On the Pulse Transform Your Clinic
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VOLUME 1/ISSUE 3 - FEBRUARY 2014 On the Pulse Introducing Regenlite Transform from Chromogenex Transform your clinic Super-fast treatment of Psoriasis, Rosacea, Acne, Lines and Wrinkles; the new laser by Chromogenex Non-surgical Botox and Revalidation Anatomy of the lower face lift wellbeing for doctors Experts discuss Dr Ravi Jandhyala and nurses lower face - CPD treatments, on how treatment Dr Paul Myers Dr Raj Acquilla on the anatomical basis techniques and with botulinum toxin and Emma Davies and aetiology of lower facial ageing. trends for lower type A can improve summarise the CPD accredited article face rejuvenation patient quality of life new rules Introducing the NEW One Treatment NEW FDA Clearance Ultimate Body Platform More Power Innovative Design COME AND SEE US AT STAND 1 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 • February 2014 INSIDER 05 The Word Dr Mike Comins on developments in the aesthetics industry in 2014 06 News The latest product and industry news CLINICAL PRACTICE 12 On the Scene Lower face Anatomy Page 17 Dr Leah Totton’s highly anticipated clinic launch 14 News Special: Aesthetics Online Investigating new adjudications surrounding advertising in aesthetics CLINICAL PRACTICE 17 CPD Clinical Article IN PRACTICE Dr Raj Acquilla on the anatomy of the lower face Revalidation Page 49 22 SPECIAL FOCUS: Non-surgical lower face lift Leading clinicians explain their treatments and techniques 26 Techniques Dr Linda Eve on delivering Sculptra using cannulas Clinical contributors 28 Clinical Study Dr Mike Comins is president and fellow of BCAM. He is part of the cosmetic interventions A study on use of radio frequency to treat primary axillary hyperhidrosis group and is an accredited trainer for advanced 34 Spotlight On Vaser liposuction. Dr Raj Acquilla is a cosmetic dermatologist The benefits of the new egenliteR Transform by Dr Donna Freeman with over 11 years experience in facial aesthetic 36 Clinical Focus medicine. He is a UK ambassador and masterclass trainer in botulinum toxin and dermal fillers. Dr Elisabeth Dancey explores the treatment of labia majora Dr Elisabeth Dancey has been practising cosmetic hypotrophy with Desirial Plus medicine since 1993. She introduced mesotherapy 38 Clinical Study to the UK having studied at Liege, Belgium. She now owns Bijoux Medi Spa in central London. Dr Ravi Jandhyala investigates the relationship between botulinum Dr Linda Eve is founder and medical director toxin type A and wellbeing of the EvenLines Clinics. She won the National 42 Treatment Focus Aesthetics Award for the Best UK Small Clinic for 2013-2014. Lisa Littlehales on the use of BTL’s Vanquish for uniform fat loss Dr Donna Freeman is director of clinical re- 43 Abstracts search and education at Chromogenex, focusing on the development of new devices and technol- The latest clinical studies ogies and construction of technical articles. 45 Aesthetics Conference and Exhibition Special Focus Dr Ravi Jandhyala has over nine years experience in aesthetics. He is a member of the The latest news and reasons to attend ACE 2014 Royal College of Surgeons of Glasgow and a IN PRACTICE leading voice on botulinum toxin. Lisa Littlehales is a registered nurse with 15 years 49 Revalidation for doctors and nurses experience in aesthetics. She is general manager of Harvey Nichol Knightsbridge and Beyond MediSpa Dr Paul Myers and Emma Davies share advice on how to be prepared Edinburgh, specialising in non-surgical treatments. 52 Taxing Times Accountant Ben Korklin on getting ready for tax year end NEXT MONTH 54 Learning from spas • IN FOCUS: Injectables • PRP investigation • Treating lips and perioral with Emervel Wendy Lewis suggests taking inspiration from spas for a better • Clinical study: Precision TX Neck Lift patient experience 56 Dealing with Negative Reviews Tingy Simoes explains how to handle unfavourable feedback online 58 In Profile Places for We speak to BACN vice-chair Sharon Bennett The Aesthetics Conference 60 The Last Word and Exhibition 2014 Dr Sarah Tonks shares her views on the culture of secrecy in are filling up fast! cosmetic interventions Subscribe to Aesthetics Book now at ace2014.co.uk Subscribe to Aesthetics, the UK’s only free of charge journal for Medical or call 01268 754 897 Aesthetic Professionals. Visit aestheticsjournal.com or call 01268 754 897. 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: COME AND SEE US AT STAND 48 Meeting the needs of your business, delivering high satisfaction to your patients Call us on 01234 313130 [email protected] www.aestheticsource.com Editors’ letter The Word Welcome to the February issue of Aesthetics. This month I’m delighted to welcome four new committee Despite dreary weather, Aesthetics this month members onto the board of the British College of Aesthetic is positively uplifting, with lower face smile Medicine (BCAM). Dr Beatriz Molina, Dr Ruth Harker, Dr Kathleen rejuvenation the focus of our CPD-accredited Long and Dr Paul Charleston join Dr Kam Singh and myself to feature: non-surgical lower face lift (p. 17), and our continue BCAM’s vital work in providing not only a professional Leah Hardy support network for aesthetic doctors, but also training and Editor round table discussion on lower face rejuvenation techniques (p. 22). education. As a body, we hope that 2014 will be the year when In his study, Dr Ravi Jandhyala adds to the growing body of evidence we will see implementation of improved standards, education for the positive psychological affects of treatments with botulinum toxin and regulation in aesthetic medicine. BCAM continues to work on p. 38. with the Department of Health, The British Standard Institute and Our contributors this month include Dr Linda Eve and Dr Elisabeth now Health Education England to help ensure that this happens. As such, 2014 will also see the launch of BCAM approved Dancey, who share their experiences of using Sculptra with cannulas courses, workshops and online learning platforms catering for (p. 26) and the new hyaluronic acid product Desirial (p. 36). Plus all levels and competencies of aesthetic doctors. Aesthetic there is information about new devices, including a study on the medicine is moving forward at a fast pace, and I am pleased effectiveness of radiofrequency as a treatment for hyperhidrosis, and to see revamped older products, such as collagen stimulating how Regenlite’s new Transform device boosts growth factors for better injections and thread lifts, making a well-deserved comeback. skin health. We also offer vital advice on managing reputation attacks The use of volumising fillers is now more or less standard online and improving your patients’ in-clinic experience. practice, as is the advanced use of botulinum toxin injections in On p. 60 Dr Sarah Tonks says it’s time for celebrities to admit the help the mid and lower facial muscles. Minor surgical body sculpting the aesthetics industry gives them. What do you think? treatments are producing results unmatched previously. I am I’m also proud to bring you our guide to the Aesthetics Conference also very encouraged to find more and more cross referrals. Not and Exhibition (ACE) in London, 8-9 March. In your supplement, you’ll just between colleagues, but also with groups such as personal find a complete programme with a comprehensive list of speakers trainers, nutritionists and psychologists/therapists. As medical and contributors. The exhibition is free to enter and registration is still professionals, it is crucial that we work together to provide the open for the conference, which is fully CPD accredited with 59 points best care for our patients’ wellbeing, in all aspects of their health. available. I very much hope to see you there. Dr Mike Comins (BCAM) Editorial advisory board We are honoured that a number of leading figures from the medical aesthetic community have joined Aesthetics’ journal’s editorial 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 UK and Europe, Amanda has extensive knowledge advanced Vaser liposuction, having performed over 3000 Vaser of medical aesthetics and business development. liposuction treatments. Mr Adrian Richards is a plastic and cosmetic surgeon with Dr Sarah Tonks is an aesthetic doctor and previous 12 years of specialism in plastic surgery at both NHS and private maxillofacial surgery trainee with dual qualifications in both clinics. He is a member of the British Association of Plastic and medicine and dentistry, who fell in love with the results Reconstructive Surgeons (BAPRAS) and the British Association possible through minimally invasive methods. Now based of Aesthetic Plastic Surgeons (BAAPS). He has won numerous at Beyond Medispa in Harvey Nichols, she practises cosmetic awards and has written a best-selling textbook.