The External Skin Barrier –

VOLUME 1/ISSUE 4 - MARCH 2014 Just for you Don’t miss the UK’s biggest event dedicated to the practice of facial and body aesthetics Register free for ACE 2014, London 8th & 9th March www.ace2014.co.uk Focus on Platelet Rich Nose reshaping The external skin Injectables Plasma Dr Sotirios Rejuvenation using Dr Sarah Tonks Foutsizoglou shares barrier – CPD needles: new investigates PRP his techniques for Dr Mervyn Patterson on the key role of approaches, new methods for your non-surgical nose the epidermis. CPD accredited article products, new science practice augmentation COME AND SEE US AT STAND 1 Size Matters Introducing Gentle Pro Hair Removal Large Spot Delivery System SPOT SIZES NOW AVAILABLE (actual size) 1.5mm, 3mm, 3×10mm 6mm, 8mm, 10mm 12mm, 15mm, 18mm NEW The Gold Standard Gentle Hair Removal 20mm, 22mm, 24mm Laser just got better • Treat an average male back in 21 minutes • Select 755 or 1064nm wavelengths • No compromise on fluence • No unhappy patients www.syneron-candela.co.uk | [email protected] Tel. 0845 5210698 This is not intended for the U.S. market. ©2013. All rights reserved. Syneron and the Syneron logo are trademarks of Syneron Medical Ltd. and may be registered in certain jurisdictions. Candela is a registered trademark of the Candela Corporation. UltraSculpt and UltraShape are registered trademarks of UltraShape. PB82801EN Contents • March 2014 INSIDER 06 The Word Mr Paul Harris on the government response to the Keogh Report 06 News The latest product and industry news CLINICAL PRACTICE 11 On the Scene The skin barrier Page 24 Out and about in the industry this month 14 News Special: IMCAS We report on the International Master Course on Aging Skin in Paris CLINICAL PRACTICE 19 Special Focus: PRP Dr Sarah Tonks explores the uses of platelet rich plasma in aesthetics 24 CPD Clinical Article IN PRACTICE Dr Mervyn Patterson discusses the importance of the external skin HR Considerations Page 54 barrier 28 Techniques Clinical contributors Miss Jonquille Chantrey explains the 8-point lift technique for facial is an aesthetic doctor and previous rejuvenation Dr Sarah Tonks maxillofacial surgery trainee with dual qualifications 32 Clinical Focus in both medicine and dentistry. She practises cos- Dr Beatriz Molina on treating lips using Emervel metic injectables and hormonal based therapies. 34 Techniques Dr Mervyn Patterson is a co-owner of Woodford Medical and has worked in aesthetic medicine Dr Askari Townshend on delivering Sculptra using needles over the past fifteen years. He specialises in the 37 Spotlight On latest injectable anti-ageing treatments. We discuss SkinCeuticals’ new Advanced Pigment Corrector Miss Jonquille Chantrey is a surgeon specialising in 38 Clinical Study aesthetic medical procedures, with a practice in Chesh- ire. She has been published in peer-reviewed journals An investigation into the use of the 1440nm Wavelength with and presents at plastic surgery conferences worldwide. Sidelaze800 delivery Dr Beatriz Molina practised general medicine for 42 Spotlight On 12 years, before opening her first practice. She now practises as a cosmetic doctor, alongside teaching Dr Iryna Stewart explains the mechanisms of the Hyalual Daily DeLux techniques in botulinum toxin and dermal fillers. spray Dr Askari Townshend is an international 44 Treatment Focus Sculptra trainer as well as lead UK Sculptra trainer and medical consultant for Sinclair Pharma. His Dr Sotirios Foutsizoglou discusses non-surgical nose reshaping interests include injectables, lasers and peels. Abstracts 50 Dr Iryna Stewart is managing director of Rederm The latest clinical studies and founder of IS clinics. After 15 years in the NHS, she has dedicated the last five to aesthetic medicine, 52 Aesthetics Conference and Exhibition Special Focus specialising in skin rejuvenation and restoration. The latest news from ACE 2014 Dr Sotirios Foutsizoglou is founder and medical director of SFMedica. He has written for numerous IN PRACTICE UK publications and presented at national and international conferences and expert meetings. 54 Managing staff absence Lawyer Vanessa Di Cuffa on setting rules for employee holiday and sick leave Subscribe to Aesthetics 56 Boosting online presence Subscribe to Aesthetics, the UK’s only free-of-charge journal for medical aesthetic professionals. John Castro outlines simple digital strategies to improve sales Visit aestheticsjournal.com or call 01268 754 897 58 Cash Flow Business consultant Kurt Won explains how to maximise your cash flow 60 Call Handling Gilly Dickons discusses the importance of making a good first impression 62 In Profile The Aesthetics Conference We speak to Dr Terry Loong, Best New Clinic winner at the Aesthetics and Exhibition 2014 Awards 2013 is nearly here! 64 The Last Word Aesthetics’ Editorial Advisory Board’s views on the Government response to the Keogh Report Book now at ace2014.co.uk or call 01268 754 897 NEXT MONTH • IN FOCUS: Dermatology • CPD: Cosmeceuticals • Acne scarring • How to read a clinical study Come and see us at stand 48 The Science of Great Skin NeoStrata: Scientifically advanced, clinically proven dermatologist developed skincare to target specific patient needs. NeoStrata professionals: Leading medical aesthetic clinics. Practitioners requiring effective skincare. Building successful business solutions. Aesthetic Source: Multi award winning UK distributor. World renowned potent skincare ranges for professional aesthetic clinics. We deliver: Comprehensive training and support. Focussed marketing and PR campaign. Skincare you and your clients will love: Meeting the needs of your business, delivering high satisfaction to your patients Call us on 01234 313130 [email protected] www.aestheticsource.com Editor’s letter Just before we went to press, the government medics, and indicate on their pack inserts who should administer finally published its response to the Keogh report. their products. They regard injectables as medical treatments, are The industry response was mixed, ranging from dismayed to see their products in the hands of unqualified injectors outrage to cautious optimism. We were disappointed, and support stronger legislation. If the GMC, GDC and NMC issue although far from surprised, to see Keogh’s key strict guidance about selling on, about who is an appropriate person Leah Hardy recommendation of a compulsory register for to use prescribed toxins, and about the importance of practitioners Editor aesthetic practitioners being rejected outright and only working within their competencies, with firm sanctions against lasers and lights seemingly slipping off the UK regulatory agenda. But those who breach the rules, then the industry could improve ethics what should happen next regarding injectables, which are the focus and standards. The Committee of Advertising Practice with the of this issue of Aesthetics journal? The government response was Advertising Standards Authority has independently created codes to frustratingly vague about plans to change the law. As Keogh himself meet Keogh’s recommendations and is moving to deal with websites has pointed out, it was impossible to classify fillers as prescription-only and advertising campaigns that breach them, even unwittingly. medicines due to EU legislation. However, we believe the government Health Education England is also working on training and standards. should be introducing legislation to make fillers prescription-only We at Aesthetics strongly support moves within the industry to devices. Unfortunately, even this would not regulate every type of filler improve training and education, hence our introduction of CPD until 2018. The EU Medical Devices Directive will reclassify all fillers as accredited content and the strong educational focus of the Aesthetics medical devices, but manufacturers will then have a three-year grace Conference and Exhibition 2014. While we still need legislation in the period to apply for CE marking. Controlling who administers fillers is industry, for which continued lobbying is vital, regulatory bodies can also complicated; the MHRA states that all medicines may potentially devise their own codes of conduct supported by the industry itself. We be administered by non-medics under the direction of a prescriber. have seen unprecedented cooperation between ethical aesthetics However, the prescription model makes the prescriber responsible practitioners for European standards and UK training standards. This for the patient, which is where prescribers and regulatory bodies have must continue and develop if we are to create a safer industry for the opportunity to self-regulate. The major filler companies voluntarily patients. To see more about the government response to Keogh, CE mark their products as medical devices, do not sell direct to non- visit our website www.aestheticsjournal.com. Editorial advisory board We are honoured that a number of leading figures from the medical aesthetic community have joined Aesthetics journal’s advisory board to help steer the direction of educational, clinical and business content Dr Mike Comins is president and Fellow of the British College Amanda Cameron is a sales and marketing professional, of Aesthetic Medicine. He is part of the cosmetic interventions and was one of the first nurse injector trainers in the UK for working group, and is on the faculty for the European College of dermal fillers. With over 20 years experience in the industry Aesthetic Medicine. Dr Comins is also an accredited trainer for in both the

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