Cosmetic News Nov 2010

THE Uk’S ONLy fREE Of CHARgE mEdICAL AESTHETICS TRAdE mAgAZINE

THE VOICE OF YOUR INDUSTRY www.cosmeticnewsuk.com NOVEMBER 2010

SHAPING UP Combining ultrasound and radioFrEQuEnCY For bodY Contouring

ALTERED IMAGE bodY dYsmorpHiC disordEr: rECognising tHE signs

LASER AND IPL HAIR REMOVAL SPECIAL We look at the evolution of laser and iPl hair removal and examine some of the most effective systems on the market

ALSO in tHis issuE

TRIPLE ACTION TREATmENT WHAT A RESULT BEST IN SHOW Combining CaHa, mesotherapy and needling Rennova for facial contouring Cosmetic News Expo update

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The on e stop a e sthetic s s ho p

EDITOR’S LETTER WElComE to tHE noVEmbEr issuE oF CosmEtiC nEWs.

Laser and IPL hair removal has become big business in recent years with both male and female clients seeking ways to permanently reduce unwanted hair on their face and body. One of the first treatments that truly bridged the gap between medical aesthetics and beauty, laser and IPL hair removal has become one of the most popular procedures in the medical aesthetics industry today and with recent slackening of regulations surrounding the treatment its use in clinics and beauty salons across the country looks set to grow. As part of this month’s Special Feature we will be looking at the evolution of laser and IPL hair removal and examining some of the best systems available for this indication (p24-30). also in this issue, we examine the results of a clinical study into combining radio frequency and ultrasound for body contouring (p31-32), dr Elisabeth dancey and lucy banks share their clinical observations on the use of the dermal filler rennova (p35-36) and aesthetic nurse team Frances Furlong and Emeline Hartley tell us about their protocols for combining radiesse™ with skin needling and mesotherapy. as well as this we report on the autumn meeting of the british association of Cosmetic doctors (p14) and bring you all the latest news from the industry (p6-12).

Enjoy!

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EDITOR’S CHOICE REvItALASH® EyELASH CONDItIONER Luscious lashes are all the

CONTENTS 4

Editor’s CHoiCE

Vicky Eldridge tries out the newly improved RevitaLash® Eyelash Conditioner

rage at the moment and like many women I am rarely seen out on the town without a pair of false eyelashes or eyelash extensions on, however constant use of fake lashes can damage the natural lash, leaving them looking sparse. as a result i have started using revitalash® in a bid to enhance my natural lashes. the

6

industrY nEWs

We round up the latest industry news

brand has recently introduced an enhanced version of its popular revitalash® Eyelash Conditioner. the advanced

14

18

on tHE sCEnE

Out and about in the industry this month from the autumn meeting of the British Association of Cosmetic Doctors to the Epionce users meeting

EXpo prEViEW

The latest on what’s happening at the Cosmetic News Expo 2011

formula contains a proprietary blend of proven functional cosmetic ingredients pioneered by athena, the makers of the product, combined with an infusion of powerful peptides and soothing botanicals, designed to both beautify and nourish the eyelashes. described as ‘one of the most exciting and effective products to come along in decades’, revitalash® was developed by ophthalmologist dr michael brinkenhoff for his wife gayle,

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pEoplE in proFilE

We speak to René Nagel from Nannic

who had been suffering from breast cancer and had lost most of her eyelashes following intensive chemotherapy. as a practising ophthalmologist for more than 25 years, dr

24-30 Hair rEmoVal spECial We look at the evolution of laser and IPL hair removal and examine some of the best systems on the market

brinkenhoff believed that he could develop a safe formula that would give her eyelashes renewed health, strength and beauty. after extensive research with a team of cosmetic chemists, dr brinkenhoff formulated a conditioner that after just a few weeks gave renewed vitality to his wife’s eyelashes.

32

35

38

40 44 47

50 52

CliniCal studY

the product has since developed a huge celebrity following in the

We examine the results of a study into the combined modality of focused ultrasound and radio-frequency for non-invasive fat disruption and body contouring

states with stars such as marcia Cross, Courtney Cox, Vanessa Williams,

trEatmEnt spotligHt

(as though you were applying eyeliner) once daily, at bedtime.

Lucy Banks and Dr Elisabeth Dancey reveal their clinical observations of the use of the dermal filler Rennova in facial rejuvenation

CasE studiEs

Aesthetic nurse team Frances Furlong and Emeline Hartley tell us about their protocols for combining Radiesse™ with skin needling and mesotherapy.

ivanka trump, Felicity Huffman and Hayden panettiere as fans. a thin line of revitalash® is applied to the base of the eyelashes once the desired results have been achieved the product is then applied two to three times a week for maintenance.

Each tube should last approximately three to five months. the product is ideal for retailing in medical aesthetics clinics and really does yield results. i am a fan!

produCt nEWs

We round up the latest product news

bEst praCtiCE

How to recognise the signs of Body Dysmorphic Disorder (BDD) and manage patients suffering from the condition

businEss FoCus

In the latest of a series of articles, Zoe Davitt looks at the additional three P’s of marketing

CompanY proFilE

We chat to David and Tracey Beesley from SkinBrands

dirECtorY

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

Charlotte body Publisher 01268 754 897 charlotte@creativemedialtd.co.uk Vicky Eldridge Editor 01268 754 897 m: 07940 083 677 vicky@creativemedialtd.co.uk Emilia Cops Associate Publisher 01268 754 897 emilia@creativemedialtd.co.uk peter Johnson, Art Director 01268 754 897 peter.johnson@creativemedialtd.co.uk Charlie Crocker Designer 01268 754 897 design@creativemedialtd.co.uk Hollie-Jane dunwell Account Manager 01268 754 897 hollie.jane@creativemedialtd.co.uk shauna peters Production Assistant 01268 754 897 shauna.peters@creativemedialtd.co.uk

DISCLAIMER The editor and the publishers do not necessarily agree with the views expressed by contributors 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

BRITISH ASSOCIATION Of AESTHETIC PLASTIC SURgEONS WELCOMES NEW PRESIDENT the British Association of Aesthetic Plastic Surgeons has announced the appointment of Birmingham-based consultant plastic surgeon Fazel Fatah to the role of president.

COSMETIC SURgERy AND MEDICAL AESTHETICS MARkETS TO gROW TO OVER $3 BILLION IN THE US According to a new report by

according to nigel mercer, consultant plastic

iData Research,

surgeon and outgoing president, “We are

the leading

delighted to announce mr Fatah’s appointment

global authority

as president of the baaps. His exceptional track

in medical

record and commitment to patient education

device and

and safety will continue to help position our

pharmaceutical

organisation as the ideal destination for those

market research, the market for cosmetic surgery,

seeking to learn more about aesthetic plastic

facial aesthetics and medical lasers is expected to

surgery.”

almost double in size, exceeding $3 billion by 2017.

mr Fatah is credited for introducing modern

idata’s global 3-report series, the ‘markets for Cosmetic

breast reconstructive surgery to the west midlands

surgery, Facial aesthetics and medical laser devices

and established, with other surgical colleagues,

2011’ includes the latest data, market analyses and

the first centre for mastectomy and immediate

competitor profiles for botulinum toxin, dermal filler,

breast reconstruction in the region at City

augmentation implants, liposuction aspirators, laser/light

Hospital, birmingham, and played a significant

devices and microdermabrasion.

role in developing and advancing the subspecialty on a national level. mr Fatah has numerous

the market for aesthetic botulinum toxin-a drugs such

publications in several leading peer reviewed plastic surgery journals and plays a major role

as botox® will grow to an estimated $543 million by 2017,

in teaching the specialty with invited lectures and presentations in national and international

while the aesthetic laser and light therapy markets for skin

meetings as well as by organising advanced postgraduate teaching courses in reconstructive

resurfacing, hair removal and laser lipolysis are the fastest

and aesthetic plastic surgery in the uK. He also has a leading role in teaching and training in the

growing segments.

subject of lipomodelling with fat graft in breast reconstructive and facial rejuvenation surgery. the report states that the us market for aesthetic facial He said, “i look forward to working with the proactive and experienced team at the baaps,

injectable products is valued at almost $860 million

and continuing to provide unbiased, educational resources to the public and further the ethical

in 2010. Competition will intensify with the expected

practice of aesthetic surgery in the uK.”

entry of purtox® by mentor Corporation, a subsidiary of Johnson & Johnson. use of botulinum toxin is also expected to increase due to a growing number of

COSMETIC SURgERy WOMEN THINk ‘OTHERS’ ARE VAIN

therapeutic possibilities, such as upper limb spasms, neck

Many women having cosmetic

BEAUTyISSkINDEEP.COM WEBSITE RE-LAUNCHED

surgery believe it is other people having work done who are motivated by vanity and not themselves, it has been claimed.

Dr Debra Gimlin, a sociologist at the University of Aberdeen, spoke to 80 women aged from 20 to 70 for the study. Half of the women were Britons in Aberdeen, Glasgow, Edinburgh and Bristol, and half were Americans. dr gimlin said more than half the women had created the notion of a ‘surgical other’ they distanced themselves from. these were women they saw as going ahead with surgery with little consideration of its risks, unreasonable expectations of its effects, and who were obsessively concerned with their appearance. more than 50 of the women said this was not them, instead saying they only wanted a natural look from cosmetic surgery. dr gimlin said they defined the surgical other as ‘narcissistic and shallow’, and highlighted their own ‘greater concern with the more important things in life’ i.e jobs, family and health. she said they created the notion as they could then believe that it was only women in this category who deserved the negative views society had of those undergoing cosmetic surgery, and not them. dr gimlin said that british women tended to see the surgical other as living in america, and the americans, who lived in Florida, saw her as living in Hollywood. respondents from both countries characterised the surgical other as being motivated by vanity rather than need. she also said that the women she interviewed saw the surgeons that the surgical other used as being inferior to their own. dr gimlin presented her findings to the british sociological association’s medical sociology conference in durham last month.

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cosmeticnewsuk.com

malpositioning due to spastic musculature and certain types of eye muscle disorders.

beautyisskindeep. com has undergone a complete redesign. the site has a sleek new look with products newly defined by brand as well as individual skincare needs. it also features a skin facts’ and ‘diet facts’ section, which explores everything the consumer needs to know about skincare and nutrition. originally launched in 2002 beautyisskindeep.com has continued to be at the cutting edge of medical aesthetic skincare. under the guidance and direction of dr Elisabeth dancey, it is designed to cater for consumers who want professional products for use at home that cater for a wide variety of skin concerns from wrinkles, acne, pigmentation and cellulite to those that aid in skin healing after undergoing surgical or cosmetic procedures. brands include dCl, dermaCeutic, mene and moy, promedis, simildiet and skinCeuticals.

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n lect where Dr Martin Brau g the Accent XL Body Contouring usin ion using the and Pain Free Revolut op Soprano XL with Worksh Masterclass on Saturday.

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

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

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

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

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

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

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Industry News | Round Up

NCEPOD REPORT PROVIDES SHOCkINg INSIgHT INTO SURgICAL PROCEDURES IN THE Uk

NEWS IN BRIEf CACI INCREASES GROWTH IN SOUTH-EAST ASIA CACI has continued to boost its global presence, expanding specifically in The Philippines with the

A damning new report on surgical procedures has been published by the National Confidential Enquiry

launch of its 6th centre. Dermatech Corp became

into Patient Outcome and Death (NCEPOD). the extensive study found that nearly three quarters (70%)

the exclusive distributor for CACI in The Philippines

of clinics in the sector operate effectively unregulated, that eight out of 10 (79%) of providers offering

in November last year. The company offers individual

complex surgeries such as breast reduction do not perform these anywhere near enough to maintain

CACI systems as well as a CACI clinic franchise

an appropriate skill set and that a third (32%) do not even allow patients a ‘cooling off’ period when

concept to salons. CEO Helen Sanao is a trusted

they book procedures.

name in the country and even has her own TV

the british association of aesthetic plastic surgeons has welcomed the report. Consultant plastic surgeon and

beauty show. Dean Nathanson, managing director

former baaps president nigel mercer said, “these figures present a distressing picture, but one which is sadly

of CACI International said, “The CACI brand has a

not surprising to us as they only confirm what we have been saying for years – that there is an absolute need for

strong heritage and is recognised the world over,

statutory regulation in this sector. aesthetic surgery needs to be recognised as the multi-million pound specialty

which is why it continues to grow on a global scale.

it is and not just a fragmented cottage industry.”

Dermatech Corp has developed a good presence in a

the report also showed that more than one in 10 clinics (11.5%) ceased to exist between being identified and

short period of time and we look forward to continued

being approached to take part and that nearly 70% refused to participate in the study (as per Care Quality

expansion in the future.”

Commission requirement) and are, therefore, effectively not regulated. one in five (20%) of centres that offered breast augmentation and a staggering 55% of those offering breast reduction performed these ops less than 10 times a year. routine psychological assessments were carried out in less than 35% of sites and of the 88.6% that advertise, over a quarter (26%) promoted special offers and discounts.

SURVEY REVEAlS THE EFFECTS OF ECzEmA

Just over half of respondents (56%) always did the initial patient consultation with a consultant surgeon and

To coincide with National Eczema Week, a new

less than half (44%) of operating theatres were properly equipped. Just over one in five (22%) didn’t have a

survey by skincare brand E45 reveals the effects of

member of resuscitation staff on duty at all times and a third didn’t have out-of-hours consultant rota or a level

eczema are not just skin deep. Not only does the skin

2 (high dependency) unit.

condition leave sufferers having to cope with itchy, dry skin, it also has a strong physical, emotional and psychological impact, often on the whole family. The

RCS TO ExAMINE COSMETIC SURgERy STANDARDS IN WAkE Of DAMNINg NCEPOD REPORT the Royal College of Surgeons is to establish a group to bring together all those involved in setting standards for cosmetic surgery following a new report by the National Confidential Enquiry into Patient Outcome and Death [NCEPOD]. the sobering study, entitled ‘on the Face of it’, reviewed the organisational structures of cosmetic surgery providers and found that many were failing patients. of particular concern to the college was evidence of ‘occasional surgery’ with operations being spread over too many units with some surgeons not doing enough to maintain skills. the findings that some units lacked equipment and were not undertaking full psychological assessment of patients are also of grave concern. the rCs believes that nobody should be practising surgery without contributing to audit in order to prove safety, so the failure of so many units to participate in this study is alarming – particularly as one reason seems to be the very high turnover of small start-up organisations in this field. the college already expects all surgeons to meet high individual standards of care through ‘good surgical practice’ and revalidation standards that apply in the nHs and independent sector. However, the problems highlighted by nCEpod also indicate that the unique working environment in cosmetic surgery means that further work may be required in setting specific service standards for use by the regulator. this will improve safety and be in the best interests of patients.

John black, president of the royal College of surgeons, said, “this incisive report from nCEpod shows that patients are not being properly protected. the royal College of surgeons is not a regulator, but sets the standards for surgery that the regulators use – this study makes it clear specific action is necessary. nCEpod make a series of recommendations for the Care Quality Commission and general medical Council and we

poll found that, amongst adults, 36% of sufferers were left feeling stressed, whilst 30% found it difficult to get a good night’s sleep. One in five of those polled admitted they always cover affected areas such as arms and legs, while 16% say they never wear shorts, skirts or dresses through fear that their eczema will be seen.

NEW STUDY FINDS ARTEFIll EFFECTIVE IN TREATING ATROpHIC ACNE SCARS An article published in the Journal of Drugs in Dermatology, shows Artefill to have a significant and lasting effect on patient atrophic acne scars after an eight-month period. The study consisted of 14 (n=14) healthy male and female patients between the ages of 18 and 60 who met all inclusion and exclusion criteria and had atrophic acne scars amenable to correction with Artefill. Patients were evaluated at six weeks and eight months after the initial injection. The investigators concluded that 96% of the treated acne scars noticeably improved and 70% improved by two grades. Patients reported being highly satisfied with Artefill with the vast majority or 93% willing to have a repeat procedure. No adverse events or side effects were evident over the course of the study.

shall aim to provide clear standards to those bodies to help them fulfil that.” rCs council member steve Cannon will chair a multi-disciplinary group to bring together the standards for surgery, drawing in evidence from the plastic surgery specialty societies, and other groups across the medical profession. the group’s findings will be published in summer 2011.

SIgMACON TAkES OVER LUMENIS

NO COSmETIC SURGERY lAWS IN IRElAND UNTIl 2012 Ireland’s €30m cosmetic surgery industry will remain unregulated for another two years. The Department of Health confirmed that it wanted to ensure cosmetic

Last month it was announced that as of October 1 sales of Lumenis Aesthetic systems and accessories

surgery clinics were subject to the new legislation

in the United Kingdom and Ireland will be distributed by Sigmacon (UK) Limited.

making it compulsory for all hospitals to apply for a

lumenis and sigmacon have cooperated in the field of surgical for the past decade, and in a letter to its

licence. But the legislation will not be published until next

clients lumenis said it was confident that sigmacon would give them the same high level of customer service

year, and it will be 2012 before it is in place, allowing

they were used to. all lumenis equipment (surgical, ophthalmic and aesthetic) will continue to be serviced in

clinics, which can attract highly vulnerable patients, to

the united Kingdom and ireland, as before, by its local operation, lumenis (uK) limited.

operate until then without any policing watchdog or mandatory standards.

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cosmeticnewsuk.com

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Industry News | Round Up

fRENCH IMPLANTS TEST ‘INCONCLUSIVE’ test results issued from the French Competent Authority (AFSSAPS) into controversial PIP breast implants cannot entirely rule out genotoxicity (DNA cell disruption) a report has shown. Although inconclusive, the study found that the rate of rupture with the implants was higher than with other implants, in particular relating to the first five years. Clinical observations also indicated a ‘sweating’ aspect, even without rupture and cases of adenomegaly (enlargement of lymph glands due to accumulation of silicone) were noted even without rupture of the implants. the gel in the implants was in fact silicone but not of the level of quality required for breast implants. tests also demonstrated a significant difference in the quality from one implant to another, so not all have the same levels of weakness. tests of mechanical strength revealed a higher-thanaverage fragility of the shells and although there was no acute toxicity (cytotoxicity) effect on tissue, intradermal tests show an irritant behaviour of the pip gel not found in other implants. Contact with the gel caused by rupture or leakage can cause inflammatory reactions in patients. tests for genotoxicity (effect of the gel on dna of cells) were carried out both in vitro and in vivo – on mice – and the latter indicated a possible disruption of cell division. this does not allow for a conclusive result and further extensive testing will need to take place over the next three to four months. Final conclusions are expected in 2011. according to consultant plastic surgeon and former baaps president nigel mercer, “the baaps continues to recommend that women who’ve undergone breast augmentation contact their surgeons to find out what type of implant was used. if it’s pip they should have an ultrasound in the next six months to establish whether there is any weakening or rupture. removal of both implants is recommended in these cases.”

NEWS IN BRIEf DATA SHOWS DYSpORT® SUpERIORITY OVER BOTOx® The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) has announced positive clinical results demonstrating a significant efficacy advantage with Dysport® over Botox® for the treatment of crow’s feet. The data was presented at the AAFPRS 2010 Annual Fall Meeting in Boston at the end of September. The 90-subject study, titled ‘Internally Controlled Double-Blind Comparison of Onabotulinum and Abobotulinum Toxin Type A (Nettar, Kartik D., M.D., et. al),’ met its primary endpoint (p=0.01) of greater efficacy of action with Dysport® as defined by investigator assessment of maximum contraction at day 30 post injection compared to day 0. Additionally, a secondary endpoint – subject assessment at maximum contraction at day 30 compared to day 0 – also demonstrated statistical significance with Dysport® (p=0.027). The study concluded that Dysport® offers a quantifiable and demonstrable advantage in wrinkle effacement (shortening) and hyperfunctional frown lines compared to Botox® in the treatment of crow’s feet. Study investigators recommend further studies in additional facial regions to confirm the data.

IIAA ANNOUNCES SkIN POWER CONfERENCE fOR 2011 the International Institute for Anti-Ageing (iiaa) has announced the date for its next major conference, ‘Skin Power: Harnessing the Skin’s Powers of Rejuvenation’. the iiaa’s popular annual educational event takes place this year at London’s ExCel centre on 28 February 2011, alongside the Professional Beauty show. the Skin Power conference features internationally renowned leaders in the field of anti-ageing and aims to educate therapists about industry developments that can significantly enhance results for clients. one highlight will be a seminar by dr daniel sister, who will talk about how his ‘dracula therapy’ utilises the body’s own rejuvenating properties. leading anti-ageing researcher and skin needling specialist dr matthias aust will present the outstanding results of his latest studies and explain what can be achieved in-salon and pharmacist Kevin leivers will talk about how building the skin by boosting our natural building blocks makes better skin. the event will culminate in a live demonstration by dr Jacques otto, who will show how bringing together needling, prp and nutritional therapies can lead to greater client satisfaction by effectively addressing a wide range of skin concerns. according to iiaa founder david alpert, the organisation has plans to make these skin-enriching therapies from salons and clinics. He said, “this event heralds an exciting new era in which cosmetic skin rejuvenation is reaching levels previously unheard of in the conventional beauty industry. With consumers better informed than ever and demanding excellent results, it has never been more important for therapists to be fully up-to-date with new techniques.“

SkIN CANCER FOUNDATION REVAmpS SUNSCREEN SEAl The US Skin Cancer Foundation has taken the decision to update its Seal of Recommendation for sunscreen products to reflect more stringent industry standards.

Since its introduction 30 years ago, the seal has become a recognised household logo that is claimed to be used on over 800 products, both nationally and internationally. As well as sun care creams, those products also include UV treatments for products such as sunglasses, umbrellas, laundry products, clothing and films for residential windows. The seal is being updated in an attempt to meet tougher minimum sun protection recommendations for the latest sunscreen products on the market, which are designed to optimise against over exposure to the sun’s UVA and UVB rays. In particular, the new seal concentrates on ensuring that all products bearing the seal comply with the organisation’s agreed standards for UVA protection.

The organisation began to accept applications for the new seal back in July and says it will require full compliance by all current seal holders by May 2012.

FDA 510(k) ClEARANCE OF FRAxEl RE:STORE FOR ACTINIC kERATOSIS Solta Medical, Inc. has received FDA 510(k) clearance

TWO OUT Of fIVE WANT A POST-BIRTH SURgICAL ‘MUMMy MAkEOVER’

two out of five (39%) women would consider some sort of surgical ‘mummy makeover’ to get their bodies back to their pre-pregnancy state, according to a new figures released by MyFaceMyBody. com, with more than half (57%) of them wanting to have cosmetic surgery while still in hospital after giving birth. the stats reveleaed on the myFacemybody tV show, also revealed the top concerns for women post-pregnancy, with most women worrying about their weight (34%), stretch marks (24%), loose skin (21%), cellulite (14%) and sagging breasts (7%). the survey also found that 93% of women said that regaining their pre-pregnancy body was a priority for them after birth.the research, carried out among 326 people using on-street and online surveys, also spoke to men about their feelings on their partner’s figure. almost three-quarters of men (71%) said they didn’t care about their partner gaining weight during or after pregnancy, with only 16% said that it was a concern for them. this is in stark contrast to the 67% of women who worried that their husbands wouldn’t find them attractive during or after pregnancy.

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cosmeticnewsuk.com

of its Fraxel re:store Dual for the treatment of actinic keratosis. The Fraxel re:store Dual system takes the industry leading fractional laser technology to the next level by adding a novel 1927nm wavelength, the first ever application of a Thulium laser in the aesthetics market.

During a six month clinical study of 21 subjects at several dermatology centers around the country, there was an 83.5% average reduction of AK lesions using the Fraxel re:store Dual’s 1927nm wavelength. Treatments were shown to be effective both on and off the face, including the arms, hands and chest area. Each subject underwent a series of two to four treatments with the Fraxel re:store Dual that were spaced two to four weeks apart. No adverse reactions occurred for any of the subjects. In addition, the study found improvement in skin texture and pigmentation following a Fraxel treatment.

Results You Can RelY on Come see us at the ce Body Conferenures on

n lect where Dr Martin Brau g the Accent XL Body Contouring usin ion using the olut and Pain Free Rev op Soprano XL with Worksh Masterclass on Saturday.

“The ultimate in combination laser and light therapy for face, hands and body to optimize results.”

InnovatIve technology Safe, effective treatments with the industry’s most dynamic product portfolio, distinguished by expandable modular platforms that adapt to your changing needs and future breakthroughs.

Before

Before

After

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

After

Before

AFT 570 SR

Photos courtesy: Fernando Stengel, MD

After

Pixel Laser

Photos courtesy: Amber Brown, MD

Multiple technologies can be combined during a single session or repeated frequently and spread out over 60 days.

• When performed in a single treatment session, the Mini Laser360TM program consists of AFT for pigment and vascularity, ST for skin tightening, and Pixel for fractionated skin resurfacing.

• The Traditional Laser360 treatment consists of 4-6 treatment sessions, layering multiple technologies (AFT, ST and Pixel), spaced about 10-15 days apart over a 60-day period.

Pixel ST

Before

AFT

After

Before

AFT 420 Acne

Photos courtesy: Elizabeth VanderVeer, MD

Before AFT 540 VP

After

Photos courtesy: Elizabeth VanderVeer, MD

After

Pixel Laser

Photos courtesy: Bhupendra Patel, MD

Before

After

Tattoo Removal - Photos Courtesy: Fernando

Urdiales, Instituto Médico Miramar, Málaga , Spain

ContaCt us on: tel: 0845 1707788, info@a-b-c-uk.com, www.abclasers.co.uk

Before

After

Traditional Laser360

Photos courtesy: Rick Jackson, MD

WINNER - UK BEST LASER SUPPLIER 2008-2009 As voted by clinics

Industry News | Round Up

MED-fx APPOINTS INNOMED TRAININg AS ITS TRAININg PARTNER

THE RISE AND fALL Of THE HOLLyWOOD SMILE Figures released at the British Academy of Cosmetic Dentistry’s international meeting in London last month have demonstrated

Med-fx has appointed Innomed training Ltd as its partner in providing

a massive increase in minimally-invasive dentistry – as the world

professional aesthetic training from October 1.

finally takes notice of the rise of the more subtle and individualised

med-fx provides a one-stop-shop ordering and pharmacy service for the supply

‘London Smile’.

of injectable and skin rejuvenation products to trained practitioners. innomed

the stats showed that most uK patients wanted an attractive smile

training, led by dr Xavier goodarzian, was voted by its customers as the uK’s

but one which preserved their natural teeth as much as possible. this

best aesthetic training provider. it delivers independent Cpd-accredited skills-

preference led to some of the country’s leading dentists developing

based training in injectable cosmetic treatments as well as chemical peels and

sophisticated but dramatically less invasive techniques – with the baCd

mesotherapy for treating localised fat and cellulite as well as skin rejuvenation.

pioneering new approaches now being taught to the rest of the world.

dr Xavier goodarzian of innomed training explained, “innomed training has an

a new internal poll of their own membership revealed that three out of

experienced team of trainers - all of whom are medical aesthetic professionals.

five dentists were performing less than half the amount of extensive smile

this includes; doctors, dentists and nurses as well as professionals with experience

makeovers than they were two years ago, while nine out of 10 recorded

in running successful aesthetic clinics. our aim is to deliver high quality,

a corresponding increase (over 50%) in less invasive techniques such as

enjoyable training in small groups with an emphasis on the practical aspect of

orthodontics and whitening. all dentists polled said it’s a lot more likely

the treatments to ensure delegates leave feeling confident, enthusiastic and

that patients prefer to preserve their natural teeth than they were in the

ready to put their new skills into practice.” martin mills, med-fx managing director

first half of this decade.

added, “appointing innomed training will enable med-fx to concentrate on

according to dentist and baCd president-Elect nik sisodia,“in the past,

being the most comprehensive supplier to the industry, while providing access

us dentistry was often perceived to lead the way in regards to cosmetic

to award-winning, recognised training courses. the combination of innomed’s

and restorative treatment, whereas uK dentistry did not always enjoy

award-winning training with med-fx’s logistical skills and easy-to-use training

a very glamorous image in some countries around the world. rules for

course booking website will enable us to bring high-quality skills-based training to

what was considered aesthetic could lead to techniques involving tooth

more practitioners across the uK. together, we will be a partnership dedicated

structure to be cut back, and replaced with porcelain veneers. although

to providing the very best medically-led training and deliver the highest

individually veneers can look attractive, uK and European patients

standards of customer service and after-sales support.”For more information

generally prefer individualised smiles that ‘fit in’ with the natural features

about training please contact 023 80 67 67 33.

of the face.” the baCd three-pronged approach presented at the conference involves aligning teeth first with the newest ‘speedy’ orthodontics,

STUDy Of MEDICAL TOURISM

alongside the use of gradual whitening and expert bonding to create a

Medical tourism is to go

listing it as their main preference. other choices included invisalign

under the microscope in a major new study, led by an academic from the University of york,

flawless smile makeover finish in less than 12 weeks. the patients then look like they’ve had veneers, without needing to have their teeth filed down. the top choice in quick-result braces overwhelmingly is a removable brace known as the inman aligner, with one out of every two dentists (22%) and Clearstep or six-month smiles (one in seven). the survey also highlighted that take-up of ‘speedy orthodontics’ training courses had nearly doubled over the last two years.

which aims to assess its potential advantages and disadvantages. the study, which is funded by the National Institute for Health Research, will examine the motives people have for travelling across national boundaries to receive treatments such as dental services, elective surgery for hip or joint replacement, cosmetic surgery and fertility treatment. dr neil lunt, of the York management school, will head a team of researchers that includes health economists, social scientists and clinicians who will research four aspects of medical tourism including the economic impact; consumerism and patient decision-making; quality, safety and risk and industry development. medical tourism is currently mainly privately funded and the researchers will seek to establish the amount people are paying for this healthcare and its economic impact. they will also examine the potential savings for the nHs that contracting out treatments to other countries might bring. but this will be linked to a review of potentially negative impacts on the nHs, such as the need to ensure continuity of care for people who have been treated abroad and the cost of treating complications. dr lunt said: “We will advance knowledge of patient treatment experience and how consumers think about choice, and how risk and safety are managed at the consumer and organisational levels. “our work will contribute towards understanding quality, administrative and legal dimensions of medical tourism as well as unintended consequences. the study will be of interest to those working within and making decisions about the nHs, policy-makers, regulators, providers, clinicians and consumer organisations as well as patients.”

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cosmeticnewsuk.com

COMMON ACNE TREATMENTS LINkED TO BOWEL PROBLEMS A recent report has shown evidence that antibiotics commonly prescribed to help control severe breakouts may, in a very small number of patients, lead to inflammatory bowel disease.

Bowel disorders linked to acne treatment are ‘a rare outcome’, cautioned Dr David Margolis, a dermatologist and lead author of a study in the American Journal of Gastroenterology. noting that most people given isotretinoin have already been taking antibiotics for months, if not years, margolis and colleagues at the university of pennsylvania wanted to know if antibiotics might play a role in triggering the bowel condition. they found that long-term use of antibiotics appeared to double the risk of developing inflammatory bowel disease in these subjects. of the 207 cases of inflammatory bowel disease diagnosed among the 94,487 patients in the study, 152 (0.26% of all subjects) were taking one of three commonly prescribed tetracycline-based antibiotics and 55 (0.14%) were not. patients taking one of the three drugs, doxycycline, appeared to be at a slightly higher risk (0.21%) of developing an inflammatory bowel disease compared to patients taking minocycline (0.17% risk) or tetracycline (0.20% risk).

ON THE SCENE

OUt AND ABOUt IN tHE INDUStRy tHIS MONtH

British Association of Cosmetic Doctors autumn meeting, Four Pillars Hotel, Gloucestershire the British Association of Cosmetic Doctors (BACD) held its autumn conference at the luxury Cotswold Water Park Four Pillars Hotel, Gloucestershire last month. members embers were treated to a full schedule exploring the latest advances in cosmetic medicine with acclaimed speakers from across the globe taking to the podium. the morning session was chaired by dr simon Connolly and included talks from surgical advisor mr rajiv grover on the anatomy of the eyelids, face and neck, professor Harryono Judodihardjo on treating peri-orbital skin and skin conditions and dr lakhdar betourahli on brow-lifting. oculoplastic surgeons mr brian

d lucy dowling an Eden aesthetics’ Hollie dunwell Cosmetic news’

leatherbarrow and mr raman malhotra also spoke about treating the delicate eye area. mr malhotra explored how restylane®, restylane® perlane lidocaine and restylane® Vital could be used to treat tear troughs, temple hollowing and

dr Carl thonrfe ldt (centre) with dr Hilary allan (left) an d olga achou from Fla wless skin (rig ht)

the afternoon session was chaired by professor Harryono Judodihardjo and

Epionce® Users’ Meeting and Launch of New Hyperpigmentation Strategy with Dr Carl thornfeldt

included a discussion on ‘Vat, Care Quality Commission and deregulation’ by paul

Dr Carl thornfeldt, founder of Epionce® skincare, hosted two

peri-orbital lines along with how to create a brow-lift using dermal fillers, while mr leatherbarrow gave a gentle introduction to eyelid surgery.

stapleton (mapperley park) who explained how the new rules and regulations will affect the industry. other presentations included reCell autologous cell harvesting by dr aamar Khan and ‘surviving the Credit Crunch While sustaining long term growth and profitability’ by Yasmin Khan.the conference ended with a committee update and members meeting led by chairman dr mike Comins followed by a

thornfeldt speak in the uK. He made a special visit to manchester and the royal society of medicine in london to present the interactive users’

medicine specifically for doctors through leicester medical school. the diploma

meetings, attended by doctors, nurses and therapists.

offers cosmetic doctors a postgraduate Certificate, diploma and msc and provides a comprehensive theoretical and practical foundation for doctors in

after profiling his credentials as a doctor, published author and

the field of cosmetic medicine. it places strong emphasis on the ethical and legal

internationally renowned speaker, dr thornfeldt went on to examine

considerations particular to cosmetic medicine; establishing competency in all

the perception of cosmeuceuticals in the industry and their scientific

commonly used cosmetic techniques to ensure the delivery of consistently high

validity, believing clinical evidence is the only way to assess the

standards of care to patients in cosmetic medicine.

efficacy of a skincare line.

dr mike Comins, chairman of the baCd, honorary lecturer in cosmetic medicine and a member of the Faculty said, “the diploma is a giant step towards regulating cosmetic medicine because it’s the only diploma accredited by a medical school specifically for doctors. it will help the public recognise and pick doctors who are liposuction. it may be cosmetic but its still medicine. if you had a problem with your knee you would go to a qualified specialist and the same principle should apply to cosmetic treatments”

diploma. gone are the days of people ‘having a go’ at treatments like botox® and fillers. the government, regulatory authorities and the public, expect doctors to be

cosmeticnewsuk.com

Having spent the last few years researching the complexity of pigmentation and how to effectively combat this condition, dr thornfeldt explained the processes and causes before going onto

the afternoon concluded with a series of practical demonstrations of

medicine has come of age with the launch of the first post graduate doctor only

14

the skin and the mechanisms needed to repair the barrier and optimise

melanolyte corrective system.

the diploma to create a clear pathway in cosmetic medicine, added, “Cosmetic

dr paul Cronin, dr sue Holdstock and dr simon Connolly

a child, dr thornfeldt has investigated and researched the structure of

launching his strategy for the treatment of this disease with his new

Former baCd chairman dr John Curran, who wrote the core training standards for

dr sam Craigen robson, dr robin stones, mrs ann gabriel and sharon turner-Fry

as a dermatologist, who also suffered from severe skin complaints as

its function – this is the philosophy of the Epionce® range.

trained in the procedures we offer from topical skincare to advanced forms of

provide a safeguard for the public.”

update on Epionce® skincare, peels and advanced treatments.

Episciences inc, it was a rare opportunity for practitioners to hear dr

the baCd has also recently launched the first post graduate diploma in Cosmetic

level. the diploma will become the gold standard for cosmetic medicine and will

introduce his new hyperpigmentation strategy and provide an

as a practicising dermatologist in the united states and CEo of

drinks reception and three-course dinner.

fully trained with a diploma that is peer reviewed and validated at post-graduate

exclusive seminars in Manchester and London last month to

the melanolyte professional mask and also the Epionce® skin peel. dr thornfeldt’s new textbook, a new ideal in skin Health, is available from Eden aesthetics for £65 plus p&p. it is suitable for doctors, nurses and aestheticians and explores the practical application of the science of skincare.

dr Jim beattie and dr sam Craigen robson

Claire darby and siobhan Cunney

Step up to

systematic

success

NEW

It has never been easier to place your patients on the legendary Jan Marini Skin Research 5-step Skin Care Management System.

Available for the first time in a striking, elegant box, each pre-packaged Skin Care Management System includes five pre-selected full retail sized Jan Marini products with home care usage instructions. These packs have proved an instant success, with participating clinics reporting an immediate, positive impact on revenue.

Your patients can also enhance their skin care programmes with additional JMSR accelerators, intensifiers and supplemental products.

Three pre-packaged options are available for oily, dry and normal/combination skin. An SCMS system is also available for Men.

Full details are available on 020 8868 4411.

JMSR Europe Ltd. www.janmarini.co.uk info@jmsreurope.com

British Association of Aesthetic Plastic Surgeons meeting, Royal College of Physicians, London the British Association of Aesthetic Plastic Surgeons held its annual meeting at the Royal College of Physicians, London. tthe event kicked off with a press conference to both members of the trade and national press. Hot topics under discussion included the controversies surrounding pip breast implants; the launch of the government-backed iHas shared regulation scheme, denounced by surgeons as ‘state-sponsored marketing of injectables’; the introduction of new European-wide standards gianna sanzin from pastelli with rob Eaglestone and Frances Furlong

BDtA ttA Dental Showcase, Excel, London

in cosmetic surgery and the unregulated provision of cosmetic surgery in the uK. the three-day event also saw eminent surgeons from home and abroad addressing attendees on a number of subjects such as the brazilian tummy

martin mac Kenzie from innomed training pr esents at th e bdta

tuck; new techniques in buttock enhancement, including the miami ‘tanga’ lift; how

the british dental trade assocaiton (bdta) held its annual dental showcase at london’s Excel last month. the showcase is the largest dental event in the uK and saw a number of aesthetics companies taking part including dental directory and med-fx, innomed training, galderma (azzalure®), pastelli uniforms, dr brian Franks/Facetec+ Facial aesthetics and dr bob Khanna training academy. dental directory/med-fx ran a live aesthetics lecture theatre on the exhibition floor with presentations given on everything from genuine dermaroller™ to setting up a successful facial aesthetics practice.

to recognise the use of recreational drugs in cosmetic surgery patients; neck reshaping for slimmer/younger patients and advances in postobesity surgery.

iiaa workshops, UK and Ireland

the baaps press conference

us make-up artist Kevin mendelson gave entertaining and informative demonstrations of mineral make-up

Dr Jacques Otto demonstrated skin needling treatments in one of the most popular lectures in the series

A series of workshop-style seminars

application. the audience then paired up

organised by the International Institute

to create some autumn/Winter looks on

for Anti-Ageing (iiaa) were hailed a

each other, using the latest collection from

success by hundreds of salon owners

jane iredale. Kevin finished by showing

and therapists from across the UK and

how easy it is to complete a three-minute

Ireland.

make-over at the end of every facial treatment and to increase retail sales as

three one-day events held in london,

a result.

manchester and dublin at the end of

US make-up artist Kevin Mendelson involved the audience in make-up application and trial

september gave skincare professionals a

Feedback from the day revealed that one

close-up insight into new ways to build on

of the most popular talks was that by dr

their existing business. leading speakers

Jacques otto, the anti-ageing specialist

in their fields explained the benefits of

who performed a live demonstration of

offering skin needling treatments, mineral

skin needling at each venue. He explained

make-up and nutritional supplementation

that this exciting new method for

to help clients to achieve the best all-

rejuvenating skin can now be added to an

round care and most beautiful skin.

advanced skincare therapist’s repertoire to create incredible results that have

nutritional consultant lorraine perretta

never before been achieved in-salon.

led a fact-packed seminar in which small

Nutritional consultant Lorraine Perretta asked therapists to work in groups to consider the nutrients skin needs alongside the salon treatments they offer

16

cosmeticnewsuk.com

groups worked together to consider

Zava buggy, an independent therapist

particular nutrients that the body requires

who attended the event in london said,

to build and maintain healthy skin. the

“the small, workshop-style groups were

delegates were surprised to discover the

a great way to introduce new ideas and

huge range and quantity of foods that

products and to get hands-on experience.

would be required to provide the same

the talks and demonstrations were really

level of nutrition for the skin as high quality

inspiring.”

nutritional supplements.

NEW

Age Intervention Gentle Cleanser

Age Intervention Gentle Cleanser is a mild cleanser for eyes and sensitive post-procedural skin. It’s non-foaming cream is also an effective eye makeup remover.

After undergoing a procedure, Age Intervention Gentle Cleanser can be used when the skin has re-epithelialized. If there is no weeping or oozing associated with the treatment or recovery period, the cleanser can be used immediately (for example, micro-dermabrasion, IPL, etc.).

Full details are available on 020 8868 4411.

JMSR Europe Ltd. www.janmarini.co.uk info@jmsreurope.com

FREE fOR ALL With six months to go until the second annual Cosmetic News Expo takes place at the Business Design Centre in Islington, we let you know what will be happening at this not to be missed event In April 2010 Body Media launched the UK’s largest free of charge conference and exhibition, the Cosmetic News Expo. We are now looking forwards to our second event, which will take place once again at the stylish Business Design Centre in Islington on May 6 and 7 2011. designed to be even bigger and better than our inaugural show, the 2011 Expo will offer aesthetic professionals the chance to gain Cpd accredited education at the same time as networking and exchanging information with their peers and finding out about the latest technologies and products on the market, all under one roof.

tHE ExHIBItION bringing together the industry’s key manufacturers and suppliers all under one roof, 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. our exhibitors are also dedicated to offering continued education and training to professionals working within this exciting and expanding sector and will be carrying out live demonstrations and presentations as part of the workshop programme on the exhibition floor. our exhibitors range from distributors of dermal fillers, botulinum toxins, skincare, chemical peels and lasers and ipl to industry associations and business solutions companies and include:

abC lasers With preparations already well underway, the Cosmetic news Expo 2011 is shaping up to be an unmissable event, bringing together more aesthetic practitioners under one roof than any other meeting in the uK. the only free trade show and educational meeting in the uK, the philosophy behind the Cosmetic news Expo comes from body media’s extensive experience in running shows for other niche markets. 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 on workshops and lectures, for free.

Whether you are a cosmetic doctor, aesthetic nurse, dermatologist, plastic surgeon, cosmetic dentist, aesthetician or practice manager, you won’t want to miss the Cosmetic news Expo 2011.

“galderma were proud to be the platinum sponsors of this exciting new event and are committed to the meeting in the future years!

Congratulations to all at body media and thank you for helping us raise the profile of galderma and azzalure® over recent months so successfully” Julian popple, Galderma

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cosmeticnewsuk.com

lynton lasers

acumag

maCom Compression garments

aesthetiCare

mayfair medical group

allergan

mcdiarmid Hall Clinic

beauty intellect services

meder beauty science

Candela

needle Concept

Cynosure

paramount Website design

dermapure

pieer Fabre

dermocsometique

Q medical

E-Clinic

rejuvenated

Ellipse

sanofi aventis

Facetec

sigvaris

Hampson and partners

skinbrands

HealthXchange

skingeeks

lash perfect

Zanco models

“the Cosmetic news Expo strived for excellence in every regard. the team is committed and driven – we were proud to support the event. shows are often about seeing current customers and we saw plenty of those. thank you for laying on such a great show.” tracey beesley, SkinBrands

Age Intervention

Dark Circle Eye Defense NEW

Age Intervention Dark Circle Eye Defense is a new generation of dark circle products and is an advancement from older Vitamin K products. It works to reduce the appearance of under eye circles and wrinkles through technologies directly targeted toward each of the primary causes of dark circles.

There are 5 primary causes: Blood leakage, Iron discoloration, Inflammation, Thin and fragile skin, Pigmentation Age Intervention Dark Circle Eye Defense has six primary ingredients, five to address the five causes and one to improve delivery.

KEY TECHNOLOGIES Chrysin, NHS chelates, Two peptides (Palmitoyl Oligopeptide and Palmitoyl Tetrapeptide-7) Retinol, Microsponge速 Technology

Full details are available on 020 8868 4411.

JMSR Europe Ltd. www.janmarini.co.uk info@jmsreurope.com

Cosmetic News Expo 2011 | Preview KEy

“the Cosmetic news Expo was a great success for Wealden projects. We met lots of interesting people and recorded many positive leads, resulting in meetings regarding new projects. the end users we met were very entrepreneurial and clearly the decision makers within their respective organisations. the whole event exceeded all our expectations by far” Kevin dewhurst, Wealden Projects ROLLER BANNER LOGO-------------------------------------•

main auditorium EXHibition Floor brEaK

FRIDAY MAY 6: THE THREE TIERS OF COSMETIC DERMATOLOGY 9am-10am registration and exhibition opening 10am-11am skin texture and tone aesthetic medicine is not just about filling lines and wrinkles, it is also about improving the appearance of the skin. We look at the wide range of treatments designed to improve skin texture and tone from skin revitalisation to chemical peeling, fractional lasers and skincare.

10am- 11am business Workshops 11am-11.30am Coffee break (main auditorium) 11am-1pm seminars and live demos 11.30am-1.30pm skin texture and tone continued 1.30pm-3.30pm Exhibition viewing and lunch 3pm-4pm business Workshops 3.30pm-4.30pm lines and wrinkles botulinum toxin is one of the staple treatments of any aesthetics practice and one of the most successful ways of erasing lines and wrinkles. in this session we explore the latest advances, products and techniques with this wonder drug and hear from the key players in the toxins market.

4pm-6pm seminars and live demos 4.30pm-5pm Coffee break (main auditorium) 5pm-6pm Volume and Contouring in recent years facial aesthetics treatments have gone beyond chasing the line to placing more value on volume replacement and facial contouring. in this session we explore the dermal fillers and other treatments for this indication.

5pm-7pm Exhibition viewing

EDUCAtION IS KEy Education is one of the key focuses of the Cosmetic News Expo and as

7pm drinks party

SATURDAY MAY 7:

place throughout the two-day event with industry leading practitioners,

BEYOND THE FACE – BODY TREATMENTS, ANTI-AGEING MEDICINE AND PAITENT PSYCHOLOGY

manufacturers and suppliers educating you on how to improve your

9am-10am registration and exhibition opening

business and get the most out of your clinic by offering the best treatments

10am-11am patient Consultation and psychology When it comes to aesthetics understanding patient psychology and giving a thorough consultation is an important factor. in this session we will explore issues such as body dysmorphic disorder and body image issues with leading health psychologist James lamper as well as looking at the consultation process and how to manage patients’ expectations.

such a conference and workshop programme will once again be taking

and products. the main programme will be running in the conference auditorium upstairs, which has the capacity for 450 people, focusing on ‘the three tiers of Cosmetic dermatology’ on Friday may 6 and ‘beyond the Face: body treatments, antiageing medicine and patient psychology’ on saturday may 7. as well as this we will be running business workshops on the main exhibition floor. these proved to be hugely popular at this year’s Expo, so we will be packing even more into the programme for 2011. also on the exhibition floor will be live demonstrations and seminars hosted by

10am- 11am business Workshops 11am-11.30am Coffee break (main auditorium) 11am-1pm seminars and live demos

although the event is free, is not open to the public and delegates will be asked

11.30am-1pm anti-ageing medicine medical aesthetics is becoming more and more integrated with the specialty of ant-ageing medicine. in this session we look at the internal factors that effect ageing from nutrition to hormones and tell you how understanding these can enhance your treatment results.

to register in advance giving a small deposit of £50 (refundable on attendance)

1pm-3pm Exhibition viewing and lunch

so they can reserve their place for the educational programmes.

3pm-4pm business Workshops

CONTACTS

3pm-5pm body aesthetics body aesthetics has become big business in recent years. We explore a whole spectrum of body treatments from body needling to high definition VasEr and even some controversial new uses for lasers.

the key manufacturers and suppliers in the industry who make up our exhibitors. the event will also be Cpd accredited, making it one date on the training calendar you can’t afford to miss.

For further information regarding exhibition space please contact:

HOLLIE-JANE DUNWELL T: 01268 754 897 E: hollie.jane@creativemedialtd.co.uk

For event related sponsorship opportunities contact: Emilia Bronze T: 01268 754 897 E: emilia@creativemedialtd.co.uk

20

cosmeticnewsuk.com

4pm-6pm seminars and live demos 5pm Exhibition viewing 6pm Close

FREE

Professional

Workshop & Seminar

Tour 2011

This is a fantastic opportunity to learn about the Jan Marini range, update on existing products, learn new techniques and find out about forthcoming products all free of charge!

Jan Marini Skin Research offers the ultimate, fully integrated, one stop solution for all your skin care requirements.

With no dependence on one “magic� ingredient, this acclaimed, constantly innovating range is designed to deal with a wide variety of commonly held skin concerns.

Backed by clinical studies and protocols, marketing support and striking new branding, Jan Marini products are only sold to professional, accredited outlets.

A buffet lunch and refreshments are provided, limited spaces are available on the below dates to trade professionals:

Jan Marini Workshop & Seminar Tour 2011 25th January 2011 London

8th February 2011 Dublin

15th March 2011 Bristol

Full details of the above seminars are available on 020 8868 4411.

JMSR Europe Ltd. www.janmarini.co.uk info@jmsreurope.com

10th May 2011 Norwich

7th June 2011 Bournemouth

People in Profile | René Nagel

fOLLOWINg IN THE fAMILy FOOtStEPS We speak to René Nagel, chief executive of Nannic International

rené nagel has a passion for skin and the science of skincare. the chief executive of nannic international, rene is the third generation of his family to be involved in the beauty industry. in 1928, Victor nagels, rené’s grandfather, produced specially designed hair curlers, hairpins and curling irons, which became an instant success in his hometown of antwerp under the brand name of Vivet and can now be seen in the El Figaro museum in sint-niklaas, belgium. between the two world wars when materials were scarce Victor taught his family: “the paucity of things can lead you to creativity. think well, investigate and discover.” this has been the ethos underlying the nagel family business ever since. Each member was encouraged to find something new. the following generation saw rené’s father steer the business from hair to skincare and to merge with Hebea, a French cosmetic brand. the company grew until it was split into sub-companies by the third generation of nagels – rené and his siblings - and in 2001, under rene’s directorship, nannic international was born to concentrate on the research and development of skincare products.

market at the professional beauty show at london’s ExCel centre in march this year but while nannic is new to the uK aesthetics market, the company has been manufacturing products for other brands in the uK for several years now. rené is excited about the prospect of expanding into this field. He says, “We may not launch big sales campaigns but we hope that people here will try our products and discover their benefits. We are looking forward to working with salons and stockists who share similar goals to us – i.e. the pursuit of long-term benefits for the skin rather than one-off sales for short-term effects.”

RESEARCH AND DEvELOPMENt in nannic’s on-site laboratory in Heist-op-den-berg, belgium, research is always taking place. rené tells us that the latest addition to the nbE500 range of treatment products – which already includes creams for lifting, loose skin, couperose (rosacea), acne, fat reduction, cellulite and straie (stretch marks) – will soon be ready for production and will be aimed at targeting enlarged pores. one of the nannic’s strengths, rené explains, is that they are regularly involved in research with other scientists and other research centres around

in his pursuit of the family ethos rené has produced

never complacent and always looking for new

the world. “open-mindedness and cooperation

several innovative products, the first self-tanning

ways to innovate the skincare market and there

with other professionals is the key to a successful

lotion in a spray can – the ‘tan in a can’ - launched

are still many new products in the pipeline, waiting

new discovery,” says rené. “look at our anti-age

in 2001; rinse-off deodorant, deodouche, and the

for confirmation of their financial feasibility. “We are

Factor, for example. it is based on a partnership of

first deodorant based on silver ions, deo Wipes.

working on an anti-uV face wash at the moment,

knowledge - one researcher for salt algae, another

which creates a protective shield against uV-rays

for sweet algae and another for plant extracts, oils

He is also the inventor of the nbE500, a treatment,

and works with the electric charge on your skin,”

and fats!”

which combines radio-frequency heat with

says rené. “We are also planning to produce

specially designed creams to treat a variety of

nbE500 creams, which can be used between

though his position at the head of nannic involves

skin complaints and stimulate the skin’s natural

treatments. the creams are unique because we use

a myriad of roles, rené is still very much engaged

production of collagen and elastin. the nbE500 has

a lamellar crystalline base, identical to the bilayer

in the daily activity of research and development

already proven popular on the continent, since its

of the skin, which enables the active ingredients to

and inevitably his work involves lots of travel, not

launch in september 2009, particularly in sweden,

penetrate deeply. We are already seeing a strong

only for sales and promotional work, but also to liaise

the netherlands, belgium and switzerland and

demand for these creams, especially for cellulite

with researchers and laboratories across the globe.

nannic recently celebrated the sale of its 100th

and acne.”

indeed, searching out the best quality ingredients

machine in July this year.

NANNIC IN tHE UK

for his products is one of rené’s major passions. For example, he uses kelp from a particular region of

While rené and the rest of the nannic team are

nanniC was launched in the uK in september

brittany, France, where the nutrient-rich, cold water

excited by the success of the nbE500, they are

2009. the nbE500 device was introduced to the uK

gives the kelp a rich mineral content. the silicone

22

cosmeticnewsuk.com

for his sublime teint foundation and golden legs all-over body foundation was sourced in Japan, where he found it could be produced at exactly the right density. “We use a minimum of two base creams for our skincare products and a much higher ratio of active ingredients than average. that’s where most of our costs go, but there is no compromise on this point”, rené says. His passion for quality often reveals his uncompromising determination – for example, unsatisfied with industrial hemp oil, which often loses its essential nutrients, rené developed his own oil press and sourced the most effective type of cannabis seeds with the cooperation of the belgian ministry of agriculture. all this has ensured that the hemp oil used in nannic’s

pigment in the skin. this is a totally different process from treatments based on

Hand and Foot repair creams contains the omega 3 and 6, anti-oxidants,

aggressive acid peels or other citotoxic substances. our interest is to deliver a

glycerides, vitamin E and carotene (provitamin a) which make them so

product that gradually improves the skin’s own mechanism so as to produce

effective against cracked heels and winter hands. With a contented smile rené

a healthy and long-lasting result instead of a short-term and short-lived effect.

says, “Hard work but we made it!”

RENé’S PHILOSOPHy

i am often asked if we only use natural ingredients. the answer is ‘no’ although some of our products are over 50% botanical based. actually i am happy to substitute some plants extracts for their derivatives. if we can learn the benefits

While science is a necessary tool in the development of nannic products, rené

of flora and re-create their function scientifically, it means that we can spare the

emphasises his respect for nature. “i am extremely interested in the power of

plant. nannic products still heavily depend on the gifts of nature, but wherever

nature – what we can learn from nature and also what our body is naturally

possible i try to replace them with scientifically achieved derivatives. it is my way

capable of. behind all nannic products is a philosophy: to respect the naturally

of respecting the environment we live in.”

occurring growth process and the self-healing capacity of the body.” He says, “i know everybody nowadays is attracted to instant results – a reflection of our

last but not the least, rené points out another strength of his organisation,

fast moving society. but we must respect the biological clock in each of our

“although we have distributors in more than 20 countries world-wide, we are still

cells if we want to render long-term benefits to the skin. our skin tone balancer,

relatively small. that’s why the relationship between headquarters, distributors

for instance, progressively reduces the size and colour of age spots and other

and stockists remains close, reciprocal and hands-on. nannic still feels like a

hyperpigmentation by changing the production and distribution activity of

family business and we like it that way!”

Nannic NBE500

THE ULTIMATE SKIN REJUVENATION TREATMENT Radiofrequency with patented bipolar coaxial technology and IDEA-approved lamellar creams What does the NBE500 do?

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Promotes cell turnover and production Increases the moisture retention of the skin Improves the supply of oxygen-rich blood Increases uptake of active ingredients Aids the structure of connective tissues Strengthens the miofacial muscles Reduces pore size Initiates liposysis Drains the lymph system (Detox) Reduces free radicals

Compact body: 38cm x 20cm x 15cm

• • • • • • •

Painless No side effects 6 specially designed NBE products Bi-polar probe in two sizes No medical supervision required CE-approved 2 year guarantee Free training

www.nannicuk.com Tel: 0207 221 3933 / 07092 846 092 E-mail: info@nannicuk.com

Special Feature | Hair Removal

Hair Today gONE

TOMORROW WE tAKE A LOOK At tHE EvOLUtION OF LIGHt-BASED HAIR REMOvAL tREAtMENtS

unwanted hair is a huge problem for many men and women and, as such, hair removal has become on of the top things on the agenda of clients visiting beauty salons and aesthetics clinics. the psychological trauma caused by excessive or unexpected hair growth can be huge and often motivates patients, especially women, to seek treatment. in recent years the hair removal industry has been revolutionised by the evolution of laser and intense pulsed light (ipl) treatments. With many people dissatisfied with traditional methods of treating unwanted hair such as shaving, waxing and tweezing, which can not only be costly over time but are also cumbersome and have a short term effect, the prospect of laser or ipl hair removal has proved to be an attractive one. offering quick, effective and permanent hair reduction on a wide range of body areas including the back, cheeks, chin, upper lip, shoulder, under arms, legs and arms, light-based treatments have grown in popularity over the last decade especially since advances in the field have widened the scope of treatment for patients with darker skin and lighter hair.

24

cosmeticnewsuk.com

H

air removal is most effective when the hair colour being targeted is darker than the skin colour, due to the absorption of light by the melanin

or pigment, which acts as the chromophore or target of the light. treatment is therefore most effective on patients who have black or brown hair and pale skin with darker skin types as well as blonde, white and red hair colours more difficult to treat and in some cases contraindicated. there is no such thing as completely permanent hair removal with any laser or ipl machine, however an ever-increasing number of published studies have confirmed the long-term efficacy of these treatments. Each person’s hair growth pattern is different and is affected by many known and unknown factors, mostly hormonal influences. laser and ipl will cause a dramatic and permanent hair reduction, with remaining hair re-growth becoming finer and lighter. most people who complete a course of treatments will find they get an extremely effective hair reduction during the course and very little hair re-growth following. some people will actually get complete hair reduction with no re-growth and others will require regular maintenance treatments once a year or so.

lasEr HAIR REMOvAL

IPL

a laser is essentially a high-energy beam of light with unique properties.

intense pulsed light (ipl) systems differ from lasers in that they can deliver multiple

laser light consists of photons (small particles of light), which are emitted

wavelengths (or colours) simultaneously. ipl systems emit a broadband spectrum

from the laser and all these photons have the same wavelength or colour.

of light, which is then filtered to deliver a specific band of wavelengths to the

different wavelengths of light are preferentially absorbed by certain types

tissue. by placing appropriate filters on the light source, wavelengths ranging

of tissue (chromophores) and as such different laser light can be used to

from 590-1200nm can be generated. Cut-off filters are used to eliminate short

target different chromophores in the skin such as melanin, hemoglobin or

wavelengths so that only the longer, more deeply penetrating wavelengths are

water. different types of laser emit different wavelengths of light so typically

emitted. pulse durations vary in the millisecond domain. a single or multiple pulse

a particular laser will be more suited to targeting a specific chromophore

mode (two to five), with various pulse delay intervals, can be chosen. the wide

and therefore lasers are usually designed to treat a specific indication.

choice of wavelengths, pulse durations, and delay intervals makes this device potentially effective for a wide range of skin types. because of the ipl’s unique

the light energy beam of the laser is sent to a group of hair follicles with

multiple, wavelength spectrum, the treatment can be customised according to

enough power to destroy the hair follicles but not enough power to harm

an individual’s skin type, skin colour, hair type and texture.

the skin. the focused laser light is absorbed by the melanin in hair follicles deep in the dermis. this process is called selective photothermolysis (photo

during an ipl hair reduction treatment the intense selective light of the ipl

means light and thermolysis means destroying with heat). it is selective

penetrates the skin and is absorbed by the melanin (pigmentation) in the hair. this

because it targets only the hair and not the skin. only hair in the active

absorption heats the hair and the heat is transmitted to the hair the follicle. the

growth phase – the anagen phase – will be destroyed during treatment.

follicle is heated for a millisecond and is thus killed. Hundreds of hair follicles are destroyed by each flash. after the treatment, in one to two weeks time, virtually all

research and extensive clinical use of lasers have identified four important

the visible hair (except white or red hairs) in the treated area will fall out.

parameters to optimise the efficacy and safety of a laser treatment: •

Wavelength

You must have enough heat to destroy the follicle and this heat must be deposited

•

Cooling

on the follicle and not scattered. the skin colour or the level of pigmentation you

•

Fluence (selection of energy levels)

are presented with. in a very light skin and less pigmented hair you need a high

•

Number of treatments

fluence (up to 48J/cm2). on a dark skin or tanned skin you need enough fluence to destroy the follicle but you have to take care not to cause damage because

WAvELENGtH

of the higher level of pigmentation. the pulse width, pulse repetition rate in one

there are many types of laser hair removal systems available. Each has

shot and pulse form the device can deliver. the ipl system must have the ability

a specific set of advantages and disadvantages depending on the skin

and offer you the choice to enlarge the pulse width and the form of the pulse

colour and hair colour of the candidate. lasers that operate in the red or

and pulse. pulsed light systems are seen as a good alternative to lasers for many

near-infrared wavelength region (694-nm ruby laser, 755-nm alexandrite

people who are conscious about price as they are less expensive and offer a safe

laser, 800-nm diode laser, 1064-nm nd: Yag laser) are effective for hair

treatment at a lower energy level, comparable results at lower capital outlay.

removal.

On the following pages we round up some of the best laser and IPL hair

COOLING

removal devices on the market...

the cooling system of the lasers has an effect on the safety of the treatment and the comfort of the patient. during a treatment the skin may be protected by a gel, cooling spray, cryogen or contact cooling. a

before and after ipl hair removal on the chin

recent study has shown that when cryogen cooling is used it should not be larger than a 10mm spot, with a larger spot cryogen cooling is insufficient and has adverse effects. Contact cooling whereby a cooling tip is placed in direct contact with the skin, is currently considered as the most effective cooling method because it can safely be used with a large spot size (spot size affects the speed and penetration of the laser, the larger spot penetrates deeper).

FLUENCE studies have shown that the percentage hair loss is fluence-dependent, with higher percentages of hair loss at higher fluences. Hair colour and skin colour determine the best fluence to use. Each skin type has its own threshold at which pigmentation changes colour. With multiple pulsing of the laser the incidence of pigment changes increases without the increase in efficacy. For this reason, double and triple pulsing is not recommended.

before and after ipl hair removal on the back

NUMBER OF tREAtMENtS depending on your hair colour, and the body part to be treated three to seven treatments are usually needed for permanent hair reduction. Hair

before and after ipl hair removal on the neck

will grow less and less until the desired result is achieved. light based hair removal requires the presence of a pigmented hair shaft, re-treatment can be performed as soon as re-growth appears (resting follicles are not damaged by the laser). because hair grows in stages, only hair in the active growth phase can be treated by any system. as dormant hair becomes active they will require treatment. re-growth is based on the natural cycle, which varies by anatomic location, but the average time is six to eight weeks. Certain areas (back and face in men, for example) may require a prolonged treatment whose exact duration cannot be predicted in advance.

pictures courtesy of Cedars Health and beauty, gloucester

Special Feature | Hair Removal

soprano™ Xl (ABC LASERS)

APPLISONIx

as the leading laserdiode hair

applisonix is the world’s first clinically proven ultrasound hair removal

removal system available, the

device, offering a long term solution for all hair colours and all skin tones.

soprano Xl combines the gold

ultrasound waves are channelled precisely down the hair shaft. in the

standard features of 810nm

process they transform to thermal energy that super heats the hair growth

diode Hr with an exclusive sHr

areas and inhibits regrowth. applisonix ultrasound waves are bound to the

‘in motion’ approach, which

hair shaft and do not dissipate in to the skin giving you pain free treatments

delivers safe, fast and effective

without side effects. this

results. soprano Xl claims to be

pinpoint precision also

the world’s first virtually painless

enables treatment of

laser-based hair removal system.

highly sensitive areas like

Harnessing cutting-edge laser

eyebrows or the upper

technology, the treatment

lip without side effects.

quickly and permanently

in controlled clinical

removes unwanted hair, whilst

studies, applisonix

ensuring your clients remain

delivered an average

comfortable throughout. suitable

of 38% hair reduction

for all areas of the body and all

after only the first two

skin types, soprano Xl has a large

treatments. With a sleek,

spot size to deliver fast results in just a few short sessions with no recovery

ergonomic design the

time and very few side effects. the soprano also boasts the highest fluence

applisonix system is

and fastest throughput on the market at

extremely portable and

120 J/cm2. in-motion™ laser technology

soprano before

maximises space.

generates pulses of infrared diode laser energy, which gradually heat the hair

CANDELA gEntlEmaX

follicles until they can no longer produce new hair. this also eliminates the problem of patchy hair removal. the soprano Xl has

gentlemaX offers

seven different treatment programs, one for each of the potential skin types plus the new sHr mode. With soprano Xl numbing

gentlemaxbefore and after

soprano after

practitioners unsurpassed speed,

gels and anesthesia are also a thing of the

efficacy and ease-

past as a unique dualChill™ treatment tip

of-use, and offers

cools and calms the skin, ensuring the most

its customers a configurable,

comfortable treatment possible.

multiple wavelength device without compromising on

HarmonY Xl™ (ABC LASERS)

product specifications, power

as abC lasers’ flagship device, the Harmony is a multi-application, multi-

or performance. Versatility

technology system. the only Fda approved laser platform for up to seven

is synonymous with the

distinct indications including tattoo removal, hair removal, skin rejuvenation/

gentlemaX, which combines

tightening and acne, the single unit provides maximum flexibility, with

755nm and 1064nm treatment

multiple interchangeable modules and guaranteed upgradeability to

capabilities, and removes

accommodate a growing aesthetic practice. the Harmony Xl™ uses

unwanted hair, leg and facial

a combination of laser and near infrared technology and light based

veins, fine lines and wrinkles,

technologies for superior clinical outcome. its most unique innovation

vascular and pigmented

comes in the form of its advanced Fluorescence technology (aFt™)

lesions and skin laxity. Candela

a fourth generation ipl application for a wide range of skin treatments

gentlemaX is the fastest laser of

including skin rejuvenation, vascular/pigmented lesions, hair removal and

its kind, offering unprecedented

acne. the system also includes long-pulse 1064nm nd:Ya g technology

speed of 18mm spot sizes and

for the treatment of facial wrinkles, as

repetition rates up to 2Hz, with

well as deeper and reticular leg veins

fewer laser pulses. its 26,333 watts

and hair removal; Q-switched nd:Ya g

of peak power gives the gentlema X speed, efficacy and ease-of-use

technology for the treatment of tattoos

advantages over all other platform devices. the gentlemaX treats all skin

and dermal pigmented lesions; Erbium Yag

types, its dual wavelength capabilities giving it the ideal settings to suit the

laser technology for minimally ablative

steady flow of clients through your door, including those with tans.

resurfacing procedures including wrinkles and scar revision; long-pulse 1320nm

26

nd:Ya g technology for the non-ablative

CUtERA proWaVE™

treatment of facial wrinkles, improving the

proWave’s (770-1100nm) multiple wavelength technology switches modes

appearance of photo-aged skin as well

from alexandrite to diode to near nd:Yag. With unrivaled versatility and

as for non-ablative scar reduction; pulsed

speed, proWave achieves maximum results, safety and repeatability.

uVb technology for restoration of lost

Clinical studies showed > 80% hair reduction six months post three

pigment and psoriasis; pixel 2940nm Er:Ya

treatments. proWave’s versatility speaks for itself. it has push button control

g technology for fractional ablative skin

automatically shifts the wavelength and pulse width tailoring the treatment

resurfacing; lEd – for sports therapy and

to optimise hair removal efficacy. Fast treatment speeds save time and

to reduce inflammation and alexandrite

money. time for an average back is 15 minutes, full legs in 10 minutes and

755 lHr.

no numbing cream is required.

cosmeticnewsuk.com

LYNTON -THE GOLD STANDARD LASERS FOR HAIR REMOVAL LIGHT SERIES

LUMINA

The latest multifunctional Alexandrite, KTP and Nd:YAG Laser Platforms

Intense Pulsed Light, Laser and Q-Switched Laser technology

• High power Alexandrite Laser • The Gold Standard in hair removal • Excellent ROI potential • Suitable for all skin types • Ideal for medi-spas and clinics, GP’s and Hospitals

• Select IPL only, or IPL & Laser options • High power for fast results • Lifetime flexibility & adaptability • Integrated printer for treatment recording • Integrated patient database

THE LYNTON RANGE OF SYSTEMS MATISSE

OMNILUX

Fractional laser system for dramatic skin rejuvenation and resurfacing

Medical light therapy for skin rejuvenation and repair

Q PLUS

LUMINETTE ADVANCE

Multi-Wavelength Q-Switched Lasers for tattoo and pigment removal

Desk-top medical aesthetic Intense Pulsed Light system

THERMALIPO II

SKIN ABRASIVE

The latest radiofrequency system for facial and body contouring

Microdermabrasion system for controlled exfoliation

LIPAWAY

CRYO

Selective Subdermal Body Shaping Ultrasound technology

The ultimate forced air cooler for client comfort and safety

To find out more about how this range of products can benefit your business, please call 0845 612 1545. Alternatively, visit www.lynton.co.uk where you can request a FREE product demonstration.

Special Feature | Hair Removal

CyNOSURE ElitEmpX

CUtERA CoolglidE© Cynosure’s versatile Elite mpX

the Coolglide (1064nm nd:Yag) laser is cleared for permanent hair reduction

aesthetic Workstation allows

in all skin types (i-Vi), including tanned skin in the summer, and is endorsed

users to perform multiple laser

by physicians worldwide. patented powerFlex™ technology provides fast

applications quickly and

treatments and high efficacy; allows independent control of fluence, pulse

efficiently for patients of any

duration and repetition rates to tailor your treatment parameters. Copper

skin type. as with smartlipo

cooling provides an efficient method of cooling for optimal skin protection

mpX, the device incorporates

and comfort. large spot size for maximum speed and optimal penetration at

multiplex technology – in

all follicle depths.

this case blending 755nm alexandrite and 1064nm nd:Yag laser wavelengths. additionally there is the option of using only Xenon pulsed

LUMENIS m22™

light (Xpl2) technology, thus

the lumenis m22™

creating one of the industry’s

is a modular multi-

most innovative workstations

application platform,

for long-term hair removal,

featuring ipl and

skin rejuvenation and the

nd:Yag modules

treatment of vascular and

for a variety of

pigmented lesions. the

indications including

ability to blend these two gold standard wavelengths translates

permanent hair

into greater control of outcomes for practitioners, and greater

reduction. like

satisfaction for patients. this is especially true for achieving long-

the lumenis one,

term hair removal.

lumenis’ flagship

ELLIPSE I2PL Hair rEduCtion

multi-platform system, the m22™

Ellipse i2pl contains a dual mode filtering system, which ensures

is equipped

that only clinically relevant wavelengths are directed onto the

with optimum pulse technology (opt™), in an more affordable system.

skin. the key benefit from other ipl treatments is that no active

this technology delivers the right pulse and fluence for each application.

skin cooling is needed. the light from other ipl systems can be

physicians can safely and efficiently treat a variety of skin types by controlling

absorbed into the blood and water in the skin meaning cooling

each pulse shape and width. multiple-sequential pulsing enables permanent

agents have to be used. Ellipse i2pl for hair removal works by

hair reduction on darker skin.

targeting only the melanin (pigment in the hair). as the light is absorbed it breaks the bond between the blood supply and the hair follicle rendering the hair follicle unable to produce hair.

ligHt sEriEs (LyNtON LASERS)

28

LUMENIS ligHtsHEEr duEt the lightsheer is an extremely high-powered (2900 W) diode laser. lightsheer has the CE mark and is Fda approved for permanent hair reduction. long-

the light series systems are characterised by their ability to

term results of lightsheer treatments suggest that the single-pulsed, 810-nm

combine multiple wavelengths into a single unit results in an

diode laser is very effective for removal of dark, terminal hair. permanent

extremely cost-effective system that allows a wide range of

hair reduction can be obtained in 89% of patients. because of the longer

treatment possibilities and a rapid return on investment. Each

wavelength, the active cooling, and the longer pulse widths, darker skin

module that makes up a light series unit delivers high specification

types can be treated more safely. lumenis recently revolutionised the gold

resulting in clinical excellence. the range of outputs possible from

standard system with the addition of vacuum-assist technology and by

a light series system allow the skin’s natural chromophores to be

dramatically increasing the spot size to 22 x 35 mm. the lightsheer® duEt™

selectively targeted by the ideal wavelength and pulse duration to

enables you to treat backs and legs comfortably in only 15 minutes, making

deliver outstanding clinical results. the light series was developed

hair removal profitable, without

to satisfy the needs of today’s busy practitioners who wish to

anesthetics and gels. this system is

perform a wide range of aesthetic applications using a single,

equipped with two hand pieces:

cost-effective system. as demand for fast, effective hair removal

the lightsheer Et with a 9mm x

treatments continue to grow, alexandrite lasers at 755nm have

9mm spot size to treat small areas

cosmeticnewsuk.com

continued to be considered the gold

and the new lightsheer Hs (High

standard by leading laser specialists.

speed) with a 22mm x 35 mm

the light a offers both hair removal

spot size to treat large areas (the

for skin types i - iV and benign

largest spot size on any diode).

pigmentation removal, providing

the small spot size is used to treat

quick and effective treatments of

the upper lip, chin, ankle and

large body zones alongside precise

bikini areas whereas the Hs is ideal

accurate treatments for facial areas.

for the treatment of areas where

the light a* combines long pulsed

greater coverage is needed - the

nd:Yag and alexandrite resulting

back, shoulders, chest and legs.

in the most comprehensive hair

Clinical evidence has shown

removal system available. these

the Hs hand piece has three

wavelengths deliver outstanding

main advantages: treatment is

clinical efficacy for hair removal

rapid, discomfort is minimal, no

whilst being capable of treating all

anesthetic is required and no gel is

skin types safely.

to be used during the treatment.

Think green to preserve nature's beauty.

Think orange to enhance yours.

Demand for skin, hair and body treatments in the aesthetic laser market is experiencing record growth. By 2012, the number of annual procedures being performed is expected to more than double.* That’s not just mere potential —it’s unprecedented opportunity. With Cynosure, you can make the most of it. Our multi-application laser workstations and comprehensive business support systems are designed to transform practices, as well as patients.

Visit www.cynosureuk.com today to start transforming yours.

www.cynosureuk.com | info@cynosureuk.com | +44 (0)1628 522252 Cynosure UK, The Old Barn Offices, Lower Mount Farm, Long Lane, Cookham, Berkshire, SL6 9EE *Source: InMedica Research 2008

Special Feature | Hair Removal

NAtURALASER ipl sYstEm

SCItON ClEarsCan alX

naturalaser multi-purpose system

due to its rapid, non-sequential firing pattern, the

combines permanent hair reduction with

Clearscan alXfrom sciton provides fast treatments

skin treatments using light energy and

for permanent hair reduction, vascular and benign

photorejuvenation processes. a portable

pigmented lesions, as well as wrinkles. Computer-

hand-held unit makes it uniquely versatile

controlled scanning ensures that the 755nm

and ideal for all. the built in computer is not

alexandrite laser does not strike adjacent areas,

only programmed for hair reduction and

preventing uncomfortable stacking effects. Ensuring

photorejuvenation treatments, it also has

100% coverage, the Clearscan alXcomputer avoids

the added function of allowing specialised

overlap and missed areas that are common when

programmes to be undertaken. this touch

spot handpieces are used. a 250 W integrated,

screen interface is very quick and simple

sapphire-contact, cooling system with adjustable

to use. naturalaser ipl offers permanent

temperature provides increased comfort and

hair reduction functionality. this is a safe

improves efficiency and safety. “the non-sequential

and effective unisex treatment ideal for

scanning pattern makes this laser very comfortable,”

the reduction of unwanted hair on almost

noted gayle misle, md, of the reviv med spa and

all areas. Each hair has its own individual

laser Center in millbrae, California. “the heat is not

growth cycle, which means that the

directed in one area. it also has a superior cooling

majority of the hairs that are visible are all

system.” Clearscan alX’s fluence can be increased

at varying stages of growth. For effective progressive hair reduction it is essential to treat the

up to 140 J/cm2. the pulse period ranges from 0.5

hair when in anagen (growing stage). light penetrates the hair, damaging and destroying

to 200ms and treatment speed increases to 2.5cm2

tissues at the follicle, sparing the surrounding skin. the naturalaser ipl features unique freeze

per second at 20 J/cm2. spot sizes of 3mm and

head technology, which ensures a painless application.

6mm (single spot) and 30mm x 30mm (scanned area) allow efficient and efficacious treatment of an upper lip in less than a minute or an entire back in 20

PALOMAR starluX

minutes. the Clearscan alXis Fda approved for all palomar starlux is a platform

palomar before and after

skin types (Fitzpatrick ito Vi), including tanned skin.

system which allows a variety of application-specific hand pieces to fit one compact base unit, meaning the system can be affordably expanded to

sKinpulsE (SMARt HEALtH AND SAFEty)

increase the treatment repertoire

the skinpulsE 900rF incorporates radi-frequency

as a practice grows. this flexibility

technology to enhance ipl and increase efficiency

enables the practice to in invest

and client comfort in its multiple treatment

in a product that can grow

capabilities. the combination of ipl together with

with the business. palomar has

radio-frequency current is setting new standards

already invested in research

in the treatment of skin and hair. the treatment of

and development to introduce cutting edge technology to improve ipl performance.

dark skin types or the removal of light, i.e. weakly

pushing palomar ahead are developments such as photon recycling, enhanced bulb

pigmented and fine

technology plus more powerful machines

hairs is therefore

that deliver much higher levels of energy.

palomar before and after

more successful and

the pulse characteristics of the light are

efficacy is greatly

top hat smooth pulse technology rather

increased. the

than old-fashioned spike technology.

procedure offers

this technology allows delivery of larger

a wide range of

energies more safely and deeper

applications and has

into the skin. palomar has introduced

an excellent success

selective filters in the g handpiece for

rate. the skinpulsE

photorejuvenation where the wavelengths

systems uses new

from 500-650nm and 850nm to 1400nm

interchangeable

have been included but the mid section

chipcard filter

from 650-850nm has been excluded. this scientific research behind this development has

system allowing

shown the mid section to be unhelpful for photorejuvenation, simply causing unnecessary

the need for only

heating of the skin. the latest technologies, increased patient comfort and improved

one hand piece.

results offers differentiation within the beauty salon market and therefore enables a

intelligent software

palomar before and after

higher treatment

enables client

price to be charged

exact treatment parameters to be entered with over

and justified.

1500 pre-set treatment protocols inputted. Further adjustment can be made to give client, condition, and treatment exact execution of procedure. touch screen technology provides an easy to use operator interface.

30

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Be the Best

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20/10/2010 14:29

Clinical Study | Combining RF and Ultrasound

p

SHAPINgU

We examine the results of a clinical study by Dr Hector Leal into the combined modality of focused ultrasound and radio-frequency for non-invasive fat disruption and body contouring ABSTRACT

Background: combining treatment modalities for fat disruption and body shaping has been frequently performed to achieve a synergistic effect. these modalities are usually used with time intervals between treatments due to safety concerns. focused ultrasound (fus) is a well-known method to disrupt fat tissue. this technology has a high safety profile when using cavitation effect as opposed to a thermal effect. our objective was to prove that treating with fus technology and radiofrequency (rf) in one session is safe and can achieve meaningful results.

Material and Methods: 24 subjects were treated in the abdomen during a single session, which included rf treatment (reaction™, viora) immediately before and after a treatment with non-thermal focused ultrasound (contour i, ultrashape®). two ultrasound treatment protocols were used, each in 12 subjects. subjects were evaluated at day seven, 14 and 28 after the day of treatment. safety variables included adverse event collection for the whole study population and laboratory evaluation in 12 subjects. Primary efficacy variables included circumference measurements.

Results: at 28 days, combined ultrasound-rf treatment resulted in mean circumference reductions of 3.0cm - 3.4cm depending on the ultrasound protocol used. 93% of subjects experienced a circumference reduction greater than 1.5cm. only one mild adverse event was reported and was attributed to operator misuse of the rf device. lab tests were normal throughout the study.

Discussion and Conclusion: using fus combined with rf, in one treatment session to disrupt fat tissue for the purpose of body contouring, is safe, effective and well tolerated.

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INTRODUCTION

Current invasive technologies for local fat disruption for the purpose of body contouring include liposuction, ultrasound-assisted liposuction and laser-assisted liposuction, however, there is an increasing demand for non-invasive body contouring treatments that effectively and safely reduces unsightly local fat deposits in men and women.

Focused ultrasound (Fus) applied by Contour i, ultrashape®, targets and selectively destroys local subcutaneous adipose tissue1. this focused ultrasound technology does not damage neighboring structures such as blood vessels, nerves, connective tissue, or muscles. radio-frequency (rF) technologies, which use electrical current, have been introduced as a new approach for the purpose of body contouring although not for local fat disruption. Combined treatment modalities for fat disruption for the purpose of body contouring are frequently used in order to achieve a synergistic effect. these modalities are usually used with time intervals due to safety concerns. this study rationale was to test the hypothesis that in subjects treated for local fat deposits for the purpose of body contouring, application of rF modality immediately prior and immediately after ultrashape® Fus treatment is safe, and may induce a significant body contouring effect after only one single treatment session.

MATERIAL AND METHODS

PAtIENtS AND tREAtMENt PROCEDURES a total of 24 healthy female subjects were enrolled in this prospective, open label study, conducted in a single center, in monterrey, mexico. all subjects were treated in the abdomen during a single session, which included combined treatment by radio-Frequency (reaction™, Viora) with non-thermal focused ultrasound (Contour i, ultrashape®). group a comprised of 12 subjects, who were assigned to a combined treatment by rF immediately prior to and immediately after a single pass procedure of high power focused ultrasound. group b comprised of 12 subjects who were assigned to an intensified combined treatment by rF prior to and immediately after a double pass procedure of high power focused ultrasound. main inclusion criteria were a body mass index (bmi) of <30 and an abdominal fat thickness of at least 2.5 cm prior to treatment, as measured by commercial pinch caliper. the focused ultrasound treatment was applied according to the manufacturer’s instructions using a hand piece whose positioning was monitored and guided by the Contour i real-time video tracking and guidance system. the rF treatment was applied for 15 minutes immediately prior to and an additional 10 minutes immediately after the focused ultrasound treatment in all subjects. the rF frequency mode used was 0.8 mHZ, which is suitable for deep layer (15-18mm) treatments.

EFFICACy AND SAFEty PARAMEtERS subjects were followed at 14 and 28 days after the treatment session. primary efficacy variable consisted of circumference reduction at 28 days. Circumference measurements were assessed at three heights in each visit. Efficacy was evaluated by analysing the greatest reduction achieved out of the three measurements. other efficacy variables included photographic assessment for body contouring changes at the treatment area, and subject satisfaction assessed by a questionnaire.

Weight change was monitored to distinguish weight loss-induced body contouring changes (defined as weight reduction/increase greater then 2%) from the combined treatment procedure-induced body contouring changes. safety variables included adverse events collection and laboratory assessment for subjects in group b. blood tests included complete blood count and basic chemistry, liver markers and fasting serum lipids and were collected at one, 14 and 28 days after treatment.

RESULTS

EFFICACy all subjects completed the combined treatment according to the protocol. 28 days after treatment, combined ultrasound-rF treatment resulted in mean circumference reductions of 3.0 cm, 3.4cm and 3.2 cm, in group a, in group b and in the combined two groups, respectively. 14 days after treatment, combined ultrasound-rF treatment resulted in mean circumference reductions of 2.8cm, 3.5 cm and 3.1 cm in group a, in group b and in the combined two groups, respectively (table 1). tABLE 1: Circumference reduction in all treated subjects group A+B

Group A

Group B

Day 14

-3.1

-2.8

-3.5

Day 28

-3.2

-3.0

-3.4

mean weight change was -0.8 % (0.5kg). at 28 days, three out of 24 subjects had a weight change greater than 2% compared to baseline.

When excluding these subjects from the analysis, combined ultrasound-rF treatment resulted in mean circumference reductions of 3.1cm and 3.6cm in group a and in group b, respectively (table 2). tABLE 2: Circumference reduction in treated subjects with less than 2% weight change

Day 28

Group A

Group B

-3.1

-3

SUBJECt SAtISFACtION 100% of subjects indicated they are satisfied by the treatment results.

SAFEty no serious adverse events were reported throughout the study. only one mild adverse event consisting of small blisters was reported and was attributed to faulty operation of the rF device. the combined treatment was well tolerated in both groups, and no clinically significant treatmentassociated changes in laboratory values were observed. notably, no treatment-induced elevations in serum lipids, lipoprotein levels or liver markers were detected.

Fig. 1: subject percentage in different circumference reduction categories after only one single treatment session (Combined group a+b)

DISCUSSION

this study results indicate a significant effect on circumference reduction and body contouring by ultrashape® focused ultrasound when combined with rF and vacuum treatment. these results were achieved by only one single treatment session, and can be noted as early as 14 or 28 days after treatment. this significant circumference reduction effect may indicate a 50% greater mean

circumference reduction than was achieved by a single treatment session of Fus alone in the teitelbaum et al study published in plastic and reconstructive surgery, september 2007.2,3,4 these results also indicate a trend toward greater efficacy of the combined focused ultrasound and rF and vacuum by applying a double pass of focused ultrasound. the ultrashape® focused ultrasound system induces focused ultrasound wave to disrupt adipocytes by a mechanical effect in order to improve body contouring. this specific effect, termed a cavitation effect, is different from the thermal effect induced by other ultrasound systems intended for body contouring. the cavitation effect induced by ultrashape® system enables selective fat disruption without harming surrounding tissues such as blood vessels and nerves. this selectivity permits treatment sessions with no down time, with patients resuming normal activity immediately after treatment. rF treatment is indicated for body and faces contouring, temporary reduction in the appearance of cellulite, improvement in local blood circulation, wrinkle reduction and skin tightening. today, rF treatment is not approved for fat reduction purposes. rF treatment goals are achieved by selection of different operation modes which use different rF frequencies and vacuum level. several explanations may exist for the increased efficacy of the combined us and rF modalities found in this study. While the disruption of adipocytes is achieved only by the focused us, the application of rF treatment may increase its effect and the free fat clearance from the treated area. the application of rF in its deep layer mode (low frequency) immediately prior to focused us may increase the disruptive effect on adipocytes by increasing the dissolved gasses in the affected area (thus reducing the cavitation threshold for the ultrasonic wave). When used in this deep layer mode, rF application may also accelerate the clearance kinetics of the released triglycerides from the disrupted adipocytes by inducing vasodilatation and increased blood flow. thus, the natural metabolic pathway in which triglycerides released from adipocytes treated by ultrashape and ultimately travel to the liver5 may be accelerated. another explanation for the increased effect achieved by the combined treatment is the fact that rF applicator utilises rF and mechanical vacuum manipulation to maximise the penetration of rF energy into the treatment area. the vacuum used to induce coupling of the rF applicator to the skin and mechanical massage, may accelerate lymphatic drainage of released triglicerydes from the disrupted adipocytes. the combined single treatment session was well tolerated even when intensified by a second rF session (immediately after the us session) and a double pass us session. in this study, no serious adverse events were noted and only one local mild adverse event appeared following faulty operation of the rF device. the high safety profile of this combination of body contouring modalities may be explained by the fact that focused ultrasound applied by ultrashape® technology induces a cavitation effect rather than a thermal effect. therefore, the combination of therapies does not add up to a thermal injury to adjacent tissues such as blood vessels, nerves or skin. the study results also indicate a normal lipid profile and liver markers throughout the study for the intensive treatment group. this

fact may be explained by redundancy of normal metabolic pathway involved when focused ultrasound is applied by ultrashape® technology.

Fig. 2: 45-year-old female before and 28 days after treatment (circumference reduction of 6.8 cm and weight change of 0.2kg)

Fig. 3: 24-year-old female before and 28 days after treatment (circumference reduction of 4.9 cm and weight change of 0.5kg)

CONCLUSION a single treatment session of combined modality of focused ultrasound and radio-frequency for noninvasive fat disruption and body contouring is safe and well tolerated. the single treatment protocol presented here shows significant circumference reduction achieved as soon as 14 days after the treatment, and provides a new opportunity for clinics who want to offer a single session with immediate outcome.

REFERENCES

1. brown s et al. plast. reconstr. surg. 124: 92, 2009 2. moreno-moraga J et al. lasers surg. med.

39:315–323, 2007 3. teitelbaum s a et al. plast. reconstr. surg. 120: 779, 2007 4. leal H et al. presented at the american society for laser medicine and surgery conference 2008 5. brown s http://www.bodyclinic.ch/img/ Fatmetabolism_after_treatment_ with_Contour_i_by_ultrashape.pdf

Treatment Spotlight | Rennova

IN PRACTICE In practice aesthetic nurse practitioner Lucy Banks and Dr Elisabeth Dancey present their clinical findings as part of an in-clinic study into the use of the dermal filler rennova for upper cheek augmentation and facial rejuvenation

Dr Elisab ElisabEth DancEy Danc Dr Elisabeth Dancey was one of the early practitioners of cosmetic medicine and has trained and practiced in the UK and Belgium. She continues to be at the forefront of cosmetic medicine having introduced mesotherapy to the UK in 1992 and electroridopuncture in 1995.

She has worked on several commercial projects associated with her early work on cellulite and oversaw the consumer trial of Roc’s anti-cellulite cream and later assisted Vibrant Medical with their pilot study and launch of the Vibrotone cellulite reductions system. Dr Elisabeth Dancey has also written a book The Cellulite Solution and later the video, ‘Beautiful Legs’, she also featured in the original series of Ten Years Younger and continues to regularly feature in the media and on television.

l lucy banks rGn r Lucy Banks RGN has been working with Dr Elisabeth Dancey for close to 10 years and qualified in nursing two years ago, joining her team at the Belgravia Practice, Bijoux Medi-Spa. Trained by Elisabeth in non-surgical medicine Lucy is able to implement advanced techniques of fillers and botulinum toxin and enjoys the artistry and independence that aesthetic medicine brings. Prior to her role at Bijoux, Lucy also has a BA in English and worked in communication and public relations.

Bioabsorbable fillers have been the mainstay of facial rejuvenation since the late 1980s. Hyaluronic acid fillers were first described in 1998 and have been used successfully since then, with increasing popularity. until recently, facial rejuvenation techniques were directed

to be created. this suggests that the deep supraperiosteal

specifically at the line itself. as our understanding of facial

fat stores are key to the maintenance of a young face.

ageing has increased, so has the sophistication of filling

this gave the authors reason to introduce a toxin early into

techniques and the availability of products to satisfy this

the management of the ageing face, but also made us

new thinking. a landmark study published in 2002 (sasaki,

appreciate that filling lines and adding to the superficial

gordon H. m.d.; Cohen, andrew t. m.d) proved that

fat stores was not a rational solution. the deep fat stores

facial fat is not one homogenous mass but rather a series

needed to be replenished in order to regain the roundness

of well-defined andanatomically demarcated fat pads.

of the face.

Furthermore the authors delineated the decline of the

one of the most common complaints in aesthetic medicine

respective facial fat pads and put these into context

is the development of nasolabial lines or folds. Historically

with the chronological features of the ageing face. this

these were filled to some degree of success. lines respond

changed our appreciation of how we view the ageing

well to filling but gravitational folds do not respond; indeed

face and introduced the concept of volume replacement.

an unwelcome exacerbation of the fold frequently occurs as products slips superolaterally.

it is not only the fat pads that change with age; the facial

many trials of filler products centre on the nasolabial

bones, muscles, soft tissues as well as the skin itself alter

folds; understandable in view of their reproducibility,

with each passing year. many physiological and catabolic

measurability and ease of administration.

processes reduce the soft tissues and the mandible and, contrarily, increase other aspects of the skull such as the orbital margins. the most visible summation of these effects is a softening of the roundness of the face, an increased scatter of light reflected from the surface of the skin, and an altered balance between the width of the upper face compared to the lower face. this is frequently compared to the inversion of a triangle. in 2005 le louarn, buthiau and buis identified the ageing marker fascicles (amF) illuminating how, with repeated muscle movement over a lifetime, muscles change from being flexible to being rigid, increasing their resting tone and pressing on the deep-lying fat tissues. the deep lying fat is expelled outwardly to the surface level, where it remains

“as our understanding of facial ageing has increased, so has the sophistication of filling techniques and the availability of products to satisfy this new thinking”

on either side of the muscle, causing hollows and masses

cosmeticnewsuk.com

35

Treatment Spotlight | Rennova

OUR STUDY We decided to challenge the rationale of injecting locally and

of the zygomatic arch. the loss of this fatty area is directly responsible

to inject in a more rational manner, given the understanding of

for the appearance of nasolabial lines and folds, allowing the tissues of

the underlying processes. We also decided to investigate the

the upper face to fall unsupported downwards and medially. only by

psychological effects of rejuvenating the face, based on anecdotal

remedying this area and resupporting the face do we achieve resolution

observations.

of the nose to mouth area. We used a monophasic Ha filler new to the

one of the early areas of the face to disappear is the lateral fat pads,

uK market, rennova, to illustrate our point and to begin to unravel the

together with the lateral cheek pad, lying directly under the highest point

psychological effects of a filler.

PATIENT, PRODUCT AND SITE SELECTION We selected 14 healthy volunteers aged between 40-77, who had not had a filler substance in the last six months. We used rennova Fill, a monophasic cross-linked, hyularonic acid gel. Whilst rennova lift is the product within the range indicated for cheek, augmentation (with a greater viscosity) we decided to use rennova Fill in view of its short duration of action, should the clients not like the result. two of the study group were treated with an analogous Ha filler from a major brand. the upper cheek was the selected site. the upper cheeks were divided into three zones, working inferior to the infraorbital rim, from the mid-pupillary line laterally to the malar mound.

1ml of the product was administered to each cheek by deep, bolus injection to the supra- periosteal plane. Volunteers were injected across the three sites of each upper cheek, the amounts tailored to the volumetric requirement at each site. a 26g (brown) needle was used and, once injected, the product was first flattened and then massaged laterally, to encompass the medial and lateral infraorbital groove and hollow, the sub-malar hollow and malar mound.

OUTCOMES Results were measured by photographs taken directly before and after the treatment. In each volunteer the technique showed an immediately enhancing effect, working in particular to reframe their eyes and create a more refreshed and youthful appearance, to a greater or lesser extent. Also apparent was a lift, albeit subtle, to both the mid face and nose-to-mouth lines, with the effect of overall rejuvenation. participants were again photographed at three months where, for the majority of rennova Fill patients, the results were still 80-100% effective. Whilst many of the study group were unable to appreciate this, having become accustomed to the filler, they were pleasantly surprised when shown the pre treatment photographs. in addition to the physical results, volunteers were asked to complete a questionnaire with simple

REFERENCES buis, Jaques. buthiau, didier, le

psychological markers set to measure any changes in their perception of themselves following

louran, Claude.

treatment. it is understood that looks play an enormous role in our society, for better or worse.

treatment of depressor anguli oris Weakening

the relationship between one’s appearance and emotional response to it is a complex one. it is understood that enhancing and refreshing one’s looks is a positive and energising experience

With the Face recurve Concept aesthetic surgery

Journal september 2006 26: 603-611,

for most. sasaki, gordon H. m.d.; Cohen, andrew t. m.d. the initial responses of the study group were upbeat. Each volunteer appreciated the lifting effect

“meloplication of the malar Fat pads by percutaneous

of the filler to the upper cheeks and the more youthful appearance that this created. in a follow-

Cable-suture technique for midface rejuvenation:

up questionnaire at three months, participants reported other positive findings such as unprompted

outcome study (392 Cases, six Years’ Experience”.

compliments from friends, an increased desire to take effort with other elements of their appearance and a higher level of self-confidence overall.

36

cosmeticnewsuk.com

plastic & reconstructive surgery, august 2002 - Volume 110 - issue 2.

HIGH TECHNOLOGY • GREATER SAFETY GREATER PURITY • GUARANTEED RESULTS

Renew beauty naturally and safely...

RENNOVA® Fill is a sterile gel, monophasic cross BDDE linked (1,4 - butanediol diglycidyl ether) with a hyaluronic acid, obtained through bacterial bio-fermentation. It is completely viscoelastic, biocompatible, homogeneous, transparent and resorbable. It has results with long-lasting effects. Easier application, greater lifting effect and greater security.

Thanks to its high-tech manufacturing, RENNOVA® offers more visible and longer lasting results.

RENNOVA® was developed and is manufactured by one of the largest pharmaceutical companies in Europe, which has been operating in the pharmaceutical market for more than 30 years, specifically with hyaluronic acid based products for use in ophthalmology, orthopedics and dermatology. It has a history of more than 15 million treatments sold around the world.

Thanks to the new XPM Tech® technology, RENNOVA® is submitted to processes that make the gel’s tridimensional molecular structure even more even, stabilized and elastic, with new definite molecular “bridges”, extremely important characteristics for providing a greater lifting effect, greater duration and greater aesthetic results.

New technology

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0459

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www.magroup.co.uk For further information about RENNOVA® call Medical Aesthetic Group on 02380 676733 or visit www.magroup.co.uk

Case Studies | CaHa, Needling and Mesotherapy

THE RIgHT

COMBINAtION

Frances Furlong and Emeline Hartley share their case studies combining skin needling, calcium hydroxyapatite (CaHa), and mesotherapy products

Frances Furlong

emeline Hartley

Frances qualified as a registered adult nurse in 1999 from St Bartholomew’s Hospital, London specialising in acute medicine at the Royal London Hospital. After three years she moved into laser ophthalmology and became nursing sister responsible for three clinics in the south of England. This inspired her to move into laser dermatology and aesthetics where she became a specialist in laser and light treatments, gaining her diploma in 2006. In 2004 she was awarded an honours degree in aesthetic medicine from the university of Greenwich with a keen interest in acne management. Since 2005 Frances has written for national newspapers with her own weekly advice column, ‘Ask the Expert’. She has also written for numerous publications such as Elle, Woman and Home and Top Sante and appeared on GMTV demonstrating the use of mesotherapy. Frances recently qualified from the University of Essex as an independent nurse prescriber and is a member of the Royal College of Nursing.

Emeline is a highly motivated cosmetic healthcare specialist, who has been in the health industry for more than 14 years. She graduated from the Demontfort University in Leicester in 1998 with a diploma in adult nursing and went on to work as a nursing sister, specialising in the treatment of minor illness and injuries, including wound closures, injecting and minor ops. During this time Emeline also branched out and began to specialise in the treatment of problematic skin conditions such as acne, where she trained in the use of lasers and all types of skin peels. Emeline also provided training to GPs, nurses and dentists on how to use dermal fillers and she became the trainer for Radiesse™. In May 2009 Emeline opened Cosmetic Healthcare Solutions.

The company has gone from strength to strength and now has clinics, in London, the Midlands, Essex and Kent.

Emeline is also a member of the Royal College of Nursing.

38

cosmeticnewsuk.com

aesthetic nurse consultant duo Emeline Hartley and Frances Furlong have a combined experience of 24 years in laser, intense pulsed light, fillers, botulinum toxin type a, skin peeling, mesotherapy and skin needling. over the past year they have devised treatment protocols combining dermal rollers, calcium hydroxyapatite (radiesse™) and bespoke mesotherapy protocols to provide facial lift and contouring treatments for clients of all skin types and age ranges. as the treatment has virtually no downtime it is very popular with clients at Cosmetic Healthcare solutions, especially with the numerous models they treat, who demand fantastic results without taking time out from their hectic working schedules.

tHE tREAtMENt the treatment protocol combines injections of calcium hydroxyapatite (CaHa) (Radiesse™) with dermal rollering and bespoke mesotherapy. radiesse™ is a unique dermal filler made from synthetic calcium hydroxyapatite (CaHa) microspheres suspended in a water based gel. it is 100% biocompatible and no allergy testing is needed before treatment. once the radiesse™ has been injected and in position the CaHa particles form a scaffold to support and stimulate the production of the body’s own collagen and in return a younger and more rested appearance will be seen. Emeline says, “clients love the longevity of the product and in the current financial market people are more cost conscious – the long lasting results make it very popular”. skin needling, otherwise known as dermal rollering, has become increasingly popular in recent years. Emeline and Frances have been using a similar technique for many years via mesotherapy. by creating tiny puncture wounds to the dermis it induces the release of growth factors which in turn stimulates the production of new collagen and elastin . by combining this with bespoke mesotherapy cocktails patients are able to get fantastic results even with one dermal roller treatment.

Frances says “clients love the bespoke treatments we can offer, the fact it can all be done on the same day is a great bonus too, clients are not always able to attend clinics weekly for other treatment protocols. in six weeks they return for the review to take after photos and they are amazed with the results.”

Case Studies | CaHa, Needling and Mesotherapy

AFtER

AFtER

CASE StUDy 1 BEFORE

CASE StUDy 2 A 26-year-old model attended for a

A 63-year-old lady came

consultation with Emeline. She felt

to the clinic with concerns

she lacked volume in her cheeks

about her skin. She had

after a photographer commented

smoked for 30 years but gave

that they were slightly flat and told

up eight years ago and sun

her that more defined cheeks would

exposure and stressful events

be beneficial for her career.

over the years had left her

in addition the model had suffered with

feeling unhappy about her

moderate acne through her teens and

skin and facial features. She

wanted help with mild scarring to make

felt she looked tired and sad.

her skin look better. she suffered with

she attended for a consultation

enlarged pores and put this down to

with Frances. on assessment

the heavy make-up she had to wear

facial volume loss was evident

BEFORE

for work. Emeline suggested 1.5cc of radiesse™ between each side to

and the skin was sagging and

give a subtle but more defined cheek contour. the outcome is a natural

dull in appearance. the client was not keen on having botulinum toxin

look, which compliments her features. straight after the procedure a

type a. topical lignocaine cream 4% was applied prior to treatment

dermal roller 1.5mm was given with topical anaesthetic cream applied

and left on for 30 minutes. 1.5cc of radiesse™ was given to each side

prior to treatment. the below mesotherapy protocol was prescribed for

of the face, cheeks, nasolabial and oral commisures. straight after 0.5ml

her as well as 3.5ml pre and post dermal roller vitamin c serum and spF

of the mesotherapy mixture was applied, then dermal roller 1.5mm was

30 every day for six weeks post treatment.

performed. post treatment the other 0.5ml of solution was applied and a sunscreen of spF 30 was applied. the client went home with vitamin C

MESOtHERAPy PROtOCOL: •

•

pyrustim 0.25 ml sodium pyruvate is a low molecular weight

serum to be applied every day, along with spF 30. a review at six weeks showed a remarkable difference.

molecule with acetic_acid smell and is a derivative f lactic acid it is

MESOtHERAPy PROtOCOL:

able to stimulate collagen dermal synthesis.

•

radical scavenging effects. Querecetine is a more potent

a1,a2,a3 located in various chromosomes and that code for

antioxidant than vitamin c it enhances the utilization of oxygen and glucose.

synthesis of procolaage. it stimulates collagen synthesis and

•

bilobine g 0.25 ml membrane stabilising antioxidant and free

purascorbal 0.25 ml (vitamin c) vitamin c controls 3 genes pro

appears crucial for the healing/regeneration process and wound

•

organis sillicium 0.25 ml as before

repair.

•

taurinox 0.25 ml taurine is involved in human keratinocyte volume

organic sillicium 0.25 ml amino acids transmission-electron

homeostasis and hydration in the dermis, it shows a positive

microscopy showed that sillicium induced longer and wider

influence on glycogen glycation and shrinkage it helps for collagenogenesisis increases hyroxyproline dermal concentration

collagen fibrils synthesis by fibrillogenesis than did sodium chloride.

•

glutathione 0.25 ml this is an antioxidant produced by the

she was thrilled with the results and there was a great improvement with

body, furthermore glutathione s-transferases are involved in the

the open pores and minor skin imperfections.

detoxification of xenobiotic compounds and in the protection against diseases such as cancer.

CONCLUSION From these protocols it is evident that a combination approach to facial lifting or contouring can be achieved with the knowledge of other factors, which can enhance overall results.

cosmeticnewsuk.com

39

Product News | Round Up

News

PRODUCT

HEALtHxCHANGE INtRODUCES OBAGI ZO® SKIN HEALtH

SOPRANO xL® SUPPORTS THE fIgHT AgAINST CANCER

Healthxchange is introducing the latest innovative skincare range from Dr Zein Obagi, ZO® Skin Health. ZO Skin Health completes the ‘circle’ between prescription strength Obagi Medical Products systems such as Nu Derm by providing a range that designed for people who are not ready for prescription anti-aging skincare; do not wish to continue with Rx strength skincare or have naturally healthy, active skin, and want to stay that way. the philosophy behind this premium brand is that, instead of expecting topical lotions and creams to provide quick fixes and one-shot wonders, products should work from the inside out, activating and stimulating the skin’s cells to nourish, repair and maintain themselves. Zo® skin Health uses the most potent ingredients at concentrations close to prescription strength including pure retinol, advanced peptides, and powerful anti-oxidants at high concentrations. all Zo skin Health products are available without prescription and can be sold over the counter. the program helps clients achieve optimum skin health by ‘layering’ these potent ingredients to increase and enhance repair. the range includes products to cleanse, activate, stimulate, calm and nourish and protect the skin as well as specially formulated eye, hand and body products.

Commenting on his latest breakthrough dr obagi said, “Zo skin Health is my newest creation in anti-aging skincare. after age 30, your skin cells go to sleep. so we need to wake up those skin cells so that they resume producing collagen and elastin, just like when your skin was younger. We do this by using high concentrations of active ingredients – much higher than you’ll find in traditional anti-aging skincare products.” adds Curtis takamiya, spa director, Four seasons los Colinas Hotel, dallas, texas, “Zo is new to us but doing very well all ready. Clients love having something a little more aggressive at a hotel spa. We are booking a lot of stimulator peels.” to find out more about ZO Skin Health contact Healthxchange on +44 (0)1481 736 837 or email zo@healthxchange.com.

Alma Lasers and its UK based distributor ABC Lasers will be joining the fight against breast cancer by donating a portion of all proceeds generated through the fourth quarter sales of its new SopranoxL® pain-free hairfree laser hair removal device to the National Breast Cancer Foundation. the limited edition soprano® Xl black is identical to the best selling soprano Xl® blue laser platform with one difference that it is sold with a distinct black pearl colour in recognition of breast Cancer awareness.

nEW EnHanCEd Formula For rEVitalasH® SkinBrands, the UK distributor of RevitaLash has introduced an enhanced version of the popular RevitaLash® Eyelash Conditioner. the advanced RevitaLash® formula contains a proprietary blend of proven functional cosmetic ingredients, combined with an infusion of powerful peptides and soothing botanicals,.

“We are committed to improving our products with the latest technology and the most effective cosmetic ingredients,” says dr. michael brinkenhoff, CEo and Founder of athena Cosmetics, inc. “as a leader in the category of cosmetic eyelash enhancement products, we are pleased to have created this advanced formula with added peptide and botanical boosters that will further improve the features and benefits our customers have come to expect from revitalash.”

See this month’s Editor’s Choice p4.

tHiCKEr dErmal arEas Can bE trEatEd WitH nEW dErmarollEr™ mC925

A new wave of Genuine Dermaroller™ therapy™ has launched for the treatment of thicker dermal areas and fibrotic and thick scars. the Dermaroller™ MC925 from AesthetiCare® features advanced medically-engineered 2.5mm micro-medical skin-needles in an enhanced roller design to ensure optimum penetration, stimulation and patient comfort. the dermaroller™ mC925 enables practitioners to enhance their treatment of thicker dermal areas, e.g. for acne scarring on the back or treatment of the abdomen and buttocks, particularly with respect to skin laxity and stretch mark improvements and fibrotic and thick scars, e.g. burns. the mC925 is a fully validated sterile-single-use medical device supplied under the EC Certificate of Conformity issue to dermaroller sarl, by the notified body mEdCErt, germany, and carries the CE ark symbol and the mEdCErt identification number 0482.

NEW SKINCARE RANGE COMES tO UK

a new skincare range has been launched in the uK. Hydropeptide will be distributed by bioactivebeauty limited and incorporates advanced peptide technology along with healing botanicals without parabens or animal testing. in 2004, Hydropeptide® became the first skincare company in the us to incorporate peptides into every product.

Currently, the Hydropeptide® collection includes 19 different peptides to boost collagen and fight wrinkles.

“Having peptides in every Hydropeptide® product gives our company a distinct advantage over others,” said dr louise peck, phd, founder of Hydropeptide®. “the results peptides provide are cumulative, so having them in every product makes perfect sense. the 19 peptides in our collection are the most scientifically advanced and are what make Hydropeptide® so effective.”

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A NT I- AG IN G BR E AK TH R OUGH

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

Scientific Beauty Made Simple™ Keep your clients on the cutting edge of Peptide Technology with the HydroPeptide Anti-Wrinkle Collection and the Peptide Infusion Treatment with supporting professional product range. We’ve combined the highest concentration of Peptides, NeuroPeptides, Growth Factors, Antioxidants with proven natural plant stem cells.

HydroPeptide® Serum Growth Factors and Nourishing Colostrum deliver a powerful combination of Amino Acids, Minerals & Peptides into the skin, increasing elasticity & smoothness 800% over placebo*.

HydroPeptide® Face Abounding with a mega-dose of six time-released Peptides and potent Antioxidants, this treatment is proven to diminish the appearance of lines and wrinkles up to 98%*.

HydroPeptide® Eye Wrinkles, Puffiness, Dark Circles? HydroPeptide® Eye repairs and prevents all these problems with an amazing combination of Peptides, Antioxidants and Crushed Pearls.

PARABEN FREE. CRUELTY FREE. FOR ALL SKIN TYPES.

Tel: +44(O)1753 830931 • M:+44(0)791 941 6392 www.bioactivebeauty.com

r ec r u it ment

Training ExEcuTivE Eden aesthetics are pleased to announce that they are actively recruiting and looking for a confident, enthusiastic Level 3 therapist to be our new Training Executive.

The candidate can expect an attractive package with on-going personal growth and development.

You should be keen to extend your current knowledge and be adaptable for the Beauty and Medical sector delivering practical and theory training in high end equipment and skincare.

The role will include extensive travel throughout the UK, supporting large chain accounts and independent clinics as well as assisting the rest of the team at exhibitions and UK based seminars and training sessions. if you would like to be considered for this role, please send your cv and covering letter to Eden aesthetics: info@edenaesthetics.com or post to Eden Aesthetics, Unit 2 Well Lane, Bell Works, Danbury, Essex, CM3 4AB.

Product News | Round Up

AMERICAN ‘POPCORN’ LASER PHENOMENON ARRIVES IN Uk Cynosure, the company behind Smartlipo MPx, has launched its next generation body sculpting laser treatment – triplex – in the UK. dubbed the ‘popcorn laser’ in the us, the treatment introduces a third wavelength (1440nm), which achieves 20 times more absorption in adipose tissue. these higher absorption levels translate into a more powerful treatment that mechanically breaks up the fat cells as well as thermally – causing a popping sound.

Cynosure has also created a new thermal sensing technology called thermaguide, that provides the aesthetic surgeon a much higher degree of safety and allows more accurate treatment doses.

Furthermore, this new sensing technology delivers more reliable removal of fat and skin-tightening, with studies demonstrating tissue tightening of up to 62% – greater than any other laser on the market. dr ayham al-ayoubi who is known as the ‘King of smartlipo’ comments, “Cynosure’s new triplex laser is an exciting treatment launch. its technology is significantly advanced, not only in terms of results, but more importantly in terms of safety.”

spECial oFFEr marKs launCH Koreesa group has put together a launch package for its oxynergy Enhancer rF+ device along with training. the exclusive offer is running from october 2010 until January 31 2011. the training can take place on site at customers’ salons and clinics or at the Koreesa group’s Chorley training centre. the treatments and products by oxynergy paris are designed to increase oxygen and energy levels in the skin. the oxynergy Enhancer treatment is a non-invasive, needle free mesotherapy. the machine enhances the transdermal transport of optical products and its active formulas through the deepest level of the epidermis to the superficial dermis (the middle layer of the skin). the radio-frequency (rF) produces cellular electropration reducing the permeability of the skin and opening cellular pores. at the same time the radio-frequency (rF) increases the skin temperature of 5°C to 7°C to stimulate the collagen synthesis and skin tightening. after treatment with the Enhancer rF+ device, results can be seen from the first session and long-term results can be achieved after four-five sessions. benefits of the treatment include reduction of wrinkles, fine lines and expression wrinkles, strengthening of sensitive skin and an anti-ageing effect.

For further information on the special offer please call Koreesa Group on 0845 299 7662.

ENvIRON LAUNCHES NEW CHRIStMAS BOx Environ has developed a new Christmas gift box aimed at introducing new users to the South African skincare brand’s best-selling products. the bumper-sized elegant white and silver lettered box, tied with a matching silver ribbon contains a Cleansing Cream (100ml) for easy make-up removal, vitamin-rich aVst 1 moisturiser (50ml), aVst Hydrating Exfolient masque (50ml) based on a fine, decongesting clay and aVst Hydrating lotion (100ml) for smoothing and softening body skin. there’s also a line softening vitamin a and peptide packed C-Quence Eye gel (5ml), skin brightening C-boost (10ml) cream and silky Hydrating oil Capsules (jar of 10) for a nourishing nighttime vitamin boost. the complete Environ Christmas box costs £85 rrp (£42.50 wholesale).

NEW LOOK FOR PRIORI®

priori® has undergone a transformation and introduced new packaging for all three of its brands. priori® advanced aHa Cosmeceuticals, priori® idebenone Complex superceuticals® and priori® Coffeeberry natureceuticals™ now have high concept packaging to match the priceless technology within. the uniform upscale packaging has been designed to compliment the luxury environments of the brands international salon and spa partners.

PAStELLI LAUNCHES IN UK italian uniform designer and manufacturer pastelli will be officially launching in the uK this month. the garments are world-renowned for their quality and elegance and are currently sold to medical, dental, pharmaceutical and beauty industries in 42 countries worldwide. the company was founded in 1929 and was a pioneer in creating colored and stylish, tailor made garments for the professional sector. the collection offers more than 150 styles in 32 colours as well as bespoke services. as well as coats and tunics the company also makes shoes, skirts, trousers and t-shirts. the garments will be distributed in the uK by robert Eaglestone and will be available through Wigmore medical.

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MUNDO LAUNCHES COSTEffECTIVE ALTERNATIVE TO BARBICIDE

Mundo Professional has launched Mundo Power Plus Instrument and tool Disinfectant as an alternative to Barbicide. Many beauty salons and clinics use Barbicide to disinfect combs, instruments and tools – but research suggests that 45% of Barbicide users are not following the manufacturer’s instructions and are not changing the solution daily as recommended. Nearly 30% of users are only changing the solution weekly – and some even less frequently than that. this poses a huge risk of cross-infection, as there can be more harmful pathogens in the solution than on the instruments and tools needing disinfecting. mundo power plus instrument and tool disinfectant is a highly concentrated formulation that addresses the needs to combat modern diseases. it’s so concentrated it requires just 50ml of mundo power plus per litre of water; that means a 500ml bottle will make 10 litres of usable solution! (compared to barbicide 473ml which makes only 7.5 litres). the solution is designed to remain active for five days (compared to barbicide’s one day). so now you can leave the solution for a full working week without the risk of crossinfection. it also means that you don’t have to waste time mixing up a new solution every day. nigel rouse, managing director, mundo professional said, “mundo power plus instrument and tool disinfectant is an amazing product and gives people the opportunity to make some significant cost savings. as you’d expect – like all mundo professional products – it’s produced and tested to the highest of standards so you can be confident that you’re achieving the highest levels in salon hygiene.”

Want to run your oWn aesthetics business and need a boost?

Qutis: advanced skin clinics is modelled on a successful clinic with a 12 year track record, led by several nationally recognised aesthetic practitioners. Together with their team they will help you start and run your own business, giving YOU the fast-track and support that you need

To find out more visit www.qutisclinics.com

Best Practice | Body Dysmorphic Disorder

MIND

matters in light of a recent study that showed only 2% of people with body dysmorphic disorder (bdd) who sought cosmetic enhancement were happy with the results, we speak to health psychologist James lamper about recognising the signs of the condition Every client who walks through the doors of a cosmetic clinic wants to change something about their appearance – that’s the business of medical aesthetics and cosmetic surgery – however there is a vast difference between those with realistic expectations who are seeking to improve or enhance their looks and those who have deep seated issues with their psychical appearance or psychological conditions such as body dysmorphic disorder (bdd). a new study recently published in annals of plastic surgery showed that while many suffers of bdd seek cosmetic procedures, only 2% of them actually reduced the severity of the symptoms of the condition. in fact many suffers are more likely to seek help from a cosmetic surgeon than a psychiatric clinic and as such bdd is often underdiagnosed. identifying bdd is therefore essential for clinics as part of the patient selection process, not only in assuring ethical practice but also in avoiding the post-procedure difficulties that come with having to deal with unsatisfied customers with unrealistic expectations.

So what is BDD and how can you tell it apart from ‘normal’ image hang-ups?

WHat is BDD?

bdd is a psychiatric disorder characterised by preoccupation with an imagined or slight defect in appearance, which causes clinically significant distress or functional impairment. around 1-2% of the population is thought to suffer from the condition, which leads sufferers to preoccupy themselves with a particular physical feature(s), which they consider to be ‘defective’. this perception is often completely out of line with reality and while the perceived defect may cause great distress to the suffer other people may not be able to see anything wrong with them. in fact the symptoms of bdd can be so severe that suffers will avoid social contact for fear of ridicule and humiliation and may become increasingly isolated and even homebound or in extreme cases lead them to commit suicide.

Health psychologist James lamper said, “the majority of the population has some issue with some part of their body image but with body dysmorphic disorder it will affect their life in extreme ways. there are certain aspects of the body that they have a real issue with – it is more than just something they get anxious about, there is a strong dislike, which causes severe emotional trauma to the individual. “they tend to focus on one area, however they can generalise against their ‘wholeness’ and may often consider themselves to be an ‘ugly’ person and are unable to notice the areas of their body that they actually they feel quite relaxed about. “one of the things that categories bdd is the frequency of thoughts and anxiety about their body and how much it influences their life if they are having situations on a daily basis where they feel anxious about their body that would be classed as bdd. they may go to extreme lengths to cover up the body part or stop socialising and would have very low self-confidence and self esteem. it will also impact on their relationships and stop them doing things with their life so it has a real traumatic effect on people. it’s the frequency and the intensity of the reactions they have to certain aspects of their body.”

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BDD and COSMEtIC ENHANCEMENt

RECOGNISING tHE signs

bdd is relatively common among patients seeking cosmetic treatments as many bdd suffers believe they have an actual

bdd actually has many features in common with obsessive Compulsive

deformity that can be corrected. However the results of a

disorder (oCd) including recurrent and intrusive thoughts about a perceived

recent 200 patient study published in annals of plastic surgery

defect and activities aimed at reducing the distress caused by these thoughts.

showed that cosmetic treatments are rarely the answer. the small retrospective study showed that 31% sought and 21% received surgical or minimally invasive treatment for bdd symptoms. nearly all of these individuals continued to have bdd

thus, people with bdd preoccupy themselves with a mild or imagined defect of part of the body and attempt to reduce their distress by frequent mirror checking and long grooming rituals.

symptoms, and some actually developed new appearance preoccupations.

James uses this questionnaire to help him identify patients with body dysmorphic disorder. ask your patient to read the following statements and

as the study demonstrated cosmetic treatments for people with

indicate how strongly they identify with them by giving a score between 1

bdd are rarely beneficial and are associated with a high level of

(never) and 10 (always). spend some time with your client, asking them to

patient dissatisfaction in many cases leading to an exacerbation of symptoms. in fact this data is nothing new. in the early 1970s an american plastic surgeon called maxwell maltz observed that altering the physical appearance of his patients through surgery often created a remarkable increase in confidence and sometimes even a complete change in personality, however some of his patients’ experienced no psychological benefits no matter how spectacular the physical changes. He concluded that cosmetic correction to the external appearance of a patent does not work when their internal self image is poor or as he put it when they are ‘scarred on the inside’ so he taught clients a simple visualisation technique that created a dramatic change in their self mage to his delight and surprise it did as much if not more for the patients than actual surgery.

James says, “Even though they have had this cosmetic alteration what lies inside their head has not changed. they have built up certain thoughts about their body, for some people for all of their life, and this doesn’t change with cosmetic surgery. Cosmetic surgery can change what is on the outside and even though they may be able to see a different visual representation and may be getting different feedback from people in their lives, inside their head they still have very deep routed beliefs, thoughts and perceptions about the way they view themselves and unless this is changed and updated it will never come into line with the new cosmetic way that they look.”

Evidence shows that Cognitive behaviour therapy is the most effective way of treating bdd. James says, “When you are looking at treatment for body image issues it has to be coming

elaborate on the scores they have provided. a high score, combined with intense emotions during assessment, is a red flag that your client has bdd. offering psychological support in conjunction with the cosmetic procedure is recommended.

(1) When i meet people for the first time, i wonder what they think about how i look

(2) my physical appearance has a big influence on my life (3) i withdraw and interact less with others to help me cope with my looks

(4) i can’t stand my appearance any more (5) i try to tune out my thoughts and feelings about the way i look

(6) When i am trying on new clothes in a shop i get anxious and upset

(7) When i look at myself in the mirror i am filled with selfloathing (8) the way i feel about my body effects sexual relations i have with others (9) my eating behaviour and weight is affected by the way i perceive my looks (10) my life is lousy because of how i look An interactive body image test is also available on James’ website http:// www.weightmatters.co.uk/body-image/

from a cognitive behavior aspect – you have to change the way that people see and perceive their body so that they end up getting different response in their behavior and emotions.”

What all this shows is how important it is for cosmetic practitioners to familiarise themselves with the disorder and learn to recognise the symptoms. if bdd is suspected it is highly recommended that

James lamper

you refer the patient to a specialist for treatment before any

is a health psychologist who specialises in the

cosmetic procedure is carried out.

psychology of eating behaviour and health behaviour change. He has an extensive

James says, “i think that it is vitally important that the cosmetic

background of more 20 years experience in

industry looks at the whole health of the patient they are working

the fields of psychology, fitness and nutrition. His

with. there are times when cosmetic procedures are going to be the best option however that needs to be matched with psychological support. if they can sense that there is extreme anxiety around body image and think that there might be

unique combination of skills and training allows him to work with obesity, body image and eating disorders from a combined therapeutic, nutritional

some psychological issues i think that its best practice to work

and coaching perspective, where he builds a

alongside a psychologist or a therapist that specialises in body

new toolkit of coping strategies for his clients,

image so that you can tailor a package of care for the client

resulting in positive change and recovery. James

so that the cosmetic surgeon or doctor will end up with a client

has worked with gary barlow and myleene Klass

who is extremely happy with the procedure that has been

and is a popular tV and media commentator.

performed – if it is still necessary once the body image issues have been resolved.”

cosmeticnewsuk.com

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P r o p e r t y | Te n a n c y D e p o s i t P r o t e c t i o n | A e s t h e t i c & C o s m e t i c P r o f e s s i o n a l L i a b i l i t y

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business | Home

Business Focus | Marketing

Zoe Davitt explores the additional three P’s of marketing that have been added to the mix…

Zoe davitt is managing director of blue Horizons. she has a strong

regular readers will probably know that we regularly refer to the four ps of marketing – product, promotion, place and price. these are the classic marketing ps, but they were extended by booms and bitner in the early 80s, who added another three ps to the mix. the additional ps are physical Evidence, people and process, and they are particularly aimed at business who offer services – ie those businesses where meeting the needs of the customer is the priority.

So what exactly are these additional three Ps, and how do they relate to the aesthetic medical market?

background in marketing and customer service, giving her a perfect combination of skills and expertise. Her many businessorientated qualifications include ones from the Cim (Chartered institute of marketing), and she has a wealth of experience across many sectors including medicine, dentistry, recruitment, tourism, hotel management and facilities management.

pHYsiCal EvIDENCE

also referred to as the ambience, this is the material part of the service you offer. strictly speaking there are no physical attributes to a service, so clients tend to rely on material cues to form their impression of your business. in many ways, this underlines the need for a ‘wow’ factor that we regularly mention. a wow factor is something that makes you stand out from the crowd, that successfully catches the attention of your target audience. it is literally that special something that makes your clients go ‘wow’, and want to tell other people about you. there are many examples of physical evidence, and you can see why having a ‘wow’ factor is so important if you want clients to choose you over and above your nearest competitor. marketing items – your website, brochures and business cards – need to be really eye-catching. they should shout out to your target audience, capturing their attention and convincing them that you are by far and away their best choice. that doesn’t mean you need to be wild

a wow factor is something that makes you stand out from the crowd, that successfully catches the attention of your target audience – that special something that makes your clients go ‘wow’ and wacky – this is unlikely to succeed in the aesthetic medical sector. instead, your marketing should ooze quality and give a real feeling of reassurance. don’t forget the other printed items that you may regularly use to – it is pointless having a wonderful, glossy brochure if you then send it out with a streaky, photocopied letterhead! make sure all your stationery is in keeping with your marketing materials, and stick to using classic fonts for the text. Your building also presents

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Business Focus | Marketing

physical evidence to clients, inside and out. Ensure that the frontage is clean, tidy and attractive. inside the furnishings and decor should be chosen to impress – office World furniture won’t cut the mustard with clients who are more used to John lewis, Heals or antiques. signage again should reflect the rest of your image, as should staff uniforms – green scrubs are probably best avoided unless you’re actually in theatre!

PEOPLE in the aesthetic medical sector, your employees arE your business – they are what give your business a competitive advantage. invest in employing good people – yes, they will command a higher salary, but the benefits you will reap will by far outstrip the additional financial outlay. make sure all your employees are ‘people people’ - polite and friendly, well-trained and knowledgeable, with a genuine liking for helping other people, so they present a completely professional and reassuring face to your clients. as a business, everyone on your team should be working towards the same aim – satisfying customer needs profitably. as a team, you must:

• • • • • • •

Understand customer expectations Understand different customer types Help customers to find their needs Establish service standards Foster positive attitudes Know how to handle complaints Develop sound listening and telephone skills

if any of these skills need brushing up, then it is well worth investing time and money on training. it is also worth introducing profit share/bonus schemes – the thought of additional pay is a great motivator, and if it helps you to make more profit then you are still winning. as the old saying goes, 80% of something is better than 100% of nothing...

making your procedures as slick and smooth as possible means you are helping clients to receive the best possible quality of service, as well as maximising your efficiency and profitability 48

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in the aesthetic medical sector, your employees arE your business – they are what give your business a competitive advantage PROCESSES processes are defined as procedure mechanisms and flows of activities by which services are consumed. Customer management processes are an essential part of your marketing strategy, because they radically affect how a service is delivered to your clients.

You need to ensure that all your administration procedures are effective and efficient. these days, that means being computerised, and being easily accessible via email as well as the more traditional methods. making your procedures as slick and smooth as possible means you are helping clients to receive the best possible quality of service, as well as maximising your efficiency and hence your profitability. ideally, you should have service standards at every customer ‘touch point’ – for dealing with a telephone enquiry, for booking an appointment, for handling a complaint and so on. bear in mind that the quality of your service delivery is defined by the expectations of each individual client. if the service they receive does not meet their expectations, they will be dissatisfied.

Which means you risk losing their business, and you also risk damaging your reputation and future clients via bad word of mouth reports. that, in essence is the additional three ps. as you can see, each is vital to the overall impression of your practice that your client receives, both as a first impression and on an ongoing basis. some overlap with other business issues, such as Hr, but ultimately they all boil down to the same thing – without customers, your business will flounder, so it is worth making the effort to ensure that all your clients are at the very least satisfied, and at best delighted and happy to shout it from the rooftops.

Company Profile | SkinBrands

BEHIND THE WE FIND OUt ABOUt tHE PEOPLE AND PRODUCtS BEHIND SKINBRANDS

Brand

With some of the best cosmeceutical brands on the market under its umbrella, skinbrands has become a name that is recognised throughout the aesthetics industry, yet its owners david and tracey beesley have kept their feet firmly on the ground and run their close-knit team like a family business.

T

he husband and wife team started skinbrands in

ExPANDING tHE BRAND

2002 when they won the uK distribution of american

in the early days david and tracey worked on their own cold-

professional skincare brand skinCeuticals. david and

calling clinics and beauty salons up and down the country and

tracey had been living in the states and when they

creating awareness about the brand, which luckily had been

returned to the uK were keen to start their own business. one

getting some good pr in the press and had some early supporters

of the key things they realised was that they needed to find an

in the industry. tracey says, “We were very lucky that we had

american product that would do well in britain. as tracey says,

some fantastic support in those early days. martyn roe has been

“one of the things we talked about in the states was, if we were

absolutely fantastic – he took he brand on when he was with

to start our own business in theory it would have to be something

Wigmore and we have been great friends ever since. Wigmore

that had taken off in america but was yet to come to the uK. You

have been a great support as have people like dr mark palmer

know that saying that if america sneezes the uK gets a cold!” in

and Fiona Collins and marie duckett – between them they just put

those days the medical aesthetics industry was still in its infancy and

the word out.” not long after setting up the company they took on

despite coming from a totally different background – they had

a second brand, b Kamins, a chemist developed brand, that was

been working together in the professional audio distribution market

doing very well in pharmacies and doctors offices in the usa. susan

– it was tracey’s own passion for the skinCeuticals brand, which

posnick mineral make-up came next followed by skinmedica,

she had started using while living in the us, that gave them the

another leading american cosmeceutical range based on

inspiration to start a business in the medical aesthetics field.

growth factors. although they no longer distribute b Kamins, tracey

FROM CUStOMER tO DIStRIBUtOR

50

and david now have a total of eight products/ranges in the skinbrands portfolio including ‘green’ cosmeceutcial range medik8,

tracey had become interested in skincare and non-surgical

HydraFacial, revolutionary cosmetic eyelash conditioner revitalash

medical aesthetics treatments whilst living and working in la. on

and its sister product revitabrow, athena power peeling medical

the street that she worked on there were five aesthetics clinics

microdermabrasion and sKinn, a dermatologically designed

and she started trying out various treatments and products. she

skincare and grooming range for men.

tried a number of different brands but nothing that really ‘knocked

tracey says, “i think the first day we realised we had a business

her between the eyes’ until an aesthetician called Emmeraude

was when i popped out to the post office and when i came

introduced her to skinCeutcials. the products had such a dramatic

back there were 11 messages on the answerphone and as

effect on her skin that tracey sent Emmeraude flowers, something

i was trying to take the messages off the phone was ringing

she had never done before. on retuning to the uK tracey was keen

again. up until then the phone calls were always really

to find somewhere she could continue to buy her skinCeuticals

manageable. When david got back i said ‘we can’t cope the

products from however to no avail. david says, “When tracey told

phones are really busy’ and that was when i thought ‘we have

me skinCeuticals wasn’t available in the uK i phoned them up

got a business’.”

and asked why. they told me that because of the nHs they didn’t

despite constantly expanding and evolving the business over

think there would be a market for their products here because

the last eight years and taking on more products david and

they wanted to go through doctors and not through department

tracey are very particular about the brands they take on.

stores. When i put the phone down i did some research on the

tracey says, “We have not just taken on brands for the sake of it

internet and started to read up about the efficacy and the results

– we only take on brands that we know do what they claim to.”

and the fact that they could get topical vitamin C into the skin. i

one of the things that attracted them to skinmedica was

didn’t know anything about skincare at this point but it seemed

the science and technology behind the brand. david says,

very interesting to me and quite dynamic compared to what

“according to the Kline report of the aesthetics market in the

else was out there. so i called them back and said ‘would you be

us, skinmedica is the joint number two brand in the states with

interested in a proposal for selling your products in the uK?’ they

skinCeuticals. obagi is number one, so skinmedica is a very

said they weren’t sure and when i didn’t hear from them i phoned

strong brand. the ingredients and the efficacy are amazing

again and eventually they asked us to make a business plan and

and the science behind it is very cutting edge.”

on december 10 2002 we signed the contract.”

However while some may think having two high-end

cosmeticnewsuk.com

cosmeceutcial brands in your portfolio may cause a conflict of interests it hasn’t been a problem for skinbrands. david explains, “they knew we were the distributor for skinCeuticals and they allowed us to take on nothing that conflicted with skinCeuticals.” tracey adds, “skinmedica is actually a completely different proposition and the brands gel perfectly together – we wouldn’t have taken it on if there had been too much of a clash. When you look at skincare you have got to look at each line and think what their core product is – what’s the first product they made, that they ploughed all their money and their time and effort and their science into because that is what the brand is all about. With skinmedica it is all about growth factors and with skinCeuticals it is about vitamin C – that’s where their expertise lies so you know they are top of their game in that area.” so how did she feel when david suggested throwing another professional skincare brand into the mix this time in the form of homegrown cosmeceutical range medik8?

“When david started talking to Eliot isaacs about taking on medik8 my first reaction was ‘we need another brand like we need a hole in the head’ however when i met Elliot and his team i was sold. i really love their whole ethos and the way they work. With medik8 you have also got the efficacy and quality of the products but with a better price point – not everyone can afford skinCeuticals and skinmedica and we know that.”david adds, “Elliot is a very interesting guy he really knows his stuff and he has come out with some impressive products that people are loving. also it is so refreshing to have a british brand.” one of the products that Elliot has developed which has added another string to the skinbrands bow is the medik8 titanium dermal roller, which has several unique and innovative qualities setting it apart from other dermal rollers currently available.

tEAM EFFORt While they have certainly built a business to be proud of tracey and david won’t take all the credit for their success and put it down to the support they have had from both people in the industry and their team. tracey says, “You are only as good as the people who work for you and we are really lucky we have got some great girls. We have got beverly powell in london and she has been an absolute asset, then we have got martine Jarman up in the north who has so much energy. We have just taken on Charlotte smith who also covers a huge area from brighton all the way down to Cornwall.

We have got mia who is our make-up artist and Karen who works in house invoicing. david and i like to think that we are all one great big team together i know ultimately we are the ones running the business but we have got a very tight bond. We have got a good team we are very fortunate you can’t do all these things you cant big yourself up and say you do all this on your own because that would be arrogant.”

With its ever-expanding portfolio the company has recently taken a big step in its growth and relocated its warehouse, call centre and general office to netpack, one of the uK’s leading and longestestablished mail order and e-commerce fulfillment companies. they have undergone the move to increase the speed of service and efficiency of the business to cope with increased sales and demand. tracey says, “We now have one number for orders and one for enquiries and also the people who take the orders are now the people who ship the orders so it will be more integrated. there is a synergy there now – to me its like a jigsaw that’s now complete.”

DATES fOR THE DIARy

November

We round up upcoming events, training courses and meetings

1 Advanced Skincare Seminars with GMT TEC and Sally Durrant,

14 Body Silk Clinic/Training. Introductory One-day business course

elizabeth@aestheticare.co.uk

North TBA, www.sallydurant.com

for beauty and medical start-ups,

3 Vein Train Venepuncture and Cannulation, Birmingham,

1 Vein Train Venepuncture and Cannulation, Nottingham, www.

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

www.veintrain.co.uk

veintrain.co.uk

15, Genuine Dermaroller™ Training, London,

3 Genuine Dermaroller™ Training, Greater London,

1-4 Five Days Cosmetic Tattooing Diploma Course, Newry,

elizabeth@aestheticare.co.uk

elizabeth@aestheticare.co.uk

www.finishingtouchesgroup.com

15-18 Five Days Cosmetic Tattooing Diploma Course, Haywards

4 Wigmore Medical Training Microsclerotherapy, London,

2 Obagi Overview with Shannon Lister, Dublin,

Heath, www.finishingtouchesgroup.com

www.wigmoremedical.com

www.healthxchange.com/obagi-training

16 Introduction to Obagi with Shannon Lister, Manchester,

4 Innomed Training Botulinum Toxin in Facial Aesthetics – New

3 Obagi Intermediate Course with Shannon Lister. Glasgow,

www.healthxchange.com/obagi-training

Users, Manchester, www.innomedtraining.co.uk

www.healthxchange.com/obagi-training

17 Obagi Intermediate Course with Shannon Lister, London,

4-5 Body Silk Consulting Advanced Two-day business course for

4 Genuine Dermaroller™ Training, Somerset,

www.healthxchange.com/obagi-training

beauty and medical start-ups,

elizabeth@aestheticare.co.uk

17 Intraderm Basic Botulinum Toxin Course, Leicester,

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

4 Genuine Dermaroller™ Training, Scotland,

www.intraderm.com

4-5 Foundation Botox and Dermal Fillers, Glasgow,

elizabeth@aestheticare.co.uk

18 Intraderm Basic Dermal Filler Course, Leicester,

www.medicsdirect.com

5 Genuine Dermaroller™ Training, Warwickshire,

www.intraderm.com

5 Innomed Training Dermal Fillers – New Users, Manchester,

elizabeth@aestheticare.co.uk

18-20 Dr Grant Hamlet VASER® Training,

www.innomedtraining.co.uk

6 Innomed Training Botulinum Toxin in Facial Aesthetics – New

www.granthamlet.co.uk

6 Genuine Dermaroller™ Training, Yorkshire,

Users, Southampton, www.innomedtraining.co.uk

19 Wigmore Medical Training CPR and Anaphylaxis - Update,

elizabeth@aestheticare.co.uk

6 Boston Medical Group Introduction to Mesotherapy,

London, www.wigmoremedical.com

6-9 Five Days Cosmetic Tattooing Diploma Course, Liverpool,

www.boston-medical-group.co.uk

19 Vein Train Venepuncture and Cannulation (2010), Milton Keynes,

www.finishingtouchesgroup.com

6 Wigmore Medical Training Microsclerotherapy, London,

www.veintrain.co.uk

6-10 LCS Academy, BTEC Aesthetic Laser/IPL Therapies,

www.wigmoremedical.com

19 Genuine Dermaroller™ Training, Leicestershire,

www.lcsacademy.co.uk

6-7 Body Silk Clinic/Training. Advanced Two-day business course

elizabeth@aestheticare.co.uk

7 Obagi Intermediate Course with Shannon Lister, Birmingham,

for beauty and medical start-ups,

20 Foundation Botulinum Toxin and Dermal Filler Training, Cosmetic

www.healthxchange.com/obagi-training

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

Courses National Training Centre, Buckinghamshire,

7 Wigmore Medical Training CPR and Anaphylaxis - Update, London,

6-7 Foundation Botox and Dermal Fillers, London,

www.cosmeticcourses.co.uk

www.wigmoremedical.com

www.medicsdirect.com

20 Aesthetox Academy Training Courses, Birmingham,

8 Obagi Intermediate Course with Shannon Lister, London,

7 Innomed Training Dermal Fillers – New Users, Southampton,

www.aesthetox.co.uk

www.healthxchange.com/obagi-training

www.innomedtraining.co.uk

20-21 Body Silk Consulting Intermediate Two-day business course

8 Intraderm Basic Botulinum Toxin Course, Leicester,

7 Wigmore Medical Training Conceal and Camouflage Post

for beauty and medical start-ups,

www.intraderm.com

Treatment, London, www.wigmoremedical.com

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

8 Genuine Dermaroller™ Training, Warwickshire,

8 Genuine Dermaroller™ Training, Yorkshire,

22-23 Sterex Electrolysis Advanced Cosmetic Procedures,

elizabeth@aestheticare.co.uk

elizabeth@aestheticare.co.uk

Birmingham, training@sterex.com

8 Wigmore Medical Training Advanced Toxins and Fillers, London,

8 LCS Academy, CQC Compliance Workshop,

22-26 Mapperley Park Btec Laser, Light and Associated Aesthetic

www.wigmoremedical.com

www.lcsacademy.co.uk

Therapies, www.mapperleypark.co.uk

9 Eden Aesthetics Business Development Seminar and

8-9 Two Days Pigment Removal Training, Liverpool,

22-26 Nouveau Contour All Round Training in Permanent Cosmetics,

Demonstrations, Radisson Blu Portman Hotel, London,

www.finishingtouchesgroup.com

London, www.nouveaubeautygroup.com

lucy@edenaesthetics.com

9 LCS Academy, Laser/IPL Core of Knowledge,

26 Vein Train IV Drug Administration, Manchester,

9 Intraderm Basic Dermal Filler Course, Leicester,

www.lcsacademy.co.uk

www.veintrain.co.uk

www.intraderm.com

10 Mapperley Park Core of Knowledge, Nottingham,

27 Innomed Training Chemical Peeling Systems - New Users,

9 Vein Train Venepuncture and Cannulation, York,

www.mapperleypark.co.uk

London, www.innomedtraining.co.uk

www.veintrain.co.uk

10 Core of Knowledge in conjunction with Manchester University,

27-28 Foundation Botox and Dermal Fillers, Birmingham,

9-12 COSMODERM, Germany

Lynton Clinic Cheadle, www.lynton.co.uk

www.medicsdirect.com

9-12 Annual World Congress on Anti-Ageing Medicine. Las Vegas

10 Eden Aesthetics Business Development Seminar and

28 Innomed Training Mesotherapy for Fat, Cellulite and Skin

10 Vein Train IV Drug Administration, York, www.veintrain.co.uk

Demonstrations, The Macdonald Hotel and Spa, Manchester,

Rejuvenation, New Users, London, www.innomedtraining.co.uk

10 Genuine Dermaroller™ Training, Somerset,

lucy@edenaesthetics.com

29 LCS Academy, Contraindications for Light Based Therapies,

elizabeth@aestheticare.co.uk

10 Genuine Dermaroller™ Training, Ireland,

www.lcsacademy.co.uk

11 Foundation Botulinum Toxin and Dermal Filler Training, Cosmetic

elizabeth@aestheticare.co.uk

29 Vein Train Venepuncture and Cannulation, Peterborough, www.

Courses National Training Centre, Buckinghamshire,

11 Eden Aesthetics Introductory Agera and Microdermabrasion

veintrain.co.uk

www.cosmeticcourses.co.uk

Training and Advanced/Refresher Agera and Microdermabrasion

30-1 (Dec) LCS Academy, BTEC Medical Laser/IPL Therapies,

11 Innomed Training Advanced Aesthetics (Botulinum Toxin and

Training , The Macdonald Hotel and Spa, Manchester,

www.lcsacademy.co.uk

Dermal Fillers), London, www.innomedtraining.co.uk

lucy@edenaesthetics.com 11 Wigmore Medical Training Introduction to Botulinum Toxin Type A

December

and Dermal Roller, London,

1-3 Four Days Scalp and Brow Masterclass, Haywards Heath,

12 Body Silk Consulting Introductory One-day business course for

www.wigmoremedical.com

www.finishingtouchesgroup.com

beauty and medical start-ups,

12 Wigmore Medical Training Introduction to Fillers,

1 Genuine Dermaroller™ Training, Ireland,

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

London, www.wigmoremedical.com

elizabeth@aestheticare.co.uk

17 Vein Train Venepuncture and Cannulation, London,

12 Vein Train Venepuncture and Cannulation (2010), Lincoln,

2 Advanced Skin and Laser Applications in conjunction with

www.veintrain.co.uk

www.veintrain.co.uk

Manchester University, Lynton Clinic Cheadle,

14 Advanced Botox and Dermal Fillers, Newcastle,

www.lynton.co.uk

www.medicsdirect.com

2 Genuine Dermaroller™ Training, Scotland,

52

cosmeticnewsuk.com

12 Advanced Botox and Dermal Fillers, Glasgow, www.medicsdirect.com

• If you have any dates you would like to add to our Dates for the Diary section please e-mail vicky@ creativemedialtd.co.uk •

8145 Cosmetic News:Layout 1 23/09/2010 14:14 Page 4

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

Boston Medical Group LtD Contact: Iveta Vinklerova T: 0207 727 1110 E: info@boston-medical-group.co.uk W: www.boston-medical-group.co.uk Candela UK Ltd Contact: Ben Savigar-Jones T: +44 08455210698 E: alex@alexsilver.co.uk W: www.candelalaser.co.uk Cordcourt Limited Service: Uniform Supplier Contact: Gina Unsworth T: 0161 724 6009 E: sales@cordcourt.co.uk W: www.cordcourt.co.uk Cosmedix Contact: Aysha Capion-Awward T: 0844 855 2499 E: info@cosmedix.com W: www.cosmedix.com Cosmetic Courses Contact: Morag Hague T: 0845 230 4110 E: info@cosmeticcourses.co.uk W: www.cosmeticcourses.co.uk

Energist Contact: Andrew Snoddon T: 01792 798768 E: enquiries@energist-international.com W: www.energist-international.com Ericson Laboratoire Contact: Mike Filapiuak T: +44 02076296269 E: mike@ericson-laboratoire.co.uk W: www.ericson-laboratoire.com Galderma Contact: Azzallure Sales Team T: 01923 208950 E: info.uk@galderma.com W: www.galderma.co.uk Hamilton Fraser Contact: Wai Chan T: 0845 3106 300 E: cosmetic@hamiltonfraser.co.uk W: www.hamiltonfraser.co.uk Harley Aesthetics Contact: Dr Mark Harrison T: 02074872772 E: enquiries@harleyaesthetics.com W: www.harleyaesthetics.com Services: Training Health xchange Contact: Customer Service T: +44 1481 736832 E: orders@healthxchange.com W: www.healthxchange.com Janssen & Rosactive Cosmeceutical U.K Contact: Mr. Naci Gulsan T: 020 85090907 E-Mail: hunalp@hunalp.co.uk Web: www.hunalp.co.uk www.rosactive.co.uk LCS Academy Contact: Dr Elizabeth Raymond Brown T: 0845 0037315 E: admin@lcsacademy.co.uk W: www.lcsacademy.co.uk Lynton Contact: Customer Services T: 0845 6121545 E: info@lynton.co.uk W: www.lynton.co.uk Lifestyle Aesthetics Contact: Sue Wales T: 0845 0701 782 E: info@lifestyleaestheics.com W: www.lifestyleaesthetics.com MACOM Compression Garments Contact: MACOM Customer Services T: 020 7386 0011 E: info@macom-medical.com W: www.macom-medical.com

Cutera (Europe) Contact: Deborah Mechaneck T: 07711954740 E: dmechaneck@curtera.com W: www.cutera.com

Mapperley Park training www.mapperleypark.co.uk/training Email: training@mapperleypark.co.uk Tel: 01159 690 111

E-Clinic Contact: Sara Mogford T: 01274 530 505 E: info@e-clinic.uk.com W: www.e-clinic.uk.com

Med-fx Contact: Faye Price T: 01376 532800 E: sales@medfx.co.uk W: www.medfx.co.uk

Eden Aesthetics Contact: Anna Perry T: 01245 227 752 E: info@edenaesthetics.com W: www.edenaesthetics.com

Medical Aesthetic Group Contact: David Gower T: 02380 676733 E: info@magroup.co.uk W: www.magroup.co.uk

Merz Aesthetics Contact: Merz Aesthetics Customer Services T: 0333 200 4140 E: info@merzaesthetics.co.uk Morning Star Surgical S.A. (Pty) Ltd Contact: Brian Nielsen T: +27 (82) 667 2506 E: brian@morningstar-medical.com W: www.morningstarsurgical.co.za My Cells/Scandinavian USt Ltd Contact: John Tucker T: +35361 312979 E: info@mycells.ie W: www.my-cells.net Polaris Lasers Contact: Neil Calder T: 01234841536 E: njc@polaris-laser.com W: www.polaris-laser.com Q-MED Contact: Customer Service T: 0207 796 3290 E: info.uk@q-med.com W: www.q-medpractitioner.com/uk RECOvA COMPRESSION GARMENtS Contact: Eva Sanchez-Smith E: eva.sanchez@recovapostsurgery.com W: www.recovapostsurgery.com T: 0207 000 1044 Sanofi Aventis Contact: Customer Service T: 01483 554 809 W: www.sanofi-aventis.co.uk Skin brands Contact: Tracey Beesley T: +44 (0) 2089978541 E: tracey@skinbrands.co.uk W: www.skinbrands.co.uk Skin Geeks Ltd Contact: Trishna Shah T: +44 (0)1865 338046 E: trishna@skingeeks.co.uk W: www.skingeeks.co.uk Specialist Make-Up Services Ltd Contact: Mike Lawrence T: 0845 2302021 E: enquiries@permanent-makeup.com W: www.permanent-makeup.com Services: Permanent Make-Up Surface Imaging Solutions Contact: Nick Miedzianowski-Sinclair Telephone : +447774802409 E: nms@surfaceimaging.co.ukW: www.surfaceimaging.co.uk Service: Skin Analysis systems & services vaser Lipo/ Sound Surgical technologies LLC Contacts: Simon Davies T: +44 (0) 7971 686114 E: SDavies@soundsurgical.com W: www.vaser.com Wealden Projects Contact: Kevin Dewhurst E: kevin@wealden projects.com W: www.wealdenprojects.com T: 01892 611552 M: 07969 697593 Wellness trading Contacts: Adam Birtwistle T: 01746 718123 E: contact@wellnesstrading.co.uk W: www.wellnesstrading.co.uk Zanco Models Contacts: Mr Ricky Zanco T: 08453076191 E: info@zancomodels.co.uk W: www.zancomodels.co.uk

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

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

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

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

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

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

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

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

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

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

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