of
you r
i n d u s try
www.cosmeticnewsuk.com
the uk’s only free of charge medical aesthetics trade magazine
Aesthetic the AwArds night for your industry
Awards 2011 c n
Something in the air
in AssociAtion with osmetic ews
p l At i n u m sponsor
Topical application of Oxygen
Hitting the spot Treating acne in the aesthetic practice
Fractional laser special We take a look at fractional laser systems
also inside this issue of cosmetic News H a n d r e j u v e n at i o n
|
U lt h e r a p y
|
Business case study
1 st december 2011 • sopwell h ouse • her tf or dshire: The Aesthetic Awards 2011, in assoc iat ion wit h Cosm et i c news
v oice
september
2011
Cosmetic news t h e
Introducing Ultherapy... Ultra Response. Ultra Lift. Ultra Sound. The First and Only Device
for Non-Invasive Lift
FDA-Cleared
for Facial Aesthetic Improvement A whole new category of treatment, offering a non-invasive option for treating lax skin.
New Application
of Trusted
Ultrasound Technology Micro-focused ultrasound that allows practitioners to SEE layers of dermal and fibro-muscular tissue and then TREAT targeted layers with unprecedented precision – all without disrupting intervening tissue.
Consistent Clinical Efficacy Predictable, reliable outcomes through proper patient selection and optimized treatment parameters
ÂŽ
Ulthera.com
e d s
l e t t e r
Welcome to the September issue of Cosmetic News.
F
ractional laser skin resurfacing, both ablative and non-ablative, has gained popularity in recent years as it offers comparable results to conventional ablative laser skin resurfacing but with lower downtime. As part of this month’s Special Feature (p12-18) we will be looking at this treatment in more detail and examining some of the best fractional systems on the market. Also in this issue… Leading skincare experts Mr Paul Banwell and Dr Sam Bunting tell you how to incorporate acne treatment into your aesthetics practice (p31-33), Dr Peter Pugliese examines the topical uses of oxygen (p20-24) and we take a look at the use of skin revitalisation products in hand rejuvenation (p35-36). We also speak to Mark Grainger from the CHKS about his top tips for registering with Treatments You Can Trust (p46) and find out what a day in the life of Med-fx’s superintendent pharmacist, Peter Smith, is like (p44). I hope you enjoy this month’s issue!
Aesthetic the AwArds night for your industry
Awards 2011 c n in AssociAtion with osmetic ews
p l At i n u m sponsor
TWELVE Providing superior lifting capacity since 1999 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
YEARS WITH RESTYLANE PERLANE
Cosmetic news C O
N
T
E
N
e d s
c h o i c e
T S
September 04 EDITOR’S CHOICE Vicky Eldridge tries out the FULLfast™ slimming aid 06 INDUSTRY NEWS We round up the latest industry news 10 AESTHETIC AWARDS The latest on the Aesthetic Awards in Association with Cosmetic News, and how you can enter 1 2 - 1 8 S P E C I A L F E AT U R E – FRACTIONAL LASERS We take a look at fractional laser treatments and examine some of the best systems on the market
F U L L f a s t
T M
I have recently been on a bit of a weight loss mission and one of the hardest things I always find about dieting is curbing hunger. So when I was offered to try FULLfast™, a new slimming aid, the efficacy of which has just been proven by a study published in the International Journal of Obesity, I jumped at the chance. Retailing at £23.95, FULLfast™ is an effective natural slimming aid that helps to increase feelings of fullness and satiety to help you eat less. The innovative food supplement comes in the form of a spray that is sprayed under the tongue (three sprays, five times a day). Already a hit in Italy and the USA, FULLfast’s botanical ingredients work on the hunger centre of the brain,
20 OXYGEN THERAPY Dr Peter Pugliese on the topical application of oxygen
helping to control the excessive feelings of hunger and irritability that come hand-
28 VIEW ON Two US plastic surgeons, Dr Andrew Campbell and Dr Matthew White, give their View On Ultherapy
but too often our battle against excessive hunger undermines our willpower and
31 ACNE Mr Paul Banwell and Dr Sam Bunting on treating acne in the aesthetic practice 3 5 T R E AT M E N T S P OT L I G H T Hand rejuvenation 38 PRODUCT FOCUS The Venus Freeze
in-hand with a diet. Everyone knows that controlling hunger and cravings is essential to losing weight, impulsive snacking takes over. A study entitled ‘Satiety and amino-acid profile in overweight women after a new treatment using a natural plant extract sublingual spray formulation’ published in the International Journal of Obesity in September 2009 showed that the product may be safely used to treat the problem of appetite control in overweight women during a weight loss program. FULLfast’s patent-pending formula contains selected botanical extracts of Griffonia, Guarana, Centella Asiatica, Taraxacum, Artichoke and Klamath Algae. Griffonia extract is a natural source of the serotonin precursor 5-hydroxytryptophan. Serotonin is one of the most important neurotransmitters of the central nervous system and regulates several physiological functions, such as the feeling of satiety and mood. Klamath Algae physiologically helps to improve mood. The mix of selected extracts contains Guarana, which helps to maintain an ideal body weight and
40 PRODUCT NEWS We round up the latest product news
Artichoke, Centella and Taraxacum to facilitate drainage of the excess of body fluids,
42 ABSTRACTS We round up the latest clinical studies
improving their success.
40 Q&A We chat to Med’fx’s superintendent pharmacist Peter Smith
this clientele.
46 BEST PRACTICE Mark Grainger from the CHKS gives his top tips for registering with Treatments You Can Trust 48 BUSINESS FOCUS We catch up with the winner of Blue Horizon’s ‘win a website’ competition Debbie Brady about setting up an aesthetic clinic on her own 5 2 D AT E S F O R T H E D I A RY Training course, conference and meeting dates 54 DIRECTORY Our guide to the manufacturers, suppliers and business services featured in this month’s issue
which are generally present in overweight people. This well-balanced composition enables FULLfast™ to help people stick more rigorously to low-calorie diets, Many patients coming into medical aesthetics clinics are trying to lose weight and improve the shape of their body so this is a handy little product for clinics to sell to
Meet the Cosmetic News team Charlotte Body Publisher 01268 754 897 charlotte@creativemedialtd.co.uk
Peter Johnson, Art Director 01268 754 897 peter.johnson@creativemedialtd.co.uk
Vicky Eldridge Editor 01268 754 897 M: 07940 083 677 vicky@creativemedialtd.co.uk
Loraine Winter Designer 01268 754 897 loraine@creativemedialtd.co.uk
Emilia Cops Associate Publisher 01268 754 897 emilia@creativemedialtd.co.uk
Shauna Peters Production Assistant 01268 754 897 shauna.peters@creativemedialtd.co.uk
Hollie-Jane Dunwell Account Manager 01268 754 897 hollie.jane@creativemedialtd.co.uk DISCLAIMER The editor and the publishers do not necessarily agree with the views expressed by contributors and advertisers nor do they accept responsibility for any errors in the transmission of the subject matter in this publication. In all matters the editor’s decision is final.
Your partner in injectable facial aesthetics
Optimal Integration for Maximum Confidence Optimal integration
■
Superior evenness
■
Reliable and safe
■
Unique handling
BEL023/0411/JH Date of preparation April 2011
■
www.belotero.com Merz Pharma UK Ltd 260 Centennial Park, Elstree Hill South Elstree, Hertfordshire, WD6 3SR Tel: +44 (0) 333 200 4140
®
News - Industry News
Sanofi Divests Dermik Dermatology Unit to Valeant Pharmaceuticals International Inc Sanofi has announced the strategic divestiture of its dermatology business, Der-
concentrate on its growth platforms. “Our strategy is based upon our growth
mik, to Valeant Pharmaceuticals International Inc for $425 million (US).
platforms and innovation,” declared Christopher A Viehbacher, chief executive of-
Valeant is a pharmaceutical company focused on the neurology and dermatol-
ficer of Sanofi. “This divestiture allows us to rationalise our portfolio and improve
ogy therapeutic areas, based in Ontario, Canada. Dermik’s portfolio includes
focus on our core businesses. Our manufacturing operations in Laval and our field
leading therapeutic and aesthetic dermatology brands such as BenzaClin® for the
operations teams will benefit from Valeant’s stronger presence in dermatology.”
treatment of acne, Carac® for the treatment of keratoses and Sculptra®, a facial injectable for the correction of facial wrinkles and folds.
“We are pleased to add another strong dermatology franchise to our growing operations in the US and Canada,” stated J Michael Pearson, chairman and chief
The scope of this transaction includes Dermik assets, which consist of an aesthetic
executive officer of Valeant. “Dermik’s assets, both in the medical and aesthetic
and therapeutic business in the United States and Canada, as well as an aesthetic
therapeutic areas, provide us with exciting opportunities to leverage our com-
business around the world with sales of US $206 million in 2010. Also included in
bined portfolios in our current markets as well as options to expand Valeant’s
the scope is Sanofi’s Laval, Canada site, which includes Dermik’s manufacturing
presence to other territories. Furthermore, the manufacturing facility will provide
facility. Sanofi’s Canadian affiliate, sanofi-aventis Canada, will maintain its opera-
increased capacity for our future growth initiatives in the US and Canada.”
tions in greater Montreal.
The closing of the transaction is subject to customary conditions, including clear-
Sanofi decided to divest its dermatology business with the intention to further
ance by certain antitrust authorities.
Dermapure launches Hop Clinic Essentials Dermapure Skincare Science has launched a new online store, Hop Clinic Essentials, in a bid to help its customers purchase everything they need from one place. Dermapure is the UK distributor of cosmeceuticals and mineral make-up, including DermQuest Skin Therapy, DermaMinerals and Youngblood. Hop Clinic Essentials will enable customers to buy retail products, professional products and clinic accessories at one time, saving time and postage cost. The service will offer high quality medical grade supplies from the simple essentials of gauze, cotton and applicators to more specialist ranges of professional brushes and Pure Rollers. All of the products are also discounted, so clinics will receive the best price on the stock they need. For more information visit www.hopclinicessentials.co.uk.
AZTEC Services is new exclusive UK distributor for Viora
BACN holds AGM this month
AZTEC Services is
The British Association of Cosmetic Nurses
Aston Triangle, Birmingham.
(BACN) will hold its annual conference and AGM
Tickets cost £110 for members or £220 for non-
in Birmingham this month.
members and include a dinner and entertainment
The event will take place on Friday September 16
on the evening of Friday 16. For more information
and Saturday September 17 at the Conference Aston,
visit www.cosmeticnurses.org.
now the exclusive
Inverurie Clinic Marks 5th Anniversary with £25,000 Investment
UK distributor for the Viora range of aesthetic/medical products. Viora produce a high quality range of products including diamond tip microdermabrasion, mesotherapy, IPL
Anthony Zacharek
and RF systems for a range of treatments and applications. AZTEC Services is run by Anthony Zacharek, who
6
Inverurie’s Grampian Cosmetic Clinic has
there were three
marked its fifth anniversary with news of a
of us working here
£25,000 investment in additional facilities,
and that number
staffing and refurbishment.
has now doubled
Grampian Cosmetic Clinic employs a specialist team
in a bid to meet the
of six, headed by former Inverurie GP, Dr James Beattie
growing demand
,and former Inverurie Health Centre practice manager
for what we do.
and nurse consultant, Doreen Restall.
The clinic has
Dr James Beattie with Doreen Restall (right) and Clinic Manager Sharon Hanton (left).
As well as re-branding, the cash injection has brought
established a strong
has been in the aesthetic market for many years and
additional treatments to the clinic including new
reputation for its professionalism and excellence and
also works as a consultant for Cynosure UK Ltd. For
equipment for RioBlush Carboxy Therapy and Environ
we anticipate that this investment will play a key role
more information visit the AZTEC Services website at
Ionzyme facials.
in taking the business to the next level as it continues
www.aztecservices.uk.com.
Dr Beattie said, “When we started out five years ago,
to grow organically.”
cosmeticnewsuk.com
Results Results you can rely on esults youon canBLUE rely you can rely Results ou can rely on BLUE you can Results rely on BLUE Results BLUE you can rely on Results you can rely on you can rely on BLU Results
BLUE
Alma Lasers revolutionary SopranoXLi for permanent hair reduction and topical dermal heating standout in the industry. SopranoXLi unique 810-nm diode laser platform offers effective Pain-Free Hair-Free™ treatments for all skin types all year long
Alma Lasers revolutionary SopranoXL BLUE Alma Lasers revolutionary Soprano for permanent reduction and topical dermal hair heating standou XLi a Lasers revolutionary SopranoXLi for permanent hair reduction and topical dermal heating standout in the industry. Soprano unique 810-nm diode laser platfor topical dermal heating standout in the industry. Soprano unique 810-nm diode laser platform offers hair effective Pain-Free Alma Lasers revolutionary permanent Hair-Free™ for all skin ty Alma Lasers revolutionary Soprano Soprano for for permanenttreatments hair reduction reduction ue 810-nm diode laser platform offers effective Pain-Free Hair-Free™ treatments for all skin types all year long and topical dermal heating standout in the industry. Soprano Almadermal heatingHair-Free™ and standout in the Soprano treatments for allindustry. skin types all year long -Free™ treatments for all skin types all yearunique longtopical • Intelligent interactive interface on a 12’’ color screenXLi 810-nm diode laser platform offers effective Pain-Free and topical dermal heating standout in the industry. Soprano unique 810-nm diode laser• No platform effective Pain-Free BLUE • offers Pain-Free laser hair removal consumables • Pain-Free laser hair removal Hair-Free™ treatments for all skin types all year long 810-nmlaser diode laser platform offers effective Pain-Free • removal New! Pain Free skin tightening • unique Pain-Free hair Hair-Free™ treatments for all skin types all year long XLi • Hair-Free Extremely effective Hair-Free • Extremely effective results Alma Lasers revolutionary Soprano for permanent hairres re • Pain-Free laser hairXLi removal • Extremely effective Hair-Free results • Effectively treats all skin types including skin type 6 XLi XLi XLi Alma Lasers revolutionary • Year round treatments Soprano for permanent hair reduction XLi XLi and topical coverage dermal heating in 10Hz the industry. Soprano • Fastest in the standout industry at pulse repetition rate. XLi unique 810-nm diode laser 20min! platform offers effective Pain-Free XLiin under XLi chest + abdomen Lasers revolutionary Soprano for permanent hair reduction
Results
you can rely
on
Hair-Free™ treatments for all skin types all year long. Pain-Free laser hair removal • Hair-Free Effectively treats all skinSoprano types including skin type 6hair reduction • Extremely effectiveAlma results Lasers revolutionary for permanent • Effectively treats all skin types inclu and topical dermal heating standout in the industry. So • Year round treatments and topical dermal heating standout in the industry. Soprano Extremely effective Hair-Free results • Pain-Free laser “Soprano hair SHR hastorevolutionized medical photoepilation, longer lasting and better results • Effectively treats all skin types including skin type 6 “I amremoval happy that the Soprano XL Haircontributing Removal system has been veryPain-Free well compared • confirm Fastest coverage in the industry at 10Hz pulse repetition rate. unique 810-nm diode laser platform offers effective • Pain-Free laser hair removal • applying Year round treatments to conventional technologies. ‘IN-Motion’laser treatment, low fluences at high repetition rates, enables us to provide unique 810-nm diode platform offers Pa received by our patients and that they have truly amazed that itlong is a paineffective free Effectively treats all skin types including skin type Hair-Free™ treatments forall allbeen skin types all year chest + abdomen under 20min! • 6 Extremely effective Hair-Free results customized photoepilation for each patient. Soprano inworks with all skin and hair types, all year round, with consistent, safe, • Year round treatments • Extremely effective Hair-Free results treatment. TheSoprano have the • laser system very easy and safecolor to use andadvantages we have Fastest in the industr • staff Intelligent interactive interface oncoverage a 12’’ screen SHRfound is an essential tool for aesthetic practices, providing more patient than any reliable results. Today Hair-Free™ treatments for all skin types all year long Year round treatments • Effectively treats all skin types including skin 6 pulse BLUE very pleased with the service wetype have received from ABC Lasers.” of itsbeen competitors” Pain-Free laserand hairsupport removal • in No consumables • Fastest coverage the industry at 10Hz repetition rate. • Effectively treats all skin types including skin type 6 chest +BaCd, abdomen in under 20min! dr rita rakus Founder of theresults Clinic in Extremely effective • mBBs New! Pain Free member skinHair-Free tightening Fastest coverage in the industry at 10Hz pulse repetition Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. • Year round treatments chestrate. + abdomen in• under Effectively treats all skin types including skin type 6 Knightsbridge. Known as20min! the London Lip Queen. • Year round treatments • Intelligent interactive interface • Pain-Free hair removal Lasers revolutionary Soprano for repetition permanent hairrate. reduction chest + abdomen in under 20min! • industry Year round treatments • Fastest coverageinteractive inlaser theAlma at 10Hz pulse • Intelligent interface on a 12’’ color screen and topical dermal heating standout in the industry. Soprano • Fastest coverage in the industry at 10Hz pulse repetition rate. • inNo consumables Fastestmedical coverage the contributing industry at 10Hz pulse repetition rate. “Soprano SHR has • revolutionized photoepilation, longer and better results compared ntelligent interactive interface on a 12’’ color screen Extremely effective results unique 810-nm diode laserexperience platform Pain-Free “Soprano painless hair removal has transformed theHair-Free laser hair removal foroffers ourlastingeffective chest +No abdomen in under 20min! chest + abdomen underlow 20min! • • consumables to conventional technologies. ‘IN-Motion’ treatment,inapplying fluences at high repetition rates, enables us to provide chest + abdomen in under 20min! treatments for all skin Pain types allFree year long New! skin tightening clients. Working with customized other Lasers too,Hair-Free™ the Intelligent Soprano hits all the• right notes.” photoepilation for each patient. Soprano works with all skin andon hairatypes, year round, with consistent, • interactive interface 12’’allcolor screen Connect with No consumables Effectively treats all skin including skin typethansafe, 6any • Intelligent interactive aCourt color screen Alma Lasers dr patrick Bowler. Founder &interface medical director oftypes House chain SHR is an on essential tool12’’ for aesthetic practices, providing more patient advantages results. Today Soprano • • New! Painreliable Free skin tightening • No consumables • Intelligent interactive interface on a 12’’ color screen w w w . a l m a l a s e r s . c o mof its competitors” • Pain-Free laser hair removal of 10 Clinics and co founder of the British association of Cosmetic New! Pain Free skin tightening • New! Pain Free skin tightening • No consumables • Year round treatments BLUE Hair-Free results • No consumables doctors BaCd. Dr. Fernando Urdiales,• MDExtremely effective ,Director of Miramar Medical Institute, Malaga, Spain. • Effectively treats all skin types including skin type 6 • New!• Pain Free skin tighteningin the industry at 10Hz pulse repetiti Fastest coverage • New! Pain Free skin tightening • Year XLi round treatments “Soprano SHR has revolutionized medical photoepilation, contributing XLi
XLi
Results
XLi
you can rely XLi
XLi
on
XLi
XLi
XLi
Results XLi
you can rely XLi
Soprano XLi ad Russia.indd 1
on
PBSP28021101
3/2/11 6:25:39 PM
XLi XLi “Soprano SHR ahaswide revolutionized medical photoepilation, contributing longer lasting and better results compared Alma Lasers revolutionary Soprano permanent hair reduction “We offer range of treatment modalities for clientsfor seeking topulse remove unwanted • Fastest coverage in the industry at 10Hz repetition rate.
XLi chest +to conventional abdomen in contributing under 20min! XLicompared ‘IN-Motion’ treatment, applying low fluences at highthe repetition rates, enables us to provide photoepilation, longer lasting and better results andchest topical dermal standout industry. Soprano totechnologies. conventional technologies. ‘IN-Motion’ treatment, low fluences • Pain-Free laser hair removal “Soprano SHR has revolutionized medical hair using technology supplied by ABCheating The SopranoinXLtypes, has enabled usapplying to provide + abdomen inlasers. under 20min! customized photoepilation for each810-nm patient. Soprano works with all skin and hairoffers all year round, with consistent, safe, unique diode laser platform effective Pain-Free utionized medical photoepilation, contributing longer lasting and better results compared XLi to conventional technologies. ‘IN-Motion’ treatment, applying low fluences at high repetition rates, enables us to provide • Intelligent interactive interface on ainclude 12’’ color screen previously unavailable pain-free treatment and successfully darker skin types in our • Extremely effective Hair-Free results photoepilation for each patient. Soprano works with skin and SHR is an essential tool for aesthetic practices, providing more patient advantages than anyall reliable results.customized Today Soprano • interactive interface on a 12’’ color screen Connect with Intelligent Hair-Free™ treatments for all skin types all year long Lasers XLiWe of itsSoprano competitors” s. ‘IN-Motion’• treatment, applying lowall skin fluencestypes at high repetition rates, Alma enables us to provide • No consumables patient pool. recommend theskin Soprano XLhair without reservation.” XLi types, XLi Effectively treats including customized photoepilation for each patient. works with all and all year round, with consistent, safe, reliable results. Today Soprano SHR is an essential tool for aesthetic w w w . a l m a l a s e r s . c o m “SopranoXLi SHR has revolutionized medical photoepilation, • contributing longer lasting and better results compared practic • consistent, No consumables Pain Free tightening dr. peter ilori isNew! the founder ofskin ‘theremoval Beauty society’ - a premier of “Soprano SHR results. medical photoepilation, longer lasting and Spain. better resultsprovider compared XLi works and hairreliable types, allhasyearrevolutionized round,Soprano with safe, or each patient. Soprano skinXLitype 6 with all skin • contributing Pain-Free laser hair Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, SHR is an essential tool for aesthetic practices, providing more patient advantages than any Today of spa, its competitors” to conventional technologies. ‘IN-Motion’ treatment,medical applying low fluences at high repetitionresults rates, enables us to provide aesthetic, dental andHair-Free specialist services. • Extremely effective Year round treatments to conventional technologies. treatment, applying low fluences at high repetitionorthodontic rates, enables us to provide noXLi SHR is an• essential tool for aesthetic practices, providing more patient‘IN-Motion’ advantages than any • New! Pain Free skin tightening XLi of its competitors” customized photoepilation for each patient. SopranoXLi works with skin and hair types, all year round, with safe, • all Effectively treats all skin types including skin typeconsistent, 6 • Fastest coverage in the industry customized photoepilation for each patient. Soprano works with all skinUrdiales, and hair types, all year round, with consistent, safe, Malaga SHR has revolutionized medicaltreatments photoepilation, contributing longer lasting and Medical better resultsInstitute, compared XLi “SopranoXLi SHR has“Soprano Dr. Fernando MD ,Director of Miramar revolutionized medical photoepilation, contributing longer lasting • Year round reliable results. Today Soprano SHR is an essential tool for aesthetic practices, providing more patient advantages than any at 10Hz pulse repetition rate.results. chest Today + XLi to conventional technologies. ‘IN-Motion’ treatment, applying low fluencespatient at high repetition rates, enables us to any provide reliable Soprano SHR is an essential tool for aesthetic practices, providing more advantages than Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. • Fastest coverage in the industry at 10Hz pulse repetition rate. and better results compared tophotoepilation conventional technologies. ‘IN-Motion’ treatment, applying customized for each patient. Soprano works with all skin and hair types, all year round, with consistent, safe, abdomen in under 20min! of its competitors” Connect with chest in under 20min! fluences at high repetition rates, usSHR to+ provide customized photoepilation for more patient advantages than any ,Director of Miramar Medical Institute, Malaga, Spain. of its competitors” Alma low Lasers isabdomen an essential tool for aesthetic practices, providing reliable results. Todayenables Soprano XLi
XLi
PBSP28021101
Soprano XLi ad Russia.indd 1
3/2/11 6:25:39 PM
XLi
XLi
•
• •
XLi
Intelligent interactive interface on a w w weach . a l mpatient. a l a s e rSopranoXLi s . c o mof its competitors” Intelligent interactive interface on a 12’’ color screen works with all• skin and hair types, all year round, with consistent, 12’’ color screen XLi Dr. Fernando Urdiales, MD has ,Director of Miramar Medical Institute, • SHR NoisMalaga, consumables PBSP28021101 safe, reliable results. Today SopranoXLi an essentialSpain. tool contributing for aesthetic practices, “Soprano SHR revolutionized medical photoepilation, longer lasting and better res Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. of MiramarDr.Medical Institute, Malaga, Spain. No consumables Dr. Fernando Urdiales, MD ,Director New! Free skin tightening providing more patient advantages than• any of itsPain competitors” to conventionalSoprano technologies. ‘IN-Motion’ treatment, applying low fluences at high repetition rates, enables New! Pain Free skin tightening XLi ad dr. Russia.indd 1 3/2/11 6:25:39 PM Fernando urdiales, md ,director of miramar medical institute, malaga, spain.
XLi customized photoepilation Connect with for each patient. Soprano works with all skin and hair types, all year round, with c has revolutionized medical photoepilation, contributing longer lasting and better results compared Alma Lasers is anSHR essential tool for aesthetic practices, providing more patient advan reliable results. Today SopranoXLi SHRto“Soprano conventional technologies. ‘IN-Motion’ treatment, applying low fluences at high repetition rates, enables us to provide Connect with Alma Lasers w w w . a l m a l a s e r s . c o m customized photoepilation for each patient. Soprano works with all skin and hair types, all year round, with consistent, safe, of its competitors” w w w . a l m a l a s e r s . c o mreliable results. Today Soprano SHR is an essential tool for aesthetic practices, providing more patient advantages than any XLi
Connect with Alma Lasers
XLi
w w w. a l m a l a s e r s . c o m
Connect with Connect with Alma Lasers Alma Lasers
w w w. a l m a l a s e r s . c o m w w w. a l m a l a s e r s . c o m Soprano XLi ad Russia.indd 1
Soprano XLi ad Russia.indd 1 Soprano XLi ad Russia.indd 1
Connect with Alma Lasers
XLi
of its competitors”
PBSP28021101
Dr. Fernando Urdiales, MD ,Director of Miramar Institute, Malaga, Spain. Dr. Fernando Urdiales, MDMedical ,Director of Miramar Medical Institute, Malaga, Spain. Soprano XLi ad Russia.indd 1
PBSP28021101
Soprano XLi ad Russia.indd 1
BEST EUROPEAN LASER DISTRIBUTOR
Connect with Alma Lasers
3/2/11 6:25:39 PM
WINNER -PBSP28021101 UK BEST PBSP28021101 LASER SUPPLIER 2008-2009
ContaCt us on: tel: 0845 1707788, info@a-b-c-uk.com, www.abclasers.co.uk Soprano XLi ad Russia.indd 1
3/2/11 6:
As voted by clinics
w w w. a l m a l a s e r s . c o m
Outstanding patient awareness and demand. w w w. a l m a l a s e r s . c o m
PBSP28021101 3/2/11 6:25:39 PM
3/2/11 6:25:39 PM 3/2/11 6:25:39 PM PBSP28021101
3/2/11 6:25:39 PM
visit: www.painfreehairfree.co.uk and see how your patients can locate you and see treatments Live on tV
News - Industry News
iiaa team raises money for Cancer Charity Control the pain of cosmetic injections
The team at the International Institute for Anti-Ageing (iiaa)
INSTANTLY
braved the rain to join the 11,000 runners who took part in the
with a clinically proven topical anaesthetic
has helped raise money for Cancer Research UK by taking part in the Race for Life charity event. The team donned ‘Work Together, Run Together’ T-shirts and 5k run in London. Their joint running, jogging and walking efforts had already raised more than £700 by the day of the event, with further donations still coming in. iiaa project manager Laura Carrick said, “Cancer has touched so many people we know and this was a fun way to do something
From left to right: Lorraine Miller, Laura Carrick, Louisa Collins, Faye Layton-McCann, Emma Doherty and Pamela Mahoney took part in Race for Life, in London’s Hyde Park for Cancer Research
with our work colleagues and to get everyone who couldn’t come along to support us with donations.”
GRAPESEED EXTRACTS CAN REDUCE THE RISK OF SKIN CANCER
A fast, safe and effective way to help control the pain associated with cosmetic needle procedures For further details and pricing information call
0845 130 4949
According to experts it’s often the parts of a fruit that we avoid eating that contain the most potential to help keep us well - from the pith to the skin and seeds. And according to food experts at the Advanced Nutrition Programme latest research has revealed that consumers who supplemented their diet with grapeseed extracts had a significantly lower risk of getting skin cancer. The research, published recently in the Journal of the American Academy of Dermatology, examined the supplement consumption habits of 830 people within an epidemiological study - a large scale investigation which can reveal patterns in health characteristics or behaviour that may influence preventative health policies. The researchers matched 415 people who had skin cancer with 415 control group individuals of equivalent age, race, gender and other factors, who did not develop the disease. As well as the grapeseed extract discovery, they also established that taking a multivitamin supplement was linked with a borderline significant reduction in the risk of skin cancer. Grapeseed extract fights oxidative stress from UV radiation and has anti-inflammatory and antioxidant properties which inhibit the damaging processes which lead to skin ageing. Grape seeds contain molecules associated with various health benefits, called polyphenols, which include flavonoids and proanthocyanidins, which are richer in antioxidant
potency than vitamins E and C. Previous research has also shown grapeseed extract’s protective effects on collagen and against sun damage. Lorraine Perretta, nutritional consultant at the International Institute for Anti-Ageing, said: “This new examination of the skin protective influence of grapeseed extract strengthens the case for taking supplements in addition to the fruit and vegetables we eat as a matter of course.” Grapeseed extract is one of the key ingredients found in Skin Defender, a supplement made by the Advanced Nutrition Programme, a brand created by Patrick Holford to support anti-ageing skincare and wellbeing regimes. Skin Defender capsules (£33.50 for 60) contain selected vitamins, minerals and plant nutrients, including grapeseed extract, lycopene, green tea extract, curcumin extract, limonene and beta glucans. These support the skin’s natural defences when exposed to sunlight. Studies have demonstrated that these nutrients can not only reduce sunburn, which can lead to cancer, they also boost production of collagen. The Advanced Nutrition Programme range of skin supplements are available from health and beauty practitioners nationwide: phone 020 8830 8030 for details of nearest stockists, or visitwww. advancednutritionprogramme.com for more information about the range.
Last Chance To Nominate!
Aesthetic the AwArds night for your industry
EUROMEDICAL SYSTEMS LIMITED
T: F: E: w:
01949 838 111 01949 838 844 info@euromedicalsystems.co.uk www.euromedicalsystems.co.uk
With the Aesthetic Awards 2011 steadily approaching
will be announcing the short lists
the last chance to enter is Tuesday September 13th, so
for the Aesthetic Awards. The
there has never been a more important time to make
winners of the Aesthetics Awards
your nomination count! We have had an astounding
will be announced at the lavish
response from the industry so far and would like
prize-giving ceremony taking
to thank everybody who has taken the time to cast
place on Thursday 1st December 2011. The social highlight
their vote. Charlotte Body, Publisher of Cosmetic News
of your calendar will take on a ‘James Bond’ theme, with a
comments “ We are delighted with the reaction and
wonderful a la carte dinner, followed by a DJ and casino to
feedback from the industry for the first ever Aesthetic
keep you entertained.
Awards, we feel this is an excellent opportunity for our
If you wish to book a seat please contact Hollie Dunwell, on
readers have their say.”
01268 754 897 or email hollie@creativemediltd.co.uk - There
Be sure to read the October edition of Cosmetic News, as we
is limited availability.
Awards 2011 c n in AssociAtion with osmetic ews
p l At i n u m sponsor
N
fo EW ra dv the an E ce lite d M ha P ir X l re a m se ov r, al
Be Transformed
With the preferred partner of the aesthetic industry. 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
AAwards esthetic 2011
The Aesthetic Awards 2011 - Event Preview
the awards night for your industry
p l at i n u m sponsor With the deadline for entries to the inaugural Aesthetics Awards in association with Cosmetic News fast approaching, we tell you how you can enter scoop one of the industry’s most coveted prizes… The entries for the inaugural Aesthetics Awards in association with Cosmetic News are coming in thick and fast and, with the closing deadline just weeks away, you need to move quickly to make sure you don’t miss out on winning. With a total of 25 categories, the awards have been designed to acknowledge those who have
gone that extra mile over the last year. Gold, silver and
in association with Cosmetic news
The categories are: INDUSTRY AWARDS Sales Representative of the Year
This award is designed to acknowledge the hard work and services provided by sales reps working for manufacturers and suppliers in the UK. Lifetime Achievement Award Award Sponsored By
This award will recognise the achievements of people who have had a long and fruitful career in the aesthetics industry.
bronze awards will be given in each category to the
Services to the Industry
top three nominees.
This category will award an individual who has gone above and beyond in their services to the industry. .
Entering yourself or one of your colleagues into the awards could not be easier. Simply go to www. cosmeticnewsuk.com and download as many entry forms as you need from there. You can enter yourself or nominate someone else in as many of the categories as you would like. Entries must be received by Tuesday September 13. The shortlisted nominees will be announced in the November issue of Cosmetic News. The awards will be presented at a glamorous James Bond themed gala dinner at Sopwell House in St Albans on Thursday December 1 2011 and will be a chance to celebrate the achievements of everyone working within the arena of medical aesthetics.
THE CLOSING DATE FOR ENTIRES IS TUESDAY SEPTEMBER 13. GO TO WWW.COSMETICNEWSUK. COM TO DOWNLOAD YOUR ENTRY FORM TODAY. Please call Emilia Cops on 01268 754 897 or e-mail Emilia@ creativemedialtd.co.uk if you have any further questions about submitting your entry
Rising Star
Award Sponsored By
cosmeticnewsuk.com
that has gone above and beyond in 2011.
Best Clinic (four rooms or more)
Best Advertising Campaign by a Manufacturer/Supplier
This award will be open to any large clinic in the UK with four or more treatment rooms. Best Clinic (three rooms or less)
This award will be given to the manufacturer/ supplier with the most memorable and effective UK advertising campaign.
This award will be open to any small clinic in the UK with three or less treatment rooms.
Distributor of the Year
Best Mobile Practitioner
This award is designed for any UK distributor of aesthetic products or systems.
This award will recognise the achievements of solo practitioners.
Best Clinic Website
Best Clinic Customer Service
This award will be given to the clinic in the UK with the best customer service as judged by ‘mystery shoppers’.
This award will be presented to an up and coming practitioner who may not have the longevity of some of their colleagues but who has made an impact in their field.
Best Customer Service by a Manufacturer/Supplier
Best Clinic Chain
Association of the Year
This award will be open to all clinics who have
This award will be presented to the association
This award will be given to the manufacturer/ supplier with the best customer service as judged by their customers.
The most easy to navigate and informative clinic websites will be awarded in this category. Speaker of the Year
Anyone who has given a lecture at a UK conference or educational meeting will be eligible for this award. The winner will be the person judged to have given the best presentation in 2011. Clinic Receptionist of the Year
This award will go the member of clinic front of house staff who has excelled in 2011.
PRODUCT/TREATMENT AWARDS Best Product Innovation
The most innovative new products on the market will be recognised in this category. Best Newcomer
Manufacturers/distributors of any new product launched in the UK market since the beginning of 2011 can enter this category. Cosmeceutcial of the Year
This award will go to the best cosmeceutcial product range in the UK, as voted for by the readers of Cosmetic News. Consumer Award Sponsored By Choice Award for Best Product
This award will go to the best product in the UK as voted for by 10
a chain of practices in the UK.
consumers via the Cosmetic Surgery and Beauty Guides.
treatment for the face, as voted for by the readers of Cosmetic News.
Consumer Choice Award for Best Treatment
Treatment of the Year (Body)
Award Sponsored By
This award will go to the best treatment in the UK as voted for by consumers via the Cosmetic Surgery and Beauty Guides. Injectable Product of the Year
Manufacturers/distributors of injectable dermal filler products available in the UK will be eligible to enter this category. Treatment of the Year (Face)
This award will be given to the manufacturer/supplier with the best
This award will be given to the manufacturer/supplier with the best treatment for the body, as voted for by the readers of Cosmetic News. Best Selling Retail Product
Clinics will be able to vote for their top selling retail product in this category. Equipment Brand of the Year
Manufacturers of lasers, IPLs and any other equipment brand can enter this category.
AAwards esthetic 2011 the AwArds night for your industry
in AssociAtion with cosmetic news
p l At i n u m sponsor
1 december 2011 st
• sopwell house • hertfordshire • call 012 6 8 7 5 4 8 9 7 o r e m a i l hollie@ cr eati v em ed i altd . co. u k to boo k y o u r tabl e
Special Feature - Fractional Lasers
The perfect equation We take a look at fractional lasering and examine some of the best products on the market
Fractional laser skin resurfacing, both ablative and non-ablative, has gained popularity in recent years as it offers comparable results to conventional ablative laser skin resurfacing but with lower downtime. Laser treatments have dominated the non-surgical aesthetic facial
damages parts of it, leaving areas of undamaged skin in between.
rejuvenation industry over the last decade because of their impressive
As such, during fractional treatments, only microscopically small areas of
results in treating a variety of skin concerns. However the downside of
the skin surface are ablated. After treatment small dot-like marks can often
traditional laser resurfacing has always been its side effects and substantial
be seen on the areas of skin that have been treated. This method of only
recovery period. In recent years fractional laser resurfacing has changed
causing ‘fractional’ damage to the skin allows for much faster skin healing
all that by offering patients comparable results with less side effects and
than with traditional laser, which is why the downtime is significantly
minimal downtime.
reduced. Additionally, the risk of side effects such as pigment changes or scars is drastically reduced and the thermal stimulation leads to a neo-
The process of using a laser light source to target a selected area of the
synthesis of collagen in deeper skin layers.
skin in order to cause a wound healing response is known as ‘selective photothermolysis’. ‘Fractional photothermolysis’ does the same thing
On the folowing pages, we round up some of the best fractional
however, rather than damaging the whole of the selected area, it only
systems on the market….
Syneron/Candela (ePrime/CO2RE/eMatrix) A high demand for increased safety and reduced downtime was the driving force behind the research and development department at Syneron/Candela developing three exciting new fractional devices. A deeper understanding of the mechanism of neo-collagenesis and neo-elastogenesis, along with an increased experience of working with existing technologies, has helped to reduce the risks of PIH (Post Inflammatory Hyperpigmentation) and also increased knowledge about the amount of energy to deliver into skin and at which specific level.
12
cosmeticnewsuk.com
ePrime
from the heat as the upper section of the needles are
Skin healing after any treatment is the basis of skin tightening
insulated. Thus, a high dermal temperature can be achieved
and energy based volumisation procedures. As the skin
to obtain the desirable results without any fear of heat
heals there is a complex sequence of events set in place,
damage to the epidermis. This is a very important feature of
demonstrated immunohistochemically in a recent study
ePrime that offers a distinct advantage over other treatments.
on the new ePrime device, which tracked the production of
Moreover, ePrime is the first technology to demonstrate neo-
collagen chaperones HSP47 and also demonstrated increases
collagenesis and neo-elastogenesis in human skin following
in tropoelastin and fibrilin for the first time.
radio-frequency treatment.
This innovative, minimally invasive micro-needle procedure
Dr Henry Chan, Hong Kong Dermatology and Laser Centre,
delivers measured controlled radio-frequency energy directly
stated at the recent IMCAS meeting in Asia: “It has been
into deep dermis to cause dramatic results after just one
demonstrated that results from a single ePrime treatment are
aesthetic treatment.
equivalent to 37% of a surgical face-lift procedure. Plus, there
ePrime is unique in that the treatment can induce a 1-2mm
is no risk of adverse effects and complications associated
deep dermal injury at a temperature as high as 70-72
with the invasive surgical procedure. Thus ePrime has
degrees which is maintained for four seconds. This produces
established a valuable option for improving facial skin laxity
significant dermal damage to stimulate the formation and
with minimally invasive fractional radio-frequency treatment.”
deposition of elastin and collagen.
According to Dr Chan, “The dramatic treatment effects of
The system utilises a micro-needle electrode array
ePrime may be attributed to the peak temperature achieved
comprising of 32-gauge needles, which are inserted into the
and the time for which it is maintained. The treatment
skin at a 20 degree angle to deliver radio-frequency directly
produces not only improved skin tone and volume, but also
into deep dermis. While doing this, the epidermis is protected
enhances skin elasticity, pliability, and extensibility.”
There are many practical advantages associated with the use of ePrime for increasing dermal volume. “All skin types can be treated with this device, which is indicated for use on the lower face and submandibular areas, so far. Moreover, a single treatment, lasting about 20−30 minutes, is required for visible improvement, and the social downtime is just two to three
Multi-functional Alexandrite, KTP and Nd:YAG Laser platform
days. Treatment effects are visible after three months, becoming more pronounced after six months and persisting for up to two years without the need for any maintenance treatment. One of the revolutionary features of ePrime is the Intelligent Feedback System™ (IFS) that ensures treatment consistency. “Because of IFS, the system automatically makes real-time adjustments in energy, based on skin resistance and measured tissue temperature to achieve the target temperature and time set by the physician. This helps in preventing over- and under-heating and treatment variation,” remarks Dr Chan. In addition, IFS further improves patient comfort by allowing physicians to use local anaesthesia to manage pain associated with the procedure, which may not be possible with non-invasive monopolar radio-frequency devices.
CO2RE While many fractional devices have come to the market in recent years, Syneron/Candela’s CO2RE CO2 system provides advantages for treating conditions such as deep rhytids, pigment disorders such as, actinic damage, lentigines and scars including acne scars. What makes CO2RE so special is that it is the only system on the market with the ability to treat both superficial and deep skin layers simultaneously. In addition, it can be safely used in a large variety of patients. CO2RE is ideal for treating patients with Fitzpatrick skin types I-III, but the system can also be used in those with skin types up to VI. CO2RE’s six operating modes provide physicians with multiple treatment options. These include four fractional ablative modes for aesthetic treatments (CO2RE Light, CO2RE Mid, CO2RE Deep and CO2RE Fusion), a classic resurfacing mode and an incision/excision mode. These attributes impart versatility to the device not observed with purely fractional systems. CO2RE offers the choice to select a treatment parameter from the different ablation modes as per patient needs. These are pre-programmed, helping in better time management. The digital and radio-frequency-excited super pulse delivers higher peak power ablative energy per pulse than standard lasers and allows deep skin ablation without the undesirable damage due to overheating. Moreover, sufficient energy is provided per shot for ablation, and each ablation depth is reproducible which avoids unnecessarily deep ablation. These treatment parameters lead to improved treatment
LIGHT SERIES APPLICATIONS Hair removal Pigmented lesion Vascular treatments Skin rejuvenation
precision, short downtime and reduced patient discomfort.
FEATURES
eMatrix
Large spot sizes Integrated cooling Complete solution in system Outstanding clinical results Cost effective system
eMatrix technology is based upon sublative rejuvenation, a treatment category that results in bright, wrinkle-free, and smooth facial skin. This treatment involves delivery of bipolar fractional radio-frequency to cause minimal epidermal and a high percentage of deep dermal damage. This induces rapid healing while providing strong new collagen formation and restructuring. The epidermal sparing technology of eMatrix gives it an upper hand over non-ablative fractional therapies. To obtain optimal results, traditional non-ablative fractional treatments need to induce a high percentage of damage at the dermal-epidermal junction, which is an area rich in melanocytes. As a result of the high epidermal coverage, these treatments have an increased risk of intense melanocyte inflammation and consequently post-inflammatory hyperpigmentation (PIH). However, sublative treatments are associated with minimal damage at the dermal-epidermal junction while causing high percentage of dermal damage. Thus, there is very low risk of PIH and the level of clinical benefit is high.
For more details or to arrange a demonstration call or visit.
Tel 01477 536977 Web www.lynton.co.uk
The unique laser platform featuring 3 lasers for removal of all tattoo colours
ABC Lasers (Pixel/Pixel CO2 OMNIFIT) The Harmony XL™ I-Pixel™ Laser provides a unique IN-MOTION fractional delivery which is the world’s first of its kind and provides quicker and more consistent treatment results than other lasers. The i-Pixel™ Laser is Alma Lasers’ fastest and most powerful laser module. Designed for use with the Harmony XL and with Pixel CO2 Platform, the i-Pixel™ Laser speeds up treatment time while delivering greater results for skin rejuvenation, skin tightening, skin resurfacing and the improvement of lines and wrinkles. The i-Pixel™ Laser rests on 2 small wheels at the tip of the module which roll across the patient’s skin. Unlike traditional CO2 lasers which use a stamping or scanning technique, the i-Pixel™ Laser allows you to treat the targeted area with high speed and elegant efficiency. Compared to ANY other fractional lasers, the i-Pixel™ Laser can significantly shorten treatment time and reduce recovery time. The i-Pixel™ Laser releases (4Hz) 4 laser pulses per second that are split into a single row of 7 pixels as it glides over the treatment area. Compared to a stationary module, where the laser is dispersed in a 7X7 or 9X9 pattern, the energy per pixel of the i-Pixel™ Laser is up to 10 times more powerful. The greater power of the i-Pixel™ Laser means enhanced ablative and thermal damage and improved results for you and your patients. The fine spacing in-between the 7 pixels minimizes the treatment area by forming a reservoir of skin that remains undamaged by the laser, thereby improving results and reducing patient down time by allowing the tissue to heal and collagen to strengthen. Courtesy of Hospital West Midlands, UK ABC Harmony i-Pixel Laser BEFORE
BEFORE
after
AFTER
Courtesy of Shadi Danin Group of Clinics UK ABC Harmony i-Pixel Laser
Lynton (MATISSE)
Q-PLUS APPLICATIONS Epidermal and dermal Pigmented lesions Multicoloured tattoo removal including green.
FEATURES High Power LCD easy to read display Compact and robust Optibeam technology Fast and effective treatments
For more details or to arrange a demonstration call or visit.
Tel 01477 536977 Web www.lynton.co.uk
MATISSE is a state-of the-art 1540nm Er:Glas fractional laser platform for skin resurfacing and rejuvenation. This wavelength easily penetrates into the deeper layers of the skin, and, thanks to the minimal absorption of melanin at this wavelength, it can be used safely on all Fitzpatrick Skin types. MATISSE technology works via an extremely precise fractional photothermal interaction with the skin, enabling uniform skin regeneration and dramatic clinical improvement with minimal downtime. Adding to the platform an optional high power Alexandrite Laser, the ‘gold standard’ for hair removal, results in a combined system with unparalleled treatment and revenue earning possibilities. MATISSE can be used for fractional skin rejuvenation, photo-ageing, scarring and dyschromia treatments. It greatly improves overall skin texture, tone and laxity. Clients benefit from a natural, rapidly occurring
healing process as the untreated areas form a bridge between treated zones, leading to minimal ‘downtime’ following treatment, all achieved without compromising results. Using a special micro lens array, MATISSE produces an intense concentration of laser energy in well-defined micro-thermal spots (MTS). The skin is rapidly heated inside the micro-thermal areas, producing tiny columns of damage. The surrounding areas of skin undergo a diffuse thermal effect, which stimulates collagenesis over the entire treated area. MATISSE fractional treatments combine skin resurfacing with non-ablative dermal re-modelling. The combination of these two actions produces new dermal tissue in the treated areas and achieves dramatic results without downtime and with minimal risk to the patient. No anaesthesia or gel are required thanks to the use of an integrated skin cooler. This ensures fast and pain-free treatments.
Cynosure (Performa CO2) The Cynosure-Performa CO2 laser has been coined the ‘ice-hot’ laser as it uses a new aircooling system (Cynosure Smart Cool), which utilises cold air to cool down the skin, and deliver radical results in just one treatment. Because it cools the skin prior and post lasering, it helps to lessen bruising, redness and thermal damage with speedier recovery. In addition, the Cynosure-Performa CO2 has been designed to penetrate the skin’s tissue without damaging the surrounding area, delivering a less aggressive procedure that’s kinder on skin and without the aggressive
or painful side effects of previous CO2 lasers. It is very powerful but much softer on skin, with a dramatic reduction in redness, thermal damage and downtime for the patient. The ice-hot laser accurately helps to maximise the skin’s untouched tissue to heal more quickly. By selecting fractional technology, the size and shape of the laser used is determined by the person’s facial shape. This enables the skin to be treated in small micro-ablative areas, controlling the wave. The Cynosure-Performa can be used to treat severe acne scarring, fine lines and wrinkles, pigmentation from sun damage, and surface lesions.
Results You Can RelY on BEST EUROPEAN LASER DISTRIBUTOR
“The ultimate in combination laser and light therapy for face, hands and body to optimize results.” InnovatIve technology Safe, effective treatments with the industry’s most dynamic product portfolio, distinguished by expandable modular platforms that adapt to your changing needs and future breakthroughs. Before
Before
After
Mini 360 Protocol for the face and neck Photos courtesy: James Chan, MD
After
Before
AFT 570 SR
Photos courtesy: Fernando Stengel, MD
After
Pixel Laser
Photos courtesy: Amber Brown, MD
Multiple technologies can be combined during a single session or repeated frequently and spread out over 60 days. • When performed in a single treatment session, the Mini Laser360TM program consists of AFT for pigment and vascularity, ST for skin tightening, and Pixel for fractionated skin resurfacing. • The Traditional Laser360 treatment consists of 4-6 treatment sessions, layering multiple technologies (AFT, ST and Pixel), spaced about 10-15 days apart over a 60-day period.
Pixel ST
Before
AFT
After
Before
AFT 420 Acne
Photos courtesy: Elizabeth VanderVeer, MD
Before AFT 540 VP
After
Photos courtesy: Elizabeth VanderVeer, MD
After
Pixel Laser
Photos courtesy: Bhupendra Patel, MD
Before
After
Tattoo Removal - Photos Courtesy: Fernando
Urdiales, Instituto Médico Miramar, Málaga , Spain
ContaCt us on: tel: 0845 1707788, info@a-b-c-uk.com, www.abclasers.co.uk
Before
After
Traditional Laser360
Photos courtesy: Rick Jackson, MD
WINNER - UK BEST LASER SUPPLIER 2008-2009 As voted by clinics
The leading fractional laser platform for dramatic skin rejuvenation & resurfacing
Cutera (Pearl Fractional/Pearl Fusion) Pearl Fractional is a fractional ablative laser with YSGG (2790nm wavelength) technology. This exclusive laser wavelength was selected to maximise results and safety while minimising downtime – all in a single treatment – through an optimised combination of ablation and coagulation. Pearl Fractional’s YSGG laser aggressively treats the signs of photo-ageing, deep dermal imperfections and difficult-to-treat perioral and periorbital areas. Optimal treatment results demand both deep ablation and thermal coagulation. Moderate levels of coagulation are needed to minimise operative bleeding, but healing times and related risks of complications increase with excessive zones of thermal coagulation. Therefore, the ideal device combines deep ablation with controlled thermal coagulation to maximise results while minimising downtime. Due to its specific water absorption characteristics, YSGG is the only laser wavelength capable of providing the dual benefits of deep dermal ablation with a controlled zone of coagulation, according to the manufactuers. Dr Richard Green says, “Pearl Fractional was specifically designed with the YSGG wavelength to combine the clinical advantages of both CO2 and Erbium without the recognised limitations long associated with both lasers. YSGG is an extremely versatile laser wavelength that can be tailored to safely and predictably address dermal imperfections even in the difficult-to treat peri-oral and peri-orbital areas.” Brian Biesman, MD adds, “Pearl Fractional is especially good for treating the peri-orbital, peri-oral and jaw-line areas. When combined with the Pearl laser for full epidermal renewal, I have a unique solution for a deep and full coverage treatment. My patients are thrilled to see improvements in their wrinkles, uneven skin texture, pigmentation and sun damage.” Pearl Fusion combines Pearl and Pearl Fractional for full epidermal coverage and deep fractional ablation. Indications include wrinkles, fine lines, dyschromia, pore size, skin tone and texture. Cutera’s novel wavelength, YSGG (2790nm) optimises patient comfort and healing and enables the combination of confluent resurfacing with deep fractional ablation.
MATISSE APPLICATIONS Rejuvenation of the face Scars & stretch marks Body rejuvenation Wrinkles Pigmentation Hair removal
FEATURES Meets the demand of the 2 most sort after laser treatments Gold standard Alexandrite laser Integrated skin cooling Sliding or Stamping technique High patient satisfaction
For more details or to arrange a demonstration call or visit.
Tel 01477 536977 Web www.lynton.co.uk
Fraxel™ (Solta Medical)
laser is an aggressive treatment for moderate to
The first Fraxel device to be launched onto the market
severe photodamage. The hand-pieces for the Fraxel
was the Fraxel™ SR followed by the Fraxel™ SR 1500.
SR, SR 1500, re:fine and re:store are designed to glide
Solta Medical has subsequently developed a range
comfortably across the skin and use patent pending
of Fraxel devices for various indications including the
technology called the Intelligent Optical Tracking
Fraxel Re:fine™, Fraxel Re:store™ and Fraxel Re:pair™.
System (IOTS), which ensures that the laser creates a
Fraxel Re:fine™ is a non-ablative treatment which
consistent pattern of treatment by self-adjusting to
delivers a gentle yet effective option for skin
the speed of the operator. The Fraxel re:pair carbon
rejuvenation and resurfacing. The Fraxel re:fine
dioxide laser fires a 10,600nm wavelength and is,
erbium fibre laser fires a 1410nm wavelength which
according to the manufacturer, “the only CO2 laser on
is designed for superficial treatments at lower energy
the market that delivers the efficacy of conventional
levels. It targets water in the tissue and not melanin
bulk ablative lasers – without the prolonged
(skin pigment) and can treat up to 650 µm deep into
downtime, risks or complications”.
the dermis of the skin on all skin types (colours).
The Fraxel SR, SR 1500, Fraxel re:fine and Fraxel
Fraxel re:store™ is a non-ablative treatment for skin
re:store machines were awarded clearance by
resurfacing and rejuvenation. The Fraxel re:store
the US Food and Drugs Administration (FDA) for
erbium fibre laser fires a 1550nm wavelength, much
dermatological procedures requiring soft tissue
like the original Fraxel SR and SR 1500 devices, which
coagulation; for the correction of peri-orbital wrinkles
is deep penetrating, also targeting water in the tissue
(crow’s feet) and pigmented lesions, including age
and not melanin. In addition the device is available as
spots, sun spots and skin discolouration; for skin
the Fraxel re:store Dual, which, as well as the 1550nm
resurfacing and for the treatment of melasma, (dark
erbium fibre laser also includes the option for the
skin colouration which forms on sun exposed skin).
practitioner to use a more superficial thulium fibre
Fraxel re:pair is cleared by the FDA for ablation and
laser which fires a 1927nm wavelength, allowing for
resurfacing of soft tissue, rhytides, pigmented lesions,
treatment of a variety of conditions, on all skin types
wrinkles, fine lines, furrows and textural irregularities.
and anywhere on the body.
It is also the only fractional ablative device with FDA
Fraxel re:pair® is an ablative treatment using a CO2
clearance for vascular dyschromia.
Discover The Light
Advanced Skin Lightening Fast, Safe and Gentle Skin Appearance Improvement Syneron’s elure product line is an Advanced Skin Lightening Technology, based on the proprietary enzyme Melanozyme™ - our patented version of the naturally occurring enzyme lignin peroxidase. elure is the first clinically demonstrated skin lightening product to temporarily reduce the appearance of melanin in the skin to reveal a visibly more radiant and more even skin tone. The elure™ Promise • Unique scientific discovery • Proven faster, safer, more visible results • Revolutionary patented formula • Melanozyme – a safe, naturally occurring enzyme • Hydroquinone free, dermatologist tested, clinically proven • Healthier, brighter, younger looking skin
s i lv e r sponsor
cosmetic news xpo 2012 E
29th - 30th april 2012 | business design centre, islington, london w w w. c o s m e t i c n e w s u k . c o m
t h e u k ’ s o n ly free of charge aesthetics exhibition
s i lv e r sponsor
cosmetic news xpo 2012 E
29th - 30th april 2012 | business design centre, islington, london w w w. c o s m e t i c n e w s u k . c o m
t h e u k ’ s o n ly free of charge aesthetics exhibition
Before China Clinical Trial
After (Day 28)
Before
After (Day 28) Courtesy: Tess Mauricio, M.D.
Coming soon to the UK! Sold exclusively through physicians. www.elureskin.com, info@elureskin.com, www.facebook.com/elureskin © 2010 . All rights reserved. Syneron, the Syneron Logo, and elure are trademarks of Syneron Medical Ltd. and may be registered in certain jurisdictions. PB74971EN
Sciton (ProFractional) ProFractional is Sciton’s solution for achieving excellent resurfacing results with minimal
The UK’s Leading Laser Manufacturer
downtime. Unlike full field resurfacing, which removes the entire surface area of a treatment site, ProFractional ablates narrow-diameter channels into the skin, covering a fraction of the total treatment area. This action initiates the body’s wound healing response, which stimulates fibroblasts to produce new collagen and elastin, while leaving the surrounding tissue intact for rapid healing. The benefits of ProFractional include increased patient comfort, shorter healing times, and tunable results that can range from subtle to dramatic. ProFractional utilises a 250µm spot size and offers a range of treatment densities from 1.5% to 30% coverage. ProFractional-XC utilises a 430µm spot size and predefined treatment densities for greater speed. ProFractional-XC also provides the ability to add depth-selectable tissue coagulation for enhanced collagen remodeling.
WHY LYNTON? • Our lasers and IPLs are designed and constructed by leading scientists in the field of optical physics • Dedicated marketing team to help grow your business • On-going clinical support for life • We have the largest team of technical and specialist support in the UK
“ProFractional creates clean, micro-ablated channels in the skin, which activate fibroblast production and rejuvenate the collagen matrix. The result is the formation of new collagen and elastin, which combine to bring increased turgor and thickness to the skin. Leaving surrounding tissue intact helps promote rapid healing due to presence of stem cells and melanocytes in the papillary dermis.”
ProFractional creates clean, micro-ablated channels
by water, CO2 lasers have lower ablation efficiency
in the skin, which activate fibroblast production
and therefore, unavoidably, conduct a significant
and rejuvenate the collagen matrix. The result is
amount of heat into the tissue.
the formation of new collagen and elastin, which
combine to bring increased turgor and thickness
Erbium’s high water absorption is only part of the
to the skin. Leaving surrounding tissue intact helps
story. What truly sets ProFractional apart is Tunable
promote rapid healing due to presence of stem cells
Resurfacing Laser (TRL) technology, which gives the
and melanocytes in the papillary dermis.
user the ability to adjust the depth of ablation and
ProFractional therapy can be used on all skin types,
coagulation independently. By modulating the laser’s
both on face and body.
energy to deliver supra-ablative pulses, ProFractional
is able to vaporise any depth of tissue from 25 to 1500
ProFractional utilises an erbium: YAG laser, which was
µm per pass with extreme precision. If coagulation
chosen due to its high ablation efficiency. Erbium has
is desired, ProFractional-XC delivers a train of
a much higher absorption in the target chromophore
sub-ablative laser pulses that heat the tissue to a
water than CO2, which gives erbium the ability to
selectable depth without vaporising it. ProFractional’s
vaporize tissue with very little thermal conduction. By
TRL technology can ablate from 25 µm to 1500 µm
contrast, due to their comparatively low absorption
with exacting precision.
Medixsysteme (SYGMALIFT) SYGMALIFT from Medixsysteme uses Fractional Focal Ultrasounds for non-invasive facial reshaping and sculpting of the chin, jaw-line and naso-labial folds. Multi Flux Ultrasounds and laser also smooth crow’s feet, lift the eye area and restructure the chin. The laser will also enhance the appearance and texture of the skin. The main advantage of ultrasound-based methods is the high penetration rate of ultrasound in the human body and their real-time capabilities. The second generation of HFU Ultrasounds gives more possibility to disrupt the adipose cell membranes and favour reduction in volume of the area treated. To treat fat mainly located in double chin, the fractional energy remodels and restructure the treated area. Circular Flux Ultrasound is considered to improve the
• Our systems are used worldwide in hospitals and private clinics large and small
extensibility of mature collagen such as is found in older tissue, which occur by promoting the reorientation of the fibers (remodeling), which leads to greater elasticity
• Backed up by full warranty and onsite training
without loss of strength. Finally the Lower level laser light has been proven to accelerate the skin’s natural healing process, and
For more details or to arrange a platform demonstration call or visit.
Tel 01477 536977 Web www.lynton.co.uk
also stimulates the production of collagen for skin rejuvenation. SOURCE: www.theconsultingroom.com
SiriusDualWave
SiriusQlite Advanced tattoo and pigmentation removal
GSD sPTF+ Laser Safety Advice & Training
Core of knowledge courses 2011 20th September 2011, Birmingham University 20th October 2011, London (Watford Hilton) 15th November 2011, Birmingham University
Advanced
IPL
• Hair removal • Acne • Skin rejuvenation
• • • • •
Painless Treatments Portable (15kg) Large Spot Size (patented technology) Full training and support package FDA approved
Tailored on-site training also available
For more information or to make a booking: T: 0121 647 7023 E: info@lasersafe.co.uk www.lasersafe.co.uk
www.gsd-ipl.co.uk • info@gsd-ipl.co.uk 0844 800 5758
Topical Application of Oxygen
S omet hing in the ai r
Dr Peter Pugliese on the practical use of topical oxygen
This article has been written to provide the aesthetic practitioner with a working knowledge of oxygen as a therapeutic modality. It is important to understand that oxygen is not a miracle remedy; it is, however, a very effective agent to treat many skin conditions that the aesthetician sees almost daily.
A
Dr Peter Pugliese Dr Peter Pugliese is a biomedical consultant to the cosmetics and pharmaceutical industries. His major research interest is normal skin physiology and mechanisms of skin ageing. He brings more than 50 years of knowledge and experience and has gained an international reputation as a respected authority in the research areas of ageing skin and longevity. He is a member of the American Academy of Dermatology, the Society of Investigative Dermatology, and the Society of Bio-engineers of the Skin, the American Chemical Society and the Society of Cosmetic Chemists. He has written more than 60 scientific papers, given more than 100 world-wide presentations at scientific meetings, has contributed more than ten chapters to scientific texts, and has published five books including Physiology of the Skin Iand II and the new edition of Advanced Professional Skin Care – Medical Edition. He is on the board of the American Aaestheticians Education Association as director of medical aesthetics.
lthough this article won’t go into great detail
Oxygen and energy
about the science of oxygen or free radical
With the advent of oxygen in the atmosphere, cells that were
theory, it will touch on these topics lightly,
able to adapt to the presence of oxygen made great use of it
as well as what skin conditions respond best
as part of their energy systems. All energy on Earth is derived
to oxygen and why. The conditions to be
from the sun, in one form or the other, but humans’ biological
covered include oxygen use in the treatment of acne, rosacea
energy comes indirectly from plants. Plants synthesize sugars
and ageing skin.
via photosynthesis, people then eat the plants and break down the sugars to release biological energy in the form
Oxygen in the atmosphere
of adenosine triphosphate (ATP). Don’t worry about all the
About two billion years ago, oxygen first appeared in the
steps involved, just remember that oxygen is essential for
atmosphere as a by-product of single-cell metabolism.
that process to occur. A large amount of the oxygen used by
These creatures ran out of the initial food-stuff in the
the skin passes into the skin from the atmosphere. A critical
oceans and had to synthesize their own food. Three raw
point to remember is that oxygen must diffuse into the skin
materials were available to them: water, air (carbon dioxide)
and then down to the basal layer of the epidermis. Although
and sunlight, and from these, they synthesized sugars, or
a certain amount is used by the upper layers of the epidermis,
carbohydrate compounds. Water was split into hydrogen
the basal layer consumes most of the epidermal oxygen. Why
and molecular oxygen; carbon dioxide was split into cabon
is this important? Without the ability to get the oxygen into
and oxygen; and the sun, in the form of photons, supplied
the skin first and then down to the basal layer next, it would
the energy necessary to do all this work. Although the
not make any sense for oxygen to be used as a therapeutic
details are a fascinating read, this is not the place to go
modality. Diffusion laws are complex and the physics are a
into depth with them. One important fact that you need
bit stiff. but you really do not need to know all of that to be
to know is that this process produced a lot of molecular
able to use oxygen effectively. There are three conditions that
oxygen in the form of O2.
respond to oxygen therapy: acne, rosacea and ageing skin. For
Now keep in mind that all the organisms on Earth this time
each of these biological disorders, the underlying pathology
lived with oxygen (anaerobic), so oxygen became toxic to
must be examined in order to appreciate and understand the
them and many hundreds of thousands of species died
role of oxygen in the treatment process.
because of the toxicity of atmospheric molecular oxygen.
20
cosmeticnewsuk.com
Some species obviously adapted to the presence of oxygen
Acne vulgaris
and survived, otherwise people would not be on the planet
The pathogenesis of acne vulgaris is characterised by four
today. These species had mitochondria, which enabled
factors. Follicular epidermal hyperproliferation is the first
them to make maximum use of oxygen as an energy
and is associated with subsequent follicular plugging. Next
source along with the sugars. The take-home lesson here
is the overproduction of sebum, with the third factor being
is that oxygen is essential for life, and it became involved
the anaerobic bacteria Propionibacterium acnes (P.acnes),
in the development of humans during the course of many
which is associated with the fourth factor, inflammation. The
millions of years in many ways. Even today, not every
aesthetician needs to appreciate these and know how to
biological function of oxygen is known.
contend with each.
•
Epidermal hyperproliferation
Starting with the formation of adrenal androgen before puberty, the sebaceous follicle is triggered to proliferate and is followed by the plugging of the follicle. It is believed that the adrenal hormone dehydroepiandrosterone (DHEA) is the cause of this early manifestation of acne because the appearance of comedones is first noticed during this time. It requires the presence of androgen receptors in the follicle to form a comedone, since those individuals
MICRODERMABRASION SPECIALISTS
who lack these androgen receptors or who have poorly functioning androgen receptors do not get acne.
•
Sebum overproduction
The second factor, the overproduction of sebum, is also related to the action of androgens. For some reason, linoleic acid is low in the follicles of people with acne, while in those mostly acne-free, it is normal. As a result of excess sebum, acneic skin tends to be oily and appear shiny.
•
P. acnes and inflammation
The third factor, the presence of P.acnes, is also related to the fourth factor, inflammation.
DIAMOND PEELING
Oddly, P.acnes are rarely seen in early acne lesions – the microcomedo – and is generally not found until later. Keep in mind that this organism is anaerobic and resides deep in the follicle, away from atmospheric oxygen, which it does not like. It is the P.acnes that is responsible for the inflammation seen in acne, the papule and the pustule, as well as the cyst in cystic acne. As with many bacteria, P.acnes produces mediators of inflammation that start the
FULL TRAINING
cascade of inflammation propagated by white blood cells, the leukocytes. Here is a new term for you to remember: the toll-like receptor. This is a primitive defense receptor on monocytes and neutrophiles (two kinds of white cells), which, when activated, leads the cell to produce cytokines, such as Interleuken 12 (IL-12), IL-8 and tumor necrosis factor (TNF). In addition, IL-la is also present and may be a contributing factor. Now, if you
C R Y S TA L PEELING
are not familiar with cytokines, you might say. “So what?” Briefly, cytokines are special signaling proteins and proteins linked with sugars called glycoproteins. They are very much like hormones that are able to provide Signals to other cells by cellular communication. Cytokines are a diverse class of compounds arising from many origins and having multiple functions. Both blood cells and non-blood cells can produce them, and their effects can be felt by cells nearby and throughout the body. Mainly, they are a response to trouble, but they often produce more trouble. The body could not exist without them. In summary, inflammation in acne is mainly the result of P.acnes and the cytokines they evoke from white blood cells. Along with the other factors. the acne follicle is a roaring source of inflammation.
Oxygen in acne treatment
GREAT VERSATILITY
Every effective therapy treats the causes of the disease.
PROVEN EFFICACY
When looking at the causes of acute acne, the presence of P.acnes stands out as a major factor in the formation of pimples or cysts. It is important for the aesthetician to understand just what is happening when oxygen is being delivered to the skin (see Figure 1).
•
Diffusion of atmospheric oxygen
RESULTS DRIVEN TREATMENTS HIGH RETURN ON INVESTMENT 5 YEAR WARRANTY AFFORDABLE QUALITY
The excellent work of Strucker et al , shows that the needs 1
of the epidermis can be supplied with oxygen from the atmosphere through a diffusion process. The epidermis, however, needs additional oxygen, which is supplied by the capillaries. The skin uses oxygen to kill bacteria, to supply energy to the cells, to reduce swelling, to stimulate fibroblast activity, to inhibit lipid peroxidation and to initiate new blood vessel production. It is unknown how these actions occur, but it has been identified through experience with medical hyperbaric oxygen that they do occur (Hyperbaric oxygen is usually administered in a sealed, heavy-walled chamber. By definition, hyperbaric oxygen is
01903 768 380 info@thecarltongroup.co.uk
www.thecarltongroup.co.uk
Topical Application of Oxygen
above one atmosphere of oxygen pressure, normally about 160mm
Rosacea
mercury). By using wet oxygen-either mist-laden or in a solution-
Of all the many diseases of obscure etiology, rosacea should rank
you are able to get effective levels of oxygen into the hair follicle,
near the top of the list. It is known that a lot of people have rosacea
deep enough to reach the sebaceous gland. This is the No.1 reason
– an estimated 13-14 million in the United States2. It occurs most
for using topical oxygen for acne.
frequently in people ranging from 30-50 years of age and is found primarily in fair-skinned people with northern European ancestry.
•
Bacterial kill mechanism
Women, for some reason, are affected about two to three times
It is most likely that a free radical
more often than men3. Rosacea is characterised by a persistent
reaction occurs at the cell surface of
erythema of the face for a duration of at least three months.
the bacteria. Oxygen can form very
Diagnostic signs include flushing, papules, pustules, telangiectasias,
reactive by-products, such as hydrogen
edema, plagues, a dry appearance, ocular manifestations and
peroxide and superoxide, when they
phymatous changes. Symptoms include burning and stinging.
enter a cell. The targets of the reactive
A major finding is central facial flushing, often accompanied by
oxygen species (ROS) are protein and
burning or stinging. Patients generally have finely textured skin,
DNA, which denatures both these
although the face may appear rough and scaly, suggesting a low-
compounds. It is not fully known
grade dermatitis. Known triggers to flushing include emotional
what the antimicrobial mechanisms
stress, alcohol, spicy foods, exercise, cold or hot weather, hot drinks,
of oxygen are, but some of these
and hot baths and showers.
processes are understood. For example, the cell envelopes of bacteria consist
Rosacea patients frequently have sensitive skin and may feel pain
of polysaccharides (complex sugars)
with many products, even when they are gently applied to the
and proteins. Some bacteria have a lot
skin. A present controversy is the concurrent existence of acne and
of complex lipids in their membranes, including glycolipids and
rosacea. As a rule, no comedones are seen in rosacea. My personal
lipopolysaccharides.
opinion is that acne is a separate disease from rosacea. I base this on the fact that rosacea is characterised histopathologically with the
Oxygen reacts with the lipid layer in cellular membranes, usually
appearance of perivascular infiltration. This would suggest some
forming hydroperoxides and a lot of other nasty-but-active germ-
basic vascular pathology, which is to say. it covers a lot of area, but it
killing compounds. Net result: Oxygen breaks the bacterial cell
presents a clue or starting point. Why do only men get rhinophyma
envelope by lipid peroxidation. So basically, oxygen has effectively
with rosacea? Studies have shown possible associations between
punched holes in the cell’s membrane, causing the bacteria’s nucleic
rosacea and the face mite Demodex folliculorum4,5 and Helicobaeter
acids and other critical compounds to exit the cell, thereby killing
pylori infection6,7,8.
the bacteria. Besides this method, oxygen kills bacterial pathogens disrupting the system that creates the cell’s energy, as well as
•
crippling the critical proteins’ manufacturing systems (see Figure 2).
Treatment by the medical profession for rosacea is essentially
Treating rosacea with oxygen
an attack with antimicrobial agents, but for more resistant cases, •
Treating acne with oxygen
physicians use surgery, dermabrasion, laser and more recently,
The current acne treatment regimen used should continue
intense pulsed light (IPL). The aesthetician has limited use of
and the oxygen treatment should be adjusted according to the
these modalities, but there are still effective treatment methods
acne’s severity. In severe non-cystic acne, use oxygen therapy
available. Since there appears to be a bacterial component to
three times a week for the first week (cystic acne should always
rosacea, an antimicrobial product should be used along with an
be treated by a physician).
anti-inflammatory. You have your choice of many anti-inflammatory agents, both natural and synthetic. Bioflavanoids and other
During the second week, reduce to two treatments administered
polyphenols from green tea are effective. Consider also bisabolol
at least two to four days apart. On the third week and
from the plant chamomile. One very powerful antioxidant found
subsequent weeks, oxygen used once a week should produce
in pomegranate is ellagic acid, with a great many other positive
good and lasting results. Have the client return in a month to
properties, such as an antiperoxidant, antiseptic, antibacteriall
check for comedones, both open and closed. As you are well
astringent, antifungal, antiyeast, and it is a sunscreen, as well when
aware, acne is a recurrent disease and those experiencing it
added at 0.5%.
should be followed up with regularly, often beyond the teen years. Acne and ignorance are the scourges of youth.
Topical oxygen should be applied in a wet form, carefully following
There are only two methods of oxygen application that I
the directions of the manufacturer. When you see the skin blanch,
recommend and both use wet oxygen. The nebulizer format
you know you have reached the top of the dermis with your
allows aestheticians to use additional agents during the
oxygen treatment. At the same time, you will have killed many of
application, such as essential oils or plant extracts. The other
the superficial and deep-surface bacteria, and probably killed the
form is oxygen generated in situ-that is, on the skin-and can be
demodex, or else made them very unhappy.
effectively used in a treatment lasting less than 10 minutes. Both
22
cosmeticnewsuk.com
of these systems are commercially available. Whatever system
The treatment program for rosacea should follow an initial three
you use, make sure you understand it, and follow the directions
treatments the first week, two the second week and one the
of the supplier.
third week. Depending on the improvement, scheduling of the
w w w. c o s m e t i c - i n s u r a n c e . c o m / c o s m e t i c n e w s
Topical Application of Oxygen
METABOLIC PROCESSES THAT REQUIRE OXYGEN Oxygen is so important to life that humans cannot live without it. After three minutes without oxygen, the brain begins to lose consciousness; the brain cells will die in eight minutes without oxygen; and many cells will suffer irreversible damage in 10 minutes. Following are some crucial metabolic
•
Respiration
•
Metabolism of carbohydrates, fats and proteins
•
Collagen and elastin metabolism
•
Many enzyme reactions
•
The destruction of bacteria
•
Thousands of everyday biochemical
process that require oxygen.
How often can you use oxygen therapy?
reactions
The cost of the treatment must be considered, but the client is the most important factor.
subsequent treatments can vary from biweekly to monthly.
immune system. The skin is also insulted daily with free
As the reader is well aware, rosacea clients do not all
radicals, both inside and outside the body. Any treatment
respond the same, so adjust your treatment to meet the
of ageing skin should begin with an adequate antioxidant
needs of a particular client.
regimen. A good, glycation-free diet with a modest caloric intake can prevent many unnecessary hospital days.
Ageing skin
Remember that using oxygen is an art. You must know how to use it. If a company tries to sell you an oxygen treatment without adequate education or instruction, steer clear of it. You will begin to see oxygen used more often in aesthetics within the next few years, and perhaps in combination with other treatment systems.
Ageing remains a major topic in science because, even
•
Treating ageing skin with oxygen
today, the process isn’t fully understood. It is known, for
Oxygen can be used as an adjunct treatment in a skincare
example, that tissues and cells undergo damage, that
anti-ageing program.
a person’s DNA may also be damaged, and that a lot of
Remember to always use wet oxygen. Include in your
systems do not work as well at age 50 as they do at age
ageing skin treatment program three oxygen treatments
20. There are many questions, but few answers, although
during the first week, and a series of three treatments the
a great deal has been learned during the past few years
next week. During this time, you could use one enzyme
about some important aspects of ageing that can be
peel each week for the first two weeks. During the third
translated into skincare. Energy and living are forever
week, look for changes in texture, color and fine lines. The
linked, and so is the ageing process. Having adequate
third week, give two more oxygen treatments-although
energy for every organ is essential for the normal function
the timing is not critical, they should be two to three days
of each organ, and that means each cell must have a good
apart, but do nor administer them back to back. After the
supply of energy.
third week, you can adjust your treatments to once a week or alternate weeks for six to eight weeks, depending on the
The skin is one organ that almost always comes off on
condition of the client’s skin.
the short end of the metabolic stick. Waste products accumulate in the skin, its blood and nutrients are shunted
Look at two parameters in order to evaluate wrinkles.
REFERENCES
to other organs in emergency situations, and nasty
How deep are they? Even one or two deep wrinkles
1. M Strucker et 01, The cutaneous uptake of
metabolic by-products are frequently sent to the skin to
suggests a great deal ofdamage to the dermis. Little
atmospheric oxygen contributes significantly
be neutralized. The sun and cold are not the skin’s friends,
wrinkles will hold a thread; moderate wrinkles will hold a
nor are harsh detergents and soaps. Next to the stomach,
string; severe wrinkles are deeper and wider than the wire
the skin is the most abused organ in the body. The skin can
in a coat hanger.
Nurse Pract (26) 13-15, 19-23 (2001)
be helped, however, if enough energy is supplied to it, and
How long are they? Except for the nasolabial fold and the
3. M Berg, S Liden, An epidemiological study of
that is one thing oxygen therapy can do.
labiomental fold, wrinkles that measure longer than an inch
rosoceA. Acta Derm Venereol (69) 419-423 (19B9)
are really bad. These wrinkles reveal that there is a great •
The mitochondria
Tremendous strides in the information known about
deal of dermal damage and will most likely fail to respond to anything other than deep surgical peels.
to the oxygen supply of human dermis and epidermis. J Physiol (538) 985-994 (2002). 2. T Cuevas, Identifying and treating rosacea.
4. T Roihu, AL Koriniemi, Demodex mites in Acne rosocea. J Cutan Pathol (25) 550-552 (1998) 5. Z Erbagci, 0 Ozgoztasi, The significance of Demodex folliculorum density in rosacea. IntJ Dermatol (37) 421-425 (1998)
mitochondria have been made during the past 30 years.
6. B Wedi, A Kapp, Helicobacter pylori infection
They are the major energy source for the cell and are
•
Oxygen and the skin
damaged rather easily because they do not have adequate
Oxygen revitalises the epidermis and stimulates cellular
repair mechanisms.
growth by increasing cellular proliferation. It will kill surface
Every movement or thought, and most chemical reactions
bacteria, deep anaerobic bacteria and fungus. Oxygen will
Gongeness, Effect of treatment of Helicobacter
that occur in the body, require ATP. In fact, so much ATP is
supply energy to the epidermis and to the dermis, helping
pylori infection on rosacea. Arch Dermatol (135)
used by the body that, each day, it makes and uses about
to heal any small wounds and irritations. In the dermis, it
659-663 (1999)
80 pounds of it. Staggering! Oxygen is critical to the process
will help produce collagen and elastin and help restructure
of generating ATP.
the extracellular matrix. Oxygen is a micronutrient and it
and skin diseases. ) Physilo Pharmacol (50) 753776 (1999) 7. JT Bomford, RL Tilden, JL Blonkush, DE
8. VK Shormo, A Lynn, M Kaminski, RVasudeva, CW Howden, A study of the prevalence of Helicobacter pylori infection and other markers
will assist with many metabolic processes in the skin. Lastly,
of upper gastrointestinal tract disease in
Ageing skin features a decrease in circulation, metabolic
it is critical for many enzyme reactions, and the presence of
patients with rosacea. Am )Gastroenterol (93)
REQUIRE OXYGEN activity, ATP production and a sluggish
oxygen can often accelerate these reactions.
220-222 (1998)
This article was originally published in the September 2008 issue of Skin Inc. magazine, and is being reprinted with permission. All rights reserved.
24
cosmeticnewsuk.com
intraceuticals i t ’s i n t h e s k i n
Why do the world’s leading skincare professionals use IntraceutIcals Oxygen InfusIOns? 3 step hyalurOnIc layerIng
1 - revIve • delivers actives for immediate visible results
2 - replenIsh • provides a reservoir of antiageing actives and nutrients
3 - prOtect • nourishes and protects skin from environmental damage Intraceuticals Oxygen Infusions combine therapeutic grade hyperbaric oxygen with professional strength hyaluronic acid based serums to instantly hydrate, lift and tighten. the infusions can be used as a stand-alone treatment to dramatically transform the look and feel of your patient’s skin with no downtime. Medi-spas across the globe combine intraceuticals oxygen Infusions with IPL, Dermabrasion, Micro-needling, and other procedures for superior results, and to speed up the recovery process following chemical peels, radio frequency and fractional laser skin resurfacing.
uK sales Manager: James Stringer • 07771 766160 james.stringer@intraceuticals.com • www.intraceuticals.com
intraceuticals i t ’s i n t h e s k i n
Two extraordinary brands, one global leader. Syneron’s remarkable ability to innovate new technologies allows you to keep pace in a rapidly changing industry. Candela helps strengthen your practice with four decades of industry-leading scientific expertise.
Together, we can foster your goal of building a successful practice.
The Most Comprehensive Clinically Proven Facial Treatment Portfolio For All Skin Layers & All Skin Types ePrime™
Dermal Volumizer™
First energy based device that creates controlled fractional injuries to the deep dermis • Unique Single Treatment for improved skin tone and volume •
First minimally invasive aesthetic device to demonstrate neo-collagenesis & neo-elastogenesis
•
Fractional Bipolar RF energy delivery ensures a safe treatment for all skin types
info@candelalaser.co.uk, Tel: 0845 521 0698 science , we deliver exceptional results that have trust - your trust in us and your customer’s trust in you.
Driven by earned
eMatrix™ Sublative Rejuvenation™
Unique fractional injury pattern creating high intensity controlled dermal impact with lower epidermal disruption • Fractionated bi-polar radio frequency technology to place the heat energy effectively into the dermis • Beyond fractional methods of skin resurfacing for all skin types • Minimal downtime, proven efficacy, lower procedure cost
CO2RE™ Multi-mode CO2
The optimal skin resurfacing platform with up to six different fractional and non fractional resurfacing modes using the latest CO2 laser technology • Engineered to deliver a unique set of pattern generation capabilities that translate into more treatment options for a wider range of patient needs. •
•
Treatment of superficial and deep skin layers simultaneously with precision control over the intensity, pattern & depth of ablation Versatile solution for skin resurfacing, wrinkle & scar reduction, traditional ablation and minor dermal excisions
s i lv e r sponsor
cosmetic news xpo 2012 E
29th - 30th april 2012 | business design centre, islington, london w w w. c o s m e t i c n e w s u k . c o m
t h e u k ’ s o n ly free of charge aesthetics exhibition
syneron@wigmoremedical.com, Tel: +44(0)20 7514 5975
s i lv e r sponsor
cosmetic news xpo 2012 E
29th - 30th april 2012 | business design centre, islington, london w w w. c o s m e t i c n e w s u k . c o m
t h e u k ’ s o n ly free of charge aesthetics exhibition
VIEW ON - Ultherapy®
TwoowT ViewssweiV Ultherapy has been one of the most talked deklat tsom eht fo eno neeb sah yparehtlU about treatments in the US this year. Here we get teg ew ereH .raey siht SU eht ni stnemtaert tuoba the views of two stateside plastic surgeons, Dr rD ,snoegrus citsalp edisetats owt fo sweiv eht Andrew Campbell and Dr Matthew White, on this siht no ,etihW wehttaM rD dna llebpmaC werdnA revolutionary procedure erudecorp yranoitulover
Ultherapy®, a novel micro-focused ultrasound modality for non-invasive, non-surgical skin rejuvenation and lifting, is capturing growing niche. By treating the underlying facial tissue superficial muscular aponeurotic system (SMAS), as well as the skin dermis, Ultherapy represents an entirely unique approach to rejuvenating the ageing face. It can stave off the need for surgery or serve as an alternative to those unwilling to go under the knife. As the device adoption continues to expand, aesthetic practitioners and patients alike are gaining increased experience with and exposure to the technology. Two facial plastic surgeons experienced with Ultherapy, share their views and perspectives on the subject.
P
Practicing out of Wisconsin, facial plastic surgeon
age with early signs of laxity. “Improvement is much more noticeable
to the physics behind Ultherapy. “I did some
on someone with early, as opposed to advanced, laxity”, he says.
research before it received FDA clearance, and I realised right away they had something unique on
IN PRACTICE
their hands”, he says. “By focusing the ultrasonic energy, completely
Manhattan-based facial plastic surgeon Dr Matthew White sees his
bypassing the epidermis but still successfully depositing a therapeutic
share of on-the-go, upwardly mobile business people who work on Wall
level of energy in deeper tissues, Ultherapy treats facial laxity without
Street. “A lot of patients are looking to stay competitive in the workplace,
surgery, and nothing else does that.
which they think is tied to their appearance. Whether it’s improving their appearance to look more vibrant or the associated confidence
“
This is tailor-made for patients who may not need or want surgical intervention, but still want results. I’ve tried other technologies purported to serve this segment and the results were underwhelming at best
“
DR CAMPBELL
Dr Campbell’s classic patient, he said, is between 40 and 60 years of
Andrew C Campbell, MD, was initially attracted
boost, people perceive this to be important, and they come into my office looking for help. Ultherapy offers a distinct advantage over other non-surgical alternatives, according to Dr White. “Just about every other non-surgical, energy-based rejuvenation modality only treats the surface,” he explains. “Ultherapy goes deeper, providing a different dimension to rejuvenation. Unlike traditional lasers and RF devices of the past, Ulthera is able to deposit ultrasound energy at very precise depths, creating independent Thermal Coagulation Points (TCPs). In addition, those TCP’s reach a precise temperature (65-70° C) in the therapeutic zone, which leads to aggressive neo-collagenesis in the deep soft tissues and ultimately produces a lift from below. With dual-layer treatment,
“This is tailor-made for the large market composed of patients who
we can produce an effect closer to the surface as well, creating a more
may not need or want surgical intervention, but still want results. I’ve
well-rounded result. And, unlike surgery, which requires time off from
tried other technologies purported to serve this segment of the patient
work, Ultherapy has no downtime, so patients can get right back to the
population, and the results were underwhelming at best. Ultherapy is
corner office.”
remarkably consistent in that it regenerates collagen in everybody; in
28
cosmeticnewsuk.com
that sense, there are no non-responders. There are, however, people
Because the effect occurs below the surface, treating facial areas or
whose laxity is just too great for Ultherapy to overcome. These people
the submental region individually is certainly possible with Ultherapy.
need a face-lift.”
However, most patients select full-face treatment and can be prompted
to do so through careful and thorough education. “By far, the majority of
I don’t think the cooling has nearly the impact that the simple
our Ultherapy patients opt for full-face treatment. It’s the best option for
distraction factor does. For patients who are very concerned, I may
a more uniform result, and we offer package pricing to influence patients
offer narcotic pain relief.”
in their choice,” says Dr Campbell. Ultherapy is an ideal adjunct to other commonly sought treatments, In Dr White’s practice, around 80% of patients receive full-face treatment.
according to Dr Campbell. “Laser skin treatments and Ultherapy are an
“Most come in for jowl and neck laxity, but, in the end, they choose
obvious complementary package,” he says, “because the laser adds the
full face”, he says. “I feel that a full-face treatment really puts the facial
resurfacing component to the global result, but you can combine it with
features in harmony and allows for a more balanced, natural result. It only takes about an hour, and when they walk out of the office, they can go right back to work. I’ve seen mild bruising in maybe 2% of patients that lasts a few days at most, but that’s all.”
GREAT EXPECTATIONS As with any aesthetic procedure, expectation management is a major component to the overall treatment protocol. “This is fairly easy to do,” says Dr White, “because the result is very natural. It isn’t a face-lift, and we need to make that clear. But, outcomes are visible as long as you don’t
Ultherapy has been a gateway “treatment for my practice... it quadrupled new patient traffic, which we’ve been able to maintain, giving people an opportunity to see the spectrum of my expertise
“
treat the wrong patient. Ulthera provides great audiovisual materials I can show patients that effectively explain the way the device works. They tend to be comfortable with ultrasound because it’s well known
anything without worry because ultrasound is so safe.”
to be safe.”
Ultherapy fixed local media attention on Dr Campbell and his
Satisfaction with Ultherapy is high for both patient and physician.
practice, allowing him to showcase the device on local television
“Typically, if patients aren’t satisfied with a particular treatment, I
news. “That literally opened the floodgates; close to half the total
re-treat at no cost to the patient,” says Dr Campbell, “and I haven’t
number of patients we’ve treated were influenced in some way by
had to do much of that with Ultherapy. This technology enables me
that newscast exposure.”
to get it right the first time.”
Dr White says, “Ulthera has done a great job promoting this nationally.
DR WHITE
Once it was featured on the larger talk shows, our phones were ringing Highly trained registered nurses perform treatments in his office.
off the hook and have continued to do so.”
“They love performing a treatment that brings patients back in saying, ‘Wow, this is amazing.’ Dr White explained that, while he recognises
“Ultherapy has been a gateway treatment for my practice,” he adds. “It
that Ultherapy is suitable for use by well-trained ancillary personnel,
quadrupled new patient traffic, which we’ve been able to maintain,
he prefers to perform the treatment himself. One exciting aspect of
giving people an opportunity to see the spectrum of my expertise.
Ultherapy treatment: the half-time assessment. “We do half the face
About 90% of them undergo some type of procedure, so Ultherapy has
then let patients see the difference in the mirror,” he says. “They can
grown other aspects of my practice, such as facial injectables and even
see the results, and that’s very satisfying to everyone involved.” His
face-lifts as well. It paid for itself within a few months. Ultherapy has also
key for managing discomfort during treatment is thorough education
given me a chance to build relationships with my patients. They come in,
and talking them through the procedure. “Other than giving them
we get to know each other, they see results they can get excited about,
mild oral analgesia (Tylenol), I just make sure they know what to
and that patient stays in my practice. It’s very rewarding.”
expect during treatment, beginning with a test spot on their neck. Once properly acquainted with the sights, sounds, and sensations of
FOR FURTHER READING
Ultherapy, patients don’t seem to need anything else.”
(1) Alam M, White LE, Martin N, et al. Ultrasound tightening of facial and neck skin: a raterblinded prospective cohort study. Dermatol Surg 2010;62:262-9. (2) Laubach HJ, Makin IRS, Barthe PG, et al. Intense focused ultrasound: evaluation of a new treatment modality for precise microcoagulation within the skin. Dermatol Surg 2008;34:727-34. (3) Gliklich RE, White WM, Slayton MH, et al. Clinical pilot study of intense ultrasound therapy to deep dermal facial skin and subcutaneous tissues. Arch Facial Plast Surg 2007;9:88-95.
Dr White has treated well over 100 patients in this fashion. Dr Campbell uses a Zimmer cooler to manage patient comfort. “One patient who underwent treatment using old protocols, then later with my newer ones using the Zimmer cooler, said her treatment experience was at least 50% better with the addition of the Zimmer.
cosmeticnewsuk.com
29
ACNE
Hitting the Spot Mr Paul Banwell Paul Banwell is a plastic and cosmetic surgeon based in the South East. Paul has developed an international reputation in the fields of cosmetic surgery, skin health and skin cancer and lectures worldwide on these subjects. He has published extensively and is a Visiting Professor of Plastic Surgery to Harvard Medical School. He has just been listed in the Times Magazine as one of the UK’s Top 100 Doctors and is a familiar face in
The treatment of acne is probably one of the biggest growth areas in cosmetic medicine practice today. Dr Sam Bunting and Mr Paul Banwell, two of UK’s leading skin experts, have joined forces to give a perspective on integrating acne into your aesthetic practice
the national media both on TV and in the Press.
Dr Sam Bunting Cosmetic dermatologist Dr Sam Bunting is a
A
cne is one of the most common skin
elements are present.
disorders for which people seek specialist
This distinction is important as the predominant lesion type will
advice. In the UK alone, acne vulgaris affects
determine not only the most beneficial treatment options, but
approximately eight to 10 million individuals
also help manage patient expectations-certain patterns represent
each year. Whilst it is commonly perceived
leading skincare expert widely featured
to be a disorder of adolescence, affecting some 85% of all
in the popular press, on radio and
teenagers, statistics show that its prevalence remains high well
tv. She has a particular interest in the
into later life. Acne affects some 40- 50% of men and women in
management of adult acne and has
their twenties, and may still affect up to 10-20% in their forties
successfully incorporated this expertise
and fifties. The complex pathophysiology of this condition is
into her private practice.
reflected by the many treatment options available, and whilst
a greater treatment challenge than others.
conventional medical therapies (eg. Antibiotics) remain firstline in the therapeutic armamentarium, emerging treatment strategies such as cosmeceuticals, light, laser and PDT attempt to offer better efficacy with fewer side effects and quicker results, particularly in more resistant cases.
Acne Pathogenesis Abnormal follicular desquamation leads to micro-comedone formation, which is the primary lesion in acne vulgaris. Sebum secretion, which typically increases at puberty leads to accumulation in the blocked follicle, which encourages proliferation of P. Acnes. This incites an inflammatory response, which may lead to the development of papules, pustules, nodules or cysts. Thus acne can be classified in terms of the primary lesion: l Comedonal, where open and closed comedones predominate, and inflammatory lesions are rare l Inflammatory, where papules, pustules and nodulo-cystic cosmeticnewsuk.com
31
ACNE
Clinical Presentation When assessing an acne patient, it is useful to classify disease severity in a meaningful way, in order to document response to treatment. l Mild disease: <20 comedones, <15 inflammatory lesions, l Moderate disease: 20-100 comedones, 15-50 inflammatory lesions l Severe disease: >5 cysts, >100 comedones, >50 inflammatory lesions. It is also useful to document the presence of secondary lesions including excoriations from picking, erythematous macules from recent spots, pigmented macules from old spots and the presence of scars. Off course, the face, chest and back should all be examined and photographs are essential for monitoring progress with treatment.
Approach to treatment Patient education is critical to treating acne successfully. Patients are often psychologically traumatised by their ongoing battle with this pernicious condition and many have had negative experiences in the past at the hands of unsympathetic professionals as acne is often trivialised. Expectations must be managed, as must management of treatment side effects if compliance is to be achieved.
Mild acne Acne prevention regimen
A good skincare regimen may be sufficient for those with mild
a once-daily multi-pronged attack on both comedonal and
acne. Retinoids, salicylic acid and azelaic acid will all have impact on
inflammatory lesions. Studies show that its onset of action is
comedonal lesions, whereas benzoyl peroxide (BPO) and salicylic
faster and its tolerability is no worse than either agent used
AM
acid have good anti-inflammatory properties. The core of any acne
alone- leading to better compliance.
l Mild 2% Salicylic acid wash
regimen is the use of an anti-comedonal agent as this is the primary
lB PO plus/minus topical
lesion of acne vulgaris.
antibiotic or azelaic acid 20% lN on-comedogenic
Topical niacinamide has also emerged as a useful antiinflammatory agent in the treatment of the papulo-pustular
Its important to explain to patients that gradual incremental use
element of acne. Studies show it to be as effective as topical
moisturising SPF 50 broad-
of topical agents ensures maximum tolerability. Quantify amounts
1% clindamycin and its main advantage there is no risk of the
spectrum sunscreen (in
used so dose-reduction can be performed intelligently if side effects
development of bacterial resistance. In addition, it improves
conjunction with topical
become excessive. If patients understand that a condition gets
post-inflammatory hyperpigmentation, a common feature
retinoids)
better over the course of six to 12 weeks, they will then understand
of acne vulgaris. This is available in serum formulation from
that there is no need to blitz their skin with excessive product
Rationale Skincare and Medik8.
PM
use, resulting in inevitable irritancy and compliance improves
l Mild 2% Salicylic acid wash
accordingly. Written instructions will help enormously.
Cosmeceuticals
l Topical retinoid lN on-comedogenic emollient therapy as needed
Cosmeceuticals (medical grade skincare) represent a marriage
Moderate and severe acne
between cosmetics and pharmaceuticals and are a more
Moderateacnewilloftenrequiretopicalororalantibioticsinconjunction
sophisticated approach to tackling acne than traditional over-
with topical therapy. Topical antibiotics should not be used in
the-counter products or prescription medications. Ranges are
isolation - to limit development of antibiotic resistance- and therefore
typically based on vitamin A-derivatives and hydroxy acids. For
combinations with BPO or Zinc is preferred. Typically a course of oral
instance, the SkinCeuticals Acne System utilises retinol, glycolic and
antibiotics will utilise tetracyclines or erythromycin and will last three to
mandelic acid whilst Medik8 Anti-Acne kit employs azelaic acid,
sixmonths.Unfortunatelyantibiotic-resistantP.Acnesisnotuncommon,
salicylic acid and niacinamide. These products have a more elegant
particularly to erythromycin. Side effects can occur which limit
feel with additional anti-ageing benefits, and are therefore an
tolerability and oral antibiotics donâ&#x20AC;&#x2122;t target excess sebum production or
excellent choice for the adult acne population. Obagi Clenziderm
comedone formation. Some patients will therefore merit a course of oral
Acne Therapeutic system combines solubilised 5% BPO with 2%
isotretinoin, under specialist guidance - again side effects limit suitability
salicylic acid-advances in the formulation minimises irritancy whilst
for all. However, in the event of recalcitrant nodulo-cystic disease with
effectively delivering the active ingredients into the pilosebaceous
scarring, this is the treatment of choice. All oral retinoids have teratogenic
unit.
effects and patients must be cautioned to avoid pregnancy whilst taking these medications. Oral hormonal therapy may be appropriate in some
Light therapies (blue/red light)
female patients, but is best incorporated into a good skincare regimen.
A desire to avoid the side effects associated with medical therapies for acne has also led to increased interest in adjuvant
New therapies
therapies. Perhaps one of the most promising is the use of
So in light of the limitations of conventional therapy, it is useful
continuous-wave broadband visible light.
to look at newer strategies and work out where they best fit into
32
cosmeticnewsuk.com
our current practice.
Light therapy is based on the premise that P. acnes produce
New topical agents
endogenous porphyrins, which absorb light to produce reactive
Epiduo is a combination of BPO and adapalene, which provides
oxygen species that lead to cell death. Blue light activates
source leads to activation of the porphyrins, resulting in cell damage. Partial destruction of the sebaceous glands is thought to be the main mechanism of action. Studies so far have utilised small numbers and differing treatment parameters mean that it is difficult to draw conclusions about the efficacy of this group of treatments. In addition, treatment is typically painful and can cause the PDT effect (downtime experienced during the healing process), which consists of acneiform folliculitis, post-inflammatory hyperpigmentation (PIH), superficial peeling, and crusting.
Chemical Peels Chemical peels are more typically used for facial resurfacing where removal of the epidermis promotes reepithelization leading to rejuvenation. However, in the context of active acne, alpha-hydroxy acids (eg. Glycolic) and salicylic acid peels have benefits due to their keratolytic activity, which is helpful in tackling the comedonal aspect of acne. Theoretically salicylic acid, which is lipophilic may be more effective due to increased penetration into the pilosebaceous unit and also because it has additional anti-inflammatory properties due its effect on the arachidonic acid pathway.
endogenous porphyries, leading to structural damage to P. acnes
Marketing Your Acne Services
and potentially, cell death. Red light, on the other hand, has a
Acne is a common disorder - ensure that all your staff are able
longer wavelength and penetrates more deeply-it is absorbed
to recognise the lesions associated with the condition and have a
by endogenous porphyrins (though less strongly than blue
good understanding of the therapeutic options required to treat it
light) but may also suppress sebaceous gland function and
successfully. Winning patients’ confidence is key.
modulate inflammation. Both treatments tend to be well
Use your database to market your acne services. Many of your
tolerated.
patients will have acne or if they do not, they may have children
The combination of blue and red light therapy has proven
with acne! The numbers here are potentially huge
more successful than blue light in isolation or monotherapy with BPO at reducing the number of inflammatory lesions
Ensure that you offer a dedicated acne skincare line and teach
(although it was not more effective at reducing the number
patients how to use them properly to maximise compliance (hand-
of comedones) suggesting that blue and red light have a
outs are useful). Acne is a chronic disorder so once patients find a
synergistic effect on the inflammatory aspect of acne.
successful regimen, they will stick with it-so this should prove to be a source of recurring income.
In contrast to monochromatic light sources, IPL utilises polychromatic light. In addition to delivering light in the
Provide a comprehensive acne information section in your website
blue-red spectrum it is thought to also have a photothermolysis
and ensure your keywords are optimised. Patients appreciate the
effect due to heating of sebaceous gland blood vessels, leading
added value-education is an important aspect to winning their
to diminished sebum production. However results of studies
trust in helping them manage this debilitating condition.
so far have been mixed and side effects such as pain, erythema, swelling, blistering and crusting limit treatment tolerability-
Hold skin evenings for your patients and include your acne
further studies are needed to determine the future role of IPL
treatment services in your offering. Many patients will have
in acne therapy.
annoying breakouts that you can offer a solution!
Lasers
Tell people you have knowledge. Social media is very important to
Lasers in the green and yellow part of the visible light spectrum
teenagers and 20-somethings, who form a big part of your target
have also shown promise in the treatment of mild-moderate
audience. Create acne-focused discussions on your Facebook fan
acne. However the treatment parameters are not yet well defined,
page, tweet about new treatments you offer and consider uploading
nor is there much comparative data with conventional medical
a video about acne management strategies on to YouTube.
therapy to be clear on where they sit in terms of efficacy.
Conclusion Photodynamic Therapy
Ultimately, treating acne well is tremendously rewarding, both for
Photodynamic therapy (PDT) refers to the use of a
your patients and for your business – it is a ‘win-win’ situation.
photosensitizing agent to enhance the effect of subsequent
The adult acne population in particular represents a group with
light or laser therapy. The most extensively studied is
unmet needs who are likely to remain loyal to your practice if you
aminolaevulinic acid (ALA). This is applied topically
can provide successful solutions for this common, chronic disorder.
where it is taken up into epidermal cells and converted
In addition, the dialogue generated about products and skincare is
into porphyrins - it accumulates in both epithelium and
a valuable entrée into discussions regarding other aspects of facial
pilosebaceous units. Illumination with an appropriate light
aesthetics such as scar treatment and rejuvenation. cosmeticnewsuk.com
33
Advanced & clinically proven
Daily dermo-cosmetic natural skin regeneration
Unique SCA Biorepair Technology harnessing natural-growth-factors
For product and scientific information Freephone 0800 0195 322
www.aestheticare.co.uk
The Professional Choice Advanced dermo-cosmetic and dermatological research-based products
Treatment Spotlight - Hand Rejuvenation
A helping
hand We take a look at hand rejuvenation treatment options
T
he hands can give away a person’s age just as much as their face. We have all seen pictures of celebrities such as Madonna and Angelina Jolie who are widely regarded as beautiful but whose veiny looking hands make them appear older. The skin on the hands is exposed to the harshness of everyday life more so than any other part of the body and, as such, is very susceptible to premature ageing. But while many people spend fortunes on looking after the skin on their face, they neglect to look after the skin on their hands, leaving them with the telltale signs of how old they really are.
As such, the medical aesthetics industry is
The Problem: Pigmentation i.e age spots and
becoming more and more passionate about devising
liver spots
treatments for this area. As many of the age related
The Solutions: Chemical peels, microdermabrasion,
problems visible on the hands are the same as those
laser and IPL, fractional laser skin resurfacing, topical
on the face (sun damage, pigmentation, loss of
skincare
fat etc) most aesthetic clinics already have in their
Pigmentation affects the epidermal level of the hands
armamentarium a wide range of treatments that
and manifests itself as patchy, uneven, discoloured
can be tailored to the hands. These include:
spots on the skin that are darker in color than
l Chemical peels
the normal surrounding skin. Abnormal skin
l Dermal fillers for plumping the skin
pigmentation occurs when there is excess in melanin
l S kin hydrators (such as Restylane Vital and
production, which forms deposits in the skin and can
Juverderm Hydrate)
be caused by a variety of factors including hormones,
l Mesotherapy
genetics, medication, the ageing process, skin diseases
l Fractional laser skin resurfacing
such as acne and injuries to the skin, but by far
l Laser and IPL
the biggest cause is sun damage. By far the most
l Collagen Induction Therapy/Medical Skin
common types of pigmentation found on the hands
Needling
are age spots or ‘liver’ spots, which are caused by sun
l Microdermabrasion
damage, and are referred to by medical professionals
l Topical skincare
as ‘solar lentigines’. Age spots can vary in colour from brown to gray and black. They can also be very
Common aesthetic problems of the hands
small or quite large and often appear in groups or
There are many reasons that the hands are so prone
skin who don’t have as much natural protection from
to premature ageing. For one thing protecting them
the sun. The reason they are known as age spots is
from the sun can be hard. Even if your clients do
due to the fact that the melanin accumulating in your
apply sunscreen to their hands, it is just as quickly
skin over the years as you age can make you more
washed off with repeated exposure to water and
susceptible to them but these pigmentation marks are
cleaning detergents, making it difficult to shield
not exclusively caused by ageing. Although they are
them from the harsh and ageing effects of the sun
also sometimes known as liver spots this has nothing
such as age spots or liver spots. As we age our skin
to do with liver or anything that is associated with the
also becomes thinner and we begin to lose fat, so
function of the liver. Treatments which aim to remove
the hands become less plump and veins are more
the top epidermal layers of the skin and encourage
visible through the thinner skin.
skin rejuvenation are the most effective treatments
clusters. They are more common on people with fair
for pigmentation these include chemical peeling, microdermabrasion and laser and IPL treatments.
cosmeticnewsuk.com
35
Treatment Spotlight - Hand Rejuvenation
The Problem: Protruding veins due to loss of
AnimalStabilisedHyaluronicAcid)
fat/volume
technology.
The Solutions: Dermal fillers, collagen induction therapy, fat transfer
The Restylane Vital range of
Loss of volume can lead to hand appearing ‘veiny’ and
products provides deep dermal
old. The use of dermal fillers in the hands is becoming
hydration, which restores
an increasingly popular way of addressing this problem.
hydrobalance, improves skin
Great care must be taking when using fillers in the
elasticity, structure and firmness.
hands however as the skin is much thinner than that on
Designed By increasing the
the face and, in some cases, the product can be seen or
skin’s moisture retention the
felt through the skin.
skin becomes more resistant to dehydration and retains its
Created by Allergan, Juvéderm® Hydrate is a new un-crosslinked hyaluronic acid (HA) injectable treatment with mannitol comprising 13.5mg/g uncross-linked hyaluronic acid plus 0.9% mannitol.
Fat transfer can also be used to replace lost volume in
turgor and structure. Clinical
the hands, however, this is a more invasive procedure
studies show that Restylane
and results can be unpredictable, so many patients
Vital significantly increases skin
prefer to have fillers. Filler treatment can also help
elasticity and promotes skin
by multi-injection into the dermal/epidermal junction
stimulate collagen production and as hyaluronic acid
smoothness and also makes thin skin plumper and
and into the superficial dermis to improve skin tone
has a hydrating effect, it can help plump the skin on
firmer.
and reduce fine lines and wrinkles. The addition of mannitol leads to reduced free radical degradation of
the hands nicely. Results of an independent clinical study by The Problem: Dehydration
dermatologist Dr Stefanie Williams et al., published
the hyaluronic acid to extend longevity.
The Solutions: Skin hydrators, mesotherapy, topical
in the Journal of Cosmetic Dermatology (JCD 2009,
The product has been clinically proven to deeply
skincare
8: 216-225) has proven that hand rejuvenation with
hydrate the delicate skin of the face, neck and
Skin hydrators such as Restylane Vital and Juverderm
Restylane Vital is highly effective.
décolletage areas. Results presented by Paris-based
Hydrate, as well as mesotherapy, have proved to be a
Dr Maryna Taieb at the Anti-Aging World Congress
very popular treatment for rejuvenating dehydrated
This is the first study to demonstrate injecting HA
in Monte Carlo in 2010, showed that 95% of patients
hands. They work by injecting hyaluronic acid, or in the
can not only improve the clinical appearance of
treated with Juvéderm® Hydrate were pleased with
case of mesothertpay, a cocktail of ingredients, into
hands but also change parameter of skin physiology
the results of their treatment and 85% said they
the skin on the hand to make it appear smoother and
towards that of a younger skin. The study also
would recommend the treatment to a friend. The
plumper.
provides evidence that Restylane Vital, stabilised
two-month multi-centre clinical trial saw 27 patients
non-animal hyaluronic acid, has a greater effect on
treated with Juvéderm® Hydrate in the face, neck and
The aim is to replace minerals, vitamins and amino
clinical appearance and skin physiology on the backs
décolletage areas. Physicians assessed the patients at
acids that are found in lower levels in skin as we age,
of hands, when compared with a non-stabilised
baseline, on day 15, on day 30, and on day 60.
with one of the main aims being to boost levels of
hyaluronic acid product.
hyaluronic acid in the skin. As the skin ages, levels
By the end of the study, skin texture, brightness,
of hyaluronic acid decrease, and it is claimed that
The study found that intradermal injections of
hydration and appearance were judged by physicians
injecting more hyaluronic acid into the dermal layers
stabilised hyaluronic acid (HA) generated significant
to be significantly improved following Juvéderm®
(just below the surface of the skin).
improvement in skin elasticity and skin smoothness.
Hydrate in over 80% of patients treated. Further, the
On the hands treated with non stabilised HA there
treatment was well-tolerated with all side effects
These treatments have also been shown to encourage
was improvement but it was not significant. It also
related to injection technique rather than to the
collagen induction because of the multiple puncture
showed that skin hydration with stabilised HA
product.
wounds created during treatment and as they are not
started to improve after the first treatment and
filling agents, like
was maintained until three months after the last
Hand creams have long been used to rehydrate and
dermal fillers, the
treatment. Hands treated with stabilised HA displayed
soften tired skin on the hands so it is no surprise
risks of any product
a significantly higher hydration level and lower
that cosmeceutcial brands have jumped on the
being seen under
transepidermal water loss compared with the non
band wagon and made creams for this purpose that
the thin skin on the
stabilised HA after the treatment course. At week 24,
have more active and potent ingredients than those
hands is reduced.
the treatment effects began to return to baseline but
that can be purchased in consumer retail outlets.
With numerous
the stabilised HA continued to offer better results
Leading dermal filler brand Restylane recently
clinical studies
compared to the non-stabilised HA.
launched its own range of skincare, which includes a hand cream. The products are based on Q-Med’s
proving its efficacy Restylane Vital can
Created by Allergan, Juvéderm® Hydrate is a new un-
patented and scientifically proven NASHA™ (Non-
achieve impressive
crosslinked hyaluronic acid (HA) injectable treatment
Anmal Stablised Hyaluronic Acid) technology
results on the
with mannitol comprising 13.5mg/g uncross-linked
which enhances the moisturising effect of the
improvement
hyaluronic acid plus 0.9% mannitol.
cream.
particularly on
The product has been clinically proven to deeply
Restylane Hand Cream contains therapeutic doses
the hands. Like
hydrate the skin by delivering hyaluronic acid (HA)
of stabilised HA, Biotin (vitamin B) and rice bran
its sister range
into the skin through a series of tiny injections. As well
extract. The Biotin increases keratin, strengthening
of dermal fillers
as containing HA, it also contains the anti-oxidant,
nails. The rice bran extract protects the important
Restylane Vital uses
mannitol and together, these allow the skin to regain
antioxidative shield of the outer skin layer. The
Q-Med’s patented
its natural smoothness and reveal a healthy glow. It is
product leaves hands feeling, soft, smooth and
NASHA™ (Non-
indicated for improving skin hydration and elasticity
moisturised, whilst also strengthening nails.
of skin quality, Restylane Vital can achieve impressive results on the improvement of skin quality, particularly on the hands. Like its sister range of dermal fillers Restylane Vital uses Q-Med’s patented NASHA™ (Non-Animal Stabilized Hyaluronic Acid) technology.
36
cosmeticnewsuk.com
REMOTE CONSULTATIONS • Remote consultations by phone or video call 9am-9pm 7 days/week • UK wide Doctor Visiting Service
• Remote Dermatology Service available
• Botox® Training for Nurses £400 Full Day
• Discounted Aesthetic Products and Insurance
• Free UK and European Advanced Training
• On-line Ordering, Patient Records, Invoices, Training Videos etc
• Annual conference Saturday 24th September, Manchester • For more info on v300 visit realnurseprescriber.com
Product Focu s Venus Freeze
Freeze frame
We find out how the Venus Freeze painlessly achieves significant rejuvenation and body shaping results The global body shaping and rejuvenation market is huge so it is no surprise that new devices designed to meet the demand for these indications are constantly emerging on to the market. One such devise, which is taking the aesthetics industry around the world by storm, and has recently been introduced to the UK market by Ellipse, is the Venus Freeze from Venus Concept. This novel all-in-one aesthetic device can
the bi-lipid cell membrane layer of dermal cells, that results
effectively accomplish circumference reduction,
in the stimulation of molecular and cellular activities and
cellulite improvement, skin tightening and anti-
reactions. Magnetic Fields have been shown to increase
agieng without causing any pain to the patient.
fibroblast-derived-collagen production through a non-
Distributed in more than 40 countries worldwide,
thermal mechanism of membrane stimulation and the
the Venus Freeze is FDA approved for the
stimulation of fibroblast mediated angiogenesis and hence
treatment of facial wrinkles and rhytides, as well
facilitate and enhance wound healing in tissues.
as Health Canada approved for skin tightening and
The Pulsed Magnetic Field affects several biological
temporary cellulite reduction.
processes in the skin. It stimulates the synthesis of collagen,
Powered by innovative (MP)2 technology (multi-polar
triggers the proliferation of fibroblasts and promotes
radiofrequency and magnetic pulses), Venus Freeze takes
angiogenesis. It was demonstrated that exposure of
aesthetic treatments to a new level by creating a unique
fibroblasts to low frequency Pulsed Magnetic Field (1.3
synergy between a matrix of bi-polar radiofrequency (RF)
mT, 60 Hz) significantly increases production of collagen.
and magnetic pulses (PMF), which results in proliferation
In addition, Pulsed Magnetic Field triggers the release of
of fibroblasts, neocollagenesis and neo-vascularity in the
FGF-2 by endothelial cells. FGF-2 in turn, stimulates the
targeted areas.
proliferation of fibroblasts and the formation of new small
The Venus Freeze system consists of two applicators -
blood vessels in the dermis (angiogenesis).
OctiPolar with 8 (MP)2 synthesizers for large treatment areas
The Role of Radio-Frequency Matrix in (MP)²
(abdomen, thighs, arms and buttocks) and DiamondPolar
The RF bipolar matrix supplies high-frequency alternating
with four (MP)2 synthesizers for smaller treatment areas
electrical currents that penetrate into the skin and generate
(face, neck and arms). Each synthesizer simultaneously
heat. The RF current is produced between any two
emits both RF and Pulsed Magnetic Fields. The energy
electrodes in the array, and allows for a fast and uniform
rotates between any two synthesizers in an organized
elevation of temperature in the treatment area, without
matrix that homogeneously raises the temperature over
any associated discomfort caused by RF focal ‘hot spots’.
the entire treatment area and creates highly efficient woven dense energy matrix that penetrates deep into
The heat generated in the tissue by the RF Matrix directly
different skin layers for maximum efficacy.
affects fibroblasts, extra cellular matrix (ECM) and fat cells. The generated heat triggers the natural wound healing
The Role of Pulsed Magnetic Fields in (MP)²
process of the skin, a process that results in synthesis of
The Pulsed Magnetic Fields (PMF) is an important and
new collagen and elastic fibers. In addition, the heat causes
successful modality, approved by FDA, to treat a wide
contraction of collagen fibers and lipolysis.
range of clinical disorders. Pulsed Magnetic Field is induced
The synergy between Pulsed Magnetic Field and RF
by short pulses of electrical current through coils in the
significantly increases collagen and elastic fiber production
applicators. The magnetic field penetrates into the skin
in the dermis, via two separate mechanisms. Through
and results in Foucult (Eddy) electrical currents around the
angiogenesis, (MP)2 improves the dermal blood circulation
cell membranes of the treated tissues. Foucult currents
and the supply of nutrients and oxygen, and thus enhances
change the electrical potential of charged receptors on
the function of skin cells. In addition, the induced lipolysis reduces the size of fat cells. These biological effects result in improved tone, texture and appearance of the skin, and a defined body contour. Venus Freeze software is also programmed with preset protocols and treatment times, allowing trained staff to safely perform treatments, saving much valuable time for physicians. A typical protocol would be once weekly or bi-weekly for a total of six treatment sessions. After the series, maintenance treatments are recommended at least quarterly.
38
cosmeticnewsuk.com
Ellipse I2PL+ The NEW and more advanced system for aesthetic & dermatologic treatments � Hair removal - faster than ever � Remove vascular lesions safely and effectively � Remove pigmented lesions gently � Treat sun-damage on the face and body � Improve skin texture; reduce pore size & fine lines � Treat acne without anti-biotics “I have investigated several lasers and IPLs, with the view to purchase a suitable medical device for my aesthetic practice. Based on results, technical back up, training offered and expert advice, I decided on Ellipse. So much so that I have already bought a second machine and in the process of buying a third!” Dr. J. Huskisson South Africa
Call 020 7581 4499 or email ellipseIPL@aol.com or simply visit our website www.ellipseipl.co.uk Ellipse Beautylight Ltd, 39 Brompton Road, Knightsbridge, London SW3 1DE
The only radio frequency (RF) system in the world combining magnetic pulse technology that delivers long lasting results
“
I have deployed non-invasive, RF based skin tightening and circumferential reduction technologies profitably in my clinics for the past 8 years. In 2010, we began conducting clinical trials using the Venus Freeze system, powered by (MP)2 technology. Compared to other RF mono-polar, bipolar and multi-polar systems I have used, with or without suction, the Freeze provides the most uniform heating I have seen, together with speed and ergonomic ease of use. Dr. R. Stephen Mulholland, M.D. Plastic Surgeon Toronto, Canada
”
Anti-Ageing Skin Tightening Body Contouring Cellulite Reduction
Call 020 7581 4499 or visit our website www.venusconceptuk.co.uk or simply email info@venusconceptuk.co.uk
Clearskin Treatments Limited 39 Brompton Road Knightsbridge London SW3 1DE
®
Radio Frequency (RF) and Magnetic Pulse Technology
Product News FDA approval for Xeomin® Xeomin® has received cosmetic approval from the US Food and Drug Administration (FDA) for the temporary improvement in the appearance of moderate to severe glabellar lines, or frown lines between the eyebrows, in adult patients. The approval of Xeomin® is based on the results of two pivotal US clinical trials involving 16 investigational sites and included 547 healthy adult patients. In both studies, Xeomin® significantly improved the appearance of glabellar lines 30 days following the first injection, when compared to placebo. Xeomin® is the only botulinum toxin currently approved in the US that does not require refrigeration prior to reconstitution. Xeomin® has been available in the UK since 2008. The cosmetically licensed version of the product is known as Bocouture® in the UK and Europe. In contrast to the other commercially available preparations for aesthetic use, Bocouture® contains the pure 150 kD neurotoxin, which means it has the lowest content of protein on the market.
DermaQuest™ Skin Therapy SkinBrite Collection
JMSR releases new nonhydroquinone products for photoageing and pigmentation Jan Marini Skin Research (JMSR) has launched two new products to combat photo-ageing and hyperpigmentation. Age Intervention Enlighten Plus and Enlighten MD are two new antiageing and pigmentation solutions comprising high concentrations of both retinol and multiple proven non-hydroquinone based Tyrosinase inhibitors. Both products use the original and popular Age Intervention Enlighten as a base and then enhance it by introducing additional Tyrosinase inhibitors and increasing the concentrations of select key ingredients. The result is a significantly more concentrated product with a 50% increase in the concentration of brightening technologies.
New Environ Body Roller Treats Large Areas Environ has introduced the Body RollCIT, a new instrument to treat larger areas based on the principle of collagen channelling. The new body roller features a patent pending, component designed by Dr Fernandes, the inventor of the orginal 1mm Roll-CIT and founder of the Environ Skin Care range, so that skincare and medical professionals can easily treat large curved surfaces on the torso, arms and legs. The hand held device takes into account the fact that no surface of the body is flat. It consists of two roller heads that are tilted at an angle to allow for greater coverage. It is particularly effective in treating larger surface areas quickly as the time for needling is decreased due to the simultaneous action of the two heads. There are two types of Environ Body Roll-CIT, featuring either 1.5mm or 3mm needle lengths. The 1.5mm Body Roll-CIT is designed to treat lax skin and can be used on the arms, abdomen, upper and lower arms and the crepe skin in the front part of the elbows, or inner thigh skin. It is also the ideal treatment for stretch marks. A topical anaesthetic cream is applied prior to treating the skin. The 3mm instrument has been devised for use by doctors and surgeons to use for acne scars on the back and chest and for lax skin all over the body, and gives excellent results on stretch marks. For smaller areas, the procedure may be done with topical anaesthetic. When used for extensive areas, a general anaesthetic is required.
New REVITALASH® ADVANCED Athena Cosmetics, Inc. has marked its fifth year
anniversary milestone with the introduction of the
DermaQuest™ Skin Therapy has introduced a new range of skin brightening products. The SkinBrite Collection is designed to brighten the skin by reducing the appearance of hyperpigmentation, sun damage, melasma, or post-inflammatory hyperpigmentation and incorporate the latest skin brightening ingredients including chromabright, BV-OSC and emblica. Chromabright is a highly stable tyrosinase inhibitor shown to have a higher lightening efficacy than kojic acid. BV-OSC is a highly stable and effective form of vitamin C that contains whitening, UV protection, and collagen protection properties. Emblica is a potent anti-oxidant, which also lightens pigmentation, increases skin hydration and reduces inflammation. The brand will also be introducing a new peel to treat hyperpigmentation, PIH and melasma. The Skin Brite Peel comprises of 20% lactic, madelic, phytic and citric acid and has a PH 1.7+.
40
cosmeticnewsuk.com
‘next generation’ of its popular RevitaLash eyelash conditioner, REVITALASH® Advanced.
This new cosmetic formulation features the company’s proprietary blend of functional cosmetic ingredients, including a selection of powerful peptides and botanicals, and is supported by clinical studies that show dramatic, eye-catching results. Coinciding with the launch of REVITALASH® Advanced, Athena has also upgraded its product packaging with a luxurious ‘soft-touch’ box. RevitaLash products have an unparalleled safety and cosmetic efficacy history, and recent independent clinical studies on RevitaLash® Advanced confirmed that over 90% of test subjects noted improvement in the appearance of their eyelashes after eight weeks of product use. Statistically significant improvements in the appearance of the eyelashes were noted at each data point in the study: at Day 21, Day 28, Day 42 and Day 56. Ease of application of the cosmetic eyelash conditioning product was appreciated by 90% of the subjects and over 92% said that their eyelashes appeared more lush and youthful. Safety studies on RevitaLash® Advanced concluded that the product is “safe for use as an eyelash conditioner.” No adverse reactions of any kind were reported during the course of the study, and an additional safety study concluded that RevitaLash® Advanced would have “practically no ocular irritation potential.”
PROFESSIONAL OXYGEN SKIN CARE TREATMENT CREATED BY DR PETER T. PUGLIESE
Oxygen is essential to life and to keeping the skin looking young and healthy. Through his research and product analysis, Dr Peter T Pugliese found that the amount of Oxygen delivered to the skin by many current available treatments could not be determined. The circadian Oxygen Rx System is formulated to deliver a measured and controlled amount of oxygen to skin, ensuring the oxygen delivered to the skin will be maximally beneficial while minimizing risk of free radical damage.
0 2 0 8 9 4 5 0 0 3 5 | w w w. c i r c a d i a . c o m
The Proven Multi-Layer Skin Renewal System
ADVANCED AHA
WHO SAYS YOUâ&#x20AC;&#x2122;RE ONLY YOUNG ONCE?
Call us on 0845 555 2121 Email: info@cosmeceuticals.co.uk AHA HALF PAGE ADVERT.indd 1
28/7/10 17:17:30
abstracts
Abstracts
We summarise some of the most recent studies you may have missed Title: Treatment of Hidradenitis Suppurativa with
treatment of deeper rhytides, photodamaged skin, and
animal experiments for the development of cosmetics.
Intense Pulsed Light: A Prospective Study
scars, with shorter recovery and a decreased side effect
Future debates on sunscreens are likely to focus on
Authors: Highton, Lyndsey; Chan, Woan-Yi; Khwaja,
profile as compared to traditional CO2 laser resurfacing.
nanoparticles and environmental issues, along with
Nadeem: Laitung, J
Objectives: To study the rate of the adverse events
motivation campaigns to persuade consumers to protect
Published: Plastic and Reconstructive Surgery:
associated with the use of deep fractional CO2 laser.
their skin. However, more efficient sunscreen use will also
August 2011, Volume 128, Issue 2, pp 459-466
Abstract
Methods: A retrospective study of 490 fractionated
continue to raise questions on the benefit in preventing
CO2 laser treatments in 374 patients by ten physicians
vitamin D synthesis in the skin induced by sunlight.
within one practice was performed between March 3, 2008 and July 28, 2010. Treatment areas included the
Title: Occurrence of Fat Embolism After Liposuction
face, neck, chest, hands, back, and abdomen.
Surgery With or Without Lipografting: An Experimental
chronic skin condition characterised by recurrent
Results: Of the 490 treatments, 365 were of both
Study
inflammation and infection of skin in intertriginous
superficial and deep fractional treatments while
Authors: Franco, Fernando F; Tincani, Alfio J ;
areas containing apocrine glands. Intense pulsed
125 treatments were deep. Patients treated were
Meirelles, Luciana R; Kharmandayan, Paulo; Guidi,
light uses high-energy broad-spectrum light. Current
of Fitzpatrick skin types I–IV. Four hundred ninety
Marcelo C
applications include hair removal and the treatment of
treatments resulted in 67 adverse events (13.6%) in
Published: Annals of Plastic Surgery: August 2011,
acne vulgaris, which has a pathogenesis similar to that
63 patients (16.8%), the most frequent adverse events
Volume 67, Issue 2 , pp101-105
of hidradenitis suppurativa. The authors conducted a
were acneiform eruption (5.3%), herpes simplex
study to determine whether intense pulsed light is an
outbreak (2.2%), bacterial infections (1.8%), yeast
effective treatment for hidradenitis suppurativa.
infections (1.2%), hyperpigmentation (1.2%), prolonged
Background: Hidradenitis suppurativa is a
Methods: Eighteen patients were randomised to
erythema beyond one month (0.8%), and (0.8%)
Background: Liposuction in plastic surgery
treatment of one axilla, groin, or inframammary area
contact dermatitis. There were no reports of scarring or
consists of the removal of excess fatty tissue in
with intense pulsed light two times per week for four
hypopigmentation.
healthy individuals. In recent decades, this procedure
weeks using a Harmony Laser. The contralateral side
Conclusions: Fractional deep CO2 laser is a safe
has become more common worldwide. Associated
received no treatment and acted as a control. The
method for treating rhytides, photodamaged skin, and
with liposuction, lipografting has also been used for
response to treatment was assessed using a validated
scars with a low incidence of adverse events.
improving body contours, and has become known
examination and clinical photographs, and by
as liposculpture. Liposuction sometimes causes
measuring patient satisfaction on a Likert scale.
complications, including fat embolism, as described
Results: After treatment, there was a significant
Title: Sunscreen Use: Controversies, Challenges and
in the medical literature. The present study aims at
improvement in the mean examination score that
Regulatory Aspects
ascertaining whether there is intravascular mobilisation
was maintained at 12 months (p < 0.001, logistical
Authors: M Lodén, H Beitner, H Gonzalez, DW
of fat after mechanical liposuction surgery and/or fat
regression analysis). The improvement was confirmed
Edström, U Åkerström, J Austad, I Buraczewska-Norin, M
graft when carried out using one of the most common
by independent assessment of clinical photographs
Matsson, HC Wulf
specific procedures used for liposuction, the superwet
(interrater reliability, 0.79; p < 0.001). Patients reported
Published: British Journal of Dermatology, Volume
technique.
high levels of satisfaction with the treatment. There
165, Issue 2, pages 255–262, August 2011
control side.
Methods: A total of 30 Wistar rats were included in this study. Before the surgery, the animals were
was no concurrent improvement on the untreated
Abstract
Conclusions: This small study suggests that
placed in the supine position and anesthetised with thiopental for 50 to 60 minutes, as it is generally
intense pulsed light may be an effective treatment
Mismatches between skin pigmentation and modern
performed in clinical practice. The animals were divided
for hidradenitis suppurativa. It could be added to
lifestyle continue to challenge our naked skin. One of
in the following three groups. Group A, consisting of
treatments used for this condition, particularly for
our responses to these challenges is the development
10 rats, served as controls, and were only anesthetised.
patients keen on avoiding surgery and those with groin
and use of sunscreens. The management of sunscreens
Group B consisted of 10 rats, which underwent only
and inframammary disease. Further studies are required
has to balance their protective effect against erythema,
liposuction. Group C also comprised 10 rats, which
to confirm the efficacy and mechanism of action of
photocarcinogenesis and photoageing owing to the
were liposuctioned and then lipografted in the dorsal
intense pulsed light in hidradenitis suppurativa.
potential toxicity of the ultraviolet (UV) filters for humans
region. Blood was collected just before and again, 48
and the environment. The protection against UV radiation
hours after the procedure. After 48 hours, the animals
Title: The Adverse Events of Deep Fractional CO2: A
offered by sunscreens was recently standardised in the
were killed, and the lungs, kidneys, liver, and brain were
Retrospective Study of 490 Treatments in 374 Patients
European Union (EU) based on international harmonisation
histologically examined.
Authors: Omar Shamsaldeen, Jennifer D Peterson,
of measurement techniques. Four different categories
Results: All the collected samples were analyzed
Mitchel P Goldman
of sun protection have been implemented along with
microscopically with two different stains, namely,
Published: Lasers in Surgery and Medicine,
recommendations on how to use sunscreen products in
hematoxylin and eosin, and Sudan black. Fat particles
Volume 43, Issue 6, pages 453–456, August 2011
order to obtain the labelled protection. The UV filters in
were found in the lungs of three animals in group B
sunscreens have long been authorised for use by the EU
(those that underwent only liposuction) and in six
authority on the basis of data from studies on acute toxicity,
animals of group C (liposuction and lipografting). No fat
subchronic and chronic toxicity, reproductive toxicity,
particles were found in any organ of the control group.
Abstract
42
Abstract
Background: Fractionated carbon dioxide
genotoxicity, photogenotoxicity, carcinogenicity, irritation,
Conclusions: With this experiment, the authors
CO2 laser resurfacing unites the idea of fractional
sensitisation, phototoxicity and photosensitisation as well
showed that there is a risk of systemic mobilisation of
photothermolysis with an ablative 10,600nm
as on environmental aspects. New challenges with respect
fat after liposuction surgery and that this risk is even
wavelength. This technology permits effective
to the safety of UV filters have arisen from the banning of
higher when fat grafts are also carried out.
cosmeticnewsuk.com
advertorial
Create the Future with E lec trolysis Renowned for its hair removal benefits and it remains to this day THE only permanent method of hair removal, electrolysis has a new image. Gone, is the old fashioned ‘granny whiskers’ painful image and IN, is hair removal using digital technology, sophisticated techniques and the NEW ‘Advanced Cosmetic Procedures’! The development of the Aesthetic industry alongside the Beauty Industry means that not quite such ‘painless treatments’ are regularly offered in addition to surgery; for example, Injectables, Micro Pigmentation and Needling and consumers expectations of ‘no pain no gain’ means that electrolysis is now a walk in the park! Coupled with the immense technology improvements over the years in machinery and needles and the development of new modalities and
Medical Microdermabrasion From MATTIOLI ENGINEERING
techniques the treatment can now be described as mild discomfort.
> Skill = Patient Satisfaction Every modern laser clinic should have a qualified, highly skilled electrologist for complete patient satisfaction, or at the very least, know a good one who could visit or you could
As featured on
recommend. The effectiveness, success and comfort levels all depend on the skill of the electrologist. Look for CPD certificates with a reputable company such as Sterex or if an Advanced Cosmetic Procedures course. Visit ‘Find a Salon’ on www.sterex.com for a list of electrologists. Members of the British Institute & Association of Electrolysists (BIAE) have had to pass both practical and written exams to ensure standards of excellence.
> The most versatile and the best training: Sterex are highly experienced in Advanced Cosmetic Procedures training and offer a 2 + 1 day intensive programme featuring training on a wide diversity of skin blemishes offering more techniques and more modalities than other courses. The course includes treatment of Telangiectasia (also minor vessels on the legs) Cherry Angiomas, Milia, all Warts including Veruccas, Dermatosis Papulosa Nigra, small Sebaceous Cysts, Hyperpigmentation, Xanthoma and Syringoma reduction, Mole and Scar reduction. Sterex also offer Advanced Electrolysis courses which are the first step into using electrolysis for minor skin blemishes. Treatment of Telangiectasia, Skin Tags, Milia and Vascular Blemishes such as Campbell de Morgans is included. Transgender patients are a growing market and with the knowledge that the average age of ‘transition’ is 42yrs many will have white and grey hairs for which electrolysis is required. Many surgeons will also insist on electrolysis on the genital area (rather than laser or IPL) due to its proven permanency. Sterex have pioneered a first of its kind… a 2 day specialised course offering real insight into the transgendered patients ‘journey’ with full practical experience. Sterex also teach electrolysis hair removal from scratch offering the international VTCT qualification. For less than £2k which includes the top of the range SXB Sterex digital machine YOU or your staff can become a fully qualified electrologist, thereby allowing you to further develop your business and offer full patient satisfaction.
needle free Mesotherapy for the delivery of active substances.
Electrolysis today is a technologically advanced, comfortable, effective, affordable, modern, proven and safe treatment for everyone, irrespective of hair and skin type and colour. Call us today for further information…….. Tel 0121 708 2404 Email: training@sterex.com Web www.sterex.com
Tel: 01234 841536 www.polarismedicallasers.co.uk
Q&A - Peter Smith
Q&A
We speak to Med-fx’s superintendent pharmacist, Peter Smith, about his role at the UK’s largest medical aesthetics supplier.
When most people think about a pharmacy they think of the place where they pick up their prescriptions or buy their over-the-counter medicines, but the pharmacy at Med-fx does not fit that mould. Not open to the public, the pharmacy, based within the company’s stateof-the-art warehouse in Witham, Essex, deals purely in prescriptions for medical aesthetic(s) products coming through its automated ordering system, so its superintendent pharmacist, Peter Smith, has a specialist knowledge of the needs of medical aesthetic practitioners. Here we talk to him about his role at the pharmacy and why the unique facility offers advantages to aesthetic practitioners. Cosmetic News:
the rest of the stock, we know the details of which product has been sent to which patient along with the batch number and expiry date of that product. All of this information is available at any time and consequently if there were ever to be a problem with the integrity of any product we can easily determine which patients might be affected. This in turn means we can go straight to the prescribers we have dealt with and say ‘these are your patients and this is the amount of product that we have dispensed to them’ and although we have never had to do that I believe it is extremely reassuring
What is your role at Med-fx?
Service prescriptions, so we are purely focused
for the prescriber that we have that level of product
Peter Smith: Five years ago, when the
on the private sector, and purely on aesthetic
traceability.
directors of Med-fx decided they wanted to open
products. I believe that we are the only specialist
a pharmacy to support the growing business they
aesthetics pharmacy in the UK, so we don’t have
knew that it was a legal requirement to either
anything else that distracts us or interrupts what
PS: We do not deal with remote prescribers. We
have a pharmacist on the board of directors,
we do, and I’m sure this helps us to dispense
ask doctors who come to us and talk to us about
or to appoint a pharmacy superintendent. My
accurately, quickly and efficiently as a result.
remote prescribing to sign a letter to say that all
role, when we opened, was to make sure we had a discreet area within the building that met the
CN:
CN:
What is your view on remote prescribing?
of the patients they issue prescriptions to are seen What kind of products do you dispense?
by them – so they confirm that they have a face
physical requirements for product storage and
PS: The majority of prescriptions are for either
to face consultation with the patient – and, as far
supply set by the General Pharmaceutical Council.
a brand of botulinum toxin and, these days, most
as I am concerned, the signature on that letter
In addition, we spent a lot of time thinking about
prescriptions specify Azzalure®. The other main
is enough. It is very difficult in reality to check
how we would run the business from a stock
category of products that we dispense, both in
that the face to face consultation takes place, but
movement point of view, and, of course, we also
terms of numbers and also value, are facial aesthetic
we trust the professionals we are dealing with to
had to integrate the pharmacy operation into
fillers. We then also have a number of other
operate within their own professions’ guidelines.
the sophisticated IT systems that already existed
products such as facial peels and cosmaceutical
within the business. I then wrote a series of
products. In fact, Botulinum toxin is classed as a
CN:
standard operating procedures, to make sure that
prescription-only medicine and we have a stringent
grown in the last three and a half years?
every process from the receipt of the prescription
process by which we check that a prescriber is
PS: Year on year our pharmacy sales have at
to the final dispatch of the items is controlled,
who they say they are – that they are a qualified
least doubled and we are still getting new business
regulated and documented. I now spend time
doctor, dentist, or nurse prescriber – and that they
every day.
not only acting as the pharmacy superintendent
are able to not only write the prescription, but are
for Med-fx, but I also work in the pharmacy
also trained correctly to administer the products
CN:
dispensing prescriptions on a day to day basis,
to their patients. Consequently we insist that we
prescriptions from Med-fx?
and this helps to keep me close to the needs of
see training certificates for these professionals and
PS: Well, apart from our prices, the breadth of
our prescribers, their patients and of course our
this helps us to ensure that all products are being
our inventory, and the fact that we can also supply
suppliers.
supplied to legitimately qualified professionals
a huge range of sundry items, there is also our
who have been trained to administer the products
commitment to the accurate and timely delivery of
to their patients correctly and safely. All of our
all our products to our customers, whether they
CN:
How is the pharmacy at Med-fx different
How has the pharmacy side of the business
What are the advantages of getting your
from other pharmacies?
prescribers keep a record of the prescriptions they
are being supplied on prescription or through our
PS: The biggest difference is that we don’t have
have written for their patients and this will form
warehouse. All of this is underwritten by a single-
customers that walk through the door, which is
part of the patients’ overall medical records. The
minded commitment to providing an excellent
very unusual. The public doesn’t have access, and
pharmacy at Med-fx is also required to keep a copy
quality of service for everyone associated with the
so they can’t come in and buy medicines. Neither
of all prescriptions and because of the systems and
business, and that includes our prescribers, their
do we have a license to dispense National Health
processes we have within the company that manage
patients and our suppliers.
44
cosmeticnewsuk.com
the uk’s largest aesthetics Meeting
train with the Best to overtake the rest!
• • • • • •
Over 35 exhibitOrs have already signed up again fOr the third cOnsecutive year catch up with all yOur suppliers under One rOOf gain cpd accredited educatiOn netwOrk with Other aesthetic practitiOners take advantage Of great shOw deals see new prOducts first
CosmetiC n ews E the uk’s only free of charge aesthetiCs exhibition
spOnsOred by:
www.CosmetiCnewsuk.Com
xpo 2012 29th - 30th april 2012 | business design Centre, islington, london
changes
for 2012
conference programme due to the demand there will be a small charge of £45 for the 2012 conference.
the conference is an excellent opportunity for delegates to see the very best uk and international speakers,discussing the latest topics and demonstrating the most up-to-date techniques. a complimentary lunch will be incorporated into the delegate package, with refreshments provided throughout the conference breaks. early Bird discount - receive 10% off on your conference ticket, book before the 30th september 2011 (you will also receive a complimentary vip party invite,which will include an evening of free food and alcohol)
r e g i s t e r o n l i n e f o r yo u r f r e e o f c h a r g e e x h i B i t i o n t i c k e t w w w . c o s m e t i c n e w s u k . c o m
BEST PRACTICE – Self Regulation
STEPS TO SUCCESS Mark Grainger from CHKS provides a step-by-step guide to registering with Treatments You Can Trust
With over 10 years experience in the health industry, Mark Grainger takes a lead role in CHKS for the management of the Department of Health backed register of cosmetic injectable providers www.TreatmentYouCanTrust.co.uk. Mark and his team oversee a rigorous process for applications from those doctors, dentists and registered nurses who meet the standards and training principles as set by the Independent Healthcare Advisory Services in consultation with the General Medical Council, Nursing and Midwifery Council and General Dental Council. In 2011 an estimated 1.4 million cosmetic injectable treatments will take place in
registrant the other day who had been contacted by a member of the public
the UK alone. The establishment of Treatments You Can Trust came after six years
who wanted to go to them for treatment but who said ‘I am not going to
of discussion between the industry and the Department of Health to provide
come to you until you are on the register’. Some insurers are also now saying
consumers with the methods to find an appropriately qualified and medically
to people that before they can get their indemnity they have to register with
trained provider of cosmetic injectables.
Treatments You Can Trust and that has obviously had an impact.
The self-assessment form is comprehensive and includes health and safety,
“I think the most important thing about this is that we are making it safer for
management of medicines and cosmetic injectable products, the promotion
the patient but we are also protecting physicians because by having these
of services, communication with patients, policies and procedures, complaints
procedures in place it protects them if anything, God forbid, should go wrong.”
procedures, infection prevent and control, confidentiality, managing medical emergencies and training. People may have been put off of registering because they think the process will be too time consuming or laborious. However Mark is reassuring that it is actually quite straight forward and that he and his team can offer support to all those going through the process. He explains, “It is quite an in depth and robust process but it is actually fairly straight forward, however we do need people to read the information because it can save a lot of time. Some people will find it a lot easier than others but we do give quite a lot of assistance and guidance to clinics. We have had clinics who have phoned up and said ‘I can do all of this but I am really struggling with that’ but we can give them advice on what they need to do. I would urge people to contact us if they are having any problems – we are here to help. ” Once they have received applications the CHKS has a time limit of 10 days to turn it around. As organisations vary in size and nationality, the service that Mark and CHKS provides is required to be flexible and his role includes organising randomly selected inspections, with only 24 hours’ prior notice to registrants who have been awarded the Quality Assurance Mark. The scheme has received some criticism from people in the industry but Mark says support for it is growing and more and more clinics are beginning to come on board. More than 400 applications for a place on the register are currently being processed by CHKS with a lot of these being clinics with
MARK’S SIMPLE STEPS FOR REGISTRATION: Step One
Visit www.TreatmentsYouCanTrust.co.uk to calculate your cost for registration and proceed to make your initial payment. Top tip: Make sure you enter your e-mail address correctly when completing your form, as your username and password is sent to this address and check your ‘spam’ and ‘junk’ folders. Login and read through the standards and training principles carefully.
Step Two Once you are familiar with the standards, you are now ready to proceed to ‘full registration’ where you can make your final payment. Top tip: This part of the process can take a few days, so make sure you set time aside to complete the forms fully. A plan of action on how you will meet the standards is always useful.
Step Three Click on ‘practitioners information’ click on ‘second stage’ and proceed to self-assessment. Once completed, click on ‘submit’ for your application to enter the verification process. Top tip: There are eleven standards in total and you can save your answers at any time as you work your way through. Mark and his team offer a help service for those providers who need assistance with their application, via Ihascosmetics@chks.co.uk . The registration fee structure has been in place since inception of the scheme and is reviewed by the Governance Group.
Fee
Rate (plus VAT)
1.3.1.1 Initial Registration (Schedule 1 Para 1.2)
£50
1.3.1.2 Individual Mobile Registrant working in maximum of 10 sites (Annual Fee)
£500
1.3.1.3 Individual Mobile Registrant working in > 10 sites (Annual Fee)
Additional £50 per site
part of a recognised Quality Mark scheme that is growing and becoming
1.3.1.4 Single organisation with one site (Annual Fee)
£1000
more and more well known. It does take time but there is a lot of public
1.3.1.5 Organisation with more than one site (Annual Fee)
Additional £200 per each site
multiple locations. Mark says, “I speak to an awful lot of registrants during the course of a week and they are very keen for this to be in place. I think as an industry people are getting fed up with seeing all the news articles promoting a negative image of cosmetic medicine and they want to be part of this to address the balance. “It is still very much a voluntary scheme, it is not regulatory, so people don’t have to join, but from our perspective the advantage of joining is being
interest around it now and people are beginning to check their local areas for practitioners that are on the register. I had an interesting conversation with a
46
cosmeticnewsuk.com
1.3.1.5 Definitions: 1.3.1.5.1 Individual mobile registrant: Registered self-employed or sole trader or partnership of no more than 2 people. 1.3.1.5.2 Site: A place where treatment takes place that meets the Standards. 1.3.1.5.3 Organization: A VAT registered Partnership of more than two people; company registered at Companies House; or an established subsidiary of either.
Business Focus - Debbie Brady
Going it alone Blue Horizons Marketing ran a competition to ‘win a website’ at the Cosmetic News Expo 2011. In a series of interviews, we catch up with winner, Debbie Brady to see what it’s like setting up on your own in aesthetic medicine – the highs, the lows and all the in-betweens.
Debbie Brady recently made the decision to set up her own aesthetics practice and was given a helping hand after winning a competition at the Cosmetic News Expo in May to have her website designed by marketing company Blue Horizons. Originally from Formby, Debbie left school in 1986 with 8 O levels unsure of what career she wanted. She worked for Natwest until in 1991 (then aged 22) she made the decision to go to Liverpool John Moores University and train to be a nurse. “My time at the hospital afforded me vast experience in many conditions and eventually managing wards”, she remembers. “I found the ‘revolving door’ patients, with the same conditions readmitting time after time quite frustrating and thought a move to practice nursing would allow me to work in the health promotion field, to prevent this in some small way.”
48
cosmeticnewsuk.com
In 2001, she acquired her BSc (hons) Community health care nursing with specialist practitioner status in general practice nursing. Debbie returned to University in 2009 to do a Non-medical prescribing qualification, which enabled her to prescribe medication and manage independently all her patients with chronic diseases, without the need to liaise with the GP regarding appropriate treatment. Since 2006 to date, Debbie has also been the lead nurse in her local GP Practice based commissioning group, acting as a conduit between the board and local nurses, facilitating change and organising education meetings.
Moving into facial aesthetics A working mother entering her 40’s Debbie herself had become more aware of ageing concerns and therefore has a great amount of empathy with other women. As she became more aware of Botox® and fillers she saw that she could provide a service to women who would trust her, her qualifications and professional approach. This all culminated in realising an ambition of setting up her own business. She says, “I always felt I should have worked for myself, I’m always conscientious, give 100% to employers, and have high standards, but it wasn’t really a possibility nursing in the NHS. I also felt that
Building the business • Gained foundation qualification in Botox® and Dermal fillers. • Registered with an aesthetic agency to gain practical experience and confidence. • Joined a Liverpool ‘women in business’ organisation for guidance/ support/ grant. • Registered company name. • Insured self. • Recruited accountancy services. • Attended cosmetic news expo for contacts, education and resources. • Created a logo and website holding page. • Produced business stationery. • Registered with facial aesthetic internet forum. • Joined a Northern Aesthetic Practices Association. • Opened accounts for stock. • Subscribed to aesthetic journals. • Bought uniforms. • Created clinic setting. • Sourced potential alternative clinic settings. • Registered with consultingroom.com
I did not have an ideal work/life balance. Once I had gained my non-medical prescribing qualification and began to hear more about facial aesthetics, I looked into the possibility of training in this field and realised it was achievable. It is something I felt could work alongside my current job (where I have no further capacity for career progression unless into management structure), and could afford me a better quality of life financially, and possibly allow me to reduce the hours in my main job, leading to a better work/ life balance.” Debbie feels a real sense of achievement in having made a start towards self-employment, instead of merely talking about it. She says, “I am happy to utilise facial aesthetic skills that are in such demand, alongside my ability to independently prescribe and deliver health care advice accrued in 20 years of nursing. This is a real opportunity to influence women who may feel that their only goal is to improve their facial appearance. I can provide health promotion in areas such as smoke cessation, nutrition, exercise, sun protection, and stress management as well as gently highlighting the need to attend for cytology and breast cancer screening programmes. I feel strongly that this holistic approach will lead to an improvement of their overall health and possibly contribute to reducing issues of anxiety, low self esteem, depression and of course the major chronic diseases caused by an unhealthy lifestyle.” In particular, Debbie has been interested in the high uptake of Botox® amongst a lower socio economic group of women in Liverpool - which is deemed to be one of the unhealthiest cities in Europe, regarding mortality and morbidity rates. It strikes her that this is a captive audience who may otherwise not listen to, or access the advice health professionals spout. Debbie is motivated by the potential influence she can make but her biggest influence has been her dad. “My Dad, who has always instilled in his daughters a sense of ambition, hard graft
and striving for nothing less than perfection; believing that the rewards are not just financial, but deliver a real sense of personal worth, achievement and satisfaction. Nursing has managed to deliver most of this for me, but I still feel there’s more I can achieve.” When asked what her biggest challenge has been Debbie laughs, “In a word everything!” But on a more serious note one of the major challenges she has faced is time constraints. Working full time, raising two young children, and trying to set a business up whilst consolidating her learning hasn’t been easy. “It is a completely different arena to where I’ve been working for the past 20 years. Not knowing where to access reliable resources and support to find information, whilst wanting to be professional and follow guidelines, protocols and legal frameworks. I was surprised that it seems demand is being met. Every salon I have contacted has either a visiting clinician providing facial aesthetics or refers elsewhere – making the job of selling my services that bit harder!” Looking forward to the future, Debbie hopes facial aesthetics will have “an increasingly raised profile, becoming safer, more regulated, accepted and more common place”.
Marketing Marketing is one of the key aspects when setting up a new business and Debbie knew that in order to make her a business a success she needed to carry out effective research. Debbie distributed questionnaires to the local beauty and hair salons to assess their current demand and see if they already provide the service, assess current costs, opinions, and whether they would consider using her business, i.e. a new provider. She also produced a separate questionnaire for their clients to assess their opinions/ demand for her business.
“I always felt I should have worked for myself...but it wasn’t really a possibility nursing in the NHS. I also felt that I did not have an ideal work/life balance.”
“It goes without saying that a key marketing strategy I plan to utilise to maximum effect is ‘word of mouth’ referral to family, friends, colleagues, and associates – getting my name out there as much as possible. I have also: Undertaken branding including developing business stationery Registered with consultingrooms.com Over the next few months she plans to: • Create marketing literature such as brochures and fliers to further promote my services • Create a website to generate new leads and raise awareness • Communicate through Social Media including Facebook, Twitter Debbie was keen that her all her marketing communications helped to attract and maintain potential clients’ interest and custom – answering questions, reassuring and informing whilst reflecting her personality and professionalism. “I won a website with Blue Horizons Marketing, and was impressed by their professionalism, examples of work and reasonable costs. Prior to this opportunity arising I had not really considered the need for a marketing partner to assist, although now realise the value. They have been excellent, friendly, reassuring, trustworthy, reliable, supportive, professional and vital to my business.” When deciding on her brand identity Debbie said she wanted something that was “modern rather than particularly trendy”. She explains, “I wanted it to be clean and clinical looking, reflecting a health professional so distinguishable from a beautician. I also wanted my brand identity to be memorable but at the same time subtle and tasteful, not bright or brash.”
And her top tips for anyone thinking of setting up on their own? 1 market research, assess demand 2 know your product 3 use a marketing company to help create a professional image. We’ll be catching up with Debbie again in six months time to see how she is getting on and to see how successful her marketing strategy has been.
cosmeticnewsuk.com
49
Company Profile - Galderma
A s t rateg i c f i t We find out how Galderma and Q-Med have joined forces to make a powerful product portfolio
A significant complementary portfolio
T
he past few months have seen two substantial developments in Galderma’s aesthetic corrective business. In January the company launched its Emervel® range of dermal fillers and in February it completed its acquisition of Swedish medical device company Q-Med. The acquisition was the largest in Galderma’s history and marked a major milestone by bringing together two strong companies and creating a powerful product portfolio to meet physician and patient needs. Negotiations for the acquisition opened late last year, resulting in a public share offer announced on December 13 2010, unanimously recommended by the board of Q-Med. On February 24 2011, Galderma announced that it had acquired 93.98% of Q-Med shares, effectively assuring that the remaining shares would be acquired.
On Q One of the most well-known names in the industry, Q-Med is a fast-growing, medical device company which develops, produces, markets and sells medical implants based on its patented NASHA technology, for the production of non-animal stabilised hyaluronic acid. It is an industry leader in developing and commercialising products based on hyaluronic acid (HA). Q-Med’s portfolio includes the dermal filler Restylane®, the global market leader and gold standard for smoothing out wrinkles and lines, for filling out and shaping lips, defining facial contours and improving the quality of the skin. Other flagship brands are Macrolane, for body contouring; Deflux, a world-leading niche product for the treatment of VUR (vesicoureteral reflux) and Durolane, for the treatment of osteoarthritis and Solesta for the treatment of fecal incontinence. Based in Uppsala near Stockholm, the company has offices in 21 countries and relationships with independent distributors that allow consumers in over 70 countries to benefit from its products. With sales of €145 million in 2010, the company employs approximately 640 people, of whom 350 work in Uppsala.
50
cosmeticnewsuk.com
Together, Galderma and Q-Med now have a significant portfolio of products for aesthetic medical treatments. The new portfolio, with the mix of dermal fillers and muscle relaxants in particular, offers significant complementarities: the combination of Q-Med’s Restylane® with Galderma’s botulinum toxin product Azzalure® and Emervel®, will allow the company to have a stronger market position in this highly competitive industry segment. The expanded portfolio accelerates Galderma’s strategy for growing its aesthetic corrective business, catapulting the company into a leading position in the global market for injectables. Valued at around $1.7 billion ($1.2 billion), this segment offers enormous opportunity for rapid growth. Minimally invasive procedures are swiftly becoming the preferred treatment for aesthetic interventions, but market penetration remains relatively low. Renewal rates after an initial procedure stand at 95%.
A new global center of excellence Q-Med has robust, sophisticated manufacturing and distribution operations, securing the highest quality standards in the industry, offering real competitive advantage. Its automated facility has the potential to meet market needs well into the future, providing Galderma with access to proven experience and globally recognized excellence in the production of fillers. Q-Med’s focused and talented R&D team have a solid track record in the development of medical devices and in HA research. It continues to innovate, with an array of new products in the pipeline that will further enhance the effectiveness of its HA fillers. Q-Med is strong on biopolymers and engineering, which is an excellent fit with Galderma’s own expertise in skin biology. Working together, the two companies’ R&D teams will constitute a new global center of excellence for aesthetic treatments, expanding their combined ability to innovate.
A strong access to new markets Geographically, the two companies are also highly complementary, broadening Galderma’s footprint while offering considerable scope for expansion. Albert Draaijer, vice president of marketing and markets said, “Galderma’s strong presence in Latin America will provide a solid base for marketing Q-Med products there, while in North America, Galderma will have a strong distribution partner who is an established market leader in dermatology and aesthetic procedures. In Asia, Galderma and Q-Med’s operations are also a good fit: Q-Med has approvals in China, for example, opening up new possibilities for Galderma in one of the world’s most dynamic markets. Q-Med sales and marketing teams are highly motivated and professional, having built up strong relationships with doctors in their markets, to whom they also offer training in Q-Med products and devices. This acquisition creates exciting opportunities for both companies’ employees. The integration of Q-Med’s experienced, innovative and talented teams provides the dermatology community with further assurance of the quality and reliability of Galderma’s products and services.” “This is great news for physicians and patients aspiring for even better medical solutions for their corrective and aesthetic needs”, adds president and CEO Humberto C. Antunes. “Both Galderma and Q-Med have developed strong product portfolios and commercial organisations, sharing a commitment to R&D and product excellence. The combination of the two companies, each leader in their respective fields, will further enhance service to physicians in the short-term and advance science in the long term.”
Q - M ed at a glance
MAKE THIS SPACE WORK FOR YOU! The essential tool for your business. To reach over 15,000 specialists in the cosmetic market Call a member of the sales team today 01268 754 897 www.cosmeticnewsuk.com
CosmetiC news CosmetiC news th e
voiCe
of
y our
industry
www.CosmetiCnewsuk.Com
the uk’s only free of charge medical aesthetics trade magazine
• A medical device company focused on products based on its patented NASHA technology for the production of non-animal stabilised hyaluronic acid • Founded in 1987 by Bengt Agerup • Head Office in Uppsala • Q-Med employs approx, 640 people, including 350 in Sweden • Restylane® approved for sales in Europe in 1999 and in the US in 2003 • Q-Med products are distributed in more than 70 countries • Sales in 2010 of £145 million • 21 affiliates, mainly in Europe and Asia • Q-Med major brands include Restylane® (dermal fillers), Marcolane (body contouring), • Deflux, (VUR vesicoureteral reflux), Durolane (Osteoarthritis), Solesta (fecal incontinence)
G alderma at a glance • A global specialty pharmaceutical company with an exclusive focus on dermatology • In 2010, Galderma reported sales of € 1.2 billon, an increase 16.1% on the previous year, at comparable exchange rates • Headquarters in Lausanne, Switzerland • 31 affiliates in all major countries and continents, with more than 3,300 employees • Galderma products distributed in more than 70 countries • In 2010, 21.3% of revenues invested annually to discover and develop new drugs and access innovate technologies • Galderma research efforts have allowed the company to publish 1,700 scientific publications, develop more than 500 inventions and file more than 5,000 patient applications and patents • Three R&D centers (France, United States and Japan) • Three manufacturing sites (France, Canada and Brazil) • Created in 1981 as a joint venture between Nestle and L’Oreal • Galderma major brands include: Differin (acne), Epiduo (acne), Efracea (rosacea), Etrivex (scalp psoriasis), Loceryl (fungal nail), Silkis (psoriasis), Rozex (rosacea), Metvix (skin cancer), • Azzalure® (skin senescence), Emervel® (skin senescence), Cetaphil (therapeutic skin care line) and Curanail (fungal nail)
SaleS executiveS, london and Home countieS
We are looking for highly motivated Sales Executives with experience in the Professional Skin Care industry for new business sales roles following our 2011 launch in the UK. Intraceuticals is an Australian company that has built a strong, global niche brand at the premium end of the Professional Skin Care industry with its results driven treatments and products. Instant and sustainable results combined with a strong celebrity following, provides a compelling business model to our partner clinics and spas. As you will have proved in previous Sales Executive roles, you will possess the drive and ability to open new accounts in your designated territory. You will have a minimum of 3 years wholesale sales experience and a proven track record in the Professional Skin Care industry, specifically, high-end beauty salons, spas, resorts and Med Spas/dermatologists. A beauty therapy qualification would be beneficial but not essential. A passion for quality skincare is essential. Salary Package is negotiable and will be based on experience and qualifications. Great career prospects exist within Intraceuticals, especially for those that demonstrate both new business sales and management capabilities. Please visit our website for product information, etc. www.intraceuticals.com To be a part of our dynamic team, please email your resume in confidence to James Stringer: james.stringer@intraceuticals.com
Dates for the Diary
SEPTEMBER
diary
We round up upcoming events, training courses and meetings
bioptica Laser Safety Consultants Bioptica: Laser Core of Knowledge course given at YOUR clinic on a date that suits YOU. Visit www.bioptica.co.uk for more information or call 07766 591 085.
2 Wigmore Medical Training, Sculptra Training Day One (day two six weeks later), London, training@wigmoremedical.com 2-3 IAAFA Annual Conference 2011, Royal Society of Medicine, London, www.iaafa.net 3 Meeting of the Society of Cosmetic Physicians & Surgeons (SCPS), Birmingham, www.scps-uk.org 3 Dermis Deep Microsclerotherapy Course, Birmingham, www.ddassist.com 3 Cosmetology Dermal Fillers Foundation, Manchester, www.cosmetologyuk.com 4 Cosmetology Botox Vistabel Foundation, Manchester, www.cosmetologyuk.com 4 Body Silk Consulting Introductory One-day business course for beauty and medical start-ups, www.bodysilk.co.uk/home/training-courses 5 Wigmore Medical Training, CPR, London, training@wigmoremedical.com 5 Aesthetic Academy + Dermal Filler Basic Course, Swansea, www.aestheticstraining.co.uk 6 Aesthetic Academy + Botulinum Toxin Basic Course, Swansea, www.aestheticstraining.co.uk 6 LCS Academy Core of Knowledge, www.lcsacademy.co.uk 7-8 Sterex Advanced Cosmetic Procedures, Birmingham, www.sterex.com
OCTOBER 1 Cosmetology Botox Vistabel Foundation, Birmingham, www.cosmetologyuk.com 2 Cosmetology Dermal Fillers Foundation, Birmingham, www.cosmetologyuk.com 2 Wigmore Medical Training, Introduction to Skincare and Chemical Peels, London, training@wigmoremedical.com 3 Wigmore Medical Training, Camouflage, London, training@wigmoremedical.com 3 Aesthetic Academy + Dermal Filler Basic Course, Leeds, Yorkshire, www.aestheticstraining.co.uk 3-5 LCS Academy BTEC Medical Laser/IPL Part 1 (Pt 2: 21-22 Nov), www.lcsacademy.co.uk 4 Aesthetic Academy + Botulinum Toxin Basic Course, Leeds, Yorkshire, www.aestheticstraining.co.uk 4 Wigmore Medical Training, Sculptra Training Day One (day two six weeks later), London, training@wigmoremedical.com 4-5 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 4-5 Medik8 Training, London, www. SkinBrands.co.uk 5 Botox and Dermal Filler, Int/ Advanced level, Glasgow www. inspiredcosmetictraining.com 6 Dr Bob Khanna Training Institute, Dermal Fillers – Advanced, www.drbobkhanna.com 7 Wigmore Medical Training, CPR, London, training@wigmoremedical.com 7 Dr Bob Khanna Training Institute, Oral Facial Course, www.drbobkhanna.com 7 CORE OF KNOWLEDGE (Nottm) training@mapperlypark.co.uk 8 Wigmore Medical Training, Microsclerotherapy and Facial Telangiectasia, London, training@wigmoremedical.com 10 Aesthetic Academy + Dermal Filler Basic Course, Scotland, www. aestheticstraining.co.uk 10 – 13 – Btec Award Laser and Light Based Hair Removal and Photorejuvenation 52
cosmeticnewsuk.com
7-8 Medik8 Training, London, www.SkinBrands.co.uk 10 Cosmetic Courses Foundation Botulinum Toxin and Dermal Filler Course, www.cosmeticcourses.co.uk 10 Dermis Deep Botox Course, Belfast, www.ddassist.com 10 Dermis Deep Dermal Filler Course, Belfast, www.ddassist.com 10 Wigmore Medical Training, Microsclerotherapy and Facial Telangiectasia, London, training@wigmoremedical.com 10 Cosmetology Botox Vistabel Foundation, London, www.cosmetologyuk.com 11 Cosmetology Dermal Fillers Foundation, London, www.cosmetologyuk.com 12 Wigmore Medical Training, Medik8 DermalRoller, London, training@wigmoremedical.com 13 Aesthetic Academy + Dermal Filler Basic Training, Birmingham, www.aestheticstraining.co.uk 13-14 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 14 Aesthetic Academy + Botulinum Toxin Basic Course, Birmingham, www.aestheticstraining.co.uk 14 Wigmore Medical Training, Introduction to Skincare and Chemical Peels, London, training@ wigmoremedical.com 15 CORE OF KNOWLEDGE (London) www.mapperleypark.co.uk/training 15 Wigmore Medical Training, Introduction to Boutlinum Toxin Type A, London, training@wigmoremedical.com 16 Wigmore Medical Training, Introduction to Dermal Fillers, London, training@wigmoremedical.com 17 Dermis Deep Advanced Botox Course, Central
(Nottm) training@mapperlypark.co.uk 11 Aesthetic Academy + BotulinumToxin Basic Course, Scotland, www.aestheticstraining.co.uk 13 Aesthetic Academy + Dermal Filler Basic Course, Newport, Wales, www.aestheticstraining.co.uk 13 Dr Bob Khanna Training Institute, Peel Course, www.drbobkhanna.com 13 Wigmore Medical Training, Introduction to Boutlinum Toxin Type A, London, training@wigmoremedical.com 14 Aesthetic Academy + Botulinum Toxin Basic Course, Newport, Wales, www.aestheticstraining.co.uk 14 Wigmore Medical Training, Introduction to Dermal Fillers, London, training@ wigmoremedical.com 15 Cosmetic Courses Botulinum Toxin and Dermal Filler Course, www.cosmeticcourses.co.uk 15 Dermis Deep Superficial and Medium Chemical Peels, Manchester, www. ddassist.com 15 Cosmetology Botox Vistabel Foundation, Manchester, www.cosmetologyuk.com 16 Cosmetology Dermal Fillers Foundation, Manchester, www.cosmetologyuk.com 18 Medik8 Training, Cheshire, www.SkinBrands.co.uk 19 SkinMedica Training, Cheshire, www.SkinBrands.co.uk 19 Aesthetic Academy + Dermal Filler Basic Course, Manchester, www.aestheticstraining.co.uk 19 Aesthetic Academy + Dermal Filler Basic Course, Windsor, Berkshire, www.aestheticstraining.co.uk 19-20 Sterex Advanced Cosmetic Procedures, London, www.sterex.com 20 Aesthetic Academy + Botulinum Toxin Basic Course, Manchester, www.aestheticstraining.co.uk 20 Aesthetic Academy + Botulinum Toxin Basic Course, Windsor, Berkshire, www.aestheticstraining.co.uk
London, www.ddassist.com 19 Wigmore Medical Training, GloMinerals, London, training@wigmoremedical.com 20 Medik8 Training, Cheshire, www.SkinBrands.co.uk 20 Laser/IPL Core of Knowledge Training, www.lasersafe.co.uk 20 Wigmore Medical Training, Glo Therapy, London, training@wigmoremedical.com 21 SkinMedica Training, Cheshire, www.SkinBrands.co.uk 21, Botox and Dermal Filler, Foundation level, Glasgow www.inspiredcosmetictraining.com 22 Aesthetic Academy + Botulinum Toxin Basic Course, Newcastle, www.aestheticstraining.co.uk 23 Aesthetic Academy + Dermal Filler Basic Course, Newcastle, www.aestheticstraining.co.uk 24 Wigmore Medical Training, Microsclerotherapy and Facial Telangiectasia, London, training@wigmoremedical.com 24 Dermis Deep Botox Course, Manchester, www.ddassist.com 27 Wigmore Medical Training, Introduction to Skincare and Chemical Peels, London, training@ wigmoremedical.com 27-28 SkinCeuticals Training, London, www.SkinBrands.co.uk 28 Dr Bob Khanna Training Institute, Botulinum Toxin Beginners, www.drbobkhanna.com 29 Dr Bob Khanna Training Institute, Botulinum Toxin Advanced, www.drbobkhanna.com 29 Wigmore Medical Training, Advanced Toxins and Fillers, London, training@wigmoremedical.com 30 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, www.drbobkhanna.com
22 Dermis Deep Botox Course, Central London, www.ddassist.com 22 Dermis Deep Dermal Filler Course, Central London, www.ddassist.com 24 Wigmore Medical Training, GloMinerals, London, training@wigmoremedical.com 24 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners, 24 Advanced Skin Science, Ealing, London, www.sallydurant.com www.drbobkhanna.com 25 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced, www.drbobkhanna.com 25 Wigmore Medical Training, Introduction to Skincare and Chemical Peels, London, training@wigmoremedical.com 25-26 SkinCeuticals Training, London, www. SkinBrands.co.uk 26 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, www.drbobkhanna.com 26 Wigmore Medical Training, Medik8 DermalRoller, London, training@ wigmoremedical.com 29 Dermis Deep Botox Course, Glasgow, www.ddassist.com 29 Dermis Deep Dermal Filler Course, Glasgow, www.ddassist.com 29 Cosmetology Botox Vistabel Foundation, Glasgow, www.cosmetologyuk.com 30 Cosmetology Dermal Fillers Foundation, Glasgow, www.cosmetologyuk.com 31 Consultative Analysis and Advanced Skin Assessment, Ealing, London, www. sallydurant.com
NOVEMBER 1-2 Medik8 Training, London, www.SkinBrands.co.uk 2 – CORE OF KNOWLEDGE (London) training@mapperlypark.co.uk 6 Cosmetology Advanced Facial Aesthetics, Glasgow, www. cosmetologyuk.com
7-8 Sterex Advanced Electrolysis, www.sterex.com 7-11 November – Btec Award Laser, Light and Associated Aesthetic Therapies (Nottm) training@mapperlypark.co.uk 8-9 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 9 Wigmore Medical Training, Introduction to Skincare and Chemical Peels, London, training@wigmoremedical.com 9 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners, www.drbobkhanna.com 10 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced, www.drbobkhanna.com 10 Wigmore Medical Training, Introduction to Boutlinum Toxin Type A, London, training@wigmoremedical.com 11 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, www. drbobkhanna.com 11 Wigmore Medical Training, Introduction to Dermal Fillers, London, training@wigmoremedical.com 12 Dermis Deep Microsclerotherapy Course, Birmingham, www.ddassist.com 12 Cosmetic Courses Foundation Botulinum Toxin and Dermal Fillers, www.cosmeticcourses.co.uk 12 Wigmore Medical Training, Microsclerotherapy and Facial Telangiectasia, London, training@wigmoremedical.com 12 Cosmetology Botox Vistabel Foundation, London, www. cosmetologyuk.com 13 Cosmetology Dermal Fillers Foundation, London, www. cosmetologyuk.com 14 The Causes Development and Management of Acne, Ealing, London, www.sallydurant.com 15 Laser/IPL Core of Knowledge Training, www.lasersafe.co.uk
8784 Masterclass Ad:Layout 1 16/08/2011 14:14 Page 1
Laser Support Services
Services
Services
• Patient protective eyewear • Laser safety eyewear • Disposable Laser, IPL and LED eyewear Mouthguards • Laser surgical instruments • Safety signage • Safety interlocks • Laser safety curtains
Services
ent
ervices
ices Ltd. upport Services
Fife - KY10 2RR 01333-312703 nquiries@laser-support.co.uk ent
vices Ltd. - Fife - KY10 2RR rx 01333-312703 Enquiries@laser-support.co.uk
nt
ces Ltd. Fife - KY10 2RR 01333-312703 quiries@laser-support.co.uk
ng laser m to current
pport Services Ltd. venstone - Fife - KY10 2RR 938 Fax 01333-312703 Email Enquiries@laser-support.co.uk
s Ltd. e - KY10 2RR 1333-312703 iries@laser-support.co.uk
Btec Award coming to London in 2012... watch this space Core of Knowledge London Nottingham
Thursday 15th September 2011 Friday 7th October 2011
Btec Award in Laser, Light and Associated Aesthetic Therapies Nottingham
Monday 7th – Friday 11th November 2011
Laser Support Services has been supplying laser products since 1990. All supplies conform to current EC safety standards
Laser Support Services Ltd.
Call 0115 969 0111 or Email: training@mapperleypark.co.uk www.mapperleypark.co.uk/training
School Drive - Ovenstone - Fife - KY10 2RR
Tel: 01333-311938 Fax: 01333-312703 www.laser-support.co.uk — Email Enquiries@laser-support.co.uk
Mapperley Park Clinic is registered, and therefore licensed to provide services, by the Care Quality Commission (Provider ID: 0000026452). For more information, visit www.cqc.org.uk.
Fea
tur Monday 24th october cour ed ses £ Advanced Skin Science 225 Monday 31st october Consultative Analysis and Advanced Skin Assessment Monday 14th noveMber The Causes Development and Management of Acne Monday 21st noveMber The Ageing Process and Regenerative Treatments Monday 28th noveMber Nutrition and the Skin All courses take place at enclosed solutions training centre, Ealing, London. iNCl VA T
Full details oF all course agendas are available on our website
LOOKING FOR..
LOW COST FINANCE?
Very low rates for established businesses & medical professionals Te r m s A p p l y E + O. E
FINANCE FOR ANY EQUIPMENT ANY VALUE OR ANY PURPOSE IMMEDIATE IN PRINCIPLE DECISIONS
W E R A R E LY S A Y N O !
Specialist Expertise Areas: High value transactions New start funding packages Used equipment Imported goods Equipment distributor schemes
CALL ANDY BULLOCK ON: 01928 739 712 Website: www.beautybusinessfinance.co.uk
Cosmetic news DIRECTORY
directory
A
S
ABC Laser Contact: Guy Gouldsmit T: 08451 707 788 E: info@a-b-c-uk.com W: www.abclasers.co.uk ABME Tech Contact: David Leahy T: 01843 297110 E: david.leahy@abmetech.com W: www.abmetech.com
Cosmedix Contact: Aysha Capion-Awward T: 0844 855 2499 E: info@cosmedix.com W: www.cosmedix.com
Aesthetic Academy + Training Contact: Chantalle Coombes T: 0845 519 4823 W: www.aestheticstraining.co.uk E: training@aestheticacademy.co.uk
B
Aesthetox Academy Service: Training Contact: Lisa Tyrer T: 0870 0801746 E: treatments@aesthetox.co.uk W: www.aesthetox.co.uk Barnes Roffe LLP Service: Chartered Accountants, Business and Tax Advisors Contact: Shen Yap T: 020 8988 6100 E: s.yap@barnesroffe.com W: www.barnesroffe.com
D
E
Bioptica Contact: Roy Henderson T: 07766 591 085 E: roy@biotica.co.uk W: www.bioptica.co.uk
G
H
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.
C
54
cosmeticnewsuk.com
Medical Aesthetic Group Contact: David Gower T: 02380 676733 E: info@magroup.co.uk W: www.magroup.co.uk Merz Aesthetics Contact: Merz Aesthetics Customer Services T: 0333 200 4140 E: info@merzaesthetics.co.uk
L
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
Euromedical Systems Ltd. Contact: Phillip Richardson T: 0845 130 4949 W: www.euromedicalsystems.co.uk E: info@euromedicalsystems.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 T: +44 1481 736832 E: orders@healthxchange.com W: www.healthxchange.com LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315 E: admin@lcsacademy.co.uk W: www.lcsacademy.co.uk
MACOM Compression Garments Contact: MACOM Customer Services T: 020 7386 0011 E: info@macom-medical.com W: www.macom-medical.com
Skin Geeks Ltd Contact: Trishna Shah T: +44 (0)1865 338046 E: trishna@skingeeks.co.uk W: www.skingeeks.co.uk Specialist Make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: enquiries@permanent-makeup.com W: www.permanent-makeup.com Services: Permanent Make-Up
Med-fx Contact: Faye Price T: 01376 532800E: sales@medfx.co.uk W: www.medfx.co.uk
E-Clinic Contact: Mark Lainchbury T: 01274 530 505 E: info@e-clinic.uk.com W: www.e-clinic.uk.com
Harley Aesthetics Contact: Dr Mark Harrison T: 02074872772 E: enquiries@harleyaesthetics.com W: www.harleyaesthetics.com Services: Training
Boston Medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.boston-medical-group.co.uk Candela UK Ltd Contact: Ben Savigar-Jones T: +44 08455210698 E: alex@alexsilver.co.uk W: www.candelalaser.co.uk
DermaFx Micropigmentation Service: Permanent Make Up Contact: Evie Adams T : 08703002078 E: dermafx@evieadams.com W: www.evieadams.com
Galderma Contact: Azzallure Sales Team T: 01923 208950 E: info.uk@galderma.com W: www.galderma.co.uk
Skin brands Contact: Tracey Beesley T: +44 (0) 2089978541 E: tracey@skinbrands.co.uk W: www.skinbrands.co.uk
Mayfair Medical Contact: Mike Filapiuak T: +44 02076296269 E: mike@ericson-laboratoire.co.uk W: www.ericson-laboratoire.com
Energist Contact: Andrew Snoddon T: 01792 798768 E: enquiries@energist-international.com W: www.energist-international.com
Betheny Workwear Service: Uniforms Contact: Siju Jacob T: 01516 776 777 W: www.betheny.co.uk E: enquiries@betheny.co.uk
Lifestyle Aesthetics Contact: Sue Wales T: 0845 0701 782 E: info@lifestyleaestheics.com W: www.lifestyleaesthetics.com
Mapperley Park Training www.mapperleypark.co.uk/training Email: training@mapperleypark.co.uk Tel: 01159 690 111
Cutera (Europe) Contact: Stephen Ritchie T: 07969993296 E: sritchie@cutera.com W: www.cutera.com
Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com
Beehive Medical Solutions Contact: Kevin Rendell T: 020 8550 9108 E: enquiries@beehive-solutions.co.uk W: http: //www.beehive-solutions.co.uk/ catalog
BioActiveBeauty Hydropeptide...the next generation of Anti-Ageing Skincare .. using peptides at clinical levels. T: 01753 830931 M: 0791 941 6392 E: info@bioactivebeauty.com
M
Cosmetic Courses Contact: Morag Hague T: 0845 230 4110 E: info@cosmeticcourses.co.uk W: www.cosmeticcourses.co.uk
Allergan Contact: Customer Service T: 01628 494444 W: www.juvedermultra.co.uk
Sanofi Aventis Contact: Customer Service T: 01483 554 809 W: www.sanofi-aventis.co.uk
Lynton Contact: Customer Services T: 0845 6121545 E: info@lynton.co.uk W: www.lynton.co.uk
Cordcourt Limited Service: Uniform Supplier Contact: Gina Unsworth T: 0161 724 6009 E: sales@cordcourt.co.uk W: www.cordcourt.co.uk
P
Q
R
U
V
W
My Cells/Scandinavian UST Ltd Contact: John Tucker T: +35361 312979 E: info@mycells.ie W: www.my-cells.net Polaris Lasers Contact: Neil Calder T: 01234841536 E: njc@polaris-laser.com W: www.polaris-laser.com Q-MED Contact: Customer Service T: 0207 796 3290 E: info.uk@q-med.com W: www.q-medpractitioner.com/uk Qutis Contact: Marea Brennan Thorns T: 01844 213007 E: info@qutisclinics.co.uk W: www.qutisclinics.co RECOVA COMPRESSION GARMENTS Contact: Eva Sanchez-Smith E: eva.sanchez@recovapostsurgery.com W: www.recovapostsurgery.com T: 0207 000 1044 Rosactive Phytoceutical U.K. Contact: Mr. Naci Gulsan T: 020 85090907 E: hunalp@hunalp.co.uk W: www.rosactive.co.uk www.hunalp.co.uk
Z
Surface Imageing Solutions Contact: Nick Miedzianowski-Sinclair Telephone : +447774802409 E: nms@surfaceimageing.co.uk W: www. surfaceimageing.co.uk Service: Skin Analysis systems & services Ulthera Contact: Phillip Andrews (UK Sales Director) T: 07825442968 E: p.andrews@ulthera.com Vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: SDavies@soundsurgical.com W: www.vaser.com Wealden Projects Contact: Kevin Dewhurst E: kevin@wealden projects.com W: www.wealdenprojects.com T: 01892 611552 M: 07969 697593 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
Your partner in injectable facial aesthetics
Bocouture® Bocouture is indicated for the temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar frown lines) in adults below 65 years when the severity of these lines has an important psychological impact for the patient.
Bocouture ® 50 Abbreviated Prescribing Information Please refer to the Summary of Product Characteristics (SmPC). Presentation 50 LD 50 units of Botulinum toxin type A (150 kD), free from complexing proteins as a powder for solution for injection. Indications Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar frown lines) in adults under 65 years of age when the severity of these lines has an important psychological impact for the patient. Dosage and administration Unit doses recommended for Bocouture are not interchangeable with those for other preparations of Botulinum toxin. Reconstitute with 0.9 % sodium chloride. Intramuscular injection (50 units/ 1.25 ml). Standard dosing is 20 units; 0.1 ml (4 units): 2 injections in each corrugator muscle and 1x procerus muscle. May be increased to up to 30 units. Not recommended for use in patients over 65 years or under 18 years. Injections near the levator palpebrae superioris and into the cranial portion of the orbicularis oculi should be avoided. Contraindications Hypersensitivity to Botulinum neurotoxin type A or to any of the excipients. Generalised disorders of muscle activity (e.g. myasthenia gravis, Lambert-Eaton syndrome). Presence of infection or inflammation at the proposed injection site. Special warnings and precautions. Should not be injected into a blood vessel. Not recommended for patients with a history of dysphagia and aspiration. Adrenaline and other medical aids for treating anaphylaxis should be available. Caution in patients receiving anticoagulant therapy or taking other substances in anticoagulant doses. Caution in patients suffering from amyotrophic lateral sclerosis or other diseases which result in peripheral neuromuscular dysfunction. Too frequent or too high dosing of Botulinum toxin type A may increase the risk of antibodies forming. Should not be used during pregnancy unless clearly necessary. Interactions Concomitant use with aminoglycosides or spectinomycin requires special care. Peripheral muscle relaxants should be used with caution. 4-aminoquinolines may reduce the effect. Undesirable effects Usually observed within the first week after treatment. Localised muscle weakness, blepharoptosis, localised pain, tenderness, itching, swelling and/or haematoma can occur in conjunction with the injection. Temporary vasovagal reactions associated with pre-injection anxiety, such as syncope, circulatory problems, nausea or tinnitus, may occur. Frequency defined as follows: very common (≥ 1/10); common (≥ 1/100, < 1/10); uncommon (≥ 1/1000, < 1/100); rare (≥ 1/10,000, < 1/1000); very rare (< 1/10,000). Infections and infestations; Uncommon:
Botulinum toxin type A free from complexing proteins
bronchitis, nasopharyngitis, influenza infection. Psychiatric disorders; Uncommon: depression, insomnia. Nervous system disorders; Common: headache; Uncommon: facial paresis (brow ptosis), vasovagal syncope, paraesthesia, dizziness. Eye disorders; Uncommon: eyelid oedema, eyelid ptosis, blurred vision, eye disorder, blepharitis, eye pain. Ear and Labyrinth disorders; Uncommon: tinnitus. Gastrointestinal disorders; Uncommon: nausea, dry mouth. Skin and subcutaneous tissue disorders; Uncommon: pruritus, skin nodule, photosensitivity, dry skin. Musculoskeletal and connective tissue disorders; Common: muscle disorders (elevation of eyebrow), sensation of heaviness; Uncommon: muscle twitching, muscle cramps. General disorders and administration site conditions; Uncommon: injection site reactions (bruising, pruritis), tenderness, Influenza like illness, fatigue (tiredness). General; In rare cases, localised allergic reactions; such as swelling, oedema, erythema, pruritus or rash, have been reported after treating vertical lines between the eyebrows (glabellar frown lines) and other indications. Overdose May result in pronounced neuromuscular paralysis distant from the injection site. Symptoms are not immediately apparent post-injection. Bocouture ® may only be used by physicians with suitable qualifications and proven experience in the application of Botulinum toxin Legal Category POM. Basic NHS Price 50 U/vial £72.00. Product Licence Number PL 29978/0002 Marketing Authorisation Holder Merz Pharmaceuticals GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt/Main, Germany. Date of revision of text JAN 2011. Full prescribing information and further information is available from Merz Pharma UK Ltd., 260 Centennial Park, Elstree Hill South, Elstree, Hertfordshire WD6 3SR. Tel: +44 (0) 333 200 4143 Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Merz Pharma UK Ltd at the address above or by email to medical.information@merz.com or on +44 (0) 333 200 4143. 1054/BOC/MAR/2011/JH. Date of preparation April 2011 BOCOUTURE® is a registered trademark of Merz Pharma GmbH & Co, KGaA.
C
onfidence is... Her happiness. Your expertise. Our experience. Vistabel® is licensed for the treatment of moderate to severe glabellar lines Delivers lasting patient satisfaction, time after time1,2 Trusted with over 1 million cosmetic procedures across Europe3* The world’s first and most studied botulinum toxin4†
Satisfaction that shows
Vistabel® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 Allergan Units/vial. Indications: Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown, in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years. Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: total dose 20U. Contra-indications: Known hypersensitivity to any constituent. Myasthenia gravis, Eaton Lambert syndrome. Infection at proposed injection sites. Pregnancy or lactation. Warnings/Precautions: Use for one patient treatment only during a single session. Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Product contains less than 1mmol sodium (23mg) per dose. Do not exceed recommended dosages and frequency of administration. Epinephrine (adrenaline) or any other anti-anaphylactic measures should be available. Very rare reports of adverse reactions possibly related to spread of toxin distant from site of injection. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with history of dysphagia and aspiration. Patients or caregivers should seek immediate medical care if swallowing, speech or respiratory disorders arise. Too frequent or excessive dosing can result in risk of antibody formation, which may lead to treatment failure. Caution in the presence of inflammation at the proposed injection site(s) or when excessive muscle weakness or atrophy is present. Caution when used in patients with amyotrophic lateral sclerosis or with peripheral neuromuscular disorders. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of excessive neuromuscular weakness. Interactions: Theoretically, effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission. Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). These adverse reactions may be related to treatment, injection technique or both. In general, reactions occur within the first few days following injection and are transient and of mild to moderate severity. Pain/burning/stinging, oedema and/or bruising may be associated with the injection. Frequency By Indication: Defined as follows: Very Common (≥1/10), Common (≥1/100, <1/10), Uncommon (≥1/1,000, <1/100), Rare (≥1/10,000, <1/1,000), Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection.
Psychiatric disorders. Uncommon: Anxiety. Nervous system disorders. Common: Headache. Uncommon: Paresthesia, dizziness. Eye disorders. Common: Eyelid ptosis. Uncommon: Blepharitis, eye pain, visual disturbance. Gastrointestinal disorders. Uncommon: Nausea, oral dryness. Skin and subcutaneous tissue disorders. Common: Erythema, Uncommon: Skin tightness, oedema (face, eyelid, periorbital), photosensitivity reaction, pruritus, dry skin. Musculoskeletal and connective tissue disorders. Common: Localised muscle weakness, Uncommon: Muscle twitching. General disorders and administration site conditions. Common: Face pain, Uncommon: Flu syndrome, asthenia, fever. The following have been reported rarely for glabellar lines and other indications: rash, urticaria, pruritus, erythema multiforme, psoriasiform eruption, anaphylactic reaction (angiodema, bronchospasm), alopecia, madarosis, tinnitus and hypoacousia. Adverse reactions possibly related to spread of toxin distant from injection site have been reported very rarely (muscle weakness, dysphagia, or aspiration pneumonia which can be fatal). Price: £85.00 per vial. Marketing Authorization Number: PL 05179/0010 Marketing Authorization Holder: Allergan Pharmaceuticals (Ireland) Ltd., Westport, Co. Mayo, Ireland. Legal Category: POM. Date of preparation: December 2008.
Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk Adverse events should also be reported to Allergan Ltd. UK_Medinfo@allergan.com or 01628 494026 References: 1. Stotland MA et al. Plast Reconstr Surg, 2007;120:1386-1393. 2. Carruthers A et al. Journal of Clinical Research, 2004;7:1-20. 3. Allergan Data on File (DoF) VIS/003/DEC 2010. 4. Allergan Data on File (DoF) VIS/005/MAR 2011. *Given in 5 key EU countries since VISTABEL® launch. Data taken from UK, France, Spain, Italy and Germany. Global figures. Launched in 1989 in the U.S. Search strategy conducted using; Medline, Embase, Embal, Biosis, SciSearc, Pascal, HCAPlus, IPA. Search applied to Allergan, Ipsen & Merz botulinum toxin type A presentations (cosmetic indication).
†
Date of search: February 2011.
UK/0101/2011 Date of Preparation: March 2011