Cosmetic Courses; Banner showing theBotox - a - z Guide

Anti-wrinkle injections, commonly known as Botox® injections can be used to reduce the appearance of lines on your face including frown lines, crow’s feet and forehead lines.
If you’re considering anti-wrinkle injections but want more information our A-Z of Botox will help to answer some of those questions:

Aftercare

Aftercare is important in order to get the best results from your botox® treatment. It is advised that after the first 30-60 mins after having botox you move your facial muscles regularly, smile a lot! Take it easy, get comfy in front of the TV or why not catch up on that book you have been meaning to read. You will need to remain upright and avoid touching or applying pressure to the area. For the next 24 hours Avoid any strenuous exercise and any hot baths or saunas. Any swelling after treatment is completely normal and can be helped with ice, and any slight bruising can be helped with Arnica gel.

Botulinum Toxin Type A

Botulinum toxin type A is a protein more commonly known as Botox® which is actually a brand name just like Bocouture, Azzalure, Dysport and Xeomin. Botox® is made from the bacteria that cause botulism. Botulinum toxin type A works by blocking the nerve activity in muscles which causes a temporary reduction in muscle activity.

Consultations

Cosmetic Courses; picture showing a consultationConsultations before Botox® are essential. Everyone’s face is different so what your sister’s best friend got is going to be different to what is suitable for you. Once you arrive at your consultation you will meet your practitioner and you will be able to discuss areas of concern to you. Your practitioner will also go through the possible complications of botox the common of these include swelling, bruising, headaches, and redness at injection site, everything will be discussed in detail and you will also be able to ask any questions before deciding to go ahead or not.

Don’t Drink

It is highly recommended to avoid drinking alcohol 24 hours before and 24 hours after having received the botox® treatment. Not drinking will minimize the likelihood of side effects and reactions. Droopiness is a side effect of botox® especially in the eyelids or eyebrows which can happen when botox® is injected too low, too deep or even too much, always get your botox® done by an experienced medical professional for the best results.

Eyes

Eyes are a common area that people have concerns over and look to botox for help. It is so important that you look a professional practitioner for all treatments of botox® but especially for any treatment that involves injecting around the eye to avoid any un-wanted side effects. Botox® can be injected into the periorbital area to lift tired eyes giving a fresh faced look.

Frozen Face

Frozen Face is a common misconception about having a botox treatment. If done correctly, botox® should not leave you with a frozen face and you should be able to regain natural movement. Make sure you research your practitioners understand that you may not reach your desired effect until after at least 2-3 treatments. Unfortunately if you do end up with a frozen face then the only cure is time, and you will have to wait for it to wear off.

Gummy Smile

Gummy Smile is a phenomenon which causes the upper lip too rises too far above the upper teeth, exposing gums when you smile. If you are hiding away a gummy smile then all is not lost! A small amount of botox® can be injected at the junction of nostrils and nose to mouth fold to relax the hyperactive muscle which causes the lift.

Hyperhidrosis

Hyperhidrosis is actually a common condition where a person sweats excessively. Botox® is licensed in the UK for treating localised products hyperhidrosis in the armpits, it works by blocking the nerves that supply the eccrine glands which then prevents the glands from producing sweat. It is important to remember however that this is not a cure for hyperhidrosis, your nerve endings do return to normal and the sweating will gradually return, at this point you should go back to your practitioner to receive the treatment again. Hyperhidrosis treatment would be suitable for hands, faces and hairline.

Injections

Botox® despite its powdered initial form is an injectable. It is also rarely just a single injection and will generally consist of a series of injections to the upper face although this varies depending on your treatment type. Patients can be pre-treated with a topical aesthetic before treatment which makes them virtually painless. The needle itself is small and each injection is very quick and therefore the discomfort, if any, is over very quickly.

Jowls

Jowls are a natural part of ageing. As your skin starts to lose elasticity you may notice the lower part of your face such as your cheek and jaw areas begin to sag down. Although it is not a common use of the anti-wrinkle treatment because botox targets the muscle you can focus it on to the muscle in your neck that causes wrinkling, sagging and a jowl-like appearance in this area. Using botox® to relax this muscle means that the sagging is reduced.

Knowledge is king

Knowledge is king! Before getting any treatment, especially an injectable like botox® it is always important to do your research and make sure you fully understand the process involved and the recommended aftercare advice. If you are unsure of anything make sure you make a note of the question and ask your practitioner at your consultation.

Licenced

Cosmetic Courses; Picture showing GMC Logo  Botox® in the UK is classed a prescription only medicine which means it can only officially  be prescribed by a doctor, dentist or independent nurse prescriber. The prescriber will take  liability for the administration of the drug under their supervision. The liability for patient  safety rests with the prescriber. Always ask to see a GMC, (General Medical Council) NMC  (Nursing and Midwifery Council) or GDC (General Dental Council) registration before letting your practitioner start botox treatment.

Migraines

Migraines are quite severe headaches which effects on average 1 in 7 people in the UK. But did you know that botox® is reported to be an effective treatment option for adults who suffer with chronic migraines. Although the exact reason why it works is still officially unknown it has been suggested that treatment works by blocking the pain pathways in certain nerve cells.

Natural Results

Our philosophy on botox® is less is more. It is our aim to not let you leave the clinic looking like someone else, but to leave looking like yourself, but rejuvenated. You will obviously want people to notice that you look different, but not allow them to figure out what exactly it is that has changed. So consider having your botox® treatment in stages, let your practitioner know you want natural results and follow your aftercare advice to the letter!

On-going treatments & Other procedures

Botox® is an on-going treatment, one session is not going to make your wrinkles and lines disappear forever. No matter how great you look afterwards, you will generally need to return every 12 weeks for a top-up. At the same time, if you have botox®, and decide it’s not for you, after 12 weeks the effects should have all faded. Other procedures may be offered to compliment your anti-wrinkle treatments; these could include Dermal Fillers, Skin Masks and other Skin Rejuvenating processes.

Practitioners

Picking your practitioner sounds like a hard task, but it doesn’t have to be. Feel free to explore your options and visit as many clinics and practitioners as you want before deciding on one you feel comfortable with. Thoroughly research the procedure and the practitioner, don’t just rely on the practitioner’s/clinic’s own website and don’t make your decision based on the price. We highly suggest using the SaveFace guides to ensure you are in safe hands at all times.

 Quick Results

Quick results are not realistic. After having a botox® treatment you are recommended to wait at least 10 days to start seeing the desired effects which will peak at around 2 weeks following your first injection. If you are still not happy after this time then you can contact your clinic or practitioner to discuss your options.

Review

At Aurora, after any botox® appointment we always offer a review appointment 2-3 weeks because it can take up to 2 weeks for the effects of the treatment to actually fully take effect. We get you to come back just so that we can make sure that you have got the best results and sometimes we need to tweak it a little bit just to make it better for you and it just makes sure that you’re getting the best treatment possible.

Sausage

It all started with a sausage! You may, or may not know that the history of Botulinum toxin type A goes all the way back to a poisoned sausage. Botox® is a toxin produced by bacteria first discovered in poorly prepared sausages during the 18th Century. It was named after the Latin for sausage – botulus.

Timings

Treatment times for botox can vary, it often depends on the amount you are having and where. Generally botox® injections take around 20 minutes to complete.  Timing is everything with botox®, if you are planning on getting treatment before a special occasion or event then it is recommended you leave 2 weeks between the treatment and the event to look at your best.

Uses

Uses of botox® vary from cosmetic to medical. Medicinal uses include the treatment for Hyperhidrosis, Urinary incontinence, Migraines, Tennis elbow, Bell’s palsy, Squint, and MS and for controlling muscle spasms for children with cerebral palsy to name a few but research is improving all the time to widen its usage.

Vials

When your practitioner receives botox from the manufacturer it will come in avial. Inside the vial is a will be a white powder which is Botox® before injection the powder will need to be reconstituted. The extremely fine powder is dissolved in saline (salt-water) and it then becomes a completely clear solution which is then ready to be administered by syringe.

Wrinkles

Wrinkles and Lines are the common reason for people to choose to have botox® treatments. Upper face treatment can include Forehead lines, frown lines to crow’s feet and bunny lines whereas a lower face treatment would cover marionette, lip, chin and neck lines which can all be reduced with the regular treatment of botox®.

X-Rated

Cosmetic Courses; Picture showing handX-Rated not in nature but in age. Botulinum toxin type A, more commonly referred to as Botox® is actually only licensed for patients aged 18 and over. Here at Aurora Skin Clinics, we would certainly find it unethical to even consider treating anyone under 18, and would never treat anyone unless there was a clinical need. We don’t treat anyone without a full and thorough consultation.

Your face is unique

Everyone’s face is unique meaning treatment for everyone is different. For example; if you have a weak frown then less botox would be used compared to someone with a stronger frown with larger muscles who would require more botox®. It is important to always have a consultation before any injectable appointment so your face can be looked at and a course of treatment which is suitable for you can be decided on.

Zinc supplement

According to a small study carried out by researchers in the USA, it was found that taking a Zinc supplement could make the effects of Botox® injections last approximately 30% longer. The official supplement is actually known as ‘Zytaze’, and is a combination of zinc and the enzyme phytase. Zinc is thought to be necessary in order for Botox® to act as a neurotoxin. And phytase is an enzyme that helps to slow down the breakdown of zinc in the body. So combining the two into one pill effectively boosts the neurotoxic effects of Botox® on the muscles in the face. Further studies will be required to test the safety and efficacy of Zytaze. But the early signs for the supplement as a beauty booster look promising.

To find out more about our Botox and Filler Courses, or if you would like to become a model with Cosmetic Courses for this treatment, please call the team on 01844 390110 or fill in our quick consent form.

As we reach the half way mark of 2016 now is the time when many people decide that they are going to make a change, both personally and professionally. If you have reached a point in your professional career where you are looking for a new challenge or seeking some new skills the aesthetic industry could be the next step that you are looking for.

It can be daunting entering a new sector or starting up a new business. You need to consider your options and know what you are entering into.

Here is our 10 step guide to setting up your own business:

1.Researching – is there a demand/ much competition in your area?

In order to succeed within your aesthetic business, you need to make sure that there is a demand for your services. It is crucial at this point to conduct market research and use the collated data to inform your business strategy. It is also a good time to look and see how many other businesses exist and what they are offering to give you that competitive edge.

2.Training in the correct field

In order to avoid no further delays, it is best to make sure that you have completed as much training as you can beforehand. When getting started within the aesthetic industry, we recommend that you start with our introductory Foundation Botox and Filler course and Skin rejuvenation treatments courses such as Dermaroller, and Chemical Peels, and then build on your skill set and portfolio with more Advanced treatments .

3.Business Structure

You need to decide if you will operate as a Sole trader, Partnership or Limited Company. Each with their own set of pros and cons it would be up to you to decide which structure would be best for your business going forward. Now is a good time to get an accountant and decide with him the best way to set-up your business (this can save you money in the long run).

4.Creating a business plan

A business plan is the most important part of setting up a business, as this is the vital document needed for securing the investment to get started. This plan should include your business objectives and will provide you with the clear direction. In addition to this you will need to consider a time frame to plan out how long you want to take to reach your end goal. This plan can also assist you in thinking about the worst case scenario and can allow you to devise a contingency strategy for any unforeseen events that may occur.

5.Naming your business & creating a logo

It is important to ensure that you have an effective name and appealing company logo. This should reflect and portray the type of business that you want to be. A unique name and logo needs to be thought about carefully to ensure that there is no confusion with competitors. If you have the same name or a logo that is similar, this may result in legal action and loss of sales. When creating the logo, it’s a good idea to name the business so that people know what you do. Make sure that you research different designers and shop around to ensure you are getting the best for your business and allocated budget.

6.Funding your business

Many people tend to use their own savings when starting up their own business. In some cases there are grants available, or you may look to take out a loan from the bank (this will require a business plan) Alternatively, you may know someone that is looking to invest their own money into a new business.

7.Finding a location

It is important to consider where your business will be based. How easy is it to get to for your clientele? Is there plenty of parking? Does it fulfil your requirements? Can you look at expanding when the time comes? Do the costs fit in with your budgets? When choosing the correct location and place, it is always worth taking along a trusted friend, colleague or family member with you – two heads are always better than one and it can help you to visualise the final look.

8.Registering your business

You are legally required to register your business with either Companies House or HMRC before you can start trading. Depending on the type of business structure that you decide will depend on the documentation that you will need. There are certain deadlines that you will need to meet when completing this and all the information that you will need to know and the relevant dates can be found on the Government website.

9.Registering your domain name and website

It’s now common practise for many of your potential customers to research online before contacting you. Your website is therefore very important as it will become the key source of receiving enquiries. Use your website to give potential clients all the information they need about your business, your employees, treatments and services that you offer. You will need to register and purchase your domain name for your website first, and then pay for this every year after.

10.Gaining the correct insurance

To be able to practice in Aesthetic Medicine, you must have medical indemnity insurance, public liability insurance, building and contents insurance. If you practice without the correct insurances and end up with a claim, this can result in heavy fines and your business may not be able to continue. At Cosmetic Courses, we have partnered with Medical Insurance provider Hamilton Fraser for our trading needs, another reputable and well recognised Medical Insurance provider is Cosmetic Insure.

Aesthetic Training with Cosmetic Courses

Here at Cosmetic Courses we offer support right the way through your aesthetic career from choosing which course to start with, creating tailored training packages to meet your requirements and business support to help you become a successful practitioner. But what makes us stand out from other training providers? We are one of the only aesthetic training providers led by a Consultant Plastic Surgeon, we have been training delegates for almost 15 years now so we know what it takes to become a safe and competent injector and we place a real emphasis on practical-based training.

If you would like more information on the courses that we offer to help you get started in aesthetics then please feel free to contact one of our course co-ordinators.

Anyone interested in better time management would do well to have a chat with Adrian Richards. As well as being a busy surgeon, aesthetic trainer, bass player, father of four, sometime marathon runner and Clinical Director of both Aurora Clinics and Cosmetic Courses, Adrian has also found time to write a book.

He has just finished the second edition of his best-selling textbook, ‘Key Notes on Plastic Surgery’, a concise reference guide for surgeons in training, along with co-author Hywel Dafydd. We sat down with Adrian for five minutes to talk about the book.

Hi Adrian, why did you write the first edition of Key Notes?

When I was doing my final exams in Plastic Surgery, I really felt a need for this type of book. As it didn’t exist, I decided to write it myself. I’m delighted that most Plastic Surgeons doing their final exams now have a copy with them.

How would you describe the style of the book?

George Orwell felt that sparse writing was the best. While I can’t claim to write like him, I tried to live by this principle – using the shortest word that would convey meaning and keeping the text and sentences as concise as possible.

Who do you think will read the book?

Anyone who buys it I suppose! But most people who have it are either junior Plastic Surgeons preparing for their major Plastic Surgery exam or experienced surgeons who want to keep up with the latest information.

Is Key Notes in Plastic Surgery suitable for members of the general public?

The book is quite technical but it’s designed to be easily understood. We’ve broken up the information using bullet points, so anyone with an interest in Plastic Surgery will be able to dip into it.

Why might a member of the general public read the book?

Perhaps if they were researching a particular aspect of Plastic Surgery the book might be a good reference for them.

Why have you published a second edition of Key Notes in Plastic Surgery?

The first edition was really popular but times and techniques change. Plastic Surgery is a rapidly evolving speciality and the book has been updated to reflect this.

What are the differences between the 1st and 2nd Editions?

The second edition is slightly longer and has many more diagrams to bring it to life and help the reader understand what is a very visual speciality.

Why have you recruited a co-author?

When I wrote the first edition back in 1999 I was a young Plastic Surgeon with an up-to-date knowledge of the breadth of Plastic Surgery. Like all Plastic Surgeons, I now focus on specific types of surgery. For this reason, Hywel Dafydd has been responsible for the majority of the updated content in the 2nd edition.

What is Mr Dafydd’s background?

Hywel reminds me of a younger version of myself. He has just passed his final Plastic Surgical exams and is travelling the world learning the latest Plastic Surgical techniques before starting his Consultant post in Swansea. Having studied for the exams for the last 3 years Hywel has an excellent and broad understanding of the current state of Plastic Surgery.

Will there be a 3rd edition of Key Notes?

I would like to see a new edition of Key Notes published every 10 years – ideally updated and improved by a new generation of Plastic Surgeons finishing their training and at their peak of understanding the wide scope of Plastic Surgery.

‘Key Notes on Plastic Surgery (Second Edition)’ is published on 21 November 2014 and available to pre-order now from all good book shops, including Amazon.

 

This is a bit of a side-line from our usual medical aesthetic non-surgical topics here at Cosmetic Courses UK.

However, we know that many of our delegates are GPs. With the current PIP Implants crisis affecting so many in the UK and many GPs having to give advice to worried patients, we thought that you might appreciate some clarification from our partner company, Aurora Clinics. As you may know, Cosmetic Courses is led by expert Plastic Surgeons so this team (including Cosmetic Courses director, renowned Plastic Surgeon Mr. Adrian Richards) are ideally placed to offer some guidance on dealing with PIP Implants patients. We hope you find this useful.

Backgound to the PIP Implants Situation:

  • French brand PIP implants used between 2001 and the spring of 2010 are reported to be faulty
  • In the spring of 2010, PIP’s Chief Engineer reported his concerns to the French authorities
  • Between 30,000-40,000 women in the UK have these implants
  • Between 2,000 and 3,000 of these implants were used by the NHS
  • The majority of the remainder were used by the major Cosmetic Surgery Groups (including the Harley Medical Group, Transform and The Hospital Group)
  • Aurora Clinics (Cosmetic Courses’ partner company) has never used these implants
  • The PIP company has now gone into liquidation

 

What is wrong with PIP implants?

  • In an effort to reduce production costs,  the PIP implants company appear to have cut corners during the manufacturing process
  • Investigations into the exact problems with each separate batch of PIP implants is ongoing

However, the recurring problems with PIP implants appear to involve:

  • The implant shell

The shell of every silicone implant is made through a separate dipping and drying process. In PIPs, it appears that the numbers of dips was reduced; in particular the most expensive layer, which seals the shell from the internal silicone, may have been omitted entirely.  This means that the implant is permeable to the internal silicone, resulting in “bleed” of the internal silicone through the shell.

In addition, the shell appears to be more fragile than other implant brands, with a higher rupture rate.

  • The implant content

Medical grade silicone is expensive and has been tested internally on humans.  Industrial grade silicone is less expensive and has not been tested on humans.  It appears that, to reduce costs, a mixture of both types of silicone was used in PIP implants.

Ongoing toxicology studies are being performed on this silicone but we do not have any definitive data on this at present.

Findings

One of the reasons why definitive data is lacking on PIP issues is that there is no national registry of these implants.  A registry did exist but the government withdrew funding for this in the mid 2000’s.

Because of this, we do not know exactly how many PIP implants were used in the UK or which women have them.  The Government is now calling for the breast implant registry to be re-established.

Aurora Clinics Surgeons are working with major professional bodies, BAAPS and BAPRAS, to record data on the PIP implants we remove.

Our findings to date indicate that, of the PIP implants that we have removed:

  • 30% are severely ruptured
  • 60% have significant silicone gel-bleed on their surfaces
  • 10% are in a similar condition to other implant brands when removed

Further analysis of the performance of particular batches of PIP implants is ongoing.  Many of the implants that have ruptured have only been inserted within the last 4 years.

Recommendations:

Because of these findings, we feel that all women with PIP implants should consider having them removed.

If women with PIP implants do not have information on their implant manufacturer they should request this from the surgeon or company who inserted them.  This should be provided promptly and efficiently.

The requested information should include the:

  1. Size in cc’s
  2. Type (high, ultrahigh (UH) etc.)
  3. The batch and lot number. The batch number is a 5 digit number and the lot number a 3 digit number

Symptoms

Many of the patients we have seen with PIP implants report generalized symptoms of fatigue, hair loss and joint pains.  These are difficult to attribute to PIP implants and there is no guarantee whether their symptoms will resolve if the implants are removed or exchanged.

Approximately 50% of our patients report symptoms in their breasts, necks, axilla or arms.  These range from generalized aches and tenderness to parathesesia.  Again, these are difficult to attribute solely to the PIP implants.

Examination

In most cases, it is not possible to determine whether the PIP implants are intact by examination alone.  A significant number of our patients have silent ruptures.

Indications that the implants may be ruptured include:

  • Distortion in the shape of the breast
  • Softness of the breast with a lack of palpability of the rim of the implants (particularly in slim patients)
  • Axillary or neck lymphadenopathy

Management

The majority of the women that we see are – understandably – extremely anxious about their PIP implants.  In most cases, they are very well informed about the issues with these implants from support groups and forums on the Internet.

Some hospital groups, including BMI, have offered to pay for the removal and replacement of any PIP implants they have inserted.

Some of the other major Cosmetic Surgery companies have offered to remove and replace PIP implants which they have inserted. This is only the case, however, if they have been shown to be ruptured by Ultrasound or MRI scans. 

Management recommendations

At present, both the government and the private medical groups are recommending that women with PIP implants seek advice from their GP’s.

From our experience, we would recommend:

  • If the PIP implants have been inserted by the NHS, refer patients to your local breast unit
  • If there is definite evidence of implant rupture, refer to the NHS, the surgeon or private group which inserted them.  The treatment for these patients should be free of charge.
  • If there is no evidence of rupture clinically, implant removal without replacement is permitted in some cases under the care of the NHS
  • If your patient would like further investigation, most NHS units will offer to assess the integrity of the PIP implant

In most cases, radiological investigations will demonstrate implant rupture but not gel bleed.

If there is no clinical or radiological evidence of implant rupture the patient can:

  • Choose to have the PIP implant retained and undergo regular clinical and radiological surveillance until more definite data on the performance of each batch of the implants and the toxicology of the silicone gel is known
  • Choose to have the implants removed or replaced

Unfortunately, at present, neither the NHS nor some of the private providers are offering free PIP replacement unless there is definite evidence of implant rupture.

Many women are reluctant to wait for this data and are choosing to either have their PIP implants removed or replaced with high quality Allergan or Nagor implants.

Aurora Clinics are offering a cost price package deal for PIP implants patients, in partnership with BMI. If you are interested in referring your PIP implants patients to Aurora or would like more information on what this cost price deal entails, please contact [email protected] or 0800 328 5743 . You can also watch videos about our removal and replacement surgery plus support packages via this link.

When you set up your own Medical Aesthetics practise, you will quickly find a Ghost that haunts you. You will particularly experience her looming shadow if you decide to offer Lip Filler treatments. But we can pretty much guarantee that her name will crop up over and over regardless. “I don’t want to end up looking like Leslie Ash!”: it is a plea from your clients that will become all-too familiar.

The Leslie Ash “Look” is certainly not high on most people’s aesthetic wish-list. You have most probably seen the recurrent pictures in the media of her now infamous “trout pout”. The unfortunate woman has been hauled over the coals as an example of Cosmetic Surgery Gone Wrong in every woman’s mag. article of that theme ever since her Lip Body treatment in 2002.

Ash originally claimed she had collagen Lip Implants to correct her disappearing top lip (an unfortunate but common side-effect of ageing) and maintain her image in the public eye. Ironically, the treatment had the opposite effect, bringing her notoriety for all the wrong reasons. Back in 2003, the actress typically told the Press that her permanently swollen, upwards-curled top lip was a terrible accident and the result of a reaction to the collagen in the implant. By 2010 she had conceded that it was not an implant at all, but an injection of liquid silicone (the same lethal cocktail responsible for the recent death of Claudia Aderotimi) which had caused the ridiculous effect.

“The Curse of Leslie Ash” is therefore that hundreds of women who would otherwise have considered lip-enhancing treatment have now been put off completely. And of those that do approach you for procedures, a large number will need reassurance that they will not leave your Clinic looking similarly over-the-top or caricatured.

In his talks to delegates attending Medical Aesthetic courses at the Cosmetic Courses National Training Centre, Mr Adrian Richards (Consultant Plastic Surgeon) is always keen to set the facts straight. For starters, there should be broader awareness of precisely which treatment Leslie Ash underwent: it seems very wrong that by initially shielding the truth, she has created mistrust and fear of both Lip Fillers and Lip Implants. Prospective clients do not realise that Dermal Fillers are not the same as the injections which she had, and can give lovely subtle enhancement to both the lip body and border (in the hands of a qualified, trained medical professional). Nor do they always understand that she did not have a Lip Implant at all and that it is therefore well worth investigating the potential of Permalip implants. In fact, Mr Richards highly recommends the Permalip implant as a method of augmenting the lip body: these implants come in a huge variety of sizes and shapes, are sculptable, safe and above all can be removed if necessary.

In contrast, Liquid Silicone injections, like Ash had injected into her lips by a plastic surgeon whilst at a friend’s house, is permanent. And as Mr Richards warns all his trainee Aesthetic Practitioners, ‘Permanent fillers cause Permanent problems’. In Leslie Ash’s case, the silicone set around the muscles in her lips and it is now impossible for surgeons to remove it.

So there you have it: of course, however silly the actress may have been, she is also incredibly unfortunate. She is certainly not alone, but possibly receives more publicity about the matter than most and will almost certainly be one of the names you come to regard as a bug-bear. Instead of getting irritated by this, however, try to see your role as educating your clients, so that others do not make the mistakes of Ash and others. With this knowledge, you can ensure that you offer only the best and most suitable treatments and therefore provide genuine reassurance that your clients will not walk out of your Treatment Room and straight into the Gossip Columns!

In recent years, plastic surgery has slowly been on decline in the United States. However, botox shots and other wrinkle softening beauty treatments are on the rise in Europe. German citizens in particular are taking advantage of advances in cosmetic surgery, according to the Düsseldorf based Gesellschaft für Ästhetische Chirurgie Deutschland (GÄCD).

Studies and polling data show that 171,000 German citizens have undergone cosmetic procedures in the last year, a rise of twenty percent. Comparatively, cosmetic surgery in the United States is down two percent from the previous year. The most substantial increase was seen in the use of wrinkle filling agents such as Botox. Approximately 100,000 patients used botox in 2008, a number which leaped to 146,000 in 2009 according to a survey done by the GÄCD.

GÄCD general secretary Matthias Gensior cites affordability as the primary reason for the rise in botox injections, mentioning that the economic crisis as a potential catalyst. While botox injections are still relatively expensive, they are generally cheaper than more invasive surgeries.

Most female patients sought Botox treatment in order to diminish the appearance of frown lines and crow’s feet. Male patients favoured laser treatments, according to the statistics released by the organisation. In total 130,000 women underwent Botox or needle related treatments, compared to just 14,000 for men. Meanwhile 43,000 men underwent laser surgery to even skin and smooth lines. Women, on the other hand, logged only 38,000 of these treatments. According to the GÄCD, a plurality of patients were new to cosmetic surgery. Moreover, the median age of these patients had also decreased significantly from previous years.

Non-facial related surgeries also remained popular. Liposuction remained a popular treatment for overweight women, with close to 17,000 surgeries performed last year. Corrective rhinoplasty was popular among men, with approximately 3,500 surgeries logged by doctors. Other popular cosmetic surgeries included tattoo removal and eye lifts. According to Gensior, men were far less likely to undergo more drastic surgeries due to the stigma often associated with plastic surgery. Women, he noted, undergo treatment not only for cosmetic reasons but practical ones as well. Droopy eyes, for example, make it difficult to apply make-up.

For a long time, liposuction has been considered one of the best options available for body sculpting and body contouring purposes. Recently though, a new technology from Sound Surgical Technologies has begun to challenge that assumption. The technology is called VASER Shape MC1 and it uses a combination of ultrasound and heat to enable body sculpting without the need for surgery. The system has begun to revolutionise body sculpting procedures and is increasingly being offered as a non-invasive alternative to cellulite reduction for those unwilling, or unable to undergo surgery.

VASER Shape MC1 is based on technology called MedContour that has been in use around Europe for several years now. The system comprises of several hand-held units that are capable of delivering high-frequency sound waves, heat and lymphatic massages to break-up and melt away fat deposits from under the skin. The hand-held devices feature different program settings that allow cosmetic surgeons to tailor their cellulite reduction treatments based on individual patient requirements. The settings allow physicians to use VASER Shape MC1 for everything, from gentle post-surgical massages to more aggressive treatments for cellulite reduction.

VASER Shape MC1 was approved for use in the U.S by the Food and Drug Administration (FDA) in May 2010. The FDA’s approval allows the technology to be used for treating minor muscle spasms and pains and for temporarily reducing the appearance of cellulite. The FDA approval also allows the device to be used in applications such as temporarily improving blood circulation in localized areas. Cosmetic surgeons have begun using VASER Shape MC1 for stand-alone cellulite-reduction treatments and in conjunction with other fat removal procedures. In stand-alone applications, patients are typically required to undergo a regimen of four to six localized treatments for cellulite-reduction purposes. When it is used in conjunction with surgical cellulite-reduction procedures, VASER Shape MC1 can help handle issues such as post-operative swelling and pain.

Non-invasive cellulite-reduction technologies such as VASER Shape MC1 have been growing in popularity because of their effectiveness and the fact that they allow patients to do body sculpting without surgery. Over the past few months, at least two other rivals have been approved for use in the U.S. by the FDA. One of the products is a cold liposuction technology called Zerona from Erchonia. The other product is manufactured by Zeltiq and is called CoolSculpting. Like Zerona, CoolSculpting too works by killing fat cells under the skin by freezing them.

The method of cutaneous and subcutaneous administration of gaseous carbon-dioxide for cosmetic therapy, that is, to improve the texture and quality of skin is called carboxytherapy. The idea preliminarily originated in France in 1930s when it was observed that taking a bath in pools rich in gaseous carbon dioxide helps in rapid healing of wounds. This benefit of carbon dioxide gas is now used in cosmetic therapy. Carboxytherapy is reported to have beneficial results in improving blood circulation, restoring skin’s elasticity, lessening of fat cells and reduction of cellulite.

The injection of carbon dioxide gas through the skin cells helps to dilate the blood vessels, resulting in improved flow of blood and oxygen through the skin. Carboxytherapy, in a way, makes the human heart to pump more oxygen in the blood by injecting a small amount of carbon dioxide. The blood vessels, in order to nullify the presence of carbon dioxide, carries more oxygen following a physiological principle, generally termed as ‘oxygen off-loading’. As a consequence, worn out cells of the skin gets rejuvenated. Thus, this therapy is used to minimise wrinkles and ageing of the skin.

Along with skin rejuvenation, carboxytherapy is used against :

1. Dark under-eye circles : Carboxytherapy improves the capillary network of the lower eyelid, thus increasing the blood circulation

2. Stretch marks : The injection of carbon dioxide gas helps in collagen formation of skin, thus helping in building the collagen matrix and increasing the thickness of the skin.

3. Fat and cellulite reduction : A specific technique of injecting gaseous carbon dioxide into the fat cells is used, such that, the gas becomes toxic to the fat cells making them burst and subsequently eliminate from the body.

These applications of carboxytherapy makes it one of the most popular skin rejuvenation treatment. It is considered a breakthrough in cosmetic therapy. This treatment with carbon dioxide is least invasive. The patients will only bear a bruise at the spot of injection for a few days, and are generally prescribed not to involve in any vigorous exercises for a couple of hours after the treatment.The period of treatment depends on the severity of the problem. Six to twelve treatments, of fifteen to thirty minutes each, spaced one week apart, yield desired results. However, proper caution are advised to be taken and persons with breathing problems or asthma are generally suggested to refrain from carboxytherapy.

Women with plump, full lips are considered more beautiful, sexy, and desirable than women with thin, flat lips. Consequently, it’s natural for women who once had “kissable” lips to want to restore their more youthful appearance and for women who never had that sensual look to wistfully long for it. In either case, whether lips have simply aged and lost their full look or because of a genetic predisposition toward thin, tight lips, it is possible to create gorgeous, plump, and sensual lips through cosmetic surgery.

Due to aging, the effects of the sun, and the consequences of smoking, once beautiful lips can begin to lose their healthy appearance and the mouth begins to droop at the corners, creating a false impression of depression or cynicism. Moreover, when Cupid’s Bow, the v-shape of the upper lip, begins to flatten, a woman appears to lose her youthful appearance. Apart from restoring a woman’s natural beauty, rejuvenating lips through cosmetic surgery can also boost self-confidence and self-esteem.

Unfortunately, not all surgery will create an effect that lasts for long, sometimes lasting for only 3 months, although at times they can last for as long as 9 months. Usually, this surgery consist of injecting collagen or a compound called Restylane. Recovery is also painful for a few days, resulting in swelling, redness, and bruising. The only way to keep the desired look is through repeating the procedure when the effects fade away.

However, a new solution has emerged in cosmetic surgery that does offer a permanent solution. The process is called a Permalip implant. It consists of implanting soft but firm silicone in the lips. It has been approved in Europe after extensive testing and has been used and developed in the United States for the past four years. This method is safe because it does not rupture or break surrounding tissue, nor does it harden or degenerate over time. It requires only a single procedure, can be done in an hour, and leaves no visible scars. Moreover, the effect can be reduced, or even fully reversed. The surgery is done under local anaesthesia and consists of making small incisions at the corner of the mouth then inserting the implant.

For women who desire to have full lips, the Permalip implant is the best choice in cosmetic surgery for a permanent solution.

Cosmetic Courses offer training courses  which have been extended to offer the same level of professional training in other non surgical techniques which are growing in demand.

The in-depth training is lead by a faculty lead by our team of Consultant Plastic Surgeons and a Consultant in anaesthesia, providing the pinnacle of education to the variety of medical professionals attending each course. Further knowledge and advice is given by our team of expert nurse specialists, all who have a long track record of existing profitable clinical practices. With the benefit of varied clinics the courses can offer valuable, informative experience to a practitioner wishing to set up a non-surgical aesthetic practice whether it will be nurse, doctor, dentist or surgeon led.

All the training is carried out at the National Cosmetic Training Centre, based at The Paddocks Hospital which is part of the BMI group. The facility is healthcare commission registered and has lecture rooms, consulting rooms and a theatre for the courses which require a clinical setting up to operating standard. The premises and trainers for Botox training Cosmetic Courses are all insured, this cover extends to all the delegates and models on any training course.

or more information please contact 0845 230 4110.