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Anti-Ageing for Men: What Doses?

In this blog we answer one of your most frequently asked questions, anti-ageing for men.anti ageing for men cosmetic courses

Question :

Dear Cosmetic Courses,

Please can you let me know the recommended doses for administering Botox to men? 

Answer :

Thank you for your email. We generally recommend you add 40% more Botox at each injecting site for men.

This will depend on how heavy you feel their muscles are. If you feel they have more than average muscle bulk, adjust this to 50% and if they are finer featured add 30%.

Unlimited support

Alongside our aesthetic training we also offer unlimited support to our delegates. Our team are always on hand to answer any questions or concerns you may have in regards to aesthetic medicine and your aesthetic business.

Anti-Ageing for men courses

We offer a wide variety of aesthetic medicine courses which cover anti-ageing for men. All of these courses contain theoretical sessions with our expert faculty and treatment practice on live models provided by us. We use a wide mix of models on our courses so you can understand how to treat each patient individually. You can view all of our practical courses here in aesthetic medicine. We also offer an online learning academy which demonstrates popular treatments, you can find out more here. 

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What units of Azzalure are Equivalent to Botox (in areas other than the Glabellar?)

Question :

Dear Cosmetic Courses,

I have just seen your video on youtube about reconstituting Azzalure and it was very helpful.

I understand the units are not the same as Botox.

Could you point me in the right direction to find what is equivalent?

I have looked at all the Azzalure literature and it looks to me that they are only promoting it for the glabellar area and therefore have only given units for that area.

I am assuming that it is fine for other areas too and wondered if you could give me any guidelines on dosage/units for other areas.

Can you also tell me where you are based.

My initial training was with another leading company. I do a lot of post graduate dental courses and feel I would have preferred a training course that was a bit more professionally presented rather than just a money making machine.

 

 

Answer :

Thanks for your question.

Azzalure,  like Vistabel,  is only licensed for use in the glabellar area.

It is, however, given in other areas – the forehead and crows feet –  like Botox and Vistabel.

I tend to make up a syringe of Azzalure with 1ml of bacteriostatic saline and use like Botox.

Azzalure comes in 125 unit vials which is roughy equivalent to 50 units of Botox or Vistabel.

I hope this helps.

Please feel free to contact us again on 0845 230 4110 if we can be of any further help. We are based at the National Cosmetic Training Centre in Princes Risborough, Buckinghamshire.

 

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Train in Hyperhidrosis and Make a Difference!

Going into business with Botulinum Toxin does not have to be all about banishing wrinkles and filling-in frown lines.

To the contrary, a number of techniques with Botox (particularly the Advanced Level procedures) allow sophisticated re-sculpting such as the Cheek and Jowl Lift or Platysmal Band treatment.  Others offer greatly increased standards of living to patients in terms of improved confidence and well-being: these are far more than “aesthetic” procedures and there is no finer example than Hyperhidrosis Treatment.

Hyperhidrosis is just a fancy name for excessive sweating. In about 1.0% of the population (according to The Hyperhidrosis Support Group) the sympathetic nervous system works at an overly high level. This means that, instead of simply regulating body temperature, Hyperhidrosis sufferers sweat profusely from certain body parts, often at inappropriate times, causing extreme embarrassment.

The most common areas for patients to experience Hyperhidrosis are:

  • The palms of the hands (Palmer Hyperhidrosis)
  • Soles of the feet (Planter Hyperhidrosis)
  • The armpits (Axillary Hyperhidrosis)
  • Also: the face, head, groin and back.

So Where Do You Come In?

Firstly, you need to be confident in diagnosing Hyperhidrosis rather than simply heavy sweating. If you are unsure, you could always suggest that the client sees their GP first and asks for a referral.

Excessive sweating is not always due to Hyperhidrosis: it can be because of illnesses, such as hyperthyroidism, psychiatric disorders, menopause and obesity. It is obviously important to consider these possibilities. According to Dr Prashant Murugkar in Body Language Magazine, there are other characteristics to look out for when making your diagnosis:

  • In Secondary Hyperhidrosis (where the cause of excessive sweating is known) you should expect the patient to also have a Thyroid disorder, Diabetes Mellitus, Menopause or similar which could be responsible.
  • In the more common Primary Hyperhidrosis (where the exact cause remains unknown) things to look for include: patient aged 25 years or over; family history of similar problems; excessive sweating beginning suddenly over the past 6 months; sweating so badly that it is interfering with daily activities;  excessive sweating stops when the patient is asleep.

The Iodine Test is commonly used for diagnosis. Apply 2% iodine solution to both armpits, allow to dry then brush corn-starch powder onto the area. If the light brown colour turns dark purple, this is a positive test for sweat.

Treatment

 

As Dr Murugkar quite rightly recognises, Hyperhidrosis is often underdiagnosed and undertreated. This is despite the fact that 1-2% of the population suffer from the problem and it causes great embarrassment and discomfort. Many Hyperhidrosis sufferers refuse to wear any colours other than black or white to try to hide their sweat patches and hate public situations. The NHS has no specific guidelines for Hyperhidrosis and many GPs are unsure what to advise. This leaves a huge niche in the market for trained medical professionals who can offer a sensitive, professional service to help Hyperhidrosis sufferers.

Apart from Antiperspirants (of which strong roll-on gels and powders like Driclor are an option), the only known successful treatment for Hyperhidrosis is Botulinum Toxin Type A.

You can choose from Botox or Dysport for your Botulinum Toxin Type A. The purified neurotoxin, derived from clostridium botulinum, blocks the over-active release from the sympathetic nerve fibres triggering the ecrine sweat glands.

Using a very fine needle, small amounts of Botulinum Toxin solution are injected into 10 to 15 places about 1cm apart and spread evenly in each armpit. Sometimes a dye is used to show up the areas where sweating is greatest and where the injections should be placed. A course of treatment takes about 30 minutes.

Within 1-2 weeks, most patients have benefit from Hyperhidrosis Treatment with Botulinum Toxin, which usually lasts 6-18 months.

Hyperhidrosis Treatment is well worth training in. It is simple to administer if you are a trained medical practitioner. Moreover, as Dr Murugkar neatly summarises,in terms of benefits of training in this Technique, ‘Relief from the misery of Hyperhidrosis tends to be a very rewarding achievement and creates satisfied patients for the practitioner’.

Happy patients; Happy practitioners…..Happy Hyperhydrosis Training!

Cosmetic Courses offer expert fully supervised Hyperhidrosis Training to medical professionals as part of our Advanced Level Course. We can also offer Advice and Support in setting up your business using this Technique. Call us today on 0845 230 4110

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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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