This is part 2 of the interview we took of Adrian Richards (Surgical Director of Aurora Clinics, and Founder of Cosmetic Courses) and Ron Myers (Director of the Consulting Room) discussing Dermal Filler regulations.

Transcript:

Can we just look a little bit Ron at the regulation of Dermal Fillers? In the UK we’re very unregulated compared to the rest of the world. Well we are and I think with Dermal Fillers they have never been regulated, lasers were regulated in England and since have been deregulated in 2010. There is a call for some form of regulation for both of those particular procedure and obviously toxins as well. At the moment I think people are unsure whether or not it should be coming back through the CQC or whether it should be handled like it is in London by some of the local Boroughs that regulate currently for lasers and light procedures but don’t look at the injectable side of things. Personally we run a clinic that’s run by the CQC and if we look at the CQC and the faith in that as an organisation now as well with problems that we’ve had for instance in Staffordshire Hospital, where clearly even in regulated hospitals where you have inspectors go in, there is clearly some evidence of failing there and if that’s CQC itself as an organisation being looked at internally well.. So for me I think the critical aspects really relate more to the people that are allowed to handle these products so in other words, debate about who should and shouldn’t do these treatments and also clearly the training requirements and having some form of competence and based on that where possible.
And what does this mean for people in the industry?
This is recommendation from discussion documents isn’t it. Well it is at the moment I think really this committee have come in with an open mind and what they’re doing is obviously looking at different parties involved, whether it’s the consumer or the supplier or the clinic and trying to gather evidence as you say, they are now going and are looking at further detail from selected people and especially people they have actually pitched in with ideas and want to comment and they’re going to summarise and this is going to come out potentially with recommendations in spring. At this stage obviously we’ve had the interim report and the formal report, we’re waiting for that later in the year so I think that we agree with the principles of the interim report but I think we just have to wait a little bit to find out what the full report says later in the year. That’s it, whether it will be enforced or not and exactly what will come out, I don’t think anyone really knows and parallel running to this is the European side of things that this has said and just looking at cosmetic surgery from a European regulation perspective and this is something that’s a totally different route of looking at regulation, but I think probably more so they are concentrating on the aspects of really who can and can’t do what. Who can do treatments is much more regulated in Europe in France and in Germany isn’t it Ron? Can you just talk us through some of the regulation issues and who’s allowed to do the treatments in Europe? Well it is and I think it’s a big area to debate about I think particularly outside of cosmetic surgery where I think it’s probably clearer and certainly here where we have the specialist register where I know there are people who have a certain angle on that as well and say well just because you’re on the specialist register, doesn’t mean to say that you can perform all cosmetic surgical procedures but outside of that I think the key area of concern from my perspective in the non-surgical side is looking at this medical vs non-medical specialties being involved in the injectable side of things. The interesting thing looking at this was that it appeared to be very split when they looked at the Dermal Filler argument and Botulinum Toxin to whether or not non-medical or medical people should be involved.
Absolutely
So clearly the really principally the beauty therapy side of things is and there lobbying front with BABTAC and other organisations within there are obviously trying to push the case forward for beauty therapists to be practically involved in dealing with injectable treatments.

 

Previous episode in the series: 

Part 1 – The Keogh Report

Part 3 – PIP Implants

Part 4 – Counterfeit Toxins part 1

Part 5 – Counterfeit Toxins part 2

Part 6 – Hard selling

This is part 2 of the interview we took of Adrian Richards (Surgical Director of Aurora Clinics, and Founder of Cosmetic Courses) and Ron Myers (Director of the Consulting Room) discussing counterfeit toxins.

Transcript:

That’s a very interesting point you make Ron about Counterfeit Toxins, I know there was a report recently an article doing some research into how strong some of these counterfeit toxins were compared to the standard toxins that we use from the major companies, can you just tell me a little bit about the findings from the report Ron?
Well I think there are two areas there I think the main areas really with this, with toxins anyway is there are a number of approved distributors in other countries or suppliers so Meditance is one for instance which is a Korean toxin which is funnily enough being launched at IMCAS at the end of this month and that’s, I can find routes on the internet to buy that now.
So it’s a Botulinum Toxin?
Botulinum Toxin Type A yes so it’s constructed under different brand names in different countries and it’s the confusing element of this as well is the most common name.
It’s made by a proper pharmaceutical?
It is, it’s made by proper pharmaceutical companies someone would look at that and think fine well maybe you have a product here that is OK and it’s going to work and it’s going to be safe. I think the issue that you have here and certainly with regards to biological products, which is what Botulinum Toxin is, is that the manufacturers obviously have to get a license to promote them here in this country and there is also another route, a testing route for these products that used to be done for them by the national institute for biological standards of control and now I believe actually comes under the MHRA’s responsibility but basically where they will take batches of Botulinum Toxin produced by the manufacturers, and do separate tests to ensure that the numbers of units that you have in a vile are obviously compliant within a certain level. Clearly if there was a problem in manufacturing and you had say triple or quadruple the amount of toxin in a vile than you thought that could be a real issue and certainly when you’re using larger amounts maybe in children for cerebal palsy you can understand, so I think personally that we would only ever buy from approved manufacturers anyway and I think that it is principally because, both from insurance perspective and from a point of view of us as a clinic wanting to make sure we buy in the best products and absolutely do no harm.
Now Ron I believe that the Toxin is relatively easy to produce, but it’s slightly more difficult to actually get accurate units of how strong the toxin is because it needs really quite sophisticated measuring devices, so the problem is that companies can make toxin, but it may be stronger or weaker than other toxins. So I’m aware of this book that I think everyone on the aesthetics industry should at least look at or be aware of called ‘from beauty to botulism’ and in this case there was a doctor I believe in the states who had counterfeit Botulinum Toxin and treated both himself and a couple who were his friends and both of them had severe problems with respiratory paralysis having to be ventilated for a significant time following the treatment.
Yes there was it was a guy called Kaplan actually over in the states who I think had bought a toxin that had been badly manufactured on himself and some friends.
But I’ve heard he got it from his friend who was a vet
Obviously it was an unapproved source and there appeared to be more toxin in there than he thought and they ended up with systemic botulism.
As I understand it three people including himself were treated with this very high potency toxin and had to be ventilated on ITU.
Yes that’s correct.
So that just shows the dangers of unregulated toxins now so the Korean company with the toxin, that’s going to be launched soon.
It’s being launched in Europe, now whether that means the UK as well I’m not entirely sure and whether it has been approved by the MHRA or not and licensed it but we all currently have three toxins with different brand names as well from a cosmetic brand name to the NHS or medical brand name. The other area obviously the filler side of things that I think are probably more concerning I don’t know whether you saw botched bodies this week or not, but this is another programme that’s on channel 5 that’s been looking at ‘botched’ cosmetic surgery based on a woman who had a filler put in that created an infection, a permanent filler for years and in the end they just had to nick it and try and get this thing out.
They’re very difficult to get out
Very difficult to take out but some of those fillers are approved C marked, there are a number of products out there that come into that permanent filler category there not strictly speaking illegal.
But haven’t really been tested in huge amounts of people have they?
Well this is it, and as a concept I don’t like anything permanently put into somebody’s face that can be difficult to get out, in other words that’s not sealed around like an implants that your can’t discretely remove if there’s a problem and we’ve taken that as a clinic as a stance to say no hyaluronic acid is our main stay and we know we’ve got a trick up our sleeve there if there’s a problem with hyaluronidase.

Previous episodes in the series include:

Part 1 – The Keogh Report

Part 2 – Dermal Filler Regulations

Part 3 – PIP Implants

Part 5 – Counterfeit Toxins part 2

Part 6 – Hard selling

To keep up with Cosmetic Courses don’t forget to check out our Facebook, Twitter and YouTube

For more information or if you have any queries please don’t hesitate to contact the team on 01844 390110 or send us an email at [email protected]

 

This video is a trailer to the interview we took of Ron Myers (Director of the Consulting Room)  and Adrian Richards (Surgical Director of Aurora Clinics, and Founder of Cosmetic Courses). In this short video Consultant plastic Surgeon and Medical Director of  Cosmetic Courses Mr Richards briefly highlights the topics discussed during the interview;

Part 1 – The Keogh Report

Part 2 – Dermal Filler Regulations

Part 3 – PIP Implants

Part 4 – Counterfeit Toxins part 1

Part 5 – Counterfeit Toxins part 2

Part 6 – Hard selling

We took a breather after this topic, so for now this is all you’re getting but don’t worry, there is plenty more still to come. The subject of internet marketing, SEO, PPC and finances within your business along with plenty of other topics and discussions.

To keep up with Cosmetic Courses don’t forget to check out our FacebookTwitter and YouTube

For more information or if you have any queries please don’t hesitate to contact the team on 01844 390110 or send us an email at [email protected]

This is part 1 of the interview we took of Adrian Richards (Surgical Director of Aurora Clinics, and Founder of Cosmetic Courses) and Ron Myers (Director of the Consulting Room). In this short video we see Consultant Plastic Surgeon Adrian Richards and Director of the Consulting Room Ron Myers discussing the Keogh Report in the first of a series of six topics discussed.

We see Adrian and Ron discuss the findings from the interim report as well as their predictions on the final report on the issues of regulations surrounding non-surgical procedures.

Also in the series you can see:

Part 2 – Dermal Filler Regulations

Part 3 – PIP Implants

Part 4 – Counterfeit Toxins part 1

Part 5 – Counterfeit Toxins part 2

Part 6 – Hard selling

To keep up with Cosmetic Courses don’t forget to check out our Facebook, Twitter and YouTube

For more information or if you have any queries please don’t hesitate to contact the team on 01844 390110 or send us an email at [email protected]

Back to videos

Cosmetic Courses is the first UK surgeon led cosmetic training course, which specialises in Botox training, Dermal Filler training, Microdermabasion, Chemical Peel, Dermaroller and also has Business training courses to help you implement your new skills into your business. The courses are broken up into different categories, Foundation and Advanced, as well as into specific procedures. You will train with us at our fully functioning clinic in Princes Risborough, with our team of specialised trainers and practitioners.

Set up in 2001 by RealSelf Top 100 Plastic Surgeon Mr Adrian Richards, Cosmetic Courses is one of the UK’s largest Botox training providers. With a diverse team of expert trainers boasting a combined 113 years of experience in the aesthetic industry and having trained and mentored over 4500 doctors, dentists and nurses we are well equipped to provide you with the knowledge, practical skills and business support to help you set up your own profitable aesthetic practice.

We also offer one-to-one training which is for delegates wanting to brush up on their new skills, and become fully competent administering Botox and Fillers etc.

To keep up to date with Cosmetic Courses you can find us on Facebook and Twitter as well as subscribing to our YouTube channel.

For more information on Cosmetic Courses or any of our training programmes please contact the team on 01844 390110 or send us an email at [email protected] 

This video is part of our new FAQ series. Mr Adrian Richards, the medical director of Cosmetic Courses discusses who can practice here in the UK and whether you need to be a registered medical practitioner.

Cosmetic Courses is the first plastic surgeon led training course, with over fifteen years experience with expert aesthetic trainers. With a handpicked team of expert trainers, Cosmetic Courses have successfully mentored over 4000 doctors, dentists and nurses – many of whom have gone on to build their own profitable aesthetic clinics.

Like us on facebook at www.facebook.com/cosmeticcourses

Follow us on Twitter @cosmeticcourses

For more information or to contact us you can email [email protected] or give us a call on 01844 390 110.

Do I need to bring my own models? This video is part of our new FAQ series. Mr Adrian Richards, the medical director of Cosmetic Courses talks here about models and the availability of models to you on the day of your training. You do also have the option to bring in your own models, but you would need to inform the course coordinators prior to the course so we don’t have too many models on the day of training.

Cosmetic Courses is the first plastic surgeon led training course, with over fifteen years experience with expert aesthetic trainers. With a handpicked team of expert trainers, Cosmetic Courses have successfully mentored over 4000 doctors, dentists and nurses – many of whom have gone on to build their own profitable aesthetic clinics. Here at Cosmetic Courses we emphasise the importance of hands-on practical experience and understand the importance of training with live models.

We provide all models for your training experience so you don’t need to worry about finding someone to come with you on the day. However, if you would like to bring a model as a case study we are more than happy for you to do this. This will incur a small fee for your model to cover the cost of the product. Please ensure you let a member of the team know prior to your training so we can make the necessary arrangements.

Like us on facebook at www.facebook.com/cosmeticcourses

Follow us on Twitter @cosmeticcourses

For more information or to contact us you can email [email protected] or give us a call on 01844 390 110.

In this short video, we see Cosmetic Courses Model Anna describe her Botox injections in this Botox Training series of videos.

Cosmetic Courses has been established since 2002 by world-renowned Consultant Plastic Surgeon Mr Adrian Richards. In this video he demonstrates the three area upper face Botox which is covered on our Foundation Botox and Dermal Filler training day.

We also hold courses in a range of other popular non-surgical aesthetic treatments including chemical skin peel training, platelet rich plasma therapy training and microsclerotherapy to name a few.

For more information on how to book a course with us please contact our friendly team who will be more than happy to discuss your training requirements.

In this short video we see Consultant Plastic Surgeon and Medical Director of Cosmetic Courses Adrian Richards doing and botox injection demonstration on model Anna.

For more information or to learn how to administer Botox yourself, visit our website and book onto one of our courses. https://cosmeticcourses.co.uk/

Botox training video 3- Mr Richards shows you how to do botox injections.
In the 3rd video of the botox training series Mr Richards demonstrates a botox injection on Anna. He shows how the botox injections are performed and describes his botox training technique.

Back to videos

Botox Training from Cosmetic Courses Adrian Richards demonstrates how to perform botox injections as part of our botox training programme. This video is one of a series from https://cosmeticcourses.co.uk showing botox training, restylane training, dermal fillers and facial peels. Our botox training courses are designed for medical professionals starting cosmetic industry and provide full training in botox treatments and related cosmetic procedures. At Cosmetic Courses we train in Genuine Allergan Botox, high quality product for high quality results.

If you are interested in taking part in our Botox training course, please don’t hesitate to contact the team at Cosmetic Courses on 01844 390 11o or send us an email to [email protected]