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December
14th, 2006
BEAUTIFUL
FOREVER
OFFERS
DENITIST
MEDICAL SPA
CAPABILITY
Englewood
Cliffs, NJ:
December 14,
2006 --
Beautiful
Forever, one
of the
nation's
leading
consulting
firms,
specializing
in helping
physicians
establish
successful
and
profitable
medical
spas,
announced
today that
they will
now be able
t0 assist
dentists
integrate
the medical
spa model
into their
practice.
The Dental
Spa concept,
born from
the surge
and boom in
cosmetic
dentistry
and the
growth of
the Medical
Spa
industry, is
experiencing
its
adolescence
because of
an onslaught
of
procedures
and services
now
performed by
cosmetic
enhancement
trained
dentists.
Medical spas
are highly
profitable
and,
according to
Cheryl
Whitman, CEO
of Beautiful
Forever:
"Dentists
that already
own an
existing
practice are
uniquely
positioned
to add a
medical spa
to their
business
because they
already have
an
established
patient base
and overhead
expenses."
Dentists are
able to
optimize
their
facility
overhead by
providing
spa services
during
unused
lunchtime,
evening, and
weekend
capacity.
"Consumers
are really
savvy now
and are
leading the
charge,"
explains
Whitman.
"They go to
the dentist
for more
than
cleaning and
cavity
filling."
Having a
medical spa
within the
dental
practice
also
provides an
opportunity
for
attracting
new patients
and gaining
cross-referrals.
Propelled by
growing
patient
demand,
dentists are
eagerly
embracing
this new and
upbeat way
to increase
their
practice
revenue,
while
creating a
more
comprehensive
ability to
meet and
exceed
patient
expectations.
Although it
may sound
like a
quagmire, it
really is a
new trend
sweeping the
country.
More and
more
dentists,
particularly
those who
perform
cosmetic
dental
procedures,
are adding
medical spa
procedures
and services
to their
practices to
create a
"Dental Spa"
environment
for their
patients.
Regulations
regarding
who can
perform
medical spa
procedures
vary from
state to
state. In
the most
restrictive
states,
registered
nurses
typically
are hired to
perform the
aesthetic
procedures
and a
physician is
partnered to
provide
medical
supervision
and
malpractice
insurance
access. The
advantage of
this
arrangement
to the
dentist is
that the
medical spa
or dental
spa business
can be an
increased
source of
income that
does not
require the
dentist's
presence.
Beautiful
Forever, a
leading
medical spa
business
consulting
firm,
recently
launched a
Dental Spa
Success
System (www.dentalspasuccess.com)
that
piggybacks
on its
hugely
successful
Medical Spa
Success
System (MSSS).
The MSSS is
a proven
do-it-yourself,
systematic
educational
tool for
physicians,
entrepreneurs,
hospitals,
and other
entities
interested
in opening
or expanding
their
existing
medical spa.
The Dental
Spa Success
System is
targeted
specifically
to dental
professionals
who wish to
add medical
spa
procedures
and services
to their
practices.
For further
information
on the
Dental Spa
Success
System, or
if you are
interested
in
developing a
medical spa
within your
dental
practice,
contact
Beautiful
Forever at
201 541-5405
or
1-877-SPA-MEDI.
COSMETIC
SURGERY GETS
A LIFT FROM
BOOMERS
Jamie Kabler
didn't opt
for cosmetic
surgery
because he
hoped to
look like
Brad Pitt.
"I just
wanted to
look as
young as I
feel," says
Kabler, 59,
owner of a
diet
supplement
company in
Los Angeles.
Once the
secret to
celebrity
sleekness,
face lifts,
tummy tucks
and
liposuction,
cosmetic
surgeries
are now
nearly as
accessible
as the
nearest
makeup
counter.
More than 10
million
elective
cosmetic
procedures
were
performed
last year,
up 38% from
2000,
according to
the American
Society of
Plastic
Surgeons (ASPS).Baby
boomers are
working
longer,
remarrying
and trying
to be
healthier,
says George
Rudkin,
chief of
plastic
surgery at
West Los
Angeles VA
Hospital.
"They want
their faces
and bodies
to reflect
their inner
feelings,
not their
chronological
age."
Routine
maintenance
Plastic
surgeons say
there is no
typical
cosmetic
surgery
client.
"I've worked
on priests,
police
officers,
salesmen. A
large number
of my
clients are
trial
lawyers and
others in
high-profile
jobs," says
William
Beeson, a
plastic
surgeon in
Carmel, Ind.
He says a
number of
women in
their 30s
and 40s ask
for the
"mommy
makeover," a
combo tummy
tuck and
breast lift.
Some go
further and
add a
buttock lift
and breast
implants.
The number
of men
undergoing
cosmetic
procedures
has surged,
according to
the ASPS. In
2005, 1.2
million
cosmetic
surgery
procedures
were
performed on
men, up 44%
from 2000.
Popular
procedures
include hair
transplants,
eyelid
surgery,
Botox and
microdermabrasion.
Kabler had
his upper
and lower
eyelids
lifted eight
years ago
and has had
an ongoing
relationship
with his
plastic
surgeon ever
since. He
pops in for
"maintenance
visits"
every six
months.
"I see my
plastic
surgeon
every six
months, like
my dentist,"
says Tina
Goeckel, 36,
an
independent
beauty
consultant
in Oswego,
Ill., who
advises
women on
cosmetics
and
appearance.
Goeckel
started
having
facial peels
at 30. Since
then, she
also has
undergone
lipo-augmentation,
where fat
cells were
taken from
her thigh to
fill small
lines on her
face.
Many
patients say
cosmetic
surgery
becomes
addictive.
Cosmetic
surgery is
not a
solution for
everyone,
notes Lori
Korwin, a
psychologist
in West
Hartford,
Conn. Korwin
counsels
patients
with body
image and
eating
disorders.
"For people
with any
kind of
eating
disorder,
it's not a
good idea.
Cosmetic
surgery can
become very
addictive
for them,
and actually
be
destructive,"
Korwin says.
UCLA's
Rudkin says
he regularly
turns
patients
away who
have
unrealistic
expectations.
"We'll see
people who
want to look
just like a
celebrity,
or they come
in thinking
cosmetic
surgery will
fix their
marriage,"
he says. In
those cases,
Rudkin
recommends a
psychologist
for
counseling.
Cost as
deterrent
Prices for
cosmetic
procedures
can range
from several
hundred
dollars for
a single
Botox
treatment to
several
thousand for
a breast
lift, even
more for a
face lift or
tummy tuck.
These costs
are usually
paid
out-of-pocket.
So for many,
cosmetic
surgery just
isn't worth
the money.
"There is
probably a
significant
segment of
the
population
that is
dissatisfied
with some
physical
aspect of
their
appearance,"
says David
Sarwer,
associate
professor of
psychology
at the
Center for
Human
Appearance
at the
University
of
Pennsylvania
School of
Medicine.
"But the
cost and
perceived
risks
involved
with
cosmetic
surgery
aren't worth
it to them."
And of
course there
are those
who simply
like the
idea of
growing old
naturally
and welcome
the laugh
lines around
their eyes.
|
U.S. FILLERS
MARKET SET
TO BOOM
National
report --
The U.S.
fillers
market is
poised to
explode with
a host of
new facial
aesthetic
products now
awaiting
federal
approval,
and still
more in the
pipeline.
The influx
of new
products
will create
a tightly
competitive
field that
offers many
more choices
for
dermatologists
and patients
in the
treatment of
the aging
face,
doctors and
analysts
say.
"Everyone's
looking for
the new
Botox," says
William
Philip
Werschler,
M.D.,
assistant
clinical
professor of
medicine/dermatology
at the
University
of
Washington
School of
Medicine.
"Even though
Botox is a
toxin, and
toxins
aren't
technically
fillers, you
have to
mention them
in the same
breath
because of
what they
both do
aesthetically.
You also
have to
realize that
in Europe --
it's where
most fillers
come from
and it's the
most mature
fillers
market --
the ratio of
fillers to
toxins is
3-to-1,
while in the
U.S. that
ratio is
1-to-3.
"The bottom
line is that
the fillers
market in
the U.S. is
huge and
basically
untapped,
and
investors
see the
filler
market as
having great
potential,"
he says.
"The best
guess is
that what
was once a
$50 million
market
before the
introduction
of
hyaluronic
acid-based
fillers has
now become
upwards of a
$250 million
market
that's
basically
dominated by
Restylane"
-- and that
market is
about to
boom,
experts say.
Restylane,
competitors
Restylane,
the
hyaluronic
dermal
filler
marketed by
Scottsdale,
Ariz.-based
Medicis,
faces the
leading edge
of the new
wave now
that
Juvederm,
marketed in
the United
States by
Irvine,
Calif.-based
Allergan,
has won FDA
approval.
Juvederm may
even have a
competitive
leg up on
Restylane,
inasmuch as
the Juvederm
"family" of
products,
which
includes
three
different
viscosities
of fillers
for various
indications,
has been
approved,
unlike the
yet-to-be
approved
members of
the
Restylane
filler
family.
According to
Dr.
Werschler,
who has used
or been
involved in
clinical
tests of all
U.S.
companies'
available
filler
products,
the
Restylane
family
members
awaiting
approval are
Restylane
Fine Line, a
lower-viscosity
filler for
smoothing
superficial
wrinkles;
Perlane, a
slightly
heavier
product than
Restylane,
for shaping
facial
contours,
defining
cheeks,
eliminating
deep folds
and
enlarging
lips; and
Sub-Q, the
heaviest-viscosity
Restylane
filler, used
for
procedures
that require
deeper
injections.
All are
currently
used outside
the United
States, but
according to
Dr.
Werschler,
of this
group only
Perlane is
nearing FDA
approval.
"Perlane
will be the
next
Restylane-family
product to
be approved,
and it will
compete
directly
with
Juvederm
HV-30," he
says. "Allergan
also is
marketing
Juvederm 30
and Juvederm
HV-24, which
will compete
directly
with the
Restylane
base
product.
Juvederm
will be the
most
competition
out there
with
Restylane
for
aesthetic
procedures
until the
other
Restylane-family
products get
approved,
which we may
begin seeing
by autumn."
Medicis
Chief
Scientific
Officer
Mitchell
Wortzman
said he
expects
Perlane to
win FDA
approval by
the fourth
quarter, but
said due to
FDA
regulations,
he cannot
comment on
the
company's
yet-to-be-approved
products.
ArteFill
Also looming
on the
approval
horizon is
ArteFill,
known as
Artecoll
outside the
United
States and
used for
correction
of facial
wrinkles,
lines,
furrows and
acne scars.
Manufactured
by San
Diego-based
Artes
Medical, the
filler
consists of
polymethylmethacrylate
(PMMA) beads
suspended in
bovine
collagen.
ArteFill was
recommended
for FDA
approval
years ago,
but that
approval is
still
pending.
"My opinion
is ArteFill
would have
been a
blockbuster
years ago,
but now I
think it
will only be
a niche
product,"
Dr.
Werschler
says. "I was
actually
expecting
this product
to be
approved two
months ago,"
says Jose
Haresco,
Ph.D., vice
president
and senior
analyst for
Merriman
Curhan Ford,
a financial
services
holding
company in
San
Francisco.
"I don't
know what's
holding up
approval,
the last I
heard, all
the I's have
been dotted
and the T's
crossed."
Also pending
Another
pending
entry into
the fillers
market is
Puragen, a
hyaluronic
filler
manufactured
by Santa
Barbara,
Calif.-based
Mentor
Corp.,
approval for
which may
come by
spring of
2007, Dr.
Haresco
says.
Mentor also
has begun
clinical
trials, Dr.
Werschler
says, on
PurTox, a
highly
diluted
botulinum
toxin
injectable
that when
approved,
probably in
2008, will
compete with
Botox.
Meanwhile,
the market
awaits FDA
approval of
Reloxin,
another
potential
Botox
competitor
(known as
Dysport
overseas)
manufactured
by United
Kingdom-based
Ipsen and to
which
Medicis has
U.S.
marketing
rights. FDA
approval for
Reloxin
could come
within a
year, says
Dr.
Werschler.
And
according to
Dr. Haresco,
rumor has it
that Merz is
seeking FDA
approval for
Xeomen, yet
another
botulinum
toxin
product that
will compete
with Botox
if and when
it's
approved.
Two fillers
already
approved for
therapeutic
use are
awaiting the
FDA nod to
be marketed
as aesthetic
fillers.
One is
Sculptra, an
injectable
implant that
contains
microparticles
of
poly-L-lactic
acid and is
approved in
the United
States for
correction
of facial
lipoatrophy
in HIV
patients.
Sculptra may
well be
approved for
aesthetic
indications
as soon as
the fourth
quarter of
this year or
the first
quarter of
2007, Dr.
Werschler
says.
The other is
Radiesse,
marketed in
the United
States by
San Mateo,
Calif.-based
BioForm, and
FDA-approved
for
correcting
vocal fold
insufficiency
and
performing
radiographic
tissue
marking. On
Aug. 24, an
FDA panel
recommended
the
regulatory
agency
formally
approve
Radiesse to
treat
nasolabial
folds as
well as
facial
lipoatrophy
in HIV
patients as
long as the
company
submits
additional
data from an
ongoing
study of
that group.
Down the
road
Much farther
out in the
FDA
pipeline, he
says, are
Evolence, a
bovine
collagen-based
filler
manufactured
by
Israel-based
ColBar Life
Sciences
that can
last as long
as a year
before
retreatment
is needed,
and a
lighter-weight
product,
Evolence
Breeze,
currently
going
through
clinical
trials in
the United
States.
Dr.
Werschler
says that
Fort Worth,
Texas-based
Galderma has
purchased
the rights
to a
hyaluronic
filler for
use in the
United
States, and
that
domestic
companies
are looking
at
Bioinblue, a
polyvinyl-alcohol-based
lip filler
manufactured
by
Italy-based
Polymekon
that's
already in
use in
Europe. In
addition, he
says,
Canada-based
Prollenium
Medical
Technologies
is shopping
its
hyaluronic-based
filler to
U.S.
companies.
"The U.S.
filler
market is an
amazingly
strong,
resilient
market," Dr.
Haresco
says.
"Because of
Restylane's
success,
Wall Street
has been
taught that
the best
products are
the
hyaluronic
fillers. But
a lot of the
new fillers
are
permanent
and
semi-permanent
products --
and once the
Street is
aware of
this, the
market will
really
explode."
|
THE NEW
FACIAL
BRIGHENERS...WHAT
ARE THEY?
AND WHY DO
THEY MAKE
YOUR SKIN
LOOK SO MUCH
YOUNGER?
If you
thought
looking old
was all
about
wrinkles ...
you thought
wrong. It
turns out
that looking
young has
more to do
with skin
color and
something
called
"brightness
scale" or
"full-spectrum
reflectivity"
than it does
with frown
lines and
wrinkles.
That's why
facial
brighteners
(not the
old-time
"age spot"
removers but
new
formulations
designed to
brighten
skin all
over your
face) are
replacing
wrinkle
creams as
the
fastest-growing
product
category at
prestige
cosmetic
counters
around the
globe (not
only with
the 50-plus
boomer ...
but with the
under-30
generation
as well).
Why? Because
facial
brighteners
make you
look younger
... much
younger.
Think about
this ... We
all know
someone
who's been
injected
with
Botox(R)(a)
or had some
type of
"work" done
on their
face ...
their skin
is a bit
smoother,
but when you
get up
close, they
really don't
look that
much younger
either.
Something is
... well ...
a little
"off." Their
skin just
doesn't have
that fresh,
radiant glow
of youth ...
still kind
of dull,
still kind
of splotchy,
still kind
of lifeless
(what
experts call
"sallow" ...
what we
politely
call
"mature").
That's why
cosmeceutical
insiders are
shifting
their
attention
from
wrinkles
creams, to
facial
brighteners,
targeting
skin color
and
"brightness
scale" ...
making
facial
brighteners
the single
most
"must-have"
new
anti-aging
product on
the market
today.
But ... do
facial
brighteners
really make
you look
that much
younger? Are
they worth
the money?
Or is it all
simply hype?
Why
Are Facial
Brighteners
Suddenly So
Hot?
"As we
approach the
age of 30
skin becomes
duller,"
explained
Dr. Nathalie
Chevreaux,
Ph.D., RD,
director of
women's
health at
Basic
Research.
"Skin starts
to turn a
kind of
'mousey
brown' ...
spottier and
splotchier
as it loses
that warm,
radiant,
'pinkish'
glow we used
to have when
we were
kids. And
interestingly
enough,"
Chevreaux
added, "this
change in
skin tone
and color
can occur in
all ethnic
groups.
Unfortunately,
no
injection,
scalpel or
filler can
bring back
the radiant
glow of
youth.
That's why
facial
brighteners
are becoming
so
important."
So
Why Does Our
Skin Color
Turn as We
Age?
According to
Dr. Richard
Wells,
Ph.D.,
director of
scientific
affairs for
Bremenn
Research
Labs,
changing
skin color
has a lot to
do with
light waves,
color
frequencies
and how
light is
reflected.
"As we age,
proteins in
the skin's
epidermis
become
cross-linked
and rigid
... losing
transparency
and the
ability to
reflect
warmer pink
tones; thus
resulting in
a duller,
darker,
'mousey,' if
you will,
pallor.
Unlike
simple 'age
spot'
removers,
new-generation
facial
brighteners
are designed
to be used
over the
entire face,
and actually
restore the
color of
your skin's
appearance.
They make
you look
younger by
increasing
your skin's
brightness
scale and
amplifying
full-spectrum
reflectivity,
luminescence
and clarity.
It's quite a
breakthrough."
What Does
All of This
Mean in
Plain
English?
"Facial
brighteners
are
cutting-edge
skin care,"
said Heather
Hurst,
public
relations
manager for
Bremenn
Research
Labs. "They
enhance the
color of
your skin
... so you
use less
makeup, less
concealer
... and you
don't look
like you're
trying too
hard to hide
your age.
You just
look
naturally
younger."
Hurst
continued,
"Participants
in clinical
trials
reported
younger,
brighter,
more
radiant-looking
skin in 29
days. I've
spoken to
users who
saw a big
difference
in about a
week. Look,
I don't
think women
are going to
give up
their
favorite
wrinkle
creams just
yet, but
once
consumers
see the
amazing
difference
Lumedia
makes, they
won't ever
want to be
without it."
RECENT
STUDIES:
Comparison
of two
formulations
of Botulinum
toxin type A
for the
treatment of
glabellar
lines: A
double-blind,
randomized
study
BACKGROUND
Different
formulations
of Botulinum
toxin type A
can behave
differently.
There has
been little
clinical
research
directly
comparing
formulations.
OBJECTIVE
We sought to
compare the
efficacy and
tolerability
of two
Botulinum
toxin type A
formulations--BoNTA
1 and BoNTA
2--in the
treatment of
moderate and
severe
glabellar
lines.
METHODS
Sixty-two
patients
with
moderate or
severe
glabellar
lines at
maximum
contraction
were
randomly
assigned to
receive 20 U
of BoNTA 1
or 50 U of
BoNTA 2 (20%
in the
process
muscle, 80%
in the
corrugator
muscles).
RESULTS
The
incidence of
1-grade
improvement
or greater
in glabellar
line
severity at
maximum
contractions
was as
follows: 77%
(BoNTA 1)
versus 59%
(BoNTA 2) at
week 12, 53%
versus 28%
at week 16.
The
estimated
incidence of
relapse was
23% (BoNTA
1) versus
40% (BonTA
2) at week
16. Both
formulations
were
similarly
well
tolerated.
CONCULSION
BoNTA 1
offered more
prolonged
efficacy
than BoNTA 2
in the
treatment of
glabellar
lines at the
dose ratio
of 2:5:1
(BoNTA 2:
BoNTA 1)
used in this
study.
Lactic Acid
Chemical
Peels as a
New
Therapeutic
Modality in
Melasma
(dark skin
discoloration)
in
Comparison
to Jessner's
Solution
Chemical
Peels
(Abstract)
BACKGROUND
Many
chemicals
have been
used in the
skin peeling
for melasma
such as
Jessner's
solution and
glycolic
acid.
Lactic acid
is an
a-hydroxy
acid that
has not been
used before
in chemical
peeling of
melasma.
OBJECTIVE
The purpose
of the
present work
was to
evaluate the
efficacy and
safety of
lactic acid
chemical
peeling of
melasma in
comparison
to Jessner's
solution
chemical
peels.
METHODS
This study
was
conducted at
the
Department
of
Dermatology
and
Venereology,
Baghdad
Hospital, in
the period
between
April 2001
and August
2002.
Thirty
patients
with melasma
were
included in
this study.
They were
mostly of
skin type IV
according to
Fitzpatrick's
classification,
26 (86.67%)
were women,
and 4
(13.33%)
were men,
with an age
range from
18 and 50
years. Full
clinical
examination
was done to
all patients
including
Wood's
light. The
severity of
melasma
assessed by
Melasma Area
Severity
Index. Pure
lactic acid
full
strength was
used as a
new peeling
agent on the
left side of
the face
while
Jessner's
solution was
applied to
the right
side of the
face. The
chemical
peeling
sessions
were done
every 3
weeks until
the desired
response was
achieved.
RESULTS
Twenty-four
patients
completed
the study.
Wood's light
examination
showed
increased
contract in
all patients
of mostly
epidermal
malasma.
The number
of sessions
ranged from
2 to 5. All
patients
showed
marked
improvement
as
calculated
by MASI
score before
and after
the
treatment,
and the
response was
highly
statistically
significant.
No side
affect was
recorded in
all treated
patients.
CONCLUSION
Lactic acid
was found to
be an
affective
and safe
peeling
agent in the
treatment of
melasma, and
it was as
effective as
Jessner's
solution.
Khalifa E.
Sharquie,
MBChB, PhD,
Mohammad M.
Al-Tikreety,
MBChB, and
Sabeeh A.
Al-Mashhadani,
MBChB, MSc,
have
indicated no
significant
interest
with
commercial
supporters.
Q-MED
MACROLANE
BODY
AUGMENTATION
PRODUCT
APPROVED IN
EUROPE
Q-Med's
product
Macrolane
has received
a CE
certification
for the
indication
concave body
deformities.
Macrolane is
the first
product
approved to
be used in
the field of
body
augmentations,
for example
asymmetries
after
liposuction.
The approval
is an
important
step in the
development
of the
product and
Macrolane
will now be
further
documented
together
with leading
plastic
surgeons in
the field.
"This is
very
exciting but
calls for a
careful
clinical
exploration
of the
different
techniques
and
indications
that will
best serve
the purpose
of our
patients"
says Bengt
Agerup, CEO.
Macrolane is
an esthetic
treatment
for the
correction
of body
concave
deformities,
for example
asymmetries
after
liposuction.
Macrolane is
based on
Q-Med's
patented
Nasha
technology.
Q-Med
continues to
explore and
develop
different
versions of
Macrolane,
for example
for breast
tissue
augmentation.
Q-Med is a
rapidly
growing and
profitable
biotechnology/medical
device
company. The
company
develops,
produces,
markets and
sells
implants for
esthetic and
medical use.
All products
are based on
the
company's
patented
technology
for the
production
of
stabilized
non-animal
hyaluronic
acid, Nasha.
The product
portfolio
today
contains:
Restylane,
for the
filling out
of lips and
facial
wrinkles and
for facial
contouring;
Durolane,
for the
treatment of
osteoarthritis
of the hip
and knee
joints;
Deflux, for
the
treatment of
vesicoureteral
reflux (a
malformation
of the
urinary
bladder) in
children and
Zuidex, for
the
treatment of
stress
urinary
incontinence
in women.
Sales are
made through
the
company's
own
subsidiaries
or
distributors
in over 70
countries.
|
A DOCTOR WHO
ONCE
DELIVERED
BABIES
CHRONICLES
HIS JOURNEY
TO FULL-TIME
COSMETIC
PHYSICIAN
A
Life-Changing
Move
As an OB/GYN
in a busy
practice, I
enjoyed
treating
women,
delivering
their babies
and
performing
surgeries at
our local
hospital.
With eight
physicians
and nearly
50
employees,
we were
growing and
thriving. I
had built
the practice
with my
longtime
partner and
I was
content,
until
managed care
changed the
landscape of
medicine.
Despite
working
longer and
harder, we
saw our net
income
dropping
year after
year.
Managed care
clamped down
on our fees,
yet our
expenses
continued to
rise. I
became
convinced
that we had
to add
cash-based
services and
products to
offset the
eroding
profitability
of our core
business.
I began to
examine the
potential
for
performing
cosmetic
procedures
in our
practice. In
2000, I took
my first
course on
laser hair
removal,
which at
that time
was a new
and
explosively
growing
field. I
also took a
training
course on
sclerotherapy
with Norman
Cohen, MD, a
fellow
OB/GYN and
one of my
earliest
mentors in
the medical
aesthetics
field. Dr.
Cohen gave
up
obstetrics
and then
gynecology
in favor of
a full-time
cosmetic
practice.
In the
Beginning
In 2001, I
purchased my
first laser
and an
intense
pulsed light
(IPL)
device. I
began
offering
laser and
IPL hair
removal, and
leg vein
treatment.
It's then
that I
observed an
interesting
phenomenon.
The same
patients who
gave me a
hard time
about a $10
co-pay had
no problems
dropping
$500 to
$1,000 on
their credit
cards for
cosmetic
procedures.
As word of
cosmetic
treatments
in our
practice
grew, more
women began
using these
services.
Before long
and without
any external
advertising,
cosmetic
treatments
became as
commonplace
as
mammography
and Lamaze
classes in
our office.
Although my
patients
were
receptive to
my work, I
can't say
the same
about my
colleagues.
My partners
complained
that I would
be laughed
at, sued for
poor
outcomes and
ridiculed by
our plastic
surgery and
dermatology
colleagues.
They also
complained
that I would
be wasting
my time on
marginally
profitable
procedures
that simply
introduced
new overhead
into the
practice.
They were
wrong.
Soon, hair
removal and
vein
treatment
weren't
enough to
satisfy my
appetite for
cosmetic
practice. I
decided to
expand our
cosmetic
services to
include
Botox® and
cosmetic
fillers.
This proved
to be more
daunting
than I
realized.
While the
laser
companies
provided
full
training on
their
machines,
the
manufacturer
of Botox
wouldn't
endorse the
training of
specialists
other than
dermatologists
and plastic
surgeons.
Fortunately,
this policy
has relaxed
over the
years.
Overcoming
Obstacles
Through my
contacts at
the laser
company, I
obtained
training in
Vancouver,
Canada. By
2003, I was
doing so
well in our
cosmetic
services
business
that one of
my laser
companies
asked me to
become a
lecturer and
spokesperson
to the
OB/GYN and
family
practice
communities.
I now had a
platform to
tell about
my
experiences
in the
cosmetic
business.
At that
time, I was
also
featured as
one of the
early
trailblazers
in a cover
story in a
Medical
Economics
article on
the
inception of
cosmetic
procedures
for
office-based
practices.
Before long,
physicians
from near
and far were
contacting
me about how
to perform
and add
cosmetic
procedures
to their
office
practices.
Because of
my
difficulties
early on in
obtaining
training for
Botox
administration,
I take great
satisfaction
in the
achievements
I've earned
in this
field. I was
permitted to
join the
company's
Botox
Physicians
Network.
I've
organized a
series of
hands-on
training
workshops
and have
personally
trained at
least 250
physicians
over the
past two
years on
Botox and
hyaluronic
acid
fillers.
I've
continued my
metamorphosis
by adding
additional
cosmetic
procedures,
including
body
sculpting by
mesotherapy
and
tumescent
liposuction.
I also use
Sculptra and
autologous
fat for
volume
replacement,
photodynamic
treatment as
an adjunct
to IPL
photorejuvenation
and other
cosmetic
services.
Several
other
interesting
things have
occurred as
well. The
local
dermatologists
and plastic
surgeons,
who once
viewed my
work with
disdain,
have become
much
friendlier
to me. They
realize that
I perform
aesthetics
services
very well
and that I'm
a potential
source of
referrals
for cosmetic
services I
don't
perform.
Most
importantly,
my patients
are happy to
receive
these new
services,
which aren't
advertised
anywhere,
except
within the
confines of
my office.
Most of
these
patients
probably
would not
have gone
elsewhere
for these
procedures.
And now
after five
years, my
career is
about to
take another
turn. At the
end of this
year, I've
decided to
retire from
obstetrics
and
gynecology.
My days of
spending
nights on
the
telephone or
in labor and
delivery
will be
over. I
Recommendations
to
Physicians
Based on my
experiences,
I've learned
some
important
lessons that
may be
important
for
physicians
who are
contemplating
a similar
change in
their
careers.
-
Beauty
is here
to stay.
This is
not just
a
temporary
phenomenon.
Medical
cosmetic
treatments
will
always
be in
demand,
just as
health
care
will
always
be
needed.
However,
cosmetic
treatments
will
remain
fee-for-service,
with
payment
taken
at, or
before,
the
service
is
rendered.
-
It's a
safe bet
that any
established
medical
practice
that
attempts
to
incorporate
aesthetics
into its
existing
business
will be
able to
do so
successfully,
profitably
and
quickly.
-
For
multi-physician
groups,
the
greatest
challenges
will be
convincing
the
skeptical
physicians
to go
along
with the
project,
and
deciding
how the
work and
revenues
will be
divided.
-
It's
relatively
easy to
learn to
perform
the
minimally
invasive
office-based
cosmetic
procedures
quite
well.
The
potential
for
complications
is
small,
side
effects
are
treatable,
and
undesired
results
resolve
spontaneously
in a
short
time.
-
Aesthetics
is
highly
complementary
to
regular
medical
practice.
Medical
patients
will
become
new
aesthetic
patients
by
purchasing
cosmetic
goods
and
services,
while
new
aesthetic
patients
will
enroll
in your
practice
for
conventional
medical
care you
provide.
I've found
aesthetic
practice
highly
rewarding
and
satisfying.
The field is
dynamic and
ever-changing,
continually
giving me
opportunities
to learn and
grow as a
physician
who's here
to stay.
Disclosure:
Dr. Neil
C. Goodman
(medical
director for
MD Cosmetic
& Laser
Centers of
New York)
indicates
that he has
no
affiliations
with any
commercial
entities,
directly or
indirectly
referenced
in this
article.
COLORADO
COSMETIC
SURGEONS
PROVIDES
CLIENTS WITH
THE LATEST
TECHNOLOGY
IN PAIN FOR
POST-SURGICAL
RECOVERY
In a recent
Harris
Interactive
nationwide
survey, over
47% of women
surveyed
stated they
had a fear
of
post-operative
pain. One
Colorado
cosmetic
surgery
center is
offering a
solution for
dealing with
post-operative
pain, and
minimizing
its effects
for quick
recoveries
for
surgeries
such as
abdominoplasty
(tummy
tucks) and
breast
augmentation.
Denver, CO
(PRWEB)
October 12,
2006 - For
many people
considering
cosmetic
surgery, it
isn't the
thought of
having the
procedure
that holds
them back;
it's the
fear of
pain. One
Colorado
cosmetic
surgery
center is
meeting that
fear head
on, and is
now offering
a simple way
of
eliminating
the pain
associated
with many of
today's top
cosmetic
procedures.
Dr. Randolph
C. Robinson
and Dr.
Jeremy Z.
Williams of
Park Meadows
Cosmetic
Surgery have
announced
they will be
offering the
use of ON-Q
for many of
their breast
augmentation
and tummy
tuck
procedures.
"The ON-Q
Pain Relief
Pump is a
small
balloon that
holds a
three to
five day
supply of
local
anesthetic,
and
continually
delivers the
medication
directly
into the
surgical
area through
a tiny
tube,"
stated Dr.
Robinson.
"It affects
only the
area around
the surgical
site with no
side effects
such as
nausea,
drowsiness
or
constipation
commonly
associated
with other
forms of
pain relief.
The pain
pump is put
in place
during
surgery and
is small
enough to
fit in your
pocket
during
recovery.
Its easily
removed once
the
medication
is gone."
The ON-Q
system of
pain relief
will be a
major
improvement
for many
patients.
Not only
will
patients be
able to get
back on
their feet
faster,
sometimes
within hours
of the
surgery,
they will
also be able
to get back
to their
normal
routines in
a shorter
period of
time.
"With many
of the
prescription
drugs
currently
being used
for pain
relief,
there are a
substantial
amount of
side
effects,
including
the risk of
dependency,"
stated Dr.
Williams.
"The ON-Q
system
greatly
reduces that
risk because
it's
injected
locally at
the field of
surgery
where the
patient
needs it,
instead of
being
delivered in
formats that
must travel
through the
body."
Ultimately,
it's about
patient
recovery.
When
patients
recover
quicker, and
report they
had low
levels of
pain, it
makes the
experience
of the
procedure
that much
better.
|
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