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Cosmetic Courses join the Big Beauty Therapist Botox® Training Debate: Should Beauty Therapists be allowed to Inject?

Back in March, The Consulting Rooms’ Ron Myers reported on the medical aesthetic industry’s “hot” controversy: should Beauty Therapists be allowed to inject Botulinum Toxin and Fillers?

Traditionally, as at Cosmetic Courses National Training Centre, training in botulinum toxin and dermal filler treatments has been the exclusive domain of the medically qualified. Cosmetic Courses lists surgeons, registered nurses, opthamologists, doctors, dermatologists, dentists, dental hygienists, dental therapists and certain paramedics amongst its accepted delegates; no mention of Beauty Therapists, despite the hundreds of calls a year from eager candidates.

The logic behind this is strong. To date, the Independent Healthcare Advisory Services’ (IHAS) Treatments You Can Trust Register has refused to provide quality assurance accreditation to cosmetic injectable providers who do not fall into the above job fields. This is typical, Cosmetic Courses Coordinator Rachael Langford confirms, of industry attitudes generally. Insurance is very difficult to obtain to train non-medical delegates in cosmetic injectables and, in our experience, a Beauty Therapist is likely to have a very tough time finding insurance to set up their business afterwards. As Ron Myers points out, the manufacturers and major suppliers themselves of these products do not support their use by non-medically qualified practitioners, which surely speaks volumes.

Many Beauty Therapists are keen to come on botox® training courses, however, and very vocal about their rights to become Medical Aesthetic Practitioners. In such difficult times of economic recession, practitioners from all backgrounds (Myers acknowledges) ‘want to generate an income from this evolving market segment’. As Dr. Phillip Dobson points out,  technically there is nothing illegal about a Beauty Therapist administering botulinum toxin (if a doctor or dentist has signed the scripts for them) and dermal fillers, so long as they do not mislead their patients into believing that they are medically qualified; it all comes down to patient consent. Many Beauty Therapists who telephone Cosmetic Courses argue that they have a better understanding of the skin than, say, a dentist and a number of them have already attended anaphylaxis or resuscitation training. They claim that there is too much “superiority” and “snotty remarks” in the industry and they may have a fair point; even amongst those who are accepted to inject, some Cosmetic and Plastic Surgeons still frown upon Dentists and Nurses who do so. Now an organisation called the CTIA (Cosmetic Treatments and Injectables Association) has been founded to challenge the exclusion of Beauty Therapists from cosmetic injectables, on the understanding that all practitioners should be inspected regularly for quality.

Yet as Dr Samantha Gammell, President Elect of the British Association of Cosmetic Doctors (BACD) maintains:

“A one day training course does not provide non-medically qualified ‘therapists’ with the depth of knowledge required for these types of treatments nor the understanding or skills to deal with the complications that can occasionally arise from them. The public needs to protect themselves by demanding to be treated in a safe medical environment by a competent, well trained cosmetic doctor or a suitable healthcare professional who makes the patients interests his or her first concern. It may be cosmetic but it is still medicine.”

Whilst Cosmetic Courses sympathise with the frustration of Beauty Therapists, founder Mr Adrian Richards emphasises that we fully support the BACD. “At the end of the day,” says Mr Richards, “dermal fillers and botulinum toxin are injectable substances that can cause harm. We believe they should only be used by trained medical professionals with the appropriate training. This is why we set up Cosmetic Courses, to offer the highest standards of training and make every effort to ensure that the safety of patients is of paramount importance.” The Cosmetic Courses team are looking into possible alternative training options for Beauty Therapists rather than injectables, so that they can still support their enthusiasm for the Medical Aesthetics industry…more on this coming soon!

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Alternatives To A Face Lift: Injections and Fillers

Many people are fighting to reverse the effects of aging. Now with an alternative to plastic surgery, less invasive facial treatments are being sought after. Some of theseFace Lift include, laser treatments, injections of Botox and dermal fillers.

These treatments are great for those aging employees who are trying to stay younger looking so as to stay competitive in the job market. There are also professions where you want to look younger, like the others to fit in. You don’t want the age to start showing on your face. With the economy being so fragile, these treatments are a lot less expensive to obtain.

New dermal fillers are an excellent way to correct sagging cheeks and laugh lines. These fillers are made of a complex sugar that is found in many tissues in the body called hyaluronic acid. The most popular treatment is one an injection to treat expression lines between the brows and on the forehead. This popular treatment is called injectable botulinim toxin.

These less invasive treatments are being chosen over plastic surgery because they are only a fraction of the cost with much less recovery time. These treatments can cost anywhere from $400 to $1000 with a few hours recovery time, some injections can even be done on your lunch break, while a facelift can cost anywhere from $6,000 to $15,000 and take weeks to recover. The only downside is that people are spending thousands of dollars getting treatments repeated for maximum results which can end up costing you more than the facelift would have.

Many plastic surgeons have turned their businesses to offering these fillers and injections, as their surgery business is declining. However, there are some issues that fillers and injections will not correct, so plastic surgery is required. It has been estimated that plastic surgeons are accumulating over 50% of their income from fillers and injections, like Restylane and Dysport.

There is a growing concern among experts that people will be on the bandwagon to try any new thing that becomes available. This can put their health at risk and it is best to stick with the methods that are proven to help, rather than gamble on a new, untested method.

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Botox Testing on Animals Has Now More Than Doubled

Botox and other similar treatments are causing thousands upon thousands of animals a great deal of suffering due to painful deaths.

Recent figures are now showing that mice used in laboratories are now being used invery controversial drug toxicity tests and have now doubled in the European culture between the years of 2005 and 2008 in an increase from 33,000 to 87,000.

In accordance to the leading authorities in the world in regard to animal experiments, thisdramatic rise is best explained by the increase in face lifts.

Experiments on animals being tested for cosmetic reasons have been banned in countries such as Europe. Despite this fact, Botox treatments are now being classified as pharmaceutical medicines. Batches upon batches of Botox are injected into many groups of mice and the increased doses cause over half of the mice to perish.

While some doctors use Botox to treat muscle spasms or chronic sweating problems, Botox is better known for the treatment of wrinkles.

In more recent years, celebrities like Katie Price have undergone Botox treatment.

No animals should have to undergo any suffering for the benefit of the beauty industry nor should they have to endure the painful deaths associated with harmful Botox testing.

As fashionable as Botox is becoming in today’s world now means that there will be more and more tests performed on animals in the near future.

Botox was developed in the United States of America. There are other rival facial lift products such as Azzalure manufactured in Aspen. All Botox products are created from a chemical called botulinum which a deadly toxin.

To test for dilution and potency levels of safe doses, manufacturers use the very controversial LD50 test on animals. This test involves injecting sufficient quantities of this drug which, in turn, kills at least 50 percent of the mice being tested. Most mice given Botox end up suffering severe respiratory problems, paralysis and end up dying from suffocation. The International Humane Society has stated that the SNAP-25 test should be used as an alternative oftootox.

Botox is classified as a medical drug which is licensed for conditions such as blepharospasm, hemifacial spasm, focal spasticity for cerebral palsy, cervical dystonia, upper limb spasticity within adults whom have suffered stroke or heart attack as well as severe axillary hyperhidrosis. Botox has also been used in recently treated chronic migraines within the United Kingdom.

Botox is a dangerous and inhumane procedure that should be banned. For humanity’s sake, we need to take all necessary steps to stop the use of Botox on animals.

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Breast Cancer Patients Helped Via Botox Injections

A surgeon in Vancouver is using Botox to relieve muscle pain for breast cancer patients. Botox injections are used to ease muscle pain for those who have had their breasts removed due to breast cancer surgery. In fact, some breast cancer survivors state that they have received 100 percent pain relief using Botox injections in the chest wall.Doctor Allen Babriel and his team in Vancouver in the Southwest Medical Group have been using Botox injections to relieve muscle pain in breast cancer surgery patients. Some patients who have had breast removal surgery twice have been astonished at the difference in pain levels with and without the Botox injections.

Breast cancer survivors who were to have reconstructive surgery had expanders placed in their chest walls to form the proper shape within the chest wall to perform the reconstruction at a later date. But patients have long complained about the extreme discomfort of the expanders, which is described as being like a severe muscle cramp.

In tests in his practice, Doctor Allen Gabriel tested Botox injections on 30 mastectomy patients. Fifteen of the patients were given a saline solution placebo, while 15 patients were given Botox injections. The mastectomy patients who received the Botox injections showed a huge decline in pain. They expressed that they were in much less pain than were the patients who received the saline solution placebo injections. Doctor Gabriel and his team were thrilled to find a solution to the long-standing problem of post mastectomy pain for those who were to undergo reconstructive surgery and had previously had to endure the pain of chest expanders.

Unfortunately, Botox injections are expensive. Thanks to a grant provided by the Southwest Medical group, Doctor Gabriel can provide the injections for free for breast cancer survivor reconstruction patients. The Southwest Washington Health System, who is sponsoring the Botox injection for breast cancer patients study, is providing free Botox injections for those participating.

The amount of pain and suffering that breast cancer surgery patients have to endure just because of the surgery itself is quite significant. Those preparing for reconstructive breast surgery after a mastectomy have had to go through quite a bit more pain because of the chest wall expanders used to prepare their bodies for reconstructive surgery. Dr. Allen Gabriel and his team have been gratified to discover that Botox injections can save their patients much suffering.

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New and Improved: Plastic Surgery Reconstructed

It’s all over the tabloids.

Celebrities uncovered who need “a little work done.” Or have had said “work” done in an obvious manner. Or, worst yet, the ones who looked better before.

Plastic surgery. With the “education” that the tabloids give us about it, should we even wonder why people hesitate to permanently correct their flaws?

However, researchers and healthcare professionals are discovering many new and exciting factors about nutraceuticals and the cosmetic surgery industry. Not only are botox and plastic surgery safer than they used to be, but they also produce better results. Your risk of coming out looking like a goldfish is not only greatly diminished, but the procedure itself is healthier for you than it has ever been.

The Methodist Hospital reports through a recent study that dietary supplements of zinc and phytase prior to Botox®, Dysport®, or Myobloc® injections increased the effectiveness 93% of the time. 44 patients who had not responded positively to botulinum toxin injections were once again being treated for a blepharospasm condition, a rare form of eyelid spasms, hemifacial spasms, and cosmetic wrinkles. Each of the patients took zinc and phytase for four consecutive days prior to surgery, and 41 of them had more success than they did the first time.

Before the plastic surgery, the patients took 50 mg of zinc citrate, along with 3,000 PU of phytase and 10 mg of zinc gluconate or placebo supplementation. The researchers evaluated the patients based on their individual experiences with cosmetic surgery prior to taking the dietary supplements as a baseline.

As a result of this remarkable study, Dr. Charles Soparkar, an oculoplastic surgeon at The Methodist Hospital, is offering a zinc and phytase supplement to his patients. “Surprisingly, the results showed in more than 90 percent of the patients studied, the zinc/phytase combination improved responsiveness to treatment of blepharospasm using the same amount of botulinum toxin as previously used,” said Soparkar. “The toxins seemed to have greater effect and last longer. Potentially, this could mean using fewer toxins, offering patients financial savings, greater safety and more consistent results.” Dr. Soparkar will present this dietary supplement at the American Society of Opthalmic Plastic & Reconstructive Surgery’s 41st Annual Fall Scientific Symposium on October 14 in Chicago.

Because of this remarkable study, botox and plastic surgery are safer and more effective practices, building confidence in patients and allowing for safer and more effective results.

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The Botox Training Industry is Still Booming

The Aesthetic Medicine Sympsium is one of the only true courses that gives doctors and physicians alike a fantastic chance to be taught by board-certified dermatologists about the specific techniques and training requirements for injectable cosmetics. The injectable botox training is done in a legitimate, sterile medical environment and does not allow spectators giving doctors more free time for education.

The doctors that come to the Symposium can take a second look at the training they gain by using their 3 medical training DVD’s, which offer training on: botox instruction, dermal filler instruction, and microdermabrasion instruction. The DVD’s are hosted by the IAPAM’s member Dr. Marc Scheiner, who covers the aforementioned training regimens.

Each member who attends the Sympsoum will gain a total of 19 DVD’s relating to cosmetic practice. These will allow doctors and physicians alike to recall the training that they received whenever they see fit.

Scheiner heralds study classes like the IAPAM’s, mostly because they offer real, live injection patients to practice on. This, he continues, is necessary to build the confidence needed to start to immediately offer the procedures. Jennifer Lidner, another member of the IAPAM Symposium had this to say: “In order to perform Botox treatments well, one must understand the medication and how it specifically works. Physicians must know how to appropriately dilute the product and how to safely and effectively administer it. Training should provide an in-depth discussion of facial anatomy and how to evaluate muscle movements to decide on product placement. One must understand the details of how Botox interacts with the muscles, the natural variations of the musculature of the face, as well as how to achieve beautiful aesthetic results by decreasing muscle contraction in a designed and organized fashion.

Effective training programs, like the IAPAM’s Symposium should prepare doctors to effectively handle any adverse events from both a medical standpoint, as well as helping the patient to understand the situation. Marketing assistance is also very valuable, and good training seminars, like the IAPAM’s Aesthetic Practice Start-Up Workshop, discuss how to market services.”

The seminar has grown to be quite popular, and is growing equally with the demand by doctors for professional and knowledgeable training staff.

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Feel Happier Automatically with the Use of Botox

The use of the anti-wrinkle product Botox is said to help those feel better about themselves because they do not frown even when they are sad. This then feeds the idea back into their brains, and can help reduce the feeling of sadness. Theoretically, scientists claim that if a person can’t physically frown, the brain then feels as if there is nothing to be sad about- the equivalent of acting happy even if you are not, therefore tricking your brain into thinking you really are.

According to the study performed by the US Association for Psychological Science, it applies even for those who have received the Botox injection to stop wrinkles. These injections are a temporary solution that causes the paralysis of the muscles. It is done by tiny amounts of the toxin being injected into the muscles that are mainly responsible for frowning.

Research performed at the University of Wisconsin used 40 volunteers who allowed small doses of Botox to be injected into their foreheads. Afterward, the volunteers were asked to read from statements that ranged from happy, sad and angry, which they had already done before the treatment began. Those who received the treatment took more time to read off the more negative statements than before they had received their injections. David Havas, a researcher involved in the project, explained that while the time delay was small, it was significant, suggesting that a person’s brain can take longer processing the emotion found in the statement.

According to Mr. Havas, “There is an idea in psychology called the facial feedback hypothesis. Essentially, it says, when you’re smiling, the whole world smiles with you. It’s an old song, but it’s right. Actually, this study suggests the opposite: When you’re not frowning, the world seems less angry and less sad.”

Another Research professor, Mr. Arthur Glenberg, also discussed the study. “Normally, the brain would be sending signals to the periphery to frown, and the extent of the frown would be sent back to the brain”, he stated. “But here, that loop is disrupted, and the intensity of the emotion and of our ability to understand it when embodied in language is disrupted.”

It is important to be careful when you have Botox injections, because you may get the opposite effect. Botox injections in the bottom part of the face may prevent smiling, making a person feel sad, according to research done by Barnard College in New York

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Botox Injected Practitioners Half Days Training

Botox, made from Botulinum Toxin, is a protein generated by a bacterium. When administered in minute doses, it paralyzes muscles by blocking messages sent from the brain to the muscles. Traditional medicine uses it to treat uncontrollable muscle spasms and cosmetic medicine uses it as a beauty treatment. As a beauty aid, it smoothens out wrinkles from 3 to 6 months, and it only takes a half-hour to complete.

Unfortunately, due to its efficacy in facial rejuvenation and its profitability, the Independent Healthcare Advisory Service (IHAS) has cautioned that numerous medical firms are allowing employees to inject Botox into the faces of patients after only some rudimentary training, consisting of injecting oranges. In fact, staff members like administrators, are injecting patients after only a few hours of training. Moreover, many of the trainers have no medical background or qualifications.

The IHAS warns that this lack of proper regulation is putting patients at risk. Botox injections are even being given by hairdressers and beauty therapists, who are storing the Botulinum at the wrong temperature. These unhygienic conditions are causing medical complications. In Britain, one million people get Botox or facial filler injections, and 1 out of every 20 clients suffers complications, with those injected with Botox suffering droopy eyelids and those injected with facial fillers developing lumps under the skin.

A famous example about complications arising from improper treatment is the story of actress Leslie Ash. After a liquid silicone lip injection by a plastic surgeon at the house of a friend, the silicone set around the muscles creating a disfiguring “trout prout,” which surgeons have not been able to remove.

In an attempt to sort out the mess, the IHAS has launched a website called treatmentyoucantrust.co.uk that exclusively lists those who are medically qualified practitioners trained to provide injections. This industry-regulated website is also backed by the Government.

Dr Andrew Vallance-Owen, a surgeon and the Chairman of the IHAS Working Group, which is responsible for the website said, “We are appalled by the sheer volume of bad practice within the industry but there is also a lot of good clinical practice and we are convinced that the great majority of providers are 100 per cent behind improving patient safety.”

However, the website is regarded with skepticism by Niger Mercer, a consultant plastic surgeon and President of The British Association of Aesthetic Plastic Surgeons, who said, “It is evident from the information circulated by the IHAS to the profession that the scheme is being used as a marketing tool, its regulation appears rudimentary and their ‘Quality Mark’ is not recognised by the British Standards Institute or any other regulatory body. “

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Secretive About Botox

Although an estimated 2.6 million Americans receive Botox treatments every year 75% of patients are secretive about it. In Britain, secrecy about treatment runs high as well, with 72% of women and 81% of men not saying a word about their treatments. Usually, when complimented on their improved appearance, patients make up a cover story, sometimes attributing their sudden youthfulness to the use of a sunblock or a moisturiser.

In a recent survey in southern California, plastic surgeons estimated different percentages to the level of secrecy. The average estimate is about 45%.

Dr. Edward Domanskis, a plastic surgeon in Newport Beach, estimated it to be from 60% to 70%. Dr. Ashkan Ghavami, a plastic surgeon in Beverly HIlls, approximated it to be about 60%. Dr. Val Lambros, a plastic surgeon in Newport Beach, guessed it to be from 30% to 40%. Dr. John Di Saia, a plastic surgeon in San Clemente and Anaheim, reckoned it to be less than 10%. And Dr. Michael Persky , a plastic surgeon in Encino, made an educated guess at about 15%, with 99.9% for celebrities.

Doctors are asked to keep the treatments a secret. Patients ask doctors to only call them on their mobile phones within a certain time frame. Women might only come for treatments while their husbands are out of town on a business trip to allow for enough time for the bruising to heal. Some of these women get all their treatments done all at the same time. Others spread them out; for instance, lips one month, Botox the next month, and so on.

Sculptra, a new, slow-acting dermal filler, is especially popular with secretive patients. During their research, the manufacturers learned that a certain population wanted gradual, rather than a sudden improvement in their appearance. Consequently, doctors usually ask patients if they would prefer a slower transformation in their features. With Sculptra injections, it may take from 6 to 10 weeks for the full effects to show. For secretive patients, this is a perfect solution. However, the effects of Botox and other even fillers are also easy to hide. According to Dr Val Lambros, “If you fill nasolabial folds it’s pretty easy to hide, but more advanced uses of fillers in other parts of the face, like around the lower lids can bruise and be harder to hide. Of course the chance of bruising is higher the more you want to avoid it.”

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The Cosmetic Treatment Registry

Amid growing concerns over cosmetic treatments being done at inappropriate settings, the Independent Healthcare Advisory Services (IHAS) is launching a voluntary register of injectable cosmetic treatment providers for botox and dermal fillers.

After its start in the early 90’s for cosmetic purposes, Botox has continued to be in use by people from all walks of life, such as celebrities and regular folk. It works to reduce wrinkling when people make facial gestures by paralysing nerves in the upper face. Dermal fillers on the other hand, fill in imperfections on the lower face and can also produce a lip pout or bigger cheeks.

Despite undoubted risks, many still continue to turn to these treatments. Currently in the UK, there are over 5,000 providers carrying out nearly 200,000 treatments each year. Some of the fillers offer temporary solutions, while others are permanent. With so many providers, it’s about time more regulation was put in place for the safety of consumers.

The new register requires treatment providers to pay registration and annual fees, in addition to promising a face-face consultation with all clients prior to any treatment. Providers must also ensure that the treatments take place in a safe and sterile environment by either a doctor, dentist, or registered nurse. The IHAS has yet to disclose where the collected fees will go and how they will be put to use.

Though some say it’s an attempt by the industry for self-regulation, heavy criticism has already started coming from plastic surgeons. A recent poll of the British Association of Aesthetic Plastic Surgeons concluded that only 4% would consider signing up. However, the consensus is that a separate set of new European regulations that are being discussed currently are said to likely be more robust and not disguised with other small changes not as widely known.

This registry begs the question for both providers and consumers, is it really worth it? The providers profit off consumers who wish to attain immortality in looking young, but the technical process for providers to keep their business in accordance with the law now seems quite tedious for the upkeep of such practices. Though it is pro-consumer by demanding more in standards, the future looks dim.

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