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Pharmaceutical giant GlaxoSmithKline has come under fire in China for allegedly marketing Botox through improper practices, as well as being investigated for possible tax and invoice fraud.

The Wall Street Journal earlier this week reported that investigations are being carried out on the corporate behemoth for possible bribery and corruption, in a planned marketing strategy to boost sales in the emerging market. They claim to have seen evidence of emails targeted at 48 doctors which include cash and other incentives as a reward for prescribing Botox for therapeutic reasons.

The marketing strategy even took the name of a Russian World War II sniper, ‘Vasily’, after Vasily Zaytsev, with communication regarding the incentives supposedly sent to and from the private email addresses of GSK’s sales personnel.

GlaxoSmithKline have responded by announcing their own internal investigation and say initial findings show there has been no improper sales and marketing conduct carried out by sales staff at their organisation. A spokesperson for GSK in London announced:

“…we are investigating these new claims. However, our inquiries to date have found no evidence of bribery or corruption in relation to our sales and marketing of therapeutic Botox in China”

“GSK has some of the toughest compliance procedures in the sector. We are proud of our high standards and operate in accordance with them.”

GSK’s distribution of Botox in China is for therapeutic use (such as facial spasms) rather than cosmetic use ie. for the treatment of wrinkles.

Cosmetic Courses offer a wide range of aesthetic training courses to medical professionals. For information on any of our courses, contact the team on 01844 390110 or email [email protected].

Woman arrested practicing botox illegallyAn American beautician based in Florida has been arrested for administering Botox illegally, and for claiming to be a qualified nurse. In the US it’s a legal requirement for those offering non-invasive cosmetic procedures such as Botox and fillers to be medically qualified and to hold specific registration to practice.

The beautician, Sheri Goldman, had listed her profession at her beauty salon as nurse, when in fact she has no medical qualifications whatsoever. She advertised her salon and its services on Groupon, which her listed credentials including ‘surgical nurse’. She was arrested for unlicensed practice of a healthcare profession, which is a third degree crime in the US, punishable by up to five years imprisonment.

There are also other charges against her, for the same crime but in another area of Florida.

With laws soon to be introduced in the UK to regulate who can offer Botox we may well see similar cases of unqualified practitioners knowingly (or unknowingly) flouting the law, with similar repercussions.

Cosmetic Courses are an established provider of medical aesthetic training. For information on any of our courses, please contact the team on on 01844 390110 or email [email protected].

Kim Kardashian’s latest media circus involves speculation that she is still undergoing regular Botox treatments despite being 7 months into her pregnancy. Though the American socialite has neither confirmed or denied the reports that are circulating throughout US and now global tabloids, the question on many people’s lips is – if true, will this do harm to her unborn baby?

Whilst we can’t comment on the validity of the claims and therefore offer no opinion on this specific case, it is worth visiting the subject on a general basis. There is no evidence that Botox travels beyond the area in which it is injected, and in theory this would extend to meaning it would not reach an unborn baby via the placenta. That said, there is no conclusive evidence that it does not, given that it would be impossible to test this on pregnant mothers and their unborn babies.

Corroborative evidence would suggest that it is safe and indeed prescription Botox is sometimes carried out on expectant mothers suffering from other conditions that require it, such as chronic migraines or cervical dystonia (problems with posture and movement, usually in the neck and shoulders). Currently doctors are allowed to continue with Botox treatment in these cases.

There are also no regulations that prevent practitioners from offering Botox for cosmetic reasons to pregnant women. That said, most who administer it will not offer it to pregnant women for cosmetic reasons alone. This is because the reason for the Botox is seen as non-essential, and therefore the safety of the unborn foetus is given greater precedence.

Cosmetic Courses are one of the UK’s most established medical aesthetic training providers. For information on our Botox training, or any of our other aesthetic courses, contact the team on 01844 390110 or email [email protected] for more information on any of our training courses.

One London clinic is now offering a Californian-produced alternative to Botox which promises the same results minus the toxins, which may come as welcome news to those who are interested in the results of the treatment but uncomfortable with the thought of what is in it.

iovera has been dubbed ‘Frotox’ due to its use of cryotherapy, effectively freezing, to produce the same results as Botox. Its results are said to be instantaneous as opposed to the few days that it can take for Botox to take effect. However its lifespan is slighter shorter lasting a maximum duration of four months.

Developed by medical technology group myoscience, it currently tackles forehead lines (running vertically or horizontally) through administering the treatment to either temple. A device filled with liquid nitrogen is placed next to the nerves which freezes the muscles used to control particular wrinkles. Advocates suggest that the accuracy of the nerve targeting is such that it still allows movement in the muscle.

The treatment lasts for 15 minutes and is so far retailing at £300 at a Harley Street Clinic. Some detractors insist that it poses no viable alternative to Botox, which has been used for several years, until its long-term safety and capability has been demonstrated.

Cosmetic Courses are the UK’s first surgeon led Botox course provider. Contact the team on 01844 390110 or email [email protected] for more information on any of our training courses.

Initial findings from the Keogh Review, the committee set up to investigate the aesthetic medicine industry and its standards, have been released, the results of which show the need for greater regulation for the industry, particularly where non-invasive procedures are concerned.

Currently there is no law or industry regulation that makes qualifications to administer non-invasive procedures mandatory and this review is set to change that. It was also expected that only medical professionals (doctors, nurses and dentists) would be able to carry out the procedures however that tenet has so far not been decided upon.

In a burgeoning and ever-growing industry it’s important that standards are met and introducing regulation is one way of ensuring this will happen. It also provides the patient with an extra degree of trust and certainty, and offers better protection if things go wrong. On discussing these finding Sir Bruce Keogh said:

“All too often we hear of cases that shine a light on poor practices in the cosmetic surgery industry. I am concerned that some practitioners who are giving non-surgical treatments may not have had any appropriate training whatsoever. This leaves people exposed to unreasonable risks, and possibly permanent damage.

“Our research has shown that the public expect procedures that are so widely available to be safe, whereas they are largely unregulated.

“There is a clear need for better quality, recognised training for the people performing these operations. My review will make a number of recommendations for making sure people who choose to undergo these procedures are in safe hands.”

The review committee has also been examining possible regulation of industry advertising and how treatments and procedures are sold. This includes bulk and time-restricted deals, which encourage the patient (or customer) to buy quickly or more than they need.

BAAPS president Rajiv Grover welcomes these initial findings:

“We agree that specialised training is required and [it should be] certainly more extensive than the many widely-promoted weekend courses currently available, but aesthetic injectibles should only ever be provided by medical professionals.”

A relatively common condition for athletes can often be misdiagnosed as asthma, but if detected can be treated easily enough through a combination of treatments including Botox for the vocal chords. Although it can be brought about by stress or anxiety it is also commonly linked to increased physical exertion, hence why athletes can be at increased risk of suffering from it.

It’s believed an estimated 5% of professional athletes suffer from Paradoxical Vocal Fold Motion Disorder (PVFMD) which constricts the vocal chords and can impact the ability to breathe. It also causes coughing whilst exercising and because of these symptoms, which are very similar to those caused by asthma, it can often be missed therefore remain untreated.

The two conditions are in fact often linked – 40% of asthma sufferers will also have PVFMD. What will quite regularly happen is the asthma will be detected and treated but the PVFMD won’t be, in which case the athlete will still suffer from its symptoms.

When it is diagnosed correctly treatment will usually consist of multiple solutions. These will likely include vocal chord retraining therapy and also Botox, carried out by various professionals. An ENT specialist with Botox training would be required, as well as a vocal chord therapist and possibly also a sports psychologist who would deal with the impact it has mentally.

Non-athletes who suddenly take up an increased exercise programme can also suffer from the condition.

We’ve collated the results of the feedback for our latest training course – and the results are very encouraging.

On Saturday 7th July, we ran another successful Foundation course in Botulinum Toxin and Dermal Fillers.

Though the course was fairly small, the feedback we received showed that satisfaction levels are going from strength to strength.

In fact, it was among the best feedback we have received since we began. We’re very proud to share the results with you here.

The Verdict

Here’s how our delegates rated us:

  • 100% would recommend the course and return for further training
  • 100% thought the speakers communicated effectively
  • 100% thought the venue was suitable for the training
  • 100% thought the demonstrations were well presented and informative
  • 100% thought the hands-on experience was valuable
  • 98% thought there was sufficient time for discussion

A fantastic set of feedback, and we hope that many of our Foundation course delegates choose to continue their study with Cosmetic Courses – either by moving up to the next level on our Intermediate and Advanced courses, or broadening their expertise into other areas like Dermaroller and Skin Peels.

If you would like to attend our next Foundation Botulinum Toxin and Dermal Fillers course, it will be held on Saturday 11th August. Click here to book your place. Alternatively, we are always happy to arrange bespoke one-to-one training sessions at a time that’s convenient for you. Contact us for more information on 0845 230 4110 or email [email protected].

In a secret recording by the BBC at a Harley Street skin clinic, the clinic’s director was filmed describing how prescriptions for Botulinum Toxin could be obtained in the names of friends and family. The drug would then be stored, ready to be used by nurses to treat walk-in patients without needing to obtain a prescription first.

The nurses would instead telephone the doctor for a remote prescription before injecting patients with the ‘stored’ Botox.

If, for any reason, the doctor could not be reached before treatment, the nurses would administer the Botox injections anyway – with the doctor phoning patients afterwards.

Though remote prescription is not illegal at present, administering Botox without a prescription is against the law. It also raises concerns about patient safety.

In the light of the investigation, the General Medical Council (GMC) has said that new rules will soon be published, making it illegal for doctors to remotely prescribe injectable cosmetic medicines, including Botox.

Nurses who do not hold the V300 prescribing qualification will be required to work directly with a doctor or dentist in order to issue prescriptions.

If you would like any information on our Botox training courses, or any of our other fully accredited courses, contact us on 0845 230 4110 or email [email protected].

The results of our latest training course are in…..and they’re better than ever!

Last Saturday, 12th May, Cosmetic Courses ran another fully subscribed Foundation course in Botulinum Toxin and Dermal Fillers.

We routinely ask all our delegates to fill out feedback forms to let us know what we’re doing right, as well as highlighting any areas we can improve on.

We’ve now collated the feedback from Saturday’s course, and are very proud to be able to share the results with you here.

The Verdict

Here’s how our delegates rated us:

  • Accommodation and travel were given a score of 96%
  • Structure of the course and discussion time scored 97%
  • Course  presentation, lecture, demonstration, venue and effectiveness of communication were all rated 99%
  • Value of the course and amount learned were given a perfect 100%!

Our Foundation courses are designed for delegates just starting out in their aesthetic careers, and mark the very first step in their journey, so it’s particularly satisfying to hear that they found our latest course so useful.

We hope that many of these happy delegates will decide to join the ranks of our previous Foundation course delegates who have progressed to further study on our Intermediate and Advanced courses, or broaden their training into other areas such as Skin Peels and Dermaroller.

If you missed out on our last training course and would like to attend the next one, it will be held on Saturday 23rd June. Alternatively, we are always happy to arrange bespoke one-to-one sessions at a time that suits you. Contact us for more information on 0845 230 4110 or email [email protected].

Question :

Last week my mum had what she was told was Botox.

She has since found out it was a product called “Fabtox” (which I have never heard of): a bespoke product made up of Vistabel.

Within minutes her eye was swollen up and had started to go purple, now her cheek is swollen down to her chin. She has been to A&E and her GP who can’t do anything.

She had it done down at a dental/cosmetic studio in Shoreham near Brighton.

Have you ever seen anything like it?

Thanks so much

 

Answer :

It sounds as if the injection has hit one of the blood vessels which surrounds your mother’s eye.

The blood then moves inside the orbit and produces the bruise you see.

This bruising will settle over the next couple of weeks but it might be worthwhile asking her to massage Arnica cream into the bruised area daily.

Let us know how she gets on.

It is really very important that you research carefully into where you are going for your Botox treatments and the products which they use.

We hope that your mother gets better soon!

If she would prefer to enrol as a model with us in future, we can promise that we do not use any “Fabtox” products here and all our delegates are medical professionals, closely supervised by expert Aesthetic Practitioners. She can enrol by calling our team on 0845 230 4110 or find comfort in our other models’ testimonials at http://www.facebook.com/CCModels.

The Cosmetic Courses Team