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Platinum sPonsors of cosmetic news exPo 2011

Get your free tickets to the event of the year: the Cosmetic News Expo 2011


CARBON RATING Carbon Dioxide Therapy THE BIG DEBATE European regulation PAUSE FOR THOUGHT Treating menopausal clients


Topical products for treating skin pigmentation


hosPitality sPonsor

Platinum sPonsors

Start the Summer with the UK’s only FREE OF chaRgE Aesthetics Exhibition

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see us at stand 53


UK Sales Director Phillip Andrews 07825 442 968

EDITOR’S LETTER Welcome to the May issue of Cosmetic News. This month sees our annual conference and exhibition, the Cosmetic News Expo, taking place in London. The Expo is the only free of charge trade show for the aesthetics industry and we are really looking forward to welcoming everyone through the doors of the Business Design Centre, London, on May 6 and 7. We have received a lot of support from the industry for the event and I would just like to take this opportunity to thank all of our exhibitors and our Platinum Sponsors, Galderma and SkinCeuticals, our Silver Sponsor, Merz Aesthetics, and our Hospitality Sponsor, Nordson Micromedics, for their involvement in what I know will be a fantastic two days. I would also like to thank all of our speakers for supporting the event and allowing us to put on a fantastic programme of CPD accredited education for free. See pages 16-22 for more information about the event and make sure you go to to register for your free tickets to the exhibition or call our booking hotline on 01268 754 897 to reserve your place at the conference or workshops. Also in this issue, we delve into the subject of treating menopausal clients (p37-38), take a look at the best topical skincare products for pigmentation (p32-34) and gauge the industry’s reaction to the CEN European Standards, which are being set up to provide European-wide guidance on best practice (p25-26) I hope you enjoy this issue and look forward to seeing you at the Cosmetic News Expo 2011 at the Business Design Centre, London, on May 6 and 7.


call the booking hotline on 01268 754 897 to book your place for the conference and workshop sessions.

see us at stand 43

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Editor’s choice








Chromogenex ilipo

We round up the latest industry news

We report on the seventh annual the Q-Med Academy meeting


Out and about in the industry this month from the AMWC to the BACD Spring Meeting and the Consulting Room™ Golf Day





Everything you need to know about the event of the year

We ask the industry its opinions on the potential effect of the CEN European Regulation













48 51 54 56

We talk to nurse Frances Furlong about going it alone

We explore the causes of and best topical skincare for skin pigmentation

Treating menopausal clients

Dr Rovshan Izamov on CDT Carbon dioxide therapy

ilipo The use of low level lasers as a possible adjunct to liposuction procedures has been researched for more than 10 years, however, despite this, scientific studies of the exact mechanism are still lacking in conclusive evidence. Initial research reports the benefits of low level laser therapy (LLLT) to stimulate the release of fatty acids from the cell, facilitating the extraction of the adipose tissue during lipoplasty, shortening operating times, reducing post treatment effects and the need for analgesia for the patient.

see us at stand 95&96

This effect of stimulating the release of the stored contents of adipose cells has been applied to non-invasive fat reduction or body shaping treatments with a variety of devices offered on the market. Clinical research for this non-invasive option is lacking, with minimal studies currently published using controlled and large population groups to demonstrate effect. Despite this, these cold laser devices still prove to be a popular treatment opportunity within the global aesthetic market. The ilipo system is one such device, using trans-dermal low-level laser energy at 650-660nm to stimulate fat cell release with no pain, no downtime and rapid treatment time. In a recent review of 82 patients, having completed three treatment sessions of ilipo, a mean circumference reduction of -2.9% (SD 1.68) was achieved compared to their pre-treatment size. An additional group of 20 patients, having completed eight treatment sessions indicated a continued cumulative mean circumference reduction with successive treatments up to -8.2% (SD 2.9). These results indicate a 95% confidence that eight laser sessions will result in an average reduction of a patient’s pre treatment circumference of -8.2% +/- 1.26.  Exclusion criteria allowed for the conclusion that diet and exercise habits would have minimal impact on results achieved, other than the exercise sessions immediately post treatment, which provides the sustained and cumulative reduction trend. There were no recorded instances of discomfort of side effects from treatment. The conclusion of this review is that ilipo offers a safe and effective opportunity for targeted fat reduction in a short timescale.

We speak to Dr Xavier Goodarzian about his clinical experience with Sculptra® and Succeev® and the BACD Diploma

We round up the latest product news


We round up the latest clinical studies


Zoe Davitt on copy writing for web and print marketing


Italian professional clothing manufacturer Pastelli


Training course, conference and meeting dates

Charlotte Body Publisher 01268 754 897 Vicky Eldridge Editor 01268 754 897 M: 07940 083 677 Emilia Cops Associate Publisher 01268 754 897 Peter Johnson, Art Director 01268 754 897 Loraine Winter Designer 01268 754 897 Hollie-Jane Dunwell Account Manager 01268 754 897 Shauna Peters Production Assistant 01268 754 897

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

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Industry News | Round Up

New prescribing advice for Botox® nurses and midwives issued by nmc

Nurses and midwives who prescribe or administer Botox® and other injectable cosmetic medicinal products have been issued with new advice from their regulator, the Nursing and Midwifery Council (NMC). The advice, ‘Remote Prescribing and Injectable Cosmetic Medicinal Products’ makes clear the NMC’s position that remote prescriptions or directions to administer should not be used to administer injectable

News In Brief DON’T MISS THE COMSETIC NEWS EXPO AT THE BDC, LONDON, ON MAY 6th AND 7th This month sees the second annual Cosmetic News Expo taking place at the Business Design Centre in Islington,

cosmetic medicinal products such as botulinum toxin.

London. Taking place over two days (May 6 and 7) the

The advice supports the NMC’s Standards for Medicines Management and was developed in partnership

Cosmetic News Expo is the largest exhibition dedicated to

with the Royal College of Nursing (RCN). It reflects a growing industry where nurses and midwives work more

aesthetics in the UK. With more than 80 exhibitors and a

independently, and often run their own practice. All nurses and midwives are personally responsible to ensure

packed conference and workshop programme, you don’t

they apply the relevant standards and laws to their specific area of practice and risk their registration and

want to miss out on what promises to be a fantastic two

livelihood if they do not.

days. And the best thing about the Cosmetic News Expo is

NMC director of policy and standards, Roger Thompson said, “I would strongly urge nurses and midwives

that it is free to attend. With more than 800 people already

working in aesthetic practice to read this advice in conjunction with the NMC’s Standards for Medicines Management. As the regulator for the UK’s 660,000 nurses and midwives, we are committed to safeguarding the public. This advice will support the registered nurses and midwives working in the field of aesthetic practice to make sure their local policies are fully compliant with the standards.” Head of the RCN Nursing Department, Steve Jamieson, added,“It was important for the RCN to be involved in

registered now is the time to pre-book your place on the conference and workshops. See pages 16-22 for more details. To book your tickets and see the latest up-to-date educational programme visit Alternatively you can call our booking hotline on 01268 754 897. We look forward to seeing you there!

the development of this advice as we represent a large number of members who work in this growing area of nursing. I recommend that all staff working in this field read the advice.”


CORRECTION In last month’s Cosmetic News we published a story, which said that Dr Ravi Jain would be offering High-Def VASER training at the Riverbanks Clinics. This was incorrect. Dr Jain’s clinic has been named as a satellite training facility for The Dynamx International Center for Artistic Body Sculpting

Ajay Shah BSc has been appointed as sales and marketing director for Boston

(IC:ABS), however, Dr Jain will only be offering Basic and

Medical Group Ltd in UK and Ireland. Ajay comes from a strong ethical commercial

Advanced VASER courses, while the High-Def course will

background with a wealth of business acumen in the aesthetics industry.

be offered exclusively by Dr Alfredo Hoyos, the inventor

Having worked for Sanofi-Aventis and Merz Aesthetics, he brings with him proven sales and marketing strategies to help every aesthetic and beauty clinic excel with the company’s range of products. Ajay will be able to advise clinics on Revanesse and Redexis dermal fillers including the mode of action, science behind the products, how to incorporate them into their practice and help them to book their free training.

Survey Finds Only 1 in 4 Women Attribute Beauty to Youth

and pioneer of the VASER High Definition Liposculpture technique, at the Bogotá clinic, as well as in his travels to Europe, Asia, and all around South America. We apologize for this mistake.

KYTHERA Presents Patient Reported Outcomes KYTHERA Biopharmaceuticals, Inc has presented additional efficacy data from a third Phase II clinical study with ATX-101, a first-in-class adipolytic agent that is under investigation for the reduction of submental

Merz Aesthetics released data today at the Anti-Aging Medicine World Congress and MediSpa (AMWC)

(‘under the chin’) fat. The expanded analysis focused on

showing that only 24% of women polled in Merz’ “Face Value” Beauty Survey believe youth is what

additional patient reported outcome measures, including

makes women beautiful. Women were far more likely to say that “healthy skin,” “a charming personality,”

instruments measuring submental fat impact, subject global

“confidence,” “sex appeal,” and, perhaps surprisingly, “intelligence” and a “sense of humor” are what

assessments and subject self-ratings of chin attractiveness.

make a woman beautiful.

The double-blind, placebo-controlled, dose-ranging study

Encouragingly, most of the women surveyed believe that a woman is beautiful at every age. Nevertheless, a majority of women would want to improve theirs looks as they get older and more than 45% of women expressed that aesthetic procedures are a necessity not a luxury. “While most women (70%) report becoming more confident as they age, more than half (59%) say they will have aesthetic procedures to look the best

enrolled 129 subjects and was conducted across 10 dermatology and plastic surgery centers in the United States. Subjects received one of two dosing regimens of ATX-101 (1 mg/cm2 or 2 mg/cm2) or placebo, administered monthly for up to five months into the submental area.

they can,” said Jérôme Augustin, Senior Vice President Merz Aesthetics Europe. “The Merz Aesthetics Full Facial approach, including products such as Radiesse® and Belotero® offer women a range of products to achieve the radiant and well-rested look they desire.” Overall, a majority of women surveyed (87%) believe it is possible to stay attractive and beautiful despite fading of youth. This is confirmed by the fact that more than half of women (56%) surveyed have already experienced at least one aesthetic procedure. In fact, women were most likely to have had a facial injectable as their first aesthetic procedure. “As a dermatologist, I treat many women who hold similar beliefs to those surveyed,” said Sabine Zenker, MD, Munich, Germany. “They seek out facial injectables, like dermal fillers from Merz Aesthetics because they want to take control of how they look without dramatically changing their appearance.” The survey, conducted online in October 2010 by Harris Interactive and commissioned by Merz, included 2,939 women from France (n=543), the United Kingdom (n=524), Italy (n=667), Spain (n=701), and Russia (n=504) who have experience with, or interest in, using facial injectable treatments of dermal fillers and other injectables. Women were asked a variety of questions about their thoughts and feelings related to what makes a woman beautiful, their own personal beauty, and the role of aesthetic procedures in maintaining their appearance.


Sterex launch new recruitment services Advertise on the Sterex website recruitment/vacancies service and they will promote vacancies for electrologists across the national beauty and aesthetic industry. This is a completely free of charge service that Sterex are offering to assist both the job seeker and the job advertiser. “It was a natural progression to offer this service” said Elaine Stoddart, director of education for Sterex Electrolysis. “Recently we have made a number of big changes to the website with new added and expanded educational sections and we have big plans for the future to include live footage of electrolysis, more Q & A and our new transgender section”. If you have a vacancy to advertise contact or telephone 0121 708 2404.


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Mini 360 Protocol for the face and neck Photos courtesy: James Chan, MD



AFT 570 SR

Photos courtesy: Fernando Stengel, MD


Pixel Laser

Photos courtesy: Amber Brown, MD

Multiple technologies can be combined during a single session or repeated frequently and spread out over 60 days. • When performed in a single treatment session, the Mini Laser360TM program consists of AFT for pigment and vascularity, ST for skin tightening, and Pixel for fractionated skin resurfacing. • The Traditional Laser360 treatment consists of 4-6 treatment sessions, layering multiple technologies (AFT, ST and Pixel), spaced about 10-15 days apart over a 60-day period.

Pixel ST





AFT 420 Acne

Photos courtesy: Elizabeth VanderVeer, MD

Before AFT 540 VP


Photos courtesy: Elizabeth VanderVeer, MD


Pixel Laser

Photos courtesy: Bhupendra Patel, MD



Tattoo Removal - Photos Courtesy: Fernando

Urdiales, Instituto Médico Miramar, Málaga , Spain

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Traditional Laser360

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Industry News | Round Up

Skin Peeling can be


with Easy Phytic PEEl® & Easy (tca) PEEl® Skin PeelS from Skin Tech®

• EffEctivE • AffordAblE • ProfitAblE

Carleton Medical to distribute Asclepion Carleton Medical have become the exclusive UK distributor for Asclepion Laser Technologies. Asclepion currently distribute to more than 60 countries worldwide and offer a diverse, modern portfolio of lasers, backed by a rich history of technical and clinical research and development. Testament to the reliability of Asclepion systems is the fact that all new platforms come with an industry gold standard two-year warranty. Practitioners also have the option of both multi-application units as well as stand alone Diode, Fractional CO2, Ruby,Q-Switched Nd:Yag, and Erbium Yag wavelengths, whilst RF and IPL technologies are also available. Carleton Medical commented, “We are delighted to link up with Asclepion. Having recently visited their purpose built factory, their standards of manufacturing, training and support are second to none and we are positive that their experience in providing safe and profitable laser treatment systems will benefit both our existing and future customers and their patients.”

Syneron Forms ‘Syneron Beauty’ Subsidiary Syneron Medical Ltd has announced the formation of a new subsidiary, Syneron Beauty,

30% of women never saw their cosmetic surgeon during treatment

home-use partnership with Procter and Gamble,

A new survey conducted by Liberate, the UK’s largest network of BAAPS and/or BAPRASaccredited cosmetic surgeons showed that a staggering 30% of women never saw their cosmetic surgeon during treatment.

the Tända™ family of home-use light therapy

Liberate, which has more than 60 locations across

products, the mé home-use hair removal system,

the UK, surveyed 3,000 women between the ages of

and the Fluorinex teeth whitening home-use

18-34 and found that 30% of women had undergone


cosmetic surgery with breast augmentation being

which will consolidate the company’s consumer businesses, including the development, sales, marketing and distribution for all of Syneron’s consumer products, which include the company’s

the most popular procedure (28%) followed by nose Fabian Tenenbaum, previously Syneron Medical

(17%) eyes (11%) and liposuction/tummy tuck (15%).

executive vice president and chief financial officer,

However, the survey confirmed that many women

has been appointed chief executive officer of

do not receive the service they deserve from their

Syneron Beauty.

cosmetic surgery provider. Even though 74% felt it was

In conjunction with the launch of the Syneron Beauty

important to know and see their surgeon throughout

subsidiary, the company announced then UK launch

the course of treatment, the reality was that 30% of

of the mé home-use hair removal system. The official

women who had surgery never saw their surgeon.

product launch took place at a press conference

The Liberate survey also highlights the need for

in London. mé will be distributed in the UK by

women to be better informed of the dangers

HoMedics Inc, a leading health and wellness product

of cosmetic surgery abroad and in the UK. A

company. It will be sold in Boots.

staggering 40% admitted that they would consider having surgery abroad if it was cheaper and half the


or telephone 0845 130 4949 for details of our cost effective training courses

Skin Peeling just got eASY

The mé system is currently available in a range

women surveyed would have cosmetic surgery if

of consumer retail outlets in several European

cost was no object with 17% prepared to take out a

markets and in Israel. The dual action system utilises

loan to cover this.

Syneron’s proprietary elós technology, combined

Plastic and cosmetic surgeon James Murphy, a

with an optional epilator or shaver accessory, to

founder member of Liberate, said, “The new survey

achieve both permanent and immediate hair

highlights the fact that although people claim safety

reduction. elós is the first and only technology that

is the most important decision when considering

combines the power of Intense Pulse Light (IPL) and

cosmetic surgery, many will still be influenced by price

radio-frequency (RF) energies, allowing it to achieve

regardless of the physical cost. Cosmetic surgery is a

better results with lower overall optical energy output

medical surgical procedure and it should be treated

and highest level of safety and comfort. 

as such.”

INSURANCE EXTENDED TO INCLUDE THE LATEST PRODUCTS ON THE MARKET Leading providers of Medical Liability and Salon & Surgery insurance, Hamilton Fraser Cosmetic, now provide insurance for even more dermal fillers. Medical practitioners can now get cover for Teosyal Pure Sense, Teosyal Pure Sense Ultimate and Filorga X-HA Volume. Eddie Hooker, Managing Director of Hamilton Fraser Cosmetic Insurance said: “The list of treatments we provide medical liability insurance for is quite extensive and is always being expanded to include the latest products

T: 01949 838 111 F: 01949 838 844 Connaught House, Moorbridge Road, Bingham, Notts. NG13 8GG

and treatments available in the aesthetic market. As the industry develops we make every effort to ensure our insurance policies are meeting our customer’s requirements” For more information on Hamilton Fraser Cosmetic’s insurance products and the treatments they provide cover for go to www.cosmetic-insurance or call free on 0800 63 43 881.

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Industry News | Round Up

Lumenis Ltd Reports Financial Results

Lumenis Ltd has announced its financial results for the year ending December 31, 2010. The company reported revenues of $237.7 million, up 5% from $226.1 million in 2009 as well as GAAP operating income of $12.1 million, an increase of 613% compared to $1.7 million in 2009 and Non-GAAP operating income of $11.1 million, up 39% from $8.0 million in 2009, Positive cash flow from operations of $15.3 million, including $3.3 million in legal settlements. “During 2010, we continued our positive momentum. Lumenis’ revenues and profits continued to grow and we generated strong positive cash flow from operations. We are proud to be, once again, at the forefront of medical laser innovation by introducing significant new products to our robust portfolio. The Company achieved double digit growth in Latin America, China and India as we continued to aggressively invest in our infrastructure to expand our presence in the emerging markets,” said Mr Dov Ofer, CEO of Lumenis.

Professional SkinCare Market Rebounds in Europe and the US, says kline & co

A rise in visits to professional outlets for skincare treatments in 2010 gave way to sales growth for the global professional skincare products market. While Japan remained flat with 0.1% growth, Europe recovered in 2010, posting a 3.0% increase following a 3.3% decline in 2009, and sales in the United States increased by 2.7% in 2010, according to the recently released study Professional Skincare 2010 Global Series: Market Analysis and Opportunities by worldwide consulting and research firm Kline & Company. Most of the leading professional skincare companies enjoyed respectable sales gains in 2010. Brands from the medical care providers channel reaped the strongest growth, with SkinMedica and SkinCeuticals posting double-digit gains. Market leader Obagi, entrenched in the medical care providers segment, maintained its leading position in the US market, experiencing a 13% sales gain for the year. Spas and salons remain the largest purchase channel in the United States, but market share for the channel continues to decline due to stiff competition from other channels and the general market for facial treatment products. Beauty institutes are the leaders in both Europe with 59% and Japan with nearly 68% of market share. Spurred by customers’ trust in doctor’s knowledge in managing various types of skin problems, the medical care providers channel has grown the most in 2010 across all regions. Over the next five years the market is expected to increase at a compound annual growth rate of 4.2% in Europe, 6.7% in the United States, and 2.6% in Japan.

REMOTE PRESCRIIBING DEBATE HITS FIVE LIVE A heated debate on the topic of remote prescribing was broadcast by BBC Radio Five last month. The debate appeared as part of the Sunday evening Five Live Investigates programme with Adrian Goldberg. Guests included IHAS and Treatments You Can Trust director Sally Taber, Dr Mark Harrison from Harley Aesthetics and an un-named nurse. The programme came off the back of new advice issued last month by the NMC on the topic (see p6). Sally Taber highlighted the importance of face-to-face consultations for patients with a doctor or specialist nurse who has a university level qualification in prescribing to ensure patient safety. The un-named nurse said she had suffered financial consequences as a result of having to change her practice to keep in line with the guidance. She also said that she felt working with Dr Harrison was safer, in her opinion, than a nurse, even a qualified Independent Nurse Prescriber, working alone.. Dr Harrison also defended the practice saying he had issued more than 40,000 remote prescriptions for botulinum toxin with no reported problems and said he would be seeking a legal opinion over the NMC’s position on this.

Men Fuel Rebound in Cosmetic Surgery

Statistics released by the American Society of Plastic Surgeons (ASPS) show that more men are going under the knife. Overall cosmetic plastic surgery procedures in men were up 2% in 2010 compared to 2009. However, many male surgical procedures increased significantly. Facelifts for men rose 14% in 2010 while male liposuction increased 7%. 2010 ASPS statistics show that men underwent more than 1.1 million cosmetic procedures, both minimally-invasive and surgical. The majority of the men’s top 10 fastest-growing cosmetic procedures are surgical, which bucks the previous trend of growth in minimally-invasive treatments. The top five procedures for men were: face-lifts (14% increase), otoplasty (11% increase), soft tissue fillers (10% increase), botulinum toxin type A (9% increase) and liposuction (7% Increase). “The growth in cosmetic surgical procedures for men may be a product of our ageing baby boomers who are now ready to have plastic surgery,” said ASPS president Phillip Haeck, MD. “Minimallyinvasive procedures such as Botox® and soft tissue fillers work to a point. However, as you age and gravity takes over, surgical procedures that lift the skin are necessary in order to show significant improvement.”  


see us at stand 75

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Pain Free+skin tightening XLi Year round treatments “Soprano revolutionized medical photoepilation, contributing lasting better results compared XLi SHR has • “SopranoXLi SHR has revolutionized photoepilation, contributing longer longer lasting and andon better resultscolor compared • medical Intelligent interactive interface a 12’’ screen “Soprano SHRtechnologies. has • revolutionized medical photoepilation, contributing longer lasting and better results compared to conventional ‘IN-Motion’ treatment, applying low fluences at high repetition rates, enables us to provide Fastest coverage in thelow industry 10Hz pulse to conventional technologies. ‘IN-Motion’ treatment, applying fluences atat high repetition rates,repetition enables us torate. provide XLi applying low fluences at high repetition rates, enables us to provide XLi photoepilation to conventional ‘IN-Motion’ • medical Notreatment, consumables customized for Soprano all types, all consistent, safe, “Soprano SHRtechnologies. has revolutionized photoepilation, longer lasting andround, betterwith results compared XLi works with XLi photoepilation customized for each each patient. patient. 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Today Soprano SHR is an treatment, essential tool for aesthetic practices, more patient advantages any to conventional technologies. ‘IN-Motion’ applying low fluences at providing high repetition rates, enables us tothan provide XLi • Intelligent interactive interface on a 12’’ color screen XLi SHR is an essential tool for aesthetic practices, providing more patient advantages than any reliable results. Today Soprano of its competitors” customized photoepilation for each patient. treatment, SopranoXLi applying works with skin andathair types, all year rates, round,enables with consistent, safe, to conventional technologies. ‘IN-Motion’ lowall fluences high repetition us to provide of its competitors” works with all skin and hair types, all year round, with consistent, safe, customized photoepilation for each patient. Soprano XLi of its competitors” • No consumables is an Soprano essentialXLitool for aesthetic practices, providing advantages thansafe, any reliable results. Today Soprano customized photoepilation for each patient. works with all skin and hair types, allmore yearpatient round, with consistent, XLi SHR reliable results. Today Soprano SHR isofanMiramar essentialMedical tool forInstitute, aesthetic practices, providing more patient advantages than any Dr. Fernando Urdiales, MD ,Director Malaga, Spain. XLi of its competitors” • MDNew! Pain Free skin tightening Dr.itsFernando ,Director Medical Institute, SHR isofanMiramar essential tool for aesthetic Malaga, practices,Spain. providing more patient advantages than any reliable results.Urdiales, Today Soprano of competitors”

Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. of its competitors” XLi “Soprano SHR revolutionized medical photoepilation, contributing longer lasting and better res Dr. Fernando Urdiales, MD has ,Director of Miramar Medical Institute, Malaga, Spain. Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. to conventional technologies. ‘IN-Motion’ treatment, applying low fluences at high repetition rates, enables Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. XLi workslonger with all skin and year round, with c customized for eachphotoepilation, patient. Soprano XLi “Soprano SHR hasphotoepilation revolutionized medical contributing lasting and hair bettertypes, resultsallcompared XLi SHR is applying an essential tool forataesthetic practices, patient advan reliable technologies. results. Today Soprano treatment, to conventional ‘IN-Motion’ low fluences high repetition rates,providing enables usmore to provide Connect with XLi Connect with of its competitors” customized photoepilation for each patient. Soprano works with all skin and hair types, all year round, with consistent, safe, Alma Lasers Connect with Alma Lasers Alma Lasers reliable results. Today SopranoXLi SHR is an essential tool for aesthetic practices, providing more patient advantages than any w w w . a l m a l a s e r s . c o m w w w . awith Connect Dr. Fernando Urdiales, MD ,Director of Miramar Medical Institute, Malaga, Spain. w w wLasers . awith l m a l a s e r s . c o mof its competitors” Connect Alma Alma Lasers Connect with w w wLasers Alma

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News Special | Q-Med Academy Meeting

range. Dr Williams covered a wide range of potential indications for Restylane® Vital and Restylane® Vital Light, highlighting its versatility.

Right on

A key talking point of the

The presentation of the cheque. James Backhouse, Per Hall (Operation Smile), Alex Talbot (Operation Smile)

day was the joint session of Mr Mohammad Jawad, plastic, reconstructive and burns surgeon, and Katie Piper, the young woman attacked with sulphuric acid in 2008. Mr Jawad shared the journey he embarked upon with Katie and the various treatment options they went through, and opened up the eyes of the audience to a different view of the industry that we all operate in. He also explained how during Katie’s treatment regime they have used Restylane® products, and continue to do so to improve the quality of Katie’s skin. Katie Piper followed Mr Jawad with an inspirational presentation on the perceptions of beauty. The experience was humbling for all who attended, and Katie truly provided an

We report on the seventh annual Q-Med Academy meeting

On Friday April 8 Q-Med UK Ltd hosted its seventh annual Q-Med Academy practitioner meeting. Held at the Royal College of Physicians in London, the meeting had a fantastic scientific program and was extremely well attended by a mixture of the aesthetics industry’s finest, including cosmetic doctors and nurses, plastic surgeons, dermatologists, dentists and clinic managers.

inspirational and optimistic view on her life and Marea Brennan Thorns, Stephanie Green and Paula Shurrock of MBNS clinic.

her beauty. All delegates were left in awe of Katie,

resulting in Katie not being able to get away from the champagne reception due to the sheer volume of delegates that wanted to speak to her about her experience, and her charity the Katie Piper Foundation. Dr Bob Khanna held the last session of the day and proceeded to take the audience through the concept that we should no longer treat single lines or wrinkles, but we should be looking at the full face and creating a treatment plan based on this for our patients. He then presented Q-Med’s Soft Restoration Concept, which enables practitioners to do this by selling their customers a treatment plan for the whole face, based on clinical evidence, and using the pix’L microcannula, all

The meeting was opened by James

housed within a beautiful box that

Backhouse, general manager

the consumer purchases as their

for Q-Med UK, who provided an

own. Dr Khanna then proceeded

introduction to the meeting, what the

to do a live demonstration of the

company hoped to achieve from the

innovative pix’L microcannula using

day and also introduced delegates to

Restylane® SubQ in the cheeks,

Operation Smile, Q-Med UK’s chosen charity to which all proceeds from the day will go. Delegates were also shown an inspirational and emotional

The Q-Med Marketing Team (Karen Esson, Jack Cottle, Vikki Baker and Jen Pain)

video about the amazing life changing surgery provided by Operation Smile. Consultant plastic surgeon Mr Rajiv Grover was the chair for the meeting for the seventh year running, and provided fantastic insight into each of the sessions, as well as chairing two informative question and answer sessions. Stefan Hyttfors opened the day with a look at the impact of the internet on the way we do business. As a key part of any successful business Stefan provided some fantastic advice on what to do to get yourself and your business noticed online, and also what not to do. Dr Tracy Mountford’s session on the management of complications raised many questions, and was a hot topic in the first sessions Q&A. Dr Mountford was open and honest about her experience, and encouraged others to be the same. The main focus of the presentation

and Restylane® Perlane in the jowl and nasolabial folds of the model. He finished the treatment with the

use of new Restylane® Vital Lidocaine in the lips for a natural, pain free enhancement. The result of the demonstration was the natural replacement of lost volume with no bruising and no pain for the patient. The scientific program was rounded off with a champagne reception in the sunshine in the grounds of the Royal College of Physicians. During the reception a cheque was presented to Operation Smile representatives Alex Talbot and Per Hall. James Backhouse, Q-Med UK, very proudly handed over a cheque for £9,563 which by the end of the event had increased to £11.365.60 – beating last year’s record breaking total. All donations had been made by delegates at the London meeting, and also a Scottish Q-Med Academy Meeting, which was held on the March 4 in Edinburgh.

was that if handled well, all complications can be easily managed. Dr Stefanie Williams introduced the Restylane® Vital range, now with lidocaine, and covered the Dr Bob Khanna demonstrating the pix’L microcannula as part of the Soft Restoration Concept.

clinical evidence supporting this new line extension of Restylane’s Skinbooster


Audrey Mason-Harris and Keeli Wetton (Q-Med Territory Manager)

Mr Rajiv Grover chairing a Question and Answer session (Panel includes Stefan Hyttfors, Wendy Richards (Medical Advisor and Training Director, Q-Med UK), Dr Tracy Mountford, Dr Stefanie Williams).

D As Q- r. Bo pres Me b K en d A ha ted cad nna by em at y M the eet ing

Soft Restoration Concept

The Restylane® Soft Restoration Concept is a complete treatment solution for patients who place great value on a naturally younger-looking and refreshed appearance, and practitioners who understand the concept of treating the full face and are looking for the marketing tools to assist with this. The concept is a combination of the Restylane range of dermal fillers and skinboosters and the innovative pix’L microcannulas and is sold to you, and your patient, as a package based on clinical evidence.


There are two set treatment packages available from Q-Med, depending on your patient needs, and each is supplied in a Soft Restoration Concept Box, with supporting marketing literature and clinical information. Utilising the innovative pix’L microcannulas will provide you with a haute couture treatment, with minimal bruising, swelling and pain for your patients, and a high level of patient satisfaction for your practice. see us at stand 43

For more information contact your Territory Manager, call 020 7976 3290 or visit Q-Med (UK) Ltd, 6th Floor, 10 Dean Farrar Street, London SW1H 0DX

Restylane is a trademark owned by Q-Med AB



On The ScenE

Out and about in the industry this month

Anti-Ageing Medicine World Congress, Monaco

British Association of Cosmetic Doctors Spring Meeting, London

The 9th annual Anti-Ageing Medicine

The British Association of Cosmetic Doctors (BACD)

World Congress (AMWC) took place

held its Spring meeting at the Royal Society of

recently at the Grimaldi Forumin in

Medicine, London. Entitled ‘Face the Future’, the

Monte Carlo, Monaco. Thousands of

day-long meeting included a presentation by professor

aesthetic practitioners from across

Guiseppe Sito on the future of face shaping with

the globe flocked to the glamorous

Voluma (Allergan); a presentation on ‘An Overview of

location for the three-day event,

Non-Surgical and Surgical Nose Reshaping’ by Dr Sotiris

which focused on aesthetic

Foutsizoglou, exploring the alternatives to traditional nose reshaping, their indications

dermatology and surgery, anti-

and limitations; Dr Grant Hamlet on Vaser Hi-Def and Autologous Fat Transfer;

ageing, preventive medicine and

Ron Myers on how to keep your business up to date with Twitter, blogs and social

medi-spa. Sponsors included

networking sites; Dr Nick Lowe on ‘What’s New in the USA’, revealing trends and

Laboratories Teoxane (Teosyal),

advances from across the pond and Dr Bob Khanna on ‘The Use of Botulinum Toxin

Allergan, Galderma, Q-Med, Merz

in the Masseter Muscle for the Treatment of Bruxism’. Dr Xavier Goodarian also gave

Aesthetics and Cynosure.

a presentation on his experience undertaking the BACD Diploma (see this month’s

The USA were the honorary guests

Q&A p43-44 for more on this). The afternoon session gave delegates a chance

at this years event, with special

to put their questions to the expert panel, which included Mr Rajiv Grover, Dr Nick

sessions focused on updates on

Lowe, Dr Mike Comins, Dr Tracy Mountford, Ron Myers and Dr Bob Khanna.

Cosmetic News’ Hollie Dunwell with BACD administrator Sharon Turner-Fry

Julia Cross and Priya Lakhani-Quiling from Allergan’s PR agency CCA with Cosmetic News editor Vicky Eldridge and plastic surgeon Jonquille Chantrey

US techniques in dermatological and surgical procedures. Other

Allergan’s Richard Glover with a French journalist at the Allergan media briefing

Guy Goudsmit from ABC Lasers

Consulting Room™ Golf Day, Whitefield’s

highlights of the programme

Although the standard of golf did not quite

included a symposium on

match that seen at the recent US Masters in

‘An Aesthetic Approach to

Augusta, a beautiful sunny day was enjoyed

Treating the Menopausal

by all who competed in the firstannual

Patient’, sponsored by Allergan.

Consulting Room™ cosmetic industry golf

Renowned speakers in this

tournament.The overall team winners of the

eye-opening session included

Consulting Room™ challenge cup were

Mauricio de Maio (Brazil),

David Patten and Jerry Loveday representing

Joel Cohen (USA), Arthur

Jerry Loveday and David Patten from sk:n

the national sk:n clinics group. Best individual male was also won by David Patten from sk:n;

Swift (Canada), Gregor Wahl (Germany), Koenraad de

best individual female by Susan Judodihardjo from the Cellite Clinic; closest to the

Boulle (Belgium), Phillip Levy

pin and longest drive were both won by Dr Simon Knowles from Aesthetic Solutions

(Switzerland), Herve Raspaldo

Clinic and Simon Haroutunian and Raffi Eghiayan from Face Media Ltd won the

(France), Lakhdar Belhaouri

Hackers award. The 2012 event will be held at the Belfry in Birmingham. Please visit

(France) and Mitchell Brin (USA). to register your interest.

See pages 37-38 for our special

at the event (see this month’s

Cosmeceuticals Raise Funds for The Pilgrimage Trust

Industry News p6).

Cosmeceuticals has given its

report on this. Merz Aesthetics Journalist Trish Leslie with Dr Phillip Levy and Mitchell Brin Trish Leslie with Dr Phillip Levy Journalist and Mitchell Brin

also released the results of its Face Value” Beauty Survey

support to a fundraiser in aid of

From left to right: Aileen Rafferty Manager at Skin Works, Yacine Titi owner of Zucca and Skin Works, Kevin Moore, Sandra Burke (fundraiser for HCPT) and other

Two awards for Innercore

the HCPT Pilgrimage Trust. Every

Innercore clinic has been given

children (the largest children’s pilgrimage from the UK) with disabilities or social

two awards by the West Yorkshire

and emotional needs to Lourdes. The children and helpers travel in small family

Chamber of Commerce –

groups from all over the UK and Ireland as well as groups from Croatia, Romania,

Retailer of the Year and Service

Slovakia, USA and the West Indies. Yacine Titi owner of Zucca Ristorante in

Provider in Health and Beauty.

East Kilbride Scotland, hosted a ladies lunch to help raise funds. Aileen Rafferty,

Easter HCPT takes around 2,000

The clinic based in Morley, Leeds, received the accolades at a recent Morley Business Awards

manager at Skin Works Salon in East Kilbride Scotland and Kevin Moore from Kirsty McEnroe, Brendan McEnroe, Julie Mcenroe and Lindsey McEnroe from Innercore with their awards

Cosmeceuticals attended the lunch to demonstrate and perform mini treatments using PRIORI® CoffeeBerry® Perfecting Minerals SPF25, Omnilux Light Therapy and

ceremony. The clinic was founded by four family members and has gone from

DiamondTome™ Microdermabrasion to help raise funds. Cosmeceuticals also

strength to strength building up a reputation for putting the customer first and

contributed to raffle prizes and the goodie bags to help raise money.

also running a successful online store.








PureSense H

























PATIENT SATISFACTION se e us at stan d 49

Cosmetic News Expo 2011 | Show Preview cosmetic news expo 2011 sponsored by: Platinum sponsors

silver sponsor hospitality sponsor

Show time

The second annual Cosmetic News Expo will take place at the Business Design Centre in Islington, London this month. Here’s why you should be there…


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. Launched in April 2010, the Cosmetic News Expo is the UK’s only free of charge trade show and educational meeting for the medical aesthetics industry. Following the success of our inaugural event, we are now looking forward to the 2011 Expo, which will take place at the Business Design Centre in Islington, London on May 6 and 7 2011.

THE EXHIBITION Bringing together more than 80 of the industry’s key manufactures and suppliers, the Cosmetic News Expo is a must visit for those new to the industry who are trying to source suppliers and busy practitioners who want to be able to see all their reps under one roof. Sponsored by SkinCeuticals and Galderma (Platinum Sponsors), Merz Aesthetics (Silver Sponsor) and Nordson Micromedics (Hospitality Sponsor), the event will showcase the latest products and treatments on the market.

THE CONFERENCE AND WORKSHOPS Education is one of the key focuses of the Cosmetic News Expo and, as such, a conference and workshop programme will once again be taking place throughout the two-day event. We believe that education should be available to everyone, no matter what their budget, so we have designed an event that











allows you to gather knowledge about the latest treatments and developments at the same time as attending hands gaining CPD accredited education as part of or extensive conference and workshop programme, for free. Highlights of the programme include a Facial Aesthetics Masterclass with renowned Italian aesthetic plastic surgeon professor Giuseppe Sito, a lecture and live demonstration on a Full Facial Approach to Aesthetics by Dr Beatriz Molina and Dr Ravi Jain, a presentation and live demonstration on botulinum toxin by Dr Bob Khanna, a talk on anti-oxidants by Dr Michael Prager and a lecture on high definition VASER techniques by Dr Ravi Jain. Other speakers will include Professor Syed Haq, Mr Dalvi Humzah, Mr Paul Banwell, Dr Ayham Al-Ayoubi, Dr Toni Phillips, Dr Robin Stones, Elliot Isaacs, Ita Murphy, Tarryn Von Oppell, Mr Chris Inglefield and Dr Stephen Basset. As well as this a series of exhibitor workshops, live demos and business seminars will be running on the exhibition floor. These will include seminars exploring how to run a successful and profitable medical aesthetics practice and workshops by our Platinum Sponsors, Galderma and SkinCeuticals, Silver Sponsor, Merz Aesthetics and Hospitality Sponsor, Nordson Micromedics.

REGISTER FREE Although the event is free, delegates are advised to register in advance for the conference to reserve their place on the educational programme. Places for these sessions are booking up fast with more than 800 people already registered. Spaces are limited in the workshops rooms and in the conference auditorium so the only way to make sure you don’t miss out is to register in advance. The show is open to cosmetic doctors, aesthetic nurses, dermatologists, plastic surgeons, cosmetic dentists, aestheticians, practice managers, and other professionals working in the cosmetic medicine business. It is not open to members of the public. Visit to register for tickets to the exhibition and call our booking hotline 01268 754 897 to book your place on the conference or workshops now!

call the booking hotline on 01268 754 897 to book your place for the conference and workshop sessions.

Cosmetic News Expo 2011 | Show Preview

Discover the Artiste™ in you

See Nordson Micromedics at the Cosmetic News Expo and find out about their exciting new product – the Artiste™Assisted Injection System

Cosmetic News Expo 2011 is proud to announce Nordson Micromedics as the event’s Hospitality Sponsor. Nordson Micromedics, an affiliate of Nordson Corporation, is a leader in providing delivery systems that dispense biomaterials for controlling bleeding, healing wounds and other related medical procedures and one of the world’s leading producers of precision dispensing equipment, with direct operations and sales support offices in more than 30 countries. With the introduction of the Artiste™ system, Nordson Micromedics has entered the assisted injection market. Introducing the Artiste™Assisted Injection System

Nordson Micromedics at the Cosmetic News Expo 2011 Nordson Micromedics will be hosting a variety of social and educational events to celebrate the launch of the new Artiste™ Assisted Injection System. The activities begin on Friday, May 6, starting at 11.45 am to 12.30 pm with an Artiste™ Workshop featuring Marie Duckett,. Participants in this 45-minute workshop will be introduced to the advantages of assisted vs. manual injection, as well as the latest injection techniques. Nordson will also be sponsoring the coffee break in the bar area on the main exhibition floor at 3pm on Friday May 6. As hospitality Sponsors Nordson also invites you to join them and the Cosmetic News team at the after show party on the evening

The Artiste™ System offers cosmetic doctors, plastic surgeons, dermatologists and other medical

of Friday May 6. They will be hosting a

professionals a highly effective alternative to manual injection of sterile fluids like dermal fillers. The

champagne reception at the event, which

Artiste™Assisted Injection System is an efficient CO2-powered device developed to assist trained

will be held at The Vineyard, 179 Upper Street,

clinicians in the injection of sterile fluids. The clinician simply connects a syringe of sterile material to the

Islington London N1 RG, starting at 7 pm.

Artiste™ handpiece and presses a foot pedal to allow compressed gas to dispense the contents of the On Saturday, May 7, Nordson will be

syringe at a preset rate, with no hand fatigue.

conducting Artiste™ Training Sessions with

The Artiste™ Advantage

Marie Duckett and Sharon Bailey at 10.30am,

Provides more precise control of injection placement, speed and volume than manual methods

12pm, 2.30pm and 4pm on the mezzanine

Allows the injector to focus upon the treatment, rather than the technique

level, next to the Main Auditorium. Hands-on

Injects with more consistent pressure than the human thumb

training using the new injection system will

Eliminates hand fatigue

be provided.

Permits use of smaller gauge needles, for greater patient comfort Please sign up at the Main Registration

The Artiste™Injection System has been used successfully at three different test sites involving 140

Desk on the day to reserve your spot or

patients. The system was found to be easy to assemble, easy to use and highly effective.

call our booking hotline on 01268 754 897.

All practitioners found that assisted injection enabled them to be more accurate than manual injection,

You can also contact Mary-Kay Sheehy at

and felt that the Artiste™delivered better clinical results. Less material was required to achieve the

Nordson directly on 07824 793 239.

desired results compared to manual injection, and the Artiste™ system facilitated the treatment of larger areas with less wasted material. There were no complaints regarding effectiveness, performance or safety, and no adverse events were reported.

see us at

Marie Duckett

Sharon Bailey

Marie Duckett has a wealth

Sharon has worked within aesthetic medicine for more

of experience in the area of

than 10 years. A former theatre sister in plastics and

medical aesthetics specialising

reconstructive surgery, Sharon was, until recently, the

in facial rejuvenation using

FSC manager for Merz Aesthetics (formally Bioform

dermal fillers, skincare and

Medical). She now works independently at Cosmedic

make-up. She currently runs

Skin Clinic with her partner Dr Martyn King. Sharon is

a successful clinic in London’s

a member of the BACN and is keen to promote best

Harley Street with business

practice through training and works with some of the

partner and fellow nurse, Fiona

major aesthetic companies as a trainer.

stand 37

Collins. They have a very simple philosophy and that is to provide a quality service, using only quality products backed by science. Having started her aesthetics career in 1995 with Collagen UK, working as a nurse specialist for London and the home counties, Marie soon discovered the difference that aesthetic treatments were making to people’s lives. She and Fiona set up Fiona and Marie Aesthetics Ltd in October 1998.

*To book your place on the workshop or training programme call our booking hotline on 01268 754 897 or contact Mary-Kay Sheehy at Nordson directly on 07824 793 239. Alternatively visit Stand 37 at the Cosmetic News Expo and reserve your spot on the day.

hospitality sponsor of


Cosmetic News Expo 2011 | Show Preview

See Galderma at the Cosmetic News Expo see us at stand 68

The Cosmetic News Expo is proud to have Galderma as our Platinum Sponsors. Having supported our 2010 show Galderma will once again be leading the way as a Platinum Sponsor, alongside SkinCeuticals, at our 2011 event.


alderma is a global pharmaceutical

l Rozex®: metronidazole (0.75%) gel or cream for

by providing a full range of products and

company specialising in the research,

the treatment of rosacea

services to meet the increasing needs of the

development and marketing of

l Silkis®: a topical treatment for mild to

ageing population, who want to enhance their

corrective and aesthetic solutions for dermatology

moderately severe plaque psoriasis

appearance and improve their quality of life.

patients and is a leading player in the worldwide

Tetralysal®: a once-daily oral antibiotic for the

The evolution of science will lead to a better

dermatology market. Created in 1981, Galderma

treatment of acne

treatment of age-related diseases and facilitate a

is a joint venture between Néstle and L’Oréal and

l Efracea®: 40mg modified release doxycycline for

stronger emphasis on prevention and corrective

employs more that 2,400 people. The company

treatment of papulospustular rosacea

treatments, allowing people to age more

has wholly-owned affiliates in 32 countries and Committed to the future of dermatology

Corective and Aesthetic Dermatology

Galderma’s ambition is to be recognised as the

Galderma aims at becoming a worldwide

most competent and successful innovation-based

leader in corrective and aesthetic dermatology

a worldwide network of exclusive sales agents.

gracefully. Galderma want to be at the leading edge of this evolution.

company focused exclusively on meeting the needs of dermatology patients and physicians. Focused on developing therapeutic, corrective and aesthetic innovations, the company has three R&D centres in France, the USA and Japan and invests around 20% of its revenue annually in the discovery and development of new drugs and innovative technologies, exclusively in the

presentations and workshops featuring Galderma products An hour-long workshop will be held on Saturday May 7 from 11am12pm, led by well-known aesthetic doctor Dr Ravi Jain, the workshop will showcase the latest product from Galderma - Emervel®. The Emervel® range of fillers has been created using Optimal Balance TechnologyTM. Emervel® has a constant HA concentration of 20mg/ml

field of dermatology.

across the range, which was found to be the optimum concentration

Product Portfolio

are varied. The five Emervel® variants are formulated using a unique

Galderma’s growing portfolio includes treatment for major skin conditions – acne, rosacea, psoriasis, nonmelanoma skin cancer and photodamage and hyperpigmentation disorders. Its major aesthetic brands include Azzalure® botulinum toxin type A for the treatment of glabellar lines and newly launched hyaluronic acid dermal filler Emervel®.

to provide optimal longevity, but its levels of cross-linking and calibration balance of gel parameters to tailor each product to its indication. Dr Jain will share his clinical experience with this product range and give a live demonstration. The workshop will take place in the dedicated workshop area on the exhibition floor. Dr Jain will also be giving a presentation and live demonstration alongside Dr Beatriz Molina as part of the main conference programme from 2.50pm-4.20pm on Saturday May 7. The presentation will be on ‘A Full Facial Approach to Aesthetics: Cheeks, Lips and Tear Troughs’. *To book your place on the workshop or conference programme call our booking hotline on 01268 754 897.

Specific products include:

Dr Ravi Jain

l Azzalure®: a botulinum toxin type A for the

Dr Ravi Jain qualified from the Royal London Hospital in 1995 and has since held posts

treatment of glabellar lines

at The Royal London, St Bartholomew’s and St Mary’s Hospitals. Early in his career he

l Emervel®: A hyaluronic acid dermal filler utilising

trained in gynaecological laparoscopic surgery before training as a GP. Dr Jain now

Optimal Balance Technology™

specialises in cosmetic dermatology and minor surgery and is a Key Opinion Leader

l Cetaphil®: a range of cleansing and moisturising products for all skin types. Originally formulated for dermatologists, they are gentle on your skin and sensitive to the skin’s needs l Calmurid® cream: containing urea (10%) and lactic acid (5%) for the treatment of skin conditions characterized by dry, rough, scaly skin l Differin®: a topical retinoid containing adapalene (0.1%) available as a cream and a gel l Etrivex®: a short-contact corticosteroid shampoo for the treatment of scalp psoriasis l Loceryl®: a nail lacquer containing amorolfine (5%) for the treatment of fungal nail infections l Metvix®-PDT: a topical therapy for precancerous and skin cancer lesions such as actinic keratoses, basal cell carcinomas and Bowen’s disease


for Galderma. Dr Jain is medical director of Riverbanks Clinic, a double award-winning cosmetic medical practice. He is also the head trainer for the International Centre of Artistic Body Sculpting, the official VASER training school of Dr Alfredo Hoyos the innovator of VASER Hi Def. He is one of the UK’s most experienced VASER surgeons and takes pride in optimising patient care and outcomes.

Dr Beatriz Molina Dr Beatriz Molina is an expert and trainer specialising in non-surgical face-lifts with the use of botulinum toxin and dermal fillers. During her medical training as a general practitioner in the UK, Dr Molina specialised in dermatology and cosmetic medicine. A seasoned trainer, she has been involved in countless training courses for cosmetic doctors, surgeons, dermatologists and healthcare professionals on the behalf of numerous pharmaceutical and aesthetic companies across Europe. A member of the British Association of Cosmetic Doctors (BACD) and the British Medical Association, Dr Molina also runs her own clinic, Medikas, which has recently won clinic of the year at the Aesthetic Medicine Awards 2009.


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

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

Cosmetic News Expo 2011 | Show Preview


see us at stand 29

The Cosmetic News Expo is proud to have SkinCeuticals as our joint Platinum Sponsors, along with Galderma, at our 2011 show.


kinCeuticals are pioneers in the field of

company History

cosmeceuticals and provide complete

Early in the company’s history a

skincare solutions through dermatologists,

SkinCeuticals research team paved the

cosmetic doctors, plastic surgeons, medi-spas

way for anti-oxidant technology with the

and other skincare professionals, throughout the

formulation of the original stabilised topical

UK and internationally.

vitamin C serum. Since then, anti-oxidants have become recognised as an important

Founded in 1997 by renowned American

component in combating signs of skin

dermatologists and scientists, SkinCeuticals

ageing due to environmental attack (UV

helped pioneer the advent of cosmeceuticals

rays, pollution, stress, smoke) and have

– transforming the skincare industry with

changed the way we think about skin

technological breakthroughs.

protection and rejuvenation.

The mission at SkinCeuticals is to maintain skin health and fight against the major causes of

SkinCeuticals Today

skin ageing. Dedicated to this purpose, the

Today the company adopts a

company makes one simple promise: to provide

multidisciplinary approach to research

advanced skincare products backed by

and development by forming networks


with premier scientists from the fields of cellular and molecular biology, chemistry,

SkinCeuticals helped pioneer the advent of cosmeceuticals – transforming the skincare industry

biophysics, and dermatology. They collaborate with this diverse scientific network to deepen their knwledge of skin and promote skin health – not trends.

SkinCeuticals presentations and workshops SkinCeuticals will be sponsoring an hour-long workshop on Saturday May 7 from 12.40pm-1.20pm. Dr Michael Prager will also be giving a presentation on ‘Topical Anti-oxidants in Cosmetic Practice ‘ on behalf of SkinCeutcials on Friday May 6 from 10.45am-11.20am.

Prevention, Protection and Correction

Dr Michael Prager

To maintain skin health SkinCeuticals’effective

in cosmetic medicine. A member of the British Association of

skincare regime contains three fundamental

Cosmetic Doctors, the Independent Doctors Forum and the British

elements of Prevention, Protection and

Medical Association, he has been described as the ‘Karl Lagerfeld

Correction. At SkinCeuticals the product

of injectables’, and has perfected the art of the natural looking non-

philosophy and educational programs are

surgical face-lift using botulinum toxin and HA dermal fillers. Dr Prager

Dr Prager has trained and lectured extensively in the UK and Europe

built around these pillar principals. The line of

is featured extensively in magazines and national newspapers for his

advanced skincare products is designed to

emphasis on natural looks, safety in cosmetic medicine and non-invasive alternatives to laser,

help prevent future damage, protect healthy

radiofrequency, peels and plastic surgery. He also recently appeared on Channel 4’s 10

skin and correct the appearance of previous

Years Younger.

damage. At SkinCeuticals, achieving results means more than restoring youthful looking,

*To book your place on the workshop or conference programme call our booking hotline

radiant skin – it also means protecting skin from

on 01268 754 897.

serious skin conditions.


see us at stand 41

Cosmetic News Expo 2011 | Show Preview

Merz Aesthetics – Your Partner in Injectable Facial Aesthetics Merz Aesthetics is one of the global leaders in the facial aesthetics market and will be the Silver Sponsor at this year’s Cosmetic News Expo. It is not only top quality products that set Merz Aesthetics apart but its service offerings for filler customers too. The overarching goal of Merz is to be the partner of choice for aesthetic practitioners.


see us at stand 73

t can be a daunting task to take the first step

As you would expect from a pharmaceutical

their core business skills, a dedicated team of Field

into aesthetics practice. For those relatively

company, Merz provides practitioners with a full

Clinical Specialists provide guidance for the use of

new practitioners, there is a lot more to

Medical Information service with a dedicated

Merz Aesthetics brands in the practitioner’s own

manage than simply attending clinical

team of specialists who provide the broad

clinic. This ensures low impact on the practitioner’s

training courses. How to drive patients to the

spectrum of medical information support

time whilst providing 1:1 support opportunities in a

practice, which products to choose, where

you might need in practice. Merz Aesthetics

real life setting. The Field Clinical Specialist team

to buy, how to finance and how to protect

considers a wide range of topics suited to

receive continuous training with world leading

the business with the right legal documents

further investigation and is developing a body of

injectors and approach the in-clinic meetings as

and appropriate insurance are all important

research partners in the UK and for multinational

information sharing opportunities. The dedicated

decisions to make that could be a major

trials. If you have always wanted to publish, but

office based customer services department and

distraction from the core business – treating

were never sure how to go about it, talk to Merz

of course the field based Aesthetics Account

patients. The mission of Merz Aesthetics is to


Managers are always at hand so that practitioners

help practitioners concentrate on the core of

can make informed choices about what is the

their business. With a wide range of patient-

On-site pharmacy

facing marketing materials and tools such as the

A unique offering from Merz Aesthetics is its own

and their practice. In recent market research Merz

Merz Scales which is the comprehensive rating

pharmacy enabling practitioners to purchase

aesthetics account managers were considered by

system developed by an international expert

products with or without a prescription and with

the majority of practitioners to be the best in the

panel that quantifies skin ageing, as well as filler

payment by credit card or with a 30 day credit

industry (Facial Aesthetics Customer Satisfaction

promotional tools for your clinic websites, mailers

agreed account facility. One more step to

Tracker, March 2011. Date on file). Merz Aesthetics

and publicity tools, Merz Aesthetics has helped

ensuring Merz Aesthetics is the partner of choice

is a true partner in business. At whatever stage

many practitioners to attract and support

in this highly competitive arena.

you are in your business, Merz Aesthetics is sure

patients. You too can benefit from this service.

Merz Academy program For practitioners whose passion is to further grow

Training by Clinical Specialists

best fit in product and service for their patients

to be able to support you, whether it is injection technique, business development or marketing

Merz Aesthetics prides itself on the standard of

support, Merz Aesthetics is your number one

education it provides. To support practitioners in

partner in injectable facial aesthetics.

or maintain a thriving and healthy business, offering an excellent service to patients during their treatment is only a small part of what you do. Developing a point-of-differentiation in a highly competitive marketplace, keeping up to date with new technology and techniques

See Merz Aesthetics at the Cosmetic News Expo 2011 Merz Aesthetics will be running two workshops over the course of the Cosmetic News Expo. The first at 1pm-2pm on Friday May 6 will be entitled ‘Dr Beatriz Molina of Medikas presents The Full Facial

as well as legislation and opinion, all takes time

Approach with Merz Aesthetics Brands’ and will be introducing glabellar frown lines treatment* and the

to research and attend to, again diverting

unique capabilities of the instant lift by Radiesse® demonstrating the Vectoring Technique and Belotero®,

practitioners from the core of their business.

finding confidence in superficial injection techniques for an even and subtle finish to treatment. The

Merz Aesthetics can also help at this level, with

second will take place at 1.20pm-2.20pm on Saturday May 7 and will be entitled ‘Dr Kate Goldie of

its specialist advisory meetings discussing topics

Medics Direct presents Considering Ageing Appropriately when Treating your Patients’. Here Dr

of concern for developing and maintaining a healthy business in a fast moving world. Merz is a quick adapter in the aesthetics industry and listens out for changes and topics that concern practitioners in a true partnership approach.

Goldie discusses the process of evaluating ageing effects on the facial structure. Consideration of skin quality, underlying health and lifestyle effects when approaching the clients treatment ensures best outcomes which Dr Goldie will expand upon by demonstrating the use of Belotero® HA filler, Radiesse®, the unique calcium hydroxylapetite dermal volumizer and the treatment of Glabellar frown lines*.

Let Merz Aesthetics bring the facts to you in a concise and researched package by joining the Merz Academy Program.


*Please note as this workshop demonstrates use of a prescription only medicine and should be attended by prescribing practitioners and those involved in the application of such products under guidance of the prescriber only. Prescribing information will be available at this workshop and at the Merz Booth. 

see us at Your partner in injectable facial aesthetics

stand 73



Volume enhancement for a youthful appearance ■

Immediate result due to elastic gel-matrix

Prolonged effectiveness due to CaHA-induced collagen production

Comprehensive studies confirm a robust safety profile

· RAD003/1010/KV



For more information, please contact Merz Aesthetics Customer Services Phone: 0333 200 4140, Fax: 0208 236 3526,

ce 20 06





proved b Ap

AliciA TrenchArd.

Aesthetic Training and consultant. I have been working in the aesthetics and skin rejuvenation business for 15years during which time I have worked with numerous skincare lines. Having managed my own single site business as well as overseen large multisite organisations I have developed a great understanding of core skincare that an aesthetic establishment needs to offer their clients. There are many skincare lines to choose from, but I found that Image Skincare has everything you need all in one brand. I chose Image skincare because of the quality and quantity of active ingredients, the flexibility of how it can be used and because of the results that are achieved. Regardless of the demographic or skin type of your client base, Image has treatment and homecare products to offer everyone, from wrinkled sun damage to the more difficult pigmented skin types, and even pregnant ladies too! Each specialised section of the retail line are easily identified by the simple bold colours, and are easy to remember and recommend. Image product display will not only add colour and something fresh to your shelves, but also offer your clients visible tangible results just from using quality skincare at home. The Image ipeel professional Resurfacing solutions, along with the 5 different Enhancers, give you as a practitioner the flexibility and choice to tailor your skin treatment exactly to your clients needs. Just a few drops of the potent Retinol, Kojic and Antioxidant Enhancers mixed with the exfoliating solution customises the treatment to address the skin condition of your client.Image give you the option of higher strength solutions.

Formulated for correcting the symptoms of ageing and damaged skin.

To arrange a full product demonstration, call 01865 338 046.

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Professional Skincare. Advanced Results. Skin Geeks Ltd. John Eccles House, Robert Robinson Avenue, The Oxford Science Park, Oxford, OX4 4GP.

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The Big Debate | CEN Standards



We find out the truth behind the rumours about the CEN European Standards and their impact on the UK aesthetics market

Rumours have been rife in the aesthetics industry recently over new European-wide Standards that are being developed as a way of striving for best practice in the cosmetic surgery and medical aesthetics industries, with one of the biggest being that the Standards will only allow plastic surgeons and dermatologists to carry out these treatments – including botulinum toxin and dermal fillers, the bread and butter of most aesthetic clinics. However while these Standards, known as The European Standard for Aesthetic Surgery Services (CEN TC403), are a reality, much of what is being said about them has been blown out of proportion and the UK industry is lobbying hard to make sure the BSI mirror group understands the way the industry here differs from other parts of Europe, in case these Standards do become the basis for law in the future. We asked some of the industry’s key opinion leaders and those involved in representing the UK industry in Europe to explain exactly what is going on and what aesthetic practitioners should be aware of…

Mike Regan, Chair, BSI Committee CH/403 Aesthetic Surgery Services “In March 2010, CEN - the European Committee for Standardisation - created a new Project Committee, CEN TC/403 ‘Aesthetic Surgery Services’. Very soon after BSI - the British Standards Institution - formed the National Mirror Committee BSI CH/403. The scope of BSI CH/403 is: “to be responsible for UK input into CEN TC/403. To undertake national work in the fields of aesthetic surgery services and beauty interventions provided in private healthcare facilities”. As can be seen from this scope statement, the work includes a vast range of procedures, services and treatments! It encompasses not only what might more traditionally be called ‘surgery’, but also ‘cosmetic interventions’ as well. The BSI is of course our national standardisation body here in the UK. To learn more about the work of the BSI ‘Aesthetic Surgery Services’ Committee go to and search on CH/403. The BSI web site lists all the associations and regulatory bodies that are currently represented on the CH/403 Committee. At the European level BSI sends National Delegates to represent UK interests on CEN TC/403. See and search on TC/403. My colleagues on the BSI CH/403 Committee are proceeding with considerable energy and sector experience in playing their part in developing this exciting new European Standard, which seeks to raise the standard of aesthetic service provision throughout Europe. The next meeting of CEN TC/403 will be in Austria on May 6 and 7 2011. BSI is sending a strong National Delegation to represent UK interests (i.e. your interests!). A vigorous debate is anticipated, including a discussion on how soon the Standard can go forward to the [Public] Enquiry Stage. After the May meeting we will have a much clearer idea on when we can expect to see the Standard published, both as a European Standard and also as a National Standard in each Member State, including of course in the UK. Watch this space!”

Ron Myers, Director, The Consulting Room™ “The main problem with any form of regulation in the cosmetic surgery or, so called, non-surgical arena is that neither cosmetic surgery nor cosmetic medicine is a recognised medical sub-speciality, and hence there is no formal training or qualifications that help to standardise quality delivered by individual practitioners performing treatments who work in the wide variety of different business models found in the UK market. So although legislation revolving around protocols, health and safety, infection control etc is robust via the Care Quality Commission for regulated procedures, it doesn’t really get to the kernel of the matter in terms of ensuring that the surgeon/practitioner who actually delivers the treatment really knows what they’re doing.There are no immediate ‘magical answers’ to these issues – and many European countries face similar problems which have resulted in a drive towards trying to harmonise Standards across the EU for cosmetic treatments. The European Standard for Aesthetic Surgery Services (CEN TC403) is now in its second draft and due to be considered further by the committee following receipt of comments made by the 31


The Big Debate | CEN Standards stake holding countries throughout the EU. As many of the cosmetic surgery

proposed Standards aimed at stopping medically qualified practitioners from

markets in the EU are led by practitioners qualified as either plastic surgeons

certain specialities from performing these treatments.

or dermatologists, Standards recommending who is qualified to perform individual procedures have caused concern for industry participants from other

Although these proposed Standards will not have any legal standing in the UK –

specialities as there are moves to exclude them from performing injectable

they could form the basis for legislation at some point in the future, which is why

cosmetic treatments, peels, and laser treatments commonly used in the UK

interested parties from the specialities affected are taking note to ensure that

by general practitioners, registered nurses and also an increasing number

they are represented in the debate. It will be interesting to see how successful

of dentists. So, at one end of the spectrum in the UK we have non-medical

they are in rallying support from similar specialities in other countries to try and

people, including beauty therapists, who appear to be legally able to perform

ensure that they are fully represented in the Standards, which may still take

injectable cosmetic treatments, peels and lasers, and at the other end

another two years to eventually be produced.”

Sally Taber, Director of the Independent Healthcare Advisory Services (IHAS) and Treatments You Can Trust and member of the BSI mirror group

Dr Samantha Gammell, President Elect, The British Association of Cosmetic Doctors “The idea behind it is to try and introduce some sort of standardisation

“It has caused quite a lot of controversy

around cosmetic procedures

and there are a lot of rumours going

throughout Europe. As far as I

round, especially regarding who can

understand it, it is moving pretty

and can’t do these treatments under

quickly. The majority of the Standards

the CEN Standards, which are not true

have been written and they are

at all, and I think that it is important

currently going back and forward

that people are clear on what is really happening. It is giving some guidance over who should do what however it is not true at all, for example, that only plastic surgeons will be able to do cosmetic treatments under these Standards. With regards to nursing, there have been rumours that registered nurses need to be Independent Nurse Prescribers and have a masters degree, which isn’t the case as our legislation takes priority over a Standard. It is the case, and I think we will support it, that registered nurses should/ shall work under supervision unless they are an Independent Nurse Prescriber. What we would want is that all registered nurses undertaking cosmetic injectables should either have an Independent Prescribing qualification or be working towards it. The other big thing that is being talked about is the dentists, because dentists are not doing these treatments in the rest of Europe. It may be that we can apply for a variation clause if we fully believe that dentists should be doing cosmetic injectables and I think there is no doubt about it, providing they are appropriately trained. The other excellent point for me is that the whole of Europe has adamantly said that no beauty therapists should be involved. They have also adamantly said no remote prescribing. The other issue it brings in is advertising which we are also doing quite a lot of work on at the moment because of the Advertising Standards Authority change with regards to websites, which again is good. The Standards also brings in criteria around age, which obviously we need to be careful of because some children need cosmetic surgery, such as for bat ears, and we have to be careful that we allow for that, but there is a lot of discussion around the appropriateness of a treatment for young adults, making sure that teenagers are not going through breast augmentation and similar such procedures. I am a member of the BSI mirror group and am going, as one of the three representatives, to the CEN meeting in Vienna in May. I am doing a presentation on Treatments You Can Trust and the work we are doing around lasers to see whether Europe would be prepared to take on Treatments You Can Trust, which would be exceptionally positive. It is motivating to think what it will do to raise standards and we have certainly got to raise standards in this country – we have got some excellent standards but we have also got some appalling standards. Patients do travel and they must experience the same standard in each country. If we can get the standards up in each country it will be a very positive thing. It is difficult to create Standards across the board as the markets are different but we can put in variances where it is appropriate”


making amends. However what people need to understand is that it is a voluntary system so, even if these Standards get passed, they are voluntary. The European government has very recently released a statement saying that they have no intention of officially and legally regulating the cosmetic medicine industry. From our point of view there was a slight flaw in the fact it was called ‘Aesthetic Surgery Services’ so we assumed that it generally just covered the surgical side of cosmetics but actually it encompasses everything, including non-surgical. Whilst the process of developing the Standards was started over a year ago, it only came to light to us at the British Association of Cosmetic Doctors (BACD) towards the end of last year. It has become apparent that very few non-surgical organisations, such as the equivalent as the BACD abroad and the Irish contingency, had also not heard about this body of people setting up these Standards. Most of the people on board are surgeons and, at the moment, we don’t feel that the non-surgical contingency has been represented. It is good to have Standards and it is good to have regulation but at the moment we don’t feel that everyone in the industry has been represented equally. The first 40 or so pages of the document are all about what is best practice regarding advertising ethics and age of consent, which we are very in favour of. The biggest bone of contention is the issues surrounding who can do what – who can provide which services. The problem is that medicine is carried out completely differently in every European country. Gynaecologists in Germany, for example, carry out breast augmentations. So this is the problem and, having just had a meeting at the BSI, we at the BACD don’t see how they can put these Standrads across Europe when medicine in the UK is practised very differently. In the UK the government actively encourages GPs to become GPs with a specialist interest in something. GPs in the UK for example will deal with around 80% of the dermatology cases, whereas that is not so in other European countries, so it is very difficult to blanket Standards across Europe when everyone does something completely different. In the UK dentists are also practising aesthetics but the dentists are not even part of this European standard. We do need some form of Standards because we now have beauty therapists injecting with no medical qualifications but it would make more sense if it was a bit more country specific.”

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People in Profile | Frances Furlong

Going it


We speak to aesthetic nurse Frances Furlong about her decision to branch out on her own

When Frances Furlong was asked recently ‘when she stopped being a real nurse?’ she laughed it off but the sentiment is something that many aesthetic nurses come across when they decide to leave ‘traditional’ nursing and branch into the cosmetic field. Never one to let a label stick, Frances, who has been an aesthetic nurse for more than a decade, has spent her entire career trying to develop herself as a specialist in the field through continued education and by keeping her professional codes of conduct at the forefront of everything she does.

Private Clinic in Harley Street where she worked as a senior aesthetic nurse before being approached by the Skin Health Spa (formerly known as the cityskinklinic), where she stayed for five years working as a nurse practitioner and then as registered manger, under the medical direction of Dr Lucy Glancey. In 2010 Frances decided to leave the Skin Health Spa to set up her own business, going into partnership with fellow nurse Emeline Hartley at Cosmetic Healthcare Solutions Ltd where she worked as a nurse consultant and company director, attending regular clinics in Essex and London consulting and providing aesthetic and dermatology treatments.

Frances qualified as a nurse in 1999 from St Bartholomew’s

However two months ago she made the brave decision

School of Nursing and Midwifery, working first in acute

to go it alone and has set up her own company Perfect

medicine and accident and emergency and then in

Skin Ltd, acting as both a director and nurse consultant,

community nursing. Her first experience with lasers was

currently working in seven clinics in Essex, London and

when she started working for Ultralase in Tottenham Court

Suffolk, providing aesthetic and dermatology treatments.

Road in June 2001 as a senior staff nurse in laser refractive

“All of my knowledge, training and qualifications has led

surgery. She says, “I was always interested in laser and

me to have the confidence to be able to do this on my

decided to investigate and look into how I could get into

own now”, she says.

the laser industry. Working for Ultralase really gave me an


insight into lasers and what they could do.”

A full facial approach

After a year Frances was headhunted by The Eye Clinic

Frances’ approach to aesthetics is all about creating

and it was during this time that she met Dr Phillip Dobson

the best treatment package for patients rather than just

(now medical director of LCS). She remembers, “Dr Dobson

using stand-alone treatments. Her philosophy is to devise

was my medical director and actively encouraged me

bespoke combination treatments that are tailored to

to get my formal qualification in lasers. I then realised

the individual to offer the best results, which is why she

what lasers could do in other domains and became very

has attracted a large following of celebrity clients over

interested in the aesthetic and dermatology side. It felt like

the years. “When people come into me, their initial

a new, dynamic, ever-changing and exciting industry to

free consultation is very bespoke and about all of their

work in.” With her interest in dermatology and aesthetics

skin health needs. It is about looking at it from a holistic

spurned, Frances’ got her first job in aesthetics with the

and aesthetic approach to tailor treatments to suit all

of the patients’ needs. It is about tailor making

something she considers

a package to suit that person and then talking

very important for any

about maintenance treatments and how to care

aesthetic business to

for their skin long term. That approach is the key to


my success.” “When I started at

Aesthetic medicine is still about patient care, just on a different level, and I never lose sight of the fact that I am, first and foremost, a nurse. I have always kept up with my professional competencies

Frances has also become a specialist in

the cityskinclnic I

mesotherapy after training under Dr Vincent

became very much

Kabeya at the cityskinclinic and this is a treatment

media aware and had

she think is underestimated in the UK. She says,

media training with the

“I owe a lot to Vincent Kabeya. I was very very

company. I realised

fortunate to work with him as he is a mesotherapy

what a powerful tool it

specialist and also a specialist in treating black and

was and how important

Asian skin, which I think is a very important issue.

it was that the relationship between the media

Aesthetic Therapies’ with the Mapperley Park

A lot of people try and shy away from treating

and aesthetics industry became more united to

Training Centre, and more recently did her

those skin types but I am now very confident

get the correct information out there to the public

Preparation for Non-Medical Prescribing Nurses,

and competent in treating those different skin

and to potential clients.”

Midwives and SCPHN’s at the University of Essex.

types. Before I met him I was quite sceptical of

“As a nurse working in this area I thought it was

mesotherapy and quite wary of treating black and

During the course of her career Frances has

very important to get these qualifications”, she

Asian skin, so he certainly changed my outlook

regularly featured in the Daily Star newspaper

says. “I just wanted to have that to show this

and my approach. He helped teach me the

where she wrote a weekly ‘Ask The Experts’ column

was something I was wholly committed to and

fundamental principals of mesotherapy – that it is

from August 2006 – June 2008. She has also written

wanted to specialise in. I don’t think aesthetic

not just about using one vial of solution to treat all,

fro Elle Magazine, Essential Magazine, Instyle,

medicine can be viewed as something you

It is a complex process, which he has dedicated

Woman and Home, Top Sante, Aesthetic Medicine

do for a bit of extra cash on the side for a few

many years to studying. His training and expertise

Magazine, The Times Magazine and Cosmetic

hours every week – I think it is important to

in coaching me has made me the practitioner I

News and has appeared on GMTV demonstrating

become a specialist in whatever area of nursing

am today with regards to mesotherapy.”

her mesotherpay techniques.

you work in.”

With this knowledge under her belt Frances has

This year she was asked to be a judge for the

She has also made sure that she regularly

gone on to develop her own specialist treatment

InStyle Beauty Awards where she worked along

attends educational meetings to ‘develop my

protocols including the ‘eight-week non-surgical

a panel of 180 expert judges to select the ‘Best

professional knowledge and requirements within

face-lift’, which combines Radiesse® with dermal

Beauty Buys’ for consumers from a range of

my nursing body and to ensure that I am the

rollers and mesotherapy. She explains, “With

skincare, make-up and other beauty products.

forefront of the latest treatments and technology within the clinical excellence framework.’

this we can do a treatment in eight weeks and get amazing results. Radiesse® is a very good

Professional development

volusming product and the mesotherapy products

She adds, “Aesthetic medicine is still about patient care, just on a different level, and I never

that I use are very tailor made for that specific skin

A keen academic, Frances has always

lose sight of the fact that I am, first and foremost,

type so you can tweak it accordingly and get a

made it her priority to develop herself as an

a nurse. I have always maintained the fact that

very personalised, bespoke mesotherapy cocktail

aesthetic specialist and has undertaken various

I am a nurse I have always kept up with my

for that person. You are then using the dermal roller

qualifications in order to prove to herself, and

professional competencies. I often get patients

to penetrate into the skin deeper and stimulate

others, that she has the qualifications to back up

that say to me ‘when did you stop being a real

fibroblasts and then getting the patient to carry on

her skills and knowledge.

nurse?’ but what is a real nurse? I am not putting

with a skin regime afterwards.

somebody to bed or taking their temperature From June 2004 to June 2007 she undertook a

but that doesn’t mean that I am not a real nurse.

“I am not exclusive to any one product range, but

BSc in Professional Practice in Health and Social

I absolutely love Heliocare SPF 50, I use that myself

Care at the University of Greenwich, writing her

“When you have an NHS background the

everyday. As a practitioner trying to get someone

dissertation on ‘The most effective treatments

transition into an industry like this where you also

to use a high SPF everyday can be a challenge

for acne, comparison of skin peeling, lasers

have to become a business person and talk

but everyone I have got onto this range absolutely

and antibiotics’, for which she gained a 2:1.

about money and fees can make people lose

loves using it and doesn’t feel that it is particularly

She says, “The university hadn’t, at that time,

sight of the fact they are still a nurse or doctor.

heavy. I also love Jan Marini’s products, particularly

developed an aesthetic programme and,

I think it is vital that as nurses we still work within

their acne range. I also use Inspira Med and, as

although they told me that that would be

our codes of conduct and within the framework

a night cream, I really rate Q-Med’s Restylane®

something that would be coming in the near

and guidelines we are governed by. These

Night Cream, which I use every night myself. But I

future, I didn’t want to wait for that programme

treatments may be being done for cosmetic

will mix and match accordingly for what I need to

so I aligned a Professional Practice Honours

reasons but they are not beauty treatments,

achieve for my patients.”

Degree to aesthetics with a keen interest

they are still medical and the same rules apply

in acne management. I did that alongside

as to any aspect of medicine. You should only

working and thoroughly enjoyed it even though

do a treatment if it is in the best interest of the

it was hard work!”

patient, that way you will always be seen to

Frances has made quite a name for herself in the

She then studied for a BTEC Advanced Award

be reputable, trustworthy and adhering to your

media over recent years and being media savvy is

in the ‘Principles of Laser. Light and Associated

codes of professional conduct.”

Media Savvy


Special Feature | Pigmentation

Hitting the


Types of pigmentation Age spots/liver spots/solar lentigines Age spots or ‘liver’ spots are a common form of hyperpigmentation caused by sun damage, and are referred to by medical professionals as solar lentigines. Although they are also sometimes known as liver spots this has nothing to do with liver or anything that is associated with the function of the liver. They are usually found on the hands and face or other areas frequently exposed to the sun and will most likely increase with age. Age spots can vary in colour from brown to gray and black. They can also be very small or quite large and often appear in groups or clusters. They are more common on people with fair skin who don’t have as much natural protection from the sun. The reason they are known as age spots is due to the fact that the melanin accumulating in the skin over the years as a person ages can make them more susceptible to them, but these pigmentation marks are not exclusively caused by ageing. Melasma Melasma is the formation of irregular pigmented patches and is commonly found on the sunexposed face in the period during or after pregnancy or in women who are on the contraceptive pill. It is thought to be caused by increasing levels of both oestrogen and progesterone, which stimulate melanocytes resulting in increased production of the normal tanning protective chemical. Melasma or chloasma spots are similar in appearance to age spots but are larger areas of darkened skin. The condition is also known as ‘pregnancy mask’ because of its prominence in pregnant women and because of its appearance as ‘mask like’

We examine the causes of and best topical skincare products for skin pigmentation

patches on the face. Melasma is usually found on the cheeks, temples and forehead but can also be found on the body. Melasma is aggravated by exposure to the sun.

Pigmentation is one of the most common skin conditions affecting people of all skin types and ages worldwide. There are many different types of abnormal skin pigmentation known by various different names including hyperpigmentation, age spots, brown spots, post-inflammatory hyperpigmentation, solar lentigines and melasma.

Freckles Freckles are small brown spots that can appear anywhere on the face and body. Freckles are an inherited characteristic and are most common on fair skinned people. Millions of people around the world have freckles and are less likely to seek cosmetic treatment for them than those who have other forms of pigmentation as they are often regarded as ‘a mark of beauty’. However people

Pigmentation manifests itself as patchy, uneven,

can worsen existing pigmentation abnormalities

with freckles can be more susceptible to other

discoloured spots on the skin that are darker in

such as freckles or melasma, which have

forms of skin pigmentation, such as such spots,

color than the normal surrounding skin. Abnormal

been caused by other factors. This happens

when exposed to the sun and the prevalence of

skin pigmentation occurs when there is excess in

because melanin absorbs the energy of

freckles also increases with sun exposure.

melanin production, which forms deposits in the

the sun’s harmful ultraviolet rays in order to

skin and can be caused by a variety of factors

protect he skin from overexposure.

including hormones, genetics, medication, the

Post-Inflammatory Pigmentation Post-inflammatory pigmentation is caused when

ageing process, skin diseases such as acne and

As such pigmentation is most common on areas

the skin has been damaged or undergone some

injuries to the skin, but by far the biggest cause

of the face and body that have prolonged

form of trauma. It is commonly found in people

is sun damage. Exposure to the sun can cause

exposure to the sun such as the face, arms,

have had acne but can also be caused by

patches of pigmentation to form on the skin and

hands and décolletage.

sunburn, surgery and other factors.


Treatment options

One of the biggest treads recently however

Although skin pigmentation is, in most cases,

has been in the development of non-

harmless, many people seek treatment for

prescription topical skincare products

cosmetic reasons. Wearing a broad-spectrum

specifically designed to target pigmentation.

sunscreen is the most important factor in preventing skin pigmentation however

Until recently most skin lightening products

there are a wide variety of treatments for

contained hydroquinone, a prescription

pigmentation including:

cream widely used to treat pigmentation, however the ingredient is somewhat

• Topical skincare and prescription products such as hydroquinone, tretinoin and Retin-A


controversial and concerns have been raised about the possibility that it can actually cause

• Chemical Peels

cancer, which has led to it being banned in

• Fractional Laser Skin Resurfacing

some countries.

• Laser/IPL Resurfacing • Laser/IPL Rejuvenation for Vascular and Pigmented Legions

Skin lightening creams are designed to lighten and fade darkened skin patches by slowing

• Dermal Rollering

the production of melanin so those dark spots

• Cell Therapy

gradually fade to match normal skin coloration.

PRODUCTS 1. Medik8 White Balance Medik8 White Balance is an innovative



depigmenting formula with brightening


complex. This fast-absorbing and fragrance free serum will help to even out skin tones and dramatically freshen and brighten the complexion.


With its unique dropper bottle this serum can be added to regular moisturiser or directly applied to affected areas. It is suitable for both localised and generalised hyperpigmentation. White Balance (£29) incorporates three next generation active skin brightening complexes for maximum effectiveness, these are: l Cosmo® C250 (1.5%) – Reduces melanin synthesis, minimising brown spots l Alpha-Arbutin (1.0%) – Correct isomer, which enables effective and faster skin lightening l Gigawhite® (5.0%) - Mixed botanical brighteners with anti-brown spot activity These three active ingredients help to prevent further discolouration, without the dryness or irritation associated with bleaches. It hydrates and nourishes whilst simultaneously stimulating epidermal skin renewal to improve



the skin appearance and condition. Mixed with daily hand and body lotion, it actively reduces the size and colour density of age spots on hands, arms and décolleté. Medik8 are focused on providing products suitable for the most sensitive of skins and this light weight and non-greasy aqueous formula will not cause skin irritation. In the evening, after cleansing, patients should

01903 768 380

Special Feature | Pigmentation apply White Balance Serum directly to the face, using three to four drops twice daily, as required under their regular moisturiser. If using White Balance Serum through the day, ensure that an SPF hydrator is applied after



every application. White Balance can be used to treat difficult areas alongside retinol and peels. The formula is also so gentle that it is even safe to use when pregnant. 2. MelaClear (Aestheticare) MelaClear is an intense depigmenting care serum which has been expertly formulated to prevent and reduce melanin production and enhance and lighten hyperpigmented skin. MelaClear serum ‘mops up’ free radicals that trigger melanin synthesis, blocks and reduces melanin production and significantly increases exfoliation of hyperpigmented cells, clearing and renewing skin. In addition MelaClear serum provides essential antiageing treatment increasing collagen formation and photo-damage repair.



3. PRIORI® Idebenone Complex Even Tones PRIORI® Idebenone Complex Even Tones (£87.00) is the first lightening product to combine the anti-ageing benefits of superceutical anti-oxidant Idebenone with Methyl Gentisate a new lightening agent, to


combat the signs of environmental ageing, pigmentation and uneven skin tones. The

5. Lumixyl

lightweight cream performs at prescription

Lumixyl is a new topical peptide designed to

strength, but without irritation.

diminish age spots and other skin discoloration safely and effectively without irritation

Designed to keep water in and oxygen out,

Distributed by Wigmore Medical, the product

skin is exposed to major oxidative stress 24

has been proven to be more effective at

hours a day and like metal left outside it

improving the skin’s appearance than its

begins to rust. Idebenone, one of the most


potent cell protectors ever discovered,

Developed by dermatological researchers

attacks free radical damage – one of the main causes of ageing skin.

at Stanford University in the USA, Lumixyl Based on clinical trials PRIORI® Idebenone

Topical Skin Brightening Crème can be

Complex Even Tones has shown:

applied to the face, neck and hands to help

Combined in its unique partnership with

l 92% reduction in pigmentation (after twice

diminishing age spots, sunspots, melasma,

Methyl Gentisate, derived from the plant

daily use for eight weeks)

photodamage and uneven skin tone.

genus Gentiana, discolouration is tackled

l 67% reduction in fine lines/wrinkles (after

with maximum strength but minimum irritation.

twice daily use for eight weeks)

The only peptide shown to measurably

Instead your complexion is left renewed, with

l 92% overall improvement in skin tones/texture

promote healthy skin function, scientific

a flawlessly uniform colouration and texture.

(after twice daily use for eight week)

studies have shown that it reduces

PRIORI® Idebenone Complex Even Tones is

4. SkinCeuticals Pigment Regulator

initiating the overproduction of melanin,

the first product to introduce Environmental

SkinCeuticals Pigment Regulator is designed to

which can cause uneven pigmentation and

Protection Factor (EPF). This is the first system

topically treat hyperpigmentation caused by UV

dark spots.

that rates the protective capacity of your

exposure, hormonal fluctuations or acne scarring.

anti-oxidant. Out of a total of 100, PRIORI®

without the use of hydraquinone. The product

The team at Stanford demonstrated that

Idebenone Complex Even Tones has an EPF

contains a combination of kojic acid, embblica

the Lumixyl reduced the production of

95, the highest antioxidant protection on the

and glycolic acid, which has been shown to safely

melanin by as much as 40%compared to

market. A combination of AHA’s and Vitamins

and effective brighten skin, diminish pigmentation

hydroquinone, which reduced reduction by

C, E and A ensure full penetration in to the skin.

and smooth the complexion.

seven per cent at equal concentrations.

tyrosinase, the enzyme responsible for


Natural-growth-factor Skin Regeneration

Advanced & clinically proven

Daily dermo-cosmetic natural skin regeneration

Unique SCA Biorepair Technology harnessing natural-growth-factors

see us at stand 56

For product and scientific information Freephone 0800 0195 322

The Professional Choice Advanced dermo-cosmetic and dermatological research-based products

Smart Peel Microdermabrasion The Ultimate Exfoliation

The Smart Peel Microdermabrasion System has been designed for skin care specialists and aestheticians who require a safe, smooth and sterile treatment. This system offers unbeatable performance and superior reliability to utilize the potential for aesthetic and medical procedures. The latest technology ensures the crystals are 100% non-clogging and very economical to run. The hand piece use’s a disposable tip for each client to avoid cross contamination. The jars of crystals are disposable, no messy emptying or filling, and no contact with the contaminated crystals. The procedure is non-invasive with no discomfort, a gentle or deep exfoliation without traumatizing the skin. Beneficial for all ages and skin types, a Smart Peel exfoliation is very controllable to work in conjunction with acid peeling. Give your clients the ultimate exfoliation

to improve the collagen production before laser procedures or cosmetic surgery. Increasing the overall condition of the dermal layers pre and post op helps to speed the recovery rate. The effects can be seen and felt after the very first treatment, leaving the skin smooth and soft. Microdermabrasion produces a natural response within the dermal layers to stimulate Collagen and Elastin production. The most cost effective exfoliation procedure on the market with tried and tested technology since 1999.

...for CosmetiC News rEadErS, l ia c e up to £500 off your first p s . .. r e f Smart Peel unit. of Quote “CNmAY”

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

Care Quality Commission (CQC) Registration and Compliance Services

BTEC Qualifications and courses including:

Complete support services including:

� Laser/IPL Safety ‘Core of Knowledge’ Courses

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

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

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

Call for details

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

t: 0845 003 7315 e:

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t: 0845 003 8191 e:

Clinical Practice | Menopause

Pause for thought Treating menopausal clients in aesthetic practice

Many female clients who visit cosmetic practitioners will be in the age group that are either pre, post or going through menopause. But while these clients often seek medical support to help them through the hormonal and physical changes to their bodies, more and more are seeking the help of aesthetic practitioners too as the side effects of the menopause can drastically effect their skin and looks.


llergan recently carried out a European wide survey of this patient group and presented the results in a report entitles


‘Beneath the Skin of the Menopause’ at the recent Anti-Ageing Medicine World Congress in Monaco. Here we examine the results…

EXECUTIVE SUMMARY With beautiful, successful women from Madonna and Oprah, to Julie Walters and Kim Cattrall (whose character Samantha Jones experiences the menopause in the most recent Sex and the City movie), ‘coming out’

‘change’, the menopause is no longer seen as a taboo subject but simply a stage in a women’s life that impacts her fertility. Not her beauty, success or vitality. Hot flushes and mood swings are just a few of the well-known symptoms of the menopause. However, little is said about the impact the dreaded ‘M’ word can have on the skin, and the ageing process. Are there any visible effects,

Over half (54%) of the women surveyed claimed that they were unprepared for the effects that menopause had on their facial appearance and skin

Beneath the Skin of the Menopause is a survey designed to find out what women at or post the menopause really think about their skin. It reveals some fascinating insights on how the menopause can affect a woman’s looks, her self-confidence, and even her sex life - it would

in February 2011 via online questionnaire for respondents from the UK, France and Germany providing a representative sample across each of the countries. Respondents were aged between 35-64 years (average age was 53) and were required to be at or post the menopause. Insight Engineers is an accredited independent pan-European market research agency that specialises in conducting awareness and attitudinal research. Insight Engineers is a member

Since experiencing the menopause more than 55% of women revealed that they no longer feel confident about the appearance of their skin Nearly half (48%) of the women surveyed revealed that they felt less sexy during the menopause, and over a third (33%) felt that their physical relationship with their partner had suffered

of ESOMAR and a MRS Company Partner Company, and stringently adheres to these professional codes when conducting European research.

EUROPEAN SUMMARY Are women prepared for the menopause? With hot flushes, mood swings and forgetfulness being the most talked about symptoms of the menopause, it’s not surprising that the survey revealed that over half of the women (54%) had limited or no awareness of the effects

and if so what implication does this have on a woman’s beauty regimes?

The survey was conducted by Insight Engineers Allergan. The survey consisted of a total of 666

85% of women who took part in the survey noticed specific changes in their skin as a result of the menopause

about being menopausal and sharing their tips on surviving and even embracing the


56% of women admitted that the menopause prompted them to step up their beauty regime 20% of the women surveyed admitted that they would consider or have had injectable treatments

the menopause could have on their facial appearance and skin. This lack of awareness was especially high in the UK and Germany where over 55% of women said that they had limited or total unawareness that the menopause could affect their skin. French women however were a lot more informed with nearly 60% of women stating that they were very

seem that the hot flushes aren’t actually passion

aware or had some awareness of how their skin


may change through the experience.


Clinical Practice | Menopause Dry, wrinkly and dehydrated: the reality of menopausal skin


Unfortunately it’s true. On average nearly nine out of 10 (85%) women


surveyed noticed a change in their skin, with 61% feeling that it was


more dry or dehydrated and nearly 50% seeing an increase in wrinkles. In addition almost half (47%) felt that their skin had lost elasticity, resulting in 63% stating that through the course of the menopause they felt as though their skin had aged more than they did. (Fig 1)

Very Aware

70 60

Some Awareness


Limited or No Awareness


Dr Jonquille Chantry explains, “The menopause causes various changes


to the texture and elasticity of the skin. The hormonal changes that occur


impact on the skin’s surface. The amount of oil produced by the skin drops


dramatically, resulting in skin looking more wrinkled and creased.


On average the skin loses 2.1% of its collagen every year. However, during the first five years of the peri-menopausal and menopausal period the skin




Fig 1. Awareness of the effects of the menopause on facial appearance and skin

can lose up to 30% of its collagen. Collagen is the connective tissue that stimulates the production of hyaluronic acid which adds ‘plumpness’ and France

moisture to the skin. As the levels of hyaluronic acid decrease, the jowls begin to sag, wrinkles become more marked, and lines around the mouth become more

Less elastic

prominent. Unfortunately during the menopause and over the five years that follow, our faces will progressively change, but the good news is that




there are options available to manage this.”


Impact of the menopause: not just skin deep


On average nearly half of the women (46%) felt that the experience of the menopause made them feel less confident about their facial appearance and skin, with 58% stepping up their beauty regime as a result. Women also went on to admit that life in the bedroom had also suffered, with nearly half (48%) stating that they feel less sexy and a third (33%) admitting that their physical relationship with their partners had suffered as









Fig 2. Perceived effects the menopause has on facial appearance and skin

a result. This was especially high in the UK with 43% of women admitting to a downturn in the bedroom in comparison to only 26% in France. (Fig 2.)

The menopause causes various changes to the texture and elasticity of the skin (Dr Jonquille Chantrey)



You step up your beauty regime when you begin to go through the menopause Your physical relationship with your partner suffers


Combating ageing skin 58% of the women in the survey disclosed that the menopause led them to step up their beauty regime, with 68% revealing they had tried anti-ageing

You feel less sexy







Fig 3. Statements women agree with in relation to the menopause

creams and serums. In addition, 57% revealed that they have or would consider taking this a step further by having a facial aesthetic procedure, such as injectable treatments, laser treatments or facial peels.

Do injectable treatments have a role in restoring self esteem? If woman are opting for injectable treatments to help combat the effects of the menopause, does this then lead to a rise in self

They have really helped me feel more confident and beautiful I can't be sure if they have, but I definitely feel better about myself I don't think they have had any impact on my self esteem

confidence? It would appear so, as 84% of women who had tried injectable treatments said that they it made them feel better in some way or more confident about themselves. In addition 63% of these women went on to disclose that they actually would have had them sooner given the choice.


Fig 4. The impact facial injectable treatments have on self esteem

Sterex HPV May:Layout 1


Thursday 2nd June 2011


Saturday 11th June 2011 Saturday 9th July 2011


Saturday 24th Spetember 2011



Page 1

Treatment Spotlight | Carboxytherapy

Carbon rating Dr Rovshan Izamov on Carboxytherapy

Carboxytherapy is the application of Carbon Dioxide Therapy in the treatment of clinical and cosmetological conditions such as psoriasis, diabetic ulcers, stretch marks, scars, fat reduction, cellulite and acne. History Dr Rovshan Izamov was awarded his MD

Carbon Dioxide (CO2) is an odorless, colorless gas and was the very first gas discovered

in Tashkent, Uzbekistan. He completed

in history by Van Helmont in 1648. CDT therapy was born in France, in the thermal waters

his Master Degree in Dermatology

station of Royat, near Clermont Ferrand where a group of cardiologists working at Clermont

and STD at Tashkent Medical Institute.

Ferrand Hospital, began to treat patients with peripheric organic and functional arteriopaties

After moving to UK he completed

(Atherosclerotic, Buerger’s disease, Raynaud’s disease, etc). In 1953 the cardiologist Dr

his post-graduate training in Clinical

Jean Baptiste Romuef MD, published a paper about his 20 years of experience in the

Dermatology in London. Dr Izamov is a

subcutaneous injection of CO2. Afterwards, the Parisian cardiologist Dr Jerome Berthier

doctor with extensive training and almost

MD, along with Dr Luigi Parassoni MD from Gallarate, started its application on patients

a decade of experience in the field of

with cellulite. Until 1983 only 402,000 patients had been treated in Royat. By 1994, 20,000

Clinical and Cosmetic Dermatology.

patients were treated per year. This number of patients, not only confirms the efficacy of the

He works mainly in the NHS and also has

therapeutic method, but also its safety.

his own cosmetic dermatology clinic in Harley Street in London.

How does the treatment work? Intradermal administration of carbon dioxide improves skin laxity by improving dermal collagen. When administered subcutaneously CO2 causes lysis of the fat cells in the subcutaneous adipose tissue. When injected intradermally it immediately diffuses at the cutaneous and microcirculatory levels. At the vascular level it increases vascular tone and produces active vasodilatation at the microcirculatory level, increasing microcirculation, tissue metabolism and oxygenation. Lipodystrophy and edematous fibrosclerotic panniculopathy are pathologies in which microcirculatory disorders and resulting interstitial edema constitute triggering factors that also support the pathological process. Microangiopathy due to stasis is the morphological substrate. Since it improves capillary blood flow and reduces stasis, carboxytherapy contributes to restoration of the microvasculartissular unit exchanges. Most of the gas is eliminated through the lungs (expiration), while a smaller portion is converted into carbonic acid at tissue level and eliminated through the kidneys. Although it is toxic when inhaled (10% in air may cause asphyxia), CO2 trans- or subcutaneous therapeutic administration or intra-abdominal administration aimed at videolaparoscopy have not shown any toxic effects, even at the highest doses (two to three liters). It differs from other gases because it does not cause nitrogenous embolisms, unlike, for example, the oxygen-ozone therapy. Carboxytherapy is one of the so-called lunchtime-procedures, as there is no hospitalisation or anesthesia required. Patients can resume their daily routine immediately after treatment. Clinically proven efficacy, simplicity and absence of toxity and complications make Carboxytherapy highly desirable treatment. To speak to Dr Izamov about introducing Carboxytherapy at your practice please visit Stand 62 at The Cosmetic News Exhibition on May 6 and 7 2011 at the Business and Design Centre, Islington.


see us at stand 95&96


SiriusQlite Advanced tattoo and pigmentation removal Before




see us at stand 93

w w w. c o s m e t i c - i n s u r a n c e . c o m / c o s m e t i c n e w s


The web-based applications are being managed by CHKS, the UK’s leading independent provider of healthcare intelligence and quality improvement services.



Want to ensure your patients are seeing the right practioner? Join Treatments you can Trust. The time has come for those injectable cosmetic providers who believe in the highest quality treatments to stand up and be counted. For too long, unqualified practitioners with little regard for best practice have compromised the industry’s image and put patients at risk. Now there is an opportunity to restore consumer confidence in the industry. Registration for this Government-backed register is now open. Once accepted, providers will be listed on the register’s public website - Watch out for the mark; your patient is! As soon as you see the IHAS Quality Mark - usually displayed as a window sticker or certificate - or have checked that a provider is on the IHAS register, your patient can be confident that they’re in the best of hands. It’s the sign of treatments you can trust. The mark tells you that the provider is on the IHAS Register of Injectable Cosmetic Providers and has the necessary qualifications to provide these treatments. He or she will be a qualified doctor, dentist or registered nurse and will also have undertaken additional training to conform to the regulatory scheme. Not only that but all registered premises are also subject to random visits by appropriately qualified inspectors, at just 24 hours notice, to ensure that standards are maintained.

To find out more on how to register, providers can visit or email the CHKS at


Q&A | Dr Xavier Goodarzian


We talk to Dr Xavier Goodarzian about his career in aesthetics, the BACD diploma, his passion for training and his clinical experience with Sculptra® and Succeev®

Cosmetic News: How did you get in to medical aesthetics? Dr Xavier Goodarzian: I did my medical training in Belgium and, when I came

Dr Xavier Goodarzian has become a recognised name in the medical aesthetics industry, not only for his artistic approach to aesthetics but also as a lecturer and trainer.

to the UK in 2001, I started in my hospital rotation. Before I came here I had already done a year in dermatology and, when I arrived, I also did another rotation in dermatology and I really liked it. During that time I started becoming more and more interested in aesthetics because it was something I always wanted to do but at the time it wasn’t that well known. I did a botulinum toxin course with David Eccleston in 2002 and that was the very first course I did. It went from there really. I started more and more courses in fillers and gradually started to do the treatments. I then did my training as a GP, which took about a year after my hospital rotations, and while I was doing that I also did a

He runs the award winning Xavier G Medi-Spa Clinic

post graduate university course in clinical dermatology. So by the time I finished my GP

in Southampton city centre and is a director and lead

training I was then in part time GP work and part time aesthetics and as the business built

trainer for Innomed Training, a company dedicated to

up I let go of the NHS work and I concentrated more on the aesthetics side. I have been

independent CPD-verified medical aesthetic training for

doing it now full time for the last five years and I have never looked back.

doctors, medical nurses and dentists. Innomed Training was training provider for Med-fx - the largest aesthetic supplier in

CN: What inspired you to become a trainer yourself? XG: I think I have always been good at teaching things. There are a lot of very good

the UK to clinics. Dr Goodarzian also lectures on and trains

injectors out there but training is very different from just being able to inject, you have to

other medical practitioners in a number of non-surgical

be able to deliver training at a level that a beginner would be able to understand and

aesthetic treatments, in London’s Harley Street and across

follow. It is something I have always been interested in and I really enjoy that side of it with

the UK and Europe and is a member of the Sculptra®

Innomed Training and now the close relationship we have with Med-fx. I started about

Training Advisory Board for Sanofi-Aventis.

three years ago to train for Sanofi Aventis with Sculptra® but the general training I have

voted best UK training provider and was also appointed the

been doing since 2006. His interests include painting and sculpting, hence his passion for the artistic element of medical aesthetics being an integral part of the clinical procedure itself.

CN: You were one of the early doctors in the UK to start using Sculptra® and are on the Sculptra® Training Advisory Board, what do you like about the treatment?

XG: I started using Sculptra® almost straight away. The very first patient I treated with He is also a Full Member of the British Association of

Sculptra® was in June 2006 and it very quickly became very popular in my clinic as

Cosmetic Doctors (BACD) and is currently undertaking

people really liked the results. The best thing about Sculptra® is the longevity of the results

the BACD Diploma. Dr Goodarzian and his client

– it lasts two years if not more.

services director Martin MacKenzie are also Advisory Board Members of The Association For Facial Aesthetics (CODE-AFA).

CN: How is Sculptra® different from dermal fillers? XG: The way that it works is completely different to fillers. Most fillers are based on hyaluronic acid which volumises the skin because the gel itself has volume. When fillers are injected into the skin you get an instant result and the results last usually between six to 12 months depending on which product you use and how much you use. Sculptra® is


Q&A | Dr Xavier Goodarzian

CN: How long have you been using Succeev® for and what has been your experience of it so far?

XG: I have used Succeev® since it was launched, so about 18 months. I have had really good results with it. I have used all three products so Succeev® One, Two and Three. It is a monophasic hyaluronic acid filler, with two syringes of 0.8ml in the box. Succeev® One is very good for very fine superficial lines but you can also use it to treat the surface layer of the skin; Succeev® Two I have used quite a lot in tear troughs and I think it is a brilliant completely different, it is poly-l-lactic acid based, it doesn’t have

product for that indication. It doesn’t swell up much, it does last

any volume of its own, it’s just mixed with sterile water and local

six to eight months if not more and there is very little down time.

anaesthetic. When you inject it you do get some volumisation

I have often used it in lips, which gives a very good result – very

of the skin but that then goes down after four or five days. The

soft, very natural. Succeev® Three I have used in nasolabials but

volume that builds up is gradual and it is a result of the patient’s

I have also used it in cheek augmentation and it is very good,

own fibroblasts being stimulated by the poly-l-lactic-acid that

it gives a very soft result. The thing I like about it is the quality of

produces more collagen. You need a course of treatment to get

the product but also the actual syringe size. It is very competitive

the desired results but even after the third treatment you need

in price so that gives you options. I use a whole range of fillers

to wait a good three to five months before you see the results.

from different companies as well and I think it is important for

Patients have to understand that it will be a gradual, slow process

practitioners to find out which fillers suit each individual indication.

so taking before and after pictures is essential. Also, it is not the

Some practitioners tend to just stick to one brand of fillers but I

only treatment that they will probably need and that’s when the

think you need to have a range of fillers because they all feel

fillers come in because you can use them in combination with

slightly different, they all have different uses – some fillers are

Sculptra® to get the optimum result, because there are some

perfect for different areas of the face but if you just use one

areas of the face that you cannot use Sculptra®, such as areas

brand you can sometimes limit yourself. I think you need to have

around the mouth.

a go and try different products – I like to have that choice. In facial aesthetics we are all artists as well as medical practitioners

CN: Who are the ideal patients for Sculptra®? XG: I think the ideal patient is someone with volume loss. That

and widening your choice of treatments helps you select the best colours for your palette.

could be upper, mid or lower face volume loss. Apart from the first indication you can also use it to thicken the skin and to

CN: You are a keen artist, how does that help with being an

tighten up the skin but you always have to combine that with

aesthetic practitioner?

correcting the volume loss because obviously as we get older we

XG: I think it helps a lot actually because every time you

all lose volume.

look at a face you are looking at proportions. I find that some practitioners who come on to the training don’t really understand

CN: When you are training people in Sculptra®, what are

that – they don’t have any concept of beauty or what makes

the key things they need to understand?

someone beautiful. We do spend some time on that during

XG: Obviously they need to understand what it is and

the training for example what is the ideal eyebrow shape for a

how it works but the main thing with Sculptra® training is the

woman or a man, what’s the ideal facial shape, why do we treat

preparation of the product, Sculptra® is not ready to inject, you

the cheeks in a different way for men and women. All of that

have to prepare the product, and you need to know when to

makes a huge difference so I think if you do have a little bit of

mix the vial for each individual patient. It is also probably not

an artistic background it does help you enormously to actually

the kind of treatment you can offer straight away the minute

appreciate the features in the face. But it is not something that

someone walks through the door, although some clinics do that,

you either have or you don’t, you can learn that. Some people

I prefer to do a consultation and then get the patient to come

obviously have more of a flair for that but it can be taught.

back after taking time to think about it. The other thing of course


is knowing where to place the product and how much to put

CN: You are currently doing the BACD diploma, why do you

in. The injection technique is very important obviously and if you

think it s important to undertake additional training?

make a mistake there could be longer term problems with it than

XG: I think we do need to improve ourselves educationally.

say with hyaluronic acid fillers. We spend quite a bit of time on

Once you have had your basic hands-on training in the

that during the training. Every person who comes on the training

aesthetics market I think it is really really important that you try

gets to treat a full face. The training takes two days with day-one

and get something official so that you can show that you have

and day-two being spaced about six weeks apart because

trained in this specialty at university level and you are qualified

delegates treat the same model each time so that they can

to do these treatments. From a personal point of view I want to

see the gradual results of the treatment. They are also followed

be able to say ‘look, I have got this qualification and I am fully

up by sanofi-aventis, so the training is quite intensive. The other

capable of doing it’. There is a lot of medical legal stuff that

important thing is understanding volume loss, understanding

has been happening recently so I think it’s important for every

ageing, understanding how you can correct it by lifting and

practitioner that does these treatments to have proof that either

volumising certain areas of the face. It really does take time to

they have trained in dermatology or in facial aesthetics by doing

really get confident with the product. I would say once you have

a diploma like the BACD. The BACD diploma is ideal for doctors

trained in Sculptra® it can sometimes take up to a year to really

because it is pitched at the right level and it has been written by

get confident with it but the results are worth it.

BACD members.

Interested in training? call 0800 085 2046

Redefine over time Sculptra速 has been successfully redefining the way your patients look for quite some time. Sculptra速 replenishes lost collagen for a more natural-looking, gradual effect that can last up to 25 months. Popular with patients, this aesthetic result has got to be good for your business over time. In partnership with Succeev速 it can also successfully widen your Medical Aesthetics opportunity.

see us at stand 28 M E D I C A L






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

Product News | Round Up



Teosyal® makes Pure Sense

A multicentre study carried out by Dr Trevidic and


Dr Claude (France, 2010) showed that nine out of

Wellness Trading has announced that it will be working

10 patients found the Teosyal® PureSense injection

in partnership with Janssen Cosmeceutical Company to

significantly less painful than an injection without

bring the pioneering German skincare range to the UK.

lidocaine. 99% of patients injected with Teosyal®

Janssen Cosmeceutical’s philosophy is to use innovation and

PureSense also said they would be willing to be

pharmaceutical standards to produce skincare products that


have proven efficacy, safety and purity, producing maximum

The PureSense range incorporates the full range of

effects without side effects. The extensive range of products

Teosyal® products: Teosyal® Ultimate, Teosyal® Ultra

was developed by Walther Janssen and caters for a variety of

Deep, Teosyal® Kiss, Teosyal® Deep Lines, Teosyal®

different skin types.

Teosyal® has launched its new range of dermal fillers with lidocaine – PureSense.

Global Action and Teosyal® First Lines, making it the most complete dermal filler range with lidocaïne. Teosyal® is distributed in the UK by Lifestyle Aesthetics.

Lumenis Launches AcuPulse Lumenis Ltd launched the new AcuPulse CO2 laser with MultiMode™ technology, at the 31st Annual Conference of the American Society for Laser Medicine and Surgery (ASLMS) on March 30, 2011. With the new, patent-pending MultiMode technology, AcuPulse now offers the ability to perform both deep and superficial fractional cosmetic treatments using a single hand piece and with a simple, touch-point selection, thereby reducing treatment set-up and procedure time. The first generation AcuPulse, released in September of 2009, was designed for hospitals, clinics and physicians looking to offer a wide range of cosmetic laser procedures while maintaining the ability to upgrade to full surgical capabilities. “The new AcuPulse with MultiMode allows me to be much more efficient in the delivery of both deep and superficial fractional laser treatments, enabling me to quickly deliver both modalities using the same hand piece,” said Michael Gold, MD, medical director, Gold Skin Care Center. AcuPulse

Hand-held system targets Psoriasis and Vitiligo Schuco has launched a revolutionary handheld device to

supports a wide range of aesthetic and surgical specialties, delivering fast treatments

treat psoriasis and vitiligo. The clinically proven 308 Excimer

with very precise and consistent tissue effects, while an easy-to-use navigation system

System uses a narrow-band UVB light. UVB radiation on the

significantly reduces procedure and inter-department set-up time.

skin has a stimulating effect on the skin immune system. This makes it possible to successfully treat skin diseases that are caused by disruptions of the immune system.



UVB light has been described in medical literature as the most

Topaz Consulting Group has launched the

Vitiligo therapy-evidence based analysis of the literature. J Dtsch

NanoVi™device in the UK.

Dermatol Ges. 5th June 2007, pp467-75). The treatment is painless

The device utilises ‘activated air’, which is inhaled

and offers maximum protection of healthy skin through selective

to improve a client’s cellular activity. Said to slow

radiation. The 308 Excimer system can treat an area up to 16cm.

the ageing process, while enabling a better

Plate masks allow you to adapt the size and shape of the area

quality of life by boosting immunity and vitality,

you wish to treat, targeting specific lesions without exposing

the NanoVi™ hails from the US, where it is FDA-

surrounding skin. This allows a higher light dose and reduces the

approved as a therapeutic device. The patented

number of treatment sessions. The 308 Excimer System has many

device is extremely compact, occupying only

benefits over traditional Excimer lasers. It is smaller, lightweight

one square foot of table space and is easy to

and portable, making it ideal for use in various clinics in different

assemble and move. Its USP is that it works internally, at a cellular level, by improving the

locations. It has low acquisition and operating costs and you are

body’s metabolism of oxygen, which helps to reduce the cellular damage caused by free

not restricted by laser protocols. The 308 Excimer Laser can also

radicals. Its proven ability to influence oxygen metabolism also helps to promote better

be used to treat hypopigmentation, alopecia areata, mycosis

health and anti-ageing.

fungoides and various atopic eczema.

effective approach for the treatment of vitiligo with the fewest side effects (Forschner T, Bucholtz S, Stockfleth E. Current state of

Aesthetic And LAser cLinic in surrey

for sALe

Leasehold £175,000 description

• This succesful clinic has been running for over 6 years offering a range of aesthetic medical and laser/IPL treatments. • The client base and revenue have grown each year. • The clinic has 3 spacious treatment rooms with the potential to increase revenues by introducing new treatments and increasing retail sales.


• Laser and IPL treatments for hair, tattoo, acne, skin rejuvenation, red veins etc. • Injectables such as Botox, Restylane, Juvederm. • Dermaroller and Jan Marini treatments. • Ultrasound fat reduction.

Facial injection maniKin

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

• Practice/ Demonstrate needle techniques • Perfect for reassuring delegates & customers • Use on refresher courses • Use along side live models • Hand painted and very realistic in look and feel • Uses include: anti-injectables - Dermal fillers- Electrolysis, laser and many more se e us at stan d 36


• Busy high street location with town centre parking nearby. • Clinic refitted to a high quality just over two years ago. • Clinic has 1,000 sq feet and includes: 3 large treatment rooms, reception, 2 waiting rooms, office, kitchenette and toilets.

contAct: TIM JaMes, teL: 07554 002179 emAiL:

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

email: | Web:

V300 Nurse Prescribing Course Are you a nurse injecting botulinum toxins or local anaesthetics? Do you use remote prescribing services to obtain prescription drugs? Changes to NMC Guidance on 1st April 2011 state that: “A prescription is still a remote one, even where the prescriber has undertaken an assessment of the person using information technology media such as via the telephone or video link.”

We work with De Montfort University Leicester to offer: • • • • • • • •

A V300 Nurse Independent and Supplementary Prescribing Course Course meets NMC standards and is recordable on NMC register Distance learning over 6 months Help to find clinical assessor if required 0% finance available Return to study course available for those who have not studied at degree level Subjects pertinent to the prescribing aesthetic nurse taught in addition to the basic V300 course Price £2550

If you are interested in taking a prescribing course at a university that works regularly with aesthetic nurses and their requirements then please contact us on 0116 2416898 Website:

Abstracts | Clinical Studies


We summarise some of the most recent studies you may have missed

Indole-3-acetic acid: A potential new photosensitiser for photodynamic therapy of acne vulgaris

Hyaluronic acid dermal fillers: can adjunctive lidocaine improve patient satisfaction without decreasing efficacy or duration?

Authors: Jung-Im Na MD1, So-Young Kim MSC1, Jeong-

Published: Patient Prefer Adherence. 2011 Mar 14;5:133-9.

Authors: Smith L, Cockerham K. Ophthalmology Department, Loma Linda University, Loma Linda, CA, USA Hye Kim MD2, Sang-Woong Youn MD, PhD1, Chang-Hun Huh MD, PhD1, Kyoung-Chan Park MD, PhD


Published: Lasers in Surgery and Medicine Volume 43,

Hyaluronic acid (HA) dermal fillers are the most widely used injectables to augment facial volume

Issue 3, pages 200–205, March 2011

without surgery. HA dermal fillers are popular because of their ease of administration, predictable effectiveness, good safety profile, and quick patient recovery. The most common patient complaint

Background and Objectives

is pain. The goal of the study was to review the current literature on HA fillers and compare outcomes

ALA (5-aminolevulinic acid) photodynamic

with and without lidocaine. The authors found adjunctive lidocaine significantly decreases pain during

therapy (PDT) is a new treatment option for acne.

injection and postinjection with corresponding increased patient satisfaction. The efficacy and safety

However, it needs a relatively long incubation

profile appears unchanged. Rare complications with HA fillers and those associated with constituents

period and adverse effects are common. Indole-3-

of the product, contaminants, and lidocaine are reviewed. The corrective effects of HA fillers are

acetic acid (IAA) is not toxic by itself but produces

temporary; repeat treatment is required to maintain results. Minimising pain is crucial to optimise

free radicals with ultraviolet B. In this study we

patient satisfaction.

examined the potential of IAA as a photosensitiser for acne treatment.

Facial Soft-Tissue Fillers Conference: Assessing the State of the Science

Materials and Methods

Authors: Rohrich, Rod J. M.D.; Hanke, C. William M.D.; Busso, Mariano M.D.; Carruthers, Alastair M.A., B.M., B.Ch.;

Free radical formation was measured after visible

Carruthers, Jean M.D.; Fagien, Steven M.D.; Fitzgerald, Rebecca M.D.; Glogau, Richard M.D.; Greenberger, Phyllis E. M.S.W.;

light irradiation of IAA. Antimicrobial effect was

Lorenc, Z. Paul M.D.; Marmur, Ellen S. M.D.; Monheit, Gary D. M.D.; Pusic, Andrea M.D., M.H.S.; Rubin, Mark G. M.D.; Rzany,

evaluated by assessing growth suppression of

Berthold M.D., Sc.M.; Sclafani, Anthony M.D.; Taylor, Susan M.D.; Weinkle, Susan M.D.; McGuire, Michael F. M.D.; Pariser, David

Propionibacterium acnes and Staphylococcus

M. M.D.; Casas, Laurie A. M.D.; Collishaw, Karen J.; Dailey, Roger A. M.D.; Duffy, Stephen C.; Edgar, Elizabeth Jan M.S.; Greenan,

aureus after IAA PDT. To evaluate the histological

Barbara L.; Haenlein, Kelly M.H.A.; Henrichs, Ronald A. C.A.E.; Hume, Keith M. M.A.; Lum, Flora M.D.; Nielsen, David R. M.D.;

changes, skin biopsies were performed on nude

Poulsen, Lisle; Schoaf, Lori J.D.; Seward, William M.A.; Begolka, Wendy Smith M.S.; Stanton, Robert G.; Svedman, Katherine J.

mice skin after IAA PDT. To evaluate the clinical

C.A.E.; Thomas, J. Regan M.D.; Sykes, Jonathan M. M.D.; Wargo, Carol M.A.; Weiss, Robert A. M.D.

efficacy of IAA PDT, 14 acne patients were treated

Published: Plastic and Reconstructive Surgery: Facial Soft-Tissue Fillers Supplement: Literature Review, April 2011 - Volume

with the following IAA PDT regimen: three times

127 - Issue - pp 22S-122

each with a 15 minutes incubation period and a two-week interval. The number of inflammatory


lesions and the amount of sebum secretion were

The American Society of Plastic Surgeons and the American Academy of Dermatology, with the

then assessed.

support of other sister societies, conducted the Facial Soft-Tissue Fillers: Assessing the State of the Science conference in December of 2009. The American Society of Plastic Surgeons and the


American Academy of Dermatology established a panel of leading experts in the field of soft-

IAA produced free radicals with green light

tissue fillers – from researchers to clinicians – and other stakeholders for the conference to examine

irradiation. Importantly, IAA lost its photosensitising

and discuss issues of patient safety, efficacy, and effectiveness in relation to the approved and

ability after exposure to certain amount of light.

off-label use of soft-tissue fillers, and other factors, including the training and level of experience of

This implies IAA PDT would not require post-

individuals administering fillers. This report represents the systematic literature review that examines

procedure photo-protection. The growth of P.

comprehensively the available evidence and gaps in the evidence related to soft-tissue fillers, to

acnes and S. aureus were significantly suppressed

inform and support the work of the state-of-the-science conference panel. This evidence-based

with IAA PDT. In addition, IAA PDT treated skin

medicine review will serve as the foundation for future evidence-based medicine reports in this

showed destruction of follicular ostia epithelium.

growing field.

Interestingly, there was no significant difference between a four hours and a 30 minutes incubation, which means that longer absorption time is

A novel long-term therapy of facial synkinesis with botulinum neurotoxins type A and fillers

not necessary for IAA PDT. In the clinical study, inflammatory lesions and sebum secretion were

Authors: Wiener A, Touloei K, Glick BP.

significantly reduced. The procedure was painless

Published: J Clin Aesthet Dermatol. 2011 Mar;4(3):45-9.

and no adverse effect was observed. Photo-


protection was not performed and there were no

Facial synkinesis is the involuntary movement of facial muscles accompanying a voluntary movement.

further phototoxic responses.

It is a common sequelae to Bell’s palsy. The authors present a 50-year-old patient who developed facial synkinesis after Bell’s palsy. Pain, discomfort, and facial asymmetry accompanied the condition.


She was treated on multiple occasions with neurotoxins and fillers over a period of six years. During

IAA PDT has therapeutic effects on acne via its

this time she reported great improvement in the pain of the affected area, along with an acceptable

antimicrobial activities, its sebum-reducing effect

improvement in the cosmetic appearance of her face. The hope is that in the future, fillers as well as

and through relieving follicular occlusion. It is a

toxins may be utilised in combination to improve and restore the quality of life in people who suffer

very simple and safe treatment option for acne.

from similar disfiguring diseases and events.


Advertorial | Circadia

Its time for


Circadia: integrating medicine, science, and nature to create patented products for skin health and longevity

see us at sta nd 51

Circadia is a small but rapidly growing company that, for many years, has been ahead of it’s time. Circadia places at your fingertips an incredible product line backed by scientific research, education and technical support. The company was founded by Dr Peter T Pugliese, an undisputed pioneer of cosmetic research, formulation and education in the field of skin health. Dr Pugliese is a biomedical consultant to the

offers a complete package of skincare beginning

cosmetics and pharmaceutical industries. He brings

with cleansing and protecting through to repair and

more than 50 years of knowledge and experience

specialty products.

and has gained an international reputation as

a respected authority in research areas of skin

The company’s signature treatments include Oxygen

physiology and skin ageing. The Circadia skincare line

Rx and SWiCH Dermal Rejuvenation System.

is the culmination of all his hard work and research in

Oxygen Rx is a professional only treatment and

skin and ageing.

can be used on any skin type. The proteolytic and germicidal action makes this treatment extremely

His passion is in the research and formulation of

beneficial for ageing, acne or oily skin. The treatment

products that are as effective as possible with respect

works by:

to the health of the skin. This means stabilising fragile

ingredients to make sure they retain potency from

package to penetration and keeping not only current on the newest ingredients but being the innovator of

it excellent for the treatment of acne •

many of them. Circadia is dedicated to the highest standards of

Bleaching by oxidation, lightens and brightens the skin

medical grade at the safest and highest strengths possible to give optimum results with minimal side

Breaking the bonds that hold the cells togetherproteolytic oxidation

• research and manufacturing. All ingredients are

Killing anaerobes – the germicidal action makes

Vaso-constricting, making it useful for the treatment of rosacea and telangiectasia.

Increasing skin function, stimulating endothelial

effects. The products are created, manufactured and

cells to make new blood vessels, which will allow

tested by Peter T Pugliese MD Research Laboratories

more blood to enter thereby making it easier to

and are sold by physicians, and skincare professionals worldwide who have been trained and certified by

get nutrients into the skin •

the product company. The philosophy behind the brand is integrating

Producing more collagen in the dermis by stimulating fibroblasts

Firming the skin through the presence of oxygen

medicine, science, and nature to create patented products for skin health and longevity. Only

SWiCH Dermal Rejuvenation System is the alternative

ingredients that can be proven by science are used

to chemical peeling, the anti-peel. The SWiCH triggers

in the formulation of Circadia.

the body’s natural repair systems and provides the skin with the ingredients to make the energy to meet

Circadia offers a wide range of products spanning

the increased demand during healing. Biologically,

from a homecare and professional products right

this is in energy is in the form of ATP. For the SWiCH

through to physician only products. The company

system to be effective there are three important steps 1) effective penetration, 2) generate energy and 3) turn on repair system. Activation of the repair system can then effect a restoration of both sun damaged skin and intrinsic skin ageing changes. The company’s mission is to provide a solid foundation of education for the skincare professional, to promote the beauty of skin science and longevity through education, and innovative results. It is now time for Circadia For more information visit


Business Focus | Online Advertising

On the

right lines Zoe Davitt on changes to online advertising regulations

Since March 1 2011, the Advertising Standards Authority (ASA) has regulated all marketing communications on UK companies’ websites, in addition to more traditional forms of advertising. Zoë Davitt from Blue Horizons Marketing answers your questions about the new remit.

Zoe Davitt is managing director of Blue Horizons. She has a strong background in marketing and customer service, giving her a perfect

What is the ASA?

misleading, harmful and offensive adverts, sales

The ASA, or Advertising Standards Authority, is an

promotions and marketing communications. The

skills and expertise. Her many business-

independent body responsible for ensuring that

ASA also investigates and handles complaints

orientated qualifications include ones from

advertising in the UK is not misleading to the general

from the general public and also provides training,

the CIM (Chartered Institute of Marketing),

public. Founded in 1962, the watchdog controls

education and guidance to help improve

and she has a wealth of experience across

marketing communications across all UK media.

understanding of the advertising regulations,

many sectors including medicine, dentistry,

Examples of the types of marketing

thereby helping to prevent breaches of the rules.

recruitment, tourism, hotel management and

combination of

facilities management.

communications regulated by the ASA include print and press advertisements, television,

What is the CAP Code?

radio and cinema commercials, posters,

Written and published by CAP Code (www.cap.

UK marketing messages on the internet. This includes

internet advertisements and other marketing is the UK Code

the rules relating to misleading advertising, social

communications, e-mail and SMS marketing

of Non-Broadcast Advertising, Sales Promotion and

responsibility and the protection of children.

messages, direct mail, and sales promotions.

Direct Marketing. The code sets out the standards

“This significant extension of the ASA’s remit has

Though the ASA is completely impartial, its authority

that all advertisers must adhere to in order to ensure

the protection of children and consumers at its

is recognised by the government and UK legal

their advertising, sales promotions and marketing

heart.” Lord Chris Smith, chairman of the Advertising

system, as well as other regulators such as Trading

communications are honest and truthful, and that

Standards Authority

Standards, the Office of Fair Trading and OFCOM.

they don’t mislead or cause offence. The CAP Code is also intended to create a level

What does the ASA do?

playing field among advertisers.

The ASA applies mandatory advertising codes

How does the CAP Code define ‘marketing communication’? Under the code, a marketing communication

developed by the Committee of Advertising

How has the CAP Code changed?

is a type of communication for a good, service,

Practice (CAP) to ensure that advertising in all its

On March 1 2011, the digital remit of the ASA was

opportunity or gift with the primary aim of selling

forms is legal, moral, honest and truthful.

extended to provide comprehensive consumer

something. Such communications aim to sell in a

The organisation monitors and acts against

protection online. The CAP Code now applies to all

wide range of ways – they don’t necessarily include


Business Focus | Online Advertising

a price or seek an immediate financial transaction.

second most complained about medium, after

A variety of other types of communication are

television. With internet advertising drawing around

Do the regulations apply to online PR?

excluded by the CAP Code. These include

3,000 complaints each year – none of which could

No. After discussions with the Chartered Institute of

classified private adverts, press releases and other

be upheld, due to the absence of regulation –

Public Relations, the ASA and CAP decided that

public relations material, editorial content, political

something needed to be done.

online PR would not be covered by the CAP Code,

advertisements, corporate reports, user-generated

in order to protect online freedom of speech.

content – unless adopted by a company and used

The ASA’s 2009 annual report stated, “We know

Exclusions from the CAP Code therefore include

within its own marketing communications – and

from our active monitoring work that where the

press releases, other PR material and editorial

investor relations.

CAP Code applies, there is high compliance


with the rules and the ASA’s decisions. In 2009,

How do the changes to the CAP Code affect my business?

we had to reject around 1,500 complaints about digital marketing communications that

What action will be taken if the regulations are breached?

Until March 1 2011, the CAP Code only regulated

fell outside the remit of the CAP Code.”

Any breach of the regulations will be taken

internet advertisements in paid-for space, such as pop-ups, banner ads, and paid-for search results.

seriously by the ASA, and there will be It continues, “The proposed extension of the

consequences for advertisers who break the rules.

self-regulatory rules will plug this regulatory gap,

Sanctions to be applied include:

Now the code applies to all UK advertisers’

ensuring that consumers enjoy the same level

l Naming and shaming of repeat offenders –

marketing messages on their own websites, across

of protection on websites as they do in paid-for

already well used as a persuasive deterrent in the

all sectors, business types and sizes of organisation.


case of other forms of advertising, as being seen to flout the rules designed to protect consumers

It also covers marketing communications in other non-paid-for space under the advertiser’s control,

The change in remit is considered good news

can have a damaging effect on an advertiser’s

including social networking sites such as Facebook

for both consumers and businesses, as it will


and Twitter.

ensure that the same high standards that

l The removal of paid-for search advertising

As a business, you are responsible for ensuring that all of your online marketing communications meet the standards set out by the CAP Code. But to do so, you need to understand the changes in full. You can order a hard copy of the new CAP Code from the CAP website – or download PDF files. Website owners and agencies can also watch

The change in remit is considered good news for both consumers and businesses, as it will ensure that the same standards that cover other media now apply online

a digital advertising seminar, which discusses the changes in detail, or sign up to CAP Services which

cover other media now also apply in the online

that links to the page hosting the non-compliant

provides guidance and training to help you ensure


marketing communication or advertisement, with the agreement of the search engine operators.

that all your online marketing complies with the new standards.

Regardless of the field they are advertising

l ASA infiltration of paid-for searches – in

in – be it online, in print or on television –

agreement with Google and the other search

Most businesses wouldn’t dream of trying to gain

advertisers must only make claims they can

engine operators – that highlight advertisers’

business in a dishonest or irresponsible manner, and,

substantiate. This protects consumers, so they

continued non-compliance with the code.

for these companies, compliance with the CAP

know they don’t have to question what they

Code won’t be a difficult task. The expanded online

read, wherever they’re reading it. For example,

How do I find out more?

remit hasn’t been designed to catch businesses out,

businesses need to be wary of using claims such

For advice and information on how the new

it simply provides a number of standards to protect

as “The UK’s number one…”, “The largest…”

regulations apply to your business, contact

consumers and businesses alike, and promotes and

and “The best in our field…” as these are the

a specialist marketing agency such as Blue

preserves companies’ right to advertise their goods

sorts of statements that are now likely to be

Horizons (

and services in a responsible manner.

challenged by the ASA.

or visit one of the following websites:

Why have these changes been introduced?

This need for honesty across all marketing and

advertising protects your business against other

Committee of Advertising Practice (CAP)

The exponential growth in internet content and

practices that may previously have attempted

use – and the sheer volume of online marketing

to use exaggerated claims to gain business

CAP Codes

communications that consumers are exposed

dishonestly, at the expense of the growth of

to – has meant that, in 2007, the internet was the

your practice.

Advertising Standards Authority


see us at stand 85

Company Profile | Pastelli

The We find out about Italian professional clothing brand Pastelli


Pastelli may be new to the UK market but the company has been manufacturing professional garments and uniforms for the medical, dental and beauty industries for decades.

elegance and quality. Our quality is a result


of our passion and

uniforms and guarantee their superior resistance.

meticulous attention

Each phase of production is carried out within

to every detail in

the company’s factory in Padova and subjected

conjunction with

to a five-step quality control system. Pastelli only

perfecting every

use natural fibres to make their garments (cotton

step of production.”

and linen). Cotton offers excellent resistance to

These elements

washing, dirt and heat; its dimensional stability

make Pastelli an

makes it one of the most useful fabrics in the

authority in the

manufacture of clothing. The garments made of

ounded in 1929, the family run business

field of professional medical wear with a steady

cotton are also non-allergic and are extremely

is now headed up by Gianna Pamich

increase of 15-20% per year, of which more than

cool and comfortable to wear because they

and specialises in the development

40% is exported.

breathe naturally, reducing perspiration and

and manufacture of aesthetically

produce only a very low electrostatic charge. Gianna believes that a medical garment is not

An additional advantage of cotton is that it can

clothing. Pastelli’s garments are world-renowned for

just a medical garment, but clothing for the

withstand sterilisation.

their quality and elegance and are currently sold

professional and, as such, the company spends a

to medical, dental, pharmaceutical and beauty

lot of time studying the requirements of its different

Linen fibre is more delicate and less flexible than

industries in 42 countries worldwide.

customers to make sure that their clothing meets

cotton. Its softness increases with the number of

their needs as they understand that the garment

washes making it an excellent alternative, and in

Textiles are in Gianna’s blood, her grandfather

requirements of a dentist are different than those

some cases superior, to cotton. This fibre is ideal

worked in the industry and established the

of a nurse. In fact one of its philosophies is to

during summer as it allows body heat to be quickly

Pamich family’s first workshop in Trieste. In 1979

combine ‘individuality’ with ‘elegance’.


which resulted in it’s relocating to Padova and

Each model is designed to make the user feel

Gianna is also very proud of the company’s Italian

concentrating its´ production on medical clothing.

comfortable and each style is tailored as a piece

heritage. She says, “We live and work in the middle

Gianna has worked at Pastelli since she was 22,

of clothing, because “we believe it’s the only way

of North-eastern Italy, an area which symbolises

whilst studying textiles and design at university. She

to match ‘image’ and comfort.”

a particular spirit of enterprise. It is the spirit of new

and technically avant-garde sanitary

the company experienced a structural change

worked alongside her mother attending trade fairs

ventures guided by quality. This geographical area

and learning her trade, and has now been running

“When we decided to focus our attention on

is full of small and medium businesses, which enjoy

the company for 20 years.

professional sanitary clothing, a medical garment

success in the global market. This has become a

was just a medical garment,” Gianna says. “We

model for other regions in Italy and throughout the

A pioneer in creating coloured and stylish, tailor-

were the first to introduce colour to professional

world. It is not what you do, but how you do it.”

made garments for the professional sector, the

uniforms, thus the name Pastelli. We were the first

collection today offers more than 150 styles in 32

to consider enhancing the image of professional

Italian clothing is known across the world for its

colours as well as bespoke services. As well as

clothing, to produce styles suitable for all body

quality and Gianna doesn’t believe that just

coats and tunics Pastelli also makes shoes, skirts,

types and to vary the styles according to the users’

because clothing is designed for work-wear that

trousers and T-shirts.

needs. We were also the first to use exclusively

it should be any different. “The satisfaction of our

Gianna is proud of the fact that the company

natural fibres and fabrics strictly manufactured in

customers is our reward. Pastelli has always tried to

fuses tradition with innovation. “These two

Italy and to supply fabrics with superior technical

excel through quality. A quality, which guides our

concepts may seem to be in conflict, but from

qualities specifically studied for use in the medical

production from start to finish.”

the beginning we have worked diligently to unite

field.” Pastelli garments are distributed in the UK by

them, and we must say that our efforts have been fully rewarded”, she says. “Since the beginning

The specially developed fabrics used to make the

Robert Eaglestone and are also available through

our brand has been synonymous with innovation,

garments are the distinguishing feature of Pastelli

Wigmore Medical.



see us at stand 65


La nostra missione aziendale è ottenere c

0800 7830605


Cliente goda della meravigliosa sensazio

realizzate o, meglio, superate, le sue aspe

Exell by Pastelli nasce dal nostro desider

by P A S T E L L I

qualcosa in più che possa legare tra loro p

LASER REJUVENATION CMS International is introducing the cosmeceuticals of Laser Rejuvenation with Human Oligopeptide, Adenosine , Copper Tripeptide, Squalane, Ceramide and Acetyl Hexapeptide to your skin. Laser Rejuvenation helps fight against the appearance of wrinkle and fine lines and combat the lack of skin tone as well as stimulate cellular renewal, restore skin elasticity and nourish the epidermis. This Laser Rejuvenation is ideal for post-laser and post chemical peeling treatment and pampers your skin with a luxurious feel and soothing effect like never before.


A formula that helps restoration of skin imperfections occurring after CO2 laser operation for removing speckles, dark spots, syringoma, warts, moles, etc.

As a result of applying to the wound area after getting the scab, the scab shall be removed naturally and it protects the wound area and shows the fast recovery effect. after




As a result of applying to the wound area immediately for 1 week, the scab shall not be formed but healed without scar.

continua ricerca di moda e innovazione. Na

Via Basse, 4/6 _ 35010 Campo San Martino (PD) _ I coloro che, come noi, considerano il camic 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

w w w. p a s tseconda e l l i . c opelle, m pfresco a s t eel lmorbido i @ p a scompagn telli.c r o b e alagcui le@ m a cspesso, . c o m rapprese giornata, scelta,

problema del mattino, consapevoli del fatto “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, and which is often chosen first thing in the morning, and

supplier of reputable CliNiCs oNly

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created in the knowledge that

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Evolution of the New-concept to Medical Healing System

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 UK Contact: Robert Eaglestone Tel: 07831 116 873 | 07784 516 637

Dates for the Diary

We round up upcoming events, training courses and meetings

May 2011 18 Dr Bob Khanna Training Institute, Botulinum Toxin - Beginners,

12 Medics Direct Dermal Fillers Training, Belfast,

18 Combined Botox and Dermal Filler Course, Glasgow,

12 Medics Direct Dermal Fillers Training, Birmingham,

18-19 Medik8 Training, London,

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

13 Wigmore Medical Training, Sculptra, London,

1 Medics Direct Dermal Fillers Training, Belfast,

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

14 Wigmore Medical Training, Medik8 DermalRoller, London,

4 Medics Direct Botox Training, Manchester,

21 Body Silk Consulting Introductory One-day business course for

15 Dr Bob Khanna Training Institute, Oral Facial,

5 Medics Direct Dermal Fillers Training, Manchester,

beauty and medical start-ups,

15 Combined Botox and Dermal Filler Course, Glasgow,

6 Wigmore Medical Training, Sculptra, London,

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


16 Dr Bob Khanna Training Institute, Advanced Dermal Filler,

6 Nouveau A-Lift Microcurrent Facial Training, Yorkshire,

23 Wigmore Medical Training, CPR, London,

0845 644 3994

17 Dr Bob Khanna Training Institute, Peel Course,

23 Wigmore Medical Training, Introduction to Skincare and Chemical

Peels, London,

18 Medics Direct Botox Training, Manchester,

24 Medik8 Training, Cheshire,

24-25 SkinCeuticals Training, London,

19 Medics Direct Dermal Fillers Training, Manchester,

25 SkinMedica Training, Cheshire,

25 Wigmore Medical Training, Medik8 DermalRoller, London,

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

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

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

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

6-7 Cosmetic News Expo 2011, Business Design Centre, Islington, 7 Innomed Training Chemical Peeling Systems: Comprehensive

21 Medik8 Training, Cheshire,

June 2011

21-22 SkinCeuticals Training, London,

Course for New Users, Manchester, 7 Body Silk Consulting Introductory One-day business course for

3 Wigmore Medical Training, Introduction to Skincare and Chemical

beauty and medical start-ups,

Peels, London,

22 SkinMedica Training, Cheshire,


4 Body Silk Consulting Introductory One-day business course for

25-26 Body Silk Consulting Advanced Two-Day Business Course for

7 Medics Direct Botox Training, London,

beauty and medical start-ups,

8 Medics Direct Dermal Fillers Training, London,


Beauty and Medical Start-ups, 28 Wigmore Medical Training, CPR, London, training@

4 Innomed Training Advanced Botulinum Toxin in Facial Aesthetics:

9 LCS Academy Core of Knowledge,

New Users, London,

28 Nouveau A-Lift Microcurrent Facial Training, Milton Keynes,

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

4 Cosmetology Advanced Facial Aesthetics, Glasgow, www.

0845 644 3994

Professional, Birmingham,

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

4 Cosmetology Dermal Fillers Foundation, Manchester, www.

July 2011

2 Cosmetology Botox Vistabel Foundation, London,

11 Wigmore Medical Training, Introduction to Skincare and Chemical

5 Cosmetology Botox Vistabel Foundation, Manchester, www.

Peels, London,

3 Cosmetology Dermal Fillers Foundation, London,

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

5 Advanced Dermal Fillers: Facial Contours, Lip Masterclass and


Skin-Hydration London,

3 Body Silk Consulting Introductory One-day business course for

13 Wigmore Medical Training, Introduction to Derma Fillers, London,

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

beauty and medical start-ups,

the Skin Ageing Process, London,


13 Nouveau A-Lift Microcurrent Facial Training, Milton Keynes,

7-8 SkinCeuticals Training, Cheshire,

5 Wigmore Medical Training, Introduction to Skincare and Chemical

0845 644 3994

8 Wigmore Medical Training, Introduction to Skincare and Chemical

Peels, London,

14 Innomed Training Botulinum Toxin in Facial Aesthetics: New

Peels, London,

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

Users, Newcastle,

8-9 Medik8 Training, London,

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

5-6 SkinCeuticals Training, Cheshire,

14 Cosmetic Courses, Foundation Botulinum Toxin and Dermal


5-6 Medik8 Training, London,


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

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

14 Wigmore Medical Training, Microsclerotherapy and Facial

Telangiectasia, London,

10 Nouveau A-Lift Microcurrent Facial Training, Yorkshire,

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

15 Innomed Training Dermal Fillers in Facial Aesthetics: New Users

0845 644 3994

to Hyaluronic Acid Fillers, Newcastle,

11 Wigmore Medical Training, Microsclerotherapy and Facial

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

Telangiectasia, London,


16 GMT TEC and Sally Durrant, Advanced Skin Science for the

11 Cosmetic Courses, Foundation Botulinum Toxin and Dermal

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

Clinical SkinCare Therapist, London,


16 Wigmore Medical Training, Glo Minerals, London, training@

11 Medics Direct Botox Training, Belfast,

8 Wigmore Medical Training, Camouflage, London, training@

11 Medics Direct Botox Training, Birmingham,

16 GCG Healthcare Laser Core of Knowledge,

9 Cosmetic Courses, Foundation Botulinum Toxin and Dermal Fillers,

11 Cosmetology Botox Vistabel Foundation, Birmingham,

17 GMT TEC and Sally Durrant, Investigative Consultation, Advanced

9-10 Body Silk Consulting Intermediate Two-Day Business Course

Skin Assessment and Effective Treatment Planning, London,

11-12 Body Silk Consulting Advanced Two-Day Business Course for

for Beauty and Medical Start-ups,

Beauty and Medical Start-ups,

11 Wigmore Medical Training, Glo Therapy, London, training@

17-18 SkinCeuticals Training, Cheshire,

12 Cosmetology Dermal Fillers Foundation, Birmingham, www.


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

8145 Cosmetic News:Layout 1 23/09/2010 14:11 Page 2

see us at stand 5


Attention All CliniC/SAlon ownerS Lost revenue due to sickness and holidays ? Want to expand your Clinic to offer injectables ? Why lose out when we are just one phone call away ? 01273 666862 We can provide temporary Nurse Injectors/Aesthetic Doctors at late notice.

The classic laser and light training day covers the MHRA 2008 syllabus, hence plenty of interesting layman’s physics and basic photobiology. October 2010 brings significant changes to both laser and the wider cosmetic sector, with deregulation providing the impetus to liberalise the cosmetic market and bring cosmetic treatments into the scope of VAT. The Core of Knowledge is an ideal introduction for those new to laser/ILS technologies and a useful CPD refresher for more experienced practitioners.

Contact us to discuss further

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. Email John on

Call 0115 969 0111 or Email:

Healthcare & Salonwear



Very low rates for established businesses & medical professionals Te r m s A p p l y E + O. E


W E R A R E LY S A Y N O !

Tel: 0161 724 6009

Specialist Expertise Areas: High value transactions New start funding packages Used equipment Imported goods Equipment distributor schemes

CALL ANDY BULLOCK ON: 01928 739 712 Website:

ABC Laser Contact: Guy Gouldsmit T: 08451 707 788 E: W: ABME Tech Contact: David Leahy T: 01843 297110 E: W: Allergan Contact: Customer Service T: 01628 494444 W: Barnes Roffe LLP Service: Chartered Accountants, Business and Tax Advisors Contact: Shen Yap T: 020 8988 6100 E: W: Beehive Medical Solutions Contact: Kevin Rendell T: 020 8550 9108 E: W: http: // BioActiveBeauty � Hydropeptide...the next generation of Anti-Ageing Skincare�.. using peptides at clinical levels. T: 01753 830931 M: 0791 941 6392 E:


Energist Contact: Andrew Snoddon T: 01792 798768 E: W: Euromedical Systems Ltd. Contact: Phillip Richardson T: 0845 130 4949 W: E: Galderma Contact: Azzallure Sales Team T: 01923 208950 E: W: Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: W: Harley Aesthetics Contact: Dr Mark Harrison T: 02074872772 E: W: Services: Training

Morning Star Surgical S.A. (Pty) Ltd Contact: Brian Nielsen T: +27 (82) 667 2506 E: W: My Cells/Scandinavian UST Ltd Contact: John Tucker T: +35361 312979 E: W: Polaris Lasers Contact: Neil Calder T: 01234841536 E: W: Q-MED Contact: Customer Service T: 0207 796 3290 E: W: Qutis Contact: Marea Brennan Thorns T: 01844 213007 E: W:

RECOVA COMPRESSION GARMENTS Contact: Eva Sanchez-Smith E: W: T: 0207 000 1044 Rosactive Phytoceutical U.K. Contact: Mr. Naci Gulsan T: 020 85090907 E: W:

Bioptica Contact: Roy Henderson T: 07766 591 085 E: W:

Health xchange Contact: Customer Service T: +44 1481 736832 E: W:

Blue Horizons Marketing T: 01242 236600 E: W: Services: Websites, patient literature, referral literature, brand image, advertising, e-marketing and more.

LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315 E: W:

Boston Medical Group LTD Contact: Iveta Vinklerova T: 0207 727 1110 E: W:

Lynton Contact: Customer Services T: 0845 6121545 E: W:

Skin Geeks Ltd Contact: Trishna Shah T: +44 (0)1865 338046 E: W:

Candela UK Ltd Contact: Ben Savigar-Jones T: +44 08455210698 E: W:

Lifestyle Aesthetics Contact: Sue Wales T: 0845 0701 782 E: W:

Specialist Make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: W: Services: Permanent Make-Up

Cordcourt Limited Service: Uniform Supplier Contact: Gina Unsworth T: 0161 724 6009 E: W: Cosmedix Contact: Aysha Capion-Awward T: 0844 855 2499 E: W: Cosmetic Courses Contact: Morag Hague T: 0845 230 4110 E: W: Cutera (Europe) Contact: Stephen Ritchie T: 07969993296 E: W: E-Clinic Contact: Mark Lainchbury T: 01274 530 505 E: W: Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: W:

MACOM Compression Garments Contact: MACOM Customer Services T: 020 7386 0011 E: W: Mapperley Park Training Email: Tel: 01159 690 111 Mayfair Medical Contact: Mike Filapiuak T: +44 02076296269 E: W: Med-fx Contact: Faye Price T: 01376 532800 E: W:

Sanofi Aventis Contact: Customer Service T: 01483 554 809 W: Skin brands Contact: Tracey Beesley T: +44 (0) 2089978541 E: W:

Surface Imageing Solutions Contact: Nick Miedzianowski-Sinclair Telephone : +447774802409 E: W: Service: Skin Analysis systems & services Ulthera Contact: Phillip Andrews (UK Sales Director) T: 07825442968 E: Vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: W: Wealden Projects Contact: Kevin Dewhurst E: kevin@wealden W: T: 01892 611552 M: 07969 697593

Medical Aesthetic Group Contact: David Gower T: 02380 676733 E: W:

Wellness Trading Contacts: Adam Birtwistle T: 01746 718123 E: W:

Merz Aesthetics Contact: Merz Aesthetics Customer Services T: 0333 200 4140 E:

Zanco Models Contacts: Mr Ricky Zanco T: 08453076191 E: W:

For less than £25 per month, you can list your company details here. For more information contact Hollie Dunwell 01268 754897/ 58

Your partner in injectable facial aesthetics

see us at stand 73

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, localised pain, tenderness,

Botulinum toxin type A free from complexing proteins

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 Adverse events should also be reported to Merz Pharma uK Ltd at the address above or by email to or on +44 (0) 333 200 4143. 1039/BoC/DeC/2010/JH. Date of preparation: Dec 2010. BoCoUTUre® is a registered trademark of Merz Pharma GmbH & Co, KGaA.


onfidence is... Her happiness. Your expertise. Our experience. Vistabel® is licensed for the treatment of moderate to severe glabellar lines Delivers lasting patient satisfaction, time after time1,2 Trusted with over 1 million cosmetic procedures across Europe3* The world’s first and most studied botulinum toxin4†

Satisfaction that shows

see us at stand 30 Vistabel® (botulinum toxin type A) Abbreviated Prescribing Information Presentation: Botulinum toxin type A (from clostridium botulinum), 50 Allergan Units/vial. Indications: Temporary improvement in the appearance of moderate to severe vertical lines between the eyebrows seen at frown, in adults <65 years, when the severity of these lines has an important psychological impact for the patient. Dosage and Administration: See Summary of Product Characteristics for full information. Do not inject into blood vessels. Doses of botulinum toxin are not interchangeable between products. Not recommended for patients <18 or >65 years. Use for one patient treatment only during a single session. Reconstitute vial with 1.25ml of 0.9% preservative free sodium chloride for injection (4U/0.1ml). The recommended injection volume per muscle site is 0.1ml (4U). Five injection sites: 2 in each corrugator muscle and 1 in the procerus muscle: total dose 20U. Contra-indications: Known hypersensitivity to any constituent. Myasthenia gravis, Eaton Lambert syndrome. Infection at proposed injection sites. Pregnancy or lactation. Warnings/Precautions: Use for one patient treatment only during a single session. Relevant anatomy and changes due to prior surgical procedures must be understood prior to administration. Product contains less than 1mmol sodium (23mg) per dose. Do not exceed recommended dosages and frequency of administration. Epinephrine (adrenaline) or any other anti-anaphylactic measures should be available. Very rare reports of adverse reactions possibly related to spread of toxin distant from site of injection. Therapeutic doses may cause exaggerated muscle weakness. Caution in patients with history of dysphagia and aspiration. Patients or caregivers should seek immediate medical care if swallowing, speech or respiratory disorders arise. Too frequent or excessive dosing can result in risk of antibody formation, which may lead to treatment failure. Caution in the presence of inflammation at the proposed injection site(s) or when excessive muscle weakness or atrophy is present. Caution when used in patients with amyotrophic lateral sclerosis or with peripheral neuromuscular disorders. Effects of administering different botulinum toxin stereotypes simultaneously, or within several months of each other, is unknown and may cause exacerbation of excessive neuromuscular weakness. Interactions: Theoretically, effect may be potentiated by aminoglycoside antibiotics or other drugs that interfere with neuromuscular transmission. Adverse Effects: See Summary of Product Characteristics for full information on side effects. Based on controlled clinical trial data, the proportion of patients that would be expected to experience an adverse reaction after treatment is 23.5% (placebo: 19.2%). These adverse reactions may be related to treatment, injection technique or both. In general, reactions occur within the first few days following injection and are transient and of mild to moderate severity. Pain/burning/stinging, oedema and/or bruising may be associated with the injection. Frequency By Indication: Defined as follows: Very Common (≥1/10), Common (≥1/100, <1/10), Uncommon (≥1/1,000, <1/100), Rare (≥1/10,000, <1/1,000), Very Rare (<1/10,000). Infections and infestations. Uncommon: Infection.

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

Adverse events should be reported. Reporting forms and information can be found at Adverse events should also be reported to Allergan Ltd. or 01628 494026 References: 1. Stotland MA et al. Plast Reconstr Surg, 2007;120:1386-1393. 2. Carruthers A et al. Journal of Clinical Research, 2004;7:1-20. 3. Allergan Data on File (DoF) VIS/003/DEC 2010. 4. Allergan Data on File (DoF) VIS/005/MAR 2011. *Given in 5 key EU countries since VISTABEL® launch. Data taken from UK, France, Spain, Italy and Germany. Global figures. Launched in 1989 in the U.S. Search strategy conducted using; Medline, Embase, Embal, Biosis, SciSearc, Pascal, HCAPlus, IPA. Search applied to Allergan, Ipsen & Merz botulinum toxin type A presentations (cosmetic indication).

Date of search: February 2011.

UK/0101/2011 Date of Preparation: March 2011


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