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volume 4 Number 1 autumn edition 2011 Official journal of ACCREDITED FOR 1 ETHICS CPD POINT PER ISSUE* laser MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice

MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

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Page 1: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

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DECISION MAKING

when expanding your practice

Page 2: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·
Page 3: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Volume 4 Number 1 Autumn Edition 2011 1

The industry focuses on improving patient compliance and researching new formulations as the FDA fi nal

sunscreen monograph remains in limbo. By Linda W. Lewis

EDITORSnote

The South African Aesthetic Medicine Industry: there is still more to come…

The aesthetic medical industry in Southern Africa has grown

tremendously over the past 5 years. The amount of new

practitioners and specialists entering this fi eld is very exciting.

A number of factors have contributed to the establishment

and growth of this industry. These include the increasing

number of companies entering the market, increasing

numbers of scientifi c papers and new development research

locally, annual congresses and growing societies, and then

also the alluring factor to practices under stress of medical aid

debt.

This is just the start of the growth. Compared to growth

statistics in other countries worldwide, we are just at the foot

of the mountain. So there is more to come.

With this growth comes more responsibilities, more regulatory

problems and a higher need for professional training. It is vital

that practitioners are involved and cooperative with societies,

regulatory bodies, indemnity cover companies, further

education and other authorities to ensure that these barriers

will not dampen the growth of individual practices. The good

news is that there are numerous discussions and meetings

taking place this year to address ethical and regulatory

factors unique to aesthetic practices. Until these factors are

resolved, practitioners and specialists should adhere to the

current regulatory and ethical guidelines set down by the

HPCSA to encourage a healthy cooperative relationship with

all authorities. This will also ensure that this industry earns

respect and support in its rapid growth.

After all, this rapid growth of aesthetic medicine and ‘new

hope’ has kept many doubtful practitioners in our country!

On a very positive note, both physicians and companies

are looking forward to South Africa hosting the 19th World

Congress of Aesthetic Medicine in 2013. This can only but

further boost the growth of South Africa’s aesthetic medical

industry. The interest from all over the world in this event

has been overwhelming. So mark your calendars for 14-16

February 2013 in Cape Town!

We hope that this issue of MedEsthetics, and also future

issues, will guide you to new adventures, and give insights

into business, ethics and scientifi c aspects of this industry to

ensure that you are up to date with the fast pace of evolution

in aesthetic medicine.

I hope you enjoy reading the informative articles, features and

new launches in this issue!

Riekie SmitMedEsthetics Southern Africa Editor

President Aesthetic & Anti-aging Medicine Society of South Africa

Med Esthetics Southern Africa Editor: Dr Riekie Smit

Page 4: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

Volume 4 Number 1 Autumn Edition 2011

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entering the age ofEHR

DECISION MAKING

when expanding your practice

CONTENTS

PUBLISHER

Reni Rouncilvell

MedSpec Publishing

PO Box 12973

Clubview · 0014

South Africa

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DISCLAIMER

This publication contains selected items originally

published under license from Creative Age Publications

in the USA. This work is subject to copyright. All rights

are reserved, whether the whole or part of the material is

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Product liability: the publishers cannot guarantee the

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individual case, the user must check such information by

consulting the relevant literature.

page

ARTICLES

Entering the age of EHR 6

The Finishing Touch 12

Laser Must-haves 18

Decision Making 30

Emerging from the Storm 38

LEGAL ISSUE 23

Consumer Protection Act

AESTHETICS CALENDAR 26

BEST PRACTICES 32

INTRODUCTIONS 34

PRODUCT REVIEWS 37

NEWS & EVENTS 52

Page 5: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Volume 4 Number 1 Autumn Edition 2011 3

The AMCSA 2011 attracts numerous specialty doctors

annually to learn more and get updated on the latest

developments, research, devices and techniques in the fi eld

of Aesthetic & Anti-aging Medicine. The congress starts on

Thursday afternoon 2 June 2011 with company workshops,

practical demonstrations and exhibitions. Friday 3 June and

Saturday 4 June features 3 parallel auditoriums with scientifi c

presentations on various topics ranging from Botulinum

Toxin therapy, dermal fi llers, chemical peels, lasers and

light treatments, slimming, anti-aging medicine, hormonal

aging, skin rejuvenation, pigmentation, wound healing

and scars management. These will take place in the form of

presentations as well as live demonstrations to demonstrate

new techniques and revise existing techniques.The exhibition

area is open from 2 - 4 June and features over 40 company

exhibits. The leading companies in this industry showcases

new devices, products, research and trends. It is an ideal

business interaction environment. Precongress workshops

takes place form 1 - 2 June 2011 and includes Level 1 Botulinum

Toxin and Dermal Filler training, Expert training, Weight Loss

Clinic Training workshop, Vein Treatments workshop and an

Advanced Chemical Peel Workshop. This year, the Gala Dinner

will take place on Friday 3 June with fabulous entertainment,

socializing, good food and wine. After last year’s success, no

one wants to miss out on this action. The AMCSA organizing

committee welcomes you to this year’s congress!

Aesthetic Medicine Congress of South Africa 2 - 4 June 2011, CSIR ICC, Pretoria

For more information: www.aestheticcongress.co.za or [email protected]

Page 6: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

COSMO PEEL

SPOT PEEL

MASK PEEL

Page 7: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·
Page 8: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Southern Africa6

Entering the age of

EHR

The task of converting your practice to EHR is not enviable, but the move to a nationwide electronic

records system is inevitable.

By Jeff rey Benabio, MD

My grandfather went blind from diabetes. His physicians didn’t

tell him he had diabetes until it was too late. My grandmother

died of a heart attack. She had high blood pressure for which

her physicians recommended she “relax more.” Medical

diagnosis and treatment has clearly changed for the better in

the last few decades. Physician practices, however, have not.

Physicians today have less autonomy, less respect and less

control than in decades past. Added to this is the mounting

pressure to move to electronic health records (EHR). The

change will happen only under duress for many practices,

but it need not be for yours. We may suff er under draconian

regulations and miserly health insurers

for the foreseeable future, but we needn’t

suff er from an offi ce mired in 1970s technology

or Medicare penalties.

Imagine instead an offi ce where all your charts are at your

fi ngertips, where your patients’ eyes widen when they see

you scroll through their records on an iPad, where lab work is

automatically entered and shared with the patient and alerts

you only when it needs your attention. Imagine that instead

of selecting an EHR system only when penalties start to occur,

Page 9: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Volume 4 Number 1 Autumn Edition 2011 7

ENTERING THE AGE OF EHR

you convert to an electronic system early and reap signifi cant

incentives.

There are advantages to adopting an EHR system sooner

rather than later. What follows is a road map outlining

some of the risks and rewards for that change

to help you understand the process, the

regulations and the available resources.

Risks and Rewards

Selecting and implementing an EHR for

your practice will entail a tremendous amount

of work. Like remodeling your kitchen, every

step is diffi cult: planning, selecting the right tools,

tearing up your current system, asking everyone to bear

with you while you rebuild and having more than one

moment when you wonder if it was all worth it. It will be.

One of the advantages of adopting EHR early is that the

incentives will help off set the costs of your new system. If you

start in 2011, you could collect up to $44,000 in incentives

over fi ve years under Medicare,

or up to $63,750 over six years

through Medicaid. If, however, you

wait fi ve or more years, it could

cost you up to 3% of your Medicare

reimbursements. There is never a

good time to convert your practice

to EHR, just as there is never a good

time to remodel your kitchen. But

there is a bad time to do so, and that is in 2015 or later, which

will be here sooner than you’d like.

The Centers for Medicare and Medicaid Services will pay up

to 75% of your Medicare charges for the year to a maximum

of $44,000 as an incentive to covert your records to EHR. The

actual amount you’ll receive depends on the year you adopt

as shown in Table 1 (left). Medicaid

has similar incentives up to

a maximum of $63,750.

For the Medicaid

incentive, at

least 30% of your patients must

be covered by Medicaid. You can

collect from either Medicare or

Medicaid, but not both.

The incentives are not designed

to be a down payment to purchase

a system. They are intended to

encourage you to change to EHR and to help defray the cost

of your transition. In changing to an EHR, the disruption to

your practice will be substantial. You will have to reduce

the number of patients you see and spend precious time

and energy ensuring that your

staff are trained and effi cient

in the system’s operation. Your

patients will appreciate neither

the added delay in getting an

appointment nor having to

sit in your waiting room while

you work out the kinks in your

system. They will appreciate you

providing them with their own

personal health records, the

ability to make appointments

with you online and the

opportunity to interact with you

by email or secure messaging.

They certainly will tell their

family and friends about how

their doctor is on the cutting

edge of medicine and uses

electronic records to protect

them from errors and keep them

safe.

Table 1: Medicare’s Sliding Incentive Scale for Qualifi ed EHR Use

Adopt

2011

Adopt

2012

Adopt

2013

Adopt

2014

Adopt

2015

Adopt

2016

Adopt

2017

Payment

2011$18,000 — — — — — —

Payment

2012$12,000 $18,000 — — — — —

Payment

2013$8,000 $12,000 $15,000 — — — —

Payment

2014$4,000 $8,000 $12,000 $12,000 — — —

Payment

2015$2,000 $4,000 $8,000 $8,000 -1% -1% -1%

Payment

2016$0 $2,000 $4,000 $4,000 $0 -2% -2%

Payment

2017$0 $0 $0 $0 $0 $0 -3%

The incentives are not designed to be

a down payment to purchase a system.

They are intended…to help defray the cost

of your transition.

Page 10: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Southern Africa8

Other potential benefi ts of EHR include:

• Instant access to chart and health information

• Ability to document lesions with photos mapped to specifi c anatomical

sites

• Embedded before-and-after photos for procedures

• Improved communication with referring physicians

• Increased revenue from better documentation for evaluation and

management (E&M) coding

Planning the Change

The fi rst step in changing to an EHR is to assess where your practice is on the

readiness spectrum. Some offi ces are replete with technology-savvy staff

nimble enough to implement an EHR with minimal diffi culty. Other practices

are fi rmly entrenched in a pen-and-paper model: staff might have little or no

experience with computers, and buy-in from all of your offi ce stakeholders

might be a monumental task. The beginning should be the hardest part. Involve

people—including offi ce managers and staff —early to overcome resistance.

This will allow for a streamlined process later during implementation.

Once you assess your practice readiness, set measurable goals. A goal for

a slow-adopting offi ce might be to start with e-prescribing and phase into

a total electronic system over months or even years. A fast-adopting offi ce

might set a goal to transition entirely to an electronic system in one defi ned

period—essentially tearing down what you have, then rebuilding effi ciently

and eff ectively. Offi ce managers as well as nursing and support staff should be

involved early and completely and have some sense of control over their role

in the transition. Even a fast-adopting offi ce should expect the transition to

take three to six months.

Navigating the Change

Once you have decided to convert your practice to EHR, you will not have any

diffi culty sleeping. That’s because the reading you’ll need to do to understand

EHRs and federal rules and regulations governing EHR incentives will to put

you to sleep for a year. (The Center for Medicare and Medicaid’s fi nal rule on

EHR incentives alone is 275 pages.) You’ll need to study two key areas: the

types of EHRs that are available and the requirements you must meet to be

eligible for the fi nancial incentives.

Imagine EHR as purchasing a vehicle. You could purchase any make, model,

year or type; however, your business’s success depends on your choosing the

right one. Moreover, you have to choose the vehicle by committee, and the car

salesmen will nag you by repeatedly coming to your offi ce. Choosing under

such conditions will be a nearly impossible task. Fortunately, there are things

you can do to improve the selection process.

Designate one person as the primary contact person for EHR vendors and

have her narrow the selection for the other stakeholders. It’s much easier

to choose from three or four EHRs than it is to choose from 30. Use all the

resources at your disposal to limit your search. Discuss diff erent EHRs with

other practices. Look for products that are recommended by your specialty’s

society. See if your hospital or medical group is off ering incentives or can assist

ENTERING THE AGE OF EHR

Table 2: Stage 1 Core meaningful use

Objectives

(must complete all 15)

Record patient demographics

Record vital signs and chart changes

Maintain up-to-date problem list of

active diagnoses

Maintain active medication list

Maintain active allergy list

Record smoking status for patients

Provide patients with clinical summa-

ries for offi ce visits

Provide patients with an electronic

copy of their health information

Generate and transmit prescriptions

electronically

Computer order entry for medications

Implement drug-drug and drug-allergy

interaction checks

Choose system with capability to

electronically exchange key clinical

information

Implement systems to protect patient

privacy and secure data

Conduct a security risk analysis and

implement security update

Report clinical quality measures to

Centers for Medicare and Medicaid

Services (CMS)

A goal for a slow-adopting practice might be

to start with e-prescribing and phase into a

total electronic system.

you with certain preferred products. Use

the Certifi cation Commission for Health

Information Technology (CCHIT, cchit.

org), a nonprofi t organization that is

the recognized certifi cation body of the

United States government. Selecting

a vendor from its list will signifi cantly

increase the likelihood that you will be

eligible for bonus incentives.

Although federal rewards for adopting

an EHR are substantial, the burden to

prove that you are using your system in

an approved fashion is also substantial.

In order to receive any incentive pay,

you must demonstrate that your EHR is

certifi ed (see above) and that you are

using it in a meaningful way. The latter is

known as “meaningful use.”

Meaningful use requirements are

specifi c and time sensitive. Your practice

must meet all 15 of Stage 1 requirements

(see Table 2 on page 20) and fi ve of 10

Page 11: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

Results from doctors currently using the NovaShape in South Africa

DR JJF VAN SCHOOR - SECUNDA “Since we got the Ellipse I²PL and NovaShape, our aesthetic practice soared, most definitely our best acquisition made”

PATIENT 1Waist Was 94cm Now 87cm Lost 7 cmHips Were 103cm Now 99cm Lost 4 cmLegs Were 62 & 61cm Now 60 & 59cm Lost 4 cm

PATIENT 2Waist Was 88cm Now 81cm Lost 7cmHips Were 111cm Now 108cm Lost 3 cmButtock Were 114cm Now 113cm Lost 1 cmLegs Were 65 & 64cm Now 64 & 63 cm Lost 2 cmArms Were 33 & 34 cm Now 32 & 33 cm Lost 2 cm

DR R SMIT - PRETORIA

“The NovaShape treatment is a gentle & highly effective treatment method eliminates fat cells both over large areas and selectively as needed. Helping you to loose 3-6 cm in that area. It is a non-invasive treatment that permanently destroy fat cells by using resonant ultrasound”

DR J VAN DER MERWE - JOHANNESBURG“We have had our NovaContour for the past three months and have done 45 patients. We are planning an active marketing campaign during March to create an awareness of our wonderful machine to the broader public. Most of the 45 patients are our existing patients but we have had a number of queries from outside our patient database. The results so far are very satisfying. Most patients say they can already feel the difference when they put their clothes on after treatment. With this system we have excellent results and client satisfaction which is very important for any practice.”

The NovaContour has broadened my practice options and will definitely increase in the future. I would recommend any practice to acquire this system for the upgrade of your practice and treatment options”.

REDUCED FROM SIZE 38 TO SIZE 32

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MedEsthetics Southern Africa10

Table 3: Stage 2 Elective meaningful use Objectives (must complete fi ve of 10)

Implement drug formulary checks

Incorporate laboratory test results into EHRs

Generate lists of patients sorted by specifi c conditions

Send reminders to patients for follow-up or prevention care

Give patients electronic access to their health information

Use EHR technology to identify patient-specifi c education resources

Perform medication reconciliation among care settings

Provide a summary of care record for patients

Submit electronic immunization data to immunization registries

Submit electronic syndromic surveillance data to public health agencies

Stage 2 requirements (see Table 3 on this page) for you

to receive bonus monies. In Stage 2 you can select the

fi ve of 10 that best fi t your practice.

The meaningful use criteria are organized into fi ve

categories:

1. To improve the quality, safety and effi ciency of

care while reducing disparities. This includes using

computerized physician order entry and e-prescribing.

2. To engage patients and families in their care. This

includes providing patients with a clinical summary

of their visits and an electronic copy of their health

information (such as online access or downloaded to

a USB drive).

3. To promote public and population health. For

example, sharing information about reportable

diseases, such as syphilis.

4. To improve care coordination. An example would be

sharing key clinical information with a separate EHR

that can accept the data.

5. To promote the privacy and security of EHRs. This

includes performing security tests and updating

security to address vulnerable areas.

In order to comply, your EHR will have to be a complete

EHR: that is, it will have to include all the capabilities to

e-prescribe, communicate with other EHR systems and

record the necessary data for you to prove meaningful

use. EHR modules such as e-prescribing or electronic

charts may be step-wise products you employ, but they

are insuffi cient alone to qualify you for incentive monies.

Regarding meaningful use, Stage 1 objectives need

to be met right away, whereas you’ll have until 2013 to

comply with Stage 2 objectives. Additional stages will be

added after 2015. For now, you need only to attest that

you have met all 15 of the Stage 1 objectives. Specifi c

measures that you need to attest for each objective can

be found on the Health and Human Services website

(hhs.gov). Eventually, you will have to electronically

submit measures to demonstrate meaningful use. It is

ENTERING THE AGE OF EHR

important that you select an EHR that has the capability to collect,

store and transmit the necessary data that Medicare will require.

Not all systems are so equipped.

Don’t Go It Alone

There are ample resources to aid you in changing to EHR. The Offi ce

of the National Coordinator of Health Information Technology has

comprehensive guides and documents at http://healthit.hhs.gov.

The American Academy of Dermatology also has extensive help

on its web portal under the Health Information Technology section

at http://www.aad.org/pm/hit/ including dEHRm, a step-by-step

guide to choosing, implementing and successfully adopting EHR.

You can also fi nd helpful information and resources at the American

Medical Association’s website (ama-assn.org) in the section on

Health Information Technologies.

Changing your practice to EHR may be the largest undertaking

you ever make for your practice. Some physicians would rather

“close shop” than convert, and so they will. But for those of us who

have no intention to retire soon, the change to EHR is inevitable.

Taking control of the process early will allow you to make the most

of the transition and will lead to

signifi cant advantages for you and

your practice.

For more information contact

Mark Lainchbury

e-clinic [email protected]

Jeff rey Benabio, MD, FAAD, is a board-certifi ed

dermatologist with Kaiser Permanente;

founder of the thedermblog.com; and skincare

expert at Livestrong.com. He is also the author

of numerous scientifi c articles and abstracts.

Contact him at [email protected].

Page 13: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

www.dannemking.com

DMK has the paramedical answer to cellulite, call 011 262 6120

Cellulite: like it or lump it...The DMK Body Forming Pack can sculpt, tighten and tone your body ready for summer.The eight week* DMK body sculpting program is designed to increase lymphatic drainage, blood circulation and visibly decrease the appearance of cellulite.

Most women have it – no one likes it.

Page 14: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Southern Africa12

theFINISHING touch

Makeup artists and high-quality cosmetics complement skin rejuvenation procedures and treatments for chronic

dermatologic concerns. By Linda W. Lewis

Dermatologists and plastic surgeons generally are not trained

in buying and using makeup, yet cosmetics are integral to

their practices. Whether employed to put the fi nal touches

on skin rejuvenation procedures or to off er

camoufl age for postprocedure bruising and

chronic skin concerns, professionally

applied cosmetics can boost patient

satisfaction rates. “We study skin

condition, which includes

texture and tone, but I fi nd

it helpful to work with

someone who knows

the intricacies of

color and shading,

as well as the

properties

of diff erent types of makeup,” says Jason Joel Emer, MD,

resident, department of dermatology, Mt. Sinai School of

Medicine in New York City.

“Having a trained esthetician on staff to show patients how to

hide temporary blemishes or minimize untreatable problems

helps me meet patient expectations,” says Mossi Salibian,

MD, FACS, of Aesthetic Plastic Surgery/Reconstructive

Microsurgery, Los Angeles.

“Some people have temporary conditions that they want

to hide, such as post-infl ammatory hyperpigmentation from

acne or a transient patch of vitiligo. Others have permanent

lesions that they prefer to conceal, such as melanocytic

birthmarks, vascular birthmarks or vitiligo that has been

unresponsive to medical therapy,” says Victoria H. Barbosa,

MD, MPH, MBA, of Millennium Park Dermatology in Chicago.

All of these skin problems, as well as postprocedure

bruising and swelling, can cause psychological

pain as well as physical

discomfort. “Sometimes

a little makeup can be

the diff erence between

a patient leaving my offi ce

feeling good about herself

rather than self-conscious

and depressed,” says Steven H.

Dayan, MD, FACS, True Skin

Care Center,

Chicago. “I

make sure

all of my

esthet ic ians

are skilled in

applying makeup,

and everyone who

© Is

tock

ph

oto

.co

m

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MedEsthetics Southern Africa14

THE FINISHING TOUCH

© Is

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oto

.co

m

Dr. Steven Dayan offers patients a “touch-up bar” stocked with high-

quality cosmetics where they can reapply makeup before leaving his

practice.

Ph

oto

co

urt

esy

of

Ste

ve

n H

. Da

ya

n, M

D

“Sometimes a little makeup can be the diff erence between a patient leaving my offi ce feeling

good about herself rather than self-conscious and depressed.”

comes in for a procedure is directed to our

Touch-up Bar at the end of her treatment.

“Years ago patients would leave my treatment room

and go into the lavatory to apply makeup. It concerned

me that I didn’t know what they were putting on and what

they might be doing that would cause problems later. Since

we’ve been off ering makeup touch-ups, we’ve had nothing but

positive feedback. I don’t see why other practices don’t off er

the service,” says Dr. Dayan.

When it comes to plastic surgery patients, makeup artists

may provide another important service—emotional support.

“Patients go into surgery expecting to look great when they

come out, but the recovery process often takes weeks or months.

Patients need to talk with someone who can reassure them that

things are proceeding normally, as well as show them how to

cover bruising and scarring so they can look better faster,” says

Marianne Morrison, a makeup artist and owner of Natural Style

Cosmetics, Huntington Station, New York.

Working ArrangementsWorking Arrangements

Business arrangements between medical practices and makeup

artists or estheticians trained in makeup application vary.

“Some practices hire them as full-time or part-time employees.

Others contract with them as consultants. Some practices

have no fi nancial relationship with a makeup artist, but make

referrals to those they know and trust,” says Dr. Barbosa. “The

best arrangement depends on several factors, including the

practice philosophy, budget, volume of patients interested in

the services of a makeup artist and the range of products that

a physician sells.

“A high-volume practice that carries a wide range of color

and corrective cosmetics might hire a makeup artist full time. A

practice with minimal involvement with color cosmetics might

invite a consulting makeup artist to participate in special events

or promotions only a few times a year,” Dr. Barbosa explains.

The location of your practice can also play a role. “Not having

a makeup artist in my New York practice is not a problem

because I can refer patients to lots of outside resources, but I

know a dermatologist in Nebraska who does everything within

his offi ce because there are few outside specialists to rely on,”

says Dr. Emer.

Whether you are hiring a makeup artist or setting up a

referral relationship, you will need to make sure the person’s

skills are topnotch and that she is trained to work as a part of a

medical team.

“A makeup artist defi nitely needs to be versatile,” says Dr.

Emer. “She needs to be able to work with lots of skin types and

have a fl exible repertoire of services that can cover all types of

blemishes from pigmentation problems to bruises and

scars.”

Expertise with color and style is essential, but people

skills are also a must. “We have estheticians trained in

makeup application and cosmetic tattoos. Good skills are

necessary, but their ability to form a bond with patients

is equally important. The trust factor is paramount,” says

Dr. Salibian.

Start with an experienced makeup artist who has a

well-developed eye for color and shading, then require her

to get certifi cation on any service you off er. “Most makeup

artists need to be trained by a medical professional

before they begin off ering services in a medical practice,”

cautions Dr. Emer. “That means dermatologists need to

get some training as well. First the doctor needs to learn

something about the products and then he can help train

the esthetician. An esthetician trained to work in a medical

practice can be an important member of the team.”

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 15

Stocking MakeupStocking Makeup

Although selling products in a medical practice is still

controversial, almost all medical aesthetic practitioners

consider it an important adjunct of patient care.

“At Millennium Park Dermatology, we strive to provide

excellent dermatologic care to our patients fi rst and

foremost,” says Dr. Barbosa. “We focus on products that we

believe are superior in quality to what patients can obtain in

nonmedical, commercial outlets and those that are available

elsewhere but can be diffi cult for our patients to fi nd. Product

suggestions are made based on the trusted relationship we

have with our patients.”

At True Skin Care Center, the emphasis is on camoufl age

makeup. “We carry a variety of cosmetics but mostly mineral

makeup,” notes Dr. Dayan. “We have used many lines over

the years, but DermaMinerals is our choice at present. We

want to make sure that any line we use has a high mineral

content and a high SPF. Clinical testing showing its effi cacy

for specifi c indications certainly helps persuade me. We also

off er eye and lip products, but our largest stock is concealers

and foundations.”

“To serve patients well, an offi ce needs a wide enough

range of products to address specifi c needs, including

shade selection, skin type and degree of coverage needed,”

advises Dr. Barbosa. “It can be helpful to start with a niche

and expand your cosmetic product sales as your business

grows. A practice may start with corrective cosmetics or

with cosmetic products for people with sensitive skin. Then,

once you have a good customer base you can expand your

off erings. It is important to bear in mind that patients will

expect superior quality products from an aesthetic medical

practice, and you should have some sense of the price point

that makes sense for your patient base.”

For practices with a diverse patient base, it is important

that the makeup line work for a wide variety of skin

types and indications. “That’s why we chose Cover

FX—its versatility,” says Dr. Emer. “Patients can

use it for an everyday natural look or

Long-Lasting Makeup

“As the population continues to age, we see more patients

complaining of lost eyebrows and disappearing lip lines.

Others can no longer see well enough to apply makeup.

They want permanent makeup services, and if we don’t

provide them, they will get them elsewhere,” says Greg-

ory Allen, MD, medical director of the Desert Aesthetic &

Lifestyle Institute, Mesa, Arizona. “I fi nd this frightening

because permanent makeup is virtually unregulated. We

off er a safe recourse. This service is especially helpful for

burn victims and patients with alopecia.”

Dr. Allen chose the Nouveau Contour Intelligent System

(nouveaucontourusa.com) to do eyebrows, eyeliner, lip

liner and even scar revision (needling without pigment).

The computerized device controls depth of needle pen-

etration for precision, and the pigments are free of harm-

ful dyes and heavy metals.

“Needles and pigment for a particular procedure come

in sealed packages which can be discarded after use,” says

Nicole Davis, esthetician and laser tech at Desert Aesthet-

ic, “so there’s no risk of cross-contamination.”

“We do a lot of breast enhancement and reconstruc-

tion, and fi nd it useful to have someone trained in mi-

cropigmentation on staff to do nipple tattoos,” says Los

Angeles plastic surgeon Mossi Salibian, MD, FACS. “We are

fortunate to have an RN who is also an esthetician and is

certifi ed in permanent makeup application using Permark

(permark.com) equipment and inks.”

Dr. Allen advises doctors interested in adding perma-

nent makeup to start with an experienced makeup artist

who has a well-developed eye for color and a thorough

understanding of makeup application. “Then make sure

she gets ample training on the system you choose. We

require certifi cation and ask new hires to do test services

on family and friends before working with our patients,”

he adds.

THE FINISHING TOUCH

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MedEsthetics Southern Africa16

challenging for many

patients,” says Dr.

Barbosa. “Ultimately

patients are more

often satisfi ed with

their purchases if they

have had professional

help in choosing the

best products for their

needs.”

“Women don’t

like heavy makeup

that draws unwanted

attention,” says

Morrison. “We work

with them on using

the right moisturizer

and show them how

to cover blemishes

and use eye shadow,

blush and eyeliner to

draw attention away

from problem areas.

For instance, during

recovery there is often

puffi ness. We show

patients how to use

blush as a contour tool

to minimize the fullness.”

“Product is everything,” says Barbara Rutecki, a makeup artist

with Miss American Beauty in Atlantic City, New Jersey. “For

corrective makeup, I swear by Dermablend. It is eff ective, easy to

apply and has a website designed with physicians in mind. If I am

promoting a line, it has to work or my credibility is out the door.”

Promoting CosmeticsPromoting Cosmetics

Certainly, having a good makeup artist as a part of your team helps

with your No. 1 practice-building priority—patient referrals—

but should you include makeup services and products in other

promotions?

“We don’t want to come across as selling cosmetics,” says Dr.

Salibian, whose makeup promotions are low-key, consisting

mostly of handouts to existing patients and information in email

newsletters. “We often include makeup demonstrations and

cosmetic products in promotional packages, such as our Night of

Beauty,” he says.

“We provide samples when possible or have testers available

so that people can see what they are buying,” adds Dr Barbosa.

“We sometimes bundle product sales with services as well, like

chemical peels, neurotoxins or fi llers, to encourage patients to try

something new.”

Linda W. Lewis is a contributing editor to MedEsthetics magazine.

Targeted Resources

Corrective makeup is available from a myriad

of sources. Here are a few brands often used

and sold in medical aesthetic practices.

Genop Healthcare

Dianne Rix

[email protected]

011 545 6631

Coverderm

David Cronje

[email protected]

012 460 1220

Vichy / Normaderm

Effi e Tzetis

[email protected]

083 288 0256

Environ

Claire Taylor

[email protected]

011 268 5711

Intamarket

Gary Wachsberger

[email protected]

011 444 0404

Top

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urt

esy

of

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Off ering corrective cosmetics and training with

a professional makeup artist can boost your

patients’ confi dence and satisfaction.

Before

After

THE FINISHING TOUCH

to cover bad scars or serious skin conditions.”

Most physicians rely heavily on their lead

esthetician/makeup artist to choose product lines

and decide which items to retail. “Before we chose

Youngblood [Mineral] Cosmetics, we looked at

many lines. I worked with my estheticians to fi nd

out which products worked best for my patients and

then examined the choices for safety and effi cacy in

specifi c situations,” notes Dr. Salibian.

Having knowledgeable estheticians on staff can

certainly improve product sales. “Selecting color

cosmetics or shades of corrective cosmetics is

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MedEsthetics Southern Africa18

IMPROVING PROFITABILITY

Physicians share the devices that are fundamental to their medical aesthetic practices. By Inga

Hansen

Faced with a steady stream of new technologies entering the market and price tags that start in the tens of

thousands of dollars, practice owners routinely cite equipment-purchasing decisions as one of their biggest

business challenges. To help reduce the number of idle lasers taking up space in treatment rooms across the

country, we spoke with physicians in a variety of regions and asked them to share their go-to devices—the ones

that consistently deliver in terms of cost, downtime, results and bookings—and their strategies for evaluating

the promise of new technologies.

© G

ett

y Im

ag

es

laserMUST-HAVES

Page 21: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

Tel: 011 444 0404 Fax: 086 670 0063 [email protected]

www.intamed.co.za

An Unmatched Aesthetic Medicine Portfolio

intamedIntamarket Medical Technologies (Pty) Ltd

inta

med

Inta

mark

et M

edic

al Technolo

gie

s (

Pty

) Ltd

Skin Remodeling, Body and Facial Contouring Systems

Surgical and General Products

Intamed has been selected as distributor of choice by the following highly respected companies:

General

Facial Contouring

Facial Tightening

Body Contouring

Body Tightening

Anti-Aging and cooling mask for face andhands

Eyelash Conditioner for longer, thicker andfuller eyelashes & eyebrows. New MD HairRestoration Kit for hair growth and restoration.

Dermatology, Plastic SurgeryGeneral Surgical Instruments

Dual Radio Frequency System for cosmeticfacial and ENT procedures.

Anti-Aging

Cellulite Reduction

Skin Rejuvenation

Skin Contouring

Laser and Light Based Systems

Active Acne

Acne Scars

Alopecia Areata Anti-Aging

Body Sculpting

Cellulite Reduction

Endovenous Ablation

Fat Reduction

Hair Removal

Laser Lipolysis

PDT

Photo Therapy

Pigmented Lesions

Psoriasis

Vascular Lesions

Skin Rejuvenation

Skin Tightening

Tattoo Removal

Vascular Lesions

Vitiligo

Wound Healing Wrinkle Reduction

The Go-To Devices

Every laser practice has one or two core devices that receive the most

use and generate the highest number of referrals. Although equipment

choices vary based on each practice’s core patient base and sub-

specialty, there were a few technologies that stood out among all the

physicians with whom we spoke. “If you’re looking for core devices,

an IPL, fractional erbium laser and alexandrite or diode laser for hair

removal would be high on the list,” says David H. McDaniel, MD, FAAD,

director of the Institute of Anti-Aging Research in Virginia Beach,

Virginia, and assistant clinical professor of clinical dermatology, Eastern

Virginia Medical School. “Although you can use an IPL for hair removal,

I fi nd that either an alexandrite or diode laser is more desirable, so if

you add one of these lasers to your IPL and fractional ablative laser, you

have a pretty good set up.”

At Grossman Dermatology—with locations in New York and Santa

Monica, California—dermatologist Karyn Grossman, MD, serves an

upper income patient

base that is “primarily 30-

to 70-year-old Caucasian

women and some men,”

she says. Her most-used

laser/light device is the IPL,

thanks to its wide range

of indications. “We use it

for scars, broken vessels

and lentigines,” says Dr.

Grossman.

“IPL is one of the

core go-to devices for

photorejuvenation,” says

Dr. McDaniel. “When

used properly, these

devices are very eff ective

for photorejuvenation,

pigment dyschromia,

telangiectasia and rosacea.

They can also be used—

with proper technique and

on appropriate, untanned,

lighter Fitzpatrick skin

types—on the décolleté,

arms and hands.” The lack

of consumables makes

IPL an aff ordable option

“Patients in climates with a

longer warm season may

have a stronger interest in

laser hair removal.”

© Is

tock

ph

oto

.co

m

Page 22: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Southern Africa20

LASER MUST-HAVES

Resources

Following are some of the leading

suppliers of laser and light devices for

the medical aesthetics market.

Best Lasers - Sharon Best

012 998 9844 | [email protected]

Bester Medical - Hendrik Bester

021 599 7263 | [email protected]

Decade Marketing - Margie Thomas

021 683 8505 | [email protected]

Ergon - Mike Danvers

011 454 1876 | 082 576 1380 | [email protected]

Hitech Lasers - Naomi Olivier

012 349 1250 | [email protected]

Intamarket - Gary Wachsberger

011 444 0404 | [email protected]

MedSci - Pieter J v Rensburg

+27 (0) 82 452 5295 | [email protected]

Moscon Medical - Michelle Wilson

011 483 8056 | [email protected]

Radiant Healthcare

Jacques Pretorius

011 794 8253 | [email protected]

Sound Aesthetics - Duncan Hesketh

011 513 3142 | [email protected]

Stern Laser - Ro Ziervogel

086 11 78376 | [email protected]

Technolase - Marita Op’t Hof

012 349 1750 | 083 379 3988

[email protected]

Your patient demographics and regional climate help

dictate the best devices for your practice.

for patients and the treatments can often be performed by nurses as well as

physicians.

At Cultura Dermatology Spa & Laser Center in Washington, DC, Eliot F. Battle

Jr., MD, serves a more diverse patient base. “My patients are 75% women of

color and 25% Caucasian,” he says. “We perform about 100 laser treatments

per day. We do laser hair removal, color blending, skin texture improvement

and antiaging treatments.” His go-to device is the 1064nm Nd:YAG laser. “The

Nd:YAG is my favorite wavelength. It is safer for darker skin types,” says Dr.

Battle. “I also prefer platforms that allow me to have various treatment heads

and wavelengths in one device—Cutera, Palomar Medical and Cynosure all

off er very good platforms.”

Dr. Grossman also praises platform devices. “I use the Lume [Lumenis] One

because it combines an IPL with an Nd:YAG laser,” she says.

Following IPL and Nd:YAG wavelengths, fractional lasers—both ablative and

nonablative—are experiencing steady use in a variety of cosmetic practices.

“My favorite device for treating dark spots in skin of color is the microsecond

Nd:YAG laser—either the Cutera Genesis or Cynosure Elite [MPX],” says Dr.

Battle. “My No. 2 device for dark spots in skin of color is the Palomar [Lux1540]

nonablative fractional laser.”

Both Neil Sadick, MD, Sadick Dermatology, New York, and clinical professor of

dermatology at Weill Cornell Medical College, and Dr. Grossman, cite fractional

CO2 as a top choice for facial rejuvenation. “I use the Lumenis UltraPulse CO2

mostly in the Active FX mode,” says Dr. Grossman. “It has a large spot size and

is more superfi cial. It works very well for periorbital lines and discoloration.” In

addition to facial rejuvenation, Dr. Grossman uses the Active FX on the hands

and chest. “I use the Deep FX mode to treat facial lines in older patients and in

combination with full CO2 resurfacing to treat deeper lines in older patients,”

she says.

Dr. Sadick uses the nonablative Fraxel dual system “for hyperpigmentation

and acne scarring, and the Fraxel CO2 for facial rejuvenation,” he says. “You

do need both nonablative and ablative [devices] for facial rejuvenation. The

ablative lasers allow you to treat more severe photodamage.”

Regional Considerations

In addition to patient demographics such as skin type, income level and age

group, your device needs will vary based on location and sub-specialty. “In

urban areas, where people are workaholics, nonablative devices are important

because patients can go back to work immediately after treatment,” says Dr.

Battle. “Washington, DC, is one of the most diverse cities in the world—on any

given day I will have patients from 25 diff erent nationalities come through

my door, so I see every skin type and mix of nationalities imaginable. For

hair removal, for example, I can’t work without multiple wavelengths. I need

the alexandrite, diode and Nd:YAG wavelengths. Rural areas tend to be more

homogenous. That aff ects the number of devices you will need.”

“If you’re in a sunny area where you see very light skin types with lots of

photoaging then IPL and Thulium may be of more interest,” says Dr. McDaniel.

“Patients in climates with a longer warm season may also have a stronger

interest in laser hair removal, whereas a CO2 laser may be of more interest to a

surgeon who performs a lot of facelifts under anesthesia as there is a need to

resurface perioral and periorbital wrinkles to get a balanced result.”

Drs. Sadick and Grossman both practice in upper income, urban areas

and perform a lot of skin tightening. Dr. Sadick depends on his Thermage to

off er both body and facial skin tightening. While Dr. Grossman stands by two

tightening devices—the Thermage for 40- to 45-year-old patients “who are

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New The All

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MedEsthetics Southern Africa22

© Is

tock

ph

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.co

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LASER MUST-HAVES

“For my niche I also need lasers

that can truly treat all skin types

and are stable enough to move

from room to room.”

beginning to sag but not close to ready for a brow lift or facelift, and—because

of where we are—we also do a lot of Alma Accent treatments for cellulite and

post-baby belly shaping,” she says.

Evaluating New Technologies

With so many new and improved devices hitting the market each season, it

is a challenge to determine which piece of equipment will become the new

tried-and-true workhorse of your practice and which will fi nd itself in the

corner collecting dust. One way to limit your exposure to poor investments

is to start with your sub-specialty and your specifi c patient base. “If you treat

a lot of acne, you might start with IPL. If it’s skin rejuvenation and antiaging,

a fractional device; for leg veins, a 1064nm Nd:YAG; or, if you have a lot of

requests for tattoo removal, a Q-switched laser,” says Dr. Sadick.

“You also have to look at who your patients are, what they’re asking for and

the predominant skin types you’re treating,” says Dr. Grossman. “For instance,

there are some great, new hair removal lasers out there right now, but we get

maybe three patients a year for laser hair removal so I’m not going to spend

$100,000 on a new hair removal system.”

When a new system catches Dr. Grossman’s attention she looks at “cost,

downtime and my patient’s expectations. If it’s a brand new concept, I also

look at whether this is something my patients will like and who’s making it—

my preference is to work with larger, well-established companies,” she says. If

you’re ready to start investing and are unsure what your patients will support,

“talk to them,” says Dr. Grossman. “ ‘We’re thinking of bringing in some new

lasers, what would you like us to be able to do?’ They’ll tell you, ‘I want to get

rid of these veins or I want laser hair removal.’ ” She advises against adopting

a new technology in hopes of attracting a new demographic of patients,

because it can take a signifi cant amount of time to establish that base. Devices

that fi ll a need or want within your existing patient base off er a safer bet on

ROI.

Once you’ve decided on the type of device you’d like to add, “look at the

results of clinical studies at multiple sites and try to speak with one of the

clinical investigators,” says Dr. McDaniel.

Meetings and professional associations provide a rich opportunity

to survey other doctors on their experiences with diff erent devices and

manufacturers, notes Dr. Battle, especially if the device you’re investigating

was approved under the 510(k) predicate device process or is being used off -

label. “I can ask a myriad of doctors their opinions and then bring in the laser

companies to get a feel for the device,” he says. “How does it feel ergonomically?

How long will it take to get the laser back

up and running if it needs service? For my

niche I also need lasers that can truly treat

all skin types and are stable enough to

move from room-to-room without needing

recalibration.”

One of the fi nal considerations as you

compare suppliers is, of course, cost. In

addition to the initial purchase price,

companies will vary in terms of their

warranties and service contracts. The cost

of consumables should also be factored in.

“One company now has a $25,000 transfer

fee if the owner tries to sell the device, and

that is a new concept that may be an issue,”

says Dr. McDaniel. He notes that some

companies off er free loaners if your laser

needs repair and “more education, so they

may put their fees higher, but there can

be considerable value for the practice in

having that support,” he says.

“The good news is that there are very

eff ective fi fth and sixth generation devices

out there, and there has never been a

better time to buy new equipment,” says Dr.

Battle. The sluggish economy and increased

competition means laser manufacturers are

ready to make deals with serious buyers.

You can signifi cantly lower the risk of new

equipment investments by taking the time

to survey your patients on their wants and

needs; researching technologies through

conferences, journals and professional

associations; and determining your price

range before making a purchasing decision.

Inga Hansen is the executive editor of MedEsthetics.

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 23

CPD ARTICLE

SUBSCRIBE & EARN

1 ETHICS CPD POINT

PER ISSUE

CONSUMER PROTECTION ACTIMPLICATIONS FOR MEDICAL PRACTICE

A new era in consumer protection law has dawned upon South Africa with the impending full implementation

of the Consumer Protection Act 68 of 2009 (CPA). The CPA was signed into law by the State President in 2009.

Aspects of the CPA relating to the establishment of the National Consumer Commission and empowering the

Minister of Trade and Industry to make regulations came into eff ect on 24 April 2010. All other provisions were

deferred by the Minister to 31 March 2011 . Draft Regulations have been published, but had not been fi nalised at

the date of writing this article.

(pa

rt 1

of 3

)The CPA places a number of onerous obligations on suppliers (this includes medical practitioners) and will have a signifi cant

impact on the way businesses are conducted in SA in the future.

The primary purpose of the CPA is the prevention of exploitation or harm to and the

promotion of the social well-being of consumers. It will introduce general principles of

consumer protection and serve as an overarching governing statement on consumer

protection matters in South Africa.

The Consumer’s “Bill of Rights”:

• Right of Equality

• Right to Privacy

• Right to Choose

• Right to Disclosure and Information

• Right to Fair and Responsible Marketing

• Right to Fair and Honest Dealing

• Right to Fair, Just and Reasonable Terms and Conditions

• Right to Fair Value, Good Quality and Safety

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MedEsthetics Southern Africa24

LEGAL ISSUE

Due to the number of provisions of the CPA that could

potentially apply to medical practitioners, they will be

reviewed in a three-part series. In this fi rst article the various

defi nitions as well as the rights and obligations of consumers

and suppliers in relation to marketing practices are reviewed.

HOW WILL THE ACT APPLY TO MEDICAL PRACTITIONERS?

The CPA will apply to all transactions (agreements) in SA for

the supply of goods and the performance of services. Certain

transactions will be exempted such as:

• Goods or services that are promoted or supplied to the

State;

• Where consumers are juristic persons with asset values

or annual turnovers, which exceed the threshold value to

be determined by the Minister of Trade and Industry. The

proposed threshold amount is R3 million;

• Any credit agreement under the National Credit Act (but

the goods and services in terms of these agreements are

covered under the CPA);

• Transactions, which fall within an industry-wide exemption

granted by the Minister. The relevant regulatory authority

must apply for exemption e.g. the Health Professions

Council of SA (HPCSA) in the case of medical practitioners

; and

• Services that are supplied under an employment contract.

The provision of goods and services by a trade union, a society

or an association (e.g. the SA Medical Association [SAMA]) to

their members will also be regarded as a transaction between

a supplier and a consumer within the meaning of the CPA.

The defi nition of consumers, suppliers, goods and services

are briefl y reviewed below for a clearer understanding of the

CPA’s applicability to medical practitioners.

SUPPLIERS

Suppliers are persons who market goods and services and

include:

• Individuals;

• Juristic persons;

• Partnerships;

• Trusts;

• Organs of state;

• Entities owned, directed, contracted or licensed by the

state to off er or supply any goods or services and

• Public-private partnerships.

All medical practitioners will therefore qualify as suppliers in

terms of the Act.

CONSUMERS

Consumers as defi ned in the CPA are in essence persons:

• To whom goods or services are marketed;

• Who have entered into transactions (agreements) with

suppliers;

• Who are users of particular goods; or

• Who are benefi ciaries of services (e.g. children or medical

scheme dependants).

Medical practitioners might in a number of instances qualify as

consumers when they are for example the recipients of goods

and services. However, since the CPA specifi es that consumers

who are juristic persons with annual turnovers or asset values

greater than a specifi ed threshold amount (proposed to be R3

million) would in general not be entitled to the protection as

consumers in terms of the CPA, a medical practice structured

as an incorporated company would therefore not receive all

the protections envisaged for consumers in the CPA, if its

annual turnover exceeds the threshold value when fi nalised.

Patients will qualify as consumers.

GOODS

Goods include:

• Anything marketed for human consumption;

• Any other tangible object including anything written or

saved to an electronic medium;

• Any information, data, x-ray fi lms, recordings, photographs,

other intangible products and/or the license to use such

products;

• A legal interest in land and or other immovable property;

and

• Electricity and Water.

All medicines, substances, devices, prosthesis or other goods

(e.g. lotions or creams) supplied by medical practitioners

would fall under the defi nition of goods.

SERVICES

Services include amongst others:

• Any work or undertaking performed by one person for the

direct or indirect benefi t of another;

• The provision of information, education, advice or

consultation (except advice that is subject to regulation in

terms of the Financial Advisory and Intermediary Services

Act 37 2002);

• Any undertaking or assumption of any risk by one person

on behalf of another; and

• Provision of accommodation.

All consultations, medical and aesthetic services and

procedures will therefore be regarded as services in terms of

the CPA.

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 25

LEGAL ISSUE

MARKETING

Although the CPA will become the key piece of legislation

of how goods and services could be marketed in SA, other

legislation could also regulate these activities and has to be

observed such as directives from the HPCSA. In instances

where an inconsistency exists between the CPA and any

other Act the provisions of both Acts will apply concurrently

to the extent that it is possible and will comply with one of

the inconsistent provisions without contravening the second.

If this is not possible, the

provision extending the

greater protection to a

consumer will prevail over

the alternative provision.

It will not be permissible

for service providers (e.g.

medical practitioners) to

market goods and services

in a manner that is misleading, fraudulent or deceptive in

respect of amongst others the nature thereof, the conditions

of supply, price or any other material aspect. Practitioners

will have to ensure that they neither verbally nor through

their conduct directly nor indirectly express or imply false,

misleading or deceptive representation concerning any

material fact of the service to be rendered or the goods to

be supplied. This would include a failure to correct any

misapprehension on the part of the consumer e.g. regarding

the performance characteristics of a medicine, the results

of any treatment, that a specifi c price advantage exists

or that a charge is levied for a specifi c purpose. The use

of exaggeration, innuendo and ambiguity in respect of a

material fact would also be regarded as a prohibited false

representation. Practitioners must therefore be particularly

cautious with regard to for example representations made in

relation to treatment risk factors, side-eff ects of treatment or

medication, ingredients of medicines and off -label usage of

medicines.

Protection is also aff orded to consumers against

discriminatory marketing.

This entails that

it will be

amongst others impermissible for a supplier to unfairly

• Exclude any person or category of persons from accessing

any goods or services or granting any person or category

of persons exclusive access to any goods or services; or

• Assign priority supply, supply a diff erent quality of or charge

diff erent prices for any goods or services to any person or

category of persons on the basis of any of the grounds of

unfair discrimination contemplated in the Constitution

and the Promotion of

Equality and Prevention

of Unfair Discrimination

Act 4 of 2000. These unfair

discrimination grounds

include race, age, gender,

disability or sexual

orientation.

Persons may also not

be treated directly or indirectly diff erently in a manner that

would constitute unfair discrimination when:

• Assessing the ability of a person to pay the cost or comply

with the obligation of the proposed agreement;

• Deciding whether to enter into an agreement e.g. accept a

person as a patient;

• Determining any aspect of the cost of an agreement to the

consumer;

• Providing any services to the consumer;

• Assessing or requiring compliance by the consumer with

the terms of an agreement e.g. collection of an outstanding

debt;

• Determining whether to continue, enforce, seek judgment

in respect of or terminate an agreement (e.g. refusal to

treat a patient or collecting a debt); or

• Determining whether to report any personal information

of such person (e.g. to a medical scheme).

Practitioners will therefore have to ensure that all patients

receive the same quality of services and no diff erentiation

occurs on the basis of any unfair discrimination ground.

Decisions as to which persons to accept as patients and

the level of fees charged should also not be based on

any discriminatory ground that would constitute unfair

discrimination. Providing for diff erent waiting rooms for

diff erent race groups would for example fall in the prohibited

categories of unfair discrimination. Certain diff erential

treatment based on an unfair discrimination ground would be

permitted in terms of the CPA on specifi c reasonable grounds

e.g. the provision of specifi c facilities for disabled persons and

separate washrooms for males and females.

Consumers will also be entitled to restrict unwanted

direct marketing from for example medical practices. The

consumer may require that the person responsible for the

Practitioners will therefore have to ensure

that all patients receive the same quality of services

and no diff erentiation occurs

on the basis of any unfair discrimination ground

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MedEsthetics Southern Africa26

9 MARCH 2011

PRP kit – clinical technology in advanced skincare

Co-Sponsor: DermaVpharmaceuticals - Presented by Dr J Snyman & Dr R Smit

Irene, Pretoria

AAMSSA – Mareli Jv Rensburg | [email protected] | 012 548 7152

5 – 6 MARCH

Basic Botulinum Toxin and Dermal Filler course

Pretoria

Soy Secrets of youth | [email protected] | 082 442 7000 | 015 291 2404

15 – 17 MARCH

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

24 – 26 MARCH

9th Anti-Aging Medicine World Congress & MediSpa

Monte-Carlo, Monaco

[email protected]

29 – 31 MARCH

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

6 APRIL 2011

Facial Anatomy Revision: Cadaver Dissection

Co-Sponsor: Glenmark - Presented: Dr V Jandera (Plastic surgeon)

WITS university, JHB

AAMSSA – Mareli Jv Rensburg | [email protected] | 012 548 7152

7 – 9 APRIL

19th World Congress on anti-aging medicine & Biomedical Technologies

Florida

[email protected]

12 – 14 APRIL

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

13 – 15 APRIL

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

13 – 17 APRIL

American Academy of Aesthetic Medicine:

Level 2 – Diploma course in Aesthetic Medicine

Miami, Florida

Ellen Dahlin | [email protected] | +1-310-944-1790

19 APRIL

Anti- Ageing – Minimize the eff ect of rapid ageing

Fairland

Sarien Kirstein | [email protected] | 082 257 5384

24 – 28 APRIL

Botox & Filler training - Beginners & Advance - By Dr Karin Semprini

Cape Town

The Bay Skin Care center | [email protected] | 021 438 9800

1 MAY

Congress of Dermatological Society of SA

CSIR ICC, Pretoria

Amanda Pyne-James | [email protected] | 011 463 4064

1 – 5 MAY

Botox & Filler training - Beginners & Advance - By Dr Karin Semprini

Johannesburg

The Bay Skin Care center | [email protected] | 021 438 9800

7 – 8 MAY

Basic Botulinum Toxin and Dermal Filler course

Cape Town

Soy Secrets of youth | [email protected] | 082 442 7000 | 015 291 2404

10 MAY

Filorga Filler workshop - By Dr Riekie Smit

Pretoria - Filorga Laboratoreis

colette@fi lorgasouthafrica.co.za | 012 548 3943 | 082 494 7670

11 MAY

Filorga Product & Glykopeel Training

Pretoria - Filorga Laboratoreis

colette@fi lorgasouthafrica.co.za | 012 548 3943 | 082 494 7670

17 – 19 MAY

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

20 MAY

Filorga Filler workshop

By Dr R Beeton

Bloemfontein, Free State - Filorga Laboratoreis

colette@fi lorgasouthafrica.co.za | 012 548 3943 | 082 494 7670

24 – 26 MAY

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

1 –JUNE 2011

AMCSA Pre-Congress

Level 1 & Advanced Botulinum Toxin & Dermal fi ller training workshops

CSIR ICC, Pretoria

AMCSA organizing committee

[email protected] | [email protected]

www.aestheticcongress.co.za | 012 548 7152

2 JUNE 2011

AMCSA Pre-Congress

Successful Weight loss clinic workshop

Vein Treatment workshop

2 – 4 JUNE 2011

Aesthetic Medicine Congress of SA (AMCSA)

16 – 20 JUNE

Botox & Filler training - Beginners & Advance - By Dr Karin Semprini

Cape Town

The Bay Skin Care center | [email protected] | 021 438 9800

13 – 18 JUNE

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

21 – 23 JUNE

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

CALENDAR OF EVENTS

CALENDARof Aesthetic / Anti Aging Medical Events Supplied as a service by the Aesthetic and Anti-aging Medicine Society of South Africa (AAMSSA) [email protected]

Page 29: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Volume 4 Number 1 Autumn Edition 2011 27

4 JULY

Corrective product use | Co-Sponsor: Clinique

Midrand, JHB

AAMSSA – Mareli Jv Rensburg | [email protected] | 012 548 7152

13 – 17 JULY

American Academy of Aesthetic Medicine:

Level 2 – Diploma course in Aesthetic Medicine

New Orleans, Louisiana

Ellen Dahlin | [email protected] | +1-310-944-1790

15 – 17 JULY

American Academy of Aesthetic Medicine:

Level 1 – Certifi cate course in Aesthetic Medicine

New Orleans, Louisiana

Ellen Dahlin | [email protected] | +1-310-944-1790

12 – 14 JULY

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

19 – 21 JULY

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

29 JULY

Filorga Filler workshop, By Dr Albert Niemann

KZN, Durban

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

16 – 18 AUGUST

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

17 AUGUST

Filorga Product & Glykopeel Training

Pretoria

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

18 AUGUST

Filorga Filler workshop, By Dr Riekie Smit

Pretoria

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

23 – 25 AUGUST

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

27 – 31 AUGUST

Facial Aesthetic Boot camp

BTX and Filler techniques, Chemical peels, Mesotherapy, etc.

Pretoria

Soy Secrets of youth | [email protected] | 082 442 7000| 015 291 2404

SEPTEMBER

Enrolment for Aesthetic Medicine Post Graduate diploma @ FPD

Lynnwood, Pretoria

Foundation of Professional Development

Danielle Daniels | [email protected]

www.foundation.co.za | 012 816 9000

SEPTEMBER

Anti-aging medicine, Co-Sponsor: Solal Technology

Midrand, Johannesburg

AAMSSA – Mareli Jv Rensburg | [email protected] | 012 548 7152

9 – 11 SEPTEMBER

American Academy of Aesthetic Medicine:

Level 1 – Certifi cate course in Aesthetic Medicine

Long Beach, California

Ellen Dahlin | [email protected] | +1-310-944-1790

13 – 15 SEPTEMBER

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

14 – 16 SEPTEMBER

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

021 683 8505

17 – 18 SEPTEMBER

Basic Botulinum Toxin and Dermal Filler course

Pretoria

Soy Secrets of youth | [email protected] | 082 442 7000 | 015 291 2404

11 – 13 OCTOBER

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

18 – 20 OCTOBER

LipomassageTM by Endermologie®

Johannesburg

Decade Marketing | [email protected] | 021 683 8505

27 OCTOBER

Filorga Filler workshop, By Dr Albert Niemann

KZN, Durban

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

29 – 30 OCTOBER

Basic Botulinum Toxin and Dermal Filler course

Cape Town

Soy Secrets of youth | [email protected] | 082 442 7000 | 015 291 2404

2 – 6 NOVEMBER

American Academy of Aesthetic Medicine:

Level 2 – Diploma course in Aesthetic Medicine

Miami, Florida

Ellen Dahlin | [email protected] | +1-310-944-1790

4 – 6 NOVEMBER

American Academy of Aesthetic Medicine:

Level 1 – Certifi cate course in Aesthetic Medicine

Miami

Miami, Florida

Ellen Dahlin | [email protected] | +1-310-944-1790

15 – 17 NOVEMBER

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

16 NOVEMBER

Filorga Product & Glykopeel Training

Pretoria

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

17 NOVEMBER

Filorga Filler workshop, By Dr Riekie Smit

Pretoria

Filorga Laboratoreis | colette@fi lorgasouthafrica.co.za

012 548 3943 | 082 494 7670

22 – 24 NOVEMBER

LipomassageTM by Endermologie®

Cape Town

Decade Marketing | [email protected] | 021 683 8505

TRAINING PROVIDED ON REQUEST

Sclerotherapy, Nutrition & Weightloss, Mesotherapy, Chemical Peeling,

Aesthetic practice management & staff training, etc.

Pretoria

Soy Secrets of youth

Winette | [email protected] | 082 442 7000 | 015 291 2404

Microdermabrasion – all manufacturers and also on Synergie AMS systems

Anywhere

Stern Laser | Valerie van Zyl | www.sternlaser.co.za | 083 628 9946

Lasers, IPL’S, Slimming and Cellulite units training

Johannesburg

Radiant Healthcare | [email protected] | 011 794 8253

CALENDAR OF EVENTS

Page 30: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Southern Africa28

LEGAL ISSUE

REGISTRATION INSTRUCTIONS FOR YOUR

FREE ETHICS CPD POINT

1 Go to www.medspecpublishing.co.za

2 Click on the MedEsthetics CPD programme button.

3 Complete the registration form and click the submit

button.

4 You will be directed to your landing page, where the

questionnaires will be displayed.

5 Click on the questionnaire which you would like to

complete, once completed click submit.

communication desists from any further communication.

For this purpose, draft Regulations provide for the

establishment of a Registry in which a person may register

a pre-emptive block, i.e. recording his/her decision not to

receive (block) any direct marketing material or approaches from

certain suppliers. Practitioners would have to check the Registry,

once established, to determine whether any of the potential recipients

of the marketing material has registered such a “pre-emptive block”. The

draft Regulations propose onerous provisions on practitioners in respect of the

Registry. It proposes to require amongst others that “direct marketers” need

to register with the Registry in order to be able to check the Registry for

these registered blocks. It is not clear from the draft Regulations who

would qualify as “direct marketers” and whether it would for example

include medical practitioners engaging in ad hoc

marketing activities. The draft Regulations also propose

that direct marketers should update their information

annually, comprehensive pre-emptive blocks must be

assumed unless the administrator of the Registry advises

otherwise and consumers may also register only certain details such as a mobile telephone number or e-mail address

on the Registry, which could make accurate verifi cation of consumer details diffi cult for marketers of goods and services.

CONCLUSION

The far-reaching implications of the Consumer Protection Act for all businesses including medical

practices cannot be suffi ciently emphasised. The rapidly approaching full implementation date means

that there is limited time for medical practitioners to align their business practices and systems to ensure

compliance with the CPA. It is therefore advisable that doctors should commence with the review of their

businesses to ensure compliance with the Act before the full implementation thereof on 31 March 2011.

Compiled By Esmé Prins-van den Berg (Director) and

Shakira Ramlakhan (Consultant)

Benguela Health (Pty) Ltd

February 2011

REFERENCES

1. Consumer Protection Act 68 of 2009.

2. Consumer Protection Act: I Know my Rights.

Do You Know Yours? A publication of the

Department of Trade and Industry.

3. Consumer Protection Act, 2009: Proposed

Consumer Protection Regulations. Notice No.

1099. Government Gazette No. 33818 of 29

November 2010.

Page 31: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

For more information about DMK treatments contact DMK Montague-King

Tel: +27 (0)11 2626 120 l Fax: +27 (0)11 2626 125 l Email: [email protected]

Address: Georgian Place, Block C, First floor, 18 Southway Rd, Kelvin, Sandton Johannesburg

DMK Montague-King (DMK) can enhance and prolong the result of fillers and injectables and minimise post surgery downtime, to days not months.

DMK Pre and Post Operative Treatments work on the premise that the healthier skin functions prior to surgery, the faster it heals, and the better the result.

DMK Skin Revision Protocols can offer you: New clientele with high levels of client retention and satisfaction A competitive advantage in an ever-changing market Pre and Post Operative Treatments protocols for medical procedures Alignment with medical practices International education and marketing support

Stitching the aesthetic and medical worlds together.

Page 32: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

DECISION MAKING when EXPANDING the

AESTHETIC PRACTICE by adding devices

MedEsthetics Southern Africa30

There are a few factors that one needs to consider before purchasing

a device for your Aesthetic Practice, namely

• What is the demand in your area for Hair Removal, Skin Rejuvenation or both?

• What amount of capital do you have available to invest?

In my opinion, the logical decision for any practice which has established itself with Botulinum Toxin; Fillers; Chemical

Peels, etc, is to start with an Imaging Device. Although the direct return on investment (ROI) is not high, it is an

essential record-keeping, diagnostic and marketing tool. I would then add a Skin Rejuvenation device. This would

augment the existing treatment menu and ensure improved synergistic results with combination treatments.

However, in certain areas, there would be more demand for Hair Removal or, if fi nances allow, both devices. According

to international statistics, a hair removal device would generate the most income. However, if there is no demand for

this within your existing practice, then one needs to consider alternatives.

The selection of which device to purchase is dependant on the following factors:-

• Investigate which device is considered to be the best internationally.

• Find the local distributor.

• Ensure that the training, assistance with marketing and after sales service are commensurate with your expectations.

• If there are any consumables, be aware of the need for constant availability, as well as the cost factor.

• Investigate the turn around time by the supplier for faulty units. Do they carry the necessary stock for prompt

repairs, and do they have loan units available? Downtime equals income and opportunity lost, which most

practices can ill aff ord.

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 31

DECISION MAKING

• Buy from a well known supplier who has many devices already installed successfully around the country.

• Enquire about the frequency of servicing and the downtime and cost involved thereof.

As a reputable Aesthetic Practitioner, always buy a specifi c technology for a specifi c purpose. Certain suppliers of

devices may claim, for example, that Intense Pulsed Light can do hair removal, vascular reduction, skin tightening as

well as skin rejuvenation. Approach other practices with similar devices and ask whether they are satisfi ed with the

results obtained.

Therefore the steps that I would recommend for purchasing devices should be followed conservatively and are as

follows:-

• Imaging device

• IPL for skin rejuvenation

• Microdermabrasion

• Laser for hair reduction

• Non-invasive skin tightening/cellulite/subcutaneous fat treatment

• Fractional laser device

Ensure that you are confi dent in the use of each device before adding another. Strict fi nancial controls

are important to monitor the real monetary success of each device within your practice. Start with the

more basic equipment and slowly build up to the more advanced devices.

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MedEsthetics Southern Africa32

01

BEST PRACTICES

02

01 Pre-Surgery Toning In an eff ort to provide patients with both safer and

more eff ective body sculpting procedures, Frank Ferrin, MD, plastic surgeon

and medical director of Elite Body Sculpting in Coral Gables, Florida, has

joined forces with his son, exercise physiologist and master trainer Chris

Ferrin. Prior to undergoing liposuction procedures, patients work with Chris

as part of a weight training and muscle building program. Once an agreed

upon level of fi tness and shape has been achieved, Dr. Ferrin performs

surgical body contouring. “In order to sculpt around the muscle, there must

fi rst be muscle in place,” says Dr. Ferrin, who notes that combining fi tness

and nutrition strategies with body contouring surgery off ers both a more

natural appearance and faster recovery times.

02 From the Patient’s Perspective Peter A. Adamson, MD, FRCSC, FACS, has

authored Fabulous Faces: From Motivation to Tranformation Through Facial

Plastic Surgery, a book that seeks both to address the love-hate relationship

that society has with the concept of cosmetic surgery and to give patients a

better idea of what to expect from these procedures. Fabulous Faces follows

the personal journey of several patients from the decision-making process

through surgery and recovery. “I feel it is important that people considering

surgical or nonsurgical cosmetic procedures make the best and most

well-informed decisions,” says Dr. Adamson. “This requires having a good

understanding of the results that might be achieved, both objectively and

psychologically.” In the book, Dr. Adamson also off ers an explanation of the

diff erent specialties of plastic surgery to help patients fi nd the right doctor

for each type of procedure. The book is available at amazon.com.

03 Custom Merchandising Support Attractive merchandising can help

to increase retail sales. Keeping products clean, dust-free and displaying

them at eye level on uncluttered and well-lit shelving are some of the ways

to encourage both browsing and buying. Now you can create a peruse-

worthy merchandise display without spending a lot of money redesigning

your waiting room area. MicroPharmacy Corporation, a provider of point-

of-sale software for medical environments, is off ering custom, portable

lighted display systems for practices. Each unit includes a backlit lightbox

incorporating a custom logo or graphic and three illuminated shelves to

draw attention to your products. The unit also includes three locked storage

cabinets below for extra inventory.

For more information contact Lynette Schlebush-Mok, 082 451 6486,

www.nine-dot.co.za, [email protected]

03

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05

04 Science Log The use of the low pulse Q-switched 1064nm laser

for facial toning has been associated with mottled depigmentation in

Chinese patients. Researchers at the University of Hong Kong and the

Wellman Center for Photomedicine at Massachusetts General Hospital

assessed 14 Chinese patients, each of whom underwent laser toning

for either nonablative skin rejuvenation or melasma with a low fl uence,

large spot size, multiple passed Q-switched Nd:YAG laser. In all cases,

UV photographic images demonstrated facial mottled depigmentation.

The study appeared in the October 2010 journal of Lasers in Surgery

and Medicine.

... Botox Cosmetic injections improve quality of life and self-esteem

according to a study by Steven H. Dayan, MD, FACS, that appeared in

the November 2010 issue of Dermatologic Surgery. In the double-blind,

randomized, placebo-controlled survey, 100 subjects were treated

with either Botox Cosmetic or saline placebo for facial wrinkles. All

participants completed a health outcomes survey prior to, two weeks

following and three months after injections. In patients treated with

Botox Cosmetic, statistically signifi cant improvements were observed

in answers pertaining to quality of life, overall life satisfaction, self-

worth, appearance and sense of well-being.

05 Cutting-Edge Skin Imaging Movie studios are not the only business

entities to benefi t from new 3D technologies. Cosmetic practitioners

can now off er patients stereoscopic view technology—similar to that

used in movie theaters—to provide more realistic 3D simulations of

procedure outcomes. Canfi eld Imaging Systems’ new Vectra 3D Systems

employ VectraVision to provide images so realistic that you’ll want to

reach out and touch them. VectraVision is available with both new and

existing VECTRA X3, M3 and M1 installations. Additional features now

available for the VECTRA 3D systems include:

• Face and breast assessment utilities that aid in surgical planning,

including asymmetry measurements, left/right composite tools and

RBX visualization of vascularity and pigmentation

• A Patient Consent Checklist that helps to assure patient

understanding of existing conditions and expected outcomes

• An animation wizard to create video clips of simulated procedures

for websites and presentation

• New cropping and trimming tools, and whiteboard markers.

Software upgrades are provided at no cost to Canfi eld customers

with current service agreements.

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MedEsthetics Southern Africa34

01

01 Improved Pulsed Light Palomar Medical Technologies

introduces the MaxG pulsed light handpiece for use with

the company’s Artisan and StarLux Systems. Designed

to rival the performance of single wavelength lasers, the

MaxG combines Palomar’s Dynamic Spectrum Shifting and

dual band fi lters—which increase the concentration of

near-infrared light in longer pulse widths to provide more

uniform heating across the entire diameter of larger vessels.

Additionally, in comparison to non-optimized pulsed light,

the MaxG off ers more energy across all pulse durations. Plus,

greater peak power to address small vessels, and higher

fl uences for mid-to-large resistant vessels.

Contact: 800.725.6627, palomarmedical.com.

02 Undereye Aging Defense Age Intervention Dark Circle Eye

Defense from Jan Marini Skin Research addresses three of the

most commonly cited periorbital cosmetic concerns—dark

undereye circles, undereye wrinkles and poor skin texture.

The cream features six primary ingredients: fi ve to address the

fi ve causes of dark circles—blood leakage, iron discoloration,

infl ammation, thin and fragile skin, and pigmentation—and

one to improve delivery of actives. They include Chrysin, NHS

chelates, palmitoyl oligopeptide, palmitoyl tetrapeptide-7,

retinol and Microsponge Technology.

Contact: 800.347.2223, janmarini.com.

03 Help for Hypopigmentation Physicians have a new tool

available to address hypopigmentation associated with laser,

chemical and manual deep resurfacing. The Excilite-μ from

DEKA Medical is now available for use in the United States for

the treatment of leukoderma, psoriasis and vitiligo. The system’s

308nm monochromatic excimer light stimulates melancoytes

to restore color to depigmented areas and is cleared for use

on all parts of the body, including the hands, elbows and

knees. “Prior to the Excilite-μ, physicians had few options for

patients seeking improvement in their hypopigmentation,”

said Brian Biesman, MD, director of the Nashville Center for

Laser and Facial Surgery, Nashville. “I have seen improvement

in hypopigmentation caused by laser resurfacing, surgical

scars, cryotherapy and deep chemical peels.”

Contact: 877.844.5552, dekamedinc.com.

04 Faster Body Sculpting Reduce fat pockets in less time with

the new eZ App 8 applicator from ZELTIQ Aesthetics. The curved

cooling plates treat 2.5 times the amount of fat as the original

ZELTIQ CoolSculpting applicators in one hour. Additional

benefi ts include increased cooling capacity and additional

sensors for improved system monitoring. The eZ App 8 joins

the original eZ App 6.3 and eZ App 6.2 for petite patients.

“We are constantly striving to improve the CoolSculpting

INTRODUCTIONS

02

03

04

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procedure...to increase both physician and patient satisfaction,”

said Gordie Nye, president and CEO of ZELTIQ. “The new eZ

App 8 applicator will give physicians the additional treatment

options they desire, while patients spend less time being treated

with added comfort.” Contact: 888.935.8471, coolsculpting.com.

05 Rapid Hair Removal The new SopranoXLi from Alma Lasers

features several upgrades to help physicians provide faster laser

hair removal and deep dermal heating. The system off ers increased

power up to 20 J/cm2, an improved ergonomic design for operator

comfort, pre-programmed settings for all male and female face and

body parts, and a large 12” full-color, touch screen monitor with

interactive software. The diode module has an extra large 12mm x

10mm footprint and up to 10Hz repetition rate. For hair removal the

SopranoXLi uses the gold standard 810nm diode laser with gradual

heating and a contact cooling Sapphire tip as well as Alma’s In-

Motion sweeping technology to help physicians comprehensively

cover the treatment area. The device’s near infrared (NIR) module

addresses skin laxity with an 18cm2 spot size.

Contact: 866.414.2562, almalasers.com.

06 Upgradable and Easy to use The M22 is a tabletop modular

multi-application platform. This smart, simple and innovative

device features IPL and Nd:YAG with Lumenis’ proprietary Optimal

Pulse Technology (OPT™) and Multiple-Sequential Pulsing. This

new platform was designed to consistently produce superior

results and deliver predictable treatment outcomes for over 30

applications. “The M22 delivers everything one can expect form

a multi-application platform and takes performance to the next

level with accuracy, simplicity and expediency”, said dr. Matthew

Knight, Florida USA. “M22 provides maximum versatility and it’s

set up for expansion.” M22 allows for the treatment of multiple skin

conditions with one device and off ers a great return on investment.

Contact: Hitech Lasers +27 12 349 1250 or

Email: [email protected]

07 NEW ELLIPSE HR-L PLUS APPLICATOR An 8.64 cm² footprint

makes Ellipse HR-L+ the largest and fastest hair removal applicator

in the market, enhancing client throughput. The lager footprint

means fewer overlaps and skipped areas ensuring better results.

The Ellipse HR-L+ weights only 400 grams (33% lighter than the

Ellipse HR). Its low weight and innovative fl exible cabling make

treatments much more comfortable for operators and clients.

The HR-L+ is currently available for the new Ellipse Light SPT,

I²PL PLUS and the Ellipse MicroLight. HR-L+ is also applicable for

the new Ellipse Light SPT and I²PL system after upgrade to PLUS

level. “The Ellipse HR-L+ applicator appears to be one of the best

hair removal applicators in the top segment of the market.” Peter

Bjerring M.D. Professor, Head of the Department of Dermatology,

Molholm Hospita, Vejle, Denmark. For more information regarding

the Ellipse HR-L+ applicator, contact Technolase cc @ 012 349 1750.

MedEsthetics Volume 3 Number 4 Summer Edition 2010 35 MedEsthetics Volume 3 Number 4 Summer Edition 2010 35

INTRODUCTIONS

05

06

07

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MedEsthetics Southern Africa36

INTRODUCTIONS

08 Ancient Wisdom and Modern Science Conjure Liquid Gold As

the name suggests, Liquid Gold is one of the richest and most luxurious

indulgences you could wish for your skin. It’s a powerful resurfacing

and fi rming lotion that jump-starts the skin’s metabolism, refi nes

enlarged pores, evens skin tone and delivers a bright dewy radiance

to the skin. Licorice is renowned as an anti-irritant and for helping

to reduce acne and pigmentation in the skin. It contains Vitamin

E, B-complex, biotin, pantothenic acid, lecithin and manganese

– elements essential for the maintenance of strong, healthy skin.

Naturally derived from sugar cane, Glycolic Acid has a scientifi cally-

backed reputation for improving skin texture; reducing acne, wrinkles,

lines and the size of pores; and minimising the signs of sun damage.

Glycolic Acid works by dissolving the ionic binds that hold dead skin

cells together, allowing them to be gently sloughed away to reveal

the new supple skin beneath. Combined in high concentrations in

Liquid Gold’s silky soft elixir, Licorice and Glycolic Acid are instantly

absorbed by cell membranes, restoring a golden glow to even the

most lack-lustre skin. No wonder we call it Liquid Gold!

For more information: Christina Bowman 079 527 1232,

[email protected], www.alpha-h.co.za

09 Alpha-H A & E - 50/50 Serum (1.5%) Vitamins A and E are

combined in the Alpha-H A & E 1.5% Serum to produce a formidable

weapon against dryness, scarring, and wrinkles. Tissue regeneration

is boosted and cells repaired, whilst powerful antioxidants protect

against free radical attack. Alpha-H A & E 1.5% Serum is a powerful

repair serum that combines the natural regenerating properties of

Vitamin A and Vitamin E to off er a superior antioxidant, moisturizing,

scar inhabiting, wrinkle reducing, exfoliating and tissue regeneration

eff ects. Alpha A & E 1.5% Serum has an exceptional liposome delivery

system, that provide outstanding results without the excessive

irritation or unpredictable side eff ects, often seen in other forms of

Vitamin A. Clinical studies indicate that these essential Vitamins,

in conjunction with UVA and UVB protectants can play an essential

role in war against aging. Perfect for the following skin types: sun

damaged skin; mature, lined, wrinkled skin; oily/acne prone skin; skin

aff ected by Rosacea; skin aff ected by pigmentation; skin aff ected by

scaring; post-operative skin and menopausal skin.

For more information: Christina Bowman 079 527 1232,

[email protected], www.alpha-h.co.za

10 The PRECISION you require with the VERSATILITY you need

The patented Surgitron® Dual RF Radiosurgery® energy source

represents advanced radiowave technology that provides

veterinarians unparalleled surgical PRECISION for cutting and

coagulating soft tissues. The high frequency of 4.0 MHz minimizes

heat dissipation and thus cellular alteration. The Surgitron® Dual RF™

system’s VERSATILITY enables use in a wide variety of procedures

such as biopsy, declaw, wet-fi eld coagulation, sebaceous adenoma

and basic endoscopy. Radiosurgery® uses high-frequency energy to

make cosmetic-enhancing incisions. Radiosurgery® delicately seals

blood vessels, allowing for incredibly precise surgery with minimal

bleeding. Rapid, comfortable post-operative recuperation with little,

if any, bruising and swelling, facilitates a return to normal activities.

Cosmetic radiowave surgery patients heal quickly and start enjoying

their results immediately. Radiowave procedures are eff ective on

08

10

09

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 37

01

02

many types of skin lesions, including: Age spots • Moles and raised

lesions • Skin tags • Small red facial veins • Warts • Skin surface

irregularities. For more information please contact Intamed:

0800 110 679, [email protected], www.intamed.co.za

11 MD Lash Factor Eyelash & Eyebrow Conditioner, Hair Growth

and Restoration MD Lash Factor is an eyelash and eyebrow

conditioner that makes your own eyelashes grow longer, thicker and

fuller naturally. MD Lash Factor is peer reviewed by medical doctors

and published in medical journals confi rming its eff ectiveness and

safety for long term use. The latest addition to the MD Range of

products is the MD Hair Restoration Kit for Hair Restoration and

growth. For more information please contact Intamed:

0800 110 679, [email protected], www.intamed.co.za

01 Radiant Healthcare once again visibly better! The FDA

approved Viora Trios™ IPL based system is a phototherapy system

that delivers the most sought after IPL applications in the aesthetic

beauty market for all skin types. Radiant Healthcare has negotiated

a package deal and better prices with one of our suppliers on the

Trios - Hair Removal and Skin Rejuvenation IPL.These prices never

seen before in South Africa . . . Trios with Hair Removal applicator

ex stock priced at R102 000.00 including Vat, training and delivery.

(Optional: Skin Rejuvenation and Acne Applicators)

Contact: Jacques or Melissa at on Tel: 011-794-8253

02 Filorga Neocica – Restorative Cream For Damaged Skin

Soothing care for damaged skin with hypersensitivities (useful

for use post-laser treatments, post-chemical peeling, post-skin

injection, or to treat severe sunburn or skin irritation). Neocica

is ideal for treating ALL skin sensitivities and for reducing skin

irritation and redness. 96 ingredients - 73% active ones. IT’S

MISSION: To accelerate the tissue repair process and appease

the sensitised skin cells irritated through aesthetic treatments.

THE MECHANISM: NCTF® and hyaluronic acid, with collaxyl and

the anti-infl ammatory trio of skin-softening rhamnosoft , épaline

(corn), and inductylor (Artemia Brown seaweed). These all act

together to fi ght against the formation of cytokines, the mediators

of the infl ammation. The rhamnosoft blocks the adhesion of

bacteria, limits the reception of the infl ammatory messages and

lessens irritant reactions. Therefore, it helps repair damaged skin

and lessens the ageing consequences of the infl ammation. To

summarise, NEOCICA appeases the infl ammation and assures a

spectacular reconstruction of the epidermis while acting on the

regeneration processes of the cell. THE RESULT: Skin traumatised

by a peel, microdermabrasion, laser treatment, severe sunburn

or after aesthetic injections shows less redness, less irritation and

it recovers more rapidly. APPLICATION: Use 3 to 6 times a day

on aff ected areas, using a very light tapping motion to increase

penetration without harming the skin. PRICE: 20ml – R465.00. For

more information please contact G.A. Active Wholesalers ,

www.fi lorgasouthafrica.co.za

Colette Kotzé, 012 548 3943, colette@fi lorgasouthafrica.co.za

INTRODUCTIONS

11

PRODUCT REVIEWS

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MedEsthetics Southern Africa38

If you’ve been reading the business headlines of late, then you know that The Great Recession is offi cially over.

Consumer sentiment, manufacturing capacity utilization and business inventories—have been trending in a positive

direction. So why doesn’t it feel like the downturn is over? Your practice continues to struggle as revenues remain below

prerecession levels. And the headlines also report some negative economic stats, such as unemployment, a continued

slide in housing prices and record government defi cits at all levels in the USA.

emerging fromTHE STORMRecovery tips to buoy your practice as the economy begins to rebuild. by J. Tol Broome Jr.

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 39

EMERGING FROM THE STORM

IT’S ALL RELATIVE

Recessions are a lot like hurricanes. There’s a wide range in

the level of severity. With a Category 1 storm, there is a lot

of wind and rain that comes with the squall, but the storm

is soon forgotten after a week or two of cleanup. As the

storm strength moves up the Saffi r-Simpson severity scale,

the challenges become more daunting. The worst storms are

rated Category 5 and carry winds in excess

of 155.4 mph.

The best known modern-day Category

5 storm is Hurricane Katrina. With these

terrible tempests, the storm itself is horrifi c

with life-threatening wind and rain as well

as devastating property destruction. The

result is an overwhelming level of debris

that can take months—or even years—to

clean up. And they tend to have a life-changing impact on

those caught in their paths. The 2001-2002 recession was like

a Category 1 storm. During the few months of the very mild

economic downturn, some practice owners felt the pinch. But

after it came and went, most practices soon moved on to even

better results. In contrast, The Great Recession of 2007-2009

has been akin to a Category 5 hurricane. The economic storm

was very severe and lengthy. Many did not survive. And those

still standing are left with a daunting debris fi eld.

So what should you do now to deal with the debris and take

part in the recovery? First, the fact that you are still in business

is no small feat and should be celebrated. The Great

Recession debris fi eld is littered with business closures,

yet your practice still has the lights on. Congratulations.

What should you do next? Try to fi nd the rainbow.

LOOK, LOOK, LOOK TO THE RAINBOW

The rainbow may seem elusive right now, but

apply some of these tactics to your business,

and you will greatly improve your chances of

surviving and thriving during the period of

revitalization that is on the horizon.

· Focus on service quality. This is a

great place to start because it is something

over which you have direct control. It

might be unclear how to bring more patients

through your front door, but you can ensure

that all who enter will have a great experience

in your practice. Service quality starts with the owner.

Maintain a positive attitude with your employees so that

they will want to come to work. And insist that they take

the same approach with patients. If any employee lacks

suffi cient product or procedure knowledge, make sure she

gets up to speed to help meet patient needs. An

added benefi t of service-quality excellence is the word-of-

mouth advertising that will result, which is sure to bring more

prospective patients into your practice.

· Consider replacing employees. If you have any employees

who are not getting the job done, now is the time to consider

a change. With unemployment still high, the job market is

fl ooded with capable and eager people

looking for steady employment. Many

have extensive experience in medical

aesthetics and will be ready to hit the

ground running with minimal training.

It can be interpersonally uncomfortable

to have to terminate employees during

high unemployment, but you will not

maximize the potential of your business

without the right people in place.

· Assess your business model. It is likely that over the past

several years you’ve focused primarily on survival. But you

need to resist the temptation to remain in that mode as the

economic recovery ensues. Now is a great time to assess your

practice’s business model. Start with your location. If you are

near the end of your lease term, consider whether or not a

diff erent location makes sense. There are some great deals

for commerical space right now, and you might be surprised

by what you can now aff ord in upgrading your location.

Second, even if your lease is not near its end and you like your

location, you might be successful in renegotiating a

lower rate in exchange for a longer term. (For more

information on lease negotiations, see Business

Consult on page 10.) Next, consider some other key

questions: Are you still meeting the needs of your

patients? Do you have the right mix of treatment

options and price points relative to the market? Should

you consider other revenue sources, such as retail

or online sales? What should you be doing that

you are not doing? What should you

stop doing? If you determine that you

need to make some business-model

changes, map out a plan and a time line

for implementation and follow it.

· Take advantage of the challenges faced by competitors.

Realize that just as you have been dealing with a Category

5 economic storm over the past several years, so have your

competitors. And while it may be tempting to focus inward,

it’s actually an excellent time to assess your competitive

landscape and grab market share. While other practice

owners operate in a survival mode, focus on two or three

things you can do to improve your competitive position

Recessions are a lot

like hurricanes.

There’s a wide range in the

level of severity.

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MedEsthetics Southern Africa40

in your local market. These tactics might include introducing

new equipment or product lines, investigating diff erent

local advertising venues or off ering targeted discounts to

drive more traffi c. While it may seem counter-intuitive, this

also could be the ideal time to buy out a competitor if you

have access to capital. Some of the best business purchases

are done at economic infl ection points such as the one now

prevalent in the current commerce environment.

· Manage expenses closely. You’ve likely

been in a hunkering-down mode with

expenses throughout the recessionary

period. This is no less important during

a recovery. Managing expenses closely

will allow you to stock more inventory,

off er special promotions to increase

bookings and keep loans current. If

there are some areas that could still

generate potential savings (such as

diff erent staffi ng models, change in

hours or operation, etc.), consider implementing them now.

Additionally, you need to have control over ordering supplies

and inventory. Some practices allow most anybody to place

orders, which can result in wasteful spending. If you don’t

already have strong controls in place for ordering, this can be

a great way to reduce expenses.

· Preserve working capital. Working capital is the investment

you have in accounts receivable and inventory less accounts

payable. You can generate a signifi cant level of cash in your

business by improving your working capital position. Take

a good look at your current retail inventory. If some of it is

slow moving, mark it down, get rid of it and don’t replace

it. Instead, invest those dollars in more of the

inventory that moves faster, and your working

capital position will improve.

· Generate cash by collecting receivables

faster or paying creditors more

slowly. Start calling overdue

accounts and continue

calling every few days until

you are paid. Likewise, don’t pay

your creditors early. This ties

up working capital, and that

means less cash to run your

business.

· Work closely with creditors.

Recessions can be brutal when it comes to meeting

debt obligations. Revenues and cash levels fall,

but debt payments don’t. If you fi nd yourself

in a position where it is diffi cult to cover

all debt obligations, don’t panic. Instead,

be proactive. If you communicate with

creditors, you will have a much better chance of keeping

them off your back, allowing you to focus more on running

your practice. Keep your promises. Try to under-promise

and over-deliver. If you know you will be late, contact your

creditor and let him know that you might be 10 days late,

and then try to pay in fi ve days. Ask for longer terms. A

supplier might be willing to give you a 45-day term instead

of 30. And your bank might be willing to extend your three-

year loan to fi ve years. Rotate late payments: If you have 20

creditors and you can’t pay everybody

on time right now, pay half of them

on time this month and the other half

on time next month. Keep essential

creditors current. Every business has

a few creditors that are essential to

keeping the doors open. If you can’t

keep them current, be sure to keep

them well informed. Avoid surprising

your banker. He can deal with bad news

as long as he has forewarning. Consider

cash-management services, such as a lockbox, computer-

based balance reporting and funds transfer, automated

clearinghouse services and controlled disbursement. They

can signifi cantly improve your cash fl ow.

· Keep your personal credit clean. Most creditors view the small

business and the business owner as essentially one in the

same, so it’s imperative that you keep your personal credit

clean during an economic recovery, particularly if you think

you will need to borrow money once a sustained expansion

period sets in. There are fi ve key components of a personal

credit rating, listed in order of importance: 1) timeliness of bill

payments, including tax liens, bankruptcies and judgments;

2) level of outstanding credit relative to lines available (i.e.,

having a $15,000 credit card with $14,000 owed); 3)

length of time your credit has been active;

4) types of credit; 5) acquisition of

new credit. There are three major

credit score sources: Equifax,

Experian and Trans-Union.

If you aren’t sure what your

credit score is, visit the websites

of one of these credit bureaus

and fi nd out.

The Great Recession

has left a lot of damage

and debris in its wake, but

the economic recovery has

begun. Follow these tips and

y o u will increase the likelihood of fi nding

new success as you seek to revitalize your

medical aesthetic practice.

J. Tol Broome Jr. is a Winston-Salem, NC-based

freelance writer with more than 20 years of commercial-

lending experience.

EMERGING FROM THE STORM

If you don’t already have strong

controls in place for ordering, this

can be a great way to

reduce expenses.

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 41

LABORATOIRES FILORGA - ADVERTORIAL

X-HA VOLUME®THE VOLUMIZING IMPLANTThe X-HA Volume® is indicated for injection into the deep dermis, subcutis or supraperiosteally.

This fi ller is indicated to increase or restore volume of the face, remodel facial contours and to

correct deeper wrinkles and folds.

The X-HA Volume® benefi ts from a high purifi cation technology allowing to obtain a pure cross-linked hyaluronic

acid, with the lowest proteins and endotoxins rates, which is much lower than required by the European

Pharmacopeia’s. X-HA® range therefore limits risks of hypersensitivity, infl ammation and secondary reactions,

and off ers perfect biocompatibility.

It perfectly complete corrections made with X-HA³®, polyvalent fi ller for the treatment of medium and deep

wrinkles and lip enhancement.

A

557

888

1 025 1 038

B X-HA

Volume

c

Vis

co

sit

é à

0,1

s-1

mP

as

-1

X-HA

Volume

27G

12,9

13,3

20,3 30,4

A

21G

C

21G

B

27G

Fo

rce

d’i

nje

cti

on

X-HA Volume® has a very high viscosity to resist to

deformations and create volume

Easy Injection

Thanks to its high viscosity, X-HA Volume® can be easity

injected with a non traumatic needle.

Long-lasting remanence

Thanks to its high cross-linking, X-HA Volume® resist to

degradation factors of hyaluronic acid. Its remanence

into the tissues in longer than 12 months

Cross-linked hyaluronic acid volumizing implants: A: 22mg/ml – B: 25,5 mg/ml – C: 24mg/ml

The X-HA Volume® is packed in 2 x 1ml syringes

Concentration : 23 mg/ml

Molecular weight : 2,5 M Daltons

High Viscosity : 1 M mPa.s-1

Price: R2450 excl VAT

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MedEsthetics Southern Africa42

SYNERON

Unveils New Cutting-Edge Aesthetic Products at American Academy of

Dermatology Annual Meeting, Underscoring Science and Leadership

Breakthrough technologies give doctors a wider range of treatment advantages across a more diverse patient

base

February 3, 2011 – Today Syneron Medical Ltd. (NASDAQ: ELOS), www.syneron.com, the global leader in the medical aesthetic

device marketplace, announced that the company will be featuring an exciting new family of aesthetic treatments at the

American Academy of Dermatology (AAD) 69th Annual Meeting taking place in New Orleans, LA.

The newly-launched products include ePrime™ Energy-Based Dermal Volumizer™, CO2RE versatile Fractional CO2 Resurfacing

System and elure™ Advanced Skin Lightening Technology™. Additionally, the revolutionary eMatrix® complete Sublative

Rejuvenation® system will be the subject of several presentations at the conference, and will accompany the company’s full line

of devices at booth 3515.

“The top physicians in the world continue to look to Syneron for innovative solutions to the multitude of medical and aesthetic

challenges in improving patients’ skin quality,” said Louis P. Scafuri, Chief Executive Offi cer of Syneron. “The newest family

of products underscores the company’s commitment to science, results and trust, and our dedication to working with our

customers to develop technologies that will give physicians greater fl exibility to treat a diverse patient base.”

Following are highlights of this exciting line of products which bring forth an entirely new and diverse range of treatment

categories – from wrinkle reduction to skin resurfacing and lightening:

• ePrime Energy-Based Dermal Volumizer is yet another new and exciting innovation from Syneron and Candela. The fi rst

minimally invasive aesthetic device to precisely target and deliver measured radio frequency (RF) energy directly into the

deep dermis, ePrime is proven to result in dramatic tone and volumetric improvements of the skin in a single treatment.

Andrea Willey, M.D., of Laser and Skin Surgery Center in Sacramento, CA, stated, “The improvement in skin tone resulting

from increased volume and new collagen production is unique to ePrime and a fascinating concept to bring to light.”

• eMatrix Sublative Rejuvenation is the world’s fi rst RF-only technology for energy-based facial rejuvenation, delivering high-

intensity dermal impact with less epidermal ablation with minimal patient downtime. eMatrix treats skin texture and tone

without skin color limitations.

About Syneron Medical Ltd.

Syneron Medical Ltd. – a company devoted to real technology, real science and real results – is the leading global aesthetic

device company with a comprehensive product portfolio and a global distribution footprint. The Company’s technology enables

physicians to provide advanced solutions for a broad range of medical-aesthetic applications including body contouring, hair

removal, wrinkle reduction, rejuvenation of the skin’s appearance through the treatment of superfi cial benign vascular and

pigmented lesions, and the treatment of acne, leg veins and cellulite.

Contact Radiant Healthcare for more information

Offi ce 011 794 8252

Jacques 082 829 9300

Melissa 082 306 5138

Email [email protected]

Website www.radianthealth.co.za

RADIANT HEALTHCARE - ADVERTORIAL

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 43

SYNERON ELŌS™ technology still tops the aesthetic market for client

satisfaction and clinical effi cacy!

The eMax™ aesthetic system from Syneron is powered by revolutionary elōs™ (electro-optical synergy)

technology. The combination of these two energies is the key to safer and more eff ective aesthetic (or cosmetic)

treatments for a full spectrum of skin types (Fitzpatrick types i-iv).

This is what local Syneron owners have to say about the eMax:-

“Laser hair removal on the eMax system is safe on most skin

types, including Asian skins and it is highly effi cient for all hair

colours, including white and blond hair.”

<< Dr. Natela Rekhviashvili, Vaal Triangle

“We have treated many patients with great results. It has

proven to be safe and effi cient, and the radio frequency has

allowed us to treat darker skins. This was previously unheard

of!”

Dr. Stuart Meintjies, Cape Town >>

“Clinical results from the Syneron Emax system have proven

above my expectations and I found it to be very safe on all

skin types. It is in a class of its own!”

Dr. Maryke van Lelyveld, Vaal Triangle

<< Dr. Alek Nikolic, Cape Town

“In treatments of over 2000 patients, many of whom have

had prior IPL treatments with the FotoFacial RF procedure,

and in a split-face comparison study of the IPL FotoFacial and

FotoFacial RF, it has become clear that there are four major

advantages of this new technology over Intense Pulsed Light

(IPL)-only technologies: 1) better overall clinical results; 2)

patient preference for the FotoFacial RF procedure; 3) lower

incidence of complications and a greater margin of safety

in treating skin type iv and v patients and in slightly tanned

patients; 4) more rapid mastery of technique fi nesse with the

FotoFacial RF procedure.”

Contact Radiant Healthcare for more information

Offi ce 011 794 8252 | Jacques 082 829 9300 | Melissa 082 306 5138

Email [email protected] | Website www.radianthealth.co.za

RADIANT HEALTHCARE - ADVERTORIAL

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MedEsthetics Southern Africa44

TECHNOLASE - ADVERTORIAL

SENSATIONAL BODY CONTOUR THE FINAL SOLUTION

NovaShape is the logical elevation of cavitation systems

to low power used in medicine and aesthetics. Increase

results with HIFU techniques (Focused) and of course using

the technique osmolar is transforming the way to treat fat

deposits in medicine.

An innovative system, with more features that off ers a real alternative to liposuction. With the

technical environment of low osmolarity, we can provide almost immediate and permanent

cosmetic results of liposuction without surgery, without post-treatment recovery and

discomfort for the patient.

PHYSIOLOGICAL ACTION

Cavitation fi elds generated by ultrasonic resonant high pressure and density, creating large bubbles

of vacuum (by the rapid oscillation of pressure changes in the interstitial fl uid of aipose tissue to energy

imploding enough to break the adipocyte membrane. The energy at which the fat cells are exposed is such

(100kg / cm²), which causes the separation of fatty nodules packages and perforated membranes or cell

walls.

NovaShape is a state of the art device built after years of research on variable low frequencies (for

mechanical eff ects) rather than other devices working on high frequencies of 1Mhz to 2.4Mhz (for thermal

eff ects), on the non-invasive fat reduction & body contouring applications. The method of low frequencies

applied by the NovaShape system allows treatments to take place on most

parts of the body, were results are obtained after a single session only!

After treatment (rupture of adipocytes) the released fat and

cellular debris are cleared via the body’s natural physiological and

metabolic pathways.

MULTI-FREQUENCY EMITTER FOR RESONANT EFFECT

In order to obtain a dynamic cavitation process, the ultrasound

emitter must be in concordance with the frequency absorbed by every

biological tissue at resonant level. This fact will depend on the density,

its depth, and the shape of the cavity where the fat tissue is located.

HYPO-OSMOLAR SOLUTION

Hidrolipoclasia, NovaShape recovers, due to its ease of use, provides

a technique convenient in use and now with great results. Unlike previous

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Page 47: MUST-HAVES - AAMSSA...MUST-HAVES entering the age of EHR DECISION MAKING when expanding your practice CONTENTS PUBLISHER Reni Rouncilvell MedSpec Publishing PO Box 12973 Clubview ·

MedEsthetics Volume 4 Number 1 Autumn Edition 2011 45

TECHNOLASE - ADVERTORIAL

ultrasound equipment used, NovaShape uses much lower frequencies, greater

penetration, higher capacity and lower compression heating eff ect. Studies of

the Complutense University have shown that using a hypo-osmolar solution in

combination with cavitation, off er similar results to liposuction surgery without

the drawbacks. In addition, improved skin tone, recorded slight increases in

cholesterol and triglycerides after the session and days without fi brosis, or side

eff ects or hospitalization.

FAT FREE BUBBLE – LARGER

To increase the bubble size, the NovaShape has an equalizer function resonance

sensor to adapt the technique to the area and type of fatty tissue. (The larger the

bubble, more eff ective the results)

APPLICATION

The treatment area needs to be defi ned (approx. 10min of treatment per 10m²), select

the protocol parameters for each area and apply the conductive gel evenly over the area.

Unlike other systems that are working on fi xed frequency, NovaShape software

sweeps constantly on low frequencies to reach the specifi c frequency that is required

for the density/depth/shape of fat tissue location.

CLINICAL RESULTS

Using the combined techniques of solution of low osmolarity and Resonant Cavitation, we obtain

results in a single session of perimeter reduction of between 3 and 6 cm in belly fat accumulation,

and 2 – 4 cm in thighs. The eff ects are visible in one session and it is recommended an average of three

treatments to achieve an equivalent treatment to surgical liposuction.

The loss of perimeter is complemented with ultrasound measurement to demonstrate the loss of adipose

tissue thickness, as apposed to cosmetic results off ered by other techniques. The real result is obtained

after 4 or 5 weeks, once all wastes are reabsorbed.

ADVANTAGES OVER OTHER SYSTEMS

* Resonance Sensor with EQUALIZER function

* Cooled Head (more power in continuous mode with variable

frequency, more eff ectively without risk of burning)

* Greater penetration, enhanced compression and lower

thermal eff ect

* No consumables, low wear head per session

* Can be applied in most of the body, regardless of thickness or

density of area

For more information regarding the NovaShape phone Technolase cc,

Tel 012 349 1750 or visit the web www.technolase.co.za

ultrasound equipment

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CLINICAL RESULTS

Using the combined techniques of solution

results in a single session of perimeter reduc

and 2 – 4 cm in thighs. The eff ects are visible in

treatments to achieve an equivalent treatment

The loss of perimeter is complemented with ultra

tissue thickness, as apposed to cosmetic results

after 4 or 5 weeks, once all wastes are reabsorbed

ADVANTAGES OVER OTHER SYSTEMS

* Resonance Sensor with EQUALIZER function

* Cooled Head (more power in continuous mode with

frequency, more eff ectively without risk of burning)

* Greater penetration, enhanced compression and low

thermal eff ect

* No consumables, low wear head per session

* Can be applied in most of the body, regardless of th

density of area

For more information regarding the NovaShap

Tel 012 349 1750 or visit the web www.tech

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46

HITECH LASERS - ADVERTORIAL

CO2 LASER LIGHT

MAKES RIGHT …CO

2 Laser treatment – new hope for patients with burn scars,

traumatic injury scars and other skin abnormalities.

Carbon Dioxide, or CO2, lasers have been widely used since 1994 to eradicate wrinkles and sun damage.

Now the same CO2 laser with fractional technology is used in the treatment of severe burn scars, traumatic

injuries and skin abnormalities. A breakthrough was recently announced by Lumenis, a global developer

of light-based devices for Surgical, Aesthetic, and Ophthalmic application. Leading physicians and

organizations collaborate with Lumenis to fi nd solutions for patients with burn scars, traumatic injury

scars and other skin abnormalities using their proprietary UltraPulse Fractional CO2 laser technology.

Dr. Rox Anderson, Professor and Dermatologist at Harvard Medical School, a world renowned

leader of laser technology for more than two decades, and at the forefront of a global movement

bringing new hope and help to burn survivors, recently treated over 100 patients at the Vietnam

Vascular Anomalies Centre (VAC) and trained local physicians. “Our initial eff orts focused on treating

hemangiomas and other skin abnormalities, but with the advent of UltraPulse fractional technology,

we quickly realized that there was an opportunity to treat burn victims, especially children, “ said Dr.

Anderson “our Mission at VAC is to off er help and hope to these children. The best way to do this is to

enable and train local physicians on the latest techniques so they can off er a service that was not

possible in Vietnam, or anywhere else in the world, fi ve years ago. With Lumenis’ technology and

support, we are able to achieve this.” This marks the fi rst such international eff ort for the laser

treatment of scars of this magnitude. Lumenis helped to make the treatments and training

possible through a donation of an UltraPulse laser system.

“Recent medical advancements have enabled the survival of patients with burns covering 80%

to 90% of their body. This has created a reconstruction situation that we haven’t seen before“ said

Dr. Jill Waibel a renowned private practice physician and an expert in burn scar treatment

in the USA. Dr Waibel also works together with Angle Faces an organization that provides

healing retreats and on-going support to adolescent girls with severe facial disfi gurements.

“UltraPulse has had a dramatic impact on the treatment of scars because it is the only laser that

BEFORE AFTER BEFORE AFTER

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Chest and arms before and after Lumenis UltraPulse CO2 treatment. Courtesy of Jill Waibel, MD

UltraPulse® CO2

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MedEsthetics Volume 3 Number 4 Summer Edition 2010 47

HITECH LASERS - ADVERTORIAL

can reach the depths required to treat deep scars - Lumenis’ UltraPulse is

the only hope that these patients have.”

The US Armed Forces sector is also a signifi cant benefactor of this

novel treatment modality. Lt. Col. Chad Hivnor, M.D., chief of pediatric

dermatology at Wilford Hall Medical Centre was the fi rst to introduce

UltraPulse fractional laser treatment to wounded warriors. “I saw more

and more soldiers returning with severe burns and scars and there was

no treatment to off er them,” said Lt. Col. Hivnor. “I knew UltraPulse

worked well for acne scars, so it made sense that it would help this

scarring. We’ve seen a dramatic improvement in pliability and mobility.”

“The success of this treatment can be attributed to the support of the medical

community, especially these dermatologists and plastic surgeons who are so passionate

about this cause, “said Mr Robert Mann, Sr. VP and General Manager of Global

Aesthetics and Dermatology at Lumenis. “It is our privilege to support them with our

UltraPulse fractional technology.”

Through its collaborations with various international organisations and

individual laser technology leaders Lumenis has the most extensive experience in

the area of burn scars and traumatic injury scars in the industry. A South African

specialist together with Dr. Matteo Tretti-Clementoni of Milan, Italy is currently busy

with clinical trials to bring hope to the South African burn survivors and traumatic

injury victims.

During the recent AAD meeting in New Orleans Lumenis, with over forty years

of laser research and development, introduced the patented MultiMode scanning

technology for the Acu-Pulse CO2 laser, a mid-level version of the UltraPulse

fractional CO2 laser system. This is an exciting new development in ablative

fractional therapy because this unique feature will allow fractional treatments of

both superfi cial and deep structures using a single hand piece and an exceptionally

easy computer interface.

Hitech Lasers is the sole distributor of the Lumenis products in Southern Africa. For more information on

their range of Lasers, IPL systems and other aesthetic systems contact Hitech Lasers on

Tel: +27 12 349 1250 or E-mail: [email protected]

BEFORE AFTER

AcuPulse™ CO2

Face before and after Lumenis UltraPulse CO2 Treatment. Courtesy of Jill Waibel, MD

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Latest Advancement in skin care and professional solutions

NEW SKIN BEGINS WITH

The story of Alpha-H begins over 18 years ago, with a remarkable, life-changing story. Having suff ered with a

demoralising skin condition for many years, Michelle Doherty’ owner of Alpha-H was introduced to Alpha-H,

consisting of a two-step programme of the Balancing Cleanser and Balancing Moisturiser. Michelle experienced

astounding eff ects resulting not only in a happy, healthy skin but a personal boost to self confi dence and esteem.

Since then, Michelle’s mission has been simply to bring the very best skin care products and services to the world,

not only just for a season or a specifi c reason but for a lifetime.

MedEsthetics Southern Africa48

ALPHA - H - ADVERTORIAL

Today, with 22 years of research and development, Alpha-H is an exceptionally high quality, results-driven, specialised

skincare range, with over 40 products, sold in prestigious clinics worldwide and in over 850 professional salons and spas in

Australia. Always destined to be more than just another ‘Dr’ brand, Alpha-H has given the beauty industry not one but several

“cult” classics: Liquid Gold, an innovative, exceptional night time resurfacing and fi rming lotion; Rejuvenating Cream, an award-

winning nourishing, fi rming cream loaded with minerals, anti-oxidants and collagen-boosting Vitamin C and The Liquid Gold

Smoothing and Perfecting Mask, a fundamental peeling treatment which brings new cells to the surface of the skin. Alpha-H

is now considered a leader in corrective and preventative skincare globally.

The success of Alpha-H has grown from a simple desire to exceed customer’s expectations in terms of their products

performance and results, and has quickly developed a cult following with people from all walks of life. They attribute their

success and growing popularity to their customers spreading the news word of mouth.

It is a responsibility and integrity, most of all, that the Alpha-H family share. Alpha-H was born from an aspiration and

enthusiasm to make a diff erence and “deliver the very best to every customer every day.” Michelle works closely with her team

of cosmetic scientists, researching ingredients and developing powerful formulations to ensure a consistently high standard

right across the range, bridging the gap between cosmetic surgery and the more traditional cosmetic brands, with nature and

science.

Endorsed by thousands of therapists and doctors worldwide, Alpha-H believes that exfoliation followed by nutrition,

hydration and fortifi cation of the skin are necessary to maintain a clear, healthy and fi rm complexion. Designed to treat and

visibly improve a wide number of skin conditions such as fi ne lines and wrinkles, pigmentation and sun damage, clogged pores

and blemishes, acne and acne scarring, Dermatitis, Eczema and Psoriasis and tired, lifeless skin.

Alpha-H is primarily made up of ‘Salicylic acid’ a alpha hydroxy acid, which naturally occurs in sugar cane. Glycolic

acids work by dissolving the ionic bonds that hold the dead skin cells together. The cells can then very gently be sloughed off

to allow new healthy cells to the surface. What makes Alpha-H so distinctive and innovative, is their expansion to take scientifi c

skincare into a whole new dimension. By combining glycolic acid with a unique blend of other eff ective natural and botanical

ingredients such as green tea extract, Vitamin E, salicilic acid, ginseng, licorice and hibiscus fl ower extract and jojoba, Alpha-H

has mastered the art of treating a wide range of skin concerns with tremendous results.

Results with signifi cant improvement can usually be seen within fi ve to seven days of commencing an Alpha-H skin

management programme.

With Alpha-H, new skin truly begins

For more information or interested in becoming a stockist please contact:

Christina Bowman: Tel: +27 (0)79 527 1232, E-mail: [email protected]. www.alpha-h.co.za

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INTAMED - ADVERTORIAL

USING PELLEVÉ ™ Radiowaves to Wipe Away Wrinkles

If you’re considering how to refresh your appearance without

surgery, the Pellevé Wrinkle Reduction System is right for

you. Pellevé is the newest innovation in skin tightening, FDA-

cleared to safely and eff ectively treats facial wrinkles with

virtually no pain, no anesthesia, and no downtime. With just

a single, one-hour treatment, you could be on your way to

fi rmer, tighter skin—with results that can last up to six months.

Pellevé delivers constant, gradual energy to the skin, causing

heat to build up where the skin and fat layer come together.

The increasing heat modifi es the collagen bundles deep

inside the skin, causing them to contract and stimulate the

growth of new collagen over time. This results in fi rmer,

tighter skin. Many people see the result immediately after just

one treatment, with lasting improvement for months after as

the skin produces new collagen.

Unlike other skin tightening systems, Pellevé doesn’t require

anesthesia or skin cooling. Because the skin is not numb, you

can describe the depth of feeling to the practitioner, which

helps provide the best result in the area being treated. The

overall result is a noticeable improvement in skin quality and

appearance with minimal side eff ects and no recovery time, so

it fi ts easily into busy schedules.

Measurable and immediate improvement

• Visible and lasting eff ects in nearly all patients

• Better skin quality and reduction in skin laxity

Safe and eff ective

• Non-invasive

• No anesthetic required

• No skin cooling needed

• Minimal discomfort

• Minimal side eff ects

For More Information Contact Pellevé Exclusive Distributor:

Intamed – Tel: 011 444 0404, E-mail:[email protected].

www.pelleve.co.za

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MedEsthetics Southern Africa50

THE PRESERVATIVE WARS! THE PRESERVATIVE WARS! That the current controversy regarding preservatives in skin and body products

will have a huge backlash on the “Green Cosmetic” advocates is the main

concern of many private screening labs across the USA. These are independent

labs that all companies manufacturing cosmetics under FDA regulations must

use to validate the fact that their products are indeed safe for human use. While

many ingredients have come under fi re as not organic or natural enough, thus

causing cancer or other life threatening anomalies (without one shred of valid

proof) probably the biggest “culprit” is the preservative methylparaben.

In addition to killing bacteria from gram positive and grand negative, fungus and molds, thus extending

the shelf life of a product up to the required 2 years, methylparaben has been a mainstay of the cosmetic

and personal care industry since the 1920’s. I will not go into the pros and con’s of this in this article as I

have covered the subject many times before. Needless to say many new alternatives have become available

in the market place which allows chemists to dispense with the Green Off ensive preservative. It is of note

however, that many of the over-the-counter BIG cosmetic houses have not caved into this—preferring to

hedge their bets against department store and other retail clients getting some sort of bacterial or mold

attack from a topically applied “organic, natural” product.

Those of us in the private clinic or spa business have more of an opportunity to monitor our clients on an

ongoing treatment basis, so the “green movement” has targeted our market niche more than the public

retail arena.

And there is nothing wrong with using organic materials or active herbs AS

LONG AS THEY ARE PROTECTING OUR SKIN’S AGAINST MICROBACTERIAL OR

MOLD ATTACK!And herein lays the quandary. A lot of micro-bacteriologists have worried about the new preservatives

breaking down eventually—in the hands of the consumer. People are not always careful at home about

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MedEsthetics Volume 4 Number 1 Autumn Edition 2011 51

DANNE MONTAGUE-KING - ADVERTORIAL

cross contamination when their fi ngers are dispensing a

product on their skin. Often times lids are left off containers,

sometimes just for a few minutes, ample time for airborne

bacteria to enter the product and proliferate.

But as it happens many times with discoveries—suddenly

someone will notice something special in the world of

chemists and scientists and another voice will pass on the

message!

I AM PRIVILEGED TO BE ONE OF THOSE VOICES!

One of my chemist colleagues, Sarjula Sangvhi, a woman

wise in the nature of herbs and Asian chemistry was one of

the really concerned people about the longevity of the new

preservatives. During a conversation with a micro bacterial lab

where she sends products regularly for independent testing,

she was made aware, by a very excited lab technician, that a

new compound had come thru (for FDA testing) that seemed

nearly miraculous. Mainly because it was based upon ALL

organic ingredients, some fairly common!

The technician, at fi rst suspicious of her

fi ndings, ran every test known to man

including accelerated stability testing and

the compound came thru with fl ying colours

every time!

Oddly enough, the compound, named BIOCENSE ™ was being

used only for the medical fi eld, in Doctor’s offi ces, surgeries

and hospitals. It was classed as a substance that prevents and

arrests the growth of microorganisms in ZERO (0) time! For

medical preparations it was applied to living tissue topically as

a botanical antiseptic system, but as a botanical preservative

it also kills in 0 time staphylococci including Methicillin

Resistant Staphylococcus Aureus (MRSA)

This was very apparent in the treatment of wounds, infection

prevention and infection transmission—all very vital to

modern hospitals today!

The lab tech immediately called up the man who discovered

this amazing compound and informed him of the huge

potential in the cosmetic industry.

A short time after that I was informed of this development (as

I was about ready to cave in and use the new “alternatives”

in my own formulations) and I asked for the inventor’s phone

number.

His name is Alan Lord, as like most creative innovators,

he was very shy and retiring on the phone—almost folksy! As

I am somewhat out spoken and have a very abstract way of

thinking, I immediately let him know that his story MUST be

told, as all such knowledge must be shared—not harbored as

a secret by a few. I also know a great many “ego’s” in the beauty

business (and some Doctors) who like to appear as if they

discovered every new thing that comes down the Pike—and I

was not about to let that happen to this dedicated man. Alan

Lord discovered BIOSENCE over 9 years ago after suff ering a

topical fungus infection in Hawaii. As corny as this seems, it

was some native Hawaiian folk medicine mixture that got rid

of the problem and got him to thinking.

He thought and researched by trial and error (and an abstract

point of view on things) and fi nally came up with EURIKA!

BIOSENSE is a globally approved paraben and formaldehyde

free preservative system that is compatible with almost all

personal care products; it is safe, non-toxic and non-irritating

with no evidence of ocular irritation or skin reactions.

Obviously there are those people on this planet who are

allergic to even the most body friendly foods and natural

ingredients, but that ratio is far and few between and not

enough to keep this remarkable preservative away from the

common herd!

To the compounding chemist, BIOSENCE is versatile, easy to

use, and highly stable and eff ect over a broad ph range—

including complex molecules such as proteins and surfactants.

It can also be incorporated into cosmetic phasing under a

wide range of temperatures.

In talking to this remarkable man, I had a sense of Déjà-vu -

there are so many times in one’s life when one has a chance

to come up with a fi rst. I had that chance years ago when I

created a topical analgesic called Biofreeze -simply because

I wanted to help my Grandmother with her chronic arthritis

pains. Years later it became one of the top selling analgesics in

the world. I have no ownership of Biofreeze anymore, having

sold my formula and shares out to partners years ago—but

wherever I go on this planet, even in Russia and Tibet and see

Biofreeze advertized I have this small glow of achievement

of having done something for my fellow man. After listening

to Alan’s story of his early concerns of transmittable bacteria

running rampant in hospitals (his Father was a hospital

administrator) I understood his pride in the research he had

done strictly because something NEEDED to be done. In the

beginning I actually thought Biofreeze would never really sell.

I would like to add my voice to others in getting Alan Lord’s

discovery out there as well.

Not one time in our hour long conversation of loaded

questions coming from me, did he ever mention a commercial

aspect of his compound. Instead, we discussed what types of

treatments could be employed using BIOSESNCE and how it

could help the plastic surgeons for pre and post operation

procedure, the Dermatologists and the aesthetician. Also,

what various forms it could be included in for the most

eff ective results.

However if the cosmetic world is going to keep on worrying

about “all natural preservatives, BIOSENCE would be the one

to put their money into.

I know I am.

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MedEsthetics Southern Africa52

NEWS & EVENTS

01 Call for Abstracts

Last chance to submit! The Aesthetic Medicine Congress of South Africa 2011 is taking

place from 2 - 4 June 2011. The program is already fi lled with new and innovative

presentations and demonstrations by local and international experts. If you have new

techniques, research or developments that you want to share with a target audience,

ensure to submit your abstract before 30 March 2011. The scientifi c committee will take

all abstract submissions into consideration.

02 Melissa Eksteen, this last week, celebrated her 6th year with Radiant Healthcare. The

team at Radiant Healthcare would like to convey our appreciation for her exceptional

dedication to the company and our clients throughout the six years. At Radiant Healthcare

we believe that business is not just about providing equipment and service, but also in

building long term, loyal relationships.

03 Foundation for Professional Development – Post Graduate Aesthetic Medicine

Update The fi rst group of doctors have completed there 1st year of this 2 year program

successfully. The 1st year was revising all the basic medical sciences and also covering

endocrinology, nutrition, anti-aging medicine. In the last classes an update on medical

emergencies management was an eye opener for many doctors again to the importance

of updating ones knowledge on managing such situations. Now comes the practical and

technique skills of specifi c aesthetic medical procedures as well as the research task. The

research tasks will will be very benefi cial for the respect and development of aesthetic

medicine in South Africa. The FPD have started taking in new entrants for the next course

to start early next year.

For more information please contact Stacey Dias ([email protected])

04 19Th World Congress of Aesthetic Medicine 2013in Cape Town This event is

coming to Cape Town! Taking place from 14-16 February 2013 at the CTICC and the

pre-congress workshops at Stellenbosch University, Tygerberg campus. Expert speakers

from around the world will present, train and demonstrate the latest trends, techniques,

research and developments in both Aesthetic & Anti-aging medicine. The scientifi c

committee includes local doctors as well as each of the presidents of the 27 countries

affi liated to the UIME. This diverse scientifi c input will ensure an unsurpassed program

to attend. International and local companies will be exhibiting and demonstrating new

products, techniques and devices. This international event of the International Union of

Aesthetic Medicine (UIME) will also include symposiums from other continents to update

the diverse audience of the unique trends of the various regions of the world. The pre-

congress workshops with hands-on training on cadaver material and lead by international

experts will be an unforgettable experience. The Gala Dinner taking place at Moya, Spier

Wine Estate will be the ideal Valentine’s African Experience creating memories forever.

Spouses of delegates are welcome to enjoy the numerous South African Valentine’s

off ers. Pre- and post congress tours, sight seeings and events will contribute to making

this your best congress ever! The 19th WCAM is the ideal environment for learning,

starting a new venture, business opportunities and updating your expert skills. All of

this taking place in a top ranked destination: nothing better than Cape Town! ABSTRACT

SUBMISSIONS – NOW OPEN! If you have experience, research or new developments that

you want to share with an international audience, then ensure to send us your abstract!

Online submissions available.

For more information about the 19th WCAM: www.wcam2013.co.za

01

02

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LipoLite laser lipolysis system allows you to enter the body shaping market, affordably. LipoLite destroys fat cells and coagulates tissue leading to skin tightening in problem areas.

Featuring SelectPulseTM for precise control of both the pulse energy and repetition rate, LipoLite gives you the

treat even stubborn areas.

Its compact size allows for easy integration into any treatment environment

FDA cleared device for circumferential and cellulite reduction. VelaShape is CE marked for body contouring and cellulite reduction. Four treatment protocol for visible results. Shorter treatment times

(non-ablative)

wrinkles, scarring, discoloration, etc.)

Facial Analysis SystemObservation and measurement of

via normal image,

light Images

area

comparison analysis

High Powered Body Contouring and Cellulite Reduction

eMatrix

eMax

eStyle

Contact 011 794-8252/3 | [email protected] | www.radianthealth.co.za

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