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05/Jun/2020

Trust. Everything about the aesthetic decision-making process hinges on this one word. We may know we want to look younger, fresher, less tired, but.. than what? We need to find someone we know will take care of us and listen to what we tell them. Trust – in a procedure, a practitioner, or a clinic, and above all in ourselves – is crucial because it demystifies an exciting but often complicated industry.

As the filler chosen by millions of people around the world, Juvederm is one of these widely trusted skin solutions. as a Hyaluronic Acid (HA) filler – HA being a naturally occurring sugar in the human body – it can reduce signs of ageing and improve overall skin quality by adding moisture back where it is needed. Juvederm delivers lifting, smoothing and plumping with just one treatment, to create the lasting, natural-looking results that everyone wants.

If you’ve been wondering about facial fillers such as Juvederm, the next step is a conversation with an expert medical aesthetics practitioner:

  1. UNDERSTAND THE PROCEDURE BEING CONSIDERED
    Know what look you want to achieve. Less tired? More youthful? More relaxed? Read about the procedures from reputable sources. The Juvederm range can contour cheeks for more definition, refresh the eye area , redefine the chin and jawline, add volume to the lips – all with a natural look and feel.
  2. FIND A QUALIFIED, TRAINED MEDICAL PRACTITONER
    Read trusted reviews about that practitioner and clinic – Save Face and RealSelf are both reliable sources based on the first-hand feedback of real patients.
  3. UNDERSTAND WHAT MAKES A GOOD CONSULTATION
    A consultation shouldn’t be rushed, and should include a verbal and physical assessment. Take along a list of questions, and don’t feel shy about asking them. Ensure you’re happy with all the answers before going ahead with any treatment. Find out what follow-up support is provided post-treatment, such as Juvederm’s aftercare. Remember: a consultation is about you deciding whether facial treatments is right for you.
  4. BE CONFIDENT IN SPEAKING YOUR MIND
    Don’t be afraid to ask questions and seek clarification for peace of mind. Seek a second opinion if you need to. Ask what product your practitioner is recommending so you can research it, and ask your consultant if your request is realistic. As Allergan say, its all about trust.
  5. CHEAPER IS NOT ALWAYS BETTER
    There are many non-medical clinics offering medical aesthetics procedures, and price is only one of the multitude of factors involved in choosing which to go for. your choice should be based on a practitioner and a clinic you trust – yes, that world again. it really does matter.

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05/Jun/2020

BotoxImage copyrightSCIENCE PHOTO LIBRARY

Beauticians have been banned from joining a new register designed to make getting injected with fillers safer.

The voluntary register was opened by the Joint Council for Cosmetic Practitioners in April to everyone trained to a high standard.

But now it will include only those with medical training, after doctors and nurses threatened to boycott it.

The joint council said two beauticians had applied to be listed, alongside 20 clinicians with a further 105 pending.

However, the register will continue to list beauticians for other treatments, such as laser and chemical peels.

David Sines, who chairs the joint council, told BBC Radio 4’s You and Yours programme there was no way of checking whether beauticians had been adequately trained to inject fillers.

“We have found there are no training organisations or programmes in place in the UK to enable beauticians to qualify to the level we require.”

“We are arguing for statutory regulation.

“We cannot enforce these standards without that.”

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A Department of Health and Social Care official said: “The government takes the regulation of cosmetic procedures very seriously and we are currently exploring options to strengthen regulation.”

The register was backed by the actress Lesley Ash, who was ridiculed in the press for her “trout pout” after her lips were injected with industrial fillers.

She said: “I think it’s a fantastic thing that is happening now with the register. And I think a lot of it had to do with the publicity I got.

“Women having their lips filled were saying, ‘I don’t want to look like Lesley Ash.'”

Sue Ibrahim, from the British Association of Aesthetic Nurses, Doctors and Dentists, said the inclusion of beauticians for filler treatments had put the public at risk.


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05/Jun/2020

It’s true what they say; with age comes wisdom, maturity and a heightened desire to go under the knife and fix our appearance!

A study conducted by SunLife Big 50 revealed that 6 out of 10 people are enjoying life more than ever before since hitting the landmark age. However, being on the ‘wrong side of 50’ can sometimes spur aspirations to stay young and keep the number of wrinkles appearing at bay.

With growing attention surrounding social media and the pressures to look like those ‘perfect’ ‘un-edited’ celebs, it’s no surprise that the wiser generation are popping up more frequently in cosmetic clinics with an ambition to re-gain the lifted face they once had.

According to a study, a quarter of a million Brits admit to having opted for a nip, tuck, face lift or other procedure once hitting the big five-O. The surgeries they are undertaking have said to deduct four years physically but also ten years off their mental age.

The notions behind the surgeries, according to some of the clients, are that the procedures give them the body that matches their mind, looking as young as they feel which ultimately gives them confidence and the ability to no longer worry about what other people think of them.

Whilst those who undergo the cosmetic alterations say the surgeries have produced nothing but positivity in their lives; there is mounting concerns as to whether ‘growing older with grace’ still exists. It all boils down to should we be embracing aging rather than stopping it?

Managing client’s expectations. As a practitioner it is your job to make sure your customers do not come out of the surgery unhappy with the results; to do this they must be aware of what these results will be before they get on the table. Having a patient over the age of 50 believe that when they walk out of surgery they will look exactly like they did 30 years prior is incredibly unrealistic and automatically puts you at risk of a claim when the results are different to what they pictured.

You must make sure the customer has a realistic and reasonable idea of the outcome before the procedure is underway. Emphasis on the fact surgery will not turn the clock back 20 years but enhance already existing features is vital for handling their anticipations.

Ultimately you have to limit any potential risk of a claim. If you believe your client has impossible expectations you need to know when to say no. You can put yourself in danger if you carry out a surgery where you are aware the results will not match the client’s expectations.

If you need help on how to refuse surgery, take a look at our guide ‘How to say ‘No’ to Patients’.


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05/Jun/2020

Celebrities are sabotaging one of lifestyle magazines’ traditional scoops by openly admitting to procedures they’ve undergone. The big names of Hollywood, music and reality TV are, it seems, less concerned than ever before about saving face by denying they’ve had work done.

Actors, musicians and others who inhabit the celebrity sphere are taking the guesswork out of “have they haven’t they” features, which are normally accompanied by a before and after photo, by explaining what they’ve had done, why, and in some cases, by whom.

Kylie Jenner has become the poster-girl for lip fillers by not only citing the specific treatment used for her lip fillers (Juvéderm), but the clinician (Dr Ourian in Beverly Hills). Meanwhile, her sister Khloe Kardashian is not only happy to divulge her use of non-invasive fat banishing treatment CoolSculpting, but even documented it on her familial reality TV show, Keeping Up with The Kardashians.

As treatments and procedures have changed, so has the rhetoric. In the past, celebrities could truthfully say they had not “gone under the knife” – thanks in large part to the approval of botulinum toxin for cosmetic use in 2002 which meant that radical surgery was no longer necessary to achieve a youthful appearance.

Paradoxically, now that cosmetic enhancements are generally far more subtle and less invasive, celebrities are de-stigmatising aesthetic enhancement and not holding back when asked what was, for many decades, a question they dreaded.

Just ask Jamie Lee Curtis.

“I’ve done it all,” she confessed. “I’ve had a little plastic surgery. I’ve had a little lipo. I’ve had a little Botox.”

Curtis’ reasons for her no-holds-barred disclosures are part of a bigger picture in which she describes addictions to painkillers and surgery.

For every cosmetic procedure, celebrity or otherwise, there’s a motivation behind it, whether it’s a desire to cover over the imprint of 10 years worth of grief, as with singer Linda Nolan, or simply a wish to enhance a specific feature or reduce the signs of ageing. Noticeably, celebrity openness about the procedures they have undergone is increasingly accompanied by an outpouring of the reasons why.

However, while the reasons may not have changed significantly over the years, the acknowledgement by celebrities that they have undergone cosmetic procedures is a more recent phenomenon.

Rapper Iggy Azalea is no stranger to more drastic enhancements, having undergone rhinoplasty and breast enhancements, and has no interest in pretending otherwise. “I’m not denying it,” she says. “Denying it is lame.”

Meanwhile, some practitioners have raised concerns over normalising cosmetic procedures. One such surgeon is Anthony Youn, who has noticed more and more young patients requesting enhancements.

He has warned that there are just as many psychological ramifications as physical risks around having work done, “With plastic surgery, the fact is you don’t always look better. Sometimes you just look different — and that can be traumatic for certain people.” While celebrity openness about undergoing cosmetic procedures may be a positive shift in some respects, it could also be contributing to these concerns about normalising such procedures, particularly for younger patients who are perhaps more likely to be influenced by celebrity culture.

Despite the fears expressed by Youn and unlike celebrities who’ve been cajoled into “confessing” because changes are so noticeable, others, such as Azalea, are wholly unapologetic about her decision to undergo surgery.

“There was nothing wrong with me. I think it’s a personal choice and anybody, man or woman, should be able to make an informed decision. If you want to change something, then that’s up to you.”


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05/Jun/2020

Our recent infographic on What’s big in the cosmetic industry highlights the increasing trend for dimpleplasty, a quick and minimally invasive surgery that has tripled in popularity in recent years. Although dimples are actually a genetic medical deformity, they are in many cultures considered a sign of beauty, good luck and prosperity. In the western world, the continued popularity of dimpled celebrities has undoubtedly fuelled this trend, with Cheryl Tweedy possibly taking the dimple queen crown but closely followed by the likes of Katy Perry, Beyonce, Harry Styles and Ariana Grande to name a few.

But what does dimpleplasty entail? A muscle inside the cheek, known as the buccinator, is naturally indented in individuals who have dimples. The appearance of dimples can be formed by creating a defect in that muscle to surgically create dimples. The surgery only takes about 30 minutes and can be performed under local anaesthesia. Unlike some more invasive procedures, the patient should only experience minimal swelling afterwards and no noticeable stitches or a need for bandages.

Requests for dimpleplasty may have increased in part due to the ease of the procedure, the relative affordability and the lack of downtime afterwards. But surgeons have also noted the popularity of selfie photos and the impact of celebrities on this trend.

So, who is doing it? The key demographic seeking this procedure is women of the millennial generation, between around 22 and 30 years of age. Often heavily influenced by celebrities, women in this demographic are also keen to appear forever young and dimples have long been associated with youth. In some cases, patients like the idea of dimples because they work well with the overall proportions of the face. But in many cases, the rise in demand for dimples will simply be that dimples happen to be ‘in’.

Whilst dimpleplasty surgery is certainly less invasive than some other cosmetic interventions, it does nonetheless carry risks that could result in deformities that would be very difficult to correct. Thorough training and a clear understanding of the end result that the patient is seeking are essential, otherwise dimples could turn out to be overly dramatic, unnatural or in the wrong place, resulting in a dissatisfied patient and a potentially expensive insurance claim against you.


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05/Jun/2020

Cellulite affects up to 85% of adult women and can be extremely difficult to correct. Many treatments are ineffective or take multiple sessions to complete with very temporary results. “Orange peel skin” or “cottage cheese” affects all body shapes and sizes, from the slim to the full-figured.

It is common to confuse the concept of cellulite with that of normal fat and assume that cellulite is a direct response to overeating or lack of exercise. However, this is not the case. Normal fat and cellulite respond very differently to diet and/or exercise. When you diet, your body automatically burns its own reserves of stored fat. But cellulite is fat that is trapped in the dermal layer of skin and the body cannot effectively process it as fuel, so it remains.

Given the perplexing nature of cellulite, how can it be treated? Fortunately, there are a number of options available. Topical creams contain retinol or caffeine that can increase blood flow to the affected area, thus temporarily reducing the appearance of cellulite. Rollers (like Endermologie) can similarly reduce swelling and inflammation in the affected tissues and temporarily reduce the appearance of cellulite. Radiofrequency devices (e.g., BTL Vanquish, Thermi) can reduce the connective tissue in the affected area and increase blood flow to reduce the appearance of cellulite. However, each of these approaches is limited by the fact that the results are reversible and may only last weeks, days, or even hours. Similarly, they can only address relatively minor areas.

For more significant dimpling and for permanent results, patients require more intensive treatment. Liposuction and/or fat grafting can improve the appearance of cellulite in properly-selected patients. But for the best results, techniques that are specifically designed to treat cellulite are most often the best. Laser therapy (e.g., Cellulaze, CelluSmooth) works by placing a small laser probe under the skin through small stab incisions. The laser then specifically melts that fat and cuts through the fibrous bands that cause skin dimpling. These treatments require a single session and show immediate results. However, they do cause significant bruising and swelling, and can require touch-ups yearly.

Cellfina is the development for the treatment of cellulite. The treatment targets the fibrous bands which are the source of the dimpling in cellulite. It is most effective for the treatment of deep dimples and depressions of the buttocks and back of the thighs. It is less effective in the treatment of generalized waviness. To perform the procedure, a vacuum hand piece is placed over the dimpled tissue through which the surgeon will deliver a local anesthetic. Then a small, needle-like microblade is inserted to release the fibrous bands causing the cellulite. Investigational studies for Cellfina show a patient satisfaction rate of 85% at 3 months, 94% at one year and 96% at 2 years. This is a very exciting solution for the many women who suffer from the embarrassment of cellulite.

As always, it is essential that patients have an in-person consultation to develop a treatment plan that specifically addresses their personal surgical goals anatomy. I recommend that patients find a board-certified plastic surgeon with whom they are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your plastic surgeon and review before and after pictures of similar patients whom have had this procedure.


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05/Jun/2020

Which is better for your goals?

A healthy diet and consistent exercise are commonly touted as the fail-safe formula for achieving a slim and toned physique. While diet and exercise are indeed essential to health and wellness, many people discover that despite a strict diet and consistent exercise, certain areas of their body are resistant to change. For individuals unable to achieve their aesthetic goals by conventional means, a suitable surgical or nonsurgical fat reduction procedure may offer auspicious resolve. While liposuction remains the gold-standard surgical treatment for excess subcutaneous fat, nonsurgical treatment options, such as cryolipolysis (aka CoolSculpting), continue to gain popularity among patients seeking less invasive measures. While both liposuction and CoolSculpting have proven to be effective in reducing adipose tissue and improving body contour, these two cosmetic procedures are, in fact, very different.

Liposuction

Liposuction is one of the most commonly performed surgical procedures in aesthetic plastic surgery. According to ASPS Statistics, liposuction was the second most popular cosmetic surgical procedure in 2016, with over 235,000 procedures performed in the United States, alone. Liposuction is a surgical approach to removing excess subcutaneous fat and improving body contour. During a liposuction procedure, a plastic surgeon makes one or more very small incisions in targeted areas of excess fat. A long, narrow suction tool called a cannula is inserted though the incision(s) and functions to remove fat from the targeted treatment area. Depending on the number of body areas treated and the amount of fat removed, liposuction may be performed under general anesthesia, local anesthesia, or under sedation. Liposuction effectively treats a wide range of body regions and is commonly performed for fat reduction in the abdomen, waist, back, hips, buttocks, thighs, knees, upper arms, chin and neck.

CoolSculpting

From 2015 to 2016, nonsurgical fat reduction procedures increased by nearly 6%. CoolSculpting is a noninvasive, FDA cleared device that uses cryolipolysis technology to reduce localized subcutaneous fat. The device uses a vacuum applicator to deliver controlled cooling at the surface of the skin. By exposing fat cells to a critically low temperature, the CoolSculpting device induces crystallization and subsequent cell death in targeted fat cells. CoolSculpting is currently indicated for use in the submental region (“double chin” area), thighs, abdomen and flanks.

Which option is right for me?

When choosing between liposuction and CoolSculpting, the prospective patient should consider a few key questions:

What are your treatment goals?

  • The CoolSculpting device is designed to treat focal pockets of fat. For patients seeking a nonsurgical method to reduce fat in a localized area, such as in the love handles or outer thighs, CoolSculpting may be the appropriate treatment. Patients undergoing a CoolSculpting procedure should expect mild to moderate improvement in the area being treated. It is important to note that multiple treatment sessions may be necessary to achieve the best results. The number of necessary treatment cycles is dependent on the treatment area. Additionally, patient should understand that the results of CoolSculpting are not immediately noticeable. Changes in the treated area may become apparent as early as three weeks after CoolSculpting, and the most dramatic results can be seen one to three months after treatment. Your body will continue to process the injured fat cells from your body for approximately four months after your procedure.
  • For patients looking to treat excess fat over a larger area of the body or for patients desiring a more dramatic change in body contour, liposuction may be the more suitable choice. Liposuction is a more aggressive treatment option and allows for more fat to be removed during a single session. Further, liposuction can be performed in conjunction other surgical procedures, namely autologous fat transfer, for patients that desire more extensive body contouring. The fat that is extracted during liposuction can be reinjected into areas of the body where more volume is desired, commonly the breasts, buttocks and face. As opposed to CoolSculpting, an overall reduction in fullness and improved contour is noticeable within days after the procedure.

How long is the recovery period?

  • CoolSculpting is a nonsurgical procedure and, as such, offers patients a quick recovery, minimal associated discomfort and a low risk of complications. Typically, patients can resume normal activities immediately following the procedure. Occasionally, patients will have experience redness, minor bruising, tingling, numbness or discomfort in the treated area. These signs and symptoms can be expected to resolve quickly.
  • Following liposuction surgery, the recovery is relatively quick. Patients can typically return to work and resume most normal activity within a week of surgery. Swelling, bruising and numbness are common after liposuction and will subside over the weeks to months following surgery. It takes several months to one year to see the final results of most surgeries, as the body continues to make adjustments for up to a year after surgery. However, within days after liposuction procedure, you will notice an overall reduction in fullness and improved contour. It is important to note that the recovery is dependent on the amount of fat removed and the number of areas treated.

Are you a good candidate?

  • The ideal candidate for CoolSculpting is in good physical health, exhibits localized fat deposits and minimal skin laxity and has realistic expectations of the procedure. Patients considering CoolSculpting treatment should have expectations of mild to moderate improvement and understand that it is not designed for weight loss.
  • The ideal candidate for liposuction is in good overall health, exhibits excess fat deposits and has realistic expectations about the procedure. Liposuction is best suited for patients with minimal skin laxity as liposuction intervention can exacerbate the appearance of loose skin in the targeted treatment area. Discontinuing the use of any tobacco/nicotine for several weeks before and after a liposuction procedure is essential as tobacco/nicotine use can impair the healing process and increase the risk of complications. During the surgical consultation, you will discuss your aesthetic goals with your surgeon and your surgeon will determine whether liposuction is a good option for you. It is important to note that liposuction is not a substitute for proper diet and exercise and it is not an alternative to weight loss or a treatment for obesity.

Ultimately, the most appropriate treatment option is that which aligns with the aesthetic goals and individual preferences of the patient. Consulting with a knowledgeable board-certified plastic surgeon to discuss your aesthetic objectives is, undoubtedly, the best way determine which procedure is right for you.


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05/Jun/2020

My Lip Filler Experience

I have been having lip fillers for the past 5 years *Shock Shock Horror*. Yes, thats right, before the Kylie Jenner lip obsession began! However, over the past few weeks people over my social media channels seem to have only started to notice since my last procedure. If you scroll through my YouTube or Instagram you will find the odd photo/video here and there of me with a larger pout but theres not many and none of my viewers noticed back then. The reason why there won’t be many photos/videos of myself with juicy lips despite having them done over the past 5 years is because the product never lasts very long on me. We’ve decided it could be that I have a fast metabolism so break down the product really fast or perhaps I didn’t use enough product for the desired result.
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^ A couple of days after my first lip filler experience in 2010, I loved how they looked but they were still swollen. Side note, how orange do I look?! And those brows…urgh!

For years I went to a local clinic and would have 1ml of filler. I tried a product from Restylane, which now doesn’t exist, which lasted the longest out of all the products I had used. However, since that particular filler went off the market I have tried numerous products from Juvederm which only lasted for a very short amount of time, making it not worth the money. I tended to like the look of my lips when they were first done which meant they were still swollen. Therefore, by the time the swelling went down they weren’t much bigger than how they started, which is also a reason they probably didn’t seem to last too long.

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Back in November I visited Dr Sarah Tonks at The Lovely Clinic inside Omniya in Knightsbridge, London. After a warm welcome we discussed the kind of look I wanted. I mentioned that filler doesn’t seem to last as long on me as it usually does on most people. Sarah explained to me how filler works and the different types we could try. Finally we decided to give 2ml of Juverderm Voluma a go as it is a stiffer, more robust product. This filler isn’t usually used in the lips so you must go to a Dr who knows exactly what they are doing when using this product. If you have the same issues as me please don’t just go to anyone if you want to try this product. I then had numbing cream applied. Sarah doesn’t always usually apply numbing cream unless requested by the patient, because the needle was a little bigger with Voluma I definitely wanted to be as numb as possible. The numbing cream she used was amazing and after no more than 10 minutes I was numb. The injections were all around the edge of the lip and the worst area for pain was, and always is, the cupids bow. Even with the numbing cream my eyes still watered a little when the needle went in there. After giving my lips a massage we were finished. I left the clinic feeling satisfied but Sarah mentioned that she would like to see me in a couple of weeks to check everything was perfect. Once the numbing cream wore off my lips started to ache but were fine by the next day. My lips gradually got more swollen as the evening went on and by the next day they were even more swollen but this wasn’t cause for concern at all. After a few days the swelling started to go down but it took a little longer than usual because of the product we used.

A couple of weeks past and I headed back to London for my check up. This time Sarah noticed a little bit of asymmetry , I didn’t notice but she’s the expert. My lips are naturally wonky so I want this corrected when having fillers but this is hard to get 100% correct at first because of the swelling so its always good to re-evaluate once the swelling has gone. She decided she wanted to inject a little bit of Juvederm Volift which would help feather in the Voluma making the lips softer. I know it seems like I have had a lot of product , almost 3ml, but I am so happy with the results. Hopefully going the extra mile and using a stiffer product will make the filler last longer.

Juvederm Voluma lasts up to 18 months and Volift lasts up to 14 months but doesn’t tend to last as long in the lips. However, once you have had filler you get new collagen formation in that area making the product semi-permanent rather than temporary – although this never seems to be the case for me.

I’ve had such a mixed reaction over my social media platforms about my lips from ‘your lips look perfect’ to ‘no need to change your lips’ – but we’re all different. If I want to do something to myself and it doesn’t harm me or anyone else I don’t see what is bad about it. Sometimes I think people forget that I am a human and I do read all of my comments. After 5 years of having my lips done I just love how they look but it doesn’t mean I’m not comfortable in my own skin when the filler wears off. Do what makes you happy! Cosmetic procedures can make such a positive difference to someones life but you have to be 100% sure you want something done for the right reasons. Always do your research and make sure you find an amazing Dr to carry out the procedure.

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^Top-bottom; Before, straight away first appointment & straight after second appointment

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