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REMEMBER, REMEMBER Cosmetic News Expo 2012 Show Review
GOING FOR GOLD
HAIR REMOVAL SPECIAL
Challenges for employers during the 2012 Olympics
We explore the latest advances in hair removal
also inside this issue of cosmetic News Skin
a e s t e h t i c awa r d s 2 0 1 2 d at e s a n n o u n c e d ! 1 st d e c e m b e r 2 0 1 2 : t h e g r a n d c o n n a u g h t r o o m s , l o n d o n
Cosmetic news t h e
Date of Preparation: February 2012 RES/004/0212
NEW RESTYLANE FOR LIPS. IRRESISTIBLE SOFTNESS.
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Welcome to the June issue of Cosmetic News. Last month saw the third annual Cosmetic News Expo take place at the Business Design Centre in Islington, and what a fantastic two days it was! With more than 800 visitors and a packed educational programme, the show has gone from strength to strength and we have had some phenomenal feedback from visitors and exhibitors alike. I would like to thank all of our exhibitors, in particular our Platinum Sponsors, Q-Med, a Galderma Division, our Gold Sponsors La RochePosay and SkinCeutcials, our Silver Sponsor, Syneron Candela, and our Hospitality Sponsor, BioTherapeutic, for helping to make it such a wonderful event. I would also like to thank all of our amazing speakers who gave inspiring and eye-opening presentations across the two days and for all of you who turned out to visit the show. To find out exactly what went on see our Show Report on pages 14-27. Now that the show is over for this year we are turning our attentions to the next big event in the Cosmetic News calendar – The Aesthetic Awards. The entry and nomination process for the awards will go live on www.cosmeticnewsuk.com on June 1 and be open until August 1. All you have to do to enter is visit the website and fill in the entry form for the category of your choice. You can also nominate other people who you think are worthy winners. The 2012 awards promises to be a spectacular event. Taking place at the Grand Connaught Rooms in London on December 1, the ceremony will have a glamorous Moulin Rouge theme, and will see 30 awards being handed out on the night. To check out the new categories and for more details see pages 42-43. I hope you enjoy reading what we have to offer this month and cant wait to see the entries come flooding in for the awards!
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Cosmetic news June
04 EDITOR’S CHOICE
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NeoStrata® Skin Active Intensive Eye Therapy
Vicky Eldridge on NeoStrata® Skin Active Intensive Eye Therapy I have been writing about the beauty and aesthetics industry for almost a decade now and so, as you may imagine, I have tried out a huge array of products. I have also become very popular with my friends and family who also benefit from me being editor of a magazine where high-end skincare samples are a perk of the job. But never have I had such a strong reaction to a product range from my friends as with the new Skin Active range from NeoStrata® and, more specifically, one product, – Intensive Eye Therapy.
06 INDUSTRY NEWS We round up the latest industry news
10 ON THE SCENE Out and about in the industry this month
14 COSMETIC NEWS EXPO 2012 POST SHOW REVIEW Find out what happened at the event of the year – the Cosmetic News Expo 2012
31-36 HAIR REMOVAL SPECIAL 38 SPECIAL REPORT We explore the recent decision by Q-Med to discontinue the breast indication for Macrolane™
40 VIEW ON Dr Penelope Tympanidis gives her View On skin needling treatments
44 COMPANY PROFILE We find out what’s new with AesthetiCare
46 PRODUCT FOCUS We find out how La Roche-Posay is creating a better life for sensitive skin
48 PRODUCT NEWS We round up the latest product news
50 ABSTRACTS We round up the latest clinical studies
52 BUSINESS INTERVIEW Karen Hill MD of the Healthxchange gives us her top three tips for a successful cosmetic practice and how to make it in a difficult market
54 BUSINESS FOCUS
The Intensive Eye Therapy product is designed to build and plump the layers of delicate skin around the eye so that the eye area appears more lifted and crow’s feet are smoothed. Caffeine helps deflate puffiness while apple Stem Cell Extract preserves youthful look and vitality of skin by causing old cells to behave like younger cells and boosting collagen production. Peptides stimulate matrix components to produce more collagen and NeoGlucosamine™, a non-acid proprietary amino acid, reinforces collagen’s surrounding support structure and enhances cell turn over to exfoliate existing pigmented spots and inhibits the production of melanin. I went to the launch of the Skin Active range in London a few weeks ago and walked away with a goodie bag containing a selection of the new products. Unfortunately for me, but fortunately for my nearest and dearest, the range is specifically designed for more mature skin and, being under 40, I was not a suitable candidate for it. I gave a couple of the products to my mum but decided I would bestow the Intensive Eye Therapy on a male friend of mine who, as he approaches his 45th birthday, has been increasingly concerned about the wrinkles, lines and bags around his eyes. This guy is the most unlikely candidate for skincare you can imagine. A used car salesman, and avid sun worshiper, his idea of skincare is washing his ‘boat race’ in the shower. But as I knew he was worried about his eyes (and was even considering surgery) I thought he would be the perfect person to try it out, and I was not wrong! A few days after using the product I got a call to say he could not believe the difference and when I saw him a week later neither could I. Now three weeks in the difference is really noticeable. The skin around his eyes is smoother and less wrinkled and the bags have reduced. He is delighted! My second happy customer came after the Cosmetic News Expo when I procured some more of the product for a female friend of mine who is approaching 50 and is also a sun worshiper and regular sunbed user (tut tut). A few days later I get a text from her saying “OMG you need to see my face, I have been using that NeoStrata® sample you gave me’” I thought something was wrong but she replied saying it was “nothing short of miraculous” and she literally had ‘neo strata’ (new skin). With these kind of rave reviews I thought it would be pertinent to chose the product as my editor’s choice this month even though I have not used it myself.
Caelen King CEO of WhatClinic.com gives an insight into the explosive growth of mobile internet devices and the potential pitfalls facing cosmetic clinics
56 BEST PRACTICE Dippalli Naik of Sydney Mitchell Solicitors on the challenges employers may face during the Olympics
5 8 A W O R K I N G D AY I N T H E L I F E O F… Antonia Mariconda finds out what a typical day has in store for Medizen’s Dr David Eccleston
6 0 D AT E S F O R T H E D I A RY Training course, conference and meeting dates
Meet the Cosmetic News team Charlotte Body Publisher 01268 754 897 email@example.com
Peter Johnson, Art Director 01268 754 897 firstname.lastname@example.org
Vicky Eldridge Editor 01268 754 897 M: 07940 083 677 email@example.com
Loraine Winter Designer 01268 754 897 firstname.lastname@example.org
Raechel Waldon Account Manager 01268 754 897 email@example.com
Shauna Peters Production Assistant 01268 754 897 firstname.lastname@example.org
Carly Macfarlane Sales and Events Assistant 01268 754 897 email@example.com DISCLAIMER The editor and the publishers do not necessarily agree with the views expressed by contributors and advertisers nor do they accept responsibility for any errors in the transmission of the subject matter in this publication. In all matters the editor’s decision is final.
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News - Industry News
Death of Baroness is tragic loss for industry
New Research Suggests PIP Implant Failures Significantly Higher Than Previously Thought New research published in the Journal of Plastic, Reconstructive and Aesthetic Surgery suggests that the failure rate of silicone breast implants manufactured by Poly Implant Prosthèse (PIP) could be as high as 33.8%. Patients who received PIP implants either for primary or secondary breast augmentation, between January 2000 and August 2005, were studied to determine implant failure rate and other complications. Results found that seven to 12 years after implantation the failure rate for PIP implants is in the region of 15.9–33.8%. “Previous studies have typically reported failure rates of between 2% and 5%and these estimates
Baroness Ritchie speaking at the TreatmentsYouCanTrust Parliamentary reception at the House of Lords earlier this year
The chair of the Treatments You Can Trust Governance Group, Baroness Ritchie of Brompton, has sadly passed away at the age of 66 after a private battle with illness. The Baroness, a formidable figure in local and national government, was a driving force behind the register which was set up to improve patient safety. She died on April 24. A long-serving Kensington and Chelsea Councillor, Baroness Ritchie also masterminded David Cameron’s campaign for more women Conservative MPs and was chairman of the LGA’s Children and Young People Board for two years. The Governance Group for Treatments You Can Trust - the Independent Healthcare Advisory Services (IHAS) Register of Injectable Cosmetic Providers - was established to ensure patient safety and drive up standards in the field of injectable cosmetic treatments. Baroness Ritchie’s ongoing commitment as champion for disadvantaged women and in health related advocacy meant she was well placed to lead the group which safeguards consumers seeking out cosmetic injectable treatments in a largely female dominated market. Sally Taber, director of the IHAS, said, “Baroness Ritchie will be greatly missed, and, as chair of the Governance Board, played an instrumental role in determining the success of www.TreatmentsYouCanTrust.org.uk. She will be remembered for her longstanding commitment to ensuring patients are greeted with the best standard and a champion of improvements to public health, particularly for women.”
Cosmetic News will be honouring Baroness Ritchie at the Aesthetic Awards on December 1 by naming the Services to the Industry Award after her.
have been based on secondary data. In this study, all participants were scanned by ultrasound, which provides conclusive indication of rupture, rather than clinical examination which is typically used. Most previous studies were based on multiple surgeon, multiple technique, with a relatively small number of patients and shorter follow up time span”, commented Mr Jan Stanek, lead author of the study. Concerns about the durability of PIP silicone breast implants have been expressed for several years prior to their formal withdrawal from the UK market in March 2010. Although precise details of what elements were at fault remain unclear, concerns have been raised about both the elastomer (the outer cover of the implant) and the filler gel. In this study PIP implants were used by the plastic surgeon for both primary and secondary breast augmentation. A database of patients was constructed of each patient offering a free consultation and referral for ultrasound scan. Chief outcome measures included secondary surgery, implant rupture rate and time to rupture. 453 patients with PIP devices were identified. Of this number, 30 had already undergone implant exchange for a variety of reasons. 180 (39.7%) could not be contacted and 19 had undergone implant removal elsewhere. Of those who could be contacted, 47 declined consultation as they had no concerns. 97 had neither clinical signs nor radiographic evidence of implant rupture and elected to remain under regular review. At the time of writing, 38 had undergone implant exchange after ultrasonographic indication of rupture. Based on these results, if the group of non-responders had no ruptures, the overall rupture rate would be 15.9%. However, it the non-responders had the same rupture rate as those examined in the study, the overall rupture rate would be 33.8%. Mr Stanek indicates that all PIP implants, due to the high rupture rate and uncertainty about the nature of the silicone gel, may need to be removed. Those patients with ruptured implants will have to have them removed; those with no evidence of rupture will need to be monitored on a regular basis. Further research into the nature of the elastomer and gel filler will determine whether all PIP implants should be explanted in the future.
CODE-AFA reveals new multi-discipline Advisory Board Team
Advance offer Advanced laser training throughout the UK
Experienced professionals from the dental and medical sectors and key industry
Following the success of its training in London, Belfast and Dublin,
commentators, including Cosmetic News editor Vicky Eldridge, are among members of the new
Advance has announced a new training location in the North of England.
Board for CODE The Association for Facial Aesthetics (CODE-AFA).
The courses are uniquely designed for individuals wishing to begin or further
Martin Mackenzie, who took over as Chief Executive of the organisation in March, has revealed CODE-
their training in the booming cosmetic laser and medical aesthetics field.
AFA’s new board line-up as part of exciting plans to re-invigorate CODE-AFA for its members.
Advance furnish a comprehensive laser hair removal curriculum including
“I’m delighted to announce my new team,” says Martin. “Each Advisory Board member will bring a
training in reduction of hair growth using intense light or laser systems,
specific area of expertise that, when brought together, can speak for the broad range of medical
photo rejuvenation using intense light or laser systems and laser protection
professionals and practice owners that make up our membership. I would like to welcome Dr John
supervisor workshops. “With managing a number of successful skin and laser
Quinn (Q-Clinics, Bristol) and Dr Beatriz Molina (Medikas, Somerset), both full time doctors in cosmetic
clinics, I realised the main area of frustration was finding therapists qualified
medicine. Representing dentists, I am very pleased to welcome Dr Tim Eldridge (MyFace Dentistry and
in laser treatments. There are currently very few training centre’s that offer
Facial Aesthetics, Cheltenham) and Pam Cushing, medical nurse and independent nurse prescriber
course’s independent of suppliers this is why Advance was developed”, says
(with her own Medi-Spa in Norwich). Finally I am delighted to welcome Vicky Eldridge to the team.
MD of Advance, Annalouise Kenny.
Vicky is a well-known and highly respected commentator in the industry who will certainly bring
All the training courses are carried out by highly qualified and experienced
an extra dimension to the team with her immense communications and journalistic experience. I
lecturers who aim to provide the highest standard of training available. The
am also pleased to announce that Dr Xavier Goodarzian will remain with AFA as a special advisor
company is also supported by a Laser Protection Advisor to assist clinics in
to the Board.”
registration and in the training of laser safety management.
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News - Industry News
Liposuction interest on WhatClinic.com soars by 93% in interest in liposuction in the UK.
Surgeons welcome PIP report and renew call for implant register
According to data from WhatClinic.com, a
The British Association of Aesthetic Plastic Surgeons has
worldwide search engine for medical clinics
welcomed the Government’s review into the PIP scandal
and services, 93% more UK consumers
and agrees with its recommendations that more stringent
researched the treatment on their website
criteria should be required into monitoring medical
in the past year than during the preceding
devices. The BAAPS has also reiterated its previous calls for
12 months, making liposuction one of the
a compulsory implant register, mandatory safety audits for
fastest growing cosmetic surgery treatments
all practitioners and mystery shopping-type surveillance.
in the UK. Interest in the treatment outpaced
the average growth by a massive 26%.
According to consultant plastic surgeon and BAAPS
WhatClinic.com’s data also shows exceptional interest in Birmingham and Glasgow for the
President-Elect Rajiv Grover, “We welcome the findings of
procedure, with each city responsible for 9% of the yearly enquiries made. There are 27 clinics
the Government’s review into the PIP scandal, and agree in
offering liposuction on WhatClinic.com based in Birmingham and 16 based in Glasgow.
particular that there should be a better system of reporting
Caelen King, CEO of WhatClinic.com said, “While our research shows an exceptional increase in
for medical devices, with data gathered from a wider set of
interest, we would stress that liposuction isn’t an easy solution to weight loss. A healthy diet and
sources that should be routinely reviewed. For the last few
regular exercise are still the safest and most effective ways for people to lose any excess weight.
years, the BAAPS has been championing the reinstatement
For patients who are enquiring about liposuction, we recommend researching the procedure
of a compulsory implant register that would monitor not just
thoroughly and discussing your treatment options with your doctor or surgeon.”
breast but all types of implant put into the body. The register
There has been an unprecedented surge
New Scotland venue and trainer for Innomed Training Academy
is part of our regulation proposals put forward earlier this year and would immediately address all the recommendations put forward in this report, as would a mandatory safety audit based on the model that the BAAPS requires of all its members.”
Innomed Training Academy has announced the addition of a new Scottish venue and
According to consultant plastic surgeon and BAAPS President
trainer for its award-winning hands-on cosmetic training courses.
Fazel Fatah, “Poor post-marketing surveillance of medical
Courses are now available at the prestigious Skintalks Clinic in Edinburgh, run by respected cosmetic
devices lies at the root of the PIP crisis. At the BAAPS we feel
independent nurse prescriber Helena Collier. Helena also joins Innomed Training Academy’s team
there needs to be significantly more stringent monitoring of
of trainers as its Scottish representative and trainer. Innomed’s lead trainer and medical director Dr
all medical devices including breast implants and all cosmetic
Xavier Goodarzian said, “I am delighted to not only extend our hands-on courses into Scotland;
injectables, via compulsory, regular reporting of adverse effects
I am privileged to have such an experienced and well-respected figure in our field join my team.
and mystery shopping which are all part of our regulation
As well as running a successful and beautiful clinic, Helena is consultant editor of the Journal of
proposals. This is an opportunity for the Department of Health
Aesthetic Nursing and she is the only nurse practitioner in Scotland to hold a Post Graduate Diploma
to get it right, and put the necessary systems and checks in
in Aesthetic Medicine as well as working towards the prestigious Master’s Degree in Cosmetic
place to avoid a repeat fiasco. Clearly changes are also needed
Medicine at Greenwich University.”The first training dates in Edinburgh are August 4-5 for new uses
at European level of the CE marking process.”
of botulinum toxin and fillers.
University launches cosmetic degree A UK university is launching a new degree course for surgeons with the aim of improving the safety of cosmetic procedures. Anglia Ruskin University says it hopes the qualification will put an end to ‘have-a-go surgeons’ and deter Brits from travelling abroad for surgery. But some plastic surgeons say the new MSc course is an unnecessary addition. All UK-qualified plastic surgeons complete Royal College of Surgeons-approved training to do NHS work. But Professor James Frame, a surgeon at the university who will help run the new
New ClientWave website
‘hands-on’ practice-based plastic surgery course, says some newly qualified plastic surgeons still lack expertise and do not have enough experience to carry out cosmetic work. This is because cosmetic surgery is typically carried out in private practice rather than on the NHS.
ClientWave has announced the launch of it’s new website for clinic owners. The new site will give overviews of all ClientWaves in-clinic/salon
Speaking to BBC News, Professor Frame said, “Aesthetic plastic surgery is a rapidly enlarging
training courses. Packed with information and with a vibrant new look, the
super-speciality that requires recognition in its own right. At present a newly qualified, fully-
site focuses on internet marketing and education for UK based medical
accredited plastic surgeon is released, totally lacking any experience in aesthetic plastic surgery,
aesthetic skincare clinics. “We are very pleased with the initial feedback
and is able to operate in the private sector. Many surgeons complete their training and, unable
from clinic owners. Our user friendly approach combined with the
to find work in the NHS, have no option but to turn to private groups without that experience.”
striking images has been a real hit with our customers”, says John
The course, which begins in September 2012, is open to all accredited plastic surgeons based in
Fergus, Technical Director at ClientWave.
the UK. And overseas plastic surgeons will be able to apply to study for the MSc from 2013.
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on the scene
ON THE SCENE Out and about in the industry this month
Stylage and Derma Sculpt Visit the UK Over 20 doctors were introduced to the unique benefits of Stylage® and the Derma Sculpt Cannula at a recent training day hosted by Medical Aesthetic Group in central London. Guests from across the UK, included Dr Samantha Robson, Dr Katharine Taylor Barnes, Dr Al Saleh and Dr Andre van de Merwe. The day’s events began with a presentation by Denis Couchourel, the From left to right David Gower, Medical Aesthetic Group, Dr Ingird Arion bio-chemist and head of the research and Denis Couchourel head of Vivacy R&D. and development team at Vivacy. He explained why the safety and efficacy of Stylage® with its patented IPN technology which combines Hyaluronic Acid with the antioxidant Mannitol, has made it the third, if not the second biggest selling filler in France with sales in over 67 countries. Each syringe is manually inspected at the Vivacy laboratory and is one of the reasons Stylage has industry leading safety statistics. Dr Ingrid Arion, who has over 20 years of aesthetic experience in France and has been using Stylage since 2008, shared her experience of using an HA filler with an antioxidant. In particular, she drew attention to the natural and immediate effects that Stylage® provides and the complete range it offers for all skin types, indications and different wrinkle depths. She also referred to Vivacy as a “human company” who are ethical and supportive and always available to answer any queries or concerns a practitioner may have. Dr Luc Dewandre, the designer and manufacturer of Derma Sculpt explained the importance of the right materials and flexibility for cannulas used for aesthetic work. Derma Sculpt is made with the highest quality steel from Japan and is finished in France. Its unique flexibility makes it a leading choice for aesthetic doctors and sets it apart from cannulas that have been adapted from other medical areas and are not specifically designed for aesthetic work.
Cosmetic News goes to Bootcamp Cosmetic News publisher Charlotte Body and editor Vicky Eldridge recently spent a week at the No 1 Bootcamp in Norfolk in a bid to shape up for the summer. The Bootcamp is a favourite with celebrities including the cast of The Only Way is Essex and model Sophie Anderton. Charlotte and Vicky were put through their paces with a greulling military style exercise regime and 1,200 calorie a day diet and lost 10lbs and 8lbs respectively.
PIAPA meeting, Manchester PIAPA’s latest meeting held at Etrop Grange Hotel in Manchester was yet another success. Dr Raj Acquilla and Miss Jonquille Chantrey presented a Practical Masterclass with a Whole Face Approach. Cadaver slides were reinforced by marking up the important anatomical markers on the live models before asystematic assessment of three models needs were discussed. The models where then treated with a range of Allergan products from Voluma to Hydrate. Finally Dr Acquilla met with members and took individual questions. PIAPA is a membership group for aesthetic practitioners across the North of England, which offers help, support, education and training to members. 10
ABC Lasers open day, London Bridge Plastic Surgery
ABC Lasers hosted an open day at London Bridge Plastic Surgery to highlight the Multi-Application, Multi-Technology Harmony® XL platform. The new technologies presented included the Pixel Q-Switched which has been dubbed the ‘Laser Face-Lift by the media, the new DYE-VL for Vascular applications and the high power tattoo removal and pigmentation with IN-Motion treatment for all ink colours. Guests included Mr Chris Inglefield (London Bridge Plastic Surgery), Naked Health, Aesthetics of Essex, Harrods Urban Retreat, Michael Jane Clinic, Jill Zander Clinic and many more.
Award for Kevin Kevin Moore was presented with the Business Manager of the Year award at the annual Cosmeceuticals sales meeting for his achievement as the leading sales achiever in the company. Kevin is an experienced and Kevin Moore with respected team member Cosmeceuticals MD Tracy Parkin who is responsible for all (left) and Brand & Education Manager, Sharon Cass (right) business in Scotland and the North East. Due to his focused and determined approach Kevin has developed both PRIORI® and the homegrown UK brand Vitage® advanced antioxidant skincare within salons and spas at a high and consistent level. Due to Cosmeceuticals growth over the last year, Kevin will also be taking on the role of Creative Consultant working alongside the Cosmeceuticals team to help promote and develop the new British created Vitage® Colour Minerals.
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Contact Circadia UK for more details firstname.lastname@example.org www.circadia.com Tel: 0208 954 0035
on the scene
Syneron Candela Sponsor GBR Synchronised Swim Team with new Motif laser Syneron Candela’s new Motif laser hair removal system is helping the British synchronised swimming athletes be a success in the pool by keeping the team silky smooth. The new laser, which combines radio-frequency with laser diode light, will be used on the team’s legs, bikini line and under arms to ensure a beautifully smooth performance and optimal glide through the water at this year’s competitions. Michaela Barker, managing director Syneron Candela UK comments, “We are extremely proud to be able to offer our services to this prestigious sport where beauty and grace play such an intrinsic part. To play even a small part in this year’s Olympics is very exciting for Syneron Candela UK.” High Performance Manager Adele Carlsen comments, “Synchronised swimming is sport that merits appearance as well as performance. The athlete’s grooming is therefore essential to their routine and preparation. Using Motif to keep them permanently hair-free will certainly save them time and give them one less thing to worry about as they prepare to compete on the biggest stage of their lives.” See this month’s Hair Removal Special (p31-36) for more information.
Consulting Room™ Golf Challenge, Beautiful Bottom month at EF MEDISPA The Belfy, Birmingham Golfers representing industry suppliers and clinics walked in the footsteps of legends as they competed for trophies on the famous Brabazon Golf Course at The Belfry, which has played host to more Ryder Cup matches than any other venue in the world. The Consulting Room’s 2nd Annual Golf Tournament provided the forum for friendly competition on a challenging course followed by an evening of awards and entertainment.This year’s overall star was Paul Simmonds from Syneron Candela who collected the best individual male trophy, closest to the pin in two, best supplier team and overall Consulting Room Challenge Cup winner with partner Martyn Roe, Director of The Consulting Room. Brothers Dr Hugo and Mr James Kitchen from Stratford Dermatherapy Clinic were in close contention and clinched the Best Clinic Team trophy, sponsored by Cosmetic News. If you’re interested in joining next year’s event, please email email@example.com Consulting Room Golf Challenge Tournament Results: Best Hacker (sponsored by Ambicare): Simon Haroutunian & Raffi Eghiayan - FACE Ltd Longest Drive (sponsored by Rosmetics): Dan Huxley - The Consulting Room Closest to the Pin (sponsored by Rosmetics): Dr Simon Knowles – Aesthetic Solutions Closest to the Pin in Two (sponsored by Syneron Candela): Paul Simmonds Syneron Candela Best Female (sponsored by FACE Ltd): Pauline Barker Best Male (sponsored by Epionce): Paul Simmonds – Syneron Candela Best Clinic Team (sponsored by Cosmetic News): Mr James Kitchen and Dr Hugo Kitchen – Stratford Dermatherapy Best Supplier Team (sponsored by NOIR) : Paul Simmonds and Martyn Roe Consulting Room Challenge Cup Winner: Paul Simmonds and Martyn Roe
Working with artist Boyarde Messenger, EF MEDISPA celebrated a month of Beautiful Bottoms. As well as offering exclusive Beautiful Bottom month packages at all EF MEDISPA locations, the spas were exhibiting Boyarde’s Pop Art Bottoms artwork for all to enjoy. There was also Beautiful Bottom month events for both clients and press, including a chance to paint one of Boyarde’s Pop Art Bottoms. Boyarde’s beautiful bottoms fit in perfectly with the EF MEDISPA aesthetic, where they have invested in the most advanced and high-tech aesthetic technology possible to help their clients achieve the perfect dimple free bottom including Acoustic Wave Therapy (AWT), Electrolymphatic drainage (ELD) and Spa RF. Esther Fieldgrass, founder of EF MEDISPA, is a huge fan and avid collector of Boyarde Messenger’s work; her newly opened St John’s Wood Spa displays five of Boyarde’s bottoms including David Chocolato (Boyarde’s take on Leonardo’s iconic sculpture). Esther discovered Boyarde at Saatchi’s Art of Giving last year, since then her Pop Art Bottoms, both handpainted and photographed have captivated savvy investors in modern art. Boyarde says, “Esther and I have a love of all things colourful, beautiful and utterly exuberant, much like my ‘Pop Art Bottoms’, so teaming up with EF MEDISPA is a perfect fit!”
Your partner in injectable facial aesthetics
In glabellar frown lines, clinical studies suggest Bocouture® vs Botox®: Equal Potency1 1:1 Clinical Conversion Ratio2
Unit doses recommended for Bocouture are not interchangeable with those for other preparations of botulinum toxin1 1 Bocouture SmPC, June 2010 2 Sattler, G. et al. Dermatol Surg 2010; 36: 2146–2154
Bocouture® 50 Abbreviated Prescribing Information Please refer to the Summary of Product Characteristics (SmPC). Presentation 50 LD50 units of Botulinum toxin type A (150 kD), free from complexing proteins as a powder for solution for injection. Indications Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar frown lines) in adults under 65 years of age when the severity of these lines has an important psychological impact for the patient. Dosage and administration Unit doses recommended for Bocouture are not interchangeable with those for other preparations of Botulinum toxin. Reconstitute with 0.9% sodium chloride. Intramuscular injection (50 units/1.25 ml). Standard dosing is 20 units; 0.1 ml (4 units): 2 injections in each corrugator muscle and 1x procerus muscle. May be increased to up to 30 units. Not recommended for use in patients over 65 years or under 18 years. Injections near the levator palpebrae superioris and into the cranial portion of the orbicularis oculi should be avoided. Contraindications Hypersensitivity to Botulinum neurotoxin type A or to any of the excipients. Generalised disorders of muscle activity (e.g. myasthenia gravis, Lambert-Eaton syndrome). Presence of infection or inflammation at the proposed injection site. Special warnings and precautions Should not be injected into a blood vessel. Not recommended for patients with a history of dysphagia and aspiration. Adrenaline and other medical aids for treating anaphylaxis should be available. Caution in patients receiving anticoagulant therapy or taking other substances in anticoagulant doses. Caution in patients suffering from amyotrophic lateral sclerosis or other diseases which result in peripheral neuromuscular dysfunction. Too frequent or too high dosing of Botulinum toxin type A may increase the risk of antibodies forming. Should not be used during pregnancy unless clearly necessary. Interactions Concomitant use with aminoglycosides or spectinomycin requires special care. Peripheral muscle relaxants should be used with caution. 4-aminoquinolines may reduce the effect. Undesirable effects Usually observed within the first week after treatment. Localised muscle weakness, blepharoptosis, localised pain, tenderness, itching, swelling and/or haematoma can occur in conjunction with the injection. Temporary vasovagal reactions associated with pre-injection anxiety, such as syncope, circulatory problems, nausea or tinnitus, may occur. Frequency defined as follows: very common (≥ 1/10); common (≥ 1/100, < 1/10); uncommon (≥ 1/1000, < 1/100); rare
(≥ 1/10,000, < 1/1000); very rare (< 1/10,000). Infections and infestations; Uncommon: bronchitis, nasopharyngitis, influenza infection. Psychiatric disorders; Uncommon: depression, insomnia. Nervous system disorders; Common: headache; Uncommon: facial paresis (brow ptosis), vasovagal syncope, paraesthesia, dizziness. Eye disorders; Uncommon: eyelid oedema, eyelid ptosis, blurred vision, eye disorder, blepharitis, eye pain. Ear and Labyrinth disorders; Uncommon: tinnitus. Gastrointestinal disorders; Uncommon: nausea, dry mouth. Skin and subcutaneous tissue disorders; Uncommon: pruritus, skin nodule, photosensitivity, dry skin. Musculoskeletal and connective tissue disorders; Common: muscle disorders (elevation of eyebrow), sensation of heaviness; Uncommon: muscle twitching, muscle cramps. General disorders and administration site conditions; Uncommon: injection site reactions (bruising, pruritis), tenderness, Influenza like illness, fatigue (tiredness). General; In rare cases, localised allergic reactions; such as swelling, oedema, erythema, pruritus or rash, have been reported after treating vertical lines between the eyebrows (glabellar frown lines) and other indications. Overdose May result in pronounced neuromuscular paralysis distant from the injection site. Symptoms are not immediately apparent post-injection. Bocouture® may only be used by physicians with suitable qualifications and proven experience in the application of Botulinum toxin. Legal Category POM. Basic NHS Price 50 U/vial £72.00. Product Licence Number PL 29978/0002. Marketing Authorisation Holder Merz Pharmaceuticals GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt/Main, Germany. Date of revision of text JAN 2011. Full prescribing information and further information is available from Merz Pharma UK Ltd., 260 Centennial Park, Elstree Hill South, Elstree, Hertfordshire WD6 3SR. Tel: +44 (0) 333 200 4143 1049/BOC/JAN/2011/JS Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Merz Pharma UK Ltd at the address above or by email to firstname.lastname@example.org or on +44 (0) 333 200 4143.
Date of preparation February 2012
Bocouture® is a registered trademark of Merz Pharma GmbH & Co, KGaA. Botox® is a registered trademark of Allergan Inc.
after the event
We celebrate the success of the third annual Cosmetic News Expo and give you a round up of what happened
April 29 and 30 saw the UK’s largest aesthetic meeting, the Cosmetic News Expo, take place at the Business Design Centre in Islington, London. The show was a huge success with more than 70 exhibitors and 800 visitors across the two days.
he Cosmetic News Expo is the UK’s only free of charge trade exhibition for the aesthetics industry, offering aesthetic professionals the chance to find out about the latest technologies and products on the market and network with key manufacturers and suppliers, all under one roof. The event was attended by cosmetic doctors, aesthetic nurses, dermatologists, plastic surgeons, cosmetic dentists, aestheticians and practice managers from across the UK and was supported by the country’s leading manufacturers and suppliers including Q-Med, a Galderma Division (Platinum Sponsors), SkinCeuticals and La Roche-Posay (Gold Sponsors), Syneron Candela (Silver Sponsor) and BioTherapeutic (Hospitality Sponsor). Running alongside the exhibition, as always, was the Cosmetic News Conference which saw hundreds of delegates flocking to the venue to be a part of the packed CPD accredited educational programme (see page 24). Cosmetic News publisher Charlotte Body was delighted with the success of the event. She said, “This is the third year we have held the Cosmetic News Expo and it continues to go
from strength to strength. The conference programme was very strong this year and the number of quality exhibitors we had showcasing their products and treatments attracted a record numbers of visitors. I would like to thank our exhibitors and, in particular, our sponsors, for their ongoing support as well as the delegates and visitors who helped to make the event another outstanding success.” Julian Popple from Q-Med/Galderma said, “Q-Med/Galderma were delighted to be Platinum Sponsors at the premier event for the industry, the Cosmetic News Expo a great day was had by all.” Michaela Barker from Syneron Candela said “Syneron Candela were pleased to be involved in CN Expo 2012. Feedback from our own customers has been good, commenting on the quality of the lectures on the agenda. We invested this year in encouraging some international speakers to speak at this event.”
Cynosure Dermapure E-Clinic Energist Face Ltd Galderma (Platinum Sponsor) Genyalart Aesthetics Hamilton Fraser Insurance HealthXchange IHAS Image Skin Care Informa Intercytex Intraceuticals UK
ABC Lasers Acumag Advance Beauty Training AesthetiCare Aesthetic Source ageLOC Allergan Ambicare Health Avita Medical Beehive Solutions Bioactive Beauty Biotech Italia BioTherapeutic
(Hospitality Sponsor) Blow Media Blue Horizons Boston Medical Group Ltd BTL Aesthetics Carleton Medical Chromogenex Church Pharmacy Circadia Clarisonic Clinogen Consulting Room Cosmedico Medical Systems Credenhill
Q-Med, a Galderma Division (Platinum Sponsors) For Platinum Sponsors Q-Med, a Galderma Division, the main focus was on their latest product launch, Restylane® Lip Volume and Restylane® Lip Refresh. The new products are tailor-made to specifically suit the sensitive lip tissue. The concept is natural results and ‘irresistible softness’. Restylane® Lip Volume is a filler that will enhance both the volume of the lip as well as the lip line for a duration of approximately six months. Restylane® Lip Refresh is a skinbooster. It restores hydrobalance and rejuvenates the lips through emphasised definition, glow and improved smoothness, for a duration of up to six months. It is ideal for people who are not necessarily interested in marked volume enhancement and who would not consider a lip treatment if it were not for Restylane® Lip Refresh. The new range was also showcased in a masterclass with Dr Gertrude Huss as part of Monday’s conference programme.
For more pictures from the event visit our Facebook page Cosmetic New S. Here is a round up of who our exhibitors were and what they were showcasing at the event…
IS Clinical La Roche-Posay (Gold Sponsor) Laser Physics Laser Support Services Lashperfect Lifestyle Aesthetics Lynton Lasers MACOM Compression Garments Mayfair Medical Meder Beauty Science Merz Mesoestetic My Cells M2 Beaute
Nordson Micromedics Obvieline Oxyjet Pharma Clinix PharmaCosMedics Polaris Primcogent Solutions Pronokal Q-Med (Platinum Sponsor) Quatro Medical Regima Rejuvenated Rioblush Rosmetics Sigmacon
SilDerm Skinbrands SkinCeuticals (Gold Sponsor) Skin LS Ltd Syneron/ Candela (Silver Sponsor) The Carlton Group Vaser Lipo White Lotus Wigmore Medical Ysonut Zanco Models
SkinCeuticals (Gold Sponsors) SkinCeuticals was showcasing its full range of leading cosmeceutical products including the newly launched Phloretin CF Gel and AOX+ Eye Gel. The two new products, improve on delivery by, for the first time, allowing active ingredients to be formulated into a gel at a low pH. Typically gelifiers cannot be formulated at a low pH however the new technology allows actives to be suspended in solution at an acidic pH to penetrate skin down to the target site in the same way as aqueous serums. Phloretin CF Gel accelerates cell turnover and stimulates collagen synthesis to boost skin’s structure for a firmer, brighter complexion while AOX+ Eye Gel is designed to revive under-eye skin, reduce puffiness and correct photo damage.
La Roche-Posay (Gold Sponsors) Joint Gold Sponsors with SkinCeuticals, La Roche-Posay is the No.1 skincare brand recommended by 25,000 dermatologists worldwide. The Expo saw the team promoting its Mole & Sun Advice Roadshow in conjunction with the British Association of Dermatologists (BAD). The roadshow will provide thousands of people with free mole and sun protection advice and education from dermatologists, as well as free sunscreen samples and will tour eight of the UK’s major festivals and events throughout the summer months in the hope of raising awareness of the use of appropriate sun protection and the early detection of skin cancer. La Roche-Posay has also just launched new 300ml sized bottles for its Anthelios XL sunscreen range. Anthelios XL offers the highest UV protection currently available on the market. The new 300ml sizes will be available in both the Anthelios XL Spray SPF 50+ and Anthelios XL Lotion SPF 50+ both specifically created to protect the body from UV damage.
Syneron Candela (Silver Sponsors) It has been a busy year for Syneron Candela with a number of exciting new product launches including the eTwo Sublime and Sublative skin tightening, resurfacing and rejuvenation system and the Motif (eLase) hair removal laser, which combines radio-frequency with with laser diode light to painlessly remove hair in half the time of its closest competitor (and at half the price).These technologically advanced new products complement Syneron Candela’s extensive range of industry favourites including last year’s exciting launch of ePrime, that takes you deeper and more targeted than you have gone before to volumise the face. Syneron Candela invited its customers to a series of workshops throughout the event, including an afternoon tea with Mr Chris Inglefield. The company’s VP of Global product design James Bartholomeuz also gave a presentation on Understanding the Science and Tissue Interactions Relating to rRadio-Frequency.
“Last year we found the Cosmetic News Expo to be the best event on the calendar and this year surpassed all our expectations. Not only did we have the best quality of leads, the organisation by the CN team was superb and made the exhibition a resounding success”
Kathryn Danzey (Rejuvenated)
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expo review: Exhibition news round-up
Aesthetic Source | Aesthetic Source is the new UK distributor of NeoStrata ®and Exuviance – comprehensive ranges of clinically proven, dermatologist developed skincare, peels and professional regimens to meet the needs of all skin types. The company has recently launched the Skin Active range from NeoStrata® (see this month’s Editor’s Choice page 4).
Acumag | Acumag drew a lot of interest from passing visitors by offering live demonstrations of its deep tissue and facial massagers. The deep tissue massager was designed to treat shoulder and back pain as well as cellulite, while the facial version tackles a range of problems, from headaches, to general tension, to nasal congestion. Many visitors left the stand looking refreshed and invigorated!
Advance Beauty Training | Advance Beauty Training offer advanced skin workshops and high-quality laser technician courses throughout Northern Ireland, Ireland and the UK. The company has recently announced a new training location in the North of England. Courses are uniquely designed for individuals wishing to begin or further their training in the booming cosmetic laser and medical aesthetics field.
AesthetiCare | AesthetiCare was showcasing its core brands and technologies, including Heliocare and Genuine Dermaroller as well as the EndyMed 3DEEP radiofrequency skin tightening and fractional resurfacing system. This summer will see the company launch two new brands to the UK market – Retriderm™ and Prescribed Solutions™ Customised Skincare (see page 44).
Allergan | Allergan was promoting its recently launched Quality is Key Campaign. The landmark public awareness campaign and education initiative aims to focus on why quality matters in medical aesthetics, to help proactively address these concerns and to restore consumer confidence in the wider industry. The company has also introduced JUVEDERM® VOLUMA®. This new filler builds on the success of JUVÉDERM® VOLUMA®, and is the only product indicated for volume restoration in a 1ml syringe, providing a lifting effect for facial areas affected by ageing or weight loss. The product is available either in a 2x1ml syringe package or a 1x2ml syringe, improving flexibility in treatment for aesthetic practitioners and enabling injection with a smoother flow and more precise application compared to a particulate filler. Ambicare Health | Ambicare Health’s primary focus at the Expo was the Lustre pure light treatment for acne. This clinic dispensed, home-use device uses blue light technology and can be worn by the patient without disrupting day-to-day life. The device has already been adopted by 70 premier UK clinics, with the aim to make it readily available to every acne sufferer in the UK. Avita Medical | Avita Medical, which launched into the aesthetic industry just 18 months ago, focused on its ReCell ‘spray-on skin’ system, which works by harvesting patients’ skin cells to regenerate damaged or injured skin. Originally developed for the treatment of burns, the system was well received at Cosmetic News Expo.
Biotec Italia | Established aesthetic and wellbeing company Biotec Italia promoted its range of solutions at Cosmetic News Expo, in particular its LipoIce procedure, which involves ‘fat freezing’ to cool fat cells and allow the body to naturally dispose of the damaged cells, thereby improving the shape of the treated area.
BioTherapeutic (Hospitality Sponsors) | BioTherapeutic were Hospitality Sponsors of this year’s Cosmetic News Expo. The after-show party took place on the evening of Sunday April 29 at the Pitcher and Piano in Islington. See pages 26-27 for our report on the night. On its stand BioTherapeutic introduced visitors to its wide range of equipment and skincare including the Bio-Ultimate Platinum® which features the latest in microcurrent technology and patented Suzuki Sequencing™; its BioBrasion™ microdermabrasion system and its Bio-Oxygen™ treatment which revitilises the skin by infusing age defying products into it.
Beehive Solutions | First-time Expo exhibitor Beehive Solutions introduced a full range of single-use, disposable cosmetic instruments, including dermal rollers, which it distributes throughout the UK and beyond. The company reported a positive response from the industry at the show. Bioactive Beauty Hydropeptide | BioActive Beauty is the UK distrbutor of HydroPeptide®. The newest additions to the range include HydroPeptide® apple plant stem cell and peptide peel system
Smooth texture for a natural look and feel1 ive them a lift with new
LaSting volume – up to 18 months1 SatiSfaction – 96% of patients would recommend Juvéderm® vOLumA® with Lidocaine to a friend 2
Talk to your Allergan Product Specialist or to Customer Services on
0808 238 1500 NEW 1 ml syringe
Juvéderm® – the world’s no.1 selling dermal filler 4 12579 UK Voluma with Lidocaine Strip Ad.indd 1
References: 1. Raspaldo H. J Cosmetic and Laser Therapy, 2008;10:134–142. 2. Fischer TC. Poster presented at EMAA, 1–3 October 2009, Paris. 3. Allergan Data on File (DoF), 2011. 4. Allergan Data on File (DoF) Marketing overview, 2011. Instructions and directions for use of JUvéDeRm® vOLUmA® with Lidocaine are available on request. Lidocaine does not affect the intrinsic performances of JuvéDERM® vOLuMA® and its safety profile, therefore, JuvéDERM® vOLuMA® data is representative of JuvéDERM® vOLuMA® with Lidocaine3
Date of Preparation: January 2012 UK/0023/2012
ABC Lasers | ABC Lasers is the UK and Ireland distributor for Alma Lasers including the Harmony, Soprano XLi and Accent. New innovations include iTED (Impact Trans-Epidermal Delivery) to deliver active agents to the subepidermal layers of the skin, the VShape pain-free facial contouring treatment and Accent Ultra-V. The company has also recently launched the Harmony® XL Pixel Q Switch handpiece Described as ‘The Laser Face-Lift’ in the press, this latest addition to the Harmony® XL platform adds a double benefit in one modality. Acoustic fractional laser provides impressive, fast and painless results with little to no downtime for remodeling of collagen, the treatment of loose skin, skin rejuvenation, open pores, wrinkles and scars and melasma. The high power QS modality offers a powerful Tattoo Removal Laser and pigmentation treatment to a wide variety of inks and pigmentations colors including dark colors and a KTP adaptor for treating the lighter inks and also red/brown variety of pigmentations.
ageLOC | Body Spa, which has just launched in the UK, was the main focus at ageLOC’s stand. Following the success of its galvanic technology for the face, the Body Spa was developed for body shaping, hydration, tightening and cellulite treatment. At Cosmetic News Expo, ageLOC was looking to increase its UK presence and find potential partners to distribute its products over here.
as well as a new anti-ageing skincare product – HydroStem+6 Anti-Wrinkle Stem Cell Regeneration Serum. HydroStem+6 Anti-Wrinkle Stem Cell Regeneration Serum is the first anti-aging product with six botanical stem cells and two of the latest generation peptides. The combination of peptides and stem cells in HydroStem+6 have the capacity to restore all aspects of the skin’s structural integrity, possess regenerative properties and protect existing stem cells. The peeling system blends apple stem cell technology with exfoliating peptides that will brighten skin tones, resurface dull and rough complexions while reducing wrinkles.
itâ€™s A Question
At Allergan, we passionately believe in quality. Our 35 years of commitment to science and innovation in medical aesthetics means that practitioners and their patients can make decisions with confidence. We are launching a landmark public awareness and education campaign to help start a conversation between practitioners and patients about why quality matters. Ask your AllergAn representAtive for more informAtion.
March 2012 UK/0326/2012
35 years of quality, science and innovation
expo review: Exhibition news round-up
offering varicose vein procedures. The company reported a good show this year at Cosmetic News Expo, with much interest from visitors.
Cynosure | Fresh from winning two awards for its systems at THE Best Aesthetic Products Awards in Las Vegas, the UK Cynosure team was on hand to talk to visitos about its full portfolio of products. including The Elite laser, which was awarded ‘Best Hair Removal Device’, and revolutionary SmartLipo machine, which was presented with the award for ‘Best Energy-Assisted Liposuction Device’ a week earlier. Cynosure was also showcasing its latest advnace, the PinPointe™ FootLaser™. The system is the world’s first FDA cleared light-based device for the treatment of onychomycosis (toenail fungus) and a presentation on its advatages was given by chiropodist Hamish Dow presented as part of the Advanced Laser and Aesthetic Devices Symposium.
Blow Media | Independent design agency Blow Media was at Cosmetic News Expo to publicise its full range of services to the aesthetic industry, including branding, website design and marketing material. The company works directly with practitioners and clinics to offer high quality work.
Blue Horizons | Blue Horizons Ltd provide a full spectrum of marketing services; branding, design, copywriting, print, digital, multimedia and consultancy. Directors Zoe and Marcus Daviit presented a workshops as part of the business programme on the exhibition floor. Entitled ‘The Face of your Brand’, the workshop examined the importance of ‘branding’ as the face of facial aesthetics businesses. Attendees were given a 10 point brand audit on their business as well as a list of things they need to think about and include as part of their core brand elements from Facebook pages to Google +.
Boston Medical Group Ltd | The Boston Medical Group invited visitors to learn about its full range of medical aesthetic training courses, from basic botulinum toxin to advanced dermal fillers, medical skin needling and even business development. The company was pleased to take bookings for its numerous courses and master classes taking place this year, which include tear trough and lips.
BTL Aesthetics | Exhibiting for the first time at Cosmetic News Expo having only launched in the UK in 2011, BTL Aesthetics took the opportunity to introduce its product range. The X-Wave system for cellulite uses acoustic sound technology, the Exilis uses radio frequency, ultrasound and cooling for body sculpting, while the Lymphastim lymph drainage system is based on air pressure technology.
Carleton Medical | High-end laser company Carleton Medical exhibited the latest technology in diode hair removal, including NEXT, a new-generation diode laser for epilation, vascular treatment and rejuvenation. The company also promoted its full range of aesthetic lasers for hair and tattoo removal. The Carlton Group | The latest innovation from The Carlton Group being exhibited at the show was the VisageH20 , an innovative machine, which uses Aquabrading®, a combination of high-pressure air and water (Hydrofloral Solution) ‘jetted’ onto the skin. Like microdermabrasion, Aquabrading® offers an effective anti-ageing and rejuvenating treatment, taking the natural process of skin renewal, which slows down as we age, and hastening it.
Chromogenex | Two products were on display at the Chromogenex stand – the Fusion SLR and the i-Lipo. With three steps for facial treatment, the Fusion SLR uses microdermabrasion to prepare the skin, low frequency sound to infuse a hyaluronic serum and finally the application of laser and infrared technology. The i-Lipo, meanwhile, is based on accelerating, rather than destroying, fat cells to reduce fat content. 18
Church Pharmacy | While often mistaken for a newcomer to the industry, Church Pharmacy has actually been operating for five years and chose to make its debut at Cosmetic News Expo this year. The wholesale aesthetic specialist, which offers all major fillers and toxins, used the Expo as a platform to maintain good relationships with its existing suppliers, as well as generate new business opportunities. Holding an iPad raffle at its stand brought additional interest from visitors and exhibitors alike! Circadia | With products formulated and researched by Peter T. Pugliese, Circadia has become well established for its wide range of clinic treatments affiliating these products with laser machinery. The company invited visitors to Cosmetic News Expo to learn more about its specialised treatments at its stand. Clinogen | Clinogen is best know for Oxypeel. the first technique using oxygen for treating various skin disorders including acne, scarring, pigmentation and antiageing, which it launched back in 1982. Their latest development is Youki The Wound Healer which is making a great impact in the aesthetic market by speeding up healing after cosmetic procedures – reducing client downtime and minimising scarring.
Clarisonic | Visitors were treated to a demo of Clarisonic’s oscillating cleansing brush at this year’s Expo. The brush, which uses sonic technology to remove up to six times more make-up than manual cleansing, is used in practice by leading dermatologists, spas and aestheticians in the USA, and is enjoying growing interest here in the UK.
Cosmedico Medical Systems | This year’s Expo “exceeded expectations”, according to Cosmedico Medical Systems. The company brings 40 years’ experience in the manufacturing of Light Therapy devices to health professionals to the aesthetic market. The innovative SkinPULSE IPL range offers multi-treatment capabilities as standard and boast pain free hair removal and cosmetic skin treatments. Already being used by award-winning aesthetic practitioners all SkinPULSE equipment is certified medical grade. Consulting Room™ | Consulting Room™ directors Martyn Roe and Ron Myers are no strangers to speaking at the Cosmetic News Expo and once again offered visitors insightful business workshops as part of the free educational programme on the exhibition floor. Ron presented on Internet Marketing Strategies that Work – What You Need to Know in 2012 on Sunday and Social Media Strategies What to Focus on and What to Avoid on Monday while Martyn focussed on Customer Service Excellence. The Consulting Room™ team was also on hand to offer advice on its broad range of services which include web marketing and consultancy services. Credenhill | Exhibiting for the second time at Cosmetic News Expo was Credenhill. The internet retailer of compression hosiery was traditionally selling directly to the consumer, but has received increasing demand from clinics
Dermapure | Since 2006 Dermapure has been leading the quest to discover, and deliver, the scientific secrets that creates the most dynamic skincare solutions. Brands include: DermaQuest Skincare; DermaMinerals; Youngblood Mineral Cosmetics and Hop Clinic Essentials. Its latest offering is Lira Cosmeceuticals, which will be offering professional resurfacing treatments and home care products that make use of natural ingredients such as Gold, Silver, Caviar and Stem Cell Technology. E-Clinic | E-Clinic was proud to introduce a new launch at Cosmetic News Expo – a starter version of its clinic management software. This package, ideal for smaller clinics, can manage patient diaries, make treatment notes and keep export data for marketing, while the more advanced version is more powerful and offers many more functions for larger clinics.
Energist | Specialist in laser and pulsed light systems, Energist, capitalised on Cosmetic News Expo to showcase its range, with particular emphasis on its plasma-based skin rejuvenation solutions for the aesthetic market. The group prides itself on unique laser systems, such as its well-known MedArt range, that have a compact design. Since much of Energist’s business is currently overseas, the Expo no doubt helped to generate interest from UK clinics.
FACE Ltd | Face Ltd is celebrating its 10th anniversary this year and was promoting its upcoming FACE meeting and Aesthetic Industry Summer Ball. This year’s FACE conference will take place at the Royal College of Physicians on Friday June 15-Sunday June 17. The Aesthetic Industry Ball will take place on the evening of Saturday June 16 and will be held at London’s Madame Tussauds.
Azzalure® Abbreviated Prescribing Information Presentation: Botulinum toxin type A (Clostridium botulinum toxin A haemagglutinin complex) 10 Speywood units/0.05ml of reconstituted solution (powder for solution for injection). Indications: Temporary improvement in appearance of moderate to severe glabellar lines seen at frown, in adult patients under 65 years, when severity of these lines has an important psychological impact on the patient. Dosage & Administration: Botulinum toxin units are different depending on the medicinal products. Speywood units are speciﬁc to this preparation and are not interchangeable with other botulinum toxins. Reconstitute prior to injection. Intramuscular injections should be performed at right angles to the skin using a sterile 29-30 gauge needle. Recommended dose is 50 Speywood units (0.25 ml of reconstituted solution) divided equally into 5 injection sites,: 2 injections into each corrugator muscle and one into the procerus muscle near the nasofrontal angle. (See summary of product characteristics for full technique). Treatment interval should not be more frequent than every three months. Not recommended for use in individuals under 18 years of age. Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the excipients. In the presence of infection at the proposed injection sites, myasthenia gravis, Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and precautions for use: Use with caution in patients with a risk of, or clinical evidence of, marked defective neuro-muscular transmission, in the presence of inﬂammation at the proposed injection site(s) or when the targeted muscle shows excessive weakness or atrophy. Patients treated with therapeutic doses may experience exaggerated muscle weakness. Not recommended in patients with history of dysphagia, aspiration or with prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory difﬁculties arise. Facial asymmetry, ptosis, excessive dermatochalasis, scarring and any alterations to facial anatomy, as a result of previous surgical interventions should be taken into consideration prior to injection. Injections at more frequent intervals/higher doses can increase the risk of antibody formation. Avoid administering different botulinum neurotoxins during the course of treatment with Azzalure. To be used for one single patient treatment only during a single session. Interactions: Concomitant treatment with aminoglycosides or other agents interfering with neuromuscular transmission (e.g. curare-like agents) may potentiate effect of botulinum toxin. Pregnancy & Lactation: Not to be used during pregnancy or lactation. Side Effects: Most frequently occurring related reactions are headache and injection site reactions. Generally treatment/injection technique related reactions occur within ﬁrst week following injection and are transient and of mild to moderate severity and reversible. Very Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid oedema, Lacrimation increase, Dry eye, Muscle twitching (twitching of muscles around the eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement disorder, Urticaria. Adverse effects resulting from distribution of the effects of the toxin to sites remote from the site of injection have been very rarely reported with botulinum toxin (excessive muscle weakness, dysphagia, aspiration pneumonia with fatal outcome in some cases). Packaging Quantities & Cost: UK 1 Vial Pack (1 x 125u) £64.00 (RRP), 2 Vial Pack (2 x 125u) £128.00 (RRP) IRE 2 Vial Pack (2 x 125u) €187.05 (RRP). Marketing Authorisation Number: PL 06958/0031 (UK), PA 1609/001/001(IRE). Legal Category: POM. Full Prescribing Information is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998. Date of Revision: January 2011.
Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Galderma (UK) Ltd.
Azzalure® is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines seen at frown, in adult patients under 65 years, when the severity of these lines has an important psychological impact on the patient.
The passage of time
A secret to reveal beauty
Azzalure® is a Botulinum Toxin Type A for aesthetic use. • Fast onset of action (median time to onset 2-3 days)1 • Long duration of action (up to 5 months)1 • High level of patient satisfaction (93% after 6 months, following one treatment session)2
References 1. Azzalure® Summary of Product Characteristics. 2. Ascher B et al. J Am Acad Dermatol 2004; 51: 223-33. Azzalure® is a registered trademark of Galderma. Date of preparation: February 2012 AZZ/005/0212
an aesthetic choice
expo review: Exhibition news round-up
Hamilton Fraser Cosmetic Insurance | Hamilton Fraser was promoting a special offer on its Medical Liability and Salon and Surgery insurance policies which are designed to protect your cosmetic practice or salon. The policies have been created to protect your premises incase the unexpected should happen. Hamilton Fraser’s CEO Eddie Hooker also gave two presentations are part of the business workshop programme on ‘Insurance Requirements for Cosmetic Practitioners’ . In the talk he discussed what cosmetic practitioners should look out for when sourcing an insurance provider and highlighted the variety of other essential covers practitioners should consider rather than just protection against treatments going wrong. HealthXchange | Healthxchange Pharmacy has been supplying doctors, dentists and nurses for 10 years with competitively priced premium cosmetic medicines and sundries. The company is also the sole distributor for Obagi Medical Products and was demonstrating the Obagi Blue Peel RADIANCE, a quick-and-easy, in-office application that can be completed in a matter of minutes. It is designed to improve the skin’s look, texture, and feel as well as targeting a range of skin concerns, including photodamage. It is also beneficial for patients who have darker skin with pigmentary changes.
Informa | Publisher of Prime, the international journal of aesthetics and anti-ageing medicine, Informa took the opportunity to be present at the unmissable Expo to distribute and attract interest in the specialist publication.
IHAS | The Expo proved to be a successful platform for the IHAS which was there to raise awareness about the TreatmentsYouCanTrust register of cosmetic injectable providers. IHAS director Sally Taber said, “www. treatmentsyoucantrust.org.uk received a large number of visitors during the conference, and was able to spread the word about the industry’s own Quality Mark to a wide audience in the cosmetic industry. We found the event well focussed on the core cosmetic industry so it was excellent for networking and our visitors were mainly all appropriate practising professionals.”
Intraceuticals UK | The Intraceuticals stand was buzzing throughout the two-day Expo, seeing an unprecedented amount of interest in its non-invasive, volumising skin treatment, which was demonstrated live for all to see. A combination of machine and specialist products, the treatment offers instant volume all over the face. An infusor with a patented oxygen bubble helps the professional strength serum, Atoxelene, penetrate the skin and provide instant hydration – the results of which stunned passing visitors.
MACOM Compression Garments | Visitors to the
iS Clinical | Despite public support from a number of
received a fantastic response to its Visage Anti-Rides FX wrinkle reduction and rejuvenation programme from Switzerland. The non-invasive treatment is performed using a bio-peptide-based serum with a mio-relaxation effect that decreases the mobility of the facial muscles and gives overall rejuvenation to the skin. The company confirmed that four more treatments using biopharmaceutical ingredients are soon to be on the market, including one for lifting the neck and one for problem skin.
celebrity magazines, iS Clinical’s products are designed for everybody, with a regimen for just about every skin type. At its stand, visitors were able to learn about the complete range, which follows a four-step programme to cleanse, treat, hydrate and protect. Some impressive before and after shots were shown to illustrate the amazing results that can be achieved.
Image Skincare (Skin Geeks) | Skin Geeks was showcasing its premier cosmeceutcial line Image Skincare at the show. The newest item in the range is the MD Kit which contains four products to target different aspects of ageing skin. The IMAGE MD Kit protocol incorporates cutting edge technology and science and utilises the latest advancements in skincare ingredients. This regime can be used as a daily, ongoing skincare protocol. It supports skins’s natural defense mechanisms, fights free radical damage from environmental exposure and compensates nutritional imbalance of cells.
Mesoestetic | Focusing on its new, CE-marked Mesohyal ampoules, Mesoestetic reported that as many as 35 doctors had requested further information on the product. Also attracting interest was dermamelan, an intensive whitening treatment. Adam Birtwhistle concluded that it had been “a successful show”.
into the UK. Intercytex is a pioneer in the new field of regenerative medicine. Their scientists have produced a number of different human cell therapies and during their work developing Vavelta for the treatment of a severe inherited blistering disease found the product also appeared to help other skin conditions such as burn scars, acne scars and wrinkles.
Laser Physics | Safety is paramount in the clinical environment, and Laser Physics was well equipped to prove this at the Expo, where it was exhibiting for the first time. Its range of laser and IPL safety products includes protective eyewear as well as windows, curtains and blinds.
Laser Support Services | Offering safety products and services for IPL and laser users, Laser Support Services displayed a range of laser and IPL eyewear for patients and operators, dermabrasion products and tools for laser surgery; all of which are designed for the protection of both the patient and the practitioner.
Lash Perfect | Lash Perfect attracted a great deal of interest from visitors as it performed live demonstrations of its professional eyelash extensions on willing volunteers. The company, which offers training around the UK, focused particularly on La La Express - a new technique for individual eyelash extensions that takes just 30 minutes and is performed on open, rather than closed, eyes.
Merz Aesthetics | Founded in 1908 Merz has more than a century of experience in improving people’s lives and deep roots in dermatology. Merz Aesthetics is breaking new scientific ground and is setting future industry standards with its exciting portfolio of products, including Bocouture®, Radiesse® and Belotero®. The company has now also created an online pharmacy to make ordering its products simpler, quicker and more time efficient for its customers.
MyCells | MyCells welcomed visitors to its stand to learn about the skin regenerating system that uses cells from the patient’s own body. The autologous method involves the injection of Platelet-Rich Plasma (PRP) back into the patient’s bloodstream to stimulate collagen formation, revascularisation and repair. While the PRP method has been used for many years in various aspects of medicine, its advantages for the aesthetic industry include safety and the lack of side effects.
Lifestyle Aesthetics | Offering
M2 Beauté | M2 Beauté showcased three products at
a comprehensive range of dermal fillers, Lifestyle Aesthetics took the opportunity to introduce Teosyal Redensity Pure Sense 1 – an injectable, light-reflective treatment – to the industry at the Expo.
the Expo –growth serums for eyelashes and eyebrows, plus a duo treatment to be used on both brows and lashes. The physician-formulated serum contains the active ingredient MDN, which has been adapted for its use in ophthalmology for cosmetic applications, as well as hyaluronic acid. Visible results can be seen in just 4 – 6 weeks, according to the company.
reported high interest in Q-Plus C – a tattoo removal system that uses three wavelengths to treat multiple colours of tattoo: Q-switched Nd: YAG at 1064/532nm and Ruby at 694nm. The system is also effective for the treatment of pigmented lesions, as Hayley Jones, Aesthetic Sales Manager explained.
Meder Beauty Science | Meder Beauty Science
Intercytex | The Expo saw the re-launch of Intercytex
Lynton Lasers | Lynton Lasers
MACOM Compression Garments stand were able to see its wide range of products which are ideal for use post-surgery and post-delivery as well as for body shaping and burn treatments. MACOM is the premier UK provider of quality compression garments. Its garments provide targeted support, facilitate post-operative lymphatic drainage, accelerate the healing process, minimise scarring and produce the appearance of a slimmer waistline.
Nordson | A new promotional trade campaign for the medical aesthetics sector developed by Eurocom Healthcare Communications for the Artiste® Assisted Injection System was launched by Nordson Micromedics at the Cosmetic News Expo.The campaign comprises press advertising, a new website, exhibition and representative support materials, positions. Nordson also released new clinical data which showed that clinicians significantly favored the Artiste system, an innovative device that enables clinicians to inject dermal
At Harley Aesthetics we offer the following: • • • • • • •
Remote consultations 7 days a week Botulinum Toxin Training for nurses £400 full day Free UK and European Advanced Training UK wide Doctor Visiting Service Remote Dermatology Service Discounted Aesthetics Products and Insurance Online Ordering, Patient Records, Invoices, Training and Videos • Business Consulting Services
77 Harley Street | London W1G 8QZ Tel: 020 7487 2772 Email: firstname.lastname@example.org
expo review: Exhibition news round-up
Pronokal | The PronoKal® Programme is a medically supervised weight loss method. More than 200,000 people throughout the world have lost weight and benefited from this programme.The company was offering visitors to the Expo an exclusive deal on its training.
Quatro Medical | Quatro Medical, the exclusive distributor of Storz Medical devices in the UK, showed visitors the benefits offered by the CellActor and the D-Actor, which use acoustic wave therapy (AWT) for the treatment of cellulite. Swiss-based Storz Medical is a pioneer of AWT, which is now used in over 500 treatment centres worldwide. fillers and other sterile materials with increased control, over manual injection, citing better-looking result; ease of treatment; reduced number of injections and consistency of results.
ObvieLine | Returning to Cosmetic News Expo for the second time, Obvieline was once again pleased with the interest it received in its Perfectha fillers. The four products offered by the French company are currently sold in 70 countries, excluding the UK, which is why its presence at the Expo was ideal to promote the Perfectha name over here. General Manager Rachid Boudoukha confirmed that Obvieline would definitely be back next year. Oxyjet | Graham Smith of Oxyjet reported being “very pleased and surprised” with visitors’ response to the Leo Deluxe, which offers seven functions in one machine, including gentle oxygen therapy, cooling oxygen lifting and oxygen diamond peeling for a complete, non-invasive treatment. The company confirmed that they would definitely return to Cosmetic News Expo next year.
Pharma Clinix | Making its debut at Cosmetic News Expo was Pharma Clinix, a UK-based company that started in the Middle East, offering high-end products designed for Asian and darker skin tones. Specialising particularly in hyperpigmentation and scarring, the company offers Silver, Gold and Premium Series products for each problem.
Polaris | Polaris was flying the flag for British lasers. The company is a leading UK manufacturer of laser systems, with over 20 years’ experience in the laser industry for scientific, industrial, medical and cosmetic applications. Its products include Long Pulsed Nd:YAG Lasers and Q-Switched Ruby Lasers. Primcogent Solutions | Primcogent Solutions specialises in the provision of low level laser technology (LLLT) for medical applications and distributes the ZERONA® non-invasive body contouring laser for the safe and effective simultaneous reduction of fat from the hips, waist and thighs. At the Expo the company showcased this, alongside the Lunula Laser, a low level laser therapy for onychomycosis that offers safe, pain-free treatment of chronic infections in just two 12-minute treatments.
pleased to introduce the body contouring concept Eximia to the UK industry at this year’s Expo. The IPL machine is designed to offer clinics a complete solution, including an interactive diagnosis system to identify the problem, and a tailor-made solution chosen from 22 body contouring programmes and six rejuvenation programmes. The company also showcased the SLS H-102 new-generation IPL system, with a range of features including Tan&Safe technology for hair removal, which was exclusively developed by Skin LS for darker skins.
Sound Surgical | Sound Surgical Technologies LLC (SST)
100 cosmeceuticals, RégimA offers ultimate rejuvenation and anti-ageing, effectively treating all skin problems, pigmentation, acne and scarring. The company was showcasing its two main flag ship products:- Scar Repair and Anti-Stretch Complex and RégimA ‘Peel and Heal’ Natural treatments, taking skin peeling to a new therapeutic level.
has raised the industry standard for ultrasound liposuction procedures with its premier product VASER® Lipo System. A new addition to its portfolio introduced to visitors at the Expo was the RF Aesthetics micro-needle fractional RF system for non-surgical face-lifting, wrinkle reduction and scar reducation by theraml coagulation. The system uses precisely controlled bi-polar RF energy delivered through minimally invasive micro-needles minimising pain and downtime.
Rejuvenated | Rejuvenated launched Collagen Shots, the exciting new anti-ageing drink, at this year’s Expo, inviting passers by to try a sample on its stand. The company was thrilled with the response it received from visitors. “Last year’s Cosmetic News Expo was excellent but this year surpassed it, the quality of delegates was exceptional,” said director Kathryn Danzey. “We were delighted with the interest and business generated and the Cosmetic News team made it a delight to exhibit.” Rioblush | Sharon King of Cosmedic Clinic shared with Expo visitors her personal experiences of how she increased both patient satisfaction and clinic revenue by incorporating RioBush Carboxy Therapy into her practice. The session included live demos, using RioBlush for full facial rejuvenation, including alopecia and general hair rejuvenation, dark circles around the eyes, localised fat in the submental area, and overall skin rejuvenation.
Ysonut | Over the past 18 years Ysonut Laboratories has become one of the world’s leading developers of medical nutrition solutions and was showing visitors to its stands the unique benefits of incorporating its products into an aesthetic clinic. Protéifine® is a broad line of protein based replacement foods, used under medical supervision as part of a safe and effective weight loss treatment and Microvance® is an extensive line of dietary supplements, essential for the treatment of micronutrient deficiencies.
Wigmore Medical | Wigmore Medical won the Distributor of the Year award at this years Aesthetic Awards and visitors to the show were able to find out why. With more than 30 years in the industry, Wigmore is the market leader in product distribution with a comprehensive range of
Rosmetics | Rosmetics attracted alot of attention to its stand with a giant glittery sculpture of a big cat. The company distributes of the Anteis Injection System as well as the Magic Needle blunt cannulae, Anteis dermal fillers, rehydration products, skincare, unique pain relief systems, lip enhancers and eye lash enhancers. Rosmetics also launched a number of new and exciting brands at the Expo including the complete range of VI peels and skincare and the U225 mesotherapy gun. Sigmacon | Sigmacon has recently taken on the Dermaceutic Peels range including the innovative melasma/ pigmentation Spot Peel and chose the Comsetic News Expo as its UK launch platform. Now in its 34th year, Sigmacon Aesthetics is also a premier provider of aesthetic technology, leading the way in body contouring and fat transfer with BodyJet, providing multi-function aesthetic workstations with Lumenis Aesthetic Lasers and the 2nd generation Ellman RF Skin Tightening System, Pelleve.
Skinbrands | SkinBrands has just turned 10 years’ old and with a distribution portfolio of top-of-their-game brands including SkinCeuticals, SkinMedica, Medik8, Susan Posnick, HydraFacial and Revitalsah, the company has a lot cosmeticnewsuk.com
Skin LS Ltd | As exclusive UK distributor, Skin LS was
Regima A | South Africa’s leading manufacturer of over
SilDerm | SilDerm chose Cosmetic News Expo to introduce the industry to its new SilkPeel Dermalinfusion solution. With a diamond tip head designed to gently abrade the skin, the system brings a whole new approach to traditional dermabrasion, with custom solutions for the treatment of different problems. Lumixyl, for instance, is proven to be as effective as hydroquinone, SilDerm reports, for the improvement of uneven pigmentation.
to celebrate. New and exciting developments on show at the Expo included Medik8’s new Growth Factor product, the newly reformulated Revitalash, which also has new packageing, and a clinically new trialled stretch mark cream that can be used whilst pregnant.
botulinum toxin, dermal fillers, chemical peels and skincare ranges coupled with the consistent training, development and product awareness.
White Lotus | The class IIa medical device status of White Lotus’ skin needling rollers was greeted enthusiastically by visitors to Cosmetic News Expo. The ability to perform natural effective skin needling treatments by combining the rollers with its treatment ampoules and organic aftercare serums was also popular. “All in all it was an enjoyable, productive expo,” said Anthony Kingston.
Yal Art Aesthetics | Yal Art Aesthetics presented two new ranges of hyalouronic acid products, GENYAL “the ultimate generation of Ha dermal fillers” and KOSMETHOD a technologically advanced cosmetic-line.
Zanco Models | There is always something new to see on the Zanco Models stand. The company makes highly realistic medical training models including heads which can be used for botulinum toxin, filler, mesotherapy and electrolysis training and an armpit designed for hyperhidrosis training.
A dermatology company
like no other.
double Aesthetic AwArds 2011/12 winner best product innovation Gold - Pix’L Micro Canula (Q-Med) best newcomer Gold - Emervel (Galderma)
Innovative medical solutions that meet the needs of dermatology patients and physicians: • P remier investor in dermatology research • S tate-of-the-art global research and development
Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, Herts, WD17 1DS. Tel: +44 (0)1923 208950 Fax: +44 (0)1923 208998. Copyright © 2011 Galderma (UK) Ltd. Date of preparation: March 2011
• F ocus on therapeutic, corrective and aesthetic innovations
m e e t i n g
Education has always been a key focus of the Cosmetic News Expo. Here is what the 2012 conference and workshop programme had in store for delegates
One of the things that sets the Cosmetic News Expo apart from any other event in the UK aesthetics industry is its value for money CPD accredited educational programme. Delegates were able to sit in on an extensive two-day conference programme in the main auditorium, watch live demonstrations and gain knowledge on a variety of business related topics as part of the workshops on the exhibition floor.
ith some of the biggest names and
started with an informative presentation by Dr Tapan
brightest rising stars in the industry
Patel on Treating Black and Asian Skin Types. Dr Patel
making up our speaker line-up,
is one of the foremost experts on this topic in the UK
the Cosmetic News Conference
and gave an overview of the challenges and treatment
and workshop programme aimed
options avaialble. After the morning coffee break Dr
to inspire, educate and enthuse participants in every
Raj Acquilla and Miss Jonquille Chantrey proved they
aspect of aesthetic practice. Sunday’s programme
were the perfect team with their flawlessely presented
kicked off with a symposium on Treating Menopausal
mini-masterclass in 3D facial volume replacement,
Clients. The session was opened by leading menopause
enhancement and beautification with reference to
expert and chairman of the British Menopause Society,
anatomy, technique and risk management. Dr Acquilla
Dr Nicholas Panay, who inspired the audience with his
held the audience captive as he took to the stage
informative and eye-opening talk. Dr Panay was followed
while Miss Chantrey injected a series of patients to
by winner of the 2011 Speaker of the Year Award, Dr
demonstrate the techniques. After lunch leading plastic
Tracy Mountford, who spoke about Treating Menopausal
surgeon Mr Chris Inglefield took delegates Beyond the
Clients in the Aesthetic Cliniic. The morning session
UV Specturm. He explored how aesthetic practitioners
finished with Dr Beatriz Molina examining the issues of
are at the front line when it comes to seeing patients
Diet and the Menopause.
with ageing, sun damaged skin so having a greater
Following the morning coffee break delegates could
understanding of the wider solar spectrum is paramount
choose to sit in on either the Advanced Aesthetic Devices
to communicate to clients. The session, sponsored by
Symposium or the Beginners Laser Workshop. The
SkinCeutcials, looked further into the harmful of effects
advanced session featured lectures on: Understanding
of the wider spectrum, presenting new research into
the Science and Tissue Interactions Relating to Radio-
the damaging effects of Infrared and looking to the
Frequency, by James Bartholomeuz; Body Contouring,
field of antioxidants for a topical solution to prevent
by Mr Chris Inglefield; the PinPointe FootLase by
this ageing process, an extra defence in the line of
Hamish Dow and Low-Level Laser Therapy at 635nm: An
photoprotection. The final leg of the conference was
Efficacious Approach for Non-Invasive Body Contouring,
all about injectables with the Advanced Injectors
by Paul Kenny.
Masterclass and Lip Masterclass with Dr Gertrude Huss
”This was my first time at one of these exhibitions and I found it very informative and interesting and pitched at a good level. It was an excellent exhibition with high quality demonstrations.” Catherine Mintern “The Cosmetic News Expo was extremely easy to access and also effortless to get around. I loved the venue as it was spacious, light and airy with enough room for easy admission to all of the stands. I enjoyed the diversity with some products that were more aesthetic and others that were very much para-medical. It was a really interesting and forward thinking exhibition. There was plenty of food for thought and I was particularly interested in the more medically based beauty products and treatments for anti-ageing, that I believe shall shape the future.” Melissa Sharpe
The beginners session looked at how to incorporate and
introduced the latest additions to the Restylane® family:
make money by introducing lasers into your business as
Restylane® Lip Volume (for lip volume enhancement)
well as the importance of training with The Consulting
and Restylane® Lip Refresh (for lip hydration), providing
Room’s Martyn Roe looking at Considerations for
insight into these two new innovative products based on
Equipment Purchasing; Mapperly Park’s Paul Stapleton
her vast knowledge and expertise of this treatment area.
offering A Beginners Guide to Lasers and Hayley Jones
As well as a presentation on her experience she gave a
from Lynton Lasers on An Introduction to Light Based
live demonstration including two case studies utilising
Technologies. After lunch and a chance to explore the
the two different products.
“Everyone at Bathsheba Aesthetics would like to thank Cosmetic News for a wonderful show. The exhibitors had many exciting new products with the potential to expand our business; the conference talks were really informative and the workshop talks in the main hall were full of nuggets of invaluable information. We came away with lots to think about and to follow up. Really looking forward to next year!”
exhibition delegates took part in a Clinical Photography
The advanced session saw some of the industry’s leading
workshop exploring the importance of before and after
injectors presenting on their techniques including Dr
photographs and looking at the latest innovations in
Kate Goldie on A Full Facial Approach to Treatment and
3D imaging. Speakers included Mr Dalvi Humzah, Dr
Assessment and a collaboration between Dr Stephen
Bob Khanna and Nick Medzianowski-Sinclair. The first
Hennessy on Botulinum Toxin for the Upper Face and
day of the meeting ended with a session on Injection
Monica Berrangé on Botulinum Toxin for the Lower Face.
Techniques. Leading experts, including Leslie Fletcher,
The final speaker of the day was Dr Ravi Jain who closed
the pioneer of the ArqueDerma™Artistic Restoration
the meeting with his presentation on Volumising with
Lift™, Dr Bob Khanna, Teresa Simmonds and Dr Peter
the Emervel Range.
taking place simultaneously. In her masterclass, Dr Huss
Forrester, shared their varied injection techniques, which are revolutionising the way dermal fillers are
The conference was once again a huge success. Here is
injected in facial aesthetics. Monday’s programme
what some of the delegates had to say:
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Expo Review - THE AFTER Party
The Q-MED Galderma team
Dr Tapan Patel and Raj Acquilla
P arty T i m e Find out what happened at the Cosmetic News Expo after party
fter a busy and successful first day at the Cosmetic News Expo 2012, speakers, exhibitors, delegates and VIP guests joined the Cosmetic News team and Hospitality Sponsors, BioTherapuetic, for the after show party.
Giancarlo and the Genyalart team
The party was hosted at the Pitcher and Piano in Islington and had an Olympic theme to mark the 2012 Olympics coming to London this year. The trendy location is just a stones throw from the Business Design Centre, where the two-day Cosmetic News Expo took place. Guests were greeted with a complementary cocktail, bubbly, wine and beer before tucking into a delicious selection of British themed food including mini fish and chips and mini bangers and mash. More than 300 people attended the party, which is always a highlight of the event and a fantastic opportunity to network and for everyone to let their hair down after the show. One person who was not there to enjoy the fun was Cosmetic News editor Vicky Eldridge who was stuck in bed at the hotel with food poisoning. She said, “I am a sorry I didn’t get a chance to celebrate with everyone at the party. It is always one of the highlights of the year for me as it gives me a chance to catch up and socialize with everyone after all the hard work that goes into the Expo. I was very upset to miss it.”
The Body Media Events team.
Leslie and Brett Fletcher
At HydroPeptide our focus is Peptidesâ€Ś.. we are leading the way in Peptide technology using Fewer products but More ingredients, offering a Multi-Functional results driven skincare range
Ricard Norrell and Guy Rowley of NuSkin
Award Winning Advanced Skincare
Cosmetic News publisher Charlotte Body and Cindy Jackson
The Rejuvenated team
Charlie-Claude Barbagelata (second left), of The Carlton Group, Mindy Crosby (centre) and Angela Barbagelata (second right), mingle with guests.
Rachid Boudookha and Fanny Crepieux of Obvieline
HydroPeptide treatments infuse
the skin with a mega dose of 21 powerful Peptides at clinical levels, 16 Anti-Oxidants, together with Plant Stem Cells using the latest cutting edge technology
Add Another dimension to your businessâ€Ś. Cindy Jackson with Dr Dan Dhunna and Dr Anita Beaumont
Dr Kate Goldie and Lorraine McLoughlin
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* This ad is not intended for use in the U.S. market. ©2012. All rights reserved. Syneron, the Syneron logo, triniti, Motif, ePlus, Sublime, Sublative and elōs are trademarks of Syneron Medical Ltd. and may be registered in certain jurisdictions. elōs (electro-optical synergy) is a proprietary technology of Syneron Medical. PB77501EN
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Special Feature - Hair Removal
T H E HA I R AN D N OW Hair removal is big business for aesthetic clinics. We examine the latest treatment options
Unwanted hair is a huge problem for many men and women and as such hair removal has become on of the top things on the agenda of clients visiting beauty salons and aesthetics clinics. Excess hair may be the result of medical conditions, but there is also a huge social pressure, particularly for women to be ‘hair free’. The psychological trauma caused by excessive or unexpected hair growth is often strong enough to motivate patients, especially women, to seek treatment. With many people dissatisfied with traditional methods of treating unwanted hair such as shaving, waxing and tweezing which can not only be costly over time but are also cumbersome and have a short term effect, the prospect of more permanent treatments, such as laser or IPL hair removal and electrolysis has been an attractive one. L ight based hair removal Offering quick, effective and permanent hair ‘reduction’ on a wide range of body areas including the back, cheeks, chin, upper lip, shoulder, under arms, legs and arms, light-based treatments have become an increasingly popular choice with consumers in recent years. When it comes to laser and light based hair removal treatments today it is all about providing less painful or even ‘pain free’ hair removal in a shorter amount of sessions with longer lasting and more permanent results. The laser and IPL market is seeing innovations all the time with more and more systems now also being approved for use on darker skin types. However, light based hair removal is still most effective when the hair colour being targeted is darker than the skin colour, due to the absorption of light by the melanin or pigmentation, which acts as the chromophore or target of the light. Treatment is therefore most effective on patients who have black or brown hair and pale skin with darker skin types as well as blonde, white and red hair colours more difficult to treat and in some cases contraindicated. There is no such thing as completely permanent hair removal with any machine or any type of treatment however an ever-increasing number of published studies have confirmed the long-term efficacy of laser and IPL treatments. Each person’s hair growth pattern is different and is affected by many known and unknown factors, mostly hormonal influences. Laser and IPL will cause a dramatic and permanent hair reduction, with remaining hair re-growth becoming finer and lighter. Most people who complete a course of treatments will find they get an extremely effective hair reduction during the course and very little
hair re-growth following. Some people will actually get complete hair reduction with no re-growth and others will require regular maintenance treatments once a year or so.
E lectrolysis Despite the advances in laser and IPL hair removal, electrolysis is still the only hair removal treatment that can claim to be ‘permanent’. Electrolysis removes unwanted hair through the means of a probe or needle being inserted into the hair follicle. There are three different methods available on the market: galvanic electrolysis; thermolysis/short wave diathermy electrolysis and blend electrolysis. The aim of all the methods is to damage the base of the growing hair in order to cut off the blood supply and nutrition to the hair, preventing any new growth from developing. The technique is selective and no minimal damage should occur to surrounding tissues. Although electrolysis does not offer the speed associated with LASER and IPL treatments, it can be used for many indications that LASER and IPL cannot, such as lighter hairs or on darker skin types and, as such, it is increasingly being used in conjunction with LASER and IPL treatments to enhance treatment outcome. Elaine Stoddart from Sterex explains, “LASER and IPL with their capability of treating large areas has resulted in electrolysis now being utilised to complete these treatments and ‘finish the job’. Often white hairs remain after LASER or IPL and electrologists can successfully remove these where LASER and IPL cannot. Electrolysis and LASER or IPL therefore work well together for the benefit of the client, offering every skin and hair type and colour the ‘holy grail’ of permanent hair removal.” On the following pages we round up 10 of the best laser and IPL hair removal devices on the market...
Special Feature - Hair Removal
1 . T he ‘ O lympic ’ G old S tandard L aser – M otif ( S yneron C andela ) The latest in ‘pain-free’ hair removal, the Motif (eLase) from Syneron Candela is so effective that it has the accolade of sponsoring the GBR synchronised swimming team for the London 2012 Olympics. The new laser combines radio-frequency with laser diode light and is powered by the company’s state-of-the art elos® technology to offer deep dermal penetration and longer lasting results. Because Motif harnesses RF to boost the light energy, it is highly effective, extremely fast and very comfortable compared to traditional laser hair removal. It is also safer as it uses less optical energy. Although RF is non-selective it has two advantages, according to James Bartholomeuz, VP of Global product design at Syneron Candela. “RF non-selectively heats tissue volume quickly and effectively gives accumulated heat”, he explains. “RF is more predictable than light with 100% flowing into tissue. The RF energy can also be used to monitor the impedance (resistance) in skin and so allow us to give a good feedback about the delivery. RF can be measured in j/cm3 so typically with Motif 50j\cm3 is delivered equivalent to 40j/cm2/second – this is on top of the light energy delivered.” This use of RF also makes the treatment less painful as it builds up an accumulative heat and more directly heats the hair follicle rather than the tissue surrounding it. The Motif can be used to treat all skin types and all hair colours, including fair facial hair, in as little as four treatments and, as it also utilises a fast acting Contact Cooling Device, the treatment is virtually pain free.
2 . T he O riginal ‘ Pain F ree ’ L aser – S oprano ® X L i ( A B C L asers ) The Soprano® XLi is one of the origin al pioneers of virtually pain free laser hair removal has raised the bar across the industry. Recent Google statistics show that over a third of Google searches for laser hair removal are for Soprano® showing that this treatment with its 810nm diode laser and exclusive In-Motion™ technology has captured the hearts of both the public and medical professionals. Low fluence makes the Soprano Xli a standout in the industry. Instead of simply blasting unwanted hair, SHR technology heats the hair follicles gradually—without discomfort. In fact, this approach, combined with cooling from the Sapphire tip, makes it so comfortable that neither gels nor analgesics are required. The Soprano® XLi works by safely and gently heating the dermis to a temperature that damages the hair follicle, prevents re-growth, yet does not injure the surrounding skin. “Soprano® is one of the most popular systems for laser hair removal. It’s In-Motion technique has been proven to be a faster treatment and less painful than traditional diode lasers, and is effective for maintaining hair reduction for a long period of time”, commented US Dermatologist and laser luminary Dr Michael Gold. Soprano XLi works on all skin types, including tanned skin, and all hair pigmentation, so the practitioner can provide safe, effective and pain-free SHR hair removal for anyone, anytime--without restrictions at any time of the year which is a plus for profitability. ”The Soprano XL in SHR mode provides a new level of safety for darker skin tones without compromising efficacy.” (Martin Braun, MD Vancouver Laser & Skincare Centre, Canada --as quoted in Journal of Drugs in Dermatology (JDD), Nov. 2009). Soprano® XLi also has a super fast coverage rate, with a huge 12x10 mm spot and up to 10 Hz repetition rate. Plus, with no consumables, Soprano XL is easy to operate and very cost-effective. What’s more, the Soprano® XLi can also provide skin tightening with the nearinfrared NIR module. Uniform energy distribution with a huge 18cm2 spot produces deep dermal heating-without damage to the epidermis.
3 . T he L as V egas H eadliner – E lite ( C ynosure ) You don’t get a much bigger accolade than winning an international award for the ‘Best Hair Removal Device’. Cynosure’s Elite laser was awarded the title at the THE Best Aesthetic Products Awards in Las Vegas. The awards ceremony highlights the world’s best aesthetic product manufacturers for their achievements in procedural technological innovations as part of the annual Aesthetic Show, a leading multidisciplinary medical education meeting for aesthetic professionals around the world. Cynosure also won the Best Energy-Assisted Liposuction Device award for its SmartLipo system. Commenting on the win, Neil Wolfenden, managing director of Cynosure UK said, “We are extremely honoured and proud of the continued recognition from our customers in supporting both the Elite laser system for hair removal and Smart Lipo laser system for fat reduction and body contouring. The strength in the reliability of these lasers is a major factor to ensure maximum return on investment. Cynosure has raised the bar in providing excellent patient satisfaction on both comfort and clinical efficacy. We will continue to raise the bar by introducing new products into this highly demanding market where patient and laser operator expectation comes first. It is a very exciting time for Cynosure 32
and I am very proud in being part of it.”The Elite laser is the next generation multi-wavelength system for hair removal, with integrated aircooling and larger spot sizes. Offering two wavelengths that can be blended together, this revolutionary treatment treats all skin types including black and Asian skin for the first time! It can remove unwanted facial and body hair, as well as pigmented or vascular lesions, thread veins and photo-aged skin. The laser emits a gentle beam of light, which only is absorbed by the hair follicle (leaving the skin completely unharmed). It delivers energy absorbed in the hair and transformed to heat, which destroys the hair follicle within a fraction of a second. The Cynosure-Elite blends two wavelengths to deliver more energy safely, efficiently and effectively by allowing the surgeon to optimize the delivery of thermal energy based on the individual skin type. Dr Ayham Al-Ayoubi, medical director of the London Medical and Aesthetic Clinic on Harley Street has seen impressive results. “Unwanted hair is a problem for thousands of men and women. It can undermine confidence, affect relationships and impact upon just about every area of your life. The Elite laser is one of the safest treatments for permanent hair removal with a built-in air cooling system to cool the skin prior to and post lasering, reducing likelihood of swelling or redness.”
Energise your business with Electrolysis
Electrolysis retains the legal affirmation of being THE only permanent method of hair removal and complements LASER/IPL treatments. Together they make the perfect combination offering speed of treatment with the added benefit of permanency.
If your Laser or IPL clinic does not offer electrolysis you are missing out. Profitability is high and client demand is increasing. Modern electrolysis offers the choice of 3 methods and can treat ALL hair types and colours as well as ALL skin types and colours. More and more clients are returning to the tried and tested performance of electrolysis, or combining it with their LASER or IPL treatments so don’t miss out on this opportunity. Electrolysis can also be used to successfully treat over 21 different minor skin blemishes including skin tags, warts, xanthalamsa, telangiectasia, milia etc.
Interested in offering an Electrolysis service? • • • • •
Train in Electrolysis hair removal in just 7 days with Sterex Electrolysis International Limited Re-fresh existing electrolysis skills with Sterex on their specialist one or two day courses Train in Electrolysis Cosmetic Procedures on a choice of 2 or 3 days courses Visit Sterex on www.sterex.com and click on ‘Find a Salon’ section to find a electologist in your location Visit www.electrolysis.co.uk British Institute and Association of Electrolysists (BIAE) (all members undergo strict theory and practical entry examinations)
Quote Cosmetic News and receive 10% discount off the RRP of £767.84 plus VAT for our top of the range SX-B epilator (Offer available until 31 July 2012)
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Special Feature - Hair Removal
4. T he M ulti - P latform L aser – H armonyX L ™ ( A B C L asers ) As ABC Lasers’ flagship device, the Harmony is a multiapplication, multi-technology system. Harmony XL is the world’s most versatile and expandable platform for aesthetic laser and light treatments with over 70+ different FDA cleared clinical and aesthetic applications including tattoo removal, hair removal, skin rejuvenation/tightening and acne. The single unit provides maximum flexibility, with multiple interchangeable modules and guaranteed upgradeability to accommodate a growing aesthetic practice. Like its sister product, the Soprano, the Harmony XL platform also uses SHR pain-free IN-Motion™ technology for hair removal. Practitioners using the Harmony XL platform can upgrade and
expand their existing light and laser treatment range with the SHR modular handpiece with which offers tremendous added value to their business. The Harmony XL™ uses a combination of laser and Near Infrared Technology and light based technologies for superior clinical outcome. Its most unique innovation comes in the form of its Advanced Fluorescence Technology (AFT™) a fourth generation IPL application for a wide range of skin treatments including skin rejuvenation, vascular/pigmented lesions, hair removal and acne. The system also includes Long-Pulse 1064nm Nd:YA G Technology for the treatment of facial wrinkles, as well as deeper and reticular leg veins and hair removal.
5. T he N ext G eneration I P L - I 2 P L ( E llipse ) Ellipse I²PL hair removal treatment offers clinically proven, safe and effective long-term removal of unwanted hair. Ellipse I²PL contains a dual mode filtering system, which ensures that only clinically relevant wavelengths are directed onto the skin. The key benefit from other IPL treatments is that no active skin cooling is needed. The light from other IPL systems can be absorbed into the blood and water in the skin meaning cooling agents have to be used. Ellipse I2PL for hair removal works by targeting only the melanin (pigment in the hair). As the light is absorbed it breaks the bond between the blood supply and the hair follicle rendering the hair follicle unable to produce hair. South African practitioner Rufaida Moosa commented, “I purchased an Ellipse I²PL machine in April 2007. This machine was purchased after thorough research, as I had previously bought another piece of equipment, which promised miracles, but produced NONE. The results I’ve been personally receiving with the Ellipse I²PL are phenomenal. Hair removal is my biggest market and as I mostly work with Indian skin the HR-D applicator works wonders. I have yet to come across a machine with a separate applicator, which targets darker skin types. I’ve also got a lot of new clients in who have previously had treatments done with other lasers and IPLs, without much success. Now they are extremely happy with the Ellipse.Another wonder of this piece of equipment is the VL-2 applicator, which is used for skin rejuvenation. Once again results are phenomenal.”
7 . T he N ew K id on the B lock – A sclepion M e D ior S tar N e X T ( C arleton M edical ) 6. T he B est of B ritish L aser – P olaris Long P ulsed N d : YAG L aser ( P olaris ) Polaris Medical Ltd is a UK based manufacturer of laser systems for hair removal, tattoo removal and vascular treatments. From their factory in Bedfordshire Polaris started making OEM Ruby lasers in the late nineties, initially for tattoo removal then for hair removal. Ruby lasers for hair removal were quickly made obsolete by the advent of Alexandrite and then Yag systems. The POLARIS 1064 Long Pulsed Nd:YAG LASER can be safely and successfully used for the removal of hair on all skin types, Fitzpatrick scale I-VI. One of the many advantages of using Laser light at 1064nm is that melanin absorption is very low. As a result the risk of skin pigmentation damage, either hyper or hypo, is very low, making long pulsed Nd:Yag lasers the only choice for hair removal on skin types III-VI. The Polaris long pulsed Nd:Yag can also be used for the treatment of red and blue, broken capillaries on both the leg and the face.
Carleton Medical recently launched the new hair removal laser from Asclepion into the UK market – the MeDiorStar NeXT. The 810 diode laser can be used to treat all skin types and has a 14x10 spot-size. The high power laser also operates at12hz, making the treatment incredibly fast. The portable system comes on a mobile rack and includes a choice of different handpieces that are specialised on different applications. The MeDioStar NeXT handpieces are fitted with a system that cools the area to be treated immediately before emitting the pulse, guaranteeing greater comfort and safety for the patient during treatment. A monitoring system inside the laser device regulates the cooling level, always keeping the skin temperature low and ensuring painless and extremely delicate treatment of all skin types. The homogeneous spot allows for safe and precise treatment. The MeDioStar NeXT has a built in 8.4” full color TFT Touch Screen Display that features an improved software with parameters suggestions, a picture and video library and treatment information.
Hair removal has never been easier Largest footprint Faster treatments Lighter, hinged applicator Less operator fatigue Pay per shot Known and low running cost Safe and effective treatment Patient comfort and satisfaction
Ellipse: Proven to be the BEST in vascular treatments and hair removal. A global leader, exclusive enough to offer superior systems, yet flexible enough to provide individualized financial solutions for today’s economy. Our platforms and long-life applicators offer up to 50% reduction in running costs. They will transform your practice. With more than 4,000 systems in use worldwide, Ellipse clearly exceeds the claims of the competition.
NEW The new giant HR-L+ applicator has an 18 x 48mm spot size, weighs only 400g and has an innovative hinged cabling.
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“The Ellipse IPL system provides me with hair removal capacity that easily rivals some of the best hair removal treatments from the leading laser systems on the market. The easy user interface enables me to adjust any of the client parameters such as skin type, degree of suntan and hair thickness”.
Tel: 020 7581 4499 Email: ellipseIPL@aol.com 39-41 Brompton Road, Knightsbridge London SW3 1DE.
Zakia Rahman, MD FAAD. Clinical Instructor of Dermatology Stanford University
Special Feature - Hair Removal
8. T he S oon to be L aunched L aser – P haser 8 0 8 ( C hromogenex ) Due to be launched into the UK by Chormogenex this year, the Phaser 808 offers solutions, which are safe and effective for individuals with a wide range of skin types, tones and sensitivities. The equipment is operated using easily manipulated controls and an ergonomic hand-piece, with visible and lasting results able to be achieved in as little as five to eight sessions. Safety too is of paramount importance. The Phaser 808 features an innovative Thermal Electric Cooling system, which enables temperature selection to be tailored according to an individual’s skin type and condition. In addition, the hand-held applicator incorporates sapphire waveguide technology, which prevents damage to the delicate surface of the skin, maximises patient comfort and minimises treatment duration.Treatment is safe and painfree, with visible improvements possible after five sessions. The Phaser 808 uses state-of-
Medical Microdermabrasion From MATTIOLI ENGINEERING
the-art Smartlite technology, which allows a higher concentration of light energy than ever before to enter the target hair follicles, while its innovative Thermal Electric Cooling System prevents damage to the surrounding cells. A consistent and stable power output guarantees that treatment is fast and reliable. Clinically proven Laser Diode Technology
As featured on
ensures that treatment is safe and comfortable. Visible improvements are possible after five-eight treatments with the surface of the skin left smooth and blemish-free.
9 . T he Combination L aser – L ight S eries ( Lynton L asers ) The Light Series systems are characterised by their ability to combine multiple wavelengths into a single unit results in an extremely cost-effective system that allows a wide range of treatment possibilities and a rapid return on investment. Each module that makes up a Light Series unit delivers high specification resulting in clinical excellence. The range of outputs possible from a Light Series System allow the skin’s natural chromophores to be selectively targeted by the ideal wavelength and pulse duration to deliver outstanding clinical results. The Light Series was developed to satisfy the needs of today’s busy practitioners who wish to perform a wide range of aesthetic applications using a single, cost-effective system. As demand for fast, effective hair removal treatments continue to grow, Alexandrite Lasers at 755nm have continued to be considered the gold standard by leading laser specialists. The Light A offers both hair removal for skin types I - IV and benign pigmentation removal, providing quick and effective treatments of large body zones alongside precise accurate treatments for facial areas. The light A* combines long pulsed Nd:YAG and alexandrite resulting in the most comprehensive hair removal system available. These wavelengths deliver outstanding clinical efficacy for hair removal whilst being capable of treating all skin types safely.
1 0 . T he A t H ome L aser – TRIA The at home beauty market is booming with more and more people using power-operated devices to improve their appearance in the comfort of their own home. A report from Kline & Company – ‘At-home Skincare Devices 2011: US Market Analysis and Opportunities’ – pegged the market at close to $1 billion
needle free Mesotherapy for the delivery of active substances.
at the retail level for 2011, with exceptional growth expected for the next five years. The FDA-approved TRIA device utilises the same laser technology used by physicians worldwide for achieving permanent, hair-free results – LightSheer™ – and has long been a leader in the at-home device market. With a newly designed handpiece and improved safety features, the device offers clinically proven results for hair reduction in the comfort of the patient’s own home. The TRIA System is suitable for those with light to medium skin tones and dark hair. Each unit comes with a skin chart so patients can check the suitability of their skin tone prior to using. It also has been designed with three contact sensors to safeguard against misuse.
Tel: 01234 841536 www.polarismedicallasers.co.uk
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B reast practice We explore the recent decision by Q-Med to discontinue the breast indication for Macrolane™ and answer some of your concerns about why
On April 25, the MHRA issued a Medical Device Alert with regards to Q-Med’s dermal filler for breast augmentation, Macrolane™ Volume Restoration Factor (VRF). The alert followed a letter that was sent to practitioners by Q-Med (a Galderma Division) on April 17 recommending that Macrolane VRF20 and Macrolane VRF30 were no longer used for injection into the breast because it could make diagnosis of breast cancer more difficult, particularly during mammography. The decision was taken due to the lack of consensus amongst radiologists regarding best practices in the examination of breasts treated with Macrolane. After reviewing the current situation, and in consultation with the relevant authorities, Q-Med, decided to stop promoting the use of Macrolane in breast enhancement until consensus has been reached regarding best practices in breast radiology examination following Macrolane treatment. In response to this the MHRA issued the following advice and called for action to be taken by breast surgeons, cosmetic surgeons, GPs, mammographers, plastic surgeons, radiographers and radiologists: • •
Do not use Macrolane for breast augmentation. Have procedures in place for radiographers to check with patients presenting for breast examination for any history of breast injection. Staff should request the card that the patient was given at the time of injection, identifying Macrolane as the product used, and pass it on to the examining radiologist. Women may present with concerns that the injected Macrolane has affected mammogram results. GPs may wish to consider referral for repeat imaging.
But what does this mean for practitioners who have been using their product and their patients? What is Macrolane? Macrolane is a safe and well-tolerated injectable product used to augment body contour and correct soft tissue defects. Introduced in 2008, it has improved the quality of life of thousands of patients in indications ranging from HIV-related lipoatrophy to breast augmentation. Macrolane is the first hyaluronic acid–based product for body contouring. It provides instant and long lasting results without the need for open surgery and therefore avoids some of the consequences such as scarring. It is injected subcutaneously for body contouring. The Macrolane gel is based on Q-Med’s unique and
patented NASHA™ technology. NASHA gels for facial aesthetic treatments have been used in over 15 million treatments in over 70 countries worldwide. The safety and effectiveness of NASHA gels have been clinically proven and well documented in facial aesthetics for over 15 years. Macrolane is available in two different formulations, or volume restoration factors, Macrolane VRF20 and Macrolane VRF30. Macrolane VRF20 is suitable for areas with less tissue support and cover, while Macrolane VRF30 is a thicker gel suitable for areas with substantial tissue support and cover.
Does the decision to discontinue the breast indication for Macrolane mean that the product is not safe? No. There are no safety concerns with Macrolane as a product. This decision has been taken due to the lack of consensus amongst radiologists regarding examination of breasts treated with injectable products. Macrolane is a high-quality product manufactured to CE Mark standards. Macrolane is a safe and effective product providing a high level of satisfaction for thousands of patients who have received the product in conjunction with a body contouring or breast augmentation procedure in many different countries in the world. A safety reporting system has been in place since launch in 2008 and no safety concerns have been identified. Macrolane will remain available for use in body contouring procedures. Will Q-Med withdraw Macrolane from the market completely? No. Macrolane is not being recalled or withdrawn from the market. Macrolane will remain available for body contouring procedures. How does Macrolane interfere with the reading of mammograms? A safety reporting system has been in place since launch and no safety concerns have been identified however, all breast augmentation procedures can
interfere in the reading of mammograms. This is well-recognised and is typically addressed by using additional standard assessment techniques or radiology investigations. To use ultrasound as an adjunct to mammography is not unusual, particularly in women with dense breast for whom the sensitivity of screening mammography maybe reduced. Macrolane can interfere with reading of mammography. The current Macrolane product information provides very clear information about this. Q-Med supports international recommendations on the importance of baseline examination prior to breast augmentation. After breast enhancement, digital mammography is the preferred method of obtaining adequate information for screening purposes. Supplemental ultrasound may also be employed. This sequence of investigations has been proposed by expert radiologists. A 24-month follow-up study was recently conducted in Sweden and France to evaluate any potential difficulties with the interpretation of digital mammography image (s) or ultras onography and the value of this combination of radiology investigations. The preliminary results of this study suggest that an adequate examination can be performed using those techniques. Q-Med will make the 24-month follow-up data available as soon as possible to facilitate optimal clinical follow-up of women treated with Macrolane. Do I need to contact my patients who have received Macrolane? No. There are no safety concerns with Macrolane as a product and there is no need to contact your patients who have received it. Women who have undergone breast augmentation by injection of Macrolane do not need to take any action and are not subject to specific medical follow-up other than as prescribed by their practitioner following the procedure. They should continue to attend scheduled follow-up consultations. How shall I address concerns raised by my patients who have received Macrolane? Inform patients that Macrolane is a safe product consisting of hyaluronic acid and water and that there are no safety concerns with Macrolane. Reassure patients that because Macrolane is comprised of natural ingredients that their body will break down typically between 12 and 24 months after injection, there is no cause for alarm and that Macrolane does not need to be removed. Additionally, Q-Med is preparing a patient information brochure regarding the discontinuation of the Macrolane breast indication that will be distributed to you in the near future.
Experience the difference Your skill â€“ Artisteâ€™s technology. The perfect partnership delivering a new level of performance.1,2
Precision in practice
www.experienceartiste.com firstname.lastname@example.org Micromedics, Inc.: 00 1 651 452 1977 European Distributor: +44 (0) 1582 691905 References: 1. Micromedics Inc. Clinical study data on fi le 2. Micromedics Inc. Survey results on fi le
View On - Skin Needling
An old anti-ageing method re-invented
Dr Penelope Tympanidis gives her View On skin needling treatments Skin needling or micro-needling is a form of Collagen Induction Therapy that is intended to smooth wrinkles, improve depressed acne scarring as well as reduce the appearance of stretch marks. It is one of the easiest and most effective skin treatments available. Skin ageing and wrinkles are due to the fact that our skin produces less collagen and elastin than the ones it breaks down. It is the increase of these key ingredients, which help the skin to appear rejuvenated.
Dr Penelope Tympanidis Dr Penelope Tympanidis is a consultant dermatologist and the owner of the Dermaperfect clinic on Harley Street. Recognised by the European Board of Dermatology, she is one of London’s leading dermatologists and has been a pioneer in minimally invasive anti-aging techniques for the last 13 years, having been featured in Tatler magazine, the Telegraph, Vogue, the Financial Times Weekend supplement as well as the Channel 4 programme, Make Me Perfect. Dr Tympanidis trained at Tufts, Boston and UCL and has worked as a Consultant in Dermatology at Mayday University Hospital in London, as a Clinical Research Registrar at the Department of Dermatology at UCL and the Royal Free/UCL Medical School Campus as well as in various busy dermatology units in Liverpool and Glasgow. She has gained first-hand experience in general dermatology, photo-dermatology, allergy and patch testing, pediatric dermatology, skin cancer clinics, laser treatment sessions, and teaching students and General Practitioners. She now trains junior plastic surgeons, on minimally invasive cosmetic procedures, and junior dermatologists on cutaneous surgery.
The microscopic punctures (which are often just the opening of the pores of your skin) stimulate collagen production in the papillary dermis layer. The trauma caused triggers the fibroblasts (scar formation and healing cells) for collagen and elastin formation.
The tattoo gun technique evolved to ‘manual’ needling, which has been widely applied till present. The technique involves application of local anesthetic prior the treatment. This will allow the dermatologist to become more “invasive “ on key areas which will actually act as facelift.
Skin needling is not a new anti-ageing method. Already in the late eighties, skin specialists have published scientific papers on the results of needling on old depressed scars, wrinkles as well as stretchmarks.
However in recent years there have also been developed the ‘dermarollers’. A dermaroller is a device which caries nearly 200 minute needles on it. As it rolls on the skin surface produces a mild trauma. There have been also introduced dermarollers for home application. My advice on this is, to take your dermatologists’ advice before you apply this. At home application of dermaroller might result, infection, discoloration and other unwanted results. Skin needling with a skin roller produces hundreds of tiny dermal injuries, similar to the ones described above. Each dermal injury triggers the body’s natural wound healing response within the skin, producing and depositing new collagen in the treatment area. Each successive treatment triggers the production and deposition of new collagen that progressively fills in depressed scars and deep lines.
Dermatologists also noticed that hypochromic (depigmented) skin, repigmented through the transplantation of melanocytes (pigment producing cells) from normal skin into the hypochromic (depigmented) skin during the needling procedure. They also reported flattening of hypertrophic (overgrown) scars. The first needling procedures thirty years back, were performed using a high speed tattoo gun (without pigment obviously), under local anaesthesia and treated each scar to pinpoint bleeding. The procedure was every two to eight weeks and no side effects or complications were reported. Skin needling can be safely performed on all skin colours and types. There is no risk of postinflammatory hyperpigmentation (pigmentation of the skin as a result of skin trauma) as the melanocytes remain, like the dermis, intact during skin needling. This is the major distinguishing safety feature when comparing skin needling and other invasive procedures that are used to treat deep lines and depressed scars, ie laser resurfacing, deep chemical peels and dermabrasion.
“ Skin needling with a roller produces hundreds of tiny dermal injuries, “
which are able to produce new collagen. The epidermis (the outer layer of the skin ) varies in depth from .05mm on the eyelids to 1.5mm on the soles of the feet. The epidermis of the face (other than the eyelids ) varies from 0.3mm to 1mm in depth and therefore a 0.75mm to 2mm needle length is more than adequate to reach the intermediate reticular dermis. In my experience, needles more than 2mm in length have a tendency to catch and tear the skin. Having said all the above I still finish the needling procedure with manual work. Needling is a great technique when treating wrinkles, acne scars and skin pigmentation, but it is also an art in its own right. Manual needling still remains the most sophisticated technique for the best results, as it is a tailor made procedure to each patients’ need. It is more precise, as the skin has not the same quality inch by inch. Manual needling is also what makes the difference of a specialists’ Dermatologists’ work, to a non-specialist physicians work as no one knows the biology of the skin as a specialist dermatologist.
This infilling process can continue for up to 12 months after a treatment has been performed. There are now a number of skin rollers available and they come in many different needle lengths, needle diameters and needle numbers, which can make it very confusing for their users. In my own practice, I have tried many different needle lengths and needle diameters, in an attempt to determine the best combination for treating scars and rejuvenating the skin. The number of needles on a roller is the least important feature, as repeated rolling causes numerous dermal injuries. Needle diameter is very important as we are seeking to maximise the dermal injury without creating a new scar. In my experience, 0.25mm needle diameter is the maximum that can be used without causing a new scar in the skin. Smaller diameter needle skin rollers can be used but do not maximise the dermal injury and therefore will be slower to produce results. Needle length is also a critical issue. The target when we needle the dermis is a layer in the upper dermis called the intermediate reticular dermis. This dermal layer contains the highest number of stem cells,
Needling may be safely combined with all minimally invasive techniques namely, botox and fillers, for even greater results. The most cutting edge technique with ‘face-lift’ results, is the combination of needling with hyaluronic acid injections. It is slightly different than the technique described above, however, it works out miracles. You might wonder what the secret of celebrities is who declare they had no facelift done: it is the combo needling with hyaluronic acid injections which tightens the skin, while at the same time, sculpturing of the face is performed. Results of needling also vary from patient to patient. Results depend on many factors, mainly on each individuals response to trauma. Improvement may vary from 20% to 90%. Skin needling is now well established as a treatment option for depressed acne scarring and wrinkles. It is a far more cost effective option than fractional laser therapy and delivers very similar results with repeated treatments.I would confidently affirm that needling performed appropriately may postpone a face-lift for a decade. As the skin has a memory and will seek to return to its previous state, I recommend repeated skin needling treatments over a period of one to two years. I also recommend that my patients minimise all factors that may compromise the results such as sun exposure and alcohol consumption.
“I would confidently affirm that needling performed appropriately may postpone a face-lift for a decade” cosmeticnewsuk.com
On December 1, 2012 Cosmetic News will be hosting its second annual Aesthetic Awards at The Grand Connault Rooms in Covent Garden. The Aesthetic Awards brings together the cream of the aesthetics industry crop to celebrate the success stories of the past year and reward those who are excelling in this exciting, dynamic and thriving industry. 30 awards categories have been designed to acknowledge those who have gone above and beyond in their dedication and service to the industry from the
MOULIN ROUGEM clinics and practitioners who are leading the way to the manufacturers and suppliers who have developed and brought to market the most innovative
and inspiring products and treatments. Last year we had a staggering 7,000 entries and nominations and with new categories added to this year’s
awards line up, we are expecting 2012 to have even more of a phenomenal response. The awards create a real buzz and excitement in the industry as well as raising awareness about high standards and achieving excellence.
The theme for the 2012 Aesthetic Awards will be Moulin Rouge, so expect high glamour, showgirls and top quality entertainment in one of the most elegant and beautiful venues in central London.
T he A esthetic A wards categories for 2 0 1 2 are as follows
A wards for M anufacturers and S uppliers :
Best Customer Service by a Manufacturer/Supplier
Best Product Innovation
Association of the Year
Best Newcomer (Product or Treatment)
Best Advertising Campaign by a Manufacturer/Supplier
Cosmeceutcial of the Year
Distributor of the Year
Best Mobile Practitioner Aesthetic Nurse Practitioner of the Year Aesthetic Practitioner of the Year Cosmetic Dentist of the Year Best Clinic Customer Service
Injectable Product of the Year
A wards for C linics and P ractitioners :
Best Clinic Website
Treatment of the Year (Face) Rising Star
Speaker of the Year
Best New Clinic
Clinic Receptionist of the Year
Treatment of the Year (Body) Best Selling Retail Product Best Clinic Chain
S pecial A wards :
Equipment Brand of the Year Best Clinic (four rooms or more)
Services to the Industry
Best Clinic (three rooms or less) Best Cosmetic Dental Clinic
Lifetime Achievement Award
Best Weight Loss/Diet Programme Sales Representative of the Year
Entering the Aesthetic Awards could not be easier. The entry/nomination process opens on June 1 and will run until August 1. Simply visit www. cosmeticnewsuk.com and enter yourself or your company into any of the relevant categories. You can also nominate other people who you think are deserving winners as well as nominating the products and treatments that you think came out on top this year. Once the nominations have been received and the shortlists have been complied voting will be
opened. Tables are priced at £1,600 plus VAT and single tickets are £165 plus VAT. There are limited seats on offer so again and as last year’s event was a sell-out, early booking is highly recommended to avoid disappointment. For more information on sponsorship packages and / or to book your table at this prestigious event, please call Carly or Charlotte on 01268 754897
enter / nominate now ! cosmeticnewsuk . com 42
MOULIN ROUGE YOUR INDUSTRY • YOUR AWARDS • YOUR NIGHT Join us for an evening celebrating with the Aesthetics industry, where only those at the top of their game will compete to take home a coveted Aesthetic Award! This year we have chosen the opulent Grand Connaught Rooms in London to reflect the high standard of awards we will be presenting on the night. For your enjoyment we will bring Moulin Rouge to London, starting at 7pm with a champange reception, entertainment, a sumptious three course dinner and DJ till late. We have hotel options available, please contact our events team on 01268 754897.
TO BOOK A TABLE OR FOR SPONSORSHIP OPPORTUNITIES CALL CHARLOTTE BODY ON 01268 754 897
1ST DECEMBER 2012 • THE GRAND CONNAUGHT ROOMS, LONDON
FOCUS ON AESTHETICARE
DUTY OF CARE We find out what’s new and happening with AesthetiCare® summer The coming months are going to see AesthetiCare® even more firmly confirming its place as a leading aesthetic supplier. The company’s core brands and technologies, including Heliocare® and Genuine Dermaroller™, have been going from strength to strength and there are some new and exciting developments in the pipeline which will bring real added-value and benefits to AesthetiCare’s® customers and their clients. This summer will see the launch of two of the latest brands to hit the UK from the USA cosmetic dermatology market – Retriderm™ and PRRESCRIBEDsolutions™ Customized Skincare. Retriderm™ Vitamin A Skin Regenerator is a patent pending unique delivery of the dermo-cosmetic Retinol that provides medigrade evidence-based anti-ageing skin regeneration results. PRRESCRIBEDsolutions™ Customized Skincare range provides great anti-ageing preparation, protection and repair cleansers, treatment serums and creams that can be selected and customised with targeted skin boosters prepared there-and-then in your clinic, based on your clients’ primary and additional needs, meaning you can truly individualise your clients skincare regime. Launch information will be provided at the AesthetiCare® Dermo-Cosmetic
Special Relationship workshop featuring leading USA dermatologist Dr Hema Sundarum at 3.30pm on Friday June 15 at FACE 2012 and on the AesthetiCare® stand throughout the conference. Dr Sundaram will also be talking about two of the most recently recognised components of skin ageing and photodamage: DNA-damage and Glycation. Her FACE 2012 lecture at 12.10pm on June 15 will discuss this and the results of a study she recently completed tackling these problems. The summer months will also see no let up in the great results that EndyMed 3DEEP radiofrequency skin tightening and fractional resurfacing system has been providing. Internationally renowned dermatologist and a developer of the EndyMed™ 3 DEEP® radiofrequency technology, Dr Yoram Harth, will be talking at 11.30am on the main FACE 2012 agenda on Friday June 15 about the need, the science and the evidence for 3DEEP® rafiofrequecy technology. There is also a chance to see how the technology can positively affect patient outcomes and a clinics business at the FACE 2012 LIFT and TIGHTEN Workshop at 3.20pm on Saturday June 16.
S o what else is happening? AesthetiCare® has been leading the way with its key brands Heliocare, Genuine Dermaroller and Endocare. Here’s a taster of what the brands have to offer. Heliocare®
Firmly established as the no.1 medical aesthetic UV protection range the
Double Gold Award winner at the Cosmetic
double silver award winner at the Aesthetic Awards 2011-12 Heliocare®
News Aesthetic Awards 2011-12 the technology
provides clinically proven UV protection and is renown for the high
is now firmly established as a core treatment
protection Heliocare® SPF50 Gel with its skin-loving feel that makes you
and procedure for skin rejuvenation and scarring
want to use it every day. The great news is Heliocare® is a range that
in the medical aesthetic clinic. Its established
has so much to more to offer with great anti-ageing and skin health
popularity and lack of MHRA regulation has
protection and repair
seen many competitors enter the market and
benefits that go far
the use of these has spread outside of the
beyond it’s high and
medical aesthetic sector. As events have shown
very-high protection UV
elsewhere in our industry if deals and claims seem to good to be true they often are and where external
regulation is missing, the arbiter needs to be good clinical governance, practice and reassurance provided by the quality of the devices, the service of the suppliers and the medical aesthetic practitioners. Genuine
Every Heliocare® product contains the unique and patented
Dermaroller™ with its Medizinisch-Nadel-Technik™ German medical engineering and manufacture
Fernblock™ photoimmunoprotection technology, developed through
provides this in conjunction with the clinics and the practitioners that provide the treatment and
specialised photo-dermatology research at Harvard Medical School
AesthetiCare® continue to focus on providing high levels of medical-device training and clinical and
and The University of Madrid. This is combined with evidence based
business support. The Genuine Dermaroller™ medical-care and home-care systems keep getting even
skin protecting and repair ingredients and the latest UV sunscreen
better with on-going enhancements to its medical needle technology and the introduction of specifically
technologies, all brought together in its famous skin loving formulations.
designed complimentary evidenced based dermo-cosmetic and professional products to enhance the
In addition Heliocare® Ultra and UltraD capsules provide fantastic
procedures. The NEW Dermaroller home-care sysytems and Hyaluronic Acid rejuvenating ampoules will
clinically proven skin protection from within, ideal for those serious about
be launched in June at FACE 2012.
their skin and for use during periods of higher risk. Endocare® Fernblock™ and Heliocare® have been proven in more than 20 peer
If growth is a factor for your medical-aesthetic business
review dermatology and scientific publications to provide anti-ageing
then Endocare® is the skin regenerating growth-factor
and skin-health protection and repair benefits. It can help protect and
range for you! From the same research stable as
repair: the function of fibroblasts, collagen structure, the skins own
Heliocare® the Endocare® patented natural-growth-
immune defence cells and DNA damage in skin cells. Plus if any clinics
factor SCA Biorepair Technology was originally
have clients who suffer from sun allergies and related skin reactions
developed to regenerate radiation damaged skin and has since been transformed into an optimum
Heliocare capsules have been proven to reduce these by up to 80%.
clinically proven anti-ageing skin regeneration range. Specifically designed for maturing skin the
AesthetiCare® are launching great new products into the Heliocare®
Endocare® Tensage™ range helps stimulate skin-fibroblasts and regeneration of the dermis while at the
range and there are new in-clinic merchandising materials to raise
same time providing skin specific anti-oxidant protection along with firming and enhancing ingredients.
awareness and help you communicate the message. These are available
The NEW Endocare® Tensage™ Ampoules will be launched at FACE 2012 and for the adventurous out
from AesthetiCare® Customer Services and all will be featured at FACE
there how about future combination regimes of the NEW Retriderm® Vitamin A Skin Regenerator and
2012 on the AesthetiCare® stand OR17.
Endocare® Tensage™ clinically proven growth-factor skin regeneration…can’t wait
ESSENTIAL EVERYDAY PROTECTION FOR YOUR SKIN Visit us at
FACE 2012 Stand OR17
PROTECT YOUR SKIN FROM UV AND AGEING DAMAGE WITH THE CLINICALLY PROVEN HELIOCARE
CLINICALLY ADVANCED UV PROTECTION RANGE
• High or very high level UVA and UVB protection with great skin-loving-gel formulations • Clinically and scientiﬁcally proven skin-speciﬁc anti-oxidant activity and dermal protection
• Clinically proven anti-ageing protection from within with the Heliocare Oral Capsule supplements For Product and Scientiﬁc Information please contact AesthetiCare Tel: 0800 0195 322 email: email@example.com
heliocare.aestheticare.co.uk FOLLOW US ON TWITTER
@aestheticareuk Advanced evidence-based dermatological medical-devices, pharmaceuticals & dermo-cosmetics
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A S ensitive I ssue
We find out how La Roche-Posay is creating a better life for sensitive skin
La Roche-Posay is the No.1 skincare brand recommended by 25,000 dermatologists worldwide. It is a complete skincare range for all skin types, even the most sensitive and contains the soothing and softening antioxidant Thermal Spring Water from the town of La Roche-Posay in France. This antioxidant rich water is revered for its naturally occurring high levels of Selenium which plays an important role in cell metabolism helping to protect against free-radicals, participates in the inflammatory and immune processes, slows the process of cell ageing and helps protect against UV rays. Also high in silicates, which provide added protection to the skin, La RochePosay Thermal Spring Water is soothing and calming on atopic and irritated skin. Twelve in vitro and in vivo
tests, published in leading dermatological journals, have shown La Roche-Posay Thermal Spring Water to have moisturising, soothing, antioxidant, anti-inflammatory, healing, anti-pruritic and anti-irritant properties. Additive-free, it’s not exposed to any contamination, and does not undergo any chemical treatment from the time it is extracted to the moment it is packaged. The town of La Roche-Posay is also home to the Centre of Thermal Dermatology and over 50% of all dermatological spa treatments in France take place there. The centre treats a range of skin conditions including eczema and atopic dermatitis, psoriasis, burns and scarring, severe acne and redness. The French government see these treatments as medical therapies and many people are prescribed to go there through the French National Health Service. All of La Roche-Posay’s products undergo rigorous testing to ensure that they are suitable for even the most sensitive of skins and adhere to a strict formulation charter which makes sure that no extraneous ingredients are used; only ingredients which are key to the product’s efficacy are included. Our commitment to sensitive skin doesn’t end with the formulation of 46
our products; all of our packaging is designed to ensure hygiene and the preservation of the product. A Better Life With Sensitive Skin With 52% of UK women claiming to have sensitive skin and 42 million patients seen each year because of allergies, La Roche-Posay have developed a unique sensitest which has been carefully designed so that healthcare professionals and even consumers themselves can diagnose their degree of atopic, contact, vascular and environmental reactivity and so make an informed choice about which products will be best suited to their skin. La Roche-Posay‘s Toleriane Ultra is an intensely soothing product for people with ultra-sensitive and allergic skin. The formula for this product has been stripped down to the bare essentials, removing all potentially irritating or allergy inducing ingredients. Toleriane Ultra is preservative-free, paraben-free; alcohol, colourant and lanolin free providing immediate and lasting relief for those suffering from allergy-prone skin. Toleriane Ultra has been tested on 49 polyallergic patients reacting to at least two of the allergens listed on the Eurpoean Standard Series of Allergens and was found to have excellent tolerance. Toleriane Ultra has been awarded the seal of approval from Allergy UK, meaning that those with even the most sensitive, reactive skins can put their trust its formulation and efficacy. The Perfect Parnter to Prescription Medicine Much of the La Roche-Posay range is designed to provide the perfect adjunctive therapy to many prescription drugs used to treat serious skin conditions. For example, one in nine people in the UK suffer from
Eczema and the majority of these will be prescribed a topical steroid cream. Containing 4% Niacinamide, La Roche-Posay’s Lipikar Balm AP helps restore the skin’s barrier function and fights inflammation helping the skin to repair itself. Drugs prescribed for the treatment of acne such as Isotretinoin often provoke severe drying of the skin and lips, La Roche-Posay’s Effaclar H Mousse and Ceralip are formulated to cleanse and soothe skin and lips that have been dried and weakened as a result of prescription drugs. Sun Protection In addition to treating sensitive skin, it is equally important to protect it. La Roche-Posay’s broad spectrum sun care range Anthelios boasts over 21 clinical trials and is available in a range of textures to suit every skin type and preference. Anthelios is specifically formulated for those with sun sensitive skin and sun allergy sufferers and as such has been listed on the NHS. To support the sun safe message, this year we will once again be out on the road with the British Association of Dermatologists, promoting our joint mole and sun advice road show and educating the British public on how to be safe in the sun. La Roche-Posay has also been the proud winner of several awards including the Cosmopolitan Best Beauty Buy for Lipikar Baume AP and The Sunday Mirror, Celebs on a Sunday Best Spa Worthy Scrub for Physiological Ultra-Fine Scrub. If you would like to learn more about La Roche-Posay please contact 08708504338 or visit www.larocheposay.co.uk.
Some people don’t want you to know this.
Class IIa EU medical device rollers only £28.99 CE 0197 www.whitelotusantiaging.co.uk • firstname.lastname@example.org • 0845 600 6557
Product News SKINCEUTICALS INTRODUCES BRIGHTENING UV DEFENSE SPF 30 SkinCeuticals has launched a hydrating daily-use corrective and protective sunscreen to even out and brighten skin tone, whilst correcting and preventing the appearance of pigmentation. A broad-spectrum sunscreen with state-of-the-art UV filters, SkinCeuticals Brightening UV Defense SPF 30 has dual protective and corrective properties protecting skin from the range of UV rays known to cause unwanted pigmentation and accelerated ageing, whilst correcting existing signs of skin discolouration to encourage a brighter, smoother and more radiant complexion. Fragrance free and suitable for all skin types, Brightening UV Defense SPF 30 is designed to provide year-round UVA and UVB protection and up to 12 hours hydration. Enriched with mint extract, the formulation works to dramatically improve the uneven, dull appearance of photoaged skin, caused by prolonged sun exposure and excess melanin production. A lightweight, hydrating texture that is appropriate for use under make-up, Brightening UV Defense SPF 30 contains key ingredient HyperBright Complex - a compound targeting hyperpigmentation that reduces excess UVinduced pigmentation by 42.9%, whilst preventing the occurrence of future pigmentation. State-of-theart UV filters Mexoryl SX and XL provide superior, photostable protection against short and long UVA rays. Mexoryl SX and XL works synergistically with octinoxate and titanium dioxide to deliver broadspectrum UVA and UVB coverage that contains reduced sun filter chemicals, making Brightening UV Defense SPF 30 ideal for year-round daily use.
ABC Lasers launches the ‘Laser Face-Lift’ in the UK The newest innovation from Alma Lasers, the Harmony® XL Pixel Q Switch handpiece, has arrived in the UK via ABC Lasers. Described as ‘The Laser Face-Lift’ in the press, this latest addition to the Harmony® XL platform adds a double benefit in one modality. Firstly, unique thermal and mainly acoustic fractional laser provides impressive, fast and painless results with little to no downtime. Acoustic remodeling of collagen was found effective in the treatment of loose skin, skin rejuvenation, open pores, wrinkles and scars with even more impressive results when treating melasma. Secondly, the high power QS modality offers a powerful Tattoo Removal Laser and pigmentation treatment to a wide variety of inks and pigmentations colors including dark colors and a KTP adaptor for treating the lighter inks and also red/ brown variety of pigmentations. To watch a live demonstration of the treatment visit http://vimeo. com/39010473
AZTEC Services takes on Exclusive UK distributorship of Lutronic lasers and light systems ATEC services (UK) Ltd is proud to announce that it has taken on the exclusive UK distributorship of the Lutronic range of lasers and light based systems. The Lutronic range includes the Spectra Q-switched, frequencydoubled Nd:YAG laser for tattoos and pigmented lesions, eCO2 fractional CO2 laser for ablative resurfacing, Advantage 800nm diode laser for hair-removal, Mosaic 1550nm Er:Glass fractional laser for non ablative rejuventation, scars, wrinkles and hair-loss, Solaris IPL system, and the Healite LED system.
The New HydraFacial MD® Allegro™
Primcogent Solutions launches Lunula Laser
SkinBrands has announced the introduction of the newest model in the HydraFacial MD® series the Allegro™. A contemporary and compact countertop version of the HydraFacial , the Allegro™ is equipped with an intuitive touch screen, four serum ports and built-in storage. It also has a discreet treatment tray that keeps necessary supplies close at hand and a self-cleaning mode that saves preparation time between clients
Primcogent Solutions has announced the launch of Lunula Laser, a clinically proven, low level laser therapy for onychomycosis. Lunula Laser brings new hope to people suffering from fungal nail infections, providing a completely safe, pain-free treatment of onychomycosis in just two 12-minute treatments.
The Allegro™ is designed to work with the patented HydraFacial™ Cartridge Handpiece. Ergonomically designed for comfort, the cartridge is designed for comfort and has a contoured grip for easy application, which provides a measurable serum flow and is durable and easy to clean. The cartridge handpiece allows the practitioner to achieve higher profitability by interchanging specialty easy to use, compact solution vials to up sell the treatment. 48
Manufactured by Erchonia, Lunula Laser is based on Low Level Laser Technology (LLLT) and provides effective treatment of onychomycosis without the risks and harmful side effects of oral medication, or the pain and recovery time associated with other laser treatments. It combines two different wavelength lasers – one at 405 nm for direct fungicidal activity and one at 635 nm to stimulate a natural immune response – to provide effective clearing of the nail bed within three months. In a recent study of 105 toenails, clinicians observed a mean percentage change in clear nail bed of 30.4 percent, or 5 mm. Furthermore, 62 percent of toenails treated achieved at least a 25 percent increase in clear nail after 3 months, thus validating the use of Lunula Laser to target onychomycosis. The Lunula Laser has been specifically designed for use by physicians and their staff, requiring very little set-up time and no operator intervention, creating a complete walk-away treatment thanks to preset dosage times and output energies. This innovative therapy provides effective relief for patients after just two treatments, alleviating the pain and embarrassment of unsightly nail fungus by restoring growth of clear, healthy nails.
Visit us at FACE 2012 Stand OR17
GENUINE GERMAN MEDICAL ENGINEERING DO NOT ACCEPT SUBSTITUTES
• Stretch Marks
• Sun damaged & ageing skin
Genuine Dermaroller ™ Therapy ™ only available from trained practitioners and authorised Genuine Dermaroller ™ clinics.
• Facial and décolleté lines & wrinkles AU
• Acne Scars
ISED CL OR I TH
Make sure it’s a Genuine Dermaroller ™ with its German medical engineering, quality and safety assurance that is used to improve:
Genuine efficacy, quality & safety assurance
ISE D CL
For more information call:
0800 0195 322
It’s a Genuine Dermaroller™ if it’s manufactured by Dermaroller GmbH, Germany and you see the Dermaroller trademark logo
www.genuinedermaroller.co.uk Advanced evidence-based dermatological medical-devices, pharmaceuticals & dermo-cosmetics
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We summarise some of the most recent studies you may have missed Title: Validation of a Lip Fullness Scale for Assessment of Lip Augmentation Author: Kane, Michael, Lorenc, Z Paul, Lin, Xiaoming, Smith, Stacy R Published: Plastic and Reconstructive Surgery, May 2012, Volume 129, Issue 5, p822e–828e Abstract Background: Given the growing use of dermal fillers for cosmetic lip augmentation, a validated instrument with which to measure lip fullness is desirable in the clinic and as an efficacy endpoint in clinical studies. The authors developed and conducted a validation study of a Medicis-developed lip fullness scale. Methods: The Medicis Lip Fullness Scale consists of separate five-point scales for the upper and lower lips, with three photographs exemplifying each grade. Five board-certified dermatologists or plastic surgeons assessed 85 test photographs for each lip on two separate occasions for the first round of validation (photograph versus photograph). Three of the evaluators also graded lip fullness in 39 live subjects, followed 2 weeks later by scoring of the same subjects’ photographs for the second round of validation (live versus photographic). Results: Within-observer agreement between the two sequential photographic evaluations was almost perfect (weighted κ = 0.81). Between-observer weighted κ values ranged from 0.60 to 0.83 for the upper lip and 0.61 to 0.82 for the lower lip. Exact agreement between the live and photographic assessments of the same subjects was 60 percent and 52 percent for upper and lower lips, respectively. Conclusions: The Medicis Lip Fullness Scale showed high interrater and intrarater reliability in comparisons of test photographs and moderate to substantial reliability in live assessment of patients versus photographs. The Medicis Lip Fullness Scale is suitable for grading lip fullness in clinical trials.
Title: Low fluence–high repetition rate diode laser hair removal 12-month evaluation: Reducing pain and risks while keeping clinical efficacy Authors: Daniel Barolet MD Published: Lasers in Surgery and Medicine Volume 44, Issue 4, pages 277–281, April 2012 Abstract Background and Objective: High fluence diode lasers with contact cooling have emerged as the mainstay modality for hair removal. However, the use of these devices is associated with pain and side effects, especially in patients with dark or tanned skin. A novel concept of depilation at low fluence using 810 nm diode laser has been introduced as a solution to these shortcomings. The purpose of this study was to evaluate the lasting efficacy and safety of low-level fluence 810 nm (15 J/cm2) and high repetition rate (5 Hz) F1 Diode Laser™ therapy on hair reduction in patients with various skin types.
Study Design/Materials and Methods: This randomised, controlled, bilaterally paired withinpatient, double-blind study compared low level fluence 810 nm (15 Joules/cm2) laser diode therapy to nontreated shaved control areas on long-term hair
reduction. Seventeen patients with skin type II–V were treated four times at 1 month intervals. Hair count was assessed monthly over 10 months using an objective computerised method. Safety and tolerability were assessed by adverse reactions monitoring. Results: Statistically significant differences in hair count between treated and control sites were observed at each follow-up visit. The majority of patients reported a slight but bearable sensation of heat during the laser treatment, and transient erythema posttreatment. Conclusions: This study showed that laser hair removal with the F1 Diode Laser™ system was generally well tolerated, safe, and efficacious in this small sample study of patients with various skin types. After just four treatments, permanent hair reduction following one complete hair cycle has been shown. Controlled studies on larger groups of patients within each skin phototype are needed to confirm these promising results.
Title: A complete range of hyaluronic acid filler with distinctive physical properties specifically designed for optimal tissue adaptations. Authors: Segura S, Anthonioz L, Fuchez F, Herbage B, Wheeler T Published: J Drugs Dermatol. 2012 Jan;11(1 Suppl):s5-8.
Published: Journal of Cosmetic Dermatology Volume 11, Issue 1, pages 65–71, March 2012 Abstract: Background: Melasma is a common pigmentary disorder. Despite the availability of a wide range of skin-lightening treatments, melasma of skin remains a therapeutic challenge. Objective: The aim of this study was to evaluate the efficacy and safety of nanosome vitamin C iontophoresis and to compare the therapeutic effects of nanosome vitamin C iontophoresis vs. glycolic acid peel 70% in the treatment of melasma in Egyptian women. Methods: This study included 14 patients of melasma with skin type IV–V taken for a right–left comparison study of six sessions. Glycolic acid 70% peel was applied on the right side, whereas nanosome vitamin C was applied by iontophoresis on the other side. The results are evaluated using the melasma area and severity index score and with photographs at baseline and after six sessions. Also the photographs were evaluated by two single-blinded physicians before and after sessions. Results: Both sides were improved, but the side treated with nanosome vitamin C showed better results. Side effects were few and transient. Conclusion: We concluded that nanosome vitamin C is a new, safe and effective, easy and painless method in the treatment of melasma.
Abstract A new range of hyaluronic acid (HA) dermal fillers has been designed using Optimal Balance Technology™, which centers around three main parameters: the degree of cross-linking, the size of gel calibration and the HA concentration. The five different products in the range (HA E Touch, HA E Classic, HA E Lips, HA E Deep and HA E Volume) have the same concentration of HA (20 mg/mL) and various degrees of cross-linking and gel calibration, in order to have distinctive physical properties adapted to their specific indications. HA E Classic, HA E Deep, HA E Lips and HA E Volume are available in two different formulations either with or without lidocaine. The efficacy, safety and patient satisfaction of the HA E range in various indications have been assessed in several clissical studies. In this study, the rheological measurements of HA E Deep being the firmest gel within the range. Addition of lidocaine did not change the rheological properties of the HA E fillers. HA E fillers have three different degrees of gel calibration, with HA E Touch, HA E Classic and HA E Lips having the same smallest gel calibration and HA E Volume having the largest gel calibration within the range. Injection of all HA E fillers was smooth, regular, and required low extrusion force when using the Ultra Thin Wall (UTW)needle provided for each product. In summary, the HA E fillers have distinctive physical properties in terms of gel firmness and gel calibration, which were designed to adapt to their specific indications.
Title: A single-blinded comparative study between the use of glycolic acid 70% peel and the use of topical nanosome vitamin C iontophoresis in the treatment of melasma Authors: Rehab Mohamed Sobhi MD1, Ahmed Mohamed Sobhi MD2
Title: Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation Authors: Bryan Mendelson and Chin-Ho Wong Published: Aesthetic Plastic Surgery First Online Abstract In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated. Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure. Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation. It currently is clear that certain areas of the facial skeleton undergo resorption with aging. Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible. These areas resorb in a specific and predictable manner with aging. The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature aging. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results.
it make to H ow in a difficult market With yet another Euro crisis looming, our editor, Vicky Eldridge, talks to industry leaders on how to buck the trend and beat the market. In the first of a series of interviews, Karen Hill, MD of the Healthxchange gives us her top three tips for a successful cosmetic practice.
Cosmetic News: Karen, you are arguably one of the most successful businesswomen in the UK cosmetic medical market. How did you get here? Karen Hill: I started in the pharmaceutical industry with Boehringer and ended up running a national team of brilliant sales people. Together we not only stopped the decline of our cash cow but actually increased the turnover by 50%! After a MSc and a spell with Ansbacher, a private Bank, I took the plunge with the Healthxchange. The attraction was an intuitive, innovative senior management team with a ‘never say die’ attitude. It’s been an amazing experience and I have made so many great friends in the industry.
“Target your marketing. Many clinics have a strategy of throwing out a wide net to draw in patients. This is expensive and you have no control over the type of consultation such a strategy will bring in”
CN: If you had to pinpoint one factor that holds back growth in this market what would it be? KH: ‘Debt Intolerance’. Uncertainty and media noise has caused nervousness. Businesses are afraid to invest for fear of over committing. For many clinics this is irrational as revenues remain strong and borrowing interest rates are low. It is a perfect time to invest. The switched on companies understand this and have taken action e.g. SmartMed, marketing the hugely successful INTRAcel, have introduced a scheme whereby they will cover the first six lease payments for the clinic. In the intervening six months, even with low to moderate uptake, the clinic will earn enough to cover the whole cost of purchase. It is effectively getting a free INTRAcel.
CN: What are you three tips for success? KH: 1.
Surround yourself with great people, invest in them and you will get great results. Get a great receptionist ! She is your clinic’s public face and is a living representation of the private philosophy of the practice. Most patients will make their mind up what they think of the practice in the first 45 seconds, long before you ever get to see them! Training is important. Have protocols for answering the phone, handling complaints,
meeting and greeting patients, keeping them informed and comfortable if there is a delay and the subtle art of making settling the bill a pleasure. Pay attention to the detail. Never work alone. Get a great nurse colleague to support and work with you. Your injecting and treating time is valuable and an expert nurse can be arranging consents, discussing charges, applying anaesthetic and cross marketing other treatments when you are seeing the next patient. Surround yourself with colleagues that you can call upon to discuss difficult cases and refer to. Don’t forget the support you can get from your sales reps. They can help organise an open evening, advise on marketing campaigns and its free! Cover your costs with horizontal earnings. Most injectors, surgeons and doctors earn fees on an ‘item for service basis’. The harder you work the more you make. This can sometimes seem like being on a treadmill. I have even heard some professionals say they don’t like to take time off for holidays as all they can think of are the mounting costs while they are away from the clinic. Horizontal earnings are called that because they can make you money whilst lying on a bed or sun lounger. Sounds ideal doesn’t it! The easiest way to do this is to introduce a cosmeceutical range into the clinic, such as Obagi. In the US some clinics add 50% onto their total revenues with very little added effort or cost. Look to make money from your assets e.g. rent rooms out when you are not using them, choose professionals offering related services e.g. a plastic surgeon, or train your nurse to perform hair
removal, skincare consultations and laser work all of which will turn a cost into a revenue source. Target your marketing. Many clinics have a strategy of throwing out a wide net to draw in patients. This is expensive and you have no control over the type of consultation such a strategy will bring in. The return on investment is often low and hard to measure. A much more effective way to market is directly to your database. These are patients who already know about your services and are often advocates for your clinic. Collect email addresses, ask consent to send information and ensure your reception staff update information every time a patient attends the surgery. In a very short time you will have a ‘clean email contact list’. Be careful that you send balanced, interesting information about your services. One e-shot can drive as much as 30% additional business for up to three months and it costs very little to do. The Healthxchange is developing an electronic magazine which can be bespoke for individual clinics specifically aiming at the electronic marketing market. No ads just great information! Hold your nerve, stay true to your values and beliefs, I believe you get what you pay for, its better to decide am I a quality professional and do I deserve to be paid for that or do I want to adopt a stack ‘em high flog ‘em cheap option? My view? Stay away from cheap! And short term tricks like Quidsin and Groupon. It is often a false economy, cannibalises your own market, drives down your own prices and does not smack of quality professionalism you can rely on.
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U p wa r d ly M obile Caelen King CEO of WhatClinic.com gives an insight into the explosive growth of mobile internet devices and the potential pitfalls facing cosmetic clinics
C aelen King Caelen King is the founder and CEO of WhatClinic.com. He is a serial entrepreneur and has been involved with numerous successful global ventures to date. His latest venture WhatClinic.com, is a pioneering website that provides consumers with free information about medical facilities and services nearest to them. Already, WhatClinic.com has had over 15 million website visits and 11.5 million unique visitors. Over 100,000 clinics worldwide are listed and WhatClinic.com has received 14,000 consumer reviews about medical services they received through the website. King is no stranger to operating in the IT field having previously served as Vice President of products at NewBay Software.
According to BUPA’s 2011 Health Pulse Report 70% of people in the UK use the internet to access health information, and with British interest in cosmetic surgery at an all time high clinics have no choice but to create an online presence to help attract new customers. However, the rapidly evolving nature of how consumers access the internet means that even the most recently designed clinic websites could be causing unexpected problems for potential patients. A simple check to make sure a clinic’s website works properly on the most common mobile phones and tablets could make the difference between gaining new customers or losing them to a savvier rival. The Internet On The Go There is a growing body of evidence to show that mobile and tablet internet usage is expanding at break-neck speed in the UK. According to the Office for National Statistics in 2011, an extra six million people used their mobile phone to access the internet compared to 2010 (1) and now for the first time more people in the UK say they use a smartphone (89%) than a laptop or desktop computer (75%) (2) to go online. Google also conducted research in January 2012 to compare smartphone usage in the US, the UK, Germany, France and Japan and found that the UK had the highest penetration of smartphone ownership at 45% of the population. It also found that 54% of smartphone users were accessing the internet on their phone on a daily basis. Growing smartphone ownership and usage is translating into traffic for health related websites too. For example, WhatClinic.com, a consumer search engine for medical services and facilities, has seen mobile phone traffic increase by 23% in the last month alone (3), and by a staggering 339% comparing April 2012 to April 2011. Mobile and tablet traffic to the website now accounts for more than 23% of the site’s total traffic. In the past, the web browsers on most smartphones were not able to handle all the technological features of modern websites, requiring website owners to build mobile specific versions of their sites. Thankfully phone browsers have come on in leaps and bounds recently but there are still some potential pitfalls that clinic owners can take some simple steps to avoid.
Questions To Ask Yourself About Your Website •
The first thing to check is does the page look relatively normal when viewed on a phone browser, or are pieces overlapping or missing unexpectedly?
Second, can users read the text without having to zoom and scroll excessively?
Do the navigation links still work on a mobile device or are they too small for fingers to click on?
And finally, and most importantly, can mobile users still email you, use your contact form, or find your phone number easily?
These simple checks can help to quickly identify reasons that consumers might be having trouble using a website on a mobile device, and often the bugs they identify can be fixed simply. Some clinics might not want to stop there though, and in order to get ahead of their competition they might consider entering the burgeoning “apps”
“Consumers using mobile phones to search and browse the internet are like any other; if a website doesn’t work as expected they will just move on and find another one”
Should You Build An App For Your Clinic?
Turning A Mobile Visitor Into A Customer
Applications (or to give them their shorter name - apps) have spread like wildfire in
While the decision to either plum for an application or to simply test and tweak
tandem with the massive rise in smartphone use amongst UK consumers. According
your website for mobile devices may be an easy one depending on the finances
to a BBC report, 1.2 billion apps were downloaded worldwide in the last week of
at your disposal, there is one common objective for all online clinics: maximising
December 2011 alone (4).
their conversion rates. Put simply, a conversion rate measures the percentage
This research also showed how staggeringly popular apps are in Britain, with more
of visitors to a website who go on to take an action. For online shops the action
downloads here (at 81 million) than Germany (at 40 million) and France (also at
is usually a purchase of some sort. For cosmetic clinics the goal is somewhat
40 million) combined. With such unprecedented growth, clinic owners are asking
different, with the aim being to get the visitor to email or phone the clinic to ask a
themselves would it be worth creating an app for their business?
question and/or book an appointment.
There are both pros and cons that need to be weighed up before embarking on the
For clinics wondering whether mobile visitors would go to the trouble of using
road to creating, developing and introducing an app into the marketplace.
an email form on a website, the answer is emphatically yes. A year ago mobile
First things first, creating an app isn’t cheap. Most clinics won’t have computer
visitors to WhatClinic.com converted at just 61% of the average rate of visitors
wizards within their ranks and will need to hire an agency or a freelance developer
to the site. Today they convert at 83% of the average rate, and soon there will be
to build the app. A good developer will cost an average of £60-90 per hour, and
no difference at all. And therein lies the secret. Mobile internet users are just the
you can expect to pay for weeks rather than days of work. Similarly you’d be hard
same as “regular” internet users when a website works properly for them. They are
pressed to get any reputable agency to build an app for under £10,000 and there is
not just browsing while they’re on the tube or the bus. They are getting things
no upper limit on what it can cost, with some popular apps rumoured to cost over
done, and if they take the time to visit your website you’re going to want them to
six figures to develop.
be able to take that all important action to contact your clinic as easily as if they
Adding to the potential cost is the fact that different smartphones have different
were on their computer at home.
operating systems (OS) with Android and Apple leading the way in terms of market share. According to research this year, Google’s Android system now has the largest
Take Advantage Of A Growing Market
share of UK consumers at 36.9%, with Apple just behind at 28.5% (5). This is an
Even though an app may currently be financially out of reach for most clinics, their
essential consideration for any clinic creating an app as it must be made separately
existing websites, perhaps with a few small changes, should be able to offer mobile
for each mobile platform, so there will need to be an iPhone version, an Android
consumers everything they need to do their research and go on to make contact.
version and even Windows Phone and Blackberry versions if you wish to achieve full
With increasing consumer usage of smartphones and tablets, clinics can no longer
afford to ignore the potential lost business resulting from an incompatible or unusable
One of the biggest question marks over apps for clinics though has to be the
website. After all, consumers using mobile phones to search and browse the internet
transient nature of the typical patient relationship. For cosmetic surgery clinics it is
are like any other; if a website doesn’t work as expected they will just move on and find
unlikely that a patient is going to need to interact with the clinic often, other than at
another one. In the current economic climate can any clinic owner allow that to happen?
the time of treatment, in which case the patient is unlikely to keep the app installed on their mobile device even if they do download it. For all that naysaying though, applications do have some specific advantages over
websites. Using push notifications (this is where an app user is alerted like a text message), clinics can remind patients directly through their app about upcoming appointments, special offers, and general clinic updates. Apps can also offer a private channel of communication between patients and clinic staff if an individual has privacy concerns about their email accounts. Developing an app is a serious and costly undertaking that shouldn’t be entered into lightly, and is likely to remain the domain of the multi clinic chains or groups for the time being.
• • • •
Internet Access-Households and Individuals, Mobile Internet Connections, 2011, Office for National Statistics - http://www.ons.gov.uk/ons/rel/rdit2/internet-access---households-and-individuals/2011/stbinternet-access-2011.html#tab-Mobile-Internet-Connections Mobile Internet & Smartphone Adoption, January 2012, Google - http://services.google.com/fh/files/ blogs/Final_Mobile_Internet_Smartphone_Adoption_Insights_2011v3.pdf Comparing WhatClinic.com traffic between April 1st to April 30th 2012 with the 30 days from February 26th to March 26th Apps downloads hit record high in last week of December, 3 January 2012, BBC Online - http://www.bbc. com/news/technology-16391730 Android is most-used smartphone OS in UK, overtaking Apple, data shows, 21 February 2012, The Guardian - http://www.guardian.co.uk/technology/2012/feb/21/android-smartphones-os-uk-apple
G oing for G old Dippalli Naik of Sydney Mitchell Solicitors on the challenges employers may face during the Olympics
The Olympics are due to kick off next month on July 27 and will continue until August 12, followed swiftly by the Paralympics from August 29 to September 9 and already Olympic fever is building. However for employers the Olympics will present a number of challenges in the workplace, not least the possibility of increased absenteeism, loss of focus and concentration and heightened emotion, which could lead to clashes. There will also be employees who may not be interested in the games but who could still be affected by the actions of others.
those employees that are not interested in the Olympics and ensure they are not disadvantaged by the working arrangements – balance is key.
Staff Levels Depending on the nature of the business, employers may actually need to consider whether additional staff are needed during the Olympics. For example businesses in the hospitality and transport industries may be directly affected by the games and might experience an increase in workload to deal with the influx of tourists and UK residents alike. If this is the case, employers should note: •
Temporary agency workers are now protected to some degree by the Agency Worker Regulations 2010 and will gain certain rights immediately on hiring and after 12 weeks service. It may therefore be better to avoid using
The key to dealing with these issues during the coming
agency workers and consider asking existing staff to agree
months is managing employee expectations and forming a
to temporarily vary their contracts to allow for more hours,
strategy for any issues that could arise. Employment specialist
overtime or flexibility generally.
Dippalli Naik of Sydney Mitchell Solicitors suggests some practical steps that can be taken to ensure a balance is struck
between the needs of a business and the enthusiasm of its employees during this intense period:
It will not come as surprise to discover that sporting events like the Olympics result in increased absence levels from
work, either because employees want to stay at home and support their country or because they have been out
On game days, events will often be happening during normal
celebrating or commiserating too much! However the
working hours. Therefore it is highly likely that employers will
effects of such absences can be very serious for a business so
face pressure from employees eager to support their country
employers need to:
at all times of the day. To deal with this, employers should consider:
Remind employees of the sickness absence policy and the repercussions for not following it, particularly in relation to
Be flexible – there is no legal right to take time off during the Olympics much to the chagrin of many people!
employees coming to work hung over and therefore less
flexible working arrangements such as altering start and
productive, taking time off to recover from a heavy night or
finish times during the working day using a rota and extending the lunch hour. They can also allow employees • 56
Reiterate the policy for alcohol and drugs use to avoid
However employers can agree, where possible, temporary
drinking on the work premises. •
Determine whether an absence is related to the games
to make up missed hours on other days in the week.
or genuine – this can be addressed using return to work
If this is a viable option it is also important to remember
“It will not come as surprise to discover that sporting events like the Olympics result in increased absence levels from work” Communication Talking to your employees openly about the Olympics and their plans during the period can prevent many difficulties arising and increase morale. Why not try one of the following: Arrange a team talk to discuss with employees what they would like to do during the working day and how they intend to manage their time. In this way employers can make informed decisions about their resources. Discuss with employees whether facilities can be provided or allowed at work to accommodate the employees’ desires to watch certain events. Ideas such as creating a TV room for people to watch matches at break times, allowing radios to be on during the day and relaxing the internet policy so that matches can be watched online have all been entertained by businesses during previous sporting events.
Multicultural Sports like the Olympics reflect the diverse society we all live in and will engage people from all backgrounds, nationalities and races. The Olympics presents an ideal opportunity for employees to bond with their employers and each other and encourages friendly banter and camaraderie. However, in all the excitement it is possible for people to overstep their boundaries and comments about the games, the teams/individuals and the tactics could risk turning into racial slurs, nationalistic harassment and discrimination. To avoid this type of behaviour occurring, employers should focus on: Treating all employees in the same way regardless of race, sex or nationality. For example, if you allow Team GB supporters time off to watch a team event, you should apply the same policy to non-GB nationals who want to watch their own national team. Likewise, do not assume that only men will be interested in the games and remember that those who are not interested in them should still be treated fairly and not excluded from the festivities. Publicising the equal opportunities policy and any non-harassment/bullying policy to ensure employees are familiar with their obligations and understand that any offensive behaviour will not be overlooked and will be dealt with through a disciplinary process.
Conclusion You may want to consider preparing a memo on how you intend to deal with the Olympics and if you do this (with or without consultation with the workforce) please ensure you take into account the above points. Any note should avoid being overly complicated and you may want to speak to or pass the note through your solicitor to ensure it is compliant with employment law. This year’s Olympics will be the biggest sporting event to hit the UK in living memory and this will exacerbate the intense feelings that come with great sporting events. Whilst such a major event could pose problems for businesses none of them are insurmountable and it can be used to engage positively with employees, increase morale and encourage mutual respect and goodwill. If nothing else it will lift the spirits of the UK during this tough recession and encourage people to come together. So lets embrace it!
Day in the Life
D o c t o r s orders Antonia Mariconda chats to Dr David Eccleston about a typical day in his life
ediZen is a Premier Award Winning Cosmetic and Laser Hair Removal Clinic. Medizen have helped thousands of Men and Women to Look better and Feel More Confident over the last 10 years. Registered with the Treatments You Can Trust Scheme and The Care Quality Commission, The Friendly staff, excellent pre-procedure advice, marvellous technology, and wonderful postprocedure care, make Medizen a truly desirable aesthetic clinic. At the helm of this fabulous enterprise is MediZen’s Clinical Director is Dr David Eccleston, spending a day with this aesthetic Guru was a fascinating voyage of discovery and rejuvenation. “I’ve always been an early bird and a typical day starts at 6.00am for me I normally start my day with a cup of tea and then a banana and handful of nuts, I recently went on a health crusade and have lost more than ten kilos of weight, the decision to do something about my way was prompted from years of staring at the suits in the back of my wardrobe and wondering if I would ever ‘one day’ get back into them again, this with the reality of almost turning 50 was enough to give me the big kick up the backside that I had needed after a decade of deliberation. When breakfast is done I put in an appearance at the gym around 7.am I never thought I’d be a gym enthusiast less so one at 7am in the morning! but never say never. Clocking in at the gym daily gives me the mental clarity I need to get through the day, I am physically and mentally much better off for having made the changes in my life recently that I have. My drive to work takes me ten minutes Medizen is located in Mere Green, Sutton Coldfield, in Birmingham. I listen to Radio 2 Chris Evans, simply because I think it has the right mix of music and irreverent chat. I arrive in the morning usually around 9am Once in I think one of the first things I do is check the diary and see how the day is shaped out for
me, I then meet with our clinic manager to discuss any clinic issues such as particular patient enquiries, staff sickness, staff training, stock levels, bonus schemes for staff those kinds of day to day issues. Once this is tidily dealt with, it’s my coffee time where I chat with my lovely receptionists and aestheticians who fill me in on what’s been going on front of house, they’re a lively bunch but an essential part of the operation and without each of them performing their roles Medzien would not be the place that it is. I start my morning clinic by seeing a series of patients for Botox, fillers, laser resurfacing, facial sculpting and cosmetic consultations. Medizen has a broad spectrum of patients and clients but we cater predominantly to 30-50 year old mums, professional women and men, with some footballers wives and girlfriends and local celebrities. I can see anything from six to ten patients myself in one morning clinic. I break for lunch at the end of the morning clinic; these days lunch for me usually consists of a healthy salad or sandwich at my desk, but if I’m lucky meet my wife for lunch. Annie, my wife is an Aesthetic Nurse Practitioner at MediZen, we’ve been together over 20 years and as a result have two wonderful kids Laura,17 Nick, 16 Since graduating from Birmingham University in 1987, to be a general practitioner of medicine I have always held a deep-rooted special interest in dermatology which has spanned over 20 years. I believe I made the right career choice as my profession allows me to utilise my artistic and practical skills, plus I meet lots of lovely people both as clients and colleagues. Some of the ‘not so great’ aspects of this job is having to break the news to clients who have unrealistic expectations in terms of what they are ‘aesthetically’ looking to achieve, but I believe honesty and transparency is the best approach and the safest for the patient. A typical afternoon will be the much the same as the morning, though I do a lot of clinical
trial work and am currently running studies on lip enhancement, facial volumising, acne and botulinum toxin. I will usually meet a colleague or company rep a couple of times a month over a longer lunch. At the moment I am spending time on developing my training and media skills in preparation for more travel and lecture tours abroad. Another great project I am working on is Human fibroblast transplantation for acne scarring, there are some great developments occurring in this area. I do very much love my work and am inspired by the work of Tim Flynn, Koen de Boulle, Mauricio de Maio. Much like those guys I take great pride in my work and I think one of my proudest moments was being invited t South Africa to train fellow colleagues on toxin techniques. There is much scope for improvement in our industry and personally I would like to see some positive changes transpire such as a stop to non-medical personnel injecting toxins and fillers, I believe a speciality such as cosmetic medicine should only be accessible by trained nurses, doctors and dentists. This industry does need tighter regulation and I advocate the ban of remote prescribing - it is unethical. My average working week is around 50 hours, but I think you tend to notice long working days less if you love your work and enjoy positive results. My day unwinds by retreating to the sanctuary of home to fine food and wine, cooking, spending time with family and friends, skiing, travelling and spending time on my motor yacht, ‘BoatOx’. My reflection for today? Take time out to smell the coffee.
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Dates for the Diary
1 Cosmetic Courses Chemical Peel & Medical Microdermabrasion Course, www.cosmeticcourses.co.uk 2 Innomed Training Botulinum Toxin in Facial Aesthetics: New Users (incl. all major brands), London, www.innomedtraining.co.uk 2 Basic Botox Training, Newport South Wales, www.honeyfizz.co.uk 3 Basic Dermal Filler Training, Newport South Wales, www.honeyfizz.co.uk 3 Innomed Training Dermal Fillers Facial Aesthetics: New Users to Hyaluronic Acid, London, www.innomedtraining.co.uk 4 Genuine Dermaroller™ Medical Device Training, Yorkshire, www.genuinedermaroller.co.uk 6 Refresher/Intermediate Toxins and Fillers, London, www.wigmoremedical.com/events 7 Dr Bob Khanna Training Institute, Dermal Fillers – Advanced, www.drbobkhanna.com 8 Dr Bob Khanna Training Institute, Oral Facial, www.drbobkhanna.com 8 Sculptra, London, www.wigmoremedical.com/events 9 Advanced Toxins and Fillers, London, www.wigmoremedical.com/events 9 Botulinum Toxin and Dermal Fillers Advanced Course, Birmingham, www.aesthetox.co.uk 11-12 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 12 Medex Training, Level 2 Advanced HA Filler Lip Course, Loughborough, firstname.lastname@example.org 14 Laser/IPL Core of Knowledge, Birmingham, www.lasersafe.co.uk
17 Holistic Skin Needling, www.whitelotusantiaging.co.uk 18 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners, www.drbobkhanna.com 18 Areola Artistry Workshop, The Royal College of Surgeons, London, 0845 230 1210/1310. 18 Medik8 Titanium Derma Roller, London, www.wigmoremedical.com/events 18-22 Btec Award Laser, Light and Associated Aesthetic Therapies, London, www.mapperleypark.co.uk 19 Introduction to Skincare and Peels, London, www.wigmoremedical.com/events 19 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced, www.drbobkhanna.com 19 Genuine Dermaroller™ Medical Device Training, London, www.genuinedermaroller.co.uk 19 Medex Training, Level 1 Basic HA Filler, Loughborough, email@example.com 20 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, www.drbobkhanna.com 20 Introduction to Botulinum Toxins, London, www.wigmoremedical.com/events 21 Introduction to Dermal Fillers, London, www.wigmoremedical.com/events 22 CPR and Anaphylaxis update, London, www.wigmoremedical.com/events 23 Microsclerotherapy, London, www.wigmoremedical.com/events 23 Foundation Level Botulinum Toxins and
1 Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation: New Users, London, www.innomedtraining.co.uk 2-3 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 2 Genuine Dermaroller™ Medical Device Training, London and Yorkshire, www.genuinedermaroller.co.uk 3 Medex Training, Microsclerotherpy, Loughborough, firstname.lastname@example.org 5-6 SkinMedica Training, London, www.SkinBrands.co.uk 7 Chemical Peel Course, Birmingham, www.aesthetox.co.uk 7 Cosmetic Courses Foundation Botulinum Toxin & Dermal Fillers Course, www.cosmeticcourses.co.uk 9-10 Medik8 Training, Cheshire, www.SkinBrands.co.uk 10 Dr Bob Khanna Training Institute, Gel Peel, www.drbobkhanna.com 10 Medex Training, Level 3 MasterClass Toxin, Loughborough, email@example.com 11 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners, www.drbobkhanna.com 12 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced, www.drbobkhanna.com 12 Laser/IPL Core of Knowledge, London, www.lasersafe.co.uk 13 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, 4 Botulinum toxin and dermal fillers Foundation Course, Birmingham, www.aesthetox.co.uk 4 Refresher/Intermediate Toxins and Fillers, London, www.wigmoremedical.com/events 6-7 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk 7 Sculptra, London, www.wigmoremedical.com/events 8 Dr Bob Khanna Training Institute, Botulinum
We round up upcoming events, training courses and meetings
Fillers, Inverness, www.inspiredcosmetictraining.com 23 Marketing Your Medical Aesthetic Business, Inverness, www.inspiredcosmetictraining.com 23 Foundation level, Botox and Dermal Filler Training course, Inverness, www.inspiredcosmetictraining.com 23 Botulinum Toxin and Dermal Fillers Foundation Course, Birmingham, www.aesthetox.co.uk 23 Cosmetic Courses Foundation Botulinum Toxin & Dermal Fillers Course, www. cosmeticcourses.co.uk 25 Genuine Dermaroller™ Medical Device Training, Scotland, www.genuinedermaroller.co.uk 25 GloMinerals, London, www.wigmoremedical.com/events 25-26 Medik8 Training, Cheshire, www.SkinBrands.co.uk 25-29 Specialist Nano-Mesotherapy Training Courses for Skin and Hair with Dr Gabriela Mercik, Belfast and Omagh, firstname.lastname@example.org 26 Medex Training, Level 2 Advanced HA Filler - Lower Face Shaping, Loughborough, email@example.com 26-27 SkinCeuticals Training, London, www.SkinBrands.co.uk 29 Genuine Dermaroller™ Medical Device Training, Hampshire, www.genuinedermaroller.co.uk 30 Innomed Training Chemical Peeling Systems: Comprehensive Course for New Users, London, www.innomedtraining.co.uk
www.drbobkhanna.com 13 Advanced Toxins and Fillers, London, www.wigmoremedical.com/events 15 Holistic Skin Needling, www.whitelotusantiaging.co.uk 16 Medik8 Titanium Derma Roller, London, www.wigmoremedical.com 16 SkinMedica Training, Cheshire, www.SkinBrands.co.uk 17 Medex Training, Level 4 Canula Filler Masterclass, Loughborough, firstname.lastname@example.org 17 Intro to Skincare and Peels, London, www.wigmoremedical.com/events 18 Intro to Dermal Fillers, London, www.wigmoremedical.com/events 19 Intro to Botulinum Toxins, London, www.wigmoremedical.com/events 19 Medex Training, Genuine Dermaroller Training , Loughborough, email@example.com 21 Botulinum Toxin and Dermal Fillers Foundation Course, Manchester, www.aesthetox.co.uk 21 Botulinum and Dermal Filler Foundation Course with Mr Chris Inglefield, www.medicacpd.com 23-27 Specialist Nano-Mesotherapy Training Courses for Skin and Hair with Dr Gabriela Mercik, Belfast and Omagh, firstname.lastname@example.org 24-25 SkinCeuticals Training, London, www.SkinBrands.co.uk 26 Medik8 Roller, London, www.SkinBrands.co.uk 26 CPR and Anaphylaxis update, London, www.wigmoremedical.com
Toxin - Beginners, www.drbobkhanna.com 8 Genuine Dermaroller™ Medical Device Training, Yorkshire, www.genuinedermaroller.co.uk 9 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced, www.drbobkhanna.com 10 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners, www.drbobkhanna.com 13-14 Medik8 Training, Cheshire, www.SkinBrands.co.uk
18 Botulinum toxin and dermal fillers Advanced Course, Birmingham, www.aesthetox.co.uk 21-22 SkinCeuticals Training, London, www.SkinBrands.co.uk 22 Genuine Dermaroller™ Medical Device Training, London, www.genuinedermaroller.co.uk 23 Laser/IPL Core of Knowledge, Glasgow, www.lasersafe.co.uk
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onfidence is Reliable1,2 Rewarding3 Performance4,5 BOTOX® is licensed for the treatment of moderate to severe glabellar lines Delivers long-lasting patient satisfaction, time after time2,3 Has been used for over 20 years in over 26 million treatment sessions worldwide6 Is the world’s first and most studied botulinum toxin*7
BOTOX® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 or 100 or 200 Allergan Units/vial. Indications: Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar lines), in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years. Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: total dose 20U. Contraindications: Known hypersensitivity to any constituent. Infection at proposed injection site(s). Warnings/Precautions: Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Do not exceed recommended dosages and frequency of administration. Adrenaline and other anti-anaphylactic measures should be available. Reports of side effects related to spread of toxin distant from injection site, sometimes resulting in death. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with underlying neurological disorder and history of dysphagia and aspiration. Patients should seek medical help if swallowing, speech or respiratory disorders arise. Clinical fluctuations may occur during repeated use. Too frequent or excessive dosing can lead to antibody formation and treatment resistance. The previously sedentary patient should resume activities gradually. Caution in the presence of inflammation at injection site(s) or when excessive weakness/ atrophy is present in target muscle. Caution when used for treatment of patients with peripheral motor neuropathic disease. Use with extreme caution and close supervision in patients with defective neuromuscular transmission (myasthenia gravis, Eaton Lambert Syndrome). Contains human serum albumin. Procedure related injury could occur. Interactions No interaction studies have been performed. No interactions of clinical significance have been reported. Theoretically, the effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of excessive neuromuscular weakness. Pregnancy: BOTOX® should not be used during preganancy unless clearly necessary. Lactation: use during lactation cannot be recommended. Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). In general, reactions occur within the first few days following injection and are transient. Pain/burning/stinging, oedema and/or bruising may be associated with the
injection. Frequency By Indication: Defined as follows: Very Common (> 1/10); Common (>1/100 to <1/10); Uncommon (>1/1,000 to <1/100); Rare (>1/10,000 to <1/1,000); Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection. Psychiatric disorders. Uncommon: Anxiety. Nervous system disorders. Common: Headache. Uncommon: Paresthesia, dizziness. Eye disorders. Common: Eyelid ptosis. Uncommon: Blepharitis, eye pain, visual disturbance. Gastrointestinal disorders. Uncommon: Nausea, oral dryness. Skin and subcutaneous tissue disorders. Common: Erythema, Uncommon: Skin tightness, oedema (face, eyelid, periorbital), photosensitivity reaction, pruritus, dry skin. Musculoskeletal and connective tissue disorders. Common: Localised muscle weakness, Uncommon: Muscle twitching. General disorders and administration site conditions. Common: Face pain, Uncommon: Flu syndrome, asthenia, fever. The following other adverse events have been reported since the drug has been marketed: dysarthria; abdominal pain; vision blurred; pyrexia; focal facial paralysis; hypoaesthesia; malaise; myalgia; pruritus; hyperhidrosis; diarrhoea; anorexia; hypoacusis; tinnitus; radiculopathy; syncope; myasthenia gravis; erythema multiforme; dermatitis psoriasiform; vomiting and brachial plexopathy; rash; psoriasiform eruption; anaphylactic reaction (angiodema, bronchospasm); alopecia and madarosis. Adverse reactions possibly related to spread of toxin distant from injection site have been reported very rarely (exaggerated muscle weakness, dysphagia, or aspiration pneumonia which can be fatal). NHS Price: 50 Units: £77.50, 100 Units: £138.20, 200 Units £276.40. Marketing Authorization Number: PL 00426/0074 Marketing Authorization Holder: Allergan Pharmaceuticals (Ireland) Ltd., Westport, Co. Mayo, Ireland. Legal Category: POM. Date of preparation: November 2011.
Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk Adverse events should also be reported to Allergan Ltd. UK_Medinfo@allergan.com or 01628 494026. References: 1. De Almeida A et al. Dermatologic Surgery 2007;33:S37–43. 2. Carruthers A et al. J Clin Res, 2004;7:1–20. 3. Stotland MA et al. Plast Reconstr Surg, 2007;120:1386–1393. 4. Beer KR et al. J Drugs Dermatol, 2011;10(1) :39–44. 5. Lowe et al. Am Acad Dermatol, 2006;55:975-980. 6. Allergan data on file. BOTGL/001/SEP 2011 7. Allergan Data on File VIS/006/JUL2011. *Allergan botulinum toxin type A. Global figures. Launched in 1989 in the US. UK/1010/2011 Date of Preparation November 2011