Dermal fillers have a wide multitude of uses from the obvious to the not so obvious. If you have a patient that is interested in having dermal filler, we advise that you get them to attend an initial skin consultation with you before having the treatment. This will allow you to find out more about the patient’s medical history, and the look that they are hoping to achieve.
These are the lines under your eyes that make your eyes look tired. A loss of volume in the area, a loss of tissue elasticity or a mild reduction in bone density could all be causes of concern. By using an advanced technique, dermal fillers can be placed in either the tear trough itself, slightly lower in the cheek area, or indeed a combination of both to achieve brighter, more rejuvenated eyes.
Naso-labial folds Commonly known as the smile or laughter lines, these are the two skin folds that run from each side of the nose to the corners of the mouth. If you are bothered by your nasolabial folds, and wonder what to do to improve the area then filler is perfect to fill out these folds, and partnered with cheek filler the face will appear much younger looking.
Sometimes the corners of your mouth can droop leaving you looking unhappy. Dermal filler can be placed below the corners of the mouth with a small amount directly into the corners of the lips.
Marionette lines Marionette lines run between the corners of the lips down towards the chin and jaw giving a puppet-like effect. As we age, our facial bones become smaller resulting in lines like these appearing. Dermal filler is great for filling in these lines making them less prominent.
As you age you lose an amount of subcutaneous fat which can result in a loss of volume and elasticity to the face. This in turn highlights hollow cheek bones, and the presence of excess skin resulting in sunken cheeks. This can cause someone to appear gaunt and tired-looking. Dermal fillers can be injected into this area to plump out the face with natural volume and a gentle lift. This is an advanced technique and is offered at one of our specialist training days.
Lips & vermillion border
A celebrity favourite and probably the most well-known use of filler. The lips can be injected with dermal filler either in the body of the lip to boost fullness or the border of the lips to increase definition. This treatment is ideal for correcting thin lips but can also help solve problems with a downward smile and the need to lengthen the mouth.
A perfect alternative to a surgical chin implant, is a non-surgical chin augmentation which is achieved with dermal fillers. Fillers will help define your jaw line and although only a temporary solution it is a great way to see what can be achieved surgically if you are unsure.
These are the vertical lines above the lip that appear when you pout. They are mostly caused by regular lip movements but are also called smokers lines, because regular smoking means pressing the lips together. If your lines are deep enough then they can be drastically reduced with a small amount of injectable filler to achieve a smoother appearance.
Nose Have you heard of the lunchtime nose job? Dermal fillers can now be used to straighten out any lumps or bumps in your nose without the need for any surgical downtime. Fillers are injected into the nose to smooth out slight bumps in the bridge of the nose, or rectify a crooked line of the nose (particularly in profile view) and even cartilage irregularities at the tip of the nose all in less than 15 minutes! This is another advanced course available for those that have been practicing in dermal filler for a while.
Hands are a new use for fillers, patients have found that the use of the fillers in their face is great for concealing their real age, but then it is often their hands that give it away. Ageing hands lose volume and the skin appears thinner. Having filler injected into the skin on the back of the hands can make them appear plumper and less veiny.
So now you know your areas, let’s look at the product that we use on our training days at Cosmetic Courses:
Juvaderm® Vycross Range
The Juvaderm® Vycross range is a smoother gel which means you get a comfortable treatment. The risk of bruising and swelling is reduced as is any discomfort as anesthetic is added into the formulation of the filler. The Vycross range provides subtle and natural outcomes due to the smoothness of the gel making it easier to inject with precision.
The Vycross range has 3 different forumulas;
Juvederm® Voluma is a much thicker hyaluronic acid gel which has been made by altering the cross-linking technique used in Ultra to create a more viscous result. Voluma can be used for recontouring and restoring the face in the case of age-related volume loss. Designed for deep volume restoration to re-contour the face in areas such as the cheek bone and chin regions.
The effects of Juvéderm® Voluma® last for approximately up to 18 months.
Juvederm® Volbella Launched in Paris Juvederm® Volbella® is specifically designed to enhance lip volume and define lip contours, with a completely natural look and feel. The filler has a smooth, liquid consistency for a smoother look and the addition of lidocaine anaesthetic makes the treatment even more comfortable in an otherwise uncomfortable area.
The effects of Juvederm® Volbella® last for approximately up to 12 months
Juvederm® Volift® This revolutionary dermal filler is produced using VYCROSS™ technology. This creates an ultra-smooth gel for natural appearance with minimal swelling and bruising. It is best used for smoothing nasolabial folds and facial contours.
The effects of Juvederm® last for approximately up to 15 months.
The Juvederm Hydrate is used to improve skin hydration and restore elasticity which is lost through ageing. It works by replacing hyaluronic acid but unlike traditional filler it acts as a hydrating agent attracting and keeping moisture within the skin to achieve that healthy natural glow. Juvéderm® Hydrate is most commonly used for very fine lines and wrinkles associated with ageing. It has also been recommended as an early treatment for crow’s feet and fine lines around the mouth.
The effects of Juvéderm® Hydrate last for approximately four to 6 months
Juvederm® Ultra is our most common dermal filler. The filler contains non-animal hyaluronic acid with the addition of 0.3% lidocaine which is a local anaesthetic to make you feel comfortable both during and after the treatment. There are actually four different formulations for Juvéderm® ULTRA available;
Juvederm® Ultra 2 is a highly cross-linked formulation which is used for the subtle correction of medium facial lines, in particular those around the corners of the eyes and those very close to the surface of the skin. It can also be used to around the lips to enhance natural lip contour.
Juvederm® Ultra 3
Ultra 3 is another highly cross-linked formulation but is instead used for more versatility in contouring and volumising anything from moderate to medium facial lines and skin depressions, in areas such as the nasolabial folds. It can be used subtly in lips to enhance lip contour, increase volume and maintain a youthful smile.
Juvederm® Ultra 4 [image]
Ultra 4 is a highly cross-linked robust formulation used for volumising and correction of medium to deep folds and wrinkles, including adding volume in the cheeks and chin improving contour to the face.
Juvederm® Ultra Smile
The newest arrival to the Juvéderm® ULTRA family the Juvéderm® Ultra Smile is based on the Ultra 3 product but it is specifically targeted for use in the lips. It works by providing fuller but softer and natural looking lips and smooths fine lines to fully enhance the mouth area for a fresh new look.
The effects of Juvéderm® Ultra Smile lasts approximately up to 18 months
With over 20 year’s experience, Hamilton Fraser are one of the leading insurance providers within the cosmetic industry, their aim is to provide you with the best quality insurance and service. As each case is different, we recommend contacting them via their website or by phone to be able to get the best quote for you and your needs.
Crompton Bailey Limited
Crompton Bailey Limited was established in 1978 and are primarily commercial insurance brokers, but have recently moved into the aesthetic industry. The company originally operated in Chedderton but moved to Ashton Under Lyne in 1992 due to company expansion, and have been building up their client base through word of mouth and recommendations.
Head quartered in Bermuda, Hiscox in an international specialist insurer. With a long history and expertise in providing specialist insurance for personal or business purposes, each quotation is tailored to your specific business needs. Find out more about Hiscox here:
If you would like to find out more about how you can get in contact with any of the above insurance companies, or you would like to discuss anything mentioned with any of our team, please call 01844 390110 or email [email protected]
We have also started to put together some business blogs including marketing advice, details on insurance providers and choosing your location. We also have courses coming up on the art of ‘selling’ and understanding the function of different skin products to help to increase your revenue. If once you have completed your course, you’re still not sure if you have enough confidence to be able to start practicing on your own or you have had a little gap in between, we offer further bespoke 1-2-1 training tailored to your requirements.
In your own words:
We have had some lovely feedback from you and would like to share some of your kind words:
“Thorough, safe, models provided. Great Trainers. Lovely office staff friendly and helpful”
“Good Course, experienced trainers and hands on practical”
“My experience with you has helped me feel confident to start offering various treatments.”
“Bespoke, small groups, friendly staff and finance options available.”
And finally we are very pleased that 86% of you would recommend us to others for their training needs.
If you have anything else that you would like us to consider, please let us know by calling the team on 01844 390110 or dropping us and email to [email protected]
Establishments such as SaveFace and the Safety in Beauty Awards, are working hard to ensure reputable practitioners and clinics are recognised for their contribution to following best practice and industry standards. They have been campaigning for standards within this industry to be tightened up and enforced to ensure patients who put their faith in what they believe is a trusted practitioner to not be disappointed with their results. These concerns were initially raised by Professor Sir Bruce Keoghs in his 2013 Cosmetic Industry Review, as well as the Scottish Cosmetic Interventions Expert Group over the years.
It appears that their cries are finally being heard, and action is being taken. As from the 1st June 2016, the General Medical Council (GMC) are setting out 7 essential standards that need to be adhered to by any Doctor who offers surgical or non-surgical treatments to patients.
The standards will be set out within a guidance document, detailing ethical obligations and standards that practitioners will need to meet, as well as advising the best way to meet these standards.
The advice to be included will be along the lines of the following:
Seeking your patients consent – It will be your responsibility as a practitioner to discuss the cosmetic procedure with the patient giving them all the information that they require to make an informed decision. This cannot be delegated to another member of staff, and it is best practice to offer all your patients a consultation period before booking any treatment.
Give your patients reflection time – Patients must have enough time to reflect and assess if their chosen procedure is the right choice for them. This is why a consultation period and break before the treatment is advised.
Consider your patients psychological needs – consider your patients vulnerabilities and be certain that they are going into having the procedure voluntarily and have not been forced.
Work within your competency levels – recognising your limits, asking for advice or referring the patient to a colleague with the correct skill set will ensure no repercussion in the future post treatment.
Up to date training – ensure that you are up to date with the latest techniques and undertake any relevant training courses.
Providing all information to your patient – this includes written information, support networks and aftercare advice.
Marketing your services – no promotional tactics will be able to be used to entice patients to make drastic decisions. Any advertising must be clear and factual.
Dr Fiona Durban, Cosmetic Courses Trainer
Regarding the above guidance standards, our Aesthetic Trainer, Dr Fiona Durban thinks this is a step in the right direction “The GMC has simply defined standards of practice we should all currently be following. Practitioners should be self-directed in their learning in order that they are up to date with current best practice for procedures they perform. This also needs to be demonstrated for part of appraisal and revalidation. We should all be offering an initial consultation where treatments with our patients can be planned, their suitability assessed (including any psychological vulnerability) and information given. Consent should never be delegated to others. This guidance I hope is another step towards the profession demanding high standards of care and best practice”
Cosmetic Courses is able to offer you any training requirements that you may need, as well as advice and support in ensuring that you are ready for these standards coming into force on 1st June 2016.
If you would like any advice, or refresher training, drop us an email to [email protected] or call the team on 01844 390110.
The Aesthetic Conference and Exhibition (ACE) is a well-established and successful conference event attended by those within the aesthetic industry. A one day pass will give you access all areas to 8 CPD accredited clinical and business sessions, where you will be able to gain in-depth knowledge from leaders within the field, including our clinical Director, Mr Adrian Richards and our Clinical Lead and Aesthetic Nurse Practitioner and trainer Ms Mel Recchia. Adrian and Mel will be presenting together on 15 April at 10.30am on exhibition stage 2 on the topic: “The Knife or the Needle?” discussing surgical and non-surgical facial treatments.
ACE also offers all attending practitioners the opportunity to meet with over 100 providers of medical aesthetic treatments and services on their exhibition floor. This is a great opportunity for both new and practicing delegates to be able to see if there are any new treatments that they can consider offering to their existing clients, or build relationships with suppliers for those who are just starting out.
This two day CPD recognised exhibition offers access to top international speakers alongside over 400 dental manufactures and suppliers. You will have access to the latest products, materials and exclusive event deals. We will be exhibiting across this two day conference along with Cosmetic Courses trainer and dentist, Olha Vorodukhina. Olha will discuss lip filler treatment and detail her findings on how her aesthetic career has complimented her dentistry work.
Advantages and Disadvantages of Limited Companies include:
Any debts accrued by the either a PLC or a limited Company should not fall to the Director the business to pay with any personal belongings. The shareholders become liable according go the levels of their investment (how many shares they own). For a limited company, it is important to remember that there is a restriction on the raising of capital when it comes to selling shares, as they are only available if someone wishes to invest in the shares.
A big plus for limited companies is that they will be able to exist beyond the life of its original members, as they are run and function as a separate entity. Employee security can be ensured with this, but there can sometimes be disputes between directors and shareholders of public companies when it comes to decision making for the business.
Don’t always need office premises
When you start out your limited company, your funds will more than likely be limited and a big office space is something at the present time that would not be needed. Until your business expands, you can run it from the comfort of your own home, and then claim back a proportion of the cost of heating, lighting and electricity from your business. The accounting for any limited company is more complicated than those of a sole trader with many different documents legally required to be kept up to date throughout the year. These can be difficult to understand, time consuming and costly, but they are essential.
Ownership and Control
Directors of Private Limited Companies are normally the main shareholders, leaving both the ownership and control in their hands. Decisions can be made quickly and effectively, but it can be difficult to know what the best option is when faced with a difficult decision, and mistakes and obstacles can occur. Public Companies don’t have it so easy. There can sometimes be disputes between directors and shareholders of when it comes to decision making as ideas and direction can vary between each individual. Further sales of shares can lead to more investors, with a counter balance of there being more people that are involved in any decision making and having to keep happy. Decision making therefore can be slow, and time consuming.
Making the right decision for you
There is not right or wrong choice when it comes to deciding on the type of business you want to be. Each type has their differences, advantages and disadvantages which all need to be taken in to consideration.
To ensure you make the right decision for you we advise that you:
Conduct more research on all of the structures – gather as much information as possible to help you be certain of your choice.
Seek advice – if you find yourself with information overload, or you’re still not sure, you can make an appointment with a business manager at your local bank, or with an accountant who can give advice on what they think would be the best option for you.
Our team can offer support for you and your business after completing one of our courses. If you would like to find out more information on the courses that we offer, please call the team on 01844 3901101 or drop us an email; [email protected]