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AwardsThe 2014 Aesthetics Today! Enter VOLUME 1/ISSUE 8 - JULY 2014 WHAT SHE SEES WHAT YOU SEE She may narrow her focus on one area, but together we help her appreciate a holistic approach to peri-orbital treatment. Allergan and You. An eye for detail. You provide your skills and passion, while we provide a unique portfolio of innovative products. Together we are committed to revitalising the peri-orbital area. UK/0053/2014 January 2014 14906 UK Aesthetics Journal Front Cover_June 14_V2.indd 1 Pain The Aesthetics Invasive04/06/2014 or 15:21 Botulinum Toxin Management Awards 2014 non-invasive? Practitioners discuss How to enter, and Mr Adrian Richards CPD Article their preferred why we should be on the surgical An examination of the literature and methods of keeping celebrating innovation and non-surgical emerging indications by Mr Dalvi Humzah, patients’ discomfort and excellence in options for aesthetic Professor Andy Pickett and Anna Baker to a minimum medical aesthetics treatments 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 • July 2014 INSIDER 06 News The latest product and industry news 13 On the Scene CLINICAL PRACTICE Out and about in the industry this month Pain Management 14 Understanding the government’s response to the Keogh review Page 22 We report on the recent Westminster Briefing 16 Research and Development: Galderma A look at Galderma’s R&D facility in Uppsala, Sweden 18 Training Report: The Facial Aesthetics Masterclass We find out about Dr Raj Acquilla and Dr Tapan Patel’s training academy IN PRACTICE 20 American Academy of Facial Plastic and Reconstructive Surgery Patient Retention Wendy Lewis reports on the AAFPRS congress in New York Page 57 CLINICAL PRACTICE 22 Special Feature: Pain Management Clinical contributors Practitioners discuss their preferred methods of minimising patient Wendy Lewis has authored 11 books on anti-ageing discomfort and cosmetic surgery and lectures internationally. 28 CPD Clinical Article She is the president of Wendy Lewis & Co Ltd and founder/editor in chief of Beautyinthebag.com Mr Dalvi Humzah, Professor Andy Pickett and Anna Baker examine Dr Sarah Tonks is an aesthetic doctor and previous advanced botulinum toxin techniques maxillofacial surgery trainee with dual qualifications 34 Clinical Focus in both medicine and dentistry. She practises Dr Mervyn Patterson explains why a good skincare line is essential cosmetic injectables and hormonal based therapies. 38 Techniques Mr Dalvi Humzah is a consultant plastic, reconstructive and aesthetic surgeon and medical Mr Adrian Richards outlines the invasive and non-invasive options for director at Plastic and Dermatological Surgery. aesthetic treatments He lectures and is an examiner internationally. 42 Advertorial Professor Andy Pickett has worked on botulinum toxin for over 27 years. Andy has delivered over Dr Rita Rakus discusses the benefits of INTRAcel 400 lectures to audiences worldwide and has an extensive list of publications. 44 Treatment Focus Dr Askari Townshend dispels myths surrounding hydroquinone Anna Baker runs a nurse-led cosmetic and dermatology clinic. She is currently undertaking 46 Clinical Study post-graduate study in Applied Clinical Anatomy, A summarised study exploring into a new method for treating acne specialising in head & neck anatomy. scarring Dr Mervyn Patterson is a co-owner of Woodford 50 Advertorial Medical and has worked in aesthetic medicine for the past 15 years. He specialises in the latest Skinceuticals introduce their new antioxidant formulation: Resveratrol B E injectable anti-ageing treatments. 52 Abstracts Mr Adrian Richards is a plastic and cosmetic A round-up and summary of useful clinical papers surgeon with 12 years of specialism in plastic surgery at both NHS and private clinics. He is a 54 Aesthetics Awards Special Focus member of BAPRAS and BAAPS. The latest news and developments from The Aesthetics Awards 2014 Dr Askari Townshend is an international Sculptra trainer as well as lead UK Sculptra trainer IN PRACTICE and medical consultant for Sinclair Pharma. His 57 Patient Retention interests include injectables, lasers and peels. Gary Conroy on how to ensure long-term patient loyalty NEXT MONTH 60 Patient Relations • IN FOCUS: Lifting and Tightening • Special focus: Wendy Lewis shares her advice on engaging with female patients Neck and jaw tightening • Preparing the skin for 62 Treatment Portfolio treatment • Clinic design Dr Rita Rakus explains how to tailor your treatment menu 64 Business Process Alan Rajah shares his advice on how to be a successful business leader 66 In Profile Last chance to enter Dr Tapan Patel details his journey into aesthetic medicine 68 The Last Word The Aesthetics Awards 2014 - Sharron Brown argues for the importance of patient education entry closes June 30 Subscribe to Aesthetics Enter now at Subscribe to Aesthetics, the UK’s leading free-of-charge journal for medical www.aestheticsawards.com aesthetic professionals. Visit aestheticsjournal.com or call 0203 096 1228 Best Cosmeceutical Skincare Range UK 2013 “The winner of this category showed they were clearly loved by consumers who really trusted the ingredients and effectiveness in getting real results” Before After 16 weeks use of NeoStrata Skin Active 4 product regimen; an advanced, comprehensive antiaging regimen, to target all the visible signs of aging with state-of-the-art technologies Farris PA, Edison BL, Brouda I et al.: A High-Potency Multimechanism Skincare Regimen Provides Significant Antiaging Effects: Results From a Double-Blind, Vehicle-Controlled Clinical Trial. Journal of Drugs in Dermatology 11(12) 1447-1454, 2013 www.neostrata.co.uk 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 In our profession, do we have patients or Aesthetics is a service industry, and we cannot select who walks clients? This is a question that I find myself through the clinic door but we can do our utmost to educate them frequently asked and I suspect that we all have and offer the best treatment and experience. In this issue we look our own opinions. at some key components of the patient experience. As we deal However what really matters is how you interact with elective procedures, the issue of discomfort during and after Amanda Cameron with the individual coming in to your clinic treatments is often a significant consideration for patients. For our Editor looking for treatment, and what you do to offer special feature this month we spoke to practitioners regarding the them the best possible experience. Aesthetic medicine comprises methods that they employ, both pharmacological and holistic, in all medical procedures that are aimed at improving the physical order to manage pain in aesthetics (p. 22). Best Cosmeceutical Skincare Range UK 2013 appearance and satisfaction of our patients, using non-invasive to Our business features include advice on retaining patient loyalty and minimally invasive cosmetic procedures. Patients not only want to how to talk to your female customers. It is crucial to be honest with be in good health, they also want to be fit and minimise the effects your patients and create a partnership in which to share information, of normal ageing. Indeed, patients are now increasingly requesting as discussed in The Last Word by Sharron Brown, where she gives “The winner of this category showed quick, non-invasive procedures with minor downtime and very little her opinion on patient education and the role it plays in creating a risk, and it is up to us to make their experience a positive one. We safer industry (p. 68). they were clearly loved by consumers need to understand our patients and to know about their lifestyle, Ultimately we go about interacting with patients as we see fit, but which will help us to advise the best treatment options for them. one thing we should continually remember is that procedures We must be realistic about what is within the patient’s capacity and and outcomes need to be a collaborative experience. Setting who really trusted the ingredients and discuss what they are willing to do at home to support the process. expectations at the start while also trying to listen and understand We should also be realistic about downtime and discuss potential the patient’s desires are critical to achieving the best results. And effectiveness in getting real results” side effects as part of the initial consultation – for example if they are whether we’re at the first consultation or have been treating a patient going to a big event in a few days then a treatment with a needle for 20 years, we must never forget that our relationship with patients may not be a good idea. remains the cornerstone of the procedure performed. 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 Sharon Bennett is chair of the British Association of College of Aesthetic Medicine. He is part of the cosmetic Cosmetic Nurses (BACN) and also the UK lead on the BSI interventions working group, and is on the faculty for the committee for aesthetic non-surgical medical standard.