Clinical Director of Cosmetic Courses Adrian Richards answers your question “can you inject just the forehead with Botox?”…

A question we’re often asked is can you treat the frontalis muscle on its own. Without the others areas which are the glabella and the obicularis oculi. Generally we advise against this because of the slightly heavy brow caused. Although, you can just treat the glabella and the crows feet area by themselves.

On our courses we go further into pros and cons of each areas and how you may vary your treatment to get the best results for your patients.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

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This video FAQ answers the question “how often can you inject a patient with Botox and why?” with Clinical Director of Cosmetic Courses, Mr Adrian Richards…

After your first treatment when should you give the next treatment?

This is really important because there is a window in which we advise you not to treat the patients in. After you have done your injections the patient should have noticed a change in the muscle activity within a week.

A maximum of two weeks is recommended as the logical time to see your patient for a review. Then there is a slot after that two week period where we encourage you not to inject. There have been some reports of people developing antibodies and resistance to Botulinum Toxin through over injecting.

We generally recommend from the first injection you should leave treatment for 14 weeks. So after their two week review an added 12 weeks until you can perform this injection again on that patient.  Also explain this to your patients so they know why you are not injecting so close each time. Botulinum toxin is an ongoing treatment and needs to be performed regularly.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

This video FAQ sees Clinical Director of Cosmetic Courses Adrian Richards explore the question “what are the contradictions of Botulinum Toxin treatment?”…

Botulinum Toxin is a very safe and effective drug used to combat aging through wrinkles and fine lines. As with all treatments there will be some patients who cannot be treated. This can be from a variety of reasons and here we outline some cases where you would not be able to administer Botulinum Toxin injections:

  • Those who are pregnant, it is not licensed in this area to treat a pregnant woman
  • Those who are breast feeding. For the same reason as above, this is not a licensed practice
  • Anyone with active infection
  • Those with an autoimmune disease

We go into this further within our courses, if you work abiding by our recommended guidelines we can assure there will be no problems in your practice of Botulinum Toxin when it comes to treating the wrong patient.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

This video FAQ Clinical Director of Cosmetic Courses Adrian Richards looks at your question “what are the differences between the varieties of Botulinum Toxin”…

The three market leaders of Botulinum Toxin, Allergan, Galderma and Merz all hold slight differences. From units, storage and formulas. These difference should be extensively looked at by yourselves when choosing which brand you want to use. There are many good botulinum toxin brands out there but you may find one works better for you than the other, this can be down to personal preference or the accessibility of product in the resources you have such as storage.

Below is an example of the leading Botulinum Toxins in the industry and differences they hold against each other:

ALLERGAN

  • Botox (50 units per vial), 1ml dilution and 50 unit/ml concentration
  • Botox (100 units per vial), 2ml dilution and 50 units/ml concentration

Galderma

  • Azzalure (125 units per vial), 0.63ml dilution and 125 units/ml concentration
  • Dysport (500 units per vial), 4ml dilution and 125 units/ml concentration

Merz

  • Bocouture (50 units per vial), 1ml dilution and 50 units/ml concentration
  • Xeomin (100 units per vial), 2ml dilution and 50 units/ml

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

In this Video FAQ Clinical Director of Cosmetic Courses Adrian Richards answers “what are the different types of Botulinum Toxin?”…

Botulinum Toxin has three main manufacturers available in the United Kingdom. These are the different pharmaceutical companies which make their own type of Botulinum Toxin.:

  1. Allergan
  2. Galderma
  3. Merz

Allergan make “Botox”. The name that a lot of patients and practitioners use. The word can be used as slang for the treatment when in fact they are not using Allergans brand but another Botulinum Toxin.

Galderma make two types of Toxin: “Azzalure” and “Dysport” it’s really important to realise that the units of Galderma products Azzalure, Dysport are not the same as the Allergan units.

The third Manufacturer is Merz. They have two products:“Bocouture” and “Xeomin”.

Many patients who think they have or they say they have Botox treatment are in fact being treated with one of these other types of toxin.

Each of the three companies have produced amazing Botulinum Toxins. Although, practitioners need to be aware of the differences throughout and should not treat them all the same. Something we discuss in depth within our courses.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

In this Video FAQ  Adrian Richards, Clinical Director of Cosmetic Courses answers “what is Botulinum Toxin & how does it work?”…

What is Botox?

There are lots of different brands of injectables which contain Botulinum Toxin. Many use the phrase Botox when discussing this but in fact “Botox” is just one brand created by Allergan. It is important as a practitioner to know what brand you are using and follow their marketing guidelines. Using the term Botox when in fact you are using another brand is false advertising.

Essentially Botulinum Toxin is a Toxin released by a bacteria. The same bacteria present in some foods and water. When you get an infection this toxin is released by the bacteria within the body. This causes the muscle to weaken. Using this example, Botulinum Toxin is the purified toxin from the clostridium bacteria.

The injection blocks signals to the nerves, this causes the muscles to relax. Wrinkles and fine lines are caused by overactive movements in the area by the muscles. As our face is the most active part of our body, we see wrinkles form here the most. Botulinum Toxin relaxes the muscles causing wrinkles, thus helping to prevent the appearance of fine lines and wrinkles.

 

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

In this Video FAQ, Clinical Director of Cosmetic Courses Adrian Richards looks into the question “what are the key characteristics of facial ageing?”…

Subconsciously you are looking at faces and deciding on what age that person looks. For any particular age the patient could be younger or older so there’s a difference between chronological age and your physiological age.

  • Chronological age is the age you actually are
  • Physiological age is the age your body is

There are different aspects of facial aging which we look at to determine somebodies age:

  1. Active lines
  2. Volume loss
  3. Skin quality

Active lines are generally treated by weakening the over active muscle. For example, someone who has got strong frown lines caused by muscle activity should be treated by reducing the muscle activity with botulinum toxin injections. This will relieve tension in that area and prevent the lines forming.

A main source of aging comes from gravity changes. Something which will effect us all over time. As we age our soft tissue becomes slightly less adherent to the underlying skeleton. Essentially there are surgical and non-surgical ways with fillers and toxins to reduce the gravity changes. These can be classified as preventative treatments.

It’s important to be able to analysis the face, something we discuss in depth on our courses. This makes it easier to asses your patients and overall providing a better treatment.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

 

In this video FAQ, Adrian Richards, Clinical Director of Cosmetic Courses looks into the question “how do you securely store patient notes and photographs?”…

This is incredibly important and should be treated the same way as other medical treatments and services. You are treating medical conditions with prescription only drugs, so you need to take note of every procedure your perform and the exact drug and dosages used. Patient notes are also vital in understanding your patient’s medical and treatment history.

There are two ways in which you can store notes:

  1. Paper- this allows all notes to be filed away at clinic. Practitioners and clinic staff can add to the files with updates of the patient history and treatments when they need to. Using paper can sometimes be time consuming especially when you have a large client base, resulting in searching through lots of files.
  2. Online- a system that we use at all of our clinics. This is a quick and effective way to access and amend notes. As it is online it also means you can log in and check wherever you are. It also means that more than one person can log on and amend notes, making it easier for communication within the practice. You will need to find a secure and trusted system, something we can help you with at Cosmetic Courses.

However you decide to take your notes it is important that you do so. You need to keep a log of what you are doing and what the patient is having. Aesthetic treatments should be treated the same as any other medical procedure.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

In this video FAQ, Adrian Richards, Clinical Director of Cosmetic Courses answers the question “how to correctly take before and after photos of your patient”…

First things first, the most important thing is that you take a pre-treatment photo of your patient. There is only one chance to get this before the treatment begins. You need to make sure this is clear and precise and something both yourself and the patient can refer back to as changes are made.

Here are some key elements of getting the perfect photos:

  1. Same lighting- it’s important you have good lighting in your photos. Having a specific light used in each photo can make sure they all look consistent. If the picture is too dark, you will not be able to fully appreciate changes over time. If the picture is too light it can be over exposed, hiding any ageing. You need to be honest with your photos, so you need a natural photo with no editing.
  2. Same camera-make sure to use the same camera in all of your before and after photos. Cameras are set up individually and  will take their own style of shot. If you keep changing between cameras the photos will look different from each other and can make for an untidy album.
  3. Same distance- it may be worth marking out on the floor where your patient should stand and where the camera shot should be taken from. If you are too far away on the before and too close on the after it could show a difference that you are not after as you will be focusing more on the face than before. We recommend standing further away, new cameras are good at picking up more from a distance. Also it is much less invasive for the patient!

The main thing you need to remember is consistency. Your picture angles, lighting and distances need to be the same so you can really see what’s different between each one. This will also show your work off better when you’re marketing your treatments.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.

 

As part of our Video FAQ series, this video sees Clinical Director of Cosmetic Courses, Adrian Richards answer “how do I take payments from my patients?”…

It is always an awkward situation asking for money from your patients. This is particularly true when your background is in the medical industry because you have never had to deal with taking payments from your patients before. The truth is, you have to do it, or you won’t get paid!

There are many options you could look into for your practice in terms of payment methods:

Receptionists

We have receptionists in each of our clinics who deal with our payments. They are informed of treatment prices and are aware of any deposits taken. We make sure our receptionists are trained to follow the same quality of customer service so the patient always feels at ease.

Card Machine

Having a card machine is important to your practice as we find the majority of patients pay by this method. The downfall of this are the costs associated with setting up a card machine and any bank transaction fees you may incur. Despite this, it is still the preferred option as you will inevitably put patients off if they can only pay in cash.

Online Payment Portals

There are other methods available, such as online payment portals. These are quick and can be administered patient or practitioner end. However, you need to find a reliable programme that works for your clinic.

Your main aim is to provide an effective and reliable way to get the payments and also keep up a high level of customer service.

Aesthetic Training at Cosmetic Courses

At Cosmetic Courses we pride ourselves on the support we provide you once you have completed your aesthetic training.

Our experience in medical aesthetics has taught us that is can be very daunting setting yourself up as an aesthetic practitioner. Therefore we do as much as we can to support you with both clinical and business advice.

Aesthetics is a journey. It requires determination and dedication but is an extremely rewarding career path. For more information on our aesthetic training courses or to speak to our friendly team about your training options please feel free to contact us.