Can hyaluronic acid dermal filler migrate from the injection site?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; Can hyaluronic acid dermal filler migrate from the injection site?

Transcript:

Migration of dermal filler is not common but it’s not impossible. A lot of this will depend on injection technique and being very aware of the facial anatomy, making sure that you’ve chosen the right product for the right area and when you’re doing your treatment, just being very aware of where that product is heading. For instance if you’re injecting into the cheek area and you’re injecting up towards the eye orbit then we would always recommend that you place a finger just within the eye orbit so that you can protect that area and you’ll be able to feel if any product is heading in that direction. It’s not common for this to happen because dermal filler doesn’t really move from one area to another but there can be possibilities where it has migrated a little bit and this could be down to a number of things; it could be the patient after the treatment has manipulated the product, it can be sometimes where you’re applying more product into an area that already has some product and a little bit can be pushed into another area. If this does happen and you find that you have got product where you don’t actually want it to be and it’s causing a problem then there is a possible solution where we use a substance called Hyaluronidase which will dissolve the dermal filler; this is something that you wouldn’t want to rush into so generally to avoid migration of a product you must just make sure that your injection technique is safe, your product is appropriate to the area that you are working on and that you give your patient very clear instructions after the treatment what they should and shouldn’t do.

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Which areas can be treated with Botox for excessive sweating?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; Which areas can be treated with Botox for excessive sweating?

Transcript:

Botox can be used to treat excessive sweating really in any area you do have to be mindful of the product license, it is only licensed for axillary hyperhidrosis, so excessive sweating under the arms but it can be used on other areas of the body, most commonly under arms, excessive sweating in hands, it can be used on the feet, although feet and hands are quite painful, it is possible to do nerve blocks in both of these areas but I would say for feet especially, it’s probably worth going to a specialist practitioner who can maybe do the nerve blocks as well. When you’re treating hands they generally advise that you treat for the first time the non dominant hand first just to check the outcome of the treatment because it is possible to lose some sensory perception because of the Botox, in the fingertips specifically, but it is actually a very good treatment for hand sweating.

The other areas that you can use it for is forehead or hairline sweating, what you need to be careful there is that you are not also affecting the actual muscles of facial expression while you’re treating. When you’re doing it for excessive sweating purposes you will be using slightly different dilutions and you’ll be placing it in slightly different areas a little bit more superficially than you would if you were actually treating the muscles. Prior to excessive sweating treatment you can carry out what we call an iodine test, so you paint the area with iodine, you cover that area with cornflower and this will show up the areas that are the most full of sweat glands and these areas will go black and that will give you an idea of where you need to do your injections. It’s a very good treatment for excessive sweating and usually actually lasts much longer than for cosmetic purposes so for axillary hyperhidrosis you would expect the results to last for at least six months and often up to a year.

If you have any further questions or if you are interested in training in Botox and Dermal Fillers please don’t hesitate to contact our team on 01844 390 110  or send us an email.

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Which resources and support networks are available to me as an aesthetic practitioner?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; which resources and support networks are available to me as an aesthetic practitioner?

Transcript:

Working as an aesthetic medical practitioner can be quite an isolated career so it’s very important that you make use of various other resources, so it’s very important that you keep up to date with what is going on so attending conferences of which there are a number throughout the year, which bring together lots of specialists and products and treatment so it’s very important to go along to these things. There are various journals that you can subscribe to that will keep you up to date with what’s going on in the world of aesthetics, because if you are a sole trader you know you’re working on your own in your clinic, it can feel quite isolating and it can be hard sometimes not knowing where your support network will be. If you’ve been used to working in a hospital in the NHS you know that you’ve got a whole multi-disciplinary team around you, so when you go into aesthetics, that can change. As an aesthetic practitioner it is very important to keep up with what’s going on in the world of aesthetics, so nurses, doctors, dentists can join their individual groups so you have the British Association of Cosmetic Nurses, you have the British College of Aesthetic Medicine for the Doctors, and you have the British Association of Cosmetic Dentists for the Dentists. If you join the relevant group for your profession you’ll find that you can keep up to date with what’s going on within the aesthetic industry. As an aesthetic practitioner, it will also be worth looking at some of the independent registers that are available, where you can actually join the register and the idea of these is that before we have any mandatory registration, the public can actually approach these companies and find practitioners in their area, who have been checked, made sure that they have the right qualifications, their premises have been checked so the public can feel safe in going to these particular recommended practitioners.As an independent practitioner, it is really essential that you keep up to date with what is going on in the aesthetic medicine world and this is where you will find the support to keep your practice running.

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Can I treat a patient over the age of 65 with Botulinum Toxin?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; Can I treat a patient over the age of 65 with Botulinum Toxin?

Transcript:

Botox is licensed to 65 but of course you can use it off label. The decision to treat somebody of an age of 65 is really more of a clinical choice. You also need to look at your patient and decide whether there is a clinical need and what the ethicacy of the treatment may be. If it is somebody who has been having treatment for a number of years up to the age of 65 then they will be used to having the treatment and you’ll know what the results are. If it’s somebody coming into you for the first time at 65 then you will need to look at the skin quality, the depth of their lines and wrinkles, the amount of volume loss that they have and you may or may  not have to be very realistic about the possible outcomes of the treatment. However there is no actual rule that says you can’t treat somebody of that age but you just need to be mindful of the license of the product and the requirements of the patient and be very realistic about the clinical outcome.

 

If you have any further questions or if you are interested in training in Botox and Dermal Fillers please don’t hesitate to contact our team on 01844 390 110  or send us an email.

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How can I expand my aesthetic experience following my Botox and Dermal Filler training?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; How can I expand my experience following aesthetic Botox and dermal filler training?

Transcript:

Once you’ve done your foundation injectable training, obviously you’re going to want to grow your business. Now realistically this can be quite a slow process because many practitioners have found that advertising as a rule can be useful but not always. Most of your business growth will come from word of mouth recommendations. The other thing that you need to work on is expanding your portfolio of treatments because the more treatments that you have to offer then the more customers you’re going to get coming through your doors. Once you have them coming through for one thing, perhaps they come for a skin peel you can then encourage them into the Botox and fillers. So you’re going to continually do your training, you’re learning more treatments, you’re going to practice more procedures and your business will organically grow from there. But it does take a little bit of time and effort and so I think you have to be realistic that it’s not going to happen overnight.

If you would like any further information on how to set up your aesthetic practice, how to find your patients or would like some further clinical mentoring through our bespoke 121 training then please contact our course co-ordinators who will be more than happy to discuss your requirements.

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Do I need to aspirate before injecting dermal fillers?

In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; Do I need to aspirate before injecting dermal fillers?

Transcript

In recent years, the advice has changed and we are now advised to aspirate on every injection of dermal filler. Some years ago we didn’t aspirate and I think because the incidents of problems have grown and more people are having dermal fillers done, more people are doing dermal fillers, so inevitably we are going to start seeing more problems. To reduce these problems we are now being advised to aspirate with our dermal fillers on every injection. This has to be appropriate to where you’re injecting the product that you’re using, there are some products that you can’t aspirate, but generally we would advise it because this will lessen your risk of vascular occlusion, because when you aspirate you’ll be able to see whether you’re on or near a blood vessel and you’ll see whether it’s safe to aspirate.

When you aspirate your syringe during your dermal filler treatment this doesn’t completely eliminate the risk of a possible vascular occlusion, but you still need to be mindful of the other safety techniques that you have, but the current guidelines for aspirating will help to eliminate more complications.

If you have any further questions on whether you need to aspirate before injecting, or you are interested in training in Dermal Fillers, please contact us. 

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Cannula Masterclass with Mr Adrian Richards – ACE 2014

Cannula Masterclass with Mr Adrian Richards. Watch our Clinical Director Mr Adrian Richards at last years ACE conference performing a non-surgical facelift using The Aurora Cannula Technique.

Transcript

I’m a Plastic Surgeon and I’m being helped today by Melanie and Ruth, who are our nurses. So I’m the Clinical Director of Aurora Clinics and Cosmetic Courses. Aurora Clinics is a plastic surgical and non-surgical company and Cosmetic Courses is an aesthetic training company.

4 Factors of Facial Ageing

1. Skin Quality

2. Active Lines – which are caused by muscle activity

3. Gravity Changes – generally treated with surgery

4. Volume Changes – restoring volume.

Just to recap, you all know the anatomy but these are the areas that we are going to be treating in our demonstration: Nasolabial folds, Marionette lines, Oral Commissures,  Peri oral lines and Vermillion border.

What I’m going to be showing you this afternoon is a technique where we just use one entry site with a cannula. So the idea is that I’m going to be entering here (lip corner) and filling up the lips from there and there (points to each corner).

Begins Injecting

So I’m just really  feeling where I’m going and I’m just trying to put it in different levels. Can you see I’m right in the lip there. With fillers, always keep the needle moving because you don’t want to occlude so it’s like with anything; always try and inject on the way out. I think most of the issues you get with dermal fillers is if they’re placed too superficially.

Take Home Points

Let’s create something that looks beautiful and is natural and age-appropriate. Remember it’s your name on their faces. We don’t want to create a ‘duck’ look, we want to keep people guessing and create really lovely lips and faces and I think if you’re not using cannulas, start using them today.

If you are interested in training in dermal fillers with Mr Adrian Richards and his team contact us today for further information.

 

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Adrian Richards Meets Ron Myers: Part 6 – Hard Selling

Here we have part 6 of the interview between Adrian Richards and Ron Myers where they discuss hard selling in the cosmetic surgical and non-surgical industry.

Transcript

Adrian: So Ron I’m aware and I’ve talked to some surgeons who work with some of the larger companies specialising in breast augmentation in the UK and they advertise by a low price for breast augmentation but the surgeon is actually told they need to upsell to a more expensive implant which adds £1000 to the price of the operation. I believe this is quite a classic selling technique used in lots of industries from time shares to other areas which is: get people in at a low price but then sell them the extras.

Ron: And you know these are the other areas that we’ll look back on in the call for evidence as well and looking at both the consultation process where I think a lot of people from this report anyway recommended a 2 stage written consent process for cosmetic surgery and some people also wanted that reflected in the non-surgical side of things as well.

Adrian: Could you enlarge a little about the 2 stage process Ron?

They didn’t really go into any detail, I mean I think the key thing obviously with this is to look at giving people a cooling off period between you coming in and agreeing to have a procedure and then actually going ahead with the procedure.

Adrian: I’ve heard a lot of stories from patients who have come to see me and have visited other clinics and they vary quite a lot. Some of the patients have actually gone in, not seen the surgeon, seen a sales representative and been encouraged to leave a deposit at that stage. Pay a deposit without even seeing the surgeon.

Ron: No and the other area that was discussed as well was maybe banning free consults and saying that free consultations shouldn’t be a part of being able to buy cosmetic surgery procedures and you know clearly the more commercial companies will look at reducing barriers for individuals who are looking at buying this both in terms of accessibility to more information and advice and also to things like financing options and helping people to afford the procedure and clearly if you’ve got this and you’ve got non-refundable deposits being an area that shouldn’t be involved in our market for cosmetic surgery. Financing could be a difficult problem there and so that’s another area of debate and I know some plastic surgeons do not like financing in anyway shape or form and there are other people that take a middle ground and say well there are some people that cannot afford this at this point in time but need it for whatever reason and we would like to be able to facilitate that through a financing process.

Adrian: So any offer you know: ‘book today’, ‘money off’ any of those sort of time limited offers are something that I believe the report does discourage?

Ron: Well this is it. And I think there is a clear debate between looking at the commercialities of running a business and looking at what consumers want and then what is best for the consumer in terms of looking at how grown up are they in order to be able to make this decision and whether or not the offers or discounts is a major consideration in terms of them having a procedure and is the main reason not whether they take into account the quality, which of course is really hard to tell about the individual provider and the individual practitioner who’s actually performing the procedure. All very difficult things to pin down.

Adrian: So watch this space I think guys.

Previous episodes in the series include:

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

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]

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Adrian Richards Meets Ron Myers: Part 5 – Counterfeit Toxins part 2

This is part 5 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 2.

Previous episodes in the series include:

Also in the series you can see:

Part 1 – The Keogh Report

Part 2 – Dermal Filler Regulations

Part 3 – PIP Implants

Part 4 – Counterfeit Toxins part 1

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]

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Adrian Richards Meets Ron Myers: Part 3 – PIP Implants

This is part 3 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 PIP Implants.

Previous episodes in the series include:

Part 1 – The Keogh Report

Part 2 – Dermal Filler Regulations

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]

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