Consulting Room Magazine l Volume 9 l Issue 3 l 2025

PURCHASING DECISIONS

Buying equipment

INTIMATE HEALTH

Polynucleotides for GSM CPD

Gut health, stress and skin outcomes

CANNULAS

Why cannulas matter more now than ever

THE CONSULTING ROOM MAGAZINE

Welcome to this issue of Consulting Room Magazine for Summer 2025.

Hopefully, you are reading this with your feet up, sitting by a pool, or taking a relaxing break from work. I know I am looking forward to

The theme for this month is innovations in injectables, and you will find a host of content centred around this topic in the coming pages. From our what’s trending piece examining consumer attitudes to dermal fillers on page 6 to GSM (p18-20) and cannulas (p22-24).

In addition, this month’s CPD article (p32-34) looks at the microbiome, while our business section sees advice from Julie Scott on purchasing devices (p38-40) and Alan Adams on cashflow (p42-43).

Our Safety in Aesthetics features this month look at recent warnings set out by trading standards over counterfeit products (pages 12-13) and the Government’s recent announcement outlining new measures to crack down on cosmetic procedures following the 2023

Among the proposed measures is that only qualified healthcare professionals will be able to perform the highest risk procedures, such as non-surgical Brazilian Butt Lifts. Clinics administering lower-risk cosmetic treatments, including botulinum toxin, lip fillers and facial dermal fillers, will also come under stricter oversight through a new local authority licensing system and practitioners will be required to meet rigorous safety, training, and insurance standards before they can legally operate.

As well as this, we share the industry’s latest news (p8-9) and product launches (p41).

I hope you enjoy this issue and have a lovely summer!

Dr Tatyana Lapa-Enright explores how gut health, stress, and the microbiome significantly impact skin health and treatment outcomes.

Miss Smita Sinha presents injectable polynucleotide therapy for Genitourinary Syndrome of Menopause.

URGENT REGULATION OF FAT INJECTIONS, FILLERS AND BOTOX

Trading Standards warning over unregulated aesthetic procedures that pose a huge health risk.

MISSING LINK

Dr Mei

on why the cannula matters more now than ever.

The rapid weight loss trend and how combination therapies can help combat skin laxity.

ulie Scott discusses considerations when buying a device for your clinic.

Yeoh

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CONTRIBUTORS

MEI YEOH

Dr Mei Yeoh is a dentist specialising in aesthetics. With a background in Maxillofacial Surgery, she brings a unique blend of expertise to her practice. She is passionate about holistic facial and neck treatments, focusing on precision and innovative techniques.

JULIE SCOTT

Julie Scott is an NMC registered Independent Nurse Prescriber, Level 7 qualified aesthetic injector and trainer with over 30 years of experience in the field of plastics and skin rejuvenation. Her clinic also received the ‘Best Clinic South of England’ award at the 2023 Aesthetics Awards.

ALAN ADAMS VICKY ELDRIDGE

Alan Adams is an award-winning profit coach and author. He has published a series of books all firmly focused on helping businesses achieve the ultimate sustainable growth. His most recent book, The Beautiful Business, focuses on supporting medical, cosmetic and aesthetic company owners.

Miss Smita Sinha is a leading consultant gynaecologist with over 15 years of experience in women’s health and a specialist focus on menopause, intimate wellness, and vulval conditions. She blends clinical excellence with holistic care to empower women at every stage of life.

Vicky Eldridge is an award-winning journalist and editor who has specialised in aesthetics for 20 years. She is founding editor of Aesthetic Medicine and edited five supplements for The Times. In 2015, she won a Safety in Beauty Award for supporting standards within the industry.

Dr Tatyana Lapa-Enright is a GMC-registered medical doctor with over 15 years of clinical experience. She is a regular speaker and trainer at aesthetic conferences and has published across scientific publications covering topics in mental health, aesthetic medicine, and integrative dermatology.

Eddie Hooker is the founder and chief executive of Hamilton Fraser. He is an expert in the cosmetic insurance sector with more than 28 years of experience. He is an industry commentator on key topics such as aesthetics regulation, legislation, insurance and business growth.

MISS SMITA SINHA

DR TATYANA LAPA-ENRIGHT

EDDIE HOOKER

WHAT’S TRENDING

Consumer attitudes towards dermal filler procedures, and their growing popularity

New research conducted in 2025 by Norstat on behalf of Teoxane has highlighted a shift in consumer behaviour over the last year. The brand surveyed 2,500 women aged between 18-55 in the UK to discover more about how consumers view, understand, and seek out dermal fillers today.

Over half of UK respondents receiving dermal fillers were under 35, with millennials leading the demographic. This trend may reflect higher disposable incomes and a shift toward preventative self-care – addressing early signs of ageing (fine lines and wrinkles) while boosting confidence.

Dr Saleena Zimri says, “Millennials are one of my top spenders, aged mid- to late 30s or early 40s, who have a bit more money, may have kids and are in their peak professional life, so have a little more disposable income, and they expect to pay more for their dermal filler treatments. Younger generations like Gen Z are usually on a tighter budget than millennials (unless their profession, such as social media, has led them to more disposable income). Also, due to more areas of concern with ageing, millennials are spending more as they’re treating more areas, whereas Gen Z may be only looking to treat one or two areas and have limited concerns at this stage.”

The data showed:

• 24-34-year-olds are more likely to seek HA dermal filler treatments to improve their skin quality

35-44-year-olds are driving demand when it comes to treating the signs of ageing/fine lines

45-50-year-olds are showing a consistent increase in interest and research into treatments.

Regionally, demand for dermal fillers is highest in the North of England and London, with 20% of respondents having had dermal filler treatment

The top treatment areas for returning patients are: 47% lips, 35% fine lines/wrinkles, and 33% mid-face dermal filler treatment.

The number one treatment indication in the UK is lip fillers, according to data collected over the last 12 months mid-face treatments have seen the biggest increase in demand (from 22% in 2023 to 33% in 2024).

Dr Wassim Taktouk shares, “Treating the midface for me has the highest impact when rejuvenating the face. The majority of the ageing process takes place in the midface, and consequently, it is the first area to start to show changes. Treatments in the midface have a knock-on improvement to the lower face too.”

Recently, there has been an increase in GLP-1 patients wanting mid-face fillers, as these medications are causing significant facial volume loss that requires dermal fillers.

There has also been an increase (4%) for people wanting to look good for social media (from 2023-2024).

Dr Bonny Armstrong says, “Beyond social media influence, we’re seeing more people working for themselves, creating content, or relying on a strong online presence for their careers. In this digital age, where your face is often your brand, there’s a growing awareness around how you present yourself visually. Things like video calls, profile images, and content creation all contribute to that.

Images provided by author

NEWS AND EVENTS

New guide issued following break out of botulism

A comprehensive new safety guide – The Invisible Risk Behind Unregulated Botulinum Toxin (Botox Like) Treatments – has been launched to educate and protect patients considering aesthetic treatments. It follows the UK Health Security Agency’s (UKHSA) recent warning over a concerning cluster of botulism cases linked to counterfeit botulinum toxin.

Between June 4 and July 14, 2025, the UKHSA confirmed 38 cases of iatrogenic botulism in England, all traced to unlicensed or counterfeit botulinum toxin injections administered in non-clinical settings. The outbreak has been widely reported in the national media and has triggered industry-wide concern and renewed calls for tighter regulation and public awareness.

Botulism, a rare but life-threatening condition caused by Clostridium botulinum toxins, can lead to symptoms ranging from drooping eyelids and blurred vision to paralysis of the respiratory muscles. In this recent outbreak, six patients required critical care for respiratory complications – a stark reminder of the serious risks posed by improperly sourced or administered injectables.

Written by award-winning aesthetic nurse and educator Julie Scott, supported by the Joint Council for Cosmetic Practitioners (JCCP), the newly published guide outlines the steps patients must take to safeguard themselves when undergoing botulinum toxin treatments.

The guide’s release follows a joint statement from the JCCP, Save Face, BCAM and BAMAN urging consumers to only seek treatments from qualified medical professionals in clinical environments using MHRA-approved products.

With public health and safety in sharp focus, this guide acts as a critical tool to help people spot red flags, ask the right questions, and avoid potentially life-altering outcomes.

You can download the guide on the JCCP’s website.

Teoxane release Aesthetics and the Modern Man report

A new report by dermal filler brand Teoxane has revealed that approximately 5.2 million men in the UK are looking to have dermal filler treatment.

Key findings of the Aesthetics and the Modern Man report include:

• One-in-five men are likely to have dermal filler treatment in the future

• 70% more men have sought out aesthetic treatments since 2021

• 26-34 are the leading age group having dermal filler treatments

• One in-10 men are converting into patients in 2025 37% of men want filler treatment to look healthier, 30% to look good for their age and 30% to look more “attractive”

The most requested male filler treatments are: jawline, chin, lips and undereye

• Men’s top concerns about fillers are: will people notice? will they look ‘done?’

• 27% of men would have/or have had filler look better in photos and for social media

• 35-44 year old males are driving the under-eye brightening indication (40%)

• 18-25 year old males are driving the lips (44%) and cheeks (31%) indications.

Dr Tahera Bhojani-Lync, says, “Men have always cared about their appearance – it just wasn’t acceptable to talk about it until now. Men having filler simply want a natural look. They do not want to look done or curved or feminine. Filler for men is placed and maintained differently to women. Buzzwords for men’s skin are ‘smooth’ and ‘healthy’.”

Teoxane practitioner and finalist for ‘Best at Male Aesthetics’, Jamie Amphlett, adds, “More ‘traditionally masculine’ men are starting to enquire, but often in a roundabout way. They’ll bring it up (lip filler) in consultation by saying their lips feel dehydrated, they don’t match the rest of their face, or they push their lips out slightly in photos. A surprisingly common trigger is a light-hearted comment from a mate that makes them more conscious of their lip size or shape.

“Their concerns are usually centred around how noticeable the treatment will be. They often ask ‘Will people be able to tell?’ or ‘Will I look like I’ve had something done?’. Rarely are they worried about pain or downtime – it’s about subtlety and discretion. When I started out in aesthetics five years ago, 100% of my patients were women. Now, around 70% of my patients are men, and that growth has been steady and consistent. It’s likely a combination of me having a male-centred approach to marketing and more men feeling comfortable reaching out for treatments they may have been curious about for years.”

Dr Sabrina Shah-Desai publishes a new clinical paper

Dr Sabrina Shah-Desai, an internationally recognised ophthalmic plastic reconstructive surgeon and aesthetic practitioner, has published a new peer-reviewed clinical study in the Journal of Cosmetic Dermatology (July 2025) investigating a topical formulation specifically developed to address periorbital hyperpigmentation and under-eye skin ageing. The study evaluates a novel dermatological serum — the formulation behind Perfect 360° Eye Illuminate — for its safety and efficacy.

The study reports that the serum demonstrated a 47.94% average reduction in under-eye hyperpigmentation over six weeks of use, with no adverse events. These results point to a promising non-invasive option for the treatment of complex under-eye concerns.

The study was led by Dr Shah-Desai, in collaboration with a scientific co-author with expertise in research. It showed statistically significant improvements were observed in pigmentation, with an average 47.94% reduction, improved texture and tone, and high patient satisfaction and concluded the serum offers a safe, effective, and well-tolerated approach to improving periorbital hyperpigmentation and rejuvenating the eye area.

You can read the study here: https://pubmed.ncbi.nlm.nih.gov/40626342

65% of British women feel pressured to look young at social events

Research from Face The Future has shown that 65% of UK women feel pressured to look young at social gatherings.

The survey of 2,000 UK women (via OnePoll, June 2025) unpacks how societal pressure, skincare habits, and confidence evolve with age as well as why more women are ready to reject outdated ‘anti-ageing’ labels for a more empowering approach to skin health.

In addition to feeling pressured to look young at social events, 86% said celebrities and influencers create unrealistic expectations for “ageing naturally” and 41% said social media adds pressure to appear youthful. Almost half (46%) feel at least a bit of pressure to look young and nearly one in three (32%) feel less confident about their appearance than when they were younger. Just 42% of women feel well represented for their age in the skincare industry and a third (33%) have never used or don’t currently use anti-ageing products.

Clinic lead at Face The Future, Kimberley Medd says, “While people within the beauty industry are moving away from terms like ‘anti-ageing’ and we have seen a shift towards ‘pro-ageing’, or ‘well-ageing’, women in general still feel pressure about their appearance in a world of high societal influence from social media, dating, and work. These standards still exist and can have a significant effect on our self-confidence and self-esteem.”

Help shape the future of regenerative aesthetic medicine

The Regenerative Aesthetic Medicine Institute (RAMI) is calling on medical professionals across the aesthetics industry to participate in a new survey examining the current understanding and application of regenerative techniques in clinical practice.

Results will be revealed at RAMCE 2025. – the Regenerative Aesthetic Medicine Conference & Exhibition – taking place on November 8, 2025 in London.

The anonymous survey takes around five minutes and can be accessed at: https://forms.office.com/r/be8ua02sQ8

NEWS IN BRIEF STORIES

Aesthetic Source celebrates wins at the Attracta Beauty Awards

Two AestheticSource’s powerhouse brands – Senté and Revision Skincare – have taken home awards at the Attracta Beauty Awards 2025. Both brands were also named among the Top 10 Haute-Beauty Winners, placing them firmly at the forefront of expert-driven skincare innovation. Frome Senté, Pigment & Tone Correcting Mask was named Best Serum for Pigmentation and Dermal Repair Cream was Best Barrier Repair Product. From Revision Skincare, C+ Correcting Complex 30% was awarded Best Antioxidant Serum while YouthFull Lip Replenisher was Best for Lips.

Zenoti introduces AI-powered HyperConnect to software

Zenoti has announced the launch of HyperConnect: a sophisticated new AI-powered customer engagement function designed to transform the way that beauty businesses interact with their clients, allowing them to capture lost revenue and drive customer loyalty. Designed to streamline communications, personalise interactions, and improve overall customer service, HyperConnect includes Voice, Timeline, Flow, and AI-powered Insights.

British Beauty Council releases annual report

The British Beauty Council has issued The Value of Beauty report. It showed the UK’s beauty and personal care sector surged in 2024, contributing £30.4 billion to GDP, a 9% rise on 2023. Consumer spending reached £32.4 billion, with professional services such as aesthetic clinics growing 15% to £10.1 billion.

Research reveals most popular alternative uses for toxin

Harley Street Clinic has compiled a ‘UK Botox Report’, diving into internal booking data to reveal insights about botulinum toxin usage in the UK. They analysed Google search data from May 2021 to April 2025, revealing the most frequently searched uses for botulinum toxin. The most popular alternative use for botulinum toxin was jaw slimming, with over 50,000 searches. Other popular searches included scrotal botox and “Barbie botox”.

NEWS AND EVENTS

Future of Healthcare event, Home Grown, London

PAUSE Live, the UK’s leading event for women’s health and midlife wellbeing, hosted the Future of Healthcare at Home Grown, London, on Tuesday, July 8, unveiling its Manifesto for women’s health.

The conversation, led by ITN television journalist and former ITV Chief Medical News Correspondent Sue Saville, shed light on the state of women’s health, confronting the gaps, and championing change. From menopause to maternal care, systemic blind spots are costing lives.

Panelists included Dr Nighat Arif, Ms Helen Fernandes, Dr Anna Fryer, Professor Joyce Harper, and Dr Itunu Johnson-Sogbetun.

The manifesto sets out five key areas that PAUSE Live believes need radical change in order for women of all ages, races and economic backgrounds to be better served when it comes to their health. A petition was also been launched to support it: Make women’s health a priority in the UK’s 10-Year Health Plan.

The event also saw the launch of PAUSE Live’s “Know Your Normal” campaign, spearheaded by Dr Shirin Lakhani. The campaign encourages women to reconnect with their bodies, trust their instincts, and fight for the care they deserve when it comes to intimate and hormonal health.

InMode Elevate UK, London

On Thursday, July 3, 2025, InMode hosted Elevate UK 2025 in central London – an inspiring day of advanced education and peer collaboration, culminating in a rooftop celebration at Aqua Kyoto. The event saw three expert-led masterclasses take place at different locations.

The Aesthetics Masterclass with Dr Saleena Zimri and Dr Jonathan Kadoush spotlighted non-surgical aesthetic excellence using Morpheus8 and Forma. The Surgical Masterclass with Mr Alfredo Hoyos and Mr Fadi Hamadani, focused on RF-assisted liposculpture using IgniteRF.

The Women’s Health Masterclass with Dr Shirin Lakhani and Professor Stefano Salvatore explored one of the fastest-growing fields in wellness, female intimate health.

To conclude the day, InMode hosted an elegant evening celebration at Aqua Kyoto’s Aqua Spirit rooftop terrace, one of London’s most iconic West End destinations. With panoramic skyline views, seasonal Japanese small plates, and a serene cherry blossom-styled terrace, the venue offered the perfect setting for guests to relax, reconnect, and reflect on the day’s insights.

Future Patient launch, Home House, London

Innovators in functional medicine and longevity came together at London’s Home House on July 8 to discuss their vision of the Future of Healthcare, to mark the launch of Future Patient and the Future Patient Congress.

Created by mBody Media, the company behind Menopause in Practice and PAUSE Live, Future Patient is a digital platform, quarterly publication and congress dedicated to future-proofing patient health through the latest innovations in longevity, personalised medicine, and preventative healthcare.

The official launch saw a panel discussion on Future Proofing Health: The Secrets and Science Behind Optimal Health featuring Future Patient’s chair Dr Mayoni Gooneratne alongside Emma Beswick, Adam Hewitt, Dr Nima Mahmoodi, Alanna Kit and Antony Haynes.

Tickets for the Future Patient Congress are now available for £199 + VAT, including full access to sessions, networking opportunities, lunch, refreshments, and a drinks reception. Visit https://futurepatient.co.uk/congress-2026/

SAFETY IN AESTHETICS

URGENT REGULATION OF FAT INJECTIONS, FILLERS AND BOTOX NEEDED

Trading Standards warning over unregulated aesthetic procedures that pose a huge health risk

The Chartered Trading Standards Institute (CTSI) is calling for urgent regulation to clamp down on providers of aesthetic procedures such as fat injections, Brazilian Butt Lifts, botulinum toxin and fillers –warning the public that there is a Wild West of untrained, unlicensed and uninsured individuals who may be putting lives in danger.

Trading Standards officers have uncovered shocking locations where procedures such as fillers are being administered, including “pop-up” shops on high streets, cubicles in public toilets, and hotel rooms. These locations fall outside typical business premises and make taking action against unscrupulous businesses and practitioners much more difficult.

With the growing popularity of regulated medications such as Ozempic and Mounjaro, CTSI is also concerned about fat dissolving injections, such as Lemon Bottle, which have little to no regulatory oversight to ensure their safe use by the public. These injections do not fall under the remit of the Medicines and Healthcare products Regulatory Agency (MHRA).

Other issues that have been uncovered by Trading Standards recently include:

Unsafe and unregulated filler products readily available for sale online to everyday consumers for as little as £20

• A postcode lottery across the UK in the minimum ages at which such procedures can be carried out – with young people crossing the border to have procedures carried out

• Unlicensed premises and unqualified practitioners carrying out procedures

• No collation of NHS data that shows the burden placed on already overstretched services through dealing with infections and lifethreatening complications

• Major gaps in regulation with a lack of clarity on who is responsible for the products and procedures

It is over a decade since the Government was warned about the need for control of the market in aesthetic procedures, but there remains a vacuum which has already put lives at risk .

In September 2024 Alice Webb, a 33-yearold mother of five, died following a reported BBL treatment (non-surgical Brazilian butt lift). BBL is a treatment designed to make buttocks bigger, more rounded or lifted. It can be offered as a surgical or non-surgical procedure. Surgical BBLs involve inserting silicone-filled implants and/or removing fat from other parts of the body before injecting it into the buttocks. Non-surgical BBLs – like the one Alice is believed to have had – involve injecting dermal filler into the buttocks. The filler is often made up of hyaluronic acid and it is commonly used in facial filling treatments, including lip and cheek filler.

Following its annual conference, the CTSI is now leading a coalition of national charities, urging the Government to get a grip with these issues before more lives are put at risk.

CTSI is calling for:

• A licensing scheme to help regulate the sector (see pages 14-15)

• The establishment of a Ministerial led government Task Force to help regulate this sector

• Extension of underage legislation to Wales, Scotland and Northern Ireland Removal of unsafe products sold online

CTSI is warning the public to:

• Research your chosen practitioner and check their credentials

• Be wary of people advertising their services on social media platforms

• Do not buy products to use at home – this comes with huge risks to your health

Richard Knight, CTSI Lead Officer for Cosmetics and Beauty, said: “Trading Standards have warned that in most cases the products and services in the aesthetics injectable sector are unregulated. Because of the big gap between the lack of hard and fast safety rules, and consumer expectations of their protection under the law, we are gathering evidence of harms to the public as part of a joint initiative to urge law-makers to adopt a cross-

Government approach to tackling this Wild West situation.”

Kerry Nicol, External Affairs Manager at CTSI, said: “I am genuinely shocked by the scale of potential harm facing the public due to the alarming lack of regulation in the aesthetic industry. Consumers’ lives are being put at risk every single day. What’s worse is that many of these unregulated practitioners are preying on people’s vulnerabilities and the pressures they feel around body image, they are taking advantage of those who are often just looking for a boost to their confidence or self-esteem.

“Alarm bells would ring if someone was offering a tattoo in someone’s kitchen or a public toilet at a cheap price – so those are the alarm bells we need ringing for people offering facial injections in these kinds of settings. Action is urgently needed to crack down on the bad players operating in this sector. This isn’t an issue that Trading

Standards alone can fix, it’s a Government and multi-agency responsibility that requires coordinated activity.

“A logical and immediate first step is the introduction of a national licensing scheme, giving the public a clear indication of who is qualified to carry out these procedures. It’s time the UK takes public safety seriously and weed out those putting lives at risk.”

Ashton Collins, Director at Save Face, said: “We are delighted to join forces with CTSI on this campaign. Since 2023, we have been campaigning for the Government to ban liquid BBLs from the high street and restrict their administration to qualified plastic surgeons. We cautioned that without urgent action, lives would be at risk, and sadly, in 2024, Alice Webb tragically lost her life after undergoing a liquid BBL procedure. Alongside CTSI, we are determined to ensure our call to restrict liquid BBLs is acted upon. Additionally, we are focused on reinforcing

Cheryl Barton RGN INP PGDip (CosMed), Lead Nurse at Aesthetika Clinic, said: “It is very important that any untoward or adverse effects, events or reactions from taking or receiving any medicines, injections or from treatments using medical devices are reported to MHRA via the Yellow Card Reporting System and Ring NHS 111 and/or seek medical assistance if required.” Adobe/Tamline

existing legislation that has long failed to protect patients from unscrupulous practitioners who continue to flaunt the law with impunity. For too long, regulations intended to safeguard patients have been inadequately policed and enforced. Together, we aim to address the illegal importation of unlicensed products, remote prescriptions, and misleading advertising on social media. We strongly believe that by successfully implementing these measures, we can significantly improve industry standards and safeguard the public.”

GOVERNMENT TO CRACK DOWN ON UNSAFE COSMETIC PROCEDURES

The Department of Health and Social Care has issued a press release outlining new measures to crack down on cosmetic procedures following a 2023 consultation that received almost 12,000 responses.

Among the proposed measures is that only qualified healthcare professionals will be able to perform the highest risk procedures, such as non-surgical Brazilian Butt Lifts. These must be done by specialised healthcare workers working in providers that are registered with the Care Quality Commission (CQC).

In addition, clinics administering lower-risk cosmetic treatments, including botulinum toxin, lip fillers and facial dermal fillers, will also come under stricter oversight through a new local authority licensing system.

Practitioners will be required to meet rigorous safety, training, and insurance standards before they can legally

operate. Once regulations are introduced, practitioners who break the rules on the highest risk procedures will be subject to CQC enforcement and financial penalties.

The Government also plans to bring in restrictions for under18s on high-risk cosmetic procedures, unless authorised by a healthcare professional. This means children will also be protected from dangerous beauty trends on social media.

The planned crackdown follows a series of incidents where people have had high-risk treatments from people with little or no medical training, leading to dangerous complications, permanent scarring and even death. These new rules will protect people from unqualified, rogue operators and reduce the cost to the NHS of fixing botched procedures.

The new measures follow growing alarm over unqualified individuals performing invasive treatments in unsafe environments, including homes, hotels, and pop-up clinics.

Many of these procedures are marketed as non-surgical but, in reality, are invasive and carry serious risks.

The regulations will be subject to public consultation and parliamentary scrutiny before they are introduced.

Minister of State for Health Karin Smyth MP said: “The cosmetics industry has been plagued by a Wild West of dodgy practitioners and procedures. There are countless horror stories of cosmetic cowboys causing serious, catastrophic damage.

“This government is taking action to protect those seeking treatments, support honest and competent practitioners, and root out the cowboys as part of our Plan for Change. This isn’t about stopping anyone from getting treatments – it’s about preventing rogue operators from exploiting people at the expense of their safety and keeping people safe. We’re giving them peace of mind and reducing the cost to the NHS of fixing botched procedures.”

“Through our Plan for Change the government is determined to bolster patient safety. These changes will ensure consumers can be confident the treatment they receive is safe and of a high standard. It will also provide business with better protections, enabling reputable and safe providers to be easily identifiable to patients.

“Priority will be given to introducing regulations to restrict the highest risk procedures first – such as fillers injected into breasts and genitals. A public consultation will be published early next year. This will seek views on the range of procedures which should be covered in the new restrictions.

“While the measures are being developed, the government urges anyone considering a cosmetic procedure to check their provider’s qualifications and insurance, and to avoid treatments that appear suspiciously cheap.”

Millie Kendall OBE. Chief Executive Officer, British Beauty Council, said, “I fully welcome the Government’s announcement that it is pushing forward with legislation. Any measures that increase protection for the general public and professionalise the industry will help instil confidence as well as helping to prevent the normalisation of horror stories that have become synonymous with our sector.”

Professor David Sines CBE PhD, Executive Chair and Registrar JCCP, said, “The Joint Council for Cosmetic Practitioners warmly welcomes the UK Government’s decision to introduce legislation to regulate and licence cosmetic procedures according to the risks they present.

“The introduction of standards to ensure that patients are safeguarded and protected from harm, ensuring that all cosmetic practitioners are regulated and licensed to a new national education and training standard, that they are appropriately insured and that they work from safe premises at all times has become imperative. These proposals have our full support and we welcome the opportunity to engage in further consultation.”

Ashton Collins, Director, Save Face said, “I have seen firsthand the devastating impact these procedures can have on the lives of victims and their families — none more so

than the family of Alice Webb. We look forward to continuing to work closely with the Government and key stakeholders throughout the next stages of this process to build a safer landscape for the public and promote high standards across the industry.”

Diane Hey, Chief Executive Officer, Armonia Health & Beauty – Chair Beauty Professional Apprenticeship Trailblazer and Beauty industry licensing task and finish group said, “This long-awaited action is a critical step in protecting the public from the dangers of unregulated and unsafe non-surgical cosmetic procedures. For too long, poorly trained individuals completing short courses have been able to carry out high-risk procedures with little accountability. These new measures will help safeguard the public, uphold professional standards, and reinforce the importance of regulated, highquality education and training within the sector.”

The Government will also work closely with stakeholders to develop further proposals for consultation on introducing the licensing regime for lower-risk procedures to seek views on education, training standards, qualifications, infection control and insurance.

The measures come as the UK Health Security Agency (UKHSA), Medicines and Healthcare Regulatory Agency (MHRA), local authorities and NHS continue to investigate after a number of people had adverse reactions following cosmetic procedures involving botulinum toxin. This is another reminder for the public to make sure they are receiving products licensed for use in England and only administered by practitioners sufficiently trained.

SAFETY IN AESTHETICS

TOP TIPS

In the first of a regular series of columns, Hamilton Fraser founder and CEO Eddie Hooker shares his top tips on safeguarding

When it comes to aesthetics, safeguarding shouldn’t just be seen as a regulatory box to tick; it’s a fundamental part of running a professional, trustworthy, and ethical practice. Whether you’re newly qualified or have been in the industry for years, creating a safe and respectful environment protects both your patients and your business. It’s about integrity, reputation, and risk management.

At Hamilton Fraser, we see how issues around safeguarding are not always given the attention they deserve until something goes wrong. So, I want to share some practical advice to help practitioners think proactively about how they manage risk and patient welfare in their daily work.

1.Clinical photography is a legal and ethical essential

One of the most overlooked areas of safeguarding comes down to clinical photography. Most malpractice and indemnity policies, including those underwritten by Hamilton Fraser, require you to take before and after photos as part of your record-keeping. If a claim or allegation is made against you and you don’t have those photos, you could be in breach of your policy terms. That’s a serious risk, and one that’s easily avoided.

But it’s not just about taking the photos it’s about how you take them. You need to think carefully about the patient’s comfort. Are you offering a chaperone? Have you asked whether they’d prefer to have someone they trust in the room with them, such as a partner or family member? If you do use a chaperone, make sure they’re appropriate for the setting and that the patient gives permission for them to be present.

2. Handle images securely

Another area where safeguarding and professionalism meet is in how you handle those images after they’re taken. It should go without saying, but under no circumstances should clinical photos be posted online or used for marketing unless you have explicit, documented consent from the patient. Even then, think carefully about what you’re sharing, who can access it, and how it’s stored. Images must be kept securely and used only for legitimate clinical or legal purposes.

3.Documentation and communication are your best defence

Safeguarding also extends to how you record and communicate everything that happens in your clinic. Aesthetic procedures often involve intimate settings and close oneto-one interactions. This naturally

introduces a degree of vulnerability and, unfortunately, the possibility of unfounded or even malicious allegations.

If that happens, it can quickly turn into a case of your word against the patient’s. That’s why it is important to maintain accurate, thorough recordkeeping. Make sure your clinical notes are complete, professional, and ideally signed by the patient to confirm their accuracy.

4.Always offer a chaperone

Finally, I recommend every practitioner to offer a chaperone for treatments where clothing is removed or where the patient might feel exposed. Even if the patient declines, the fact that you offered demonstrates a safeguarding mindset and adds a layer of protection for you both.

Trust is built on safeguarding

Ultimately, safeguarding in aesthetics is about much more than compliance. It’s about building trust, showing respect, and creating a secure environment where your patients feel safe and you can practice confidently.

By taking these steps, you’re not only protecting your patients, but you’re also protecting your business, your license, and your reputation.

INJECTABLE POLYNUCLEOTIDE THERAPY FOR GENITOURINARY SYNDROME OF MENOPAUSE

Consultant gynaecologist Miss Smita Sinha presents a case-based reflection on NewGyn® use

Genitourinary Syndrome of Menopause (GSM) is a common yet often under-recognised condition that affects a significant proportion of postmenopausal women. Despite its high prevalence, many patients remain untreated or undertreated, particularly when first-line options fail to provide relief. In this article, I share the case of a 58-year-old pati ent whose GSM symptoms persisted despite systemic HRT and local vaginal oestrogen, and who responded well to a series of injectable biostimulation treatments with NewGyn®, a polynucleotide-based therapy.

Understanding GSM

GSM encompasses a wide spectrum of symptoms resulting from oestrogen deficiency, including vaginal dryness, burning, irritation, itching, urinary discomfort, and dyspareunia (painful intercourse). 1 Unlike vasomotor symptoms, which tend to subside over time, GSM symptoms persist or worsen without intervention. 2 These symptoms can significantly affect quality of life, sleep, sexual health, and emotional wellbeing. 3 While topical oestrogen remains a cornerstone of

management, it’s not always effective, and not always appropriate for every patient. 4 For those who are either contraindicated for hormonal treatment or unresponsive to it, we must look beyond the conventional.

Case overview

This patient was 58 years old and already established on HRT. Despite systemic support, she continued to struggle with:

• Severe itching: rated 8/10, affecting daily functioning

• Sleep disturbances: waking nightly due to discomfort

• Dyspareunia: rated 10/10, causing significant distress

She had also trialled local vaginal oestrogen, but reported no significant improvement. On examination, findings were in keeping with GSM symptoms; with dryness, areas of pallor noted with no underlying anatomical changes to the vulval anatomy.

Treatment choice and protocol

We discussed injectable biostimulation with NewGyn®, and the patient was fully informed and consented to treatment.

NewGyn® is an injectable biostimulatory formulation composed of highly purified polynucleotides (Polynucleotides HPT®), hyaluronic acid, and mannitol in an isotonic gel. The polynucleotides – derived from salmon trout DNA using advanced purification and sterilisation methods –act by stimulating fibroblast proliferation, enhancing collagen and elastin synthesis, promoting hydration, and exerting potent antioxidant and anti-inflammatory effects. 5-7 The inclusion of hyaluronic acid contributes additional support for hydration and tissue elasticity, while mannitol helps protect the hyaluronic acid from enzymatic and oxidative degradation, extending the product’s bioactivity. 5,8 We proceeded with a course of five NewGyn® sessions, scheduled three weeks apart.

Each session followed a standard protocol:

Topical anaesthetic (Emla cream) applied for 25 minutes

• 2ml of NewGyn® injected subdermally across the vulvar region using a 30G needle

• Treatment duration: Approximately 10 minutes

The treatment was well tolerated. She reported a mild burning sensation after the first session (consistent with polynucleotide-based therapies), but found all subsequent sessions completely pain-free. She was pleasantly surprised by how comfortable the procedure was overall.

Clinical outcome

We followed up one month after the final (fifth) treatment. Improvements were already becoming evident:

• Itching reduced by approximately 50% (now rated 4/10)

• Sleep disturbances also decreased in both frequency and intensity, with the patient waking just a few nights per week

• Dyspareunia reduced by around 30%, an encouraging sign so soon after treatment

In addition, the appearance of the vulva improved in terms of hydration and tissue quality – not our primary aim, but a valuable secondary benefit that may help prime the tissue for any future aesthetic or regenerative procedures.

Given the severity of her symptoms, we discussed the importance of maintenance. I typically recommend reassessment and repeat treatment every six to eight months, particularly for patients who see meaningful improvements. A full five-session course takes approximately four months to complete, so two cycles per year can be a practical and effective ongoing strategy.

One of the advantages of NewGyn® is its flexibility – the treatment can be tailored to the patient’s baseline symptoms, response, and personal goals.

Challenges and considerations in introducing intimate health injectable treatments

In truth, one of the ongoing challenges with treatments like this is how to communicate their value to patients – especially in traditional gynaecological settings, where injectable regenerative options are still unfamiliar. Understandably, patients may feel hesitant when they hear the word “injection” in the context of intimate health.

That’s why patient education, reassurance, and rapport are crucial. I always emphasise that the procedure will not proceed unless the patient is fully comfortable. In practice, the vast majority tolerate it extremely well with just topical anaesthetic. We have stronger anaesthetic creams or ice on standby for more sensitive patients, but we rarely need them.

INNOVATIONS IN INECTABLES SPECIAL

My key recommendations for those introducing NewGyn® or similar injectable therapies into their practice are:

1. Choose the right patient – someone engaged, motivated, and open to regenerative options, with clinical features that support suitability for biostimulatory therapy (e.g. mild to moderate vulvovaginal atrophy, hormonal contraindications, or preference for non-hormonal treatment)

2. Invest time in informed consent and explanation – cover expectations, sensations, and outcomes

3. Ensure comfort – use effective topical anaesthesia and reassure the patient throughout

4. Be flexible – tailor the protocol based on symptoms, severity, and patient response

It’s also important to note that before offering intimate health treatments, you must be confident in recognising conditions that

References

can occur in the vulva (e.g. other vulval dermatoses or cancer) and have appropriate referral pathways in place if concerns arise.

Key reflections

NewGyn® has been a valuable addition to my practice for managing GSM in patients who do not respond to or are unsuitable for hormonal therapies. In this case, the patient experienced meaningful relief from symptoms that had previously caused distress in multiple domains of her life.

With regenerative treatments like this, we’re not just improving local tissue health – we’re restoring confidence, intimacy, and overall wellbeing. As awareness grows and conversations around intimate health become more open, I believe treatments like NewGyn® will increasingly form part of mainstream care.

1. Portman DJ, Gass ML; Vulvovaginal Atrophy Terminology Consensus Conference Panel. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and The North American Menopause Society. Menopause. 2014 Oct;21(10):1063–1068.

2. Faubion SS, Larkin LC, Stuenkel CA, et al. Management of genitourinary syndrome of menopause in women with or at high risk for breast cancer: consensus recommendations from The North American Menopause Society. Menopause. 2018 Apr;25(4):596–608.

3. Pastor Z, Hlaváčková M, Uzel R. Impact of genitourinary syndrome of menopause on quality of life. Int J Environ Res Public Health. 2022;19(13):7617.

4. MacBride MB, Rhodes DJ, Shuster LT. Vulvovaginal atrophy. Mayo Clinic Proceedings. 2010 Jan;85(1):87–94.

5. Di Pietro S, Russo R, Gennari R, et al. Vulvar rejuvenation with Polynucleotides HPT and benefits on postmenopausal sexual life disruption.Obstetrics & Gynecology Research. 2022;6(3):1–7.

6. Palmieri B, Rottigni V, Iannitti T. Preliminary study of polynucleotide skin applications in aesthetic medicine. Dermatol Ther. 2014 May-Jun;27(3):143–147.

7. Palmieri B, Capone S, Capone G, et al. Polynucleotides and hyaluronic acid: a new dermal biorevitalization treatment. J Cosmet Dermatol. 2019 Jun;18(3):896–901.

8. Casabona F. Use of polynucleotides associated with hyaluronic acid for vulvovaginal rejuvenation in menopause: a pilot study. Eur Rev Med Pharmacol Sci. 2022 Apr;26(7):2603–2610.

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INNOVATIONS IN INECTABLES SPECIAL

THE MISSING LINK IN INJECTABLE INNOVATION

Dr Mei Yeoh on why the cannula matters more now than ever

Over the past decade, injectable aesthetics has undergone remarkable transformation. Innovations in hyaluronic acid (HA) fillers, biostimulatory agents, and combination treatment protocols have redefined facial rejuvenation, allowing for more natural and tailored outcomes. Yet despite this progress, one critical tool has lagged behind in both innovation and clinical focus: the microcannula.

Originally introduced to minimise vascular injury and tissue trauma, blunt-tip cannulas are now a staple in aesthetic medicine – particularly in sensitive zones like the tear troughs, nasolabial folds, and lips. But while fillers have advanced significantly, cannula design has remained largely static, failing to meet the evolving demands of modern injectable practice.

Injectables have evolved - Cannulas have not

In recent years, the aesthetics landscape has embraced cuttingedge filler technologies such as RHA and Vycross for enhanced integration and longevity. Biostimulants like Sculptra (PLLA) and Radiesse (CaHA) have introduced collagen induction as a core therapeutic goal. Alongside these innovations, techniques have become more refined – microdroplet placement, dual-plane injections, and polynucleotide-based treatments are now widely adopted.

Polynucleotides, a novel regenerative injectable, are gaining popularity for delicate areas such as the under-eye region. These treatments require extremely superficial, controlled delivery to be both effective and safe. Unfortunately, many older cannulas were never designed for this type of precision. Their rigidity,

tip configuration, and port placement often hinder accurate placement in superficial tissue planes.

With the increasing emphasis on multilayering and advanced microinjection, today’s aesthetic techniques demand more from delivery devices. Yet most cannulas still reflect design principles from over a decade ago. Market feedback from experienced clinicians confirms this – finding a consistently high-performing cannula remains a widespread frustration. The gap between injector expectations and available hardware continues to grow.

Clinical studies prove cannulas are safer

Randomised trials and retrospective data consistently support the safety and efficacy of cannulas. A 2021 split-face trial by Jones et al. demonstrated comparable aesthetic outcomes between cannulas and needles for cheek augmentation, with significantly fewer adverse effects on the cannula-treated side. Beer et al. (2023) echoed these results in nasolabial fold treatments, highlighting reduced bruising, nodules, and discomfort.

More strikingly, a large-scale analysis by Alam et al. (2021) across 1.7 million syringe injections found that vascular occlusion occurred in one out of every 6,410 needle treatments, compared to just one in 40,882 with cannulas. The data is clear: cannulas greatly reduce the risk of serious complications.

Yet none of these well-regarded studies specify which cannula brands were used. This is a critical omission, considering the known variability in design, flexibility, and handling between manufacturers. While filler studies routinely cite product names Adobe/Isra.Suvachart

and rheological properties, cannula studies often generalise their instrumentation, making it difficult to translate safety data into actionable practice.

Why the cannula itself matters more than ever

In aesthetic medicine, the quality of the delivery tool is just as crucial as the product being injected. While much attention is given to the composition and properties of fillers, research shows that poor technique and inappropriate delivery devices are responsible for many suboptimal outcomes. According to De Boulle et al. (2015), the majority of complications in filler procedures can be traced back not to the product itself, but to how and where it is placed. This highlights an often-overlooked truth: precise, controlled delivery is fundamental to both safety and natural aesthetic results.

Injector control, patient comfort, and safety outcomes all hinge on the design of the cannula. Characteristics such as shaft rigidity, port location, wall thickness, and tip geometry influence everything from product flow to tissue response. A poorly designed cannula may require excessive force, which can then be inadvertently entered into a vessel, especially in high-risk zones.

Filler properties also interact with cannula performance. Highviscosity products demand larger internal diameters and smoother bores to prevent clogging and ensure even distribution. Yet most studies and training programs overlook these mechanical relationships, leaving injectors to navigate a trial-anderror process in selecting appropriate tools.

A 2023 paper titled “Comparison of the Microstructures and Properties of Different Microcannulas for Hyaluronic Acid Injection” used scanning electron microscopy to demonstrate significant structural differences among cannulas. Findings included inconsistent port shapes, varying metal compositions, and irregular surface finishes, all of which could plausibly affect clinical performance.

A regulatory and research blind spot

Unlike dermal fillers, which undergo rigorous classification and clinical testing, microcannulas are often classified as low-risk medical devices with minimal regulatory oversight. This results in limited pre-market evaluation and virtually no post-market comparative data.

The scientific literature reflects this oversight. Out of more than 100 recent publications on injectable procedures, only a few mentioned a cannula brand or design specifications. Without these details, clinicians cannot make informed choices or link outcomes to device performance. This lack of data not only stifles product development but also limits practitioner confidence. It also shows that there is a worldwide lack of insight into how delivery devices can impact clinical outcomes.

Training still trails behind

Even with growing evidence supporting cannula use, many aesthetic practitioners – particularly in the UK – remain hesitant. A key barrier is training. Foundational aesthetic programs often fail to teach cannula techniques, resulting in a skills gap that leaves new injectors reliant on needles, even in high-risk areas.

INNOVATIONS IN INECTABLES SPECIAL

A 2022 review by the Joint Council for Cosmetic Practitioners (JCCP) and Health Education England (HEE) emphasised the need for more comprehensive training standards in non-surgical aesthetics, including device-specific competencies. But with no uniform curriculum, many clinicians are forced to seek informal mentorship or trial-based learning, which can lead to inconsistent results and compromised safety.

Why I designed Precision32

As the innovator behind Precision32, I developed this nextgeneration microcannula to address the shortcomings I witnessed firsthand in both practice and feedback from peers. The demands of today’s injectable – especially for superficial and multi-layer techniques– simply outpace the capabilities of older cannulas.

Precision32 was the result of close collaboration with experienced clinicians and key opinion leaders. Its design is purposeful: a finely tapered blunt tip for smooth tissue entry, a near-tip lateral port for controlled superficial delivery, and a carefully calibrated shaft that balances rigidity and flexibility for precision in anatomically sensitive zones like the tear trough.

Clinicians across the UK have praised its performance, citing smoother gliding, improved control, and greater confidence, especially in complex or delicate procedures. For many, switching to Precision32 was not only a technical upgrade but also a confidence boost in their ability to work safely and effectively.

Conclusion: The Cannula deserves a closer look

The microcannula has become essential in modern aesthetic medicine, yet it remains one of the least studied and least innovated tools in the practitioner’s kit. As injectables evolve to support clinical outcomes and intricate techniques, the devices used to deliver them must keep pace.

Without design evolution, the cannula risks becoming the weak link in otherwise sophisticated treatment plans. Precision32 offers one step forward.

It’s no longer just about what we inject. It’s about how we deliver it. And that begins with a closer look at the cannula.

Images provided by author

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Our collaborative and strategic approach eases the burden of uncovering which treatments are right for your business and your customers. We deliver the devices or products, training, service, Support and consumables in a comprehensive, supportive partnership.

Our mission is simple, help you deliver consistent, standout results that keep your clients coming back

Jovena® is a revolutionary bio-regenerative platform that combines two patented modalities. FaceSTIM an intense facial workout is paired with class leading Fractional Plasma® options.

Alpha is the revolutionary Diode Laser & 3D IPL Combination System. The Alpha system merges cutting-edge technologies into a single,versatile device, opening up a realm of possibilities for your clinic.

AquaFirmeXS is a secondgeneration multifunctional dermal health workstation that cleanses, exfoliates, hydrates and nourishes the skin and scalp to treat a variety of concerns. Powered by EXO|E, to deliver Exosomes without needles.

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WEIGHT LOSS-RELATED SKIN LAXITY

The rapid weight loss trend and how combination therapies can help combat skin laxity

In recent years, weight loss medications known as GLP-1 receptor agonists have gained immense popularity as powerful weight loss solutions. Originally developed to treat diabetes, these medications are now widely used for medical and aesthetic weight management, often leading to dramatic and rapid fat reduction.

Celebrities, influencers and everyday consumers have embraced these drugs as a shortcut to significant weight loss, driving a global trend that is redefining the wellness and aesthetics industry. However, while weight loss offers benefits such as improved metabolic health and a reduced risk of disease, it also has an often overlooked downside: skin laxity.

Since fat is lost faster than the skin can naturally contract, many individuals experience loose, sagging skin, particularly on the face, neck, arms, and abdomen. The term “Ozempic face” is now widely used to describe this phenomenon.

Why rapid weight loss leads to skin laxity

The skin’s ability to stay firm relies on collagen and elastin, which provide structure and resilience. When weight loss happens gradually, the skin has time to adjust, but with weight loss medications, this often happens too rapidly for the skin to keep up, resulting in:

• A loss of elasticity: The skin stretches but doesn’t rebound

• Sagging and wrinkles: Particularly in the face, jawline and neck

• Thinning of the skin: As collagen production slows down with age

Since topical treatments such as creams and serums provide minimal improvement and surgical procedures are invasive, expensive and require longer recovery times, a more effective non-invasive approach is needed.

Combination therapy: The most effective approach for post-weight loss skin restoration

Since rapid weight loss leads to significant skin laxity, finding solutions that effectively restore firmness, stimulate collagen production, and support skin regeneration is crucial. The most effective method is combination therapy, which addresses multiple aspects of skin tightening and rejuvenation. The synergy of energybased devices and biostimulatory fillers provides the best possible media and long-term results.

• Zaffiro uses infrared thermal technology to remodel collagen deeply, tighten the skin, and boost natural regeneration.

• Neauvia fillers support physiological bio stimulation, help restore lost volume, stimulate fibroblasts and enhance collagen and elastin production for long-term tissue support.

This multi-layered approach maximises skin tightening effects, restores skin density and elasticity and ensures more long-lasting, natural-looking results than single treatments alone.

The future of ascetic medicine

In the era of rapid weight loss, demand for effective non-invasive skin tightening solutions is higher than ever. The combination of Zaffiro thermo lifting and Neauvia PEGylated fillers delivers superior long-lasting results by tightening, restoring volume and stimulating collagen production, without surgery or downtime.

This results in firmer, more elastic skin, immediate and long-term improvement and safe and natural-looking results. Combination therapies are the future, giving patients the best of both worlds: insert lift and long-term generation.

Autumn Aesthetic CONFERENCE

The Eastside Rooms, Birmingham

Thursday 18 and Friday 19 September 2025

WHAT TO EXPECT FROM THIS YEAR’S EVENT

THE UK’S LEADING CONFERENCE FOR MEDICAL AESTHETIC NURSES

Join hundreds of peers this September at the UK’s largest event dedicated to medical aesthetic nursing. Across two days, you’ll access first-class clinical education, business know-how, and networking that connects people, businesses, and brands, all designed with medical aesthetic nurses at its core.

LIVE DEMONSTRATIONS AND CLINICAL EDUCATION THAT GO DEEPER

Experience 4K-streamed live demonstrations direct from our private clinical suite, featuring full-face toxin treatments, lip enhancements, and the latest 2ml filler challenge. Enjoy sessions covering menopause care, skin lesion management, complication avoidance, and burnout prevention, delivered by experienced nurses and leading medical professionals.

BUSINESS SESSIONS WITH REAL-WORLD ADVISORS

Get practical guidance from specialist accountants and legal experts who understand the aesthetics space. From VAT and compliance to clinic growth, the 2025 Business Masterclass is packed with tools to help you move forward and go beyond the needle.

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SPACE THAT BUILDS COMMUNITY

Network with peers, explore new products, and discover leading and emerging suppliers in our biggest exhibition space yet Sign up for mentoring sessions, join informal meetups, and attend the evening drinks reception to build relationships that last longer than just two days

REAL STORIES, FRESH PERSPECTIVES

Hear directly from nurses who’ve built thriving practices, navigated challenges, and worked their way to the top. This is a unique, community event that has seen 4.8-star reviews in previous years and is not one to be missed.

UNDERSTANDING VASCULAR COMPLICATIONS ARISING FROM DERMAL FILLER INJECTION

J Craniofac Surg. 2025 Jun 1

KH

ABSTRACT:

Soft tissue fillers are widely used in cosmetic procedures but carry inherent risks, especially vascular complications like tissue necrosis and vision loss due to retinal ischemia. Recent filler advancements beyond hyaluronic acid increase the risk of intravascular invasion during injections.

Tissue necrosis follows distinct stages: initial blanching, skin mottling from tissue ischemia, discolouration, and possible necrosis. Direct injection into arteries or high-pressure techniques can cause embolisms, a significant cause of tissue necrosis. Vision loss occurs when critical arteries get blocked, leading to retinal or optic nerve ischemia. Studies show that even tiny filler amounts injected into specific arteries can result in blindness, challenging the idea of using smaller volumes in high-risk zones. While using cannulas for injections offers some advantages, it comes with risks.

Hence, practitioners need to adopt meticulous injection techniques. An in-depth understanding of filler phases and potential vascular complications is crucial for ensuring practitioner safety and patient well-being during cosmetic procedures. This knowledge forms the basis for minimising risks associated with filler injections.

Aesthetic Medicine in the Era of GLP-1s

As GLP-1 medications reshape the weight loss narrative, Aesthetic Medical Partnership unveils a holistic approach to address the aesthetic needs of this new patient - redefining confidence from the outside in.

GLP-1 receptor agonists like semaglutide and tirzepatide have rapidly transformed the landscape of weight loss and metabolic medicine. With millions now benefiting from their appetite-suppressing and insulinsensitising effects, aesthetic practices are seeing a new patient: one who is leaner, healthier—and facing unexpected aesthetic concerns.

Aesthetic Challenges

Post GLP-1 Weight Loss Include:

• Facial volume loss resulting in loss of facial contours and accelerated aging

• Cutaneous Laxity and dermal atrophy, especially in the arms, abdomen, thighs and neck

• Muscle tone reduction due to fat and lean mass loss, particularly prominent in the gluteal muscles, quadriceps and hamstrings

• Hair thinning or loss triggered by rapid metabolic shifts

Recognising these evolving needs, Aesthetic Medical Partnership has curated a comprehensive treatment portfolio that bridges the gap between successful weight management and aesthetic restoration:

1 FaceStim by Jovena®

Skin Rejuvenation Redefined

FaceStim by Jovena, with its innovative combination of Radio Frequency Diathermic Contraction and Fractional Plasma, helps address skin laxity and texture concerns, particularly common in post-weight-loss patients.

Whether it’s restoring volume and definition to the mid face and jawline or tightening the neck or upper lids, Jovena delivers collagen-stimulating results with minimal downtime

Ideal for: Post-weight-loss patients experiencing decreased tone

Benefits: Skin tightening, sculpted contours and improved muscle tome

Synergises with: Fitness routines and protein-focused nutrition plans

Advanced Hair + Scalp Health

3 DE|RIVE

Hair shedding and thinning can accompany the metabolic changes brought on by GLP-1s.

DE|RIVE Exosomes offers a clinically-backed hair revitalization system, targeting both the scalp and follicles using potent peptides and growth factors.

Ideal for: Face and neckcustomisable treatment due to the unique handpiece technology

Benefits: Tightening, lifting and resurfacing in one system

Bonus: Non-invasive lifting and toning with visible results from the first session

Bodystim® by Imperium

Rebuilding What Matters Most - Muscle

Rebuilding What Matters Most: Muscle

Loss of lean muscle mass is a lesser-discussed but impactful side effect of rapid weight loss. Bodystim’s neuromuscular electrical stimulation technology helps retrain and rebuild muscle fibres, restoring tone and definition to key areas like the glutes, abs, and thighs, combined with Radio-Frequency to promote collagen production and skin tone improvements

Ideal for: Women and men experiencing thinning hair

Benefits: Reduces shedding, boosts growth cycles, supports follicular health

Protocol: In-Clinic + at-home care for maximum efficacy

The Holistic Aesthetic Protocol for the GLP-1 Patient

Weight loss is just the beginning. Today’s aesthetic providers must support patients through aesthetic optimisation post-transformation. That means restoring volume, refining contours, tightening skin, and promoting scalp healthguided by a patient-centric, multi-modality approach.

Why Aesthetic Medical Partnership?

We bring together evidence-based technologies and in clinic support to help you build treatment protocols tailored for the modern aesthetic patient. Through Jovena, Bodystim, and Derive, we help your practice meet the evolving expectations of clients who are not only shedding pounds - but seeking to look as good as they feel.

Partner

BEYOND THE SURFACE

Dr

Tatyana Lapa-Enright on

how gut health and stress shape skin outcomes

The microbiome is the collective term for the trillions of bacteria, viruses, fungi, and other microorganisms that inhabit the human body. It begins to develop at birth. Whether a baby is delivered vaginally or by caesarean section, and whether they are breastfed or formula-fed, has a significant influence on the initial microbial composition. From there, the microbiome continues to evolve throughout life, shaped by diet, hormone levels, medications (particularly antibiotics), lifestyle, environment, and stress.

These microbes play a vital role in digestion, hormone regulation, immune function, and, importantly for us, skin health.

There are five main microbiome reservoirs in the body: the gut, skin, oral cavity, respiratory tract, and genitourinary tract. These sites are not isolated. They interact with one another through immune signalling, metabolic products, and the nervous system. One key example of this interaction is the gut–skin axis, which refers to the bidirectional communication between the gastrointestinal system and the skin.

What is dysbiosis?

Dysbiosis refers to an imbalance in the microbial communities that live within or on the human body, most commonly in the gut or on the skin. In a healthy state, these microorganisms exist in harmony, supporting barrier function, regulating inflammation, and contributing to overall wellbeing. However, when this balance is disrupted, it can lead to an overgrowth of harmful bacteria, a reduction in beneficial strains, and an increase in inflammatory signalling.

Several factors can contribute to dysbiosis, including:

• Frequent or prolonged antibiotic use

• Diets high in processed foods and low in fibre

• Chronic psychological stress

• Hormonal changes

• Environmental toxins

• Harsh or overly sterile skincare products

Dysbiosis has been linked to many health problems.

Skin microbiome

Skin microbiome is a relatively stable ecosystem. It acts as a barrier against pathogens. Staph ep, P. acne, Corynebacterium, Malassezia and Dermodex are the most common spaces. Dysbiosis in the skin microbiome is responsible for many chronic inflammatory skin conditions, such as acne, rosacea, eczema, psoriasis, and impaired healing, particularly after aesthetic treatments like microneedling, laser, or injectables.

The Gut–Brain–Skin Axis

While the gut–skin axis highlights the connection between digestive health and skin condition, it’s now evident that the brain plays a critical role in this relationship as well. Both acute and chronic stress can affect gut and skin function, but chronic stress appears to have a more prolonged and disruptive impact on the microbiome. One proposed mechanism involves activation of the hypothalamic–pituitary–adrenal (HPA) axis, leading to elevated cortisol levels.

This hormonal response contributes to chronic inflammation, weakens immune function, and disrupts the balance of the gut and skin microbiomes. It can also lead to bowel dysfunction, such as bloating, altered motility, and increased intestinal permeability, all of which further contribute to systemic inflammation and skin flare-ups. These changes may result in

increased sensitivity, acne, eczema flares, and delayed recovery after aesthetic procedures.

Prebiotics, probiotics and postbiotics

As awareness of the microbiome grows, patients are increasingly asking about supplements, skincare, and diet changes that claim to support it. For aesthetic practitioners, understanding the differences between prebiotics, probiotics, and postbiotics is essential.

Prebiotics are non-digestible fibres that act as food for beneficial bacteria. By nourishing the microbiome, they help promote microbial diversity and reduce inflammation. In skincare, the most commonly used prebiotics are inulin, alphaglucan oligosaccharide, and xylitol. These ingredients help selectively nourish the skin’s beneficial bacteria and enhance its barrier function. They are currently found in many overthe-counter moisturisers, serums, and cleansers designed for sensitive or microbiome-friendly skin.

Probiotics are live microorganisms – typically beneficial strains of bacteria – that offer health benefits when consumed or applied in the right amounts. In skincare, incorporating live probiotics is technically challenging due to stability issues. At Hardwick Clinic, we use the Esse Skincare Live Probiotic Serum, which contains encapsulated live strains of Lactobacillus. Other brands offering live probiotic skincare are beginning to emerge, reflecting growing demand and innovation in this space.

As the Western diet is often low in fibre and fermented foods, oral supplementation with probiotics and prebiotics is increasingly popular. This can be particularly helpful in individuals with signs of dysbiosis, poor dietary habits, or chronic inflammation. In these cases, oral supplementation may support not only gut health but also improve skin clarity, barrier repair, and post-treatment recovery — especially when used as part of a broader in-clinic skincare programme.

Probiotics are produced using two methods:

1. Isolated strain fermentation, which allows for precise control of clinically studied strains, standardised dosing, and strain-specific benefits.

2. Natural or multi-strain fermentation, where a diverse

microbial community is grown together in a food base over several years, producing a broad spectrum of bacteria and postbiotic compounds.

At Hardwick Clinic, we use Dr Ohhira’s Probiotics, which are made using the natural fermentation method and contain a blend of prebiotics, probiotics, and postbiotics in a single capsule.

Postbiotics are bioactive compounds produced when probiotics metabolise prebiotics. These include short-chain fatty acids, enzymes, peptides, and cell wall fragments. In skincare, lactobacillus ferment lysate and bifida ferment lysate are widely used for their soothing, anti-inflammatory, and barrier-repairing properties. Postbiotics are shelf-stable and easy to formulate, making them ideal for calming sensitive or post-treatment skin.

Stress management and the gut–brain–skin axis

Stress is a critical, yet often overlooked, factor in skin health. Through the gut–brain–skin axis, psychological stress can disrupt both gastrointestinal and dermatological balance. Chronic stress activates the HPA axis, raises cortisol levels, alters microbiome composition, and increases inflammation. These changes can result in skin flares, heightened sensitivity, and slower healing – all highly relevant to aesthetic medicine.

At Hardwick Clinic, we incorporate practical, accessible stressmanagement strategies into our patient care model:

• We share the Action for Happiness calendar each month via our newsletter, encouraging simple, daily actions that boost mood and connection.

• We advise the 4-7-8 breathing technique, a quick and effective tool for calming the nervous system. This method of breathing is good for the management of anxiety, stress, sleep, and overall wellbeing.

By addressing stress alongside skin and gut health, we can significantly enhance patient outcomes and satisfaction.

Conclusion

The gut–brain–skin microbiome axis provides a compelling clinical model that unites gut health, mental wellbeing, and skin as part of the whole-body holistic approach to longevity. As research evolves, so too must our approach to aesthetic care. By recognising the role of the microbiome and stress in treatment response and skin rejuvenation, we can deliver better and more personalised results.

Supporting patients through dietary advice, appropriate supplementation, microbiome-friendly skincare, and emotional wellbeing is no longer a luxury – it’s a vital extension of modern aesthetic practice.

Resources

1. Grice EA, Segre JA. The skin microbiome. Nat Rev Microbiol. 2011 Apr;9(4):24453.

2. Valdes AM, Walter J, Segal E, Spector TD. Role of the gut microbiota in nutrition and health. BMJ. 2018 Jun 13;361:k2179

3. Hou, K., Wu, ZX., Chen, XY. et al. Microbiota in health and diseases. Sig Transduct Target Ther 7, 135 (2022)

4. Al-Ghazzewi FH, Tester RF. Impact of prebiotics and probiotics on skin health. Benef Microbes. 2014 Jun 1;5(2):99-107.

5. Gao T, Wang X, Li Y, Ren F. The Role of Probiotics in Skin Health and Related Gut-Skin Axis: A Review. Nutrients. 2023 Jul 13;15(14):3123.

6. De Almeida CV, Antiga E, Lulli M. Oral and Topical Probiotics and Postbiotics in Skincare and Dermatological Therapy: A Concise Review. Microorganisms. 2023 May 27;11(6):1420.

7. Ozma MA, Abbasi A, Akrami S, Lahouty M, Shahbazi N, Ganbarov K, Pagliano P, Sabahi S, Köse Ş, Yousefi M, Dao S, Asgharzadeh M, Hosseini H, Kafil HS. Postbiotics as the key mediators of the gut microbiota-host interactions. Infez Med. 2022 Jun 1;30(2):180-193.

8. Acad Dermatol Venereol, Volume: 37, Issue: S3, Pages: 7-15, First published: 12 January 2023, DOI: (10.1111/jdv.18854)

9. Gebrayel, P., Nicco, C., Al Khodor, S. et al. Microbiota medicine: towards clinical revolution. J Transl Med 20, 111 (2022)

For further information for ESSE please contact UK representative catherine@ esseskincare.com

For further information for Dr. OHHIRE probiotics contact commerce@sentaku.uk

To download a CPD Reflective Learning Form, produced in association with the British Association of Cosmetic Nurses (BACN) & the British College of Aesthetic Medicine (BCAM), please use the QR code or visit bit.ly/CR-CPD in your web browser.

SKIN REJUVENATION: IS REGENERATIVE SKINCARE “FILLING” THE VOID?

A quiet revolution is underway in asthetics. While injectables like dermal fillers and toxins remain a valuable part of clinical protocols, more patients are now shifting focus from volume correction to skin regeneration. They’re not just looking for instant results; they want long-term skin health, texture refinement, and natural radiance.

The rise of regenerative aesthetics

This shift reflects a growing awareness around prevention, subtle enhancement, and personalised care. Increasingly, patients are asking not “Where can I fill?” but “What’s really happening with my skin?” The answer lies in data-driven diagnostics and biologically active treatments that work in harmony with the skin’s natural healing processes.

Understanding what lies beneath

How do you measure skin quality in a meaningful way? How do you show patients what needs to be treated, and prove the results?

Enter DermaLab Aesthetic by Cortex Technology, a powerful diagnostic platform developed through over 30 years of dermatological innovation. Unlike camera-based systems that only capture surface-level imagery, DermaLab allows practitioners to go deeper - quite literally.

Their philosophy is simple: why look at the skin, when you can see through it?

Using a series of scientific probes, DermaLab provides precise measurements of five essential parameters:

• Collagen density (via ultrasound)

• Elasticity (skin recoil and resilience)

• Hydration (moisture binding capacity)

• pH (barrier function insight)

• Sebum levels (oil and skin type control)

Each reading is objective, reproducible, and backed by decades of research. And thanks to its medical-grade manufacturing and ISO 13485 certification, DermaLab is trusted by hospitals, clinics, and universities around the world.

From data to action: Regenerative solutions that work

Once the skin has been analysed, it’s time to act with solutions that support dermal function, rebuild structure, and maintain long-term health.

That’s where Tixel® comes in. A non-ablative skin resurfacing

treatment, Harnessing patented Thermo-Mechanical Action (TMA®) technology, Tixel® delivers controlled heat to the skin using a medical-grade titanium tip. It stimulates collagen and elastin without the risks or downtime of ablative lasers and even enables open-channel drug delivery for non-invasive mesotherapy. With over 60 clinical studies and widespread global adoption in 80+ countries, Tixel is ideal for treating:

• Periorbital lines

Pigmentation and melasma

Skin laxity

Acne scarring

• Dry Eye (FDA-cleared)

It’s a versatile workhorse with impressive patient satisfaction and minimal downtime.

Then we have AQ Skin Solutions, a clinically backed growth factor technology. Developed by medical scientists and rooted in over two decades of regenerative medicine research, AQ Skin Solutions harnesses patented Growth Factor technology to stimulate the body’s own repair mechanisms - without the use of hormones, harsh chemicals, or superficial quick fixes.

Among the standout products is the AQ Recovery Serum, a powerful topical formulation designed to accelerate healing and reduce inflammation following surgical, trauma, or energy-based treatments. Recovery Serum helps reduce downtime, minimise risk, and improve overall skin regeneration - making it a go-to for practitioners committed to excellence in post-care.

AQ’s wider skin-focused range, including the Active Serum for daily rejuvenation, which supports long-term collagen stimulation, improved tone, and enhanced skin texture, making it an ideal complement to device-led protocols.

Fully supported by peer-reviewed studies and international clinical success, AQ is a natural partner for clinics looking to build integrated, evidence-based skin health programmes.

Why regenerative skin matters more than ever

In an industry once dominated by instant correction, today’s patients are asking for more: measurable results, scientific credibility, and long-term outcomes.

Regenerative skin solutions allow clinics to build transformative treatment plans over time - combining patient education, objective skin analysis, and clinically proven protocols. This approach shifts the focus from trend-led treatments to meaningful, lasting change, encouraging patients to commit to mid- to long-term skin health programmes with visible, sustainable results.

TECHNOLOGY AND INNOVATION

WELL-EQUIPPED PURCHASES

Julie Scott discusses considerations when buying a device for your clinic

The case for bringing new equipment into your clinic is compelling - increasing your clinic’s services allows you to appeal to a broader audience, creating new avenues of opportunity and aiding your business’s evolution. The search for the right device, however, can be less appealing. A consumer in a saturated market, it is easy to feel overwhelmed by the myriad of options at their fingertips. From research to purchase, marketing to futureproofing, 20 years of running my own clinic have offered me insight into every facet of the process. I hope this article provides a comprehensive guide to introducing new equipment to your clinic and the tools necessary to be confident in your decision.

Finance

First, we must tackle what I believe is the most universally daunting component of committing to new equipment - finance. The cost of a device is often the hardest pill to swallow, but with enough careful planning, its long-term payoff can come to light.

Whether the purchase will be worthwhile can be illuminated through a series of questions. The first is what need is there for the service? It is vital to consider the demand from your patients for a new treatment and, most importantly, whether you are the correct person to fill that demand. Be proactive by researching who else in your area may offer the same treatment and at what price. Offering a service should fill a gap in the market, not engage in needless competition. Secondly, ask if you truly want to offer the service. Cultivating a clinic that engages with your authentic passion, rather than perceived obligations, will ultimately lead to greater success and fulfilment. It must float your boat; it is simply not viable to have thousands of pounds worth of equipment

gathering dust because it does not align with your clinic’s vision.

The choice between buying equipment outright or taking out a payment plan is also crucial. When I was deciding whether to finance a new machine or simply buy it outright, my accountant looked over my finances and reminded me, “If you’re cash-rich, it’s generally best to just pay upfront.” This advice continues to shape how I think about major purchases, though had there been an opportunity to invest that money elsewhere at a higher return, or if cash flow was tight, financing might have been the smarter choice. Please do always remember to check with a professional about your individual circumstances.

Another tip would be to never hesitate to ask for a discount or other extra perks. It doesn’t have to be a price drop - sometimes you can negotiate extended warranties, free consumables, or complimentary software upgrades that cost the supplier very little but offer real value to you. Remember to time your purchase strategically; towards the end of a quarter, sales teams are often eager to hit targets, which can give you even more bargaining power.

Finally, it’s time to get down into the nitty gritty of finances. I always begin by building a comprehensive spreadsheet outlining the equipment’s purchase price, potential revenue streams, and any associated costs. These numbers can be incredibly enlightening; often, just one successful event can bring in enough revenue to cover a huge chunk of the machine’s cost. Additionally, you can factor in various potential cost offsets, for example depreciation or certain deductible expenses, to help reduce the overall burden. Crunching the numbers in advance gives me a real sense of peace of mind; I

hope it will bring the same to you.

Marketing

The real key to not just covering costs, but maximising them, lies in your marketing strategy. The first step is deceptively simple - to ensure you know your target patient. Beyond appreciating whether your patients are going to be receptive to the new treatment you are introducing, it is paramount to understand how to communicate the launch with them. When promoting something new I find it best to use what you already have, whether an email database, a social media following. Have literature in your clinic for your

patients to take home to read over without pressure and remember that word of mouth is a powerful tool. It is vital to always educate, not sell, so ensure your patients leave the clinic feeling as though they have taken something with them - hopefully, a sense of anticipation for your latest treatment.

There is no harm, though, in creating some buzz around the upcoming launch. Using social media and newsletters can encourage your patients to ask for more information about the big reveal you teased. It takes seven times for a consumer to absorb a message, so while it’s important not to bombard patients with omnipresent

messaging, distributing reminders across different platforms accommodates varied formats, helping to make your promotion less repetitive. In addition, give thought to the benefits of going with a known, credible brand that patients are more likely to have heard of. Whether a big name or a small business, equipment companies should provide assets to help you launch their device in your clinic, but recognition bias is something to contemplate.

When I introduced new machines to my clinic, I hosted a launch party to generate interest about their arrival. Being able to give demonstrations is a wonderful way to exhibit and demystify the treatment. I have

found launch days are especially effective in encouraging patients to book in for a new treatment for the first time. If you are implementing an introductory promotion, I would always recommend adding value rather than discounting. Incentivising patients to sign up for a course of treatments on the day without setting the precedent for an unsustainable price often establishes a loyal base of patients who understand what their treatment is worth. Executed correctly, one launch party can cover the cost of the machine, leaving consumables and time as your only expenses moving forward.

TECHNOLOGY AND INNOVATION

Futureproofing

The plans you lay in the buildup to purchasing new equipment should not only cover the initial costs, but should ensure that it continues to serve you, your clinic, and your patients long into the future. The same goes for the support you should receive from the company you buy the device from.

Most crucially, this is relevant to training. The minimum manufacturers must provide for insurance purposes is training for anybody who will be using the device. This training should be available not just at the time of purchase, but be an ongoing resource available for new staff at your clinic, so be sure to check with your supplier what provisions they offer. While not vital, additional items such as business webinars and social media support can also demonstrate that a business is willing to invest in its clients for the long run.

Other components to consider are what guarantees are on offer. The industry standard is one year; however, some

companies allow you to extend the guarantee each year at a cost, while others may include a longer term with your purchase. Analogously, it is important to know what services and maintenance help is available. When a machine breaks, time is money and many service teams are based in Europe which could cause significant delays to any repairs. Look at the durability for the technology itself from the start. Frequently, most of the technology in a medical aesthetic device can be found in its handpieces. Many companies will not cover this in their warranties, making for an expensive fix.

Do not forget to cover your consumables too; factoring the costs of each treatment to the penny is crucial to ensuring that the investment you are making is sustainable. Alternative suppliers can reduce costs, but be aware. While parallel import is cheaper, it can void the warranty or service contract with the manufacturer in the same way that getting your phone fixed outside of Apple would. Weigh up the risk to reward before deciding whether the savings are worth it.

Finally, people buy from people so I would always encourage you to surround yourself with people who are genuinely supportive. In the past, I have been swayed to purchase from a specific company because they were a small, family-run business who demonstrated excellent customer service. Beyond that, do your due diligence and speak to people beyond the manufacturers and sellers to get honest opinions on the equipment you are looking into. While the decision is always yours, authentic insight from a trusted colleague who has personal experience with the machine has always been exceptionally valuable to me.

Conclusion

While it may seem like an awful lot of things to consider, at the core of all these facets of buying new equipment is time. Take the time to research what is right for you and your clinic, the time to do your due diligence, do the calculations. Take the time to come up with a launch plan that suits you and your patients. A device is only as valuable as you make it.

NEOSTRATA® unveils groundbreaking MicroDiPeptide229® Technology

NEOSTRATA®, a pioneer in dermatological skincare innovation, proudly introduces MicroDiPeptide²²⁹®, a cutting-edge peptide technology designed to visibly lift, firm, and sculpt the skin. The result of over eight years of molecule development, this breakthrough reinforces NEOSTRATA’s legacy of innovation in skincare science. MicroDiPeptide²²⁹® now enhances the renowned Skin Active range, delivering next-level skin rejuvenation backed by clinical research.

Unlike conventional skincare peptides, MicroDiPeptide²²⁹® is a proprietary, patented dipeptide, setting a new benchmark in skin penetration and efficacy. Engineered to be 2.5 times smaller than traditional cosmetic peptides, it meets the 500 Dalton Rule, ensuring deep absorption into the skin’s surface for maximum impact. This advanced technology directly targets the skin’s natural support matrix, addressing multiple signs of ageing for a firmer, more youthful appearance.

MicroDiPeptide²²⁹® works by stimulating five key biological pathways that contribute to firmness, elasticity, and hydration.

Eden Aesthetics announces collaboration between Jetpeel and W-Wellness

Eden Aesthetics has announced a strategic collaboration between JetPeel, and W-Wellness. This pioneering partnership is set to redefine the aesthetic treatment journey by offering patients a holistic approach to optimal skin health and wellbeing.

Recognising the growing patient demand for holistic solutions, Eden Aesthetics has partnered with W-Wellness to integrate internal nourishment with external skin treatments, ensuring a comprehensive approach to skin health.

Their team of nutrition experts has uniquely evaluated the JetPeel treatment and meticulously curated the Jet Peel Signature Edit, a tailored supplement protocol specifically designed to maximise the outcome of JetPeel treatments. This exclusive Edit features four key products, each chosen for its potent benefits and synergy with JetPeel’s effects.

DermapenWorld introduces Dp Dock

Aesthetic device manufacturer DermapenWorld has announced the launch of its latest innovation, the Dp DOCK docking station, specifically designed to complement the Dermapen microneedling device.

Crafted with skincare professionals in mind, the Dp DOCK introduces several user-centric features aimed at streamlining treatment preparation and device maintenance. Among the standout upgrades are clear battery level indicators, allowing users to check charge status at a glance, and integrated charging connections that ensure the Dermapen is always powered and ready for use.

DermapenWorld’s proprietary Sync & Go system further enhances the device’s functionality by automatically linking it to a range of Dermapen treatments. This simplifies the preparation process and ensures the device’s firmware stays up to date, offering practitioners the latest performance enhancements without manual intervention.

In addition to these functional benefits, the Dp DOCK provides protective housing for the Dermapen, shielding it from dust and debris, which can extend the lifespan of the equipment and maintain its performance over time.

Medik8 unveils C-Tetra Advanced

Skincare brand Medik8 has introduced C-Tetra Advanced, a next-generation vitamin C serum formulated to target early signs of skin ageing and deliver a noticeably brighter complexion.

Featuring a 20% vitamin C concentration, the new serum offers powerful antioxidant defence in a lightweight, creamy gel-serum texture that absorbs effortlessly without leaving a greasy residue. The formula is enriched with acetyl zingerone, a cutting-edge omni-antioxidant that boosts the brightening effects of vitamin C, and phyto exosomes, botanical-derived elements that help soothe and strengthen the skin’s natural barrier.

THE VIP ROUTE TO STEADY CASHFLOW

Alan Adams on why ensuring consistent, predictable cash flow is vital

Running an aesthetic, cosmetic, or medical clinic is often born out of passion, but it must also be profitable. And right now, it’s tougher than ever to sustain a clinic with rising operational costs and clients feeling the pinch. Aesthetic practitioners are also impacted by the fact that the volume, average spend, and regularity of clients coming through the door are not predetermined.

That’s why ensuring consistent, predictable cash flow is vital - not only to survive, but to grow and thrive. Alan S. Adams, Director of The Clinic Coach, shares his three top tips to improve your cash flow that’s a win for both you and your clients …

1.Stop starting each month on zero - Introduce VIP memberships

Most clinics begin each month with their confirmed income at zero, working flat out all month to hit their targets, only to repeat the cycle again the next month. This reactive model creates stress and unpredictability, and simply isn’t sustainable.

To avoid this, introduce exclusive membership packages or a VIP Clubwhere clients pay a monthly subscription in exchange for valuable benefits, for example £150 per month for £200+ worth of treatments, priority booking or VIP time slots during peak times, and early access to new treatments or exclusive bonuses. It’s important to tailor your VIP membership to what your clients actually value, so create avatars for your customers. Delve into their psychological drivers and desires, really taking the time to understand their needs, preferences, and spending behaviour. Only once you know what value looks and feels like to them, can you ensure you’re making an offer they can’t refuse. And even just twenty members at £150 per month can generate £3,000 in recurring revenue before you even open your doors, creating a stable baseline cash flow and greater customer loyalty.

2. Add tiered pricing options to maximise revenue

Not all clients want the same experience, so why offer them the same deal? Introducing tiered membership options allows your clinic to cater to different budgets while increasing total monthly income. For instance, a bronze subscription at £100 per month might include treatments worth £125 plus early access to products, silver might cost £150 per month and provide treatments worth £200 in addition to seasonal gifts. And a top-tier platinum subscription at £250 per month might offer £325+ value in treatments, along with exclusive discounts and VIP sessions. This approach appeals to a broader audience and encourages upselling. And it makes premium clients feel genuinely valued, further strengthening their loyalty and lifetime value.

It’s important to avoid rigid, long-term tie-ins though. According to an Ofcom research report in 2020, today’s consumers crave flexibility, so while the idea is to enhance (and steady) your cashflow, you must make cancellation easy - but design the offer so irresistible that they won’t want to leave.

3.Create an exceptional client experience that builds trust and loyalty

Cash flow isn’t just about pricing; it’s about client relationships, so once you’ve scoped the added-value membership, the next step is to spread the word and generate awareness. One of the most effective ways to do this could be to officially launch it at an event. Invite your very best clients, and announce your brand-new offers and the abundance of exclusive benefits. Not all of them will join there-and-then, but for the more considered customers who do go home to mull it over before signing on the dotted line, you can follow up this event with a series of communications.

The event will provide a useful opportunity to gauge interest, generate feedback, and note any potential improvements which you can take on board to be able to deliver real value.

Put yourself into the shoes of your newly created avatars in order to remove any potential barriers to booking - what do they need in order to enjoy a smooth and seamless service? Address physical barriers like parking, local transport, accessibility, or inconvenient hours - for instance, could you reserve VIP appointment times for busy professionals?

Ensure you tackle psychological barriers too. Trust is vital in the aesthetics industrycustomers must be able to trust your team, your clinic, and your treatments. Offer regular drop-in sessions or consultations as part of your membership to talk through new treatments, reassure nervous clients, and answer any questions. Remember that trust breeds loyalty, and loyal clients are far more likely to commit to memberships and spend more over time.

Any exclusive VIP memberships can (and should) be regularly tailored or tweaked, whether that’s based on customer feedback or the changing world of aesthetics. Don’t be afraid to be creative. It’s intended to be exciting, exclusive, and indulgent for your customers. And so make sure it is.

Having a secure and sufficient cash flow is always important, but especially so in the current climate. Introducing schemes and initiatives, such as VIP Clubs and exclusive memberships, will be a win for both you and your clients, not only in the added extras they’ll receive, but also because you’ll be in a much better position to work on your business (and not in it). And the result? You can step out of survival mode and into strategic growth, making better decisions and choosing investments that really matter to the future of your clinic and the services you’re able to offer.

TRAINING COURSES

All the training course listed below and more can be found on www.cosmetictraining.co.uk

SOCIAL MEDIA STARTER COURSE

Any time | Flexible online access

In this exclusive course, Richard Gibbons from Boost My Customers shows you how to get on the social media ladder.

THE ART OF AESTHETIC CONSULTATION

Any

time | Flexible online

access

Learn how to turn consultations into profitable sales with ConsultingRoom.com’s CPD-certified therapist training. Converting consultations effectively can boost your clinics revenue and save marketing expenses. Empower your therapists and aestheticians to make your clinic more profitable by creating lasting customer relationships. Don’t miss out on potential earnings; invest in your staff now.

TREATMENT GROWTH MASTERY COURSE

Anytime Online | Consulting Room Academy

Want to convert more consultations into profitable sales? Teach your therapists and aestheticians how to convert more consultations into sales with our CPD-certificated therapist training. FREE for ConsultingRoom.com Members.

FROM RINGING TO REVENUE - THE KEY TO RETENTION AND GROWTH

Anytime Online | Consulting Room Academy

This online course focuses on one of the most overlooked areas of clinic success — how your team handles incoming calls and client communications. Missed calls are missed opportunities, and this course reveals how small improvements can lead to significant revenue growth and stronger client retention.