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the uk’s only free of charge medical aesthetics trade SHOW

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

EXPO SHOW REPORT

the lowdown on what happened at the event of the aesthetics calendar: The Cosmetic News Expo

ALSO IN THIS ISSUE skin types

The Dr Leslie Baumann way

going live

IHAS Register launch

advertising angst The dos and don’ts of cosmetic advertising


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EDITOR’S LETTER When you spend months planning an event you go through everything that could possibly go wrong in your mind, however, the fact that a massive cloud of volcanic ash would prevent some of your delegates, speakers and exhibitors from turning up was not one of the things we accounted for when planning the inaugural Cosmetic News Expo, which took place in London last month! Despite five of our international speakers being grounded across the globe, in true British style, everyone stepped up to make sure that the natural disaster did not make the event a disaster too. I would like to thank all of our speakers for their fantastic presentations and all of our exhibitors, particularly our Platinum Sponsor, Galderma, for supporting the event. It was a fantastic launch show and we look forward to making it bigger and better in 2011. Turn to pages 22-36 to find out what went on. Also in this issue, we report on the launch of the IHAS Register of Injectable Cosmetic Providers (p18-20) and look at the dos and don’ts of advertising (p48-49). We also examine Dr Leslie Baumann’s skin typing system (p42-43) and speak to Dr Patrick Treacy about VASER® (p38-41). I hope you enjoy it!

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EDITOR’S chOIcE

cONTENTS 6

NEWS We round up the latest people, product and industry news

18

NEWS SPEcIAL We report on the launch of the IHAS Register of Injectable Cosmetic Providers

22

cOSMETIc NEWS EXPO ShOW REVIEW Find out what happened at the biggest event of the aesthetics calendar

SOPRANO BLuE When it comes to new innovations and continuously updating technology, Alma Lasers is definitely on top of its game. The latest offering from the company, whose systems are distributed in the uK by ABC Lasers, is the Soprano Blue. The Soprano, one of Alma’s flagship products, claims to be the world’s first virtually painless laser-based hair removal system. Suitable for all areas of the body and all skin types, Soprano delivers fast results in just a few short sessions with no recovery time and very few side effects. The new system still harnesses the same cuttingedge laser technology that practitioners have come to expect from Alma, including In-Motion™ laser technology – which generates pulses of infrared diode laser energy to gradually heat the hair follicles

34

ON ThE ScENE: EXPO SPEcIAL

until they can no longer produce new hair, eliminating

The Cosmetic News Expo after party

tip – which cools and calms the skin, ensuring the most comfortable

the problem of patchy hair removal – and the unique DualChill™ treatment treatment possible – however the Soprano Blue has some new additions to

38

Q&A Dr Patrick Treacy answers our VASER questions

make treatments even faster and easier for patient and practitioner alike. First of all the system has an increased fluence of up to 20 j/cm², helping even very fine and light hair to be targeted with the laser. It also has a new

42 44

48

SKIN TYPES

umbilical support, which has been implemented as a result of customer

We look at Dr Leslie Baumann’s skin typing system

lighter and easier to use.

VIEW ON: cOMPRESSION

Perhaps the most exciting addition however is the new larger colour touch

Why compression garments are more than just a post-

more graphic. Now all the treatments are in a touch screen mode with

surgical aid

pre-set parameters. As well as the HR mode you can now select specific

BEST PRAcTIcE Advertising dos and don’ts

50

BUSINESS FOcUS Hilary Ford on choosing the right marketing partner

52

feedback, that, along with a new handpiece holder, makes the handpiece

DATES FOR ThE DIARY

screen with improved MMI, to make the user interface more visible and

screens tailored to treatments for a man or a woman. When you select either of these modes, a screen comes up with a picture of a man or a woman with marked areas on their body indicating the most popular treatment areas. Each area will then have pre-set parameters specially for treating that body region. With summer fast approaching I may well be booking myself in for a few sessions to make sure I am hair free before my holidays!

Training course, conference and meeting dates

54

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: 07931 924 322 vicky@creativemedialtd.co.uk Emilia Bronze 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

don’t miss out! subscribe for free online at www.cosmeticnewsuk.com

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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News | Round Up

NEWS IN BRIEF

WhAT A RESULT

THIEVES TaRgET DERmaURE

The survey was the first of its kind charting trends and opinions from the industry about non-surgical

galDERma RECEIVES FDa appROVal OF DIFFERIN®

A survey carried out by Cosmetic News magazine has shown that, despite the GMC recently updating its guidelines on the remote prescribing of botulinum toxin, 24% of doctors still think the practice is acceptable. The results of the industry-wide survey were revealed to members of the press at the first ever Cosmetic News Expo in London last month.

medical aesthetics and was carried out in association with the British Association of Cosmetic Doctors (BACD) and Cosmetic News readers. While 76% of cosmetic doctors were opposed to remote prescribing to nurses or beauty therapists stating that the practice was too risky with unexamined patients being treated. Dr Patrick Bowler, co-founder and Fellow of the British Association of Cosmetic Doctors, was still surprised to see so many supporting the practice. He said, “I was rather disturbed that 24% of doctors thought it OK to remote prescribe to nurses and beauticians. There seems to be a significant number of doctors treading a dangerous path in the pursuit of commercialism.” The survey also showed that despite criticism from some, the majority of the industry was behind the IHAS Shared Regulation scheme, with 71% saying they thought it was going to work. Unsurprisingly the most popular cosmetic treatment for women was botulinum toxin injections (47%) followed by dermal fillers (31%) and Sculptra (10%). Botulinum toxin was also the most popular treatment for men (47%) followed by dermal fillers (14%) and laser hair removal (9%). Laser hair removal was the most popular laser treatment for patients (50%). Significantly 89% of doctors would not use permanent fillers because they deem them too risky and 39% did not think that mesotherapy works. VASER and Sculptra stood out as the two treatments doctors felt had revolutionised their practice. 29% of doctors surveyed stated that improved dermal fillers to treat the face were the biggest innovation in aesthetic medicine over the last five years and Sculptra (26%) and Juvederm Ultra (17%) were selected as the two treatments that had revolutionised cosmetic practices. 29% believed that VASER was the biggest innovation in medical aesthetics in the last five years. The biggest trend in aesthetics for 2010 was predicted to be the natural look with treatments that stimulate natural collagen production. 84% believed sun beds should be banned and 55% cited sun damage as the most significant cause of ageing, followed by smoking (33%) and genetics (9%). According to Vicky Eldridge, editor of Cosmetic News, “While trends in cosmetic surgery are well documented, this is the first time that the non-surgical medical aesthetics industry has had its say. This is one of the fastest growing and most exciting industries in the UK and Cosmetic News is glad to be leading the way in supporting and promoting the industry.”

Distributors are reminded to be on their guard during the recession after burglars, stole thousands of pounds worth of stock from Dermapure – the sole distributor of Youngblood mineral Cosmetics and DermaQuest Skin Therapy in the UK and Ireland. managing director of Dermapure gary Baulch said, “If you are approached and offered these product lines from anyone outside of Dermapure please contact the police immediately”.

The US Food and Drug administration (FDa) has granted galderma laboratories approval for Differin® (adapalene) lotion, 0.1%, the first-ever lotion formulation of the well-tolerated retinoid adapalene, for the treatment of acne. Differin lotion, 0.1% is formulated for tolerable efficacy, spreads easily and is available in a convenient, easy-to-use pump dispenser. It is indicated for the treatment of acne vulgaris in patients 12 years and older, and can be used on the face and other areas of the body affected by acne. approval was based on two 12-week, multicenter, controlled clinical studies of similar design, comparing Differin lotion, 0.1% to vehicle in 2,141 total acne subjects.

NEW COURSES FOR aalBS The association of advanced laser Body Sculpture (aalBS) has joined forces with the Clinical Exchange in guildford and the Epsom Skin Clinic to offer additional and advanced training in laser lipolysis procedures. The Clinical Exchange is a specialist training organisation, headed up by leading vascular surgeon mr mark Whiteley. It will now offer aalBS training in laser sweat ablation and endovenous occlusion. The Epsom Skin Clinic is headed up by Dr paul Stevenson, one of only two people in the world to have carried out laser lipolysis blepharoplasty. aalBS will be announcing course dates for training in this procedure soon. Dr Stevenson will also provide training in other laser lipolysis and advanced laser lipolysis procedures.

aBC ExpaNDS IN CamBRIDgE

PMA APPLIcATION FOR AQUAMID® SUBMITTED TO ThE FDA

Contura has submitted a Premarket Approval Application (PMA) for Aquamid® to the uS Food and Drug Administration (FDA) requesting marketing approval in the uS for the aesthetic treatment of moderate to severe facial wrinkles and folds. The application includes a successful US pivotal study, in which the safety and efficacy of Aquamid® was compared to Restylane® for 12 months after treatment. The study results were presented last year at the American Society of Dermatologic Surgery’s annual meeting and at Plastic Surgery 2009, and showed that Aquamid® was as effective as Restylane® at six months follow-up, based on the study endpoints, and maintained this effectiveness at 12 months follow-up. Both treatments were safe and well tolerated. Also included in the application is a study extension that followed the Aquamid®treated subjects up to two years and demonstrated a consistent effectiveness and safety profile. If approved for the US market, Aquamid will be produced at Contura’s new manufacturing facility in Denmark, which was designed to meet FDA requirements, and was recently approved by the European authorities.

6

cosmeticnewsuk.com

aBC lasers is expanding its operations in Cambridgeshire. The company is in the process of moving from Hills Road in Cambridge to larger offices at Duxford Business Centre. The company has bought the freehold on a 1,748 sq ft, selfcontained character office building to accommodate around half a dozen staff. Bidwells negotiated the deal. aBC is the sole UK and Ireland distributor for Israel-based alma lasers, a global leader in the development and manufacture of lasers.

STUDY pROVIDES EVIDENCE THaT NaNOpaRTIClES IN SUNSCREENS COUlD BE TOxIC IF INgESTED Scientists are reporting that particle size affects the toxicity of zinc oxide, a material widely used in sunscreens. particles smaller than 100 nanometers are slightly more toxic to colon cells than conventional zinc oxide. Solid zinc oxide was more toxic than equivalent amounts of soluble zinc, and direct particle to cell contact was required to cause cell death. The study was published in aCS’ Chemical Research in Toxicology.

aREOla aRTISTRY Finishing Touches is hosting a areola artistry Workshop at The Royal College of Surgeons on monday June 14. The one-day workshop will provide you with information to help you improve the visual appearance of the NaC: nipple/areola complex for patients post breast reconstruction, after mastopexy and augmentation. The advanced class is for trained specialists only. The day will be jointly hosted by Finishing Touches managing director Dawn Forshaw, consultant oncoplastic breast surgeon mr mysore Chandrashekar and colour and medical tattooing specialist Tarryn Vice.


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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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NEWS IN BRIEF

News | Round Up

SUNBED BAN FOR UNDER 18S TO BEcOME LAW The private member’s bill to protect

children and teenagers from the dangers of sunbeds has been passed by the House of Lords after a Cancer Research uK campaign. Aisling Burnand, executive director of policy and public affairs at Cancer Research UK,

mIxED-RaCE pEOplE pERCEIVED aS ‘mORE aTTRaCTIVE’ people of mixed race are perceived as being more attractive than non-mixed-race people, a Cardiff University study has found. In the largest study of its kind Dr michael lewis of Cardiff University’s School of psychology, collected a random sample of 1,205 black, white, and mixed-race faces. Each face was then rated for their perceived attractiveness to others, with mixed-race faces, on average, being perceived as being more attractive. Dr lewis presented his findings at the British psychological Society’s annual meeting last month.

lONDON lIp QUEEN gETS lIppY

said, “We’re thrilled that the bill to stop under 18s using sunbeds has passed through the House of Lords and will become law in a year. This is a monumental achievement and legislation will go a long way to curb the alarming numbers of teenagers who use sunbeds.” Research recently published in the British Medical Journal found that a quarter of a million children in England between the ages of 11 and 17 regularly use sunbeds. Aisling added, “Cancer Research UK looks forward to working with the next government to ensure all salons are properly staffed and all adults are given appropriate information warning them of potential dangers to their long term health. Sunbeds are classified at the same carcinogenic level as tobacco, with the intensity of some UV rays from sunbeds being up to 10-15 times higher than that of the midday sun. Younger people are particularly at risk and sunbed users under the age of 35 have a 75% higher risk of developing malignant melanoma, the deadliest type of skin cancer. We’d like to thank Julie Morgan MP for Cardiff North, Sian James MP for Swansea East and Nicola Roberts from Girls Aloud for all their efforts to make this bill law.”

REMOTE PREScRIBINg MEETINg IS A ‘MUST-ATTEND’ FOR NURSES A meeting is being held to allow nurses to freely and openly discuss the controversial topic of remote prescribing with The Nursing and Midwifery Council, without the fear of reprisal. The meeting is taking place at De Montfort university on May 20 at 1pm and is being held under ‘Chatham House Rules’, which means that anything discussed or disclosed within the room will not be used against the person sharing the information. Mai Bentley from Intraderm who has organised the meeting said, “The idea is to allow nurses to talk freely about how remote prescribing works for them, how they understand it to work and to then hear, from the NMC directly why certain aspects of the remote prescribing system are considered bad practice, why some aspects are against NMC guidelines and why some aspects are actually illegal. This is the opportunity that nurses everywhere have been waiting for. It is free of charge and affects all nurses working with a remote prescribing system. It will address issues that are being distorted by various people in the industry. These people are deliberately giving nurses untrue information that may affect the nurses’ decisions surrounding the ways in which they practise. This may ultimately affect the nurses’ NMC registration.” For more information please contact Intraderm Limited on 0116 241 6898.

Dr Rita Rakus, aka The london lip Queen, has launched her own lipstick in collaboration with a la Carte Cosmetics. Dr Rakus is the first cosmetic doctor in the UK to launch a make-up range. She said, “I have worked with so many women over the years to get exactly what they want from their lip treatment. The lips really are the heart of the face and give women the confidence to feel young and sexy. Classic red lipstick never goes out of fashion. I know my clients are pleased with their look when they wear a bright bold colour.”

NEW SERUm IS a BREaKTHROUgH FOR paRCHED aND lINED SKIN Environ has launched Ionzyme Focus Hydrating Serum a light, but highly concentrated moisturising serum to treat dry skin, fine lines and photo-damaged skin. This breakthrough formulation was conceived as an alternative to mesotherapy hyaluronic acid injections and is aimed at increasing the volume of the dermis, thereby reducing fine lines. The Focus Hydrating Serum contains a penetrant enhancer, Transcutol Cg, which enhances absorption of the plant-based, low molecular weight hyaluronic acid solution, which is in a very high concentration for a topical preparation. The product works particularly well in association with the new Environ Cosmetic Focus-CIT™ or Roll-CIT™, as these home needling devices open temporary tiny channels in the skin surface to allow increased penetration of the serum into the active layers of the skin.

aESTHETOx BESpOKE TRaININg The aesthetox academy will be running an in-clinic bespoke training week in July. The directors will be running individualised training and will travel to your own clinic or premises to perform basic or advanced training skills between July 5 and 10. For more details contact visit the company’s website www. aesthetox.co.uk Early booking is advised. all courses fully insured and accredited by Hamilton Fraser Insurance

New Year offer - 10% discount in January · · · · · · ·

Book appointments and manage rooms Patient database with clinical notes Billing and stock control Send letters, emails and texts Appointment reminders by text or email Store digital photos Marketing and financial reporting

Call 01274 530505 for your free demo CD or email sara@e-clinic.uk.com 8

cosmeticnewsuk.com


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News | Round Up

cODE ENDORSES gENUINE DERMAROLLER™ ThERAPY CODE, the Association for Dental Practice, has announced a new partnership with microneedling skin rejuvenating treatment, Genuine Dermaroller™ Therapy. CODE Academy courses give dentists, doctors and medical nurses the essential training to develop a facial aesthetic practice. The Academy will now offer Genuine Dermaroller™ Therapy training seminars, firmly positioning micro-needling as a mainstream aesthetic treatment, alongside botulinum toxin, fillers and chemical peels. Genuine Dermaroller™ Therapy was launched in the UK in early 2009 by AesthetiCare®, a division of Ferndale Pharmaceuticals, to nationwide acclaim. The company’s managing director Roger Bloxham commented, “We’re thrilled about this partnership with CODE. Genuine Dermaroller™ Therapy is the market leader in micro-medical skin needling. Only the training offered by Aestheticare®, and now by CODE, uses the authorised Genuine Dermaroller™ Therapy device. Having CODE endorse Genuine Dermaroller™ Therapy really does position micro-needling as a mainstream non-surgical cosmetic treatment, and Genuine Dermaroller™ Therapy, as the best micro-needling treatment available.” Dr Tim Eldridge, Chairman of CODE, added, “We’re very excited by this collaboration with Genuine Dermaroller™ Therapy. We’ve seen the great results that Dermaroller™ delivers, so it makes perfect sense for us to lend it our support. We’ve already received a huge amount of interest in the new microneedling training programme, which clearly demonstrates the demand that exists in the UK for this treatment. We’re sure that Genuine Dermaroller™ Therapy will continue grow from strength to strength.”

NANO cARRIERS ENhANcE SKIN PENETRATION AND ANTIOXIDANT EFFEcT OF cOQ10 using a nano-lipid carrier to deliver the antioxidant CoQ10 can significantly enhance its topical skin delivery and protective effect on the skin, according to recent research. Scientists in China looked at the ability of the coenzyme to protect fibroblasts from uVA damage, and compared the behavior of CoQ10 in an emulsion to that of CoQ10 that had been nanoencapsulated. CoQ10 is synthesised in humans but our capacity to make it decreases with age, and rapidly drops after we pass the age of 40. It is known to have powerful antioxidant effects, and it is the coenzyme’s potential to protect the skin against the uVA-mediated oxidative stress that led the researchers to investigate different delivery mechanisms of the ingredient. According to the authors, led by Yang Yue at Tsinghua University in Beijing, China, nano-structure lipid carriers are becoming increasing popular as delivery systems as they have high substance solubility, powerful skin penetration and low skin irritation. In this case, a soybean lecithin was chosen to be the lipid carrier, for its good biocompatibility, its non-irritating nature on the skin, and the balance between hydrophilic (water loving) and lipophilic (lipid loving) properties. The ability of the CoQ10 to protect against the damage caused by UVA was tested in vitro on human embryo skin fibroblasts. According to the study, the nanoencapsulated CoQ10 (CoQ10-NLC) had a stronger antioxidative capacity than the CoQ10 in the emulsion form. An MTT assay was used to measure cell viability and after UVA radiation the fibroblasts that had been treated with CoQ10 NLC had a higher cell viability than those that had received the emulsion treatment. In addition, the team tested the penetration of the coenzyme in vivo using rat skin. The skin penetration capability of the nanoencapsulated form of the coenzyme was significantly higher than the emulsion form, which the scientists put down to the soybean lecithin nano carrier. Soybean lecithin’s ability to bind to lipid cell membranes and to enhance the permeability of these membranes, helped enhance the skin penetration of the ingredient, the researchers argued. “Because the CoQ10 – NLC displayed such powerful antioxidative ability compared to the general CoQ10 emulsion…the NLC formulation is considered to be the key to the efficient delivery of CoQ10,” they concluded in the study.The scientists also suggested that further research could investigate the effects of enfolding two or more factors within the nano carrier – for example CoQ10 and vitamin E.

10

cosmeticnewsuk.com

NEWS IN BRIEF pOST-DIVORCE pROCEDURES Up The Harley medical group has seen a rise (9% year on year) in the number of divorcees investing in cosmetic procedures to help them find new confidence. Clinic staff have reported that many female patients aged 40+ are increasingly using divorce settlement money to fund cosmetic procedures. liz Dale, director at The Harley medical group, commented, “Women aged 40-plus are increasingly citing embarking on a new relationship as a reason for undergoing rejuvenation treatments. We estimate that around 30% of our 40+ patients are divorcees.”

gENETICS OF CEllUlITE COUlD INFORm NEW TREaTmENTS Recent research into the genetics of cellulite could provide new approaches to alleviating the symptoms of the condition, according to scientists based in Italy. The group led by Dr Enzo Emanuele at the University of pavia has identified a number of genes that differ between women who suffer from cellulite and those who don’t. Focusing on the genetic makeup of the condition, he says, is a new way of looking at treatment, and has immense implications for the cosmetics industry.

lUmENIS lTD REpORTS FUll YEaR 2009 FINaNCIal RESUlTS lumenis ltd has announced its financial results for 2009 and showed positive growth despite the current economic climate. “2009 was a landmark year for lumenis, with strong improvement in our business performance despite the global recession and its severe impact on capital equipment companies”, said Dov Ofer, CEO of lumenis. “We believe that our revenues fared better than the industry as a whole, and that we gained share in key segments.”

HaVINg a Ball The Natural History museum will be the setting for the aesthetics Industry Summer Ball 2010. Taking place on the evening of July 3, the event has become a fabulous fixture in the aesthetics calendar. Organised by FaCE ltd, the event is being sponsored by galderma and merz aesthetics. The ball is part of the annual FaCE meeting, which will take place at the Royal College of physicians on July 2-4. For more information visit www.faceconference.com.

a SmaRT IDEa FOR BUSINESSES Following an enthusiastic response from their first series of SmaRT Ideas meetings in 2009, The Consulting Room™ has partnered with two leading companies to provide a focused one-day agenda featuring exciting new concepts that aesthetic practitioners can incorporate into their business. The free seminar will take place on Saturday may 22 at the Cavendish Conference Centre, london. The meeting will include a two-hour theory and practical workshop session led by professor Syed Haq and Dr Kate goldie on Novabel® – an exciting new facial shaping product recently launched by merz aesthetics – alongside the official launch of the Soprano Blue – the latest version of alma lasers novel pain free laser hair removal technology. In addition, martyn Roe and Ron myers from The Consulting Room™ will be running several marketing sessions to help you grow your business. For more information visit www. smartseminar.co.uk

NEW aND ImpROVED TRIa TRIa Beauty has launched of a new version of the TRIa laser Hair Removal System that features upgraded software with a lower retail price than the previous model. Scientists revised the energy settings from three to five, offering improved comfort and performance. By increasing the range of energy settings, the new device enables users to better customize the treatment to their particular hair color and thickness. It is also £100 cheaper than the previous version.


Results You Can RelY on “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


News | Round Up

PRIORI’S SPFS gET ThUMBS UP FROM SKIN cANcER FOUNDATION

Facial injection maniKin

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

Ten products from the PRIORI® range have been recommended as

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

effective uV sunscreens, receiving ‘gold standard’ seal of approval from the Skin Cancer Foundation. Products include all six newly launched CoffeeBerry® Perfecting Mineral Foundations, Perfecting Concealer SPF25, Advanced AHA Daily Defense SPF30, Idebenone Radical Defence SPF30/ EPF 95+ and CoffeeBerry® Natural Daily Protection SPF25. The Skin Cancer Seal of Recommendation is the respected standard for the safety and efficacy of UV protection and has set the standard for the last 30 years. “We are delighted that the Skin Cancer Foundation has recognised ten of the PRIORI® products with the Seal of Recommendation,” says Tracy Parkin, managing director of Cosmeceuticals. “Priori provides a complete end to end anti-ageing sun solution for all lifestyle and skincare needs. The new CoffeeBerry® Perfecting Minerals range extends this with six SPF25 and UVA10 foundations and it’s the only

facial injection manikin

range containing CoffeeBerry® extract with its antioxidant, anti ageing and skin brightening properties. We are committed to

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

email: info@zancomodels.co.uk | Web: www.zancomodels.co.uk

bringing products to the market that enhance the overall health of the skin.”

INTERNATIONAL cONSENSUS REcOMMENDATIONS ON AESThETIc USAgE OF AzzALURE® PUBLIShED

EMMA APPOINTED AS IIAA TRAINER AND MAKE-UP ARTIST

A study has been published in the Journal

make-up artist for the

of the European Academy of Dermatology

International Institute

and Venereology showing the international

for Anti-Ageing (iiaa) in

consensus recommendations on the

Scotland.

Emma Gallacher has been appointed as regional trainer and

aesthetic usage of Azzalure® botulinum toxin

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type A (Speywood unit) in the upper face.

Multi-skilled Emma is not

Members of the International Board on

only teaching regular

Botulinum toxin Azzalure® (IBBA) convened to

training courses in

develop consensus on the treatment of upper

Glasgow for the Institute’s

facial wrinkles based on their own extensive

recommended brands, Environ, jane iredale and

experience in order to provide a framework for

Advanced Nutrition Programme, she is putting to good

physicians who wish to perform safe and efficacious injections of Azzalure®.

use her creative talents in make-up application too and

The consensus recommendations address the general issues regarding treatment and provide

will be out and about at jane iredale stockist salons,

specific guidelines on the anatomy, injection points, dose, injection technique and safety

hosting one-day make-up events where clients have

precautions concerning each common upper face indication.

free-of-charge makeovers and tuition in how to apply

The recommended final concentration of BoNT-A (Speywood Unit) is 200 s.U/mL (10 s.U/0.05 mL)

mineral cosmetics.

after reconstitution. For glabellar lines, the members recommend a total of five injection points

Prior to working with iiaa Emma worked as a senior

with 10 s.U/point. For forehead wrinkles, the members recommend four to six injections into the

therapist and make-up artist, with experience in both

frontalis with 5-10 s.U/point. For crow’s feet, the members recommend three injections per side

bridal and theatrical make-up, and has taught courses

with 5-10 s.U/point at the lateral part of the orbicularis oculi. For lateral eyebrow lift, the members

covering skincare, make-up, health and wellbeing. In

recommend one point at each eyebrow tail and an additional one in each side of the frontalis

addition, Emma volunteers her spare time as a make-up

with 5-10 s.U/point.

artist and advisor for the Birthmark Support Group.

cosmeticnewsuk.com


Simple is the new smooth Our new Hyaluronic Acid is available in One, Two, Three easyto-choose and use formulations for different facial areas, from smoothing fine to deep wrinkles to increasing lip volume. So now you can refresh the way your patients look quite simply with Succeev® One, Two and Three – the new smooth. In partnership with Sculptra® it can successfully widen your Medical Aesthetics opportunity too. For more information consult your Medical Aesthetics Account Manager, call 0800 138 0228 or email gfd-succeev@sanofi-aventis.com

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sanofi-aventis. One Onslow Street, Guildford, Surrey GU1 4YS. Date of preparation: April 2010. GB.HYA.09.12.09

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News | Round Up

MYFAcEMYBODY LAUNchES NEW SITE The MFMB Media Group has launched a new trade website, http://www. myfacemybody.com/4trade dedicated to servicing the medical aesthetics industry with the latest in internet marketing and video solutions. The company, whose slogan is ‘Create, Produce, Deliver’ can create marketing campaigns for your business; produce them in its central studios in Harley Street and Tower Hill, and deliver your promises to millions of consumers via its televsion programme, website (MyFaceMyBody.com) and various social media and video websites. MFMB is planning to run dedicated days throughout the month in its central studios and around the country where specialists and clinic owners can have the opportunity to produce their very own introductory and patient testimonial videos for between £300-£600. Anyone interested should check the website for the next available dates. MFMB is also offering a free service where they will e-mail practitioners hot tips and educational videos on how to grow your business online. The MyFaceMyBody TV show is also going from strength to strength with leading teeth whitening company Zoom signed up as sponsors. After the first episode of the TV chat show screened on Sky, more than 40 major news tabloids and 200 online journals commented on statistics from the show. Managing director Stephen Handisides said, “The exposure of the MyFaceMyBody brand has really exploded, with thousands of consumers nationally and internationally visiting MyFaceMyBody. com on a regular basis, before, during and after the TV show seeking independent, informative advice.” The show is on Sky Channel 166 and Freesat 402 on Tuesdays at 7:30pm, Thursdays at 3pm and Sundays at 6:30pm.

MhRA ISSUES URgENT ADVIcE TO BREAST IMPLANT SURgEONS The MHRA is advising breast implant surgeons not to use silicone gel-filled breast implants manufactured by the French company Poly Implant Prothese (PIP). The MHRA was informed by the French medical device regulatory authority (AFSSAPS) that it has suspended the company’s marketing, distribution and export of these products. AFSSAPS recently carried out an inspection of PIP’s manufacturing plant and found that most implants manufactured since 2001 have been filled with an unauthorised silicone gel which differs from the originally approved material. The MHRA is investigating, in collaboration with AFSSAPS, whether the unapproved gel affects the safety of these implants. AFSSAPS is carrying out tests to establish the level of risk. The MHRA issued a Medical Device Alert to breast implant surgeons and healthcare professionals. Director of Devices Clinical, Dr Susanne Ludgate said, “Clinicians should not implant these devices and they should quarantine any stock. Patients who have concerns about their PIP silicone gel filled breast implants should contact their breast implant surgeon. Once we receive further information about the safety of these products, we will provide further advice on patient management, as necessary, when more information is available.”

14

cosmeticnewsuk.com

NEWS IN BRIEF WElSH WOmEN HaVE mOST plaSTIC SURgERY aCCORDINg TO ONEpOll SURVEY Women from Wales are the most likely in the United Kingdom to have cosmetic surgery, and those in the East midlands the least tempted to go under the knife, a poll has found. 5,000 women were questioned as part of the Onepoll survey, which was commissioned by Safer Cosmetic Surgery, a new network and website set up by surgeons who sign up to common safety standards. The survey also showed that the types of aesthetic procedures, which appealed to women varied in different parts of the country. Breast surgery was the most popular procedure, and the most common cosmetic operation undergone by women in Scotland, the North East, North West, South East, South West, West midlands and East anglia. Rhinoplasty was the most popular in Wales, london, and Yorkshire and the Humber, while in Northern Ireland, the most common procedure was the face-lift.

NEW US WEBSITE allOWS USERS TO SHaRE pHOTOS OF SKIN CONCERNS WITH DOCTORS a new US website, Skinofmine.com, is allowing users to upload photos of their moles or other skin concerns and analyse them for signs of melanoma such as border irregularity, asymmetry, and color irregularity, or to track changes in their mole or other skin concern over time. Users can either create an account and archive their photos, or simply upload a photo temporarily for analysis without logging in. any troubling images may be shared and discussed with other users of the website, for example their dermatologist. The idea of the site is not to provide a diagnosis or to replace or delay a visit to the dermatologist; rather the concept is to aid users in performing the recommended self-checks of the skin between doctor visits. The website was developed by a team of mIT phDs with expertise in image processing, together with consultation from several dermatologists and uses state-of-the-art back-end algorithms for the analysis.

NEW aESTHETIC NURSES aSSOCIaTION aNNOUNCES INaUgURal mEETINg The British association of Cosmetic Nurses (BaCN) has announced the date of its first annual conference and agm. The association, which launched at the Cosmetic News Expo last month, will be holding the meeting at the Royal College of physicians on Saturday September 11. The meeting will be a must for all nurses working within the field of medical aesthetics as it will give them a chance to network and share information with their peers as well as continuing their professional development in this speciality. annual membership to the BaCN costs £120 or £100 if a standing order is set up. To find out more visit www.cosmeticnurses. org or e-mail admin@cosmeticnurses.org.

FUNCTIONalaB WINS DISCOVER BEaUTY aWaRD aT COSmOpROF Functionalab has won the Discover Beauty award at Cosmoprof Worldwide Bologna 2010. The award was given to Functionalab by the most influential retailers in Europe participating in the program who voted based on the following criteria: most unique and innovative brand, overall concept, ability to succeed in the marketplace and market readiness. participating buyers included Harrods, House of Fraser, le printemps (France), Sephora (Italy) and SpaceNK (UK/USa) among others. Discover Beauty is an acclaimed program devoted to identifying the most promising brands in the world of beauty and part of Cosmoprof. Functionlab is a premium brand of science-based, supplements promoting a holistic approach to beauty, health and nutrition which launched in the UK last month.

lEaDINg pHYSICIaNS DEmONSTRaTE THE VERSaTIlITY aND CamERa-REaDY RESUlTS OF NOVaBEl® aT aamW The 8th anti-aging medicine World Congress in monte Carlo, last month saw a number of leading practitioners sharing their experiences with merz aesthetics’ newest product, Novabel®. Novabel® is a new class of aesthetic therapy that exerts its effect as a shaper that allows for modulation of facial features as opposed to mere wrinkle filling and was launched earlier this year. From across Europe, physicians are reporting favorably on their experiences with Novabel® including ease-of-use in sensitive areas like tear troughs, minimal bruising or down time and natural-looking results. “Novabel® is very gentle and its viscosity is so low you can use it in delicate areas, like the periorbital region, while its great malleability and lifting power make it perfect for shaping cheeks and chin,” said Tatjana pavicic, mD, a dermatologist and allergist at the Klinik und poliklinik für Dermatologie und allergologie ludwig-maximilians-Universität, munich, germany. “With Novabel®, results are immediate, without distortion from swelling and with minimal redness and bruising. Novabel® is a rare product that makes you feel like an artist because you can use it in so many different areas of the face with great precision.”


Think you can’t have it all? Now you can… Inspired by nature, perfected by science – Novabel® heralds a new era in non-permanent facial aesthetics. Purified from marine algae, Novabel’s unique GeleonTM technology has given rise to a dermal shaper that is ultra-gentle, yet has the power to shape, contour and define skin across all facial indications – an exceptionally versatile solution. Who says you can’t have it all? Please contact info@merzaesthetics.co.uk to find out more about Novabel –

the gentle, powerful, versatile dermal shaper

Date of preparation: February 2010 NOV002/0210/KV

Merz Pharma UK Ltd 260, Centennial Park, Elstree Hill South, Elstree, Hertfordshire, WD6 3SR Customer Services: +44 (0)333 200 4140 Fax: +44 (0)208 236 3526 Email: info@merzaesthetics.co.uk


News | Round Up

SEAL OF APPROVAL FOR JANE IREDALE

INTRODUcINg REVITABROW®

Five of the most popular jane iredale make-

The creators of RevitaLash® have introduced

up products have been recommended as

RevitaBrow® the ultimate tool for bringing

effective uV sunscreens, receiving the Seal

sparse, damaged eyebrows back to life. The

of Recommendation from The Skin Cancer

natural formula stimulates hair growth leaving

Foundation. The Seal of Recommendation

brows thicker, fuller and superbly defined.

has become the respected standard

Utilising the power of peptides and botanicals for a

for ensuring the safety and efficacy of

strengthening, conditioning and nourishing formula,

ultraviolet (uV) protection products. The

the product works to stimulate hair growth for

five jane iredale products that will proudly

thicker more beautiful eyebrows.

wear the Seal include Amazing Base, PurePressed Base, Dream Tint, LipDrink and Powder-

Completely safe, RevitaBrow®’s ingredients have

Me SPF in Tanned and Translucent. These products, which range from SPF 15 to 30, are now

been vigorously tested and have excellent safety

recommended by The Skin Cancer Foundation as effective aids in the prevention of sun-

profiles. The product is applied once a day to a

induced damage to the skin, including sunburn and possibly premature ageing.

clean, and dry eyebrow hair using several short strokes

The Skin Cancer Foundation Seal of Recommendation has set the criteria for effective UV

where hair

protection for more than 30 years. Products were evaluated by the Foundation’s Photobiology

needs to

Committee, composed of leading US dermatologists who are experts on how the sun interacts with

be thicker.

the skin. Secondly, each product underwent testing for safety and efficacy standards, including an

The product

SPF of 15 or greater, validation of the SPF number by testing on 20 people, acceptable test results

retails at £87

for phototoxic reactions and contact irritation, and substantiation for any claims that a sunscreen is

and is being

water- or sweat-resistant.

distributed in the UK by

“About 90% of non-melanoma skin cancers are associated with exposure to UV rays, so we are

SkinBrands,

thrilled to receive The Skin Cancer Foundation Seal of Recommendation in an effort to help spread awareness on preventable measures against this deadly disease,” says Jane Iredale, president and founder of Iredale Mineral Cosmetics. “We are not only committed to developing quality products to enhance colour, but also the overall health of the skin – including skin cancer prevention.”

1 IN 5 WOMEN WOULD DO DIY INJEcTIONS

NEW AVST hYDRATINg LOTION SMOOTh AcTION FOR DRY BODY SKIN Environ has added a new product, Hydrating Lotion, to its Advanced Vitamin Skin Therapy (AVST) range, designed to gently refine dry, rough body skin, including feet, elbows and knees, leaving it smooth and soft. Rather than peeling or abrading, it helps to hydrate the skin by compacting the

A study conducted by The Good Surgeon

outer layer and thereby helping it to retain its natural moisture, making it

Guide has revealed that one in five women

useful for flaky skin, and for smoothing coarse, sun damaged skin.

would inject their face with Botox®, but

AVST Hydrating Lotion is a neutralised lactic acid based body lotion

only 11% would cut their own hair. The poll

containing medium levels of alpha hydroxy acids (AHAs) that are safe, gentle

of 1,356 women across the uK showed that

and non-toxic and pH adjusted for optimal effectiveness. It is delicately

22%, would consider injecting their own face

fragranced with Bitter Orange.

with a ‘do it yourself Botox® kit’.

It works by assisting the natural exfoliating function, leading to a clearer skin with greater resilience and a finer texture. It helps to safely and effectively

16

When asked why 46% claimed it was ‘easier’

soften and smooth the body skin while improving moisture content. The

and 29% said it was because of the ‘lower

lotion replenishes the skin’s natural acidity helping to prevent a build-up

cost’. 39% of the women polled would let their

of bacteria, which can cause blemishes. It can also help prevent ingrown

friend inject their face and 41% would let their

hairs and is thus useful to prepare for leg and bikini line waxing treatments,

mum carry out the procedure. Only 4% would

making hair removal easier.

let their boyfriend inject them. Of the 22% that

Hydrating Lotion is particularly effective as a preparation for treating excessive

would consider DIY injections, 64% would rather

sun damage on the body when used in conjunction with Environ’s vitamin-

conduct their own treatment than have a

based body oil. Skin treated with both products appears more youthful and is

beautician in a high street shop inject them.

firmer and tauter.

Christiana Clogg, founder of The Good

Uneven pigmentation problems may also benefit from using AVST Hydration

Surgeon Guide said, “We wanted to emphasise

Lotion. The formulation is such that the surface of the protective ‘horny’ layer

the lengths people would go to and to find

is maintained and not peeled, and acts as a natural skin lightener, minimising

that more people would inject themselves than

production of melanin for an even tone. It does not contain a sunscreen and

cut their own hair is really shocking.”

should be used together with a sunscreen of SPF15 or higher.

cosmeticnewsuk.com


P Ex R C ten a s m iv p e a ig n

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News Special | IHAS Register Launch

gOINg

LIVE

The long-awaited launch of the IHAS Quality Assurance Mark and Register of Injectable Cosmetic Providers took place in London last month. Cosmetic News was there to report on what happened It’s been six years since the government first started to look into the issue of regulating the use of injectables, such as botulinum toxin and dermal fillers, in the aesthetics industry. After deciding that a self-regulation scheme should be the way forward, the Independent Healthcare Advisory Services, under the guidance of its director Sally Taber, was appointed to put that scheme into practice. It’s been a long uphill struggle but finally on April 13 the IHAS Register of Injectable Cosmetic Providers went live. “Despite consumer pressure for a statutory regulatory scheme to cover the provision of cosmetic injectables over the last five years, Ministers and the Department of Health asked IHAS to set up an Clockwise from back left - Peter Walsh (AvMA), Jill Krynicki (CHKS). Angela Payne (CHKS). Andrew VallanceOwen. Jane O’Brien (GMC) and Sally Taber (IHAS)

industry-led system”, Says Dr Andrew Vallance-Owen, chair of the IHAS Injectable Cosmetic Providers Working Group. “Sadly, we believe that as statutory regulation has been excluded it is not an option, so a Register of screened, regulated healthcare professionals operating in organisations and facilities where these injectable cosmetic treatments are provided is essential to protect patient safety.” During the last 12 months, the IHAS Working Group, which includes representatives from the Harley Medical Group, Transform, sk:n, Mapperley Park Clinic, Renewmedica, the Body Clinic, Bupa (dentists), the British Association of Cosmetic Doctors and the Royal College of Nursing, has worked in consultation with the Department of Health and taken advice from the professional regulators to develop the IHAS Register of Injectable Cosmetic Providers standards to assure patient safety. The Register background screens and registers Quality Assurance Mark approval for regulated healthcare professionals (doctors, registered nurses and dentists) and organisations and facilities involved in injectable cosmetics. Practitioners can register on the website www. treatmentsyoucantrust.co.uk and must fill in self-assessment documents and submit supporting evidence. The IHAS Quality Assurance Mark will start with the registration (£50 fee) of organisations where practitioners are providing injectable cosmetic treatments, as well as registering solo practitioners working in facilities where injectable cosmetic treatments are provided. To join the scheme organisations and solo practitioners must meet IHAS standards, which include that only doctors, dentists and registered nurses can be involved in the delivery of these injectable cosmetic treatments to patients. All practitioners are accountable to their statutory regulators and must adhere to the standards set by the GDC, GMC and NMC. IHAS will report poor practice to the relevant regulators where appropriate.

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cosmeticnewsuk.com


The IHAS standards relate to all non-surgical injectable cosmetic treatments, which include botulinum toxin and injectable fillers, as well as the administration of local anaesthesia for pain relief in advance of these injectable cosmetic treatments.

Key points in the IHAS standards include:

treatment.

“Bupa are strong advocates of the highest possible standards of patient care. We fully support the IHAS Quality Assurance Mark and the safeguards that it will offer patients. We hope that dentists who provide injectable cosmetic procedures will take the opportunity to encourage this positive step forward and register with the IHAS Quality Assurance Mark.”

Patient care and provider competency – To ensure that the provider

Brian Franks, Clinical Director for Dentistry at

has the appropriate clinical qualifications and can provide the highest

Bupa Health and Wellbeing uK

• Health and safety – Policy and standard operating procedures need to be in place and implemented for safe and effective selection, procurement, supply, storage, prescription, administration, disposal and review of medicines. •

Face-to-face consultation – All patients must have a face-to-face consultation with the prescriber prior to the administration or subsequent use of a prescription and/or a patient specific direction.

• Consent to treatment – Written informed consent is obtained prior to the administration of any injectable cosmetic treatment and the completed consent form must be kept in the patient’s record of •

Here is what some of those supporting the scheme had to say:

level of care, to make a safe assessment as to the suitability of treatment

logo for consumers to look out for

“As the largest and leading provider of non-surgical cosmetic treatments in the UK, sk:n is completely committed to providing a safe and professional service to its clients. Unfortunately, there are many ‘rogue’ injectable practitioners who do not operate under the same strict medical qualifications, ethics and safety policies as we do. We are delighted with the launch of the IHAS Quality Assurance Mark, allowing patients to vet their injectable cosmetic provider.”

when choosing a provider. Registered

Andy Randall, Managing Director, sk:n

based on the medical history of the patient prior to the commencement of any injectable cosmetic treatment. Patients must also be assured that the providers have received appropriate training and are competent in the injectable cosmetic treatment procedure. Applications for registration on the scheme will be reviewed by a team of experts, who will also run inspections by conducting site visits randomly selected, with only 24 hours’ prior notice to providers. CHKS, the UK’s leading independent provider of healthcare intelligence and quality improvement services, is providing the third party, background screening and web based registration scheme as well as the inspection programme. Once an organisation, solo practitioner and/or facility where these injectable cosmetic treatments are provided is accepted onto the register, there will be an annual cost dependent on the size of the organisation, starting from £500. For registered providers with more than 10 clinics an additional cost of £200 will apply for each clinic. All funds generated will be reinvested into the running of the register. Registration will last for a 12-month period from the date it is awarded and needs to be annually renewed to ensure registration is based on up-to-date information. All providers who successfully register on the scheme will be able to carry the IHAS Quality Assurance Mark – the

clinics will be able to display the mark

“The IHAS Quality Assurance Mark is a welcome step in the right direction and will provide patients and consumers with a clear route to the identification of safe and competent medical service providers for the delivery of injectable cosmetic treatments such as Botox® and dermal fillers.”

for consumers to see. More than 100 clinics, including those run by The Harley Medical Group, Transform, sk:n, Mapperley Park Clinic, Bupa Dental and Medizen, have already shown their commitment to registering their clinics on the scheme. Says Sally Taber, director at the IHAS, “The success of the IHAS Register of Injectable Cosmetic Providers depends on two things. Firstly,

Paul Stapleton, Managing Director at

encouraging appropriately qualified

Mapperley Park Clinic

providers to join a national register and secondly for patients to be encouraged, through a long term programme of profile raising, to choose only those providers that are

Right: IHAS director Sally Taber speaks at the launch

registered. Organisations and solo

cosmeticnewsuk.com

19


News Special | IHAS Register Launch

as the official quality mark to look out for when considering

“We are pleased to support the IHAS Register of Injectable Cosmetic Providers. As one of the market leaders in professional liability insurance for cosmetic practitioners, well trained practitioners form the centre stone of our acceptance criteria for our insurance policies. By encouraging providers to register to the IHAS Quality Assurance Mark, and ensure high standards are met, will ultimately lead to fewer claims.”

injectable cosmetic treatments. It is predicted that www.

Eddie Hooker, Managing Director, Hamilton Fraser Insurance

practitioners that have been accepted for registration will be clearly listed on the scheme’s website, signposting patients to providers who are offering the care which accords with the standards and encouraging other providers to follow suit.” From May this year, the IHAS Quality Assurance Mark will be heavily promoted to the public through a major public awareness campaign and nationwide advertising campaign

treatmentsyoucantrust.co.uk site will provide a much-valued

hungry for some level of regulation and are putting their

“As an insurance broker, Ceart Risk Services has for a long time championed the cause of improved standards and training in support of appropriately qualified injectable cosmetic providers. We welcome the establishment of the IHAS Quality Assurance Mark for injectable cosmetic treatments and are proud to be one of the initial supporters of the IHAS scheme.”

weight behind it.

Peter Lloyd Bootes, Chairman, Ceart Risk services Ltd.

resource to consumers searching for a trustworthy local provider, acting as a comprehensive directory of Quality Assured providers. While some practitioners are sceptical about how the scheme will work, the majority of people in the industry are

“CODE Association for Facial Aesthetics welcomes the voluntary registration scheme and we encourage members to register and tell patients about it.” Paul Mendlesohn, Chief Executive of CODE, the Association of Dental Practice

Dr Andrew Vallance-Owen, Chair, IHAS Working Group

“The BACD warmly welcome this new scheme and its contribution to patient safety. The BACD would therefore like to acknowledge all the hard work that has gone into this and everyone involved.” Dr Mike Comins, Chairman at the British Association of Cosmetic Doctors

“We are backing the launch of the IHAS Quality Assurance Mark, which ensures a guarantee of excellence on injectable cosmetic treatments. I feel that a standard level of assurance should be given to consumers when visiting clinics and the introduction of the IHAS Register of Injectable Cosmetic Providers gives a consistent level of quality across the industry.” Sue Wales, Medical Sales Director of Lifestyle Aesthetics

“Allergan is pleased to see the initiation of the IHAS Register of Injectable Cosmetic Providers, which has now started screening and registering appropriately qualified injectable cosmetic practitioners. Allergan supports improving the standards for administration of injectable cosmetic treatments – something the IHAS has long been championing.” Janet Kettels, Head of Communications of Allergan

“Q-Med recognised the need to support clinical competency and has led the way in providing high quality training for the last ten years. Today, a dedicated team delivers high quality training courses each week in the UK. This is a significant investment which demonstrates Q-Med’s commitment to quality and raising standards of care.” James Backhouse, General Manager of Q-Med uK Ltd

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with confidence Face the future

zalure® is the new choice of tulinum Toxin Type A for sthetic use.

with confidence

ast onset of action (median time to nset 2-3 days)1

ong duration of action (up to 5 months)1

Azzalure® is the new choice of igh level of patient satisfaction (93% after Botulinum Toxin Type A for months, following one treatment session)2 aesthetic use. • Fast onset of action (median time to onset 2-3 days)1

re® is indicated for the temporary improvement in the appearance of • Long duration of action (up to 5 months)1 ate to severe glabellar lines seen at frown, in adult patients under 65 when the severity of these has an important psychological • High levellines of patient satisfaction (93% after on the patient. 2

New...

6 months, following one treatment session)

... aesthetic choice New...

® Azzalure is indicated for the temporary improvement in the appearance of e® Abbreviated Prescribing Information moderate severe lines seen at frown, adult patients under 65 Effects: Most frequently occurring related reactions are headache and injection site Side tation: Botulinum toxintotype A (glabellar Clostridium botulinum toxin Ainhaemagglutinin years, when the severity of these lines has (powder an important psychological reactions. Generally treatment/injection technique related reactions occur within first week x) 10 Speywood units/0.05ml of reconstituted solution for solution for impact on the patient. following injection and are transient and of mild to moderate severity and reversible. Very n). Indications: Temporary improvement in appearance of moderate to severe r lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, mportant psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to its are different depending on the medicinal products. Speywood units are specific < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid preparation and are not interchangeable with other botulinum toxins. Reconstitute oedema, Lacrimation increase, Dry eye, Muscle twitching (twitching of muscles around the injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, sterile 29-30 gauge needle. Recommended dose is 50 Speywood units (0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement tuted solution) divided® Abbreviated equally intoPrescribing 5 injection Information sites: 2 injections into each corrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing Azzalure Side Effects: Most occurring reactions headache and injection site toxin the typenasofrontal A (Clostridium botulinum toxin A haemagglutinin Authorisation Number: PLfrequently 06958/0031. Legalrelated Category: POM.are Full Prescribing Information and one intoPresentation: the procerusBotulinum muscle near angle. (See summary of reactions. treatment/injection techniqueHouse, related69-71 reactions occur within firstWatford, week complex) Speywood units/0.05ml of reconstituted solution (powder for solution for is Available From:Generally Galderma (UK) Limited, Meridien Clarendon Road, characteristics for full10technique). Treatment interval should not be more frequent following injection). Temporary in under appearance of moderate are(0)transient and of mild moderate andDate reversible. Very Herts. WD17 1DS,injection UK. Tel:and +44 1923 208950 ery three months. Not Indications: in individuals 18 years of age. to severe +44 (0) 1923severity 208998. of Revision: Fax: to recommended for useimprovement lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, ndications: Inglabellar individuals with hypersensitivity to botulinum toxin A or to any of the March 2009. Copyright © 2009 Galderma (UK) Ltd. has an important psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to nts. In the presence of infection at depending the proposed myasthenia toxin units are different on theinjection medicinalsites, products. Speywoodgravis, units are specific < 1/10): Facial paresis (predominantly describes brow paresis), forms Asthenopia, Adverse events should be reported. Reporting andPtosis, Eyelid Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and to this preparation and are not interchangeable with other botulinum toxins. Reconstitute information oedema, Lacrimation Dry eye, Muscle twitching (twitching of muscles around the can beincrease, found at www.yellowcard.gov.uk. Adverse events ions for use:prior Usetowith caution in patients with a risk of, or clinical evidence of, injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon (≥ also 1/1,000 <1/100): Dizziness, Visual(UK) disturbances, Vision blurred, should betoreported to Galderma Ltd. using a sterile 29-30 gauge needle. is 50 Speywoodat units defective neuro-muscular transmission, inRecommended the presencedose of inflammation the(0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement reconstituted solution) equally into 5 injection sites: 2 injections into each weakness orcorrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing ed injection site(s) or when the divided targeted muscle shows excessive Authorisation Number: PL 06958/0031. Legal Category: POM. Full Prescribing Information musclewith and one into the procerus muscle near the nasofrontal angle.muscle (See summary of . Patients treated therapeutic doses may experience exaggerated References is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, product characteristics for full technique). Treatment interval should not be more frequent ® ss. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure Summary of Product Characteristics. Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998. Date of Revision: than every three months. Not recommended for use in individuals under 18 years of age. ed bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Acad Dermatol 2004; 51: March 2009.Am Copyright © 2009 Galderma (UK)223-33. Ltd. Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the ies arise. Facial asymmetry, ptosis, excessive scarring any gravis, excipients. In the presence of infection dermatochalasis, at the proposed injection sites,and myasthenia ® Adverse events should be reported. Reporting forms and is a registered trademark of Galderma. ons to facial anatomy, as a result of previous surgical interventions should be taken Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warningsAzzalure and information can be found at www.yellowcard.gov.uk. Adverse events precautions for use: Use with in patients with a risk of, ordoses clinical evidence of, sideration prior to injection. Injections at caution more frequent intervals/higher can should also be reported to Galderma (UK) Ltd. marked formation. defective neuro-muscular transmission, in the presenceneurotoxins of inflammation at theof preparation: April 2009 e the risk of antibody Avoid administering different botulinum Date weakness or proposed injection site(s) or when the targeted muscle shows excessive he course of treatment with Azzalure. Contains human albumin, risk of transmission AZZ/11/0409 Patients treated with therapeutic doses may experience exaggerated muscle References ection cannotatrophy. be excluded. To be used for one single patient treatment only during weakness. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure® Summary of Product Characteristics. session. Interactions: Concomitant treatment with aminoglycosides or other agents prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Am Acad Dermatol 2004; 51: 223-33. ng with neuromuscular transmission (e.g. curare-like agents)dermatochalasis, may potentiate effect scarring and any difficulties arise. Facial asymmetry, ptosis, excessive inum toxin. Pregnancy &facial Lactation: Not be used duringsurgical pregnancy or lactation. alterations to anatomy, asto a result of previous interventions should be taken Azzalure® is a registered trademark of Galderma.

... aesthetic choice

into consideration prior to injection. Injections at more frequent intervals/higher doses can increase the risk of antibody formation. Avoid administering different botulinum neurotoxins during the course of treatment with Azzalure. Contains human albumin, risk of transmission of an infection cannot be excluded. To be used for one single patient treatment only during a single session. Interactions: Concomitant treatment with aminoglycosides or other agents interfering with neuromuscular transmission (e.g. curare-like agents) may potentiate effect of botulinum toxin. Pregnancy & Lactation: Not to be used during pregnancy or lactation.

Date of of Preparation: preparation:December April 20092009 AZZ/11/0409 AZZ/80/1209

Tel: +44 (0) 1923 208950


Cosmetic News Expo 2010 | Show Review

ROARING

TRADE

We celebrate the success of the uK’s biggest aesthetic meeting, the Cosmetic News Expo, and give you a round up of what happened

April 16 and 17 saw the first ever Cosmetic News Expo taking place at the Business Design Centre in Islington, London. Despite a natural disaster stopping some of our delegates, speakers and exhibitors from attending, the show was a great success with more than 600 visitors across the two days. The Cosmetic News Expo was the UK’s first free of charge trade event for the aesthetics industry, offering 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 philosophy behind the event came from Body Media’s extensive experience in running shows for other niche markets and the company’s passion for making education available to everyone, no matter what their budget. The event was attended by cosmetic doctors, aesthetic nurses, dermatologists, plastic surgeons, cosmetic dentists, aestheticians and practice managers from across the UK, with many new faces from other medical specialties, keen to move into the field, also taking part. The show also had huge support from the UK’s leading manufacturers and suppliers with more than 60 exhibitors showcasing their products and treatments.

Cosmetic News publisher Charlotte Body was delighted with the success of the company’s first aesthetics event. She said, “Expo has proved that an event of this scale is an asset to the industry in the UK, and the quality of professionals that attended the show is a perfect testimony to this. We are already looking forward to 2011 and feel that, with one successful show under our belt, that the event will be much anticipated and the most prominent date in the diary for the UK aesthetic calendar. On a personal note, I would like to thank everyone who supported the event, especially my fabulous team that pulled it off.”

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Here is a round up of who our exhibitors were and what they were up to…

EXHIBITORS AALBS ABC Lasers Acumag AesthetiCare Aesthetic Recruitment AIMA ARC Recruitment Ascensus AWB Textiles BACN BioDerm Ltd BioTouch Permanent Make-up Boston Medical Group Ltd Candela Carleton Medical Cell Fusion C The Consulting Room™ Coolsense® Cosmederma Cosmetic Courses Cosmetology Cutera

Cynosure Dermace Dermapure Dr Bob Khanna Training Institute E-Clinic Eden Aesthetics Espire Health Flipside PR Galderma (Platinum Sponsor) General & Medical Hamilton Fraser HealthXchange IHAS Indiba LCS Academy LCS Ltd Lawrence Grant Lifestyle Aesthetics Living Investments Lumenis Lynton Lasers MACOM Compression Garments Med+D Base

Medico Beauty MedFx Orascoptic Pantheon Beauty Pastelli Polaris Medical Limited Q Medical Technologies Rioblush Seers Medical SkinBrands Skin Geeks Skinov8 Sky Inside Solta Medical Sound Surgical Sutton Orthodontics The face Film Company urban Fox Communications Wealden Wellness Trading Wigmore Medical/FACE Ltd Zanco Models

The Association of Advanced Laser Body Sculpture (AALBS) was promoting its new collaboration with the Clinical Exchange in Guildford. The specialist training organisation, headed up by leading vascular surgeon Mr Mark Whiteley, who was a speaker at this year’s Expo, will now offer AALBS training in laser sweat ablation and endovenous occlusion. AALBS is dedicated to training and educating physicians from all over the world in the field of aesthetic laser lipolysis and has not only established treatment regimes but is continually consulting physicians on the best laser lipolysis procedures available to ensure the greatest possible results in the treatment. The association was also promoting its new reference clinic and training centre, the Epsom Skin Clinic, headed up by Dr Paul Stevenson. Dr Stevenson is one of only two people in the world to have carried out laser lipolysis blepharoplasty and AALBS will be announcing course dates for training in this procedure soon. Dr Stevenson will also provide training in other laser lipolysis and advanced laser lipolysis procedures.

ABC Lasers was showcasing its market-leading systems including the new Soprano Blue, which has a lighter handpiece and higher fluence than its sister system the Soprano XL, as well as a large interactive touch screen display (see this month’s Editor’s Choice p4 for more information).

AesthetiCare® was promoting its wide range of products. The company has had particular success in the last year with its Genuine Dermaroller™. Dr Sach Mohan presented on the treatment and gave a lecture entitled ‘Genuine Dermaroller™ Therapy: Medical Device Technology, Clinical Procedures and Outcomes’ as part of the Medical Needling session, which was incredibly well received by delegates. The company’s managing director Roger Bloxham said, “We got a lot of quality leads to justify going and that will generate a return for AesthetiCare®. There was a good mix of new and existing clients, and overall it worked very well.”

Aesthetic Recruitment’s

founder Vivienne Smith presented on ‘The Need for Adequately

Trained Professionals in a Competitive Market’ as part of the Managing Staff and Recruitment Workshop. Aesthetic Recruitment’s aim is to provide practitioners with the degree of help needed to raise the standard of care to which practitioners and their patients have come to expect, by means of mentoring and ongoing support.

ARC Recruitment picked up a number of leads for high profile projects from the event and was particularly pleased by the number of new faces in attendance. managing director John Sellers also took to the podium to present on ‘How to Make Yourself Employable in a Competitive Market’ as part of the Managing Staff and Recruitment Workshop on the final day of the event. He said, “We were impressed with the quality and calibre of the delegates and we had several conversations which we hope will lead to long term relationships. In that respect, we view the Cosmetic News Expo as a great success”

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Cosmetic News Expo 2010 | Show Review The American Institute of Medical Aesthetics (AIMA) sponsored the afternoon coffee breaks on both days of the event. AIMA also focused on providing cutting edge education, putting on two in-depth skin based workshops. AIMA vice president Constance Campion, who was one of the speakers at the Expo, said, “Asserting education with dynamic business flair was evident throughout the two days that Medico Beauty Ltd and The American Institute of Medical Aesthetics supported Cosmetic Expo 2010. The presence of so many new exhibitors showed growth from within all segments of the industry and solidified the presence of those who could give an astute global perspective on emerging trends. It was also great to see all the top existing business contacts and meet prospective clients and old friends in such a beautiful venue.” AIMA was supported at the event by Medico Beauty, the distributors of clinical skincare ranges Societe and Cosmedix.

The British Association of Cosmetic Nurses (BACN) officially launched at the show. The BACN has been set up to enable aesthetic nurses to come together as one to facilitate training, education and continual professional development. The association will have a members only website for networking blogs, educational articles, professional news and links and industry updates. The BACN was also promoting its first educational meeting, due to be held at the Royal College of Physicians, London on September 11.

BioDerm Ltd’s managing director Anylene Adams stepped in at the last minute in the New Innovations on the first morning of the show along with Skin Geeks managing director Don Maree after the majority of the speakers scheduled to speak were stranded abroad. Bioderm was showcasing its newly packaged Lycogel and also gave a workshop later in the day showing the effects of the product when applied post peel. Skin Geeks has recently taken on distribution of a new skincare range from the States, Image Skincare, and was at the show introducing the range to the UK market. Trishna Shah gave a presentation and demonstration using the range as part of the Skincare Workshop on the Saturday.

Boston Medical Group Ltd was introducing its new HA fillers Revanasse and Redexis at the event. Mr Brian Greaves presented on the products as part of the New Innovations Workshop, giving a lecture entitled ‘Revanasse and Redexis: The Next Generation in HA Fillers’. The products incorporate the latest advancements in cross-linking technology, making them high quality, safe and long lasting. The hyaluronic acid utilised in the products is also naturally integrated into the tissue, keeping the skin looking healthy and natural. The key ingredient in Redexis – positively charged Dextranomer beads – is made of biocompatible cross-linked glucose molecules. These beads attract negatively charged glycosaminoglycans and elastin (soft tissue) to the injection site to help form new collagen. They then begin to bind together, forming a scaffold of new collagen. This new collagen will stay at the injection site, providing natural augmentation long after the HA has been broken down and absorbed.

Cell Fusion C was at the event looking for a UK distributor. Cell Fusion C provides complete skincare solutions through dermatologists, plastic surgeons. medi-spas, and other skincare professionals in Korea and worldwide. The range is born out of extensive experience of professional and medical aesthetic salon treatment. The treatment system has been formulated by TDDS (Trans Dermal Delivery System) to answer your skin’s energy needs, bringing it vitality. This is achieved by increased cellular activity, neutralizing free radicals and strengthening the skin’s immune system.

The Consulting Room™ team Ron Myers, Martyn Roe, Lorna Jackson and Dan Huxley ran the Drop In Business Clinic at the event giving advice to visitors about various aspects of setting up and running a successful aesthetic practice. Ron and Martyn also gave a series of business related lectures across the two days. Both their Clinic Marketing and Web Workshops were packed with delegates eager to learn from two of the industries most influential business consultants. The Consulting Room™ recently launched a new business services website www.consultingroomservices.com – featuring its wide range of consultancy and business building services, including web design and e-commerce solutions, telephone mystery shopper audits, video marketing, laser maintenance services, aesthetic equipment procurement, plus general business or product consultancy.

Cosmetic Courses was promoting its comprehensive training courses including newly launched VASER® training and soon to be introduced Genuine Dermaroller™ training (see out Diary of Events on page 52 for dates).

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Coolsense® is new to the UK market and was introducing its product, a pre-injection device designed to prevent pain or unpleasant feeling caused by injection needles and other procedures. The product should be stored in a freezer cabinet, controlled by a colour changed thermometer. It has unlimited repeated use and is currently being used by thousands of doctors all around the world. The product also has the CE and FDA certificates.

Dermace’s managing director Teresa Gamble gave a presentation on ‘The Evolution of Cosmetic and Medical Tattooing Throughout the Years and the Benefits They Offer Today’ as part of the Make-up and Medical Aesthetics Workshop. Dermace is one of the fastest growing cosmetic and medical micropigmentation training organisations in the UK and has just launched a new machine, The Elite, which it was introducing to visitors to the show. Teresa said, “We were very pleasantly surprised by the calibre of the visitors at the expo – and delighted to see so many people coming to see Dermace. Our brand new machine, The Elite, got lots of attention and more orders than we had forecast. Thanks to all at Creative Media!”

Dermapure’s Kelly Wiseman gave a fantastic presentation and demonstration showing how DermaMinerals can be used to camouflage and protect post peel as part of the Make-Up in Medical Aesthetics Workshop.

The Dr Bob Khanna Training Institute was flooded with enquiries about its hands on training after Dr Bob Khanna took to the podium with two fantastic lectures, the first on ‘Advanced Botulinum Toxin’ and the second on ‘Advanced Dermal Fillers’. Dr Bob is also the founder of the International Academy of Advanced Facial Aesthetics (IAAFA) which holds an annual conference and Charity Ball in London in September.

E-Clinic’s Sara Mogford talked about ‘Getting More From Your Patients With Clinic Management Software’ as part of the Clinic Marketing Workshop on the Friday. E-Clinic is now one of the most popular and highly regarded clinic management systems in the country. The Expo was a great opportunity to get some feedback on its new product, which is launching at FACE in July.

Eden Asethetics was exhibiting its products including DermaGenesis microdermabrasion machines, Agera Rx and Epionce skincare and the Palomar IPL Laser and Light Platform. Recently added to the company’s portfolio is the Colorescience mineral make-up range, which was being demonstrated on the stand. Marketing manager Lucy Dowling said, “We were very pleased with the first Cosmetic News Expo. The quality of delegates exceeded our expectations. We closed a couple of deals and made some good new business contacts – a good addition to the medical aesthetics industry.”

FACE Ltd was there promoting this years FACE conference as well as the lavish gala dinner it will be holding at the Natural History Museum. See this month’s News (p6-14) for more details.

Flipside PR ran the events press office and headed up the media briefing on the opening morning of the event along with Cosmetic News editor Vicky Eldridge. The results of an industrywide survey were revealed to the press with statistics showing trends in non-surgical treatments. For the full summary of the survey see this month’s News (p6-14).

Galderma was the events Platinum Sponsor. The company is a worldwide leader in corrective and aesthetic dermatology, providing a full range of products and services. Julian Popple said, “Despite being its inaugural event, the Cosmetic News Expo certainly attracted the key players of the aesthetic industry over the two days. 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.”

The IHAS launched its Register of Injectable Cosmetic Providers just days before the show and was on hand to explain the ins and outs of the scheme. IHAS director Sally Taber presented an update on the scheme as part of the Regulation Workshop. See this month’s New Special (p1820) for more on this story.

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Cosmetic News Expo 2010 | Show Review

LCS Academy and LCS Ltd’s medical director Dr Phillip Dobson chaired and took part in a heated debate about the de-regulation of lasers in the beauty sector along with Sally Taber, Penny Turvey and Ron Myers as part of the Regulation Workshop. LCS Academy was also there to promote its newly launched Masters Degree in Cosmetic Medicine. The course was launched in January this year in association with the University of Greenwich.

Lynton’s newly launched Fractional Co² YouLaser generated immense interest on the company’s stand, capturing attention for its state of the art technology.. Marketing manager Lisa Hutton commented, “The interest surrounding the new Co² YouLaser during the exhibition was incredible. Launched earlier this year, the fractional laser has received an excellent response from aesthetic doctors and consultants alike, and exhibiting the laser at Cosmetic News Expo has further increased its popularity. The Co² YouLaser provides excellent effective treatments for wrinkle reduction, pigmentation and all types of scarring, yet due to the fractional interaction with the skin, the clinical improvement is achieved with minimal downtime for the patient. Unlike previous ablative systems the CO² YouLaser delivers the power of an ablative treatment with the safety of a non-ablative laser. At the show, Dr Exley’s workshop talk, ‘Fractional Lasers’ was keenly attended by those in the industry who were eager to learn more about fractional treatments and laser technology.”

MACOM showed off its extensive collection of compression garments for indications ranging from post-pregnancy to post-surgery and burns. (For more on MACOM see our Compression feature on pages 44-46)

MedFx hosted the Hospitality Suite in the workshop area, putting on an impressive platter of food as well as soft drinks, wine and champagne for delegates and customers to enjoy. MedFx is is the UK’s largest one-stop supplier, supplying a wide range of market leading, botulinum toxins, dermal fillers, skin peels, cosmeceuticals, aesthetic lasers and surgery consumables.

Rioblush welcomed Jazz Dhariwal to its team as European sales director for its medical aesthetics division. Best known for his successful six-year campaign with Radiesse in the UK, Jazz is viewed as a highly respected senior manager and commercial industry leader. Having specialised in tough developing markets throughout his career, he continues to lead the way with new and innovative product launches within the medical aesthetics arena. “It’s been my ambition for some time to join an organisation that has real inspirational value to bring to our industry, it’s flagship RioJuvenation product will, I believe, bring real change to the world of aesthetic medicine”, he said.

Seers Medical kindly provided treatment couches for the workshops in the main auditorium and workshop rooms. The company designs and manufacturers a wide range of treatment couches for the medical industry and has UK wide distribution.

SkinBrands attracted a lot of attention to its stand with both its demonstrations of Susan Posnick make-up and its champagne hospitality on both days of the event. The company, which also distributes SkinCeuticals, SkinMedica and Medik8 as well as the HydraFacial system and RevitaLash™ has recently launched a number of products including RevitaBrow® and Medik8 Hydr8. Managing director Tracey Beesley said, “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.”

Sound Surgical, the distributors of VASER® Lipo launched its latest product, Med Contour, for the treatment of localised fat and deep cellulite. The system uses the combined action of

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Attending the Cosmetic News Expo was highly beneficial for our company, and we will certainly be attending next years event

two low frequency ultrasounds focused exclusively on the area being treated. Thanks to vacuum

Don Maree – SkinGeeks

organisations. The whole event exceeded all our expectations by far.” The

cosmeticnewsuk.com

technology, this advanced technique raises the adipose tissue so that the deep penetrating action of the ultrasounds is concentrated onto the affected tissue only. The treatment can be used as a stand alone procedure or in combination with VASER® .

Wealden’s Kevin Dewhurst was thoroughl;y impressed with the show. He said, “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 company specialises in dental and medical refrubishment fit outs.


Go green to restore nature. Go orange to bring back her beauty. 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


Cosmetic News Expo 2010 | Show Review

Zanco Models was showcasing its new range of medical training aids.Talented company owner Ricky Zanco has developed the highly realistic mannequins to extend his current offering to aesthetic practitioners and finished them just in time for the show. Made from the same materials as used in prosthetic make up for the film industry, the new range includes models of different ages, sex and race to complement the popular head of a middle-aged woman, modeled on Ricky’s mother, that he first launched into the industry last year. The facial injection mannequins allow those just learning their injection techniques to practice without having to inject live models. As well as the heads which can be used for botulinum toxin, filler, mesotherapy and electrolysis training, he also produces an armpit designed for hyperhidrosis. The event was filmed by

MyFaceMyBody.com so if you missed it, be sure to keep an eye

out on our website www.cosmeticnewsuk.com to take a look at the video. The company’s managing director Stephen Handisides also gave an insightful presentation on Social Media and Online Video as part of the Web Workshop on the Friday.

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 (Platinum Sponsor)

CONFERENCE CALLING We were delighted to have such a high calibre of speakers presenting at the Cosmetic News Expo, especially as they were all giving their time without being paid in order to provide high quality free education to our delegates. Leading French plastic surgeon, Dr Benjamin Ascher was the opening speaker in the main auditorium giving an overview of the botulinum toxin’s market as well as a live demonstration where he shared his tips on the best techniques for injecting. Dr Ascher was followed by Dr Brian Franks and Dr Bob Khanna, who presented on beginners and advanced botulinum toxin techniques respectively. Professor Syed Haq and Constance Campion had to ad lib in AIMAs How to Change a Face Workshop on Friday afternoon in the absence of Denise Byrnes but their lectures gave delegates a wealth of information on both the internal ageing process and the effect it has on skin as well as pearls of wisdom for treating skin and restoring it to its optimum health. The Regulation Workshop proved lively with Mai Bentley speaking on the controversial subject of remote prescribing as well as updates by Sally Taber from the IHAS on Shared Regulation and a panel debate on laser regulation. Disaster stuck the New Innovations session literally when an astounding five of the seven scheduled speakers were stranded abroad, however thanks to our exhibitors and the lovely Dr Toni Phillips, who thought on her feet, giving a 30 minute lecture instead of the 10 minute slot

she had prepared for, the session was still able to go ahead. The Make-up and Medical Aesthetics session saw Teresa Gamble from Dermace and

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cosmeticnewsuk.com



Cosmetic News Expo 2010 | Show Review

Dawn Forshaw from Finishing Touches present on semi-permanent make-up/cosmetic and medical tattooing. Kelly Wiseman from Dermapure and Anylene Adams from Bioderm also presented in this session. Clinic Marketing proved to be one of the most popular sessions of the day with the room full to bursting with delegates eager to learn from speakers Ron Myers, Sara Mogford and Yasmin Khan. Dr Sach Mohan demonstrated and talked about the Genuine Dermaroller™ Therapy as part of the Medical Neelding session. He was followed by Anylene Adams on ‘MTS Roller: From Acne Scarring to Hair Loss and Combination Treatments’. Day two of the event kicked off with a packed session on Dermal Fillers including some of the UK’s leading figures in this field. Deborah Forsythe opened the session with a presentation entitled ‘Dermal Fillers: An Overview’. She was followed by Dr Xavier Goodarzian on ‘Sculptra: Collagen Stimulation for Facial Contouring and In Combination With Other Treatments’; Dr Bob Khanna on Advanced Dermal Fillers and ‘Lip Queen’ Dr Rita Rakus on ‘Lip Augmentation Using Dermal Fillers’. The morning session also included presentations by Dr Ravi Jain, Dr Eric Toni, Dr Tapan Patel and Nicholas Meidzianowski-Sinclair as part on the Body Contouring Workshop. Dr Jain gave a well-received talk about ‘Introducing VASER to Your Practice’, while Dr Toni talked about ‘The Evolution of Non-Invasive Body Contouring and Skin Tightening‘. Dr Patel discussed ‘Ultrashape: The Shape of Things to Come’ while Mr Miedzianowski-Sinclair presented on ‘3D Imaging in Body Contouring’. The afternoon saw leading vascular surgeon Mr Mark Whiteley present on ‘One Year Experience of Laser Sweat Ablation for Axillary Hyperhidrosis’ to a packed auditorium as part of the Laser Workshop. Also in this session, Dr Tapan Patel took to the podium again to give a lecture on ‘My Experience in Setting Up a Laser Clinic’. The session ended with a presentation on ‘How to Choose a Fractional Laser’ by Dr Jon Exley. Lawyer Sarah Webb gave an informative workshop on media and libel law as part of the Medico Legal Workshop. Sarah is head of media and libel at Russell Jones & Walker and specialises in defamation, media, reputation management, privacy and breach of confidence, professional negligence and commercial litigation. A highlight of the afternoon was Martyn Roe’s presentation on ‘The Importance of Reception Training and Management’ as part of the Managing Staff and Recruitment Workshop. Secret shopper phone calls were played over speakers in the workshop to show how even some of the UK’s leading clinic chains get it wrong. The shocking lack of knowledge by some of the reception staff highlighted in the presentation showed how potentially damaging this can be to a business and gave a real insight to delegates about why having the right staff is so important. The level of education provided in the workshops was outstanding, with delegates thoroughly enjoying the lectures and practical demonstrations. The workshops complemented what was going on on the exhibition floor, making the event a unique new addition to the industry calendar. Cosmetic News’ associate publisher, Emilia Bronze commented, “The Expo was a huge success for exhibitors and visitors alike. There is no other event of its kind in the UK and it is an ideal networking opportunity and chance for manufacturers and suppliers to get their message across to the widest possible audience. Following on from the success of our first show, confirmed as the largest in the UK, the Expo brand will continue to grow. We very much look forward to seeing you again in 2011 and thank you for your ongoing support and dedication to the industry.”

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Cosmetic News Expo 2010 | Show Review

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

We were impressed with the quality and calibre of the delegates and we had several conversations which we hope will lead to long term relationships. In that respect, we view the Cosmetic News Expo as a great success

John Sellers – ARC Recruitment

A most beneficial exposition for Healthxchange, some very educational presentations and discussions, and quality contacts made, definitely a worthwhile event for taking business forwards.

Sam Field - HealthXchange

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20/04/2010 12:57:44


AANIGHT TO NIGHT TO

On the Scene | Cosmetic News Expo Special

FIND OuT WHAT HAPPENED AT THE AESTHETICS PARTY OF THE YEAR

The Cosmetic News Expo after show party was the perfect end to a successful first day. After chatting to visitors on their stands or presenting as part of the workshop programme, the exhibitors, speakers and selected VIP guests were able to let their hair down and enjoy a night of entertainment at The Chapel Bar in Islington. Cosmetic News Editor Vicky Eldridge talks to Dr Roberto Gleria and Lynne Thomas from Flipside PR

Singer JD provided entertainment for the night

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Starting straight after the show finished at 7pm, Body Media boss Charlotte Body showed her appreciation to those who had supported the inaugural event by inviting them to join her an the Cosmetic News Expo events team, including associate publisher Emilia Bronze, for some complimentary bubbly, wine and canapÊs. Singer JD provided live entertainment with a fantastic set of upbeat retro tracks. Those whose feet were not too tired from the day were up on the dance floor, while others chose to chill out on the bar’s roof terrace. Everyone partied on until the early hours of the morning, leaving a few sore heads the next day.


Kelly Tobin from Wigmore with June Wooldridge

Clockwise: Natalie Mifsud from Hamilton Fraser, Terrina Denny from Face Ltd and Jan Fowler (Dr Brain Franks); The SkinGeeks and Bioderm team; Anylene Adams from Bioderm with David Gower (Medical Aesthetic Group and Med-fx) and Sarah Clarke (Total Beauty)

Mia Botcher with Tracey and David Beesley from SkinBrands

Ricky from Zanco Models with his wife From right to left: The Lynton Lasers team; Martyn Roe from The Consulting RoomTM with Cosmetic News editor Vicky Eldridge and The Consulting RoomTM editor Lorna Jackson; Harry and Manoj from The Glove Club

Paul Hampson from Cynosure with Cosmetic News’ account manager Hollie Dunwell From right to left: Cosmetic News’ associate publisher Emilia Bronze and Lucy Poet; Professor Syed Haq, Mr Awad Awwad, Mr Masud Haq and Constance Campion; Cosmetic News’ account manager Hollie Dunwell with Alan Sinclair (Sky Inside)

Clockwise from right to left: Cosmetic News’ editor Vicky Eldridge and publisher Charlotte Body; The Cosmetic News boys, Aysha Awwad from Medico Beauty and Nick Miedzianowksi-Sinclair; the Dermace team; the girls from SkinGeeks

Natalie Mifsud and Wai Chan from Hamilton Fraser chat to Simon Bell from Cosmetology.

cosmeticnewsuk.com

35


On the Scene | Cosmetic News Expo Special

Cosmetic News’ art director Peter Johnson, production assistant Shauna Peters and designer Charlie Crocker

Andy and Vivienne Smith from Aesthetic Recruitment with David Gower from Medical Aesthetic Group/Med-fx

Eden Aesthetics’: Sarah-Jayne Norton and Lucy Dowling

Sam Philips from HealthXchange and friend.

Lynne Thomas from Flipside PR and Martyn Roe from The Consulting RoomTM

Singer JD serenades Tanya Barham from the Cosmetic News Expo events team

Body Media VIP’s: Laura Hodgson and Faye Houston Emma from Bioderm and dance partner.

Dr Tapan Patel and David Leahy from ABMETech

David Gower from Medical Aesthetic Group/Med-fx and Karen Sergeant

Members of the ARC Recruitment team.

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Q&A Q&A | Dr Patrick Treacy

We chat to Dr Patrick Treacy about VASER®

There have been many studies published on VASER® and VASER®-Assisted High Definition LipoSculpture. The VASER® Lipo System is a third-generation internal ultrasound-assisted lipoplasty device manufactured by Sound Surgical. This technology enables physicians to precisely emulsify fat cells in the body whilst preserving important tissues like nerves, blood vessels, and collagen. As a result, VASER® Lipo provides smooth, predictable outcomes with minimal pain and rapid recovery. The VASER® Hi Def™ System removes fat whilst sculpting the body, providing definition without visiting the gym. Cosmetic News editor Vicky Eldridge caught up with Dr. Patrick Treacy who pioneered the technique in Ireland…

Cosmetic News: What exactly is the VASER® system? Dr Patrick Treacy: VASER® Lipo is a minimally invasive procedure that uses state-of-the-art ultrasonic technology to gently reshape the body by selectively sculpting and removing fat in the desired treatment area. What distinguishes the VASER® Lipo procedure is its ability to differentiate targeted fat from other important tissues such as nerves, blood vessels and connective tissue. Innovative VASER® technology breaks up fat while conserving these other important tissues promoting enhanced skin retraction and rapid healing. The VASER® Hi Def™ System selectively liquefies the fat and allows the surgeon to target specific fat layers to create the desired sculpted appearance of the muscles.

CN: Why has VASER® became so popular? PT: Physicians like myself have been raving about the VASER® system for body contouring for quite a period. In fact, a 2008 survey of US VASER® Lipo physicians, 95% of respondents would recommend the system to another physician or facility. The VASER® Lipo System allows physicians to perform a wide array of body contouring applications from precise sculpting to significant fat removal. Most physicians use the VASER® Lipo System to remove fat from common areas such as the abdomen, waist, hips, back, buttocks and thighs, as well as more delicate areas such as the arms, calves, ankles, knees, face and neck. Many physicians also use the VASER® System to sculpt male and female breasts.

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”Fantastic Day. Learnt so much, especially as I was able to inject so many clients with both Botulinum Toxin and Fillers””

Cosmetic Courses...still leading the way in Medical Aesthetic Training All training is carried out at the National Training Centre within a care quality commission registered clinic to enable us to provide your learning process in a safe and comfortable environment. Your journey from point of enquiry to after care support is given total dedication from our whole team. We take enormous pride in the high standards of training and mentorship creating a platform for each professional to use their new skills with confidence and competence. Our expert faculty of trainers, led by Consultant Plastic Surgeons will give you the practical training, the business training and offer help and support to each individual to grow a career in Medical Aesthetics.

Please contact us for advice and information on any of the training we offer Foundation Botulinum Toxin & Dermal Filler Training Saturday 22 May 2010 Saturday 26 June 2010 Saturday 24 July 2010 Saturday 7 August 2010 Chemical Skin Peel Training Saturday 4 September 2010 Advanced Botulinum Toxin & Dermal Filler Training Saturday 25 September 2010

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Q&A | Dr Patrick Treacy CN: What advantages are there to VASER® over

liposculpting to a new, higher level and targets a whole

traditional liposuction?

new demographic group in the population who would

PT: A majority of doctors questioned in a recent survey

otherwise never have considered themselves candidates for

found that VASER® Lipo offered the following benefits over

liposuction.

traditional liposuction:

CN: Do you have to be fat to get VASER® Hi Def™? • faster patient recovery

PT: Good question. About 95% of people who undergo this

• less pain medication required

procedure work out three to five days a week, however, they

• minimal bruising

fail to achieve the desired muscle definition. VASER® Hi Def

• reduced need for re-treatments

produces that endpoint locally by aggressively removing

• smooth, predictable results

the deep and superficial fat, which otherwise obscures the

• skin tightening

detail of the underlying muscles. VASER® Hi Def is attracting

• increased precision

new patients that are typically not interested in traditional

• reduced physician fatigue

liposuction; people that are already fit but need an extra

“ The VASER® Lipo System was designed to provide physicians with a versatile tool to treat all areas of the body, from small procedures in the face and neck, to large volume treatments in the abdomen and back”

boost to enhance the look of their muscles. It is the perfect solution for people that currently maintain a healthy lifestyle through diet and exercise, but are unable to achieve the desired definition. John Millard, a Board Certified Plastic Surgeon friend of mine feels that the technique of VASER® Hi Def may change perceptions about liposuction in the future so that it will be viewed as an adjunct to a fitness program rather than a response to failure.

CN: What areas can you use the VASER® Lipo

CN: Where can VASER® Hi Def™be performed?

system on?

PT: VASER® Hi Def can be performed on multiple body areas

PT: The VASER® Lipo System was designed to provide

including the abdomen, female breast, male chest, back,

physicians with a versatile tool to treat all areas of the body,

arms, thighs, buttocks, hips and waist. After the procedure,

from small procedures in the face and neck, to large volume

patients typically wait about a month before returning to their

treatments in the abdomen and back. Because VASER®

exercise routine. Doctors report the first evidence of improved

ultrasonic energy is able to selectively liquefy fat whilst

muscle definition can be seen at about two weeks, with final

preserving nerves, blood vessels and collagen, patients also

results at three to four months.

experience minimal to no pain and bruising postoperatively allowing for a fast return to normal activities.

CN: Are there any other advantages with the VASER® Lipo system?

CN: What exactly is VASER® Hi Def™?

PT: Yes, I would say skin tightening and reduction of blood

PT: VASER®-Assisted High Definition LipoSculpture, or VASER®

loss. If we look at the skin tightening first, preliminary findings

Hi Def™, is a new body sculpting technique. It was originally

from a multi-centre clinical study measuring skin retraction

developed by Colombian plastic surgeon, Alfredo Hoyos,

in VASER® Lipo patients showed 40%-60% skin tightening.

MD who created a sculpted, athletic appearance in

Patients in the study underwent body contouring treatments

patients by precisely removing both superficial and deep fat

in one or more body areas with the VASER® Lipo System.

around muscle groups in order to enhance the visibility of the

Skin markings were placed on areas to be treated and

underlying musculature. A doctor has to pay quite a lot of

measurements were taken over a six-month period. This

money to get trained and it requires an in-depth knowledge

confirms what many of us suspected as many physicians

of the superficial anatomy and the treatment of different fat

have been reporting skin tightening benefits with the VASER®

layers. The procedure enhances the body contour, similar

Lipo System since the technology was released in 2002.

to three-dimensional sculpting, by taking into account the

This study now provides empirical evidence of yet another

shape and form of structures underneath the skin that create

advantage of using VASER® ultrasonic energy in all body

an athletic contour.

contouring procedures.

CN: How did VASER® Hi Def™ develop?

CN: Why do you think skin tightening occurs?

PT: It is known that the technique was developed through

PT: Most doctors agree that the key to good skin retraction

the intense study of muscular groups in the male and female

is related to treating the layer of fat directly under the skin.

anatomy. VASER® Hi Def represents a new application for

This allows the physician to effectively sculpt an area and

Sound Surgical Technologies’ already popular ultrasonic

stimulate the dermal collagen, resulting in skin tightening.

VASER® procedure. The VASER® Hi Def technique takes body sculpting one step further by precisely removing both deep and superficial fat in between key muscle groups, selectively leaving some fat to amplify the underlying muscle tone. VASER® Hi Def elevates

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cosmeticnewsuk.com

“ About 95% of people who undergo this procedure work out three to five days a week, however, they fail to achieve the desired muscle definition”


UltraPlus Regen:Layout 1

16/2/10

09:30

Page 1

“ A recent scientific study found that VASER® Lipo significantly limits blood loss during liposuction when compared to traditional liposuction alone” Expand both your aesthetic treatment range and your revenue by adding the UltraPlus variable pulsed light system and ReGen LED to your practice.

The precision of VASER® ultrasonic energy allows a physician to safely treat this area to give patients smooth, predictable results. We have seen this effect also with Lipodissolve and there may be an element of tightening related to the swelling that occurs in both techniques.

• • • • •

CN: What about the reduction in blood loss? PT: A recent scientific study found that VASER® Lipo significantly limits blood loss during liposuction when compared to traditional liposuction alone. The study was published in the July/August issue of the Aesthetic Surgery Journal. The authors concluded that VASER®–assisted lipoplasty should be recommended over traditional suction-assisted lipoplasty for patients undergoing large-

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of the body where increased blood loss is expected. The study was conducted by Onelio Garcia, Jr MD and Nirmal Nathan with 57 patients. Traditional liposuction was performed on 27 patients, while 30 patients underwent the VASER® Lipo treatment. The findings showed that traditional liposuction results in 7.5 times more blood loss compared to the VASER® Lipo procedure.

CN: Can you use VASER® Lipo as a facial procedure? PT: I haven’t used it myself but the use of VASER® Lipo technology to improve surgical results in face and neck rejuvenation cases represents a major advance in the application of ultrasonic technology in cosmetic procedures. Now patients can have the result of a typical face or neck lift with less downtime and a more natural post-operative appearance. Many doctors use VASER® Lipo in their office to perform a minimally invasive form of liposuction that liquefies the fat and sculpts targeted areas. Many

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doctors like Nickolov Serdev, Roberto Veil and Marlene Mash find it creates less tissue trauma and bleeding than conventional techniques, regardless of body area. VASER® Lipo also helps tighten loose skin, which proves particularly helpful in conjunction with a traditional lower face and neck lift. Dr Mash is on record stating she uses VASER® Lipo (also known as LipoSelection®) in combination with face and neck lifts due to its unparalleled effectiveness in producing a natural and youthful appearance

• • • • •

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with minimal down time. She says, “VASER® Lipo significantly reduces the undermining time in lift procedures and allows me to contour body areas that are difficult to treat with traditional liposuction”. With this technique, Dr Mash is able to treat the underlying skin and tissues to encourage retraction and further

before

before

after

after

tightening of the skin.

CN: Lastly what would you say about VASER® in summary? PT: VASER® physician users report minimal patient pain and bruising and enhanced skin retraction. VASER® Lipo can be used to treat small, delicate areas like the chin and neck, as well as large areas including the back, chest and abdomen. This procedure can provide excellent results with fast patient recovery time. Doctors report that patients are able to return to work within days and can

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Skin Types | Dr Leslie Baumann

BREAKINg

RuLES

ThE

Leslie Baumann MD is the unique combination of doctor, professor and researcher. She founded the

University of Miami’s internationally recognised Cosmetic Center (UMCC) and Cosmetic Medicine and Research Institute in 1997, the first university-run cosmetic research center in the United States. This unprecedented combination of skills has led to Dr Baumann’s status as a leading global expert in dermatology. Her prior academic responsibilities keep her at the forefront of skin and skincare research, while her clinical work affords the opportunity to refine and further investigate recommendations arising from the research findings. Since 2000 Dr. Baumann has been training international dermatologists on a monthly rotational basis, and working with them to gather skin typing data from around the world. These doctors, frequent visitors of the www.skintypesolutions.com web site, are also helping to get Dr Baumann’s book, The Skin Type Solution, translated into many languages. Currently she is involved with a genetic project to determine the genetic make up of the 16 skin types that she discovered through her many years in treating patients. Her medical textbook, Cosmetic Dermatology: Principles and Practice, a best seller available in four languages, is used by all training cosmetic dermatologists. She also writes a monthly column called ‘Cosmeceutical Critique’ in Skin and Allergy News, a leading dermatology newspaper.

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we take a look at Dr Leslie Baumann’s skin typing system when it comes to determining a patient’s skin type, the most widely used system of categorisation in skincare and dermatology circles is the classic dry, oily, normal and combination, developed by helena rubenstein. however, in recent years, physicians have realised that having just four skin types may be limiting. one such doctor is leslie Baumann, a leading Us dermatologist who turned the tried and tested method of determining skin types on its head with the publication of her book the skin type solution in 2007. the new York times Best seller, which was also nominated for the prestigious ‘Books for a Better life award’, was a culmination of Baumann’s extensive work in the field of skincare. she believed that the current way of analysing skin was ‘inadequate’ and ‘out of date’ and desperately in need of revising.


the four-type system was created by rubenstein in 1908 and has stood for decades as the definitive framework for treating skin. But in the twenty-first century it became clear that a more complex and wide-ranging set of categories was needed. Dr Baumann has dedicated her career to studying and treating the skin and has lectured extensively on the subject throughout America with her work published in prestigious journals such as the Journal of Investigative Dermatology, Cosmetic Dermatology and the International Journal of Dermatology. Her research lead her to believe that there were, in fact, 16 different skin types, each with its own unique characteristics and requirements for treatment.

The book introduces readers to Dr. Baumann’s revolutionary discovery of 16 different skin types and how to treat them and lays them out in a way that is suitable for consumers and practitioners alike. Since its publication it has revolutionised the way many people treat skin and has given patients a chance to get to know their own unique skin type and how to treat its own specific requirements. Its accompanying website www.skintypesolutions.com also includes forums, blogs, tips and advice on skin for consumers. There is also a tool for ‘self assessment’ that patients can use to determine their skin type. It took Dr Baumann seven years to validate the various different types and develop the questionnaire, which comprises 35 questions for people to find out for themselves which type they are.

ThE 16 SKIN TYPES

1

Oily, Sensitive, Pigmented and Wrinkled Sun damage, frequent acne breakouts, sensitivity to many skin care products, dark patches on cheeks, dark circles under eyes, pimples.

2 3 5 7

Brown spots, pigmentation, sensitivity, acne, rashes, ingrown hairs with resulting dark spots, dark circles under the eyes.

Facial redness and flushing, pink patches, difficulty tanning, facial oiliness, enlarged pores, sensitivity to many skin care products, enlarged nose.

Oily, Sensitive, Non-pigmented and Tight Facial redness and flushing, facial oiliness, yellow or skincoloured bumps with a dent in the middle, visible red or blue facial blood vessels.

Oily, Resistant, Pigmented and Wrinkled Large pores, shiny oily skin, dark spots in sun-exposed areas, wrinkles, occasional acne breakouts, easy use of most skin care and cosmetic products.

6

Oily, Resistant, Pigmented and Tight Face looks shiny, especially in photographs, facial foundation streaks, sunscreen feels oily, tans easily, minimal facial wrinkles, occasional acne breakouts

Oily, Resistant, Non-pigmented and Wrinkled Occasional bouts of facial shininess, minimal acne, no problem with most skin care products, difficulty tanning, little need to moisturise, early signs of wrinkles.

8

Dryness and flaking, itching skin, pink scaled patches, facial redness and flushing, broken blood vessels in the face, acne, dark circles under the eyes, dry lips.

Oily, Sensitive, Pigmented and Tight

Oily, Sensitive, Non-pigmented and Wrinkled

4

9

Dry, Sensitive, Pigmented and Wrinkled

Oily, Resistant, Non-pigmented and Tight Smooth, oily skin, little need for moisturiser, few wrinkles, foundation makeup streaks, large pores, blackheads, enlarged oil glands, infrequent acne breakouts.

10 11

Dryness, scaling and flaking, redness, burning or stinging, wrinkles, makeup cakes in wrinkles, eye shadow look flaky, dry lips with flaking skin, rough skin on face.

16

Dry, Sensitive, Non-pigmented and Tight Dryness, flaking, scaling, itching, blotches, redness, sensitivity to skin care ingredients, sensitivity to soaps and detergents, rashes under rings, irritation from pierced earrings.

Dry, Resistant, Pigmented and Wrinkled Dry flaking skin, itching, thin skin with easy tearing if over 50, easy bruising, dark spots on face, chest, arms and hands, wrinkles beginning around the eyes, wrinkle hands.

14 15

Eczema, scaling skin, thick rough patches of skin, itching, sensitivity to fragrances that can cause skin rashes, dryness from detergents, dark eyelids, dark circles under eyes.

Dry, Sensitive, Non-pigmented and Wrinkled

12 13

Dry, Sensitive, Pigmented and Tight

Dry, Resistant, Pigmented and Tight Dry skin, rough patches over the knees and elbows, freckles or sunspots, dark eye circles, itching skin, flaking skin, chemical peels or other treatments worsen dark spots.

Dry, Resistant, Non-pigmented and Wrinkled Ease in using sunscreens, trouble tanning, streaking with selftanners, minimal skin problems in youth, accelerated wrinkling from mid-30s onwards.

Dry, Resistant, Non-pigmented and Tight Few noticeable skin problems, even-toned skin, ease in using a wide range of skin products, few breakouts (if any), inability to tan, streaking with self-tanners.

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View On | Compression

HEALING hOSIERY James Haldane, founder and md of macom

compression Garments explains why there is more to compression garments than meets the eye The benefits of post-surgical compression have long been realised, but can these specially designed garments do more than just aid the healing process post-procedure? Absolutely, according to leading uK compression supplier James Haldane. Passionate about the role of compression in cosmetic surgery and aesthetics, James is on a mission to show practitioners what compression can do to enhance treatment outcomes and improve patient satisfaction with the procedures they are offering as well as showing them its wide range of applications that go way beyond its most widely known uses. Here we examine some of the different applications for compression garments…

POST-PROCEDuRE The most common use of compression garments is post-operatively. There is evidence that postprocedure compression can help aid the healing process by reducing swelling, minimising scarring and providing protection and support for the patient. It can also help aid the lymphatic system thereby helping the body to get rid of excess fluid post-procedure. In surgical fields, including vascular and plastic surgery, compression garments are commonly used as standard practice following procedures but in medical aesthetics practices this is not necessarily the case. However, many nonsurgical treatments benefit from the use of post-procedure compression, in particular vein removal treatments such as sclerotherapy and laser and fat reduction procedures such as laser lipolysis. “Compression should be worn after surgery for six to eight weeks and you should wear it 24/7”, says James. “Basically it helps speed up the healing process but psychologically it can also provide peace of mind for a patient after procedure by providing support.” Manufactured in Brazil the MACOM post-op garments are made of breathable, hypoallergenic material and are double-skinned to ensure they are comfortable and provide the necessary support. They also have two levels of eye-hooks so that they can be adjusted after the initial swelling goes down. MACOM produces over 90 garments ranging from facial and body support for post-surgery and compression stockings ideal for use following vein treatments. James also works closely with surgeons to tailor products according to individual specifications, as some surgeons like to do things differently to others. There are different types of compression for different surgeries, the most common being body compression for use post liposuction or tummy tuck, however there are also specially designed post-surgical face supports. The bras are more supportive and less compressive, for use post breast augmentation or reduction.

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As the exclusive supplier of post breast augmentation bras to both My Breast and Mya Cosmetic Surgery, James understands the importance of this side of the post-surgical market well. He says, “Breast augmentation is still the biggest cosmetic surgery procedure by a mile and we provide 12 different types of breast surgery bras. Within the post-surgical bras we do breast bands as well which essentially keep the implants in place. The surgeon makes pockets for the implants, within that pocket the implant can move but if you put the breast band on top the downward pressure keeps it in place. You can wear them in conjunction with a bra or not. They are front fastening so they are easier to put on after surgery when you are still sore.” Although breast augmentation may be the most popular surgical treatment, it is in the field of body contouring that compression most comes into its own and, as James is keen to point out, this is not limited to surgery. “With body contouring its not just traditional liposuction now, the non-surgical market is rapidly growing”, he says. “That’s really driven our business in the last couple of years, the advent of laser lipolysis and treatments like VASER®.” But why is compression so important following body procedures and what makes the perfect compression garment? “It’s a common fallacy that, after surgery, compression garments should be quite easy to put on but essentially it’s a two-person job – it’s got to be that tight”, says James. “The tighter the compression the better the results post-surgery because it speeds up the healing process by literally flattening the scar, aiding lymphatic drainage and flushing out excess water. It also has the effect of actually shaping your body and acts as a support mechanism as well. Also there is a psychological cushioning effect, so for all those reasons the garment should be as tight as possible. “How we differentiate from our competitors is that we are double-skinned and when you have a double-skinned garment its going to be better. What also makes our garments different is the fact that they have the adjustability within them so, once the initial swelling subsides, you can tighten them further. Also because they have individual eye hook fastenings, rather than a zip fasten, you can have it tighter on the bottom looser on the top so you can actually alter the tightness within the garment itself.”

PRE AND POST-NATAL During pregnancy women’s bodies go through a number of changes. There is extra pressure on their back, their organs and rib cage move, to accommodate the baby, and their muscles and skin stretch. They are also at increased risk of developing varicose veins. Compression can help both during and after pregnancy. “For the last few years we have been really targeting the post-surgical market but now that we are making these products we have realised that there is a huge gap in the market for post-natal compression”, says James. “In Europe, especially France, Germany and Italy, all physiotherapists advise compression directly after giving birth. Apart from anything else your hips are all over the place, your ribs are all over the place and you have absolutely no muscle. If a woman puts compression on as soon as she has given birth then it will give her an absolutely different result. “Compression is particularly important if you have had a caesarean. It is a very invasive procedure and you are in hospital for two days afterwards. A friend of mine had a caesarean out in Dubai and she said the best thing the nurses did straight afterwards was to put compression on. Again it will make the scar as small as possible and will help the healing process in the same way it does post cosmetic surgery.” As well as body garments, MACOM also distributes post-natal corsets with high backs which help support and strengthen the back after giving birth. They also do garments for use during pregnancy. James explains, “Our two most popular pregnancy garments are a band to put underneath the bump and a pair of cycling shorts with reinforced compression beneath the bump. This means there is no actual pressure on the bump itself and around it is completely free and flexible. The band just fastens with Velcro and takes the weight off your belly. Its brilliant, such a simple thing, and very inexpensive. My sister, who has just given birth, wore one for the last three months of her pregnancy and said it really helped.”

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View On | Compression

VEINS In the vascular field the benefit of compression has been well documented. Studies have demonstrated a significant decrease in the incidence of post-sclerotherapy complications where graduated compression hosiery is worn and we have long been told the importance of wearing compression stockings or tights when flying to reduce the risk of deep vein thrombosis. “Legs are a key area not only for varicose veins but for post laser vein therapy and sclerotherapy”, says James. “We also do compression to prevent deep vein thrombosis from pressurised cabins on flights.”

SLIMMING Underwear that helps women look slimmer has become increasingly popular in recent years with the advent of Spanks and celebrity stylists such as Gok Wan and Trinny and Susannah showing TV viewers how they can instantly lose pounds with the right underwear. Since then slimming garments have been flying off the shelves and some women even claim to have changed their body shape due to repeated use of body shaping garments. But what makes a compression garment different or better than any other type of slimming garment on sale in department stores? “A slimming garments does exactly what it says on the tin – it keeps everything sucked in”, says James. “The advantage of ours over something like Spanks is that they are compressive and can actually, when worn over time, impact the body’s silhouette. “What often happens is that people will wear the compression garment with eye hooks immediately after surgery because they are quite sensitive and they can really adjust it and then they will have what we call a stage two garment, which has the same level of compression but without the eye hook fastens. What we find is that a lot of people really like it – we have got repeat customers from five years ago who haven’t had surgery for five years but who still wear the compression. When we started we were essentially wholesalers and were selling direct to hospitals and other medical distributors. Now we do a booming trade direct to the consumer.”

BuRNS Burn garments are commonly used after someone has suffered a

THE MALE MARKET

burn, not only to protect their skin, but to help reduce swelling, aid the healing process and help control the growth of abnormal scar tissue. The main difference with burn garments to other compression

It is not just women who undergo cosmetic surgery so, while it is no surprise that there are compression garments made specifically for men, James has noticed a significant increase in the number of men needing garments after going for surgery to correct man boobs

raw skin and they need to be tailor-made for each individual patient. “Burns is only a small part of our business”, explains James. “We do specific garments for burns but it is very very specialised because the fit needs to be absolutely precise on a burn. Essentially compression works in the same way for burns as it

or ‘moobs’. This ties in with statistics from the British

does post-surgery by helping it to heal and flattening the scars.

Association of Aesthetic Plastic Surgeons, which showed

Compression also eases pain by its very nature. If you hurt your

a 21% increase in male surgery and a whopping 80%

thumb for example, the first thing you do is squeeze it as it

increase in operations for gynaecomastia (man boobs).

relieves the pain, the same is true of burnt skin if it is pressurised it

James says, “Male garments have seen a huge rise. We have had a 32% increase in the number of male garments we sell in the last 18 months, mainly for gynaecomastia.”

helps relieve some of the pain. “Traditionally the most common part of the anatomy that is burnt is hands. If boiling water or fire is coming at you

He has also noticed an increase in the popularity of

the first thing you do is put your hands

slimming garments for men. “There is a significant vanity

up to protect yourself, so gloves are

slimming market for men as well as women”, he says. “A

what we sell most of for burns but they

lot of men wear the vests underneath shirts or t-shirts to

are very much individually tailored

make them look more toned.”

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garments is that they are much softer as they are being applied over

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because they have to fit so precisely. We also do masks and vests.”



Best Practice | Advertising

ADS ThE WAY TO DO IT

We take a look at the dos and don’ts of advertising cosmetic treatments and services The British Association of Aesthetic Plastic Surgeons recently slammed practitioners who were making unsubstantiated claims about their expertise in aesthetics for the purpose of self-promotion. However, in such a competitive market and, in the current financial climate, it is perhaps no surprise that businesses are embellishing on their credentials to set themselves apart from their competitors. Everywhere we turn someone is claiming to be the ‘leading practitioner’ in this or an ‘expert’ in that, but where should the line be drawn between clever marketing and unethical soliciting of clients, especially in an industry where credentials and skills are essential to patient safety? When it comes to advertising your treatments and services to the public it is very tempting to oversell yourself in a bid to stand out from the crowd, however medical aesthetics by its very nature requires a level of ethics. Advertising is an essential part of attracting new clients to your business, but whether you are advertising in magazines, newspapers, on the web or via leaflets and posters in your local area, you should be careful about the language you are using, the claims you are making and even the images you employ. Over exaggerating your skills and abilities could land you in hot water, not only with unsatisfied patients, but with the bodies who monitor advertising such as the Advertising Standards Authority’s (ASA). It could also soon see you left out in the cold when it comes to achieving the Quality Mark under the new IHAS Shared Regulation Scheme.

WHO’S WATCHING YOu?

broadcasters.

So who is setting these rules and where can you find out about them?

If you are unsure about what you can and cannot say in your

The Advertising Standards Authority (ASA) is the UK’s independent

advertising then the CAP offers advice and guidance on its website

regulator responsible for ensuring that advertisements, wherever they

(www.cap.org.uk) as well as free and confidential copy advice service

may appear, are legal, decent, honest and truthful. The ASA enforces

for all non-broadcast ads. Broadcast advertisements are generally

the mandatory Advertising Codes and actively monitors compliance to

pre-cleared by either Clearcast (for television) or the Radio Advertising

provide protection for consumers and a level playing field for advertisers. It

Clearance Centre (RACC), however be aware that clearance from

achieves this by investigating complaints about ads, proactively identifying

these bodies does not mean that the ASA will not investigate should a

and resolving breaches of the Codes, using research to inform its decisions

complaint arise.

and by promoting and enforcing high standards in ads generally. The ASA also works closely with industry and clearance bodies, such as the

uNDER REVIEW

Medicines and Healthcare products Regulatory Agency (MHRA), in order

In 2009 the ASA undertook a Health and Beauty Products and Therapies

to make sure adverts comply.

Advertisements Survey to determine the compliance rate of ads in the health and beauty sector with the British Code of Advertising,

48

The UK Advertising Codes are written by two industry bodies and set

Sales Promotion and Direct Marketing (the CAP Code) and with the

standards for the content, scheduling and placement of advertisements.

BCAP TV Advertising Standards Code and the BCAP Radio Advertising

The Committee of Advertising Practice (CAP) is the body that created and

Standards Code (the BCAP Codes). The Compliance team assessed

revises the CAP Code. Its members include trade and professional bodies

broadcast and non-broadcast ads for health and beauty products

representing advertisers, agencies, media owners and the sales promotion

and therapies that appeared in a broad mix of media between

and direct marketing industries.

February 1 and 7 2009. Of the 451 ads assessed, they considered that

CAP provides a pre-publication copy advice service and co-ordinates

95.1% complied with the codes and only 4.9% breached them. Non-

the activities of its members to achieve the highest degree of compliance

broadcast media accounted for all of the breaches with online and

with the CAP Code. CAP’s Broadcast Committee (BCAP) is contracted

press ads proving the most problematic. Of the 451 ads reviewed, 76

by the communications industry regulator, Ofcom, to write and

were online ads (16.8%) and of those, seven (9.2%) breached the CAP

promote compliance with the Codes that govern TV and radio ads.

Code. Interestingly, this was the first Health and Beauty Survey to include

BCAP comprises major broadcasters licensed by Ofcom and trade

online ads, with cosmetic surgery and aesthetic providers and well as

bodies representing, advertisers, agencies and satellite and cable

skincare manufacturers being the main culprits breaking the rules.

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THE MAIN PROBLEMS IDENTIFIED IN THE SuRVEY INCLuDED: • Anti-ageing claims that were not supported by available evidence • Inadequate evidence to support cumulative and skin-regenerating claims • Medicinal claims for products that had not been granted a marketing authorisation by the Medicines and Healthcare products Regulatory Agency (MHRA) • Unsubstantiated claims that a product could firm, tone and improve elasticity of the skin • Lack of robust evidence that a treatment could rejuvenate the skin and promote the production of healthy skin Among those identified as breaching the codes were a number of aesthetic and cosmetic surgery providers. These included: • An ad for a clinic offering cosmetic procedures was considered to be unacceptable because it made claims for Thermage, Smartlipo and Fraxel treatments that should be advertised on an availability-only platform because the ASA and CAP had not, at the time, seen convincing evidence of their efficacy. An assurance of future compliance was requested and received. The ad breached CAP Code clause 50.1 • An online banner ad for a dental surgery offered Botox injections, which is a prescription-only medicine and therefore illegal to advertise. An assurance of future compliance with the Codes was requested and received. The ad breached CAP Code clause 50.12. • An online banner ad for Transform Medical Group claimed the advertisers were ‘No1’. But because the advertisers had already given the ASA an assurance, following a formal investigation, that future ads would make clear that that claim was based on turnover alone, no further action was necessary (the adjudication is attached at Appendix 7.5). The ad breached CAP Code 3.1 and 19.1. While this survey encouragingly showed that the majority of people are playing by the rules it also highlighted that some are – sometimes blatantly and sometimes inadvertently – still breaking them. Since the survey was carried out the ASA has upheld a number of complaints surrounding cosmetic surgery. Most notably it banned an ad campaign by a cosmetic surgery firm, My Breast (My Aesthetics), after they ran a radio ad campaign claiming to be a ‘leader in cosmetic surgery’ in the UK. The ASA received a complaint from Transform questioning whether the company could substantiate the claim. My Aesthetics said that its radio campaign promoted the idea that My Breast was ‘leading the way in the development and operation of cosmetic surgery with surgeons who were leaders in the field’. However, the ASA considered that the claim was likely to be understood by listeners to be a comparative one that positioned My Breast as better than rivals. However not all complaint are upheld. An advert by the British Association of Aesthetic Plastic Surgeons, which was placed in a number of women’s magazines and which urged young women not to undertake cosmetic surgery lightly, was cleared by the standards watchdog following a complaint from The Harley Medical Group. HMG questioned whether the advert misleadingly implied that surgical procedures could be performed without any degree of risk, whether it implied other surgeons were not as well-trained as BAAPS member surgeons and whether it implied BAAPS members were suitably qualified in plastic surgery because there was no such formal qualification. However, the Advertising Standards Authority dismissed the claims.

KEEP IT REAL It may seem as though the rules about what you can and can’t say are confusing but in actual fact they are quite clear. The General Rules in The British Code of Advertising, Sales Promotion and Direct Marketing says that ‘No marketing communication should mislead, or be likely to mislead, by inaccuracy, ambiguity, exaggeration, omission or otherwise’ and that marketers must have documentary evidence to prove all claims, whether they are direct or implied, that are capable of objective substantiation. This means that the Code requires advertisers to have proof to back up any advertising claims they have made. For example in a CAP Help Note on cosmetic surgery, the CAP advises on the use of the word ‘leading’ in advertising. The note says, ‘Marketers looking to prove claims such as ‘leading surgeons’ or ‘foremost surgeons’ would need to show that the surgeon’s achievements and experience put them at or near the top of their speciality.

PICTuRE PERFECT? It is not just what you say in an advert that can draw unwanted attention from the ASA, it is the images you use too. While the ASA acknowledges that health and beauty marketers often use ‘before and after’ photos to show the effectiveness of treatments, there are important rules to be followed. The online advice service from the CAP, states, ‘They should hold signed and dated proof that the photos are genuine and have not been manipulated. The photos should not exaggerate the efficacy of the product and, marketers need to ensure that they have relevant evidence to substantiate the impression created by the images.’ Poor quality photography can also be an issue as can using images supplied by a manufacturer of a product, which are not your own, as you may be misleading the public into thinking you produced these results.

PRESCRIPTION ONLY MEDICINES: A NO GO AREA Although there may be no hard and fast rules for the advertising of most cosmetic treatments, there is one area that is definitely not open to interpretation and that is the advertising of prescription only medicines, such as botulinum toxin, directly to the public. Unlike the USA, in the UK it is illegal to advertise any prescription only medicines directly to the public. This is one of the rules that is most often disobeyed and is hard to follow when the word ‘Botox®’ has become a household name. You only need to type the word into Google and you will find many a breach of this rule but, just because everyone seems to be doing it doesn’t mean you won’t be the one to get caught. For more information on this take a look at the MHRA’s advertising advice (www.mhra.gov.uk/ Howweregulate/Medicines/Advertisingofmedicines).

IN CONCLuSION The key to making sure your adverts comply is to make sure you are aware of the rules before you spend money on expensive marketing campaigns. You don’t want to have to withdraw your ads, or worse still get a fine. Unfortunately a lack of policing in the industry in the past has meant that people have been getting away with using certain unsubstantiated claims and ‘banned’ words in the advertising but in recent years the ASA seems to be tightening its belt, particularly with competitors reporting rival companies for breaches. While this may seem a little underhanded, it is actually a positive step towards self regulation as the industry takes a stand against the minority who are bending the rules. Both the Medicines and Healthcare products Regulatory Authority (MHRA) and the Advertising Standards Authority (ASA) have been involved in the Independent Healthcare Advisory Service’s (IHAS) Shared Scheme for Providers of Cosmetic Injectables, launched last month, and with clinics coming under more scrutiny to see if they meet the standards required for the Quality Mark, making sure your advertising is ethical and truthful is more important than ever.


Business Focus | Marketing

ThE PERFECT

PAIRINg Hilary Ford on choosing your marketing partner

These days, most aesthetic medical practitioners appreciate the need to promote their services. They can see that there is intense competition from corporate providers who pour vast amounts

Hilary Ford is one of three directors at Blue Horizons. She has been working

of money into marketing. They also understand that, while there is no need (or desire) to promote treatments, there is a need to let potential patients know why they should choose their practice over someone else’s.

in marketing for almost 20 years, in a wide range of sectors including luxury yachts, call centre recruitment and, for the last eight years, the dental and medical sector in the uK and Europe. Blue Horizons offer a full range of marketing services, including patient welcome packs, treatment leaflets, websites and consultancy.

But a major stumbling block is how to get started. Should you try to do it yourself? Or should you call in the professionals? And if so, who? There is a bewildering choice of marketing companies – local agencies, well-known international organisations, generalists and specialists – so how can you choose which is best suited to help you and your practice?

SEEKING PROFESSIONAL MARKETING ADVICE It can be very tempting to decide to do your marketing yourself, especially if you are a smaller practice with a lower budget. But while this may work well in some sectors, it certainly doesn’t work in high-end, luxury sectors like yours. Your clients are not just investing their money in your services, they are also investing their looks and their trust, and your marketing needs to reflect this. It needs to convey a sense of professionalism and to reassure patients that you have their best interests at heart. It also needs to reflect the up-market nature of your business and the overall feel, or image, of your practice. This can only be achieved with marketing experience and expertise. Just as you wouldn’t expect a marketing expert to carry out a medical procedure without difficulty, so we wouldn’t expect a medical professional to be able to put together a flawless, effective marketing campaign.

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consistency of quality and image throughout, and often costing less

PAuSE FOR THOuGHT

than you might think.

Before you start looking for a marketing partner, you need to give

Do you want to use a general marketing company, or one which

some serious thought to what you are hoping to achieve, and what

specialises in your sector? Often, particularly in more complex

sort of help you want to receive. This will help to point you in the

sectors such as aesthetic medicine, it can be easier to work with a

right direction, and could save a lot of time, money and angst in

specialist agency. They will understand the market and any rules or

the long run. Questions to consider include:

regulations which apply. They will usually have a good knowledge

What would you like your marketing partner to do for you? Do you

of the procedures you offer too. All this means you don’t have to

need them to propose an effective marketing plan for the next

spend hours explaining everything to them, and can confidently

year or two, or do you simply need someone who can design an attractive brochure? The second option may seem the easiest,

leave virtually everything in their hands. •

communicate remotely with your marketing partner? In our

materials you need to know how best to use them. A great-looking

experience, a visit to a client practice is invaluable. It gives us a far

brochure looks wonderful displayed in your reception area, but it

better feel for the practice, and helps to build a stronger working

is unlikely to attract much business if all it does is gather dust on a

relationship with them. This in turn means that the marketing plan

coffee table. •

Do you prefer face-to-face meetings or are you happy to

and the cheapest, but to gain optimum effect from your marketing

and materials we produce accurately reflect the practice image.

Do you want to work with several companies, each of which offers

What size of organisation would you prefer to work with? Agencies

specific services such as copywriting, design or printing? Or would

vary from being single-handed business to huge international

you rather work with just one, who can meet all your needs? Again,

corporate. Ideally you should look for an agency that is neither too

the temptation can be to work with several, so you can shop

big nor too small. Too big could mean that your business doesn’t

around for the best deals and potentially save a few pounds here

really seem to matter to them, too small could make it difficult to

and there. But this is likely to be far more time-consuming – you will

get in touch with them when you need to. An ideal middle ground

obviously need to deal with each company separately, and you will

is a company that has account managers, one of whom will take

need to manage the project yourself. A full service agency, on the

specific responsibility for working with you, and for liaising with the

other hand, can take virtually all the work off your hands, ensuring a

various people involved in your project – copywriter, designer, etc

THE IMPORTANCE OF TRuST

Perhaps the most important issue is that you know what you want to achieve with your marketing

It is vital for you to feel that you can trust your marketing partner. Just as your patients need to know you are the best person to meet their medical aesthetic needs, so you need to know that your marketing partner is the best one to meet your marketing needs – and to trust them to act in your best interests. As an example, consider what you do for your patients. You see them for an initial consultation. They tell you why they feel they need surgery, and will often think they know which procedure is best suited to their needs. But your job is not to simply sit there and be a yes man (or woman) and agree to whatever they request. Your job is to offer advice and to tell them what their treatment options are, together with any potential side effects and risks, so they can make an informed decision. If you do not feel surgery is appropriate for them, you tell them and do not carry it out. In short, you act in your patients’ best interests, and they trust you to do so. As a marketing agency, our role is, in essence, similar to yours. We see you for an initial consultation, and talk to you about your needs. You will probably have ideas on how those needs could be met. But, like you, we are not here to simply agree to whatever you request. Obviously we will take your suggestions into account, and will often be able to work with or develop them. But we will also explain to you what your different options are, the pros and cons of each one, the cost implications, etc, so you can make an informed decision. And

PLANNING AHEAD Your initial meeting with your potential marketing partner will be much more effective if you

just as your patient trusts you when you say that procedure X is best suited to their needs, so we need you to trust us when we say that a certain approach or design is best suited to yours. Ultimately, if the trust isn’t there, and you feel unable to rely on the expertise and experience of your design agency, then you shouldn’t be working with them.

can plan ahead for it. Perhaps the most important issue is that you know what you want to achieve with your marketing. For example, do you want to grow your practice, attract more patients, become a multi-disciplinary medical aesthetic clinic, forge a reputation as a specialist in your chosen field? Having a goal will help to determine what type of marketing your practice needs, and will help you to measure the success of your marketing. The goal can help to pinpoint your target audience, which in turn can help to determine what sort of image would suit you best. For example, if you want to attract young, image-conscious patients then a fun, modern image may work best. If you’d prefer to focus on older “ladies who lunch” then a more classic and upper-scale image may be better. Key to your marketing is your USP – your Unique Selling Proposition. This is something that makes your practice different from all the others, something that will make patients feel that you are definitely their best choice. This could be your professional reputation – if you are perceived to be the best in your field then people will seek you out. Or it could be something such as exceptional customer care and/or after care, your location, etc. Finally you will also need to decide on a budget. Be realistic – if you want something high quality then you will have to pay for it! Once you have taken the decision to invest in professional marketing materials, then you should aim to have the very best that you can afford.

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DATES FOR ThE DIARY May 3 One Day Combined Botox and Dermal Filler Course Foundation Level www.inspiredcosmetictraining.com 4 One Day Combined Botox and Dermal Filler Course Foundation Level www.inspiredcosmetictraining.com 4 LCS Academy Practical Guide to Contraindications for Light Based Therapies, www.lcsacademy.co.uk 5 Mapperley Park Master Class Vascular Therapies, Nottingham www.mapperleypark.co.uk/training 5 Revanesse and Redexis Dermal Fillers Training, Boston Medical Group, www.boston-medical-group.co.uk 6-8 Laser Europe, Tarragona, Spain, www.lasereurope2010.com 6-7 Two Days Skin Rejuvenation (Micro Needling) Liverpool, www.finishingtouchesgroup.com 7 One Day Combined Botox and Dermal Filler Course Foundation Level, www.inspiredcosmetictraining.com 8 Aesthetox Academy Training Courses, Birmingham, www.aesthetox.co.uk 8 One Day Combined Botox and Dermal Filler Course Foundation Level, www.inspiredcosmetictraining.com 8-9 Foundation Botox and Dermal Fillers, Manchester, www.medicsdirect.com 10 Genuine Dermaroller™ Training, London elizabeth@aestheticare.co.uk 10 LCS Academy Laser / IPL Protection Supervisor Training, www.lcsacademy.co.uk 10 Mapperley Park Core of Knowledge, Nottingham, www.mapperleypark.co.uk/training 10 Cosme Education Zone Omnilux Training, Maidenhead, www.cosmeceutcials.co.uk 10 One Day Maxillo Facial Workshop Cardiff, www.finishingtouchesgroup.com 10-11 Cosme Education Zone Vitage Training, Glasgow, www.cosmeceutcials.co.uk 10-13 Five Days Cosmetic Tattooing Diploma Course Worcestershire, www.finishingtouchesgroup.com 11-12 Cosme Education Zone Vitage Training, Maidenhead, www.cosmeceutcials.co.uk 11 Intermediate Level Obagi Systems and Obagi Blue Peel Workshop, Manchester, www.healthxchange.com/obagi-training 12 Introduction to Obagi Products and Systems Workshop With Shannon Lister, London, www.healthxchange.com/obagi-training 12 Wigmore Medical Training NeoStrata Peels, London, www.wigmoremedical.com 12-13 Foundation Botox and Dermal Fillers, London, www.medicsdirect.com 13 Advanced Botox and Dermal Fillers, Liverpool, www.medicsdirect.com 13-16 EADV Spring Symposium, Croatia, www.eadvcavtat2010.com 15 Innomed Training Chemical Peeling Systems – New Users, London, www.innomedtraining.co.uk 16 Advanced Botox and Dermal Fillers, Bristol, www.medicsdirect.com 16 Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation – New Users, London, www.innomedtraining.co.uk 17 Cosme Education Zone Omnilux Training, Birmingham, www.cosmeceutcials.co.uk 17-18 Two Days Pigment Removal Training Cheshire, www. finishingtouchesgroup.com 17-20 Mapperley Park BTEC Award Laser and Light Based Hair Removal and Photorejuvenation, Nottingham, www.mapperleypark.co.uk/training 18 Intermediate Level Obagi Systems and Obagi Blue Peel Workshop, Glasgow, www.healthxchange.com/obagi-training 18-19 LCS Academy BTEC Professional Certificate: Medical Laser and IPL, www.lcsacademy.co.uk 18-19 Cosme Education Zone Vitage Training, Birmingham, www.cosmeceutcials.co.uk 19 Wigmore Medical Training Introduction to Skincare Peels and Derma Roller, London, www.wigmoremedical.com 20 Wigmore Medical Training Introduction to Botulinum Toxin Type A, London, www.wigmoremedical.com 21 Wigmore Medical Training Introduction to Fillers, London, www.wigmoremedical.com 21 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses Botulinum Toxin Refresher Course (Vistabel® and Azzalure®), jan@drbrianfranks.com

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cosmeticnewsuk.com

We round up upcoming events, training courses and meetings

21-23 The Aesthetics Show, Las Vegas, www.miinews.com/aesthetic/ 22 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Introduction to Botulinum Toxin Type A, Watford, jan@drbrianfranks.com 22-23 Foundation Botox and Dermal Fillers, Glasgow, www.medicsdirect.com 23 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Introduction to Dermal Fillers, Watford, jan@drbrianfranks.com 24 Skin Peels, Manchester, www.medicsdirect.com 24-26 Three Days Medical Masterclass Haywards Heath, www. finishingtouchesgroup.com 24-27 LCS Academy BTEC Professional Award: Aesthetic Laser and IPL Therapies, www.lcsacademy.co.uk 24 Cosme Education Zone Advanced Exfoliation Techniques, Glasgow, www.cosmeceutcials.co.uk 25 Cosme Education Zone Omnilux Training, Glasgow, www.cosmeceutcials.co.uk 26 Mapperley Park Core of Knowledge, London, www.mapperleypark.co.uk/training 26-28 VASER® Training, www.granthamlet.co.uk 27-29 21st European Association of Plastic Surgeons (EURAPS) Meeting, Manchester, www.euraps.org 31 Cosme Education Zone Advanced AHA Training Day 1, Glasgow, www.cosmeceutcials.co.uk

June 1 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Manchester, www.healthxchange.com/obagitraining 1 Cosme Education Zone Advanced AHA Training Day 2, Glasgow, www.cosmeceutcials.co.uk 1-4 Five Days Cosmetic Tattooing Diploma Course Liverpool, www.finishingtouchesgroup.com 2 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Birmingham, www.healthxchange.com/obagi-training 5 Aesthetox Academy Training Courses, Birmingham, www.aesthetox.co.uk 5 Boston Medical Group, Introduction to Mesotherapy, www.boston-medical-group.co.uk 5 Innomed Training Botulinum Toxin in Facial Aesthetics – New Users, Southampton, www.innomedtraining.co.uk 5 Advanced Botox and Dermal Fillers, Manchester, www.medicsdirect.com 6 Innomed Training Dermal Fillers – New Users, Southampton, www.innomedtraining.co.uk 6 One Day Colour Workshop Haywards Heath, www.finishingtouchesgroup.com 7 One Day Brow Workshop Haywards Heath, www.finishingtouchesgroup.com 7 Dr Bob Khanna Training Institute, Beginners Botulinum Toxin, www.drbobkhanna.com 7 Cosme Education Zone Idebenone Training, Glasgow, www.cosmeceutcials.co.uk 7 Genuine Dermaroller™ Training, London elizabeth@aestheticare.co.uk 7-8 Cosme Education Zone Advanced AHA Training, Birmingham, www.cosmeceutcials.co.uk 8 Cosme Education Zone Advanced Treatment Techniques, Glasgow, www.cosmeceutcials.co.uk 8 Dr Bob Khanna Training Institute, Advanced Botulinum Toxin, www.drbobkhanna.com 9 Cosme Education Zone Idebenone Training, Birmingham, www.cosmeceutcials.co.uk 9 Dr Bob Khanna Training Institute, Beginners Dermal Filler, www.drbobkhanna.com 9 Mapperley Park Master Class Depilation, Nottingham, www.mapperleypark.co.uk/training 10-11 Cosme Education Zone CoffeeBerry® Training, Birmingham, www.cosmeceutcials.co.uk 12-13 Foundation Botox and Dermal Fillers, London, www.medicsdirect.com 13 Advanced Botox and Dermal Fillers, Liverpool, www.medicsdirect.com 14 One Day Areola Artistry Workshop London, www.finishingtouchesgroup.com 14-17 Five Days Cosmetic Tattooing Diploma Course Newry, www.finishingtouchesgroup.com

14-15 Cosme Education Zone AHA Training, Maidenhead, www.cosmeceutcials.co.uk 14-15 Cosme Education Zone CoffeeBerry® Training, Glasgow, www.cosmeceutcials.co.uk 15 Medical Tattooing Areola Artistry Workshop, The Royal College of Surgeons, info@finishingtouchesgroup.com 16 Wigmore Medical Training Introduction to Skincare Peels and Derma Roller, London, www.wigmoremedical.com 16 One Day Combined Botox and Dermal Filler Course Foundation Level, www.inspiredcosmetictraining.com 16 Cosme Education Zone Idebenone Training, Maidenhead, www.cosmeceutcials.co.uk 16 One Day Combined Botox and Dermal Filler Course Advanced Level, www.inspiredcosmetictraining.com 16-19 International Course on Plastic and Aesthetic Surgery, Barcelona 17 Wigmore Medical Training Introduction to Botulinum Toxin Type A, London, www.wigmoremedical.com 17-18 Cosme Education Zone CoffeeBerry® Training, Maidenhead, www.cosmeceutcials.co.uk 18 Wigmore Medical Training Introduction to Fillers, London, www.wigmoremedical.com 20 One Day Lip Workshop Haywards Heath, www.finishingtouchesgroup.com 21 One Day Eye Workshop Haywards Heath, www.finishingtouchesgroup.com 21-22 Cosme Education Zone Vitage Training, Glasgow, www.cosmeceutcials.co.uk 22-25 Five Days Cosmetic Tattooing Diploma Course Liverpool, www.finishingtouchesgroup.com 23 Dr Bob Khanna Training Institute, Chemical Peels, www.drbobkhanna.com 23 Wigmore Medical Training NeoStrata Peels, London, www.wigmoremedical.com 25 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Dermal Filler Refresher Course, jan@drbrianfranks.com 25 Dr Brian Franks training courses: Refresher training, Watford, jan@drbrianfranks.com 26 Innomed Training Chemical Peeling Systems – New Users, London, www.innomedtraining.co.uk 27 Dr Brian Franks training courses: Introduction to Botulinum Toxin Type A, Watford, jan@drbrianfranks.com 27 Advanced Botox and Dermal Fillers, Plymouth, www.medicsdirect.com 28 Dr Brian Franks training courses: Introduction to Dermal Fillers, Watford, jan@drbrianfranks.com 26 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: 27 Introduction to Botulinum Toxin Type A, Watford, jan@drbrianfranks.com Innomed Training Mesotherapy for Fat, Cellulite and Skin Rejuvenation – New Users, London, www.innomedtraining.co.uk 27 Dr Brian Franks Facial Aesthetics and Facial Aesthetic Training Courses: Introduction to Dermal Fillers, Watford, jan@drbrianfranks.com 28-30 VASER® Training, www.granthamlet.co.uk 28 Cosme Education Zone Advanced Exfoliation Techniques, Glasgow, www.cosmeceutcials.co.uk 29 Introduction to Obagi Products and Systems Workshop With Shannon Lister, Bristol, www.healthxchange.com/obagi-training 29 Cosme Education Zone Omnilux Training, Glasgow, www.cosmeceutcials.co.uk 30 Intermediate Level Obagi Systems and Obagi Blue Peel Workshop, London, www.healthxchange.com/obagi-training 30 -2 (July) Four Days Scalp and Brow Masterclass Haywards Heath, www.finishingtouchesgroup.com

July 1-2 Two Days Skin Rejuvenation (Micro Needling) Canterbury, www.finishingtouchesgroup.com 2-4 FACE, Royal College of Physicians, www.faceconference.com 3 The Aesthetic Industry Summer Ball, Natural History Museum, 3-4 Foundation Botox and Dermal Fillers, Birmingham, www.medicsdirect.com 5 Innomed Training Advanced Aesthetics (Botulinum Toxin and Dermal Fillers) – New Users, Southampton, www.innomedtraining.co.uk 5-6 July Two Days Pigment Removal Training Haywards Heath, www.finishingtouchesgroup.com 5-8 Five Days Cosmetic Tattooing Diploma Course Manchester, www.finishingtouchesgroup.com



DIRECTORY ABC Laser

Ericson Laboratoire

Morning Star Surgical S.A. (Pty) Ltd

Contact: Guy Gouldsmit

Contact: Mike Filapiuak

Contact: Brian Nielsen

T: 08451 707 788

T: +44 02076296269

T: +27 (82) 667 2506

E: info@a-b-c-uk.com

E: mike@ericson-laboratoire.co.uk

E: brian@morningstar-medical.com

W: www.abclasers.co.uk

W: www.ericson-laboratoire.com

W: www.morningstarsurgical.co.za

ABME Tech

Galderma

Contact: David Leahy

Contact: Azzallure Sales Team

My Cells/Scandinavian uST Ltd

T: 01843 297110

T: 01923 208950

Contact: John Tucker

E: david.leahy@abmetech.com

E: info.uk@galderma.com

T: +35361 312979

W: www.abmetech.com

W: www.galderma.co.uk

E: info@mycells.ie

Blue Horizons Marketing

Hamilton Fraser

T: 01242 236600

Contact: Wai Chan

E: info@bluehorizonsmarketing.co.uk

T: 0845 3106 300

Polaris Lasers

W: www.bluehorizonsmarketing.co.uk

E: cosmetic@hamiltonfraser.co.uk

Contact: Neil Calder

Services: Websites, patient literature, referral literature, brand image,

W: www.hamiltonfraser.co.uk

T: 01234841536

W: www.my-cells.net

E: njc@polaris-laser.com

advertising, e-marketing and more. Health xchange

W: www.polaris-laser.com

Boston Medical Group LTD

Contact: Customer Service

Contact: Iveta Vinklerova

T: +44 1481 736832

T: 0207 727 1110

E: orders@healthxchange.com

Q-MED

E: info@boston-medical-group.co.uk

W: www.healthxchange.com

Contact: Customer Service T: 02079 763240

W: www.bostonaestheticsclinic.co.uk LCS Acadmey

E: info.uk@q-med.com

Cosmetic Courses

Contact: Nicola Dobson

W: www.q-medpractitioner.com.uk

Contact: Morag Hague

T: 08450037315

T: 0845 230 4110

E: admin@lcsacademy.co.uk

Sanofi Aventis

E: info@cosmeticcourses.co.uk

W: www.lcsacademy.co.uk

Contact: Customer Service T: 01483 554 809

W: www.cosmeticcourses.co.uk Lynton

W: www.sanofi-aventis.co.uk

Candela uK Ltd

Contact: Customer Services

Contact: Ben Savigar-Jones

T: 0845 6121545

T: +44 08455210698

E: info@lynton.co.uk

Skin brands

E: alex@alexsilver.co.uk

W: www.lynton.co.uk

Contact: Tracey Beesley T: +44 (0) 2089978541

W: www.candelalaser.co.uk Lifestyle Aesthetics

E: tracey@skinbrands.co.uk

Cosmedix

Contact: Sue Wales

W: www.skinbrands.co.uk

Contact: Aysha Capion-Awward

T: 0845 0701 782

T: 0844 855 2499

E: info@lifestyleaestheics.com

E: info@cosmedix.com

W: www.lifestyleaesthetics.com

Vaser Lipo/ Sound Surgical Technologies LLC Contacts: Simon Davies

W: www.cosmedix.com Macom Compression Garments

T: +44 (0) 7971 686114

Cutera (Europe)

Contact: James Haldane

E: SDavies@soundsurgical.com

Contact: Deborah Mechaneck

T: 020 7386 0011

W: www.vaser.com

T: 07711954740

E: james@macom-medical.com

E: dmechaneck@curtera.com

W: www.macom-medical.com Wellness Trading

W: www.cutera.com Med-fx

Contacts: Adam Birtwistle

E-Clinic

Contact: Faye Price

T: 01746 718123

Contact: Sara Mogford

T: 01376 532800

E: contact@wellnesstrading.co.uk

T: 01274 530 505

E: sales@medfx.co.uk

W: www.wellnesstrading.co.uk

E: info@e-clinic.uk.com

W: www.medfx.co.uk

W: www.e-clinic.uk.com Allergan Eden Aesthetics

Medical Aesthetic Group

Contact: Customer Service

Contact: Anna Perry

Contact: David Gower

T: 01628 494444

T: 01245 227 752

T: 02380 676733

W: www.juvedermultra.co.uk

E: info@edenaesthetics.com

E: info@magroup.co.uk

W: www.edenaesthetics.com

W: www.magroup.co.uk Zanco Models

Energist

Contacts: Mr Ricky Zanco

Contact: Andrew Snoddon

Merz Aesthetics

T: 08453076191

T: 01792 798768

Contact: Merz Aesthetics Customer Services

E: info@zancomodels.co.uk

E: enquiries@energist-international.com

T: 0333 200 4140

W: www.zancomodels.co.uk

W: www.energist-international.com

E: info@merzaesthetics.co.uk

For less than ÂŁ25 per month, you can list your company details here. For more information contact Hollie Dunwell 01268 754897/ hollie@creativemedialtd.co.uk 54

cosmeticnewsuk.com


Important information for all women considering breast augmentation 1 in 6 women with smooth or textured silicone breast implants will develop capsular contracture.1 The risk can be reduced to 1 in 100 by choosing P-URE polyurethane implants which have a protective covering.2 Get the facts and a list of doctors who recommend Silimed’s

www.pureimplants.com or call (0)1483 456007 Merrow Business Centre, Guildford, Surrey GU4 7WA

T: +44 (0)1483 456007 F: +44 (0)1483 456008 E: sales@eurosurgical.co.uk W: www.eurosurgical.co.uk

1.

1. http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/phase1-decision/md-im/sbd_smd_2009_natrelleround_61865_60524-eng.php 2. Vazquez and Pellon. Polyurethane-Coated Silicone Gel Breast Implants Used for 18 years. Aesthetic Plastic Surgery 2007.


with confidence Face the future

zalure® is the new choice of tulinum Toxin Type A for sthetic use.

with confidence

ast onset of action (median time to nset 2-3 days)1

ong duration of action (up to 5 months)1

Azzalure® is the new choice of igh level of patient satisfaction (93% after Botulinum Toxin Type A for months, following one treatment session)2 aesthetic use. • Fast onset of action (median time to onset 2-3 days)1

re® is indicated for the temporary improvement in the appearance of • Long duration of action (up to 5 months)1 ate to severe glabellar lines seen at frown, in adult patients under 65 when the severity of these has an important psychological • High levellines of patient satisfaction (93% after on the patient. 2

New...

6 months, following one treatment session)

... aesthetic choice New...

® Azzalure is indicated for the temporary improvement in the appearance of e® Abbreviated Prescribing Information moderate severe lines seen at frown, adult patients under 65 Effects: Most frequently occurring related reactions are headache and injection site Side tation: Botulinum toxintotype A (glabellar Clostridium botulinum toxin Ainhaemagglutinin years, when the severity of these lines has (powder an important psychological reactions. Generally treatment/injection technique related reactions occur within first week x) 10 Speywood units/0.05ml of reconstituted solution for solution for impact on the patient. following injection and are transient and of mild to moderate severity and reversible. Very n). Indications: Temporary improvement in appearance of moderate to severe r lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, mportant psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to its are different depending on the medicinal products. Speywood units are specific < 1/10): Facial paresis (predominantly describes brow paresis), Asthenopia, Ptosis, Eyelid preparation and are not interchangeable with other botulinum toxins. Reconstitute oedema, Lacrimation increase, Dry eye, Muscle twitching (twitching of muscles around the injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon (≥ 1/1,000 to <1/100): Dizziness, Visual disturbances, Vision blurred, sterile 29-30 gauge needle. Recommended dose is 50 Speywood units (0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement tuted solution) divided® Abbreviated equally intoPrescribing 5 injection Information sites: 2 injections into each corrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing Azzalure Side Effects: Most occurring reactions headache and injection site toxin the typenasofrontal A (Clostridium botulinum toxin A haemagglutinin Authorisation Number: PLfrequently 06958/0031. Legalrelated Category: POM.are Full Prescribing Information and one intoPresentation: the procerusBotulinum muscle near angle. (See summary of reactions. treatment/injection techniqueHouse, related69-71 reactions occur within firstWatford, week complex) Speywood units/0.05ml of reconstituted solution (powder for solution for is Available From:Generally Galderma (UK) Limited, Meridien Clarendon Road, characteristics for full10technique). Treatment interval should not be more frequent following injection). Temporary in under appearance of moderate are(0)transient and of mild moderate andDate reversible. Very Herts. WD17 1DS,injection UK. Tel:and +44 1923 208950 ery three months. Not Indications: in individuals 18 years of age. to severe +44 (0) 1923severity 208998. of Revision: Fax: to recommended for useimprovement lines seen at frown, in adult patients under 65 years, when severity of these lines Common (≥ 1/10): Headache, Injection site reactions (e.g. erythema, oedema, irritation, ndications: Inglabellar individuals with hypersensitivity to botulinum toxin A or to any of the March 2009. Copyright © 2009 Galderma (UK) Ltd. has an important psychological impact on the patient. Dosage & Administration: Botulinum rash, pruritus, paraesthesia, pain, discomfort, stinging and bruising). Common (≥ 1/100 to nts. In the presence of infection at depending the proposed myasthenia toxin units are different on theinjection medicinalsites, products. Speywoodgravis, units are specific < 1/10): Facial paresis (predominantly describes brow paresis), forms Asthenopia, Adverse events should be reported. Reporting andPtosis, Eyelid Lambert Syndrome or Amyotrophic lateral sclerosis. Special warnings and to this preparation and are not interchangeable with other botulinum toxins. Reconstitute information oedema, Lacrimation Dry eye, Muscle twitching (twitching of muscles around the can beincrease, found at www.yellowcard.gov.uk. Adverse events ions for use:prior Usetowith caution in patients with a risk of, or clinical evidence of, injection. Intramuscular injections should be performed at right angles to the skin eyes). Uncommon (≥ also 1/1,000 <1/100): Dizziness, Visual(UK) disturbances, Vision blurred, should betoreported to Galderma Ltd. using a sterile 29-30 gauge needle. is 50 Speywoodat units defective neuro-muscular transmission, inRecommended the presencedose of inflammation the(0.25 ml of Diplopia, Pruritus, Rash, Hypersensitivity. Rare (≥ 1/10,000 to < 1/1,000): Eye movement reconstituted solution) equally into 5 injection sites: 2 injections into each weakness orcorrugator disorder, Urticaria. Packaging Quantities & Cost: 1 Vial (125u) £64.00 (RRP). Marketing ed injection site(s) or when the divided targeted muscle shows excessive Authorisation Number: PL 06958/0031. Legal Category: POM. Full Prescribing Information musclewith and one into the procerus muscle near the nasofrontal angle.muscle (See summary of . Patients treated therapeutic doses may experience exaggerated References is Available From: Galderma (UK) Limited, Meridien House, 69-71 Clarendon Road, Watford, product characteristics for full technique). Treatment interval should not be more frequent ® ss. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure Summary of Product Characteristics. Herts. WD17 1DS, UK. Tel: +44 (0) 1923 208950 Fax: +44 (0) 1923 208998. Date of Revision: than every three months. Not recommended for use in individuals under 18 years of age. ed bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Acad Dermatol 2004; 51: March 2009.Am Copyright © 2009 Galderma (UK)223-33. Ltd. Contraindications: In individuals with hypersensitivity to botulinum toxin A or to any of the ies arise. Facial asymmetry, ptosis, excessive scarring any gravis, excipients. In the presence of infection dermatochalasis, at the proposed injection sites,and myasthenia ® Adverse events should be reported. Reporting forms and is a registered trademark of Galderma. ons to facial anatomy, as a result of previous surgical interventions should be taken Eaton Lambert Syndrome or Amyotrophic lateral sclerosis. Special warningsAzzalure and information can be found at www.yellowcard.gov.uk. Adverse events precautions for use: Use with in patients with a risk of, ordoses clinical evidence of, sideration prior to injection. Injections at caution more frequent intervals/higher can should also be reported to Galderma (UK) Ltd. marked formation. defective neuro-muscular transmission, in the presenceneurotoxins of inflammation at theof preparation: April 2009 e the risk of antibody Avoid administering different botulinum Date weakness or proposed injection site(s) or when the targeted muscle shows excessive he course of treatment with Azzalure. Contains human albumin, risk of transmission AZZ/11/0409 Patients treated with therapeutic doses may experience exaggerated muscle References ection cannotatrophy. be excluded. To be used for one single patient treatment only during weakness. Not recommended in patients with history of dysphagia, aspiration or with 1. Azzalure® Summary of Product Characteristics. session. Interactions: Concomitant treatment with aminoglycosides or other agents prolonged bleeding time. Seek immediate medical care if swallowing, speech or respiratory 2. Ascher B et al. J Am Acad Dermatol 2004; 51: 223-33. ng with neuromuscular transmission (e.g. curare-like agents)dermatochalasis, may potentiate effect scarring and any difficulties arise. Facial asymmetry, ptosis, excessive inum toxin. Pregnancy &facial Lactation: Not be used duringsurgical pregnancy or lactation. alterations to anatomy, asto a result of previous interventions should be taken Azzalure® is a registered trademark of Galderma.

... aesthetic choice

into consideration prior to injection. Injections at more frequent intervals/higher doses can increase the risk of antibody formation. Avoid administering different botulinum neurotoxins during the course of treatment with Azzalure. Contains human albumin, risk of transmission of an infection cannot be excluded. To be used for one single patient treatment only during a single session. Interactions: Concomitant treatment with aminoglycosides or other agents interfering with neuromuscular transmission (e.g. curare-like agents) may potentiate effect of botulinum toxin. Pregnancy & Lactation: Not to be used during pregnancy or lactation.

Date of of Preparation: preparation:December April 20092009 AZZ/11/0409 AZZ/80/1209

Tel: +44 (0) 1923 208950


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