Azzalure Question:

Dear Cosmetic Courses,

I really enjoyed Mr Adrian Richards’ presentation and the Foundation Course on Saturday . They were very good and I hope to shortly join you on the 4 hours 1-1 practical session.

I would like to ask you a question about Azzalure:

In addition to the glabellar area can Azzalure be used safely in other areas like the crow’s feet and the forehead ? If yes, how much is the recommended dose to use?

Azzalure Answer:

Thank you for your email- we are glad you enjoyed the course.

The answer to your question is yes you can use Azzalure for these areas- Mr Richards tends to use 3 units of Azzalure for each unit he would have used of Botox or Vistabel.

He finds that this a very similar effect and works well.

If you haven’t already, have a look at www.cosmetic-courses.co.uk where you should find more training material on this topic. There has recently been a Blog dealing specifically with this subject which you might also like to read.

With best wishes

The Cosmetic Courses Team.

As the medical aesthetic industry comes under scrutiny, Cosmetic Courses supports calls for higher competency levels.

Botox and Dermal Filler Providers Under Fire

Not only the Surgical sector of the cosmetic treatment industry has come under scrutiny recently following the PIP breast implants fiasco. The Non-Surgical cosmetic injectables market is now also being heavily criticized for lack of regulation and the ease with which products / procedures can launch or professionals can become qualified.

The UK has been described as “an open goal when it comes to cosmetic injections”, with companies starting up and disappearing at the first sign of trouble and a “terrible…lack of training” (Dr. Mike Comins, president of the British Association of Cosmetic Doctors).

Dr. Comins has particularly stressed the importance of competence and for “only medical doctors, their assistants or supervised nurses [to] be allowed to carry out injections of Botox and fillers”.

Cosmetic Courses support Competency & Training for Medical Professionals

These are views which leading UK medical aesthetic training provider, Cosmetic Courses, has long upheld. Even before the PIP scandal hit the media, we were championing rigorous standards within cosmetic injectables training and had a strict policy of only accepting currently qualified medical professionals onto our courses.

Test the Water: then Commit to Competency

We understand that branching into a career in medical aesthetics can be a big commitment, so we do believe that delegates should be given opportunity for ‘taster’ training sessions where they do not have to invest so much money or long-term career aspirations up-front: some people do literally start aesthetic injecting and decide then and there it’s not for them.

Bespoke 1-1 for Competency Certification
But, if a delegate does then decide that they want to pursue a career in cosmetic injectables, we strongly encourage all training with Cosmetic Courses to continue to Bespoke 1-1 level which is the stage where you can be certified in competency. This is in line with the recommendation by the BACD and Mike Comins.

Training DOESN’T end with Competency
Furthermore, Cosmetic Courses always say that your training is a journey. Even having received Competency Certification, many delegates do decide to continue to Advanced Level and we positively encourage this. As Dr. Comins continues: BACD members ‘also have to attend a certain number of conferences and training sessions to maintain their membership’. Our own Cosmetic Courses trainers frequently do this, attending regular events, training sessions and conferences to keep up-to-date with all the latest products and techniques.

Keeping up-to-date is vital in this fast paced industry. This is why Cosmetic Courses believe that Competency Certification and Refresher Training go hand-in-hand. Although many delegates may have already been competency certified, this may have been years ago any they might not have done anything with it ever since. In that time, techniques and products will have moved on. The best practitioners keep up to date with regular training and activity: and Cosmetic Courses encourage all our delegates to be the best.

Our Commitment to You
As Cosmetic Courses’ manager recognized, we do not only expect our delegates to be the best they can be but we also expect the same from ourselves. As part of this ‘we are offering more courses and expanding our packages on an ongoing basis to ensure not just that you keep up but that we keep up’.

Cosmetic Courses also offer a support program so that all delegates are never essentially ‘alone’ after graduating from Cosmetic Courses. Despite being certified competent, if you ever need support or advice after having trained with Cosmetic Courses there is ongoing mentor support via telephone or email.

In all these ways we hope to be able to help do our part to regulate the standards within the industry.

Christmas Botox is First on the Wishlist for 2011

According to the ABC, Botox is one of the cosmetic procedures right at the top of many women’s wishlists this Christmas. It certainly makes a change from underwear that doesn’t quite fit and endless cookery books. So whats the craze with Christmas Botox?

For those of us in the medical aesthetics industry, this is good news. It means that at that time of year when women draw up their fantasy list of “must have” items, your trade commodity is right up there with coveted perfumes and indulgent chocolates.

Why Do So Many Women Want Botox?

But what is the psychology behind the Botox boom?

One recurring theory is that the gloomy economic climate is causing a growing taste for wrinkle-reducing treatments. It may sound odd at first that, as the purse strings tighten, splashing out on beauty procedures becomes a must. But the logic is actually sound: more financial stress causes more wrinkles and signs of aging and a stronger need to do something about this. Perhaps also, with all the gloom and doom in the rest of the world, ladies are feeling they owe it to themselves to at least take care of the one thing they have complete control over: their appearance.

Whilst other areas of cosmetic surgery have had to up the marketing to drive in customers throughout the recession, the non-surgical industry is booming. This looks set to continue in 2012.

So, whether you are an excited lady waiting by the Christmas Tree tomorrow to see if your wrinkle-reducing treatment voucher is waiting in that shiny envelope; or a highly skilled medical professional thinking about diverting your career into medical aesthetics with a Botox training course next year: have a fantastic Christmas and an even better 2012!

Dealing with Unhappy Customers

Dear Cosmetic Courses,

Please help: I recently treated two patients (friends of mine) with Botox and they both left happy. 5 weeks later they called me wanting a top up. I would usually review up to 3 weeks after but I’d like your advice on this: should I just give them a top-up to keep them happy? Did I do something wrong initially?

Keep Calm and Carry On

Here at Cosmetic Courses, of course we always train our delegates to the very highest standards and, in a perfect world, everybody would always be happy and you’d never make any mistakes. Unfortunately, however, sometimes even when you’ve done everything absolutely right you’ll find you just can’t please every patient 100% of the time.

It is always difficult when people leave happy but return later with some element of dissatisfaction.

You can help lessen the likelihood of this happening, however, by making it absolutely clear during an initial consultation before each and every treatment what they should expect or what the limitations of our medicines are.

Our Trainer, Registered Aesthetic Nurse Libby Stewart, always tries to explain to patients that the duration of efficacy of Botox is designed to be twelve weeks. The initial response isn’t seen for three to five days with the best effect being at two weeks. This is why we arrange the review appointment at two weeks and usually give a window of up to the three week date to allow for holidays, sickness, etc. to perform the perfecting treatment.

We explain to the patient that this protocol is there to protect them from potentially developing anti-bodies to the toxin that may prevent a positive response to the medicine in the future, whether it is used for cosmetic or medical purpose. Libby says, “I usually make a little joke and say something like – if you need this medicine in the future for an incompetent bladder, you won’t thank me for having over- treated a little wrinkle!”

By emphasising to patients that the medicines’ efficacy is designed to last 12  weeks, they should understand that it is perfectly possible to see a slight return of movement from the six week period as the chemical denervation of the muscle starts to decrease and the original neurone mechanism is restored. It will be a gradual process to the return of full movement. If your patients understand the method of action of the medicine right from the start you are less likely to get this sort of query.

The most difficult thing for you is if the patients are friends. Sometimes with friends we miss out as thorough a consultation as we might give to a patient who we know less well. But it is your responsibility as an Aesthetic Practitioner to make sure that they are as informed and documented as thoroughly as any of your regular patients.

You will have to be firm as your patients probably will want you to add more product but don’t be swayed.

Stand by your professional instinct and instead use this as a good learning experience:

  • Was your muscle placement as good as it could have been?
  • Was your depth correct?
  • Was your product fresh, correctly diluted, and had it been stored at the correct temperature?
  • Had you diluted your product slowly causing no bubbles?
  • Had you chosen the right dosage to still the muscle movement?

I’m sure that in your case the answer to all these questions is “yes” but  going through these things in your mind will help you evidence the actions of your treatment and know that you have followed best practice. This will make it easier to stand your professional ground with your patients.

We hope that helps a bit. Let us know how things pan out. We are always interested in how our delegates are getting on.

For more help and advice from the Cosmetic Courses team, please do not hesitate to contact us on 01845 230 4110 or [email protected] . Details of all our leading medical aesthetic training courses for registered doctors, dentists and nurses can be found at www.cosmeticcourses.co.uk .

Falling inline with the General Medical Council and the Nursing and Midwifery Council, the GDC have now issued guidelines against remote prescribing of Botox by dentists.

In fact, the statement issued in October forebade remote prescribing for the provision of non-surgical cosmetic procedures in any form. The prescription or administration of Botox or injectable cosmetic medicinal products falls under this category.

Until this stage, whilst reputable organisations and training centres like Cosmetic Courses would have generally advised against dentists becoming involved in such practices, there was grey area as to whether their counselling body specifically ruled against remote prescribing or not.

As such, concerns had arisen that some registrants may be using remote prescribing inappropriately. There have also been reports of networks of dental clinics which have started offering aesthetic treatments (Botox and dermal fillers etc.) with aesthetic nurses obtaining their product under the remote prescription of particular dentists: this will now have to be re-evaluated as all patients being treated with the product require consultation with the actual practitioner providing the prescription.

If you need advice about remote prescribing, your eligibility to obtain product after training or about Botox training in general, Cosmetic Courses will be delighted to help. We have a number of Botox training courses for dentists and can advise about how the GDC announcement may effect you and your clinic. Simply call 0845 230 4110.

Positive Prospects for those looking to Botox Training

Article by Sarah Brechon (Cosmetic Courses)

As the Financial Times announce a rapid increase in Botox sales in Europe,  Botox training courses at Cosmetic Courses have also risen throughout the year. These encouraging statistics (illustrated by the graph on the left) show that, despite the continuing economic crisis, all is not doom and gloom in the world of aesthetic medicine.

This is very positive news for medical professionals considering botox training as an option for their futures.

But surely the findings are also surprising: why would people be turning to aesthetic treatments at a time when many are having to make cuts on their weekly food shop and worrying about fuel or home expenses?  In a statement to the Financial Times, chief executive David Pyott of Botox manufacturer Allergan revealed that beauty is so deeply embedded into the culture of today’s Europeans that many would prefer to make sacrifices in other areas (even those many would consider everyday necessities) than give up their Botox habit.

Whatever the reasoning, this is undoubtedly good news for aesthetic medical professionals considering their employment options. At leading UK aesthetic training provider Cosmetic Courses, numbers of delegates booking onto the foundation level Botox training course have been on a steady increase all year. This introductory level Botox training course is the first step for medical professionals looking to begin their medical aesthetic career before going on to the Advanced Level training (Fillers and more complex Botox techniques), tailored 1-1 modules or courses in other aesthetic methods like Dermaroller Therapy or Skin Peels.

Asked why she thinks so many medical professionals have entered medical aesthetic training in 2011, despite the economic crisis, Cosmetic Courses manager Rachael Langford replied:

“They’re worried about the current problems in the NHS. One woman we spoke to yesterday  wants to start her family in 2 or 3 years but her current medical career wouldn’t allow for it. She felt that doing Botox training alongside would give her the option. Similarly, people coming up to retirement want to do Botox training to ease up their normal hours in the NHS. Working ridiculously long hours to rigid schedules can be far more draining than any economic crisis – Botox training can provide the chance of a better quality of life with more time to do what you want around your working hours.”

Registered medical professionals from all over the world can come and train with leading UK Botox training providers Cosmetic Courses. As well as Botox training, Cosmetic Courses provide a wide range of other courses (including Dermal Fillers, Genuine Dermaroller Therapy, Skin Peels, 1-1 Tailored Tuition and more).  You can book your training course online using our secure form and payment system or call 0845 230 4110.

For more information, please visit www.cosmeticcourses.co.uk or email [email protected]

How To Market Your New Medical Aesthetics Business | Botox Training Marketing

After you complete your botox training or dermal filler course, you will naturally be raring to go and get started with setting up your own medical aesthetics business. However, one of the main hurdles to jump over in making a success of your medical aesthetic business is the way in which you market yourself. In this Blog, Cosmetic Courses share some Tips for Botox Training Marketing:

1. Print Advertising

Most new aesthetic practitioners initially start with print advertising (local newspapers, fliers, maybe even cheaper local glossy magazines). Whilst this approach may work for some people, it is quite an outdated method of medical aesthetics marketing and can prove very expensive if not approached smartly and monitored carefully. Traditional print advertising essentially falls into ‘local’ and ‘nationwide’ audiences but the average start-up business will be aiming at the local publications to begin with. Even here, where the advertising costs are cheaper, our advice is that there is always room for negotiation: do not take the advertising cost quoted in the publication or by the sales rep. as gospel – be prepared to haggle, stand your ground and you will find that you can get a real bargain (especially just before print closes). Research your desired client’s demographic very carefully and make sure that the publications you are advertising in really are aimed at them or the response could be poor / made up of timewasters. Always ask the readership of the publication to see how many people it actually goes out to (some which seem like a great offer actually have a tiny readership so your chances of getting much work from them are slim). And check out the legal implications before handing out fliers – at local events, for example, you may need to get permission from your local authority (and are very unlikely to be able to specifically advertise medical aesthetic treatments, so be careful not to violate any trading standards!)

2. Online Advertising

Much more of-the-moment and with (potentially) the ability to reach a far bigger audience at once, online advertising for medical aesthetics has become increasingly popular with aesthetic practitioners. You can set up a free medical aesthetics website relatively easily these days if you are fairly tech-savvy, or for a small price if you need to get help. However: please do be warned that this is just the start of the process. There are hundreds upon hundreds of websites out there advertising medical aesthetic services…the challenge is to get yours indexed and found by anyone searching on the big search engines (Google, Yahoo, Bing etc.) This is a process known as SEO and involves clever use of keywords (the most commonly used words related to your industry that potential customers are searching at any given time), regularly creating and updating content (information, photos, blogs, maybe videos and social media usage linked to your site can really help you get increased rank and visibility quicker too). If all this sounds like complete gobbledygook to you then chances are that you may have a bit of learning to do before you embrace this form of marketing, or you might need to employ someone to help. This is, of course, a Catch 22 as you need to be earning before you can start employing! Do not be put off, though – there are abundant sources of helpful information about SEO and optimizing your site for the search engines…particularly good ones are SEOmoz and Mashable. If you just want to advertise without getting too involved with any of that nitty-gritty stuff, online sites like Gumtree provide quick and easy access to large numbers of potential clients and have options ranging from completely free – approximately £49 per week depending upon your region and the level of visibility that you want for your advert.

3. Word of Mouth

It may be horribly boring, but building up a great reputation via word-of-mouth really is a great way to build yourself a client base. The trouble is that it’s a slower approach than most medical aesthetics practitioners like. Start off with friends, family…anybody who would like botox and dermal filler treatments from you. Encourage them to spread the word. Perhaps offer a ‘refer a friend’ scheme where for each entirely new client who refers a friend, they get a small discount off their next treatment. If you have Social Media pages like Facebook and LinkedIn, encourage clients to leave reviews / endorsements. Try to form a link with an established business, perhaps, like a hair salon or existing medical aesthetics clinic (at least initially). Even if you ideally hope to be independent or freelance, this could be a good stepping stone to get reviews, spread the word about your new talents, link-build and hopefully create a client base. Whilst we never advocate stealing clients from another business (this is simply dishonest and poor practice), the networking that you do whilst working alongside others can help you greatly when you branch off alone.

Final Words of Wisdom for Botox Training Marketing

  • Whatever your method of marketing, always remember to ask “Where did you find us / hear about us?” It is vital that you do this consistently or your marketing efforts are wasted because you have no idea what is bringing clients in and what is not, so you could be spending money on completely the wrong types of marketing.
  • Get into the habit of taking down contact details from every enquirer, whether they book or not. These will form the basis of your ‘marketing database’ – a list of emails, addresses and phone numbers that you can use to sell to in the future on an ongoing basis. Remember that once you have these and as you add to the list, you have a responsibility under Data Protection to look after these details, not to spam them with constant heavy sales pitches and to always give them the option to ‘opt out’ of future promotions.
  • Remember that saying the words ‘Botox’ or ‘Botulinum Toxin’ in a sales-orientated manner violates MHRA standards. So always be careful to use alternatives like ‘wrinkle-reducing treatment’ or ‘anti-ageing injections’ instead!
  • Words are everything – keep track of the language you are using, split test and be prepared to vary it. If something isn’t bringing in clients, change it and try saying it in a different way.

We hope this Botox Training Marketing Blog has been helpful. Cosmetic Courses are market leaders in both Cosmetic Training Courses for medical professionals and providing medical aesthetic marketing advice. If you would like more information about training with us, Book Online now or call our friendly team on 0845 230 4110.

I am already an experienced doctor or surgeon: can I skip the foundation level course?

At Cosmetic Courses, we frequently receive enquiries from potential delegates wanting to know whether they can skip the foundation level medical aesthetic training (botulinum toxin training with an introduction to dermal fillers) and go straight to the advanced level techniques (such as brow lift, Nefertiti neck lift, platysmal bands, hyperhidrosis etc.) This question is usually posed by doctors or even surgeons who are very highly qualifed, so feel that the foundation course might be too simple for them and cover ground they already know.

However, we do strongly believe that all our medical professional delegates, regardless of sector or experience, need to start with the Foundation course. This is not to say that the Foundation course you do cannot be tailored specifically to your level and ability. We have good logic for this reasoning, which we shall explain in this Blog:

  1. Although you may be very experienced within your own field, medical aesthetics is quite a different approach (technically and theoretically) to other medical professions. Quite often it is the most highly trained doctors who find they need to go over the groundwork in skin structure again! Sometimes you might have covered the necessary theories, but a long time ago during your initial degree or you may have approached them at a different angle to the way you will need them for aesthetics. Having a refresher can only benefit your understanding and ability to deliver fantastic results to your patients.
  2. There is a much wider gap between the Foundation Level course and the Advanced Techniques course than many initial enquirers realise. It is only when we begin to explain the extent of the techniques and theories that we cover on this course that they see there may actually be a need for some homework in between the two in order to be confident enough with the required theory and methods to achieve good results. In fact, many of our delegates choose to attend 1-1 courses with Cosmetic Courses in between their Foundation and Advanced courses, to brush up on techniques they are unsure of before taking the next big step.
  3. Cosmetic Courses do actually certify you in competence after each course so we have a duty to know that each of our delegates have the Foundation grounding in place before we can progress you to the next level. Whilst the vast majority of our delegates are entirely honest, highly qualified and skilled practitioners, there are always those who will try to claim they have more ability than they do. Therefore, we have to assess this level of medical aesthetic competence in order to be sure that we are certifying fantastic injectors to go out into the world and practice!
  4. Cosmetic Courses have a reputation for excellence and very high standards of training. This benefits you in that the delegates we train are also associated with high standards of medical aesthetic ability. In order to maintain this, however, we need to be very rigorous about our training procedures and ensure that everybody follows each step of the courses.
  5. We do not want anybody to be frustrated, however, by material which they already feel they know or to believe that they are wasting time and money. Please be assured that Cosmetic Courses are experts at tailoring courses to suit individuals’ needs. If you feel that you are at a higher level than a typical Foundation Level delegate, simply give us a call on 01844 390 110 and explain your experience and knowledge. We can then work with you to put together a tailored foundation level package incorporating new angles, theories and techniques or focusing on areas which you feel you are less confident about.

Coming to the UK for Cosmetic Training Courses

If you live in a country outside the UK and have decided to embark upon a career in medical aesthetics, you are probably well aware already that an English certificate in Medical Aesthetics (Botulinum Toxin, Dermal Fillers and other techniques like Genuine Dermaroller Therapy) is seen as, somehow, prestigious.

This could be due to the very rigorous standards of training and the insurance, facilities and product laws here in the UK. Or it could be because the UK is at the fore-front when it comes to new techniques and theory in aesthetic medicine. So you would be choosing a great place to come for your training, not to mention a very beautiful and friendly country.

However, the same rigorous laws and strict policies do mean that there are a number of things you need to take into account if you are considering travelling to the UK for your Botox or Dermal Fillers training. You also need to think carefully about the practicality of returning to your own country afterwards and setting up your cosmetic business – will this industry be sustainable in your native country?

  1. Is your level of English (speaking, listening and reading skills) adequate enough to fully get the most from your cosmetic training course? Medical aesthetic training is not cheap, so it is important that you can fully understand all that is being presented in your training lectures, read the material in any slides or folders and talk to your trainers and models. You will need to be able to communicate with the trainers and models on the day in order to perform successful treatments to be awarded your certificate. It is important to remember that the type of vocabulary used will be technical, medical aesthetic jargon so may not be the basic language you have learned at school or on a linguistics course. You may wish to spend some time before your training revising key terms to help with your training.
  2. Have you arranged your accommodation & sufficient money for your stay? Your training provider may be able to help or advise regarding where to stay. It might be cheaper to try and share with other delegates, or perhaps you have relatives you could stay with? Remember to find out about exchange rates and factor this into your budgeting.
  3. Sort out your VISA in plenty of time if you need one. There is no point arranging and paying for your course, only to find that you cannot get the right type of VISA from your authorities. Your training provider is unlikely to arrange this so it will be your responsibility.
  4. Check about Insurance and Governing Bodies necessary to practise in your own country after training. In the UK, you must be currently GMC, NMC or GDC registered in order to practise. Legislation varies widely from country to country but if you do not follow the correct protocols for your country you may not be able to practise at all….even if you have been certified in the UK. So it is worth finding out about this and the costs involved beforehand.
  5. If you are a nurse considering cosmetic training courses, you also need to find out about prescribing legislation in your country as this varies too. If you are a different medical professional (doctor, dentist etc.) you will still need to consider where you are going to source your products from and the costs involved with this. Again, you may want to consider doing this research before you invest in cosmetic training so that you can be sure your medical aesthetic career is financially viable in your country.

We hope this information has been useful. Cosmetic Courses do train a large number of delegates from non-UK countries every year and can provide help and advice on the necessary process for coming to train in the UK. You can book your course online with us here (if you are abroad, you simply need to send your certificates to us via post or email scan for verification after booking) or call 0845 230 4110 for more advice.

Advanced Medical Aesthetic Training

So you have completed your Foundation Level Introduction to Botulinum Toxin and Dermal Fillers. You’ve gone away and practiced all you learned and now you’re chomping at the bit to discover more techniques, right?

An Advanced Cosmetic Training Course is the ideal way to pick your basic skills up a level and add procedures like Cheek Sculpting, Platysmal Bands, Brow Lift and Hyperhidrosis to your repertoire. In this Blog, we will discuss the Brow Lift.

Brow Lift Treatment
As we age, gravity causes the eyebrows (brow) to move downwards.  We compensate for this by contracting the muscle which raises the eyebrows.  Contraction of this muscle causes wrinkle lines across the forehead.  Eventually the muscle relaxes and the eyebrows become lower.  This typically makes you look slightly sad and tired.  It can also increase the fold on the upper eyelid making it difficult to apply makeup.

Brow lift treatments are aimed at elevating the eyebrows.  This widens the eyes and makes you look less tired.  After surgery people are often asked if they have been on holiday as they look refreshed.  The effects are subtle and most people will not be able to pinpoint the exact change in you but will notice that you look fresher.

The eyebrow in females should be gently arched with its’ highest point lying 2/3rds of the way out from the centre.  In men the eyebrows are usually flatter and raising them is not usually appropriate as this can make them look slightly surprised.

In the past, the only satisfactory way to perform Brow lifts was with a surgery operation.  This procedure is normally carried out by keyhole surgery.  Small incisions are made within the hairline and the tissue is gently separated allowing the eyebrows to rise.  Most people recover quickly from the procedure and are back at work within 10 days.

Brow Lift Injections
More recently, however, medical aesthetic injection techniques have been used to lift the eyebrows.  Selectively weakening the muscles which pull down the eyebrows (using Botulinum Toxin) will result in them rising.  The muscles which pull down the inner part of the eyebrows cause frowning in the centre of the forehead.  The muscles which pull down the outer part of the eyebrows cause the crows-feet smile lines which occur on the temple on the side of the eye.

Unlike surgery, injections to weaken these muscles can be performed as a quick and easy outpatient procedure. Many people have the treatment during work breaks or at the end of the day.  The effects are not immediate with most people noticing a gradual decrease in the frown and crows feet wrinkles a week following treatment.  This effect last between 4-6 months and will need to be repeated.  Usually after a 3 treatments in a year the muscles relax more permanently and the effect last for longer and longer.

It is important to remember that everybody’s face is different and the consultation process is important to assess which treatment is most suitable for your patient.  This should ideally start with a skin analysis and discussion of the treatments available.

If you are interested in learning Brow Lift injectable techniques and other Advanced Medical Aesthetic Techniques, call Cosmetic Courses Training on 0800 328 5743. Alternatively, you can learn more about our advanced level training on our website.