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Learn advanced facial rejuvenation with the Aurora Lift

The Aurora Lift forms the basis of our advanced facial rejuvenation training – both for our team at Aurora Clinics, and our delegates at Cosmetic Courses.

It’s used by our trainers in their own clinics, and to date remains the best method our Clinical Director Adrian Richards has found to achieve natural results from non-surgical treatment.

It gives us a blueprint for treatment, helping us focus on the important areas to achieve the most natural and long-lasting facial rejuvenation.

So what is the Aurora Lift?

The Aurora Lift essentially involves looking at the face as an A-frame (see picture below) and treating it accordingly, using a combination of Botox and facial fillers.

A FrameWith age, facial volume migrates gradually southwards. This changes the shape of the face from the inverted triangle of youth, with its apex facing down, to the traditional triangle of middle age and beyond, with its apex facing up.

Using the A-frame concept, we’re able to focus on distinct treatment areas to effectively counter this ageing triangle inversion.

It involves subdividing the face into areas which lie along the limbs of an extended ‘A’. To achieve the most harmonious facial rejuvenation, we ask our practitioners and delegates to focus on these areas.

 Aurora Lift points for facial rejuvenationThe A-frame Zones for Facial Rejuvenation
  1. Glabella
  2. Cheeks
  3. Nasolabial Folds
  4. Marionette Lines
  5. Pre Jowl Salcus

Glabella

The apex of the A is located over the glabella. This is treated in most cases with our standard 5 point Botulinum toxin pattern. This involves a single sub-cutaneous injection over procerus and 2 into either corrugator.

We find that sub-cutaneous placement is more comfortable for the patient, produces less bruising and trauma and reduces the risk of toxin diffusion into orbit which can result in weakness of the eye muscles.

Cheeks

Working downwards, the next focus areas lie at the ends of the transverse limb of the A-frame – the cheeks.  Where possible, we ask clients to bring in old photos so we can assess their volume changes over time. Our aim is to restore their youthful volume, not add more than they had as this can produce an unnatural appearance.

We restore lost volume with filler within each of the fat compartments of the cheeks. Our preferred method of delivery is with a blunt-ended cannula rather than a needle, as we believe it gives us more control whilst minimising trauma.

Nasolabial Folds and Marionette Lines

Our next focus areas, along the limbs of the A-frame, are the nasolabial folds and marionette lines. Again our preference is a cannula, as there is only one point of entry and less trauma as a result.

Care must be taken not to add too much volume here, as excess volume in the lower face can age rather than rejuvenate.

Most patients treated with the Aurora Lift will also have toxin treatment to the depressor anguli oris muscle to upturn the mouth and reduce the amount of dermal filler needed.

Pre Jowl Sulcus

Finally, the base of the A-frame lies below the jowls. Again, our preference here is to use a moderate dose of toxin in this region to reduce the downward pull of the platysma on the jowls.

Find out more

At Cosmetic Courses, we teach the Aurora Lift at our bespoke advanced training sessions. Attend one of these hands-on training days and you’ll learn the principles of the A-frame approach, and how best to apply them to achieve harmonious pan facial rejuvenation for your clients.

For more information or to book a place on our advanced course, please contact the team on 01844 318317 or email [email protected].

 

 

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Project Dynamite set to explode dermal fillers industry?

We know we’ve missed a trick. By rights we should have written about PRP Therapy (a.k.a ‘Vampire Facelift’) last week, being Halloween and all.

But we’re not going to make the same mistake twice, and miss another opportunity to integrate our blog with something topical.

So this week, with the sound of fireworks ringing in our ears, we’ve decided it’s a good time to talk about Allergen’s new initiative to change the public perception of dermal fillers. It’s Project Dynamite.

About Project Dynamite

Industry leader Allergan recently decided to explore the public’s attitude to dermal fillers. Broadly, the goal was to understand people’s motivations for seeking filler treatment, as well as the reservations they might have about fillers.

They conducted extensive research, speaking to 2,000 women of all ages to gauge their opinions about dermal fillers. The findings have now been circulated, and Allergan are convinced they will revolutionise the marketing efforts of clinics and practitioners when it comes to fillers.

Here are the 3 most significant findings of their research, and what they could mean for you:

1. When women refer to filler treatment, the majority use “facial fillers” rather than “dermal fillers”

This is an interesting one, and the implications are simple. As medical professionals, we may be more inclined to refer to “dermal fillers”. But it’s important to speak the same language as your patients. When referring to the treatment on your website, brochure and any promotional materials, it is probably better to refer to the treatment as facial fillers if you don’t already. This will make your website more easily found, and your communications more relatable.

2. There’s a stigma attached to having fillers, mainly for two reasons – people are worried about them looking unnatural, and they don’t fully understand the treatment

It seems that many people need access to much more information about fillers. This represents a great opportunity for you. Fact sheets, Q&As, FAQs, videos, before and after photos, case studies, testimonials – all of these will mark you out as a great information resource. People are hungry for information on filler treatment, so use your website and social media channels to give them plenty of useful information and assuage their fears.

3. Women today feel more positive about ageing, and ageing well is more important than looking young 

Of the women Allergan spoke to, only 20% said they wanted to look five years younger. However, 41% said they wanted to look fresher and more radiant. This should be reflected in your marketing messages. Focusing more on the idea of fillers helping women look good for their age rather than looking younger will resonate more with your potential patients, and reflect the way they feel about themselves.

Cosmetic Courses are one of the UK’s most established training providers for medical professionals looking to enter the aesthetic industry. For more information on our dermal filler training, please contact us on 01844 390110 or email [email protected].

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Concern expressed over failure to implement Keogh recommendations

BAAPS President Rajiv Grover has spoken out over his concern that recommendations made to government months ago are not being implemented – a view that is echoed by much of the aesthetic medical industry.

In April of this year the final Keogh Review report was published and presented to government. In it, recommendations were made that the administration of non-invasive cosmetic procedures such as Botox and fillers should be carried out by qualified medical practitioners alone. At the time the review found the current deregulation of dermal fillers a “crisis waiting to happen.”

Now, six months after the recommendations were made, there has still been no action to tighten regulation within the industry which Grover deems to be “shameful”, adding:

“I like to hope that something will improve (however) there have been reviews before and none of them were taken up.”

The British Association of Dermatologists reaffirms his view and has responded in kind to the so-far lack of parliamentary response on the matter. In a statement spokesperson Deborah Mason said:

“When things go wrong with dermal fillers clients do not go back to their beauty therapist but seek help from dermatologists. This may give the false impression that these procedures are safe to those not medically skilled to deal with or understand the risks.

“We would like to see specific training in these procedures for medical and non-medical practitioners.”

The Department of Health has responded to the criticisms in a statement, stating:

“The government agrees with the principles of Sir Bruce Keogh’s recommendations and we are considering the report carefully and will put our detailed response to parliament shortly.”

Cosmetic Courses offers aesthetic training to qualified medical professionals from centres in Buckinghamshire and Manchester. Call us on 01844 390110 for details.

 

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Chinese woman suffers side-effects following unlicensed dermal fillers

A 28-year-old woman from the Gansu Province in China is having to undergo corrective surgery as unlicensed dermal fillers were inserted in to her face 11 years ago.

Xiao Lan, still a teenager at the time, was told by her then-boss that her looks would not be enough to secure her finding a wealthy man as her skin was too thin and papery. As a result Lan chose to have facial fillers to help plump out the appearance of her face, in order to make it what was deemed to be more attractive.

Given that she was not earning a great deal at the time, rather than save up to have the procedure carried out at a reputable clinic, Lan chose to have the procedure done at an unlicensed, cheaper clinic. At the time she was said to be happy and satisfied with the outcome; however, in 2009, changes started to occur.

Her face swelled up and changed slightly in shape, her eyes became droopy and she even suffered from excessive hair loss. At the time doctors attributed this to possible kidney or liver failure, but there was no alternative diagnosis when these were ruled out.

By 2013 things had taken a turn for the worst, when Lan’s face has swollen up and changed beyond all recognition due to the unlicensed dermal fillers. This time doctors were able to pinpoint the problem as the side effect of her earlier fillers, when the substance that was used was uncovered. Although it was banned from the medical cosmetic industry, Lan’s face had been injected with hydrophilic polyacrylamide. Previously this substance had been used in breast implants in China.

Lan is now undergoing corrective surgery to reverse the problem caused by unlicensed dermal fillers. Doctors have warned her that the effects of the illicit substance injected in to her face may be difficult to reverse given that it has been in her skin for such a long time.

Who are Cosmetic Courses?

Cosmetic Courses are the UK’s leading Botox and Dermal Filler training provider for medical professionals, offering over 50 aesthetic courses online and offline. Find out more about our courses here! 

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Facial Fillers

When patients are looking for wrinkle and age spot reduction, they often look at fractional laser resurfacing and other skin invasive skin tightening techniques. Facial fillers, or dermal fillers, can often replace laser and surgical treatments. A variety of facial fillers are now available, and patients should speak with a qualified dermatologist or physician about which is best for them.

Dr. Tahl Humes is the owner and medical director of VITAHL Medical Aesthetics in Denver, Colorado. Dr. Humes, who performes both surgical procedures and facial fillers, says that she prefers Juvederm because her patients have less swelling and bruising than with other varieties. Juvederm is a smooth gel non-animal dermal filler with the highest concentration of hyaluronic acid available. Dr. Humes says that she prefers Juvederm, but uses Restylane on a rare occasion as well.

As the body ages, it’s normal to see a decrease in the volume appearance of the cheeks because of either fat loss in the face or because of reabsorbtion of bone. This often causes a hollow appearance in the cheeks. Dr. Humes prefers Radiesse or Sculptra for this larger area because these products are better for larger areas. Radiesse and Sculptra are both non-hyaluronic acid based fillers used in recontouring the face. To get the most out of facial fillers, patients often combine large area treatments with individual line treatements.

Dr. Humes recommends Sculptra treatments to her patients who want to keep their filler treatments under wraps. Sculptra treatments done over a period of three months offer a more gradual change. As a bonus, Sculptra stimulates natural collagen slowly and helps to keep a more natural look. With this type of treatment, others won’t quickly notice that the patient has had treatments.

With the many options available with fillers, doctors are now able to meet the needs of almost every patient. Facial fillers are a temporary solutions, though. Some may only last six months while others may last as long as two years. Patients interested in facial contouring, resurfacing, or lifting should speak with their doctor about facial fillers to see if this choice is right for them.

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Sculptra Long Lasting

The popularity of facial fillers has been growing exponentially in recent times. To combat wrinkles and loss of facial fat, patients turn to facial filler injections that have little to no recovery time. Sculptra is touted by aesthetic patients and physicians as being the “longest lasting facial filler”.

Sculptra is a dermal facial filler that can be injected directly into the skin of the face to rejuvenate the skin, that leaves it looking younger and healthier. Poly-L-lactic acid (PLLA) was approved by the FDA in 2004 and is the main component in Sculptra. This component is a synthetic biodegradable polymer that has been proven to be safe and effective in surgeries for 20 years.

Sculptra was approved by the FDA in 2009, and is considered to be a biostimulator, unlike other types of facial fillers. Sculptra not only stimulates the skin tissue, but rebuilds it when it starts to degrade. Other facial fillers plump up the tissue temporarily using an absorbent filler material. The PLLA activates an immune response when Sculptra is injected in the facial skin that causes the white blood cells to gradually absorb the PLLA particles. This particular process leads to collagen and fibrosis buildup at the site where Sculptra has been injected. This formation of new collagen is a slow acting process, therefore it may take up to four to six weeks to notice visible results.

The slow process of forming new collagen is what causes Sculptra to have longer lasting effects than other fillers. Other types of fillers cause temporary but immediate results, that plump up the skin to eliminate wrinkles. Eventually the effects dissipate and the injections have to be redone. Sculptra, on the other hand, is considered to be a “tissue volumizer” that fortifies areas of the face where the skin has lost fat.

Patients that use Sculptra see varying results with the product, however results can be expected to last from one to two years. There have even been instances where the results have lasted for up to three years. The long lasting effects of Sculptra is due to the safe absorbency of the poly-L-lactic acid formula, the ability to stimulate skin tissues that have degraded, and the gradual buildup of fresh collagen around weak tissues.

After getting a Sculptra injection, the patient should take extra care of their skin, by avoiding the sun as much as possible, and keeping the skin clean and well moisturized.

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Simple Cosmetic Treatments Increase in Popularity Among Men

As dermatological technology advances, simple cosmetic treatments such as facial fillers and Botox are no longer primarily targeted for women. Men are increasingly taking advantage of cosmetic enhancements as well, to help fight signs of age and to increase professional marketability. Men looking for an affordable alternative to invasive cosmetic surgery are turning to facial fillers, Botox, and other non-invasive cosmetic treatments in lieu of opting for costly traditional cosmetic surgery.

Non surgical treatments such as facial fillers and Botox, compared to going under the knife via face lifts and other invasive cosmetic procedures, are affordable, quick, and require minimal recovery time. However, non surgical treatments offer very similar results to surgery, by filling out the temple area, smoothing wrinkles, and eliminating sun spots from an aging face. Even nose jobs can be achieved with non surgical cosmetic treatments, by using an injectable wrinkle filler to straighten noses and smooth bumps.

Results from non surgical cosmetic treatments are instantaneous, making these cosmetic options increasingly attractive to men as well as women. In particular, the popularity of skin peels has exceeded that of facelifts among British women.

A struggling global economy has seen job seekers looking for innovative ways to increase their odds of landing a job. The job market is brutal, and competition for jobs is fierce. A younger and more energetic appearance may help job candidates look more desirable in the eyes of a hiring manager.

The global recession may have had some impact on the increasing popularity of non surgical cosmetic procedures for other reasons, as well. The simple explanation is that the procedures are much less costly than traditional cosmetic surgery. This may explain the increased popularity of skin peels among women. Also, due to the decreased recovery time, patients find they are able to return to work right away. Patients without paid leave are more likely to invest in cosmetic treatments when they are not required to miss work in order to do so.

For these reasons, non invasive cosmetic treatments have increased by five per cent in the last year. The bottom line is that non surgical cosmetic treatments offer many of the same results that traditional cosmetic surgery offered, at a fraction of the cost and recovery. With such easy ways to enhance the appearance of an aging face, it’s no wonder that these treatments have increased in popularity among men and women alike.

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