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Can Lumpy Lips from Evolance be treated with Juvederm?

Question :

Dear Cosmetic Courses,

I did the basic course with you a while ago and wondered if you can give me some advice please.

I saw a patient recently who received Evolance in her lips a year ago from another clinic. She now has hard lumps in her lips (collagen I presume).

She asked me to add volume to her lips again and I’m not sure whether it is a good idea!

From my understanding, Juvederm will not cause further lumps, but I would appreciate your opinion.

Answer :

Thanks for your email.

Unfortunately Evolance, unlike Haluronic acid fillers, cannot not be dissolved and will absorb over time.

Overall we would advise the patient to let the Evolance absorb before injecting Juvederm.

It would be possible to inject into the areas without the lumps to improve the appearance but this would not be guaranteed to improve it and could make the situation worse.

Overall we would leave her alone if possible.

Good luck!

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Dentists and the Medical Aesthetic Industry

It is a well known fact that great teeth can transform a face and takes years off.

A dentist is a highly skilled professional who understands the make up of the face better than most.  Trained in the detailed anatomy and muscular structure, there is no-one who appreciates more the effect that good teeth and firm skin can have on a person`s confidence and nobody understands better how to achieve that outcome.

Dentists have used cosmetic methods like teeth whitening kits for many years to improve their patients’ aesthetic appearances. More recently, however, dentists have started to appreciate the natural link between dentistry, Botox and dermal filler treatments and practices are starting to branch out into this new area.

Botox has been used to treat issues such as temporopmandibular joint disorders and for treatment of chronic migraines and now more and more are looking at its use for aesthetic treatments.

Botox injections and facial fillers are leading the way in the cosmetic procedures department, being largely non- invasive forms of treatment, in comparison with breast surgery or skin tucks and demand is strong.

Approved by the U.S. Food and Drug Administration in 2002 for use cosmetically, Botox is now a widely used and safe procedure enjoyed by many and works by relaxing the muscles that cause wrinkles by movement. Dermal fillers plump out and smooth away wrinkles.

The medical aesthetic industry is made up of practitioners from doctors, dentists and nurses with Professional Associations such as the Association of Facial Aesthetics, who exist to protect, help and support dentists within this field.

As demand grows, so do career opportunities for fully trained individuals in this area. The huge growth is demonstrated by the successful launch in 2010 of the Cosmetic News Expo, offering a chance for cosmetic dentists to gain free education in this field of expertise. Hand in hand with the Expo is a free monthly publication, Cosmetic News, which is full of information for practitioners.

There is plenty of room in the industry for dentists to study with leading training providers like Cosmetic Courses in Botox and Dermal Fillers then go on to become big success stories in their own rights.

Examples of dentists who have moved successfully into the medical aesthetics industry include Dr Komal Suri, who has a passion for beautiful smiles, having trained extensively to be the best she can be. She has attended Aesthetic Advantage Training in New York and studies with the American Academy of Cosmetic Dentistry as well as the British Academy of Cosmetic Dentistry and has attended Master classes.

Dr Brian Franks is a facial aesthetics clinician specialising in wrinkle reduction injections and dermal fillers and as a member of several Aesthetic Facial Associations is well respected in his field. His involvement in this field was a natural progression as demand grew for these services. Both dentists and many more regularly appear on the cosmetic dentistry guide and are recognised as experts who have understood the natural progression from dentistry to cosmetic facial work.

If you would like more information about training courses in Medical Aesthetics for dentists with Cosmetic Courses, please call us today on 0845 230 4110

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Aesthetic Nurse Libby Stewart Shares her Experience

Libby Stewart; as one of Cosmetic Courses’ most experienced Trainers, how did your career move from Mainstream Nursing into Aesthetic Nursing?

My career path into Medical Aesthetics is probably true of a lot of Nurses. I stumbled into it by chance.

Working with Mr Adrian Richards

I worked with Mr Adrian Richards (Plastic Surgeon and Founder of Cosmetic Courses) in theatre, where I was a Bank Nurse on his surgery team and worked with him regularly.

Mr Richards saw the need to develop medical aesthetics to assist with his surgical work. For example: a lot of patients were prepared for surgery through injections of botox into areas like the platysmal bands. Also, surgery can only counteract loose skin, not really permanently replace volume. So the two professions are very nicely linked.

Medical Aesthetic Nurse Training

When I was asked to do a Medical Aesthetics training course to be of assistance to him, I didn’t really think it was for me. I didn’t think it was for “real” nurses. I didn’t think I would like it.

When I first started, I was sleepless with nerves! My first few clinics were far too busy. I became over-faced, flustered and really had to pull myself together. But I pulled myself up like Mary Poppins and said “I’m made of tougher stuff than that!”

I learnt that by spacing your patients out, giving yourself enough time with them, some breathing space and learning tricks like turning your back to your patients when you’re drawing up your Botox, it really helps.

It was not too long before I had the Botox bug and now here I am today!

Libby trains nurses, doctors, dentists and other medical professionals on Foundation to Advanced level courses in Botox and Dermal Fillers, daily at The Cosmetic Courses National Cosmetic Training Centre in Buckinghamshire. Call 0845 230 4110 to book your course with Libby and the Team.

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What units of Azzalure are Equivalent to Botox (in areas other than the Glabellar?)

Question :

Dear Cosmetic Courses,

I have just seen your video on youtube about reconstituting Azzalure and it was very helpful.

I understand the units are not the same as Botox.

Could you point me in the right direction to find what is equivalent?

I have looked at all the Azzalure literature and it looks to me that they are only promoting it for the glabellar area and therefore have only given units for that area.

I am assuming that it is fine for other areas too and wondered if you could give me any guidelines on dosage/units for other areas.

Can you also tell me where you are based.

My initial training was with another leading company. I do a lot of post graduate dental courses and feel I would have preferred a training course that was a bit more professionally presented rather than just a money making machine.

 

 

Answer :

Thanks for your question.

Azzalure,  like Vistabel,  is only licensed for use in the glabellar area.

It is, however, given in other areas – the forehead and crows feet –  like Botox and Vistabel.

I tend to make up a syringe of Azzalure with 1ml of bacteriostatic saline and use like Botox.

Azzalure comes in 125 unit vials which is roughy equivalent to 50 units of Botox or Vistabel.

I hope this helps.

Please feel free to contact us again on 0845 230 4110 if we can be of any further help. We are based at the National Cosmetic Training Centre in Princes Risborough, Buckinghamshire.

 

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IHAS register in the UK – will it help reduce Bad Botox practice?

IHAS is the regulation authority for Botox and non-surgical treatments launched by the UK government.

This is supported by a website – “Treatments You Can Trust”.

Under this  voluntary scheme, clinics can register with the IHAS organisation and are then regularly assessed and audited.

Says Mr Adrian Richards (Expert Cosmetic Surgeon and founder of Cosmetic Courses training centre), “Whilst I think regulation is certainly necessary in the industry, my main concern with the IHAS is that it is voluntary.

This means that some clinics will register and others will not, without it being mandatory for any clinic to register.

The paperwork required to register is very extensive and time consuming, and there is a significant cost to a clinic to register.

The government budget for publicising the IHAS scheme is relatively small and I am by no means sure that it is sufficient to adequately publicise the scheme to the general public.”

Mr Richards’ concerns are therefore that the scheme is:

(1) time consuming and costly;

(2) voluntary; and

(3) may not be publicised well not enough to the general public to gain general acceptance.

Cosmetic Courses hope that Mr Richards’ concerns are proven wrong.

Only time will tell whether the IHAS regulation scheme will be an effective way of policing the Botox and Dermal Filler market in the United Kingdom.

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