Cosmetic News March 2011

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THE VOICE OF YOUR INDUSTRY register online now for free trade entry to the uk’s only free of charge medical aesthetics trade show. www.cosmeticnewsuk.com

www.cosmeticnewsuk.com MARCH 2011

The new Hyaluronic Acid with lidocaine ‘Emervel’ The optimal balance technology

CR O S S L I N K ED HYA LURO NIC A C ID

ALSO IN THIS ISSUE injectables special Botulinum toxin

secret smile Cosmetic dentistry

lethal injectors?

Should beauty therapists inject?

Introducing Ultherapy...

Ultra Response. Ultra Lift. Ultra Sound.

The First and Only Device

for Non-Invasive Lift

FDA-Cleared

for Facial Aesthetic Improvement A whole new category of treatment, offering a non-invasive option for treating lax skin.

New Application

of Trusted

Ultrasound Technology Micro-focused ultrasound that allows practitioners to SEE layers of dermal and fibro-muscular tissue and then TREAT targeted layers with unprecedented precision – all without disrupting intervening tissue.

Consistent Clinical Efficacy Predictable, reliable outcomes through proper patient selection and optimized treatment parameters

see us at stand 53

ÂŽ

UK Sales Director Phillip Andrews 07825 442 968 p.andrews@ulthera.com Ulthera.com

EDITOR’S LETTER Welcome to the March issue of Cosmetic News.

While statistics on the cosmetic surgery industry are readily available, stats on the non-surgical side of medical aesthetics are few and far between. As such at last year’s Cosmetic News Expo we decided to carry out a survey on aesthetic trends, the results of which received impressive amounts of coverage in the national press. This year we are planning to do the same and, with the event just two months away, we are asking our readers to take some time out to fill in our survey either on line at www. cosmeticnewsuk.com or via the magazine (see page 18-20). Your feedback is invaluable so we would really appreciate your involvement in helping us to create some exciting data about the trends and latest developments in our industry. On to this month’s issue…

Injectables are the staple treatments of every successful aesthetic practice and none more so than botulinum toxin. In the last two decades boutlinum toxin has established itself as the gold standard in anti-ageing treatments with two products (Botox® and Dysport®) leading the way, however in the last two years we have seen not only the newly licensed cosmetic version of Dysport®, Azzalure®, emerge onto the market but also another player – Xeomin®/Boucoture®. As part of this month’s special feature we will be looking at how the botulinum toxin market has grown and developed in recent years, and examining the different products (p3032).

As well as this we also be asking key industry opinion leaders for their views on beauty therapists injecting botulinum toxin and dermal fillers (p28-29) and speaking to Dr Stefanie Williams about her new foray into the world of art (p23-24). We will also be looking at trends in teeth straightening and whitening (p36-37) and looking at how to write a business plan (p47-48).

Happy reading!

Vicky

“Injectables are the staple treatments of every successful aesthetic practice and none more so than botulinum toxin which has established itself as the gold standard in antiageing treatments in the last two decades”

s so ne he re g ai t t ng in doc ed a co om Li nt C C ith rese AW co) w e p ing A ona b M To com ( th

r fo

on

You can’t go back in time, but your skin can see us at stand 43

For more information contact your territory manager, call 020 7976 3290 or visit www.q-medpractitioner.com/uk Q-Med (UK) Ltd, 6th Floor, 10 Dean Farrar Street, London SW1H 0DX

Restylane is a trademark owned by Q-Med AB

s

Restylane Vital™ and Restylane Vital™ Light are innovative, injectable treatments for skin revitalisation, restoring skin elasticity and improving skin tone - providing a natural, refreshed look.

Editor’s choice

CONTENTS 4

EDITOR’S CHOICE

6

INDUSTRY NEWS

The Fusion Meso-pen

We round up the latest industry news

14 VOICE OF THE INDUSTRY

‘Knife Coach’ Wendy Lewis gives her predictions on 2011 aesthetic trends

16

EXPO PREVIEW

18

AESTHETIC TRENDS SURVEY

23

The latest on the event of 2011 – the Cosmetic News Expo

Our aesthetic trends survey is back and we are asking for your feedback on the treatments, products and issues shaping the market

PEOPLE IN PROFILE

We speak to dermatologist Stefanie Williams about her new foray into the world of ‘skin art’

28-32 INJECTABLES SPECIAL 28

THE BIG DEBATE

30

SPECIAL FEATURE: BOTULINUM TOXIN

34

TREATMENT SPOTLIGHT

36

COSMETIC DENTISTRY

40

PRODUCT FOCUS

42

PRODUCT NEWS

44

BEST PRACTICE

47

Should beauty therapists inject botulinum toxin and dermal fillers? We ask the industry for their views The most popular non-invasive aesthetic treatment under the spotlight

We find out how the HialuroFrax treatment is fusing hyaluronic acid and laser technologies

Leading dental expert Dr Murtuza Hasnani reveals the secrets of tooth straightening and whitening

Specialist mesotherapy distributors, Koreesa Group has introduced a pioneering sub-cutaneous injector, the Fusion Meso-pen, designed for administering mesotherapy treatments to the face and body.

The Fusion Meso-pen is a hand-held device consisting of a mounted single syringe and needle. It allows products to be delivered directly to the dermis with ease and control. The device is designed to give further precision and consistency to the practitioner. The ergonomically designed handle also makes it easier for you to hold and control whilst eliminating fatigue in the hands. There are a number of settings on the Meso-pen varying the dosage, rate, frequency and depth of the injection, ensuring the best possible outcome from the treatment. Recent clinical studies have also found that undertaking mesotherapy with the Fusion Meso-pen proves to be highly effective for lipolysis.

Whilst the Fusion Meso-pen produces excellent results, utilising the combination of both the Meso-pen and Fusion Mesotherapy RadioFrequency RF, offers a 50% reduction in side effects, such as swelling and bruising. The Fusion Meso-pen with its patented technology allows for an efficient and easy way of injecting and treating the same area with RF simultaneously. Results such as improved skin tightening, increased collagen production and more evenly distributed products are just some of the additional benefits gained by using the Fusion Meso-pen and Fusion Mesotherapy machine together.

The Fusion Machine works by transmitting topical products through radiofrequency waves to the dermal layer of the skin without needles or causing pain and skin damage. The benefits of the RF method are that it is a pain free treatment that targets a variety of conditions and is also known for its ability to increase the skin temperature, which stimulates collagen synthesis, and provides a skin tightening effect. Depending on what results the client is aiming for, the treatments offered by the Fusion Meso-pen and Fusion Mesotherapy machine effectively target dark circles and under-eye bags, wrinkles, expression lines, stretch marks and cellulite conditions. Combined mesotherapy and Collagen Induction Therapy treatments, otherwise known as skin needling are also now growing in popularity as an advanced method of gaining improved results when treating acne scarring and scarring. Results for mesotherapy treatments can be seen from the very first session and for sustained benefits a minimum course of six sessions is recommended.

The benefits of HydroPeptide® Products

We round up the latest product news

Stephen Thorns on starting and growing and aesthetics business

BUSINESS FOCUS

Anna Saprykina on writing a business plan

50

MARKETING

52

DATES FOR THE DIARY

54

Fusion Meso-pen

Zoe Davitt on colour psychology and marketing

Charlotte Body Publisher 01268 754 897 charlotte@creativemedialtd.co.uk Vicky Eldridge Editor 01268 754 897 M: 07940 083 677 vicky@creativemedialtd.co.uk Emilia Cops Associate Publisher 01268 754 897 emilia@creativemedialtd.co.uk Peter Johnson, Art Director 01268 754 897 peter.johnson@creativemedialtd.co.uk Loraine Winter Designer 01268 754 897 design@creativemedialtd.co.uk Hollie-Jane Dunwell Account Manager 01268 754 897 hollie.jane@creativemedialtd.co.uk Shauna Peters Production Assistant 01268 754 897 shauna.peters@creativemedialtd.co.uk

Training course, conference and meeting dates

DIRECTORY

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

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

Your partner in injectable facial aesthetics

s e e u s at s ta n d 7 3

New Bocouture® Bocouture is indicated for the temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown (glabellar frown lines) in adults below 65 years when the severity of these lines has an important psychological impact for the patient.

Bocouture® 50 Abbreviated Prescribing Information Please refer to the Summary of Product characteristics (SmPc) before prescribing. 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. reconstitution with 0.9% sodium chloride unpreserved for intramuscular injection (50 units/1.25 ml).

Standard dosing is 20 units; 0.1 ml (4 units) injected into each of the 5 injection sites: 2 injections in each corrugator muscle and 1x procerus muscle. May be increased to up to 30 units. use a thin sterile needle (e.g. 30 gauge). Intervals between treatments at least 3 months. Not recommended for use in patients over 65 years or under 18 years of age. use immediately after reconstitution. Superior and medial alignment of the needle should be maintained during the injection. Injections near the levator palpebrae superioris and into the cranial portion of the orbicularis oculi should be avoided.

Injections into the corrugator muscle should be done in the medial portion of the muscle, and in the central portion of the muscle belly. 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 Bocouture should only be used for one patient for one session.

Should not be injected into a blood vessel. Patients may experience exaggerated muscle weakness.

Not recommended for patients with a history of dysphagia and aspiration. Seek immediate medical care if swallowing, speech or respiratory disorders arise. Adrenaline and other medical aids for treating anaphylaxis should be available. caution if bleeding disorders of any type occur. 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. caution in targeted muscles which display pronounced weakness or atrophy. 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. use during lactation cannot be recommended.

Has a minor or moderate influence on the ability to drive and use machines. Interactions No interaction studies have been performed. theoretically Botulinum neurotoxin may be potentiated by aminoglycoside antibiotics or other medicinal products that interfere with neuromuscular transmission e.g. tubocurarine-type muscle relaxants. 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, undesirable effects are observed within the first week after treatment and are temporary in nature. Localised muscle weakness, blepharoptosis,

Botulinum toxin type A free from complexing proteins

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 Increased doses of Botulinum neurotoxin type A may result in pronounced neuromuscular paralysis distant from the injection site. Symptoms of overdose are not immediately apparent post-injection and may include general weakness, ptosis, diplopia, speech difficulties, paralysis of the respiratory muscles and swallowing difficulties which may result in an aspiration pneumonia. Bocouture may only be used by physicians with suitable qualifications and proven experience in the application of Botulinum toxin.

Prescriber should consult the SmPc for full information regarding side effects. 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: June 2010. Full prescribing information and further information is available from Merz Pharma uK Ltd., 260 centennial Park, elstree Hill South, elstree, Hertfordshire WD6 3Sr. tel: +44 (0) 333 200 4143 Adverse events should be reported. reporting forms and information can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Merz Pharma uK Ltd at the address above or by email to medical.information@merz.com or on +44 (0) 333 200 4143.

1043/Boc/JAN/2011/JH. Date of preparation: Jan 2011.

Bocouture® is a registered trademark of Merz Pharma GmbH & co, KGaA.

News In Brief

Industry News | Round Up

Tragic death after buttock injections sparks media frenzy into safety of cosmetic surgery

AESTHETIC TRENDS SURVEY While statistics on the cosmetic surgery industry are readily available, stats on the non-surgical side of medical aesthetics are few and far between. As such at last year’s Cosmetic News Expo we decided to carry out a survey on aesthetic trends, the results of which received impressive amounts of coverage in the national press. This year we are planning to do the same and, with the event just two months away, we are asking our readers to take some time out to fill in our survey either on line at www.cosmeticnewsuk.com or via the magazine (see page 18-20).

The cosmetic surgery industry was under the spotlight of the international media last month after a young dancer died in a hotel

Patent Issued for Microdroplet BOTOX®

room in Philadelphia after undergoing a procedure to enhance her buttocks.

Dr Kenneth Steinsapir has been issued a rare patent

20 year-old Claudia Adusei died after having liquid silicone injected into her

(US 7,846,457 B2) by The United States Patent and

bottom in a hotel near Philadelphia International Airport. The operation is

Trademark Office for the invention of a breakthrough

believed to have been arranged over the internet.

The story once again highlighted the dangers of cosmetic surgery tourism and the importance of consumer awareness over researching the treatments they are having and who is performing them.

method for administering cosmetic botulinum toxin. The patent for Microdroplet™ botulinum toxin, a non-surgical cosmetic facial treatment that improves upon standard

A survey by the British Association of Aesthetic Plastic Surgeons in 2009 found that a quarter of surgeons had seen

Botox® treatments, was officially approved on December

an increase in the number of patients who had experienced complications stemming from cosmetic surgery

7, 2010. Microdroplet™ Botox® utilises tiny microdroplet

‘holidays’. The increase in this type of surgery has been put down to the current economic climate with patients

volumes of botulinum toxin injected into the facial skin at

opting for cut-price procedures over safety. See next month’s Cosmetic News for our Big Debate on this topic.

a precise depth and positioning. This controlled placement balances the ‘tug of war’ between the muscles that elevate and pull down the eyebrows.

Book your stand for the 2011 Cosmetic News Expo now to avoid missing out On Friday May 6 and Saturday May 7, the Business Design Centre in Islington will play host to the UK’s largest free of charge medical aesthetics trade show and educational meeting. Bringing together the biggest names in the industry under one roof, the Cosmetic News Expo is an event not to be missed. As an exhibitor this event will give

Open brow-lifts cause more scalp numbness Open brow-lifts (OBL) generally result in more early forehead and scalp numbness than endoscopic brow-lifts (EBL), but the end result seems to be about the same after 18 months, a study has shown.

Researchers conducted a prospective study of 21 patients undergoing OBL and EBL to compare objective and subjective loss of forehead and scalp sensation

you the perfect opportunity to promote your products and services to hundreds of cosmetic doctors, dentists,

at various post-procedure time points. A retrospective

nurses, dermatologists and plastic surgeons face to face as well as catching up with existing customers.

analysis also was completed of 58 patients followed

Stands are selling out fast so if you are an astute business and are looking to either expand your ranges or you

up at six months or more postoperatively. Researchers

are looking for broader customer appeal with new brands, you can’t miss the Cosmetic News Expo 2011.

found that the OBL group had significantly greater

Our stand spaces are competitively priced and offer outstanding value, which ensures you not only control your

objective loss of sensation from one to two weeks to

costs but also achieve an even higher return on your investment.We have been putting all of our marketing

12 to 14 weeks after surgery, and greater subjective sensory loss from four to six weeks to 12 to 14 weeks.

efforts and expertise into ensuring once again this is a must-attend event.

These differences were no longer present at 24 to 26

To request more information on one of the remaining stands at the Cosmetic News Expo 2011 contact Hollie Dunwell on 01268 754897 or email: hollie@creativemedialtd.co.uk

weeks after surgery. Group differences were also seen in the patients enrolled retrospectively, with the OBL group having greater sensory loss than the EBL group at six to 18 months.

Prestigious Award Win for Environ’s UK & Ireland Distributor

Syneron launches CO2RE System

A passionate approach to marketing skincare solutions has paid off for

clearance and commercial launch of its CO2RE CO2

David Alpert and Tracy Tamaris, whose company Wholeview Ltd has

resurfacing system. CO2RE is a versatile fractional

scooped Environ’s International Distributor of the Year Award for 2010.

CO2 system that offers the ability to treat both

The UK and Ireland distributor of Environ products has won the coveted

superficial and deep skin layers simultaneously with

award on seven occasions since 2001, this year beating stiff competition

precision-control over the intensity, pattern and depth

Val Carstens and chief executive officer Susan Butler, said, “All credit goes to my team, for building a well deserved reputation for Environ as a premier,

first to receive FDA clearance for all of its operating (Left to Right) David Alpert, Environ founder Dr Des Fernandes, Tracy Tamaris, celebrating the International Distributor of the Year Award win.

results-focused brand. Our customers’ equally strong belief in the effectiveness of the products has helped them to develop a loyal clientele, with sales increasing year on year even despite the current difficult economic climate.”

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cosmeticnewsuk.com

and Drug Administration (FDA) and Health Canada

of ablation. This patent-pending technology is the

from more than 65 distributors of the brand worldwide.

David Alpert, who accepted the award from Environ’s executive chairperson

Syneron Medical Ltd has announced the US Food

modes, including the four major fractional treatment modes. The system can be used for fractional CO2 resurfacing and traditional ablation, and is ideal for skin rejuvenation, wrinkle reduction, scar reduction and other aesthetic procedures.

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

BLUE

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

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

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

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

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

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

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

• PAIN FREE Laser Hair Removal • NEW PAIN FREE Skin Tightening • Patented ‘in motion’ technology • Faster than any other laser, with 10 Pulses per second! chest + abdomen in under 20min.

• Painless = absolute safety!

• Effectively Treats ALL Skin types including skin type 6 • SOPRANO is The only treatment of choice for sensitive areas such as Hollywood / Brazilian Bikini line clearance. uSP for your clinic • NO need for old technology of vacuum or cooling • NO consumables!

WINNER - UK BEST LASER SUPPLIER 2008-2009

see us at

As voted by clinics

CONTACT uS ON: Tel: 0845 1707788, info@a-b-c-uk.com, www.abclasers.co.uk

Outstanding patient awareness and demand.

stand 58

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

Industry News | Round Up

News In Brief

DOUBLE DD’IGIT RISE in ‘MOOBS’ AND BOOBS

Daily moisturisers may not live up to promises

Britons still found ways to perk up during the recession, according to the latest audit figures from the

of Dermatology. The study examined 29 top-selling

British Association of Aesthetic Plastic Surgeons. The number of surgical procedures in 2010 showed a slow but steady rise of 5% from 2009 to a total of 38,274. The most impressive statistics have been recorded specifically in breast augmentation (up 10%), face-lifts (up 12%) and a whopping increase of 28% in gynaecomastia or ‘man boob’ ops –now the second most common procedure among males.

Women had 34,413 procedures in 2010, up from 32,859 (a modest increase of 5%) but interest in male surgery remained rather higher with a 7% rise overall (from 3,623 last year). Breast augmentation showed an impressive growth of more than 10% from 8,537 to 9,418 in 2010 – and remains the most popular cosmetic surgery procedure. Face-lifts proved popular among men and women, with an average rise of 12% for both genders, eclipsing breast reduction as women’s third most popular procedure. ‘Man boob’ ops or Gynaecomastia rose from 3rd most common procedure among males to 2nd, rising an impressive 28% in 2010 from 581 to 741 ops. Male brow-lifts and male rhinoplasty both rose quite considerably (up 13%), from 109 to 123 and 877 to 993 respectively – in fact brow-lifts went up from being the 7th most common procedure for men, to 5th place in 2010. Nose jobs proved popular with both sexes, increasing by nearly 10% combined overall. The only procedures to go down in favour were abdominoplasty, which was down 7.5% and pinning back prominent ears (otoplasty), down 17%.

Fazel Fatah, consultant plastic surgeon and president of the BAAPS said,“The public’s interest in aesthetic surgery remained strong in spite of the economic downturn. Procedures showing the more considerable rise during this

Daily moisturising creams that contain UV filters may not provide protection the UVA protection they claim, according to a study published in the Archives products that claimed to provide broad-spectrum protection and analysed the ingredients in order to assess the level of UVA protection that could be expected from the product. Six of the 29 products contained no active ingredients that provide UVA protection. Seven of the remaining 23 contained zinc oxide but only three contained levels greater than 5%which the team said was required to provide ‘adequate’ UVA protection. Sixteen products contained avobenzone but only three had adequate concentrations of octocrylene necessary to stabilise the avobenzone, which according to the researchers is notoriously unstable on contact with UV rays.

No Increased Risk Of Cancer In Fat Grafting A study published in the Aesthetic Surgery Journal has

period seem to be, perhaps not surprisingly, concentrated on the most visible areas of the body: face-lifts, breasts

showed no evidence of increased risk of development,

and nose jobs. Surgeries that decreased in popularity were for the areas which could potentially be ‘hidden’ or

metastasis or recurrence of breast cancer in patients who

disguised by fashion and hairstyles, such as tummy tucks and pinning back prominent ears.”

have had autologous fat grafts in the breast.The review

Rajiv Grover, consultant plastic surgeon and BAAPS president elect with responsibility for the UK national audit of cosmetic surgery added, “Every week there are reports in the press of new so-called ‘lunchtime’ procedures which are here today and gone tomorrow. The growth rates for surgical face-lifting, breast augmentation and rhinoplasty show double digit percentage rises because in times of financial hardship patients are looking for the real deal, for treatments which deliver a reliable long lasting result and have a proven safety record. The failure of injectable fillers to treat the breast and nose and for non surgical methods to tighten loose skin of the jowls and neck has clearly fuelled a very significant rise in surgical treatment - despite the recession.”

entitled ‘Oncologic Risks of Autologous Fat Grafting to the Breast’ discussed the data disparity between the clinical and certain laboratory-based scientific literature regarding fat grafting procedures to the breast.The article, written

by John Fraser, Ph.D. and Marc Hedrick, M.D. of Cytori Therapeutics along with leading UD plastic surgeon Steve Cohen, concluded that the apparent data discrepancy between the laboratory and the clinic are the result of the

The Consulting Room™ Voted Daily Mirror ‘Website of the Day’ The Consulting Room™ has been awarded ‘Website of the Day’ by the Daily Mirror’s health advisor and agony aunt Dr Miriam Stoppard OBE. Lorna Jackson, editor of The Consulting Room™ commented, “We are very pleased and honoured to have been given this coveted accolade by such a well respected doctor, journalist and health advisor to the nation. Our mission at The Consulting Room™ has always been to provide unbiased and accurate information about the myriad of cosmetic treatments now available to the UK consumer in such a way as to educate and empower them in their purchasing decisions.” The Consulting Room™ is also organising the first Golf Tournament for the aesthetic industry, which will takle place at the Whitefields Golf Course on Saturday April 9 and is looking for clinics to enter a team of two and to compete for the ‘Consulting Room Cup’. For more information visit www.consultingroomgolf. co.uk, phone Danny on 01788 577 254 or e-mail danny@consultingroom.com.

application of artificial conditions used in certain laboratory studies that do not arise in a clinical setting.

FDA Accepts Azficel-T for review The US Food and Drug Administration (FDA) has accepted for Fibrocell Sciences complete response submission for azficel-T, proposed brand name laViv®, for the treatment of moderate to severe nasolabial folds and wrinkles. The Prescription Drug User Fee Act (PDUFA) date is June 22, 2011. If approved, azficel-T will be the first and only personalised cell-based aesthetic treatment. The Fibrocell Science scientific approach results in a replenishment of the patient’s own fibroblasts, the cells that are responsible for releasing collagen, elastin and hyaluronic acid which add strength and elasticity to the skin. The company is planning to conduct studies on applying its autologous fibroblast technology in additional areas including further aesthetic

1,000 practitioners now trained in Genuine Dermaroller™ Therapy™

applications, and for the treatment of restrictive burn

More than 1,000 practitioners have now been trained through the Genuine Dermaroller™ Medical Device

Demilec’s Acoustic Wave Therapy® has a new

Training programme since it was launched in early 2009 by AesthetiCare®.

celebrity fan in the form of The Only Way is Essex’s

Managing director Roger Bloxham said, “We’re very proud to have reached this fantastic milestone and that all of the practitioners have been trained to the highest standard. It is also very pleasing that we have been able to develop such a strong and mutually beneficial working relationship with so many of them. The Genuine Dermaroller™ medical device training has now expanded to encompass a fabulous team of 10 expert medical aesthetic nurse practitioners, all excellent practitioners and exponents of Genuine Dermaroller™ treatments in their own right they are enhancing and developing the programme and enabling us to keep up with demand.”

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cosmeticnewsuk.com

scars, acne scars, and periodontal disease.

The only way is AWT Sam Faiers. Sam visited The Body Clinic of Harley Street, based in Gidea Park, one of the top clinics for AWT®, anti-cellulite treatment. AWT® uses acoustic sound waves to break down fatty deposits, working through each layer of the skin and deep into skin tissue, increasing blood flow to the treated areas.

CRO S S -L I NK E D H YALURON IC AC ID + LIDOCAINE

A new generation of dermal fillers Emervel® is a new scientifically-advanced range of cross-linked hyaluronic acid fillers.

Formulated using Optimal Balance TechnologyTM, Emervel® delivers instant and optimal results for you and your patients.

For more information visit www.emervel.co.uk

see us at stand 68 Emervel® is a medical device. Injectable solution for aesthetic use.

Emervel® is a trademark owned by Galderma S.A. Emervel® CE 0459.

Copyright © 2011 Galderma (UK) Ltd. EME/007/1210 Date of preparation: January 2011

News In Brief

Industry News | Round Up

National Medical Societies in US Announce New Coalition for Patient Safety in Cosmetic Medicine and Aesthetic Surgery

Syneron Receives FDA Clearance for Tanda

Four nationally known medical societies in the US have announced the formation of the Physicians

region. Syneron expects to begin commercialization

Aesthetic Coalition, created to promote patient safety in cosmetic medicine and aesthetic surgery

of the new Tända™ skin rejuvenation product in

through public and physician education initiatives. The Coalition is a cooperative, multispecialty effort of

the second half of 2011 in both the professional

The American Society for Aesthetic Plastic Surgery (ASAPS), the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), the American Society Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and the American Society for Dermatologic Surgery (ASDS).

“All of the organisations have active and successful patient safety initiatives. However, we feel that a unified voice representing more than 8,000 board certified physicians will further advance our goals of informing the public of patient safety issues and continuing patient safety educational efforts to all members” said Jonathan Sykes, MD, president of the AAFPRS. “We look forward to working with our colleagues across specialties to increase patient safety for anyone considering cosmetic medicine or aesthetic surgery procedures”.

“Along with the increasing popularity of aesthetic surgery and non-invasive cosmetic treatments an increasing and disturbing number of non-qualified clinicians and unproven treatments are being promoted to the public. This is a significant patient safety issue”, added Felmont F. Eaves, III, MD, president of the ASAPS. “Through the Coalition, we can address these issues on a stronger platform than we could individually, using credible medical evidence to help patients make informed decisions”.

“One of the Coalition’s founding principles is to develop educational forums for the public and media, transparent

Syneron Medical Ltd has received 510(k) clearance from the United States Food and Drug Administration (FDA) to market a new Tända™ Light Emitting Diode (LED) system for skin rejuvenation. The product is approved for the treatment of wrinkles, rhytides and fine lines in the periorbital (around the eye)

and consumer markets. The new Tända™ skin rejuvenation system joins the Tända™ family of products from Pharos Life Corporation, a leading manufacturer of home-use light therapy devices for aesthetic procedures, acquired by Syneron Medical in December 2010. It utilises a proprietary new super luminous LED array that delivers concentrated channels of light for a fractional phototherapy effect.

The super luminous LED allows the new system to deliver five-times greater power than the existing Tända™ family of products, reducing the required number of treatments to two treatments per week.

The new system leverages the modular design of the Tända™ family of products and its treatment head

and free of commercial bias”, continued Jeffery Dover, MD, president of ASDS. “Over the next several months we will

is compatible with the Tända™ Regenerate™ and

be announcing new resources to help differentiate fact from fiction”.

Tända™ Clear™ systems that are currently available.

“Nothing is more important to us, both as a medical society and as individual physicians, than keeping our patients safe”, said Jeffrey A. Nerad, MD, president of the ASOPRS. “We are hopeful that this new Coalition will help us in achieving this end”.

Axis Three expands into Europe and Aisa Axis Three is now well underway with its plans to expand into Europe and Asia. Founded in 2002,

10

ASAPS and FDA Join Forces to Collect Implant Data

Sun-safe vitamin D statement

Axis Three uniquely offers a single, turnkey solution

A joint statement on vitamin D in relation to

and plastic surgery. Using actual clinical data to

sun safety has been issued by a group of

enhance physics based tissue typing, the TBS™

The American Society for Aesthetic Plastic

leading charities and associations including

(Tissue Behaviour Simulation) algorithm can deliver,

Surgery is to join forces with the FDA to develop

Cancer Research UK, the British Association

a new national registry for breast implants.

of Dermatologists, Diabetes UK, the Multiple

This registry will document reported cases of a very

Sclerosis Society, the National Heart Forum, the

rare condition, Anaplastic Large Cell Lymphoma

National Osteoporosis Society and the Primary

(ALCL), in the presence of breast implants.

Care Dermatology Society.

ALCL in the presence of breast implants has been

The UK joint statement brings together the latest

noted in sporadic case reports over the past 25

evidence on vitamin D and agrees with views of

years. To date, ALCL has only been identified in 34

international organisations, such as the World Health

cases out of an estimated five to 10 million women

Organisation and the US Institute of Medicine. The

with implants worldwide. As opposed to systemic

statement stresses that “while vitamin D is essential

ALCL which can occur anywhere in the body,

for good bone health, the evidence which suggests

this condition appears in the scar tissue that forms

it can protect against cancer, heart disease,

(AAFPRS) showed three-fourths of the procedures

around the implant. It is encouraging that when this

multiple sclerosis and other chronic diseases is still

performed by the academy’s surgeons in 2010 were

condition occurs in the presence of breast implants

inconclusive”. Under exposure to sunshine is linked to

non-surgical, highlighting a trend that more people

the patients have responded to a variety of

vitamin D deficiency which leads to bone conditions

are choosing non-surgical procedures to delay more

treatments, including simple removal of the implant

such as osteoporosis, whereas over exposure is linked

invasive surgical procedures. The survey results also

and surrounding scar capsule.

to skin cancer, including melanoma, the fastest rising

showed that the number of procedures performed

ASAPS joins both the FDA and ASPS in its view

type of cancer in the UK. While there is a consensus

annually has risen 45% in the past two years, with a

that breast implants are safe. “Breast implants

about what level constitutes deficiency in vitamin D,

are the most studied device in medical history. As

a standard definition of what constitutes an ‘optimal

physicians, our primary commitment is providing

level’ of vitamin D does not exist. The statement

safe and effective patient care. We share in the

urges people to “enjoy the sun safely and take care

commitment of FDA and ASPS to the continued

not to burn” so as to reap the benefits of making

less invasive surgeries. In addition, surgeons reported

device evaluation and monitoring,” said Felmont

enough vitamin D for health without unnecessarily

performing fewer lip augmentations and collagen/

Eaves, III, MD, ASAPS President.

increasing the risk of skin cancer.

cosmoderm/cosmoplast procedures in 2010.

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Clients Relying on Nonsurgical Methods to Delay Surgery New survey results recently released by the American Academy of Facial Plastic and Reconstructive Surgery

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Industry News | Round Up

Landmark Australian case could impact on sunbed owners

survey reveals Liposuction Preferences

UK sunbed owners could find themselves facing claims for damages following a

its membership to uncover their experience with

landmark case in Australia. Jay Allen, 35, regularly used sunbeds over a four-year

liposuction, new fat removal technologies and the

period at two Fitness First centres. He was later diagnosed with skin cancer, stage-three

management of complications.

The American Society for Aesthetic Plastic Surgery (ASAPS) recently conducted a survey of

melanoma, and took action against the international fitness chain. He was awarded an undisclosed settlement and has vowed to continue his fight for a national ban on

The survey, published in the February issue of the

sunbeds in Australia.

Aesthetic Surgery Journal , revealed that suctionassisted lipectomy (SAL), or ‘traditional’ liposuction,

Closer to home, the spotlight is once again shining on sunbeds after the International Agency

was the preferred method of fat removal for over half

for Research on Cancer concluded they were ‘definitely carcinogenic to humans’. Richard

of respondents; power-assisted liposuction (PAL) and

Biggs, associate at law firm Ralli, believes sunbed operators need to take heed of the latest

ultrasound-assisted liposuction (UAL) were also popular.

headlines and ensure they are aware of their obligations to customers. He said, “Sunbed

Laser-assisted liposuction (LAL) and external noninvasive

owners could face action under the Occupiers Liability Act, which stipulates an owner must

devices, such as external ultrasound and laser, were the

take care to see that visitors are ‘reasonably safe in using the premises for the purpose of

least popular methods for fat removal.

which he is invited or permitted by the occupier to be there’.

“It is down to a court to judge what is reasonable in individual cases, however, we believe

Most respondents performed between 51 and 100

sunbed operators must give users proper warnings about over-usage as well as ensuring

liposuctions per year. Most currently employ or have

levels of UV lights in beds are not excessive. Under the Act, an occupier must provide a clear

previous experience with SAL (92.7%), UAL (59.6%), and

warning about dangers and specific instructions to avoid them. This is a crucial point as a case

PAL (44.7%). Fewer have experience with LAL (12.8%),

would rest on a court’s view of how sufficient the terms and type of warning given were. The

mesotherapy (5.7%), or non-invasive devices (12.8%).

real difficulty with this type of case is establishing the link between sunbeds and the resulting

The preferred method of fat removal from most to least

condition. People are exposed to UV rays as a matter of course and a court has to be

popular was: SAL (51.4%), PAL (23.0%), UAL (20.9%)

convinced the cancer is a result of sunbed exposure.”

LAL (3.9%), non-invasive devices (0.8%). Respondents felt

The Occupiers Liability Act also provides guidance on children, suggesting a ‘higher standard

that newer fat removal technologies including LAL and

of care’ is expected. With more than 170,000 under-16s in the UK admitting to having used a

mesotherapy were associated with a disproportionately

sunbed, owners must take care to ensure their warnings to the younger generation are clear.

higher rate of complications compared with more

Gillian Nuttall, founder of malignant melanoma charity Factor 50, added, “We need to ensure

established methods.

the message is clear: sunbeds are not safe. Young people need to be urged to avoid them at all costs. Let’s hope the Department of Health revisits this pressing issue and looks at laws to

“Evaluating the opinions of our members is an excellent

protect young people as well as the laws governing sunbed owners and operators.”

way to identify industry trends and determine how to improve the field for both surgeons and patients,” said Felmont Eaves III, MD, ASAPS president. “It is important for

Phase III trial results for Carbamide Peroxide acne and rosacea treatment prove positive

us to conduct surveys such as these, not only regarding liposuction and other forms of fat removal, but for all facets of aesthetic surgery.”

iiaa appoints new skin analysts for London

Elorac, Inc has announced results of two Phase III studies of its patented Carbamide

The International Institute

Peroxide (CPO) solution for the treatment of inflammatory acne vulgaris and rosacea.

for Anti-Ageing (iiaa)

Jeffrey Bernstein, Ph.D., Elorac´s President and CEO, commented, “We see a great market

has expanded its team

opportunity for Carbamide Peroxide in acne and rosacea. These are large markets. Branded

of London skin analysts

topical products for acne and rosacea generate more than $1 billion in sales. CPO would

to three with the

be the first new topical product for acne and rosacea in several years. It´s an improved,

appointment of Hannah

next-generation version of benzoyl peroxide (BPO), which is the most commonly used product

White and Chantelle Kelly

for acne.” In two phase III pivotal double-blind, randomized, vehicle-controlled, paired-

(right), who join Claire

comparison, multi-center studies, the results showed statistically significant reductions in

Wilkinson in covering the

acne lesion counts after eight and 12 weeks of treatment with CPO as compared to vehicle

area. Hannah will be

treatment. Bernstein added, “The efficacy results for CPO are similar to those of previously

responsible for supporting salons in South London while

approved topical acne products, but CPO has a distinct advantage in its tolerability. We

Chantelle will take care of salons in North East London

have, in fact, clinical data comparing BPO and CPO in acne that demonstrates comparable

areas. The iiaa’s skin analysis team hosts free events

efficacy, but documents significantly less local skin irritation in patients using CPO. We think that

for salons nationwide, where potential and existing

this superior tolerability also bodes well for the use of CPO in rosacea, where irritation is even

clients are invited to have various aspects of their skin

more of an issue.”

condition studied in detail, using Visia technology.

12

cosmeticnewsuk.com

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Voice of the Industry Wendy lewis, ‘the knife coach®’ and founder/editor in chief of beautyinthebag.com shares her cosmetic beauty wisdom for 2011...

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Consumer confidence is finally back! After a sluggish 2009, the global aesthetics industry rallied in 2010 on a worldwide basis, with a market estimated at €3.5B or £2.9B, showing 10% growth that will continue through 2014 (Millennium Research Group). The emerging markets of Eastern Europe and Asia show the stronger growth, with certain European markets including the UK, Germany and Nordic countries as well as the US steadily increasing. We can expect to see more people seeking out cosmetic treatments in 2011 and beyond with a double-digit growth rate in the number of procedures being performed. Although the non-surgical options continue to proliferate, I have seen an uptake among my clientele for modified face-lifts and neck tightening, eyelid operations and rhinoplasty. The new age of cosmetic beauty consumer starts at around 30.

The most important product launch in 2010 was undoubtedly FDA approval of Coolsculpting by Zeltiq®, a non-surgical, non-invasive cold laser that melts fat without needles, scalpels or liposuction, followed by

• EffEctivE • AffordAblE • ProfitAblE

Pelleve® Wrinkle Reduction System that is most popular for smoothing fine lines around the eyelid area.

SilkPeel® Dermal Infusion introduced its pore clarifying device that works to unclog pores and control acne breakouts to rave reviews.

Starting out 2011 with a bang, Galderma launched a new portfolio of five facial fillers called Emervel® to complement the Azzalure® portfolio, coming on the heels of the announcement that they would be acquiring Q-Med, the makers of Restylane®, Perlane® and Macrolane®. The trend for consolidation remains strong with more mergers in the air as some popular aesthetic products are reportedly up for sale. 2011 may also see an emergence of long duration facial fillers as Danish pharmaceutical company Contura eyes the American market to launch Aquamid®. The other introduction expected in the US for 2011 is from Merz Aesthetics for Belotero®, a range of hyaluronic acid gel fillers widely expected to get a nod from the FDA soon. Another huge category of cosmetic beauty treatments is biorejuvenation – such as the newly launched Juvederm Hydrate from Allergan. These mini needle treatments offer consumers another option between creams and facial fillers for restoring sun damaged skin back to a healthy and resilient condition.

Among key beauty trends, lash enhancements continue to take center stage. On a recent segment on

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The Today Show with Kathie Lee and Hoda (NBC), Lewis presented the hottest lash treatments on the market, including Latisse® as the only FDA approved drug for lash growth, LashDip™ semi permanent mascara salon service that lasts two to six weeks, and individual lash extensions. Facial treatments continue to rank high, but medical technologies are finding applications for the body as well. For example, Ultherapy was first introduced to lift the brow with deeply delivered ultrasonic energy, and is now being used for the full neck down to the décolletage. Skin tightening devices have multiplied on the market and radio frequency energy based systems for wrinkle reduction and body shaping continue to generate excitement among consumers seeking out non-surgical alternatives.

New devices are also revolutionising the way fillers and wrinkle relaxers are being injected. Finally practitioners and manufacturers have realised the need to make treatments less painful. Fillers containing lidocaine has become the new gold standard. The emphasis is on pain-free injections through soft needles, injector pens and systems that cause less trauma and bruising. Biologics, including autologous fat that contains adult stem cells and platelet rich plasma (PRP) made from the patient’s own blood, are another big trend globally as many practitioners are investigating how to combine the two for optimum rejuvenative benefits. Fat grafting was the big news in breast enhancement for 2010 as well to add volume to sagging breasts as well as to camouflage implants to make them look more natural.

Regrettably, we have seen a rise in cosmetic surgery disasters and even unfortunate deaths driven by bargain hunters shopping around for the lowest prices and going to clinics where patient safety doesn’t enter the equation. Hopefully greater consumer awareness of the risks and potential complications, and increased visibility and accessibility of regulating bodies will help reverse this disturbing trend.

Wendy Lewis

see us at stand 55

T h e

n e x t

s T e p

i n

e v o l u t i o n

f

cosmetic news expo 2011 sponsored by: platinum sponsors

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The Best Things in Life are hey say the best things in life are free and this is a philosophy that we at Body Media have embraced with our annual conference and exhibition, the cosmetic news expo.

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sponsors) and Merz aesthetics (silver sponsor), the event will showcase the latest products and treatments on the market. education is one of the key focuses of the cosmetic news expo and, as

Launched in April 2010, the Cosmetic news expo is the uK’s only free of charge

such, a conference and workshop programme will once again be taking

trade show and educational meeting. following the success of our inaugural

place throughout the two-day event. as well as this a series of exhibitor

event, we are now looking forward to the 2011 expo, which will take place at

workshops, live demos and business seminars will be running on the

the Business Design centre in islington, london on May 6 and 7 2011, and

exhibition floor. Although the event is free, delegates are advised to register

will offer aesthetic professionals the chance to gain CpD accredited education

in advance for the conference to reserve their place on the educational

at the same time as networking and exchanging information with their peers.

programme.

Bringing together the industry’s key manufacturers and suppliers, the

the show is open to cosmetic doctors, aesthetic nurse, dermatologist,

Cosmetic news expo is a must visit for those new to the industry who are trying

plastic surgeon, cosmetic dentist, aesthetician, practice managers, and

to source suppliers and busy practitioners who want to be able to see all their

other professionals working in the cosmetic medicine business. it is not

reps under one roof. sponsored by skinceuticals and Galderma (platinum

open to members of the public.

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

exhibitors will incluDe:

Also exhibiting: beAuty intellect services, bsc, Dermocsometique, ellipse,

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COSMETIC NEWS EXPO 2011 CONFERENCE PROGRAMME

FRIDAY MAY 6

SATURDAY MAY 7

9am-9.30am Coffee and Registration

9am-10am Coffee and Registration

9.30am-12pm FACIAL AESTHETICS: SKIN TEXTURE AND

10am-12.50pm BODY AESTHETICS

TONE

9.30am-9.50am Skin Health and Cosmeceuticals – Mr Paul Banwell 9.50am-10.10am Platelet Rich Plasma Rejuvenation – Ita Murphy 10.10am--11am Platinum Sponsor Session – SkinCeuticals 11am-11.20am Nutrition and Skin Skin Ageing – Tarryn Van Toppel 11.20am-11.40am Skin Revitalisation Using Injectables – Dr Toni Phillips 11.40am-12pm Skin Needling and Growth Factors – Elliot Isaacs 12pm-2pm Exhibition Viewing and Lunch

10am-10.20am Body Contouring: What Aesthetic Practitioners Can Learn from Plastic Surgeons – Chris Inglefield 10.20am-10.40am Latest Developments in Body Contouring: The ‘Popcorn Laser’ – Dr Ayham Al-Ayoubi 10.40am-11am High-Definition VASER – Dr Ravi Jain 11am-11.30am Coffee Break 11.30am-11.50am Laser in Vascular Applications – Candela 11.50am-12.10pm Body Needling: Treating Scars and Stretchmarks – AesthetiCare 12.10pm-12.30pm Incorporating Diet and Nutrition into the Aesthetics Practice – Prof Syed Haq 12.30pm-12.50pm Body Image and Body Dysmorphia – James Lamper

2pm-4pm FACIAL AESTHETICS MASTERCLASS

(Sponsored by Allergan)

12.50pm-2.50pm Exhibition Viewing and Lunch

4pm-4.20pm Coffee Break

2.50pm-5pm FACIAL AESTHETICS: VOLUME AND CONTOURING

4.20pm-5.30pm FACIAL AESTHETICS: BOTULINUM TOXIN

2.50pm-4.20pm A Full Facial Approach to Aesthetics – Cheeks, Lips and Tear Troughs Sponsored by Galderma Including Live Demonstration by Dr Bob Khanna 4.20pm-4.40pm Silver Sponsor Session – Merz Aesthetics 4.40pm-5pm A New Method of Volumising Using Radio-Frequency – Dr Rita Rakus (TBC)

4.20pm-4.40pm What’s New in Botulinum Toxin – Mr Dalvi Humzah 4.40pm-5.10pm Platinum Sponsor Session – Galderma 5.10pm-5.30pm Botulinum Toxin in Practice – Dr Bob Khanna 5.30pm-6pm Silver Sponsor Session – Merz Aesthetics

5pm-6pm Exhibition viewing 6pm-7pm Exhibition viewing 7pm After show party *Please note the programme is subject to change please visit www.cosmeticnewsuk.com for regular updates

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Platinum sponsors

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Cosmetic News Expo Aesthetic Trends Survey 2.

About You

3.

What type of cosmetic practitioner are you?

What are the three most popular treatments in your clinic for men?

n Cosmetic Surgeon n Dentist n Dermatologist

n Aesthetician/beauty therapist

n Cosmetic Doctor n Other n Aesthetic Nurse

1.

Are you a full time or part time cosmetic practitioner?

2.

n Full n Part

3.

Do you have your own clinic?

What percentage of your clients are male?

n Yes (how many) n No

Are you a member of any professional associations? n BAAPS

n BACN

n BACD (doctors)

n IAAFA

n BACD (dentists)

n Other (please state)

What is the biggest misconception patients have about non-surgical treatments?

Your Practice

How many patients do you see on average per week? n 1-10

n 60-70

n 10-20

n 70-80

n 20-30

n 80-90

n 30-40

n 90-100

n 40-50

n 100+

What areas do you most commonly treat with dermal fillers?

n 50-60

n Cheeks

n Full face

n Lips

n Chins

n Yes

n Tear Troughs

n Noses

n No

n Nasolabial folds

Has the recession negatively affected your business?

n Comments

Which Dermal Filler brand(s) do you use?

On average how much do patients spend with you over the course of a year?

Which botulinum toxin do you use? n Botox®/Vistabel® n Dysport®/Azzalure® n Xeomin®/Bocouture®

Products and treatments What are the three most popular treatments in your clinic for women?

If you could pick one treatment that has revolutionised your practice in 2010 what would it be?

1.

18

cosmeticnewsuk.com

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sanofi-aventis, One Onslow Street, Guildford, Surrey GU1 4YS. Date of preparation: FEBRUARY 2011. GB.POL.11.02.02.

Cosmetic News Expo Aesthetic Trends Survey Do you ever use permanent fillers, if so to treat which areas? If not, why?

Have you signed up to the IHAS scheme? n Yes n No

n Comments

What do you think has been the biggest innovation in medical aesthetics in recent years?

Do you agree with the practice of remote prescribing? n Yes n No

n Unsure n Comments

What do you think the biggest trend will be in 2011?

Do you think beauty therapists should inject botulinum toxin and dermal fillers? n Yes

n No n Unsure

n Comments

Which laser treatment is the most popular in your clinic?

n Hair removal

n Tattoo removal

n Skin rejuvenation

n Vascular

n Laser lipolysis

n Donâ&#x20AC;&#x2122;t do laser treatments

n Other (please state)

What is the top thing patients enquire about?

Do you think cosmetic surgery tourism is damaging to the UK industry? n Yes n No n Comments

Which body contouring procedures do you use? n Radio-frequency n Ultrasound i.e. VASER n Laser lipolysis

What is the worst contributing factor to ageing in the patients you see? n Smoking

n Sun damage

n Alcohol

n Genes

Additional comments

Do you sell skincare in your clinic and if so what brand(s)?

Regulation Do you support the IHAS Quality Assurance Mark and Treatments You Can Trust Register? n Yes n No n Unsure n Comments

20

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Please return this form to emilia@creativemedialtd.co.uk no later than 6th April 2011 or visit www.cosmeticnewsuk.com to fill it out online Many thanks for your co-operation and taking the time for returning the survey.

We look forward to welcoming you to the Cosmetic News Expo 2011

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People in Profile | Dr Stefanie Williams

The art of good skin

We speak to Dr Stefanie Williams about her foray into the world of art

People often say that cosmetic medicine is an art, but for dermatologist Stefanie Williams that is more than just conjecture. Dr Williams, who is the founder and medical director of European Dermatology in London, is at the forefront of cosmetic dermatology. A member of the British Association of Dermatologists, the British Cosmetic Dermatology Group, the European Society for Cosmetic and Aesthetic Dermatology, the Royal Society of Medicine, the Society of Cosmetic Scientists, Hamburg Medical Council and the GMC, her interest in cuttingedge skin research into the effects of minimally invasive cosmetic procedures and cosmeceuticals on skin physiology has led her to receive a number of prestigious awards.

B

ut Dr Williams has recently had her work published in a very different kind of publication – Art of England. When she was a student Dr Williams was torn between whether or not to study art or medicine but eventually decided that medicine was more of a sensible career path. However, she has recently rekindled her old passion for art by creating personalised contemporary pictures from skin cells and displaying them in her clinic as well as selling them through her website www.innerportraits.com.

She says, “Its funny because medicine is very scientific and I supposed ‘uncreative’. After I did my A-Levels I was facing the decision whether to do an arts degree or medicine and my teachers at the time actually wanted me to take up art but I decided against it as I didn’t see any future in it really and I loved medicine and I haven’t done anything to do with art until now, so it was lovely to be able to combine both.”

Dr Williams came up with the concept after her husband saw her looking at skin cells under the microscope. She explains, “When I receive the histology report after removing skin lesions or taking diagnostic biopsies, it always strikes me how beautiful the skin looks from within. It doesn’t matter whether there was a skin condition that made the patient feel ugly or selfconscious. Every single time I study the skin under a microscope, it always looks exceptionally beautiful in its own unique way. One evening when I was working on my laptop, my husband happened to notice one of these microscopic skin images and was equally amazed at its artistic beauty. He was so intrigued in fact that he asked if I could create an ‘Inner Portrait’ from his skin.”

That is exactly what she did, creating her first piece of Skin Art for him and mounting the images, along with her own, on the walls of her Harley Street clinic, where they proved to be a huge talking point. She says, “He came to see me in clinic, where I took a tiny skin sample to send to a special histology lab in Hamburg, Germany. A couple of weeks later the microscopic images arrived and as it was near his birthday, I decided to get his Skin Art Portrait printed and beautifully framed. He was utterly thrilled. We have since also started working with an awardcosmeticnewsuk.com

23

People in Profile | Dr Stefanie Williams

“Every single time I study the skin under a microscope, it always looks exceptionally beautiful in its own unique way. It doesn’t matter whether there was a skin condition that made the patient feel self-conscious” winning graphic artist, who further enhances the amazing look of our raw images. I now have some of my husband’s and my own Skin Art Portraits framed on my clinic wall – a glorious splash of colour in a cool, white room. Everyone remarks on how stunning the portraits are – from patients to visitors and colleagues. So I thought that others might be interested in creating their own unique contemporary art - and that’s how Skin Art began.”

The interest in the portraits inspired Dr Williams to take this one step further and she decided to start offering the service out to patients so they too could immortalise the beauty of their own cells in the form of an intensely personal piece of original modern art.

The process of creating the art takes around four to six weeks and starts with a small skin sample being taken under local anaesthetic from which the microscopic images are created. The sample is then sent to a partner lab in Hamburg, Germany where baseline histology images are prepared. The images are then forwarded to a graphic artist then manipulates the images generating a number of variations from which the client can select their favourite. The artist then works with the client to create a stunning image using colours according to your specification to best suit the client’s interior design.

Finally the image is enlarged and mounted to provide the client with a unique piece of art. The service costs around £1,800, including the initial consultation and cell sample with a fully GMC registered doctor, microscopic processing, all graphic art work, highest quality printing and framing, a certificate of authenticity and delivery by courier direct to your door. An additional image from the same skin cell sample costs in the region of £900.

Other aesthetic clinics can also get involved and will receive a £200 commission if they pass any interested patients on. Dr Williams explains, “If another practitioner wants to have images for their own clinic/their own waiting area they can order pictures from us or they can work with us on a commission basis by passing on any patients that area interested in having a portrait done. They can either do this by sending the patient to us to have a skin sample take or, if they are removing something anyway such as a mole or tissue during a face-lift or a tummy tuck, they could just send us a little piece of the tissue in a formaldehyde pot and then they would get a commission of £200 for that.”

The concept is so unique that Art of England magazine ran a four page article on Dr Williams and her new venture in its March issue, describing the work as a “groundbreaking fusion of science and art” and that it certainly is.

24

cosmeticnewsuk.com

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See the difference

See the difference

Injectables Special | Big Debate

The Big Debate Lethal injectors?

Should beauty therapists be injecting botulinum toxin and dermal fillers

The IHAS excluded them from being eligible to sign

surgeons and dermatologists didn’t think dentists or

up to its Cosmetics Injectables Register, saying that it

nurses should be doing these treatments. Last month

believed only medically trained practitioners should

a new association – The Cosmetic Treatments and

be performing botulinum toxin and dermal fillers,

Injectables Association (CTIA) – was set up to support

however the beauty industry has argued that a

‘aesthetic therapists’ working in this field. The group’s

professional therapist is just as capable of carrying

motto is ‘Aesthetic Excellence by Quality Training,

out these treatments and, as it is technically not

Inspection and Ensuring Safe Practice’ and one of

illegal for them to do so, they should be able to be

their aims is to change industry opinion on this subject.

insured. Industry opinion largely seems to be that

We asked them to explain their position and asked

they should not, but there was a time when plastic

some key opinion leaders for their views…

The beauty industry – The Cosmetic Treatments and

The Government body

Injectables Association (CTIA)

– Sally Taber, Director

“The Cosmetic Treatments and Injectables Association (CTIA) is an organisation

of the Independent

established for the welfare of our members; the aesthetic therapist and for the interests

Healthcare Advisory

and upmost safety of their clients and the public. Historically aesthetic therapists have

Services (IHAS) and

been proven to be a low risk group for insurance malpractice claims and complaints

Treatments You Can

from the public; therefore we believe that our strict guidelines and practices should

Trust

be more widely available to protect the consumer and to remove the insecurities the

“It’s extremely concerning that the

public may have? Recently the Cosmetic Treatments and Injectable Association (CTIA),

law currently allows beauty therapists to carry out injectable cosmetic

with our Inspectorate and the Beauty Trade Association, BABTAC had a meeting at the Department of Health, with our Health Minister, Simon Burns regarding the regulation

treatments. Treatments You Can Trust, which is supported by the Department of

of non-surgical injectable treatments. Our concerns highlighted the fact; that the

Health, will categorically not accept these individuals on to the register of safe

current regulation is a direct means to restrict membership to one service provider, thus

injectable cosmetic providers. Only doctors, registered nurses and dentists have

promoting the exclusion of another. Therefore we believe that the current regulation

the required training to practice treatments such as Botox® and dermal fillers

is not providing a safer, fairer market place or promotes safer practices, in fact limits

and therefore it is only these professionals who are regulated by a professional

the choice of the consumer? To conclude the meeting, it was stated that current

regulator you will find on www.TreatmentsYouCanTrust.co.uk.

regulation depended upon the role of professional regulators, in being to administer

disciplinary sanctions and for this reason unregulated professions could be an issue. It

“Beauty therapists have not been adequately trained on the facial anatomy

was recommended that we pursue our own quality assurance for this exact function.

or what to do if a problem should arise. While injectable cosmetic treatments

Ironically during the initial talks with IHAS in London, Andrew Vallance-Owen (Group

can be extremely safe, Botox® for example, is a prescription only medicine and

Medical Director of BUPA) recommended then, that we assemble our own regulated

unfortunately a small number of people can suffer adverse reactions. In this

association, and this, is exactly what we have done.

instance a beauty therapist would be completely unequipped to deal with this situation.

The rules of the CTIA are intended to provide a clear structure to raise safe practice standards

in the cosmetic injectables industry and provide a quality assurance through Inspection,

“Worryingly, there are currently various training courses in the UK which

Training and Audit procedures and as a direct result to promoting safer practices for the

provide half-day sessions to beauty therapists on injectable cosmetic treatments.

public and our clients. We believe it is crucial that ‘title of merit’ alone should not be a

For example, we have been informed of some instances where out of 40

gateway to regulation or membership? The CTIA feel that; injectable treatments ‘botulinum

trainees, only one or two individuals get the opportunity to inject a human.

toxin and dermal fillers’ are cosmetic and non-surgical and that the best placed practitioners

This is not acceptable and these individuals should not be allowed to inject a

to undertake these treatments is the Aesthetic Therapist, not on title, but on account of their

patient’s face with a needle.”

diligence, immeasurable experience, knowledge and skill.”

28

cosmeticnewsuk.com

The insurer – Eddie Hooker, Managing Director, Hamilton Fraser Cosmetic Insurance “Currently, Hamilton Fraser Cosmetic Insurance does not provide insurance for beauty therapists for cosmetic injectables. While there is nothing to stop beauticians practicing derma fillers and botulinum toxin, from an insurance standpoint there are still concerns over the lack of medical training and handling of problems and injuries including trauma. Unlike a qualified medical practitioner, beauty therapists do not have extensive training in facial anatomy or drug prescribing authorities should a problem occur. Additionally, in the event that a claim is taken to court an expert witness will be required to provide an independent opinion and address their expert report to the Court. In many cases the expert witness will be a medical practitioner. This may result in an unfavorable outcome for the beauty therapist. An increase in beauty therapists entering the aesthetic medicine arena will naturally lead to increase in competition. With so many cosmetic practices to choose from on the high street, prices will begin to fall rapidly as clinics use low-prices as a means of attracting new patients. The consequence is that this could lead to poor quality treatment and in turn an increase in claims. This means insurance premiums will increase and will have an affect on the whole industry.”

The consumer safety website

The aesthetic nurse – Emma

– Ron Myers, Director, The

Davies, chair, British

Consulting Room™

Association of Cosmetic Nurses

“Having been involved in the industry since

(BACN)

the launch of Botox® in 1994, I’ve been

“The BACN is very concerned that non-

fortunate enough to have watched the

medical practitioners from a wide range of

market evolve and develop and to listen to

backgrounds are undertaking training for

all the arguments from ‘interested parties’

and providing injectable treatments. We feel

who wanted to generate an income from

the training they receive cannot deliver all the knowledge and skills required to assess

this new market segment. Plastic surgeons and dermatologists initially were concerned (and some still are) with doctors from

the patient (including interpreting the implications of any medical or medicines history),

other specialities being involved in cosmetic injectables, and some doctor’s are not

consent, and deliver safe treatment and follow up. Since product manufacturers do not

supportive of dentists or nurse prescribers using these treatments - and there are also

train or supply to beauty therapists, workshops and training events are not available

heated debates going on amongst nurses as to whether non-nurse prescribers should

to non-medical practitioners, which begs the question how do they develop their skills?

be involved in injectable cosmetics, with the NMC certainly not being supportive of

Botox is a prescription only medicine and requires a patient specific direction. The nurse,

non independent nurse prescribers using prescription cosmetic injectables.

doctor, or dentist prescribing must assess the patient before prescribing, and the drug

Infact the outcome of this specific debate is probably where the whole future of this

should not be supplied or administered without a written, named patient, prescription. The

market hinges! I am not a lawyer – but having seen the ‘positioning’ of various

medicines laws did not anticipate the commercial administration of POMs in salons and

medical specialities over the years – the issue of whether non-prescribers (without

our government will not regulate this growing industry. The voluntary shared regulation

any formal medical training) can legally use injectable cosmetic prescription drugs

scheme is an attempt to address this, and it will not include non-medical personnel. The

(with the back up of a medically trained prescriber) is obviously still unclear to

public needs to be educated that these treatments should not be undertaken lightly.

many within this industry – or unenforceable by any of the medical bodies or

Should medical complications arise, and we know they do, the practitioner must be able

government organisations who should be looking to protect the public. As far

to diagnose and manage appropriately and safely.It follows that insurance providers do

as I can see, none of the market leading manufacturers support the use of their

not insure beauty therapists to undertake these treatments, because of unacceptable risk.

products or access to any training by any non-medically trained professionals –

Finally, nurses and doctors are accountable to their regulatory bodies and have a code of

because they understand that things can go wrong – sometimes very wrong, when

conduct and standards of practice. Non –medical operators do not.”

you’re using these products.

I have seen many cases presented at medical meetings of individuals permanently

The dentist – Dr Bob Khanna,

disfigured with fillers administered by “trained” medical professionals. As a result

president of the International

I’m convinced that, whatever the legalities are, these products should only be in the

Academy of Advanced Facial

hands of specialists whose personal training and patient throughput allows them to

Aesthetics (IAAFA) and founder

develop expertise and to have the medical understanding to deal with the problems

of the Dr Bob Khanna Training

that they might occasionally create. Granuloma, anaphylactic reaction, and vascular

Institute

occlusion – no matter how rare, are all things that should make non-medics sweat

My concerns with any professional wishing to

if they think of venturing into this field - as I’ve seen even the most experienced

undertake botulinum toxin and dermal fillers

practitioners in our industry struggle to deal with some of these problems.

is that they have to be able to understand and

The longer this argument rumbles on – the more therapists will be convinced that they

have the ability to manage complications and

can safely use prescription injectables if they can find a Doctor or a Dentist somewhere

risks in order to provide safe and effective

who will buy them, and it will snowball. Unless the MHRA/GMC/GDC/CQC or other

treatment. It is also essential that any professional involved in such treatment, has the

relevant bodies get their act together - with the crazy discounts currently offered by

relevant anatomical knowledge, and can conduct a thorough assessment and consultation

some clinics (as low as £40.00 for Botox), we seem to be only one step away from

and inherently understand the importance of contemperaneous clinical record keeping

many more businesses using these strategies from employing therapists at £10.00/

associated with these treatments, including informed consent.These area are fundamental

hour to pop in a bit of Botox in order to make a profit!”

in todays litigious climate and essential in order to be fully responsible in the duty of care for our patients.”

The cosmetic doctor – Dr Samantha Gammell, President-Elect British Association of Cosmetic Doctors “Injectable treatments such as Botox and fillers are increasingly becoming part of our daily beauty vocabulary but unlike lipstick and mascara these treatments are serious medical procedures with serious risks attached.With everyone wanting a slice of this expanding market it is unfortunate and extremely concerning that rudimental and inadequate training is being offered by companies to exploit vulnerable beauty therapists. These treatments are safe when administered by medical professionals with years of medical training, however, one days training cannot provide therapists with sufficient medical knowledge to fully understand a patients facial anatomy, medical history or the potential complications associated with these procedure.

Furthermore therapist to do have the ability to deal with the complications should they arise. Some may argue that as the effects of Botox and fillers are short term any problem will be reversed in a few months, no matter how badly they are injected, however it is generally not practical to hide away for four months and some complications can be permanent. I cannot see how on any level it is in the public’s interest to have medical treatments carried out by beauty therapists.”

cosmeticnewsuk.com

29

Injectables Special | Botulinum Toxin

Battle Brands of the

Botlulinum toxin is undoubtedly the pinnacle in medical aesthetics treatments. We look at how it has evolved and how the emergence of new brands has changed the shape of the botulinum toxin market Injectables are the staple treatments of every successful aesthetic practice and none more so than botulinum toxin.

In the last 20 years boutlinum toxin has established itself as the gold standard in anti-ageing treatments and has changed the face of beauty as we know it.

new indication for the product when Botox® (Allergan) became the first botulinum toxin type A to receive a license for chronic migraine.

From food poisoning to beauty revolution Although the term ‘botox’ is now a household name and is a favorite with

When Alistair and Jean Carruthers

or collagen and fat injections. Even though

many a celebrity, the origins of the drug are

discovered the cosmetic effects of

the concept of cosmetic enhancement was

somewhat less glamorous. The effects of

botulinum toxin type A, it took them three

nothing new when botulinum toxin came

toxin were first observed in the 1800s after a

years to persuade their colleagues that one

on to the scene, what plastic surgeons and

deadly botulsim food poisioning epidemic

of the most potent toxins known to man was

dermatologists were struggling to find a

in Germany. Although botulism was nothing

capable of answering the age old question

solution for was how to treat the tell-tale

new, it was the observations by Dr Justinus

of how to turn back the clock and get rid

laughter lines and frown lines on the face

Kerner that small amounts of the sausage

of lines and wrinkles. But even they couldn’t

that so clearly gave away a persons age.

poison may be useful for certain certain

have predicted what a global phenomenon

By far one of the most popular non-surgical

neurological conditions that started the ball

treatments, botulinum toxin has come a

rolling for one of the most potent poisons

long way since its beginnings as a treatment

ever discovered to become a medical

its own right botulinum toxin type A has

for blepharospasm and strabismus and

marvel. However it was not until the 1970s

revolutionised the anti-ageing market and

the last two years have been particularly

that anyone attempted to use botulinum toxin

has been widely credited with changing the

significant in its history as we have seen the

in medicine when Dr Alan B Scott successfully

face of the cosmetic industry and starting

emergence of two new brands onto the

developed a treatment for strabismus using

the now established specialism of medical

market – the newly cosmetic licensed version

botulinum toxin. The drug he used was known

aesthetics. Before its arrival the options

of Xeomin®, Bocouture® (Merz Aesthetics)

as Oculinum and was the form of the drug

available to people seeking a more youthful

and the cosmetic licensed version of Dysport®,

Canadian ophthalmologist Jean Carruthers

appearance were limited largely to surgery

Azzalure® (Galderma) as well as an exciting

was testing on her patients who suffered

‘botox’ injections would become.

Now a multimillion-pound industry in

30

cosmeticnewsuk.com

from blepharospasm when she discovered a

comprising of surgeons, physicians, dentists

positive side effect – it got rid of their wrinkles.

and nurses who use Botulinum Toxin Type A

In 1988 Allergan bought the rights to the

(BoNT-A) in their aesthetics practices says,

drug. A year later they gained FDA approval

“There has been a massive exponential rise

for it and launched it in the US for the

in use of botulinum toxin in the last 10 years.

treatment of strabismus and blepharospasm

I think this has been down to the ease of

and Botox® was born.

availability we now have with the products

Botulinum toxin in aesthetics

but also the public awareness of the product.

I have used all three toxins and they certainly

Despite the observations of the Carruthers

seem to have a very similar effect although

Botox® was not an overnight success. It took

their profiles are different. Some work a bit

the couple three years to get 30 patients

sooner than others, some have different

to carry out their research into its cosmetic

effects when injected in different places and

applications but when people started to see

I think when you understand that you can

what the toxin could do for lines and wrinkles

always tailor the use to the effect you want.”

its popularity began to grow. Although

Dr Xavier Goodarzian, the head trainer

many physicians were using Botox® and its

for Innomed Training, adds,“I started using

competitor toxin Dysport® off label throughout

Azzalure® almost straight away because I

the 1990s it was not until 2002 that Allergan

had been using Dysport® so for me it was

reached a landmark in the history of botulinum

just logical to go over to Azzalure®. From

toxin by becoming the first company to

a training point of view we mainly use

achieve a cosmetic license for the use of

Azzalure®. I haven’t used Bocouture® but I

Botox® in the treatment of glabellar lines in

have used Xeomin® and I always have it in

the US. It was not until 2006 that the UK license

stock because I think the plus point of it is that

followed suit and the new cosmetic version

it doesn’t require refrigeration. I tend to use

of Botox®, Vistabel® was launched. Botox®/

Xeomin® for hyperhidrosis as well because I

Vistabel® continued to be the only toxin

find it easier to use for this indication.

approved for this indication until 2009 when

much difference. If you treated a patient

Azzalure®, the cosmetic version of Dysport®.

with a different product every time they difference because you would be putting the

Xeomin®. Xeomin® was launched into the

right amount of toxin in that is appropriate for

medical market by Merz Aesthetics in 2008.

that muscle group. In terms of the longevity

Licensed for the treatment of blepharospasm

of the products, there have been comments

and cervical dystonia, the product received

that Azzalure® doesn’t last as long but I have

its cosmetic license in 2010 and has already

not found that, I certainly think it lasts as long

made its mark on the industry with studies

as Botox ® or Xeomin®. is a difference between the molecule sizes.

Xeomin® /Bocouture® has the lowest protein

refrigeration meaning it can be stored at

load, which means it is a purer toxin. There

room temperature. It remains to be seen

have been debates that if you have a purer

whether this new kid on the block can take

toxin it will diffuse more because the molecule

on the two toxin giants but whatever happens

is smaller, but I don’t think there have been

it seems certain that there are exciting times

any conclusions about that. Theoretically if

ahead in the aesthetic toxins industry.

the molecule is bigger (and Vistabel® /Botox®

But how do these products really differ and

have the biggest molecule) then it will diffuse

what impact has the emergence of different

less and you will get a more precise result,

brands had on the market?

but I haven’t found that. If you are using the

Mr Dalvi Humzah, chairman of The United

C R Y S TA L PEELING

“From a biochemical point of view there

showing that while it has comparable results The product also does not require

FULL TRAINING

came they probably wouldn’t notice much

– Bocouture®, the cosmetic version of

to Botox® it also has a far lower protein load.

DIAMOND PEELING

“From a patient point of view there isn’t

Ispen and Galderma announced the launch of Another new toxin has also now emerged

MICRODERMABRASION SPECIALISTS

correct dosage and the correct amount of

Kingdom Botulinum Toxin Group for Aesthetics

units to prepare your products you should get

(UKBTGA), an academic working group

safe diffusion.”

The brands Azzalure ® (Galderma) Azzalure® is the cosmetically licensed name for Dysport®. It is manufactured by the French company Ipsen and distributed

by Galderma.

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In March 2009, Azzalure® was granted a licence in the UK from the Medicines and Healthcare products Regulatory Agency (MHRA) for the “temporary improvement in the appearance of moderate to severe glabellar lines in adult women and men aged 65 and younger, when the severity of these lines has a psychological impact for the patient”. The approval was based on several clinical trials involving more than 2,600 patients. In these studies, 1,907 patients with moderate to severe glabellar lines were treated at the recommended dose

01903 768 380 info@thecarltongroup.co.uk

of 50 Speywood Units. Of these, 305 were treated with 50 units in two pivotal Phase III double-blind

www.thecarltongroup.co.uk

Injectables Special | Botulinum Toxin placebo-controlled studies and 1,200 treated with 50 units in a long-

the UK for:

term open-label repeated dose Phase III study. The remaining patients

• Hemifacial spasm (May 1994)

were treated in supportive and dose-ranging studies. The median time

• Blepharospasm (May 1994)

to onset of response was two to three days following treatment, with the

• Cervical dystonia (July 1997)

maximum effect observed at day 30. In both pivotal placebo-controlled

• Focal spasticity in paediatric cerebral palsy (June 1998)

phase III studies, Azzalure® injections significantly reduced the severity of

• Severe axillary hyperhidrosis (July 2001)

glabellar lines for up to four months. The effect was still significant after five

• Upper limb spasticity in adult post-stroke (May 2002)

months in one of the two pivotal studies.

Last year Botox® also became the first botulinum toxin type A to be

Bocouture® (Merz Aesthetics)

licensed by the MHRA in the UK for the prophylaxis of headaches in adults who have chronic migraine (headaches on at least 15 days

Bocouture® is the cosmetically licensed version of Xeomin®, which has

per month of which at least eight days are with migraine). This was the

been available in the UK since 2008 and is licenced for blepharospasm

first licence worldwide of Botox® for this indication, and is also the first

and cervical dystonia.

prophylactic (preventative) treatment to receive a specific license for

In July 2010, Bocouture ® was granted a licence from the Medicines and Healthcare products

patients with chronic migraine.

Regulatory Agency (MHRA) for the “temporary

Dysport® (Ipsen)

improvement in the appearance of moderate to

Dysport®, botulinum toxin type A, has been available in the UK since the

severe glabellar lines in adult women and men aged

early 1990`s and has licences in 67 countries worldwide including the

65 and younger, when the severity of these lines has

United Kingdom and many European markets. It is manufactured by the

a psychological impact for the patient” .

French company Ipsen.

What makes Bocouture® different from other

Dysport® is licenced in the UK for blepharospasm, hemifacial spasm,

toxins on the market is its formulation, in which the

cervical dystonia, dynamic equinus foot deformity due to spasticity

complexing proteins have been removed by an

in ambulant paediatric cerebral palsy patients, two years of age or

extensive purification process from the botulinum

older; and focal spasticity, including the treatment of arm symptoms

toxin complex. In contrast to the other commercially

associated with focal spasticity, in conjunction with physiotherapy.

available preparations, Bocouture® contains the pure 150 kD neurotoxin.

It is believed that the bacterial protein present in other products may promote an immune reaction, resulting in a loss of effect and reduction in

It also gained approval for cosmetic use in the UK in early 2009 and is marketed for this indication, with a dosing specific to treat glabellar lines, under the brand name Azzalure®.

duration of activity. Bocouture® has the lowest content of protein of all of

Vistabel® (Allergan)

the products on the market and should therfore not induce the formation

Vistabel® was the first brand of botulinum toxin

of neutralising anti-bodies, even when used in high doses.

type A to be licensed for cosmetic use in the

US dermatologist Dr Tim Flynn, who has been involved in some of

UK. The cosmetically licensed version of market

the clinical trials using Bocouture®, comments, “We have found that

leading brand Botox®, Vistabel® is made from

Bocouture®/Xeomin®, especially in the therapeutic milieu,is basically a

purified type - A neurotoxin produced by the

purer toxin as it does not have the complexing proteins and therefore

bacteria Clostridium botulinum.

there is less chance of antigenicity. Bocouture® is a150 kilodalton protein

Vistabel® was granted a license in the

(in the vial there is some sucrose which is expedient) whereas Botox® is a

UK from the Medicines and Healthcare

900 kilodalton toxin – it has the actual toxin itself but surrounded by some

products Regulatory Agency (MHRA) for the

extra proteins. What we have come to find out is that when you put this

“temporary improvement in the appearance

complex in at physiologic ph, you get rapid disassociation of the toxin from

of moderate to severe glabellar lines (vertical

the complex within about a minute, so we have a toxin in the vial (Botox®)

`frown` lines between the eyebrows) in adult

that has complexing proteins and once we put it in the skin the proteins

women and men aged 65 and younger, when the severity of these lines

and the toxin separate so you get the effect of an actual naked toxin if

has a psychological impact for the patient” in March 2006. Known as

you will and so that’s why we get this direct overlap. In the therapeutic

Botox® Cosmetic in the States, it is one of the most well-researched of

milieu where you are using hundreds of units of toxin to treat someone with

all the toxins on the market with hundreds of clinical trials proving its

major muscle spasticity or cerebral palsy, you are going to decrease the

efficacy and safety for cosmetic indications.

immunologic load by using a toxin with a higher protein level, so we feel that there is a lesser chance of somebody developing an allergy to that

Xeomin ® (Merz)

toxin which results in a non-response. That being said in cosmetics, when

Launched in the UK in 2008, Xeomin® is a NT-201, botulinum neurotoxin

we use just 10s of units, we have not seen a lot of non-responders although

that is free from complexing proteins. The complexing proteins are

there have been some reports in the literature.”

removed from the toxin using an extensive purification process. In contrast

Botox® (Allergan) The original botulinum toxin, Botox® is the leading

to the other commercially available preparations, Xeomin® contains the pure 150 kD neurotoxin.

Xeomin® has the lowest content of protein of all of the available

brand of botulinum toxin type across the globe.

botulinum toxins and furthermore show that repeated application

The brand’s name has become synonymous with

of Xeomin®, even in high doses, does not induce the formation of

the treatment itself and it has an abundance

neutralising anti-bodies.

of clinical data behind it, having been licensed in the US since the late 1980s.

Botox® was the first botulinum toxin to gain a cosmetic license for use in the treatment of glabellar lines

This means that Xeomin® is able to provide similar results to those achievable with the other products without the risk of antibody formation, providing continual long lasting effects. This is particularly relevant when large doses are being used for medical indications.

Xeomin® is licenced in the UK for blepharospasm and cervical dystonia.

and wrinkles. It is approved for this

It also gain approval for cosmetic use in 2010 under the brand name

indication in the US, and has been

Bocouture®.

marketed for cosmetic use under than brand name Vistabel® since 2006.

Clinical studies have suggested that Xeomin® is similar in its effect to Botox®. 1 unit of Xeomin® is equal to 1 unit of Botox®

Aside from being the first botulnium toxin in the world to receive cosmetic approval in 2002, Botox® treatment has been approved in

32

cosmeticnewsuk.com

SOURCE: The Consulting Room™ www.theconsultingroom.com

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For further information please call 07973 558595 or visit www.drbrianfranks.com. Find us at: • Professional Beauty – Dr Franks will be speaking Sunday am, 27th February • NEC Dentistry Show, Exhibiting at Stand H22 on the 4th and 5th March • Cosmetic News Expo, Business Design Centre, London on 6th and 7th May

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Cosmetic News March 2011

Treatment Spotlight | HialuroFrax

Deep impact We find out about the HialuroFrax Hyaluronic Acid Laser System

The terms ‘hyaluronic acid’ and ‘diode laser’ are well used in the medical aesthetics industry but not often in reference to the same treatment, such less the same machine. The HialuroFrax is an Italian patented method of applying hyaluronic acid into the skin.

laboratories. In order to obtain optimal effects, the hyaluronic acid used in the treatment has been prepared using nanotechnology to make it possible to penetrate

Distributed in the UK through Mayfair Medical

• Loss of elasticity

Group Ltd. , it is the first device in the world

• Visible and deep lines and wrinkles

allowing for both non-invasive application

• L ow levels of collagen and elastin

of hyaluronic acid and injection, due to

the skin.

The treatment system can be divided into four categories:

synthesis

its combination of fractional diode laser

• Poor skin condition

technology and very fine needles.

• ‘Flabby’ skin around the eyes

SOFT SYSTEM – the application of the hyaluronic acid by the means of a diode

The treatment precisely targets lines and

The synergistic work of the cold diode laser

laser using cosmetics that have been

wrinkles and can be safely used by medical

and a head equipped with a set of sterile

prepared in nano-technology. It is suitable

professionals and aestheticians alike. The

needles enables practitioners to fill lines

for people any age and can be used as a

treatment also stimulates skin cell renewal

and wrinkles at the same time as providing

preventative anti-ageing treatment, even on

and speeds up skin regeneration by

moisturisation at a deep level by enabling

young patients.

promoting collagen production.

hyaluronic acid nanomolecules to penetrate throughout the skin layers.

FRAX SYSTEM – this method is designated for people with visible wrinkles and lines.

The most common problems that HialuroFrax can be used to treat are:

The cosmetics used with the treatment

The treatment provides an even and deep

• Dry, dehydrated skin

have been prepared and tested in German

moisturisation and rejuvenation of the skin.

Both the laser head and FraxPen injection head are used here.

HOW IT WORKS

The system includes a ‘FraxPen’ hand-piece, which allows for

FRAX SYSTEM – SHALLOW ACTIVATION

precise action on lines and wrinkles. Its patented structure and

This method stimulates quick regeneration of

sterile needles make the treatment safe and easy to per form.

FraxPen

the skin by using a shallow needle action. A patented formula of preparations is used for this treatment and guarantees spectacular and long-lasting effects.

FRAX SYSTEM – DEEP ACTIVATION By reaching deeper skin layers, fibroblasts are stimulated to collagen synthesis which

The hyaluronic acid molecule is too big to penetrate the skin

Thanks to nanotechnology it is possible for hyaluronic acid to penetrate into the skin in special ‘nanocapsules’

The laser beam releases the hyaluronic acid from the nanocapsules

The hyaluronic acid remains in the dermis and binds water molecules which causes filling of wrinkles and deep moisturising

makes skin younger and firmer. Accurate preparation of the cosmetics for this treatment guarantees very good results.

Before treatment clients must drink at least two litres of water a day, avoid the sun and not apply any occlusion cosmetics.

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cosmeticnewsuk.com

Healthcare & Salonwear

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Make this space work for you advertise in the uK’s largest aesthetic trade magazine advertising in cosmetic News is a great way to tell aesthetic practitioners about your products and services. But don’t just take it from us, here is what one of our advertisers had to say:

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

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as a new advertiser with cosmetic News, i am delighted to report that i have had a fantastic repsone, something which i have not experienced from any other publication. i am looking forward to a continued working relationship and editorial support to ensure a profitable 2011 for my company. i also encourage everybody in the industry to attend the highly anticipated cosmetic News expo 2011

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Mike filipiak

office@mayfairmedicalgroup.co.uk

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Cosmetic Dentistry | Straightening and Whitening

Smile Secret

Leading dental expert Dr Murtuza Hasnani reveals the secrets of tooth straightening and whitening

Dr Murtuza Hasnani Dr Hasnani BDS (Hons), MFDSRCS (Eng), MSc,

Research has shown that the first areas we look at when meeting someone are their eyes and mouth. Celebrities and stars have realised the importance of perfect teeth and have invested in their smile as part of their overall image. Having a perfect smile is now the ultimate beauty and fashion accessory. The good news is that with modern dental technology you do not need to be star to have a celebrity smile.

MOrth RCS (Eng), MOrthRCS (Ed) is a specialist orthodontist and the Practice Principal of The Brace Orthodontic Group.

He qualified in Dentistry at the Royal London Hospital in 1997 and then qualified as a Specialist Orthodontist in 2003 after six years of specialist study. Since then he has set up many of his practices and currently runs four across England and Wales. He has extensive experience of

VENEERS AND CROWNS

Crowns are made and fitted in the same way with

orthodontics, treating both adults and children

Placing a veneer on a tooth is very similar to

the main difference being that they cover the

and adopting the use of new technologies such

attaching a false fingernail. The tooth has

whole tooth rather than just the front and therefore

as clear aligners and lingual braces.

to be prepared first by drilling away a small

require the whole tooth to be drilled down.

slice of the front of the tooth. Veneers are made of porcelain and can be made in any

There is no doubt that veneers and crowns

to be lost and this can never be replaced.

colour shade from natural to very white and

are an excellent option in many cases and

Considering that veneers and crowns have

are then glued on to the prepared tooth.

can achieve a fairly instant â&#x20AC;&#x2DC;smile makeoverâ&#x20AC;&#x2122;

a definite lifespan, they may need to be

Veneers have been incredibly popular in

as is often seen on TV. However the main

replaced several times over the course of

the last 15 years as they can be used to

disadvantage of these procedures is that

an adultâ&#x20AC;&#x2122;s life and each time this will incur

straighten and whiten the teeth at the

they are very destructive to teeth. Drilling

considerable dental treatment, cost and

same time.

and preparing teeth causes tooth structure

further destruction of teeth due to preparation and drilling, and may even lead to the death of a tooth. In addition a veneer smile must be created with skill and care otherwise it can look very unnatural.

As a result of these problems there is a definite move towards looking at alternative methods of teeth straightening and whitening that are more natural and not destructive to teeth.

Orthodontic treatment (Braces) VENEERS AND CROWNS Before and after veneers and crowns

Orthodontic treatment involves using braces to apply gentle pressure to teeth over a period of time to straighten them. There is nothing new

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cosmeticnewsuk.com

shade you want and top this up again anytime. As this process requires a lot less professional surgery time, at home whitening tends to be excellent value for money and is a more effective technique overall than in surgery whitening.

AT HOME WHITENING

In surgery whitening This method involves a dentist applying the solution directly to the teeth in the surgery and the solution is activated by applying light (not a laser as it commonly thought). The main advantage is that the result is instant.

It is however still necessary to combine this with home whitening to achieve the ideal result. This technique involves a long appointment with the dentist and can therefore be more costly than home whitening.

Do and Don’ts of whitening Whitening involves applying a bleaching solution to teeth and the only people trained to work with teeth safely and effectively are dentists. It is illegal for anyone not medically or dentally qualified to work in the mouth so this

Whitening

treatment should not be carried out by non-professionals.

Once teeth have been straightened with braces the perfect finale is to have a course of whitening treatment. The majority of whitening

Use a professional whitening solution. Most whitening toothpastes and

treatments are now safe, effective and completely non destructive to

solutions available on the high street have very limited effects and will

tooth tissue.

not achieve that ‘wow’ factor.

At home whitening

Patients should control their diet carefully and avoid smoking and foods

This process involves making customised trays similar to a gum shield that

that stain during the treatment such as curry, red wine and coffee. The

fit over the teeth. The whitening solution is placed within the tray and

longer they avoid them afterwards the longer their teeth will stay white.

used over 10-14 days until the desired result is achieved.

Whitening will need to be topped up. Whitening treatment is like filling a The main disadvantage of this method is that the results are not instant

car with petrol it won’t last forever. How often this is needed depends on

but the major advantage is that the final result can be controlled.

factors such as diet and smoking, but considering the teeth do not need

Patients can keep using the solution in the trays until they reach the

to be filed down this is much better than veneers or crowns.

about traditional metal ‘train track’ braces as worn by ‘Ugly Betty’ and for many of us they are a teenage right of passage.

However, brace technology has now reached unprecedented levels and adults can benefit from a rejuvenated smile without anyone ever knowing they are wearing braces.

The benefits of orthodontic treatment As well as straighter teeth that look young and feel great, orthodontic treatment can make teeth easier to clean and look after. Teeth in the correct place can improve the bite and prevent damage and wear of the teeth.

Straight teeth, no train tracks Brace technology has come such a long way that modern fixed braces are available that are made of tooth coloured ceramic. This makes them inconspicuous and very

“

Brace technology has come such a long way that modern fixed braces are available that are made of tooth coloured ceramic

”

need for the patient to change their diet or tooth brushing habits. Invisalign® is also a great option for those preparing for a special event such as a wedding as they can be removed on the day for those special brace free pictures.

Braces can now also be fitted to the back surfaces of the teeth and lingual braces, such as Incognito™, use state of the art Computer Aided Design to make the brace individually for each patient. Both Invisalign® and Incognito™ braces are custom made for each patient, a bit like having a top designer personally make a suit or dress!

Braces for all ages The days of braces only being for teenagers are long gone. Today anyone with healthy teeth can have orthodontic treatment irrespective of age.

difficult to see. Did you notice Tom Cruise’s ceramic braces a few years ago?

For those that want an almost invisible brace, the option of choice is now clear aligners, such as Invisalign®.

Invisalign® is not only virtually invisible but is also

ORTHADONTIC TREATMENT Before and after pictures Incognito Braces

a removable brace which means that there is no

cosmeticnewsuk.com

37

t h e

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cosmetic news expo 2011 sponsored by: platinum sponsors

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Product Focus | BioActiveBeauty

Peptide Power We speak to Whitethorn Fields Mediclinic about BioActiveBeauty’s HydroPeptide Products

Whitethorn Fields Mediclinic is one of Buckinghamshire’s premier aesthetic clinics, offering a complete range of anti-ageing cosmetic surgery and non-surgical procedures. Director Caron Vetter, who has been specialising in advanced skin treatments for a number of years, joined forces with plastic surgeon Sudip Ghosh MBBS, MS, FRCS (Plast) Eng. to set up the clinic two years ago.

major impact in an anti-ageing skincare regimen, three things are crucial: • A variety of peptides must be present • Peptides must be present at clinic levels • Peptides must be repetitively applied Peptides are cell messengers that nourish, repair, and send neural-messages, which naturally stimulate diminished collagen and other important tissue, as well as relax repetitive wrinkle-

With a focus on advanced skincare treatments,

over 150 ingredients including clinical levels of

causing facial expression muscle tissue.

Caron was looking for a product range to sit

peptides. There is also vast array of anti-oxidants,

HydroPeptide® includes 19 different peptides

alongside the treatments already on offer at the

anti inflammatory and anti- bacterial ingredients

at clinic level, the largest variety in the industry

clinic when she came across the HydroPeptide®

so suitable for all skin types. We have had amazing

as well as other vital skin nourishing anti ageing

Anti-Ageing range from BioActiveBeauty.

results with these products they have been flying off

elements. Caron adds, “We all love using these

HydroPeptide® is a results-orientated range, which

the shelves and we have had to re-order weekly.

products, and are impressed by the results so far,

offers the latest in peptide and plant stem cell

Our patients love it as it is uncomplicated to use at

they are easy to use and the organic plant stem

technology. In 2004, HydroPeptide® became the first

home to support the clinic treatments this does give

cell aromas are delightful, but best of all patients

skincare company in the US to incorporate peptides

the best effects and maintains long-term results. It

skin looks firmer, smoother and more youthful.

into every product. Currently, the HydroPeptide®

is also so affordable compared to many products

Even in the short time we have been using them

collection includes 19 different peptides to boost

containing these advanced ingredients. The staff

we have noticed a big difference the patients

collagen and fight wrinkles. The products combine

that are all trained in anti-age management and

are also happy to come for the treatment more

advanced peptide technology along with healing

coaching love the products so much themselves

regularly as it’s not too expensive.

botanicals without parabens or animal testing.

that they are really happy to promote retailing

“We offer courses of the peptide Infusion treatments

Caron explains, “We were looking for a retail

them, and use them all themselves.”

before surgery to get the skin in good condition,

range with a supporting back bar of professional

The clinic also offers the ‘Peptide Infusion

and have designed a post operative facial that

products to offer first class professional treatments

Treatment’, a 55 minute treatment that infuses

Sudip Ghosh, our plastic surgeon recommends to

for all skin types and ages but without causing

the skin with a powerful mega dose of peptides,

his patients after cosmetic surgery to help with the

sensitivity. HydroPeptide® is a small range of 13

the end results shows a visible difference in the

elasticity of the skin. It helps to prolong the effects

products, the philosophy being fewer products

skin. They also combine this advanced skincare

of my work he says! It also encourages the patients

but more ingredients, so offering good value while

range with microdermabrasion, which gives deep

to use the HydroPeptide® range for their home

addressing as many elements as possible in as

exfoliation an incredible rejuvenation results to

skincare routine and to return to the clinic for regular

few steps as possible, with some products having

the skin. Caron believes that in order to see a

professional treatments.”

PARABEN FREE. CRUELTY FREE. FOR ALL SKIN TYPES.

40

cosmeticnewsuk.com

A NTI-A GING BREA KTHRO U G H

Want a power-packed age-fighting weapon against wrinkles?

Face the future

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

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

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

stand 68 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

an aesthetic choice

®

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

Date of Revision: September 2010.

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

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

Azzalure® is a registered trademark of Galderma.

Date of preparation: November 2010 AZZ/543/1110

Product News | Round Up

News

Product

Cynosure Performa – the ‘next generation in anti-ageing skin treatments’

New packaging for Dermaceutic Dermaceutic has introduced new packaging for its peeling lines. The new box sets are easier to transport and more convenient

Leading international facial

for storage. The ready to

laser and plastic surgeon Dr

use kits, which also have

Ayham Al-Ayoubi has been

accessories, such as

raving about Cynosure’s new

cups, brushes and cotton

laser – the Performa.

tips, included, are available from March 2011.

Dr Ayoubi, who is medical The Mask Peel will now be boxed; the Cosmo Peel kit will include the pipette and cotton buds,

director of the London

a new glass dispensing bowl, the Cosmo cream pump 40cl and the TCA 15% and 18% which

Medical and Aesthetic Clinic

will also have their own individual boxes; the Spot Peel kit will be presented in a box and include

on Harley Street, has described the system as the

one spot peel and five spot creams and the Milk Peel will include the new glass dispensing bowl.

‘next generation in anti-ageing skin treatments’. He

Dermaceutic was awarded the Best Peeling System Award in 2010 by PSAD, member of the

says, “The Cynosure-Performa is a newer, much more

European Society of Cosmetic and Aesthetic Dermatology (ESCAD). It is also the peeling

advanced fractional CO2 laser, which I introduced

system of choice for award winning training companies Innomed Training and Med-fx Training

into the UK in December 2010. I recommend it to

and is now the number one peeling system in France.

my patients for treating skin conditions such as

For more information please contact www.magroup.co.uk

photo-aged skin, fine lines and wrinkles, severe acne scarring and surface lesions. In some cases it can even be used to treat burns patients at the later stages. Fractional technology allows for skin

Medik8® launches Light Amplifier™

to treated with small micro-ablative areas. Areas of untouched tissue allows for much quicker healing times and decreased risk profile, with patients

Medik8® has launched Light Amplifier™, a lightweight serum

experiencing only a couple of days of slight redness and swelling.

that when used in conjunction with photodynamic therapy or PDT produces greatly enhanced results compared to the light

“Whilst previous CO2 lasers were effective when they

alone. Light Amplifier™ harnesses the properties of levulinic acid

were first launched many years ago, they caused

and bergamot, which are known for their ability to heighten the

unbelievable redness of skin and thermal damage. The advantage was significantly tighter skin with a dramatic

skin’s sensitivity to applied light, which targets a broad range of skin concerns. Proven to be effective in the management of acne, Light Amplifier™ generates an excess of oxygen, which works to destroy bacteria; reducing the frequency and severity of outbreaks. The specially chosen ingredients are also attracted

reduction in wrinkles and fine lines but damage to surrounding areas of skin was quite shocking. A lot of celebrities are seeing great results with the CynosurePerforma CO2 laser in the US. I believe it is going to be

to damaged cells and are activated when exposed to specific wavelengths of light, yielding

huge in the UK for 2011 as we venture further into the

excellent results for the improvement of photodamaged skin.

realm of non-surgical laser surgery.”

HydraFacial crowned the winner of LNE and Spa Best Machine 2011

42

HydraFacial has been named the Best Machine 2011by

impurities while bathing the healthy underlying skin with

world trade publication Les Nouvelles Esthétiques and

deep cleansing, exfoliating and antioxidant serums. The

Spa Magazine.

proprietary serums are clinically formulated to improve the

The HydraFacial™ (distributed in the UK by SkinBrands) is

appearance of fine lines and wrinkles, congested pores,

clinically proven to improve the appearance of fine lines,

hyper-pigmentation and acne-prone skin.

wrinkles, congested and enlarged pores, oily or acne-prone

A series of six treatments, one treatment a week is

skin and hyperpigmentation

recommended for improving the appearance of fine lines,

The effectiveness of HydraFacial™ is due to the use of

wrinkles, hyperpigmentation and oily/acne prone skin. A

specially formulated serums in combination with a vacuum-

visible difference can be seen after just one treatment and

based skin abrasion tip. It removes dead skin cells and

smooth results and hydration can last up to seven days.

cosmeticnewsuk.com

dermaceutic_uk.qxd

Kush on QVC

Coco-Bliss Ltd has launched its innovative product, the Kush, on QVC (Sky 640). The product featured on the Taboo Health Solutions hour at 10pm on Wednesday February 23.

Aimed at women who are a C cup or above, the Kush is a cylindrical breast support device made from an extremely lightweight PET plastic. The device is placed between the breasts when side-sleeping to provide support post surgery and to prevent them sagging.

UK distributor Joanne Darbost said, “My aim is to introduce Kush to larger breasted women in the UK who suffers from aches and discomfort in the neck, back and shoulders caused by gravity and pressure from sleeping on their sides with unsupported breasts, including those with breast implants. As Kush is a non-invasive product, I believe it offers forward-thinking clinics, surgeons and chiropractors an excellent opportunity to retail Kush to their patients or to include one in their after-care packages.”

Plastic reconstructive surgeon Peter L Tucker MD added, “I was consulted in the developmental stages of Kush and asked to evaluate the finished product. Simply, I think Kush is outstanding.

Kush has been met with an enthusiastic reception when it debuted here in the US.”

Lynton launches new fractional hand-piece Lynton has launched

the new fractional 2940 hand-piece, an effective, low cost laser hand-piece which adds to the options of the Lumina system by increasing the number and range of treatments you can administer from the one platform system.

The fractional output results in excellent treatment results with reduced patient downtime. An attractive treatment for your clients, whilst a financially sound purchase for your business allowing you to develop the platform system you already have rather than purchasing new equipment. By targeting water absorption in the epidermis, the 2940nm wavelength hand-piece can be used for various applications at different intensity levels.

Targeting wrinkles and scarring, to pigmentation treatments and skin rejuvenation.

Through offering different intensities the new hand-piece can treat acne scars, traumatic scars and surgical scars. Photo-damaged skin treatments target rough and uneven skin tone, inelastic skin and excessive secretion of sebum. The versatile, easy to use hand-piece is the latest addition to Lynton’s lengthy product portfolio, which hosts a range of systems for an array of treatments including cellulite reduction, skin tightening, hair removal and tattoo removal.

16/02/11

9:49

Page 1

Best Practice | Business Start-ups

Starters >>> orders Stephen Thorns on starting and growing and aesthetics business

Starting or building a business in medical aesthetics involves much more than just treating clients. However, many people new to this business concentrate all their efforts and training only on this one area. Starting any new business requires a range of entrepreneurial and business management skills. Any new venture is vulnerable to all the risks and pitfalls, which threaten all new businesses.

M

ost statistics seem to suggest that there is

forward when your initial plans don’t appear to be

somewhere around a 20% to 50% chance

working. Successful entrepreneurs actually thrive

of a new business surviving for the first three

on independence rather than being daunted by

years. There has been much published on the reasons

it, they often make swift decisions and are slow

for success and failure, so let’s explore what some

to change their mind. Entrepreneurs are often

of this research suggests and examine how it could

charming and good at building networks, they are

apply to you.

often creative and usually have a high self esteem.

All of these qualities can be vitally important

Stephen Thorns is the founder, managing director and major shareholder of Qutis: Advanced Skin Clinics. This franchise model is based on the successful MBNS clinic in Thame, owned and operated by Marea Brennan Thorns and Stephanie Green, who are the other shareholders of Qutis Ltd. Stephen recently left his position as UK managing director of Mentor Medical Systems, a year after they were acquired by Johnson & Johnson. He also has more than 10 years in marketing, purchasing, project management and general management and was a director at Scottish and Newcastle, where he had responsibility for more than130 sites, £100m turnover and in excess of £30m EBITDA. He was also a director in Sodexo, specialising in business to business, multiservice contracts.

44

cosmeticnewsuk.com

Before we go into detail, it is worth just clarifying what

when negotiating with suppliers and customers,

a new aesthetic business is. It could be someone

particularly when negations have a long term

who has started by injecting friends and family, whilst

impact. Setting the right price for your product

‘winding down’ a current job, or perhaps a new

and not giving in or giving away big discounts

practitioner deciding to partner with another doctor

unnecessarily can also be a matter of understanding

or nurse or perhaps someone considering setting up

not just your product but your own self worth.

their own business who is exploring what opportunities exist. Alternatively, you may already have an existing aesthetics business and are just keen to look for ideas which may help you grow faster, easier or cheaper.

2

Do you manage yourself and others in the right way?

When thinking of starting your own cosmetic practice, you may be aware that

In any case, it is worth researching and thinking

you lack some business and management expertise in

carefully, as the decisions you make now will

key areas such as finance, marketing, selling, people

significantly dictate your chances of future success.

management, IT, property leasing, purchasing and

Starting or developing your own business and

staff recruitment. Not having skills and experience in

investing your money deserves your full attention and

these areas is not a problem if you identify this and seek

requires some thorough research.

help. Where new business owners appear to become vulnerable is when they assume these business skills are

So, what questions should you be asking yourself

not important. Some assume they can succeed without

when starting and growing a new business?

any experience or that they can delegate key areas

1

to others without supervision. In the short term, possibly

Are you the right kind of person?

for the first two to five years most reports agree that you

Do you feel you have a passion and

will need to be very hands-on. Delegating too soon or

love for medical aesthetics and for

abdicating key tasks altogether will leave any business

serving your customers or patients?

very vulnerable. Hiring competent people, ensuring

Are you mentally tough and able to overcome

they are well trained, have a clear understanding of

challenges? Can you learn from from failures and

their job role and that they are motivated is an area

not be defeated by them....even pushing yourself

often overlooked particularly in small businesses.

3

Will you run out of money?

Many practitioners start out learning only how to inject with no thought for how they will manage their

5

Have you really spent enough time planning?

Many people in small businesses may not even have the most basic plan or

In summary, a good website should be directing new customers to your business every day.

8

Are you advertising and producing consistent branding?

finances or cash flow. Often times practitioners

even know where to start. Not being able to plan

have been forced out of business, simply

is one thing, not having a plan is another. Not

because they could not pay their suppliers, or

having a plan is seen by many analysts as possibly

did not understand how to plan their finances.

the most common cause of new business failure.

to the challenge of building the right website.

Business owners often make the fatal mistake

Business plans need to cover many different

Advertising is often described as ‘repetition’ and

of underestimating how much money they

areas, including; a description of the business

is not a one off event, but something that requires

need to start and grow their business. Unless

vision and goals, the customer types, the service

constant investment over a prolonged period of

they have a detailed insight into a very similar

offering and the need the business fulfils. It should

time.

business to the one they are establishing

also include key tasks and actions, a financial

naturally they will omit or guess in some areas

plan and cash flow forecast, marketing methods

When money is tight this is the first thing which

of expense. To many people this is simply boring

and costs and finally people requirements and

some business owners cut. The effect is to strangle

and requires attention to detail so it just does

job outlines.

their new business often before it has had a real

This is often highlighted separately

chance to grow. Branding, is about presenting

not get done.

If expectations are too high, then what might

a consistent message so the customer can

The other side of this coin is over-estimating

be seen as an acceptable performance by one

get a feel for where your business fits in their

how big the sales will be, particularly in the first

business owner, may be viewed as failure by

own worldview. This often means agreeing a

few months. Without a clear model or example

another. In such a case, giving up too soon can

set of common themes which will run through

to follow much of this sales forecasting will

be a reason for failure. It is important to have a

brochures, websites, delivery vans, uniforms and

be based on assumptions and estimates. The

plan, but it is important to know when to change

other materials which represent your business.

guidelines seem to be that most businesses

your plan when it is not working.

take a year or more to get going. Often people ignore this and think their business will be different. A lack of money will influence an entrepreneurs decisions and may mean they cannot afford to pay for good advice.

6

Are you growing too quickly or in the wrong direction?

A focus on slow steady growth is seen as the best way forward by many

9

Is the economy or your market in growth?

It is fairly widely accepted that starting a new business in a growing

market gives a much greater chance of success

analysts. Rapid growth requires cash and careful

than say starting a new business in a declining

An alternative is to chose a path which you

planning and often puts strain on both these two

market. The expression ‘a rising tide raises all

believe to be safer, by starting slowly, injecting

areas; which if they are weak will lead to failure.

boats’ is a commonly quoted analogy. The fact

only a few patients each week. Maybe you

If employees feel they will benefit from business

that you are reading this article suggests you are

believe that it keeps things simple by just having

growth they will stay motivated and help you

already in aesthetics or you are considering it. This

yourself to worry about, and so, you might have

succeed and expand.

is one good decision which you can congratulate yourself upon. Cosmetic treatments, particularly

had a year of ‘traipsing around’ beauty salons and private homes. However, the problems

Are the people around you properly motivated

nonsurgical procedures are in growth and are

and challenges are the same as in a large

and as keen and determined to succeed as you

forecast to continue growing.

business; how do you advertise and promote

are?

your business when sales are very low? How do you build experience and competence quickly if you are only treating a handful of patients each month? And what is your exit plan - is this a business model which you can sell for a significant sum after several years?

4

7

Do you feel lucky?

Do you know what your website should do for you?

10

I was amazed how frequently not

together. Having said this, there is still a sense in

The best definition I have heard of ‘luck’ is that it occurs where opportunity and preparation come

having a website at all, was cited, as a significant

some research and amongst many entrepreneurs

reason for business failure. Some of you will be

that some people are luckier than others. This is

Have you chosen the right site and location?

stunned that any business owner in this day and

perhaps the one area that you have little control

age may think they do not need a website.

over, if you believe in it!

The factors which need to be

The rapid change in technology and the huge

understood and considered

growth of online marketing seems to have caught

So what are we to make of all this research?

are; where are my customers? What silent

many business leaders sleeping. Being over 40

Some people will feel energised, others may feel

messages does the appearance of my business

years old is not an excuse for failing to appreciate

paralysed. Many people consider having their

communicate? Where are my competitors? How

the massive opportunity which the Internet

own business, some people put a toe in the water

well have you understood traffic and customer

presents for any business.

but find it too cold and withdraw, some people

access, parking and lighting? What is the

stay the course and really succeed. The ‘man in

general view of an area, will it be seen as upper

Many business people will be aware of how

the street’ rarely appreciates the effort and skill

or lower market by your customers?

their existing customers found them. They

that many entrepreneurs have demonstrated in

may appreciate how the traditional forms of

building their own business.

Spending too much or too little on business

advertising have become less and less relevant

premises either because they are too large or

in the last five years. What they may not know is

If you have read this article and you are keen to

in the wrong area can spell disaster quickly.

what new forms of advertising are available such

start your own business in medical aesthetics, we

Making a cool calm balanced decision about

as Google ad words and how powerful these

may be in a position to help you. In any event,

where to locate a business is quite different from

tools can be.

all journeys begin with the first step, but even this

buying a house - emotions need to be kept

hurdle can be too high for some people. If you

under control. Having the right premises may

The production of a website and online

have already started or if you have a growing

mean the difference between being able to

advertising cannot be delegated entirely to a

successful business we wish you all the best and

sell your business in the future or not. A potential

member of staff. The business leader needs to

commend you for stepping into the arena and

business buyer is not likely to take on a business

educate themselves to some degree in order to

building something for yourself.

with a high rent and a low turnover.

understand and direct what their website does.

cosmeticnewsuk.com

45

since

THE ACADEMY

1929

La nostra missione aziendale è ottenere che il nostro

exell

Cliente goda della meravigliosa sensazione di veder realizzate o, meglio, superate, le sue aspettative.

Exell by Pastelli nasce dal nostro desiderio di offrirVi

by P A S T E L L I

qualcosa in più che possa legare tra loro persone alla

see us at

continua ricerca di moda e innovazione. Nasce per tutti

Via Basse, 4/6 _ 35010 Campo San Martino (PD) _ ITALY coloro che, come noi, considerano il camice come una Te l . + 3 9 0 4 9 9 6 0 0 2 7 0 F a x + 3 9 0 4 9 9 6 0 0 2 3 0

w w w. p a s tseconda e l l i . c opelle, m pfresco a s t eel lmorbido i @ p a scompagno t e l l i . c odimtutta la r o b e alagcui le@ m a cspesso, . c o m rappresenta il primo giornata, scelta,

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Cosmetic Courses Training Academy

problema del mattino, consapevoli del fatto che “l’eleganza è il nostro biglietto da visita”.

Our mission is to make our customers enjoy the wonderful sensation of seeing their expectations realized. Exell by Pastelli expresses our desire to offer you something better to bring together people who are always on the look-out for the latest innovations and trends. Created for all of those who consider, as we do, a medical uniform like a second skin that is smooth and fresh and that will accompany them throughout the day,

Maximise the potential of your cosmetic practice with our support Cosmetic Courses Training Academy offers an array of information and advice to help support you with the growth and development of your practice following attendance at any of our training courses. We strive to not only meet all your training needs in terms of practical training, but also to offer solid and lasting support to help you build and sustain an effective and successful practice. By offering the extensive support network Cosmetic Courses Training Academy is certain to be with you for a long time to come.

and which is often chosen first thing in the morning, and created in the knowledge that

“elegance is our business”.

Genuine Dermaroller Training Tuesday 8 March 2011

Foundation Botulinum Toxin & Dermal Filler Training Saturday 12 March 2011 & Saturday 2 April 2011

Intermediate/Advanced Botulinum Toxin & Dermal Filler Training Saturday 26 March 2011

PA S T E L L I Via Basse, 4/6 _ 35010 Campo San Martino (PD) _ ITALY Te l . + 3 9 0 4 9 9 6 0 0 2 7 0 F a x + 3 9 0 4 9 9 6 0 0 2 3 0

w w w. p a s t e l l i . c o m p a s t e l l i @ p a s t e l l i . c o m robeagle@mac.com UK Contact: Robert Eaglestone Tel: 07831 116 873 | 07784 516 637

To log onto the Training Academy go to: www.cosmetic-courses.co.uk The National Cosmetic Training Centre The Paddocks Hospital, Aylesbury Road, Princes Risborough, Buckinghamshire, HP27 0JS

0845 230 4110

info@cosmeticcourses.co.uk www.cosmeticcourses.co.uk

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18/2/11 10:23:52

Business Focus | Business Plans

The write way Anna Saprykina on writing a business plan

In one of our discussions last year we talked about a start-up capital or how much money you need to start your clinic and what role the start-up capital plays in your business planning. The latter in fact is not necessarily a business plan as yet. Planning is a process leading to the formulation of your business plan. A business plan is the outcome of the planning process, whereas the planning process (thinking, researching, consulting, discussing) is at least as important as the final written plan.

Anna Saprykina has a

new enterprise. It is a document that is designed

from ACCA and is the author of the

How do I know how to write a business plan if I haven’t done it before?

business workshops ‘From Beautician

If you have never written a business plan before, do

The business plan describes out the market

to Entrepreneur’. After many years of

not be scared off – it is not an intimidating process.

opportunities the business intends to exploit, how

experience in analysing businesses

Most of the people who come to my workshops do

it will do so and what resources are required.

and industries during her career in

not have a financial background and usually have

Even if you have enough money to finance your

finance, Anna became a business

worked for someone else for years as a beautician or

business without investors or a loan, you still need

owner herself and is a founder of

a medical practitioner. The only thing that would not

to determine the feasibility of your venture (how

London-based Body Silk Consulting,

do your any good is failing to plan in the first place.

good the opportunity that you are going to pursue

providing business training for the

Follow common sense.

is) and to document how exactly your clinic will

Diploma in Financial Management

venture to persuade financial backer to invest.

make money.

young entrepreneurs with a focus on the beauty and aesthetic industry.

to provide information about a new business or

Start with writing a skeleton for your business plan, which should include the following points:

Does one really need it?

• Your product/ service and its advantages

A formal business plan is necessary to show all

• Your opportunity in the beauty/aesthetic market

interested parties – employees, investors, partners

• How you are going to manage your business?

and yourself – that you are committed to building

• Your track record to date if any

the business. In other words, you need to prove that

• Financial projections

you are serious about your business. The business plan

• Funding requirements and expected returns

should clearly lay out the long-term milestones that are most important to the success of your clinic, such

What is a business plan?

as launching an online shop through your website or

A business plan is a report showing the plans of

reaching a quarter of a million pounds sales in three

the business, often used to attract finance for a

years time.

cosmeticnewsuk.com

47

Business Focus | Business Plans

“

Creating the business plan forces you to analyze the competition.

All companies have competition in the form of either direct or indirect competitors

”

Creating the business plan forces you to analyze the

The business plan provides a roadmap from which to

competition. All companies have competition in

operate, and to look to for direction in times of doubt.

the form of either direct or indirect competitors, and

Without a business plan, you may shift your short-term

it is critical to understand your clinic’s competitive

strategies constantly without a view to your long-term

advantages.

milestones. Writing a business plan will plot your course and will focus your efforts.

A business plan is necessary to better understand your customer and to perform an in-depth customer

Partners also want to see a business plan, in order

analysis, which is essential to an effective business

to determine whether it is worth partnering with your

plan and to a successful business: Why do they buy

business. Establishing partnerships often requires time

when they buy? Why don’t they when they don’t? The

and capital, and companies will be more likely to

process of actually writing the business plan helps bring

partner with your venture if they can read a detailed

previously ‘hidden’ assumptions to the foreground. By

explanation of your company.

writing them down and assessing them, you can test them and analyze their validity in order to enunciate

Creating the business plan helps to position the role

previously unstated assumptions.

of your clinic in the local marketplace. When your business grows and you decide to open another clinic

The business plan process involves researching your

or a few of them, you, therefore, may want to think

target market, as well as the competitive landscape,

about positioning your brand within your business plan

and serves as a feasibility study for the success of your

going forward. This definition allows you to succinctly

venture: how good is this opportunity?

describe the business and position the brand to customers, investors, and partners.

With a business plan you have a chance to document your revenue model. How exactly will

A formal business plan allows you to compare

your business make money? This is a critical question

actual operational results versus the business

to answer in writing, for yourself and your investors

plan itself. In this way, it allows you to clearly

if you are going to have any. Documenting the

see whether you have achieved your strategic,

revenue model helps to address challenges and

financing, and operational goals (and why you

assumptions associated with the model. It also

have or have not) as well as to judge the success

helps to determine your financial needs. Does

of your business and to reposition your business

your business need to raise capital? How much?

to deal with changing conditions. For example,

The business plan creation process helps you to

during difficult economic conditions, if your current

determine exactly how much capital you need and

sales and operational models aren’t working, you

what you will use it for (Please refer to our article in

can rewrite your business plan to define, try, and

the January issue of Cosmetic News about the start-

validate new ideas and strategies.

up capital). This process is essential for raising capital for business and for effectively employing the

A business plan is a tool to document your marketing

capital. We are going to talk in more details about

plan. How are you going to reach your customers?

how to raise funding for your new clinic in one of our

How will you retain them? What is your advertising

future articles this year.

budget? What price will you charge? A welldocumented marketing plan is essential to the growth

As mentioned earlier, a formal business plan is the

of your clinic.

basis for financing proposals. The business plan answers investors’ questions such as: is there a need

With a business plan you can better understand

for this product/service? What are the financial

and forecast your company’s staffing needs.

projections? What is the company’s exit strategy if this

After completing your business plan, you will not

business fails? It will also reduce the risk of pursuing

be surprised when you are suddenly short-handed.

the wrong opportunity. The process of creating

Rather, your business plan provides a roadmap for

the business plan helps to minimise opportunity

your staffing needs, and thus helps to ensure smoother

costs. Writing the business plan helps you assess the

expansion at a later stage.

attractiveness of this particular opportunity, versus

48

cosmeticnewsuk.com

other opportunities. Creating the business plan will

At the end of the day, a good business plan gives you

help you to gain a wider, deeper understanding

a chance to uncover new opportunities: through

of your marketplace. It will force you to research

the process of brainstorming, white-boarding and

and get to know your market: What are the most

creative interviewing, you will likely see your business in

important trends in your industry? What are the

a different light. As a result, you will often come up with

greatest threats to your industry? Is the market

new ideas for marketing your services and products

growing or shrinking? What is the size of the target

as well as the ways of running your business more

market for your product/service?

effectively.

Business Focus | Marketing

Colour

mind Zoe Davitt on colour psychology and marketing

“Research reveals that people make a subconscious judgement about a person, environment or product within 90 seconds, and that between 62% and 90% of their assessment is based on colour alone.”*

C

olour is a powerful psychological tool.

identity, marketing materials and practice interior,

It can cheer us up when we’re down,

rather than simply opting for colours you’re

calm us when we’re nervous, and even

naturally drawn to, it’s advisable to consider the

energise us when we need motivation. It has a

psychology of colour.

subconscious effect on everything from our mood to our purchase decisions, and it can have a

Choosing the right colours to promote or decorate

powerful effect on your clients, and the success of

your practice can help you to communicate a

your business.

particular marketing message, generate positive

Choosing a colour, or colours, to represent your

feelings about your business – encouraging sales,

business is a bigger decision than you might

for example – or even to calm anxious clients. The

think. When choosing colours for your brand

effects of colour vary within different cultures, so it’s

Zoe Davitt

“

If you want your brand to stand out - think carefully about your use of colour

”

worth considering the attitudes and preferences

expression “a picture is worth a thousand words”

of your target audience when choosing colours to

– well, it appears that a colourful picture is worth

represent your business.

more than a black and white image. According

Managing director of

to a 1996 study by Hanna and Remington, colour

Blue Horizons. She has

Colour and recognition

leads to more accurate recognition than black

a strong background

According to recent studies carried out in the US,

and white. So if you want your brand to stand

in marketing and

colour has been shown to increase recognition of

out – or you’re keen to improve your recall within

customer service,

a brand by up to 80%. It’s easy to see why. What

your target audience and customer base – think

giving her a perfect

is the first brand you think of when you think of

carefully about your use of colour.

combination of

the colour purple? Chances are its Cadbury’s. Try

skills and expertise.

the same with red. Maybe you thought Coco-

Colour influences the way information is

Her many business-orientated qualifications

Cola, McDonald’s or possibly Kit Kat. Colour is

processed by the brain, and can help improve

include ones from the CIM (Chartered

so embedded with the identity of many of the

the ability to recall both words and pictures

Institute of Marketing), and she has a wealth

brands and household names we know and love,

(Myers, 2004). A study testing the recall of black

of experience across many sectors including

that it’s almost impossible to separate the two.

and white pictures compared to colour pictures

medicine, dentistry, recruitment, tourism, hotel management and facilities management.

50

cosmeticnewsuk.com

showed that coloured photographs were Research has also proved that colour can help

remembered significantly better, provided the

with long-term memory. We’ve all heard the

photographs were of natural scenes, and were

The meaning of colour

Blue n n n n n n n n n n

Here are some examples of what colours represent, and brands that use these

Blue is often cited as being the most popular colour, perhaps because much of

colours well to aid recognition and familiarity – you can probably come up with

the natural world is blue, from the oceans to the sky. Some shades of blue cause

your own ideas, too. The list is by no means exhaustive, but the general principles

the body to produce calming chemicals, while cooler shades can feel cold and

are worth considering when selecting a colour – or colours – to represent your

unwelcoming. Blue is a conservative colour, often associated with trust, wisdom

practice. Choose wisely and your business could reap the benefits of colour

and loyalty. Many financial services companies use blue to identify their brand,

psychology.

using the colour to help project an air of responsibility and reassurance. A blue environment can help to improve both focus and productivity.

Black n n n n n n n n n n

Brands associated with blue: Boots/Ford

Black is a sombre colour that represents stability, authority and power. It is also associated with elegance and sophistication. In the western hemisphere black is

Green n n n n n n n n n n

often associated with grieving, while in other parts of the world it is sometimes

Green is the colour of nature, and is considered calming and peaceful. Synonymous

associated with evil. Black can be a useful accent colour, but be warned – too much

with environmental issues, green is often adopted by businesses looking to portray

can have a dampening effect on mood.

a caring attitude to the environment. Hospital wards are often painted pale green

Brand associated with black: First Direct/Debenhams

because the colour helps to calm anxious patients, while guests waiting to appear on television sit in ‘green rooms’ to help them relax. Green is also associated with envy,

White n n n n n n n n n n

good luck and generosity, and is the colour of peace, harmony, and nurturing.

White is the colour most closely connected to purity, innocence and

Brands associated with green: BP/Marks and Spencer

cleanliness. It is also used to project the absence of colour, or neutrality.

White is a compression of all the colours in the spectrum, and is sometimes

Yellow n n n n n n n n n n

associated with creativity (whiteboards, blank canvases, etc). In some eastern

Yellow is an optimistic, energising colour, associated with laughter, happiness,

parts of the world, white is associated with mourning. Incorporating areas

sunshine and good times. It has a proven feel-good effect, as the brain releases

of white space in your marketing materials can help to create a feeling of

more serotonin when in a yellow environment. Yellow can speed up our metabolism

space and calm and a welcome reprieve among a mass of facts, figures and

and generate creative thoughts. It can be overpowering if overused – studies have

information.

proved that babies cry more in bright yellow rooms – but used well it can be an

Brand associated with white: The White Company

effective tool for generating increased sales. Some shades of yellow are associated with cowardice, but more often yellow is a positive and happy colour.

Grey n n n n n n n n n n

Brands associated with yellow: AA/Kodak

Grey is considered practical, timeless and reliable. Grey can be chic and classic, but be warned – it is sometimes associated with ageing, death, and a lost sense of

Orange n n n n n n n n n n

direction. Grey can work well in conjunction with stronger, brighter colours, such

Orange is associated with energy, warmth and ambition. A vibrant and exciting

as olive or lime green, or hot pink. Silver – closely connected to grey – is often

colour, it has been proven to stimulate appetite. Avoid orange if you are hoping

associated with class and prestige.

to create a calm environment, but used sparingly – or in conjunction with a more

Brands associated with grey: Apple/Clarks

sophisticated colour such as charcoal grey – orange can be eye-catching and inviting.

Brands associated with orange: B&Q/Halfords

Red n n n n n n n n n n Red is dynamic, hot and exciting, and is often used to draw attention. Red is

Purple n n n n n n n n n n

associated with energy, movement and excitement, and is often used to represent

Purple is associated with royalty, wealth, prosperity and sophistication. A favourite

love, life and passion. Use red to attract attention, but avoid overuse, which can

colour of adolescent girls, purple is also a spiritual, calming colour that can

stimulate anger as demonstrated by the expression ‘seeing red’.

stimulate the brain’s problem solving ability. Overuse of purple is sometimes

Brands associated with red: Coca-Cola/McDonald’s

associated with putting on airs and being artificial, yet careful use can generate a feeling of mystery, wisdom and respect.

Pink

nnnnnnnnnn

Brands associated with purple: Cadbury’s/PC World

Pale pink is the most calming of all colours, and has been proved to drain energy and calm aggression. For this reason, dangerous criminals in the US are often

Brown n n n n n n n n n n

housed in pink cells, and some sports teams paint the changing rooms used by the

Brown is associated with warmth, neutrality and stability. An earthy colour, often

opposing team pink. Often considered feminine, pink is associated with romance,

found in nature, brown is often associated with wholesome, natural or organic

affection and softness. Hot pink is often considered warmer, more passionate and

produce. Darkest brown can be used effectively as a softer alternative to black, and

exciting.

is a good colour for definition. In India, brown is the colour of mourning.

Brands associated with pink: BBC Three/T-Mobile

Brands associated with brown: UPS/Hovis

normally coloured. When the photographs were

emphasise or de-emphasise particular areas.

Careful use of colour can help to grow your

incorrectly coloured, they weren’t recalled any

Think about the use of red on bills for overdue

business, increasing awareness within your target

better than the black and white photographs.

payments – here colour is used to make you pay

audience, and even helping to improve sales.

attention and take immediate action.

If you’re concerned about choosing the most

Attention seeking

Our nervous system craves stimulation, and

effective and appropriate colours to make your

It’s impossible for the human brain to process

without a variety of colours and shapes we

practice stand out from the crowd, a professional

every object it sees at once. Take a look at

easily become bored. Consequently, colour

marketing agency can help. An experienced

any website, for example – or the cover of

addresses one of our basic neurological needs

company that specialises in the medical

a magazine or brochure – and you’ll notice

for stimulation. You can use this knowledge to

aesthetic sector will be ideally positioned to

that your eye is drawn to particular areas first.

your advantage when planning the décor of your

advise you.

This is often because colour has been used to

practice, or selecting colours for your brand.

*Source: CCICOLOUR – Institute of Colour Research

cosmeticnewsuk.com

51

Dates for the Diary

We round up upcoming events, training courses and meetings

18 Wigmore Medical Training, Introduction to Dermal Fillers, London,

training@wigmoremedical.com

training@wigmoremedical.com

12 LCS Academy Practical Guide to Contraindications,

18 Dr Brian Franks Training Courses: Advanced Dermal Fillers -

www.lcsacademy.co.uk

Cheeks and Tweaks, North London, jan@drbrianfranks.com

12-13 Medik8 Training, London, www.SkinBrands.co.uk

19 British Association of Cosmetic Doctors Spring Conference, Royal

13 Dr Bob Khanna Training Institute, Dermal Fillers – Beginners,

Society of Medicine, www.cosmeticdoctors.co.uk 19 Botulinum Toxin in Facial Aesthetics: New Users, Manchester,

www.drbobkhanna.com

www.innomedtraining.co.uk

ChemicalPeels, London, training@wigmoremedical.com

1 Dr Bob Khanna Training Institute, Botulinum Toxin – Advanced,

20 Dermal Fillers in Facial Aesthetics: New Users to Hyaluronic Acid

14 Wigmore Medical Training, Introduction to Boutlinum Toxin Type

www.drbobkhanna.com

Fillers, Manchester, www.innomedtraining.co.uk

A, London, training@wigmoremedical.com

1 Wigmore Medical Training, CPR, London,

21 GMT TEC and Sally Durrant, The Physiology and Management of

15 Wigmore Medical Training, Introduction to Dermal Fillers, London,

training@wigmoremedical.com

the Skin Ageing Process, Birmingham, www.sallydurant.com

training@wigmoremedical.com

1-2 SkinCeuticals Training, London, www.SkinBrands.co.uk

21-23 LCS Academy BTEC Medical Laser/IPL Qualification: Pt 1,

16 Chemical Peeling Systems: Comprehensive Course for New

2 Botox Training, Manchester, www.medicsdirect.com

www.lcsacademy.co.uk

Users, London, www.innomedtraining.co.uk

2 LCS Academy Core of Knowledge, www.lcsacademy.co.uk

22 GMT TEC and Sally Durrant, The Definitive Guide to Acne Vulgaris,

16-17 Body Silk Consulting Intermediate Two-Day Business Course

2 Wigmore Medical Training, Camouflage, London,

Birmingham, www.sallydurant.com

for Beauty and Medical Start-ups, www.bodysilk.co.uk

training@wigmoremedical.com

23 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners,

17 Mesotherapy for Fat, Cellulite and Skin Rejuvenation: New Users,

3 LCS Academy CQC Compliance Workshop, www.lcsacademy.co.uk

www.drbobkhanna.com

London, www.innomedtraining.co.uk

3 Dermal Fillers Training, Manchester, www.medicsdirect.com

24 Dr Bob Khanna Training Institute, Botulinum Toxin - Advanced,

18 GMT TEC and Sally Durrant, Nutrition and the Skin, Birmingham,

5 Advanced Botox and Dermal Fillers Training, Birmingham,

www.drbobkhanna.com

www.sallydurant.com

www.medicsdirect.com

24-26 9th Anti-Ageing Medicine World Congress, Grimaldi Forum,

18 Sculptra Beginner’s Course: Session 1 (plus Session 2 on May

5 Advanced Botulinum Toxin: Lower Face, Neck, Under-Arm

Monaco, www.euromedicom.com

23), Southampton, www.innomedtraining.co.uk

Hyperhidrosis, London, www.innomedtraining.co.uk

25 Dr Bob Khanna Training Institute, Beginners Dermal Filler,

18-19 Body Silk Consulting Intermediate Two-day business course

5-6 Body Silk Consulting Intermediate Two-day business course

www.drbobkhanna.com

for beauty and medical start-ups, www.bodysilk.co.uk/home/

for beauty and medical start-ups, www.bodysilk.co.uk/home/

25 Wigmore Medical Training, CPR, London,

training-courses

training-courses

training@wigmoremedical.com

19 Medik8 Training, Cheshire, www.SkinBrands.co.uk

6 Advanced Dermal Fillers and Lip Masterclass, London,

25-26 Dr Brian Franks Training Courses: Foundation Level Botulinum

19-20 SkinCeuticals Training, London, www.SkinBrands.co.uk

www.innomedtraining.co.uk

Toxin and Dermal Fillers, North London, jan@drbrianfranks.com

20 SkinMedica Training, Cheshire, www.SkinBrands.co.uk

7 GMT TEC and Sally Durrant, Advanced Skin Science for the Clinical

26 Cosmetic Courses Intermediate/Advanced Botulinum Toxin and

20 Combined Botox and Dermal filler course, Glasgow,

Skin Care Therapist, Birmingham, www.sallydurant.com

Dermal Filler Training, Buckinghamshire, www.cosmeticcourses.co.uk

www.inspiredcosmetictraining.com

7 Wigmore Medical Training, Glo Minerals, London,

26 Body Silk Consulting Introductory One-day business course for

27 Wigmore Medical Training, Introduction to Skincare and

training@wigmoremedical.com

beauty and medical start-ups,

ChemicalPeels, London, training@wigmoremedical.com

8 GMT TEC and Sally Durrant, Investigative Consultation, Advanced

www.bodysilk.co.uk/home/training-courses

28 (am) Wigmore Medical Training, Medik8 DermalRoller, London,

Skin Assessment and Effective Treatment Planning, Birmingham,

29 Wigmore Medical Training, Introduction to Skincare and

training@wigmoremedical.com

www.sallydurant.com

ChemicalPeels, London,

30 Wigmore Medical Training, Microsclerotherapy and Facial

8 Cosmetic Courses Genuine Dermaroller™ Training,

training@wigmoremedical.com

Telangiectasia, London, training@wigmoremedical.com

Buckinghamshire, www.cosmeticcourses.co.uk

30 (pm) Wigmore Medical Training, Medik8 DermalRoller, London,

30 Body Silk Consulting Introductory One-Day Business Course for

8-9 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk

training@wigmoremedical.com

8-9 Medik8 Training, London, www.SkinBrands.co.uk

31 Wigmore Medical Training, Advanced Toxins and Fillers, London,

Beauty and Medical Start-ups, www.bodysilk.co.uk 30 Botox Training, Belfast, www.medicsdirect.com

9 Dr Bob Khanna Training Institute, Advanced Dermal Filler,

training@wigmoremedical.com

www.drbobkhanna.com 10 Dr Bob Khanna Training Institute, Oral Facial,

APRIL 2011

www.drbobkhanna.com

1 Dr Brian Franks Training Courses: Hyperhidrosis and Intermediate

4 Botox Training, Manchester, www.medicsdirect.com

11 Dr Bob Khanna Training Institute, Peel Course,

Botulinum Toxin, North London, jan@drbrianfranks.com

5 Dermal Fillers Training, Manchester, www.medicsdirect.com

www.drbobkhanna.com

2 Advanced Botulinum Toxin in Facial Aesthetics: New Users,

6 Wigmore Medical Training, Sculptra, London,

12 Body Silk Consulting Introductory One-day business course

London, www.innomedtraining.co.uk

training@wigmoremedical.com

for beauty and medical start-ups, www.bodysilk.co.uk/home/

2 Cosmetic Courses Foundation Botulinum Toxin and Dermal Filler

training-courses

Training, www.cosmeticcourses.co.uk

12 Cosmetic Courses Foundation Botulinum Toxin and Dermal Filler

2-3 Body Silk Consulting Intermediate Two-Day Business Course for

Training, Buckinghamshire, www.cosmeticcourses.co.uk

Beauty and Medical Start-ups, www.bodysilk.co.uk

12 Advanced Botox and Dermal Fillers Training, Manchester,

3 Dermal Fillers in Facial Aesthetics: New Users to Hyaluronic Acid

www.medicsdirect.com

Fillers, London, www.innomedtraining.co.uk

12 Botox Training, London, www.medicsdirect.com

4-5 GMT TEC and Sally Durrant, Dermatology for the Skin Care

6-7 Cosmetic News Expo 2011, Business Design Centre, Islington,

12 Wigmore Medical Training, Microsclerotherapy and Facial

Professional, London, www.sallydurant.com

www.cosmeticnewsuk.com

Telangiectasia, London, training@wigmoremedical.com

5-6 SkinCeuticals Training, Cheshire, www.SkinBrands.co.uk

7 Chemical Peeling Systems: Comprehensive Course for New Users,

13 Dermal Fillers Training, London, www.medicsdirect.com

9 Botox Training, Birmingham, www.medicsdirect.com

Manchester, www.innomedtraining.co.uk

14 Tattoo and Pigmentation Removal, Lynton Clinic, Cheadle,

9-10 Body Silk Consulting Advanced Two-Day Business Course for

7 Body Silk Consulting Introductory One-day business course

info@lynton.co.uk

Beauty and Medical Start-ups, www.bodysilk.co.uk

for beauty and medical start-ups, www.bodysilk.co.uk/home/

14 Dermal Filler training workshop,

9 Wigmore Medical Training, Microsclerotherapy and Facial

training-courses

www.euromedicalsystems.co.uk

Telangiectasia, London, training@wigmoremedical.com

7 Botox Training, London, www.medicsdirect.com

15 Wigmore Medical Training, Glo Therapy, London,

10 Dermal Fillers Training, Birmingham, www.medicsdirect.com

8 Dermal Fillers Training, London, www.medicsdirect.com

training@wigmoremedical.com

11 Dr Bob Khanna Training Institute, Botulinum Toxin – Beginners,

9 LCS Academy Core of Knowledge, www.lcsacademy.co.uk

15 Medik8 Training, Cheshire, www.SkinBrands.co.uk

www.drbobkhanna.com

9-10 GMT TEC and Sally Durrant, Dermatology for the Skin Care

16 SkinMedica Training, Cheshire, www.SkinBrands.co.uk

11 GMT TEC and Sally Durrant, The Art of Skin Resurfacing and

Professional, Birmingham, www.sallydurant.com

16 Wigmore Medical Training, Introduction to Skincare and

Regeneration, Birmingham, www.sallydurant.com

10-11 LCS Academy BTEC Medical Laser/IPL Qualification: Pt 2,

ChemicalPeels, London, training@wigmoremedical.com

11 Wigmore Medical Training, Sculptra, London,

www.lcsacademy.co.uk

16-17 Sterex Advanced Cosmetic Procedure Course (ACP),

training@wigmoremedical.com

11 Wigmore Medical Training, Introduction to Skincare and

www.sterex.com

12 Dr Bob Khanna Training Institute, Botulinum Toxin – Advanced,

Chemical Peels, London, training@wigmoremedical.com

17 Wigmore Medical Training, Introduction to Boutlinum Toxin Type A,

www.drbobkhanna.com

12 Wigmore Medical Training, Introduction to Boutlinum Toxin Type

London, training@wigmoremedical.com

12 Wigmore Medical Training, CPR, London,

A, London, training@wigmoremedical.com

March 2011 bioptica Laser Safety Consultants Bioptica: Laser Core of Knowledge course given at YOUR clinic on a date that suits YOU. Visit www.bioptica.co.uk for more information or call 07766 591 085.

52

cosmeticnewsuk.com

13 Wigmore Medical Training, Introduction to Skincare and

MAY 2011 1 Dermal Fillers Training, Belfast, www.medicsdirect.com

EXPO 6-7 MAY

8422 Cosmetic News:Layout 1 14/02/2011 09:13 Page 1

Business Insurance for Beauty Salons & Clinics Botulinum Toxin Chemical Peels Dermabrasion Dermal Fillers Laser & light Mesotherapy Microdermabrasion Complementary Therapies

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Morgans Insurance Broking is authorised and regulated by the Financial Services Authority (registration number. 306811) Registered Office: 16 Dover Street, London W1S 4LR. Company registration number: 2709599. www.morgans.co.uk

Mapperley Park Clinic is registered, and therefore licensed to provide services, by the Care Quality Commission (Provider ID: 0000026452). For more information: www.cqc.org.uk

see us at stand 5

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TEMPOrAry AESTHETIC STAFF UK WIDE We have a database of qualified, experienced, professional, fully insured Aesthetic Nurse Injectors and Aesthetic Doctors available at competitive daily rates.

Attention all Nurse Injectors / Aesthetic Doctors If you are an experienced Nurse Injector or Aesthetic Doctor looking for ad hoc work and would like to join our Bank please contact John Sellers on 01273 666 862 or via our website www.aestheticprofessionals.co.uk

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ABC Laser Contact: Guy Gouldsmit T: 08451 707 788 E: info@a-b-c-uk.com W: www.abclasers.co.uk ABME Tech Contact: David Leahy T: 01843 297110 E: david.leahy@abmetech.com W: www.abmetech.com Allergan Contact: Customer Service T: 01628 494444 W: www.juvedermultra.co.uk Barnes Roffe LLP Service: Chartered Accountants, Business and Tax Advisors Contact: Shen Yap T: 020 8988 6100 E: s.yap@barnesroffe.com W: www.barnesroffe.com Beehive Medical Solutions Contact: Kevin Rendell T: 020 8550 9108 E: enquiries@beehive-solutions.co.uk W: http: //www.beehive-solutions.co.uk/catalog Bioptica Contact: Roy Henderson T: 07766 591 085 E: roy@biotica.co.uk W: www.bioptica.co.uk Blue Horizons Marketing T: 01242 236600 E: info@bluehorizonsmarketing.co.uk W: www.bluehorizonsmarketing.co.uk Services: Websites, patient literature, referral literature, brand image, advertising, e-marketing and more.

Boston Medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.boston-medical-group.co.uk Candela UK Ltd Contact: Ben Savigar-Jones T: +44 08455210698 E: alex@alexsilver.co.uk W: www.candelalaser.co.uk Cordcourt Limited Service: Uniform Supplier Contact: Gina Unsworth T: 0161 724 6009 E: sales@cordcourt.co.uk W: www.cordcourt.co.uk Cosmedix Contact: Aysha Capion-Awward T: 0844 855 2499 E: info@cosmedix.com W: www.cosmedix.com Cosmetic Courses Contact: Morag Hague T: 0845 230 4110 E: info@cosmeticcourses.co.uk W: www.cosmeticcourses.co.uk Cutera (Europe) Contact: Stephen Ritchie T: 07969993296 E: sritchie@cutera.com W: www.cutera.com E-Clinic Contact: Sara Mogford T: 01274 530 505 E: info@e-clinic.uk.com W: www.e-clinic.uk.com Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com

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Energist Contact: Andrew Snoddon T: 01792 798768 E: enquiries@energist-international.com W: www.energist-international.com Ericson Laboratoire Contact: Mike Filapiuak T: +44 02076296269 E: mike@ericson-laboratoire.co.uk W: www.ericson-laboratoire.com Euromedical Systems Ltd. Contact: Phillip Richardson T: 0845 130 4949 W: www.euromedicalsystems.co.uk E: info@euromedicalsystems.co.uk Galderma Contact: Azzallure Sales Team T: 01923 208950 E: info.uk@galderma.com W: www.galderma.co.uk Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: cosmetic@hamiltonfraser.co.uk W: www.hamiltonfraser.co.uk Harley Aesthetics Contact: Dr Mark Harrison T: 02074872772 E: enquiries@harleyaesthetics.com W: www.harleyaesthetics.com Services: Training Health xchange Contact: Customer Service T: +44 1481 736832 E: orders@healthxchange.com W: www.healthxchange.com

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

Morning Star Surgical S.A. (Pty) Ltd Contact: Brian Nielsen T: +27 (82) 667 2506 E: brian@morningstar-medical.com W: www.morningstarsurgical.co.za My Cells/Scandinavian UST Ltd Contact: John Tucker T: +35361 312979 E: info@mycells.ie W: www.my-cells.net Polaris Lasers Contact: Neil Calder T: 01234841536 E: njc@polaris-laser.com W: www.polaris-laser.com Q-MED Contact: Customer Service T: 0207 796 3290 E: info.uk@q-med.com W: www.q-medpractitioner.com/uk Qutis Contact: Marea Brennan Thorns T: 01844 213007 E: info@qutisclinics.co.uk W: www.qutisclinics.co RECOVA COMPRESSION GARMENTS Contact: Eva Sanchez-Smith E: eva.sanchez@recovapostsurgery.com W: www.recovapostsurgery.com T: 0207 000 1044 Sanofi Aventis Contact: Customer Service T: 01483 554 809 W: www.sanofi-aventis.co.uk Skin brands Contact: Tracey Beesley T: +44 (0) 2089978541 E: tracey@skinbrands.co.uk W: www.skinbrands.co.uk

Janssen & Rosactive Cosmeceutical U.K Contact: Mr. Naci Gulsan T: 020 85090907 E-Mail: hunalp@hunalp.co.uk Web: www.hunalp.co.uk www.rosactive.co.uk

Skin Geeks Ltd Contact: Trishna Shah T: +44 (0)1865 338046 E: trishna@skingeeks.co.uk W: www.skingeeks.co.uk

LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315 E: admin@lcsacademy.co.uk W: www.lcsacademy.co.uk

Specialist Make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: enquiries@permanent-makeup.com W: www.permanent-makeup.com Services: Permanent Make-Up

Lynton Contact: Customer Services T: 0845 6121545 E: info@lynton.co.uk W: www.lynton.co.uk

Surface Imaging Solutions Contact: Nick Miedzianowski-Sinclair Telephone : +447774802409 E: nms@surfaceimaging.co.uk W: www.surfaceimaging.co.uk Service: Skin Analysis systems & services

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Vistabel® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 Allergan Units/vial.

Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown, in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years.

Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: Total dose 20U. Contra-indications: Known hypersensitivity to any constituent. Myasthenia gravis, Eaton Lambert syndrome. Infection at proposed injection sites. Pregnancy or lactation. Warnings/Precautions: Use for one patient treatment only during a single session. Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Product contains less than 1mmol sodium (23mg) per dose. Do not exceed recommended dosages and frequency of administration. Epinephrine (adrenaline) or any other anti-anaphylactic measures should be available. Very rare reports of adverse reactions possibly related to spread of toxin distant from site of injection. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with history of dysphagia and aspiration. Patients or caregivers should seek immediate medical care if swallowing, speech or respiratory disorders arise. Too frequent or excessive dosing can result in risk of antibody formation, which may lead to treatment failure. Caution in the presence of inflammation at the proposed injection site(s) or when excessive muscle weakness or atrophy is present. Caution when used in patients with amyotrophic lateral sclerosis or with peripheral neuromuscular disorders. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of

excessive neuromuscular weakness. Interactions: Theoretically, the effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission.

Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). These adverse reactions may be related to treatment, injection technique or both. In general, reactions occur within the first few days following injection and are transient and of mild to moderate severity. Pain/burning/stinging, oedema and/or bruising may be associated with the injection.

Frequency By Indication: Defined as follows: Very Common (≥1/10), Common (≥1/100, <1/10), Uncommon (≥1/1,000, <1/100), Rare (≥1/10,000, <1/1,000), Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection. Psychiatric disorders. Uncommon: Anxiety. Nervous system disorders. Common: Headache. Uncommon: Paresthesia, dizziness. Eye disorders.

Common: Eyelid ptosis. Uncommon: Blepharitis, eye pain, visual disturbance. Gastrointestinal disorders. Uncommon: Nausea, oral dryness. Skin and subcutaneous tissue disorders.

Common: Erythema, Uncommon: Skin tightness, oedema (face, eyelid, periorbital), photosensitivity reaction, pruritus, dry skin. Musculoskeletal and connective tissue disorders. Common: Localised muscle weakness, Uncommon: Muscle twitching. General disorders and administration site conditions. Common: Face pain, Uncommon: Flu syndrome, asthenia, fever. The following have been reported rarely for glabellar lines and other indications: Rash, urticaria, pruritus, erythema multiforme, psoriasiform eruption, anaphylactic reaction (angiodema, bronchospasm), alopecia, madarosis, tinnitus and hypoacousia. Adverse reactions possibly related to spread of toxin distant from injection site have been reported very rarely (muscle weakness, dysphagia, or aspiration pneumonia which can be fatal). Price: £85.00 per vial. Marketing Authorization Number: PL 05179/0010 Marketing Authorization Holder: Allergan Pharmaceuticals (Ireland) Ltd., Westport, Co. Mayo, Ireland. Legal Category: POM. Date of preparation: December 2008.

Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk Adverse events should also be reported to Allergan Ltd. UK_Medinfo@allergan.com or 01628 494026 1

Stotland MA, Kowalski JW, Ray BB, Plastic and Reconstructive Surgery, Volume 120, October 2007; 5: 1386-1393. 2 UK launch April 2006. 3 Data on file, Allergan, Inc.; Safety Analysis.

UK/0596/2010 and Date of preparation: July 2010