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elijah_jet@yah

The leading physician journal for aesthetics and wellness


oo.com

Vol. 8 Issue 4 | Summer 2009

vol. 10 | issue 1 january ● february 2011

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www.aesthetictrends.com
editorial featured
advisory panel advisor

editorial advisors
Brooke
Diane Berson, M.D. Craig Koniver, M.D. Matthew R. Schulman, M.D. Jackson, M.D.
New York, NY Primary Plus New York, NY Chicago, IL
Charleston, SC
Brian Biesman, M.D. Stacey L. Silvers, M.D.
Nashville, TN Christine Lapointe New York, NY
Aesthetics 360°
Valéria B. Campos, M.D. Monson, MA
São Paulo, Brasil Paula Simpson, R.N.C.P. Brooke Jackson, M.D., was born and
Z. Paul Lorenc, M.D. Isocell North America
raised in Washington. DC. She is a
Antonio Cueva, M.D. Lorenc Aesthetic Plastic Surgery Toronto, Ontario
Saudé New York, NY graduate of Wellesley College and
Tijuana, Mexico Georgetown University Medical School.
Allan E. Sosin, M.D. Upon completion of her internship at
Frederick N. Lukash, M.D. Institute for Progressive University of Chicago and dermatology
Doris Day, M.D. New York, NY Medicine residency training at Henry Ford
New York, NY Irvine, CA Hospital, Dr. Jackson became the first
Corey S. Maas, M.D. African-American dermatologist to be
Christine C. Dierickx, M.D. The Maas Clinic Jeffrey Spiegel, M.D. awarded laser fellowship training at
Boom, Belgium San Francisco, CA Boston Univ Medical Center Harvard where her interests and research
Boston, MA helped to pioneer the uses of lasers in
Stuart Maddin, M.D. ethnic skin. Dr. Jackson completed a
Dore J. Gilbert, M.D. University of British Columbia
Newport Dermatology & Vancouver, B.C.
Emily Stocker second fellowship in skin cancer surgery
Laser Associates Em’s Organics (Mohs) at Baylor College of Medicine in
Newport Beach, CA Fenton, MI Houston, Texas, then joined the staff of
Vincent P. Marin, M.D. the prestigious MD Anderson Cancer
Dermatology & Laser Center Center where she founded the Mohs
David J. Goldberg, M.D., J.D. Maui, HI Anthony V. Vendetti Surgery Unit and served as its director
Mt. Sinai School of Medicine MAXIM Group LLC until relocating to the Chicago area. She
New York, NY New York, NY
George M. Martin, M.D. is currently a Clinical Assistant Professor
Dermatology & Laser Center at Northwestern University.
Timothy M. Greco, M.D.
Eastern Cosmetic Surgery Inst.
Maui, HI Jeffrey Weinberg, M.D. As a board certified
St. Luke’s Roosevelt Dermatologist and Dermatologic
Bala Cynwyd, PA
Steven Ross Mobley, M.D. Dermatology Associates Surgeon, Dr. Jackson is a member of the
Ranella J. Hirsch, M.D. Salt Lake City, UT New York, NY American Academy of Dermatology, the
Skincare Doctors American College of Mohs Micrographic
Cambridge, MA Nick Morrison, M.D. Robert A. Weiss, M.D. Surgery and Cutaneous Oncology and
Morrison Vein Institute Dermatology Associates
the American Society of Dermatologic
Tempe and Scottsdale, AZ Surgery. She has published numerous
Brooke Jackson, M.D. Hunt Valley, MD
Skin Wellness Center
articles, book chapters and a CDROM
Chicago, IL relevant to her specialty. Dr. Jackson Is
Leslie Pollard, BSMT, CMLSO Carlos L. Wolf, M.D., considered an expert in the field of laser
Southwest Innovative Solutions F.A.C.S. surgery and lectures nationally on the use
Brian Kantor, D.D.S. Richardson, TX Miami Plastic Surgery
Lowenberg & Lituchy of lasers and cosmetic procedures in
Miami, FL ethnic skin. In addition to laser surgery,
New York, NY
Neil Sadick, M.D. Dr. Jackson's clinical interests and
Sadick Aesthetic Surgery Cecil Yeung, M.D. expertise include the prevention and
Arielle N.B. Kauvar, M.D. & Dermatology Yeung Institute treatment of skin cancer. Dr Jackson
New York, NY New York, NY Houston, TX served as the national treasurer of the
Dermatology section of the National
Lorrie L. Klein, M.D. Joel Schlessinger, M.D. Steven E. Zimmet, M.D. Medical Association.
Dermatology Associates Skin Specialists, P.C. Zimmet Vein & Dermatology An avid runner and budding
Laguna Niguel, CA Omaha, NE Austin, TX triathlete, Dr. Jackson has completed 5
marathons and 7 triathalons. Visit her
We are pleased to have the above-mentioned physicians as our editorial advisors. Our thanks go out to website: www.skinwellnesscenter.org.
these individuals for their time and support in providing our readership with valuable information for
their practices.

www.aesthetictrends.com | january ● february 2011 1


Welcome to 2011! We all have that idea at the end of the year to wipe the
slate clean. We have hope and aspirations of the coming year and want to

Letter from do our best to adhere to those New Year’s resolutions. But, there is a
completely different reason in the past few years that perhaps the New Year
might mean more now than ever to make new things happen personally
the
Editor and professionally.
American business has taken a serious beating the past few years.
No one has been immune. Our industry has seen much better economic
times in the past decade; and now we are faced with new business
challenges that have made practices, medical spas, clinics, and other
healthcare providers and professionals look to new ways of conducting

The
business and making a go of what lies ahead.
From the perspective of the physician, there are more and more
practices popping up around you; and competition is fierce for those hard-

Future of
earned dollars that the patients will choose to spend. For industry
executives, their challenge is to support our industry and the physicians who
provide the services to the consumer by unique and successful ways to give
that physician an edge over his competition down the block. Reviewing

American your business plan and trimming the fat, educating your staff, and offering
new technology that makes sense for your patient base and wallet is all part
of the plan to turn this corner and on to a better path.

Business
More than ever before, we are seeing a need within practices to
sculpt a leaner, more efficient business. Part of that business is your
employees. Jan Watson gives our readers insight on how to develop
employee performance in this issue’s jobFIT column. Sustainability is only
achieved when cultivating the leaders within our businesses who have the
ability to make things happen.
Most recently, Aesthetic Trends has implemented a new
“Economic growth without social department called Organics & Green. We hope that these informative
progress lets the great majority of topics will help you to shape a better future for not only your practice but
for the betterment of your patients and, of course, the mother Earth. Craig
people remain in poverty, while a Koniver, M.D., shares his new vision for his practice as a Contributing
privileged few reap the benefits of Editor & Advisor for Aesthetic Trends in his new column called Organic
Medicine. Dr. Koniver recently converted his practice 4 years ago to an
rising abundance.” elective based business. He has successfully implemented several ways for
patients to become healthy and looking great by using some key modules
for a healthier lifestyle.
–John F. Kennedy We welcome back Nancy Griffin to our Practice Management
Thirty-Fifth President of the U.S.A. section where she will help our readership with engaging at a whole new
1917-1963 level with your staff and patients by understanding key components of
marketing for the medical spa and clinical practice. More than ever, this is
an excellent way to start out 2011 by keeping in contact with your current
patient base, but also learning how to consistently strive to make your
patients feel welcome and interested in what you have to offer.
Roll up those sleeves. Get creative. Be inspired. Businesses have to
work smarter and most certainly harder to keep and earn new business in
the years to come. Make a plan, implement, and track your success. We
are in the throes of an eminent change in the way we succeed in American
business. The rewards are bountiful if you choose to confront the issues
that may lie in front of you and within your practice. Aesthetic Trends will
be there to provide information that is timely and valuable to make it
happen. Happy New Year!

Cindy L. Vandruff, MBA - Editor in Chief


Aesthetic Trends & Technologies Magazine
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anti-aging

& light technology


Aesthetics &

t anti-aging
Functionality

atnlaser
FUNCTIONAL COSMESIS:
RESHAPING PEOPLE’S LIVES
By Frank J. Ferrin, M.D.

Wanting to be slim, trim, certainly the surefire and effective basic task of fitting beautifully into
and healthy is not a new trend. way for an individual to obtain clothes.
Everyone has a perfect body ideal his/her ideal physique. More importantly,
that they aspire to, yet often Functional Cosmesis is about
encounter challenges in achieving FUNCTIONAL consistency, overall health, and
it. Having a well proportioned COSMESIS longevity. For example, having a
body and a complimentary chest- A new trend, known as sculpted face and a sagging or
waist-hip ratio is a fantastic goal; Functional Cosmesis, is currently oversized belly lacks fluidity; it
however, it is not always an easy being pioneered by the world’s keeps a body from looking natural.
one. Many will opt for surgery in leading cosmetic surgeons. The The opposite is also true; an aging
an attempt to reach their aesthetic
goals, while others will turn to
extreme dieting or excessive To achieve the look one desires, a balance of weight
workouts. management, energy and fitness training, and a
However, an extreme
pursuit in only one of the above
detailed contouring of the body and face is most
areas will often leave the certainly the surefire and effective way for an
individual with something more to individual to obtain his/her ideal physique.
be desired, not to mention an
overdoing of anything may lead to
poor health. To achieve the look idea is simple: when body parts face with a fit and proportioned body
one desires, a balance of weight work better, they look better. just does not make sense. Too often,
management, energy and fitness Functional Cosmesis can pertain individuals will focus all of their
training, and a detailed contouring to facial rejuvenation, abdominal energy on only one aspect of their
of the body and face is most tightening, breast contour, or the body, causing a disproportion

www.aesthetictrends.com | january ● february 2011 1


in their appearance. When Patients no longer have to
anti-aging

seeking a transformation, it is bear the risk and time constraints


crucial to consider the entire body of traditional cosmetic
from head to toe, as well as in and procedures. Cosmetic surgery has
out. As I briefly mentioned undergone its own makeover.
before, for our bodies to look Now, with a plethora of medical
flawless on the outside, they must advances, cosmetic surgeons can
also be flawless on the inside. provide their patients with

Elite MD ensures optimum surgery results by making


sure the body is toned and healthy prior to any kind of
surgical procedure.

So how do we get this minimally invasive procedures


perfect combination of weight that are more effective than ever.
management, fitness, and
contouring? How can we be sure WATER
our personal trainer, nutritionist, LIPOLYSIS
and cosmetic surgeon are all on The Body-Jet is one
the same page when it comes to example of the type of cutting-
our aesthetic goals? One solution edge procedures being done by
is finding a facility that addresses Elite MD. This technique
all three of these equally involves a new type of liposuction
important elements. My practice, that utilizes the flow of water to
Elite MD works in unison with dislodge fat, while simultaneously
leading personal training and suctioning out newly liquefied fat.
nutrition experts to provide The results are simply exquisite
patients with a complete body and provide patients with a mere
makeover that leaves them fraction of the bruising and
looking and feeling great. discomfort that comes with
Elite MD ensures traditional liposuction. Plus, the
optimum surgery results by added bonus of the Body-Jet is
making sure the body is toned the collection of “fresh” fat from
and healthy prior to any kind of the body, which can then be
surgical procedure. After a redistributed to enhance breasts,
certain level of fitness is achieved, lips, buttocks, and rejuvenate
minimally invasive body aging skin.
contouring can be done to perfect
stubborn areas and rejuvenate
skin. Combining fitness and THE MINI TUMMY TUCK
minimally invasive cosmetic Another groundbreaking
procedures provides patients with procedure is the Mini Tummy
a more natural look, as well as Tuck. Similar to a traditional
better health and reduced tummy tuck, the Mini Tummy
recovery time. Tuck leaves a significantly less

2 january ● february 2011 | www.aesthetictrends.com


anti-aging
less downtime, more affordable, and works in conjunction to sculpt the
when combined with fitness and body to precision. All three
nutrition, they can provide aspects together will lead to
patients with their ultimate aesthetic improved self-esteem, better
ideal. Whether it is the posture, less back pains and leg
removal of excess fat, revolutionary cramps, and more durability as we
anti-aging procedures, or superior gracefully age with improved
skin rejuvenation, complete body functional capacity.
sculpting by Elite MD is the It is important to keep in
solution. mind the importance of complete
overall health. When looking in
BODY SCULPTING the mirror, it is essential that
SUCCESS individuals feel their inside
When considering body reflected on their outside.
sculpting, there are three key Furthermore, the improved self-
facets that are essential to success. esteem associated with body
The first is the control and sculpting will assist them in
modulation of weight. Being virtually every aspect of their lives.
overweight can cause various The old saying “fit for life” still
health complications and can lead holds true. Patients who have
to failure of the body’s organs. It undergone the transformation are
is important to be in good health both mentally and physically
before undergoing any type of satisfied, a gift that can last a
surgical procedure. lifetime. This fusion of aesthetics
Second, the incorporation and functionality is literally
of a fitness program that will reshaping people’s lives.
enhance energy and increase
muscle tone and endurance is
essential. All too often, patients
plan to forgo exercise and go
straight for surgery; however, they About
conspicuous soon find the result is less than
sign of scarring and can the
appealing. The issue is that once
be used in conjunction with the fat is removed, there is no Author
liposuction or the Body-Jet to muscle tone underneath which
achieve flawless results. Once inevitably makes for an unnatural
again, the patient’s recovery time look. By building muscle first,
is notably shorter and patients can rest easy knowing
experienced with less bruising and once the excess fat is removed, Frank J. Ferrin, M.D., has over 25
discomfort. This is a great they will have beautiful muscle years of surgical experience, and is
solution for younger women who tone underneath. among the few select and highly-
wish to remove excess skin and The third and final facet trained surgeons in the country to
belly fat left behind from of body sculpting is to shape and employ the cutting-edge methods
pregnancies. contour the body to a more of water-assisted liposuction
pleasing appearance. Consider (Body-Jet), as well as laser assisted
NOW AND BEYOND fitness and nutrition as the body-sculpting in the contouring
So what is the common structural base on which your of the face and body. For more
trend with all of these new ideal body is built. Once those information, visit Dr. Ferrin’s
procedures? They are less risky, two things are in place, Elite MD website: www.elite-md.com.

www.aesthetictrends.com | january ● february 2011 3


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dermatology

Winter

dermatology
Skin
7

atnt
ESSENTIAL SKIN
CARE TIPS FOR A
HEALTHY GLOW

By Donya Fahmy,
Dropwise Essentials

With winter upon us, now is a STAY HYDRATED caffeine or sugar, and high-
good time to review your patients’ Drinking fluids is one of sodium soups, as these can hinder
skin care routine to make sure the keys to flushing out toxins that the benefits of the hydrating fluids
they are armed and ready for the can lead to unsightly skin eruptions. they consume. And suggest they do
onslaught of winter. Though the It is also one of the best ways to not wait until they feel thirsty to
weather outside will sometimes be retain moisture and maintain the drink something, because by that
point they are already dehydrated!

Essential fatty acids (EFAs) play an essential role


CONSUME ESSENTIAL
in the health of one’s skin, hair, and nails – all of FATTY ACIDS (EFAs)
which can turn brittle from exposure to the These nutrients
elements. (sometimes referred to as the
"good fats") play an essential role
in the health of one’s skin, hair,
frightening, with these quick and elasticity of the skin. Have your and nails — all of which can turn
simple tips your patients can patients stick to distilled or brittle from exposure to the
maintain a healthy glow from the purified water and herbal teas. elements. EFAs help the body
inside out no matter what the Avoid or limit consumption of form healthy cell membranes that
change of seasons may bring. carbonated drinks, drinks with can hold more water inside their

www.aesthetictrends.com | january ● february 2011 1


EAT MORE found in the yolk), blueberries,
dermatology

cells. The more water the cells


can hold, the more hydrated the ANTIOXIDANTS strawberries, and foods rich in
skin is. A tablespoon a day of Antioxidants consumed vitamin C. They can also
quality flaxseed oil can work through food and supplements play supplement with Alpha Lipoic
miracles. If they do not care for the an important role in skin health by Acid (ALA), which neutralizes
taste of it alone, then have them neutralizing the free radicals free radicals in the body, helps
combine it with lemon juice and a generated by damage from UV remove heavy metals, and
little olive oil to make a dressing for rays. A good antioxidant-rich promotes healthy cell function.
their salad or veggies. Also, have nutrition plan can halt or even
them eat more almonds, walnuts, reverse the skin aging process! INCREASE CIRCULATION
avocados, wild Alaskan or Pacific Have your patients eat more AND BLOOD FLOW TO
salmon, and other coldwater fish or tomatoes or tomato sauce for the
consider a fish oil supplement. lycopene; eggs for lutein (which is
THE SKIN
Suggest to your patients that
they get a massage, facial, or do 10-
15 minutes of aerobic exercise a day
Antioxidants consumed through food and supplements to increase the flow of blood and
play an important role in skin health by neutralizing vital nutrients to their skin. If they
do not have the time or budget to go
the free radicals generated by damage from UV rays. to a spa, they can give themselves a
mini aromatherapy facial by adding
2 drops each of Rosemary,
Lavender, and Geranium essential
oils (EOs) to a bowl of steaming hot
water. They should hold their head
directly over the bowl and place a
towel over both to hold in the
steam. Finish by gently massaging
their face with our Soothe or Divine
Certified Organic Moisturizing
Body Oil. Both contain skin
balancing essential oils of Lavender
and Geranium in a base of certified
organic Jojoba oil, the oil that is
closest in composition to one’s own
natural sebum.
Patients can also add a
couple drops of Rosemary essential
oil to a tablespoon of our Revitalize
body oil for an invigorating leg and
foot massage to help increase
circulation.

USE A HUMIDIFIER
INDOORS
Mitigate the drying effect
on the skin of too much indoor
heating. Add a drop or two of
Rosemary, Peppermint, or

2 january ● february 2011 | www.aesthetictrends.com


Eucalyptus EO to the water to conditions will evaporate the fatty layers of the skin, giving it the

dermatology
keep sinuses clear and water from the skin before it deep moisture it needs to stay
stimulate circulation. can do the job. Body oils, on supple and hydrated.
the other hand, contain no
AVOID CONVENTIONAL water so they are the purest
SOAPS AND BODY form of moisturizer. For best
results, apply to skin while still
WASHES wet (i.e. immediately after a
These products contain shower) to enhance absorption.
detergents and synthetic
ingredients that strip the natural
oils from the skin, leaving it dry
and prone to cracking which
can lead to infection. Our
Gentle Cleansing Body Wash
is a great alternative, made with
highly moisturizing and About the Author
protective organic coconut, Donya Fahmy is a green business
olive, and jojoba oils. It has rich owner and the creator of
cleansing lather that rinses I recommend applying Dropwise Essentials' spa-quality
clean without drying the skin. our Certified Organic aromatherapy body products that
Moisturizing Body Oil to the help you safely relieve stress,
skin and face while in the increase vitality, improve
shower because the pores are confidence, or simply manage
wide open, facilitating your emotional state any time or
absorption. Massaging it onto place without popping a pill. For
the skin will also increase more free tips and valuable
circulation. By the time they information visit:
finish their shower the oil will www.dropwise.com and subscribe
be completely absorbed into to the Dropwise Health & Beauty
the dermis and subcutaneous News Ezine or blog feed.
Combine it with a little bit of
our lotion or your patients’
favorite moisturizer to create a
gentle creamy cleanser,
massage onto their face in a
circular motion, then rinse with
a washcloth soaked in tepid
water.

USE BODY OILS


VS. LOTIONS
In late fall and winter
months when dry skin is acute,
patients should use body oils as
a primary moisturizer instead
of lotion to improve hydration.
Since lotions are made of
mostly water, harsh winter
www.aesthetictrends.com | january ● february 2011 3
www.quantel-derma.com

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0 In PRACTICE

2010
A YEAR
IN REVIEW
By Christine Lapointe, Contributing Editor &
Advisor, & Laura Jackson, Aesthetics 360°

THRIVING PRACTICES WITH TOP


LEADERS IN THEIR FIELD SHARE
THEIR SECRETS FOR SUCCESS

Heading into Q 1 we thought a summary which among our experts was that establishing a
recaptured interview highlights from our “In relationship with the patient through seamless
Practice” column in 2010 was in order. We found communications remains the critical component in
the process became an excellent exercise in creating an environment which encourages long-
reminding us to never lose focus on core business term relationships. The concept sounds simple;
development foundations. As you read through but the reality is that the mechanisms and routines
this edition of “In Practice,” we hope you will use it
to help target the processes that may need attention
and refinement in order for you to continue to “If you ask the right questions,
build and sustain a profitable and world class
practice. patients will tell you what they really
want.” - Alex Gross, M.D.
COMMUNICATION
It is always interesting when we see our
experts agreeing on strategies. We found an needed to create these strategies are often lacking,
overwhelming emphasis in the industry for the even in the best of practices. "If you ask the right
necessity of defined and streamlined questions, patients will tell you what they really
communication systems. The common thread want,” says Dr. Alex Gross of Georgia.

www.aesthetictrends.com | january ● february 2011 1


,

Quick reviews of suggestions are as follows: •


in practice

With the right technology choices you can


• By asking the “right questions” and get along with minimal space requirements
employing active listening to the answers, • Determine the procedure that will offer the
you can leave the guess work out of the desired results weighed with risk, benefits,
equation. and down time
• Listening to what your patients ask for will
help you expand services to those areas “When looking at lasers, for
your patients are looking for. instance, you should ask
• Utilizing a team of people, each dedicated yourself some key questions.
to their specific area of expertise, to educate How much space will you
patients leads to a much more productive have in the beginning? Will
consultation. you be able to add capability
• Establishing a relationship based philosophy to an existing laser platform
with patients will eliminate barriers, allowing to increase your services
clients to open up through their entire without buying a whole new
patient experience. laser? Looking forward
towards expansion when buying technology in the
“My primary role is guiding beginning will save you some headaches later.”
prospective patients through -Tal Raine, M.D.
the myriad of cosmetic
enhancement procedures THE RIGHT PEOPLE
and interpreting the While communication strategies and
information in a personal technology choices are high on the list of criteria for
context. Patients cannot creating a practice poised for success, none of this
successfully be treated matters without having the right team. Choosing the
without first establishing a right people to represent the practice and deliver
high degree of trust and services is critical in nurturing the long-term
respect.” - Vincent P. relationships required for return visits and
Marin, M.D., F.A.C.S., Marin Aesthetics expanded services. Chelsea Eye and Cosmetic
Surgery Associates summed it up quite well. “Just as
CHOOSING there is a team of physicians who specialize in
TECHNOLOGY targeted areas, there is a team of staff members all
Throughout 2010, the approach in choosing with their specific areas of training.”
the appropriate technology for the present yet also Creating the right team and keeping them
allowing for future needs in the practice remained a committed to enhancing the patient experience is
source of concern for all of our experts. Being able the challenge.
to choose the right equipment or adding to existing • Target staff education on areas such as
platforms at a suitable time was paramount for phone skills, written follow-up
everyone we interviewed. Adding to the equation communications, professional presentation,
was the cost consideration and the ability to dealing with financial objections, retail sales
generate the revenue necessary to make financial training, and creating loyal patient
sense. All the experts agreed it can become an ambassadors for life
overwhelming exercise. • Include reviewing performance metrics and
working backwards from these numbers on
Some highlights to remember: ways to achieve new goals. Use
• Choose technology that can grow with your performance metrics to measure failures
practice and successes. They should provide

2 january ● february 2011 | www.aesthetictrends.com


information that can help to design and

in practice
“A significant positive impact
implement long-term systematic solutions to to ROI can be expected
problem areas such as capacity and because all prospects will be
conversion rates. communicated to in a
• Do not limit training to staff only. Having proper fashion, and
the right people includes having the right conversion rates will
physicians. Commit to quarterly strategic improve. From an
meetings with the doctors. Discussions administrative point of view,
should include volumes, growth, new the patient communication process can be managed
products, goals, and talking points on services. better and the staff can be given the proper tools to
work more efficiently. Changing the processes to
“Communication is key. increase better lead conversion will be easier, and
Meetings are how we help there will be actual ‘metrics’ to measure success.”
the physicians to think about - Onur Birsen, CPA, MBA, Chief Technology
what we need to do from a Officer of Glacial Multimedia
business standpoint to
secure their future.”
- James Dawes, Chief “Communication is key. Meetings are
Administrative Officer,
Center for Sight how we help the physicians to think
about what we need to do from a
MEASURE SUCCESS business standpoint to secure their
Setting up methods to measure all aspects of
the client-to-patient process will assist you in
future.”
creating long-term relationships. You will be able to - James Dawes, Center for Sight
better identify trends in both your marketing
campaigns and your patients' purchasing patterns.
The cost to retain a patient over the years is GET BACK TO BASICS
considerably less than the costs of continually The best systems are simple, and we often
attracting new ones. Cultivation and growth of your overlook the value of “getting back to the basics.” It
existing patient purchases should be one of your is the little things which keep people returning to
key priorities. Start with finding the proper contact your practice, and it is easier than you think to find
management software program. out what your patients want.
• Create a questionnaire along with an
The program should:
“intake” form which asks about areas of
interest through a series of questions and list
• Solve a problem of services. Review the form before the
• Generate revenue interview with the client
• Be user friendly for the staff • Send surveys – survey monkey is a great
service, affordable and easy to use
We often refer to MDprospect’s product http://www.surveymonkey.com/
slogan when discussing the functionality a tracking • Ask for feedback at every visit
program you should have. “Capture,
• Remember to say “Thank You.” Send hand
Communicate, Convert.”
written thank-you cards
• Create a series of letters for follow up,
confirmation of appointment, and financial
concerns

www.aesthetictrends.com | january ● february 2011 3


• Monitor conversion rates from initial References to MDprospects and Glacial
in practice

inquiry through consultation and multimedia


services www.mdprospects.com | www.glacialmultimedia.com

References to Survey Monkey


CREATE THE RIGHT www.surveymonkey.com
ATMOSPHERE
At the end of the day, you might be the best
surgeon with the best technology and the most
experienced team; however, if the patients do not Remember – it’s not all about you
feel “good” about their visit, they will ultimately go
elsewhere. Creating an environment which not only or what makes things easier for
boasts a “world class” attitude but lives the mission you; it’s all about everyone else.
is the key to sustaining any business. You must find the passion to
Remember - it’s not all about you or what
makes things easier for you; it’s all about everyone make every patient experience a
else. You must find the passion to make every memorable moment to always
patient experience a memorable moment to always make business better.
make business better.

Christine Lapointe Laura Jackson

About the Authors


Aesthetics 360° was founded and is owned and
operated by Christine Lapointe and Laura Jackson.
Together, they bring their clients over 40 years of
Business Development and Sales and Marketing
Experience from the elective surgery industry
nationally and internationally. Their mission is to
provide a comprehensive range of services vital to
the support of Technology Leaders and Physician-
owned practices on their journey to success.
Aesthetics 360° provides the systems and hands-on
guidance necessary for practices to effectively
measure results and target key areas for revenue
growth from initial contact with a potential patient
through long-term patient retention. Aesthetics 360°
is the solution for technology leaders and practices
that are committed to making business better.
Contact them at 877.849.8216 or visit their website
on the worldwide web: www.aesthetics360.com.

4 january ● february 2011 | www.aesthetictrends.com


Your circle to success.

Practice Assessments

Staff Sales Training

Project Management

Internal and External Marketing

AESTHETICS 360°
Providing a comprehensive range of services vital to the support of Technology
Leaders and Physician owned practices on their journey to success. We provide the
systems and hands-on guidance necessary for practices to effectively measure results
and target key areas for revenue growth from initial contact with a potential patient
through long-term patient retention. Aesthetics 360° is the solution for technology
leaders and practices that are committed to making business better.

877-849-8216 www.aesthetics360.com
jobFIT

Coaching to
Develop Employee

surgery
Performance

jobFIT
plastic
THE POWER OF COACHING:
TRAINING & DEVELOPMENT

atnt
By Jan Watson, J.P. Watson Group, Advisor & Contributing Editor

Managing to ensure superb performance from all and employees work differently. The better the
employees is crucial, especially during times of manager understands the employee, the more
economic turbulence. Fortunately, this kind of effective the coaching and the results will be.
management is more enjoyable than most tasks and
results in increased organizational value. TRANSFORMING MANAGERS
Coach early and often. Early, to catch INTO COACHES
potential problems before they happen. Often, Building and changing the corporate culture
because continuous interest and feedback begins with the leader’s adoption of a system,
virtually guarantees better performance. definition of the system, and modeling of the
Coaching provides counsel in real time and system. Top leaders coach managers to be the kind
identifies clear goals in the context of the of leaders the organization wants.
employee’s job.
Effective managers catch problems early Two of the competencies of a coach include:
and often so that they can provide continual ● An ability to identify people who fit the job
feedback and guarantee better performance. ● An ability to create strategies for employee
They do not rely on yearly reviews to direct development that inspire people to perform
their leadership. Efficient managers provide and achieve
clear goals in the context of the employee’s job. These competencies set the foundation for
The transformation from coach to development, but even the most able manager
manager takes effort and a few easy steps. It is requires help in these areas. No manager is
important for managers to remember that one equipped with essential knowledge about every
size does not fit all. Each employee is different, employee.

www.aesthetictrends.com | january ● february 2011 1


\

Successful coaching requires specialized


jobFIT

● Understanding motivation, stress, and


knowledge about: conflict behaviors
● Optimizing working relationship with direct
● Each employee’s unique characteristics supervisor
● Each employee's attributes in the context of ● Optimizing relationships with their work
his job and in the context of the work teams
environment ● Optimizing their leadership skills
● Each employee’s fit with his job, manager,
and teams
THE MOTIVATIONALCOACH
Motivational coaching enables successful
IMPLEMENTING COACHING-BASED employee development. Coaches play an important
PERFORMANCE MANAGEMENT role in helping employees successfully maneuver
Coaching-based performance management company difficulties such as turnover, budget
is essential for maximum productivity. First, reductions, and cost reductions. Coaches need to
acknowledge that good performance rarely happens understand how each employee will react to the
by accident. Many employers find it unnecessary to constant ups and downs of the specific work
worry about job training or good job fit as long as environment. A valid assessment can take the
they find an employee with a good job history. guesswork out of determining how each individual
According to a survey of more than 1,000 people might react in a specific situation.
last year, including managers and leaders, 90
percent believe that leaders have little influence Assessments can measure a person’s needs for:
over employee behavior. This is not surprising,
given that many leaders often view performance ● Control
training as unnecessary.
● Social influence
Profiles International
● Patience and collaborative preferences
(www.profilesinternational.com) has developed a
● Focus on precision and quality
coaching-based performance management
methodology that provides key insights about each ● Motivational intensity and focus on change
employee. This step-by-step approach shows how
to leverage knowledge to improve employee
performance. This approach works because leaders
are able to use it continuously and proactively from
the beginning of each employee’s career.

This process is incomplete unless each of the


following factors is in place:
● Understanding employee fit and
compatibility in current job

2 january ● february 2011 | www.aesthetictrends.com


THE COACHING RELATIONSHIP Motivating employees to perform to their

jobFIT
AND TEAM DYNAMICS maximum potential is the responsibility of the
Understanding relationships improves team leaders of the organization. Once a manager
dynamics. Relationships directly impact productivity, discovers the value of coaching early and often, as
and they can create improvements for the opposed to conducting annual reviews, he will be
organization if potential conflict points in the able to increase efficiency and productivity in his
relationship are identified early. Defining points will employees.
enable leaders and team members to work together
to avoid or solve issues. Clearly defining points of The most effective approach requires:
conflict also helps managers determine the best way
to effectively communicate with each employee. ● Coaching tailored to the individual with a
Coaches and leaders should also carefully goal of increasing productivity.
consider their own attributes. An assessment ● Coaching based on insight about the
provides specific recommendations for managers employee’s competencies within the context
and employees to effectively communicate with each of his job, as well as his ability to work with
other. The assessment will: his team and manager.

● Examine the working relationship between LEADERSHIP AND TALENT


employee and manager to predict RISK ASSESSMENT
compatibility To further understand where your business
● Identify similarities and differences in styles, might be at risk, please review the risk assessment
and detect how these similarities and located on the following page. Implementing these
differences might result in conflict key actions will put you well on your way to
● Provide specific recommendations for developing your team’s production and coaching
managers and employees to achieve ability for other team members.
maximum productivity in the workplace

Relationships directly impact


productivity, and they can create About
improvements for the organization if the
Author
potential conflict points in the
relationship are identified early.

Jan P. Watson has over 20 years of sales and


marketing experience and has gained national
COACHING TO DEVELOP recognition as a public speaker, published author
Developing Employees Generates and consultant. Serving in various positions that
Leadership. The final step in coaching-based encompass physician education and corporate
performance management determines leadership business development, Jan has worked for medical
capabilities. Specific leadership competencies and device start-up companies, as well as industry
skills are examined in order to identify leadership leaders, such as AMO and Alcon Laboratories. For
potential. The assessments will calculate personal more information on this topic, please contact Ms.
development, communication, leadership ability, Watson at: jwatson@jpwatsongroup.com. Visit the
adaptability, relationship building, task management, J.P. Watson Group on the worldwide web:
production, and the development of others. www.betterjobfit.com.

www.aesthetictrends.com | january ● february 2011 3


Leadership and Talent Risk Assessment
jobFIT

Directions: Please review each statement and score your company accordingly placing the number on the area provided to the left.
5 - Exemplary, best possible 4 – Real strength 3 – Fully competent 2 – Development needed 1 –Weakness

_____ 1. Your company has identified the skills & competencies needed to execute its growth strategy.
_____ 2. Your company has a process for sourcing, aligning, developing, and rewarding its next generation of leaders in all its
businesses and regions?
_____ 3. Your company has specific development plans for your high potentials?
_____ 4. Your company has identified career paths for critical or key positions?
_____ 5. Your company has incorporated assessment instruments in:
● Your sourcing process
● Your aligning process
● Your development processes
_____ 6. Your company is able to deploy the right people when emerging opportunities arise, quickly and without significant
disruption to other parts of the organization?
_____ 7. Your company has diverse and plentiful pools of talented employees who are ready, willing, and able to be deployed to
new opportunities:
● At the technical level?
● At the managerial level?
● At the leadership level of your organization?
_____ 8. Your company has diverse and plentiful pool of leaders who are capable of moving into your organization’s senior most
executive suite?
_____ 9. Your company offers managers and executives development experiences specifically aimed at preparing them for the
unique challenges of leading large, complex, global organizations?
_____ 10. Your company’s leaders used words and deeds to unequivocally demonstrate they are committed to developing talent
globally in your company?
_____ 11. Your senior executive actively engaged in your company’s talent management initiatives?
_____ 12. Your company holds your managers and leaders accountable for identifying and developing talent in their businesses,
functions, and regions?
_____ 13. Your company has a stated leadership and talent development strategy?
_____ 14. Your company’s leadership expects a thorough business case analysis with stated ROI prior to approving funding for
human capital investments?

Fax in your Risk Assessment to: 786.206.7278 and receive your company
evaluation. This is a free service offered only to ATnT readers. Provided by:

Practice: ________________________________________________
Physician: ______________________________________________
Phone: _________________________________________________
Email: __________________________________________________

4 january ● february 2011 | www.aesthetictrends.com


www.betterJobfit.com

Realizing the Potential in Your Work Force.

Cloning
High-Performance
Employees

Creating Superior
Team
Performance

Executive
Development

Succession
Management
Planning

Professional
Transition
Coaching

J.P. Watson Group

850.529.8362
www.betterJobfit.com

Realizing the Potential in Your Work Force.

Cloning
High-Performance
Employees

Creating Superior
Team
Performance

Executive
Development

Succession
Management
Planning

Professional
Transition
Coaching

J.P. Watson Group

850.529.8362
laser & light technology

Principles of

atnt laser & light technology


Ultrasound
BODY CONTOURING WITH
THE VASER LIPO SYSTEM
By Mark E. Schafer, Ph.D., FAIUM FASA

Ultrasonic energy has been used for years in a wide The VASER Lipo System is a minimally
array of medical applications – from dentistry to invasive body contouring technology that employs
neurosurgery. The introduction of ultrasonic mechanical and acoustic forces to create a
instrumentation for body contouring began in the suspension of fat cells within a targeted area, while
late 1980s and early 1990s. Researchers began preserving other important tissue structures and
developing the VASER® (Vibration Amplification of maintaining fat cell viability. Fat cells are then
Sound Energy at Resonance) System in the late removed from the body using proprietary, atraumatic
1990s in response to the limitations of traditional aspiration cannulas, called VentX®, that maximize
liposuction and other energy-based technologies. procedure speed and efficiency while reducing
trauma to the surrounding tissue. A new version of
the VASER Lipo System specifically adapted for
More recently, VASER technology AFT was released in May of this year. This article
discusses the basic principles of ultrasonic energy
has been demonstrated to be ideal for and how that energy is applied to efficiently create fat
autologous fat transfer and Adipose cell suspensions with minimal tissue damage and
Derived Stem Cell applications maximal fat cell viability.

BASIC ULTRASOUND
The VASER System by Sound Surgical TERMINOLOGY AND APPLICATION
(www.vaser.com) was designed to advance liposuction Sound is a mechanical vibration or pressure wave
procedures by improving safety and efficiency, that travels through media. Sound travels in waves of
reducing complications and physician fatigue, and higher and lower pressure. The high pressure
allowing for faster patient recovery. More recently, (compression) and low pressure (rarefraction)
VASER technology has been demonstrated to be regions alternate as the wave travels. Compression
ideal for autologous fat transfer (AFT) and Adipose causes particles to be pushed closer together, while
Derived Stem Cell (ADSC) applications. rarefraction pulls the particles away from one

www.aesthetictrends.com | january ● february 2011 1


another. This causes the Fat Morphology
laser & light technology

individual particles to vibrate back


and forth in place. The
amplitude of the vibration and
acoustic energy can be controlled
on the VASER Lipo System for
specific body contouring
applications.
Sound waves are
characterized by their frequency,
or the number of times the
pressure wave oscillates back and
forth per second. Ultrasound
waves are sound waves that vibrate
at frequencies greater than what
can be detected by human which are within fat fatty tissue area. The tumescent
hearing. The VASER System compartments. Since fat cells have fluid naturally contains small gas
vibrates at a frequency of 36 kHz the ability to change dramatically bubbles on the order of 5 to 10
(36,000 cycles per second). in size (from 20 to over 200 microns. As the fluid is infiltrated,
microns in diameter as a person the microbubbles become
FAT MORPHOLOGY gains weight), they are bound dispersed throughout the tissue
Individual fat cells are together relatively loosely matrix. Due to the relatively loose
contained within larger groups of compared to muscle, fascia, packing of the fatty tissue, the
cells that comprise fatty tissue. Fat nerves and blood vessel cells. tumescent fluid surrounds the fat
cells are part of fat lobules, which During body contouring with cells, allowing the gas bubbles to
are part of fat pearls, which are VASER Lipo, a tumescent fluid is infiltrate between individual cells.
contained within fat sections, infiltrated throughout the targeted In contrast, the tight junctions
between cells within blood vessel
walls and connective tissues
Ultrasound Energy prevent gas bubbles from
interspersing among and affecting
• Sound is a vibration or pressure wave traveling through media these tissues.
• Sound travels in waves of higher (compression) and lower
(rarefaction) pressure
ULTRASOUND
• Sound waves are characterized by their Frequency: the number of
times the pressure wave oscillates back and forth per second EFFECTS
As described earlier, the
• Unit of measure is the Hertz (Hz): the number of cycles per second
VASER Lipo System delivers
• Ultrasound waves are sound waves vibrating at frequencies greater ultrasound pressure waves at 36
than what can be detected by human hearing, which is about 18 kHz kHz via a titanium probe. These
(18,000 Hertz) and higher waves produce a push/pull force
• The VASER System vibrates at a frequency of 36 kHz, or 36,000 on the dispersed gas
cycles per second microbubbles found in the
tumescent fluid. As the pressure
wave pulls on the microbubbles,
they expand, increasing their
surface area and allowing
additional gas dissolved in the
fluid to enter by diffusion.

2 january ● february 2011 | www.aesthetictrends.com


Introducing
The Technology to Grow Your Practice
Introducing the NEW VASER Lipo System
The NEW
®

VASER® Lipo System


“The VASER Lipo System is the ultimate in safety and precision for body
contouring systems. It has revolutionized the way we as surgeons
approach fat removal, and how the public perceives it.”
A Revolutionary Body Contouring System
~ Paul Ruff, MD, FACS
Designed To Grow Your Business

How do you improve the most versatile body contouring


system on the market? It wasn’t easy!

• Ultrasound energy specifically tuned to break apart fatty tissue,


while preserving connective tissue and maintaining fat cell
viability

• Complete system optimized for harvesting fat for subsequent


grafting procedures

• Clinically proven to enhance skin retraction and reduce blood


loss

• Easily adjustable suction allows physicians to precisely set,


display and control suction pressure

• Powerful, new ergonomic handpiece and updated sleek design


for ease of use

• Wide array of probe options to treat all areas of the body

Seeing is Believing.

Mokhtar Asaadi, MD Alfredo Hoyos, MD

Call 888.471.4777 today or visit us at www.VASER.com


to learn more about how VASER Lipo can grow your practice.
The pressure wave next of blood vessels, nerves, and CLINICAL STUDIES

laser & light technology


compresses the bubble, causing other similar tissues, the bubble- In a recent scientific
some of the gas to diffuse back mediated cavitation action only comparative study, researchers set
out. Since the bubble is smaller acts to dislodge the adipose cells, out to evaluate post-operative
when compressed, less gas leaving the other tissues differences between VASER Lipo
diffuses out during compression unaffected. This is the source of and traditional liposuction
than diffuses in when the bubble the natural tissue selectivity of methods. Results showed that the
is under tension. Thus, with the VASER technology. As the fat VASER Lipo treatment
passage of every ultrasound wave, cells are displaced, they are mixed demonstrated 53% improvement
there is an overall net increase in with the tumescent fluid by a in skin retraction per cc of
the volume of the gas bubble. process called acoustic streaming, aspirate removed and an average
This diffusion action resulting in a complete suspension reduction in blood loss of 26%
causes the microbubbles to of small clusters of fat cells, compared to traditional
rapidly expand to approximately
180 microns, allowing the bubbles
to act as wedges between the fat Since the bubbles cannot intersperse between the cells
cells, dislodging the cells from the of blood vessels, nerves, and other similar tissues, the
adipose matrix. Once the bubbles
reach their resonant size, they bubble-mediated cavitation action only acts to dislodge
implode, pulling on and further the adipose cells, leaving the other tissues unaffected.
loosening the fatty tissue matrix.
The progression then starts over
again. which are subsequently aspirated. liposuction. This is the first study
This process of gas The atraumatic VentX cannulas to demonstrate statistically
bubble action is called stable minimize rapid changes in significant and clinically relevant
cavitation. Since adipose cells vacuum level during aspiration. improvements relative to
contain no gas, ultrasound energy The newly released system also traditional liposuction.
does not cavitate adipose cells. allows precise vacuum control, This prospective study
Also, since the bubbles cannot since high vacuum levels can used a contra-lateral (side-by-side)
intersperse between the cells contribute to fat cell mortality. study design to evaluate post-
operative differences between the
two techniques over a six-month
time period. The study involved
twenty female patients between the
ages of 20 and 48 who received
contra-lateral treatment with
traditional liposuction and VASER
Lipo in one or more anatomical
regions that included the upper
arms, upper back, flanks, outer
thighs, and inner thighs for a total
of 33 regions. Patients were blinded
to the technology that was used on
them and aspirate was kept
separate and analyzed for blood
content. Skin retraction was
measured using changes in UV
tattoos placed prior to surgery.
Cavitation Effect on Fat Lobule

www.aesthetictrends.com | january ● february 2011 3


According to another concluding that VASER Lipo is viability. Since individual fat cells
just as effective in yielding viable remain intact, fat collected during
laser & light technology

recent study conducted at the


University of Pittsburgh, human fat cells as suction-assisted the VASER Lipo procedure may
fat harvested by VASER Lipo was liposuction devices. be harvested for AFT procedures.
shown to be as viable as fat Results at six weeks The fat aspirated during VASER
collected by conventional showed ~80% of the filtered Lipo is refined down to small
liposuction, with nearly 80% VASER fat survived by volume. lipocyte packets, which support
volume retention. The study, led Additionally, a study from growth and vascularization upon
by Dr. J. Peter Rubin, Associate Stanford University last year reinjection. This is in contrast to
Professor of Plastic Surgery at the showed high viability of ADSCs the fat aspirated during other
University of Pittsburgh, is the harvested using VASER liposuction procedures, which
first research to establish strong technology. As a point of may be harvested in large cell
support for VASER Lipo as a comparison, other studies have packets several millimeters in
collection method of choice for shown less than 5% fat survival diameter.
fat transfer procedures. and a significantly reduced These large cell clusters
The study investigated number of ADSCs available for are associated with high rates of
tissue samples of a female subject harvest using the water-jet assisted cell disruption from shear forces
who underwent liposuction of the liposuction (WAL) method. during reinjection, and necrosis at
thighs and flanks. Detailed the core after reimplantation due
cellular viability analysis was SUMMARY to inadequate blood supply.
performed on tissues collected, The use of VASER VASER Lipo utilizes acoustic
each having undergone VASER ultrasonic energy for body forces to safely dislodge fat cells
Lipo and suction-assisted contouring has several benefits, while protecting surrounding
liposuction on the body area. The including tissue specificity, limited tissues, ultimately producing a
researchers found little or no blood loss and patient discomfort, clean, smooth aspirate with
difference at the cellular level smooth skin retraction, and excellent cell viability.
between the treatments, preservation of fat cell and ADSC

About
the
Author

Mark E. Schafer, Ph.D.,


FAIUM FASA
Dr. Schafer is an internationally
recognized expert in ultrasonic
technology. He is currently Vice
President of the Ultrasonic Industry
Association, Chairman of the
National Electrical Manufacturers
Association Ultrasound Technical
Committee, and has been named a
Before (left) and after (right) VASER Lipo procedure with fat grafting. Fellow of the American Institute of
Photos courtesy of Dr. Alfredo Hoyos. Ultrasound in Medicine and the
Acoustical Society of America.

4 january ● february 2011 | www.aesthetictrends.com


RLI
MEDICAL AESTHETIC
TRAINING SEMINARS
Rockwell Laser Industries
Do you perform Laser Hair (800) 94-LASER
Removal (LHR) Procedures? www.rli.com

Have you met the training requirements for


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RLI offers Medical Aesthetic Training Seminars that com-
ply with ANSI Z136.3 and state specific requirements.

Course Topics Include: LHR device safety, laser physics,


skin typing, skin reactions, treatment protocols, burns,
eye protection, emergencies and post treatment proto-
cols, control measures, development of laser program,
applying clinical applications of current and emerging
laser technology.
Available Courses:
• Medical Aesthetic Training Seminar (16 or 24 hours)
• Medical Aesthetic Training Refresher (8 hours)
• First Aid/CPR (8 hours)

RLI also offers a full line of


aesthetic safety products.

LightSPEED II™ safety


eyewear that reacts
automatically to IPL
Patient Protection

Laser Protective Eyewear


fracti nal
c 2
inn vati n.
Introducing :
Versatile Fractional
CO2 Resurfacing
Grow your practice with this lighter,
faster, and extremely versatile CO2
solution. Target and effectively treat
the skin’s surface, middle and deep
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of lesions. Only CO2RE gives you
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pattern and depth of ablation at both
superficial and deep skin layers.

BEFORE AFTER

4-6 weeks post 1 treatment

For more information or to schedule a demo,


visit candelalaser.com or call 800.821.2013 x247

Science. Results. Trust.

© 2011. All rights reserved. Syneron and the Syneron logo are registered trademarks of Syneron Medical, Ltd. CO2RE is a trademark of Syneron Medical, Ltd. Candela and the Candela logo are registered
trademarks of Candela Corporation. 00943
organics & green

Organic
Medicine

& green
surgery
organics
NATURAL METHODS
OF HEALING AND

plastic
RESTORATION OF THE
BODY’S WELLNESS

By Craig Koniver, M.D.

atnt
Contributing Editor & Advisor
:

At Primary Plus, we believe that POSITIVE natural WHAT IS ORGANIC MEDICINE?


healing leads to long-term results. Why take Organic Medicine is our brand new medical
prescription medicine that does not fully help one specialty that we have developed as a multi-
feel better? We welcome you to understand our disciplinary approach to better health and wellness.
Organic Medicine program that uses the building At the core of this natural approach is our
blocks of amino acids, bio-identical hormones, fundamental belief that all spirit and health comes
from Earth. When given the right circumstances,
healing will naturally and spontaneously occur. Our
At the core of this natural approach is holistic approach allows us to care for each
our fundamental belief that all spirit individual in a positive, natural method.
and health comes from Earth. Organic Medicine comprises several multi-
disciplinary facets including:
nutritional therapy, and herbal medication that will z Nutrition
help you to naturally heal your patients, allowing z Amino Acid Therapy
them to gain more energy and feel like themselves z Vitamin/ Mineral Therapy
again. Learn how to reinvigorate your patient’s body z Bioidentical Therapy
and soul. z Fitness/Exercise Therapy
z Botanical Support
Let natural healing begin.
z Detoxification

www.aesthetictrends.com | january ● february 2011 1


NUTRITIONAL ENVIRONMENTAL
organics & green

THERAPY EQUILIBRIUM
We help patients feel better with more Due to our constant influx of environmental
energy! We accomplish this by Comprehensive toxins, our bodies are now polluted with severe
Lab evaluation of nutritional status including: levels of heavy metals. These metals lead to both
Amino Acids, Food Allergies, Cellular metabolism acute and chronic disease and can only be removed
status and review of each patient’s personal diet, through better preventive efforts and Chelation
vitamin, and mineral intake. Our main goal is to therapy. Oral and IV Chelation can help remove
identify nutritional dysfunction and correct this these toxic metals from your body. By undergoing
before disease is allowed to develop. Chelation therapy, you will be lowering your body
burden of chronic inflammation, leading to better
wellness and health.
Our main goal is to identify nutritional
HERBAL
dysfunction and correct this before MEDICATION
disease is allowed to develop. Grown fresh from our Earth, these
medicines are completely natural.

AMINO ACID
BUILDING BLOCKS
Amino acids are the precursors to many of
the chemicals in our bodies. When we feel bad, it is
our amino acids which are out of balance. By
testing your neurotransmitter and hormonal levels,
we will be able to recommend the right balance of
amino acid and hormonal supplements - 100%
natural and from the Earth.

BIOIDENTICAL HORMONES:
THE VITAL SOURCE OF BALANCE
The key to much of how we really feel is
governed by the balance of our hormones. These
hormones are chemical molecules that float around
our bodies and impact all of our cells. When our
hormones are balanced we feel energized, loving,
nurturing, soulful; and when our hormones are not
balanced well we feel flat, washed out, depressed,
apathetic.
There are many powerful hormones in our
bodies including the Adrenal Hormones: Cortisol,
DHEA, Pregnenolone; the sex hormones:
Estrogen, Progesterone and Testosterone; and the
other equally significant hormones such as
Melatonin, Insulin, and Thyroid hormone. Each of
these hormones performs many actions, but all
work together to create a flow of life and energy.

2 january ● february 2011 | www.aesthetictrends.com


Organic Medicine is about going back to the Minerals and Metals

organics & green


basics to figure out the root problems by Includes testing for 30+ minerals and
understanding the core physiology and metals. If your minerals are out of balance, your
biochemistry. To accomplish this, we perform body begins to use metals that serve no function for
several unique lab tests including: you which can lead to both depressive and fatigue
feelings.
Food Sensitivity
Includes testing for a variety of foods, food Fatty Acids
additives, and environmental chemical. This test Includes testing for 34 different Fatty Acid
measures your White Blood Cell response to a levels in your body. Any imbalance of Fatty Acids
variety of sources and helps with diagnosing both can lead to inability to digest and absorb food and
food and chemical sensitivities. vitamins correctly which will lead to feelings of
fatigue and bloating.
Neurotransmitter Levels
Includes testing for Serotonin, Epinephrine,
Norepinephrine, Dopamine, Histamine levels: all Organic Medicine is about going back
of these neurotransmitters are crucial to your to the basics to figure out the root
feeling well and balanced. Any imbalance may lead
to feelings of depression, anxiety, fatigue, low problems by understanding the core
energy. physiology and biochemistry.
Amino Acid Levels
Includes testing for 20 of your essential and Yeast
non-essential amino acids that are critical to both Includes specialized testing for both Yeast
your nutrition and brain chemical status. Any and Yeast by-products. Yeast overgrowth can lead
imbalance with amino acids may lead to nutritional to feelings of bloating, fatigue, and inability to
and/or brain dysfunction. concentrate or focus.

Hormone testing
Includes testing for several sex hormones
including all three Estrogens, Progesterone,
Testosterone, DHEA, as well as testing for Cortisol
and stress hormones. Any imbalance of these
hormones will lead to feelings of fatigue,
depression, anxiety, and stress.

www.aesthetictrends.com | january ● february 2011 3


Recovery IV
organics & green

NUTRITIONAL
Lifting heavy? Running a marathon?
INTRAVEOUS THERAPIES Long training days call for serious recovery
In addition to creating specific nutritional
measures. Recover faster and better with this
and supplement plans for our patients, we offer
replenishing IV cocktail.
many types of nutritional Intravenous Therapies
that really help! IV therapies are becoming the
next BOTOX®--quick and powerful! Adrenals Recovery IV
Feeling "wired, but tired?" Are you
exhausted, yet having difficulty falling asleep?
Meyers Cocktail IV These are symptoms of severe adrenal fatigue. This
This nutrient "cocktail" IV is an excellent way to
adrenals recovery IV will revitalize your adrenal
replenish the nutrients supporting respiratory
glands and help you feel energized and calm.
health and optimal energy levels. This IV can
provide relief to those suffering from asthma,
respiratory infections, migraines, chronic fatigue, Super Immuno IV
or fibromyalgia. Do you seem to catch everything that goes
around these days? New allergies that have never
existed until now? Recharge your immune
Calcium EDTA Chelation system and give your body
This IV is offered to those who wish to
a break with this Super
remove heavy metal buildup. EDTA is also a
Immuno IV.
powerful antioxidant known to help protect
blood vessel walls.
Detox Plus
Recharge IV This IV
This IV delivers glutathione, a powerful contains Phosphadityl
antioxidant that boosts the immune system and Choline, a powerful
helps with detoxification. Environmental compound which
stressors, medications, poor diet, pollen, helps support liver
radiation, and even emotional stress can cause detox and cell
us to run low on this powerful antioxidant. membrane health.
Please note that this IV is $45 per dose, and that This nutrient tends to
individuals may require more than one dose per decline with age, and cell
session. membrane health has
emerged as one of the
most powerful ways
Vitamin C Infusion IV to protect your health.
Dreading "cold and flu" season this year?
Dread no longer. Ramp up your immune system
to stay healthy all year long or kick a cold faster
with this burst of Vitamin C.

Energy IV
Feeling fatigued? Need an energy boost?
Come in for an immediate energy boost with this
revitalizing IV cocktail. Whether you are a worn
down mom or a busy young professional in need
of a boost, this cocktail hour will leave you
feeling refreshed and re-energized.

4 january ● february 2011 | www.aesthetictrends.com


organics & green
Memory Boost IV Vitality IV
Forgetting things more often these days? This IV revitalizes sex drive by restoring
Boost your attention and memory by replenishing various nutrients that can be depleted due to
the necessary nutrients with this Memory Boost IV. hormonal imbalance, medication, environmental
stressors, and even emotional stress. Revitalize your
Longevity IV libido with the Vitality IV!
Do you want to look and feel younger? The
Longevity IV is chock full of the antioxidants and By providing holistic and comprehensive
nutrients that will keep you looking and feeling patient care, we are changing the paradigm for how
young. This infusion is an organic, natural approach best health can be achieved. Organic Medicine is
to anti-aging that provides immediate, effective my specific approach to optimal health and well
infusion of the nutrients related to longevity. being!

Amino Acid IV (SSRI Withdrawal)


Have you discontinued an antidepressant,
or do you wish to do so? Replenish your
neurotransmitter levels and the necessary mood
related nutrients with this fast, effective Amino Acid
IV.

Exercise Performance IV
Do you want to increase your speed or About the Author
endurance at the gym? Whether you are running a Craig Koniver, M.D., is a graduate of Brown
race or keeping up with your grandkids, this IV will University and Jefferson Medical College and has
infuse your body with the necessary nutrients to been a family practitioner for a decade. He
support your performance -- at the gym or in your opened Primary Plus Organic Medicine, LLC in
life. Charleston, SC in 2006. When not working, Dr.
Koniver enjoys spending time at the beach with
Vitamin Burst IV his wife and two children. For more information,
Feeling run down, tired, or a little low on visit Dr. Koniver on the web: www.primary-
gas these days? Having some trouble sleeping? plus.com. See Dr. Koniver's feature every issue
Replenish your body with optimal levels of the in the AestheticTrend's Organics & Green
vitamin nutrients that you need to live a life of department directly relating to Organic Medicine
optimal wellness. topics.

www.a
aesthetictrends.com | january ● february 2011 5
Craig Koniver, M.D.

Your Trusted Source for


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organics & green

Medicinal Purposes
of Essential Oils

& green
surgery
organics
THE HEALING POWER
OF ESSENTIAL OILS

plastic
GAINS FOOTING WITH
MODERN MEDICINE

By Emily Stocker

atnt
Contributing Editor & Advisor
:

Essential oils date back to one of the oldest forms is only now beginning to investigate the healing
of medicine known to man, dating back as far as power of essential oils.
4,500 B.C. They were considered more valuable
than gold to the ancients. Egyptian hieroglyphics FREQUENCY AND OTHER FACTORS
and Chinese manuscripts, priests, and alchemists Frequency is the measurable rate of
show us that they were using essential oils electrical energy flow that is constant between any
thousands of years ago to heal the sick. two points. Everything has a frequency. The human
The words essential oils are often thrown body has an electrical frequency and that much
around in the world of organics and homeopathics,
but the derivation and benefits are seldom known.
An essential oil is a concentrated, hydrophobic An oil is considered as an “essential”
liquid containing volatile aroma compounds from
plants. Essential oils are also known as volatile oils, in the sense that it carries a distinctive
ethereal oils, aetherolea, or simply as the "oil of" the scent, or essence, of the plant.
plant from which they were extracted. An oil is
considered as an “essential" in the sense that it
carries a distinctive scent, or essence, of the plant. about a person's health can be determined by its
As individual elements, essential oils do not frequency. When the frequency drops, the immune
have any specific chemical or pharmaceutical system is compromised. If the frequency drops to
property in common with one another. They are 58 Hz, cold and flu symptoms appear; at 55 Hz,
defined as such because they have the ability to diseases like Candida take hold; at 52 Hz, Epstein
convey characteristic fragrances. Modern medicine Bar; and at 42 Hz, cancer. According to Dr. Royal

www.aesthetictrends.com | january ● february 2011 1


organics & green

R. Rife, every disease has a frequency. He found nail to treat fungus underneath. The oils may be
that certain frequencies can prevent development of sniffed from cupped hands or diffused to elicit
disease and that others would destroy disease. higher vibrations or states of consciousness during
Substances with a higher frequency will destroy meditation. They may also be applied topically on
diseases of a lower frequency. Essential oils start at the chakra points, neck, face, wrists, ankles, back,
52 Hz and go as high as 320 Hz, which is the behind the ears, on the reflexology points on the
frequency of Turkish rose oil. Clinical research bottom of the feet, added to bath water, or worn as
shows that essential oils have the highest frequency a perfume or cologne to raise the level of your
of any natural substance known to man, creating an personal environment.
environment in which disease, bacteria, virus,
fungus, etc., cannot survive. WESTERN MEDICINE
Although there is currently something of a
dismissive attitude concerning essential oils in
The penetrating characteristics of pharmacology, various essential oils retain
essential oils greatly enhance their considerable popular use, partly in fringe medicine
and partly in popular remedies. Unfortunately this
ability to be effective. When placed on makes it difficult to obtain reliable references
the foot it will be distributed to every concerning their pharmacological merits.
cell in the body in 21 minutes. Publications recommending so-called alternative
remedies are prone to making vague and wildly
ambitious claims.
The penetrating characteristic of essential In some applications there is no doubt that
oils greatly enhances their ability to be effective. in treating certain conditions, particular essential
Essential oils will penetrate into the body when oils have considerable advantages over many over-
applied to the skin. An essential oil placed on the the-counter drugs and for clinically minor, but
foot will be distributed to every cell in the body in nonetheless troublesome conditions that do not
21 minutes. They will even penetrate a finger or toe respond decisively to prescription drugs. For
example, congestion and persistent coughs,
particularly dry coughs, often respond well,
economically, and safely to direct inhalation of
vapors. The vapors may be administered by
inhalers, steam kettles, fragrant ointments, lozenges
to be sucked, or strongly aromatic sugarless chewing
gum.

APPLICATIONS
Inhalation. The inhalation of essential oils
heightens the senses and can trigger numerous
desired responses in the body. Several techniques
used to inhale essential oils are: direct inhalation,
simply smelling the oil; diffusing the oils, using a
diffuser which disperses the oil in a micro-fine
vapor into the air. A diffuser will not heat the oils,
thus ensuring full benefits, as extreme heat can
damage important constituents in the oil. Carefully
pour hot water into a bowl, add a few drops of oil,
cover your head and bowl in a tent-like fashion, and
breathe deeply and slowly.

2 january ● february 2011 | www.aesthetictrends.com


Topical. Apply essential oils directly onto

organics & green


the skin where indicated. Internal Consumption
Research indicates that some oils are more effective
when taken orally. Only pure essential oils, proven
safe and labeled as dietary supplements, should be
used internally. Dilution and dosage is dependent
on the age, size, and the health constitution of the
individual. Follow the recommended dosage on
individual product labels to ensure safety or seek
the advice of a health professional before
administering oils internally.

EM’S ORGANICS TOP TEN 7 Neroli


ESSENTIAL OILS COUNTDOWN A mild sedative useful for insomnia, anxiety,
nervous depression, mildly warming, improving
circulation, acne, premenstrual tension/pain,
backache.

10 Chamomille
A calming oil used for premenstrual pain,
indegestion, a mild antiallergenic, rhinitis, acne,
excema, and other senative skin conditions.
6 Sandalwood
An antiseptic useful for dry, cracked, or chapped
9 Eucalyptus skin, acne, and calming relaxation during
An antiseptic useful for meditation, aphrodisiac.
coughs and colds,
bronchitis, viral infections,
muscular aches, rheumatic
5 Rose
An antiseptic useful for sore throat and
conditions.
sinus, congestion, puffiness, mildly
sedative, insomnia, premenstrual
tension/pain, menopause,
8 Geranium reduced libido.
A mild astringent useful
for cuts, sores, fungal
infections, and insect
repellant, soothing
skin problems,
eczema, bruises,
mildly diuretic,
anti-depressant.

www.aesthetictrends.com | january ● february 2011 3


organics & green

4 Jasmine 2 Lavender
An antidepressant useful for depression, postnatal A mild analgesic useful for headaches, wounds,
depression, strengthening contractions during bruises, antiseptic, insect bites, oily skin, acne,
labor, aphrodisiac. swelling, calming insomnia, mild depression.

And the number one essential oil…

3 Rosemary
A mild stimulant useful for
physical and mental fatigue,
forgetfulness, respiratory
problems, asthma,
rheumatic aches
and pains.

1 Peppermint
Peppermint is one of the oldest and most highly
regarded herbs for soothing digestion. Jean
Valnet, M.D., studied peppermint's effect on the
liver and respiratory systems. Other scientists have
also researched peppermint's role in affecting
impaired taste and smell when inhaled. Dr.
William N. Dember of the University of
Cincinnati studied peppermint's ability to improve
concentration and mental accuracy. Alan Hirsch,

4 january ● february 2011 | www.aesthetictrends.com


organics & green
M.D., studied peppermint's ability to directly an allergic reaction, and over time prove toxic.
affect the brain's satiety center (the ventromedial Some essential oils, including many of the citrus
nucleus of the hypothalamus) which triggers a peel oils, are photosensitizers, increasing the skin's
sensation of fullness after meals. vulnerability to sunlight. Industrial users of
Peppermint has been used for asthma, essential oils should consult the material safety
bronchitis, candida, diarrhea, digestive aid, fever data sheets (MSDS) to determine the hazards and
reduction, halitosis, heartburn, hemorrhoids, hot handling requirements of particular oils.
flashes, indigestion, menstrual irregularity, As with any product used for health
headaches, motion sickness, nausea, tumor benefits, consult a physician before use. With
growth, respiratory infections, shock, itchy skin, proper care and use, essential oils can be an
throat infections, and varicose veins. Other uses: amazing addition to your homeopathic health
This oil may help arthritis, indigestion, routine.
depression, skin conditions (eczema, psoriasis,
and dermatitis), food poisoning, headaches, hives, WHY USE ORGANIC PRODUCTS?
hysteria, inflammation, morning sickness, nerve Because they’re better.
regeneration, rheumatism, may elevate and open
sensory system, toothaches, and tuberculosis. Resources
www.thekitchendoctor.com
BE CAUTIOUS www.theveryessence.com
Many oils, touted as essential oils, are http://www.beauty-and-body.com
derived with harsh chemicals, diluted, or copied www.aworldofaromatherapy.com
and produced in a lab. Cheap copies bring cheap www.greenoplis.com
results and have the potential to be toxic. www.crucible.org/oils_history.htm
Therefore, it is imperative to take great care in Material Safety Data Sheet, U.S. Gov
use. Because of their concentrated nature,
essential oils generally should not be applied
directly to the skin in their undiluted or "neat"
form. Some can cause severe irritation, provoke
Emily Stocker steps into
the business of being
green (and happy) with
Em's Organics, offering
products like sea sponge
soap made from USDA
Organic ingredients and
baby and children's
clothing and accessories.
And that's just the
beginning. Visit Emily on the worldwide web:
www.EmsOrganics.com, which officially
launched Earth Day this year. Contact Emily via
email at: emily@EmsOrganics.com.

www.a
aesthetictrends.com | january ● february 2011 5
Join Us in Texas March 30 - April 3, 2011. Join a worldwide gathering of
more than 2,500 physicians, scientists, nurses and others who are coming
together to explore new photomedicine and clinical laser applications,
techniques and protocols.
Enjoy Member Benefits Year-round. Save $180 on Conference registration,
enjoy discount rates on courses at the Conference and through the ASLMS
Professional Development Institute (regional classes and online eCademy),
and receive our highly regarded journal, Lasers in Surgery and Medicine,
absolutely free.
Register Online. Register for the ASLMS Annual Conference and
membership at www.aslms.org or call 715.845.9283 to learn more.

Brian J.F. Wong, M.D., Ph.D., FACS


University of California, Irvine
Professor and Vice Chair
Dept. of Otolaryngology Head and Neck Surgery
Fellowship Director and Chief, Facial Plastic Surgery
Department of Biomedical Engineering
Department of Surgery and The Beckman Laser Institute
“The ASLMS Annual Conference always attracts top individuals representing multiple
research and practice disciplines. Each year, I am able to learn from, and exchange
knowledge with, my fellow facial plastic surgeons, and be among the first to review
exciting new developments in aesthetic and cosmetic surgery.”
plastic surgery

Breast
Augmentation

surgery
surgery
PATIENT PROCEDURE

plastic
SELECTION AND

plastic
MANAGING EXPECTATIONS
By Gregory A. Wiener, M.D., F.A.C.S.,
Contributing Editor & Advisor

atnt
In recent years, both the ASAPS and the ASPS consultation and planning. I have, over time, found
have listed breast augmentation as the number one that refinements in my consultation techniques and
surgical cosmetic procedure performed in the examinations have enhanced the outcomes as much
United States surpassing even liposuction. This or more than any technical/surgical improvements.
trend is also reflected in my practice, with breast
augmentation being by far the most often PATIENT
performed body contouring procedure. From an CONSULTATION
outsider’s point of view, the concept seems simple. I always begin by asking the patient what she
Place an implant beneath the breast tissue to is looking for. Most of my younger patients state
that they wish to enlarge breasts that were never
really large to begin with, and most of my slightly
[Breast Augmentation] remains the older patients who have already had children wish
procedure that I comparatively spend to re-attain what has been lost through pregnancy
and weight fluctuations. The vast majority also state
the most time on in consultation and that they want to look proportional and really
planning. enhance their figure without being overly dramatic,
though sometimes this changes during the sizing
process.
enlarge the breast and improve its shape. It In addition to general health questions,
obviously involves much more than that, and in my there are other typical questions about breast
practice it remains the procedure that I cancer history in the patient or her family, recent
comparatively spend the most time on in mammograms, and whether she may have

www.aesthetictrends.com | january ● february 2011 1


pregnancies in the future. A movement with significant cut down on the discomfort and
plastic surgery

component of our discussion physical activity, and patients who reduces the intake of narcotic
always includes what can happen are athletes; and especially body pain medicine. People have a
to the breasts after additional builders should be told that this generally better experience with
pregnancies, whether the patient will happen. The patient is shown the pain pump than without it.
has an implant or not. We can detailed diagrams of submuscular After the detailed
obviously never rule out the versus submammary placement. explanation of the procedure
possibility of revisionary surgery We also discuss the fact itself, we discuss the entire
being necessary after pregnancies. that the submuscular placement is process from holding area to
The initial questioning also more uncomfortable than operating room to recovery room
includes workout history, submammary placement, and to to home and then the weeks
athletics, and plans to lose weight, reduce post-operative discomfort following. Typically, patients are
as these issues can all affect the we use a pain pump. One cc of sent home after one to two hours
decisions we make regarding her one half percent Marcaine is of recovery. They are post-
implants. infused into each pocket over the operatively on an oral narcotic
first 48 hrs post-operatively. I such as Hydrocodone.
OPERATION & have found that this really does IV antibiotics are used
RECOVERY
I then discuss the
operation and recovery with the
patient in detail. We discuss
incisions, submuscular placement,
and the fact that she will be under
general anesthesia. At this point in
my career, I do all of my implants
submuscular because I think it
simply looks and feels better, not
to mention the fact that there is
real evidence that capsular
contracture rates are in fact lower
in the submuscular position, no
matter what type of implants are
used.
My placement is never
completely submuscular. It is
typically done through a
periareolar incision (although I do
inframammary and axillary
approaches as well) and then a
submuscular pocket is created with
release of the fascial attachments
inferiorly in order to have the
implant sit at a natural level with a
natural lower pole convexity. This
also minimizes unusual upper pole
fullness that occurs with more
complete submuscular coverage. It Before (top) and after (bottom) breast augmentation.
does, however, result in implant Photos courtesy of Dr. Gregory Wiener.
flattening at the upper pole and

2 january ● february 2011 | www.aesthetictrends.com


plastic surgery
perioperatively, and PO frequently they must massage. IMPLANTS:
antibiotics are continued post- All in all, at around the two-month SALINE VS. SILICONE
operatively. Muscle relaxants such point most patients can expect a At this point in the
as Robaxin are sometimes used. natural look with settled, soft consultation we discuss implants.
The patient is sent home in a soft implants; and they should be back The pros and cons of both saline
mammary support, usually with to absolutely all of their regular and silicone gel-filled breast implants
an over wrapping of a six-inch ace activities. This also seems to be the must be discussed in order for any
bandage for stability. The patient point at which most patients begin patient to make an informed
is seen 48 hours later, wounds are to view the implants as part of decision. I believe that the current
checked, and pain pumps are themselves rather than a piece of silicone gel implants are the best on
removed. Usually there are no foreign material that was just the market in terms of both looks
sutures as I routinely close the inserted. and feel.
epidermal layer with Dermabond.

POST-OPERATIVE CARE At around the two-month point most patients can


The patient can shower
after 48 hours, and implant
expect a natural look with settled, soft implants; and
massage and gentle arm raising they should be back to all of their regular activities.
exercises are begun at 48 hours as
well. Low impact workouts can
begin as early as three weeks after
surgery with light lifting and light
cardiovascular. More impact
driven activities such as jogging or
other sports can begin at six
weeks. It is also important to note
that implants invariably will be
sitting high in the upper pole for
the first few weeks after surgery,
and in some cases up to two
months after surgery. This
depends on the patient’s tissues
and the implant that is chosen.
Over the years I have
found that it is much better to
have an implant sit mildly high
and have the patient massage it
down into the pocket over a
period of a few weeks or even a
couple of months rather than
having it look perfect on the table
and bottom out later. As we all
know, this is a much more
difficult problem to fix. Because
of this slightly higher implant
position initially, I must see my Before (top) and after (bottom) breast augmentation.
patients more frequently to assess Photos courtesy of Dr. Wiener.
settling and how hard and how

www.aesthetictrends.com | january ● february 2011 3


cost significantly more, that MRI shape of the breasts and
plastic surgery

In most cases, the softer


consistency of silicone gel-filled exams will be necessary to significant asymmetries are all
implants gives them a superior monitor the silicone gel implants evaluated. Measurements are
cosmetic result when compared for rupture in the future and that taken from sternal notch to
with saline-filled implants, and I rupture and capsular contracture nipple, from inframammary fold
essentially tell my patients this. rates are relatively similar to nipple, as well as the diameter
However, that does not mean that between silicone implants and of both the breast and the areola.
each and every patient should have saline implants, a good case can Skin and tissue envelope and its
a silicone gel-filled implant. A be made to use saline implants mobility are evaluated.
saline implant, if not too large for in many of my patients. And in Inframammary fold
the patient’s frame and skin fact I still place more saline than differences, volume differences,
envelope, with good submuscular silicone gel implants at this point and shape differences are all
and tissue coverage, should have in my career, though the number noted, and the patient is informed
an extremely good cosmetic result. of silicone implants is increasing. of these differences as the
examination proceeds. I typically
point out these differences in the
I still place more saline than silicone gel implants at mirror during the examination
and remind the patient that
this point in my career, though the number of differences that she has prior to
silicone implants is increasing. surgery can be present to some
degree after the surgery as well,
though I will do my best to
Certainly I stress to my RISKS AND minimize these differences in
thinner patients who have less LIMITATIONS surgery. At this point, if it
overall breast tissue that the The risks and limitations becomes obvious that a breast lift
silicone gel implant will make of breast augmentation are then will be necessary along with the
more of a difference for them. discussed at length. Early implant, the discussion then
If I have a patient who weights complications such as infection, centers on mastopexy and the
110 pounds and currently has hematoma, and loss of nipple types of mastopexy available, what
less than an A cup and I can see sensation are touched upon would be the best type of
the ribs and the upper chest, I individually. Later complications mastopexy in this situation, and
will most likely tell that patient such as implant rupture, capsular how these additional scars might
that her results with silicone will contracture, implant malposition, look post-operatively.
be significantly better than with and poor scarring are also dealt This situation can be
a saline implant. In addition, with in detail. This frank discussion difficult for some patients because
her risk of rippling is far less also includes how we will deal with now they are being told that rather
with the silicone implant than any of these complications as well than a simple breast
with a saline filled implant. as what the patient's responsibility augmentation, they will be having
However, if I have a patient from a clinical care standpoint a longer, more complicated, and
who weights 135 or 140 pounds and a financial standpoint is likely more costly procedure with longer
and also has a full B cup to to be. Additional issues such as scars. Early on in my practice, in
begin with, I will likely tell that breast feeding and cancer situations where a certain patient
patient that she will still get a detection and mammograms are was particularly averse to longer
better cosmetic result with also discussed. scars, I let myself get talked into
silicone, but the degree of Finally, the patient is performing the procedure without
improvement over saline will be examined. The amount of breast the lift or performing a
less. Given the additional facts tissue, the quality of the skin and circumareolar lift when a full lift
that the silicone gel implants surrounding tissues, the general was clearly necessary in order to

4 january ● february 2011 | www.aesthetictrends.com


minimize scarring. It becomes confirmed with the patient again CONCLUSION

plastic surgery
apparent quickly that doing the (always have additional sizes Breast augmentation
wrong operation never works. It is within the patients' range remains my favorite procedure.
far better to trade the additional available, especially if they were The operation is relatively short,
scarring for the improved breast having trouble deciding between complications are relatively low,
shape. several different volumes). No results are immediate, and most
I now sit down with the one wants time lost due to a last patients (over 90%) are satisfied
patient and we discuss implants and minute change, but sometimes with their results and would do
sizes. I do not use tear drop (round it happens. the procedure again if placed in a
implants are far easier to place and We use general similar situation. The additional
assume a tear drop shape in the anesthesia usually with an LMA. time spent with these patients
submuscular position). I do not use Perioperative antibiotics are listening to their goals, discussing
textured implants (they are too firm given, usually Ancef if the every aspect of the surgery and
and texturing is really unnecessary patient is not allergic to the implants and what they can
when the implant is placed penicillin. Otherwise expect in the future, and finally
submuscular). The vast majority are Clindamycin. A triple antibiotic planning their surgery is
smooth, round implants (either solution (Ancef, Gentamicin, absolutely necessary for good
saline or silicone) placed in a Bacitracin) is used to irrigate long-lasting results.
submuscular position, usually the pocket prior to implant
through a periareolar or placement. There is some
inframammary incision. evidence that this type of
The patient is always given irrigation may decrease capsular
multiple options as far as size within contracture. It is also safe for
what I consider a safe volume range the implant. A no-touch
for that patient. Sizing is then done technique is used to place the
using silicone gel sizers in a soft bra implant to minimize possible
with a tight t-shirt. This is obviously contamination or capsular
not very scientific nor is it contracture, and the patient is
absolutely accurate, but it does give always placed in a seated
the patient an idea of what she may position and viewed for shape
look like. and symmetry. Fine adjustments
My patient coordinators are to the pockets are made in this
also involved in this process, and it position. About the Author
really becomes fun as the patient At this point, my surgical Gregory Alan Wiener, M.D.,
tries on different sizes and looks at technicians and nurses can add F.A.C.S., is a Board Certified
herself in a full length mirror. I their opinions, and once in a Plastic and Reconstructive
have not used the latest digital while they see something I Surgeon who has been
imaging systems to simulate results; don’t. Along with placement of practicing at Resurrection
but they look certainly more the pain pump, 25 cc’s of Hospital for the past 9 years.
accurate than what was available a Marcaine is infiltrated into each He was named a Consumer
few years ago, and I plan to use pocket prior to closure. Most Reports "Top Surgeon" and
these in the future. patients wake up relatively completed his residency at the
comfortable with only mild University of Illinois at Chicago.
SURGERY DAY soreness and chest pressure at Dr. Wiener has been featured
On the day of surgery, the this point. I call the patient at in several media outlets both
usual pictures are taken and pre- home later that night. The nationally and locally. Visit Dr.
operative markings are done. patient also has 24-hour access Wiener online:
Implant type and volume is to me personally. www.TheArtofPlasticSurgery.com.

www.aesthetictrends.com | january ● february 2011 5


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[xÄt fÑt „ jtá{|ÇzàÉÇ? WAVA practice management

Marketing
Your

management
Medical Spa

surgery
& Cl i n i c

practice
plastic
SUCCESS STRATEGIES
FOR 2011 AND BEYOND

atnt
By Nancy Griffin, Contributing Editor

In today’s highly competitive business landscape, Savvy Sally: Medical Spa veteran, knows the ropes,
medical spas and clinics must be smart marketers to demanding, likes to develop a relationship with her
acquire and keep loyal clients. Smart, affordable practitioner. Wants to be rewarded for her loyalty—
marketing strategies and tactics will allow you to expects to be catered to and wants results!
accomplish your marketing goals without breaking Commonsense Cathy: Repeat visitor but needs to
the bank. learn everything about a new treatment or product
before making a purchase. She is methodical and
Here are Contento’s picks for the hottest trends in logical in all decisions. Wants an explanation of
marketing: why a product works and what is in it.

CREATE CLIENT “PERSONAS”


Identifying personas instead of market Email is the most powerful weapon in
segments to allow you to truly see through the eyes
of your clients. Whereas market segments are
your marketing arsenal.
defined as a group, personas are treated as
individuals or "characters," with actual personality ELEVATE YOUR EMAIL
attributes. Talk to your clients, vendors, and staff to Email is the most powerful weapon in your
brainstorm the characteristics of your types of marketing arsenal. A consistent email outreach to
clients and patients. Once you have defined your your network clients and “permission-based” web
client personas, you can devise a custom marketing visitors is a must for any medical spa or clinic. “E-
strategy for each one of your segments. mail marketing is by far my number one strategy as
Sample personas: far as ROI goes! It costs me very little to maintain
and send out but brings in HUGE return,” says
First-time Fran: Medical Spa “virgin,” hesitant, Kanna Reilly, owner of Body Solutions LASER &
needs support to “learn the ropes.” SKIN in Scottsdale, AZ.

www.aesthetictrends.com | january ● february 2011 1


There are a number of GO VIRAL WITH presence organically through
practice management

email platforms with the tools “WORD OF MOUSE” keywords and regular consistent
necessary to create visually Medical spas and practices blogging,” Reilly recommends.
attractive emails. Some of the are turning to social media outlets Make a commitment to a
most popular include such as blogs, FaceBook, consistent social media strategy.
ConstantContact, iContact, YouTube and Twitter to increase Many companies begin and
MailChimp, and SmileReminder. brand awareness and quickly abandon their efforts, and
CRM (Customer Relationship communicate with clients and a “dusty” blog or fan page leaves a
Management) solutions like prospects. The costs are limited poor impression of your brand.
SalesForce.com offer automated to the time and energy spent by
email functionality. Demandforce, your staff to keep a company's INVEST IN VIDEO
an integrated communications blog or fan page up to date. A (moving) picture is
and marketing solution, takes it The content you distribute worth a thousand words. Video is
one step further by reaching out on your website and through your the new frontier of internet
to current and previous clients social media is the currency with marketing. Digitizing and
and sending guest confirmations which you do business. The better uploading videos is inexpensive
via email and smart phone. your content, the greater the and will bring your message alive.
People are programmed to retain
visual stimuli, and we remember
The content you distribute on your website and pictures much more easily than
we remember words. Research
through your social media is the currency with from educator Edgar Dale
which you do business. indicates that we remember 10%
of what we read, 20% of what we
hear, 30% of what we see, and a
• Only send permission-based likelihood of getting the outcome 50% of what we hear and see.
emails. There are legal you want. “Spend your marketing Colorado-based Facial
ramifications for sending dollars on a useful website chock Aesthetics feature videos on the
unsolicited emails as outlined full of keywords that clients are home page of their website.
by the CAN-SPAM Act. searching for and build your web Hosted on YouTube, the videos

• Develop a communications
calendar. Think through what
your goals are and how and
when you want to market
your services and special
promotions.

• Measure the impact of your


efforts. Start a spreadsheet
that lists each of your email
campaigns and the special
offers or tactics you used, the
cost associated, and the
results. This data will help
you measure which tactics or
special offers got the best
responses.

2 january ● february 2011 | www.aesthetictrends.com


practice magement
accommodate our regulars.”
Instead of falling for the deal
website of the day, be a smart
discounter:
• Create value-added,
limited-time-only
discounts
• Market packages that
include high margin, low
labor treatments
provide an overview of the clinic’s Spa Week will actually create new • Upsell to a series of
facilities and services with clients and repeat business. treatments whenever
President and Founder Pamela Critics of deep discounts say they possible
Hill. In addition to an do not lead to loyalty--they lead to • Always display your
introduction to Facial Aesthetics the expectation of more promotions in a
and patient testimonials, there are discounts. prominent location within
instructional videos on different Medical spas may have your facility
types of peels, microdermabrasion better retention rates with • Partner with your vendors--
and skin conditions. “We are in discount clients than day spas, medical product companies
the process of adding more videos because treatments are usually such as Allergan are known
to the website and to our sold in a series. However, for taking control of
televisions in the clinic’s waiting consider the risks to your brand marketing--let them offer the
rooms,” says Hill. and your bottom line before discount or value-added
Use video wisely or risk agreeing to any “quick fix” promotion
turning off your viewer. With the
advent of compact, user-friendly
video cameras, anyone can serve
as the producer, director, set In the words of one spa owner, “In the one month
decorator, and camera operator. I tracked our Groupon promotion, we did $10,000
Make sure your final product is
professional: Poor quality video
worth of services for $3,000. Tips were little or
will reflect poorly on your brand. non-existent, and the discount clients always
wanted in at the last minute, making it difficult to
BE SMART ABOUT accommodate our regulars.”
DISCOUNTING
The International Spa
Association and
PricewaterhouseCoopers 2010 promotions. Things can go bad FOCUS ON THE
Trends Study reveals that quickly. In the words of one spa “BIRD IN THE HAND”
discounting to stimulate demand owner: “In the one month I There is truth to the old
is a popular strategy to weather tracked our Groupon promotion, adage that "A bird in the hand is
the economic downturn. we did $10,000 worth of services worth two in the bush." Finding a
Although discounting is no longer for $3,000. Tips were little or new client costs five times as
a dirty word, the jury is still out on non-existent, and the discount much, on average, as keeping an
whether deep discounting through clients always wanted in at the last existing one. It pays to show your
“deal websites” like Groupon and minute, making it difficult to appreciation for your existing

www.aesthetictrends.com | january ● february 2011 3


\
practice management

clients. Send them exclusive offers NEVER FORGET: MARKETING


and hand-written cards on special IS A TWO-WAY STREET IS YOUR
occasions. Stay in regular The beauty of new MARKETING LEGAL?
communication with email generation marketing techniques
newsletters, direct mailings, or a is that they allow you to start and Check to make sure there are
blog. maintain conversations with your no legal restrictions on
“Most businesses never clients and prospects. When you marketing a medical practice in
CAPTURE
reach out to their current base of ask for feedback, people feel a your state. HIPAA prevents
clients,” says Kanna
The system is ableReilly.
to automatically capture
senseanyof type of patient
ownership in prospect,
what you medical practices from using
“Instead they are always looking
be it a completed form from the website,are a new
doingfollower on Twitter,
and become a loyal
more patient testimonials and “before
for new
phone ones. I have
inquiry to themanaged to or a referral
front desk, from another
to your brand. happy patient. and after” photos without written
continue to reach out to my Ask your existing clients if permission. Pamela Hill advises
existing clients via e-mail, there are ways you can improve that, although there are not any
Facebook, and Twitter to remind your service. One of the best legal restrictions placed on
them of what we do, offer specials ways to get conclusive feedback is Facial Aesthetics in her state of
and promotions, and give them to conduct a survey. This Colorado, there are ethics
skin care tips. Who better to buy information will help you know restrictions placed on the facility
from you than those who already your clients and make changes to as an accredited plastic surgery
know and like you?” improve their experience. practice. Among the limitations
is the inability to raffle or give
CONCLUSION away services for free.
It pays to show your These recommended
appreciation for your marketing strategies produce
existing clients. Send results when “worked” regularly
and in tandem. Integrated
them exclusive offers and marketing communications are
hand-written cards on mutually reinforcing, and create
special occasions. Stay in synergies where the whole is
greater than the sum of the parts.
regular communication Even if you do not have a
with email newsletters, designated marketing director,
direct mailings, or a blog. you or a member of your team
must be strategic about your
efforts to be successful.
Position yourself and your
team as experts in your field. About the Author
Become a trusted Nancy Griffin has been a
resource to your recognized health and wellness
clients, and involve marketing expert for more than
your staff, vendors 15 years. Prior to founding
and clients in the Spatrade.com and Spaexec, she
marketing completed graduate studies at
process. They are Cornell University Hotel School.
all partners in the Her newest venture, Contento
success of your Marketing, helps spas and
business. medical spas take advantage of
new media. Griffin can be
reached at
nancy@contentomarketing.com.

4 january ● february 2011 | www.aesthetictrends.com


wellness

Can We
Turn Back
Time?

surgery
wellness
plastic
STEPS FORWARD IN TURNING
AGING BACKWARDS

atnt
By Jeffrey H. Spiegel, M.D.
Contributing Editor & Advisor

Speaking about aging, Mark Twain noted that, “It is does our appearance change, but so do our
sad to go to pieces like this, but we all have to do abilities. Youthful vigor is replaced by slower
it.” That is, aging is inevitable. As far as we know, movement with less strength and energy.
time moves in only one direction; and as the years The great question is “why?” Why should
pass, our bodies show the wear. our bodies, with their incredible ability to heal,
My practice focuses on cosmetic facial eventually stop maintaining themselves and begin to
surgery. With time, skin loses its elasticity, areas of deteriorate? Perhaps “why” is a philosophical
fullness become hollow, and gravity takes its toll on question that we can never answer, but “how” is
a less resilient face, resulting in signs of aging. I now closer to our reach.

THE TIMER OF AGING


At the end of each chromosome within At the end of each chromosome within our
our cells is a structure called telomere. cells is a structure called a telomere. These
telomeres are segments of DNA that are
The telomere segment acts as a timer incompletely replicated each time the cell divides.
for aging. After around 50 replications, the telomeres at the
end of the chromosomes become so short that cell
division ceases. This creates a phenomenon known
fight these changes with injectable fillers that restore as “senescence.” In other words, the telomere
volume, muscle relaxing chemicals that reduce the segment acts as a timer for aging. A longer
stress on less elastic skin, lotions that attempt to telomere would allow for more cell divisions before
restore moisture to drying skin, and surgical senescence, and ideally we would like to be able to
procedures that attempt to move sagging tissues to lengthen the telomere as we age to continue in a
their original youthful position. Of course, not only youthful state. The discovery of telomerase is

www.aesthetictrends.com | january ● february 2011 1


\

important enough that in 2009 the enzyme, their telomeres do not shrinking brains, and infertility.
wellness

Nobel Prize in medicine was shorten which may be an The investigators then
awarded to three scientists for important reason why they reintroduced telomerase to the
their description of how continually grow and divide. Of cells of the prematurely aged
chromosomes are protected by course, telomerase is not the only mice, through the administration
telomeres and the enzyme reason why a cancer cell is of a series of medications that
telomerase. dangerous; and telomerase is reactivated the enzyme. What
What evidence is there likely not the only thing we need happened? The mice got
that longer telomeres are a sign of to prevent aging. younger. The signs of aging went
youth? Well, population studies However, it may be an away, vigor improved, and the
have shown that older people important part. Recently, animals regained the
tend to have shorter telomeres. scientists in Boston conducted an characteristics of youth.
Children with progeria, a terrible interesting experiment. Mice Importantly, none of the animals
were reported to develop cancer.

So what would happen if we activated telomerase CHROMOSOMAL


in all human cells? Nobody knows. Ideally, cells LENGTHENING
So, is this the secret? Do
would resume division, and the body would correct we all need chromosomal
all the deterioration of aging. lengthening by adding on to our
telomeres? It is possible that this
is an important part. However,
disease which causes rapid were genetically modified to lack
not everything that is effective in
premature aging, have cells with telomerase. Typically, mice make
mice works the same way in
very short telomeres on their this enzyme throughout their
humans. For one thing, mice
chromosomes. Also, cancer cells, lives. Now, mice do get older and
produce telomerase their entire
which do not stop growing, have show signs of aging despite this!
lives, while humans do not. This
the ability to continually lengthen Nonetheless, without the
already implies that cellular
their telomeres. They do this telomerase the mice aged rapidly
physiology between our two
with an enzyme called telomerase. and began to show typical signs of
species may be significantly
When cancer cells produce this aging including weakened organs,
different. Additionally, not
everbody has shorter telomers
with aging. A Swedish population
study discovered that some
people actually had lengthening
telomeres! Nonetheless, it is a
promising discovery.
All cells in the human
body could produce telomerase,
but only some do. Those include
cells that need to replicate more
than 50 times during a person’s
lifetime, such as sperm cells and
cells of the immune system.
And, as mentioned, cancer cells
have the ability to produce
telomerase. So what would
happen if we activated telomerase
in all human cells? Nobody
knows. Ideally, cells would
2 january ● february 2011 | www.aesthetictrends.com
resume division, and the body many products tout their and are the cause of aging. And,

wellness
would correct all the deterioration antioxidant abilities. Compounds yet another stresses that it is
of aging. Hopefully, cells with a such as grape-seed extract and changes in hormone levels that
prediliction towards becoming pomegranate juice have been cause aging.
malignant would not then marketed as effective antioxidants One last interesting
transform into life-shortening that keep you young by clearing finding relates to the effect of
carcinomas. Unfortunately, the free-radicals. calorie restriction on aging. It has
answer is unknown, and the risks
of the experiment are high.
It has been shown that animals that are fed a
TELOMERASE THEORY
The telomerase theory of low calorie diet (lower than would be
aging is part of the planned comfortable) live longer than those that are
obsolescence concept of aging,
which states that cells have a
overfed. It is theorized that the overfed cells
preprogrammed life span. divide faster and thus reach their 50 division
Certainly the telomere “timer” limit more rapidly.
would support this theory.
According to this theory our
activities during our lifetime (e.g.
smoking, poor diet) can influence Other theories suggest that been shown that animals that
how quickly the telomere is proteins and DNA within our are fed a low calorie diet (lower
shortened and affect aging. cells become cross linked by than would be comfortable) live
However, several other glucose molecules, thus gumming longer than those that are
theories of aging have been up the works and causing aging. overfed. It is theorized that the
proposed. Another relates to a Another suggested that overfed cells divide faster and
cell’s ability to remove toxins. As mitochondria within cells lose thus reach their 50 division
we age, the cellular membrane some of their function over time limit more rapidly.
changes and becomes less able to
clear materials from the cell. A
chemical called Lipofuscin then
accumulates within the cell, and
this material is seen in higher than
normal quantities in the brain
cells of patients with Alzheimer’s
disease. Perhaps it is this that
contributes to aging?
Free radicals are another
popular culprit. Antiaging creams
that target free-radicals are widely
popularized as being effective.
Free radicals are negatively
charged molecules that are
harmful to cells. They damage
the cell membrane and impede its
ability to function correctly in
clearing toxins. Antioxidants bind
the free-radicals and render them
less dangerous. This explains why

www.aesthetictrends.com | january ● february 2011 3


The careful reader will
wellness

note that many of these


theories overlap. Further,
some limitation in the
effectiveness of cellular
replication is a final common
pathway. The recent discovery
that restoration of telomerase
can restore signs of youth in an
aged complex animal, such as
a mouse, is remarkable
regardless of whether
telomeres are the primary
cause of aging. Clearly, they
do have an important role.

Skin care, surgical


interventions, and
periodic volume
enhancement are still
the best available
treatments for looking
youthful.

WHAT’S NEXT?
So, what should one do next?
Unfortunately, nothing has
changed for us yet. Scientists
have a long way to go before a
true youth-giving elixir is
available; and the risks of such
a treatment will be high. At About the Author
the current time, the best we Jeffrey H. Spiegel, M.D., is Chief of the
can do is to eat right, stay fit, Division of Facial Plastic and Reconstructive
hope we have long telomeres, Surgery at the Boston Medical Center and
and fight the signs of aging. holds academic appointments in the
Skin care, surgical Departments of Otolaryngology and Head and
interventions, and periodic Neck Surgery and Plastic Surgery at the Boston
volume enhancement are still University School of Medicine. For more
the best available treatments information, visit Dr. Spiegel’s website and
for looking youthful. blog: www.drspiegel.com.

4 january ● february 2011 | www.aesthetictrends.com


PRESS CORNER

National “Cherokee Inspired Comfort membership to her preferred clinical association.


Both the Top National Prize Winner and the
Award” Winners Announced
National Prize Winner receive an all-expense-paid
trip to a 2011 medical conference in the continental
Cherokee Uniforms announced the four
United States of their choice. All of the winners
winners of the 2010 Cherokee Inspired Comfort
receive a wardrobe featuring the best of Cherokee
Award. The recipients embody the most
Uniforms and Cherokee Footwear worth more
outstanding characteristics of the healthcare
than $1,000; a $500 donation in their name to the
community. Each one was chosen for their
DAISY (Diseases Attacking the Immune System)
exemplary service to those in need, as well as for
Foundation; a Cherokee Inspired Comfort Award
implementing innovative solutions to industry
trophy; a 14K gold-plated commemorative pin; and
challenges.
a year’s subscription to Scrubs, the nation’s first
lifestyle magazine for nurses.

Cherokee Uniforms
Inspired Comfort
www.inspiredcomfort.com
“The recipients of the 2010 Cherokee
Inspired Comfort Award demonstrate the life-
changing impact people with creativity, a strong
vision and a commitment to never give up can have Energist Acquires Portrait Plasma
on their communities,” said Michael Singer, Chief
Executive Officer of Cherokee Uniforms. “We are Energist Group announced that it has
honored to salute their incredible work and completed the acquisition of all the assets and IP
relentless commitment to the healthcare relating to the Portrait® plasma technology
professions.” This year's winners are: formerly owned by Rhytec.
The acquisition of the Portrait
Registered Nurses (RNs) Grand Prize Winner Plasma Skin Rejuvenation (PSR3)
Samantha Abate - RN - South Jersey Healthcare technology adds to the Energist’s
System (SJH), Vineland, NJ Group of ablative, non-ablative,
and now plasma-based solutions
Top National Prize Winner in the aesthetic marketplace. The
Peggy Folgate - RN - FHN Community Health addition of the Portrait PSR3 to
Care Center, Freeport, IL Energist’s diverse mix of medical
device products strengthens their
National Prize Winner leadership role in the ever
Peggy Matthews - RN - Methodist Fayette Hospital, growing skin rejuvenation market.
Somerville, TN “As with our previous
acquisitions, we continue to
Non-Physician Healthcare Professionals strengthen and diversify our
Grand Prize Winner technology base, and we are very excited to add this
Jesse Kontra - Delaware Valley Society of totally unique technology to our offering,” said
Transplant Surgeons, Phoenixville, PA Jonathan Prutton, Chief Executive, Energist Group.
“This acquisition allows us to re-commence serving
The two Grand Prize Winners receive an the 300 doctors in the U.S. who pioneered this
all-expense-paid Caribbean cruise for two. The Top unique modality for the treatment of wrinkles, acne
National Prize Winner receives an annual scarring and general skin rejuvenation," added

www.aesthetictrends.com | january ● february 2011 1


PRESS CORNER

Ron Borsheim, Vice President of Sales, Energist


North America. The first step that the Energist
Group will execute will be to recommence the
manufacture of Portrait tips to meet existing
customers' needs, after which, the group intends on
redesigning and launching the second generation of
the Portrait PSR3 system.

this agreement, the U.S. sales organization will now


have one of the most comprehensive product
offerings of anyone in the industry.”
Energist North America
Jaouad Zemmouri, CEO of Osyris Medical
845.348.4900
says, "We are pleased to be partnered with such a
www.energistna.com
quality organization. The U.S. sales team at
Energist NA, led by Ron Borsheim, VP of Sales,
will now give LipoTherme the time and attention it
Energist Exclusively Distributing deserves. LipoTherme in our estimation is one of
LipoTherme Technology in the U.S. through the most recognized laser lipolysis devices on the
market today; and we have no doubt patients,
Osyris Medical practitioners, Energist, and Osyris will all benefit by
this relationship."
Energist NA, the North American division
of Energist Group (based in Wales, UK)
announced the signing of a two-year exclusive
distribution agreement with Osyris Medical (Lille,
France) for LipoTherme technology in the United
States. The two-year exclusive agreement focuses
on the continued introduction and strategic www.osyrismedical.com
expansion of the LipoTherme technology to the
U.S. market through Energist NA growing sales Energist NA
channels. Energist will assume all new sales, 845.348.4900
marketing, and services efforts in the United States www.energistna.com
effective immediately. www.energist-international.com
Osyris Medical is a cutting-edge French
designer and manufacturer of medical devices
designed for medical, surgical and aesthetic
applications. Osyris Medical is a recognized leader Plastic Surgery Centers that Fail State
in the laser lipolysis market with their Lipotherme Standards Still Allowed to Accept Patients
technology.
John Lenihan, Global Vice President of By Molly Hennessy-Fiske, LA Times
Sales for Energist Group comments, “For Energist,
partnering with Osyris makes perfect sense. It Patchwork rules permit facilities to operate
affords us the opportunity to quickly take advantage without a state license. Private accreditation
of a very lucrative and expanding market by agencies don’t have to release records of
offering LipoTherme, a well respected, cutting edge complaints and offices that lose accreditation can
product.” Mr. Lenihan continues, “As a result of quickly be certified by another agency.

2 january ● february 2011 | www.aesthetictrends.com


PRESS CORNER

In 2007, California stopped licensing “The Doctors” Feature Levia® for Self-
surgery centers owned at least partly by a licensed Treatment of Psoriasis
doctor. The move came after a doctor
successfully challenged the state’s regulatory Levia® delivers personal targeted
authority in court. According to the state phototherapy as a treatment option for millions of
Department of Public Health, only 45 surgical psoriasis patients.
centers are now state-licensed, compared with Lerner Medical Devices, Inc., (LMD)
about 480 before the law changed. An additional announces a new Personal Targeted Phototherapy
715 are certified to bill Medicare for treatments device for the self-treatment of psoriasis. Levia will
such as orthopedic care, eye surgeries and weight- be featured in the December 7, 2010 episode of
loss related procedures. Hundreds more operate “The Doctors.”
as cash-only businesses that specialize in elective The Levia segment includes Dr. Sonia
cosmetic procedures, many without accreditation, Batra, M.D., a Santa Monica based Dermatologist,
experts say. with one of her patients, demonstrating how Levia
“There are a lot of facilities that enables the self-treatment of chronic psoriasis at
completely ignore the law and are not accredited home. The segment is hosted by Dr. Travis Stork
or licensed or anything,” said Dr. Michael F. of “The Doctors” who also talks with Lauren
McGuire, Chief of Plastic Surgery at St. John’s Kadesh about her new found success using Levia to
Health Center in Santa Monica and Past clear her scalp psoriasis.
President of one of the four private accrediting
agencies, the American Assn. for Accreditation of
Ambulatory Surgery Facilities.
"Unlike state regulators, accrediting
groups do not fine surgery center owners or
doctors who violate rules on patient safety,
although they can pull a center’s accreditation. By
law, the state medical board can pursue fines John R. Lyon, CEO of LMD, said: “We are
against surgery centers without accreditation delighted that a show with the reach and reputation
$1,000 a day, but rarely do," McGuire said. The of “The Doctors” has chosen to feature the home
state lacks an accurate list of facilities with current treatment of psoriasis with Levia and Ultraviolet B
accreditation. (UVB) light. UVB is a proven and effective therapy
The accrediting groups can keep for the majority of the 7.5 million psoriasis patients
confidential their records of complaints against in the U.S. Now Levia enables those patients, with a
surgery centers and investigations. They have prescription from their physician, to treat
been criticized by lawmakers for allowing clinic themselves with UVB phototherapy at home,
owners who have lost accreditation with one conveniently, cost-effectively, and privately.”
agency to immediately reapply and become “The Doctors” is a nationally syndicated television
accredited by another. show which appears daily; see thedoctors.com for
Negrete McLeod proposed legislation this local listings and additional information.
year that would have required all doctor-owned
Find Levia on Facebook: http://www.facebook.com/mylevia
surgical centers to be state-licensed. The
Follow Levia on Twitter: http://www.twitter.com/mylevia
legislation passed the state Senate and won Follow our blog: http://asknurselinda.tumblr.com
support from the governor, but doctors’ groups
Watch Levia on YouTube
balked and lawmakers in the Assembly blocked a Levia Channel: youtube.com/user/levia2010?feature=mhw4
vote. Negrete McLeod said she plans to propose
similar legislation again next year, and is hopeful
Lerner Medical Devices
that Gov.-elect Jerry Brown will support it.
310.914.0091
www.mylevia.com
Source: LA Times

www.aesthetictrends.com | january ● february 2011 3


PRESS CORNER

Lexli Loyalty Program Provides a New they may distribute to their clients for use when
Sales Channel for Skin Care Professionals ordering at www.lexli.com. This code ensures
consumer sales are attributed to the correct
With the economic downturn still playing professional account.
a factor in revenue potential, spas, physician
offices and aesthetic practices are working to Lexli
maximize sales through every available channel. 877.893.3417
Because of this, Lexli, a professional line of www.lexli.com
aloe-based skin care once available via skin care
professionals and direct to consumers via the
company’s website, has reorganized to create a Research Reveals VASER Lipo® Yields Fat
new sales stream for its clients. Beginning this as Viable as Conventional Liposuction
month, consumers who place a first-time order
at www.lexli.com will have to register under their According to a recent study conducted at
current skin care professional or, if they do not the University of Pittsburgh, human fat harvested by
have an existing relationship with a licensed VASER ultrasound-assisted liposuction (Sound
expert, must select a local Lexli distributor via Surgical Technologies LLC), is as viable as fat
zip code search. Once paired with a consumer, collected by conventional suction assisted
the professional organization receives a liposuction, with nearly 80% volume retention.
commission on each of the individual’s online The study, led by Dr. J. Peter Rubin, Associate
sales. Professor of Plastic Surgery at the University of
Pittsburgh, is the first research to establish strong
support for VASER Lipo as a collection method of
choice for fat transfer procedures.
The study investigated tissue samples of a
female subject who underwent lipoplasty of the
thighs and flanks. Detailed cellular viability analysis
was performed on tissues collected, each having
undergone VASER Lipo and suction-assisted
liposuction on the body area. The researchers
This offers Lexli professional accounts a found little or no difference at the cellular level
resource through which they can acquire new between the treatments, concluding that VASER
customers, better service their existing ones, and Lipo is just as effective in yielding viable fat cells as
improve overall profit margins. The program, suction-assisted liposuction devices.
called the Lexli Loyalty Program, essentially Results at six weeks showed approximately
removes the last remaining direct-to-consumer sales 80% of the filtered fat survived by volume,
channel for Lexli and cements the brand’s focus as regardless of the method of extraction. As a point
an exclusively professional line of skin care. of comparison, other studies have shown less than
“For years we’ve been reinforcing to 5% of the water-jet assisted liposuction fat survived.
consumers the importance of working under the
guidance of a licensed skin care professional to
ensure optimal skin health,” notes Dr. Ahmed
Abdullah, founder and formulator of the Lexli line
of skin care.
The Lexli Loyalty Program is available to all
Lexli professional accounts. Participating
organizations are given an exclusive identifying code

4 january ● february 2011 | www.aesthetictrends.com


PRESS CORNER

“The highly selective nature This amazing find is still far away from
of ultrasound energy promotes being replicated on a human being due to a DNA
increased fat viability, making it difference between mice and humans; however, it
ideal for fat transfer procedures,” does show that we are one very large and important
said Mark Schafer, Chief step closer to potentially isolating an answer to how
Technology Officer at Sound and why humans go through the aging process.
Surgical Technologies. “We believe Dr. Jeffrey Spiegel is
this important research will pave the Chief of Facial Plastic and
way for widespread adoption of Reconstructive Surgery, and
VASER ultrasound-assisted an associate professor at the
liposuction as the preferred method Boston University School of
for fat transfer.” Medicine with appointments
The study’s findings support in the Department of
recent physician feedback that the Otolaryngology and Head
VASER Lipo System is the leading and Neck Surgery and the
technology for fat harvesting and fat transfer Department of Plastic and Reconstructive Surgery.
procedures, with unrivaled body sculpting Please email us at info@drspiegel.com for more
capabilities. information.

Sound Surgical Technologies Jeffrey Spiegel, M.D.


888.471.4777 www.drspiegel.com
www.vaser.com

AESTHETICTRENDS.COM
Reversed Aging Almost a Reality
A group of Harvard scientists might have
uncovered one of the most remarkable scientific
finds known to man, the ability to reverse aging.
Tested on a group of mice, the Dana-Farber
Cancer Institute was apparently experimenting
with an anti-aging experiment that was only
supposed to steady the process of aging and slow
it down. What they got was much different. The
aging process actually began to reverse sending
the lab mice aging in the opposite direction by
getting younger.
“The main factor that causes aging is the
accumulation of damage to DNA, much of the Aesthetic Trends provides timely
damage occurring at the tips of chromosomes reporting on all your news stories
and telomeres. And what scientists did was to for the industry.
test the effects of telomerase (an enzyme able to
restore the telomere function). When scientists For inclusion in the Press Corner section of the
turned on the telomerase enzyme, old mice journal or our Industry News section online, email
started getting younger. The worn-out organs the editor: cindy.vandruff@aesthetictrends.com
started regenerating, their shirked brain size
started increasing, their coat hair was restored,
and they even regained fertility.”
800.277.1391

www.aesthetictrends.com | january ● february 2011 5


medical spas

^tàx
fÉÅxÜä|ÄÄx

medical spas
surgery
A TREASURE OF LOS ANGELES,

plastic
THE SOMERVILLE MEDI-SKIN
CLINIC HAS REDEFINED
CONTEMPORARY SKIN CARE

atnt
By Robert Prince, Contributing Editor

Melrose Place, Los Angeles

Kate Somerville, a native of California, has devoted practices help create beautiful skin from the inside
more than twenty years of her professional life out.
working alongside dermatologists and cosmetic For special personal attention, making a trip
surgeons, supplementing their treatments and to Kate’s Clinic will be more than worth it. Since
devoting her time and care to enhancing skin opening its doors in 2004, the Clinic has grown
health. Kate is the creator and director of Kate
Somerville Skin Health Experts, a celebrated medi-
skin clinic in Los Angeles and remains committed Kate’s Skin Health Pyramid defines
to innovation and introducing products, services,
and concepts that work. Kate's simple and
and prioritizes the five fundamental
straightforward program is a result of her daily elements for attaining and
experiences and intimate partnership with her maintaining beautiful skin.
clientele, many of whom have careers that depend
on near perfect complexions. Kate Somerville
makes radiant skin a reality for all individuals. from three treatment rooms and three service
Kate’s Skin Health Pyramid™ defines and providers to sixteen treatment rooms and more
prioritizes the five fundamental elements for than a dozen service providers offering facials, light
attaining and maintaining beautiful skin: Protect, and laser therapies, injectables, and specialty
Hydrate, Feed, Stimulate, and Detox. Based on treatments targeting aging, acne, redness,
the belief that beauty is more than skin-deep, these discoloration, or scarring.

www.aesthetictrends.com | january ● february 2011 1


Their most popular facial is The Ultimate have maximum results and a multitude of purposes
medical spas

Kate. It begins with enzymatic exfoliation and light without the side-effects.
extractions. The skin is then drenched with Kate’s For instance, Quench Hydrating Face
DermalQuench serum and oxygen technology. The Serum, one of her most popular products, contains
client is then placed under the DermaLucent red a high amount of retinol which can often cause the
light to further penetrate the serum and stimulate side effect of dryness and flakiness, but to
collagen and elastin. The result is a firm, even skin counteract these undesired effects, she includes
tone and red carpet-ready complexion. lipids and hyaluronic acids which help with
The Titan Non-Surgical Face Lift is the hydration and cell turnover.
most requested laser therapy. Safe and painless, this ExfoliKate® Intensive Exfoliating
progressive laser turns back the clock. A “non- Treatment, her top selling product, is the next best
surgical facelift,” Titan safely uses infrared light to thing to seeing Kate in the clinic. Kate firmly
tighten and add volume to the skin. Titan gently believes that the best way to have healthy skin is to
exfoliate at least twice a week. ExfoliKate uses a
combination of both physical and chemical
exfoliators.
Deep Tissue Repair is a treatment
formulated to renew and restore, and it certainly
gets results which is why it has become one of the
top selling products in the line. By blending Peptide
K8 with collagen builders, the formula penetrates
deeply to encourage cellular repair and reverse
damage.
These three products can be used to create
that glow for which Kate Somerville is so famously
known. In fact, she has made it easy by creating the
Glow Kit, which includes her 3 best sellers.

heats the inner layers of the skin, causing collagen


contraction and production. It is especially effective
in reducing smile lines, lifting the brow and eyelids,
and tightening the neck and jaw line.
Another favorite treatment among clients is
The Liquid Face Lift, a combination of customized
fillers for the face and DermaLucent Light
Therapy. By using a combination of BOTOX®
and dermal fillers, they can create natural
improvements without surgery. The DermaLucent Whether they visit the clinic or purchase
helps to promote healing and longer lasting results. Kate Somerville products, the customer is getting a
For those who do not have access to the part of Kate, her care and her vision. She works
clinic, they can experience Kate Somerville through tirelessly to provide the most advanced science,
her product line, which is available at Neiman progressive ingredients, and healing botanicals
Marcus, Nordstrom, Sephora, QVC, and available. As long as her clients continue to ask,
www.katesomerville.com. Kate listens to her clients Kate Somerville will expand her brand to reach
and uses a lot of their input and requests when women and men worldwide by sharing her belief
developing new products. Kate Somerville is a that everyone can achieve beautiful skin, and she
results-oriented person who creates products that will do what it takes to guide them there.

2 january ● february 2011 | www.aesthetictrends.com


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ATnTJANFEB11
_____ORAL & MAXILLOFACIAL _____INDUSTRY EXECUTIVE _____________________OTHER
omni TM

The dawn of
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The desire for an ideal body has forever been a universal theme in
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OmnimaxTM is the most recent development in clinical aesthetic


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applications, can evolve your practice into a leading aesthetic center. February 4-8, 2011, Booth 3947

4 ADVANCED TECHNOLOGIES

33 Lazarov St., Rishon Le Zion 75654, Israel


Tel: +972 3 961 1969 | Fax: +972 3 952 8890
info@sharplightech.com | www.sharplightech.com
LASER IR RF DPC
PC
meetings &
january 2011 march 2011 may 2011
American Academy of Cosmetic International Esthetics, Cosmetics & American Society for Aesthetic
Surgery - AACS Spa Conference - IECSC Plastic Surgery - ASAPS/ASERPS
27th Annual Scientific Meeting March 6-8 Annual Meeting
January 12-16 Jacob Javits Convention Center May 6-11
JW Marriott Desert Ridge Resort, New York, New York USA Boston Convention & Exhibition Ctr
Phoenix, Arizona USA Contact: Dana Lupton Boston, Massachusetts USA
Contact: Moira Murphy info@iecsc.com Contact: asaps@surgery.org
312.981.6760 212.895.8237 800.364.2147
www.cosmeticsurgery.org www.iecsc.com/ny www.surgery.org

Orlando Dermatology & Aesthetic American Society for Laser Medicine China Beauty Expo
Conference - ODAC & Surgery - ASLMS 16th Annual Expo
January 14-17 30th Annual Meeting May 18-20
The Peabody Orlando March 30 - April 3 Shanghai New Int’l Expo Center
Orlando, Florida USA Gaylord Texan Resort & Conv Center Shanghai, China
Contact: Luciana Halliday Grapevine, Texas USA Contact: Zhong Yi
info@orlandoderm.org Contact: Diane Dalsky +49 (711) 490890121
212.213.8784 dianne@aslms.org www.chinabeautyexpo.com
www.orlandoderm.org 715.845.9283
www.aslms.org
American Academy of Facial Plastic
& Reconstructive Surgery – AAFRS
june 2011
14th Annual Winter Symposium april 2011 International Esthetics, Cosmetics &
International Society for Spa Conference - IECSC
January 19-23
Dermatology Surgery – ISDS June 18-20
Vail Marriott Mountain Resort & Spa
April 7-9 Las Vegas Convention Center
Vail, Colorado USA
Bali International Convention Center Las Vegas, Nevada USA
Contact: Ollie Edwards
The Westin, Nusa Dua, Bali, Indonesia Contact: Dana Lupton
oedwards@aafprs.org
Contact: ISDS Headquarters Office info@iecsc.com
703.299.9291
info@isdsworld.com 212.895.8237
www.aafprs.org
www.isdsbali2011.com www.iecsc.com/lv

february 2011 American Academy for Anti-Aging Spa & Resort Expo
American Academy of Dermatology Medicine - A4M June 28-29
AAD - 69th Annual Meeting 19th Annual World Congress
February 4-8
Jacob Javits Convention Center
April 7-9
Ernest N. Morial Convention Center Marriott World Center Resort
New York, New York USA
New Orleans, Louisiana USA Orlando, Florida USA Contact: Mary Palmieri
Contact: Robin Downey Contact: Doreen J. Brown 609.759.7606
800.454.4DNA (4362) 561.997.0112 www.spaandresortexpo.com
www.aad.org www.worldhealth.net/orlando

Advances in Cosmetic Medical American College of Obstetricians july 2011


Dermatology- ACMD and Gynecologists - ACOG Cosmetic Boot Camp
Maui Derm 2011 59th Annual Clinical Meeting Annual Summer Meeting
February 23-27 April 30 - May 4 July 14-17
Grand Wailea Resort D.C. Convention Center The St. Regis Hotel
Maui, Hawaii USA Washington, D.C. USA Aspen, Colorado USA
Contact: ACMD Admin Contact: acm@acog.org Contact:
866-503-SKIN (7546) 202. 638.5577 877.456.BOOT
www.acmd-derm-hawaii.com www.acog.org/acm www.cosmeticbootcamp.com

1 january ● february 2011 | www.aesthetictrends.com


events 2011
august 2011 october 2011 International Esthetics, Cosmetics &
International Society of Cosmetic Spa Conference - IECSC
American Academy of
and Laser Surgeons – ISCLS November 6-7
Dermatology – AAD th
19 Annual Meeting Broward County Convention Center
Academy ’11 Summer Meeting
Date to Be Announced Ft. Lauderdale, Florida USA
August 3-7
Contact: info@thesentergroup.com Contact: Dana Lupton
New York, New York USA
312.981.6799 info@iecsc.com
Contact: Robin Downey
www.iscls.org 212.895.8237 p
866.503.SKIN (7546)
www.iecsc.com
www.aad.org
International Esthetics, Cosmetics &
Spa Conference – IECSC American College of Phlebology-ACP
Face & Body October 16-17 25th Annual Congress
Spa Conference & Expo Northern CA Orlando / OC Convention Center November 3-6
August 27-29 Orlando, Florida USA JW Marriott
San Jose McEnery Convention Ctr Contact: info@iecsc.com Los Angeles, California USA
San Jose, California USA 800.624.3248 Contact: Dana DePonzi
Contact: faceandbody@allured.com www.iecsc.com/fl 510.834.6500
630.653.2155
www.acpcongress.org
www.faceandbody.com
American Academy of
International Spa Association – ISPA
Ophthalmology – AAO
september 2011 20th Annual Conference & Expo
Annual Meeting
November 7-10
American Academy of Facial October 22-25
Mandalay Bay Resort
Plastic & Reconstructive Surgery – Orange County Convention Center
Las Vegas, Nevada USA
AAFPRS Orlando, Florida USA
Contact: Jennifer Spencer
Annual Fall Meeting Contact: Meetings Department
888.651.4772
September 8-11 415.561.8500 x320
www.experienceispa.com
San Francisco, California USA www.aao.org
Contact: Ollie Edwards
oedwards@aafprs.org International Congress on American Society of Cosmetic
703.299.9291 Application of Dermatology and Aesthetic Surgery
www.aafprs.org Laser & Electro-Optics – ICALEO – ASCDAS
October 23-27 9th Annual Meeting & Exhibition
Disney World Hilton December: TBA
American Academy of Family
Lake Buena Vista, Florida USA Las Vegas, Nevada USA
Physicians – AAFP
Contact: Laser Institute of America - LIA Contact: Larry Bodkin
September 14-17
800.345.2737 lbodkin@ascdas.org
Universal’s Island of Adventure
www.icaleo.org 850.531.8330
Orlando, Florida USA
www.ascdas.org
Contact: Sondra Biggs
800.874.2237 x5360
www.aafp.org
november 2011
American Society for Dermatologic december 2011
Surgery - ASDS American Academy for Anti-
Spa & Resort / Medical Aesthetics Expo November 3-6 Aging Medicine - A4M
September 15-16 Washington Marriott Wardman Park 19th Annual World Congress
Jacob Javits Convention Center Washington, D.C. USA The Venetian Hotel Resort Casino
New York, New York USA Contact: Kristen Weber Las Vegas, Nevada USA
Contact: Mary Palmieri kweber@asds.net Contact: Doreen J. Brown
212.600.3033 847.956.0900 561.997.0112
www.spaandresort.com www.asds.net www.worldhealth.net/lasvegas2011

www.aesthetictrends.com | january ● february 2011 2

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