Billing and stock control Send letters, emails and texts Appointment reminders by text or email Store digital photos Marketing and financial reporting

Call 01274 530505 for your free demo CD or email sara@e-clinic.uk.com

Editor’s choice

CONTENTS 6

NEWS We round up the latest people, product and industry news

ON THE SCENE Out and about in the industry this month

REGULATION What changes to CQC registration will mean for you

PEOPLE IN PROFILE We talk to Dr Tracy Mountford about more than two decades in the industry

PRIORI® Idebenone Radical Defense

In this industry, we know all too well the importance of wearing sun protection year round to prevent damage from harmful UV rays which causes premature ageing, but with summer on the horizon it is an ideal time to remind your patients of the importance of investing in a good SPF. Unfortunately, despite all the warnings about the risks of skin cancer, many Brits still end up red faced (and bodied) after spending time in the sun without the right protection – as the saying goes, ‘Mad dogs and Englishmen go out in the midday sun’. Last month Cosmeceuticals announced that 10 of the products from its Priori® range had been recommended as effective UV sunscreens, receiving ‘gold standard’ seal of approval from the Skin Cancer Foundation.

CELLULITE SPECIAL

These products included Idebenone Radical Defence SPF30, which has

We examine the most effective treatments for the dreaded

the doubly added benefit of being the first product to combine Sun

orange peel

Protection Factor (SPF) with Environmental Protection Factor (EPF) – a

TREATMENT SPOTLIGHT

The SPF and EPF are separated in the bottle but combine once you

My Cells Platelet Rich Plasma (PRP) Rejuvenation

push the pump. The broad spectrum SPF30 helps defend the skin against

certified quantitative measurement of antioxidant capacity.

both UVA and UVB rays while super antioxidant Idebenone provides the

MYTH BUSTER Permanent fillers under the spotlight

VIEW ON Sam Dhatt on Chiral Correction

PRODUCT FOCUS

EPF protection to guard the skin against environmental aggressors such as pollution, smoke, and the ozone, with an EPF of 95 (out of 100), the highest protection available. This multifunctional superceutical is one of the signature products in the Priori® range and has recently had a new ester added to it to improve its delivery system, efficacy and skin conformity. I am just about to head off to the blistering heat of the desert for the Aesthetics Show, Las Vegas and will definitely be taking my Radical Defense with me!

Obagi Nu Derm Fx

BEST PRACTICE Yasmin Khan on how your business can sustain long-term growth even in difficult financial times

BUSINESS FOCUS The importance of pricing when marketing your practice

50 52

ADVERTORIAL

Vicky Eldridge Editor 01268 754 897 M: 07931 924 322 vicky@creativemedialtd.co.uk Emilia Bronze Associate Publisher 01268 754 897 emilia@creativemedialtd.co.uk

Axis Three £D Simulation Software

Peter Johnson, Art Director 01268 754 897 peter.johnson@creativemedialtd.co.uk

DATES FOR THE DIARY

Charlie Crocker Designer 01268 754 897 design@creativemedialtd.co.uk

Training course, conference and meeting dates

Charlotte Body Publisher 01268 754 897 charlotte@creativemedialtd.co.uk

DIRECTORY Our guide to the manufacturers, suppliers and business services featured in this month’s issue

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 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.

Simple is the new smooth Our new Hyaluronic Acid is available in One, Two, Three easyto-choose and use formulations for different facial areas, from smoothing fine to deep wrinkles to increasing lip volume. So now you can refresh the way your patients look quite simply with Succeev® One, Two and Three – the new smooth. In partnership with Sculptra® it can successfully widen your Medical Aesthetics opportunity too. For more information consult your Medical Aesthetics Account Manager, call 0800 138 0228 or email gfd-succeev@sanofi-aventis.com

sanofi-aventis. One Onslow Street, Guildford, Surrey GU1 4YS. Date of preparation: April 2010. GB.HYA.09.12.09

News In Brief

News | Round Up

COSMETIC CLAIMS ON THE RISE Hamilton Fraser has reported a dramatic increase of 126% in the number of claims notified by cosmetic practitioners during the past year. The specialist medical indemnity insurance provider says that the increase in claims is a warning to cosmetic practitioners of the importance of having adequate cover to protect them against any claims of malpractice or wrong doing in the practice of cosmetic treatments. Figures released show the breakdown of notifications by treatment type: 33% laser; 32% dermal fillers; 20% botulinim toxin; 11% laser lipolysis and 4% other. The value of each claim has also increased by a staggering 900% over the past two years, which Hamilton Fraser relates mainly to increased litigation costs. The highest value claim notified during the past 12 months related to a temporary dermal filler, and is expected to be settled shortly at a figure of around £40,000. Eddie Hooker, managing director of Hamilton Fraser said, “We attribute the rise in these statistics to the increasing costs of litigation and the increased popularity and availability of these treatments. There is no indication that practitioners are being trained to a lesser degree than before but as the treatments are predominately elective there is a higher expectation from the customer. However, whether the cosmetic practitioner is negligent or not, legal costs in defending the practitioner still need to be paid.” Practitioners working in aesthetic medicine are also advised that they should consider the effect of any claims on their general practice indemnity cover. Eddie continues. “The consequence of a claim can have a serious effect on practitioners both financially and professionally in terms of reputation. Whilst your defence organisation will support you in the event of a claim, practitioners may choose to protect their defence union reputation from their aesthetic medicine work. We always recommend practitioners to consider a separate commercial insurance policy for their aesthetic practice.”

SkinCeuticals launches resurfacing and replenishing serum Inefficient skin renewal caused by the ageing process and conditions such as dehydration and acne can lead to dull, rough and unhealthy-looking skin. To address this problem SkinCeuticals has developed Retexturing Activator, a potent serum which harnesses two polar mechanisms – surface exfoliation and hydration – to leave the skin healthier, softer and more radiant. The product provides the ideal exfoliation by reinforcing and hydrating the skin’s barrier whilst resurfacing the skin. A hydroxyethyl urea/aminosulfonic acid compound reinforces skin’s barrier by optimising the amino acid supply, helps promote efficient desquamation and visibly diminishes surface lines. Kombucha, an anti-oxidant rich nutrient, smoothes the skin and improves radiance and skin tone while hyaluronic acid

Study Shows Efficacy of LLLT for Body Contouring and Spot Fat Reduction A study has proven the efficacy of Low-level laser therapy (LLLT) for body contouring and spot fat reduction. The study, published in Obesity Surgery, showed that that LLLT can achieve safe and significant and sustained girth loss over repeated treatments. The study examined the effectiveness and mechanism by which 635-680 nm LLLT acts as a non-invasive body contouring intervention method. 40 men and women aged between 18-65 with a BMI <30 kg/m(2) were randomised 1:1 to laser or control treatment. Subject’s waistlines were treated for 30 minutes twice a week for four weeks. Subjects were asked not to change their diet or exercise habits. Each treatment gave a 0.4-0.5 cm loss in waist girth. Cumulative girth loss after four weeks was -2.15 cm (-0.78 +/- 2.82 vs. 1.35 +/- 2.64 cm for the control group, p < 0.05). A blinded evaluation of standardised pictures also showed statistically significant cosmetic improvement after four weeks of laser treatment. In vitro studies suggested that laser treatment increases fat loss from adipocytes by release of triglycerides, without inducing lipolysis or cell lysis.

GPs are Routinely Advising On Skincare and Cosmetics, says doctors.net poll Dishing out advice on skincare and cosmetics is becoming commonplace among GPs, according to new research carried out by Doctors.net.uk. A poll by the site revealed more than half (57%) of doctors advise patients every month on skincare and cosmetic issues, with more than a third (37%) being asked about skincare as regularly as a few times every week. Following the survey, Simon Grime, head of healthcare for Doctors.net.uk, called on the healthcare, dietary and skincare industries to provide doctors with greater levels of relevant information and support. He said, “The frequency with which doctors find themselves consulting on skincare and cosmetic issues is naturally met with an implicit pressure to keep abreast of the latest developments in the field. Yet, with many of the contributing factors extending far beyond the pages of the traditional medical reference book, doctors are turning increasingly to trusted online resources for practical, up to date and relevant information. Through ensuring that such information is readily available online, the skincare and cosmetics industry can make a real contribution to the effective and efficient treatment of patients.”

Expo dates 2011 announced

The product can be used daily for ageing, dull, dehydrated

The dates have been set for the 2011 Cosmetic News Expo, following the success of our inaugural event in April. The Expo is the UK’s only free of charge trade show and will take place once again at the Business Design Centre in Islington, London on May 6-7. Keep an eye on our website www.cosmeticnewsuk.com and upcoming issues of Cosmetic News for more details. To book a stand contact Hollie Dunwell on 01268 754 897 or email hollie@ creativemedialtd.co.uk

procedures such as laser, microdermabrasion and peels. A controlled four-week study of 50 women showed that Retexturing Activator surpasses the results of a standard 20% glycolic daily-use treatment.

cosmeticnewsuk.com

Teosyal® is to become the latest dermal filler brand to introduce lidocaine to its products. The brand, manufactured by Texoane Laboratories, is launching a new range of products, Teosyal® PureSense, containing the local anaesthetic lidocaine. Other leading HA brands including Restylane® and Juvederm® have already added lidocaine to their products. A study of 30 patients showed that nine out of 10 patients found injection with Teosyal® PureSense less painful than injections without lidocaine, with 99% of patients saying they would be willing to be reinjected. The Teosyal® PureSense range is due to launch in the next few months so watch this space.

provides non-irritating hydration.

and very dry skin or before non-invasive rejuvenating

Teosyal® to launch lidocaine products

the best laser in the world and dont just take our word for it... SEE uS AT

BLUE

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.

“Don’t just be another laser clinic” ‘Settle for nothing but the BEST - With unique SOPRANO treatments’

• PAIN FREE Laser Hair Removal • NEW PAIN FREE Skin Tightening • Patented ‘in motion’ technology • Faster than any other laser, with 10 Pulses per second! chest + abdomen in under 20min. • Painless = absolute safety! • Effectively Treats ALL Skin types including skin type 6 • SOPRANO is The only treatment of choice for sensitive areas such as Hollywood / Brazilian Bikini line clearance. uSP for your clinic • NO need for old technology of vacuum or cooling • NO consumables! WINNER - UK BEST LASER SUPPLIER 2008-2009 As voted by clinics

Outstanding patient awareness and demand.

visit: www.painfreehairfree.co.uk and see how your patients can locate you and see treatments Live on tV

News | Round Up

e-clinic launches New software The latest version of the popular clinic management software will be launched at the FACE conference next month. The e-clinic upgrade will include a host of new features such as credit card processing, postcode lookups and barcode support. Appointment booking will be streamlined and reports will be enhanced with visual charts. e-clinic’s marketing

Facial injection maniKin

Our extremely realistic injection manikin are an essential aid for any clinic, college or training course

• Practice/ Demonstrate needle techniques • Perfect for reassuring delegates & customers • Use on refresher courses • Use along side live models • Hand painted and very realistic in look and feel • Uses include: anti-injectables - Dermal fillers- Electrolysis, laser and many more

director Sara Mogford said, “The new version is a complete rewrite from the ground up. This means we can improve every aspect of e-clinic and gain significant

facial injection manikin

improvements in speed as well as functionality. We’re really excited, and feedback from clients so far has been great.” New customers can get a discount by pre-ordering the relaunch as of now. Existing clients, who have support contracts, will receive the upgrade free of charge

tel: +44 (0) 845 307 61 91 | Fax: +44 (0) 845 307 61 92

email: info@zancomodels.co.uk | Web: www.zancomodels.co.uk

later this year. e-clinic is the most popular clinic management software for aesthetic and cosmetic clinics. It allows users to book appointments, record clinical data, send texts, store digital photos, create marketing campaigns and run reports.

Gotta hand it to CACI CACI has launched two new treatments to improve ageing

Biostimulation treatment for hair follicles

skin on the hands and the neck.

Koreesa Group has extended

The CACI Hand Treatment

its mesotherapy range to

combines microdermabrasion,

include the Hair System by

an ultrasonic peel, Hydratone

Mesotech. The meso-cocktail

and oxygen therapy to improve

is rich in active ingredients,

stimulation of skin tissue, blood

vitamins, amino acids and

flow and circulation, giving

minerals and is formulated

hands a healthy and youthful

to restore effective micro-

glow. The microdermabrasion

circulation to the scalp and revitalise hair follicles, to fight thinning

and ultrasonic peel gently

hairs and stimulate regrowth.

removes dead skin cells with

Hair System is particularly recommended to treat non-androgenic alopecia

a light crystal abrasion, whilst the moisture-infused Hydratone

and to repair hair prematurely damaged by environmental aggressions

treatment bathes skin with intensive hydrating properties.

(sun, pollution, etc). It is also recommended to stimulate hair growth, treat

Oxygen therapy completes the treatment with a delicate and

female hair loss, eliminate dandruff and seborrhoea, and to treat thin and or

revitalising mist of pure oxygen and micronised vitamins; the

devitalised hair.

perfect remedy for sun-damaged, de-hydrated and creepy skin.

The Hair system is part of a comprehensive range of mixed cocktails that

The CACI Neck Treatment uses Hydratone and oxygen therapy to

are available through Koreesa Group, who offer a choice of hair loss

intensely hydrate the neck and décolletage area, plump skin and smooth

mesotherapy ampoules to suit your requirements, containing Minoxidill or

fine lines and wrinkles. The Hydratone once again uses a moisture-infused

Saw Palmetto and Centella Asiatica (Minoxidill effect). Hair loss cocktails

gel mask for an intense softening action on the skin whilst the oxygen

induce a substantial reduction in hair loss, increase the hair diameter, speed

therapy revitalises skin tissue redeeming sun-damaged, de-hydrated and

up hair growth and strengthen hair that is prone to breakage. These cocktails

lined skin.

ensure permanent bio-availability and a proper ratio of all the amino acids

A course of 10 CACI treatments is recommended for both indications.

present in healthy hair, optimising the production of keratin proteins.

cosmeticnewsuk.com

INTRODUCING RESTYLANE® SKINCARE

Now Restylane provides the total skin revitalisation approach to meet your patients’ needs. Combining the safety and efficacy of Restylane aesthetic treatments with the innovative Restylane Skincare range, you can make long lasting visible improvement to your patients’ looks and skin quality to maximise patient satisfaction.

For more information contact your territory manager, call 020 7976 3290 or visit

www.q-medpractitioner.com/uk Q-Med (UK) Ltd, 6th Floor, 10 Dean Farrar Street, London SW1H 0DX

Restylane is a trademark owned by Q-Med AB

Restylane Skincare provides long lasting hydration and added skin protection to give soft, nourished, beautiful, healthy looking skin.

News In Brief

News | Round Up

iiaa Introduces Remedial Camouflage Workshops The International Institute for Anti-Ageing (iiaa) is introducing new one-day training workshops this Summer, to meet demand from practitioners and aestheticians who are often faced with requests for camouflage to conceal pigmentation, vitiligo, tattoos, birthmarks, rosacea and scarring. The intensive Remedial Camouflage Workshop, which is based on skilful application of jane iredale mineral cosmetics, has been developed to provide the theoretical knowledge and practical experience needed to perform highly specialised concealment techniques. The session, which uses models with a range of skin conditions, includes the theory of the colour wheel and principles of colour correction. It features tutor demonstrations as well as giving students handson experience through which they learn useful techniques for layering and dealing with texture. The workshop also provides solutions to potential problems and guidance on coping with client expectations. The workshops cost £75 (plus VAT) and will take place between June and September at venues in London, Glasgow, Leeds and Dublin. For more information about the Remedial Camouflage Course and other iiaa training courses and events call 020 8450 7997, email info@iiaa.eu or visit www.iiaa.eu

Environ Needling Procedure Helps Doctor Win €10,000 Award A doctor has won a special prize for a research

study involving successful treatment of patients with severe burns scarring, using the Environ Medical Roll-CIT and needling technique. Dr Matthias Aust, from the Department of Plastic, Hand and Reconstructive Surgery at the Medical University of Hanover, Germany, won an award

of €10,000 in recognition of his excellent work in treating severe and deep burn scars, which will be used to fund further studies. The award was made by Cicatrix, a leading German association which provides education and information to self-help associations, individuals, doctors, therapists and other institutions that are concerned with burns and scars. The association’s aim

Home-Use Body Device Delivers Moderate Results Says Study A study, published in the European Journal of Dermatology, has shown that the TriPollar RF home-use device for body treatments can deliver ‘discrete circumference reduction’ and ‘moderate laxity improvement’. The objective of the study was to evaluate the TriPollar home-use device for circumference reduction, cellulite improvement and skin tightening using objective and subjective methods. An ex-vivo human skin model was used for histological and biochemical evaluations of the TriPollar clinical effect. Additionally, 24 subjects used the new device on the abdomen and thigh areas and the circumference reduction was measured. Exvivo models indicated a significant increase of 82% in hypodermal glycerol release. Histology revealed a 34% alteration in adipocyte appearance. Collagen synthesis increased by 31% following TriPollar treatment. A significant average reduction of 2.4 cm was measured on the treated thighs. On the control thighs a lesser, non-significant reduction was found. Average abdominal laxity was reduced from 1.4 at baseline to 0.8 following treatments. A certain reduction was measured in the abdomen circumferences, although it was not significant. The reported results demonstrate the safety and efficacy of the new TriPollar home-use device for body contouring and skin tightening.

Less Frequent Doses Of Botox® Result In Reduced Wrinkles after two years Patients can decrease the frequency of Botox® injections after approximately two years and still receive most of the same wrinkle-smoothing cosmetic benefits, according to new research at Oregon Health and Science University. The research, which was sponsored by an unrestricted educational grant from Allergen and carried out by Roger A Dailey, studied 50 women ages 30 to 50, who received regular Botox® injections for two years. “We found that after the patient receives Botox® injections every four months for two years, the frequency of the injections can be changed to every six months and still achieve good results,” Dailey said. “This demonstrates patients have the ability to achieve good results with broader treatment schedules and ultimately at a lower overall treatment cost.”

Sciton’s SkinTyte™ Treatment Featured on HIT US TV SHOW AS a ‘New Body Breakthrough’ The Sciton SkinTyte™ was featured on popular US show The Doctors as a ‘new body breakthrough’ for dramatic improvement in skin laxity, texture, and overall cosmetic improvement. SkinTyte™ utilises infrared energy to deeply heat dermal collagen while protecting the entire treated area with continuous sapphire contact cooling. The uniform heating effectively targets the desired area and immediately stimulates collagen contraction and remodeling. This process initiates the body’s natural healing process and a new foundation of collagen is created, resulting in a firmer, more youthful skin appearance. The full effect of skin firming treatments can be seen over several subsequent months.

is to encourage further research into wound healing and scar treatment to alleviate the serious physical and psychological problems experienced by patients. The medical needling entry by Dr Aust met all the requirements of the award. Rather than relying simply on before and after images, which can be questioned, Dr Aust was able to quantify and qualify his findings in the laboratory. He demonstrated that this is the first operation in a living organism that is able to regenerate the skin, allowing healing and scarforming without increasing the risk of pigmentation. The pilot study led by Dr Aust involved 16 patients evaluated percutaneous collagen induction (PCI) in post-burn scarring. On average, patients rated their improvement as a mean of 80% better than before treatment. Histological examination revealed a considerable increase in collagen and elastin deposition 12 months post-operatively. The epidermis demonstrated 45% thickening of the stratum spinosum and normal rete ridges as well as the normalisation of the collagen/elastin matrix in the reticular dermis at one year postoperatively. The study showed that medical needling appears to be a safe method for treating post-burn scarring without destroying the epidermis. The procedure can be repeated safely and is also applicable in areas where laser treatments and deep peels are of limited use.

cosmeticnewsuk.com

Anti-Ageing Hormones have little or no benefit says leading doctor A leading medical authority has criticised the use of anti-ageing hormones saying they have ‘little or no benefit’. Dr Thomas T Perls, associate professor of medicine at Boston University School of Medicine has spoken out against the promotion and distribution of growth hormone for non-medical uses such as anti-ageing and sports. In an editorial appearing in Ageing Health, Dr Perls remarked, “The terms bioidentical or all-natural, particularly in the case of the drugs prescribed by endocrinologists, misleadingly convey a sense of safety to the gullible customer. Arsenic is all-natural to, and it even has some medical uses, but it is anything but safe.”

Facial and Body contouring and clinically proven Cellulite reduction

Before

After

”

Market Leader in Skin Tightening

“The very positive publicity the Accent has attracted has kept us very busy, we are delighted at the results we get on both body and facial treatments” Dr. Andrew McCall, clinic 158 - Glasgow

”

Before

Above: 4 weeks after T5

After

Above: 2 weeks after T5

Above: 5 weeks after T2

SPECIFICATION • Most powerful Radio Frequency (RF) & Micro-Plasma • FDA approved Multi application system • Mobile (only 14kg) • No Consumables!

2 weeks post 2nd Tx

• No CQC Registration required -instant startup! • Accent uses 40MHz RF wave Frequency vs.0.5-6MHz with low spec RF Current • Pain FREE

see us at

Seeing is believing Thousands of patients worldwide have been treated successfully using the Accent system, with unprecedented satisfaction. Treatment results typically become apparent over well-defined courses of multiple sessions, which are often termed “comfortably warm” and cause virtually no downtime for the patient. Physicians have documented their results in a number of case studies. Below are just a few of them.

“Dr Kim Lloyd: “At Crendon Skin Clinic we aim to bring our clients the safest, most effective, non-surgical cosmetic treatments and equipment available. The Harmony has increased our turnover by 50% and the feedback from clients is fantastic. The Accent is already proving to be even more popular than the Harmony. I am confident our addition of the Soprano xl will be unbeatable combination of the best equipment currently available”.

”

IN-Motion™ is Alma Laser’s proprietary technology that virtually eliminates discomfort during aesthetic treatments, such as those provided by the AccentXL.

”

WINNER - UK BEST LASER SUPPLIER 2008-2009 As voted by clinics

0845 1707788 info@a-b-c-uk.com, www.abclasers.co.uk Outstanding patient awareness and demand. visit: www.accentyourbody.com and see how your patients can locate you and see treatments Live on tV

News | Round Up

Study Shows Effectiveness of New UltraShape

Invasix launches BodyTite

A clinical study has shown that UltraShape’s newly launched

simultaneously re-contouring and significantly tightening the body.

multi-application platform, which combines

With BodyTite, patients can be assured of a minimally invasive aesthetic

Focused Ultrasound (FUS) with radio-

procedure with decreased pain, swelling and downtime, at the same time

frequency (RF) in one treatment session to

avoiding larger surgical procedures.

disrupt fat tissue for the purpose of body

The energy is delivered to the

contouring, is safe, effective and well

treatment area in a safe an

tolerated.

efficacious manner with uniform

The paper by Dr Hector Leal entitled

heating. To ensure that safety

‘Combined Modality of Focused Ultrasound

standards are maintained, the

and Radio-Frequency for Non-Invasive Fat

closed-loop feedback monitors

Disruption and Body Contouring – Results of a

impedance levels constantly,

Single Treatment Session’ found that, 28 days

thereby reducing unwanted side effects.

after treatment with the combined therapy,

“This emerging technology is the latest chapter in

the mean circumference reductions in the 24

invasive body contouring, and appears to offer an

subjects were 3.6cm and the mean weight change was 0.5kg. 100% of

exciting new vista in non-excisional body contouring”

patients were also very satisfied with the results.

states Dr Malcolm Paul, past president of The American

The 3rd generation UltraShape system which uses a combination of two

Association of Aesthetic Plastic Surgery.

propriety technologies – Vertical Dynamic Focus™ (VDF) non-thermal

Adds Dr Guillermo Blugerman, president of the

selective focused ultrasound and RFVac™ Bi-polar Radio Frequency

Argentinean association of Cosmetic Medicine and

with integrated vacuum – was launched at IMCAS 2010 earlier this year.

Surgery, “Other technologies treat the fatty areas

Dr Leal explains, “The UltraShape focused ultrasound system induces

similar to traditional liposuction. RFAL’s advantage

focused ultrasound waves to disrupt adipocytes (fat cells) by a

and difference is that it is the only energy that reaches

mechanical effect in order to improve body contouring. This specific

deeper into the adipose tissue to treat the connective

effect, termed a cavitation effect, is different from the thermal effect

tissue to contract the septae to reduce flaccidity and

induced by any other non-focused ultrasound systems intended

loose skin”.

for body contouring. The cavitation effect enables selective fat cell

BodyTite has received CE Mark approval and Health

disruption without harming blood vessels, nerves or connective tissue”.

Canada clearance. FDA approval is pending.

beauty from the inside out

us launch for PureGraft™

Neocell, has launched

Invasix has launched BodyTite, an advanced technology, Radio-Frequency Assisted LipoTightening (RFAL) system, to reduce stubborn fat while

Cytori Therapeutics launched its

washes the graft and drains the

Natural Collagen capsules,

PureGraft™ System in the US at

tumescent fluid, free lipid and debris

to retail exclusively through

the American Society of Aesthetic

in a closed sterile system, allowing

salons, spas and aesthetic

Plastic Surgeons (ASAPS) meeting

for a cleaner graft in less time.

clinics. Hot from the shores

last month. The product is the

“PureGraft is a game-changer in

of Newport Beach, this

first and only device in the United

the world of fat grafting,” says San

special blend of collagen,

States cleared by the US Food

Diego-based plastic surgeon Steven

hyaluronic acid and

and Drug Administration (FDA) for

Cohen. “The system offers high

rosehips reduce wrinkles and plump the skin, for a youthful looking

aesthetic body contouring using

speed and sterile preparation of a

glow. Hyaluronic acid and collagen are often the key ingredients in anti

autologous fat.

viable and functional fat graft that

ageing creams, and are responsible for healthy skin. However, research

PureGraft™ allows a patient’s own

is ready to inject, and takes a third

suggests that absorption is increased when ingested. The product is

fat tissue to rapidly be prepared

of the time to prepare three times

packed full of highly digestible hydrolysed collagen to boost beauty

for re-injection. It is able to prepare

the graft.”

from within, promoting a glowing complexion and reducing frown

both small and large volumes of fat

Adds Marc Hedrick, president of

lines, crow’s feet and nasal labial lines. It can also plump out the skin

grafting tissue ranging from 50 mL

Cytori, “Although PureGraft is simple

and reduce the appearance of fine lines and wrinkles, strengthen nails

to 250 mL. Puregraft™ maintains

to use, the technology behind it is

and thicken hair. Studies claim daily intake can improve skin hydration

sterility while optimising the yield of

unique. PureGraft selectively filters

by 28% and reduce wrinkles by 30%. A daily dose will also help support

tissue to be grafted, which provides

the graft using dialysis membranes in

the bodyʼs recovery after invasive cosmetic surgery as well as boosting

significant utility to physicians. In

a process best called lipodialysis. We

the results of a facial. Celebrities already in on the beauty supplements

contrast to traditional methods

believe lipodialysis will be the new

secret include Jennifer Aniston, who swears by collagen capsules.

of graft preparation, PureGraft™

standard in fat graft preparation.”

cosmeticnewsuk.com

Think you can’t have it all? Now you can… Inspired by nature, perfected by science – Novabel® heralds a new era in non-permanent facial aesthetics. Purified from marine algae, Novabel’s unique GeleonTM technology has given rise to a dermal shaper that is ultra-gentle, yet has the power to shape, contour and define skin across all facial indications – an exceptionally versatile solution. Who says you can’t have it all? Please contact info@merzaesthetics.co.uk to find out more about Novabel –

the gentle, powerful, versatile dermal shaper

Date of preparation: February 2010 NOV002/0210/KV

Merz Pharma UK Ltd 260, Centennial Park, Elstree Hill South, Elstree, Hertfordshire, WD6 3SR Customer Services: +44 (0)333 200 4140 Fax: +44 (0)208 236 3526 Email: info@merzaesthetics.co.uk

On The ScenE Out and about in the industry this month Patrick takes to the seas Dr Patrick Treacy was the keynote speaker at the recent European Medical Travel Conference 2010 in Venice. The major conference focused on the interaction of emergency and recuperative medicine aboard cruise liners. Dr Treacy, a well-known figure in the field of cosmetic medicine, spoke about the novel introduction of this emerging field of medicine into this jurisdiction. Dr. Treacy is well suited to develop this new marine specialty having previously been Surgical Lieutenant Comm. New Zealand Naval Reserve 1987, Assist. Port Medical Officer Gibraltar 1991 and Ship's Surgeon Carnival Cruise Lines 1993,1994.

Made up

Susan Posnick’s resident make-up artist, Mia Botcher, travelled to Antwerp, Belgium to support the Maison Deleaneau, a stylish minimalist hotel with accompanying spa and salon. Maison Deleaneau hosted an open day for the press and public, showcasing their facilities and Mia spent the day offering all attendees makeovers using Susan Posnick Cosmetics. She said, “The Maison Deleaneau Hotel and Spa is amazing and their attention to detail is incredible. The demand for Susan Posnick makeovers was over whelming, we didn’t want to disappoint anyone so just kept on working”. Maison Deleaneau founder Marc Tubex commented on the day, “We had an extremely successful open day with lots of interest in Susan Posnick Cosmetics from the public and the press loved it. Mia is such a professional, with a lovely personality and she worked really hard throughout the event”.

Making a difference

Semi-permanent make-up artist Karen Betts has been working closely with a breast cancer charity to help transform the lives of women who have suffered from the disease. Lynn Daniel is the most recent woman to receive a makeover through Breast Cancer Haven, a charity that Karen’s company Nouveau Beauty Group is very closely involved with. She received 3D hair stroke brows by Cathy Brown, a Nouveau Contour paramedical trainer as well as a styled hairpiece from Julie Spriggs from Trendco. Lynn also enjoyed freshmineral make-up by makeup artist Claire

cosmeticnewsuk.com

Jagger, and a pair of Blink+Go Strip Lashes by lash technician Melanie Ely. Lynsey MacDonald co-ordinated the event and Karen was on hand all day to help pick the right pigment colours, lashes and hairpiece to complement Lynn's natural skin tone and features. Programme manager from the Haven, Debra Horsman said, “Today has made such a difference to Lynn’s well being. After diagnosis the medical world often takes over and there is a loss of control – people often tell me they feel like they have lost their identity. “Today’s events have helped Lynn to take some of that control back. It has been fantastic watching the transformation and I will be going back to the Breast Cancer Haven spreading the word about the positive effects these procedures can have on ladies living with the visible affects of chemotherapy”.

Louisa Webb and Emma Doherty at the Iredale Mineral Cosmetics Global Conference

Iredale Mineral Cosmetics Global Conference Famous for cowboys and cacti, Phoenix, Arizona was the fabulous venue for Iredale Mineral Cosmetics’ annual global conference, whose theme was Beauty in Balance. Managing director David Alpert, sales director Louisa Webb and brand manager Emma Doherty, who went along to represent the jane iredale brand’s UK and Ireland distributorship, came back brimming with ideas to support their professional beauty stockist network. Distributors from around the world joined together at the luxurious Fairmont Hotel and Spa in Scottsdale to share ideas and plans to drive the future of the brand. The event also previewed new products and updated trainers on the latest techniques and educational materials for teaching. “The conference has really inspired us with new ideas which will help all our stockists to excel in using and promoting the jane iredale range,” commented Emma.

Model wins title after overcoming problem skin TOP MODEL UK finalist, Naomi Heap, is set to make her fashion debut after landing a year’s modelling contract with Impact Model Management, London. Sponsored by SkinGenesis, it was only six months ago that Naomi approached the skincare clinic after a temporary illness caused a severe case of acne, and almost crippled her chances of going through to the finals. In a serious bid to clear up her skin in time for the competition, acne sufferer Naomi received complimentary skin treatments to give her the best possible chances of success in the competition. She is now preparing for the Miss Cheshire competition, which, if she is successful, will lead to a place in the Miss England contest later this year. Deborah Cope, clinic manager at SkinGenesis, said, “We are so proud of Naomi after receiving her well deserved prize at Top Model UK, and she has proven that problem skin does not have to hold you back.”

Image Signature Peel

Image Skincare signature I PEEL products for licensed professionals only. Profit from unparalleled results for all of your skincare clients.

skinGeeks

Distributors of

www.skingeeks.co.uk Tel: +44 (0)1865 338046 Fax: +44 (0)1865 338100

Regulation | CQC Registration

A new

era

Linda Hutchinson, director of registration at the Care Quality Commission, talks about what registration means for cosmetic surgery providers

The Care Quality Commission (CQC) is introducing a new system of registration, which brings the NHS, independent healthcare and adult social care under a single set of essential standards of quality and safety for the first time.

This new system brings with it significant changes for independent healthcare providers, including those providing cosmetic surgery. Although such providers are currently registered under the Care Standards Act 2000, there is no automatic transfer of registration to the new system, and providers will need to apply to be registered under new legislation. The Health and Social Care Act 2008 outlines the scope of registration. The Department of Health has set out the new regulations in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 and Care Quality Commission (Registration) Regulations 2009. Previously, different types of services were regulated under different Acts, with different regulations and standards. The new registration system makes sure that essential standards of quality and safety apply across the whole care sector, creating a level playing field for providers. It means that people can expect services to meet the same essential standards across the care sector and that they are protecting their safety and respecting their dignity and rights. After initial registration, we will continuously monitor whether providers are meeting essential standards, as part of a new, more dynamic system of regulation that places the views and experiences of people who use services at its centre. We have recently published the guidance about compliance: Essential standards of quality and safety, that is focused on outcomes - the experiences people have as a result of the care they receive. The guidance makes clear to providers the outcomes we expect people to experience if providers are compliant with the new regulations. It describes quality and safety from the perspective of people who use services. The essential standards have a legal status. We have a wider range of strong new enforcement powers including imposing conditions on registration, fines, and in extreme cases, cancellation of registration. We will use these to ensure registered providers comply with the regulations. The key differences between the new registration system and the old one are as follows: •

Registration will be at provider level, rather than at the location of individual services. By ‘provider’ we mean the legal entity that provides the service to people, whether this is an individual, partnership or organisation

•

Registration will cover all the regulated activities a provider carries out

•

A single set of essential standards introduces much needed parity across the sector, making it easier for one provider to be compared to another and for providers to work together make sure care services are joined up across health and social care

•

It focuses primarily on outcomes - the experiences we expect people to have as a result of the care they receive - rather than primarily on systems and processes

cosmeticnewsuk.com

Regulation | CQC Registration •

We are making better use of, and are constantly updating, the information we have about providers. This information comes from a wide range of sources including: providers; people who use services; representative organisations; and other regulators

•

We will continually monitor compliance so that we identify concerns quickly and work with providers to improve. We have a wider range of strong enforcement powers that allow us to take swift action where services are failing people

When this will happen The new registration system is being introduced gradually across all health and adult social care services. NHS trusts were first to enter registration this month (April 2010). From October 2010, independent healthcare and adult social care providers will come into registration. From April 2011, all independent ambulance providers and all primary dental care providers (NHS, private and mixed practice) will have to be registered, and from April 2012 primary medical services, commissioned by primary care trusts, such as GP practices and out-of-hours services, will have to register.

Fees

‘application window’ within this timeframe in which

All independent healthcare providers will be required to

to submit applications. Each ‘application window’ will

pay fees associated with registration, as is the case at

run for 28 days. If CQC receives the application by the

present under the Care Standards Act 2000. There will be

deadline given, then the provider is able to continue to

no fee for the transitional application providers will need

operate legally after 1 Oct 2010 even if CQC has not yet

to make to enter the new registration system. We are

processed its application.

currently holding a consultation on the interim fees that will need to pay, relating to their registration from

What happens when an application is received by CQC?

October 2010 to the end of March 2011. The consultation

Once a provider has submitted its registration

document also provides important information about

application, CQC makes an assessment using a

the fees arrangements that will be in place as we move

range of information it already holds about the

from the current system of registration to the new one. We

organisation. This information is collected together

would encourage providers from all sectors to comment

into a Quality and Risk Profile (QRP). This includes

on our proposals. The consultation document can be

information such as findings of CQC inspection

found on our website.

reports, information we receive from patients and the

adult social care and independent health care providers

public and any enforcement action that may have The interim fees scheme for NHS trusts in 2010/ 2011,

been taken.

and those we will put in place for adult social care and independent healthcare providers from October 2010 will

Providers will receive a copy of their QRP within their

not provide a blueprint for future fees. From April 2011, we

application window. Providers are not required to use

will have developed a single fees policy for all providers.

the QRP in any way but it may be helpful to them. It is

This policy will replace all former or interim schemes, and

important to note that a QRP is not a judgement about

we will be consulting widely on our proposals for this later

an organisation, but simply a collection of information

this year.

about the organisation that will help us make decisions about registration.

What will registration mean for cosmetic surgery providers?

Further information and guidance about QRPs is available

All providers carrying out cosmetic surgery must be

on our website.

registered under the new standards in order to legally is the term used for any surgical

Will some services no longer need to be registered?

procedure carried out for cosmetic

Some services which are currently registered under the

purposes, and involves the insertion of

Care Standards Act 2000 will not be required to register

instruments or other equipment into the

under the new system from October 1. For example,

body through an incision.

nurses agencies that act as employment agencies

provide services after October 1 2010. Cosmetic surgery

“Providers will be required to make one registration application only, covering all of their regulated activities”

by supplying staff to providers that carry on regulated Providers will be required to make one

activities, but do not provide any regulated activities

registration application only, covering

themselves.

all of their regulated activities that are carried on at each of their locations.

There are also some non-surgical lasers and intense

Instead of being separately registered

pulsed lights (IPL), which are mainly used in beauty

for each service (establishment or agency), providers

salons and provided by people other than healthcare

will need to register for each of the regulated activities

professionals, which will no longer need to be registered.

they provide. We have written to these providers with further The application process has now begun, and will run to September 2010. We will give providers a specific

cosmeticnewsuk.com

information and guidance.

What happens now? It is important to note that providers must continue to meet the regulations and National Minimum Standards under the Care Standards Act 2000 until September 30 2010. To prepare for registration, providers can begin to familiarise themselves with the Guidance about compliance documents, which make clear the

How can I keep in touch with information about registration?

outcomes we expect people to experience if a provider is compliant with the regulations and how we judge compliance.

Sign up to our monthly e-update for health and social There is also an online interactive version, which enables you to collect and

care professionals at www.cqc.org.uk/newsandevents/

print out the guidance that applies to your particular type of service. This is

newsletter.cfm

available at www.cqcguidanceaboutcompliance.org.uk Join our provider reference group, an online community We have also made available an e-learning module; which guides providers

offering the opportunity to engage with our work through a

step-by-step through the application process; and a ‘How to complete the

variety of methods including surveys, discussion forms and

application form’ guidance document; which explains how to complete

polls. You can sign up by emailing cqc@nunwood.com

the form. Both of these are available on our website – www.cqc.org.uk/ registration.

Our website is the best place to get up to date information, so please visit www.cqc.org.uk/registration. Or for any

The first step in the application process requires the provider to confirm their

queries, email enquiries@cqc.org.uk

email address. We are writing to providers in a series of groups over the coming weeks to request this information. Once a provider has confirmed their email address, we will send them a legal notification to confirm the dates of their 28 day ‘application window’.

Lumenis One £45,000

Fully serviced by Lumenis Engineers All the latest software Latest Motherboard installed by Lumenis Engineers

An independent firm offering one to one meetings anywhere in the UK giving advice and help with: • • • • • • •

how to start in private practice how to maximise private practice income ways to reduce tax payments setting up in Chambers/Groups limited companies and LLP’s financial planning record keeping

• Lightsheer dedicated hair removal head • NdYAG dedicated vascular laser • IPL head for threadveins and pigmented lesions • Includes all goggles and the VeinLite • Ideal starter laser for a new clinic

• computer software • tax and financial advice re: car purchases • pensions: NHS, personal and employee schemes • purchase of consulting rooms and surgeries • inheritance tax and capital gains tax planning • VAT

For more information please contact us by:

Wilmslow

Harley Street

Phone: 01625 527351

Phone: 020 7307 8759

Fax: 01625 539315

Email: info@sandisoneasson.co.uk Website: www.sandisoneasson.co.uk

CONTACT:

julian.lane63@googlemail.com 01234-351051 ask for Dr Lane

Specialist Medical Accountants

Our prescription for healthy financial advice SE A4 Precription Ad.indd 1

13/5/09 12:45:40

cosmeticnewsuk.com

People in Profile | Dr Tracy Mountford

Leading light

We speak to Dr Tracy Mountford about her two decades in aesthetic medicine

Dr Tracy Mountford is one of those women who really does practice what she preaches. Looking at her, it is no surprise that women wanting to turn back the clock put their faces in her hands – not only does she have one of the longest standing CVs in the field of cosmetic medicine, and the skills to boot, but she clearly knows what the secret to looking good for your age is as she embodies it herself. The medical director of the highly successful

of the work they were doing there and went on

Cosmetic Skin Clinic in Buckinghamshire and Harley

a number of training courses – the rest is history.

St London, Dr Mountford seems to have been

From that moment on, cosmetic medicine was

destined for a career in aesthetics, however it was

destined to be my career and my passion. I could

not the path she had originally envisaged for herself.

see where it was going in the US and see that Europe was going to follow very quickly on the

Dr Mountfords interest originally lay in the

heels of the American market, a bit slower but I

anaesthetics and it was this field that she

knew it would happen! Which was very exciting”

moved into after graduating from the Charing

Nowadays aesthetic clinics are becoming as

Cross and Westminster Medical School in

An early member of the British Association

commonplace as beauty salons so does Dr

1985. However a major operation on her arm

of Cosmetic Doctors, Dr Mountford has now

Mountford thinks things have begun to go too

forced her to take some time off work and it

accumulated more than 20 years experience

far and the industry is becoming saturated?

was during this time that she developed an

in facial rejuvenation techniques and has seen

interest in non- surgical medical aesthetics.

the industry grow from a new and emerging

“It’s very positive in some ways that there is a lot

science into a major commercial business.

more available to people unfortunately there

“I was very much focused on a path in anaesthetics

HANDLED WITH CARE

are individuals out there who are performing the

and it was purely circumstance that I initially

She remembers, “In the early days the growth

procedures with very little experience. I believe

got into this field”, she says. “I needed to have

of non surgical aesthetics was quite a slow

firmly that nobody should be injecting or performing

major surgery on my arm, which necessitated

burn as there were only a few products

these treatments if they don’t know how to deal

time off work. Left with time on my hands and as

and techniques readily available such as

with the potential complications”, she says. “I

someone who was used to working hard and for

collagen dermal fillers and basic peels.

am not here to dictate who does what, but I do

long stretches at a time I needed to fill my time.

The toxins were being used but only really by a

think that, although some of these procedures

few in Harley Street and the British public didn’t

may look simple, and in most cases they are

“As a consequence I started getting interested

really know about it. There was a very gradual

straightforward, running a professional, busy, ethical

in cosmetic medicine which was in its infancy in

uptake in the early 90s and then this sort of

and successful practice takes so much more than

the UK. I went over to America when cosmetic

mushrooming effect occurred subsequently that

that. Very rarely do you see a complication but

medicine was blossoming and had a look at some

has actually been sustained year on year.”

when you do, you want someone who knows

cosmeticnewsuk.com

what they are doing.I think the only negative in the mushrooming

Chasing the line

of the industry is that there are all kinds of people performing treatments that don’t necessarily know what they are doing.”

As one of the early pioneers of aesthetic medicine, Dr Mountford has become known as a key opinion leader in the field of injectables in particular (she

THE NATURAL LOOK

was recently named as one of the top five Botox® doctors in the UK by the

Dr Mountford believes that the media has had a huge impact

or two treatments in their armory, treatments that are still the staples of any

on peoples’ interest in aesthetic treatments and that the

good aesthetic practice today: toxins and fillers, she believes that. One of the

availability of information through newspapers, magazines,

most exciting developments in recent years has been the way in which these

the internet and on satellite TV has helped make cosmetic

treatments can be used in aesthetic practice.

enhancement more main stream and less in the realm of

“The biggest excitement is probably having a great understanding the ageing

the rich and famous. However she also believes that our

face and knowing how we can address that”, she says. “We are not just

fascination with celebrity has played its part in its growth.

‘chasing the line’ anymore. Volumising is very exciting – that’s been the biggest

Evening Standard). Back when she first started practitioners only had one

breakthrough over recent years. For example we used to just fill a nasolabial “We are in an era now where this kind of work has become

line and people did look better, but now there’s other alternatives. When you

an extension of personal grooming”, Dr Mountford muses.

actually understand what’s happening to the ageing face i.e. we are losing fat,

“I think the celebrity culture has definitely had an influence

subcutaneous tissue and bone density then natural volumising makes perfect

on the market too, although, as we know, they are not

sense. The use of the toxins is also easily forgotten because it’s almost old news

always the best ambassadors! It has been said (with tongue

but the way we can use toxins now in the neck, the jaw etc is very exciting and

in cheek!) if a celebrity admits to having a facial then

really can make quite a difference not only the upper but the lower face as

they are likely to be having Botox® and if they admit to

well.”

Botox® then they are very likely to have had a face-lift!”

But with so much media interest and demand for information about new and more innovative treatments what does she think about some of the newer

Unlike the overdone world of the celebrity, Dr Mountford’s main

treatments on the market? “People are always saying to me what’s new? But

philosophy is to enhance natural beauty rather than alter looks

new doesn’t always mean better – new means new, new means interesting and

and creating a natural look is a key part of her manifesto.

worth a look. It might be fantastic but it might not, I always like to wait and see exactly how a new product or technique develops.

“I am a woman in her late 40s and I do what all women

“I think the problem with all this new technology is that there is a big learning

of that age group do, we look in the mirror and we

curve so the product will be on the market for a while before we actually know

think we don’t look like we used to, but the exciting

the best ways of using it. That’s why I always go back keep to the very tried and

thing is that there is so much non-surgically out there

tested treatments that work really well and just explore other things and see

now that can help us look as good as we can.

where they are headed before jumping in too quickly. Once I am convinced then we offer it. For example a particular product comes to mind that came

“The key is to look effortlessly lovely and natural and not to look

onto the market quite a few years ago., Practitioners didn’t really know how to

like you have had something done, that’s the way I approach

use it to give the best results. I have a few colleagues in the industry who are

it. It is a ‘makeunder’ rather than a ‘makeover’ – it’s about

very much like me and didn’t necessarily have all that positive an experience

enhancing natural attractiveness. When you look at some high

with it in the early days but lessons were learnt. Now the technique has

profile people they have had every bit of their own natural

improved dramatically and the way it is injected has improved and we now

beauty taken away from them and that’s a shame. Even

know how to get optimum results. That has been a huge and positive change.

though we know symmetry is aesthetically pleasing, I think if

The product and the techniques just got better and better.

we take someone who is basically attractive and then try and

“I think we are in a very exciting time that’s going at a very fast pace, but I think

make them into someone who is ‘perfectly’ symmetrical; it

there is a lot out there that we have got to wait and see how it performs and

can actually detract from their appeal. With the non-surgical

exercise a degree of caution. I am very much focused on key treatments and

work you don’t need to do that. All we are trying to do is

doing those really well. I very much like to keep it to really solid, high quality

make people look as good as they can for their age.”

treatments that turn out excellent results.”

cosmeticnewsuk.com

Cellulite control from Lynton’s range of Aesthetic Systems Lynton has been a leading UK manufacturer and supplier of aesthetic and medical treatment systems since 1994, with products and services widely adopted into private hospitals, cosmetic clinics and aesthetic centres for a range of treatments including cellulite reduction and facial & body contouring.

LIPAWAY Non-Invasive Subthermal Body Shaping Ultrasound Technology • Localised fat reduction • Circumference reduction • Improved skin appearance and texture • • • •

Visible results from one session No anesthesia and no down-time Very fast return on investment No CQC registration required

THERMALIPO II Radiofrequency system for facial and body contouring • Multi-wavelength radiofrequency • A new era in cellulite control • Simple to learn and use • Cellulite reduction • Facial and body skin tightening • Bi-polar technology • No CQC registration required

TECHNICAL SERVICING FINANCE OPTIONS CLINICAL TRAINING BUSINESS SUPPORT MARKETING SUPPORT

www.lynton.co.uk For further information or to book a demonstration please call 0845 612 1545 or email info@lynton.co.uk

cosmeticnewsuk.com

ton-halfCNjune10.indd 1

06/05/2010 14:13:48

Special Feature | Cellulite

Say goodbye to cellulite We look at some of the most effective treatments for the dreaded orange peel

With summer fast approaching, the minds of many of your clients will be pre-occupied with thoughts of getting their legs out of hiding after a winter of covering up. While a lucky few will be reveling in the chance of showing off their pins, a large majority of women dread the thought of ‘flashing the flesh’ because of their cellulite.

Medication – Diet pills, sleeping pills and diuretics all lead to cellulite. Birth control also increases cellulite formation because of its tendency to produce high levels of oestrogen. It also leads to water retention, which inhibits the body from flushing the system of toxins, leading to the formation of cellulite Lack of exercise – The results of a sedentary lifestyle, poor circulation and muscle tone, can

What is cellulite?

in men. Doctors believe this is because one of the

cause cellulite development. Lack of exercise

causes of cellulite is high levels of female hormone

hardens the connective tissue in the skin, which

Cellulite is the abnormal storage of fat and toxins

oestrogen. Many postnatal women or women on

causes dimples

in the fat cells (adipocytes) under the skin. It is

birth control develop cellulite because the body’s

Dieting – Crash diets increase the risk of cellulite

mainly caused by the increase of the fat deposits

waste system can’t get rid of the enormous flow of

because the body thinks it’s starving. It attempts to

around the buttocks and thighs and the skin’s

oestrogen in the body.

consume saturated fats which help build cellulite. Unfortunately, these fats block the arteries and get

ageing process, which causes the collagen layers to become thinner.

Other causes are thought to be:

trapped in tissues as well, preventing sufficient waste and toxin elimination

An imbalance between fat production (lipogenesis) and fat breakdown (lipolysis) within

Genetics and heredity factors – Genes highly

the cells leads to the formation of large fat cells

determine someone’s chance of developing

The Nürnberger-Müller scale measures the

that bulge towards the surface of the skin, giving

cellulite

severity of cellulite by categorising it in

the skin the ‘dimpling’ characteristic of cellulite,

Not drinking enough water – Drinking lots of water

four different stages:

sometimes called ‘orange peel’ or ‘cottage

will help flush toxins out of the body. Since cellulite

cheese’. For some people it is only visible when

is a mixture of fat, water, and toxic wastes that the

they tense or put pressure on the areas and for

body has failed to eliminate, drinking plenty of

others it is visible all the time.

water can help diminish cellulite Bad diet – A poor diet consisting of alcohol,

It is estimated that 85% of women suffer from

processed foods, and caffeine contributes to

cellulite. The condition mainly occurs on the

cellulite since the toxins they produce get trapped

buttock and thigh area but can affect all areas

in fatty tissue

of the body. Although the majority of women

Smoking – Smoking promotes cellulite by

have some form of cellulite, regardless of whether

damaging the connective tissue in the body. This

they are young or old, fat or thin, it is rarely seen

causes the dimpled effect in cellulite

• Stage 0: No dimpling when the skin is pinched • Stage I: No spontaneous displays of alterations, pressure is required to show dimpling • Stage II: Dimpling is visible when standing, not while lying • Stage III: Skin alterations while both standing and lying

cosmeticnewsuk.com

Special Feature | Cellulite

Treating cellulite Cellulite is notoriously difficult to treat, with many treatments merely producing a temporarily reduction, however the need for regular maintenance treatments means that offering cellulite solutions can be a lucrative business for clinics especially when nearly half of the population could benefit from treatment. On the following pages we take a look at some of the most effective cellulite treatments on the market…

Endermologie® and Lipomassage by Endermologie® (CACI)

• INNO-TDS® Mesotherapy Cellulite Programme (Medical Aesthetic Group)

Endermologie® was the world’s first patented technology to

INNOSEARCH has developed a new generation product line – INNO-TDS – designed

be approved by the US Food and Drug Administration (FDA)

specifically to help the cause and effects of cellulite. Based on high concentrations

for the indication of cellulite. Pioneered by LPG Systems in

of active ingredients and backed by scientific research, the range uses mesotherapy

France in the 1990’s, Endermologie® uses a motorised device

techniques, which involves microinjections of conventional or homeopathic medication

with adjustable rollers and controlled suction, which gently

and/or vitamins into the skin to achieve a desired therapeutic result. Treatments include:

pulls, pinches and rolls the skin to stimulate circulation and

INNO-TDS® Anti-Cellulite, lypolitic treatment; INNO-TDS® Homeocel, homeopathic anti-

lymphatic drainage, reduce localised fat and cellulite and to

cellulite treatment; INNO-TDS® Homeocel, homeopathic anti-cellulite treatment and INNO-

break down fat, reduce water retention and remove toxins. It

TDS® Drainer, Anti-cellulite and anti-retention treatment. INNO-TDS® Anti-Cellulite, lypolitic

also boosts collagen and elastin production to tighten the skin.

treatment is a combination of active lipoactive ingredients recommended for treating

More recently, the company has developed a new treatment

hydrolipodystrophy due to its ability to metabolise fat and produce energy. They act on the

technique: Lipomassage by Endermologie®, utilising the

mobilisation of free fatty acids, facilitating the metabolism and resulting in increased lipolysis

Keymodule Endermologie® machine. The treatment uses a

due to an increase in the enzyme AMPc. INNO-TDS® Homeocel, homeopathic anti-cellulite

new scientifically developed and clinically proven technology

treatment, stimulates adipocyte lipolysis after activating the concentration of AMPc, ATP

called IMR (Independent Motorised Rollers), which achieves

and lipolytic enzymes, as well as acting against water retention and hyperpolymerisation

results in half the time of the original Endermologie® system.

of mucopolymerisation. The concentration of hypertrophied adipocytes is reduced, as is

IMR technology is a motorised device made up of two

body fat, interacting in the breakdown of the lipid function thanks to intrinsic metabolism

adjustable rollers incorporating miniaturised motors, which

factors. INNO-TDS® Caffeine, lypolitic treatment can be incorporated into both INNO-

rotate independently of one another in different directions.

TDS® Anti-Cellulite and INNO-TDS® Homeocel to assist in removal of excess fat. It is a

When massaged over the affected areas, they work to

β-adrenergic blocking agent, which stimulates adenylate cyclases, protein kinases and the

intensively stimulate connective tissue, breaking down fat.

breakdown of triglycerides in free fatty acids and glycerol, promoting the breakdown of

The IMR technology speeds up the metabolism of fat cells,

fats. Furthermore, it inhibits phosphodiesterase in order to stimulate the AMPc rate, which

decreasing the life span of the cells. This helps the body get rid

favours the treatment of hydrolipodystrophy. Caffeine INNO-TDS® is recommended for

of fat faster than the cells can reproduce, so cellulite will be

the treatment of localised cellulite, due to its adrenergic action. All this contributes to the

smoothed and inches will be lost in treated areas.

mobilisation of depot fatty acids, and their rapid elimination.

A recent clinical study conducted in France by Professor

INNO-TDS® Drainer, Anti-cellulite and anti-retention treatment can be incorporated into

Lafontan, a world-renowned specialist in fat cell metabolism

both INNO-TDS® Anti-Cellulite & INNO-TDS® Homeocel to increase lymphatic drainage. It

and the inventor of microdialysis, showed that when trapped

is a venotonic solution, with a mix of heterosides, rutosides, flavonoids, esters and phenolic

fat cells are stimulated with Lipomassage, they demonstrate a

acids with a powerful lymphatic effect, a vasculoprotective effect, which reduces capillary

major increase in lipolysis (fat release) and metabolic activity.

permeability and increases vascular resistance as well as lymphatic drainage. It is useful

Previous studies have also shown that Lipomassage connective

in hydrolipodystrophy treatments because it helps eliminate free fatty acids and glycerol,

tissue rejuvenation improves blood circulation by 400% and

accelerating Lipolysis.

lymphatic circulation by 300%.

before

after

SmoothShapes® XV (Eleme Medical)

after

Eleme Medical Inc. launched new SmoothShapes® XV, at the American Society for Lasers Medicine and Surgery in Phoenix earlier this year. Based on the company’s proprietary Photomology® technology, which treats cellulite by combining dynamic laser and light energy with mechanical manipulation of vacuum and massage, this second generation device is portable and has 50% more power for a quicker, more reproducible procedure. The new system has also been enhanced to assure clinical consistency among treatment providers, offering a single treatment setting, audible treatment guidance and an before

cosmeticnewsuk.com

after

interactive training screen to answer questions and provide basic clinical training.

THE

GLOVE

CLUB

Sensifree

Simply latex

Latex Powder-free

Micro-textured powder-free latex examination gloves ideal for any application

The Glove Specialists

Only £2.99 for a medical grade glove!!!

OVER 16 YEARS OF EXCELLENCE

Feelsafe Ultra-soft nitrile Powder-free

Sensifree has been our most popular glove since 1994, ideal for dentists and hygienists with excellent grip even in wet conditions and a long cuff for added protection.

Only £4.95 for our bestseller since 1994!!!

allerjoy

Latex Powder-free

The softest nitrile gloves you will try…guaranteed!!! Has excellent tensile strength, tactile properties and a fully textured surface

Blue £4.79 Pink £4.99

A favourite for anyone who requires a smooth glove when touching skin. Extremely comfortable with a silky feel and a vitamin E coating

Only £3.95 for the smoothest glove on the market!!!

Feelsafe Vinyl Plus Smooth

earloop & tie-on Masks

Our powder-free Vinyl gloves are phthalate free, these plasticizers are toxic and are found in most of the vinyl gloves in the market.

Our surgical masks are 3 ply paper, latex free and have filtration levels of 99.9%

Only £3.99

Premium quality fully embossed and glued 2 ply couch roll

Premier Bactericidal Disinfectant Wipes

52 metres x 12 rolls

Only £29.99 per case

Alcohol Impregnated Tissue, size 200 x 220 mm 160 Wipes On clearance at £2.99 (Alcohol-free wipes also available)

0500 456 832

Standard glued 2 ply couch roll 40 metres x 9 rolls

On clearance at £18.99 per case

www.gloveclub.co.uk

50 pieces @ only £1.99

Z Fold Hand towels 2 ply White 4500 SHEETS!!! Sheet size 21.5 x 23 cm. Only £20.99 for 50% more sheets than our competitors.

Z Fold Hand towels 1 ply Blue or Grey. 100% recycled paper, 3000 Sheets, sheet size 24 x 23 cm

Only £9.99

sales@gloveclub.co.uk cosmeticnewsuk.com

Special Feature | Cellulite • Lipaway (Lynton)

Accent (ABC Lasers)

Lynton has recently launched the Lipaway, a non-invasive ultrasound The Accent family of products includes a

system, which uses the latest biological cavitation ultrasound technology

number of systems for cellulite: Accent,

to achieve volume reduction in body tissue. The cavitation effect

Accent Ultra and Accent Medspa.

relies on the formation of bubbles within interstitial areas of the body.

Accent uses two separate hand-pieces

When these bubbles collapse the resulting shock wave leads to a

to deliver different types of RF energy

temporary change in the permeability of the fat cell walls, which

into the deep tissue lasers (2mm to

allows fatty material to drain out of the cell and be removed by the

6mm depth under the skin). Its biopolar

body’s lymphatic system. The power density and frequency of the

hand-piece is designed to tighten the skin

Lynton Lipaway system make it particularly effective for the destruction

while its monopolar hand-piece reduces

of consistent quantities of adipose mass most typically found in areas

cellulite and fat. The treatment is FDA

such as the abdomen, gluteus and thighs. After just one treatment it is

approved and works by using controlled

possible to achieve a reduction in body circumference of up to 3cm.

heating of the tissue to break down cellulite; releasing and flushing away toxins and fatty deposits; draining excess fluid; and boosting collagen production The Accent MedSpa

to improve the skin’s appearance.

The Accent MedSpa is designed for cellulite reduction as well as painless skin tightening. The system delivers 40MHz frequency (vs. only 0.5-

before

after

6MHz conductive RF frequency with competitor devices), for optimal penetration and tissue heating. The device is also FDA approved and has peer reviewed and clinically proven technology. It requires no additional consumables or disposables

The Accent Ultra

BodyTite Radio-Frequency Assisted Liposuction (RFAL) (Invasix)

and the addition of the Business Case makes

BodyTite features an advanced technology, Radio-

it portable and affordable, according to the

Frequency Assisted LipoTightening (RFAL), to offer a safe,

company. Clinics with one or more premises

gentle and sophisticated body contouring solution.

can easily transport the device between

With BodyTite, patients can be assured of a minimally

sites due to small size and weight (15Kg).

invasive aesthetic procedure with decreased pain,

Accent Ultra uses combined hot and cold Selective

swelling and downtime, at the same time avoiding

Resonance Ultrasound with high frequency

larger surgical procedures. The energy is delivered to

RF. Split into two modules; the Ultra™ module

the treatment area in a safe an efficacious manner that

provides ultrasound energy for treating cellulite

provides unprecedented uniform heating. To ensure

and reducing fat whilst the UniForm™ module provides radio-frequency

that safety standards are maintained, the closed-loop

energy and lymphatic drainage for body reshaping and tightening skin.

feedback monitors impedance levels constantly,

The Ultra module combines two advanced ultrasound technologies. ‘Cold

thereby reducing

mode’ shear waves deform the fat cell membrane integrity to induce a

unwanted side effects.

gradual and natural elimination of the cell. The surrounding non-fat cells

BodyTite has received

tissue remains intact. The ‘hot mode’ compression waves preheat the

CE Mark approval

target fat tissue enhancing the effectiveness of the shear waves.

and Health Canada

The UniForm™ module combines Alma Lasers’ core RF UniPolar™

clearance. BodyTite is

technology in parallel with mechanical lymphatic drainage technology

pending FDA.

for non-invasive cellulite treatment and skin tightening.

• SPASHAPE Before and after five treatments with Accent Ultra (Photos courtesy of Gorge Ottini, MD, Buenos Aires, Argentina before

SPASHAPE© combines Scanning Diodes 635mn laser therapy with Second generation of High Focalised Ultrasounds (Dynamic HFU) to treat directly the fat cells and drain the fluids and the waste immediately after in the lymphatic system. Adding the cold laser enhance the

after

results with its proven bio stimulation action.The first treatment phase dynamically stimulates fat cells elimination operating shots of dynamic focal lines. This results in more fat treated per pulse ultrasounds, from

before

the first layers of fat just under the dermis down to the focus area. A second phase exposed patients to scanning low level laser light (635nm) to increase cell metabolism, enzymatic responses, cell membrane permeability, stimulate vasodilatation and lymphatic flow.

before

Before and after Accent Ultra (Dr JD McCoy, Contour Medical, Gilbert AZ)

Before and after five treatments with Accent Ultra (Photos courtesy of Roald Varon, MD, Buenos Aires, Argentina)

after after

cosmeticnewsuk.com

Suppliers of SmartLipo MPX for Body Sculpting

Go green to restore nature. Go orange to bring back her beauty. Demand for skin, hair and body treatments in the aesthetic laser market is experiencing record growth. By 2012, the number of annual procedures being performed is expected to more than double.* That’s not just mere potential —it’s unprecedented opportunity. With Cynosure, you can make the most of it. Our multi-application laser workstations and comprehensive business support systems are designed to transform practices, as well as patients. Visit www.cynosureuk.com today to start transforming yours.

www.cynosureuk.com | info@cynosureuk.com | +44 (0)1628 522252 Cynosure UK, The Old Barn Offices, Lower Mount Farm, Long Lane, Cookham, Berkshire, SL6 9EE *Source: InMedica Research 2008

Special Feature | Cellulite

active ingredients to an unlocked cell.

Transcutaneous Mesodermic Therapy (TMT) System

Specific treatment programmes include one for cellulite reduction and

TMT is based on

firming and toning treatments.

the technology of

Compared to injectable methods the Mesoscience virtual Mesotherapy

electrophoroporation,

device can treat much larger areas of application in one session and

a synergic

the use of nanotechnology products

combination of

guarantee deep penetration of active

electroporation and

ingredients. For best results a course of

electrophoresis, to

weekly treatments are required and

achieve, by means of the application

these should be followed by monthly

of micro-impulses, penetration of

maintenance treatments.

active principles at a dermal level

• Mesoscience (Skeyndor) Mesoscience virtual Mesotherapy provides a patented four current system to break through the resistant barriers in the skin, transporting the

without the need for needles. Electroporation occurs when medium

Accoustic Wave Therapy (Demilec)

frequency currents modulated in

The Storz Medical Accoustic Wave Therapy device has been used

the transitory opening of micro-

low frequency are applied, causing

in the medical field for many years in the treatment of pain for tennis elbow, shoulder syndrome and many muscular disorders works

penetration of all kinds of substances

using high-energy pressure waves applied to the body. However

(regardless of their molecular size

the technology is now being used to break up fat, improve the appearance of cellulite and provide overall toning and inch loss. An applicator is passed over the skin, which emits pressure waves that activate the connective tissue at high frequencies which smoothes out cellulite and improves skin quality. The treatment takes around three minutes per area. Six to 10 sessions, twice weekly are recommended to get the best results with maintenance once every three months.

and weight) at a dermal level, through the lipids of the horny layer. Electrophoresis is caused by applying continuous high intensity currents to tissues, permitting the transport of ionic substances through the skin by means of electro-repulsion between

Two studies were conducted in Switzerland on 120 women, showed that skin tightening improved by up to 110% and an average of three inches were lost. Cellulite improved by more than 70%.

pores in the skin, permitting the

charges. By applying a pole to the skin with the same polarity as the charge of the substance, electrorepulsion is caused, permitting the penetration of the active principles.

• Velashape

The TMT system includes nine programmes, specifically designed

Velashape combines Syneron’s signature elos™ technology

to optimize results in face and

with mechanical massage to target and reduce localised

body treatments, two of which are

fat tissues in problem areas in as few as four treatments. The

designed for cellulite: Programme 1

combination of infrared and RF energies is delivered through a

for cellulite which is in the early stages

hand held device, which passes over the skin using rollers and

and Programme 2

a vacuum action. The Velashape device precisely heats the

for localised cellulitis

underlying tissue within the targeted treatment area. This heat

in stages 3 and 4,

causes shrinkage and tightening of the fat cells and increased

characterized by the

lymphatic drainage, resulting in a reduction of the dimpled

presence of nodules.

appearance of cellulite, smoothing of the skin’s surface and a reshaping and firming of the treated area. Velashape is FDA cleared for circumferential and cellulite reduction and is CE marked for body contouring and cellulite reduction.

REFERENCES • Alexiades-Armenakas M, Dover JS, Arndt KA. Unipolar radiofrequency treatment to improve the appearance of cellulite. J Cosmet Laser Ther. 2008 Sep;10(3):148-53. • Bayrakci Tunay V, Akbayrak T, Bakar Y, Kayihan H, Ergun N. Effects of mechanical massage, manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite. J Eur Acad Dermatol Venereol. 2010 Feb;24(2):138-42. • Burkhardt BR. Endermologie. Plast Reconstr Surg. 1999 Oct;104(5):1584. • Chang P, Wiseman J, Jacoby T, Salisbury AV, Ersek RA. Noninvasive mechanical body contouring: (Endermologie) a one-year clinical outcome study update. Aesthetic Plast Surg. 1998 Mar-Apr;22(2):145-53. • Collis N, Elliot LA, Sharpe C, Sharpe DT. Cellulite treatment:

Int J Dermatol. 2009 Mar;48(3):265-70. • Foster KW, Kouba DJ, Hayes J, Freeman V, Moy RL. Reductions in thigh and infraumbilical circumference following treatment with a novel device combining ultrasound, suction, and massage. J Drugs Dermatol. 2008 Feb;7(2):113-5. • Khan MH, Victor F, Rao B, Sadick NS. Treatment of cellulite: Part I. Pathophysiology. J Am Acad Dermatol. 2010 Mar;62(3):361-70 • Khan MH, Victor F, Rao B, Sadick NS. Treatment of cellulite: Part II. Advances and controversies. J Am Acad Dermatol. 2010 Mar;62(3):373-84 • Knobloch K, Joest B, Vogt PM. Focused ultrasound for noninvasive body contouring in cellulite. Plast Reconstr Surg. 2010 Feb;125(2):751.

a myth or reality: a prospective randomized, controlled

• Kuhn C, Angehrn F, Sonnabend O, Voss A. Impact of extracorporeal

trial of two therapies, endermologie and aminophylline

shock waves on the human skin with cellulite: a case study

cream. Plast Reconstr Surg. 1999 Sep;104(4):1110-4 • Ersek RA, Mann GE 2nd, Salisbury S, Salisbury AV. Noninvasive mechanical body contouring: a preliminary clinical outcome study. Aesthetic Plast Surg. 1997 Mar-Apr;21(2):61-7. • Fodor PB, Watson J. Endermologie and Endermologie-assisted lipoplasty update. Aesthet Surg J. 1998 Jul-Aug;18(4):302-4. • Fodor PB. Endermologie (LPG): does it work? Aesthetic Plast Surg. 1997 Mar-Apr;21(2):68.

• Güleç AT. Treatment of cellulite with LPG endermologie.

cosmeticnewsuk.com

of an unique instance. Clin Interv Aging. 2008;3(1):201-10. • Lach E. Reduction of subcutaneous fat and improvement in cellulite

C, Piérard GE. Cellulite histopathology and related mechanobiology. Int J Cosmet Sci. 2006 Jun;28(3):207-10. • Rawlings AV. Cellulite and its treatment. Int J Cosmet Sci. 2006 Jun;28(3):175-90. • Romero C, Caballero N, Herrero M, Ruíz R, Sadick NS, Trelles MA. Effects of cellulite treatment with RF, IR light, mechanical massage and suction treating one buttock with the contralateral as a control. J Cosmet Laser Ther. 2008 Dec;10(4):193-201. • Sadick NS. Overview of ultrasound-assisted liposuction, and body contouring with cellulite reduction. Semin Cutan Med Surg. 2009 Dec;28(4):250-6. • Shack RB. Endermologie: taking a closer look. Aesthet Surg J. 2001 May;21(3):259-60. • Trelles MA, van der Lugt C, Mordon S, Ribé A, Al-Zarouni M. Histological findings in adipocytes when cellulite is treated with a variable-emission radiofrequency system.

appearance by dual-wavelength, low-level laser energy combined with

• Lasers Med Sci. 2010 Mar;25(2):191-5. Epub 2009 Mar 26.

vacuum and massage. J Cosmet Laser Ther. 2008 Dec;10(4):202-9.

• Van der Lugt C, Romero C, Ancona D, Al-Zarouni M, Perera J, Trelles MA.

• Manuskiatti W, Wachirakaphan C, Lektrakul N, Varothai S. Circumference reduction and cellulite treatment with a TriPollar radiofrequency device: a pilot study. J Eur Acad Dermatol Venereol. 2009 Jul;23(7):820-7. • Quatresooz P, Xhauflaire-Uhoda E, Piérard-Franchimont

A multicenter study of cellulite treatment with a variable emission radio frequency system. Dermatol Ther. 2009 Jan-Feb;22(1):74-84. • Wanner M, Avram M. An evidence-based assessment of treatments for cellulite. J Drugs Dermatol. 2008 Apr;7(4):341-5.

The global leader in aesthetic laser solutions

y str u Ind

ng i ad le

or p p su

in ak

the

ren fi fe

5 13, r o ef

esses w n i s u 00 b

t in

co 86

ears y 0

untries worldwide

pment r develo e s a l of

orldwide

arti d e w ie 300+ peer rev

s cle

The GentleLASE/YAG/MAX Alexandrite and Nd:YAG lasers Fastest hair removal lasers Largest Alexandrite spot size Suitable for all skin types Unique Dynamic Cooling Device (DCD) Comprehensive solution for business growth

Tel: 0845 521 0698 e-mail: info@candelalaser.co.uk www.candelalaser.co.uk

See the difference

Young blood

We speak to Ita Murphy about her clincial experiemce with the MyCells Platelet Rich Plasma (PRP) Rejuvenation Treatment

Ita Murphy is founder and managing director of The Otto Clinic, Limerick, which is one of the top aesthetic cosmetic centres in Ireland. She pioneered the introduction of the MyCells Platelet Rejuvenation Plasma (PRP) technique in Ireland and The Otto Clinic is currently the only clinic in Ireland to offer this procedure. Besides being a MyCells practitioner, she is also a recognised trainer in this procedure having trained several doctors in the UK

cosmeticnewsuk.com

Time is a luxury many of us don’t have. As we get older we all hit a point where we get stuck in the Twilight Zone, as life tends to get in the way of our best intentions. As early as our mid-20s to early-30s we start to see a deterioration in our skin – gone is the velvetysoft canvas of youth. Years of sun exposure, lifestyle choices and other external factors or skin conditions take their toll culminating in crow’s feet, fine lines, wrinkles, sun spots, dark under-eye shadows and uneven texture, to mention but a few. Collagen loses its elasticity and our skin starts to sag, heading further south the older we get!

HIGH TECHNOLOGY • GREATER SAFETY GREATER PURITY • GUARANTEED RESULTS

Renew beauty naturally and safely... RENNOVA® Fill is a sterile gel, monophasic cross BDDE linked (1,4 - butanediol diglycidyl ether) with a hyaluronic acid, obtained through bacterial bio-fermentation. It is completely viscoelastic, biocompatible, homogeneous, transparent and resorbable. It has results with long-lasting effects. Easier application, greater lifting effect and greater security. Thanks to its high-tech manufacturing, RENNOVA® offers more visible and longer lasting results. RENNOVA® was developed and is manufactured by one of the largest pharmaceutical companies in Europe, which has been operating in the pharmaceutical market for more than 30 years, specifically with hyaluronic acid based products for use in ophthalmology, orthopedics and dermatology. It has a history of more than 15 million treatments sold around the world. Thanks to the new XPM Tech® technology, RENNOVA® is submitted to processes that make the gel’s tridimensional molecular structure even more even, stabilized and elastic, with new definite molecular “bridges”, extremely important characteristics for providing a greater lifting effect, greater duration and greater aesthetic results. New technology

XPMTech® Xtreme Pure Matrix

0459

Specialist Solutions for Non-surgical Aesthetic Procedures

www.magroup.co.uk For further information about RENNOVA® call Medical Aesthetic Group on 02380 676733 or visit www.magroup.co.uk

Treatment Spotlight | MyCells

So what can we do about it? In the past the traditional solution

MyCells helps to correct the hooded look and the

may have been to go under the knife but recent advances in

‘crepey’ skin of the upper eyelids which many women

skincare mean that surgery has been superseded by a wave of less

procedure which is absolutely safe to inject under the eye and right into

new procedures, MyCells Platelet Rich Plasma (PRP) therapy – or

the tear trough to rejuvenate and tighten skin around the eyes with no

autologous rejuvenation therapy – has been pioneered by The Otto

fear of adverse reaction.

Clinic, a leading aesthetic cosmetic centre in Limerick, Ireland. Ita

“The treatment should be virtually pain-free and its effects are long

Murphy, MD of The Otto Clinic explains that “this technique works on

lasting. For patients aged 30-40 we would recommend treatment once

the basis that the body’s own natural healing powers may slow and

every two to three years, for people aged 40-50 maintenance every 18

even reverse the ageing process – it’s a revolutionary repair system

months, and those aged 50-plus, once every 12 months. However, it can

that places growth factors in the exact location where we want the

also be very effective for patients in their 30s experiencing the first signs

skin to repair and rejuvenate itself”.

of ageing as it tackles fine lines and wrinkles before they have a chance

The treatment involves harvesting platelets from the patient’s own

to take hold and as such can be a very effective preventative step.

blood in order to inject them into problem skin areas, starting with the

With PRP you can stop the first signs of ageing as the treatment develops

extraction of a minimal amount of the patient’s blood. This is then

over a period of about 3 months and actually strengthens the dermal

placed in a centrifuge to spin down the blood which separates the

structure”.

red blood cells from the platelet rich plasma. Platelets contain a high

Greg, 25, from Limerick has had the treatment in an attempt to

content of growth factors – proteins that help to heal injured tissue or

counteract acne scarring on his face. He is thrilled with his results and

damaged skin. (Studies have shown this technique to be highly effective

plans to return on a regular basis saying “I had spent a lot of money on

in the treatment of skin wounds, particularly burns). Upon injection the

my skin. Medication had cleared my spots but I still had pock marks and

platelets release their growth factors which trigger surrounding cells to

dark shadows. After the treatment, the skin was swollen for a couple of

proliferate, in turn stimulating repair, increasing volume and rejuvenating

days, but as time goes on, the results become more apparent. My skin

the skin. They do this by sending out signals for other cells to ‘rush’ to the

looks much fresher and clearer now”.

affected area. One such cell type is fibroblasts – these are the cells which

Margaret, 47, is also a regular at the clinic and says she chose MyCells

create collagen. Collagen acts like a scaffolding structure for the skin,

because it’s such a natural treatment: “Wrinkles and lines around my

supporting it at the very deepest level – the dermis. Our bodies constantly

eyes and in the neck area in particular have been a problem for me for

create new collagen to repair what’s been damaged however, as

years” she says. “I heard about this treatment when I went to the clinic for

we now know, around the age of 35, collagen production begins to

Botox around my eyes and forehead. After the first treatment, my neck

taper off and the quality of collagen produced is not as good as that

was smoother and tighter, and now the skin around my eyes is younger

previously created. This is why the action of fibroblasts (during the PRP

looking and less creased. My eyes look more open and people say I look

process) is a crucial weapon in the battle to age-proof our skin.

younger. And it’s totally safe, you know, there’s no foreign or unnatural

MyCells PRP can be used on the face, neck, hands and all over the

substances being injected into my body”.

body with excellent results: skin is re-plumped and rejuvenated; fine lines

The Otto Clinic has used MyCells PRP since 2006 and Ita, who is a highly

and wrinkles are reduced and skin contours are redefined to create a

recognised practitioner of this technique, treats patients from all over

youthful, radiant bloom. It is highly successful in reducing crow’s feet and

Ireland and the UK. She is also regularly called upon to train doctors in

wrinkles around the lips, nose and mouth. For the patient, the benefits of

both countries in the administration of MyCells.

this treatment are multiple:

So next time you feel you’re stuck in the Twilight Zone, consider that the

•

secret to successful skincare may lie in your own blood!

It’s the only treatment of this type that can be injected right into the tear trough without fear of any adverse effects

•

No surgery/ no anaesthetic

•

Completely safe and natural – no synthetic substances/no danger of allergic reactions or infections

•

Walk-in Walk-out procedure - minimal disruption to your life

•

Virtually painless plus fast recovery

PRP is not a new concept in medicine, in fact it has been used for many years in the US and parts of Europe. With a successful track record in wound and tissue repair, it has applications in many medical fields such as orthopaedics, sports and musculoskeletal medicine, dentistry, neurosurgery, ophthalmology and urology. “We are delighted by the success rate of this treatment” says Ita. “We introduced it in 2006 and all our patients are extremely happy with the results. We now treat on average three patients per week and have had huge success with crow’s feet and wrinkles around the eyes as this is the first place we lose our fat.

start to notice in their early 40’s”. And, of course, it is the only

invasive yet very effective techniques. One of these ground-breaking

cosmeticnewsuk.com

Myth Buster | Permanent Fillers

We take a look at some of the myths behind permanent fillers and find out how Aquamid® is breaking the mould In a survey carried out by Cosmetic News as part of the inaugural Cosmetic News Expo in April, a staggering 89% of practitioners said they would not use permanent fillers because they deemed them too risky. This attitude towards permanent fillers was not unexpected, as the

Before Cheek & Chin

After Cheek & Chin

Myth 1: All permanent fillers are the same

subject has long been a controversial one, with media tales of treatments gone wrong leaving physicians wary and patients afraid.

shy away from using permanent products, however are they missing out by tarring all permanent fillers with the same brush?

With so many non-permanent products available on the market it is no surprise that many physicians

Here are some of the myths surrounding permanent fillers and why Aquamid® is breaking the mould…

guidelines are followed:

Myth 5: A temporary solution is

•

Careful selection of patients and indications

better than a lasting solution

•

Sterile and aseptic procedures

Market research shows that patients are concerned

•

Correct injection technique

with temporary fillers shortcomings, i.e. the need

•

Adhere to post-treatment instructions

for frequent repeat injections with associated

No cases of allergy, hypersensitivity, migration,

cost, discomfort and inconvenience. Aquamid®

fibrosis, inflammation or granulomas have been

provides a lasting solution, without need for regular

observed with Aquamid® (except when related to

re-injections. Therefore Aquamid® treatment is more

poorly treated or untreated infections)

cost efficient and more convenient for patients. The

Myth 3: Permanent fillers =

permanent problems

As with other fillers, infections can occur rarely at the injection site caused by bacterial

best solution is the solution that meets the individual patient needs. Aquamid® provides a lasting solution for patients who desire permanent aesthetic enhancement and rejuvenation.

Myth 6: Permanent filler treatments

Aquamid® is not like other permanent fillers, it is a

contamination and are treated with broad-

homogenous hydrogel, like hyaluronic acid. Other

spectra antibiotics. Corticosteroids and NSAIDS

are not reversible

permanent fillers consists of micro-particles in a

must not be used as they prolong the treatment.

While Aquamid® is intended to provide a lasting

carrier gel, in contrast, Aquamid’s® filling effect is

Complications occurring years after the

solution, it is possible to remove most of the hydrogel

due solely to the injected volume and does not rely

injection are very rare, and are solely due

if so needed. Because Aquamid® keeps its softness

on an intended foreign body reaction and does

to poorly treated low-grade infections. In

after injection, it can be removed by needle

not elicit tissue hardening or fibrosis. Aquamid®

contrast to particle fillers, Aquamid’s® filling

aspiration or through a small stab incision with

also becomes fully integrated with the tissue via a

effect does not rely on an intended foreign

local anaesthesia.

fine fibrous network and does not migrate. Over

body reaction. Therefore, Aquamid® does not

time, the hydrogel becomes vascularised enabling

elicit tissue hardening or fibrosis. No cases of

the lymphatic system access. The product is in

allergy, hypersensitivity, fibrosis, inflammation

beneficial for clinic economics

continuous water exchange with the surrounding

or granulomas have been observed with

Patient satisfaction is the key driver of customer

tissue, thus preventing encapsulation of the implant.

Aquamid® (except when related to poor

loyalty and repeated visits. Aquamid’s® high

treated and untreated infections).

level of patient satisfaction (>90%) has been

Myth 2: Permanent fillers are not safe

Myth 4: The long-term aesthetic

Myth 7: Permanent fillers are not

demonstrated in long-term clinical studies. If permanent augmentation and rejuvenation is

Aquamid® safety surveillance shows an incidence

results are not satisfactory

of complications of less than one per 1,000 (i.e.

As Aquamid® is fully integrated within the

solution could be the preferred choice.

< 0.1%) based on more than 350,000 treatments.

surrounding tissue, the gel will naturally follow the

•

The residual amount of acrylamide monomer in

age-related facial changes. The continued tissue

Aquamid® is negligible (<5ppm) in comparison

volume loss due to aging can be compensated

with the daily environmental exposure via food

with additional Aquamid® treatments. Clinical trials

and drinking water - and does not pose any health

show more than 90% patient satisfaction five years

risk. Aquamid® treatments are safe provided the

after Aquamid® treatment.

cosmeticnewsuk.com

preferred by the patient, Aquamid® as a lasting For the physician, Aquamid® offers more income per treatment than temporary fillers. •

In US market research more than 90% of 200 physicians responded that their practice would benefit from offering longer lasting

•

filler treatments.

Using Your Own Cells to Rejuvenate Skin & Reduce Fine Lines & Wrinkles What are the advantages of MyCells®?

• MyCells® is a simplified CE Class IIa autologous platelet-rich plasma preparation system approved for re-injection in-vivo • MyCells® enables simplified on-site preparation of live and biologically active autologous platelet-rich plasma that includes leucocytes, mesenchymal stem cells as well as growth factors in genetically pre-determined ratios

MyCells® offers an excellent live autologous plateletrich plasma graft safety profile: • No risk of rejection • No risk of allograft transmissible infectious diseases • No animal material • Low allergenic potential • Bio-compatible and bio-available • No laboratory in-vitro cellular expansion necessary

MyRejuvenation™ with MyCells® empowers patients to take control of their own dermal rejuvenation and volumetric enhancement therapy because:

• MyCells® is a safe and affordable CE approved tissue engineering procedure taking place on-site in the clinician’s rooms • Preparation takes less than 30 minutes making it a ‘walk-in-walk-out’ procedure • The actual treatment causes minimal discomfort and side-effects and there is no evidence of long-term complications following autologous plasma therapy • MyCells® is effective as a stand-alone treatment • MyCells® should enhance any surgical and non-surgical cosmetic procedure and is not contra-indicated in combination with dermal fillers

www.my-cells.net MyCells® is available from the following clinics • Wimpole Aesthetic Centre, 48 Wimpole Street, London, W1G 8SF T: 020 7224 2247 E: info@wimpoleaesthetics.com W: wimpoleaesthetics.com • Selston Cosmetic Clinic, 139 Nottingham Rd, Selston Notts, NG16 6BT T: 01773 863845 W: selstoncosmeticclinic.com • Apsaras Aesthetic Clinic, Cannon Park, De Montford Way, Coventry, CV4 7DU T: (024) 7669 3700 E: margie_gooding@hotmail.com W: apsaras.co.uk • Crendon Skin Clinic, 59 Chilton Road, Long Crendon, Aylesbury, Bucks, HP18 9BZ. T: 01844 201879 E: info@CrendonSkinClinic.com • Dr Kam Singh, Beau Aesthetica Spa and Clinic, 17 Allandale Road, Leicester LE2 2DA T: 0116 270 9141 M: 07970 689907 W: beauaesthetica.com E: drsingh@btinternet.com • Bioux Medi-Spa, 149 Edbury Street, London SW1W 9QN T: 020 773 00765 E: info@bijoux-mediaspa.co.uk W: www.bijoux-mediaspa.co.uk • Medical Cosmetic Service, Bute House, Bridge Road, Frampton On Severn Gloucestershire GL2 7HA T: 0845 226 1344 E: admin@medicalcosmetic.co.uk W: www.medicalcosmetic.co.uk

For Further information Please contact: Scandinavian UST Ltd, 24 Barrington Street, Limerick, Ireland,

Tel: +353 61 312979, Fax +353 61 312976 e-mail: info@mycells.ie Web: www.my-cells.net

View On | Chirality

the correct way? Sam Dhatt gives his views on chirally correct skincare

While chirality is actually nothing new to science and the pharmaceutical drug industry, it is a relatively new concept to skincare. But what do chirally correct ingredients offer the skin and can they provide real benefits otherwise unmatched? In 1847, renowned French chemist Louis Pasteur first discovered the concept of chirality as a graduate student while studying two acids in wine. He observed that while the chemical composition of tartrate and paratartrate were identical, their crystals polarised differently. This observation led him to understand that many molecules have two ‘mirror-image’ parts – that is, they are the same in all ways physically and chemically with one exception: how these individual isomers, or single enantiomers, link together and react with other molecules in the body. Chirality is often described as the ‘handedness’ of molecules. The isomers are typically referenced by either an ‘L’ or ‘D’ notation designating the two parts. To illustrate, think of your left and right hand. They are mirror images of each other, but could you fit your left hand inside a right-handed glove? The same holds true for chiral isomers, which do not link perfectly with one another and are not superimposable but are, rather, mirror images of each other. Lactic acid is an example of a common skincare ingredient with two isomeric chiral forms. If you were to split the lactic acid molecule down the middle, there would be no plane of symmetry. Sam Dhatt is a world-renowned, award-

Assymmetrical in their cross-sections, these isomers vary in their rotation, or linking mechanism, which

winning cosmeceutical chemist who

can cause the single isomers to react differently with other molecules in the body. As a result, the

serves as the CEO and President of the

consequences can be that while one enantiomer offers desirable functions, the other may have a)

product line DermaQuest Skin Therapy

no effect, b) negate the value of the favored isomer or c) actually do the body harm in some way.

and of Allure Labs, a product formulation

Since Pasteur’s discovery, many important ingestible drugs have been produced using ‘chirally

company, both of Hayward, CA. During

correct’ ingredients, optimising the most effective and therapeutic single enantiomer while

his 20-plus year career as a sought-after

discarding the other less effective or harmful part of the molecular pair. By using chirally correct

formulator, Mr Dhatt has developed and

ingredients, pharmaceutical manufacturers can ensure that the more beneficial isomers

manufactured skincare products for more

will link up correctly with the receptors inside the body to produce a favored response.

than 700 companies, including many of the best-known brands in the industry.

Sometimes, the effect is critical to eliciting a therapeutic result and even necessary to avoiding

Mr Dhatt is a frequent expert-author of

disaster. In the 1950s, for example, many pregnant women taking the drug Thalidomide for

articles featured in many trade journals

‘morning sickness’ gave birth to babies with severe birth defects. It was later discovered,

and skincare publications and speaks

that while the D-isomer curbed the morning sickness and did not harm the body, the

often on ingredients and formulation with

L-isomer of the drug actually caused the devastating birth defects that resulted.

the goal of increasing the knowledge

Today, pharmaceutical companies are making great inroads in discovering new applications

and success of aestheticians.

and ways to harness the science. But do chirally correct ingredients have a place in skincare? Many skincare manufacturers tout their chirally correct ingredients as superior formulations that contain only the beneficial isomers, which will ensure deep absorption into the skin and foster positive results with no allergic reactions. While the claims may sound good, chirally correct may not be the most correct concept after all when applied to skin.

cosmeticnewsuk.com

Breaking Down the Science

penetration issues that sometimes arise with using non-chirally correct ingredients. Closer examination of the causes of these reactions,

Dr Jeannette Graf, MD, FAAD, a Great Neck, New York-

however, demonstrates that other factors are actually at play.

based clinical and research dermatologist and recipient of the NIH Outstanding Achievement Award, has been watching chirally correct ingredients in skincare for years.

Pharmaceutically Correct; Cosmetically Questionable

“While it sounds good in theory and chirality has been applied in oral medication, the bottom line is there’s not one iota of

Chirally correct ingredients hold a valid place in pharmaceuticals

science to support the premise of chirally correct ingredients in

that are ingested in the body and used on a systemic level.

skincare products,” she says. “I really want to see the science.

These chirally uniform drugs typically work better than their

I’ve looked and looked, and there’s absolutely nothing to

racemate forms because the body has receptors that interact

support enantiomer, chirally correct ingredients in skincare.”

with the specific shapes of these chirally correct molecules,

Chirally correct ingredients can have profound effects

providing better linkage and thus a superior end result.

when ingested as drugs in the body, but they become a

Until recently, synthetic drugs were only available in their racemate

non-issue when applied to the skin for several reasons.

form. But as new advances in chiral technology arise, more single

According to Dean Handley, Ph.D., MBA, JD, former executive

isomer drugs are expected to sweep the pharmaceutical industry.

director of medical communications at the pharmaceutical

Indeed, chiral chemistry is already big business. In 2005, single

company Sepracor and one of the world’s foremost authorities on

isomer therapies rang up sales of $225 billion, representing

chirality, chirally correct ingredients are unproven and irrelevant in

37% of the total $602 billion final formulation pharmaceutical

skincare. “Einstein once said, ‘The thing that can’t be measured

market, according to estimates from Technology Catalysts

can’t be understood,’ and that is the case here,” Handley notes.

International, Falls Church, VA, and IMS Health, Plymouth Meeting,

“Chirally correct claims simply aren’t based on any measurements.”

PA. With an 11% annual growth, chirally correct drugs are now

By their very nature, plant- and animal-derived ingredients

keeping pace with the rest of the pharmaceutical industry.

are chirally correct. Whereas synthetics produced by

Two of the best examples are Pfizer’s Lipitor, which logged $3.3

chemists result in racemic forms (containing both isomers or

billion in sales in 2005, and Zoloft, the bestselling drug in the world

single isomers), the enzymes in plant- and animal-derived

with $12.8 billion in sales in 2007. For the pharmaceutical industry,

sources produce molecules that are chirally correct naturally.

chirality helps many large drug companies avoid bestselling

Therefore, many of the natural ingredients used in skincare,

drugs from going generic. By tweaking the chemistry with chiral

including palmitic acid, fatty acids, emollients, vitamins and

formulations, these pharmaceutical companies can use the

aromatics, are inherently chirally correct, says Handley.

amended formulation to extend rights to their intellectual property. And there are therapeutic benefits for a wide application

While some manufacturers market their chirally correct formulas

of chirally correct ingredients. In the agrochemical sector,

as superior, the truth is many, if not most, skincare companies

chiral ingredients offer more eco-friendly insecticides. For the

are already using chirally correct actives as a consequence

biochemical market, chirality offers efficient peptides and

of what’s naturally being piped down the supply chain.

vitamins for dietary supplements and functional foods. For the

Consider Vitamin C. Topical Vitamin C offers many benefits to

fragrance industry, these single isomers deliver greater stability,

the skin. This prime antioxidant diminishes hyperpigmentation

biodegradable ingredients and even more intense scents.

and even helps to stimulate collagen. L-ascorbic acid is able to perform all of these beneficial roles. D-ascorbic acid, on

However, according to skin chemists and researchers,

the other hand, leads to negative effects, such as dryness,

the skin is a different playing field.

irritation and the production of free radicals. As a result,

“The skin cannot identify certain types of isomers that

manufacturers of pure Vitamin C products are already using

easily,” says Chim Potini, director of operations at Hale

the L-ascorbic acid form, which is more easily absorbed.

Cosmeceuticals, Bloomington, Ill. “They’re just not that easy to

Furthermore, most amino acids are L forms, while carbohydrates

recognise. And sometimes in a topical skin product, it’s better

are D forms with a few exceptions, says Peter Pugliese, MD, an

to have a combination of all isomers in skin products.”

anti-aging skincare authority and a pioneer of cosmetic research,

Vitamin E’s tocotrienol and tocopherol isomers, for example,

formulation and education who confers with Handley.

offer a synergistic combination that adds up to greater

“The application of chiral products to cosmetic skincare is not

antioxidant value than any one of its single isomers.

warranted and appears to be a scare tactic,” he notes.

Furthermore, some molecules that are commonly used in cosmetic

Even synthetic racemic ingredients do not a priori impose a

chemistry cannot be chirally correct because of their chemical

negative consequence to the skin, Handley says, because any

constitution. For instance, retinoic acid (Vitamin A) is not made

unfavorable reaction would become immediately apparent.

up of chirally correct molecules with mirror-image isomers. Rather,

This was the case with Thalidomide and the drug Dopamine.

retinoic acid is comprised of geometric isomers that have the

In its L form, Dopamine is a nerve protectant, yet in its D form,

same chemical formula and the same atoms in each molecule,

it’s a toxin that produces a profound negative mental state.

but the geometry around the double bond is different and each

“When we make a mistake with a racemic, we

may have different biological effects, says Michelle MacRae,

usually know it right away,” says Handley.

a formulation chemist in research and development at Allure

In skincare, manufacturers of chirally correct ingredients claim their

Cosmetics, Hayward, CA. As a result, it’s simply incorrect to call

formulations can avoid the allergic reactions, ineffectiveness and

retinoic acid chirally correct. The concept simply doesn’t apply.

cosmeticnewsuk.com

View On | Chirality

Absorption: Function of Chirality or Other Factors?

in vitro tests show that BV-OSC reduces melanogenesis by more than 80%. Here again, a good delivery system can help offset potential

Chirally correct proponents claim that their single enantiomer

reactions. PP-2, for example, is often used to deliver the

products ensure superior penetration and absorption. However,

active tretinoin (Vitamin A) while minimising irritation.

the true dynamics behind the absorbability and penetration ability of a formula is more of a function of its actives’

Unstable in its Foundation

molecular size and the delivery system, such as liposomes. The same science that’s applied to pharmaceutical preparations Polyolprepolymer 2 (PP-2), for example, is a topical delivery

cannot be applied explicitly to cosmetic formulations, and

system that forms a noninvasive liquid reservoir on the

chirality is no exception. The very nature of the cosmetic

upper layers of the skin to deposit significant amounts of

formulation may change chiral isomers’ rotation, thus changing

skincare agents in the stratum corneum and epidermis.

the final results. According to Potini, most chirally correct

An in vitro skin permeation study measuring the delivery of salicylic

ingredients degrade rather easily and change their chiral

acid into human skin with and without PP-2 found a greater

activity, which can then affect their penetration ability.

amount of salicylic acid stays on and in the upper layers of the

“Even if you put a chirally active in a cosmetic preparation, you

skin in the presence of PP-2. Another in vitro study comparing the

cannot be sure that it will stay that way,” Potini says. “These are very

release of magnesium ascorbyl phosphate with and without PP-2

mobile materials. They are not inert and can change their rotations.”

showed a significant increase in deposition with the PP-2 formula. Layering technology, in which the lightest formulations, i.e. serums,

Whereas pharmaceutical companies have the resources to ensure

are applied first, followed by more emollient, heavier weighted

a high level of stability within their chirally correct formulations,

formulations to maximise absorption also play a key role.

many cosmetic manufacturers don’t have the same level of

“Show me one ingredient that is chirally correct and has superior

research or resources to ensure that standard of stability. In fact,

penetration versus the same non-chirally correct ingredient

a chirally correct ingredient can change its rotation after a mere

in an identical formulation. You can’t! Penetration is more a

six months or a year, according to Potini. Cosmetic preparations

function of the size of the molecule and the strength of the

have liquids, fats, esters, carriers and alcohols that often degrade

liposome or technology of the delivery system,” says Graf.

these chiral formulations, whereas drugs are mostly solids and aren’t as prone to the same degrading factors, he notes.

Allergens or Just an Irritating Distraction?

Lastly, it’s important to keep in mind that no government regulations exist with respect to chiral compounds in cosmetics. “It is well-known that certain enzymes can process specific

Some advocates of chirally correct skincare claim that the

isomers and, in the case of a drug, that specific enantiomer

linkage of the favored isomers in their chiral formulas present

would have to be specified for the dosage to be determined.

less potential for dryness, irritation and allergic reactions.

In cosmetics, no such rule exists,” says Pugliese.

Yet, these reactions may be more attributable to other

“The concept of chirality, as I see it, has no real future in

factors, namely irritants in a product’s formula base.

skincare unless a great deal more research is done,” says

To say a non-chirally correct formula can cause an allergic

Pugliese. As estheticians become more knowledgeable

reaction “makes zero sense,” says Graf. “It’s not usually

about chemistry, they will see it is a gimmick.”

the active ingredients that are responsible,” she notes. “It’s usually the skin being sensitised to a preservative or some

While the chirally correct story may sound good in theory, it

ingredient that creates an irritation, which is usually due, in

may be just that: a story that will require enhanced resources,

my opinion, to the pH or an actual compound sensitivity.”

more research and development in the cosmetic realm,

Larger molecular structures can heighten the possibility of

and proven studies to substantiate the claims in skincare.

allergies, whereas a smaller molecular compound, like a tiny peptide, would not likely set off such a reaction. Instability of an ingredient is another cause leading to an allergic reaction or irritation. When unstable forms of Vitamin C oxidise, the topical can change from an antioxidant to a pro-oxidant. Rather than seeking chirally correct ingredients to avoid an allergic reaction, a better focus may be to opt for stable forms of ingredients. For example, BV-OSC is a stable, oil-soluble Vitamin C derivative that has been shown to maintain a higher penetration rate and significantly higher collagen synthesis capacity without the stability or reactive issues of L-ascorbic acid. This highly stable Vitamin C derivative doesn’t break down or oxidise until it penetrates the skin. Furthermore, BV-OSC protects against UVB and UVA cell damage; demonstrates a superior ability to synthesise collagen over L-ascorbic acid; and

cosmeticnewsuk.com

Product Focus | Obagi Nu-Derm® Systems

A Nu age in skincare

How Obagi is opening up new markets with Nu-Derm Fx® Obagi has always been ahead of the game when it comes to professional medical skincare and the pioneering brand’s latest offering, Nu-Derm Fx®, builds on its reputation as the leading medical skincare regime. The Obagi Nu-Derm Fx® System complements the Obagi Nu-Derm® system on many By substituting arbutin for hydroquinone,

levels, and brings new and exciting opportunities to physicians and nurses alike. Whilst Nu-Derm® with hydroquinone remains the gold standard, Nu-Derm Fx® augments the Nu-Derm® range by utilising arbutin as opposed to hydroquinone as it active component.

Nu-Derm Fx® opens up a number of

How do the Obagi Nu-Derm® and Nu-Derm Fx® Systems work?

strategic advantages to physicians wishing

The Obagi Nu-Derm® System is ideally suited to clients/patients who have experienced occasional

to use Nu-Derm® but whose clients have

sunburns, daily sun exposure, hormonal changes, stress and environmental pollution, that have led to

sensitivity to hydroquinone and wish to

premature ageing, as well as for those who have had occasional acne flares.

achieve the same results. It also helps the

The goal of the Obagi Nu-Derm® Systems is to achieve healthy skin from the inside out. The

physician to deliver a softer approach to

philosophy is that ingredients alone do not produce results and that the right delivery system is

treatment and helps the therapist manage

essential to reach target cells. The Nu-Derm® Systems penetrate below the surface of the skin to

clients on Nu-Derm® maintenance

transform skin cell functions at the cellular level and correct the damage within. Using a specific

programmes, who may be concerned

sequence of dosage and frequency that’s recommended specifically for each skin condition, the

about the long-term use of hydroquinone,

system exfoliates old skin leaving healthy, new skin that looks and acts younger and healthier.

by providing a gentler programme of maintenance therapy. Being free of prescription strength hydroquinone, NuDerm Fx® can also be promoted in the

Obagi Systems

Cosmeceuticals

•

public domain, giving a broader marketing opportunity to physicians and practitioners.

Beyond moisturisers Dr Zein Obagi, the man behind the Obagi range, believes moisturisers can make

• • •

the skin ‘lazy’ and actually accelerate

Utilise potent ingredients with patented technologies which encourage penetration to all layers of skin No emphasis on heavy moisturisers Damaged skin cells are ‘re-trained’ to function normally Result is skin that looks and acts younger and healthier

• • •

Rely heavily on moisturisers to temporarily ‘plump up’ top cells, preventing moisture loss Result is ‘Band-Aid’ effect Penetration not achieved Skin becomes dependent, no cellular improvement

ageing. As such, the Obagi products have moisturising properties, but are

In order for Obagi Nu-Derm® to correct the function and health of the skin, it uses ingredients to

mixed in with alphahydroxy acid, tretinoin,

penetrate to the deepest layers and affect the skin at the cellular level. During the four distinct

pharmaceutical-strength vitamin C and

phases of the skin’s transformation, daily use of the ingredients in the system will restore cellular

hydroquinone or arbutin.

turnover, providing noticeable results in as few as four weeks. While friends and family will notice the

“When skin functions properly, it works from

difference in your patients’ skin early on, continued use of the system will reveal clearer, firmer, more

the inside out to keep its layers healthy

even toned skin over the course of just 12 to 18 weeks. It’s this complete transformation process that

and hydrated,” says Dr Obagi. “Putting on

enables the skin to look and act younger and healthier.

a moisturiser provides hydration via water

Over the years, the skin is exposed to a number of environmental factors, which cause damage that

to the upper layers of the dermis. Sure,

can reach the deepest layers. Photodamage, caused by the sun’s harmful rays, is the main cause

it feels good and is comforting, and the

of the fine lines, wrinkles and age spots the problems that all aesthetic practitioners area dealing

skin says ‘Hey, we’re fat and happy up

with on a daily basis. Obagi Nu-Derm® Systems can address all of these problems by giving your

here,’ but then the dermis cells become

clients an enhanced brighter and more even skin tone and a reduction in the visible appearance of

lazy, go dormant, and skin becomes drier,

discoloration as well as promoting healthy and younger-looking skin.

thinner and less elastic, shutting off the skin’s natural function to hydrate from the

Treatment Goals: Obagi Nu-Derm FX® System

inside out. Then women say to me, ‘I have sensitive skin.’ The question is: why? Men

•

Transforms damaged skin cell functions in all layers of the skin to:

and babies don’t have the same issues

•

Increase the rate of cellular turnover

because they don’t apply moisturiser in the

•

Repair intracellular transcription of keratinocytes

liberal dosages that women do. Putting

•

Reduce mild to moderately overactive melanocyte production

on moisturiser is like eating dessert and

•

Stimulate fibroblasts

skipping the meal. You’ve missed the part

•

Reduce acne flares

that actually does some good.”

cosmeticnewsuk.com

*Image representative of Nu-Derm Fx®. Nu-Derm Fx® is not available as pre-packaged set

The Four Phases of Obagi NuDerm and Nu-Derm FX® SYSTEM transformation: 1) OUT WITH THE OLD (Weeks 1-6)

• • • •

Nu-Derm® System penetrates to the deepest layer of the skin to help correct signs of premature ageing and acne flares Old, dead skin cells are pushed to the surface and replaced with fresh cells Itching, dryness and redness are possible side effects as the skin adapts to the system Expect skin cells to become regulated, creating a more even toned appearance

2) IN WITH THE NEW (Weeks 7-12) • • • • •

The skin begins producing normal, healthy cells Cells are distributing melanin more evenly Collagen production is stimulated The skin begins to acclimate to the system Expect smoother, softer, clearer skin as normal healthy cell production begins

3) HEALTHY GLOW (Weeks 12-18) • • • •

The skin cells are in the process of transformation Collagen production continues The skin is becoming clearer, firmer and tighter with improved clarity and a healthy glow Expect the skin to be smooth, naturally hydrated, evenly colored and more resilient

4) THE NEW YOU (Lasting results, with maintenance) • • • •

The skin has been transformed by the Nu-Derm® System Continue to use the system daily in the morning and evening Maintenance to achieve long-term results Expect skin that looks and acts younger and healthier

Best Practice | Business Strategy

Beat it

Yasmin Khan tells you how to beat the credit crunch by improving internal efficiencies

Yasmin Khan is the former international sales director of Inamed (Facial Aesthetics) and regional sales director for Collagen Corp. She is the CEO and founder of KT Solutions (Strategic Management Consulting Agency) and KT Training and is the author of Simple Steps to Building Successful Cosmetic Practices

Consultation protocol; time recording procedures; where the paper is kept; managing staff; managing effective patient journeys; payment options; what type of medical software to choose; benefits schemes; sick leave; holiday scheduling – the list could go on forever. These are the things that make or break a business and should be worked out and communicated to your staff in order to keep your costs down, make the workplace workable, and enhance the efficiency of your employees. I am a believer in orientation processes, since a practice with clear and defined processes will always outperform a disorganised fly by the seat of your pants type practice. The systems and processes discussed in this article should be included in your orientation manual, if they are not already. As changes occur at your practice, employees will need to

manual to ensure the practice is operating efficiently at

know, and they’ll naturally have questions. Sometimes they

all times. In larger cosmetic practices, this work can be

just want answers and, sometimes, they need reassurance.

delegated to the office manager. If you are a small operation

Most often, different groups of employees need different levels

without an office manager you may want to out-source the

of communication during times of transition from traditional

development of your internal operations manual.

medicine to private medicine.

In this article, I will discuss the systems and processes for five key

For example, if a client calls to complain about the outcome

areas of the business:

of a certain procedure, you need to have clear guidelines on how the complaint should be managed. Employees also need communications about periodic and routine events that affect them such as performance reviews, annual pay raises and so on. The smallest of cosmetic practices will need an operation

How Practice Revenue is Created Marketing is not a magical activity that creates practice revenue without the practice’s direct involvement. All employees, and most importantly, the practice owners/ practice managers need to understand how a private

• Dealing with web and telephone enquiries • Client retention protocol • Telephone protocols • Pre-consultation protocol • Consultation protocol

Promotional Activities Promotional activities do not create revenue but drive potential clients to want to contact your practice to evaluate your business

practice earns its revenue. Most private practices spend

Follow-Up Process

a fair portion of their revenue

While many clinicians believe that their work is outstanding it is the customer who decides if your work is excellent. It is therefore mandatory that you find out if they are truly pleased with the outcome. Long-term success is only achievable if you have satisfied customers

promoting their business to the external market in order to drive new business into the practice. However, most practices fail to understand that promotional

Revenue Generated

activities such as newspaper, website exposure, yellow pages and other promotional medium only create an interest in the practice, motivating the potential client to contact them either by telephone or through the internet. Inefficient internal processes will undermine the success of the exposure activities since most receptionists and administration staffs are improperly trained on ways to motivate potential new client to commit to a consultation. On the following pages are some suggestions on how to improve telephone and web enquiry success rate.

cosmeticnewsuk.com

Consultation Skills Communication with the potential client on an emotional level is key to motivating them to commit to choosing you as their enhancement specialist

Telephone and Web Contact Effective management of web and telephoning enquiries will lead the potential client closer to choosing your practice as their enhancement specialist

Best Practice | Business Strategy Telephone and web enquiry protocol Telephone and Web Enquiries

all the reasons why the individual should choose your

Most telephone enquires involves two things: 1) The

practice and a FAQ brochure on how to select a qualified

person on the phone wants to know if the practice

cosmetic clinician and again the script should be written to

provides a certain procedure or treatment and 2) The

motivate potential clients to choose your practice as their

person on the phone is asking the price for a particular

enhancement specialist.

treatment. There is a 90% chance that the enquirer will call back to

Call Logging Sheets Call logging sheet for new enquiries: if the practice does not have a contact management system, it is recommended that a call logging sheet be developed. On the right is an example.

For example, let’s say the enquiry relates to

book a consultation if the process is handled correctly.

microdermabrasion. If the clinic does provide this

Therefore, every cosmetic practice needs a corporate

service, the receptionist should try to book a consultation

brochure and this info should be available in PDF format

immediately. If he/she cannot book the consultation,

so that the receptionist can e-mail the information at the

the receptionist should ask for the enquirer’s e-mail

time of the enquiry. Web enquiries should be handled in the

address and send information to them immediately. The

same manner. This activity should be documented on the

information should consist of a corporate brochure stating

call-logging sheet, which is discussed below.

Telephone Enquiry

web Enquiry

Name of caller:

Name of enquirer:

Contact number:

Contact number/e-mail address:

Details of the call: Botox® enquiry etc.

Details of the enquiry: Botox® enquiry etc.

How did the caller find out about the clinic? Web advertisement, referral salon, yellow pages etc.

Activity relating to enquiry: consultation booked, info mailed out, e-mail sent

Activity relating to call: consultation booked, info mailed out, e-mail sent to caller

Date to follow-up: Responce to follow-up:

Date to follow-up:

Employee who responded to e-mail:

Response to follow-up:

Employee to follow-up on e-mail:

Employee who took call:

Results:

Employee to follow-up on call: Results: Managers should review the information weekly as part of their

closing ratio, clients’ follow-up records, response rates from advertising

responsibilities to assess the staff’s ability to convert enquiries into booked

campaigns, and identifying new services to include in your product portfolio.

consultations. Practice owners and managers should discuss ways to improve inefficiencies if they exist. In almost all cases, inefficiencies

This information is vital in developing your long-term marketing and growth

will exist. A CRM System can track this type of information and provide

strategies. The information will determine where to focus your effort and

detailed reports on enquiry management. Please note, a CRM System

resources to generate new clients and keep your present clients returning

and the call logging sheet only reports information that identifies clinic

to the practice. Presently, I do not know of any medical software with these

inefficiencies. If the manager or clinic owner does not implement changes

capabilities however, some software can be configured to include a lot of the

to rectify inefficiencies, the effort it takes to gather this information is

information mentioned above. If you have a system that can record customer

useless. I have observed that most clinics are unaware of how inefficient

information, then begin to record all details relating to the customer as follows:

they are since there are no protocols to evaluate communication inefficiencies.

Codes should be established to record customer status (see below):

The Computer

Code

New Customer

Existing Customer

In my book Simple Steps to Building Successful Cosmetic

Botulinum toxin

Practices, I recommended that you set practice goals. It is

Dermal Fillers

NDF

EDF

Radiesse

NRAD

ERAD

track the marketing goals of the entire practice and to collect

AHA Peels

NAHP

EAHP

information and data that accurately represent your practice.

TCA

NTCP

ETCP

Laser Hair Removal

NLR

ELR

SkinCare

NSC

ESC

difficult to track pre-set goals without the use of a computer. You will need to find a good software program to allow you to

For example, the average age of your clients, which services they prefer, which services generate the most profit, the sales revenue generated for each business unit, your consultation

A report detailing revenue generation by types of client is necessary to evaluate if the practice is on track and if the business is managed for long term success. Qualitative and quantitative reports are necessary to run the business successfully. You simply cannot evaluate the business if you have only financial information. You need qualitative information to measure staff and management performance. A manager needs to manage the practice to achieve the practice’s long and short term goals. Therefore, managing staff to complete daily tasks is not enough in a marketing focused practice. In my book Simple Steps to Building Successful Cosmetic Practices, I demonstrated the power of repeat customers. The same information is presented on the following pages...

cosmeticnewsuk.com

1st year

JAN

NEW BOTOX® PATIENTS £250/ TREATMENT

FEB

MAR

APR

MAY

JUN

AUG

SEPT

OCT

NOV

DEC

Repeat Patients Jan - April (3 treatments/ year)

JUL

May-Aug patients (2 treatments/ year) Total Treatments

2nd year results

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEPT

OCT

NOV

DEC

NEW BOTOX® PATIENTS £250/TREATMENT

REPEAT PATIENTS JAN-APRIL (3 TREATMENTS) 1ST YEAR PATIENTS JAN-APRIL

1ST YEAR PATIENTS MAY TO AUG

1ST YEAR PATIENTS SEPT - DEC

TOTAL TREATMENTS

It is rare that a practice will maintain 100% repeat business but an efficiently managed dental/cosmetic practice should maintain at least 80% repeat business. The results from the perfect situation presented above reads like this. Botox® Revenue-1st year

Quantity

Revenue

Promotional Expenditure

Botox® Revenue-2nd year

Quantity

Revenue

New Patients

Existing Patients

Total

120

Promotional Expenditure

£15,000

£10,000

New Patients

£15,000

£10,000 or less

£15,000

Existing Patients

240

£60,000

£30,000

£10,000

Total

300

£75,000

£10,000 or less

If the new practice is structured properly with a

relationship business if the 1st year’s performance

do not manage repeat business performance will

strong relationship focused strategy discussed

reads as follows:

suffer in the long term since they will not experience

in my book, 2nd year performance will be

the benefits of reduced promotional expenditure

staggering and this is without any additional

Botox® Total Revenue for 1st year: £30,000

associated with repeat business. The present

promotional expenditure. In fact the marketing

New Botox® Clients (NDF) 80

financial crisis has shown many practices that

expenditure should decrease for this business

Existing Botox® Clients (EDF) 40

inefficiencies in client retention will hurt the practice

unit since the clinic is obviously managed

in times of an economic downturn when it is nearly

efficiently and new business should come from

This situation is an indication of long term problems

impossible to drive new business into the practice

patient referrals.

As the practice owner, I will be pleased to see

even with robust promotional efforts. A business

The essence of my book Simple Steps to Building

that the practice has achieved its practice goals

cannot survive on new client generation alone. It

Successful Cosmetic Practices is based on providing clinics with the methodology of keeping clients happy and returning to the practice. For example, the report for year one Botox® revenue should read as follows:

and the new business has met its forecast, but I

is too time consuming and expensive to do. Also

will be equally concerned as to why 20 existing

repeat clients do not require consultations resulting

patients had not returned for repeat procedures.

in effective time management.

An automated system will measure your repeat business. If repeat client’s objectives were not

Pre-Consultation Process

achieved, I would quickly follow up and create an

The information presented below will give you

Botox® Total Revenue for 1st year: £30,000

enticement to get these clients back into the clinic.

some insight into the decision-making process that

New Botox® Clients (NDF) 60

Quick response to inefficiencies will minimise future

a consumer goes through before making complex

Existing Botox® Clients (EDF) 60

financial risks. If this situation is not corrected quickly,

buying decision. I use this information to make

2nd year’s practice performance will not resemble

recommendations on ways to communicate with

the 2nd year example provided. Practices that

potential new clients.

This is the ratio that you are looking for in a

Buyer Behaviour

• Evaluation of alternatives:

The decision-making process – how do clients buy?

This is the stage that most clients will come in contact with your practice. If your

Research suggests that clients go through the following five-stage decision-

office team has been properly trained, they will be very effective in moving the

making process in any purchase:

client to the consultation stage.

• Needs recognition and problem awareness:

The client commits to a consultation with you. If effective in your consultation,

New cosmetic clients have passed this stage before they come in contact with

you will get a commitment during the consultation for treatment or surgery.

• Purchase:

your practice.

• Post–purchase evaluation:

• Information search:

This is the stage that most practices fail. Once clients have made the decision to

Most of today’s aesthetic clients have done their research before they meet

let you provide their treatment, it does not mean that they are satisfied. Follow-

you. Your promotional efforts should be focused enough to pull potential clients

up is absolutely critical to alleviate any post-purchase remorse. Remember

to your clinic. By now you should have determined your target market and your

repeat clients will sustain your long-term growth. For dentists and surgeons

communication message should be designed to make clients want to call you.

promoting high priced procedures, the follow-up protocol is necessary to

cosmeticnewsuk.com

make sure the client is pleased with your treatment outcome and will return

being said to ensure clarity

to the practice. If you provide non-surgical treatments, follow-up protocol is

• Pay particular attention to non-verbal clues, such as posture or fidgeting.

mandatory and should be a part of the process.

• Speak clearly and directly to the client • Encourage the client to express his or her self without being judged. No

Pre-consultation Recommendations

matter how busy you are, make the client feel that you are unhurried and

You should delegate the pre-consultation responsibilities to a trained

have all the time for her/him

staff member since the client is now evaluating the clinic by agreeing to

• Do not stand when speaking to the clients. This is considered an

a consultation.

authoritarian pose • Ask if there are other concerns. This approach gives the clients the

Observation of the client’s body language

opportunity to express their anxieties

If the client is nervous, your staff should calm him or her down by finding out

• Key questions to ask are: What is your key concern? What do you expect to

what concerns they have. Deal with this issue first before moving on to the pre-

achieve from the treatment? How much are you willing to spend at this time?

consultation protocol. It might be useful to discuss the clinician’s credentials.

• Give your recommendations on the best treatment options and be sensitive

Any article on the clinician’s success as a cosmetic clinician is helpful here.

to the client’s financial situation

Make sure that all concerns are addressed before you move on. At the

• It is best to delegate fee discussions to your practice manager since most

evaluation stage, 95% of clients are concerned about the risks involved with

clients view the clinician as an authority figure and are uncomfortable

the treatment, the cost involved with the treatment, embarrassment if the

speaking about their financial situation. This subject is discussed more easily

treatment outcome is flawed and the skill of the clinician.

with office staff. Hence the development of the patient coordinator concept. These individuals manage the patient concerns and help develop a suitable

Help the client to define his/her perceived problem and aesthetic needs

financial payment plan, which is right for both parties

and once her/his needs are established, determine expectations. Explain all the possible alternatives and treatment outcomes, answering questions

Cosmetic medicine has evolved at a time of great economic prosperity. Easy

on safety and outcome. Provide before and after photographs of existing

credit by financial institution has given the population a false sense of wealth.

satisfied clients.

High-end businesses such as cosmetic dentistry, surgery, and non-surgical medicine have benefitted from this situation. I do not believe that the future economy will ever be the same and therefore all businesses including private

Consultation with the Clinician

dentistry and medicine will have to operate more efficiently by improving their

• Before any cosmetic consultation, make improvements on your listening skills.

services to attract new clients and more importantly to keep existing clients

• Actively listen to the clients and make eye contact at all times

returning to the practice and using more of its services. This objective cannot

• Do not just listen, but make sure that you hear the client and rephrase what is

be achieved without effective planning and solid processes.

17-03-2010

14:21

Pagina 1

Crugnola Comunicazione & Design – Milan, Italy

SpaShape PagPubblicità - ok

Based on 5 years experience in High Focalised Ultrasounds technology, MedixSysteme proposed the most advanced device for non invasive fat removal • • • • • • • • • • •

Clinically proven Efficient Combination Therapy. H.F.U. Dynamic Focal Ultrasounds pulsed, allowing treatment from first layer of fat (cellulite) to the fat focus. 635 nm intense beam of Cold laser for biostimulation and drainage. Selective with its unique man or woman program. Advance two zones selection on patient body, back and front view. Treatment performed in less than 40 min. Touch screen with smart technology philosophy. Compact and mobile unit. Gold based ceramic focus bowl. CE Medical approved. Data base & Special Leasing option.

Parc Scientifique George Besse – F-30035 Nimes – France tel +33 (0) 4 66 27 46 16 – www.spashape.fr

time for your

surgery insurance check up… Surgery Insurance ✓ Premises & stock ✓ Public liability ✓ Computer / inspection cover Professional Liability Insurance for Aesthetic Treatments ✓ Botulinum Toxin ✓ Dermal Fillers ✓ Laser and Lights CALL ToDAy to speak to one of our experts and find out how much you could be saving! PLuS joIN our PremIer CLub to receive a variety of benefits and discounts – call now to see what’s on offer

Call 0845 310 6300

Quote code: ADCN02 (lines open Mon-Fri. 9.00 to 5.30)

or visit us at: www.hamiltonfraser.co.uk

Hamilton Fraser Insurance Kingmaker House, Station Rd, New Barnet, Herts, EN5 1NZ. Hamilton Fraser Insurance is a trading name of HFIS plc. HFIS plc are authorised & regulated by the FSA.

P r o p e r t y | Te n a n c y D e p o s i t P r o t e c t i o n | A e s t h e t i c & C o s m e t i c P r o f e s s i o n a l L i a b i l i t y

business | Home

LCS Academy professional support & education Training and Education for Medical and Aesthetic Practitioners

Care Quality Commission (CQC) Registration and Compliance Services

BTEC Qualifications and courses including:

Complete support services including:

� Laser/IPL Safety ‘Core of Knowledge’ Courses

� Registration of Independent Healthcare Facilities - Acute Hospitals, Private Doctors, Dental Facilities, Minor Surgery Units, IVF Treatment Centres, Hair Transplant Clinics � Other Registerable Services � CQC Registration documentation � Chartered Laser Protection Adviser (LPA) support � Infection Control Advice and Clinical Audit

� Care Quality Commission (CQC) Registration Workshops � Laser/IPL Protection Supervisor Training � NEW BTEC Professional Qualifications in Medical & Aesthetic Therapies, Infection Control and Facility Management � Blended and e-learning courses � Bespoke training tailored to your needs New University Masters Degree in Cosmetic Medicine Fast Track option for Independent Prescribers holding the BTEC Medical/Skin Laser qualifications or those with relevant clinical experience/postgraduate diplomas

CQC Re-Registration Support Competitively priced packages provide clinic registers and supporting materials for successful registration plus attendance at our unique CQC Compliance Workshop.

Call for details

LCS Academy Ltd The Beaufort Clinic Beaufort Drive, Willen, MILTON KEYNES MK15 9ET

t: 0845 003 7315 e: admin@lcsacademy.co.uk www.lcsacademy.co.uk

LCS HealthCare The Beaufort Clinic Beaufort Drive, Willen, MILTON KEYNES MK15 9ET

t: 0845 003 8191 e: admin@lcshealthcare.co.uk www.lcshealthcare.co.uk

Business Focus | Marketing

The price

is right

Hilary Ford looks at the important of pricing when marketing your practice

ver the past year or so, we have run a series of articles looking at the role of marketing in the running of a successful aesthetic medical practice. These articles should have given you a good insight into how marketing works (particularly within the aesthetic medical sector), how it can help your practice, and what you need to do to promote your practice.

Now it’s time to take a more detailed look at the four core elements of marketing: Price, Promotion, Place and Product (the so-called four P’s). These are worth looking at in depth simply because they are so important to any marketing strategy. If you don’t take them into account before embarking on your marketing, it is unlikely that your marketing will have maximum effect. Before taking a look at the first in the series, price, it’s worth giving a quick resume of what marketing is all about. The Chartered Institute of Marketing defines marketing as: “The management process responsible for identifying, anticipating and satisfying customer requirements profitably.” This highlights a crucial issue – the customer is at the heart of any marketing

you carry out. Your goals are important too, but if you don’t meet the needs of your clients then you are unlikely to meet any of your own. That said, if you are about to start marketing your clinic, the first step is to decide what you are aiming for. It is, after all, your business and your career, and you need to be happy with the direction in which they are going. You need to be sure that you know what your business goals are, both tangible (e.g. anticipated turnover and profit) and intangible (growth in reputation, job satisfaction, etc). You also need to know what sort of patients you want to attract. In the medical aesthetics sector, choices would include those at the very top end of the market; younger, trendier image conscious people; or perhaps those

who are genuinely distressed about a particular aspect of their looks and will take whatever measures are necessary to ease that distress. Of course, the two do need to be congruent. For example, you cannot hope to charge premium prices and reap maximum profits if you want to help those who are in distress but do not have huge disposable incomes. Once you have your answers, you can then use the four Ps to optimise your marketing. They can help you to establish what your target clients want and how you can meet their needs. They can also help you to provide an attractive, consistent and congruent image to your chosen patient group, and ultimately to help you to have a successful and profitable practice. So, onto the first of the four P’s, price, or in other words, your fees.

cosmeticnewsuk.com

Business Focus | Marketing Competition or differentiation?

level of customer service, and wouldn’t offer any high end, value-

Your analysis of your professional goals will have probably

added services. They would charge low fees, and make their

answered this one for you already, but it is worth raising if

money by seeing a high volume of clients.

only to confirm that you are heading in the right direction. There are two generic business strategies that you can follow:

A clinic operating to a strategy of differentiation would be found

price competition or price differentiation. Both strategies

in a highly desirable location, would invest in the best quality

can be used to help maximise profit, but they work in very

equipment and materials, and would go out of their way to

different ways.

make their clients’ visits pleasantly memorable. Their fees would be high, and their number of clients far fewer.

Price competition is, as it sounds, the strategy of winning clients on the basis of having low prices. A clinic operating to this strategy

These are opposing ends of the spectrum, and many clinics

would buy in everything as cheaply as they could, offer a basic

would probably fall somewhere between the two extremes.

Setting fees There are generally three options you can choose when setting fees: Cost-plus pricing – In other words, setting your fees based upon how much it costs you, per hour, to run the clinic, and how much time each treatment takes. You will, of course, want to factor in some extra for profits/salaries! Market pricing/benchmarking – This is common in professional service sectors, especially accountancy and law. And it is a much easier process! You simply identify how much comparable clinics are charging, average the fees out, and set your own fees accordingly. A combination of the two. Ideally, you will use a combination of steps one and two. This will make sure you cover your costs, and that your fees are not too far out of line with the average for your target market.

Influencing purchases

Don’t underprice yourself

Pricing can be used to influence consumer behaviour, in terms of the timing of

There can be a temptation to set your

their purchase and the range of services they buy. Two common techniques are:

fees slightly lower than your competitors in a bid to attract more patients.

Special offers

However, this could end up doing your

These can be effective in giving consumers a reason to have treatment now,

practice more harm than good. If you are

rather than putting it off for some time. A classic example is to offer discounts for

cheaper than everyone else, potential

limited periods, e.g. 15% off a treatment for the next three months.

clients may wonder why – and could come to some unfavourable conclusions

Bundled treatment offers

about the quality of your service.

This involves grouping together a range of treatments with a price lower than if the elements were purchased separately. A High Street example would be the classic

This can work in your favour as well – if

buy two, get one free.

your prices are higher than average, then people may perceive the reason to be that

Although some aesthetic medicine corporates use these approaches for all

you offer a better quality of care. However,

types of treatments, we know that they are generally frowned upon by aesthetic

if you decide to go down this route it is vital

surgeons for obvious ethical reasons. However, they may well be worth considering

to demonstrate that you are worth paying

for non-surgical treatments such as facial rejuvenation, particularly as the market for

the extra for – your premises will need to

these is so competitive. You can also influence purchase behaviour by the range

be luxurious and your customer service

of payment options you make available. While there are some clients who may

will need to be impeccable. You can also

be quite happy to pay in one lump sum, others may well be glad of the chance to

consider charging higher rates if you have

spread the cost over a year, interest-free. There are plenty of finance companies

a particularly strong reputation – your clients

who can help you to offer such a scheme.

will be happy to pay extra for the prestige of being treated by someone so well known.

Regularly reassess your fees Unfortunately you can’t rest on your laurels once you have devised and implemented an optimum pricing structure. Your fees need to be reviewed, ideally once or twice a year, and your goal should be to implement increases in excess of inflation. The justification of such increases to your clients are an on-going and continual development of your practice, the strong range of treatments offered, and the high level of customer service. Each of these needs to be regularly communicated via a range of high quality patient literature and promotional material, together with online marketing such as a high quality website and a blog. We’ll examine this aspect in a later article focussing on the fourth of the traditional four Ps, Promotion. Next month, we’ll take a look at the second of the four Ps: Place. Hilary Ford is one of three directors at Blue Horizons. She has been working in marketing for almost 20 years, in a wide range of sectors including luxury yachts, call centre recruitment and, for the last eight years, the dental and medical sector in the UK and Europe.

cosmeticnewsuk.com

with confidence Face the future

zalure® is the new choice of tulinum Toxin Type A for sthetic use.

with confidence

ast onset of action (median time to nset 2-3 days)1

ong duration of action (up to 5 months)1

Azzalure® is the new choice of igh level of patient satisfaction (93% after Botulinum Toxin Type A for months, following one treatment session)2 aesthetic use. • Fast onset of action (median time to onset 2-3 days)1

re® is indicated for the temporary improvement in the appearance of • Long duration of action (up to 5 months)1 ate to severe glabellar lines seen at frown, in adult patients under 65 when the severity of these has an important psychological • High levellines of patient satisfaction (93% after on the patient. 2

New...

6 months, following one treatment session)

... aesthetic choice New...

® Azzalure is indicated for the temporary improvement in the appearance of e® Abbreviated Prescribing Information moderate severe lines seen at frown, adult patients under 65 Effects: Most frequently occurring related reactions are headache and injection site Side tation: Botulinum toxintotype A (glabellar Clostridium botulinum toxin Ainhaemagglutinin years, when the severity of these lines has (powder an important psychological reactions. Generally treatment/injection technique related reactions occur within first week x) 10 Speywood units/0.05ml of reconstituted solution for solution for impact on the patient. following injection and are transient and of mild to moderate severity and reversible. Very n). Indications: Temporary improvement in appearance of moderate to severe r lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, mportant psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to its are different depending on the medicinal products. Speywood units are specific < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid preparation and are not interchangeable with other botulinum toxins. Reconstitute oedema, Lacrimation increase, Dry eye, Muscle twitching (twitching of muscles around the injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, sterile 29-30 gauge needle. Recommended dose is 50 Speywood units (0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement tuted solution) divided® Abbreviated equally intoPrescribing 5 injection Information sites: 2 injections into each corrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing Azzalure Side Effects: Most occurring reactions headache and injection site toxin the typenasofrontal A (Clostridium botulinum toxin A haemagglutinin Authorisation Number: PLfrequently 06958/0031. Legalrelated Category: POM.are Full Prescribing Information and one intoPresentation: the procerusBotulinum muscle near angle. (See summary of reactions. treatment/injection techniqueHouse, related69-71 reactions occur within firstWatford, week complex) Speywood units/0.05ml of reconstituted solution (powder for solution for is Available From:Generally Galderma (UK) Limited, Meridien Clarendon Road, characteristics for full10technique). Treatment interval should not be more frequent following injection). Temporary in under appearance of moderate are(0)transient and of mild moderate andDate reversible. Very Herts. WD17 1DS,injection UK. Tel:and +44 1923 208950 ery three months. Not Indications: in individuals 18 years of age. to severe +44 (0) 1923severity 208998. of Revision: Fax: to recommended for useimprovement lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, ndications: Inglabellar individuals with hypersensitivity to botulinum toxin A or to any of the March 2009. Copyright © 2009 Galderma (UK) Ltd. has an important psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to nts. In the presence of infection at depending the proposed myasthenia toxin units are different on theinjection medicinalsites, products. Speywoodgravis, units are specific < 1/10): Facial paresis (predominantly describes brow paresis), forms Asthenopia, Adverse events should be reported. Reporting andPtosis, Eyelid Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and to this preparation and are not interchangeable with other botulinum toxins. Reconstitute information oedema, Lacrimation Dry eye, Muscle twitching (twitching of muscles around the can beincrease, found at www.yellowcard.gov.uk. Adverse events ions for use:prior Usetowith caution in patients with a risk of, or clinical evidence of, injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon Vision blurred, (≥ also 1/1,000 <1/100): Dizziness, Visual(UK) disturbances, should betoreported to Galderma Ltd. using a sterile 29-30 gauge needle. is 50 Speywoodat units defective neuro-muscular transmission, inRecommended the presencedose of inflammation the(0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement reconstituted solution) equally into 5 injection sites: 2 injections into each weakness orcorrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing ed injection site(s) or when the divided targeted muscle shows excessive Authorisation Number: PL 06958/0031. Legal Category: POM. Full Prescribing Information musclewith and one into the procerus muscle near the nasofrontal angle.muscle (See summary of . Patients treated therapeutic doses may experience exaggerated References is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, product characteristics for full technique). Treatment interval should not be more frequent ® ss. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure Summary of Product Characteristics. Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998. Date of Revision: than every three months. Not recommended for use in individuals under 18 years of age. ed bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Acad Dermatol 2004; 51: Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the March 2009.Am Copyright © 2009 Galderma (UK)223-33. Ltd. ies arise. Facial asymmetry, ptosis, excessive scarring any gravis, excipients. In the presence of infection dermatochalasis, at the proposed injection sites,and myasthenia ® Adverse events should be reported. Reporting forms and is a registered trademark of Galderma. ons to facial anatomy, as a result of previous surgical interventions should be taken Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warningsAzzalure and information can be found at www.yellowcard.gov.uk. Adverse events precautions for use: Use with in patients with a risk of, ordoses clinical evidence of, sideration prior to injection. Injections at caution more frequent intervals/higher can should also be reported to Galderma (UK) Ltd. marked formation. defective neuro-muscular transmission, in the presenceneurotoxins of inflammation at theof preparation: April 2009 e the risk of antibody Avoid administering different botulinum Date weakness or proposed injection site(s) or when the targeted muscle shows excessive he course of treatment with Azzalure. Contains human albumin, risk of transmission AZZ/11/0409 Patients treated with therapeutic doses may experience exaggerated muscle References ection cannotatrophy. be excluded. To be used for one single patient treatment only during weakness. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure® Summary of Product Characteristics. session. Interactions: Concomitant treatment with aminoglycosides or other agents prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Am Acad Dermatol 2004; 51: 223-33. ng with neuromuscular transmission (e.g. curare-like agents)dermatochalasis, may potentiate effect difficulties arise. Facial asymmetry, ptosis, excessive scarring and any inum toxin. Pregnancy &facial Lactation: Not be used duringsurgical pregnancy or lactation. alterations to anatomy, asto a result of previous interventions should be taken Azzalure® is a registered trademark of Galderma.

... aesthetic choice

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. Contains human albumin, risk of transmission of an infection cannot be excluded. 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.

Date of of Preparation: preparation:December April 20092009 AZZ/11/0409 AZZ/80/1209

Tel: +44 (0) 1923 208950

Advertorial | Axis Three

Advertorial

Axisall areas How Axis Three is leading the way in 3D simulation software

Axis Three, a pioneer in the area of advanced surgical simulation tools, is leading the field with the only 3D simulation software based on physics-driven tissue typing, for use in aesthetic surgery. Using the Axis Three 3D Simulation Platform, plastic surgeons can visually communicate and collaborate with patients on the outcomes of cosmetic surgical procedures by using the patient’s own 3D image.

Communicate Thro

The system currently targets breast and face procedures (including chin, nose, cheek, chin and jaw). Practitioners use Axis Three to show patients undergoing breast procedures an anatomically accurate visualisation of their surgical outcome prior to surgery. The system's unique image capture technology and simulation software shows both the physician and the patient the likely outcome of surgery during the consultation phase. This visual-based consultation aid allows both parties to see what is possible post-surgery, and brings a new level of communication and collaboration to the aesthetic process.

decision to go ahead with a procedure. “The Axis Three 3D Simulation Platform has certainly been an excellent adjunct to my practice”, says Steven Schuster, MD FACS. “While discussions and two-dimensional photos are helpful, being able to sit in front of the computer with the surgeon, takes it to a new level. It allows the patient to see in multiple views, what they may never have seen before. It also allows me to place various size implants in a patient and compare them side-by-side. It gives the patient a realistic view of how they could look and points out the asymmetries and irregularities that may be camouflaged, but not corrected.

to quantitatively measure facial symmetry and to conduct longitudinal studies.

Communicate Throu Redefine Your Aesthetic Co The Axis Three community of surgeons who use the system provides the company with input and data that informs the development process. The Axis Three research and development team responds to physician input with features that cover new procedures, software updates, and enhancements to the system. For example, future products, now in development, will address additional face and full-body procedures.

Redefine Your Aesthetic Con

Communicate Through Simulation

Axis Three also offers surgeons extensive training, support, and marketing materials to educate patients and drive surgeons' consultation bookings and conversion rates.

Redefine Your Aesthetic Consultation Experience

“With a 3D view of the nose I am able to turn the Axis Three's turnkey process lets the physician, with nose in infinite positions and actually show the a single click of their mouse or tablet pen, generate patient how changing the dorsum in the lateral anatomically precise models, captured using view affects the front view. I can't imagine going Color Coded Triangulation (CCT™), a patented into a consultation for the breast, nose or chin Siemens and Axis Three technology. Within a few without the benefit of the Axis Three system.” minutes, the physician or patient coordinator can share a photorealistic 3D image that also includes Axis Three can show the patient up to six different accurate volumetric and linear measurements. simulations simultaneously on one screen, which The surgeon or patient coordinator can select from Surgeons Axis Three allows report improved of their surgeonsefficiency to illustrate subtle differences implant manufacturer’s catalogs, specificusing implants consultation processisand increased business revenues in volume or position, andofimplant rotation, or based on profile, volume, and width. The implant over 25%. compensating for the contour of the ribcage by automatically positioned in the breast to simulate the implant or force the fill either laterally the outcome of breast augmentation in 3D. Axis Three provides precise,rotating easy-to-use, 3D, simulation tools that generate anatomically accuratetoimages using the or medially increase the cleavage or correct the patient’s body characteristics. nipple position. In addition, the system comes with The firm's Tissue Behavior Simulation (TBS)own technology a number of thoughtful tools to compliment the allows surgeons to account for the patient's consultation process, including a pen tool to allow individual body attributes, such as tissue elasticity drawing on the image and a report generator. and type, to provide more accurate visualisations of results prior to surgery. Patients can view their Axis Three can be used in a similar manner own image from every angle. On screen changes for rhinoplasty, chin, cheek, jaw and brow lift result from ‘trying on’ implants sizes and shapes. procedures. In addition to the aforementioned If necessary, different sized implants can be used high-resolution views and precise control, the to modify each breast in order to achieve a full system provides comprehensive data capture of and balanced contour. As a result, the surgeon the entire face in one 3D image, and the ability and patient have greater confidence about their

Improve Patient Experiences Improve Patient and Increase YourExperiences Conversions

Improve Patient Experiences

Capture your patient’s 3D image

and Increase Your Conversions

Anatomically precise models are generated in seconds, using Color Coded Triangulation (CCTTM), a patented Siemens and Axis Three technology.

Surgeons using Axis Three report improved efficiency of their Surgeons using Axisand Three report improved efficiency of their consultation process increased business revenues of consultation process and increased business revenues of Simulate with precision over 25%. over 25%.

Tissue Behavior Simulation (TBSTM) enables you or your patient coordinator to show your patients how actual tissue reacts to surgical procedures.

cate Through Simulation Communicate Through Aesthetic Consultation Experience icate Through Simulation Redefine Your Aesthetic Consult Aesthetic Consultation Experience icate Through Simulation icate Through Simulation Aesthetic Consultation Experience eriences AxisAxis Three provides 3D,simulation simulation Three providesprecise, precise, easy-to-use, easy-to-use, 3D, tools thatthat generate accurateimages images using tools generateanatomically anatomically accurate using thethe patient’s own body patient’s own bodycharacteristics. characteristics. Communicate with your patient

To learn more call 888-973-9733

Axis Three’s software is easy to use. We give you the information you need at your finger tips, visually enhancing your consultation process and substantially increasing your patient’s confidence.

Request a copy of our free whitepaper

“Redefine Aesthetic Consultations Through 3D Simulation”

www.axisthree.com/whitepaper

888-973-9733

whitepaper@axisthree.com

Capture your patient’s 3D image

AnatomicallyExperiences preciseExperience models are generated nversions Patient AestheticImprove Consultation seconds, using Color Coded Triangulation periences and Increasein(CCT Capture yourSiemens patient’s 3D Three image Your Conversions d efficiency of their ), a patented and Axis ss revenues of technology. Anatomically precise models are generated onversions Surgeons using Axis Three report improved efficiency of their To learn more call 888-973-9733 periences TM

cosmeticnewsuk.com

in seconds, using Color Coded Triangulation

Dates for the Diary June 1 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Manchester, www.healthxchange.com/obagitraining 1 Cosme Education Zone Advanced AHA Training Day 2, Glasgow, www.cosmeceutcials.co.uk 1-4 Five Days Cosmetic Tattooing Diploma Course Liverpool, www.finishingtouchesgroup.com 2 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Birmingham, www.healthxchange.com/obagi-training 5 Aesthetox Academy Training Courses, Birmingham, www.aesthetox.co.uk 5 Boston Medical Group, Introduction to Mesotherapy, www.boston-medical-group.co.uk 5 Innomed Training Botulinum Toxin in Facial Aesthetics – New Users, Southampton, www.innomedtraining.co.uk 5 Advanced Botox and Dermal Fillers, Manchester, www.medicsdirect.com 6 Innomed Training Dermal Fillers – New Users, Southampton, www.innomedtraining.co.uk 6 One Day Colour Workshop Haywards Heath, www.finishingtouchesgroup.com 7 Obagi Intermediate Course with Shannon Lister, London, www.healthxchange.com/obagi-training 7 One Day Brow Workshop Haywards Heath, www.finishingtouchesgroup.com 7 Dr Bob Khanna Training Institute, Beginners Botulinum Toxin, www.drbobkhanna.com 7 Cosme Education Zone Idebenone Training, Glasgow, www.cosmeceutcials.co.uk 7 Genuine Dermaroller™ Training, London elizabeth@aestheticare.co.uk 7-8 Cosme Education Zone Advanced AHA Training, Birmingham, www.cosmeceutcials.co.uk 8 Cosme Education Zone Advanced Treatment Techniques, Glasgow, www.cosmeceutcials.co.uk 8 Dr Bob Khanna Training Institute, Advanced Botulinum Toxin, www.drbobkhanna.com 8 Introduction to Obagi with Shannon Lister, Birmingham, www.healthxchange.com/obagi-training 9 Cosme Education Zone Idebenone Training, Birmingham, www.cosmeceutcials.co.uk 9 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 9 Mapperley Park Master Class Depilation, Nottingham, www.mapperleypark.co.uk/training 10-11 Cosme Education Zone CoffeeBerry® Training, Birmingham, www.cosmeceutcials.co.uk 12-13 Foundation Botox and Dermal Fillers, London, www.medicsdirect.com 13 Advanced Botox and Dermal Fillers, Liverpool, www.medicsdirect.com 14 One Day Areola Artistry Workshop London, www.finishingtouchesgroup.com 14-15 Cosme Education Zone AHA Training, Maidenhead, www.cosmeceutcials.co.uk 14-15 Cosme Education Zone CoffeeBerry® Training, Glasgow, www.cosmeceutcials.co.uk 14-17 Five Days Cosmetic Tattooing Diploma Course Newry, www.finishingtouchesgroup.com 15 Medical Tattooing Areola Artistry Workshop, The Royal College of Surgeons, info@finishingtouchesgroup.com 16 Introduction to Obagi with Shannon Lister, Leeds, www.healthxchange.com/obagi-training 16 Wigmore Medical Training Introduction to Skincare Peels and Derma Roller, London, www.wigmoremedical.com 16 One Day Combined Botox and Dermal Filler Course Foundation Level, www.inspiredcosmetictraining.com 16 Cosme Education Zone Idebenone Training, Maidenhead, www.cosmeceutcials.co.uk 16 Intraderm Basic Botulinum Toxin Course, Leicester, www.intraderm.com 16-19 International Course on Plastic and Aesthetic Surgery, Barcelona 17 Skin Geeks: Introduction to Clinical Skincare, London, www.skingeeks.co.uk 17 Intraderm Basic Dermal Filler Course, Leicester, www.intraderm.com 17 Wigmore Medical Training Introduction to Botulinum Toxin Type A,

cosmeticnewsuk.com

We round up upcoming events, training courses and meetings

London, www.wigmoremedical.com 17-18 Cosme Education Zone CoffeeBerry® Training, Maidenhead, www.cosmeceutcials.co.uk 18 Wigmore Medical Training Introduction to Fillers, London, www.wigmoremedical.com 20 One Day Lip Workshop Haywards Heath, www.finishingtouchesgroup.com 21 One Day Eye Workshop Haywards Heath, www.finishingtouchesgroup.com 21-22 Cosme Education Zone Vitage Training, Glasgow, www.cosmeceutcials.co.uk 22-25 Five Days Cosmetic Tattooing Diploma Course Liverpool, www.finishingtouchesgroup.com 23 Introduction to Obagi with Shannon Lister, Bristol, www.healthxchange.com/obagi-training 23 Dr Bob Khanna Training Institute, Chemical Peels, www.drbobkhanna.com 23 Wigmore Medical Training NeoStrata Peels, London, www.wigmoremedical.com 24 Skin Geeks: Product Knowledge, London, www.skingeeks.co.uk 25 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Dermal Filler Refresher Course, jan@drbrianfranks.com 25 Dr Brian Franks training courses: Refresher training, Watford, jan@drbrianfranks.com 26 Innomed Training Chemical Peeling Systems – New Users, London, www.innomedtraining.co.uk 27 Dr Brian Franks training courses: Introduction to Botulinum Toxin Type A, Watford, jan@drbrianfranks.com 27 Advanced Botox and Dermal Fillers, Plymouth, www.medicsdirect.com 27 Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation – New Users, London, www.innomedtraining.co.uk 27 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Introduction to Dermal Fillers, Watford, jan@drbrianfranks.com 28 Dr Brian Franks training courses: Introduction to Dermal Fillers, Watford, jan@drbrianfranks.com 28-30 VASER® Training, www.granthamlet.co.uk 29 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Bristol, www.healthxchange.com/obagi-training 28 Cosme Education Zone Advanced Exfoliation Techniques, Glasgow, www.cosmeceutcials.co.uk 29 Obagi Intermediate Course with Shannon Lister, Birmingham, www.healthxchange.com/obagi-training 29 Cosme Education Zone Omnilux Training, Glasgow, www.cosmeceutcials.co.uk 30 Intermediate Level Obagi Systems and Obagi Blue Peel Workshop, London, www.healthxchange.com/obagi-training 30 Obagi Blue Peel Half Day with Shannon Lister, London www.healthxchange.com/obagi-training 30 -2 (July) Four Days Scalp and Brow Masterclass Haywards Heath, www.finishingtouchesgroup.com 31 Skin Geeks: Introduction to Clinical Skincare, Oxford, www.skingeeks.co.uk

July 1-2 Two Days Skin Rejuvenation (Micro Needling) Canterbury, www.finishingtouchesgroup.com 2-4 FACE, Royal College of Physicians, www.faceconference.com 3 The Aesthetic Industry Summer Ball, Natural History Museum, info@face-ltd.com 3-4 Foundation Botox and Dermal Fillers, Birmingham, www.medicsdirect.com 5 Innomed Training Advanced Aesthetics (Botulinum Toxin and Dermal Fillers) – New Users, Southampton, www.innomedtraining.co.uk 5-6 July Two Days Pigment Removal Training Haywards Heath, www.finishingtouchesgroup.com 5-8 Five Days Cosmetic Tattooing Diploma Course Manchester, www.finishingtouchesgroup.com 5-10 Aesthetox Academy Bespoke Training Week (at your own clinic), www.aesthetox.co.uk 6 Introduction to Obagi with Shannon Lister, London, www.healthxchange.com/obagi-training 6 Wigmore Medical Training NeoStrata Peels, London, www.wigmoremedical.com 7 Intraderm Basic Botulinum Toxin Course, Leicester, www.intraderm.com 7 Obagi Intermediate Course with Shannon Lister, Manchester, www.healthxchange.com/obagi-training

8 Intraderm Basic Dermal Filler Course, Leicester, www.intraderm.com 8 Wigmore Medical Training Sculptra, London, www.wigmoremedical.com 10 Boston Medical Group Revanesse & Redexis Dermal Fillers Training, www.boston-medical-group.co.uk 10-12 International Master Course on Aging Skin, Hong Kong, www.imcas.com 12-15 Five Days Cosmetic Tattooing Diploma Course Droitwich, www.finishingtouchesgroup.com 12-16 Mapperley Park Btec Award Laser, Light and Associated Aesthetic Therapies, www.mapperleypark.co.uk/training 14 Mapperley Park Master Class Tattoo Removal, Nottingham, www.mapperleypark.co.uk/training 14 Wigmore Medical Training Introduction to Skincare Peels and Derma Roller, London, www.wigmoremedical.com 14 Skin Geeks: Introduction to Clinical Skincare, London, www.skingeeks.co.uk 15 Wigmore Medical Training Introduction to Botulinum Toxin Type A, London, www.wigmoremedical.com 16 Wigmore Medical Training Introduction to Fillers, London, www.wigmoremedical.com 17-18 Foundation Botox and Dermal Fillers, Belfast, www.medicsdirect.com 19 Dr Bob Khanna Training Institute, Beginners Botulinum Toxin, www.drbobkhanna.com 19 The Obagi Masterclass and Designer Blue Peel with Dr Fred Coville, Manchester, www.healthxchange.com/obagi-training 19-21 Three Days Medical Masterclass Haywards Heath, www.finishingtouchesgroup.com 20 The Obagi Masterclass and Designer Blue Peel with Dr Fred Coville, Birmingham, www.healthxchange.com/obagi-training 20 Dr Bob Khanna Training Institute, Advanced Botulinum Toxin, www.drbobkhanna.com 21 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 21 Skin Geeks: Product Knowledge, London, www.skingeeks.co.uk 21 The Obagi Masterclass and Designer Blue Peel with Dr Fred Coville, London, www.healthxchange.com/obagi-training 22 The Obagi Masterclass and Designer Blue Peel with Dr Fred Coville, London, www.healthxchange.com/obagi-training 24 Innomed Training Chemical Peeling Systems – New Users, London, www.innomedtraining.co.uk 25 Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation – New Users, London, www.innomedtraining.co.uk 25-26 Advanced Botox and Dermal Fillers, Belfast, www.medicsdirect.com 26 Skin Peels, Belfast, www.medicsdirect.com 26-30 VASER® Training, www.granthamlet.co.uk 27 Introduction to Obagi with Shannon Lister, Manchester, www.healthxchange.com/obagi-training 28 Introduction to Obagi with Shannon Lister, Birmingham, www.healthxchange.com/obagi-training 28 Skin Geeks: Introduction to Clinical Skincare, Oxford, www.skingeeks.co.uk

August 2-5 Five Days Cosmetic Tattooing Diploma Course Canterbury, www.finishingtouchesgroup.com 7 Innomed Training Botulinum Toxin in Facial Aesthetics – New Users, Southampton, www.innomedtraining.co.uk 8 Innomed Training Dermal Fillers – New Users, Southampton, www.innomedtraining.co.uk 9-12 Five Days Cosmetic Tattooing Diploma Course Newry, www.finishingtouchesgroup.com 14-15 Foundation Botox and Dermal Fillers, Manchester, www.medicsdirect.com 16-19 Five Days Cosmetic Tattooing Diploma Course Yorkshire, www.finishingtouchesgroup.com 18 Dr Bob Khanna Training Institute, Beginners Botulinum Toxin, www.drbobkhanna.com 19 Dr Bob Khanna Training Institute, Advanced Botulinum Toxin, www.drbobkhanna.com 20 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 21 Aesthetox Academy Training Courses, Birmingham, www.aesthetox.co.uk

Need Help with your Online Marketing? Sign up for FREE top Tips and Videos! Find out why online advertising is the most cost effective tool to reach your customers!

Ask the Experts…

Find out more about the MyFaceMyBody TV Show on Sky166 and why we get so much media attention! Hear from our friend Lorraine Kelly on GMTV who references MyFaceMyBody.com every month on her show. Find out HOW TO APPLY to become a SELECT MEMBER on MyFaceMyBody.com and enjoy the benefits our specialists do! You could be our next expert on the TV show! Visit our website www.myfacemybody.com/4trade for all this and much more!

MFMB Marketing & Media Group Specialists in Internet marketing – Web Tools – Video Production – Social Media

As featured on …

DIRECTORY ABC Laser

Energist

Contact: Guy Gouldsmit

Contact: Andrew Snoddon

T: 08451 707 788

T: 01792 798768

E: info@a-b-c-uk.com

E: enquiries@energist-international.com

W: www.abclasers.co.uk

W: www.energist-international.com

ABME Tech

Ericson Laboratoire

Contact: David Leahy

Contact: Mike Filapiuak

T: 01843 297110

T: +44 02076296269

E: david.leahy@abmetech.com

E: mike@ericson-laboratoire.co.uk

W: www.abmetech.com

W: www.ericson-laboratoire.com

Allergan Contact: Customer Service T: 01628 494444

Galderma

W: www.juvedermultra.co.uk 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. Boston Medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.bostonaestheticsclinic.co.uk Cosmetic Courses Contact: Morag Hague

Contact: Azzallure Sales Team T: 01923 208950 W: www.galderma.co.uk Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: cosmetic@hamiltonfraser.co.uk W: www.hamiltonfraser.co.uk Health xchange Contact: Customer Service E: orders@healthxchange.com W: www.healthxchange.com LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315

W: www.cosmeticcourses.co.uk

E: admin@lcsacademy.co.uk W: www.lcsacademy.co.uk

Candela UK Ltd Contact: Ben Savigar-Jones

Lynton

T: +44 08455210698

Contact: Customer Services

E: alex@alexsilver.co.uk

T: 0845 6121545

W: www.candelalaser.co.uk

E: info@lynton.co.uk W: www.lynton.co.uk

Cosmedix Contact: Aysha Capion-Awward

Lifestyle Aesthetics

T: 0844 855 2499

Contact: Sue Wales

E: info@cosmedix.com

T: 0845 0701 782

W: www.cosmedix.com

E: info@lifestyleaestheics.com W: www.lifestyleaesthetics.com

Cutera (Europe) Contact: Deborah Mechaneck

Macom Compression Garments

T: 07711954740

Contact: James Haldane

E: dmechaneck@curtera.com

T: 020 7386 0011

Contact: Sara Mogford T: 01274 530 505 E: info@e-clinic.uk.com W: www.e-clinic.uk.com Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com

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

T: +44 1481 736832

E: info@cosmeticcourses.co.uk

E-Clinic

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

E: info.uk@galderma.com

T: 0845 230 4110

W: www.cutera.com

Medical Aesthetic Group Contact: David Gower T: 02380 676733 E: info@magroup.co.uk W: www.magroup.co.uk

E: james@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 Med-fx Contact: Faye Price T: 01376 532800 E: sales@medfx.co.uk W: www.medfx.co.uk

Q-MED Contact: Customer Service T: 02079 763240 E: info.uk@q-med.com W: www.q-medpractitioner.com.uk RECOVA COMPRESSION GARMENTS Contact: Eva Sanchez-Smith E: eva.sanchez@recovapostsurgery.com W: www.recovapostsurgery.com T: 0207 000 1044 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 Vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: SDavies@soundsurgical.com W: www.vaser.com Wellness Trading Contacts: Adam Birtwistle T: 01746 718123 E: contact@wellnesstrading.co.uk W: www.wellnesstrading.co.uk Zanco Models Contacts: Mr Ricky Zanco T: 08453076191 E: info@zancomodels.co.uk W: www.zancomodels.co.uk

For less than ÂŁ25 per month, you can list your company details here. For more information contact Hollie Dunwell 01268 754897/ hollie@creativemedialtd.co.uk 54

cosmeticnewsuk.com

•The DefINITIve COSMeTIC SURGeRY AND BeAUTY GUIDeS•

W W W. C O S M E T I C G U I D E S . C O . U K EXPOSE YOUR BUSINESS DIRECTLY TO CONSUMERS, WITH THE COSMETIC SURGERY AND BEAUTY GUIDES

Leading the Digital Revolution the Cosmetic Surgery and Beauty Guides will now be solely digital, offering consumers easy access to the only free of charge magazine in the industry. These digital magazines are electronically delivered to consumers who have all acknowledge an interest in Cosmetic Surgery and Beauty. They can be viewed on, or printed out from a computer, even download them to your mobile phone whilst on the move! • The guides are created to the same high quality as news stand magazines, with the emphasis on delivering material in a readable and stylish format. • The Cosmetic Surgery and Beauty website is the Only UK Definitive Directory to search for any Cosmetic Surgeon, Cosmetic Dentist, and Non Surgical either via nationwide option or in your local area. • Advertising on this website will be an economic, measurable, and above all, an effective use of clients marketing spend. • All the information consumers require on procedures, advice and information is supplied and, of course, fantastic competitions, promotional offers and unmissable giveaways to ensure the audience keep returning. • Clients can take advantage of our expertise in promoting our website and Internet marketing to get their products in front of new customers.

To be apart of these exciting guides and for further information, please contact Tina Lloyd: tina.lloyd@creativemedialtd.co.uk or call 01268 754 897.

NEW

The Global Leader in Medical Aesthetics presents: 1

The Gentle & Smooth Lip Filler • The ﬁrst lip ﬁller with lidocaine for added comfort • Smooth 3D HA matrix • Durable2 • High patient satisfaction3

To order Juvéderm ® ULTR A please call customer services on

0808 238 1500

Market Share Allergan Worldwide, Jan.–Dec. 2009 Up to 12 months with one treatment of Juvéderm ® ULTRA 98% of patients agree it gave natural looking lips & 96% of patients were satisfied or more than satisfied with their experience with Juvéderm ® ULTRA SMILE. The Juvéderm ® range of products is a medical injectable device distributed by Allergan Ltd. CE Mark No 0459 Date of preparation Jan 2010 UK/0079/2010.

1 2 3