Cosmetic Surgery and Beauty Magazine #64
Cosmetic Surgery & Beauty Magazine is the definitive guide to the aesthetic medicine industry for anyone considering a treatment therapy or surgical procedure. This quality quarterly publication contains comprehensive information about practitioners, equipment, techniques, processes and options, presented clearly and completely. The strong emphasis on input by industry professionals provides profiles of the practitioners and understanding of their approach to each procedure, enabling readers to make informed choices in their initial approaches to deciding what will best suit their needs. Hundreds of untouched before-and-after photographs provided by the practitioners themselves graphically illustrate both treatable conditions and the results that can be obtained. Cosmetic Surgery & Beauty Magazine is essential reading for anyone wishing to inform themselves about the options available in aesthetic medicine in Australia.
Cosmetic Surgery & Beauty Magazine is the definitive guide to the aesthetic medicine industry for anyone considering a treatment therapy or surgical procedure. This quality quarterly publication contains comprehensive information about practitioners, equipment, techniques, processes and options, presented clearly and completely. The strong emphasis on input by industry professionals provides profiles of the practitioners and understanding of their approach to each procedure, enabling readers to make informed choices in their initial approaches to deciding what will best suit their needs. Hundreds of untouched before-and-after photographs provided by the practitioners themselves graphically illustrate both treatable conditions and the results that can be obtained. Cosmetic Surgery & Beauty Magazine is essential reading for anyone wishing to inform themselves about the options available in aesthetic medicine in Australia.
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RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)<br />
ISSUE 64 • MAY-JULY 2014<br />
GUIDE TO<br />
eyes<br />
YOUR BEST<br />
& ever lips<br />
HAIR<br />
CARE<br />
101<br />
9 FOODS<br />
YOU DIDN’T<br />
KNOW HELP FIGHT<br />
CELLULITE<br />
LIPOSUCTION<br />
WHY IT’S NOW THE MOST<br />
POPULAR PROCEDURE<br />
9 771833 383011<br />
ISSN 1834-383X<br />
04<br />
MAN<br />
POWER<br />
THE RISE OF MALE COSMETIC SURGERY
acTual rhiNoplasTy paTiENT’s oF dr William mooNEy<br />
DR WILLIAM MOONEY<br />
ENT & Facial cosmETic surgEoN<br />
sydNEy’s rhiNoplasTy spEcialisT<br />
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• CosmeTiC injeCTabLes<br />
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FOLLOW DR MOONEY ON:
EXc E llENc E<br />
sydNEy ’ s rhiN oplasT y spE cialisT<br />
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Prosthodontics<br />
& Implant <strong>Surgery</strong><br />
DESIGNER SMILES TM<br />
Centre for cosmetic, reconstructive<br />
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Dr Sarkis Nalb<strong>and</strong>ian completed his Bachelor of Dental <strong>Surgery</strong> with<br />
Honours in 1983 <strong>and</strong> Diploma in Clinical Dentistry (Oral Implants) in<br />
2000 at The University of Sydney. He also completed his Masters in<br />
Prosthodontics in 2004 at the prestigious King’s College, University<br />
of London with distinction. He is a fellow of the Royal Australasian<br />
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B.D.S. (Hons.) Uni.Syd.<br />
FRACDS<br />
Grad. Dip. Clin. Dent. (Oral Implants) Uni.Syd.<br />
M.Clin.Dent (Prosthodontics) King’s College Uni. London<br />
Dr Nalb<strong>and</strong>ian specialises in Dental Implants <strong>and</strong> Prosthodontics<br />
for treating simple to complex dental, functional <strong>and</strong> aesthetic<br />
problems.<br />
He lectures on topics including Dental Implantology, Prosthodontics<br />
<strong>and</strong> Implant <strong>Surgery</strong>.<br />
He maintains a specialised practice in Sydney limited to Aesthetics,<br />
Prosthodontics & Implant <strong>Surgery</strong>.<br />
Dr Sarkis Nalb<strong>and</strong>ian<br />
B.D.S. (Hons.) Dip. Clin. Dent. (Oral Implants) Uni.Syd. FRACDS<br />
M.Clin.Dent (Prosthodontics) King’s College Uni.London<br />
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DR JOSEPH GEORGHY<br />
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of the European Society of Aesthetic <strong>Surgery</strong>,<br />
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Aging & Regenerative Medicine (Germany) Member<br />
of the American Academy of <strong>Cosmetic</strong> <strong>Surgery</strong><br />
DR VERA GEORGHY<br />
Dental Surgeon, University of Adelaide,<br />
Fellow, Diplomate & Lifetime Member in<br />
the World Congress of Minimally Invasive<br />
Dentistry (WCMID).<br />
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email: doctors@sydneycosmetic.com
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contents<br />
regulars<br />
30 Editor’s letter<br />
32 Contributors<br />
36 Newsfront<br />
44 A royal sc<strong>and</strong>al<br />
The history <strong>and</strong> origins of<br />
various medical topics<br />
111 How to subscribe<br />
194 Directory<br />
features<br />
46 Trouble in paradise?<br />
<strong>Cosmetic</strong> surgery should not be<br />
part of a “package deal”<br />
48 9 foods to fight cellulite<br />
50 The holy grail?<br />
Stem cells in cosmetic medicine<br />
58 Your best ever eyes & lips<br />
Guide to cosmetic treatments,<br />
skincare <strong>and</strong> makeup tricks<br />
66 Lip fashion<br />
Lips trends throughout the times<br />
108 The rise <strong>and</strong> rise of<br />
cosmetic surgery<br />
Latest statistics on surgical <strong>and</strong><br />
non-surgical procedures<br />
112 Liposuction essentials<br />
162 Male motivations<br />
What factors drive men to seek<br />
cosmetic surgery?<br />
industry<br />
40 Shape of the future<br />
A rundown of the Aesthetic<br />
Plastic <strong>Surgery</strong> Workshop<br />
42 Through the door<br />
Convert online browsers into<br />
actual consumers<br />
eyes<br />
72 Eye rejuvenation<br />
All about eyelid surgery<br />
74 Eyes wide open<br />
An individualised approach<br />
to blepharoplasty<br />
nose<br />
76 The FAQs of rhinoplasty<br />
The most common questions<br />
in nose surgery answered<br />
78 All about rhinoplasty<br />
Achieving natural-looking<br />
results in nose reshaping<br />
teeth<br />
80 Smile design<br />
Aesthetic <strong>and</strong> functional<br />
smile rejuvenation<br />
face<br />
82 Face <strong>and</strong> neck lifting<br />
A combined approach<br />
84 Let there be light<br />
Laser <strong>and</strong> light therapies<br />
86 Rebuild from within<br />
Skin tightening with<br />
radiofrequency energy<br />
88 Tried <strong>and</strong> tested<br />
Anti-wrinkle injections<br />
90 Plump volume &<br />
refine contours<br />
The future of fillers<br />
skin<br />
94 Purify your skin<br />
96 Treating acne<br />
98 The lowdown on the latest<br />
anti-ageing cosmeceuticals<br />
100 Peel back the layers<br />
Mesopeels by Mesoestetic<br />
102 Youth boost<br />
Hydropeptides in skincare<br />
tattoo removal<br />
106 Changing the game<br />
Laser tattoo removal
Cover64_FINAL_final.indd 2<br />
23/04/14 1:23 PM<br />
subscribe now!<br />
contents<br />
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body<br />
116 Living sculpture<br />
Liposculpture is more than<br />
just fat reduction<br />
122 Case study<br />
Body transformation<br />
124 Smoother contours &<br />
tighter skin<br />
Minimally invasive<br />
body contouring<br />
136 Care & comfort<br />
Optimise surgery results with<br />
compression garments<br />
138 Harness your<br />
body’s potential<br />
Platelet rich plasma explained<br />
hair reduction<br />
140 The new-generation IPL<br />
Blonde <strong>and</strong> white hair reduction<br />
breasts<br />
142 Case study<br />
Creating cleavage<br />
148 Breast curves<br />
The optimum shape <strong>and</strong> fit<br />
152 Total breasts<br />
Different types of breast surgery<br />
156 Consider your options<br />
intimate surgery<br />
158 Breaking the taboo<br />
Empowering women<br />
with options<br />
160 Stitchless labiaplasty<br />
men<br />
164 Mature-age male<br />
cosmetic surgery<br />
166 Restoring youth<br />
Options for subtle facial<br />
rejuvenation for men<br />
beauty & spa<br />
178 <strong>Beauty</strong> buzz<br />
Latest products for 2014<br />
186 Hair care 101<br />
The right shampoo for your hair<br />
190 Scents appeal<br />
A showcase of fragrances<br />
192 Editor’s faves<br />
cover stories<br />
RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)<br />
ISSUE 64 • MAY-JULY 2014<br />
GUIDE TO<br />
YOUR<br />
eyes<br />
&<br />
BEST<br />
ever lips<br />
9 771833 383011<br />
ISSN 1834-383X<br />
04<br />
HAIR<br />
CARE<br />
101<br />
9 FOODS<br />
YOU DIDN’T<br />
KNOW HELP FIGHT<br />
CELLULITE<br />
LIPOSUCTION<br />
WHY IT’S NOW THE MOST<br />
POPULAR PROCEDURE<br />
MAN<br />
POWER<br />
THE RISE OF MALE COSMETIC SURGERY<br />
48 9 foods to fight cellulite<br />
58 Your best eyes <strong>and</strong> lips ever<br />
112 Why liposuction is now the<br />
number-one procedure<br />
162 Man power <strong>and</strong> the rise of<br />
male cosmetic surgery<br />
186 Hair care 101<br />
Read the FREE online version at<br />
www.cosbeauty.com.au
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LETTER<br />
FROM THE EDITOR<br />
Welcome to this feature-packed issue of <strong>Cosmetic</strong><br />
<strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong>. The good news is<br />
from now on you can also read the current edition<br />
free online at www.cosbeauty.com.au. And it doesn’t stop<br />
there! Since I returned from a Niche Publishers Conference in<br />
Charleston, South Carolina, I’m brimming with ideas to deliver<br />
you quality content in new <strong>and</strong> innovative ways, so watch<br />
this space!<br />
The world of cosmetic surgery <strong>and</strong> beauty has never<br />
before been more at your fi ngertips. Not only can you access<br />
<strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong> online anytime,<br />
anywhere, we’ve also given a facelift to www.cosbeauty.<br />
com.au, making it even easier for you to access in-depth articles on the latest cosmetic<br />
procedures, beauty products <strong>and</strong> industry know-how. Our popular road test section<br />
is overfl owing with fi rst-h<strong>and</strong> experiences <strong>and</strong> you can jump online to easily locate a<br />
practitioner in our Directory or view before <strong>and</strong> after photo galleries <strong>and</strong> videos.<br />
Must-read features in this issue include our comprehensive guide to your best<br />
eyes <strong>and</strong> lips ever (p58), an in-depth look at the latest advancements in stem cell therapy<br />
(p50), the most recent cosmetic surgery statistics (p108), <strong>and</strong> don’t miss reading about<br />
the nine foods that can bust cellulite (p48).<br />
We also delve into the world of male cosmetic surgery, examining the motivations<br />
behind the rising number of men seeking cosmetic enhancement, plus detailing some<br />
of the most popular procedures (from p162). As always, we bring you the latest beauty<br />
updates (from p176) with various articles on hair products, advice on how to return your<br />
skin <strong>and</strong> hair to optimum health after summer, <strong>and</strong> today’s cult-status fragrances.<br />
Connect with us on Facebook <strong>and</strong> Instagram to get real-time beauty updates <strong>and</strong><br />
share your feedback on www.cosbeauty.com.au. See you online!<br />
Michelle Kearney<br />
Editor-in-Chief<br />
michelle@bellamedia.com.au<br />
Michelle Kearney is sole director of The Bella Media Group <strong>and</strong> no other parties or individuals have any fi nancial interest in the<br />
company or in Australian <strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong> (ACSBM). Reproduction in whole or in part is not permitted without<br />
the written authorisation of the publisher. All reasonable efforts have been made to trace copyright holders. All manuscripts <strong>and</strong><br />
articles submitted for publication remain the property of The Bella Media Group. This magazine contains general information only <strong>and</strong><br />
does not purport to be a substitute for medical advice. All readers are advised to seek medical advice from a doctor if considering<br />
cosmetic surgery. The publisher <strong>and</strong> the authors do not accept any liability whatsoever in respect of an action taken by readers in<br />
reliance on the recommendations set out in this magazine. Except where specifi ed in captions, photographs depict models who have<br />
not necessarily received treatments described in this magazine.<br />
Advertising Policy ACSBM follows <strong>and</strong> upholds the Australian Competition <strong>and</strong> Consumer Commission (ACCC) Guidelines to<br />
Advertising Medical Services, the Therapeutic Goods Administration (TGA) advertising regulations for therapeutic goods <strong>and</strong> services,<br />
<strong>and</strong> individual state Medical Board guidelines. All reasonable effort is made by ACSBM to ensure that all advertisements accepted<br />
for publication follow these guidelines. Copies of these guidelines are available from the individual agencies <strong>and</strong> boards. ACSBM<br />
reserves the right to reject advertising that is in breach of these guidelines. All ACSBM advertisers assume sole responsibility <strong>and</strong><br />
liability for statements contained in their advertising copy, <strong>and</strong> hold harmless <strong>and</strong> indemnify ACSBM, Bella Media, <strong>and</strong> offi cers,<br />
directors <strong>and</strong> employees from <strong>and</strong> against all liability, loss, claim, damages, costs or expenses arising out of matter contained in the<br />
advertising. Advertisers accept these terms <strong>and</strong> responsibilities when signing an advertising contract with ACSBM.<br />
Read the online edition at<br />
www.cosbeauty.com.au<br />
Issue 64<br />
MAY - JULY 2014<br />
Editor-in-Chief<br />
Michelle Kearney<br />
Editorial Director<br />
Aimée Surtenich<br />
Production Coordinator<br />
Camila Kawashita<br />
Art Directors<br />
Debbie Pilarinos,<br />
Stéphanie Bl<strong>and</strong>in de Chalain<br />
Writers<br />
Caitlin Bishop, Tara Casey,<br />
Lizzy Fowler, Camila Kawashita<br />
Aimée Surtenich<br />
Photographers<br />
Debbie Pilarinos, ShutterStock<br />
Distribution &<br />
Subscription Enquiries<br />
Bill Dunk<br />
Phone 02 9398 2755 Fax 02 9398 2855<br />
Email acsmag@bellamedia.com.au<br />
Advertising Enquiries<br />
Michelle Kearney<br />
Phone 02 9398 2755 Mob 0419 624 246<br />
Email michelle@bellamedia.com.au<br />
Editorial Enquiries<br />
Michelle Kearney, Aimée Surtenich<br />
Phone 02 9398 2755 Fax 02 9398 2855<br />
Email acsmag@bellamedia.com.au<br />
Produced & Published by Bella Media<br />
ABN 86 082 157 695<br />
Managing Director<br />
Michelle Kearney<br />
Chief Operating Officer<br />
Bill Dunk<br />
Public Relations, Marketing<br />
& Event Organisation<br />
Phone 02 9398 2755 Fax 02 9398 2855<br />
find us on<br />
Facebook<br />
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surgery magazine,<br />
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directory<br />
follow us<br />
on Twitter<br />
@cosmetic_beauty<br />
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follow us<br />
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Cos<strong>Beauty</strong><br />
Office address<br />
Level 1, 42a Frenchmans Road<br />
R<strong>and</strong>wick, NSW, 2031<br />
Phone +61 2 9398 2755 Fax +61 2 9398 2855<br />
www.bellamedia.com.au<br />
All ‘before <strong>and</strong> after’ photographs in<br />
<strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong><br />
articles are of genuine patients. It is<br />
important to underst<strong>and</strong> that they represent<br />
one person’s experience <strong>and</strong> there is<br />
no guarantee that any other patient will<br />
experience similar results.<br />
26
Expertise is Everything<br />
More than 30 Years Experience in <strong>Cosmetic</strong> Plastic <strong>Surgery</strong><br />
Specialising in all Facial, Breast <strong>and</strong> Body <strong>Surgery</strong><br />
The <strong>Cosmetic</strong> <strong>and</strong><br />
Restorative <strong>Surgery</strong> Clinic<br />
20 Manning Road,<br />
Double Bay<br />
02 9362 7400<br />
Fax: 02 9328 6036<br />
Email: info@cosmeticsurgeryoz.com<br />
Dr Darryl J Hodgkinson<br />
MB, BS (Hons), FRCS (C), FACS, FACCS<br />
American Board of Plastic <strong>Surgery</strong><br />
<strong>Cosmetic</strong> Plastic Surgeon<br />
www.cosmeticsurgeryoz.com<br />
The definitive website for all your cosmetic surgical queries. More than 50<br />
megabytes of information <strong>and</strong> hundreds of Dr Hodgkinson’s outst<strong>and</strong>ing results.
CONTRIBUTORS<br />
Ricky Allen Dr John Flood Dr John Flynn Dr Joseph Georghy<br />
Val Glover-Hovan Dr Josef Goldbaum Dr Doug Grose Dr Darryl Hodgkinson<br />
Dr Peter Laniewski Dr Jim Leavesley Dr Steven Liew Dr William Mooney<br />
Dr Colin Moore Dr Sarkis Nalb<strong>and</strong>ian Dr Warwick Nettle Dr Oseka Onuma<br />
Rita Porreca Dr Kourosh Tavakoli Terri Vinson Dr Michael Zacharia<br />
32 www.cosbeauty.com.au
Dr Kourosh Tavakoli<br />
cosmetic plastic surgeon<br />
Rhinoplasty<br />
(Nose Job)<br />
RHINOPLASTY SPECIALIST<br />
MBBS, BSc (MED), MS (UNSW),<br />
FRACS (PLAST)<br />
Dr Tavakoli is a renowned<br />
cosmetic plastic surgeon<br />
who is a Fellow of the Royal<br />
Australasian College of Surgeons<br />
<strong>and</strong> a Member of the Australian<br />
Society of Plastic Surgeons.<br />
He specialises in all aspects of<br />
facial cosmetic surgery, with a<br />
particular interest in cosmetic<br />
rhinoplasty <strong>and</strong> facelift.<br />
Follow Dr Tavakoli on<br />
Suite 1, 376 New South Head Road, Double Bay<br />
1300 368 107 | drtavakoli.com.au
The Australasian College of <strong>Cosmetic</strong> <strong>Surgery</strong><br />
Raising St<strong>and</strong>ards,<br />
Protecting Patients<br />
Dedicated to quality, ethical<br />
<strong>and</strong> responsible practice.<br />
Accreditation is Important<br />
All Fellows of the Australasian College of <strong>Cosmetic</strong><br />
<strong>Surgery</strong> (FACCS) are specifically trained in cosmetic<br />
surgery <strong>and</strong> are required by the College to maintain<br />
their skills through a Continuing Professional<br />
Development programme.<br />
All Fellows of the Faculty of Medicine (FFMACCS)<br />
are specifically trained in cosmetic medicine <strong>and</strong><br />
are required by the College to maintain their skills<br />
through a Continuing Professional Development<br />
programme.<br />
CERTIFIED<br />
IN COSMETIC<br />
SURGERY<br />
If doctors display this Seal,<br />
you can be assured they<br />
comply with the College’s<br />
exemplary st<strong>and</strong>ards of its<br />
Code of Practice, available<br />
at www.accs.org.au<br />
How qualified is your doctor?<br />
Do they have the right to display these symbols?<br />
For further information about the College<br />
<strong>and</strong> its members <strong>and</strong> Fellows in your state call:<br />
1800 804 781<br />
admin@accs.org.au<br />
www.cosmeticsurgery.org.au
Body Balance<br />
Dr John Flynn<br />
cosmedic&<br />
Dr John Flynn<br />
skin clinic<br />
Reshaping can create<br />
cosmedic&<br />
the look you want<br />
skin clinic<br />
Breast augmentation can<br />
enhance the natural size<br />
<strong>and</strong> shape of your breasts<br />
Refi nement in <strong>Cosmetic</strong> <strong>Surgery</strong><br />
With breast augmentation, your natural form can be<br />
enhanced <strong>and</strong> complemented. This results in a balanced<br />
<strong>and</strong> symmetrical effect that suits your individual body type<br />
<strong>and</strong> achieves a feminine silhouette.<br />
Liposuction to Shape <strong>and</strong> Contour<br />
With liposuction, Dr John Flynn can reshape <strong>and</strong> contour<br />
your form to achieve balance between your body’s<br />
proportions. Areas such as the abdomen <strong>and</strong> inner <strong>and</strong><br />
outer thighs respond particularly well to this procedure.<br />
CERTIFIED<br />
IN COSMETIC<br />
SURGERY<br />
Dr John Flynn<br />
M.B., B.S., Dip. R.A.C.O.G., F.R.A.C.G.P.<br />
Dip. P. Dermatology., F.A.C.C.S.<br />
Fellow of the Australasian College of <strong>Cosmetic</strong> <strong>Surgery</strong><br />
Certifi ed by the American Board of Laser <strong>Surgery</strong><br />
Dr John Flynn has over 20 years of experience as<br />
a medical practitioner on the Gold Coast<br />
AD Flynn.indd 1<br />
CERTIFIED<br />
IN COSMETIC<br />
SURGERY<br />
20/4/09 9:01:39 AM<br />
AD Flynn.indd 1<br />
For more information or to make an<br />
appointment call Cosmedic <strong>and</strong> Skin Clinic<br />
1300 88 13 88<br />
Southport | Gold Coast<br />
Suite 2, 98 Marine Pde, Southport 4215<br />
www.cosmedic.com.au | info@cosmedic.com.au<br />
Dr John Flynn<br />
20/4/09 9:01:39 AM<br />
cosmedic& skin clinic<br />
Dr John Flynn
newsfront<br />
NEWSFRONT<br />
CATCH UP WITH WHAT’S BEEN HAPPENING IN THE INDUSTRY...<br />
‘GENERATION<br />
REGENERATION’<br />
The 2014 International BioBridge<br />
Conference will descend upon Venice,<br />
Italy this September. The two-day<br />
conference, entitled “Generation<br />
Regeneration” <strong>and</strong> supported by<br />
RegenLab, will begin on September<br />
22 <strong>and</strong> see 50 keynote presentations<br />
on the latest advances in platelet rich<br />
plasma therapy. Seven hundred doctors<br />
are expected to attend, <strong>and</strong> talks will be<br />
heard on musculoskeletal medicine,<br />
wound care <strong>and</strong> ophthalmology, urology<br />
<strong>and</strong> general surgery, as well as skincare<br />
<strong>and</strong> plastic surgery.<br />
THE LATEST FROM SYNERGIE SKIN<br />
On April 7, Synergie Skin hosted an all-day VIP event for salons <strong>and</strong><br />
practitioners in Victoria. Founder of Synergie, Terri Vinson, spoke on<br />
her approach to skincare formulation, <strong>and</strong> the latest practitioner range,<br />
“The Specialist Seven”, was offi cially launched.<br />
ACCS Hosts<br />
Roundtable on<br />
<strong>Cosmetic</strong> Injectables<br />
This year, February 14 wasn’t just<br />
a day for chocolates <strong>and</strong> roses. It<br />
marked a roundtable discussion on<br />
cosmetic injectable safety, hosted<br />
by the Australasian College of<br />
<strong>Cosmetic</strong> <strong>Surgery</strong>.<br />
With participants from the<br />
College, the Therapeutic Goods<br />
Administration (TGA), the Australian<br />
Medical Board, state government<br />
health departments <strong>and</strong> several<br />
cosmetic companies, the discussion<br />
afforded expert insight into<br />
optimising consumer protection in<br />
the offering <strong>and</strong> administration of<br />
cosmetic injectables.<br />
The agenda included advertising<br />
<strong>and</strong> public education, training,<br />
st<strong>and</strong>ards <strong>and</strong> protocols, <strong>and</strong> quality<br />
assurance.<br />
Round table attendees:<br />
Dr John Flynn, Chair (ACCS)<br />
Mick O’Connor (TGA)<br />
Sarah Harper (Australian Medical Board)<br />
Dr Melissa McRae (Department of<br />
Health, Victoria)<br />
Nihal D’Cruz (MIGA)<br />
Tony Kofkin (NSW HCCC)<br />
Bruce Battye (PSU NSW Health)<br />
Carlo Malaca (Consumers Health Forum)<br />
Ian Carroll (iNova Pharmaceuticals)<br />
Dr Michael Silverberg (Medical Director<br />
of Allergan)<br />
Kate McGrath (Mondeal Aesthetics)<br />
Michelle Kearney (Bella Media)<br />
Elissa O’Keefe (Australian College of<br />
Nurse Practitioners)<br />
Dr Jan Knight (CPSA)<br />
Dr Soo-Keat Lim (ACCS)<br />
Dr David Topchian (ACCS)<br />
36 www.cosbeauty.com.au
INSIGHT<br />
AESTHETICS, NEW<br />
DISTRIBUTOR OF<br />
EFB BEAUTÉ<br />
ASPS SAYS<br />
‘Buyer Beware’<br />
Insight Aesthetics is the new<br />
distributor of EFB Beauté’s<br />
Adéna <strong>and</strong> Anthélia IPL systems<br />
which use cutting-edge patented<br />
Australian technology private health to permanently<br />
insurers.<br />
reduce white, blonde, red<br />
<strong>and</strong> grey hair.<br />
The Australian Society of Plastic Surgeons (ASPS)<br />
is cautioning Australians to be careful seeking<br />
cosmetic surgery overseas. It follows the introduction<br />
of “cosmetic tourism” packages run by reputable<br />
‘We have not been involved in developing the<br />
proposed packages or any auditing or quality<br />
assurance guidelines,’ says President of the Australian<br />
Society of Plastic Surgeons Dr Geoff Lyons. ‘This is<br />
a commercial package that has been developed by<br />
the health insurer <strong>and</strong> individual surgeons operating<br />
independently.’<br />
The Society recommends patients do their<br />
homework before deciding to undergo cosmetic<br />
surgery. Patients should be informed of their options<br />
<strong>and</strong> the potential risks involved, before making an<br />
informed decision to undergo cosmetic surgery.<br />
Fundraiser for<br />
Breast Cancer<br />
research<br />
A fundraiser, held at Stanmore’s<br />
Cyprus Club in Sydney on March<br />
8, raised nearly $25,000 for<br />
the Westmead Hospital Breast<br />
Cancer Institute. The function<br />
was coordinated by the Women’s<br />
Committee of the Cyprus Club,<br />
several members of which have<br />
experienced breast cancer<br />
themselves. The Stanmore<br />
community pitched in to make<br />
the night a success, with many<br />
prize donations contributed by<br />
Stanmore locals.
newsfront<br />
INDUSTRY DINNER<br />
Bella Media’s fi rst industry dinner for 2014<br />
was held on March 18 at Prima Luna<br />
restaurant in R<strong>and</strong>wick, Sydney. It was<br />
a great <strong>and</strong> entertaining evening, full of<br />
catch-ups, fresh business opportunities<br />
<strong>and</strong> delicious food <strong>and</strong> wine. Keep your<br />
eye out for the next industry dinner, to be<br />
held in June.<br />
Salon Melbourne 2014<br />
Each year, Salon Melbourne hosts a spectacular celebration of all things<br />
beauty, cosmetic, grooming, hair <strong>and</strong> spa. This year’s show – which ran<br />
from March 23 to 24 at the Melbourne Convention <strong>and</strong> Exhibition Centre<br />
– held expert demonstrations on everything from skincare treatments<br />
to new techniques in makeup application <strong>and</strong> brow shaping. The 2014<br />
Main Stage showcased the latest designs from Australian Hairdresser of<br />
the Year Frank Apostopoulos, internationally recognised makeup artist<br />
Rae Morris, <strong>and</strong> hair stylist <strong>and</strong> educator Lorna Evans.<br />
LATEST COSMETIC SURGERY<br />
STATS REVEALED<br />
Liposuction is now the number-one performed<br />
cosmetic surgery in the US, according to the latest<br />
fi gures from the American Society for Aesthetic<br />
Plastic <strong>Surgery</strong> (ASAPS). For the fi rst time, breast<br />
augmentation has been knocked from the top position.<br />
Read the full report on page 108<br />
Study: Textured implants may harbour bacteria<br />
An Australian study has found textured implants are<br />
about 70 times more likely to harbour bacteria than their<br />
smooth-surfaced counterparts.<br />
The research will be published in the American<br />
Journal of Plastic <strong>and</strong> Reconstructive <strong>Surgery</strong> <strong>and</strong> has<br />
found that the growth of bacteria on textured silicone-gel<br />
implants is signifi cantly more likely to cause discomfort,<br />
deformity <strong>and</strong> hardening in the surrounding tissue.<br />
‘Patients need to know, if they have something<br />
artifi cial put in them, there’s a serious risk of chronic<br />
infection,’ said An<strong>and</strong> Deva, lead author of the study <strong>and</strong><br />
associate professor at Macquarie University’s School of<br />
Advanced Medicine.<br />
Dr Deva recommends implant patients visit their<br />
surgeon for annual check ups every year following their<br />
breast augmentation.<br />
38 www.cosbeauty.com.au
SATURDAY 23 & SUNDAY 24 AUGUST 2014<br />
SYDNEY EXHIBITION CENTRE, GLEBE ISLAND<br />
TICKETS ON SALE IN JUNE – BUY ONLINE AND SAVE!<br />
Celebrate your industry, exp<strong>and</strong> your professional horizons <strong>and</strong> experience the latest spa <strong>and</strong><br />
beauty products, treatments, ideas <strong>and</strong> equipment. The industries finest will be on h<strong>and</strong> to share<br />
their insider information <strong>and</strong> training, see inspiring visual displays, get your creative juices flowing<br />
with live demos or see Australia’s largest gathering of br<strong>and</strong>s.<br />
SPA | BEAUTY | MEDI | WELLNESS | HEALTH<br />
WWW.INTERNATIONALBEAUTYEXPO.COM.AU<br />
PHOTOGRAPHY HENRYK, MAKEUP AMELIA AXTON, HAIR LAUREN MCCOWAN, MODEL SIMONE HOLTZNAGEL
industry<br />
Shape of the Future<br />
The 18th Advanced Aesthetic Plastic <strong>Surgery</strong><br />
Workshop WAS held in Melbourne in February,<br />
with a special focus on body contouring.<br />
Caitlin Bishop repoRTS.<br />
The 20th of February marked the opening of the 18th<br />
Advanced Aesthetic Plastic <strong>Surgery</strong> Workshop. It saw a<br />
number of Australian <strong>and</strong> international plastic surgeons<br />
descend upon the vibrant city of Melbourne for the three-day<br />
conference, held at the Crown Conference Centre.<br />
The 2014 Workshop focused on body contouring <strong>and</strong><br />
delved into some of the most cutting-edge concepts in<br />
liposuction, gluteoplasty, gynaecomastia <strong>and</strong> trunkoplasty<br />
procedures, with a spotlight on surgery after massive weight<br />
loss. International keynote speakers included American plastic<br />
surgeons Dr Constantino Mendieta, Dr Alex<strong>and</strong>er Moya <strong>and</strong><br />
Dr Simeon Wall Jnr.<br />
Dr Wall Jnr spoke about the history of liposuction, <strong>and</strong> the<br />
improvements in safety, underst<strong>and</strong>ing <strong>and</strong> instrumentation in<br />
the industry. He described his approach to achieving the best<br />
results in body contouring using his SAFE Lipo technique,<br />
which involves no suction <strong>and</strong> a fat equalisation technique to<br />
ensure smooth <strong>and</strong> attractive results.<br />
Breast surgery were also discussed at length. Keynote<br />
speaker Dr Mendieta spoke on the different preferences in breast<br />
aesthetics seen across the globe. He also shared the factors<br />
he assesses to achieve the best results in breast rejuvenation.<br />
For example, he looks at the gl<strong>and</strong> to muscle transition, torso<br />
length, gl<strong>and</strong> to muscle relationship <strong>and</strong> position, <strong>and</strong> the longterm<br />
results of mastopexy alongside augmentation.<br />
His talks were heard alongside those from Dr Wall Jnr, on<br />
breast issues after massive weight loss <strong>and</strong> optimising the<br />
“mummy makeover”, Melbourne plastic surgeon Morris Ritz,<br />
on the male chest <strong>and</strong> gynaecomastia.<br />
The Advanced Aesthetic Plastic <strong>Surgery</strong> Workshop wouldn’t<br />
be complete without a buzzing social scene. The welcoming<br />
cocktail party <strong>and</strong> gala dinner provided the perfect venues for<br />
catch-ups <strong>and</strong> some fun. All in all, the conference left attendees<br />
inspired by the advancements in body contouring aesthetics,<br />
<strong>and</strong> motivated to continue to achieve the best results possible<br />
in liposuction, breast surgery, arm reduction <strong>and</strong> surgery after<br />
massive weight loss. csbm<br />
Photos courtesy of Woodrow Wilson<br />
40 www.cosbeauty.com.au
industry<br />
www.cosbeauty.com.au 41
industry<br />
THROUGH<br />
THE DOOR<br />
SHORTCUTS SOFTWARE HELPS CONVERT ONLINE BROWSERS INTO ACTUAL<br />
CUSTOMERS FOR YOUR BUSINESS. CAITLIN BISHOP REPORTS.<br />
Revamped websites <strong>and</strong> social media engagement<br />
are considered essential in today’s marketing<br />
arena. Yet the fundamental purpose of all this digital<br />
presence is sometimes forgotten. In reality, driving traffi c,<br />
optimising SEO <strong>and</strong> conquering Google ratings should only<br />
be pursued for one reason – to bring people through the<br />
clinic doors.<br />
Tools from Shortcuts Software are designed to compel<br />
people to make a booking <strong>and</strong> convert online browsers to<br />
actual customers. Both BookME <strong>and</strong> mylocalsalon.com.au<br />
are features designed to drive people through the door.<br />
While the end result of these features is the same, the way<br />
they target different customers is very different.<br />
BookME<br />
BookME is a powerful online booking feature, designed to<br />
open your clinic to new appointment opportunities around<br />
the clock. It allows clinics to take appointments online,<br />
through their website or social media pages, without the<br />
risk of double-booking or overlapping clients.<br />
‘BookME is a fully integrated feature that can be used<br />
online, through social media <strong>and</strong> with email marketing,’<br />
Shortcuts educator Brooke Morkham-Calvert explains. ‘It<br />
is easy for the end-user to navigate, <strong>and</strong> protects against<br />
any double booking or overlapping. Your clients can book<br />
in straight away, without having to think twice.’<br />
42 www.cosbeauty.com.au
industry<br />
‘We encourage clinics to integrate BookME into<br />
Facebook, <strong>and</strong> there is a BookME icon (like other social<br />
media tags) that can be displayed on every page of the<br />
clinic’s website,’ Morkham-Calvert explains. ‘Part of<br />
Shortcuts’ services involve showing our clients how to<br />
make the most of these features. We recommend including<br />
a call to action, with a BookME link, in email marketing. It<br />
should be displayed in the middle of the email – not at the<br />
end – <strong>and</strong> should st<strong>and</strong> out, urging people to act.’<br />
mylocalsalon.com.au<br />
A platform for clients who are actively seeking clinic services,<br />
mylocalsalon.com.au is designed to attract <strong>and</strong> convert<br />
potential clients. It is an online platform where consumers<br />
can search for a salon or service in their area. It collects<br />
<strong>and</strong> showcases client ratings <strong>and</strong> reviews, <strong>and</strong> highlights<br />
weekly salon <strong>and</strong> spa specials.<br />
‘A mylocalsalon listing is free for clinics when they use<br />
the Shortcuts BookME feature,’ Morkham-Calvert explains.<br />
‘Clinics can set up their own profile page – it’s similar to<br />
social media <strong>and</strong> is sometimes used as an alternative to<br />
a website.’<br />
Mylocalsalon is used to create another online presence<br />
<strong>and</strong> facilitate bookings at any time, from anyone. Every<br />
clinic can upload a description, <strong>and</strong> certain key words will<br />
assist in customer searching. Importantly Shortcuts does<br />
their part in optimising Google rankings, ensuring their<br />
clients receive the best possible coverage.<br />
‘We encourage our clients to make their profile as<br />
engaging as possible; it’s all about the description, logo <strong>and</strong><br />
images – before <strong>and</strong> after galleries are always effective,’<br />
Morkham-Calvert explains. ‘The key words are important,<br />
because potential customers will search particular services.<br />
To assist this, we provide training to help optimise your<br />
mylocalsalon.com.au profile.’<br />
When users search the mylocalsalon site, the salons<br />
are listed according to their location <strong>and</strong> a ranking<br />
system. The star ranking, which is a five star system,<br />
stems from another Shortcuts feature called Spotlight.<br />
This program is an instant feedback tool that prompts<br />
clients to take a quick survey immediately following<br />
their appointments. This timely <strong>and</strong> relevant feedback<br />
can then be transferred to the mylocalsalon star<br />
ranking, elevating your position <strong>and</strong> credibility in the online<br />
search engines.<br />
Shortcuts offers full training on the implementation<br />
of their features, <strong>and</strong> free webinars are designed to help<br />
with h<strong>and</strong>y tips such as increasing online traffic <strong>and</strong><br />
adopting an integrated approach in marketing <strong>and</strong> social<br />
media engagement.<br />
‘Through features such as BookME <strong>and</strong> mylocalsalon<br />
clinics can ensure they are generating bookings on every<br />
possible platform, encouraging both existing <strong>and</strong> new<br />
clients to make an appointment through just one click,’<br />
Morkham-Calvert concludes. csbm<br />
Shortcuts at a glance<br />
Clinics can choose the following modules to add to their<br />
core Shortcuts business technology.<br />
MyLocalSalon<br />
An online, interactive, national directory of hair, beauty, spa<br />
<strong>and</strong> clinic businesses, mylocalsalon affords businesses the<br />
opportunity to have an online presence without investing in<br />
a website. For those with their own website, mylocalsalon<br />
is another means for existing <strong>and</strong> future clients to book<br />
their next appointment.<br />
BookME<br />
‘BookME is a powerful online booking solution,’ says<br />
Morkham-Calvert. ‘It’s easy-to-use <strong>and</strong> fully integrated<br />
with Shortcuts. BookME allows you to take appointments<br />
without overlapping <strong>and</strong> double-booking, 24 hours a day,<br />
365 days a year. It opens your business up to endless<br />
opportunities for new appointments around the clock.’<br />
AnyWHERE<br />
With Anywhere you can access your appointment book<br />
<strong>and</strong> rosters from your smart phone, tablet or PC. This<br />
feature offers the convenience of remote access to you <strong>and</strong><br />
your staff.<br />
Set & Forget MARKETING<br />
‘Our most popular module, Set & Forget Marketing is<br />
the ultimate marketing tool to help you control how you<br />
connect with your clients,’ says Morkham-Calvert. Easy,<br />
automatic, targeted <strong>and</strong> effective, it offers text message<br />
<strong>and</strong> email that only needs to be set up once.<br />
SpotLIGHT<br />
Spotlight is a comprehensive feedback management<br />
system designed to open up communication channels<br />
between clinics <strong>and</strong> their clients. With Spotlight, clinic<br />
owners can take control of the online conversation about<br />
their business.<br />
GiftME<br />
‘Gift cards are the perfect way to grow your client base,<br />
as well as being a strong br<strong>and</strong>ing tool,’ says Morkham-<br />
Calvert. GiftME is a fully-integrated, online gift card solution<br />
for single <strong>and</strong> multi-site businesses.<br />
ScoreCARD<br />
With a vast client base in the hair, spa <strong>and</strong> clinic industry,<br />
Shortcuts has a unique insight into market trends.<br />
Scorecard affords clinics the opportunity to see how they<br />
compare to industry st<strong>and</strong>ards. ‘If a clinic suffers a dip one<br />
month, they can quickly see whether this dip is industry<br />
wide, or whether they might need to address an issue in<br />
their own business,’ explains Morkham-Calvert.<br />
www.cosbeauty.com.au 43
column<br />
A<br />
Royal<br />
Sc<strong>and</strong>al<br />
WHERE DID THAT COME FROM? IN HIS<br />
REGULAR COLUMN DR JIM LEAVESLEY<br />
EXAMINES THE HISTORY AND ORIGINS<br />
OF DIFFERENT MEDICAL TOPICS.<br />
One of the great fl irts <strong>and</strong> high spirited young women<br />
of the 19th century was the only daughter of the<br />
third Earl of Bessborough <strong>and</strong> gr<strong>and</strong>daughter of<br />
the fi rst Earl Spencer (<strong>and</strong> hence related to the late Diana,<br />
Princess of Wales).<br />
Her name was Lady Caroline Ponsonby <strong>and</strong> it would be<br />
diffi cult to fi nd a more felicitous top drawer from which for<br />
her to emerge; it was all crowns <strong>and</strong> coronets for Caroline.<br />
At 17 she married William Lamb to become Lady Caroline<br />
Lamb, the name by which she is best known, while William<br />
later became Lord Melbourne, Prime Minister of Britain <strong>and</strong><br />
establisher of the name of the Australian city. Coincidentally<br />
with the marriage, Caroline engaged in a tempestuous affair<br />
with the literary lion of the day, Lord Byron.<br />
Let’s go back a bit <strong>and</strong> look at her from the medical<br />
history viewpoint. She had an ungovernable temper<br />
<strong>and</strong> was hypomanic. The question is: was all this due<br />
to her high spirits <strong>and</strong> eccentricities or was she really<br />
mentally disturbed? Whatever the conclusion, despite her<br />
outrageous behaviour she survived in an era when such<br />
carrying-on was usually the kiss of death in decent society.<br />
44 www.cosbeauty.com.au
column<br />
As we shall see, she seems to have been a fascinating<br />
woman; probably a delight to her friends <strong>and</strong> an acute<br />
embarrassment to her relatives.<br />
Caroline spent her childhood at the wealthy <strong>and</strong><br />
great Devonshire House in London, where cultivated<br />
conversation, social ease <strong>and</strong> modish snobbery made an<br />
impact on our young poppet. Mind you, her mother <strong>and</strong><br />
aunt, the Duchess of Devonshire, lived a life of uninhibited<br />
freedom <strong>and</strong> license, falling in <strong>and</strong> out love (<strong>and</strong> bed) with<br />
feckless ab<strong>and</strong>on, possessing the yearnings, jealousies<br />
<strong>and</strong> emotional poverty of such a lifestyle.<br />
Was lady Caroline Lamb a<br />
sufferer of bipolar or was she a<br />
true eccentric, a person whose<br />
life was outside the ordinary?<br />
When Caroline was 14, into this decadent set up strode<br />
one of the up-<strong>and</strong>-coming darlings of society, 21-yearold<br />
William Lamb. Her vibrant <strong>and</strong> tomboyish presence<br />
when often wearing trousers, an unheard of dress code<br />
at the time, appealed to Lamb. He was unfazed by her<br />
screams <strong>and</strong> drumming heels when crossed, as well as the<br />
tearing of clothes <strong>and</strong> uncontrollable rage. Overall she was<br />
intimidatingly clever, precocious from her age <strong>and</strong> articulate.<br />
William did not regard her as ‘tiresome’ or ‘difficult’ <strong>and</strong><br />
declared at that time she was the one for him.<br />
He did not know that when she was 10 Caroline’s<br />
gr<strong>and</strong>mother thought her deranged <strong>and</strong> had a doctor<br />
examine the girl’s mental state. His opinion was that<br />
discipline was likely to injure such a sensitive child, but<br />
gr<strong>and</strong>mother disagreed <strong>and</strong> thought a sharply descending<br />
hairbrush applied in the right place was the way to go.<br />
Mother disagreed <strong>and</strong> so things remained the same.<br />
Lady Caroline Ponsonby was introduced to the Royal<br />
Court, <strong>and</strong> so launched into Society, in 1802 aged 17 <strong>and</strong><br />
was now on the marriage market. Lamb, now 24, again fell<br />
in love with her <strong>and</strong> a marriage was arranged. Oddly his<br />
fiancée’s mood changed as the wedding approached <strong>and</strong><br />
she became tearful <strong>and</strong> melancholic. At the ceremony she<br />
had a fit of rage directed at the cleric, tore her dress, flung<br />
her flowers away <strong>and</strong> was carried fainting from the room.<br />
In contrast William maintained an amiable <strong>and</strong> detached<br />
manner. Though seemingly to lack perception he took<br />
control <strong>and</strong> his wife slowly recovered.<br />
But it did not last <strong>and</strong> Caroline’s unpredictable behaviour<br />
<strong>and</strong> mercurial swings were major factors. Her life oscillated<br />
between fantasy <strong>and</strong> reality <strong>and</strong> she lived in a world of her<br />
own making.<br />
And then in 1812 a new meteor flashed across the<br />
London social scene – 24-year-old Lord George Byron. He<br />
had just published his lengthy poem Childe Harold <strong>and</strong>, as<br />
he said, ‘I woke up one day to find myself famous’.<br />
As a man Byron was self-effacing, fidgety <strong>and</strong> lacking<br />
confidence. He also had an interesting limp, not from a club<br />
foot as has been mooted, but a wasting of the calf muscle.<br />
Anyway, Caroline Lamb insisted on meeting him, ‘be he<br />
ugly as Aesop’. After the arranged get-together she<br />
described Byron as ‘mad, bad <strong>and</strong> dangerous to know’<br />
– indeed just her cup of tea. So under the gaze of a<br />
sc<strong>and</strong>alised society they carried out a passionate <strong>and</strong><br />
volatile relationship. She was besotted with the poet <strong>and</strong><br />
once when he ignored her she bit through her wine glass<br />
<strong>and</strong> broke into hysterical sobs.<br />
Eventually Byron wrote to Caroline to break off the<br />
relationship saying, ‘Correct your vanity which has become<br />
ridiculous <strong>and</strong> leave me in peace’. By chance they later met<br />
at a ball. He ignored her, whereupon she gashed her arms<br />
<strong>and</strong> wrote to him wondering if he remembered her. His reply<br />
was one of the great rebuffs in the language.<br />
‘Remember thee! Remember thee!/Till Lethe quench<br />
life’s burning stream/ Remorse <strong>and</strong> shame shall cling to<br />
thee,/And haunt thee like a feverish dream/ Remember<br />
thee! Aye, doubt it not./Thy husb<strong>and</strong> too shall think of<br />
thee:/By neither shalt thou be forgot,/ Thou false to him,<br />
thou fiend to me!<br />
William sued for separation but when the lawyers arrived<br />
with the papers they found her on his knee feeding him<br />
pieces of bread <strong>and</strong> butter. But he did leave <strong>and</strong> London<br />
society rejected her, too. She took to laudanum (an opiate)<br />
<strong>and</strong> br<strong>and</strong>y, fell ill with dropsy, maybe due to liver cirrhosis<br />
caused by the drugs <strong>and</strong> died aged 42 in 1827. William<br />
Lamb’s great years as Prime Minister <strong>and</strong> confidante of<br />
Queen Victoria lay ahead, but it is said his eyes filled with<br />
tears whenever her name was mentioned.<br />
Was Lady Caroline Lamb a sufferer from a manicdepressive<br />
state (called bipolar now) or was she a true<br />
eccentric, a person whose whole life was outside the ordinary<br />
<strong>and</strong> did not perform in a conforming way? Oscillations<br />
of exaltations <strong>and</strong> drives of mania with withdrawals of<br />
depression combined with a slowing of thought <strong>and</strong> many<br />
bodily functions is a pathological psychotic state into which<br />
the sufferer had little insight. Caroline, I am sure, recognised<br />
her actions <strong>and</strong> simply did not care, plus it started at a very<br />
young age, so I do not think she was psychotic, more a<br />
dependant egocentric, moody exhibitionist, <strong>and</strong> impulsive<br />
sexual provocateur. As a child she was given everything<br />
except affection <strong>and</strong> grew up in an establishment where<br />
libidinous behaviour was acceptable.<br />
So in my view her doubtless bizarre actions were present<br />
because she suffered from a so-called hysterical personality<br />
disorder. csbm<br />
www.cosbeauty.com.au 45
feature<br />
Trouble<br />
in<br />
paradise?<br />
cosmetic surgery should always be centred on individual PATIEnt care<br />
<strong>and</strong> not be viewed as PArt of a “PACKAge deal”. Caitlin Bishop reports.<br />
<strong>Cosmetic</strong> surgery tourism sees several thous<strong>and</strong>s<br />
of Australians venturing overseas to undergo<br />
cosmetic surgery each year. The attraction stems<br />
from affordable procedures with an accompanying holiday<br />
but these ideals of luxury can lull patients into a false sense<br />
of security.<br />
‘The decision to have cosmetic surgery should never be<br />
taken lightly,’ says Chief Censor of the Australasian College<br />
of <strong>Cosmetic</strong> <strong>Surgery</strong> (ACCS) Dr John Flynn. ‘Considering<br />
cosmetic surgery as an “add on” to an overseas holiday is<br />
not a smart approach.’<br />
Of late, major Australian organisations have introduced<br />
all-inclusive packages offering cosmetic surgery alongside<br />
luxury accommodation, airfares <strong>and</strong> airport transfers.<br />
But in this seductive mix of tropical getaway <strong>and</strong> surgical<br />
rejuvenation, the gravitas of cosmetic surgery is somewhat<br />
overlooked. Package deals, recommended by reputable<br />
Australian medical insurance companies, can give the<br />
illusion that cosmetic surgery can be considered as part<br />
of a bundle.<br />
Unfortunately, the confidence patients hold in these<br />
sanctioning parties can stifle their awareness, either<br />
pushing them towards a decision or detracting from their<br />
research into other options.<br />
‘Australians should not make a decision to undergo<br />
cosmetic surgery based solely on the advice of a travel<br />
or insurance agent or organisation,’ Dr Flynn explains.<br />
‘Patients need to do their research, explore their options<br />
<strong>and</strong> attend consultations in person before making an<br />
informed decision.’<br />
Patients need to do their<br />
research, explore their options<br />
<strong>and</strong> attend consultations in<br />
person before making an<br />
informed decision to undergo<br />
cosmetic surgery<br />
The Australian authority on consumer protection,<br />
CHOICE, urges patients to carefully consider their options<br />
before deciding to undergo cosmetic surgery overseas.<br />
‘Plenty of people seek cosmetic surgery abroad, but<br />
it’s an option that consumers need to consider with their<br />
eyes open,’ says CHOICE investigative journalist Kate<br />
46 www.cosbeauty.com.au
feature<br />
Browne. ‘Overseas procedures require planning <strong>and</strong> the<br />
onus is on the patient to do their research.’<br />
Making an informed decision to go ahead with surgery<br />
should involve thorough consultations, with several doctors.<br />
Patients should always have the freedom to explore<br />
other options <strong>and</strong> select a doctor they feel is the best fit for<br />
their needs.<br />
‘Patients should feel comfortable with their doctor, <strong>and</strong><br />
this process of building trust <strong>and</strong> confidence cannot occur<br />
when the doctor is overseas,’ says Dr Flynn. ‘Once the<br />
patient is overseas, <strong>and</strong> can meet the surgeon in person,<br />
how likely are they to explore other alternatives after<br />
travelling to be there?’<br />
Not only should patients have the means to “shop<br />
around”, each consultation should be individualised, as<br />
every body heals differently <strong>and</strong> every patient is unique in<br />
their concerns, desires <strong>and</strong> expectations. There are several<br />
factors that contribute to a patient’s suitability for surgery,<br />
<strong>and</strong> part of the consultation process involves determining if<br />
surgery is the best option for each individual’s body type,<br />
skin type <strong>and</strong> general physical <strong>and</strong> mental health.<br />
Yet, the same way patient options are limited in seeking<br />
cosmetic surgery overseas, the autonomy of doctor<br />
discretion is also hindered. A cosmetic surgeon should<br />
feel comfortable turning patients away who are not fit for<br />
surgery, but the pressure of airfares, accommodation <strong>and</strong><br />
package deals somewhat hampers the freedom of an<br />
individualised approach.<br />
‘The consultation process needs to have two-way<br />
communication between the patient <strong>and</strong> the doctor,’<br />
explains President of the ACCS Dr Soo Keat Lim. ‘The<br />
patient must convey their concerns <strong>and</strong> reasons for<br />
seeking surgery, <strong>and</strong> the doctor has to explain the process<br />
to achieving <strong>and</strong> delivering these results, according to the<br />
individual patient.’<br />
A major issue in the cosmetic surgery tourism divide<br />
is the lack of follow-up process between the patient <strong>and</strong><br />
overseas surgeon. If complications – either medical or<br />
aesthetic – arise, it usually falls to surgeons back in Australia<br />
to conduct the revision procedure.<br />
Post-operative consultations are designed to monitor<br />
the results <strong>and</strong> manage complications. These consultations<br />
are conducted weeks, months <strong>and</strong> sometimes years after<br />
the surgery takes place.<br />
‘It is not automatic that things will go wrong in cosmetic<br />
surgery tourism, but it’s not automatic that things will go<br />
right either,’ Dr Flynn says. ‘Even the most reputable doctor<br />
can have patient complications, but how can they address<br />
these if they’re located overseas?’<br />
‘There are some complications that do not declare<br />
themselves directly after treatment,’ he adds. One<br />
complication that does not arise until years after surgery<br />
is capsular contracture, the most common complication<br />
following breast augmentation surgery.<br />
Capsular contracture occurs when the scar tissue<br />
surrounding the implant begins to contract, causing the<br />
implant to become distorted <strong>and</strong> hardened <strong>and</strong> often<br />
painful. Revision surgery is usually required to aesthetically<br />
restore the breast <strong>and</strong> relieve the discomfort caused by<br />
this contraction.<br />
Plenty of people seek<br />
cosmetic surgery abroad, but<br />
it’s an option that consumers<br />
need to consider with their eyes<br />
open. The onus is on the<br />
patient to do their research<br />
In those cases where complications do arise immediately<br />
after surgery, Browne explains the patient must have money<br />
<strong>and</strong> flexibility to manage these contingencies, as cosmetic<br />
surgery is not covered by travel insurance.<br />
‘People get into trouble when they think they’ll be in<br />
<strong>and</strong> out quickly,’ Browne says. ‘If things don’t go to plan,<br />
<strong>and</strong> the patient has to stay in hospital, extend their stay or<br />
change their flights, these expenses will not be covered by<br />
travel insurance. Travel insurance does not cover cosmetic<br />
procedures; patients need to have the money <strong>and</strong> flexibility<br />
available in case things go wrong.’<br />
The ACCS’ position on the issue of cosmetic surgery<br />
tourism reinforces the absolute necessity of a diligent<br />
consultation <strong>and</strong> follow-up process in undergoing any form<br />
of cosmetic procedure.<br />
<strong>Cosmetic</strong> surgery is not a commodity <strong>and</strong> should not be<br />
dressed up in five-star “care-free” travel packages. Whether<br />
overseas or at home, each patient should be confident they<br />
have made an informed decision.<br />
‘Patients should ask themselves three questions before<br />
deciding to undergo surgery,’ says Dr Lim. ‘Do I feel<br />
comfortable with this doctor to do the procedure? Have<br />
I been given all the necessary information regarding risks<br />
<strong>and</strong> complications, follow-up procedures <strong>and</strong> expected<br />
results? And, do I feel confident that this procedure is right<br />
for me?’<br />
Patient research, consultation <strong>and</strong> aftercare are essential<br />
components to successful surgery. Ultimately, each patient<br />
should be treated as an individual, <strong>and</strong> not as part of a<br />
“package deal”. csbm<br />
www.cosbeauty.com.au 47
feature<br />
Foods to<br />
Fight Cellulite<br />
Combat the appearance of<br />
cellulite by fuelling your diet<br />
with these nine super foods.<br />
Cellulite is one of the most frustrating aesthetic<br />
concerns. Seemingly impervious to exercise, the<br />
dimpled skin appearance can detract from even<br />
the healthiest of figures. There have been several regimes,<br />
wonder treatments <strong>and</strong> alternative therapies touted to<br />
reduce the appearance of cellulite, yet the success of<br />
these endeavours remains unclear <strong>and</strong> elusive. One way<br />
to combat the “orange peel” appearance of cellulite is to<br />
optimise the foods we fuel our body with. What goes into<br />
the body can contribute to skin integrity, fat composition <strong>and</strong><br />
circulatory drainage, all factors that affect the appearance<br />
<strong>and</strong> pervasiveness of cellulite.<br />
48 www.cosbeauty.com.au
feature<br />
Oily Fish<br />
Fish oil benefits skin, hair <strong>and</strong> nail health. The essential<br />
fatty acids in fish help strengthen the lipid membranes in<br />
the dermis, reinforcing the skin’s integrity from within.<br />
According to some experts, cellulite stems from a<br />
weakness in the collagen fibres of the skin’s deeper<br />
layers, which causes bulges of fat to appear on the surface.<br />
Fish oil can help counter this by strengthening the skin<br />
<strong>and</strong> fuelling the body with high concentrations of proteins<br />
<strong>and</strong> minerals.<br />
Citrus Fruits<br />
Citrus fruits, particularly oranges, can help ward off cellulite<br />
by delivering Vitamin C. This helps improve skin elasticity<br />
<strong>and</strong> rebuild <strong>and</strong> repair the skin from within. Oranges<br />
also contain methoxylated flavones, which are natural<br />
antioxidants effective in reducing inflammation <strong>and</strong> helping<br />
the liver process cholesterol <strong>and</strong> blood fats.<br />
Broccoli<br />
When the body ingests sweets, sugar molecules attach to<br />
collagen fibres to form harmful products called advanced<br />
glycation end products (AGEs). These cause the collagen<br />
fibres to become hardened <strong>and</strong> brittle, contributing to skin<br />
wrinkling by weakening the dermis. Broccoli contains<br />
lipoic acids, which help prevent the formation of AGEs <strong>and</strong><br />
maintain the skin’s integrity – effective in anti-ageing <strong>and</strong><br />
cellulite busting regimes.<br />
Green Tea<br />
Those cups of herbal goodness contain rich quantities of<br />
catechins, which help inhibit the break down of collagen<br />
<strong>and</strong> maintain strong, firm skin. The ingredients in green<br />
tea may also help prevent the expansion of fat cells,<br />
stopping them from pushing against the underlying dermis.<br />
Also, the small amount of caffeine helps flush toxins from<br />
the body <strong>and</strong> dehydrates fat cells, helping to reduce the<br />
appearance of cellulite.<br />
Sunflower seeds<br />
These little seeds are jam-packed with antioxidants <strong>and</strong><br />
are said to help strengthen weakened tissue, improving the<br />
appearance of cellulite. A source of Vitamin E, potassium<br />
<strong>and</strong> zinc, as well as Vitamin B6, sunflower seeds are<br />
believed to help metabolise those proteins that strengthen<br />
<strong>and</strong> repair connective tissue. They’re also considered a<br />
natural diuretic, ridding the body of excess water that can<br />
make cellulite more visible.<br />
Bananas<br />
Some researchers suggest there is a link between cellulite<br />
<strong>and</strong> circulation, or the body’s efficiency in flushing out toxins.<br />
A rich source of Vitamin B6, potassium <strong>and</strong> magnesium,<br />
bananas are believed to assist in healthy circulation <strong>and</strong><br />
combat the appearance of cellulite.<br />
Chilli Peppers<br />
Spicy foods boost the body’s ability to produce heat<br />
internally, helping the body burn fat more efficiently. Those<br />
eye-watering hot sauces contain Vitamin B6 to fortify<br />
connective tissue <strong>and</strong> help increase the body’s metabolism,<br />
fighting fat cells <strong>and</strong> improving blood flow.<br />
Asparagus<br />
This healthy green helps strengthen veins <strong>and</strong> capillaries to<br />
normalise blood circulation. At the same time it encourages<br />
blood flow, asparagus also acts as a diuretic, cleansing the<br />
body of toxins <strong>and</strong> purifying the skin from within.<br />
Water<br />
When it comes to cellulite, the benefits of eight glasses a<br />
day are definitely not mythical. Water helps plump the skin,<br />
making it look thicker <strong>and</strong> more supple. By camouflaging<br />
cellulite, <strong>and</strong> helping flush those stored toxins from the<br />
body, water is essential in busting cellulite <strong>and</strong> smoothing<br />
the skin.<br />
www.cosbeauty.com.au 49
feature<br />
The<br />
Holy<br />
Grail?<br />
Stem cells signify a cutting-edge frontier in both cosmetic <strong>and</strong><br />
medical research. we speak with dr john flood who is pioneering the<br />
use of stem cells in aesthetic rejuvenation. Caitlin Bishop reports.<br />
50 www.cosbeauty.com.au
feature<br />
Stem cells are causing a buzz in all arenas, from<br />
skincare to health care. Sydney plastic surgeon Dr<br />
John Flood is one of the Australians pioneering the<br />
use of stem cells in rehabilitative <strong>and</strong> aesthetic medicine.<br />
He is at the forefront of discoveries into the use of stem<br />
cells for regenerating tissue, alleviating pain <strong>and</strong> – quite<br />
literally – reversing the signs of ageing from within.<br />
‘We use autologous, adipose-derived stem cells, which<br />
are stem cells taken from the patient’s own adipose tissue,<br />
or fat,’ Dr Flood explains. ‘We harvest the stem cells while<br />
the patient is under local anaesthetic – usually from the<br />
love-h<strong>and</strong>les, where most people have pockets of fat.<br />
The sample is centrifuged in a lab <strong>and</strong> the stem cells are<br />
purified. Importantly, we use a regulated <strong>and</strong> certified lab,<br />
where there is no chance of bacterial contamination or<br />
cross contamination. The stem cells are then inserted into<br />
syringes <strong>and</strong> returned for use in the clinic.’<br />
Dr Flood’s journey into the use of stem cells began in<br />
the area of rehabilitation. He worked with musculoskeletal<br />
physicians to treat sports injuries in athletes. ‘We saw<br />
fantastic results, which were reflected by very strong<br />
evidence seen in various animal studies,’ says Dr Flood.<br />
‘I witnessed athletes, who were in a lot of pain from joint<br />
injuries, become pain-free within a week.’<br />
Exp<strong>and</strong>ing from here, Dr Flood moved into treating<br />
patients with neuropathic facial pain – a condition of chronic<br />
pain that has no detectable cause. He <strong>and</strong> maxillofacial<br />
surgeon Dr Russell Vickers saw approximately 50 percent<br />
reduction in facial pain using stem cells, <strong>and</strong> their work has<br />
been accepted for publication in an international journal.<br />
‘Many patients relied on medication because they<br />
couldn’t bear the pain, but then they couldn’t h<strong>and</strong>le the<br />
side effects of the medication,’ Dr Flood explains. ‘The stem<br />
cell injections stopped this reliance <strong>and</strong> greatly improved<br />
quality of life. People went from not being able to sleep,<br />
<strong>and</strong> experiencing depression, to having their life back due<br />
to pain relief.’<br />
It was the treatment of one particular patient that<br />
inspired Dr Flood’s investigation into using stem cells in<br />
the cosmetic arena. This patient had developed facial pain<br />
unexpectedly in her mid 20s. Though she had tried a number<br />
of therapies, including muscle relaxant injections, to soothe<br />
the facial pain <strong>and</strong> muscular contortion, no treatment had<br />
worked <strong>and</strong> she had developed right hemifacial atrophy<br />
– where the tissue on one side of her face had shrunk<br />
<strong>and</strong> degenerated.<br />
‘We injected stem cells into her right temporal region,<br />
where she felt the pain originated from,’ he says. ‘After<br />
three months she could sleep better, she was taking<br />
less pain medication <strong>and</strong>, surprisingly, her facial atrophy<br />
had corrected <strong>and</strong> her brow spasm had resolved. We’d<br />
not been expecting that when we started treatment. The<br />
tissue appeared fuller <strong>and</strong> she was ecstatic. She had less<br />
distortion, fuller contours <strong>and</strong> felt her appearance had<br />
returned to what it was before she developed neuropathic<br />
facial pain.’<br />
This regenerative result comes from the multiple actions<br />
of stem cells <strong>and</strong> the profound effect of their secretions into<br />
the surrounding tissue. ‘Ten years ago, the research into<br />
stem cells revolved around differentiation, or adult stem<br />
cell renewal – for example adipose stem cells renew into<br />
fat cells, <strong>and</strong> dermal stem cells renew into dermal cells,’<br />
Dr Flood explains. ‘Now the thinking has evolved, <strong>and</strong> we<br />
realise that adult stem cells – no matter what their origin<br />
– will stimulate the activity of the surrounding stem cells,<br />
regardless of their differentiation paths.’<br />
Stem cells act like a conductor<br />
of an orchestra, triggering <strong>and</strong><br />
accelerating tissue regeneration,<br />
to treat the skin from within<br />
When adipose-derived stem cells are injected into<br />
skin <strong>and</strong> subcutaneous tissue, they release chemical<br />
factors to increase blood vessel formation <strong>and</strong> boost<br />
nutrient <strong>and</strong> blood infusion to the area. As well as increasing<br />
vascularity, the injected stems cells also stimulate the<br />
surrounding stem cells – for example dermal stem cells –<br />
to regenerate.<br />
‘Adipose stem cells could signify the holy grail of<br />
anti-ageing; they work to increase blood flow, stimulate<br />
activity of the surrounding stem cells <strong>and</strong>, because they<br />
renew into fat cells, they provide added plumping to the<br />
treated area,’ Dr Flood explains. ‘They act like a conductor<br />
of an orchestra – triggering <strong>and</strong> accelerating natural tissue<br />
regeneration, to treat the skin from within.’<br />
According to Dr Flood, the use of stem cells could<br />
have implications not only as a st<strong>and</strong>-alone anti-ageing<br />
treatment, but also to assist in the use of implants <strong>and</strong> grafts<br />
in aesthetic <strong>and</strong> reconstructive surgeries. ‘Their capacity to<br />
improve vascularity can potentially aid in graft or implant<br />
adherence to the surrounding tissue,’ he says.<br />
‘The whole process of ageing is related to wear,<br />
oxidation <strong>and</strong> inflammation – stem cells release factors<br />
to counter this wear, reduce inflammation <strong>and</strong> fight free<br />
radicals. Autologous adipose-derived stem cells work to<br />
regenerate the tissue, improve vascularity, combat ageing<br />
<strong>and</strong> give rise to new fat cells to return lustre <strong>and</strong> vibrancy to<br />
the treatment area,’ Dr Flood concludes. csbm<br />
www.cosbeauty.com.au 51
feature profile<br />
Your<br />
cosmetic<br />
enhancement<br />
destination<br />
Sydney plastic surgeon Dr Peter Laniewski from My Face Clinic in<br />
bella vista takes an individualised approach to cosmetic rejuvenation.<br />
Caitlin Bishop reports.<br />
A<br />
hub of world-class service <strong>and</strong> personalised care,<br />
My Face Clinic delivers an all-encompassing<br />
approach to cosmetic rejuvenation. Established by<br />
Sydney plastic surgeon Dr Peter Laniewski, the clinic is built<br />
on personalised patient care <strong>and</strong> is dedicated to achieving<br />
superior results in everything from injectables <strong>and</strong> surgery,<br />
to light therapies <strong>and</strong> skincare.<br />
With a vision to build a clinic specialising in high quality,<br />
results-driven treatments, Dr Laniewski has established<br />
a team of highly trained consultants <strong>and</strong> therapists at his<br />
Bella Vista clinic in North-West Sydney, <strong>and</strong> has recently<br />
opened a new My Face Clinic in Erina on the Central Coast.<br />
The range of treatments seen at My Face Clinic invites<br />
a wide spectrum of patients – spanning all ages, with<br />
various concerns. Dr Laniewski stresses an individualised<br />
approach is key in achieving the best results in aesthetic<br />
rejuvenation, as every patient is unique in their motivations,<br />
desires <strong>and</strong> concerns. ‘It’s all about service, we pride<br />
ourselves on offering the highest level of service <strong>and</strong> care,’<br />
he explains. ‘What’s right for one person isn’t necessarily<br />
suitable for another. There are varying treatments, <strong>and</strong><br />
degrees of treatment, that can be tailored to each patient.’<br />
This dedication to individualised service <strong>and</strong> optimum<br />
patient care is seen in the one-on-one cosmetic<br />
52 www.cosbeauty.com.au
profile<br />
consultants at My Face Clinic. ‘Each patient has his or her<br />
own dedicated cosmetic consultant,’ says Dr Laniewski.<br />
‘Whether it’s a relatively simple procedure like injectables,<br />
right through to a facelift, the cosmetic consultant<br />
walks the patient through the whole process. This forms<br />
a lasting relationship built on trust, professionalism <strong>and</strong><br />
dedicated care.’<br />
Notably, Dr Laniewski performs both the surgical <strong>and</strong><br />
non-surgical injectable treatments himself, giving all patients<br />
the highest level of service <strong>and</strong> care.<br />
encompasses the ‘ABC of skincare’. It has Vitamin A, B<br />
<strong>and</strong> C serums, alongside an anti-pigment serum <strong>and</strong> an<br />
exfoliating cleanser.<br />
The anti-ageing range is designed to protect skin,<br />
strengthen the underlying tissue, accelerate cellular<br />
processes <strong>and</strong> beautify the complexion. Used in conjunction<br />
with cosmetic treatments, it helps skin look its best at<br />
every age. csbm<br />
Each patient has his or her<br />
own dedicated cosmetic<br />
consultant to walk them<br />
through the whole process<br />
He has undergone international training in aesthetic<br />
<strong>and</strong> reconstructive plastic surgery, <strong>and</strong> is considered a<br />
world leader in breast <strong>and</strong> face <strong>and</strong> neck reconstruction.<br />
‘Treatment – whether it’s surgical, non-surgical or a<br />
combination of both, is dependant on the patient’s needs,<br />
desires <strong>and</strong> expectations,’ Dr Laniewski says. ‘Sometimes,<br />
non-surgical therapies can waylay the need for surgery,<br />
or an upper eyelid lift can afford a rejuvenating effect.<br />
However, a complete facelift remains the gold st<strong>and</strong>ard for<br />
revitalising the ageing face, as it repositions <strong>and</strong> tightens<br />
underlying facial muscles <strong>and</strong> removes excess skin.’<br />
Alongside the surgical solutions, there is an Appearance<br />
<strong>and</strong> Wellness Medicine arm to Dr Laniewski’s clinic.<br />
This offers non-invasive solutions to anti-ageing<br />
including skin peels, light-based treatments, <strong>and</strong> micro/<br />
hydrodermabrasion.<br />
Before undergoing any form of treatment, an extensive<br />
consultation process is required to ensure optimum results.<br />
In surgical cases, Dr Laniewski uses 3D imaging to help<br />
envision the ultimate results <strong>and</strong> establish the best surgical<br />
approach for optimum outcomes.<br />
‘It’s all about building relationships, someone might be<br />
a great c<strong>and</strong>idate for IPL (intense pulsed light) therapy<br />
or facial peels initially, but later down the track, as more<br />
advanced ageing occurs, surgery may be recommended,’<br />
Dr Laniewski says. ‘By having such a good rapport with<br />
the surgeon <strong>and</strong> their cosmetic consultant, the patient can<br />
feel at ease, knowing they are in good h<strong>and</strong>s <strong>and</strong> that their<br />
doctor has their best interests at heart,’ he concludes.<br />
Dr Peter Laniewski<br />
INVEST IN YOURSELF<br />
‘<strong>Cosmetic</strong> treatment is an investment<br />
in yourself, but how are you going<br />
to maintain your investment?’ Dr<br />
Laniewski asks. ‘The team at My<br />
Face Clinic helps patients maintain<br />
<strong>and</strong> optimise results, offering advice<br />
about exercise <strong>and</strong> diet, skincare <strong>and</strong><br />
light treatments to keep each patient<br />
looking their best for longer.’<br />
FACE DR SKINCARE<br />
Following treatment, whether surgical or non-surgical,<br />
optimising results should involve using a quality active<br />
skincare range. Face Dr skincare by Dr Laniewski<br />
www.cosbeauty.com.au 53
profile<br />
Meet the doctor<br />
Silkwood medical welcomes Dr Amira Sanki, a plastic surgeon<br />
specialising in breast surgery <strong>and</strong> body contouring.<br />
Dr Warwick Nettle of Silkwood Medical in Sydney’s<br />
Bondi Junction is pleased to welcome Dr Amira Sanki<br />
to his talented team of aesthetic specialists. Dr Sanki<br />
is a fully qualified specialist plastic <strong>and</strong> reconstructive surgeon<br />
with experience <strong>and</strong> expertise in tummy tucks, breast surgery<br />
(implants, lifting <strong>and</strong> reduction) <strong>and</strong> body contouring after<br />
pregnancy <strong>and</strong> significant weight loss.<br />
Amira graduated from the University of New South Wales in<br />
2000 with Honours in Medicine <strong>and</strong> <strong>Surgery</strong>. She undertook<br />
her internship at Royal Prince Alfred Hospital <strong>and</strong> has trained<br />
intensively in General <strong>and</strong> Plastic <strong>Surgery</strong> in Sydney for over 10<br />
years. Upon receiving her Fellowship in Plastic <strong>Surgery</strong> from the<br />
Royal Australasian College of Surgeons, Dr Sanki commenced<br />
practice as an aesthetic plastic surgeon with a special interest<br />
in cosmetic surgery for the breast <strong>and</strong> body.<br />
As a female plastic surgeon, Dr Sanki offers the advantage<br />
of underst<strong>and</strong>ing how women express the changes they seek<br />
in their appearance. ‘All patients have a right to the highest<br />
st<strong>and</strong>ards of underst<strong>and</strong>ing, advice, ethics <strong>and</strong> technique. This<br />
starts with me giving every patient my focused attention, <strong>and</strong><br />
listening to his or her goals <strong>and</strong> concerns,’ she says.<br />
‘My role is to advise patients on what options they have, <strong>and</strong><br />
the pros <strong>and</strong> cons of each. My philosophy is to give patients the<br />
54 www.cosbeauty.com.au
profile<br />
same advice I would give family <strong>and</strong> friends. At times, plastic<br />
surgery is not the right answer. When it is a good answer, it is<br />
my responsibility to ensure patients are fully informed, <strong>and</strong> have<br />
confidence that I will take good care of them.’<br />
Dr Sanki works hard to ensure that every aspect of a<br />
patient’s surgery experience is positive. For interested patients,<br />
she offers an all-female surgical team to ensure comfort is<br />
always a top priority.<br />
Qualifications<br />
Dr Sanki has trained to the highest st<strong>and</strong>ards. She is a Fellow<br />
of the Royal Australasian College of Surgeons specialising in<br />
Plastic <strong>and</strong> Reconstructive <strong>Surgery</strong> (FRACS Plast). FRACS<br />
is the st<strong>and</strong>ard qualification required in Australia to perform<br />
surgery in private <strong>and</strong> public hospitals, <strong>and</strong> is the only plastic<br />
surgery qualification recognised by the Australian Medical<br />
Council. Dr Sanki is also a member of the Australian Society of<br />
Plastic Surgeons (ASPS). This is the peak plastic surgery body<br />
in Australia.<br />
Medical research<br />
Dr Sanki was awarded a Doctorate in Philosophy at the<br />
University of Sydney. Her research has helped advance the<br />
treatment of melanoma. She has published numerous articles<br />
in prestigious international medical journals <strong>and</strong> has presented<br />
this research at Australian <strong>and</strong> international conferences.<br />
She received numerous awards during her training <strong>and</strong>, with<br />
a strong commitment to both the practical <strong>and</strong> academic<br />
aspects of surgery, Dr Sanki regularly teaches plastic surgery<br />
trainees preparing to sit their Fellowship exam.<br />
Dr Sanki’s training <strong>and</strong> commitment ensures patients are<br />
offered the highest st<strong>and</strong>ards of care, which is integral to the<br />
Silkwood practice. Enhance your natural beauty with Dr Sanki<br />
<strong>and</strong> let your confidence soar. csbm<br />
About Silkwood<br />
Silkwood Medical provides<br />
Sydney with the highest st<strong>and</strong>ard<br />
of treatment in a comfortable<br />
<strong>and</strong> caring environment. Patients<br />
come from all over Australia<br />
<strong>and</strong> overseas for the advanced<br />
cosmetic surgery techniques<br />
<strong>and</strong> procedures offered by<br />
Dr Warwick Nettle <strong>and</strong> his<br />
expert team.<br />
Procedures include:<br />
• Face, brow <strong>and</strong> eye surgery<br />
• Rhinoplasty<br />
• Breast surgery<br />
• Body contouring<br />
• Non-surgical rejuveantion<br />
4/59-75 Grafton St<br />
Bondi Junction NSW<br />
02 9387 3900<br />
www.silkwoodmedical.com.au<br />
www.cosbeauty.com.au 55
profile<br />
The<br />
new home<br />
of beauty<br />
Sydney Permanent Makeup Centre is joining forces with other<br />
established practitioners to open Cosmedic Professionals, a unique<br />
<strong>and</strong> integrated cosmetic clinic in Sydney. Caitlin Bishop reports.<br />
Enhancing the outward reflection of inner beauty is the<br />
philosophy behind Cosmedic Professionals, a new<br />
cosmetic clinic set to open in Sydney this May.<br />
Cosmedic Professionals is the venture by Rita Porreca<br />
from the Sydney Permanent Makeup Centre <strong>and</strong> Jessica<br />
O’Brien from the Skin <strong>and</strong> Laser Clinic Sydney. The new<br />
clinic is built on a philosophy of beauty starting from<br />
within. It will bridge the gap between medical, cosmetics<br />
<strong>and</strong> alternative therapies to afford a holistic <strong>and</strong> allencompassing<br />
approach to beauty <strong>and</strong> wellbeing.<br />
‘Self-confidence comes from how we feel inside <strong>and</strong><br />
permeates outwards,’ Porreca explains. ‘Since I started<br />
Sydney Permanent Makeup Centre, I’ve had a dream to<br />
create a clinic that provides personalised natural beauty <strong>and</strong><br />
lasting cosmetic results. This is where alternative therapies<br />
<strong>and</strong> cosmetic treatments meet.’<br />
Porreca has been in the cosmetic industry for more than<br />
30 years <strong>and</strong> believes there is a gap in the market, which<br />
Cosmedic Professionals will aim to fill.<br />
‘I have always thought there is a missing link between<br />
medical treatments, beauty therapies <strong>and</strong> alternative<br />
methods,’ she says. ‘It’s time we link our inner health <strong>and</strong><br />
skin together, because beauty starts from within.’<br />
With everything from weight loss assistance to skin<br />
rejuvenation <strong>and</strong> injectables, Cosmedic Professionals will<br />
have a range of treatments on offer.<br />
‘Cosmedic Professionals is a unique venture where<br />
clients can find answers to a variety of concerns,’ Porreca<br />
56 www.cosbeauty.com.au
says. ‘Detoxing with our infrared sauna, <strong>and</strong> assisting<br />
with weight loss methods will address health <strong>and</strong> lifestyle<br />
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1<br />
concerns. When these measures are partnered with skin<br />
peels <strong>and</strong> light therapies for skin rejuvenation, a holistic,<br />
effective <strong>and</strong> long-term change in the skin <strong>and</strong> body can<br />
be achieved.’<br />
By optimising both inner<br />
timeless <strong>and</strong><br />
effortless beauty<br />
timeless <strong>and</strong> effortless beauty<br />
health <strong>and</strong> skin health, a<br />
holistic, effective <strong>and</strong> long-term<br />
change can be achieved<br />
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1<br />
‘In When 1984 it my comes dream to eyes, was to lips, create face, a<br />
Centre body, skin that <strong>and</strong> provided training, personalised we are the<br />
Indeed with experts on board such as Porreca <strong>and</strong> beauty experts’ solutions expert. With with more natural than <strong>and</strong> 24<br />
O’Brien, the experience <strong>and</strong> knowledge behind the clinic lasting years’ experience results – a world we have above developed<br />
is a powerful force. Sydney Permanent Makeup Centre is traditional an excellent beauty reputation salons.’ with doctors<br />
known for effective results in both paramedical <strong>and</strong> aesthetic – <strong>and</strong> Rita surgeons. Porreca, We Founder also work & MDclosely<br />
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‘The team at Cosmedic Professionals has been carefully with surgeons on post-operative care.<br />
selected for their professional underst<strong>and</strong>ing,’ Porreca<br />
explains. ‘The collective knowledge <strong>and</strong> experience behind ‘In 1984 my dream was to create a<br />
SERVICES WE PROVIDE<br />
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AFTER EYEBROW TATTOOING<br />
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cosmetic<br />
procedures<br />
58 www.cosbeauty.com.au
feature<br />
your best<br />
ever<br />
From cosmetic procedures to makeup tricks, there are a number of<br />
ways to help make your eyes pop! Caitlin Bishop repoRTS.<br />
Blepharoplasty (eyelid surgery)<br />
Loose or sagging skin of the upper eyelid can detract from<br />
the eye’s aesthetic contour <strong>and</strong>, in severe cases, obstruct<br />
vision. Similarly, excess fatty deposits under the eyelid, or<br />
heavy bags under the eyes, can add years to the face,<br />
contributing to a tired, drawn appearance. Blepharoplasty<br />
is a surgery designed to improve the appearance of the<br />
upper or lower eyelids – or both – by excising excess skin,<br />
<strong>and</strong> tightening the surrounding tissue.<br />
During blepharoplasty, incisions are made along the<br />
natural skin creases of the upper or lower eyelids. This<br />
helps reduce the appearance of post-operative scarring,<br />
as the scars will be hidden within the skin lines. In lower<br />
eyelid surgery, the fat is cut away from the directly beneath<br />
the eyelid. In upper eyelid surgery, the skin above the eye<br />
is reshaped <strong>and</strong> excess skin is removed, reducing the<br />
appearance of a “double eyelid” or hanging eyelid skin.<br />
Brow Lift<br />
As dermal collagen depletes <strong>and</strong> the skin’s elasticity<br />
weakens, fine lines, deeper furrows <strong>and</strong> slackened<br />
skin can give the brow a heavy, aged look. Indeed,<br />
the forehead is one of the first areas to exhibit signs<br />
of ageing, <strong>and</strong> brow-lifting surgery can be effective<br />
in raising, tightening <strong>and</strong> returning youthfulness to<br />
the area.<br />
There are several options in brow lift surgery.<br />
Endoscopic surgery signifies the least invasive<br />
approach; it uses a scope to lift <strong>and</strong> tighten the<br />
forehead tissue via several small incisions just behind<br />
the hairline. Alternatively, a longer incision, along or<br />
behind the hairline, affords greater surgical access<br />
<strong>and</strong> can help lower the hairline to better improve facial<br />
balance <strong>and</strong> harmony.<br />
Fillers<br />
Restoring lost volume around the eyes can reduce the<br />
appearance of bags <strong>and</strong> hollowness. In certain cases, fillers<br />
can be effective in refreshing the eye area <strong>and</strong> granting a<br />
more alert appearance. Fillers under the eye can help<br />
counter the appearance of dark circles, <strong>and</strong> a small amount<br />
of filler in the upper eyelid can effectively reduce hollowness.<br />
Filler under the eye can be partnered with filler in the upper<br />
cheek for a more holistic rejuvenation.<br />
Anti-wrinkle injections<br />
Fine lines <strong>and</strong> crow’s feet can detract from an<br />
otherwise youthful appearance, <strong>and</strong> the use of<br />
anti-wrinkle injections around the eye area can act<br />
as both an anti-ageing <strong>and</strong> preventative measure.<br />
These injectables work by temporarily paralysing<br />
the underlying muscles to reduce the appearance<br />
of dynamic wrinkles – or wrinkles that occur due<br />
to facial expression. Anti-wrinkle injections can be<br />
placed under <strong>and</strong> around the eye to help combat fine<br />
lines, crow’s feet <strong>and</strong> deeper furrows.<br />
<strong>Cosmetic</strong> Tattooing<br />
<strong>Cosmetic</strong> eyebrow <strong>and</strong> eyeliner tattooing can help revitalise<br />
the eye area for striking, permanent <strong>and</strong> youthful-looking<br />
results. Eyebrow tattooing can encompass the whole<br />
brow, or simply thicken the ends of tapering brows. Solid<br />
colour, subtle shading <strong>and</strong> feathered patterns can be used<br />
to achieve the best results, depending on the patient.<br />
Eyeliner tattoos can be applied on the upper <strong>and</strong> lower lash<br />
line, <strong>and</strong> blue or green ink is often applied above the black<br />
to emphasise natural eye colour for the most aesthetically<br />
pleasing results.<br />
www.cosbeauty.com.au 59
SKINCARE<br />
AND MAKEUP<br />
SKINCARE<br />
INGREDIENTS FOR<br />
AGE-DEFYING EYES<br />
The delicate skin around our eyes can sometimes call for<br />
a gentler, more particular, touch in keeping the signs of<br />
ageing at bay. Here are the top fi ve ingredients to return<br />
youthfulness <strong>and</strong> hydration to the eye area, for an antiageing<br />
<strong>and</strong> protective effect.<br />
Retinol<br />
Unrivalled in the skincare arena in terms of anti-ageing<br />
results, retinol is a derivative of Vitamin A <strong>and</strong> an essential<br />
ingredient in any active skincare regime. It helps reduce the<br />
appearance of fi ne lines, wrinkles, sun spots, crepiness <strong>and</strong><br />
sagging skin.<br />
It works by increasing cellular turnover <strong>and</strong> boosting the<br />
production of collagen in the skin. Because of its potency,<br />
some irritation can occur during the fi rst couple of weeks of<br />
use but, as the skin adjusts, noticeable anti-ageing results<br />
will begin to emerge.<br />
Hyaluronic acid <strong>and</strong> ceramides<br />
Hydration is key in returning that dewy, youthful look to the<br />
eye area. Hyaluronic acid (HA) occurs naturally in the body<br />
<strong>and</strong>, when added to skincare, it works to attract moisture<br />
to the delicate skin around the eyes.<br />
Ceramides also help maintain hydration in the skin <strong>and</strong>,<br />
when used in skincare, can generate an effective, protective<br />
<strong>and</strong> anti-ageing hydrating effect.<br />
Neuropeptides<br />
Incurring a similar effect to retinol, but in a gentler fashion,<br />
neuropeptides help stimulate collagen <strong>and</strong> elastin in the<br />
skin. They help increase skin resilience, <strong>and</strong> tone <strong>and</strong><br />
tighten the skin’s surface.<br />
A peptide-packed eye cream will help improve the<br />
eye contour <strong>and</strong> reduce the appearance of fi ne lines<br />
<strong>and</strong> wrinkles.<br />
Vitamins C <strong>and</strong> E<br />
Designed to sooth, protect <strong>and</strong> nourish, Vitamin C <strong>and</strong><br />
Vitamin E are age-defying eye cream ingredients. They<br />
help improve skin elasticity while protecting against further<br />
environmental damage. Their fresh, soothing feel will leave<br />
your eye area revitalised <strong>and</strong> radiant.<br />
Glamorous eye makeup<br />
Nothing says glamour more so than classic winged<br />
eyeliner. The timeless beauty look is best achieved<br />
using liquid or gel eyeliner on the upper lid. Pull your<br />
lid taught, start from the inner corners of the eyes <strong>and</strong><br />
draw outward, following the natural eye contour. The<br />
fl icked ‘wing’ is best achieved in a single motion, by<br />
directing the brush towards the upper ear.<br />
It’s important to layer eye shadows – starting with<br />
a paler shade <strong>and</strong> gradually building in intensity. The<br />
colour should be strongest in the outer corners, <strong>and</strong><br />
along the crease line. Use a light bright shadow in<br />
the inner corner of the eye to add dimension <strong>and</strong><br />
make the eyes appear larger. Thicken the wing by<br />
taking shadowing underneath the bottom lash. Heavy<br />
mascara is essential in completing the glamorised look.<br />
But be sure to curl your eyelashes before applying to<br />
elevate the whole appearance of the eyes.<br />
1. YSL Mascara Volume Effet Faux Cils Baby Doll, RRP<br />
$52 2. Max Factor Smoky Eye Effect Eyeshadow in<br />
Bronze Haze, RRP $21.95 3. Dior Diorshow Art Pen in<br />
Catwalk Black, RRP $59 4. Sisley Phyto-Ombre Glow<br />
in Silver <strong>and</strong> Gold, RRP $55 5. Synergie Magnifeye<br />
Eye, RRP $24 6. Sisley Phyto-Sourcils Perfect in<br />
Cappuccino, RRP $62<br />
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feature<br />
6.<br />
7.<br />
1. 2. 3. 4. 5.<br />
Anti-ageing eye makeup<br />
There are a number of surefi re ways to achieve younger<br />
looking eyes using makeup. Lid primer can smooth the<br />
surface of the eyelid <strong>and</strong> assist in the adherence of eye<br />
shadow. This prevents the shadow from accumulating in<br />
skin folds, creating a smoother, more youthful-looking<br />
base. The shade of shadow is key in restoring youthfulness<br />
to the eye area. Opt for a neutral colour – nude, bone or<br />
peach – that’s a couple of shades lighter than your skin<br />
tone. This makes eyes appear more awake, <strong>and</strong> helps the<br />
whites of the eyes st<strong>and</strong> out.<br />
Add some shimmer (not sparkle) to illuminate the eye<br />
area. A dot of light shimmer shadow in the inner corners of<br />
the eyes will create an alert, revitalised look. Eyes should<br />
not be burdened with heavy liner. Make sure to keep the<br />
line as thin as possible when using liner on the upper lid,<br />
<strong>and</strong> any liner on the lower lid should be two shades lighter<br />
than the one used on top. Finally, use a lash lengthening<br />
mascara – with an eyelash curler – to return a youthful<br />
fullness to the lashes <strong>and</strong> complete the anti-ageing effect.<br />
1. Covergirl Flamed Out Shadow Pencils in Ginger<br />
Flame, RRP $9.95 2. Shiseido Sheer Eye Zone Corrector,<br />
RRP $42 3. Lancôme Hypnose Precious Cells Mascara,<br />
RRP $52 4. L’Oréal Paris Colour Riche Le Kajal, RRP<br />
$19.95 5. L’Oréal Paris SuperLiner Brow Artist Shaper,<br />
RRP $22.95 6. Estée Lauder Pure Color Instant Intense<br />
Eyeshadow Trio in Beach Metals, RRP $58 7. Shu Uemura<br />
Pressed Eye Shadow Refi ll in Soft Purple, RRP $22<br />
8. Covergirl 4-Kit Eye Enhancers in Urban Basics, RRP<br />
$13.95 9. Make Up Store Microshadow in Saga, RRP<br />
$35 10. Dior Backstage Eye Prime, RRP $45<br />
8.<br />
9.<br />
6.<br />
10.<br />
3.<br />
2.<br />
4.<br />
5.<br />
1.<br />
www.cosbeauty.com.au 61
feature<br />
cosmetic<br />
procedures<br />
62 www.cosbeauty.com.au
feature<br />
your best<br />
ever<br />
lips exude sensuality <strong>and</strong> personality. read our guide to the latest<br />
treatments, lip products <strong>and</strong> makeup to perfect your pout.<br />
caitlin bishop reports.<br />
Dermal filler<br />
Dermal filler injections are the most popular method for<br />
lip augmentation. The filler commonly contains hyaluronic<br />
acid (HA), which is a natural substance found in the<br />
body. Hyaluronic acid attracts hydration <strong>and</strong> helps boost<br />
volume in the treated area. Fillers specifically formulated<br />
for lip augmentation can improve the appearance of lips by<br />
adding shape, structure <strong>and</strong> volume.<br />
<strong>Cosmetic</strong> tattooing<br />
Lip tattooing can be ideal for women lacking a definite<br />
lip shape, who are hoping to add definition <strong>and</strong> improve<br />
lip colour. One treatment is typically sufficient to achieve<br />
the best results <strong>and</strong>, though the colour will appear<br />
intensely bright immediately after treatment, this will fade<br />
to a permanent, more natural-looking shade in the weeks<br />
following the procedure.<br />
Thread lifting<br />
A non-surgical method to augment the lips for a longer<br />
lasting result, thread lifting uses specialised suture material<br />
– or ‘threads’ – to outline, lift <strong>and</strong> plump the lips. When<br />
the threads are passed through the lip line, they cause mild<br />
trauma in the underlying tissue. This stimulates the body’s<br />
natural healing response <strong>and</strong> triggers the formation of<br />
collagen production in the underlying tissue. The threads<br />
usually dissolve within two years following treatment, <strong>and</strong><br />
the underlying tissue rejuvenation means the results will<br />
continue to improve over this time.<br />
<strong>Cosmetic</strong> Dentistry<br />
A beautiful smile can fuel the face with youthfulness,<br />
confidence <strong>and</strong> vitality. <strong>Cosmetic</strong> dentistry optimises the<br />
relationship between the lips, teeth <strong>and</strong> gums for a naturallooking<br />
smile transformation. Dental veneers in particular<br />
can create a ‘lip lift’ effect by building your lip profile out,<br />
<strong>and</strong> teeth whitening is a surefire way to bring youth <strong>and</strong><br />
vitality to the mouth <strong>and</strong> overall face.<br />
Treating marionette lines<br />
Marionette lines are the furrows that run straight down<br />
from the corners of the mouth to the chin. They contribute<br />
to the appearance of ageing, <strong>and</strong> can make the face look<br />
tired, sad or heavy.<br />
Dermal fillers can help restore lost volume <strong>and</strong> fill these<br />
wrinkles to immediately counter the appearance of ageing.<br />
Typically, the results last up to a year, but some dermal<br />
fillers aid in internal skin rejuvenation for an extended antiageing<br />
result.<br />
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LIP CARE<br />
AND MAKEUP<br />
LIP MAKEUP<br />
Ageing can often detract from the full,<br />
plump pout of youthfulness. With time, due<br />
to sun exposure, ageing <strong>and</strong> environmental<br />
stressors, the lips can lose their volume, shape <strong>and</strong><br />
defi nition. Luckily, however, there are certain makeup<br />
tips that can be used to trick the eye <strong>and</strong> enhance the lips.<br />
1.<br />
2.<br />
3.<br />
4.<br />
Ace of base<br />
Preparation is key in cosmetic lip enhancement. Exfoliating<br />
the lips using Vaseline can help shed fl aky skin <strong>and</strong> brighten<br />
<strong>and</strong> soften lips. Following exfoliation, lip plumper <strong>and</strong> lip<br />
primer should be applied to nourish the lips <strong>and</strong> provide<br />
an even base for colour. Lip plumpers usually contain<br />
ingredients such as capsicum pepper <strong>and</strong> cinnamon, to<br />
stimulate <strong>and</strong> swell the lips. Similarly, lip primer will add<br />
hydration <strong>and</strong> smooth the lip base. This assists in the even<br />
application of lip colour <strong>and</strong> prevents feathering around the<br />
lip line.<br />
Extending <strong>and</strong> defi ning the lip line is best achieve using<br />
lip liner pencils. When choosing a natural, nude look, the<br />
lip liner should be the same shade as your foundation.<br />
Alternatively, when opting for a strong statement colour, like<br />
a classic red or deep berry, use a liner that will deepen or<br />
brighten the lipstick shade.<br />
To achieve the best lip liner look, apply two dots of liner<br />
upon the two highest parts of the cupid’s bow, at the centre<br />
of the top lip. Follow this with a horizontal dash along the<br />
bottom lip, as close to the lip’s edge as possible. Then,<br />
connect the dots by applying liner around the remainder<br />
of the lip’s outline. Finally, fi ll in the lips with lip liner colour,<br />
this will provide a strong base for lipstick application <strong>and</strong><br />
prevent colour fading.<br />
Colour me happy<br />
Lipstick can be the perfect accessory in softening makeup<br />
or making a statement. The shade of lipstick should match<br />
your skin type. For red lipstick, cool reds <strong>and</strong> berry shades<br />
look best on fair skin tones, brownish reds are most striking<br />
on medium skin tones, orange-based reds can be a<br />
st<strong>and</strong>out on olive skin <strong>and</strong> darker skin can h<strong>and</strong>le deeper,<br />
more intense shades of red. For a modern-day twist on the<br />
classic red lip, coral colours <strong>and</strong> plum shades add a fresh,<br />
striking effect.<br />
Lip-gloss is the fi nal touch in achieving plump, full <strong>and</strong><br />
pouting lips. By applying gloss to the centre of the lips, <strong>and</strong><br />
brushing outwards from there, the lips will appear fuller <strong>and</strong><br />
the cupid’s bow more pronounced. A highlighting effect<br />
can be achieved with sheer silver, gold or iridescent lipgloss,<br />
perfect over a neutral lip shade or for extra sparkle<br />
at an evening event.<br />
Daytime lips<br />
1. Estée Lauder Pure Color Envy Sculpting Lipstick in<br />
Insatiable Ivory, RRP $50 2. MaxFactor ColourElixir Giant<br />
Pen Stick in Culture Blush, RRP $9.95 3. Covergirl<br />
Outlast All-Day Lipcolor in Forever Fawn, RRP $20.95<br />
4. Asap Hydrating Lip Balm+, RRP $20 5. Synergie<br />
Poutpot Lipliner in Nude, RRP $24 6. Laura Mercier<br />
Naked Lip Pencil, RRP $30<br />
1.<br />
2.<br />
Party time lips<br />
3.<br />
1. Synergie Poutpot Lipliner in Flame, RRP $24 2.<br />
L’Oreal Colour Riche Moisture Matte Lipstick in Bloody<br />
Mary, RRP $21.95 3. You By Sia Iced Gloss – Mineral<br />
Lipgloss in Tango, RRP $24 4. Dior Addict Fluid Stick<br />
in Aventure, RRP $50 5. Make Up Store Lip Plump<br />
X-Treme, RRP $48<br />
4.<br />
6.<br />
5.<br />
5.<br />
64 www.cosbeauty.com.au
feature<br />
Lip<br />
fashion<br />
1940s<br />
1920s<br />
1930s<br />
We look at changes in lip fashion<br />
over the past century <strong>and</strong> what’s<br />
hot in 2014. Tara Casey reports.<br />
Fashions change over time, <strong>and</strong> every decade since<br />
the beginning of the century has had its own look,<br />
defined by clothes, hair, makeup, lips... Lips? It’s not<br />
that crazy when you give it some thought.<br />
There have been numerous studies on the influence of<br />
lips on our culture, their social psychology, sexuality <strong>and</strong><br />
position as a fashion accessory. We take a look at the way<br />
lip fashions have evolved <strong>and</strong> the directions they have taken<br />
in the new millennium.<br />
In the 1920s ‘rosebud lips’ of deep red were fashionable<br />
<strong>and</strong> popularised by pin-ups such as Gloria Swanson. In the<br />
1930s the natural lines of the lips were accentuated with<br />
the upper lip being wider than the lower. Joan Crawford,<br />
renowned for her wide mouth, sported this arrogant look –<br />
<strong>and</strong> by all accounts an attitude to match.<br />
Marlene Dietrich in the 40s also had an arrogant look,<br />
but the 40s somewhat reverted to the “cupid’s bow” upper<br />
lip of the 1920s,while keeping the broader upper lip of the<br />
30s. Judy Garl<strong>and</strong> had these lips accentuated with strong<br />
colour <strong>and</strong> Ingrid Bergman wore hers with a natural look.<br />
In the 50s Marilyn Monroe epitomised the ideal in lips<br />
(<strong>and</strong> everything else). Her strong mouth, with a shorter lower<br />
lip emphasised by natural lines,was sensually highlighted<br />
by her open-mouthed smile, exaggerated by lip gloss.<br />
Shunning the vividly coloured lips of previous eras, the<br />
freelove decade of the 1960s saw pale colours <strong>and</strong> nude<br />
shades prevailing, taken from the hippie look <strong>and</strong> worn<br />
successfully by Twiggy <strong>and</strong> Natalie Wood. This carried<br />
through into the 70s, a decade where clothes seemed<br />
more important than makeup. It was lucky for Jane Fonda<br />
that the absolutely natural fashion of the time supported her<br />
social/political views so strongly.<br />
In a complete turnaround from the hippie <strong>and</strong> vagrant<br />
look of the past 20 years, the 80s heralded shock, gloss<br />
66 www.cosbeauty.com.au
1950s<br />
feature<br />
The science behind the perfect pout<br />
Full lips have long been viewed as a symbol of beauty, youth <strong>and</strong> sensuality.<br />
Many people view lips as the focal point of the face, <strong>and</strong> their shape <strong>and</strong> volume<br />
can speak volumes about you before you’ve said a word. Indeed, a study by<br />
scientists at Manchester University in the UK concluded that a woman’s lips<br />
are the most attractive part of the female body. Other studies have found that<br />
plumper lips also serve as a biological indicator of a woman’s health <strong>and</strong> fertility.<br />
With the advent of fillers – lasting anywhere from a few months to several<br />
years – more than a decade ago, we now have the opportunity to temporarily<br />
restore what nature has taken away with age (or didn’t give us in the first place!).<br />
1990s<br />
1960s<br />
1970s<br />
1980s<br />
2000s<br />
<strong>and</strong> glam. Kim Basinger <strong>and</strong> Kim Wilde pouted in pinks <strong>and</strong><br />
violets <strong>and</strong> frosts <strong>and</strong> slicks. This trend increased up until<br />
the 90s, which is best summed up by the words ‘Extremely<br />
Big Lips’. With lip augmentation growing in popularity it<br />
didn’t matter what colour was being worn – lips were full on<br />
the top <strong>and</strong> full with a slightly slack-jawed expression (think<br />
Pamela Anderson <strong>and</strong> Elizabeth Hurley).<br />
Fast-forward to 2014 <strong>and</strong> the lip fashion of the times<br />
has evolved from the over-full ‘trout pout’ to more naturallooking<br />
volume. People nowadays don’t want their lips to<br />
be the focus of attention. They want something that blends<br />
<strong>and</strong> harmonises with the rest of their features, subtly<br />
accentuating their mouth without screaming ‘overdone’.<br />
In this way, lip augmentation has become a very<br />
customisable procedure; it’s all about working with<br />
each patient’s unique features to create a look designed<br />
especially for them. Most people don’t necessarily want a<br />
radically different lip size <strong>and</strong> shape, but are more interested<br />
in replacing volume <strong>and</strong> definition lost through the ageing<br />
process. csbm<br />
www.cosbeauty.com.au 67
face<br />
Informed<br />
<strong>Beauty</strong><br />
68 www.cosbeauty.com.au
face<br />
Informed<strong>Beauty</strong>.com.au is an online platform designed<br />
to educate <strong>and</strong> empower patients seeking anti-wrinkle injections.<br />
Caitlin Bishop reports.<br />
Injectables signify the most popular non-surgical cosmetic<br />
procedure in Australia. Dermal fillers <strong>and</strong> anti-wrinkle<br />
injections have become so ingrained in our beauty<br />
regimes that they are used routinely as an anti-ageing<br />
measure for both men <strong>and</strong> women alike.<br />
While the rise of non-surgical cosmetic procedures<br />
provides patients with more options in facial rejuvenation,<br />
this rise in popularity comes with a danger that consumers<br />
will adopt a carefree attitude in undertaking treatment.<br />
Knowledge is power for a<br />
patient, as it assists them in<br />
making educated choices when<br />
seeking cosmetic treatment<br />
Informed<strong>Beauty</strong>.com.au is an online platform designed<br />
to educate patients considering wrinkle treatment <strong>and</strong><br />
raise awareness around one essential fact – cosmetic<br />
injectables should not be taken lightly.<br />
‘Patients need to have a good grasp of both the benefits<br />
<strong>and</strong> the risks of injectables so they can make an informed<br />
decision about undertaking treatment,’ Queensl<strong>and</strong> plastic<br />
surgeon Dr Terrence Scamp explains. ‘Patients need to<br />
underst<strong>and</strong> the time of onset <strong>and</strong> duration of the effects of<br />
treatment, <strong>and</strong> websites such as Informed<strong>Beauty</strong>.com.au<br />
are an important resource.’<br />
How Informed <strong>Beauty</strong> began<br />
The site was launched in March this year after a survey,<br />
entitled The Informed <strong>Beauty</strong> Report, found the majority<br />
of Australian women using anti-wrinkle injections are<br />
inadequately informed.<br />
Allergan was the driving force behind the study, which<br />
surveyed 7,716 women, aged 18 years <strong>and</strong> over, to gauge<br />
their underst<strong>and</strong>ing of cosmetic injectables.<br />
According to the research, more than 85 percent of<br />
anti-wrinkle injection users claimed they were careful in<br />
receiving treatment yet 71 percent of this sample did not<br />
know which product they were being treated with, <strong>and</strong> 47<br />
percent did not realise there were different kinds of antiwrinkle<br />
injections on the market.<br />
‘The Informed <strong>Beauty</strong> site is important for the<br />
patient, as it allows them to better underst<strong>and</strong><br />
anti-wrinkle injections, the way they work<br />
<strong>and</strong> the options that are available,’ Sydney cosmetic<br />
surgeon Dr Joseph Ajaka explains.<br />
‘Accurate information on the br<strong>and</strong>s available,<br />
common treatment areas <strong>and</strong> any risks or possible side<br />
effects involved are invaluable for all patients seeking<br />
cosmetic injections.’<br />
The questions<br />
you should be asking<br />
Which br<strong>and</strong> of injectable do you use <strong>and</strong> why?<br />
Has this anti-wrinkle treatment been extensively<br />
tested <strong>and</strong> researched?<br />
How quickly will I see the effects of this injection <strong>and</strong><br />
how long will the results last?<br />
Are side effects different between br<strong>and</strong>s?<br />
How satisfied are your patients with the results?<br />
Patient education<br />
With a goal to set ‘the facts straight on wrinkles’,<br />
Informed<strong>Beauty</strong>.com.au has fact sheets on wrinkles<br />
<strong>and</strong> ageing, a timeline of anti-ageing tips for every age<br />
group, <strong>and</strong> expert advice from trained cosmetic <strong>and</strong><br />
plastic surgeons.<br />
The Informed <strong>Beauty</strong> Report found that 78 percent of<br />
anti-wrinkle injection users claim they were well-versed in<br />
cosmetic injectables before their first treatment. While this<br />
sounds like a promising result, there were some significant<br />
gaps in their preparatory undertaking.<br />
For example, 42 percent of these patients did not ask<br />
about the name of treatment they were receiving, 28 percent<br />
did not ask about the treatments used by the cosmetic<br />
practitioner, <strong>and</strong> 27 percent did not ask if the treatment is<br />
approved for use in their areas of concern.<br />
www.cosbeauty.com.au 69
face<br />
Key findings of<br />
The Informed <strong>Beauty</strong> Report<br />
• 83% of women surveyed were satisfied with how<br />
they look<br />
• 74% agreed they enjoyed their beauty routine,<br />
including anti-wrinkle injections<br />
• 47% of anti-wrinkle injection users did not realise<br />
there were different kinds of anti-wrinkle injections<br />
• 86% of anti-wrinkle injection users claimed that<br />
they are very careful about what is injected into<br />
their face<br />
• 71% didn’t know the name or br<strong>and</strong> of their last<br />
anti-wrinkle injection treatment<br />
• On average, Australian anti-wrinkle injection<br />
users receive treatment 1.7 times a year.<br />
According to Dr Ajaka, patients should be doing their<br />
research before approaching a practitioner, <strong>and</strong> the initial<br />
consultation should provide further education on a range<br />
of issues.<br />
‘It’s encouraging feedback that women are doing their<br />
research ahead of their treatments, but they shouldn’t<br />
stop once the appointment is booked,’ Dr Ajaka advises.<br />
‘Patients can always ask me questions during their<br />
consultation <strong>and</strong> I encourage them to do so. I discuss the<br />
time it takes for anti-wrinkle injections to become effective;<br />
post-treatment care <strong>and</strong> precautions; potential risks such<br />
as bruising <strong>and</strong> droopy eyes; <strong>and</strong> rare side effects such as<br />
flu-like symptoms, double vision or headaches.’<br />
The use of injectables<br />
BEFORE<br />
2<br />
The use of anti-wrinkle injections <strong>and</strong> dermal fillers can<br />
be tailored to different patients. Various approaches can<br />
be used to achieve different results in facial rejuvenation,<br />
depending on the patient’s concerns, desires <strong>and</strong><br />
3<br />
expectations. Dr Scamp stresses an individualised<br />
approach is essential to achieve natural-looking results in<br />
non-surgical facial rejuvenation.<br />
‘I explain the ageing process to patients <strong>and</strong> the way<br />
it manifests itself in ageing skin, expression lines, volume<br />
loss <strong>and</strong> tissue sag,’ he says. ‘In younger patients, I<br />
discuss facial proportions <strong>and</strong> the shapes that make a face<br />
universally attractive. I then discuss both surgical <strong>and</strong> nonsurgical<br />
options to improve the appearance <strong>and</strong> how these<br />
4<br />
can interact. There is no one single method I use to assess<br />
a face <strong>and</strong> I try to individualise treatments to best suit the<br />
patient’s face <strong>and</strong> their desires.’<br />
According to Dr Ajaka, anti-wrinkle injections constitute<br />
a major part of his clinic’s practice. He explains there are<br />
several treatment options, suited to a variety of patients.<br />
‘We administer anti-wrinkle injections just about every<br />
day at the clinic; it’s our most common cosmetic treatment,’<br />
he says. ‘There is not a typical patient type; we treat male<br />
<strong>and</strong> female, from all backgrounds <strong>and</strong> over a vast age<br />
range. The areas we commonly treat include the forehead,<br />
frown lines (glabella) <strong>and</strong> crow’s feet around the eyes. We<br />
can also correct eyebrow height symmetry, gummy smiles<br />
<strong>and</strong> soften the “square jaw” look.’<br />
With around 33,000 anti-wrinkle injections administered<br />
in Australia each year, platforms such as Informed<strong>Beauty</strong>.<br />
com.au are an important resource in filling the gaps<br />
in consumer knowledge <strong>and</strong> ensuring injections are<br />
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‘Knowledge is power for a patient, as it assists them in<br />
making educated treatment choices,’ Dr Ajaka explains. ‘By<br />
being as informed as possible, it empowers the patient to<br />
make the correct decision when consenting to anti-wrinkle<br />
injections. The patient’s underst<strong>and</strong>ing also supports the<br />
treating practitioner, as it enables the injector to accurately<br />
underst<strong>and</strong>, assess <strong>and</strong> treat the patient to generate the<br />
best results,’ Dr Ajaka concludes. csbm<br />
1<br />
BEFORE<br />
BEFORE<br />
BEFORE<br />
AFTER injectable wrinkle treatment by Dr Ajaka<br />
AFTER injectable wrinkle treatment by Dr Ajaka<br />
AFTER injectable wrinkle treatment by Dr Ajaka<br />
AFTER injectable wrinkle treatment by Dr Ajaka<br />
70 www.cosbeauty.com.au
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eyes<br />
Wide-eyed rejuvenation<br />
Sydney plastic surgeon Dr Warwick Nettle says an eye lift – both<br />
alone <strong>and</strong> in coMBINATIon with other surgery – can creATe a more<br />
youthful <strong>and</strong> energised appearance. Caitlin Bishop reports.<br />
Labelled the ‘windows to the soul’ <strong>and</strong> the focal point<br />
of the face, the eyes signify an important aspect of our<br />
overall appearance. Unfortunately, they are also one<br />
of the first areas to show the signs of ageing. Tired, heavy<br />
<strong>and</strong> wrinkled skin around the eyes can greatly contribute<br />
to an aged appearance. Eyelid surgery, or blepharoplasty,<br />
can counter this <strong>and</strong> achieve a subtle but noticeable antiageing<br />
effect.<br />
Sydney plastic surgeon Dr Warwick Nettle explains<br />
rejuvenating the eye area can help return youthfulness<br />
to the ageing face as a whole. ‘Bags beneath the eyes,<br />
wrinkled drooping eyelids <strong>and</strong> sagging eyebrows can give<br />
the face a tired, angry or sad expression,’ he explains.<br />
‘Eyelid surgery can remove any excess skin or bulging fat<br />
pockets to restore a more youthful, awake appearance.’<br />
EYE OPENERS<br />
Laser <strong>and</strong> chemical peels are another option to help<br />
rejuvenate the eye area. They are commonly used to<br />
boost skin health <strong>and</strong> combat fine wrinkles, particularly<br />
around the lower lids. They can be used in conjunction<br />
with blepharoplasty to optimise long-term results.<br />
Similarly, dermal fillers <strong>and</strong> anti-wrinkle injections,<br />
combined with facial skincare <strong>and</strong> treatments, can<br />
prolong the need for surgery, or be used alongside<br />
blepharoplasty, to achieve the ideal cosmetic makeover.<br />
Men <strong>and</strong> women in their 40s <strong>and</strong> 50s are common<br />
c<strong>and</strong>idates for eyelid surgery, <strong>and</strong> Dr Nettle often combines<br />
blepharoplasty with other facial surgeries for a more<br />
universal rejuvenation.<br />
‘The most common age for blepharoplasty is during<br />
the 40s <strong>and</strong> 50s, but I still see people in their 30s <strong>and</strong> late<br />
60s who are looking to improve the eye area,’ Dr Nettle<br />
explains. ‘We can achieve a holistic anti-ageing result in<br />
partnering blepharoplasty with other procedures. I often<br />
recommend undergoing blepharoplasty at the same time<br />
as a face or brow lift.’<br />
As with any surgical procedure, a thorough consultation<br />
process is required to achieve the best results in eyelid<br />
surgery. Dr Nettle tailors his approach according to patient<br />
concerns, desires <strong>and</strong> expectations.<br />
‘Blepharoplasty calls for different surgical techniques,<br />
depending on the patient. For example, male <strong>and</strong> female<br />
patients have unique needs, <strong>and</strong> some Asian patients<br />
are looking to widen the eyes, which requires a different<br />
surgical approach to the general anti-ageing procedure,’<br />
he explains. ‘It is important to consider the patient’s skin<br />
quality, the surrounding anatomy <strong>and</strong> the way the result will<br />
complement the rest of the face.’<br />
Blepharoplasty is performed under general anaesthesia<br />
<strong>and</strong> uses small incisions to remove excess skin <strong>and</strong> fatty<br />
tissue from around the eye area. Generally, the procedure<br />
requires a day stay in surgery, <strong>and</strong> the post-operative<br />
discomfort is typically managed with paracetamol in the 24<br />
hours following the procedure.<br />
72 www.cosbeauty.com.au
eyes<br />
‘Even though eyelid surgery has a relatively fast <strong>and</strong> mild<br />
recovery time, patients should take it easy for the first week<br />
or so following surgery,’ Dr Nettle advises. ‘Most patients<br />
can return to work after seven to 10 days, <strong>and</strong> makeup can<br />
be worn shortly after the procedure.’<br />
Dr Nettle is diligent in undertaking a thorough follow-up<br />
process with his patients, as downtime will vary between<br />
cases. Importantly, scarring following blepharoplasty is<br />
generally quite inconspicuous, as the incisions are placed<br />
in the eyelid creases.<br />
‘Some patients may experience a little tightness,<br />
dryness or sensitivity to light immediately following the<br />
procedure, but this will differ between cases,’ Dr Nettle<br />
explains. ‘Because the incisions are hidden in the natural<br />
crease lines, they are the least noticeable in cosmetic facial<br />
surgery. Usually, the scars are barely visible after 10 days<br />
post-operatively <strong>and</strong> the incision lines will continue to fade<br />
over time.’<br />
In widening the eyes, <strong>and</strong> restoring the eyelid <strong>and</strong> brow<br />
area, blepharoplasty can be a viable option in countering<br />
the signs of ageing as both a st<strong>and</strong>-alone <strong>and</strong> integrated<br />
procedure. ‘The eyes are the focal point of the face <strong>and</strong><br />
greatly contribute to the overall facial appearance,’ says<br />
Dr Nettle. ‘Eyelid surgery is an effective option in refreshing<br />
the face <strong>and</strong> granting a more alert, youthful <strong>and</strong> energised<br />
appearance.’ csbm<br />
1<br />
BEFORE<br />
AFTER eyelid surgery by Dr Nettle<br />
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BEFORE<br />
AFTER eyelid surgery by Dr Nettle<br />
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AFTER eyelid surgery by Dr Nettle<br />
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eyes<br />
Eyes<br />
Wide Open<br />
Sydney plastic surgeon Dr John Flood explains his eyelid surgery<br />
approach to return youthfulness <strong>and</strong> vibrancy to the<br />
entire face. Caitlin Bishop reports.<br />
74 www.cosbeauty.com.au
eyes<br />
Eyelid surgery, or blepharoplasty, can help revitalise a<br />
tired, heavy appearance. By lifting the eyelids, <strong>and</strong><br />
excising excess fat <strong>and</strong> skin from the upper <strong>and</strong><br />
lower lid, the eyes are opened up <strong>and</strong> the face appears<br />
alert <strong>and</strong> more youthful.<br />
Sydney plastic surgeon Dr John Flood takes an<br />
individualised approach in eyelid surgery to achieve precise,<br />
effective <strong>and</strong> predictable results for each patient. ‘People<br />
seek eyelid surgery for both cosmetic <strong>and</strong> functional<br />
reasons,’ he says. ‘Some patients complain of the weight<br />
of heavy eyelids on the lash line, or have impaired vision<br />
due to excess skin hooding the eyes. <strong>Cosmetic</strong> patients<br />
are looking to reduce the appearance of tiredness, or wish<br />
to be able to apply mascara without getting ink all over their<br />
eyelids. No matter what the motivation for treatment, the<br />
benefits are always double-fold.’<br />
My patients don’t usually<br />
seek further surgery after seeing<br />
their blepharoplasty results<br />
One of the happy by-products following blepharoplasty<br />
surgery is the release of the brow area, often seen in patients<br />
seeking surgery for functional reasons. ‘Many patients<br />
don’t realise it but there is often tension in the forehead<br />
that comes from elevating the eyebrows to counter the<br />
weight of the eyelids,’ Dr Flood explains.<br />
‘The brow usually settles down around<br />
10 weeks post-operatively; the tension<br />
alleviates <strong>and</strong> the deep furrows sometimes<br />
seen in the forehead relax.’<br />
Dr Flood performs blepharoplasty as<br />
day surgery, with patients under general BEFORE<br />
anaesthetic. He was trained in the<br />
procedure by eyelid <strong>and</strong> breast surgery<br />
pioneer Dr John Tebbetts in Texas, <strong>and</strong><br />
uses a unique surgical approach to<br />
achieve greater precision <strong>and</strong> control over<br />
the final outcome.<br />
‘First of all, I measure the eye area BEFORE<br />
using ophthalmic callipers when the<br />
patient is sitting, <strong>and</strong> again when they<br />
are lying down,’ Dr Flood explains. ‘I then<br />
use a very fine cataract blade during the<br />
surgery, which helps increase precision of<br />
skin removal, <strong>and</strong> a needlepoint cautery<br />
pen which helps seal blood vessels <strong>and</strong> BEFORE<br />
control intra-operative bleeding <strong>and</strong> postoperative<br />
bruising.’<br />
Unlike many surgeons, Dr Flood does<br />
not inject local anaesthetic into the eyelid<br />
skin during blepharoplasty. He explains<br />
these injections can impede the surgical<br />
approach <strong>and</strong> affect the recovery period. BEFORE<br />
‘Even if one, two or three millilitres of fluid are injected,<br />
this immediately makes the eyelids puffy – adding to postoperative<br />
swelling,’ Dr Flood explains.<br />
In typical cases, Dr Flood recommends patients have<br />
a week off work following eyelid surgery. Side effects in<br />
the days following the procedure will typically include<br />
bruising <strong>and</strong> swelling.<br />
Blepharoplasty can be performed as a st<strong>and</strong>-alone<br />
treatment, or in conjunction with other facial rejuvenation<br />
modalities. ‘Eyelid surgery, when used with anti-wrinkle<br />
injections or structural fat grafting, can achieve a subtle but<br />
effective overall rejuvenation of the eyes <strong>and</strong> face.’<br />
Rejuvenating the eye area can have a powerful antiageing<br />
effect <strong>and</strong>, according to Dr Flood, often waylays<br />
the need for more invasive facial rejuvenation treatments.<br />
‘If a patient comes to me hoping to return youthfulness<br />
<strong>and</strong> counter a tired appearance, I often recommend eyelid<br />
surgery – if they have lovely eyes, why not show them?’<br />
he says.<br />
‘Oftentimes, I see blepharoplasty patients in their<br />
follow-up consultations <strong>and</strong>, although they might have<br />
been considering more surgery, they don’t usually feel the<br />
need for further treatment after seeing the results of their<br />
blepharoplasty,’ Dr Flood explains.<br />
‘Patients look less tired, have a wider field of vision, <strong>and</strong><br />
the furrows in their brow are often improved. This affords<br />
an anti-ageing result that revitalises the entire face,’ he<br />
concludes. csbm<br />
AFTER blepharoplasty by Dr Flood<br />
AFTER blepharoplasty by Dr Flood<br />
AFTER blepharoplasty by Dr Flood<br />
AFTER blepharoplasty by Dr Flood<br />
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nose<br />
The<br />
FAQs<br />
of<br />
rhinoplasty<br />
Sydney plastic surgeon Dr Darryl Hodgkinson answers some of the<br />
most common questions about nose reshaping surgery.<br />
Of all the cosmetic plastic surgery procedures, nose<br />
enhancement, or rhinoplasty, remains one of the<br />
most common <strong>and</strong> satisfying for patients. Just as<br />
no two noses are alike, no two rhinoplastic procedures are<br />
alike. Every operation must be customised so that the result<br />
for the patient is a nose that is not only attractive but one<br />
that fits their face <strong>and</strong> is in balance with all of their features.<br />
Rhinoplasty can take the form of nose reduction surgery<br />
to reduce the size, or plastic surgery to modify the size <strong>and</strong><br />
shape of the nostrils, tip or bridge of the nose, or to alter<br />
the slope or angle of the nose. Rhinoplasty can also be<br />
performed to repair birth defects or injuries to the nose.<br />
Because of the many factors involved in communicating<br />
with the patient, planning the operation <strong>and</strong> carrying out<br />
the procedure, the experience <strong>and</strong> expertise of the surgeon<br />
are the major determinant in the quality of the result. I<br />
have performed thous<strong>and</strong>s of rhinoplasties in my years in<br />
practice <strong>and</strong> have found that the following are some of the<br />
most common questions that patients ask.<br />
How will my new nose likely look?<br />
At the clinic we use digital imaging technology as a tool<br />
to communicate with prospective patients so that both<br />
surgeon <strong>and</strong> patient can agree not only on what is desired<br />
but also what is possible in terms of creating their ‘new<br />
look’ nose. I also encourage patients to bring in pictures of<br />
noses that they do <strong>and</strong> do not like.<br />
Clear <strong>and</strong> accurate communication between surgeon<br />
<strong>and</strong> patient using visual tools allows the patient not only<br />
to explain their expected result but also allows for a proper<br />
assessment to be carried out <strong>and</strong> realistic advice to be<br />
given by the surgeon.<br />
What is the right age to get your nose fixed?<br />
Many patients come to us in their late teenage years<br />
<strong>and</strong> early 20s asking about rhinoplasty. They have been<br />
incorrectly told when they were younger <strong>and</strong> already selfconscious<br />
about the shape of their nose that they should<br />
only consider surgery when they are much older.<br />
In fact, the nose is completely grown by 18 years of<br />
age, <strong>and</strong> the end of high school is a popular time for young<br />
people to have nose surgery, as they are then entering the<br />
workforce or moving on to university.<br />
Can a rhinoplasty improve my breathing?<br />
If a breathing problem is present, in addition to imaging,<br />
I test the breathing function of the nose <strong>and</strong> sometimes<br />
X-rays are necessary to discover the cause of nasal<br />
obstruction.<br />
If the septum of the nose is crooked, often referred to<br />
as a deviated septum, this can be corrected surgically at<br />
the same time as a cosmetic rhinoplasty to improve both<br />
breathing <strong>and</strong> appearance.<br />
Breathing can also be improved by removing or adjusting<br />
the turbinates which act as the internal humidifying<br />
mechanisms of the nose. In most cases, any difficulties<br />
with breathing can be improved at the same time as the<br />
rhinoplasty surgery.<br />
76 www.cosbeauty.com.au
nose<br />
Can a rhinoplasty fix a flat nose?<br />
Many Asian patients <strong>and</strong> some Caucasians<br />
have a ‘flat’ nose <strong>and</strong> would like the bridge of<br />
their nose to be built up to create a ‘high nose’.<br />
The desire for a more Eurasian appearance is<br />
becoming increasingly popular – it is however<br />
an aesthetic that dates back more than a<br />
century in some cultures.<br />
Other patients who complain of a flat nose<br />
are those who have had nasal fractures, often<br />
associated with contact sports like rugby. This<br />
can also create an unattractive ‘flattening’ of<br />
the nose.<br />
Elevation of the nasal bridge with silicone<br />
is an occasional option, but I prefer to use the<br />
patient’s own tissue, be it cartilage or bone,<br />
as it does not react or have a tendency to<br />
move around or extrude like silicone over time<br />
<strong>and</strong> gives an excellent result. I have published<br />
these results in international journals <strong>and</strong><br />
presented them at conferences worldwide.<br />
BEFORE<br />
After rhinoplasty by Dr Hodgkinson<br />
Do I have to stay in hospital?<br />
Rhinoplasty surgery is performed on an<br />
outpatient basis at our fully licensed <strong>and</strong><br />
accredited day surgery facility. The patient<br />
goes home the day of surgery with a family<br />
member or friend to act as their overnight<br />
support person.<br />
How long do I have to be off work<br />
or away from my studies?<br />
The normal recovery period for rhinoplasty is<br />
approximately seven to 10 days, during which<br />
time the patient wears a splint <strong>and</strong>/or has their<br />
nose taped. After this, the nose is still tender<br />
<strong>and</strong> slightly swollen but the appearance is<br />
such that patients are able to resume most<br />
activities except for contact sports within<br />
two weeks.<br />
BEFORE<br />
After rhinoplasty by Dr Hodgkinson<br />
In conclusion, in my 30+ years of<br />
performing rhinoplasty surgery, I have never<br />
seen two cases exactly alike. I have, however,<br />
noted the obvious gain in self-confidence for<br />
all age groups in both men <strong>and</strong> women.<br />
The wonderful thing about rhinoplasty,<br />
unlike age-related rejuvenation surgery, is<br />
that it is an operation that if done properly the<br />
first time never needs to be repeated. This<br />
technically dem<strong>and</strong>ing procedure provides<br />
great satisfaction for patient <strong>and</strong> surgeon<br />
alike. csbm<br />
BEFORE<br />
After rhinoplasty by Dr Hodgkinson<br />
www.cosbeauty.com.au 77
nose<br />
all about<br />
rhinoplasty<br />
Sydney ENT <strong>and</strong> facial plastic<br />
surgeon Dr Michael Zacharia<br />
says the modern approach to<br />
rhinoplasty is about achieving<br />
natural-looking results. Lauren<br />
Alex<strong>and</strong>er reports.<br />
Rhinoplasty not only improves the appearance of the<br />
nose, indeed the whole face, but it can also restore<br />
confidence to people who have been lamenting the<br />
size or shape of their nose their whole lives.<br />
‘Sometimes the most minor alterations can achieve<br />
dramatic changes to a person’s appearance,’ says Sydney<br />
ENT <strong>and</strong> facial plastic surgeon Dr Michael Zacharia. ‘My<br />
philosophy is to achieve natural-looking results – I believe<br />
the best nose reshaping is one in which the nose still looks<br />
true to the patient’s ethnic background as well as to their<br />
facial bone structure.’<br />
One of the most frequently requested surgeries,<br />
rhinoplasty can also be considered one of the most complex<br />
cosmetic procedures given the need to preserve, <strong>and</strong><br />
sometimes enhance, the anatomical function of the nose.<br />
‘Unlike many other cosmetic enhancement procedures,<br />
surgically enhancing the nose requires the surgeon to<br />
maintain a balance between conserving a stable anatomical<br />
structure <strong>and</strong> creating an aesthetically pleasing result,’<br />
Dr Zacharia explains. ‘In other words, while aesthetic<br />
concerns can be effectively addressed through surgery,<br />
they need to be done in a way that preserves or improves<br />
the functionality of the nose.’<br />
One thing most prospective rhinoplasty patients have in<br />
common is the fact that they’ve been living with something<br />
they don’t like about their nose for a long time.<br />
In Dr Zacharia’s experience, rhinoplasty patients tend to<br />
have a strong idea about what they want to change, <strong>and</strong><br />
how they’d like their rejuvenated nose to look. Marrying<br />
these expectations with what is surgically possible requires<br />
an extensive consultation period ahead of surgery.<br />
‘It is important to underst<strong>and</strong> exactly what kind of<br />
aesthetic the patient desires,’ he explains, adding that there<br />
are a couple of steps to ensure this happens.<br />
‘Firstly, both the patient <strong>and</strong> the surgeon need to be<br />
completely honest with one another about realistic options<br />
<strong>and</strong> what can be achieved. We utilise a computer imaging<br />
system to help the patient illustrate the changes they want<br />
made to their nose, which also allows the surgeon to<br />
translate these changes into what is required surgically –<br />
this is key to ensuring both patient <strong>and</strong> surgeon are on the<br />
same page.’<br />
Whether correcting a small deformity inherited from<br />
injury or remodelling the nose to better suit a patient’s facial<br />
features, surgery will sometimes take place in two stages.<br />
‘First we perform the initial operation, <strong>and</strong> then go on to<br />
“tweak” the nose, which usually involves minor non-surgical<br />
changes,’ Dr Zacharia explains.<br />
‘The result is an aesthetic that preserves function, while<br />
also paying heed to the cosmetic changes requested by<br />
the patient.’<br />
For Dr Zacharia, the key to a successful outcome for<br />
both doctor <strong>and</strong> patient is communication. ‘It’s important<br />
to have a great rapport with your chosen surgeon <strong>and</strong> to<br />
feel confident in the entire process – from consultation <strong>and</strong><br />
treatment to post-op <strong>and</strong> recovery.’ csbm<br />
78 www.cosbeauty.com.au
nose<br />
1<br />
BEFORE<br />
BEFORE<br />
AFTER rhinoplasty by Dr Zacharia<br />
AFTER rhinoplasty by Dr Zacharia<br />
2<br />
BEFORE<br />
BEFORE<br />
AFTER rhinoplasty by Dr Zacharia<br />
AFTER rhinoplasty by Dr Zacharia<br />
www.cosbeauty.com.au 79
teeth<br />
Smile design<br />
SYDNEY AESTHETIC RECONSTRUCTIVE DENTIST DR SARKIS NALBANDIAN USES<br />
A VARIETY OF TECHNIQUES TO CREATE AESTHETIC, FUNCTIONAL AND NATURAL-<br />
LOOKING RESULTS IN SMILE REJUVENATION. CAITLIN BISHOP REPORTS.<br />
Actual Patient<br />
A<br />
beautiful smile should be natural looking, symmetrical<br />
<strong>and</strong> striking. Sydney aesthetic reconstructive dentist<br />
Dr Sarkis Nalb<strong>and</strong>ian takes a minimally invasive<br />
approach in preserving, improving <strong>and</strong> maintaining a<br />
patient’s natural smile.<br />
‘Optimising the smile should be about imitating nature<br />
<strong>and</strong> working with what’s already there,’ Dr Nalb<strong>and</strong>ian<br />
explains. ‘It is essential that the smile is considered in<br />
relation to the rest of the face. The shape <strong>and</strong> shade of<br />
the teeth, as well as the arch shape, should be recreated<br />
according to the facial frame. It’s really about the face, not<br />
about the teeth – that’s true aesthetics.’<br />
While Dr Nalb<strong>and</strong>ian uses a variety of techniques to<br />
create aesthetic <strong>and</strong> functional results in smile rejuvenation,<br />
he often recommends composite porcelain <strong>and</strong> ultrathin<br />
porcelain veneers to achieve noticeable results with<br />
minimal intervention.<br />
Dr Nalb<strong>and</strong>ian performs a One Visit Smile Lift, where he<br />
uses composite <strong>and</strong> ultra-thin porcelain veneers developed<br />
by him <strong>and</strong> his technical team to rejuvenate the smile without<br />
damaging the existing teeth,’ Dr Nalb<strong>and</strong>ian explains.<br />
‘Porcelain veneers require no local anaesthetic <strong>and</strong>, most<br />
importantly, the existing enamel is always preserved.’<br />
Composite veneers can be effective in improving the<br />
appearance of worn teeth that are damaged by ageing<br />
or tooth grinding. They can also improve the appearance<br />
of a reverse smile line, <strong>and</strong> correct any asymmetry <strong>and</strong><br />
tooth discolouration.<br />
‘Bruxing, or teeth grinding, is a habit that can impact both<br />
the canine <strong>and</strong> front teeth, wearing them down <strong>and</strong> leading<br />
to asymmetry,’ Dr Nalb<strong>and</strong>ian explains. ‘While orthodontic<br />
realignment is often the ideal way to improve crowded or<br />
worn upper <strong>and</strong> lower teeth, there are many ways we can<br />
use non-invasive methods to improve a patient’s smile in<br />
just one visit.’<br />
Dr Nalb<strong>and</strong>ian makes a point of examining the mouth<br />
directly to accurately devise the most suitable treatment<br />
plan for each patient. This is a major point of difference, as<br />
other dentists often use digital design software during the<br />
diagnosis process.<br />
‘Smile design is an artform <strong>and</strong> I work within the mouth<br />
directly to diagnose <strong>and</strong> plan the best treatments for my<br />
patients,’ he says. ‘The challenge is to create a natural<br />
smile that complements the patient’s beauty <strong>and</strong> facial<br />
aesthetic. This dem<strong>and</strong>s an individualised approach, <strong>and</strong><br />
cannot be digitalised.’<br />
Even though a One Visit Smile Lift involves minimal<br />
downtime <strong>and</strong> a relatively speedy process, it requires<br />
extensive <strong>and</strong> individualised planning to ensure optimum<br />
results. During the consultation process, Dr Nalb<strong>and</strong>ian will<br />
photograph the patient from three angles – front, oblique<br />
<strong>and</strong> profi le – to establish the most important aspects of<br />
their smile, <strong>and</strong> evaluate the interplay between their lips,<br />
gums <strong>and</strong> teeth.<br />
In complex cases, Dr Nalb<strong>and</strong>ian may incorporate the<br />
use of dental implants to achieve the best result. For patients<br />
considering future orthodontic treatment, he will usually<br />
suggest composite veneers, as tooth enamel is preserved<br />
<strong>and</strong> the veneers can be removed to accommodate<br />
future realignment.<br />
‘There are numerous options in smile rejuvenation, <strong>and</strong> it’s<br />
important to work with each patient individually to establish<br />
the best treatment plan,’ says Dr Nalb<strong>and</strong>ian. ‘Whether it’s<br />
reconstructive <strong>and</strong> implants are needed, or aesthetic where<br />
veneers will suffi ce, each patient will undergo an extensive<br />
consultation process to ensure the results are naturallooking<br />
<strong>and</strong> suited to the rest of the face.’ csbm<br />
80 www.cosbeauty.com.au
teeth<br />
CASE STUDY<br />
AFTER smile rejuvenation One Visit Smile Lift treatment using composite veneers in one visit by Dr Nalb<strong>and</strong>ian<br />
The following patient had<br />
worn upper front teeth<br />
which impacted negatively<br />
on her overall appearance,<br />
speech <strong>and</strong> confidence.<br />
Initially during diagnosis, Dr<br />
Nalb<strong>and</strong>ian established the<br />
patient’s ideal tooth length<br />
<strong>and</strong> aesthetic <strong>and</strong> she was<br />
happy to proceed. Eight<br />
composite reconstructions<br />
were completed in one visit<br />
with no drilling of the tooth<br />
structure <strong>and</strong> no injections for<br />
complete smile rejuvenation.<br />
BEFORE (note the worn, reverse smile line)<br />
AFTER non-invasive treatment in one visit by Dr Nalb<strong>and</strong>ian. Note the improved smile<br />
line <strong>and</strong> teeth display.<br />
BEFORE (note the obvious reverse smile line)<br />
AFTER smile rejuvenation in one visit by Dr Nalb<strong>and</strong>ian, enhancing this<br />
patient’s whole facial aesthetic.<br />
www.cosbeauty.com.au 81
face<br />
face & neck lifting<br />
for harmonoius, natural-looking results, Sydney plastic surgeon<br />
Dr Warwick Nettle says a neck <strong>and</strong> face lift are often combined.<br />
tara casey reports.<br />
Facial rejuvenation surgery is really about having an eye<br />
for creating harmony <strong>and</strong> beauty, says Sydney plastic<br />
surgeon Dr Warwick Nettle.<br />
‘Procedures such as a facelift or neck lift can’t<br />
be approached as a routine task,’ he continues. ‘They<br />
should be modified to suit the individual patient’s needs<br />
<strong>and</strong> unique look.’<br />
‘Whereas in the past facial surgery procedures often<br />
resulted in telltale sharp angles <strong>and</strong> hollowness, there has<br />
been a paradigm shift from just stretching <strong>and</strong> tightening<br />
the skin to creating soft curves <strong>and</strong> beautiful angles as<br />
well,’ he continues. ‘By repositioning volume in the mid <strong>and</strong><br />
lower face, a more youthful roundness can be restored.’<br />
Facelift <strong>and</strong> neck lift surgery can achieve a significantly<br />
more refreshed <strong>and</strong> younger looking appearance. The<br />
procedures have evolved into safer <strong>and</strong> more effective<br />
methods to rejuvenate the face without the windswept<br />
look often seen in the past.<br />
A neck lift is designed to improve the appearance of<br />
loose skin on the neck, sometimes referred to as ‘turkey<br />
neck’, to achieve a more youthful-looking jaw line <strong>and</strong><br />
aesthetically pleasing neck <strong>and</strong> profile.<br />
‘A neck lift can also address the common problem of<br />
platysma b<strong>and</strong>s, the vertical muscle b<strong>and</strong>s in the neck<br />
that become increasingly visible throughout the ageing<br />
process,’ says Dr Nettle.<br />
Incisions for a neck lift procedure are usually made in<br />
the crease under the chin <strong>and</strong> behind the ear, explains Dr<br />
Nettle. The skin is lifted away from the underlying muscles<br />
<strong>and</strong> excess skin is removed. If necessary, any extra fat can<br />
be removed using liposuction.<br />
The platysma muscles are tightened during a neck lift<br />
procedure to correct neck b<strong>and</strong>ing <strong>and</strong> improve the neck<br />
contour. When tightened in the midline below the chin,<br />
lateral traction on the platysma then creates a ‘sling’ which<br />
elevates the soft tissues below the jaw line. The angle<br />
between the jaw <strong>and</strong> neck, <strong>and</strong> positioning of the hyoid<br />
bone <strong>and</strong> digastric muscle, are also all carefully assessed<br />
to achieve maximised results.<br />
A lower facelift in conjunction<br />
with a neck lift can achieve<br />
outst<strong>and</strong>ing results<br />
Dr Nettle says a lower facelift performed in conjunction<br />
with a neck lift can achieve outst<strong>and</strong>ing results. ‘Performing<br />
a facelift alone may be suitable for a younger patient who<br />
does not present with sagging jowls, however above the<br />
age of 45 I normally recommend having the procedures<br />
performed in t<strong>and</strong>em,’ he explains.<br />
‘The 40s <strong>and</strong> 50s are an ideal age for facial rejuvenation<br />
surgery. This is because the facial tissues still have<br />
reasonable elasticity, <strong>and</strong> the extent of the surgery may<br />
be limited. I believe facelift <strong>and</strong> neck lift surgery performed<br />
slightly earlier rather than later can produce a more naturallooking<br />
<strong>and</strong> longer lasting result,’ he concludes. csbm<br />
82 www.cosbeauty.com.au
face<br />
1<br />
BEFORE<br />
AFTER full face rejuvenation by Dr Nettle<br />
BEFORE<br />
AFTER full face rejuvenation by Dr Nettle<br />
2<br />
BEFORE<br />
AFTER neck lift by Dr Nettle<br />
3<br />
BEFORE<br />
AFTER neck lift by Dr Nettle<br />
www.cosbeauty.com.au 83
face<br />
Let<br />
there<br />
be<br />
Dr John Flynn<br />
considers laser <strong>and</strong><br />
light therapies an<br />
integral component<br />
of modern cosmetic<br />
treATment. Caitlin<br />
Bishop reports.<br />
Laser <strong>and</strong> light therapies have come to occupy a very<br />
specialised <strong>and</strong> integral position in the cosmetic arena.<br />
Laser treatments can help improve the tone, texture<br />
<strong>and</strong> tautness of the skin, while light therapy can kick-start<br />
cellular processes to rejuvenate the skin from within. This<br />
not only bridges the gap between skincare <strong>and</strong> surgery but<br />
has become a major part of improving the results of more<br />
invasive procedures.<br />
Dr John Flynn from Queensl<strong>and</strong> routinely uses laser<br />
treatment to optimise results following facelift surgery.<br />
‘About one-third of our practice is laser therapy; it interacts<br />
with almost everything we do,’ he says. ‘I consider laser<br />
resurfacing to be an integral part of the modern day facelift.<br />
It means the texture, colouring <strong>and</strong> integrity of the skin is<br />
addressed, alongside the surgical correction of skin laxity.’<br />
Different uses of laser treatment<br />
Dr Flynn offers both laser rejuvenation <strong>and</strong> resurfacing at<br />
his Gold Coast clinic. He says the two types are effective<br />
in correcting different skin conditions <strong>and</strong> can help counter<br />
the signs of premature ageing.<br />
‘Laser rejuvenation is most effective for colour correction;<br />
it can help treat redness <strong>and</strong> pigmentation, <strong>and</strong> reduce<br />
the appearance of birth marks or blood disorders on the<br />
skin,’ he says. ‘In comparison, laser resurfacing is best for<br />
84 www.cosbeauty.com.au
face<br />
improving texture, reducing wrinkles <strong>and</strong> really rebuilding<br />
<strong>and</strong> reinforcing the skin’s collagen support structures.’<br />
The laser rejuvenation treatment is relatively gentle <strong>and</strong><br />
involves very little downtime. It is suitable for those patients<br />
looking to maintain the results of more invasive procedures,<br />
or improve the appearance of broken capillaries, prominent<br />
veins, rosacea or pigmentation, <strong>and</strong> overall skin radiance.<br />
Several treatments are typically required to achieve the<br />
best results.<br />
Laser resurfacing improves<br />
skin texture, reduces wrinkles<br />
<strong>and</strong> helps rebuild collagen<br />
For those after a more hard-hitting approach, laser<br />
resurfacing is suited to patients looking to help reverse<br />
the signs of ageing <strong>and</strong> slow the future formation of lines<br />
<strong>and</strong> wrinkles. Although it involves<br />
1<br />
some downtime, laser resurfacing can<br />
achieve noticeable results in a single<br />
treatment.<br />
‘The downtime will vary between<br />
patients, <strong>and</strong> some redness will usually<br />
persist for a few weeks following<br />
treatment,’ says Dr Flynn. ‘Laser<br />
resurfacing can achieve noticeable<br />
improvement in one treatment.’<br />
LED therapy<br />
Treatment with light emitting diodes<br />
(LED) delivers light at certain<br />
wavelengths to stimulate cellular<br />
activity <strong>and</strong> collagen production in the<br />
dermis. This delivers an anti-ageing,<br />
rejuvenating effect, <strong>and</strong> Dr Flynn often<br />
recommends LED treatment before<br />
<strong>and</strong> after surgery.<br />
‘LED therapy can be used to improve<br />
skin health before <strong>and</strong> after surgery, or<br />
as a st<strong>and</strong>-alone treatment for general<br />
skin rejuvenation,’ he explains. ‘It uses<br />
different wavelengths to increase blood<br />
flow to the skin, accelerate cellular<br />
turnover <strong>and</strong> address specific concerns<br />
such as acne or pigmentation.’<br />
During treatment, certain light<br />
wavelengths are used to cause<br />
different reactions in the skin. Infrared<br />
light deeply penetrates the dermis <strong>and</strong><br />
stimulates blood flow <strong>and</strong> collagen<br />
2BEFORE<br />
BEFORE<br />
3<br />
BEFORE<br />
rebuilding in the skin’s deeper layers. Blue light, which is<br />
a shorter wavelength, doesn’t penetrate as deeply <strong>and</strong> is<br />
used for its anti-microbial effect, inhibiting the growth of<br />
acne-causing bacteria.<br />
Practically anyone seeking a non-invasive way to<br />
enhance skin health <strong>and</strong> kick-start the body’s natural<br />
processes is suitable for LED therapy. The treatment is<br />
non-invasive <strong>and</strong> involves no downtime. Notably, patients<br />
at Dr Flynn’s clinic can take home an LED light mask to<br />
receive the benefits of light therapy in their own homes.<br />
‘It’s an innovative concept that delivers all the benefits<br />
of LED therapy in a take-home mask,’ Dr Flynn says. ‘Light<br />
therapy can achieve extraordinary results by using the<br />
right dose of light at the right wavelengths. LED therapy<br />
harnesses those wavelengths that trigger cellular activity<br />
<strong>and</strong> benefit skin health, rejuvenating the complexion from<br />
within.’ csbm<br />
For more information, visit www.lasermedic.com.au<br />
AFTER laser wrinkle reduction by Dr Flynn<br />
AFTER laser eyelid lift by Dr Flynn<br />
AFTER laser tattoo removal by Dr Flynn<br />
www.cosbeauty.com.au 85
face<br />
Rebuild from within<br />
THE THERMAGE SKIN TIGHTENING SYSTEM RESTORES YOUTHFULNESS TO THE<br />
COMPLEXION USING RADIOFREQUENCY TECHNOLOGY. CAITLIN BISHOP REPORTS.<br />
During ageing, the elastin <strong>and</strong> collagen in the skin<br />
breaks down faster than the body can rebuild it. This<br />
causes wrinkles, skin laxity <strong>and</strong> pockets of loose,<br />
sagging skin. While surgical options for facial rejuvenation<br />
can tighten <strong>and</strong> lift the skin, non-surgical alternatives can<br />
stimulate the production of new connective tissue in the<br />
dermis <strong>and</strong> rebuild <strong>and</strong> reinforce the skin from within.<br />
More than a decade ago, Thermage pioneered the noninvasive<br />
treatment of wrinkles using radiofrequency energy.<br />
The system was designed to add defi nition to the facial<br />
contours, smooth the skin’s surface <strong>and</strong>, quite literally,<br />
regenerate the skin from within.<br />
Amy Lin, owner of Pally <strong>Beauty</strong> Laser Clinics in<br />
Sydney, believes Thermage radiofrequency (RF) skintightening<br />
can create a fi rmer, fresher <strong>and</strong> more youthfullooking<br />
appearance. ‘At Pally <strong>Beauty</strong>, we are committed<br />
to providing high quality treatments, using gold st<strong>and</strong>ard<br />
equipment,’ she says. ‘In my experience, Thermage is a<br />
relatively simple treatment with outst<strong>and</strong>ing results. It<br />
generally involves minimal discomfort <strong>and</strong> downtime, so<br />
patients can continue their daily routine without interruption.’<br />
Thermage uses RF technology to heat the skin <strong>and</strong><br />
stimulate the renewal of collagen in the skin’s deeper layers.<br />
Importantly, the heat energy is focused at a precise depth<br />
within the skin <strong>and</strong> cooling technology is used to protect<br />
the upper epidermal layers.<br />
Some tightening will be evident immediately following<br />
treatment, <strong>and</strong> an improved tone <strong>and</strong> texture is often<br />
noticeable in the days following the procedure. The real<br />
benefi t, however, is in the improvements that continue to<br />
emerge for around four to six months following treatment<br />
with Thermage.<br />
86 www.cosbeauty.com.au
face<br />
This continued improvement is due to a process called<br />
collagenogenesis, which is the production of new collagen<br />
fi bres in the skin. Over time, the appearance of sagging<br />
skin is improved <strong>and</strong> the contours of the jaw line become<br />
better refi ned. The production of new connective fi bres<br />
noticeably softens the lines <strong>and</strong> wrinkles around the mouth,<br />
eyes <strong>and</strong> forehead, causing the skin to appear plumped<br />
<strong>and</strong> refreshed.<br />
‘Thermage treatment can make a patient look <strong>and</strong><br />
feel years younger,’ Lin explains. ‘The results<br />
continue to improve after treatment, so<br />
patients can see increased rejuvenation for up<br />
to six months post-procedure.’<br />
During treatment, patients can experience<br />
some mild discomfort due to the thermal<br />
response in the skin but this is usually managed<br />
with cooling gel. However, the newest<br />
evolution of Thermage includes a patented<br />
Comfort Pulse Technology, which uses gentle<br />
vibrations <strong>and</strong> interspersed cooling to increase<br />
the comfort of Thermage treatment.<br />
Treatment itself usually takes between 45<br />
<strong>and</strong> 90 minutes <strong>and</strong>, in most cases, only one<br />
session is required to achieve the best result.<br />
Following a Thermage procedure, there is<br />
typically no redness or swelling.<br />
‘Thermage is most commonly used for the<br />
BEFORE<br />
neck <strong>and</strong> face, however it can also achieve<br />
effective results in rejuvenating the décolletage,<br />
which is usually very diffi cult to treat,’ Lin<br />
explains. ‘We also have patients who undergo<br />
Thermage treatment to tighten the upper arms,<br />
abdomen, buttocks, thighs <strong>and</strong> the backs of<br />
the h<strong>and</strong>s.’<br />
option in combating facial ageing for both an immediate<br />
<strong>and</strong> long-term result. As Pally <strong>Beauty</strong> prepares to open a<br />
new Laser Clinic in Sydney’s CBD this month, Thermage will<br />
be a valuable addition to the new anti-ageing destination.<br />
‘In my experience, Thermage affords effective results in<br />
a simple, gentle <strong>and</strong> non-invasive procedure,’ Lin says. ‘It<br />
can be used as a st<strong>and</strong>-alone rejuvenation treatment, or in<br />
conjunction with other therapies for a holistic, convenient<br />
<strong>and</strong> noticeable anti-ageing result.’ csbm<br />
AFTER Thermage treatment for facial rejuvenation.<br />
Photos courtesy of Solta Medical.<br />
For the right patient,<br />
Thermage offers effective<br />
skin tightening results in<br />
a simple, gentle <strong>and</strong><br />
non-invasive procedure<br />
BEFORE<br />
AFTER Thermage treatment for skin tightening. Photos<br />
courtesy of Solta Medical.<br />
Notably, Thermage can be used in<br />
conjunction with other collagen induction<br />
therapies or laser treatments for a more<br />
universal rejuvenation. When incorporated into<br />
a beauty regime, a single Thermage treatment,<br />
performed annually, can help turn back the<br />
clock <strong>and</strong> keep the signs of ageing at bay.<br />
By kick-starting the body’s natural<br />
rejuvenation processes <strong>and</strong> triggering collagen<br />
production in the skin, Thermage is a viable<br />
BEFORE<br />
AFTER Thermage treatment for skin tightening. Photos<br />
courtesy of Solta Medical.<br />
www.cosbeauty.com.au 87
face<br />
&<br />
Tried<br />
Tested<br />
Dysport has been used by<br />
thous<strong>and</strong>s of women to combat<br />
one of the most lamented signs<br />
of ageing: wrinkles. Caitlin<br />
Bishop reports.<br />
The rise in popularity, across both genders, of nonsurgical<br />
anti-ageing procedures is undeniable.<br />
While the emergence of new technologies is<br />
keeping up with, <strong>and</strong> somewhat fuelling this rise, there is<br />
something to be said for the ‘tried-<strong>and</strong>-tested’ reputation<br />
of established products <strong>and</strong> treatments.<br />
First introduced to Australia in the 1990s, wrinkle<br />
relaxants have a long history as a staple of the modern<br />
woman’s – <strong>and</strong> man’s – beauty regime. One form of<br />
botulinum toxin, Dysport (distributed by Galderma), has<br />
been used by hundreds of thous<strong>and</strong>s of people to solve<br />
one of the most lamented hallmarks of ageing: wrinkles.<br />
88 www.cosbeauty.com.au
face<br />
Dysport has been available in New Zeal<strong>and</strong> since<br />
1992 <strong>and</strong> in Australia since 2000 <strong>and</strong> is indicated for the<br />
cosmetic treatment of frown lines.<br />
The thing about wrinkles<br />
Frowning, talking <strong>and</strong> squinting contract muscles all over<br />
the face, particularly the muscles above <strong>and</strong> between the<br />
eyebrows. This consistent contraction breaks the collagen<br />
fibres between these muscles, leading to deep frown lines<br />
above the nose. Because these are dynamic wrinkles – or<br />
lines caused by facial movement – they can appear on<br />
younger individuals <strong>and</strong> are not necessarily associated<br />
with ageing.<br />
‘Dysport can be used for both men <strong>and</strong> women, young<br />
<strong>and</strong> older,’ says Sydney dermatologist Dr Robert Rosen.<br />
‘The typical patient is interested in regaining a younger<br />
looking appearance with natural-looking results. Patients<br />
today don’t want an immobile face. Successful Dysport<br />
treatment should grant a natural-looking result. It will have<br />
the patient’s friend, partner or patents commenting on how<br />
good they appear, maybe asking if they’re using a new<br />
moisturiser or have had a recent holiday.’<br />
How does Dysport work?<br />
Dysport is injected into the treatment area to block the<br />
signal from the nerves to the muscles. This temporarily<br />
reduces muscle activity, preventing the contractions that<br />
cause wrinkles on the face. However, only the muscles<br />
involved in the wrinkle are affected, meaning the rest of the<br />
face will retain its expression as usual.<br />
‘For the practitioner, it’s a matter of anatomy. If you<br />
know where the muscles are, where they start <strong>and</strong> where<br />
they finish, you can achieve the removal of angry lines <strong>and</strong><br />
still leave the face able to move,’ says Dr<br />
Rosen. ‘Results are usually very satisfying,<br />
<strong>and</strong> are generally evident within a couple<br />
of days.’<br />
small. I also provide ice to help with numbing <strong>and</strong> prevent<br />
bruising,’ he adds.<br />
Results typically last between three <strong>and</strong> six months,<br />
<strong>and</strong> there should be at least a 90-day period between<br />
Dysport treatments.<br />
While Dysport is effective in combating wrinkles as a<br />
st<strong>and</strong>-alone treatment, it can be used in conjunction with<br />
other treatment modalities to achieve an improved result in<br />
general facial rejuvenation. It can work well in conjunction<br />
with dermal fillers, to treat deeper lines, folds <strong>and</strong> volume<br />
loss, or with laser skin rejuvenation to boost skin health.<br />
According to Dr Rosen, a holistic approach, with<br />
combined modalities, can achieve a universal <strong>and</strong><br />
preventative anti-ageing effect. ‘I often use Dysport in<br />
conjunction with other treatments, <strong>and</strong> discuss these<br />
options with my patients during consultation,’ he explains.<br />
‘However, my approach always depends on each<br />
individual patient. Sometimes it is better to improve a<br />
patient’s appearance gradually, rather than use multiple<br />
treatments all at once. This way, it becomes a case of<br />
preventative maintenance.’<br />
While the risks are relatively low, side effects can<br />
include some immediate swelling <strong>and</strong> occasional bruising.<br />
‘Patients can usually apply makeup <strong>and</strong> return to work<br />
directly following treatment,’ Dr Rosen says. ‘Bruising can<br />
occur, <strong>and</strong> will take a few days to pass, but that is rare with<br />
toxin injections.’<br />
As with anything in anti-ageing, prevention is key <strong>and</strong><br />
Dysport can counter the first dynamic signs of ageing,<br />
leaving the complexion smoothed <strong>and</strong> refreshed.<br />
Whether you’re seeking comprehensive facial<br />
rejuvenation, or just looking to combat a few persistent<br />
wrinkles, Dysport affords an effective, time efficient<br />
<strong>and</strong>, most importantly, predictable approach to wrinkle<br />
prevention. csbm<br />
The treatment itself<br />
Before treatment with Dysport, an initial<br />
consultation is needed to establish the<br />
patient’s concerns <strong>and</strong> expectations. The<br />
procedure itself will typically last less than<br />
half an hour.<br />
‘In the initial consultation I usually<br />
discuss with patients what they would<br />
like to achieve <strong>and</strong> how we can plan to<br />
achieve that result,’ Dr Rosen says.<br />
‘Topical anaesthetic cream can be<br />
used before treatment, although not all<br />
patients request it, as the needles are very<br />
BEFORE<br />
AFTER treatment with Dysport<br />
www.cosbeauty.com.au 89
face<br />
contours&<br />
Plump volume<br />
refine<br />
Emervel fillers are currenty used in europe <strong>and</strong> the UK <strong>and</strong> have a<br />
proven track record in restoring lost facial volume <strong>and</strong> creating<br />
more youthful countours. Caitlin Bishop reports.<br />
With age, facial hollows in the cheeks become<br />
deeper <strong>and</strong> those dark circles under the eyes<br />
become more prominent, contributing to a gaunt,<br />
tired appearance. Although skincare <strong>and</strong> sun protection<br />
can go a long way in preventing wrinkles <strong>and</strong> reducing<br />
hyperpigmentation, volume loss can be frustratingly difficult<br />
to treat.<br />
90 www.cosbeauty.com.au
face<br />
Dermal fillers are a viable option in restoring lost volume<br />
<strong>and</strong> returning the plump contours of a youthful face. These<br />
injectables help counter the descent of volume from the<br />
mid-face <strong>and</strong> fill the hollows in the temples <strong>and</strong> eye area for<br />
a fresher, more youthful appearance.<br />
Emervel is a range of hyaluronic acid dermal fillers<br />
used extensively throughout Europe <strong>and</strong> the UK. The<br />
comprehensive range helps counter facial wrinkles, refine<br />
facial contours <strong>and</strong> restore lost volume.<br />
‘I use Emervel to treat all areas of the face, including<br />
the forehead, temples, tear troughs, cheekbones <strong>and</strong><br />
cheeks,’ says British cosmetic surgeon Dr Ravi Jain.<br />
‘Emervel can fill the nasolabial folds (the wrinkles that<br />
stem from the nose to the mouth) <strong>and</strong> can also be used<br />
to fill the lips, refine the lipstick lines, restore volume to the<br />
chin <strong>and</strong> fill marionette lines.’<br />
Emervel has an amazing ability<br />
to give volumetric correction with<br />
fast integration, so it doesn’t feel<br />
like a filler is there<br />
Built upon an innovation called Optimal Balance<br />
Technology, Emervel is a gel filler designed to maximise<br />
integration into the appropriate skin layer. ‘Emervel has an<br />
amazing ability to give volumetric correction <strong>and</strong> achieve<br />
effective integration into the tissue. It is very precise,’ Jain<br />
explains. ‘Patients can expect natural-looking results with<br />
minimal swelling <strong>and</strong> fast integration, so it doesn’t feel like<br />
a filler is there.’<br />
There are several different types of Emervel filler<br />
designed to treat the various stages of facial ageing. A<br />
consultation is required to establish the most suitable<br />
option in facial rejuvenation. The type of filler used depends<br />
on the injection site, the condition of facial tissue <strong>and</strong> the<br />
patient’s preferences.<br />
‘A full consultation helps the doctor underst<strong>and</strong> the<br />
reasons the patient is seeking aesthetic treatment,’ Dr Jain<br />
explains. ‘The consultation may take 30 minutes, <strong>and</strong> the<br />
injections can last between 10 <strong>and</strong> 30 minutes, depending<br />
on the extent of work being done.’<br />
‘There should be no downtime associated with Emervel<br />
filler treatment, but some bruising is always possible with<br />
injections to the face,’ he continues. ‘In most cases,<br />
particularly for lip augmentation, there is almost no swelling<br />
following injection, so patients can go out for lunch straight<br />
after their treatment <strong>and</strong> nobody can tell they’ve had<br />
anything done.’<br />
Depending on the area of injection <strong>and</strong> injection type,<br />
results with Emervel can last anywhere from six to 18<br />
months. According to Dr Jain, lip injections last between six<br />
to 12 months, <strong>and</strong> facial results will last between nine <strong>and</strong><br />
12 months in the first instance <strong>and</strong> 12 to 18 months after<br />
multiple treatments.<br />
Emervel can be used in conjunction with other modalities<br />
to achieve a universal <strong>and</strong> enhanced result in anti-ageing<br />
rejuvenation. ‘I regularly use Emervel with anti-wrinkle<br />
injections, as well as skin peels <strong>and</strong> laser therapies to<br />
optimise skin health <strong>and</strong> create a smoother, younger looking<br />
complexion,’ Dr Jain concludes. csbm<br />
Emervel Touch<br />
The softest product in the range, Emervel Touch is<br />
suitable for injection in the superficial dermal layers.<br />
The soft gel consistency offers effective distribution<br />
through the treatment area <strong>and</strong> predictable results<br />
in volume restoration. Emervel Touch is designed for<br />
long-lasting correction of superficial wrinkles such as<br />
perioral lines <strong>and</strong> superficial facial wrinkles.<br />
Emervel Classic<br />
The Classic filler is designed for effective <strong>and</strong> longlasting<br />
correction of moderate wrinkles. Suitable for<br />
conquering areas like the nasolabial folds, Emervel<br />
Classic uses moderately soft gel to achieve a noticeable<br />
lifting effect.<br />
Emervel Deep<br />
Using a firmer, more resilient gel, Emervel Deep is<br />
injected into the deeper dermis for correction of more<br />
severe facial folds <strong>and</strong> wrinkles. It is effective in treating<br />
deeper nasolabial folds or forehead wrinkles.<br />
Emervel Volume<br />
The Volume filler is designed for refining the facial<br />
contours <strong>and</strong> restoring volume in the cheeks <strong>and</strong> chin.<br />
It has a moderately firm consistency <strong>and</strong> is injected<br />
into the subcutaneous tissue (below the skin) for a<br />
highly volumising effect.<br />
Emervel Lips<br />
Specifically designed to restore <strong>and</strong> augment the lips,<br />
Emervel Lip filler is optimised in texture to grant the<br />
subtle firmness needed for lip enhancement. It restores<br />
volume <strong>and</strong> lifts the lips for a fuller, more youthfullooking<br />
pout.<br />
www.cosbeauty.com.au 91
face<br />
Reveal a<br />
younger<br />
looking you<br />
US dermatologist<br />
Dr Rebecca Fitzgerald says<br />
Sculptra has changed the game<br />
of facial rejuvenation.<br />
AimÉe Surtenich reports.<br />
It’s inevitable that as we age the natural production<br />
of collagen slows, resulting in a loss of volume <strong>and</strong> an<br />
increase in skin laxity. By stimulating the production of<br />
dermal collagen, <strong>and</strong> rebuilding the facial foundations,<br />
Sculptra can regenerate the skin from within, refining facial<br />
contours for a natural-looking, more youthful result.<br />
Sculptra is a deep facial injectable that redefines the<br />
facial structure by stimulating the production of new<br />
collagen in the skin. ‘Sculptra is a volumiser, not a “filler”;<br />
it’s the patient’s own collagen, generated in response<br />
to Sculptra, that provides the filler effect,’ says US<br />
dermatologist Dr Rebecca Fitzgerald <strong>and</strong> International<br />
Master Training Physician for Sculptra. ‘Sculptra is aptly<br />
named as it can contour <strong>and</strong> define many areas which<br />
affect the topography, shape <strong>and</strong> proportions of the entire<br />
face. These subtle changes in the curves <strong>and</strong> proportions<br />
can make an enormous difference in the overall perception<br />
of the age, health <strong>and</strong> beauty of a face.’<br />
‘A young face has fullness <strong>and</strong> roundness in the cheeks,<br />
under the eyes, in the lips <strong>and</strong> around the mouth. This<br />
fullness causes light to reflect with very little shadow, which<br />
the human eye is drawn to. An older face will show a loss<br />
of the fullness of the cheeks, temples, the lips <strong>and</strong> area<br />
around the mouth <strong>and</strong> will show fat loss under the eyes<br />
which creates a hollow effect. Where there used to be light,<br />
now there are shadows,’ she continues.<br />
‘Replacing this lost volume is very important <strong>and</strong> explains<br />
why a facelift may be the wrong thing to do or only part of<br />
what to do if you want to look younger. A facelift will remove<br />
excess skin, but it will not restore volume.’<br />
Acting as a direct collagen stimulator, Sculptra refines<br />
<strong>and</strong> fortifies the facial foundations to gradually replace this<br />
lost volume. ‘By replacing the volume loss, you reverse the<br />
creation of shadow <strong>and</strong> restore the reflection of light <strong>and</strong> the<br />
appearance of youth, energy <strong>and</strong> vibrancy,’ Dr Fitzgerald<br />
explains. ‘Deflation <strong>and</strong> volume loss leaves us looking less<br />
3-dimensional than we did when we were younger. Volume<br />
restoration brings back the dimensional qualities, improves<br />
symmetry <strong>and</strong> can “pick up” sagging skin.’<br />
Often called ‘The Liquid facelift’, Sculptra is made from<br />
poly-L-lactic acid, a biocompatible <strong>and</strong> biodegradable<br />
material. It works within the facial tissue to trigger<br />
neocollagenesis (the production of new collagen), which<br />
gradually restores volume to reduce the appearance of<br />
shallow <strong>and</strong> deep facial wrinkles <strong>and</strong> hollows on the skin’s<br />
surface. This is a progressive process <strong>and</strong> the full effect<br />
92 www.cosbeauty.com.au
face<br />
takes around 12 weeks to occur, with results<br />
continuing to improve in the four to five<br />
months following treatment.<br />
‘As we learn more about the anatomy<br />
of ageing, we are able to better target the<br />
root of the problem, not just mask the<br />
consequences,’ says Dr Fitzgerald. ‘This<br />
approach leads to very natural-looking<br />
results. Patients often tell me “I can’t really tell<br />
what you did, I just look more refreshed”.’<br />
Sculptra can be used to restore volume<br />
to hollow areas of the temples, cheeks, chin<br />
<strong>and</strong> under the eyes, as well as to define the<br />
jaw line. It is not recommended for use in <strong>and</strong><br />
around the lips.<br />
The amount of treatments needed varies<br />
between patients, <strong>and</strong> is typically dependent<br />
on age. A common recommendation is three<br />
to four treatments, around six weeks apart.<br />
Topical anaesthetic is applied before injection,<br />
though most patients report the discomfort<br />
is not severe.<br />
Results typically last up to or greater than<br />
two years, <strong>and</strong> periodic maintenance ‘topups’<br />
will maintain the desired results.<br />
As with all injections, there can be<br />
temporary swelling <strong>and</strong> bruising, but typically<br />
there is no downtime <strong>and</strong> patients can<br />
resume their everyday activities immediately.<br />
‘Sculptra is not intended to replace a<br />
facelift, but its capacity to lift tissue is proven<br />
over <strong>and</strong> over,’ says Dr Fitzgerald. ‘Strategic<br />
placement not only restores or creates<br />
balanced contours but also the effect of filling<br />
a compartment above one area means the<br />
compartment adjacent to <strong>and</strong>/or below the<br />
treated one gets its own lift. The goal is to<br />
look better, not different!’<br />
Sculptra stimulates the body’s natural<br />
regenerative response <strong>and</strong> reforms a<br />
more youthful facial support structure. It<br />
replaces lost collagen to boost skin integrity<br />
<strong>and</strong> resilience, while also recreating more<br />
aesthetic contours.<br />
‘Ageing is a slow, gradual process that<br />
affects all tissues <strong>and</strong> areas of the face,<br />
<strong>and</strong> all the changes are interdependent.<br />
An empty temple contributes to tired eyelids<br />
<strong>and</strong> a sagging jawline, while an empty<br />
cheek leads to heavy jowls <strong>and</strong> marionette<br />
lines. Sculptra is a great choice to achieve a<br />
global, anti-ageing rejuvenation,’ Dr Fitzgerald<br />
concludes. csbm<br />
BEFORE<br />
BEFORE<br />
BEFORE<br />
After Sculptra treatment by Dr Fitzgerald<br />
After Sculptra treatment by Dr Fitzgerald<br />
After Sculptra treatment by Dr Fitzgerald<br />
www.cosbeauty.com.au 93
skin<br />
Purify<br />
your<br />
skin<br />
The HydraFacial heralds a new<br />
era of radiant skin – merging<br />
invigorating spa therapies with<br />
advanced medical technologies.<br />
Caitlin Bishop reports.<br />
Facial treatments are often associated with feelings of<br />
indulgence, luxuriousness <strong>and</strong> rejuvenation. These<br />
feelings of wellbeing are even more profound if the<br />
treatment generates immediate results in skin rejuvenation,<br />
with long-term benefits for skin health.<br />
One such innovation is the HydraFacial from High Tech<br />
Laser is a facial treatment designed to deeply cleanse the<br />
skin <strong>and</strong> infuse it with antioxidants for a brighter, invigorated<br />
<strong>and</strong> healthier complexion.<br />
Perth facial plastic surgeon Dr Jayson Oates has been<br />
using the HydraFacial in his clinic since August 2013. He<br />
explains it’s a popular option for patients looking to increase<br />
radiance without the irritation or downtime associated with<br />
more aggressive skin rejuvenation treatments.<br />
‘Patients enjoy the whole process – from the actual<br />
treatment, how skin feels immediately afterwards, to the<br />
long-term benefits seen in skin health,’ he says.<br />
‘I have always preferred using the more “medical” side<br />
of dermal therapies – treatments that make a difference but<br />
that patients don’t necessarily enjoy. Now, we can achieve<br />
these same benefits with a treatment that patients look<br />
forward to experiencing.’<br />
The HydraFacial incorporates a series of highly<br />
specialised treatments to purify <strong>and</strong> beautify the skin.<br />
Cleansing <strong>and</strong> exfoliation removes dead skin cells, an acid<br />
The HydraFacial decongests,<br />
hydrates <strong>and</strong> protects skin,<br />
offering immediate results with<br />
no downtime or discomfort<br />
peel dislodges grime from the pores <strong>and</strong> a vortex suction<br />
extraction system unclogs the pores completely. This<br />
cleansing is following by the infusion of a highly active,<br />
hydrating serum to nourish <strong>and</strong> protect the skin.<br />
‘The HydraFacial cleanses <strong>and</strong> exfoliates, then uses<br />
vortex suction to clean out the pores <strong>and</strong> extract sebaceous<br />
oil,’ Dr Oates explains. ‘The infusion of hyaluronic acid,<br />
94 www.cosbeauty.com.au
skin<br />
Step 1<br />
Step 2<br />
Step 3<br />
Step 4<br />
Step 5<br />
The 5 steps<br />
Cleansing <strong>and</strong> Exfoliation<br />
Dead skin calls are removed to reveal<br />
healthy new skin<br />
Acid Peel<br />
This gentle peel helps loosen dirt <strong>and</strong> debris<br />
from pores without irritation<br />
Extractions<br />
Automated extractions use vortex suction to<br />
clean out pores<br />
Hydration<br />
Antioxidants <strong>and</strong> hyaluronic acid are vortexfused<br />
to nourish <strong>and</strong> protect the skin<br />
Protection<br />
The HydraFacial Daily Essentials skincare<br />
helps maintain <strong>and</strong> protect results.<br />
antioxidants <strong>and</strong> vitamins works to restore, plump <strong>and</strong><br />
hydrate the complexion. Ampoules of serum are also<br />
available with varying strengths, some enriched with<br />
peptides to boost collagen production in the dermis.’<br />
Toowoomba plastic surgeon Dr Mark Magnusson<br />
explains these steps signify a holistic approach to boosting<br />
skin health. ‘The process provides all the elements we<br />
need to look after our skin,’ he says. ‘A full HydraFacial<br />
treatment takes around 45 minutes. Additional lymphatic<br />
drainage <strong>and</strong> Light Emitting Diode (LED) therapy can be<br />
used to optimise results <strong>and</strong> stimulate activity in the skin’s<br />
deeper layers.’<br />
Anyone is suitable for HydraFacial<br />
1<br />
treatment, as it can be tailored<br />
to suit different skin concerns<br />
<strong>and</strong> conditions. Dr Magnusson<br />
says it is effective in improving the<br />
appearance of congested, acneprone,<br />
aged, dulled or dehydrated<br />
skin. ‘HydraFacial treatments<br />
BEFORE<br />
provide deeper cleansing <strong>and</strong><br />
extractions with suction that would<br />
normally have to be performed<br />
2<br />
manually,’ he explains. ‘Patients love<br />
it because they can have regular<br />
treatments where they instantly see<br />
<strong>and</strong> feel the difference in their skin.’<br />
Dr Magnusson says he<br />
typically recommends HydraFacial<br />
BEFORE<br />
treatments be performed monthly, or in conjunction with<br />
other methods for facial rejuvenation.<br />
‘The HydraFacial is a great adjunct to other surgical <strong>and</strong><br />
non-surgical services. For example, it can prepare skin<br />
before laser or surgery, or help freshen the skin after the<br />
use of dermal fillers or anti-wrinkle injections,’ he explains.<br />
‘It’s great for the patient <strong>and</strong> the clinic, as it’s relatively<br />
inexpensive <strong>and</strong> can be used as a monthly treatment to<br />
encourage return visits.’<br />
The results are evident immediately following HydraFacial<br />
treatment, <strong>and</strong> Dr Oates says they should continue to<br />
improve in the week following the facial.<br />
‘The HydraFacial has become one of our most popular<br />
treatments. There is some pinkness following treatment<br />
but essentially no downtime is involved,’ Dr Oates explains.<br />
‘The skin feels soft <strong>and</strong> hydrated right away following<br />
treatment <strong>and</strong> over the next week patients will continue<br />
to see further improvement in the appearance of acne,<br />
pigmentation <strong>and</strong> skin tone <strong>and</strong> texture.’<br />
To extend the results <strong>and</strong> retain the skin’s lustre <strong>and</strong><br />
brightness between treatments, the final step in the<br />
HydraFacial is the introduction of the ‘daily essentials’<br />
skincare. Tailored to certain skin complaints, the range<br />
incorporates topical moisturisers, refining eye gels <strong>and</strong><br />
daily sun protection. Each product is infused with select<br />
concentrations of the same active ingredients found in the<br />
salon treatment, providing detoxification, rejuvenation <strong>and</strong><br />
protection in between visits.<br />
‘HydraFacial is great for skin health,’ Dr Magnusson says.<br />
‘It decongests, hydrates <strong>and</strong> protects with no discomfort or<br />
downtime. The skin is left smooth <strong>and</strong> hydrated with no<br />
irritation <strong>and</strong> results are immediate.’ csbm<br />
AFTER HydraFacial by Dr Oates<br />
AFTER HydraFacial by Dr Magnusson<br />
www.cosbeauty.com.au 95
skin<br />
Treating acne<br />
Allmedic uses a systematic, results-driven approach to manage <strong>and</strong><br />
resolve acne. Caitlin Bishop reports.<br />
A<br />
condition that can cause long-term physical <strong>and</strong><br />
psychological distress, persistent acne can lead<br />
to inflammation, scarring <strong>and</strong> certain types of<br />
hyperpigmentation. It affects around 80 percent of all<br />
adolescents <strong>and</strong> can sometimes extend into adulthood.<br />
Acne can stem from several different causes, including<br />
diet, hormone imbalances, genetics or personal hygiene.<br />
Clearing the skin of persistent acne can prove an arduous,<br />
traumatising <strong>and</strong> prolonged experience. But there’s hope<br />
– active skincare from allmedic, commonly used alongside<br />
photodynamic therapy, offers an effective way to help<br />
reduce the appearance of acne for long-term results.<br />
Queensl<strong>and</strong> cosmetic physician Dr Doug Grose sees<br />
Practitioner Acne MasterClass<br />
An emerging trend in general practice involves subspecialising<br />
in an area of medicine such as acne.<br />
allmedic will be hosting an Acne Management<br />
MasterClass in Melbourne on June 14. ‘This will be<br />
a whole day dedicated to underst<strong>and</strong>ing acne, <strong>and</strong><br />
acne treatment, in serious detail,’ Dr Grose explains.<br />
‘It will also include sessions on how diet <strong>and</strong> skincare<br />
can be combined to achieve the best results.’<br />
For more information call 1300 652 969 or visit<br />
www.allmedic.org.au<br />
first-h<strong>and</strong> the psychological effect acne has on many of his<br />
patients. ‘The most common side effect is social isolation of<br />
some extent,’ he explains. ‘Some female acne sufferers say<br />
they wouldn’t want to leave their bedroom, let alone their<br />
house, without makeup.’<br />
Physiologically, acne is caused by an overproduction<br />
of sebum combined with overactivity of skin cells at the<br />
opening of the hair follicles. This sebum, alongside dead<br />
skin cells <strong>and</strong> debris, can cause blockages in the skin’s<br />
pores, where the hair follicle opens. On top of this, bacteria<br />
found naturally on the skin become active in the blocked<br />
follicle, leading to infection <strong>and</strong> inflammation seen as red,<br />
sometimes tender lumps.<br />
‘Patients, particularly those in their adolescence, come<br />
to me thinking acne is normal, but it isn’t at all,’ Dr Grose<br />
explains. ‘Acne is a disease of the hair follicles, <strong>and</strong> effective<br />
treatment calls for medical help. Something like 70 percent<br />
of people do not seek medical attention for acne, <strong>and</strong> this<br />
attitude needs to change.’<br />
In-clinic treatment<br />
Traditionally, acne sufferers have looked to antibiotics or<br />
prescription treatments to shed dead skin cells, reduce oil<br />
production, fight bacterial infection <strong>and</strong> limit the inflammation<br />
associated with acne. Roaccutane – a derivative of Vitamin<br />
A – is commonly used in severe cases, though Dr Grose<br />
96 www.cosbeauty.com.au
explains long-term use can have serious side effects <strong>and</strong><br />
antibiotic or prescription options are not always suitable.<br />
‘Antibiotic treatment is generally long term (anywhere<br />
between three <strong>and</strong> 12 months) <strong>and</strong>, for some people, that<br />
is a concern,’ Dr Grose says. ‘Roaccutane capsules can<br />
cause serious side effects: for example, women should<br />
not conceive while taking Roaccutane, as it can lead to<br />
birth defects; it has a known association with depression;<br />
<strong>and</strong> young men sometimes experience hair loss during<br />
Roaccutane use.’<br />
According to Dr Grose, Photodynamic Therapy (PDT)<br />
can be a viable alternative for clearing the skin <strong>and</strong> achieving<br />
long-term results in acne management.<br />
PDT uses light emitting diode (LED) technology to treat<br />
a range of skin conditions – from sun damage to oily, acneprone<br />
skin. It is a non-invasive procedure that helps kickstart<br />
the skin’s internal processes <strong>and</strong> boost skin health.<br />
‘Before PDT treatment, we apply a sensitising agent on<br />
the skin, which is attracted to cells that are over replicating<br />
– in acne patients, these are over-active oil cells,’ says<br />
Dr Grose. ‘We leave this agent on for a time – called the<br />
incubation period – <strong>and</strong> then use red <strong>and</strong> blue light to cause<br />
a reaction in the skin. The sensitising lotion harnesses the<br />
light energy to produce free radicals <strong>and</strong> destroy the overproductive<br />
cells.’<br />
Dr Grose typically recommends two or three PDT<br />
treatments for acne patients, performed about a month<br />
apart. ‘We usually find the results are long lasting, especially<br />
if the patients follow a corrective skincare regime <strong>and</strong> make<br />
some essential diet adjustments,’ he adds. ‘We have found<br />
that by stripping carbohydrates from the diet we can see a<br />
huge difference in acne <strong>and</strong> the skin.’<br />
At-home treatment<br />
allmedic has developed a range of products to target<br />
acne: the face & body cleanser, face & body exfoliator <strong>and</strong><br />
allclear lotion. Used as a three-step skincare program, the<br />
products are specifically formulated to help improve the<br />
appearance of acne.<br />
Integral to the range is the allclear lotion, which helps<br />
to clear acne by de-greasing the skin’s surface, optimising<br />
the skin’s pH <strong>and</strong> using anti-inflammatory, anti-bacterial<br />
<strong>and</strong> anti-fungal ingredients. ‘The allclear lotion helps reduce<br />
inflammation <strong>and</strong> open the hair follicles,’ says Dr Grose.<br />
‘After using PDT to get acne under control, we can maintain<br />
results <strong>and</strong> optimise skin health using the allmedic range.’<br />
By combining effective skincare with light therapy, the<br />
need for more severe treatments can be avoided <strong>and</strong><br />
clear, healthy skin can be achieved. ‘One of my patients, a<br />
woman in her 30s who responded remarkably well to acne<br />
treatment, said people treat her differently now her skin is<br />
clear,’ Dr Grose recalls. ‘She notices that people will look<br />
at her face while she talks to them, as opposed to looking<br />
away. Clear, acne-free skin can truly work wonders for a<br />
person’s confidence.’ csbm<br />
www.cosbeauty.com.au<br />
Become an Expert in<br />
Acne Management<br />
Would you like to incorporate advanced<br />
acne management into your practice?<br />
Would you like an update on the<br />
latest concepts <strong>and</strong> treatment<br />
modalities for acne?<br />
Are you looking for an area of medicine<br />
to ‘sub specialise’ in?<br />
Are you unsure or lack confidence in<br />
managing acne, especially moderate<br />
to severe acne?<br />
If ‘yes’ then you should attend the<br />
Acne Management MasterClass<br />
on 14 June 2014 at the<br />
Crown Promenade in Melbourne<br />
The last MasterClass was highly rated by<br />
all Doctors <strong>and</strong> clinicians who attended:<br />
92% were more confident about treating<br />
acne after attending<br />
92% would recommend it to a friend<br />
All presentations <strong>and</strong> presenters scored<br />
very good to excellent<br />
84% said it was very good value for money<br />
For more details contact us on:<br />
1300 652 969<br />
admin@allmedic.org.au<br />
www.allmedic.org.au<br />
Follow us on<br />
www.facebook.com/<br />
allmedic
skin<br />
The lowdown on the latest<br />
anti-ageing cosmeceuticals<br />
– direct from the formulator<br />
Terri Vinson BSc, Dip.Ed, ASCC, owner of Synergie Skin,<br />
spills the beans on two new breakthrough ingredients<br />
shaping the future of cosmeceuticals.<br />
There are truly exciting times ahead in regard to new<br />
cosmeceuticals in the appearance-medicine industry.<br />
Formulators are now able to harness the power of<br />
peptides <strong>and</strong> marine biotechnology to create novel new<br />
anti-ageing products with clinical data to support results.<br />
Let’s take a look at the future of cosmeceuticals in terms<br />
of combining the best of new scientific breakthroughs<br />
<strong>and</strong> what is provided from natural sources. There are two<br />
new breakthrough ingredients that, as a cosmeceutical<br />
formulator, I consider to be breakthrough technology for<br />
addressing the visible signs of ageing.<br />
98 www.cosbeauty.com.au
skin<br />
Juvefoxo<br />
Skin aging is considered as a slowing or loss of the natural<br />
cell functions of skin. This results in the appearance of fine<br />
lines, uneven tone <strong>and</strong> texture, dryness <strong>and</strong> loss of elasticity.<br />
This ages skin primarily due to cellular senescence. This<br />
means that the cells no longer proliferate due to DNA<br />
damage <strong>and</strong> the inability of the DNA repair machinery to<br />
reverse errors in the genetic code.<br />
So cosmeceuticals aimed at skin rejuvenation must<br />
target mechanisms to avoid cell damage <strong>and</strong> enhance the<br />
ability of the cells to repair, <strong>and</strong> this is the focus of current<br />
cosmetic science.<br />
Scientists often look at nature to provide clues to<br />
longevity. The marine Hydra is also known as the ‘immortal<br />
jellyfish’ as it is able to replicate its cells with no genetic<br />
errors in its DNA. The cells essentially possess an unlimited<br />
lifespan. Scientists have discovered that specific peptides<br />
called Forkhead box transcription factors (FOX) in the<br />
nucleus of the cells, is able to control cell renewal. In human<br />
cells a natural peptide called FOX03a protects DNA <strong>and</strong><br />
stimulates DNA repair to reverse mutations <strong>and</strong> cell aging.<br />
This peptide is actually a marker is longevity, <strong>and</strong> humans<br />
who live to be over a hundred years old have higher levels<br />
of FOX030 in their cells.<br />
FOXO3a is activated in the presence of cell damage –<br />
from factors such as pollution, free radical damage, dietary<br />
deficiency, heat <strong>and</strong> UV exposure – <strong>and</strong> then sets out to<br />
repair the damage <strong>and</strong> prevent cell mutation. However, if<br />
the damage is irreversible, the cell is programmed to selfdestruct.<br />
This is crucial as DNA mutation can be copied to<br />
all future cells unless the error can be repaired before being<br />
passed onto daughter cells.<br />
Enter a breakthrough ingredient in the cosmetic medicine<br />
arena called Juvefoxo, with clinical data to support<br />
results. In vivo tests show skin cells taken from a 55 year<br />
old woman treated with Juvefoxo had the structure <strong>and</strong><br />
function of cells that are 10 years younger in cell morphology,<br />
compared to untreated cells from the same woman. Further<br />
tests on UV treated skin showed significantly reduced DNA<br />
damage when Juvefoxo solution was applied to the UV<br />
damaged epidermal skin cells.<br />
So how is this relevant to the cosmeceutical market?<br />
Scientists have been able to replicate this vital controller of<br />
cell repair with the new hexapeptide Juvefoxo. Essentially,<br />
if we are able to mimic the activity of FOXO3a in the skin,<br />
the DNA will be protected which will prevent cell ‘shutdown’<br />
<strong>and</strong> delay the visible signs of ageing.<br />
The development of Juvefoxo a peptide that both<br />
guards <strong>and</strong> protects the human genome, is truly a game<br />
changer in our industry.<br />
Phycosaccharide AI<br />
This complex sugar has been trade named Phycosaccharide<br />
AI <strong>and</strong> is the product of microbial synergy between marine<br />
bacteria <strong>and</strong> a unique species of seaweed unique to the<br />
Brittany coast. Scientists are able to mimic this symbiotic<br />
process in the lab so as not to adversely affect the delicate<br />
balance in the environment.<br />
Phycosaccharide AI stimulates the activity of<br />
epidermal stem cells to rapidly restore <strong>and</strong> reconstruct the<br />
skin matrix. This results in repair <strong>and</strong> subsequent smoothing<br />
of fine lines. It is also capable of reducing inflammation <strong>and</strong><br />
soothing irritated skin.<br />
Key properties of this oligoalginate<br />
sugar molecule include:<br />
• Repairing the skin surface<br />
• Healing injury <strong>and</strong> reducing fine lines via<br />
mobilisation of epidermal stem cells<br />
• Inhibiting skin inflammation <strong>and</strong> skin stinging<br />
• Improving immune defence of skin to<br />
environmental stress<br />
The use of topical growth factors found in many<br />
cosmeceutical products is highly controversial <strong>and</strong> a recent<br />
article in Scientific American (‘In the Flesh: The Embedded<br />
Dangers of Untested Stem Cell <strong>Cosmetic</strong>s: Unapproved<br />
procedures <strong>and</strong> skin care products endanger consumers<br />
<strong>and</strong> clinical research’ Dec 17, 2012) cautioned against<br />
the use of nonspecific growth factors directly on the skin.<br />
Phycosaccharide AI stimulates the skin’s own growth<br />
factors from within, which are highly specific <strong>and</strong> safe in<br />
their action on skin cells.<br />
Our industry is evolving at an exponential rate <strong>and</strong><br />
formulators are constantly introduced to raw ingredients<br />
designed to reduce the appearance of aging <strong>and</strong> rejuvenate<br />
skin. It is our responsibility as medical professionals,<br />
scientists <strong>and</strong> skin specialists, to ensure that all ingredients<br />
used have been clinically tested <strong>and</strong> passed the highest<br />
levels of efficacy <strong>and</strong> safety.<br />
Please read labels <strong>and</strong> cut through the hype to ensure<br />
that the public is treated with care, conservatism <strong>and</strong><br />
respect. csbm<br />
For more information or further studies, please visit<br />
www.synergieskin.com<br />
www.cosbeauty.com.au 99
skin<br />
Peel<br />
back<br />
the<br />
layers<br />
Advanced Cosmeceuticals<br />
brings you Mesopeels by<br />
Mesoestetic, which enhance<br />
the skin’s appearance <strong>and</strong><br />
revITAlises the complexion.<br />
Caitlin Bishop reports.<br />
Over time, as the skin’s renewal processes slows<br />
down, the appearance of wrinkles, pigmentation,<br />
enlarged pores <strong>and</strong> textural irregularities can arise.<br />
Chemical peels exfoliate different layers of the skin to<br />
reboot skin cell renewal <strong>and</strong> minimise imperfections on<br />
the skin’s surface. Mesopeel by Mesoestetic, distributed<br />
in Australia by Advanced Cosmeceuticals, is a range of<br />
chemical peels designed to refresh the skin’s layers <strong>and</strong><br />
revitalise the complexion.<br />
Chemical peels<br />
Taking a non-invasive approach to skin rejuvenation,<br />
chemical peels apply active agents, usually acids, to the<br />
skin’s surface. This eliminates the skin’s upper layers <strong>and</strong><br />
stimulates the rejuvenation of skin cells in the dermis,<br />
resulting in a more purified <strong>and</strong> oxygenated complexion.<br />
Only trained practitioners <strong>and</strong> aestheticians must apply<br />
chemical peels, as the peel’s penetration needs to be<br />
professionally monitored during treatment.<br />
Chemical peels can be used as a st<strong>and</strong>alone skin<br />
rejuvenation treatment, <strong>and</strong> a series of peels is often<br />
recommended to achieve the best results. Alternatively,<br />
applying a chemical peel prior to any type of aesthetic<br />
treatment can optimise results <strong>and</strong> improve the penetration<br />
of topical active ingredients.<br />
The Mesopeel difference<br />
In catering to different skin conditions, Mesoestetic provides<br />
two categories of chemical peels – single acid peels <strong>and</strong><br />
combined acid peels.<br />
Single acid peels are available in various concentrations<br />
<strong>and</strong> use a single type of agent to address specific skin<br />
concerns. The combined peels are formulated with an<br />
effective mixture of exfoliating agents, to improve the results<br />
in holistic facial rejuvenation.<br />
The Mesopeel range includes seven individual peels,<br />
which are selected by skincare professionals according<br />
to the patient’s needs, concerns, expectations <strong>and</strong> skin<br />
condition. Concentrations can be customised to suit<br />
each individual patient, <strong>and</strong> a treatment program can<br />
incorporate multiple peels to more effectively address the<br />
patient’s skin concerns.<br />
100 www.cosbeauty.com.au
skin<br />
The<br />
Mesopeel<br />
range<br />
Enhancing the<br />
complexion<br />
Mesopeel glycolic: Suitable for all skin<br />
types, this anti-ageing peel is designed<br />
to help improve sun-damaged skin <strong>and</strong><br />
achieve general rejuvenation.<br />
Mesopeel lactic: A moisturising peel<br />
with a high skin tolerance, the lactic peel<br />
can be used on sensitive skin types to<br />
improve the appearance of a dry or<br />
dull complexion.<br />
Improving skin texture <strong>and</strong><br />
pigmentation<br />
Mesopeel salicylic: This peel is best<br />
for blemish-prone skin that is excessively<br />
oily. It will help clear the complexion <strong>and</strong><br />
stimulate skin renewal.<br />
Mesopeel m<strong>and</strong>elic: A non-irritating<br />
treatment that helps even out skin tone,<br />
the m<strong>and</strong>elic peel can improve the texture<br />
of thick <strong>and</strong> oily skin, or reduce the<br />
appearance of pigmentation irregularities.<br />
Mesopeel modified jessner: This<br />
treatment is best for the treatment of<br />
dark spots, irregular skin tone <strong>and</strong> ageing.<br />
It is a broad-spectrum peel designed<br />
to achieve effective <strong>and</strong> holistic skin<br />
rejuvenation results.<br />
Reducing the signs<br />
of ageing<br />
Mesopeel TCA: This peel is used for<br />
treatment on advanced skin ageing, <strong>and</strong><br />
uses active agents to target a range of<br />
age-related skin conditions.<br />
Mesopeel piruvex: This peel acts deeply<br />
within the skin to improve the appearance<br />
of a tired, aged complexion.<br />
What to expect<br />
Chemical peels generate immediately noticeable results in skin<br />
rejuvenation. While some skin flaking may occur following treatment, a<br />
chemical peel leaves the skin immediately more hydrated, oxygenised<br />
<strong>and</strong> illuminated.<br />
In reducing enlarged pores <strong>and</strong> improving any textural irregularities,<br />
chemical peels help even out skin tone <strong>and</strong> smooth the skin’s surface.<br />
By shedding the skin’s upper layers, peels assist in reducing the<br />
appearance of blemishes, sunspots <strong>and</strong> scarring.<br />
During treatment, patients may experience some tingling or stinging<br />
as the agents are applied. Importantly, the peels in the Mesopeel range<br />
exhibit a high skin tolerance, meaning they incur minimal irritation.<br />
Some tautness or redness should be expected following application<br />
<strong>and</strong> often a soothing mask is applied after treatment to calm the skin<br />
<strong>and</strong> improve results.<br />
It is imperative to protect the skin from sun exposure following<br />
a chemical peel, <strong>and</strong> a sunscreen is usually applied before leaving<br />
the clinic. Makeup can be applied directly after treatment, to counter<br />
any redness, <strong>and</strong> skincare should be continued as usual – as active<br />
skincare ingredients will be afforded deeper penetration following a<br />
chemical peel. csbm<br />
www.cosbeauty.com.au 101
feature skin<br />
Youth<br />
boost<br />
Skincare range<br />
HydroPeptide,<br />
distributed in Australia<br />
by True Solutions,<br />
signifies an innovative<br />
<strong>and</strong> effective approach<br />
to skin rejuvenation.<br />
Caitlin Bishop reports.<br />
Peptides have become the latest rage in skincare.<br />
Chains of amino acids, linked by specific peptide<br />
bonds, work within the skin to strengthen collagen<br />
fibres, revive cellular processes <strong>and</strong> reinforce the skin<br />
from within. HydroPeptide, distributed in Australia by True<br />
Solutions, is trailblazing the use of peptides in cosmetics<br />
<strong>and</strong> is suitable for treating a wide range of skin types<br />
<strong>and</strong> conditions.<br />
Peptides have traditionally been revered as a way to<br />
increase collagen stimulation. HydroPeptide creator, Dr<br />
Louise Peck, has built on this approach <strong>and</strong> developed a<br />
range that not only targets collagen synthesis but hydration,<br />
protection <strong>and</strong> purification as well.<br />
‘HydroPeptide’s technology allows for a variety of<br />
specific peptides, in active concentrations, to be delivered<br />
repeatedly to their targeted areas for maximum results,’<br />
Head of Education at True Solutions Christine Snow<br />
explains. ‘While peptides are the driving force, HydroPeptide<br />
takes a multifunctional approach with hyaluronic acid, plant<br />
stem cells <strong>and</strong> active botanicals that work harmoniously<br />
102 www.cosbeauty.com.au
feature skin<br />
to nourish <strong>and</strong> rejuvenate skin without requiring recovery<br />
time or resulting in irritation.’<br />
Designed to deliver a universal anti-ageing result, the<br />
HydroPeptide range harnesses the power of peptides,<br />
which work as messenger molecules in the skin, to<br />
stimulate cellular activity <strong>and</strong> increase hydration. The<br />
HydroPeptide range uses encapsulation technology to<br />
deliver the peptides deep within the skin’s layers <strong>and</strong> target<br />
the root causes of ageing.<br />
HydroPeptide harnesses the<br />
power of peptides, which work as<br />
messenger molecules in the skin<br />
to stimulate cellular activity <strong>and</strong><br />
increase hydration<br />
‘HydroPeptide is formulated to address the key issues<br />
of visible skin ageing,’ Snow explains. ‘As we age, the<br />
body loses one percent of collagen every year. The decline<br />
of collagen is one of the most recognised causes for the<br />
appearance of fine lines <strong>and</strong> wrinkles. Healthy collagen is<br />
crucial to the appearance of the skin.’<br />
Importantly, HydroPeptide has a solution suitable for all<br />
skin types, <strong>and</strong> several skin concerns. It offers customisable<br />
regimens effective in treating sensitive, acne-prone skin<br />
<strong>and</strong> hyperpigmentation. These targeted solutions are in<br />
conjunction with long-term anti-ageing benefits that stem<br />
from boosting skin health <strong>and</strong> stimulating cellular activity.<br />
Indeed, from a glycolic anti-wrinkle cleanser to a rich<br />
enzyme mask, the HydroPeptide range seems to offer all<br />
the necessities for the modern day beauty routine. For<br />
example, the eye concentrate uses seven peptides, within<br />
a mixture of hyaluronic acid <strong>and</strong> luminescent pearls, to<br />
help improve firmness, reduce dark circles <strong>and</strong> enhance<br />
texture <strong>and</strong> tone. Similarly, HydroPeptide’s collagen<br />
boosting lip plumper uses anti-ageing peptides to plump<br />
the lips, boost the natural lip line <strong>and</strong> improve hydration<br />
<strong>and</strong> colour.<br />
‘The growing success of HydroPeptide in Australia<br />
speaks for itself, but one case that st<strong>and</strong>s out is a client<br />
who was concerned with the lines around her eyes,’<br />
Snow recalls. ‘She achieved a 91 percent improvement on<br />
peri-orbital lines in two weeks with HydroPeptide’s Eye<br />
Authority solution.’<br />
Signifying the first skincare company to incorporate<br />
peptides into every anti-ageing product, HydroPeptide<br />
l<strong>and</strong>ed on Australian shores just under two years ago. Since<br />
then, it has been touted as an effective option in returning<br />
youthfulness to Australian skin, which is so often damaged<br />
by our harsh climate <strong>and</strong> unforgiving sun.<br />
‘HydroPeptide delivers innovative anti-ageing skincare<br />
solutions with patented technology <strong>and</strong> peptides. It also<br />
offers effective solutions for hyperpigmentation, sensitive<br />
skin prone to redness, acne-prone skin <strong>and</strong> dehydrated<br />
skin,’ Snow concludes. csbm<br />
BEFORE<br />
Two weeks AFTER using HydroPeptide<br />
www.cosbeauty.com.au 103
skin<br />
Younger<br />
skin<br />
today<br />
Start a love affair with your skincare, with the new Love Life range<br />
from HoVAN’s Group. TARA casey repoRTS.<br />
After years of research with some of Australia’s best<br />
bioscientists, Hovan’s Group has created Love Life,<br />
a new anti-ageing skincare range.<br />
Inspired by industry veteran Val Glover-Hovan, a<br />
renowned name in the world of beauty <strong>and</strong> cosmetic<br />
tattooing, Love Life is formulated to work in harmony with<br />
your skin <strong>and</strong> promote a healthier, more beautiful <strong>and</strong><br />
youthful-looking complexion.<br />
Ingredients in the range have been selected for their<br />
ability to help protect skin cells from environmental damage,<br />
support skin metabolism <strong>and</strong> promote rejuvenation.<br />
1<br />
Perfect Day<br />
Anti-Ageing Moisturiser<br />
With a potent herbal formula, Perfect Day Moisturiser keeps<br />
skin well hydrated <strong>and</strong> helps to reduce signs of ageing<br />
<strong>and</strong> enhance skin appearance. The formula contains<br />
a complex of collagen-promoting glucosaminoplycans<br />
<strong>and</strong> galactomannans; linoleic acids, which assist rapid<br />
penetration while helping to firm the skin; <strong>and</strong> stem cells of<br />
apple fruit to help stimulate the renewal of skin cells.<br />
2<br />
Perfect Night<br />
Retinol Renewal Complex<br />
Serums typically penetrate the skin deeper than creams,<br />
<strong>and</strong> contain more active ingredients to target specific<br />
beauty concerns. The Perfect Night Retinol Renewal<br />
Complex is a light yet emollient soothing night serum that<br />
addresses ageing concerns. The formula contains Vitamin<br />
A to enhance collagen synthesis; linoleic acid to promote<br />
<strong>and</strong> maintain skin health; Vitamin E <strong>and</strong> Tamanu oil to<br />
restore skin health; seabuckthorn seed oil as an antioxidant;<br />
passionflower to sooth <strong>and</strong> calm; <strong>and</strong> licorice to reduce<br />
inflammation <strong>and</strong> irritation.<br />
3<br />
Eyes Best Exotic Eye Gel<br />
Eye creams are essential for helping to keep the thin,<br />
delicate under-eye area hydrated <strong>and</strong> smooth. This potent<br />
eye cream helps to reduce the dark areas under the eyes<br />
<strong>and</strong> the appearance of crow’s feet. The formula contains<br />
Tamanu oil, which is known for its healing properties, <strong>and</strong><br />
a mix of herbs to stimulate collagen synthesis. It’s also<br />
fortified with kiwifruit enzymes, antioxidant grape seed,<br />
Vitamin E <strong>and</strong> green tea.<br />
4<br />
<strong>Beauty</strong> Light Lightening Cream<br />
Hyperpigmentation can develop due to a variety of reasons<br />
– from sun damage to hormones during pregnancy.<br />
<strong>Beauty</strong> Light contains the triple action of urva-ursi<br />
(bearberry), arbutin <strong>and</strong> zinc glycinate to help stop the<br />
browning action of melanocyte production. Alpha fruit acids<br />
<strong>and</strong> citrus extract target darker skin spots to help reduce<br />
their appearance. The cream also has a broad-spectrum<br />
sunscreen to help prevent further skin damage. csbm<br />
104 www.cosbeauty.com.au
skin<br />
Obagi Q&A<br />
OBAGI MEDICAL, , THE #1 PHYSICIAN-DISPENSED<br />
SKINCARE BRAND IN THE US, HAS BROUGHT ITS<br />
TRANSFORMATIONAL SKIN HEALTH PRODUCTS TO<br />
AUSTRALIA. AIMÉE SURTENICH REPORTS.<br />
With a full portfolio of skincare solutions to promote<br />
beautiful complexions for all skin types, Obagi<br />
Medical is an international leader in topical<br />
skincare, available only through practitioners. Each product<br />
range – including the hero skincare system NuDerm – is<br />
designed to transform skin <strong>and</strong> help bring it back to<br />
optimum health.<br />
We chat with Obagi Chief Scientist Laurence Dryer about<br />
the Obagi difference <strong>and</strong> the benefi ts of following a quality<br />
skincare program.<br />
Q: In the US, <strong>and</strong> worldwide, Obagi users are<br />
fiercely loyal to the br<strong>and</strong> – what’s behind the<br />
cult following?<br />
A: In a word: Effi cacy. Each one of our products is<br />
thoroughly tested for safety <strong>and</strong>, most importantly, clinically<br />
proven to work. We have a strong relationship based on<br />
trust with the physician community, which transfers to their<br />
patients because they in turn have a trust-based relationship<br />
with their doctor.<br />
We don’t give in to fads, fashionable ingredients or storydriven<br />
products. We trust only proven, well-supported,<br />
scientifi cally tested ingredients for our products, <strong>and</strong> we<br />
submit them to the most stringent st<strong>and</strong>ards for testing.<br />
Our clinical strength derives from our stringent protocols<br />
but also from the involvement of leading physicians who<br />
often run those studies <strong>and</strong> can attest to the results.<br />
secondary effects of UVA <strong>and</strong> UVB. Lighten up on anything<br />
that can irritate your skin; dry skin is more sensitive. Women<br />
with naturally sensitive skin should feel comforted that<br />
Obagi products are hypoallergenic <strong>and</strong> non-comedogenic.<br />
Q: What are some tips in helping prevent<br />
lines around the delicate eye area?<br />
A: The under-eye skin area is very thin <strong>and</strong> delicate <strong>and</strong> needs<br />
special care. In this area multiple biological phenomena<br />
converge to result in the fatigued look characterised by<br />
sagging, lines, puffi ness <strong>and</strong> dark circles. I believe you must<br />
use a dedicated topical line specially formulated for the eye<br />
area; products that will not run into the eye but multi-task to<br />
help remedy all of these signs of ageing.<br />
Obagi ELASTIderm eye cream, gel <strong>and</strong> serum contain<br />
a breakthrough bi-mineral complex technology that<br />
helps rebuild the appearance of youthful eyes. The line is<br />
clinically proven to help revitalise the skin around the eyes<br />
<strong>and</strong> restore resilience, <strong>and</strong> the innovative roller-ball delivery<br />
of the serum helps massage away the look of puffi ness<br />
<strong>and</strong> wrinkles.<br />
Finally, always be gentle when applying eye products<br />
(pat with your ring fi nger; don’t rub <strong>and</strong> don’t pull!). csbm<br />
Q: As we head into Australian winter, how<br />
should we change our skincare regime?<br />
A: Photodamage from the sun is the leading cause of ageing<br />
as well as various forms of cancers. It is crucial to protect<br />
yourself from the elements in as many ways as possible,<br />
even in the winter months. Arm your skin with a strong,<br />
broad-spectrum sunscreen with a high SPF, even if you are<br />
going to stay indoors.<br />
Support your skin with products rich in antioxidants such<br />
as Vitamin C, like the Obagi Professional-C serum line or<br />
the Obagi C-Rx system, to protect against free radicals <strong>and</strong><br />
www.cosbeauty.com.au 105
tattoo removal<br />
Changing the game<br />
of tattoo removal<br />
PicoSure uses revolutionary laser technology to achieve<br />
unprecedented results in tattoo removal. Caitlin Bishop reports.<br />
The tattoo removal arena has been radically changed<br />
with the introduction of PicoSure to Australia.<br />
Historically, laser tattoo removal has been associated<br />
with a realm of somewhat negative connotations – from<br />
the arduous process, to the risk of scarring <strong>and</strong><br />
incomplete results. Now, however, with the latest technology<br />
from Cynosure, the process has been shortened,<br />
the downtime lessened <strong>and</strong> the results improved for<br />
more effective tattoo removal.<br />
PicoSure represents an unprecedented innovation in<br />
laser technology. It uses ultra-short pulses of energy to<br />
cause a photomechanical reaction in the skin, clearing<br />
tattoo pigment more effectively over fewer treatments.<br />
The PicoSure difference stems from the pulse<br />
duration. It uses a pulse length of a trillionth of a second<br />
(a picosecond), which is 100 times shorter than that used<br />
in previous technology. Queensl<strong>and</strong> cosmetic physician Dr<br />
Mary Dingley says the shorter duration causes a different,<br />
more effective reaction in the skin.<br />
‘The short pulse duration enables the laser to produce a<br />
much “cleaner” fracturing effect on tattoo pigments within<br />
the skin, while producing less in the way of heat effects on<br />
the surrounding skin,’ Dr Dingley explains. ‘The upshot of<br />
this is that generally one needs fewer sessions, there is less<br />
unwanted skin reaction <strong>and</strong> treatment is more comfortable.’<br />
As well as shortening the process <strong>and</strong> reducing down<br />
time, PicoSure achieves superior results in tattoo removal.<br />
Melbourne cosmetic doctor Dr David MacDonald, who has<br />
worked in tattoo removal for 25 years, describes the unique<br />
<strong>and</strong> unmatched results he has experienced using PicoSure.<br />
‘PicoSure’s ultra-short pulses deliver a “shattering”<br />
effect on the ink, breaking the ink down into tiny dust-like<br />
BEFORE<br />
AFTER two PicoSure treatments (photos<br />
courtesy of Dr Alex Kaplan)<br />
106 www.cosbeauty.com.au
tattoo removal<br />
particles which are then easily eliminated from the body,’ Dr<br />
MacDonald explains.<br />
‘Previous technology relied on a photothermal (or<br />
burning) effect which would deliver heat to the ink <strong>and</strong><br />
surrounding tissues. This “burn” could damage skin<br />
<strong>and</strong> result in scarring. With PicoSure, because the pulse<br />
width is so short, less injury <strong>and</strong> damage is caused to the<br />
surrounding skin.’<br />
Most patients say their tattoos<br />
seemed like a good idea at the<br />
time, but their circumstances<br />
have since changed<br />
Traditionally, colours such as blues <strong>and</strong> greens have<br />
been difficult to clear during tattoo removal. Again,<br />
PicoSure has changed this reality <strong>and</strong> Dr Dingley says that<br />
the chance of success has significantly improved with the<br />
new technology.<br />
‘Most colours respond better with PicoSure than with<br />
prior lasers, including blues <strong>and</strong> greens,’ she says. ‘It is<br />
always hard to say, however, if a tattoo will completely<br />
disappear. Our chances are certainly better now, but some<br />
tattoos are done very heavily <strong>and</strong> there are some very<br />
unusual inks out there at times which may, perhaps, not<br />
respond completely to any laser.’<br />
Typically, topical anaesthetic is required for treatment<br />
with PicoSure <strong>and</strong> several treatments are recommended<br />
to achieve the best results.<br />
Victorian dermatologist Dr Philip Bekhor has been using<br />
PicoSure since its arrival in Australia. He has achieved<br />
effective results, with less adverse reaction, using this<br />
picosecond technology.<br />
‘It is still early days but the PicoSure is very gentle, <strong>and</strong><br />
we have seen a difference compared with other lasers,’ he<br />
explains. ‘With PicoSure, there is less reaction, less pain<br />
during treatment <strong>and</strong> a faster result.’<br />
Dr Bekhor commonly performs five to seven treatments,<br />
eight weeks apart, to achieve<br />
adequate clearance – as opposed to<br />
between 10 <strong>and</strong> 20 treatments with<br />
other lasers.<br />
There is some downtime involved<br />
following treatment, <strong>and</strong> redness,<br />
swelling <strong>and</strong> scabbing can occur<br />
directly after the procedure. A<br />
dressing is often applied to assist<br />
in recovery <strong>and</strong>, because PicoSure<br />
calls for fewer treatments, the risk<br />
of scarring is considerably reduced<br />
compared to other systems.<br />
‘After treatment, side effects are<br />
BEFORE<br />
generally the same, but to a lesser<br />
degree, than with prior lasers’, Dr Dingley says. ‘Scarring<br />
is a possibility with any such skin treatment, however,<br />
because the effect on normal skin is less <strong>and</strong> there are<br />
fewer treatments, this risk is proportionately lower than with<br />
prior lasers.’<br />
In revolutionising tattoo removal, PicoSure grants fresh<br />
hope to those who have given up trying to erase a past<br />
decision. Tattoo removal can be a life-changing venture,<br />
for both personal <strong>and</strong> professional reasons, <strong>and</strong> Dr Dingley<br />
explains treatment with PicoSure can boost confidence in<br />
certain patients.<br />
‘Most patients say that their tattoos seemed like a good<br />
idea at the time but then their circumstances changed or<br />
they just didn’t feel like the same person that the tattoo<br />
suited,’ Dr Dingley says.<br />
‘Parents often want tattoos removed because of the<br />
effect they might have on their children. I remember one<br />
father, who had amateur tattoos of some swear words on<br />
his h<strong>and</strong>s <strong>and</strong> wanted to have them removed before his<br />
children could read them,’ she recalls.<br />
‘As amateur tattoos tend to be very easily removed, after<br />
just one treatment the words were already illegible, with<br />
just a few spots left which disappeared with the following<br />
treatment. I remember he stood straighter already when<br />
he came for the second treatment <strong>and</strong> no longer felt<br />
ashamed.’ csbm<br />
BEFORE (ink bled during tattoo treatment)<br />
AFTER seven treatments with traditional<br />
Q-switched nanosecond laser<br />
AFTER one PicoSure treatment to clear<br />
ink bleed (photos courtesy of Carmen<br />
V<strong>and</strong>erHeiden)<br />
AFTER one treatment with PicoSure laser<br />
(photos courtesy of Dr Raminder Saluja)<br />
www.cosbeauty.com.au 107
feature<br />
The<br />
rise<br />
<strong>and</strong><br />
rise<br />
of cosmetic surgery<br />
108 www.cosbeauty.com.au
feature<br />
surgical <strong>and</strong> non-surgical cosmetic procedures are more popular<br />
than ever before, a trend ATTRIBUTED to the tried <strong>and</strong> tested<br />
REPUTATIon of cosmetic enhancement. Caitlin Bishop repoRTS.<br />
The latest statistics on cosmetic surgery have been<br />
released <strong>and</strong>, even though they’re based on the US<br />
population, they clearly demonstrate the rise <strong>and</strong> rise<br />
of cosmetic enhancement – a trend that is surely reflected<br />
across the rest of the globe.<br />
The survey, conducted by the American Society for<br />
Aesthetic Plastic <strong>Surgery</strong> (ASAPS), found Americans spent<br />
the largest amount of money on cosmetic procedures in<br />
2013 since the Global Financial Crisis in 2008.<br />
Indeed, for the first time since the GFC, Americans spent<br />
more than 12 billion dollars on cosmetic procedures last<br />
year, with more than 11 million cosmetic surgical <strong>and</strong> nonsurgical<br />
procedures performed.<br />
The rebounding economy is<br />
encouraging people to invest in<br />
themselves once again<br />
This number – signifying a 12 percent rise from 2012 – is<br />
the result of an increase in popularity across all spectrums<br />
of surgical cosmetic enhancement. President of ASAPS<br />
Dr Jack Fisher attributes this boom to the technological<br />
advances <strong>and</strong> greater accessibility of cosmetic procedures<br />
in America.<br />
‘The numbers do not come as a surprise,’ Dr Fisher<br />
says. ‘Technological advances, less-invasive procedures<br />
<strong>and</strong> greater accessibility are making aesthetic procedures,<br />
surgical <strong>and</strong> non-surgical, far more attractive to the public<br />
at large. Further, the rebounding economy is encouraging<br />
people to start investing in themselves once again.’<br />
The numbers<br />
Though the entire US industry seems to be booming,<br />
liposuction replaced breast augmentation as most popular<br />
surgical procedure in 2013, with 363,912 procedures<br />
performed. This signified a 16 percent increase from 2012,<br />
<strong>and</strong> mirrors the huge liposuction boom seen in the UK last<br />
year, as revealed by the British Association of Aesthetic<br />
Plastic <strong>Surgery</strong> (BAAPS) in February.<br />
Although breast augmentation came a close second in<br />
popularity in the ASAPS statistics – 313,327 surgeries<br />
were performed – it was the only surgery in the top five<br />
procedures that experienced a decrease in numbers (down<br />
5.2 percent from 2012).<br />
Eyelid surgery (161,389 procedures, up 5.4 percent),<br />
tummy tucks (160,077 procedures, up 2.3 percent)<br />
<strong>and</strong> nose surgery (147,966 procedures, up 2.9 percent)<br />
completed the top five surgical procedures for 2013.<br />
What is it about liposuction?<br />
With more than one billion dollars spent on the procedure in<br />
the US last year, both genders have certainly contributed to<br />
the impressive increase in liposuction dem<strong>and</strong>.<br />
Indeed, liposuction ranked as the most frequently<br />
performed cosmetic surgery procedure in 2013 – it was<br />
the second most popular female procedure, with 312,176<br />
women undertaking the procedure, <strong>and</strong> the most popular<br />
cosmetic surgery procedure for males, with 51,736<br />
procedures performed.<br />
The same trend was seen in the UK during 2013,<br />
with liposuction exhibiting a 41 percent increase over<br />
the previous year. President of BAAPS Dr Rajiv Grover<br />
attributes this boom to the “tried-<strong>and</strong>-tested” st<strong>and</strong>ing of<br />
liposuction in Britain.<br />
‘Patient confidence <strong>and</strong> also consumer confidence<br />
has returned,’ Dr Grover explains. ‘Britons are choosing<br />
to spend on procedures with proven track records<br />
such as liposuction, which remains the gold st<strong>and</strong>ard for<br />
body contouring.’<br />
The rise in liposuction popularity could be partly attributed<br />
the number of new technologies used to assist the traditional<br />
liposuction technique. Certainly, the introduction of power,<br />
ultrasound <strong>and</strong> radiofrequency assisted liposuction has<br />
made the emulsification <strong>and</strong> extraction of fat easier <strong>and</strong>, in<br />
some cases, more effective.<br />
Yet, while emerging technologies have helped optimise<br />
procedure results, the approach, philosophy <strong>and</strong><br />
principle technique in liposuction has remained the same<br />
– contributing to the established reputation Dr Grover<br />
mentioned above.<br />
www.cosbeauty.com.au 109
feature<br />
Emerging trends<br />
Buttock augmentation <strong>and</strong><br />
labiaplasty saw the most<br />
significant annual increases<br />
in America last year – with<br />
a 58 percent rise in buttock<br />
augmentation (11,527 procedures)<br />
Liposuction <strong>and</strong> a 44 percent increase in<br />
labiaplasty (5,070 procedures).<br />
363,192<br />
+16%<br />
Breast<br />
augmentation<br />
313,327<br />
-5.2% Facelift<br />
129,807<br />
+9.1%<br />
Women<br />
10.3 m<br />
91%<br />
of the total<br />
Breast<br />
reduction<br />
122,838<br />
+8.9%<br />
Men<br />
1m<br />
9%<br />
of the total<br />
Top 5 Surgical Women Men<br />
Liposuction 312,176 51,736<br />
Breast augmentation 313,327 N/A<br />
Blepharoplasty 133,185 28,204<br />
Abdominoplasty 151,200 8,877<br />
Rhinoplasty 121,171 26,825<br />
Top 5 Non-surgical Women Men<br />
Anti-wrinkle injections 3,381,476 384,672<br />
Hyaluronic acid filler 1,738,999 133,173<br />
Hair removal 773,278 128,292<br />
Microdermabrasion 452,351 27,514<br />
Photorejuvenation 413,186 43,427<br />
Anti ageing<br />
The ASAPS survey revealed a rise in eyelid, face <strong>and</strong><br />
neck lifting surgery, highlighting the fact that anti-ageing<br />
procedures are more popular than ever before. Notably, fat<br />
transfer to the face – a procedure designed to add volume<br />
<strong>and</strong> rejuvenate the complexion – increased by 11.5 percent<br />
in 2013 in the US.<br />
In keeping with this anti-ageing trend, 29,414 brow lifting<br />
procedures were performed in 2013. This signifies a 20.4<br />
percent increase in both men <strong>and</strong> women.<br />
In the non-surgical arena, anti-wrinkle injections were<br />
the most popular treatment, with 3,766,148 procedures<br />
performed (up 15.6 percent). Hyaluronic acid filler injections,<br />
with 1,872,172 treatments administered, were ranked<br />
second in popularity, <strong>and</strong> photo rejuvenation, with 456,613<br />
procedures, showed the greatest annual increase of<br />
35.3 percent.<br />
Hair removal (901,571 procedures, up two percent)<br />
<strong>and</strong> microdermabrasion (479,865 procedures, down 3.8<br />
percent) constituted the remainder of the top five nonsurgical<br />
cosmetic procedures in 2013.<br />
Across the Board<br />
Interestingly, 2013 saw an increase in those procedures that<br />
are somewhat shrouded in stigma. Buttock augmentation<br />
<strong>and</strong> labiaplasty saw the most significant boost in numbers<br />
from the previous year. Buttock augmentation saw a 58<br />
percent increase over a 12 month period, <strong>and</strong> labiaplasty a<br />
44 percent rise from the year before.<br />
As the statistics from 2013 continue to emerge across the<br />
globe, similar trends in cosmetic surgery will undoubtedly<br />
become clear. The future of the industry is seemingly secure,<br />
with patients turning to those methods of rejuvenation that<br />
demonstrate tried, tested <strong>and</strong> predictable results.<br />
As the knowledge <strong>and</strong> science behind cosmetic surgery<br />
moves from strength to strength, more <strong>and</strong> more people<br />
are turning to surgical enhancement to restore, rejuvenate<br />
<strong>and</strong> return youthfulness to the face <strong>and</strong> body.<br />
‘A significant increase in the number of both cosmetic<br />
surgical <strong>and</strong> non-surgical procedures suggests that people<br />
are once again investing in their appearance <strong>and</strong> perhaps<br />
have more disposable income to do so,’ says Dr Fisher.<br />
‘Given the state of the economy <strong>and</strong> the competitiveness<br />
of the job market, we expect to see the numbers for antiageing<br />
procedures continue to increase.’ csbm<br />
110 www.cosbeauty.com.au
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feature<br />
liposuction<br />
essentials<br />
SINCE ITS INTRODUCTION MORE THAN<br />
30 YEAR AGO, LIPOSUCTION HAS<br />
CONTINUED TO RISE IN POPULARITY<br />
TO BECOME THE NUMBER-ONE<br />
PERFORMED COSMETIC SURGERY.<br />
AIMÉE SURTENICH<br />
REPORTS.<br />
112 www.cosbeauty.com.au
feature<br />
Liposuction has replaced breast augmentation as<br />
most popular surgical procedure in 2013, according<br />
to recent statistics from the American Society for<br />
Aesthetic Plastic <strong>Surgery</strong>, which usually reflects similar<br />
trends seen here in Australia.<br />
The benefits of fat removal can be enormous, <strong>and</strong><br />
liposuction is among the cosmetic surgery procedures<br />
with the highest rate of patient satisfaction. Many patients<br />
experience an immediate improvement in their self-esteem<br />
<strong>and</strong> overall confidence.<br />
There have been many advances in liposuction<br />
procedures over the past few decades, <strong>and</strong> particularly the<br />
past few years, making it one of the most predictable <strong>and</strong><br />
popular body contouring surgeries in the world.<br />
Liposuction is a surgical procedure to remove deposits<br />
of subcutaneous fat from specific areas of the body such as<br />
the thighs, hips, abdomen, buttocks, knees, upper arms,<br />
neck <strong>and</strong> chin.<br />
The basic liposuction procedure involves the insertion of<br />
a small tube-like instrument, called a cannula, into the layer<br />
of subcutaneous fat via tiny incisions made by the surgeon.<br />
The cannula is commonly connected to a clear plastic<br />
hose which leads to a suction source that breaks up <strong>and</strong><br />
vacuums away the targeted fat deposits beneath the skin.<br />
There are two main layers of subcutaneous fat:<br />
superficial <strong>and</strong> deep. Liposuction is primarily focused on the<br />
deeper layer of fat, since suctioning is thought to be safer<br />
<strong>and</strong> easier there. Suctioning in the superficial layer allows<br />
the surgeon to achieve subtle benefits in the procedure<br />
but, because of its proximity to blood vessels <strong>and</strong> nerve<br />
endings, it can increase the risk of contour irregularities<br />
<strong>and</strong> injury to the skin. Some surgeons believe superficial<br />
liposuction enhances skin retraction.<br />
Although the cannula is designed to slide through fat<br />
tissue <strong>and</strong> cause minimum damage to blood vessels <strong>and</strong><br />
nerves, some may be injured during the procedure. In some<br />
cases, liposuction is performed alone, in other cases it is<br />
used with plastic surgery procedures such as a facelift,<br />
breast reduction or a tummy tuck.<br />
Liposuction <strong>and</strong> weight loss<br />
Liposuction is not a way of losing weight. However, it may<br />
be a viable option for men <strong>and</strong> women who want to reduce<br />
bulges of fat that have resisted dieting <strong>and</strong> exercise. The<br />
ideal liposuction c<strong>and</strong>idate is at or near their ideal weight,<br />
with good skin elasticity, <strong>and</strong> is seeking reduction of dietresistant<br />
localised pockets of fat. Common sites include the<br />
hips, outer thighs, abdomen, lower back, knees <strong>and</strong> neck.<br />
Overweight individuals can benefit if they are in the<br />
process of exercising <strong>and</strong> losing weight. However,<br />
liposuction is not a cure for obesity. C<strong>and</strong>idates must have<br />
realistic expectations of what liposuction can <strong>and</strong> cannot<br />
do for them.<br />
If a person has loose skin, liposuction can actually make<br />
it worse. If this is the case, a body lift procedure may be<br />
required to remove excess skin <strong>and</strong> help the skin conform<br />
to the body’s new contours.<br />
Liposuction surgery has<br />
one of the highest patient<br />
satisfaction rates<br />
It should also be noted that liposuction does not improve<br />
cellulite (the dimpled appearance of the skin of commonly<br />
seen on the buttocks <strong>and</strong> thighs) or stretch marks (caused<br />
by pregnancy or rapid weight gain) as these appearance<br />
concerns are not related to fat accumulation beneath<br />
the skin.<br />
Both men <strong>and</strong> women can achieve an improved <strong>and</strong><br />
more contoured body shape through liposuction. The most<br />
commonly treated areas in women are the outer thighs <strong>and</strong><br />
abdomen, <strong>and</strong> the most commonly treated areas in men<br />
are the abdomen <strong>and</strong> the flanks, or ‘love h<strong>and</strong>les’. Some<br />
men have excess fatty tissue in <strong>and</strong> around the breast, or<br />
gynaecomastia, which can also be removed. A specific<br />
area treated by liposuction is less likely to increase to its<br />
former size because it has fewer fat cells.<br />
The liposuction procedure<br />
Various types of anaesthesia can be used for liposuction,<br />
depending on the surgeon’s <strong>and</strong> patient’s preference <strong>and</strong><br />
the extent of the procedure. If only a small amount of fat<br />
<strong>and</strong> a limited number of body sites are involved, liposuction<br />
can be performed under local anaesthesia, which numbs<br />
only the affected areas. Local anaesthetic is usually used<br />
in conjunction with intravenous sedation to help relax the<br />
patient during the procedure. Some surgeons will only use<br />
general anaesthesia, particularly if a large volume of fat is<br />
being removed.<br />
Generally, the surgeon makes tiny incisions in the areas<br />
to be suctioned <strong>and</strong> a cannula is inserted. Using the<br />
cannula, the surgeon moves in a specific pattern through<br />
the fat layer to break up fat cells, which are then vacuumed<br />
or suctioned out. The overlying skin remains attached to<br />
the connective tissue <strong>and</strong> underlying muscles of the skin<br />
during the operation. A thin blanket of fat is left under the<br />
skin to help prevent rippling or bumpy skin occurring after<br />
the liposuction is over.<br />
www.cosbeauty.com.au 113
feature<br />
The aim of liposuction is to decrease the bulk of fat<br />
in a specific area, but not to remove all the fat. Fat is an<br />
important tissue which helps to maintain skin shape <strong>and</strong><br />
firmness <strong>and</strong> removing too much fat can cause loose skin<br />
<strong>and</strong> surface irregularities.<br />
Depending on the size <strong>and</strong> number of the areas being<br />
treated, as well as the technique employed by the surgeon,<br />
the procedure can last from around one to five hours.<br />
The aim of liposuction is<br />
to decrease the bulk of fat in<br />
a specific area, but not to<br />
remove all the fat<br />
After surgery, the patient can expect to be swollen <strong>and</strong><br />
bruised. Most patients report feeling sore for a few days. It is<br />
also common to experience some numbness in the treated<br />
areas, although this should go away in the first few weeks.<br />
Patients are required to wear a compression garment for<br />
up to six weeks, but should be back to their normal routine<br />
after two to four weeks <strong>and</strong> vigorous exercise in a month.<br />
Although results can be seen as swelling subsides, it can<br />
take from six months to a year to achieve the final effect.<br />
Although different surgeons may favour certain<br />
modalities <strong>and</strong> variations, it is important to remember that<br />
all liposuction is surgery, requiring incisions, anaesthesia<br />
<strong>and</strong> diligent post-operative care.<br />
Liposuction techniques<br />
– which work best?<br />
There are numerous liposuction techniques available today,<br />
however each doctor has their preferred method, all of which<br />
offer effective, predictable results. As well as the technique<br />
employed, in every liposuction procedure the doctor takes<br />
into account the level of sedation administered, the type of<br />
cannula used <strong>and</strong> the patient’s wishes.<br />
No single technique, piece of equipment or instrument<br />
necessarily offers better results. Most surgeons will adapt<br />
techniques <strong>and</strong> tools to each individual patient to achieve<br />
optimal results. Generally, the technique that the doctor is<br />
most skilled in will cause the least complications.<br />
There are generally three techniques used in liposuction<br />
surgery today: ‘wet’, ‘superwet’ <strong>and</strong> ‘tumescent’. These<br />
are all dependent on the amount of fluid preinjected –<br />
predominantly local anaesthetic, blood vessel constrictors<br />
<strong>and</strong> saline – into the fat cells before the actual liposuction.<br />
Liposuction was originally performed with what is now<br />
referred to as the ‘dry technique’. It derived its name from<br />
the fact that it did not preinject any fluids into the fat before<br />
surgery. While fat removal using the dry method was<br />
effective, it was for the most part ab<strong>and</strong>oned because of<br />
its association with increased discomfort for the patient,<br />
excessive blood loss, increased tissue <strong>and</strong> nerve damage,<br />
as well as extensive bruising <strong>and</strong> a greater propensity for<br />
uneven or asymmetrical results.<br />
The introduction of tumescent liposuction was a<br />
significant advancement in liposuction surgery <strong>and</strong><br />
made it a much safer <strong>and</strong> more predictable procedure.<br />
Tumescent refers to a saline-based solution that usually<br />
contains epinephrine (which causes smaller blood vessels<br />
to constrict <strong>and</strong> reduces bleeding <strong>and</strong> bruising) <strong>and</strong><br />
lidocaine (an anaesthetic that provides localised pain relief)<br />
which is injected into the area to be treated. Ironically, the<br />
dry technique is wet (lots of blood loss), while the wet<br />
technique is dry.<br />
Performing liposuction surgery with tumescent helps to<br />
separate tissues, allowing easier movement of the cannula<br />
through the swollen fat cells. Suction, either manually with<br />
a syringe or mechanically, then removes the fat tissue <strong>and</strong><br />
most of the injected fluid. The rest of the fluid is largely<br />
excreted by the body in the days following surgery. As the<br />
114 www.cosbeauty.com.au
feature<br />
An ideal c<strong>and</strong>idate<br />
for liposuction<br />
• Is close to their ideal body weight<br />
(within 30 percent)<br />
• Wants to remove specifi c areas of fat that are<br />
resistant to diet <strong>and</strong> exercise (fat pockets in the<br />
abdomen, arms, knees, inner <strong>and</strong> outer thighs,<br />
‘love h<strong>and</strong>les’ <strong>and</strong> neck)<br />
• Weight has been stable for six months or more<br />
• Has good skin tone <strong>and</strong> elasticity<br />
• Does not have loose or saggy skin<br />
• Does not have stretch marks<br />
• Has realistic expectations<br />
• Is emotionally stable<br />
tumescent technique reduces bruising <strong>and</strong> swelling, larger<br />
quantities of fat can be removed.<br />
The amount of tumescent fl uid used varies from patient<br />
to patient <strong>and</strong> is usually driven by what level of anaesthetic<br />
the patient prefers. Technically, the tumescent method also<br />
Most surgeons will adapt<br />
techniques <strong>and</strong> tools to each<br />
individual patient to achieve<br />
optimal results<br />
includes the ‘wet’ <strong>and</strong> ‘superwet’ techniques as these also<br />
inject fl uid to exp<strong>and</strong>, or tumesce, the target area. The<br />
main differences of the true tumescent technique <strong>and</strong> the<br />
‘wet’ <strong>and</strong> ‘superwet’ modifi cations are the volume of fl uid<br />
injected in relation to the amount of fat removed <strong>and</strong> the<br />
type of sedation used.<br />
Generally, there is a balance between the volume of fl uid<br />
injected <strong>and</strong> the anesthetic used – the more fl uid, the less<br />
additional anaesthetic needed. For example, liposuction<br />
performed using the true tumescent technique will typically<br />
negate the need for additional sedation because the local<br />
anesthetic in the injected fl uid is suffi cient. Conversely,<br />
the wet technique preinjects a minimal amount of fl uid so<br />
more sedation is required, usually in the form of general<br />
anaesthetic. The superwet technique, which normally<br />
involves an amount of fl uid equal to the amount of fat to be<br />
removed, would typically require intravenous sedation. The<br />
volume of fl uid <strong>and</strong> corresponding level of anaesthetic used<br />
is also dependent on the projected length of surgery <strong>and</strong><br />
the amount of fat to be removed.<br />
The terms ‘tumescent’, ‘wet’ <strong>and</strong> ‘superwet’ are used<br />
loosely. Generally, each doctor has their own preferred<br />
amount <strong>and</strong> composition of fl uid to be injected <strong>and</strong> it has<br />
never been completely st<strong>and</strong>ardised. Doctors will usually<br />
adjust the amount of fl uid used depending on the desires<br />
of the individual patient <strong>and</strong> their preference for local<br />
anaesthesia, intravenous sedation or general anaesthesia.<br />
Once the areas of fat to be treated have absorbed<br />
the injected solution, there are generally three ways to<br />
actually remove the fat: the traditional cannula method,<br />
the syringe technique <strong>and</strong> the energy-assisted method,<br />
which can further be broken into numerous sub-categories<br />
such as laser-assisted. The method of fat extraction used<br />
is mainly dependent on the surgeon’s preference <strong>and</strong><br />
their level of expertise <strong>and</strong> experience in that particular<br />
technique. csbm<br />
www.cosbeauty.com.au 115
ody<br />
living<br />
sculpture<br />
Dr Josef Goldbaum says<br />
liposculpture is more than<br />
just fat reduction – it can also<br />
sculpt the body to create a<br />
more streamlined silhouette.<br />
Lizzy Fowler reports.<br />
Liposculpture is more than just fat removal, <strong>and</strong> it<br />
requires a specialised approach, says Liposuction<br />
Australia’s chief cosmetic surgeon Dr Josef<br />
Goldbaum. ‘One of the most important aspects of superior<br />
liposculpture results is not just removing fat but sculpting it,’<br />
he says. ‘The body is three-dimensional; it has rounded bits,<br />
flat bits, crests <strong>and</strong> curves. Because of this, I believe the<br />
best liposculpture results can only be achieved if the patient<br />
is able to be responsive <strong>and</strong> move during the procedure.’<br />
Dr Goldbaum’s approach allows the use of small<br />
cannulas, 2, 3 or 4mm in diameter, which he says leaves<br />
next to no scarring, removes fat in a gentle manner <strong>and</strong><br />
allows the use of local instead of general anaesthetic. ‘My<br />
technique involves the simplest system: the patient, the<br />
doctor <strong>and</strong> the cannula,’ he says. ‘I don’t use tumescent<br />
fluid during the procedure, <strong>and</strong> I don’t use energy-assisted<br />
liposuction techniques; the less unnecessary risk, the better<br />
for the patient.’<br />
Dr Goldbaum says there are major advantages to<br />
performing liposculpture using local anaesthetic instead of<br />
general anaesthetic, the most beneficial of which is that the<br />
patient is able to move <strong>and</strong> respond to the surgeon during<br />
the procedure. ‘If the patient is lying down under general<br />
anaesthetic, they have no muscle tone, which means<br />
116 www.cosbeauty.com.au
ody<br />
there are no reference points to sculpt the body threedimensionally,’<br />
he says. ‘This can mean uneven removal<br />
of fat <strong>and</strong>, more importantly, a higher risk of penetrating<br />
relaxed muscle.’<br />
While the patient is sitting for most of his procedure,<br />
they are gently moved into a st<strong>and</strong>ing position towards the<br />
end to make sure there are no inconsistencies with the fat<br />
removal.<br />
By using only the cannula without energy assistance,<br />
Dr Goldbaum says the fat can be removed intact <strong>and</strong><br />
atraumatically. ‘The moment you start introducing energy<br />
assistance, it changes the equation. I believe there is more<br />
risk of things going wrong – it’s the skills that create the<br />
results, not the technology,’ he says.<br />
‘I believe that frying the fat cells with laser energy or<br />
shrinking them with ultrasound compromises the fat cells<br />
– not only to the fat being removed but also the fat which<br />
stays in the body,’ he continues. ‘This is why many patients<br />
experience fat returning some time after their procedure,<br />
because the body is repairing these damaged fat cells.’<br />
Sometimes the problem is too much fat in some places,<br />
<strong>and</strong> not enough in others. In such cases, fat transfer<br />
can be an effective adjunct procedure when undergoing<br />
liposculpture, particularly for those who are looking for<br />
natural-looking volumisation. ‘One of the other reasons<br />
I don’t use energy assisted liposuction is to preserve the<br />
integrity of the healthy stem cells in the fat if we’re also<br />
performing fat transfer,’ he says.<br />
His ultimate aim, Dr Goldbaum explains, is to sculpt<br />
the existing fat into a nicer shape, not melt it inconsistently<br />
for the sake of removal. ‘We have successfully reduced<br />
the size of large stomach aprons, breasts, hips, thighs,<br />
abdomen, <strong>and</strong> even harder to reach areas such as the neck<br />
<strong>and</strong> ankles.’<br />
‘There are sometimes instances where surgery is<br />
required,’ he continues. ‘For example, if a woman has more<br />
gl<strong>and</strong>ular tissue than fat in her breasts, this will need to be<br />
removed surgically. However, there are many cases where<br />
women undergo a surgical breast reduction when they<br />
can simply reduce their breast size with liposuction, which<br />
involves two small nicks on either side of the breast instead<br />
of obtrusive scarring. Put simply, if there’s fat, I can remove<br />
it,’ he says.<br />
Safety first<br />
Dr Goldbaum’s use of local anaesthetic to numb the target<br />
areas before surgery means the risks associated with<br />
general anaesthetic are eliminated. ‘Liposuction under<br />
local anaesthetic carries minimal risks; by not using general<br />
anaesthetic we are removing any unnecessary associated<br />
complications,’ he explains. ‘With intravenous sedation<br />
there is a 1 in 50,000 mortality rate <strong>and</strong> there is a 1 in 5,000<br />
mortality rate for liposuction under general anaesthetic. No<br />
deaths have been reported from liposculpture under local<br />
anaesthetic.’<br />
Patients can be assured there will be little sensation in<br />
the areas to be sculpted, says Dr Goldbaum. ‘There may<br />
be slight discomfort in the form of a slight pinch every now<br />
<strong>and</strong> then, but this usually passes very quickly.’<br />
One of the most important<br />
aspects of superior liposculpture<br />
results is not just removing the<br />
fat but also sculpting it<br />
Dr Goldbaum stresses the importance of patients<br />
researching their chosen surgeon before entering into any<br />
kind of cosmetic procedure. ‘If you don’t choose the right<br />
cosmetic surgeon you may encounter problems such as<br />
permanent lumpiness under the skin if the fat isn’t removed<br />
in a smooth manner, asymmetric finish on one or both sides<br />
of the body, not enough fat or too much fat removed <strong>and</strong>,<br />
in some cases, scarring,’ he explains. ‘These problems<br />
are often associated with inexperience, so patients<br />
should always ask to see photos of the surgeon’s results<br />
beforeh<strong>and</strong>.’<br />
‘Ninety-five percent of my patients are back at work three<br />
days after the procedure,’ Dr Goldbaum says. ‘My patients<br />
are typically able to shower <strong>and</strong> walk about the next day,<br />
can resume swimming a week or so later, <strong>and</strong> can usually<br />
go back to the gym again after a month. Of course, every<br />
patient recovers at a different pace, so patients should pay<br />
attention to how they feel before doing any kind of day-today<br />
activity.’<br />
In Dr Goldbaum’s experience, most patients have found<br />
the local anaesthetic to wear off within a few hours after<br />
surgery. Patients may experience a change in sensation of<br />
their skin, which may take a month or two to come back,<br />
but Dr Goldbaum says this is a rare complication. ‘We only<br />
infiltrate as much local anaesthetic as needed, no more. It<br />
is also removed with the fat during the procedure so any<br />
residual anaesthetic is very minimal,’ he explains. ‘This also<br />
lessens the likelihood of toxicity after surgery.’<br />
‘My aim is to create the best possible results for each<br />
of my patients, helping them achieve more balanced <strong>and</strong><br />
streamlined proportions. Using advanced techniques,<br />
superior three-dimensional body contouring results can be<br />
achieved,’ Dr Goldbaum concludes. csbm<br />
www.cosbeauty.com.au 117
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1<br />
BEFORE<br />
AFTER liposculpture by Dr Goldbaum<br />
2<br />
BEFORE<br />
AFTER liposculpture by Dr Goldbaum<br />
3<br />
BEFORE AFTER liposculpture by Dr Goldbaum<br />
118 www.cosbeauty.com.au
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Tweed Heads Tweed Day <strong>Surgery</strong> & Specialist Centre,<br />
Suite 8 38- 44 Boyd Street, Tweed Heads NSW 2486 phone 07 5536 9234
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LIPOSCULPTURE<br />
The gold st<strong>and</strong>ard<br />
in body contouring<br />
SYDNEY COSMETIC SURGEON DR JOSEPH GEORGHY SAYS SYRINGE<br />
LIPOSCULPTURE CAN ACHIEVE OUTSTANDING RESULTS IN BODY CONTOURING. HE<br />
ANSWERS SOME COMMONLY ASKED QUESTIONS ABOUT THE PROCEDURE.<br />
Syringe liposculpture is considered the gold st<strong>and</strong>ard<br />
in fat removal. I perform liposculpture to help<br />
patients rediscover the contours of their youth. The<br />
procedure is ideal for contouring areas of the body such as<br />
the breast, thighs, arms, ankles, knees <strong>and</strong> abdomen, as<br />
well as the more delicate face, chin <strong>and</strong> neck region. My<br />
preferred technique is the manual, or syringe, technique.<br />
The results are excellent, however there is a steep<br />
learning curve <strong>and</strong> mastering this technique is much harder.<br />
What is liposculpture?<br />
Liposculpture is a surgical technique to remove unwanted<br />
fat deposits from specifi c areas of the body. Virtually any<br />
part of the body can be treated.<br />
Who is an ideal c<strong>and</strong>idate?<br />
The best c<strong>and</strong>idates for liposculpture are of normal weight<br />
with fi rm, elastic skin but who have pockets of excess fat.<br />
What are the risks?<br />
Liposculpture is normally safe, as long as patients are<br />
carefully selected, the operating facility is properly equipped,<br />
<strong>and</strong> the physician is adequately trained in liposculpture<br />
body contouring as well as in general surgery.<br />
What results can be achieved?<br />
Most patients are very satisfi ed with the results of their<br />
liposculpture surgery. They feel more comfortable in a wide<br />
variety of clothes <strong>and</strong> more at ease with their bodies. As<br />
long as a patient’s expectations are realistic, they should be<br />
happy with their new shape.<br />
Is the result permanent?<br />
Liposculpture is an excellent technique <strong>and</strong> remains a<br />
gold st<strong>and</strong>ard for creating a new body contour with very<br />
120 www.cosbeauty.com.au
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little scarring. The results can be permanent, provided the<br />
patient eats sensibly <strong>and</strong> exercises regularly.<br />
How is liposculpture performed?<br />
I perform liposculpture under local anaesthesia, <strong>and</strong><br />
the patient is conscious the whole time. Recovery time<br />
is minimal <strong>and</strong> all my patients are able to walk around<br />
immediately after the procedure. In my experience, results<br />
are consistent with minimal surgical risk involved.<br />
Low level laser therapy is applied as soon as the<br />
procedure is completed. PhotoDynamic HelioTherm,<br />
a unique treatment <strong>and</strong> only available at North Shore<br />
<strong>Cosmetic</strong>, is performed to help improve skin contraction,<br />
minimise swelling <strong>and</strong> reduce the risk of scarring.<br />
I believe syringe liposculpture<br />
remains the gold st<strong>and</strong>ard for<br />
creating a new body contour<br />
I believe this combination treatment helps the patient<br />
recovery quickly, delivers better cosmetic results <strong>and</strong><br />
minimises any potential side effects. csbm<br />
Case study<br />
This 57-year-old female patient wanted to get rid of excess fat deposits. She was very<br />
concerned about the possibility of skin rippling or excess skin following the procedure. She<br />
is very happy with her result. Photos courtesy Dr Joseph Georghy.<br />
BEFORE<br />
Manual liposculpture, Low Level Laser Stimulation Therapy <strong>and</strong><br />
PhotoDynamic HelioTherm by Dr Georghy<br />
BEFORE<br />
Manual liposculpture, Low Level Laser Stimulation Therapy <strong>and</strong><br />
PhotoDynamic HelioTherm by Dr Georghy<br />
www.cosbeauty.com.au 121
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Case study:<br />
body transformation<br />
One patient who underwent body transformation surgery with Sydney<br />
plastic surgeon Dr Kourosh Tavakoli says the surgery has given her<br />
a new lease on life. Caitlin Bishop reports.<br />
Diet regimes <strong>and</strong> exercise programs are sometimes<br />
not enough to conquer stubborn pockets of fat<br />
<strong>and</strong> return the body to a healthy weight. The<br />
psychological effects that come with being overweight<br />
can mean other solutions, for example surgical body<br />
transformation, become viable options in re-contouring the<br />
body <strong>and</strong> removing excess fatty tissue.<br />
One patient, named Alyssa for the purposes of this article,<br />
approached Dr Kourosh Tavakoli seeking abdominoplasty<br />
surgery to slim down her tummy. She had been considering<br />
surgery for many years <strong>and</strong>, after no success with<br />
numerous weight loss methods, decided to go ahead with<br />
the operation.<br />
‘I’d been looking at it for a few years,’ Alyssa says. ‘I<br />
tried various diets but was just unhappy with my body. I did<br />
my research <strong>and</strong> spoke to friends of mine in the medical<br />
industry. Dr Tavakoli’s name came up a number of times <strong>and</strong><br />
he was highly recommended.’<br />
Though Alyssa had done her initial research into the<br />
abdominoplasty procedure, she still had some concerns<br />
about the downtime involved <strong>and</strong> the eventual results.<br />
During her initial consultation with Dr Tavakoli, he showed<br />
her several before <strong>and</strong> after photographs <strong>and</strong> explained<br />
what he thought he could achieve.<br />
‘I was concerned about the surgery itself, the downtime<br />
was an issue <strong>and</strong> obviously I wanted to be sure about the<br />
results before committing to such big surgery,’ she says.<br />
‘During the initial consultation I was able to communicate<br />
these concerns freely <strong>and</strong> ask any questions I had openly.<br />
Dr Tavakoli spoke to me about what the procedure would<br />
involve, we discussed my feelings going in, <strong>and</strong> he outlined<br />
the results he thought were possible.’<br />
Abdominoplasty is an extensive procedure that involves<br />
an incision that runs from one hip to the other, near the pubic<br />
hairline. Excess fat is removed <strong>and</strong> the stomach muscles<br />
are tightened via this incision. Loose skin is excised before<br />
the incision is closed, <strong>and</strong> often the navel is repositioned<br />
during the operation.<br />
On the day of her surgery, Alyssa found Dr Tavakoli’s<br />
nurses comforting <strong>and</strong> soothing. She said they helped<br />
alleviate any anxiety before the operation.<br />
‘The nurses were very communicative, they were<br />
knowledgeable, soothing <strong>and</strong> caring,’ Alyssa recalls.<br />
‘After the surgery I woke up in my room <strong>and</strong> there was a<br />
degree of pain but the nurses were very helpful. I was on<br />
pain medication for about a week post-operatively but had<br />
no difficulties – I always knew Dr Tavakoli was on call, no<br />
matter what.’<br />
Following her operation, Alyssa experienced minimal<br />
bruising <strong>and</strong> some swelling. The swelling lasted around one<br />
month <strong>and</strong>, as it started to go down, she felt her body had<br />
settled into its newly defined contours.<br />
I’m extremely happy <strong>and</strong> have<br />
no regrets. The results have<br />
been life changing<br />
‘After around one month I felt like I was back to normal,’<br />
Alyssa says. ‘The third week I was back at work full time,<br />
<strong>and</strong> after four weeks it was all systems go.’<br />
To help reduce the appearance of scarring, Alyssa has<br />
been using vitamin E <strong>and</strong> Bio Oil lotion on the incision. ‘The<br />
scar is healing beautifully,’ Alyssa says. ‘It’s very discreet<br />
<strong>and</strong> the results are really worth it.’<br />
Looking back, Alyssa is pleased with her decision to<br />
undergo body transformation surgery <strong>and</strong> is happy about<br />
the results.<br />
‘I’m extremely happy with the outcome of my surgery.<br />
I have no regrets whatsoever,’ she says. ‘It was worth the<br />
money – the results are life changing <strong>and</strong> I was really quite<br />
stunned at the change to my overall body.’<br />
‘Dr Tavakoli is a gem <strong>and</strong> a great surgeon, <strong>and</strong> his team<br />
have the same comforting, professional <strong>and</strong> soothing<br />
manner,’ she concludes. csbm<br />
122 www.cosbeauty.com.au
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BEFORE<br />
AFTER abdominoplasty by Dr Tavakoli<br />
BEFORE<br />
AFTER abdominoplasty by Dr Tavakoli<br />
www.cosbeauty.com.au 123
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The<br />
Vaser Lipo<br />
advantage:<br />
smoother<br />
contours &<br />
tighter skin<br />
two plastic surgeons<br />
discuss their experience using<br />
vaser lipo for body reshaping.<br />
caitlin bishop reports.<br />
Vaser Lipo is a form of liposculpture that uses<br />
controlled ultrasonic energy to assist the surgeon<br />
in the selective removal of fat in body contouring<br />
surgery, offering smoother results <strong>and</strong> faster recovery than<br />
tradition liposuction.<br />
Sydney plastic surgeon Dr Naveen Somia has been using<br />
Vaser Lipo by Device Technologies for the past four years.<br />
He uses it both as a st<strong>and</strong>alone liposuction procedure <strong>and</strong><br />
in combination with other surgical procedures, for example<br />
tummy tucks <strong>and</strong> breast reductions. Common treatment<br />
areas include the arms, thighs, buttocks, love h<strong>and</strong>les <strong>and</strong><br />
male breasts (medically called gynaecomastia.<br />
Vaser Lipo uses ultrasound energy to liquefy the fat<br />
before extraction, which helps to reduce trauma <strong>and</strong><br />
achieve a smoother contour. ‘The ultrasound energy<br />
emulsifies the fat, so that it is extracted in a liquid form,’ Dr<br />
Somia explains. ‘This reduces the amount of mechanical<br />
action needed to dislodge <strong>and</strong> extract fat, meaning less<br />
tissue trauma is inflicted. Importantly, the energy is selective<br />
<strong>and</strong> targeted, so the nerves, lymphatics <strong>and</strong> blood vessels<br />
are not affected.’<br />
Dr Somia performs all Vaser Lipo procedures using<br />
general anaesthetic. He believes this allows for a greater<br />
volume of fat to be extracted, <strong>and</strong> affords easier access<br />
124 www.cosbeauty.com.au
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I have found that<br />
Vaser Lipo enhances the<br />
predictability <strong>and</strong> quality<br />
of fat reduction results<br />
to the deeper fatty layers. Before treatment, Dr Somia fills<br />
the area with tumescent saline solution that contains local<br />
anaesthesia. This helps constrict blood vessels, reduce<br />
bleeding <strong>and</strong> assist in the emulsification of fatty tissue.<br />
The ultrasound method of Vaser offers a skin tightening<br />
benefit, alongside fat reduction. This is due to the ultrasound<br />
heat causing the tightening <strong>and</strong> regeneration of collagen<br />
fibres in the skin.<br />
Dr Somia has achieved noticeable results in skin<br />
tightening, although he explains the tightening effect<br />
varies between patients <strong>and</strong> is difficult to predict. ‘I have<br />
seen impressive results in skin tightening. For example,<br />
one patient in her late 20s had Vaser Lipo on her arms,<br />
<strong>and</strong> the degree of skin tightening was remarkable,’<br />
Dr Somia explains. ‘But, although this skin tightening<br />
effect is applicable across the board, it is difficult to<br />
accurately predict the degree of skin tightening for each<br />
individual patient.’<br />
Following Vaser Lipo, Dr Somia says it is important<br />
to wear compression garments for at least six weeks to<br />
minimise swelling, <strong>and</strong> help the body better conform to the<br />
new, slimmer contours.<br />
‘I see my patients for follow-up appointments at the first,<br />
second <strong>and</strong> sixth week after Vaser Lipo surgery,’ Dr Somia<br />
explains. ‘Final results are usually seen at six to 12 weeks<br />
post-procedure, once all swelling has gone.’<br />
Dr Patrick Briggs, a plastic surgeon from Perth, also<br />
uses Vaser Lipo <strong>and</strong> believes it achieves more consistent<br />
<strong>and</strong> effective results than other systems on the market.<br />
‘There have been many changes in liposuction<br />
over the years, including different techniques <strong>and</strong><br />
the introduction of various cannulas,’ Dr Briggs<br />
explains. ‘But the perennial problems remained: loose skin,<br />
wavy results, lumps <strong>and</strong> bumps, <strong>and</strong> irregularities in fat<br />
deposition, for example. Thankfully, Vaser Lipo seems to<br />
have done away with the vast majority of these problems.’<br />
Dr Briggs explains that the Vaser Lipo system has<br />
revolutionised the way ultrasound is used alongside<br />
liposuction. ‘While other machines have used ultrasound in<br />
conjunction with liposuction in the past, Vaser has changed<br />
this process,’ he says.<br />
‘With Vaser, ultrasound is performed first to emulsify<br />
the fat, <strong>and</strong> this is followed by suctioning. I have found<br />
this enhances the predictability <strong>and</strong> quality of fat reduction<br />
results. Other systems perform emulsification <strong>and</strong> suction<br />
at the same time <strong>and</strong> this, in my view, holds a level<br />
of unpredictability.’<br />
Vaser Lipo can be used on several areas of the body <strong>and</strong><br />
Dr Briggs says, in some cases, there can be a degree of<br />
skin tightening, alongside fat reduction, following treatment.<br />
‘I have used Vaser on virtually all areas of the body<br />
with the exception of the breast, <strong>and</strong> have found it to hold<br />
minimal complications,’ Dr Briggs explains. ‘There is no<br />
doubt, anecdotally, that Vaser tightens skin but we have no<br />
scientific way of proving this. Notwithst<strong>and</strong>ing, it would be<br />
foolhardy to think that significant skin tightening will occur<br />
in a patient over 45 or 50 years of age.’<br />
Bruising <strong>and</strong> swelling are common side effects following<br />
<strong>and</strong> liposuction procedure, <strong>and</strong> Dr Briggs encourages<br />
his patients to use adequate compression garments<br />
post-operatively to help reduce these symptoms <strong>and</strong><br />
optimise healing.<br />
As with all body contouring procedures, Vaser Lipo<br />
should not be considered an alternative to weight loss, <strong>and</strong><br />
is best suited to patients hoping to optimise the results of a<br />
healthy exercise <strong>and</strong> dietary regime.<br />
‘Patient selection in liposuction is critical, <strong>and</strong> appropriate<br />
patient selection will lead to good if not excellent results,’<br />
Dr Briggs explains. ‘All in all, I’m a big fan of Vaser<br />
Lipo. I have been performing liposuction for so long, with<br />
so many different techniques (with mixed results), so<br />
the predictability <strong>and</strong> consistency of the Vaser has really<br />
changed the ball game for me. I look forward to liposuction<br />
cases, knowing the kind of results that can be achieved<br />
with Vaser Lipo.’ csbm<br />
www.cosbeauty.com.au 125
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1<br />
BEFORE<br />
AFTER Vaser Lipo on arms by Dr Briggs<br />
2<br />
BEFORE<br />
AFTER Vaser Lipo (photos courtesy of the manufacturer)<br />
3<br />
BEFORE AFTER Vaser Lipo (photos courtesy of the manufacturer)<br />
126 www.cosbeauty.com.au
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Get a slimmer,<br />
smoother body<br />
Vaser Lipo <strong>and</strong> Vaser Smooth can optimise fat reduction <strong>and</strong> improve<br />
the appearance of cellulite. caitlin bishop reports.<br />
What is Vaser Lipo?<br />
Revolutionising fat removal, Vaser Lipo from Device<br />
Technologies is a minimally invasive approach to liposuction.<br />
It uses ultrasound energy alongside liposuction to create<br />
even, smoother <strong>and</strong> slimmer contours in liposuction<br />
patients. This combination of technology helps optimise<br />
results <strong>and</strong> reduce downtime following the procedure.<br />
Perth cosmetic surgeon Dr Glenn Murray has been using<br />
Vaser Lipo for the past two years. He explains Vaser Lipo<br />
is particularly beneficial in treating stubborn areas of fatty<br />
tissue, which are otherwise impervious to exercise.<br />
‘Vaser Lipo is suable for all areas of the body,’ Dr Murray<br />
says. ‘It is especially effective in treating stubborn areas of<br />
fat, for example on the back, knees <strong>and</strong> inner thighs.’<br />
Vaser Lipo targets subcutaneous fat, or the pockets of<br />
fat directly below the skin. During treatment, the targeted<br />
area is injected with tumescent fluid. This is a saline<br />
solution that shrinks blood vessels <strong>and</strong> temporarily<br />
exp<strong>and</strong>s the treatment area, to reduce bleeding <strong>and</strong> assist<br />
in fat removal.<br />
Following this, small probes that release high ultrasound<br />
energy are inserted via small incisions. The ultrasound<br />
energy is specifically targeted to loosen <strong>and</strong> ‘melt’ fat cells,<br />
while leaving the surrounding tissues unaffected. Finally, the<br />
liquefied fat, combined with the tumescent fluid is removed<br />
from the body using specialised cannulas.<br />
Because Vaser Lipo uses ultrasound energy to emulsify<br />
the fat before extraction – unlike other systems, which<br />
perform both ultrasound <strong>and</strong> extraction at the same time<br />
– Vaser Lipo can achieve greater consistency <strong>and</strong> even<br />
results for fat reduction.<br />
‘Vaser Lipo can break down stubborn, fibrous-laden fat<br />
more easily,’ Dr Murray explains. ‘A smoother result can be<br />
obtained with Vaser Lipo, especially in patients who have<br />
suffered rippling from previous liposuction procedures.’<br />
Alongside fat reduction, Vaser is touted to achieve<br />
a skin tightening effect. The heat from the ultrasound<br />
128 www.cosbeauty.com.au
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energy causes the collagen fibres in the skin’s dermis to<br />
contract <strong>and</strong> tighten. It also promotes the production of<br />
new collagen at the site. This results in a skin tightening<br />
<strong>and</strong> rejuvenating effect, helping smooth the skin for<br />
a more youthful appearance across the body’s newly<br />
formed contours.<br />
Following treatment with Vaser Lipo, compression<br />
garments are generally worn for six weeks post-operatively.<br />
This helps reduce swelling <strong>and</strong> bruising, normalise healing<br />
<strong>and</strong> retract the skin over the treatment site.<br />
Full results in fat reduction are evident once the swelling<br />
has decreased, <strong>and</strong> some degree of skin tightening should<br />
be seen around 12 weeks post-operatively, once new<br />
collagen has been generated at the site. Vaser Lipo is a<br />
minimally invasive approach to liposuction, <strong>and</strong> achieves<br />
effective results in trimming those problems areas <strong>and</strong><br />
tightening skin for an even, smooth <strong>and</strong> slimmer silhouette.<br />
What is Vaser Smooth?<br />
The dimpled or ‘cobblestone’ appearance of cellulite can<br />
detract from an otherwise healthy figure <strong>and</strong> is frustratingly<br />
difficult to treat. Vaser Smooth from Device Technologies<br />
signifies a solution to this pervasive problem. It uses<br />
ultrasound energy, conducted through a specialised probe,<br />
to emulsify undesired fat <strong>and</strong> sever the fibrous b<strong>and</strong>s that<br />
cause the dimpling in cellulite. By liquefying fat cells, <strong>and</strong><br />
then cutting loose those uneven fibres, the contour is<br />
slimmed <strong>and</strong> the appearance of cellulite noticeably reduced.<br />
Dr Murray has achieved effective results in cellulite <strong>and</strong><br />
fat reduction using Vaser Smooth. ‘Vaser Smooth works<br />
very well especially for the front <strong>and</strong> back thigh,’ he says.<br />
‘The focused ultrasound energy disrupts the fibrous b<strong>and</strong>s,<br />
<strong>and</strong> at least 50 percent clearance is easily achieved.’<br />
Vaser Smooth also uses tumescent fluid to assist in fat<br />
emulsification <strong>and</strong> achieve even, consistent results. Small<br />
incisions are used to deliver the probe into the subcutaneous<br />
fatty tissue. Dr Murray says common side effects following<br />
treatment include bruising <strong>and</strong> swelling, <strong>and</strong> results will vary<br />
between patients.<br />
‘Tumescent anaesthesia is used alongside sedation,’<br />
he explains ‘There is more bruising following treatment<br />
than usually seen after tumescent liposuction. A Vaser<br />
Smooth patient must be realistic, <strong>and</strong> looking for<br />
improvement not perfection.’<br />
Vaser Lipo is especially<br />
effective in treating stubborn<br />
areas of fat, such as on the back,<br />
knees <strong>and</strong> inner thighs<br />
Liposuction can be performed alongside Vaser Smooth,<br />
for more noticeable fat reduction results. The best<br />
c<strong>and</strong>idates for Vaser Smooth are of a relatively normal<br />
weight, with isolated pockets of fat within the uneven,<br />
fibrous b<strong>and</strong>s.<br />
‘My typical Vaser Smooth patient is female in her 20s to<br />
30s, but men with cellulite are always very keen to reduce<br />
this condition,’ Dr Murray explains. ‘Vaser Smooth patients<br />
are often slim with isolated problem areas, however slightly<br />
overweight people are also very interested.’<br />
With cellulite such a common concern – affecting around<br />
90 percent of adult women – Vaser Smooth offers an<br />
effective option to smooth the skin’s surface <strong>and</strong> optimise<br />
the results of a healthy lifestyle. csbm<br />
BEFORE<br />
AFTER Vaser Lipo (photos courtesy of the manufacturer)<br />
www.cosbeauty.com.au 129
ody<br />
Refine<br />
your figure<br />
130 www.cosbeauty.com.au
ody<br />
Dr Mark Magnusson <strong>and</strong><br />
dr gary kode share their<br />
experience using Exilis as<br />
a non-invasive method<br />
for body contouring. caitlin<br />
bishop repoRTS.<br />
Exilis is both a skin tightening <strong>and</strong> fat reduction<br />
system. It combines monopolar radiofrequency (RF)<br />
<strong>and</strong> ultrasound energy to trim, tone <strong>and</strong> tighten the<br />
body’s contours. Suitable for use on all areas of the body,<br />
Exilis is a non-invasive solution to shifting love h<strong>and</strong>les,<br />
slimming thighs <strong>and</strong> conquering stubborn pockets of fatty<br />
tissue, which are otherwise impervious to exercise.<br />
Exilis concentrates RF <strong>and</strong> ultrasound energy at specific<br />
depths in the subcutaneous fat layer, directly beneath<br />
the skin. This causes deep thermal heating to increase<br />
metabolic activity <strong>and</strong> ‘melt’ the localised fat cells.<br />
As the fat volume is liquefied, the surrounding collagen<br />
is also affected. The collagen fibres in the skin’s dermis<br />
contract in the heat, causing skin retraction <strong>and</strong> triggering<br />
the production of new collagen at the site. This results in skin<br />
tightening, alongside fat reduction, for an all-encompassing<br />
rejuvenating effect.<br />
No anaesthesia is required during treatment, <strong>and</strong><br />
cooling gel is used to protect the skin’s upper layers. This<br />
cooling system can be adjusted depending on the required<br />
treatment – maximum cooling is used to target the deeper<br />
fat layers, while minimal cooling is sufficient when the<br />
system is used solely for skin tightening.<br />
Exilis can achieve a circumferential reduction of up to<br />
10cm in select patients. The system is unique in combining<br />
RF, ultrasound energy <strong>and</strong> the cooling system in a single<br />
h<strong>and</strong>piece. It achieves effective results in circumferential<br />
reduction <strong>and</strong> skin tightening, conquering those isolated<br />
pockets of stubborn fatty tissue.<br />
Dr Mark Magnusson, a Queensl<strong>and</strong> plastic surgeon, has<br />
been using Exilis for more than a year. He uses it as a noninvasive<br />
approach to both circumferential reduction <strong>and</strong><br />
facial rejuvenation.<br />
‘Using Exilis, we have achieved circumferential reduction,<br />
significant improvement in skin laxity on both the face <strong>and</strong><br />
body, <strong>and</strong> smoother, tighter skin,’ says Dr Magnusson. He<br />
explains the non-invasive approach is an attractive option<br />
for many patients hoping to achieve subtle results, with<br />
minimal downtime.<br />
‘Exilis is an all-in-one system, which utilises a combination<br />
of monopolar radiofrequency (RF) <strong>and</strong> ultrasound,’ he says.<br />
‘This enables it to deliver more energy over a shorter period<br />
of time. Patients can be treated more quickly than before,<br />
with no need for anaesthesia or downtime.’<br />
Dr Magnusson uses Exilis for fat reduction on many<br />
areas of the body. Common treatment areas include the<br />
outer thighs, abdomen, arms <strong>and</strong> the face. To optimise<br />
results, he often combines the procedure with other body<br />
contouring methods.<br />
Importantly, there are several steps patients can<br />
employ to enhance results following Exilis. Dr Magnusson<br />
advises patients should be well hydrated before treatment.<br />
‘Adequate hydration is important when being treated with<br />
www.cosbeauty.com.au 131
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‘This promotes the remodelling of fresh collagen <strong>and</strong> elastin<br />
in the treated area, inducing skin tightening <strong>and</strong> a smoother,<br />
tauter result.’<br />
Dr Gary Kode, a plastic surgeon in Tasmania, finds<br />
Exilis effective for both circumferential reduction <strong>and</strong> skin<br />
tightening. He explains it is a viable option for people<br />
looking to reduce isolated fatty pockets.<br />
‘While the results are not as drastic as more invasive<br />
methods for body contouring, they are certainly significant,’<br />
says Dr Kode. ‘Before <strong>and</strong> after photographs show a visible<br />
difference after treatment with Exilis, <strong>and</strong> patients notice a<br />
reduction in fatty pockets <strong>and</strong> the tightening effect.’<br />
Exilis treatment<br />
promotes skin tightening<br />
as well as fat reduction<br />
for an all-encompassing,<br />
rejuvenating effect<br />
Exilis,’ he explains. ‘For example, if you put a wet sponge<br />
<strong>and</strong> a dry sponge in the microwave, the wet sponge will<br />
absorb more heat – just as the skin <strong>and</strong> fat tissue will<br />
absorb more heat when they’re well hydrated.’<br />
Dr Magnusson describes the procedure as a ‘massage<br />
type’ experience: ‘During an Exilis treatment patients will<br />
experience an intense heat but no pain. Most people say it<br />
feels relaxing like a hot stone massage.’<br />
While Exilis is suitable for many patients, Dr<br />
Magnusson explains it should not be considered an<br />
alternative to weight loss. ‘Body contouring patients<br />
are usually fit <strong>and</strong> healthy but have stubborn areas of<br />
fat that remain, even after diet <strong>and</strong> exercise,’ he says.<br />
‘Additionally, Exilis can help restore post-baby bellies,<br />
<strong>and</strong> improve the appearance of loose skin <strong>and</strong> stretch<br />
marks after pregnancy.’<br />
The combined technologies of Exilis – using both<br />
radiofrequency <strong>and</strong> ultrasound energy – incurs a doublefold<br />
effect. Both fat reduction <strong>and</strong> skin tightening can be<br />
achieved after a series of Exilis treatments.<br />
‘The Exilis system causes thermal damage to the<br />
collagen <strong>and</strong> elastin in the skin,’ Dr Magnusson explains.<br />
Dr Kode often uses Exilis in combination with other<br />
procedures, <strong>and</strong> believes the skin tightening benefit can<br />
optimise results following liposuction.<br />
For fat reduction itself, Exilis precisely targets different<br />
layers of subcutaneous fat <strong>and</strong> several passes are performed<br />
to achieve even, consistent results. While Exilis is an effective<br />
option for non-invasive fat reduction <strong>and</strong> body contouring,<br />
Dr Kode says it should not be considered an alternative to<br />
weight loss.<br />
‘Fat reduction with Exilis is best suited to patients who<br />
are a healthy, level weight,’ Dr Kode explains. ‘It is used to<br />
treat pockets of stubborn fatty tissue, not to achieve overall<br />
weight loss. For the right c<strong>and</strong>idate, this non-invasive<br />
treatment can achieve great results in refining the figure<br />
<strong>and</strong> contours.’<br />
Multiple sessions are generally required to optimise<br />
results. Four treatments are typically performed, usually one<br />
to two weeks apart. It normally takes three to six months for<br />
the full result to become evident, once collagen synthesis<br />
has occurred <strong>and</strong> the dead fat cells have been metabolised<br />
by the body.<br />
‘Patients will feel heat but no discomfort during treatment<br />
with Exilis,’ Dr Kode explains. ‘No anaesthesia is needed,<br />
<strong>and</strong> most of patients report that it’s an overall relaxing<br />
experience.’<br />
In a cutting-edge combination of radiofrequency <strong>and</strong><br />
ultrasound technology, Exilis can achieve effective results in<br />
body contouring <strong>and</strong> skin rejuvenation. It signifies a solution<br />
to reducing isolated, stubborn pockets of fat, <strong>and</strong> can be<br />
used to slim the arms, flatten the stomach, trim the thighs<br />
<strong>and</strong> shape the hips. csbm<br />
132 www.cosbeauty.com.au
MAKE EVERYDAY<br />
“A Skinny Jeans Day”<br />
Exilis redefines Non-Invasive body & facial treatments.<br />
Melt away centimetres, the non-surgical way.<br />
BEFORE<br />
AFTER BEFORE AFTER<br />
Your Exilis Specialist Clinic<br />
NEW SOUTH WALES<br />
Elixxir Medispa<br />
Dr Michael Miroshnik<br />
Bondi Junction<br />
1300 854 610<br />
www.elixxirmedispa.com.au<br />
Face Today Mediclinic<br />
Chatswood<br />
1300 668 573<br />
www.facetoday.com.au<br />
Alpha <strong>Cosmetic</strong> Clinic<br />
Dr Phil Caraiscos<br />
Hurstville<br />
02 9579 2777<br />
www.alphacosmedicclinic.com.au<br />
QUEENSLAND<br />
Face Today Mediclinic<br />
Cairns<br />
07 4053 3021<br />
www.facetoday.com.au<br />
Allure Clinic<br />
Dr Mark Magnusson<br />
Toowoomba<br />
1300 662 960<br />
www.allurecosmeticclinic.com.au<br />
Sunshine Vein Clinic<br />
Dr Hugo Pin<br />
Peregian Beach<br />
1300 698 346<br />
www.sunshineveinclinic.com.au<br />
WESTERN AUSTRALIA<br />
Bramis Facial Rejuvenation Clinic<br />
Dr Mela Brankov<br />
Subiaco<br />
08 6161 5425<br />
www.bramis.com.au<br />
Dermedica<br />
Dr Joanna Teh<br />
Scarborough<br />
08 9205 1995<br />
www.dermedica.com.au<br />
Mercy Medical Centre<br />
Dr Anh<br />
Mt Lawley<br />
08 9271 8624<br />
www.femaleplasticsurgeon.com.au<br />
VICTORIA<br />
Rejuvenex Medical Aesthetic<br />
& Laser Clinic<br />
Blackburn South<br />
03 9877 2366<br />
www.rejuevenex.com.au<br />
TASMANIA<br />
Launceston Plastic <strong>Surgery</strong><br />
Dr Gary Kode<br />
Launceston<br />
03 6334 9313<br />
E: exilis@device.com.au<br />
device.com.au/exilis
ody<br />
Tone<br />
tighten<br />
Exilis offers a non-invasive approach to eliminATE unwanted fat on the<br />
face <strong>and</strong> body, says Dr Phil Caraiscos.<br />
Exilis offers a revolutionary non-invasive form of<br />
treatment for the reshaping <strong>and</strong> elimination of<br />
targeted fat deposits on the body, as well as skin<br />
tightening <strong>and</strong> wrinkle reduction for a smoother, more<br />
youthful-looking face.<br />
Exilis from Device Technologies can help reduce fatty<br />
pockets, tighten skin <strong>and</strong> bring the body’s curves into<br />
proportion. It uses a combination of radiofrequency <strong>and</strong><br />
ultrasound energy to slim the waistline <strong>and</strong> tighten skin in a<br />
non-invasive approach to body contouring.<br />
‘The combination of radiofrequency <strong>and</strong> ultrasound<br />
energy is innovative as it enables us to perform fat reduction<br />
<strong>and</strong> skin tightening in the same treatment,’ explains Sydney<br />
cosmetic physician Dr Phil Caraiscos. ‘If you were to just<br />
reduce the fat alone, you would be left with saggy wrinkly<br />
skin around the area of reduction, which sometimes occurs<br />
after liposuction.’<br />
Exilis targets the radiofrequency <strong>and</strong> ultrasound energy<br />
at specific depths in the subcutaneous fat. This causes<br />
deep thermal heating to accelerate metabolic activity <strong>and</strong><br />
initiate lipolysis – the death of fat cells.<br />
‘In terms of fat reduction, we have seen very good results<br />
on the stomach, inner thighs, outer thighs, love h<strong>and</strong>les<br />
<strong>and</strong> double chins,’ Dr Caraiscos explains. ‘For fat removal<br />
we target each layer of fat separately. The first pass targets<br />
deep fat with the machine set to full power <strong>and</strong> the cooler<br />
set to full. We then reduce the settings to target the middle<br />
fat layers, <strong>and</strong> then reduce them again for a third pass to<br />
target the superficial fat.’<br />
As the fat cell volume declines, the surrounding<br />
collagen is also affected. The heat triggers the contraction<br />
of collagen fibres in the skin <strong>and</strong> promotes the production<br />
of new collagen at the site – for a skin tightening <strong>and</strong><br />
rejuvenating effect.<br />
To treat skin laxity on the face, Exilis uses Collagen<br />
Refill Technology. The combination of radiofrequency <strong>and</strong><br />
ultrasound energies quickly <strong>and</strong> efficiently dissociates<br />
the collagen structure under the skin. As a result, the<br />
natural healing process evokes the fibroblasts to produce<br />
new collagen fibres <strong>and</strong> the skin structure is eventually<br />
refilled with collagen to produce a tauter <strong>and</strong> more defined<br />
facial structure.<br />
134 www.cosbeauty.com.au
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‘As skin ages, the bundles of collagen <strong>and</strong> elastin fibres<br />
unwind,’ Dr Caraiscos explains. ‘The skin tightening effect<br />
from Exilis occurs due to the focused radiofrequency energy<br />
elevating the tissue temperature <strong>and</strong> having a twofold<br />
effect: we see an immediate tightening from the winding up<br />
of these bundles, then, in the medium term, we see further<br />
tightening occur due to new collagen being produced in<br />
the skin. We have found the results with skin tightening to<br />
be remarkable.’<br />
Exilis is suitable for use on all skin types <strong>and</strong> typically<br />
four treatments are recommended, usually one to two<br />
weeks apart.<br />
The full results of fat reduction <strong>and</strong> skin tightening are<br />
usually seen three to six months after treatment, once<br />
collagen synthesis has occurred <strong>and</strong> the fat cells have been<br />
metabolised by the body.<br />
‘Some results are seen almost immediately, <strong>and</strong><br />
improvements are seen for a further six months,’ Dr<br />
Caraiscos says. ‘For fat removal, results can be permanent<br />
if there is no more weight gain. For skin tightening, a top-up<br />
treatment is usually needed every one to five years.’<br />
The treatment itself requires no anaesthesia <strong>and</strong> should<br />
not involve any downtime. It can be used in conjunction<br />
with other body contouring or skin resurfacing methods to<br />
achieve optimum results. Exilis signifies a breakthrough in<br />
shifting stubborn fatty pockets, tightening <strong>and</strong> smoothing<br />
skin, <strong>and</strong> creating more shapely, defined contours on both<br />
the face <strong>and</strong> the body. csbm<br />
1<br />
BEFORE<br />
2<br />
AFTER Exilis skin tightening treatment (photos courtesy of the<br />
manufacturer)<br />
BEFORE<br />
3<br />
AFTER Exilis skin tightening treatment (photos courtesy of the<br />
manufacturer)<br />
BEFORE<br />
AFTER Exilis skin tightening treatment (photos courtesy of the<br />
manufacturer)<br />
www.cosbeauty.com.au 135
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CARE<br />
COMFORT<br />
THE ISAVELA RANGE OPTIMISES<br />
SURGICAL RESULTS AND POST-<br />
PROCEDURE CARE IN A SELECTION<br />
OF COMFORTABLE, FUNCTIONAL<br />
AND EFFECTIVE BODY GARMENTS.<br />
CAITLIN BISHOP REPORTS.<br />
Isavela compression garments combine the latest<br />
compression technology, offering comfort <strong>and</strong> function.<br />
Isavela garments are distributed by Statina Healthcare<br />
<strong>and</strong> are designed to improve post-operative healing <strong>and</strong><br />
boost circulation at the treatment site.<br />
Following liposuction, compression garments are an<br />
essential element of post-procedure care. They help minimise<br />
swelling <strong>and</strong> bruising, <strong>and</strong> aid in accelerating <strong>and</strong> normalising<br />
the healing process. Compression garments also assist in<br />
re-draping the skin over the body’s slimmer <strong>and</strong> newly<br />
defi ned contours.<br />
For increased support <strong>and</strong> advanced compression,<br />
Isavela garments have a double layer of compression<br />
fabric across the abdominal area. Fran Kearns, an Isavela<br />
retailer <strong>and</strong> owner of Body Plus in Perth, says this double<br />
layer is a valuable point of difference <strong>and</strong> a major advantage<br />
in post-operative care.<br />
‘Most compression garments only have one layer of<br />
compression material over the stomach,’ Kearns explains.<br />
‘Isavela garments have a double layer, which provides<br />
extra compression <strong>and</strong> support. Many surgeons have<br />
identifi ed this double layer as being advantageous in<br />
accelerating healing, controlling swelling <strong>and</strong> achieving<br />
optimum results.’<br />
136 www.cosbeauty.com.au
ody<br />
Importantly, the material used in the abdominal binders<br />
stretches in all directions to afford homogenised <strong>and</strong><br />
consistent compression while allowing the body to move<br />
freely <strong>and</strong> naturally.<br />
All Isavela garments are made with Naturexx fabric,<br />
which is designed to regulate moisture <strong>and</strong> keep the wearer<br />
cool <strong>and</strong> dry. The fabric helps evaporate body moisture <strong>and</strong><br />
prevent the production of bacteria during use. The fabric<br />
itself is soft <strong>and</strong> smooth, providing increased comfort<br />
alongside optimal, post-procedural support.<br />
‘The fabric of Isavela garments is luxurious <strong>and</strong> soft,’<br />
Kearns says. ‘It is smooth <strong>and</strong> silky <strong>and</strong> feels great on<br />
the skin. Comfort is important following any procedure,<br />
especially for liposuction patients where the skin is often<br />
very sensitive due to swelling. The Isavela garments afford<br />
gentle <strong>and</strong> effective support.’<br />
Compression garments are typically worn for six<br />
weeks following a liposuction procedure. Kearns explains<br />
the durability <strong>and</strong> comfort of Isavela garments makes<br />
it easy for patients to adhere to the post-procedure<br />
recommendations. ‘To reap the best results, liposuction<br />
patients must wear compression garments 24/7 for several<br />
weeks following treatment,’ she explains. ‘With this level<br />
of use, it is important the garments wash well <strong>and</strong> retain<br />
their elasticity. Isavela garments are extremely durable <strong>and</strong><br />
their level of comfort encourages patients to continue using<br />
them throughout the entire recovery period.’<br />
With a range of mid body <strong>and</strong> full body compression<br />
garments, alongside a specialised line of abdominal<br />
binders, Isavela presents an array of options for every<br />
patient. Each garment is adjustable with straps, <strong>and</strong> there<br />
are several design options available, varying in length <strong>and</strong><br />
bust style. Kearns believes the Isavela range is a valuable<br />
<strong>and</strong> ground-breaking addition to the Australian compression<br />
garment market.<br />
‘Isavela garments are competitive in terms of price,<br />
deliver increased comfort <strong>and</strong> have the benefi t of a<br />
double abdominal compression layer,’ she continues.<br />
‘Compression garments are never easy to take on <strong>and</strong> off<br />
– that would defeat the purpose – but Isavela garments<br />
effectively balance functionality, ease-of-use <strong>and</strong> comfort in<br />
a revolutionary approach to post-procedure care.’ csbm<br />
WHY ARE COMPRESSION<br />
GARMENTS NECESSARY<br />
AFTER SURGERY?<br />
• Increases blood circulation<br />
• Reduces propensity of swelling <strong>and</strong> bruising<br />
• Helps prevent fl uid accumulation<br />
• Helps prevent implant displacement<br />
• Increases comfort post-operatively<br />
Visit www.isavela.com.au for more information.<br />
www.cosbeauty.com.au 137
ody<br />
Harness your<br />
body’s potential<br />
Regen PRP can improve skin laxity in the face <strong>and</strong> décolleTAge, reduce<br />
the appearance of stretch marks on the body, <strong>and</strong> even stimuLATe hair<br />
growth. Caitlin Bishop repoRTS.<br />
Platelet Rich Plasma (PRP) is changing the future of<br />
aesthetic medicine. It harnesses the body’s own<br />
resources <strong>and</strong> natural healing mechanisms to<br />
achieve a regenerative <strong>and</strong> rejuvenating response in the<br />
skin. With a long history of use in sports medicine, PRP is<br />
now taking over the cosmetic arena.<br />
PRP stimulates collagen production in the skin <strong>and</strong> fuels<br />
the treatment area with stem cells <strong>and</strong> growth factors. This<br />
helps enhance skin tone, strengthen dermal integrity <strong>and</strong><br />
boost skin health on the face <strong>and</strong> body.<br />
Companies such as Regen Lab are trail blazing the use<br />
of PRP in cosmetic therapy, supplying cosmetic surgeons<br />
<strong>and</strong> practitioners with devices needed to conduct the<br />
procedure <strong>and</strong> optimise the results following treatment.<br />
‘The Regen Lab PRP system is a well-established<br />
system backed by a strong network of research from plastic<br />
<strong>and</strong> cosmetic surgeons around the world,’ says Adelaide<br />
cosmetic surgeon Dr Robin Chok. ‘I have been using<br />
Regen PRP since 2012, with excellent results to the face<br />
initially. It was actually my patients, after experiencing great<br />
results in facial rejuvenation, who pushed me to develop a<br />
program for the neck <strong>and</strong> body.’<br />
The procedure involves extracting a sample of the<br />
patient’s blood, centrifuging this sample to concentrate the<br />
blood’s platelets <strong>and</strong> reinjecting the concentrated solution<br />
into the treatment area. According to Dr Abbas Al-Taiff in<br />
Sydney, Regen PRP can achieve effective rejuvenation in a<br />
number of problem areas. ‘The Regen PRP system gives a<br />
clear <strong>and</strong> good concentration of platelets that is necessary<br />
for the appropriate treatment,’ he says. ‘I have achieved<br />
excellent results treating patients with infra orbital laxity<br />
around the eyes, lack of skin elasticity in the h<strong>and</strong>s <strong>and</strong><br />
abdominal stretch marks.’<br />
With seemingly endless applications, Regen PRP<br />
signifies a potential solution to improving the neck <strong>and</strong><br />
décolletage area, which is traditionally difficult to treat.<br />
138 www.cosbeauty.com.au
ody<br />
‘A large number of my patients seeking neck <strong>and</strong><br />
décolletage treatments are in their 50s <strong>and</strong> 60s,’ Dr<br />
Chok says. ‘The results from Regen Lab PRP are almost<br />
immediate, with vectored lift <strong>and</strong> enhanced tissue density.<br />
The colour of their skin also becomes more radiant. My<br />
patients’ enthusiasm over the results of PRP, <strong>and</strong> indeed<br />
the great results I’ve been seeing, is a major driving force<br />
for me to continue using PRP in face <strong>and</strong> body treatment.’<br />
PRP has achieved excellent<br />
results in treating the eye area<br />
<strong>and</strong> abdominal stretch marks<br />
Similarly, the appearance of stretch marks, which<br />
are frustratingly impervious to creams, oils <strong>and</strong> lifestyle<br />
interventions, can be somewhat improved using Regen<br />
PRP. ‘It is best if stretch marks <strong>and</strong> loose skin from<br />
pregnancy are treated within the first two months postchildbirth<br />
to achieve the best results,’ says Dr Chok.<br />
‘Collagen scar tissue causes the stretch<br />
marks to become white. Once this happens,<br />
lasers or radiofrequency treatment may be<br />
required, otherwise results will be limited.’<br />
With seemingly endless applications,<br />
Regen PRP can be used to treat a number<br />
of concerns, in patients of all ages. ‘Age<br />
does not seem to be a limiting factor for<br />
PRP treatment when the conditions are<br />
favourable,’ says Dr Chok. ‘The best results<br />
are often seen in patients who are not<br />
stressed <strong>and</strong> who don’t’ smoke. Stress<br />
seems to create a negative response where<br />
the body is not in harmony <strong>and</strong> all the BEFORE<br />
systems – hormones, nerves <strong>and</strong> the repair<br />
homeostasis system – are out of sync.’<br />
As with any medical treatment, a<br />
consultation process is required to achieve<br />
the best results. Dr Al-Taiff typically<br />
recommends a series of PRP treatments,<br />
depending on the individual patient.<br />
‘I ask the patient to describe his or her<br />
main concern <strong>and</strong> I take photographs of<br />
the area to be treated,’ Dr Al-Taiff explains. BEFORE<br />
‘I discuss my analysis with the patient <strong>and</strong><br />
explain the benefits of PRP therapy. I believe<br />
all patients are suitable for PRP treatment,<br />
provided they have no contradictions.<br />
Usually a minimum of three sessions of PRP,<br />
performed four weeks apart, is required.’<br />
Typically, results take four to six weeks<br />
to appear following PRP treatment,<br />
<strong>and</strong> continue to improve in the three<br />
months following treatment. A repeat<br />
PRP session is usually recommended BEFORE<br />
at the eight-week mark, to generate the ‘boost’<br />
effect. This phenomenon occurs when the cells –<br />
which are already activated from the first treatment –<br />
are ‘re-boosted’ by repeat treatment, augmenting the<br />
final result.<br />
Dr Chok commonly recommends combining Regen<br />
PRP treatment with other modalities to achieve a more<br />
effective rejuvenation. ‘A repeat PRP treatment should<br />
be performed within eight weeks, to avoid missing the<br />
boost effect required to provide better skin density,’<br />
he explains. ‘In between these, I would encourage an<br />
enhancement of the cellular process by treating the area<br />
with radiofrequency or ultrasound modalities, especially on<br />
the abdomen or neck.’<br />
A treatment with seemingly endless areas for application,<br />
Regen PRP calls upon the body’s natural processes to<br />
rejuvenate the skin. From improving skin laxity <strong>and</strong> tone in<br />
the face, neck <strong>and</strong> décolletage to reducing the appearance<br />
of stretch marks on the abdomen or thighs, Regen PRP<br />
is a viable option in retuning youthfulness to the face <strong>and</strong><br />
body. csbm<br />
AFTER PRP treatmetn for hair regrowth by Dr Al Taiff<br />
AFTER PRP treatment for eye area<br />
rejuvenation by Dr Al Taiff<br />
AFTER PRP treatment for stretch marks by Dr Al Taiff<br />
www.cosbeauty.com.au 139
hair removal<br />
the<br />
new-generation<br />
IPL<br />
EFB BEAUTÉ HAS DEVELOPED A<br />
UNIQUE PATENTED IPL TECHNOLOGY TO<br />
REMOVE BLONDE AND WHITE HAIR.<br />
AIMÉE SURTENICH REPORTS.<br />
Technological innovations are the hallmarks of EFB Beauté,<br />
a specialist in IPL technology since 1994 <strong>and</strong> holder of 17<br />
pulsed light patents in 83 countries. One such exclusive<br />
patent is the permanent epilation of not only dark hair but<br />
also blonde, grey, white <strong>and</strong> red hair – hair colours that have<br />
traditionally been notoriously diffi cult to treat.<br />
Distributed in Australia by Insight Aesthetics, the EFB Beauté<br />
Adéna <strong>and</strong> Anthélia IPL systems are made <strong>and</strong> manufactured in<br />
France – <strong>and</strong> herald a breakthrough in permanent hair reduction.<br />
Hair removal revolution<br />
Until recently, the effectiveness of permanent hair reduction<br />
depended on factors such as darker hair colour <strong>and</strong> paler skin<br />
types. The long-term solution provided by laser <strong>and</strong> intense<br />
pulsed light (IPL) has traditionally been unavailable to those with<br />
lighter hair shades <strong>and</strong> darker skin types.<br />
In 2011, after 10 years of research, the Adéna IPL system<br />
by EFB Beauté entered the market with its exclusive worldfi<br />
rst patented technology for the removal of not only dark<br />
hair but also white, blonde, red <strong>and</strong> grey hair, as well as darker<br />
skin types.<br />
Today EFB Beauté has become synonymous around the<br />
world with blonde <strong>and</strong> white hair removal, offering an effective<br />
<strong>and</strong> long-lasting solution to conquer previously diffi cult-to-treat<br />
hair shades <strong>and</strong> skin types.<br />
140 www.cosbeauty.com.au
hair removal<br />
5 treatments, 1 system<br />
The Adéna <strong>and</strong> Anthélia IPL devices by EFB<br />
Beauté combine multiple applications in one,<br />
offering progressive <strong>and</strong> lasting photoepilation<br />
of all hair colours on all skin types, as well as<br />
photorejuvenation to improve ageing skin,<br />
acne, rosacea, pigmentation <strong>and</strong> spider veins.<br />
Both offer effective results; the Adéna is a more<br />
gentle treatment, while the Anthélia offers faster,<br />
more effi cient results.<br />
1. Photoepilation<br />
World-fi rst exclusive patent in permanent hair<br />
reduction for all hair colours, including blonde,<br />
white, grey <strong>and</strong> red.<br />
Innovative IPL technologies, such as the stability of<br />
delivered energy <strong>and</strong> a new absorption fi lter that won’t<br />
wear out during its lifetime, are the hallmarks of EFB<br />
Beauté <strong>and</strong> ensures the safety <strong>and</strong> optimal effectiveness of<br />
treatment on darker complexions without risk of burning or<br />
hypopigmentation.<br />
EFB Beauté has developed versatile, intuitive <strong>and</strong> multiprogrammed<br />
systems to address a variety of cosmetic<br />
concerns, offering an impressive leap forward in IPL<br />
technology, particularly for fair-haired people wishing to<br />
remove unwanted body hair. csbm<br />
2. Skin tightening <strong>and</strong> anti-ageing<br />
Stimulation of the dermis for a restructuring,<br />
lifting <strong>and</strong> tightening effect of the skin.<br />
3. Pigmentary treatment<br />
Removal of dark patches on the skin caused<br />
by sun damage <strong>and</strong> ageing.<br />
4. Vascular treatment<br />
Fast elimination of spider veins <strong>and</strong> broken<br />
capillaries by selective photo-coagulation.<br />
BEFORE<br />
AFTER pigmentation treatment<br />
5. Acne treatment<br />
Weakens production of the sebaceous gl<strong>and</strong>s<br />
<strong>and</strong> treats infl ammatory <strong>and</strong> bacterial acne.<br />
How does it work?<br />
During dark hair photoepilation procedures, an applicator<br />
head that emits high intensity fl ashes of fi ltered light is<br />
placed on the treatment area. The energy from this light is<br />
absorbed by the chromophore melanin, which is responsible<br />
for hair pigment or colour. Dark hair, which is rich in melanin,<br />
readily absorbs this light <strong>and</strong> transfers it as heat into the<br />
surrounding capillaries, which supply blood to the papilla<br />
of growing hairs. When the papillae are destroyed in high<br />
temperatures, additional hair growth is prohibited.<br />
The EFB Beauté Adéna <strong>and</strong> Anthélia IPL systems are<br />
unique in that they do not rely only on the hair pigment to<br />
absorb the light energy, meaning it can effectively target<br />
those hair shades not so rich in melanin. Instead, the<br />
patented technology of Adéna <strong>and</strong> Anthélia target the blood<br />
vessels at the bottom of the follicle directly, preventing the<br />
growth of blonde, grey, white <strong>and</strong> red hairs. EFB Beauté has<br />
carry out a clinical trial in the French laboratory DERMSCAN<br />
to prove the performance of this revolutionary process.<br />
BEFORE<br />
BEFORE<br />
BEFORE<br />
AFTER skin tightening treatment<br />
AFTER spider vein treatment<br />
AFTER hair removal<br />
www.cosbeauty.com.au 141
easts<br />
ACTUAL PATIENT OF DR TAVAKOLI<br />
Case study:<br />
Creating cleavage<br />
One patient recalls her experience undergoing breast augmentation<br />
with Sydney plastic surgeon Dr Kourosh Tavakoli.<br />
Caitlin Bishop reports.<br />
Like many women, Moneisha spent a long time<br />
considering her options before making the decision<br />
to undergo breast augmentation surgery. After years<br />
of deliberation, she approached Sydney plastic surgeon<br />
Dr Kourosh Tavakoli to further explore her options.<br />
Feeling unhappy with the shape of her breasts <strong>and</strong> the<br />
way they fit with the rest of her body, Moneisha was hoping<br />
to enhance her bust to a size slightly bigger than her figure’s<br />
natural proportions.<br />
While she was confident in her decision to go ahead with<br />
surgery, Moneisha wanted to be sure she had found the<br />
right doctor to perform the procedure.<br />
Her first consultation was an opportunity to get to know<br />
Dr Tavakoli <strong>and</strong> share her concerns <strong>and</strong> desires in seeking<br />
breast augmentation surgery. During the consultation,<br />
Dr Tavakoli showed Moneisha several before <strong>and</strong> after<br />
photographs. These helped her better underst<strong>and</strong> the<br />
look of implants, of various sizes <strong>and</strong> shapes, on different<br />
body types. Moneisha was hoping for implants that<br />
would complement her slim, athletic frame, but was not<br />
afraid to opt for a bigger size. She wanted to achieve a full<br />
D cup, but still look relatively natural.<br />
By taking a series of measurements, Dr Tavakoli<br />
established the best approach to Moneisha’s surgery.<br />
Moneisha also “tried on” a number of different cup sizes<br />
to get a better feel for the kind of result she would be<br />
happy with.<br />
Dr Tavakoli <strong>and</strong> Moneisha decided on 425cc teardropshaped<br />
implants for her breast augmentation surgery.<br />
The teardrop, or anatomical shaped, implants are designed<br />
to grant natural-looking results with less conspicuous<br />
edges, particularly on slim patients with little natural<br />
142 www.cosbeauty.com.au
easts<br />
breast tissue. Leading up to the procedure, after her initial<br />
consultation, Moneisha was able to call upon Dr Tavakoli<br />
<strong>and</strong> his nurses to lay any final concerns to rest.<br />
On the day of the surgery, Dr Tavakoli <strong>and</strong> his staff<br />
ensured all Moneisha’s questions or concerns were<br />
addressed before going in. Everyone – from the preparation<br />
nurse to the anaesthetist – made her feel comfortable with<br />
their friendly, caring <strong>and</strong> supportive manner.<br />
During the operation, Dr Tavakoli placed the implants<br />
in a dual plane, sub-muscular pocket, which means the<br />
implant sits both above <strong>and</strong> beneath the pectoral muscle,<br />
as the implant pocket is 50 percent over <strong>and</strong> 50 percent<br />
under the muscle.<br />
The dual-plane technique grants a smooth contour or<br />
‘take-off’ from the chest wall (as the top of the implant is<br />
underneath the muscle) but also affords increased size<br />
projection, due to the over-the-muscle placement at<br />
the base.<br />
Moneisha recovered from her operation with relative<br />
ease. She had been prescribed pain medication for the<br />
days following surgery <strong>and</strong> was able to return to work within<br />
seven days. She was advised to refrain from strenuous<br />
activity <strong>and</strong> heavy lifting for two to three weeks after surgery.<br />
Since her breast augmentation, Moneisha’s newly<br />
defined proportions have left her feeling confident <strong>and</strong><br />
happy with her decision to undergo breast augmentation.<br />
She no longer feels the need for push-up or padded bras<br />
<strong>and</strong> can happily fill any type of bra or clothing.<br />
She enjoys being able to shop without worrying about<br />
how clothes will fit, <strong>and</strong> believes the choice she made to<br />
go ahead with breast surgery was the right decision for her<br />
confidence, her lifestyle <strong>and</strong> her body. csbm<br />
BEFORE<br />
AFTER breast augmentation by Dr Tavakoli<br />
What makes a beautiful breast?<br />
A<br />
well-augmented breast has a natural fullness, with<br />
gentle sloping off the chest wall. There should be<br />
natural cleavage without webbing between the<br />
breasts <strong>and</strong> only a certain amount of perkiness.<br />
To achieve this natural-looking fullness, Dr Tavakoli<br />
says there are three main criteria:<br />
1. Correct selection of implant pocket – behind or<br />
above the muscle.<br />
2. Correct selection of implant diameter to match the<br />
patient’s build <strong>and</strong> height.<br />
3. Correct selection of implant projection. An<br />
augmented breast that is too perky will tend to<br />
look fake, as a small amount of droop is natural.<br />
AFTER breast augmentation by Tavakoli<br />
www.cosbeauty.com.au 143
easts<br />
BEFORE (29 year old female, 6’, nil pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (440 FX anatomical (teardrop) implant,<br />
submuscular pocket, full C cup)<br />
BEFORE (27 year old female, nil 5’8”, pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (350g anatomical Brazilian<br />
P-URE implant, full C cup)<br />
BEFORE (20 year old female, 4’9”, nil pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (230cc ultra high implant,<br />
submuscular pocket, A to C cup)<br />
144 www.cosbeauty.com.au
easts<br />
BEFORE (21 year old female, 5’2”, nil pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (250 high profile round implant,<br />
submuscular pocket, moderate chest wall, A cup to D cup)<br />
BEFORE (25 year old female, 5’6”, nil pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (420 high profile anatomical implants,<br />
submuscular pocket, moderate chest wall, A cup to full C cup)<br />
BEFORE (32 year old female, 5’6”, three pregnancies)<br />
AFTER breast augmentation by Dr Tavakoli (320 moderate profile anatomical<br />
implants, submuscular pocket, average chest wall width, A cup to full C cup)<br />
www.cosbeauty.com.au 145
easts<br />
BEFORE (23 year old female, nil pregnancies, wide chest wall, 5’2”)<br />
AFTER breast augmentation by Dr Tavakoli (395cc anatomical high profile silicone<br />
gel textured implants, dual plane sub muscular pocket) A cup to D cup.<br />
BEFORE (29 year old Asian female, 5’2”, nil pregnancies, asymmetrical breasts,<br />
moderate chest wall)<br />
AFTER breast augmentation by Dr Tavakoli (round silicone gel textured implants, right<br />
side 330cc, left size 300cc, moderate projection, dual plane pocket)<br />
BEFORE (38 year old female, nil pregnancies, wide chest, 5’4”)<br />
AFTER breast augmentation by Dr Tavakoli (390cc anatomical moderate profile<br />
textured silicone gel implants, dual plane type 2 pocket, A cup to C cup)<br />
146 www.cosbeauty.com.au
Dr Kourosh Tavakoli<br />
cosmetic plastic surgeon<br />
ACTUAL PATIENT<br />
Breast lift &<br />
Augmentation<br />
Specialist<br />
BREAST AUGMENTATION SPECIALIST<br />
MBBS, BSc (MED), MS (UNSW),<br />
FRACS (PLAST)<br />
Dr Tavakoli is a renowned cosmetic<br />
plastic surgeon who is a Fellow<br />
of the Royal Australasian College<br />
of Surgeons <strong>and</strong> a Member of<br />
the Australian Society of Plastic<br />
Surgeons. He subspecialises in all<br />
aspects of cosmetic breast surgery<br />
<strong>and</strong> is considered an industry<br />
leader in primary <strong>and</strong> corrective<br />
breast augmentation surgery.<br />
Follow Dr Tavakoli on<br />
Suite 1, 376 New South Head Road, Double Bay<br />
1300 368 107 | drtavakoli.com.au
easts<br />
Breast curves:<br />
creating the perfect<br />
shape <strong>and</strong> fit for you<br />
SYDNEY PLASTIC SURGEON<br />
DR STEVEN LIEW SHARES HIS<br />
EXPERTISE IN CREATING BEAUTIFUL,<br />
NATURAL-LOOKING CURVES.<br />
One of the critical decisions to be made when<br />
considering breast augmentation is not just the cup<br />
size but also the degree of fullness in the upper part<br />
of the breast.<br />
Plastic surgeon Dr Steven Liew (FRACS) says as<br />
surgical procedures <strong>and</strong> implant types have become<br />
more advanced over the past decade, a good surgeon<br />
can effectively customise a breast shape to match the<br />
requirements of patients.<br />
Dr Liew says patients, too, are more sophisticated in<br />
their approach to breast augmentation. Where previously<br />
they were focussed almost entirely on breast size, most<br />
patients are now more aware of the fi ner aesthetics involved<br />
– such as the degree of perkiness <strong>and</strong> breast fullness in the<br />
upper chest – in producing their perfect breast shape.<br />
The three types of upper breast fullness include:<br />
• A gentle slope from the chest to the nipple – almost a<br />
straight line<br />
• A gentle curve with moderate degree of fullness<br />
• A very full convex curve – the so-called Wonderbra look.<br />
‘Breast augmentation is such a personal decision,’<br />
says Dr Liew, ‘<strong>and</strong> surgeons need to take time <strong>and</strong> care to<br />
work with each patient – including family members where<br />
requested – to ensure they underst<strong>and</strong> the physical <strong>and</strong><br />
emotional impacts involved.’<br />
‘Different body types, personality <strong>and</strong> the kind of<br />
clothes you like to wear are all factors to be considered to<br />
ensure your new breast shape is the perfect fi t for you,’ Dr<br />
Liew concludes. csbm<br />
Actual patient of Dr Liew<br />
148 www.cosbeauty.com.au
easts<br />
Natural-looking breasts of different sizes, with a gentle slope from the chest<br />
to the nipple – almost a straight line – to fit the patients’ requirements<br />
1<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
2<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
3<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
www.cosbeauty.com.au 149
easts<br />
Natural-looking breasts of different sizes with a gentle curve to the upper pole<br />
<strong>and</strong> moderate degree of fullness to fit the patients’ requirements<br />
1<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
2<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
3<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
150 www.cosbeauty.com.au
easts<br />
Natural-looking breasts of different sizes with significant convex curve to the upper<br />
pole, the so-called ‘pushup bra’ look to fit the patients’ requirements<br />
1<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
2<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
3<br />
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />
www.cosbeauty.com.au 151
easts<br />
Total<br />
breasts<br />
Sydney plastic surgeon<br />
Dr Peter Laniewski TAkes a<br />
personalised approach to<br />
achieve optimum resuLTS in<br />
all types of breast surgery.<br />
AimÉe Surtenich reports.<br />
For many women, rejuvenating the breasts can be a<br />
life-altering event that reaps significant rewards, both<br />
physically <strong>and</strong> emotionally. Sydney plastic surgeon<br />
Dr Peter Laniewski uses several techniques to help<br />
women overcome any issues they may have with their<br />
natural form. He strives to build a close rapport with his<br />
patients <strong>and</strong> work with them individually to decide on the<br />
most suitable procedure – be it a breast lift, reconstruction,<br />
reduction or augmentation.<br />
Breast augmentation<br />
Breast augmentation is a cosmetic surgical procedure to<br />
increase the volume of the breasts through the insertion<br />
of implants. ‘The extensive range of implants available in<br />
Australia allow us to find the ideal fit for just about everyone,’<br />
says Dr Laniewski.<br />
Generally, the preferred breast implants used in Australia<br />
are silicone-gel filled, which is regarded as one of the most<br />
common <strong>and</strong> compatible materials for implanting into the<br />
body. They tend to feel softer to the touch <strong>and</strong> more like<br />
natural breasts than saline implants.<br />
The prospective patient has a number of choices to<br />
discuss with her surgeon, including the location for the<br />
incision, the type, shape <strong>and</strong> size of the breast implant, <strong>and</strong><br />
its placement. ‘These are all dependent on the patient’s<br />
body shape <strong>and</strong> size, natural breast tissue, as well as her<br />
expectations <strong>and</strong> desires,’ says Dr Laniewski. ‘That’s why<br />
it’s important an experienced surgeon guides her through<br />
the decision-making process <strong>and</strong> provides all the relevant<br />
information before she decides to go ahead with surgery.’<br />
As every woman’s physiology <strong>and</strong> presenting conditions<br />
are different, the way breast augmentation is carried out<br />
varies with each individual. In some cases, augmentation<br />
surgery can be accompanied by a mastopexy, or breast lift,<br />
for patients who have sagging breasts.<br />
Breast lift<br />
Restoring drooping breasts to a more youthful shape <strong>and</strong><br />
position can dramatically improve a patient’s aesthetic<br />
<strong>and</strong> personal outlook. It is inevitable that factors such as<br />
ageing, gravity, genetics <strong>and</strong> child bearing will affect a<br />
woman’s breasts.<br />
‘Breast size is also a factor in ptosis, with large breasts<br />
dropping sooner than smaller breasts,’ says Dr Laniewski.<br />
‘Breasts that have begun to sag <strong>and</strong> droop have a more<br />
empty or heavy appearance. A breast lift, or mastopexy,<br />
can help restore a more youthful appearance.’<br />
A breast lift is an operation that not only elevates<br />
the breast <strong>and</strong> areola but also reshapes it. Dr Laniewski<br />
prefers to use a vertical incision to minimise scarring.<br />
For patients seeking a straightforward rejuvenation, the<br />
breast lift can be performed alone. For those wishing to<br />
add volume in addition, an implant can be incorporated to<br />
increase cup size.<br />
152 www.cosbeauty.com.au
easts<br />
Breast reduction<br />
Breast reduction surgery can significantly improve the<br />
quality of life for large-breasted women, affecting how they<br />
feel about themselves <strong>and</strong> alleviating associated physical<br />
concerns such as back <strong>and</strong> shoulder pain.<br />
‘The main aims during breast reduction surgery are to<br />
lift <strong>and</strong> reshape the breasts <strong>and</strong> nipples <strong>and</strong> to reduce<br />
the volume of the breasts,’ explains Dr Laniewski. ‘Breast<br />
reduction involves the removal of breast tissue <strong>and</strong> some<br />
skin, <strong>and</strong> then reshaping the breast <strong>and</strong> repositioning the<br />
nipple <strong>and</strong> areola to create a harmonious result.’<br />
‘We offer a refined vertical short scar technique that<br />
utilises a keyhole method,’ he says. ‘Such modern<br />
techniques offer patients more discreet scars as it involves<br />
a short incision that only stretches from the areola to the<br />
inframammary fold.’ <br />
Breast reduction surgery differs from some other types<br />
of breast surgery as it tends to be carried out to correct<br />
medical concerns such as backache, rather than purely<br />
for aesthetic reasons. Therefore it can be performed on<br />
women of any age once breast maturity has been reached.<br />
Breast reconstruction<br />
Breast reconstruction after mastectomy is a complex<br />
yet valuable procedure in restoring the breast <strong>and</strong><br />
creating curves. It is typically performed using implants,<br />
the patient’s own tissue (flap breast reconstruction) or<br />
a combination of the two. ‘I believe a DIEP flap breast<br />
reconstruction is the current gold st<strong>and</strong>ard <strong>and</strong> can<br />
offer the most natural-looking <strong>and</strong> feeling result as it<br />
uses the patient’s own excess skin <strong>and</strong> fat. Importantly,<br />
it preserves the rectus muscle (<strong>and</strong> core strength) <strong>and</strong><br />
also has the benefit of an abdominoplasty (tummy tuck),’<br />
Dr Laniewski explains.<br />
Regardless of the type of breast surgery carried out,<br />
there is no ‘one size fits all’ approach. ‘An experienced<br />
<strong>and</strong> skilled surgeon will tailor the procedure to each<br />
individual patient’s needs <strong>and</strong> anatomy, taking into account<br />
her body shape, existing breasts, circumstances <strong>and</strong><br />
desires,’ he says. ‘There needs to be a strong patientdoctor<br />
relationship built on trust, care <strong>and</strong> openness,<br />
so that together we can achieve the best outcomes<br />
possible.’ csbm<br />
1<br />
BEFORE<br />
Two months after breast augmentation by Dr Laniewski<br />
2<br />
BEFORE<br />
after breast augmentation by Dr Laniewski<br />
www.cosbeauty.com.au 153
easts<br />
3<br />
BEFORE<br />
Two months AFTER breast lift with implants by Dr Laniewski<br />
4<br />
BEFORE<br />
Three months AFTER breast reduction by Dr Laniewski<br />
5<br />
BEFORE<br />
AFTER breast reconstruction by Dr Laniewski<br />
6<br />
BEFORE<br />
Three months AFTER breast reduction by Dr Laniewski<br />
154 www.cosbeauty.com.au
PLASTIC SURGEON<br />
It’s all about you... The most beautiful you<br />
Beautiful,<br />
natural results<br />
FACE BREAST BODY<br />
Our clinics are located in Sydney, Albury, <strong>and</strong> The Central Coast<br />
Call us now on 1300 322 337<br />
Or visit us online at drpeter.com.au<br />
facebook.com/drpeterlaniewski
easts<br />
Consider<br />
your<br />
options<br />
WITH DETAILED PLANNING,<br />
BREAST IMPLANT SURGERY CAN<br />
ACHIEVE BEAUTIFUL, LASTING<br />
RESULTS, SAYS SYDNEY COSMETIC<br />
SURGEON DR COLIN MOORE.<br />
TARA CASEY REPORTS.<br />
Breast augmentation can help return the breasts to a<br />
more youthful shape <strong>and</strong> bring the body into more<br />
aesthetic proportions. Indeed, many women seeking<br />
surgery are hoping to undo the changes brought on by<br />
breast feeding or ageing. ‘Breast augmentation can help<br />
balance the fi gure <strong>and</strong> create a more shapely silhouette,’<br />
says Sydney cosmetic surgeon Dr Colin Moore.<br />
After childbirth, <strong>and</strong> as the body ages, many women<br />
can experience breast atrophy or ptosis (sagging). In these<br />
cases, Dr Moore often recommends undergoing a breast lift<br />
(mastopexy) as well as an augmentation.<br />
‘In some cases, it may be more benefi cial to perform<br />
a breast lift <strong>and</strong>, depending on the patient, this can then<br />
be combined with a small breast implant to restore lost<br />
volume,’ he says.<br />
Like any surgery, an extensive consultation process is<br />
required to achieve the best results. Dr Moore explains one<br />
of the main concerns in breast augmentation patients is the<br />
desire for a natural-looking result. ‘A key concern for a lot of<br />
women considering breast augmentation is whether or not<br />
their breasts will look “natural” following surgery,’ he explains.<br />
‘While ensuring a natural-looking result comes down to<br />
accurately measuring the proportions of each patient, I<br />
also believe that advances in breast implant technology<br />
mean that it is easier than ever to achieve natural-looking<br />
curves. By measuring the proportions of the body, as well<br />
as skin thickness <strong>and</strong> breast tissue composition, together<br />
the surgeon <strong>and</strong> patient can determine the best breast size<br />
for the patient.’<br />
During the consultation process, the basic dimensions<br />
of the breast area are taken into account. These include the<br />
breast base, height <strong>and</strong> overall width. Measurements such<br />
as the distance from the nipple to the inframammary crease<br />
(underneath the breast) can infl uence the appearance of a<br />
perky breast, <strong>and</strong> the best breast size is usually established<br />
by measuring the body’s proportions.<br />
While all breast implants carry a risk of rippling, postoperative<br />
movement <strong>and</strong> capsular contracture, Dr Moore<br />
believes these risks are somewhat mitigated with the use of<br />
polyurethane-coated P-URE implants.<br />
‘In my experience, polyurethane-coated breast implants<br />
produce very natural-looking results while minimising the<br />
risk of the most common complications associated with<br />
breast augmentation,’ he says. ‘I believe polyurethanecoated<br />
P-URE implants have provided a signifi cant<br />
breakthrough in breast implant surgery.’<br />
156 www.cosbeauty.com.au
easts<br />
By balancing optimum results with an excellent safety<br />
profile, polyurethane coated implants offer natural-looking<br />
<strong>and</strong> long-term results in breast implant surgery. ‘Breast<br />
augmentation has one of the highest patient satisfaction<br />
rates <strong>and</strong>, importantly, technological advancements to the<br />
implants have meant the procedure also offers long-term<br />
safety,’ says Dr Moore.<br />
Part of the P-URE implant’s appeal is its ability to reduce<br />
the rate of capsular contracture, which is one of the most<br />
common complications following breast augmentation<br />
surgery. Capsular contracture occurs when the body forms<br />
a scar capsule around the breast implant, leading to the<br />
hardening <strong>and</strong> distortion of the implants. The textured<br />
surface of P-URE implants inhibits the scar capsule’s<br />
collagen fibres from aligning, preventing contraction <strong>and</strong><br />
reducing the chance of distortion.<br />
‘A number of studies have shown there is only a one<br />
percent risk of capsular contracture with polyurethanecoated<br />
implants, which is a significant improvement on the<br />
10 percent risk associated with saline <strong>and</strong> silicone implants,’<br />
says Dr Moore.<br />
When deciding to undergo breast augmentation, the<br />
patient must consider the implant size, shape, projection<br />
<strong>and</strong> material. The role of the surgeon is to help guide women<br />
through this process, to ensure the best implants are<br />
selected according to each patient’s body type, concerns<br />
<strong>and</strong> expectations. ‘It comes down to the proportions of the<br />
figure <strong>and</strong> the desired result of each patient,’ concludes<br />
Dr Moore. ‘These days patients are much more educated<br />
about their options <strong>and</strong> are seeking an approach that will<br />
give them the most desirable results, no matter what their<br />
chosen aesthetic.’ csbm<br />
1<br />
BEFORE<br />
AFTER breast augmentation by Dr Moore<br />
2<br />
BEFORE<br />
AFTER breast augmentation by Dr Moore<br />
3<br />
BEFORE (exisiting scar on left breast)<br />
AFTER breast augmentation by Dr Moore<br />
www.cosbeauty.com.au 157
intimate surgery<br />
Breaking<br />
the taboo<br />
Adelaide pelvic reconstructive surgeon Dr Oseka Onuma explains<br />
geniTAl surgery can ease discomfort, enhance self-esteem <strong>and</strong><br />
improve quality of life. Caitlin Bishop reports.<br />
The way women are unique in their mental, physical <strong>and</strong><br />
emotional makeup is celebrated, <strong>and</strong> often reinforced,<br />
in conversations between girlfriends or even with<br />
strangers. Yet, when it comes to genital surgery, the<br />
differences between women, <strong>and</strong> any potential concerns,<br />
are often shrouded in a blanket of taboo, misunderst<strong>and</strong>ing<br />
or unfair generalisations.<br />
For example, vaginal rejuvenation has received a lot<br />
of negative coverage in mainstream media under the<br />
“designer vagina” banner. Women seeking surgery are<br />
often condemned as bowing to the “porn aesthetic”, <strong>and</strong><br />
receive little support in making a decision that is necessary<br />
to ease discomfort or improve self-confidence.<br />
Adelaide pelvic reconstructive surgeon Dr Oseka Onuma<br />
explains most patients seeking genital surgery are hoping<br />
to alleviate pain <strong>and</strong> improve quality of life. ‘The number<br />
of women patronised by mainstream media <strong>and</strong> even by<br />
some members of the medical community when seeking<br />
help is disappointing,’ he says. ‘The majority of my patients<br />
seeking vaginal rejuvenation are not motivated by the<br />
aesthetic, but a growing dislike of pain during intercourse<br />
or discomfort when participating in everyday activities.’<br />
The stigma surrounding genital surgery means few<br />
women feel comfortable talking to friends or exploring<br />
their options with doctors or health professionals. For<br />
this reason, some women aren’t aware of the possibilities<br />
available in correcting potentially embarrassing problems;<br />
in fact, there is often a limited underst<strong>and</strong>ing of what is<br />
“normal” <strong>and</strong> what is not.<br />
‘Some women live with the discomfort of oversized labia<br />
for many years, <strong>and</strong> often when they come to see me for a<br />
labiaplasty they have only recently become aware they can<br />
have something done to improve the situation,’ Dr Onuma<br />
explains. ‘The only comment that can be made with any<br />
certainty about the size <strong>and</strong> shape of the labia is that they<br />
are all very different.’<br />
Indeed, oversized, enlarged or asymmetrical labia<br />
minora can cause discomfort during sex <strong>and</strong> hinder certain<br />
activities such as such as bike riding or horse riding. It can<br />
also cause irritation <strong>and</strong> discomfort when wearing certain<br />
clothes, for example, swimwear, tights or jeans.<br />
The growing awareness surrounding genital surgery<br />
means there is an increased dem<strong>and</strong> for vaginal rejuvenation<br />
surgeries. Yet, alongside this growing awareness, Dr<br />
Onuma believes there should be an adjustment in how<br />
genital surgery is perceived.<br />
‘Genital surgery can increase a woman’s confidence<br />
in herself <strong>and</strong> her relationships,’ Dr Onuma explains.<br />
158 www.cosbeauty.com.au
‘Women may not find it easy to talk to stranger, doctors<br />
or friends about a loose vagina, labial discomfort or lack of<br />
vaginal sensation but these issues need to be raised <strong>and</strong><br />
explored in order to provide the options for improving<br />
quality of life.’<br />
As is the case in any surgery, the consultation process<br />
before genital surgery must be individualised to address<br />
the specific concerns, anatomy <strong>and</strong> expectations of<br />
each patient. ‘Each patient will have different motivations,<br />
concerns <strong>and</strong> expectations in seeking genital surgery,’ Dr<br />
Onuma explains. ‘It is important to listen to the concerns<br />
of the individual patient, assess them with appropriate<br />
examinations <strong>and</strong> offer a series of potential solutions.’<br />
Options in genital surgery<br />
Laser reduction labiaplasty can sculpt the elongated or<br />
unequal labial minora as desired. Labiaplasty techniques<br />
can also reconstruct conditions that are a result of the<br />
ageing process, childbirth trauma or injury.<br />
During labiaplasty, the vulvar structures (including the<br />
labia minora, labia majora, mons pubis, perineum, entrance<br />
to the vagina <strong>and</strong> hymen) can be surgically enhanced, both<br />
functionally <strong>and</strong> aesthetically.<br />
Laser vaginal rejuvenation can effectively enhance<br />
vaginal muscle tone, strength <strong>and</strong> control. Laser techniques<br />
typically afford greater accuracy <strong>and</strong> result in rapid healing,<br />
less pain <strong>and</strong> faster recovery.<br />
Options for urinary incontinence<br />
Female stress urinary incontinence is usually caused by an<br />
improperly functioning urethra. The surrounding muscles<br />
<strong>and</strong> pelvic tissue are generally weakened, meaning the<br />
urethra doesn’t maintain a tight seal during exercise or<br />
other movements such as coughing or laughing, <strong>and</strong> urine<br />
invariably escapes.<br />
The tensionless vaginal tape, or TVT sling, is a minimally<br />
invasive procedure during which a Prolene tape sling is<br />
inserted to correct stress urinary incontinence.<br />
The mesh is inserted through the vagina <strong>and</strong> positioned<br />
underneath the urethra, creating a supportive sling.<br />
Notably, this is held in place by surrounding tissues rather<br />
than sutured into position. During movement or exercise,<br />
the mesh supports the urethra, allowing it to maintain its<br />
seal <strong>and</strong> prevent urine loss.<br />
‘Today, women are less willing to accept changes in<br />
genital anatomy resulting from pregnancy, childbirth <strong>and</strong><br />
ageing,’ Dr Onuma explains. ‘With various surgical <strong>and</strong><br />
non-surgical techniques, there is a range of options<br />
available to address, <strong>and</strong> hopefully resolve, these problems.<br />
Taking action <strong>and</strong> seeking intervention can help restore<br />
self-image, enhance self-esteem <strong>and</strong> improve overall quality<br />
of life.’ csbm<br />
feature<br />
Laser Vaginal<br />
Rejuvenation TM<br />
SPECIALISING IN<br />
• Aesthetic <strong>and</strong> functional<br />
labial surgery<br />
• Curing urinary incontinence<br />
• Restoring pelvic support<br />
• Enhancing sexual gratification<br />
• Resolving menstrual dysfunction<br />
OUR MISSION<br />
To empower women<br />
with knowledge, choice<br />
<strong>and</strong> alternatives<br />
Dr Oseka Onuma<br />
BSc MJur MBBS FRCOG<br />
FRANZCOG<br />
Gynaecologist &<br />
Pelvic Reconstructive Surgeon<br />
Laser Vaginal Rejuvenation<br />
Institute of Adelaide<br />
Robe Terrace Specialist Centre Suite<br />
4 Robe Terrace, Medindie<br />
South Australia 5081<br />
Phone 08 8344 6085<br />
Facsimile 08 8344 6087<br />
Email rooms@dronuma.com<br />
www.dronuma.com<br />
www.cosbeauty.com.au 159
intimate surgery<br />
Stitchless<br />
Labiaplasty<br />
Sydney cosmetic surgeon Dr Joseph Georghy explains<br />
a new minimally invasive ‘stitchless’ procedure to improve appearance<br />
<strong>and</strong> function of the female genitalia. aimÉe surtenich reports.<br />
Sydney cosmetic surgeon Dr Joseph Georghy says<br />
a new ‘stitchless’ approach to labiaplasty delivers<br />
superior aesthetic results, requires no painful suture<br />
removal <strong>and</strong>, most importantly, has no ‘suture lines’<br />
following surgery.<br />
‘Using no external stitches, the surgical wound is sutured<br />
internally using absorbable sutures, meaning no stitches<br />
need to remove at a later date,’ he says. ‘In brief, signs of<br />
the surgery are virtually unrecognisable, <strong>and</strong> the results look<br />
very natural.’<br />
With ‘stitchless’ labiaplasty,<br />
signs of the surgery are virtually<br />
unrecognisable <strong>and</strong> the results<br />
look very natural<br />
Labiaplasty involves the surgical reduction <strong>and</strong>/or<br />
reshaping of the female external genital structures such as<br />
the outer lips – the labia majora – or, more commonly, the<br />
inner lips – the labia minora.’<br />
Dr Georghy’s preferred stitchless labiaplasty method is<br />
typically performed under local anaesthesia <strong>and</strong> the patient<br />
can resume their normal activities between two <strong>and</strong> three<br />
days after surgery.<br />
Female genitalia come in different sizes, colours <strong>and</strong><br />
shapes — there is no such thing as ‘normal’. However,<br />
when aspects of the genitals cause psychological distress<br />
<strong>and</strong>/or physical discomfort, it can have a profound<br />
impact on a woman’s confidence, comfort <strong>and</strong> often their<br />
intimate relationships.<br />
‘There are multiple reasons women are requesting genital<br />
surgery, <strong>and</strong> these can include psychological distress <strong>and</strong><br />
physical discomfort,’ Sydney cosmetic surgeon Dr Joseph<br />
Georghy explains.<br />
‘Some women want to alleviate the discomfort caused<br />
by a large or overgrown labia, which can often interfere with<br />
exercise <strong>and</strong> even walking; protrude when wearing tightfitting<br />
clothes <strong>and</strong> cause embarrassment; <strong>and</strong> interfere with<br />
or cause discomfort or pain during sexual intercourse,’ he<br />
continues.<br />
Female genital surgery is rapidly increasing in popularity<br />
as there is more awareness of <strong>and</strong> less ‘taboo’ about the<br />
subject. Despite some negative coverage in mainstream<br />
media in recent years, the majority of patients seek<br />
labiaplasty not to attain ‘perfection’ but to alleviate the<br />
discomfort associated with overly large labia.<br />
Labiaplasty surgery is performed to improve the<br />
appearance <strong>and</strong> alleviate the discomfort of large or<br />
overgrown labia which can interfere with — even cause<br />
pain during — sex, exercise <strong>and</strong> even walking.<br />
Dr Georghy has been performing labiaplasty for more<br />
than 30 years. In that time, he has seen the dramatic<br />
impact an aesthetic <strong>and</strong> functional improvement of the<br />
female genitals can have on his patients’ emotional, social,<br />
personal <strong>and</strong> general wellbeing.<br />
‘A labiaplasty is a surgical procedure, medically <strong>and</strong><br />
aesthetically indicated, designed to reduce the size of<br />
labia <strong>and</strong> therefore improve the appearance of the female<br />
genitals,’ says Dr Georghy.<br />
‘Having performed many labiaplasty surgeries, many<br />
women report an improvement in their confidence, physical<br />
comfort, as well as improved sexual gratification,’ he<br />
concludes. csbm<br />
160 www.cosbeauty.com.au
hair loss<br />
disguising<br />
hair loss<br />
Hair loss doesn’t just affect men. This<br />
former model shares her stoRY on female<br />
hair loss, <strong>and</strong> an innovative technique<br />
to conceal it. Evelyn Duffy repoRTS.<br />
Former model, actress <strong>and</strong> songwriter Joanna<br />
Ferguson experienced hair loss as early as her<br />
primary school days. She had always been aware of<br />
her ‘exceptionally high hairline’, a feature inherited from her<br />
maternal gr<strong>and</strong>mother.<br />
But like many women, Joanna, now 35, was extremely<br />
creative in finding ways to conceal her hair loss <strong>and</strong> forged<br />
ahead with a career that often put her in front of the camera.<br />
‘I became very fond of baseball caps <strong>and</strong> in Year 12 I set<br />
my sights on becoming a hairdresser. It was purely so that I<br />
could develop ways to disguise my thinning hair,’ she says.<br />
‘Hairdressing wasn’t for me, so I trained as a makeup<br />
artist <strong>and</strong> this supplemented income earned from<br />
modelling, acting <strong>and</strong> song writing. But a big portion of my<br />
earnings were always spent on solutions for camouflaging<br />
my thinning hair.’<br />
Joanna says some of the solutions she chose included<br />
expensive hair extensions <strong>and</strong> treatments, <strong>and</strong> combing her<br />
hair in a strict style to conceal thinning areas on her scalp.<br />
After her two sons were born, Joanna’s hair loss became<br />
more pronounced <strong>and</strong> increasingly difficult to conceal.<br />
But as a single mother, investing in ongoing solutions for<br />
concealing her hair loss became increasingly unaffordable.<br />
Joanna says she gained encouragement when a<br />
friend told her about the latest techniques in scalp micro<br />
pigmentation (SMP), which offer an affordable <strong>and</strong> semipermanent<br />
solution for concealing hair loss.<br />
BEFORE<br />
AFTER scalp micropigmentation treatment<br />
SMP, which involves applying micro organic pigment into<br />
the epidermis layer of the skin, creates the illusion of greater<br />
hair density. The organic pigment appears as hair follicles,<br />
thereby creating the appearance of a fuller head of hair.<br />
Matched to the patient’s existing hair colour <strong>and</strong> skin<br />
tone, the non-invasive procedure, which involves no down<br />
time or scarring, lasts up to five years.<br />
After a consultation with trichologist Kate Dawes, IAT,<br />
of Medical Hair Restoration Australia (MHRA) in Nedl<strong>and</strong>s,<br />
WA, Joanna decided to proceed with the treatment. ‘I didn’t<br />
think twice about having SMP <strong>and</strong> I most certainly will have<br />
it done again when it starts to wear off in five years,’ she<br />
says. ‘Life is short so if something bothers you <strong>and</strong> you are<br />
in a position to do something about it, then do it.’<br />
Joanna says hair loss can be devastating for women,<br />
particularly given that women link the appearance of their<br />
hair to their overall attractiveness. ‘Any woman will tell you<br />
they don’t feel right when their hair isn’t right,’ she says. ‘It’s<br />
pretty hard to feel good when one looks in the mirror <strong>and</strong><br />
sees evidence of balding.’<br />
Trichologist Kate Dawes says dem<strong>and</strong> is rising among<br />
both men <strong>and</strong> women for SMP treatment. ‘SMP provides an<br />
ideal alternative for people who can’t afford hair transplant<br />
surgery or who aren’t ready to commit to a completely<br />
permanent solution,’ she explains. ‘Patients are delighted<br />
with the results achieved with SMP.’<br />
‘We use only use the highest st<strong>and</strong>ard quality organic<br />
pigments available, <strong>and</strong> procedures are completed at our<br />
modern, hygienic <strong>and</strong> sterilised clinic in Nedl<strong>and</strong>s, Perth,’<br />
she says.<br />
Joanna says that after two treatments with SMP at<br />
Medical Hair Restoration Australia, she no longer uses<br />
baseball caps to conceal her hair loss. Nowadays, she only<br />
wears caps for protection from the sun or wind <strong>and</strong> she<br />
enjoys the freedom to wear her hair in a greater variety of<br />
styles. ‘I have had lots of compliments about my appearance<br />
lately; people can’t quite pinpoint why I am looking better,’<br />
Joanna concludes. csbm<br />
www.cosbeauty.com.au 161
feature<br />
Male<br />
motivations<br />
More men are seeking<br />
cosmetic enhancement than<br />
ever before. Caitlin Bishop<br />
investigates the world of<br />
male cosmetic surgery.<br />
162 www.cosbeauty.com.au
feature<br />
Traditionally, cosmetic enhancement has been<br />
considered a definite female domain. Yet, the desire<br />
to advance in the workplace, keep up in love <strong>and</strong><br />
have that inner energy reflected in physical appearance<br />
is not restricted to those with XX chromosomes. Recent<br />
research has revealed the growing popularity of male<br />
cosmetic procedures, both surgical <strong>and</strong> non-surgical,<br />
across the globe.<br />
In the US, men underwent<br />
more than one million surgical<br />
<strong>and</strong> non-surgical cosmetic<br />
procedures in 2013<br />
Last year, according to the British Association of Aesthetic<br />
Plastic Surgeons (BAAPS), men accounted for 9.5 percent<br />
of all cosmetic procedures performed in the UK. A total of<br />
4,757 men underwent cosmetic surgery, signifying a 16<br />
percent increase from the year before. Rhinoplasty, eyelid<br />
surgery, gynaecomastia (breast reduction) <strong>and</strong> liposuction<br />
were the top procedures performed, with liposuction<br />
showing the biggest increase from the previous year.<br />
A similar rise has been seen in males undergoing<br />
non-surgical cosmetic enhancement. In 2012, just over<br />
460,000 men oped for cosmetic injectables such as antiwrinkles<br />
injections <strong>and</strong> dermal fillers. A further 160,000<br />
men underwent non-surgical rejuvenation treatments, for<br />
example chemical peels, microdermabrasion <strong>and</strong> fractional<br />
laser resurfacing.<br />
These numbers are virtually mirrored in the recently<br />
released American Society for Aesthetic Plastic <strong>Surgery</strong><br />
(ASAPS) 2013 statistics, where men underwent more than<br />
one million surgical <strong>and</strong> non-surgical cosmetic procedures,<br />
9.4 percent of the total number performed in 2013.<br />
But what is it that drives men to seek cosmetic<br />
enhancement? The influences of media ideals on women<br />
are widely documented, <strong>and</strong> the motivations behind<br />
women seeking cosmetic surgery have been extensively<br />
investigated. Surely, the influences that push men to seek<br />
cosmetic enhancement are just as diverse <strong>and</strong> multifaceted,<br />
<strong>and</strong> the recent upsurge in male interest has<br />
pushed researches to try to pinpoint the main motivations.<br />
Career competitiveness<br />
One of the most prominently touted male motivations is<br />
the desire to stay ahead in the career game. The American<br />
Academy of Facial Plastic <strong>and</strong> Reconstructive <strong>Surgery</strong><br />
(AAFPRS) states cosmetic surgery as a career booster<br />
is something very distinctive to male clientele. It seems<br />
looking younger, more masculine <strong>and</strong> less tired can help<br />
maintain competiveness in the job market.<br />
Some cosmetic surgeons are now dedicating a large<br />
portion of their practice specifically to male clientele,<br />
offering a variety of surgical <strong>and</strong> non-surgical procedures<br />
to address many diverse subsets of men seeking<br />
cosmetic enhancement.<br />
Personal dissatisfaction<br />
For some men, cosmetic surgery is a viable option in<br />
building inner confidence, or addressing as aspect of their<br />
appearance of particular concern. From simply refreshing<br />
the complexion to counter a tired, gaunt appearance, to<br />
using rhinoplasty, gynaecomastia or facelifting to tackle<br />
specific concerns, men are becoming much more forthright<br />
in addressing their ageing process. Many surgeons cite<br />
confidence-building as one of the most common reasons<br />
men approach him for cosmetic surgery.<br />
Canadian plastic surgeon Dr Mitchell Brown has found<br />
male patients often approach him for personal, confidence<br />
reasons. ‘I find men are usually motivated by personal<br />
rather than career reasons,’ he. ‘They’re self-conscious<br />
about a particular area <strong>and</strong> uncomfortable at the beach or<br />
in the locker room.’<br />
The dating game<br />
There is no doubt keeping up appearances can grant<br />
the confidence <strong>and</strong> poise often needed to keep up in the<br />
romance scene.<br />
Many patients who have recently divorced <strong>and</strong> are reentering<br />
the dating game seek cosmetic surgery. Men in<br />
this situation are often hoping to create a more youthful<br />
look <strong>and</strong> re-establish the confidence that comes with a<br />
refreshed, more youthful appearance.<br />
Whether for career, personal<br />
or romantic reasons, male<br />
cosmetic surgery is inarguably<br />
on the rise<br />
Eyelid surgery, or blepharoplasty, is a viable option to<br />
reduce the appearance of baggy lower lids or tired, heavy<br />
upper lids. This is a procedure that grants subtle, but<br />
effective results, with a relatively brief downtime.<br />
Whether it’s surgical or non-surgical, for career, personal<br />
or romantic reasons, male cosmetic surgery is inarguably<br />
on the rise. As the cosmetic surgery arena grows <strong>and</strong><br />
advances, both men <strong>and</strong> women are becoming more aware<br />
of the processes of ageing, <strong>and</strong> the possibilities available in<br />
keeping the signs of ageing at bay. csbm<br />
www.cosbeauty.com.au 163
men<br />
MATURE-AGE<br />
MALE<br />
COSMETIC<br />
SURGERY<br />
GROWING OLDER AND LOOKING GOOD ARE NOT MUTUALLY EXCLUSIVE, SAYS<br />
SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON.<br />
I<br />
am seeing male patients in the over-50 age group<br />
more <strong>and</strong> more frequently in my clinic. Mostly these are<br />
successful men, who for one reason or another fi nd their<br />
status in life has changed. Either the family is moving on,<br />
they are changing careers, or fi nding a new direction in their<br />
life. Some of them are widowers; some of them are just<br />
encouraged by their wives or partners to look the best they<br />
can be. In every instance there is a sense that inside they<br />
feel more vital than the way in which the world increasingly<br />
perceives them.<br />
Because many men in Australia are involved in outdoor<br />
activities, such as golfi ng, sailing, tennis <strong>and</strong> surfi ng as<br />
well as team sports, the ravages of the sun take their<br />
toll, compounding the problem of normal ageing <strong>and</strong><br />
deterioration of the quality of the skin. As early as their<br />
40s, <strong>and</strong> certainly in their 50s, many of these men tend to<br />
lose the defi nition of the jaw <strong>and</strong> chin <strong>and</strong> start complaining<br />
of a ‘turkey neck’.<br />
Most commonly, men initially choose eyelid surgery <strong>and</strong><br />
then progress on in their mid-50s to facelifting procedures.<br />
Along with facelifting, I often perform chin implant surgery<br />
to give or restore a stronger masculine defi nition to the<br />
face. The most important thing, however, is to restore the<br />
patient’s jaw <strong>and</strong> neckline, thereby reducing the saggy<br />
‘turkey neck’ by platysma surgery which addresses not<br />
only the skin but also the muscles of the face <strong>and</strong> neck,<br />
removing or recontouring the fat of the jowls <strong>and</strong> re-draping<br />
the skin in a natural way, so as not to distort the earlobes<br />
or show any scars.<br />
The incisions from a facelift in a male are different from<br />
those in a female, in that the incision goes carefully into a<br />
crease in front of the ear <strong>and</strong> does not distort the beard<br />
line, whereas in a woman, the incision goes behind the<br />
tragus of the ear <strong>and</strong> into the ear. Experience in the specifi c<br />
aesthetics <strong>and</strong> techniques for male surgery are important<br />
to achieve natural-looking results. Men are just as, if not<br />
more, terrifi ed as women of having the look of having been<br />
‘operated on’.<br />
Males do have a slightly higher incidence of haematoma<br />
– this is because their skin is irritated from years of shaving<br />
<strong>and</strong> tends to bleed easily – so the surgeon must be aware<br />
of this potential complication. Even so, we always perform<br />
164 www.cosbeauty.com.au
men<br />
the surgery on healthy patients on an outpatient surgical<br />
basis <strong>and</strong> the patient returns home or to a local facility, with<br />
one of our private nurses for one-on-one overnight care to<br />
reduce the chance of a haematoma or significant bruising.<br />
Most patients take about 10 days off work <strong>and</strong> gradually<br />
resume their active lifestyle in four to six weeks.<br />
Men are becoming more<br />
<strong>and</strong> more aware of the<br />
benefits of feeling good<br />
about their appearance<br />
Another procedure commonly sought by men is<br />
rhinoplasty or nose reshaping surgery. This procedure, like<br />
body contour surgery, spans the age range from young to<br />
mature age.<br />
Many mature-age men who sustained fractures to their<br />
nose <strong>and</strong> had subsequent breathing problems, or who<br />
formerly considered corrective surgery as too vain, are<br />
seeking not only to have their breathing corrected but also<br />
to improve the appearance of their nose. Indeed, men are<br />
becoming more <strong>and</strong> more aware of the benefits of feeling<br />
good about their appearance.<br />
While cosmetic surgery in the mature age male tends to<br />
concentrate primarily on the face, an increasing number of<br />
men are seeking body contour surgery such as liposuction/<br />
liposculpture to their ‘love h<strong>and</strong>les’ or ‘man boobs’ to<br />
counteract the extra weight many gain in their middle years.<br />
This, too, goes in h<strong>and</strong> with maintaining an active lifestyle<br />
<strong>and</strong> wearing of swimwear, sports gear <strong>and</strong> fitted clothing,<br />
especially with the rise of male fashion consciousness.<br />
We all know that ‘baby boomers are living longer lives.<br />
It is believed that 50 percent of people in Australia now<br />
over the age of 65 will live to 100 years. With this in mind,<br />
retirement in one’s 60s is no longer such an attractive or<br />
financially viable option. Staying active in the workforce<br />
maintains more than one’s st<strong>and</strong>ard of living but also one’s<br />
self-esteem <strong>and</strong> connectedness. The baby boomers also<br />
have a lot to offer in the way of experience <strong>and</strong> expertise.<br />
As more <strong>and</strong> more men, <strong>and</strong> baby boomers in particular,<br />
reassess their futures <strong>and</strong> their capacity to remain vital<br />
professionally <strong>and</strong> socially, I am sure that we will continue<br />
to see an increase in cosmetic plastic surgery for matureaged<br />
men. csbm<br />
BEFORE<br />
AFTER face <strong>and</strong> neck lift by Dr Hodgkinson<br />
www.cosbeauty.com.au 165
men<br />
Restoring<br />
youth<br />
in the male face<br />
SYDNEY FACIAL PLASTIC SURGEON DR WILLIAM MOONEY EXPLAINS THERE ARE<br />
MANY OPTIONS FOR REJUVENATING THE MALE FACE FOR SUBTLE AND NATURAL-<br />
LOOKING RESULTS. CAITLIN BISHOP REPORTS.<br />
166 www.cosbeauty.com.au
men<br />
With the likes of George Clooney <strong>and</strong> Sean<br />
Connery on side, it certainly seems the mantel of<br />
ageing sits a little more comfortably on men than<br />
on women. The smooth, dewy, homogenised complexions<br />
that females strive for are not so coveted by their male<br />
counterparts, <strong>and</strong> it seems society expects <strong>and</strong> appreciates<br />
a touch of ruggedness on ageing men.<br />
Sydney facial plastic surgeon Dr William Mooney explains<br />
the male face calls for a radically different approach to antiageing<br />
than the female face. ‘It’s a big mistake to use the<br />
female template facial rejuvenation on the male face,’ he<br />
says. ‘Dynamic wrinkles help characterise a male’s face, so<br />
facial treatments should preserve this character, while still<br />
granting an anti-ageing effect.<br />
Treatments should preserve<br />
facial character, while still<br />
granting an anti-ageing effect<br />
‘Also, male skin is very different to female skin. It is<br />
usually more damaged, thicker in texture, <strong>and</strong> males will<br />
have different skin concerns,’ he adds. ‘Throughout their<br />
lives, generally speaking men spend more time outdoors,<br />
they are less likely to be careful with protecting their skin<br />
<strong>and</strong> when I ask them what their skincare regime consists of,<br />
their usual response is “soap”.’<br />
Underst<strong>and</strong>ing that most men will not commit to a<br />
skincare routine that is too time consuming, Dr Mooney is<br />
taking skincare back to basics with his male patients. He<br />
recommends using an in-shower cleanser, a moisturiser<br />
after shaving <strong>and</strong> a daily sunscreen.<br />
Alongside skincare, there are several surgical <strong>and</strong> nonsurgical<br />
methods for facial rejuvenation that can be tailored<br />
to male patients.<br />
Light therapies<br />
Dr Mooney explains one of the most subtle but potent signs<br />
of ageing in male patients is the age spots <strong>and</strong> wrinkles<br />
around the temples. He uses laser <strong>and</strong> Intense Pulsed Light<br />
treatments to counter the appearance of these wrinkles.<br />
‘Laser treatment can also be used to counter redness,<br />
unevenness <strong>and</strong> blocked pores, which are common<br />
concerns in male patients,’ he says. ‘For the best results,<br />
we often intersperse light treatments with facial treatments<br />
such as the enzyme facial peel.’<br />
Injectables<br />
Anti-wrinkle injections <strong>and</strong> dermal fillers can rejuvenate the<br />
aging face <strong>and</strong> counter the visible signs of ageing.<br />
‘I use less <strong>and</strong> less anti-wrinkle injections in men,’ Dr<br />
Mooney explains. ‘Lines help characterise a male’s face, so<br />
A masculine nose <strong>and</strong> jaw<br />
According to Dr Mooney, the size <strong>and</strong> shape of the<br />
nose can be a common concern in male patients.<br />
Oftentimes, he explains, it is the size of the jaw <strong>and</strong> not<br />
the nose which is putting the face out of proportion.<br />
‘A weak jaw can make the nose look bigger, <strong>and</strong> can<br />
detract from the male aesthetic,’ Dr Mooney explains.<br />
‘I will sometimes use deep dermal filers or a surgical<br />
augmentation to strengthen the jawline, <strong>and</strong> bring the<br />
face into more masculine proportions. After this, some<br />
patients no longer feel the need for rhinoplasty.’<br />
In those cases where rhinoplasty is needed, Dr<br />
Mooney explains nose surgery can have a significant<br />
anti-ageing effect.<br />
‘Rhinoplasty is one of the most popular male<br />
procedures,’ he says. ‘Both functional <strong>and</strong> aesthetic<br />
concerns can be addressed through surgery, <strong>and</strong> the<br />
procedure can really impact quality of life – it helps<br />
boost self-confidence, assists in breathing <strong>and</strong> this,<br />
in turn, helps with sleeping. All these factors can<br />
contribute to an anti-ageing effect.’<br />
we want to avoid the frozen look. I often use subtle filler,<br />
instead of anti-wrinkle injections, to correct crow’s feet<br />
in men. A cross hatching filler pattern will grant a subtle,<br />
natural-looking <strong>and</strong> longer-lasting effect.’<br />
Threading<br />
Ageing often deteriorates volume <strong>and</strong> causes skin laxity in<br />
the mid face, generating a tired, gaunt appearance. While<br />
facelifting can be effective in countering this process, Dr<br />
Mooney says thread lifting can be a viable alternative to<br />
facelift surgery.<br />
‘Thread lifting can build volume in the face, <strong>and</strong> help<br />
redefine the facial contours,’ he says. ‘Men lose volume<br />
in their midface but are often reluctant to undergo face<br />
lifting surgery; they want to avoid that tight, overdone look.<br />
Thread lifting – sometimes combined with eyelid surgery<br />
– can have a significant, though subtle, anti-ageing result<br />
without the downtime associated with a full face lift.’<br />
Between injectables, thread lifting <strong>and</strong> jaw augmentation,<br />
there are several options for facial rejuvenation in male<br />
patients. An extensive consultation process is needed<br />
with each patient to ensure the best treatment method is<br />
established.<br />
Dr Mooney says many men aren’t aware of the number<br />
of options available for facial rejuvenation, but are typically<br />
open to fresh possibilities. ‘While female patients are<br />
generally more educated coming into consultation, male<br />
patients are very open minded <strong>and</strong> appreciate non-invasive<br />
options that will generate effective, though natural-looking,<br />
anti-ageing results.’ cbsm<br />
www.cosbeauty.com.au 167
men<br />
You’ve<br />
got male!<br />
With an increased interest in ‘self-preservation’, more <strong>and</strong> more men<br />
are seeking cosmetic enhancement. We profile the male-only skin<br />
trEATMEnt menu AT Skin Clinic@Blyss. AimÉe Surtenich reports.<br />
Generally speaking, looking good has long been a<br />
prerogative of women, but in the past there was a<br />
stigma attached to men who cared too much about<br />
their appearance. While it was considered acceptable for<br />
a man to work on improving his body, acquiring a more<br />
attractive face was far more taboo.<br />
Enter 2014 <strong>and</strong> a paradigm shift in attitudes, the range<br />
of quality new-generation treatments available <strong>and</strong> the<br />
widespread use of cosmetic injectables have made the field<br />
of cosmetic enhancement much more accessible – <strong>and</strong><br />
desirable – to men.<br />
As cosmetic procedures continue to move from the<br />
marginal to the mainstream, more <strong>and</strong> more men are<br />
seeking subtle cosmetic intervention to help reverse the<br />
signs of ageing or enhance aspects of their appearance<br />
that have always bothered them. Indeed, Australian men<br />
are some of the biggest users in the world of anti-wrinkle<br />
injections <strong>and</strong> skin rejuvenation treatments.<br />
Skin Clinic@Blyss is meeting this rise in dem<strong>and</strong> for<br />
male cosmetic procedures by offering a comprehensive<br />
cosmetic enhancement <strong>and</strong> skin health treatment menu<br />
specifically for men.<br />
They have also introduced Man Time at the Clinic, a<br />
‘man only’ time slot between 5pm <strong>and</strong> 7pm every Tuesday,<br />
with more dedicated time slots on the horizon, <strong>and</strong> a maleoriented<br />
website – www.skinclinicformen.com.au – which<br />
details the most popular procedures for men.<br />
The Clinic offers a warm, relaxing, discreet <strong>and</strong> non-stuffy<br />
environment in which men can have access to advanced<br />
skin therapies <strong>and</strong> cosmetic treatments based on the latest<br />
proven technology.<br />
Led by veteran skin clinician Jodie King, who has more<br />
than 20 years’ experience in the industry, the practitioners<br />
at Skin Clinic@Blyss underst<strong>and</strong> the concerns, motivations<br />
<strong>and</strong> expectations of both men <strong>and</strong> women seeking<br />
treatment <strong>and</strong>, importantly, the differences between men<br />
<strong>and</strong> women’s skin – <strong>and</strong> the different ways of treating them.<br />
Male skin responds very well<br />
to any resurfacing treatments<br />
designed to unclog pores <strong>and</strong><br />
brighten the skin<br />
‘Men have an oilier <strong>and</strong> thicker skin – up to 25 percent<br />
thicker – than women, therefore it can be much more<br />
robust,’ King explains. ‘Some common male concerns<br />
include blackheads or congestion of the skin, shaving<br />
rashes or irritations, <strong>and</strong> acne, which is often more severe<br />
in men due to their higher levels of testosterone.’<br />
‘Male skin responds very well to any resurfacing<br />
treatments, designed to unclog pores <strong>and</strong> brighten the skin,’<br />
says King. ‘Most people these days do not want downtime<br />
168 www.cosbeauty.com.au
following a treatment. For this reason, microhydrabrasion (a<br />
two-part exfoliation technique) is one of our biggest male<br />
procedures, as well as LED treatments <strong>and</strong> IPL for treating<br />
vascular lesions, pigmentation, rosacea <strong>and</strong> large pores.’<br />
Importantly, every treatment at Skin Clinic@Blyss is<br />
individualised to address each patient’s concerns, desires<br />
<strong>and</strong> expectations. Using an advanced digital imaging<br />
system to analyse the skin, recommendations are first <strong>and</strong><br />
foremost based on scientific diagnostic imaging, which<br />
takes the guesswork out of knowing which procedure or<br />
treatment will best suit each client’s needs.<br />
With such an extensive consultation process, King<br />
<strong>and</strong> her team of skin clinicians <strong>and</strong> in-house cosmetic<br />
doctor are dedicated to achieving the best results by taking<br />
a holistic <strong>and</strong> personalised approach to skin rejuvenation.<br />
‘Achieving good skin starts with a good relationship<br />
between the client <strong>and</strong> the clinician,’ King explains.<br />
‘This rapport can only be built through listening <strong>and</strong><br />
underst<strong>and</strong>ing. While we have the expertise <strong>and</strong> experience<br />
to address your skin concerns, you are the best judge of<br />
what your skin can tolerate <strong>and</strong> which treatments you are<br />
most comfortable with.’<br />
The clinic opened in 1998 <strong>and</strong> its philosophy is centered<br />
on optimising skin health for long-term results. By using<br />
the latest technologies <strong>and</strong> taking a multi-modality,<br />
individualised approach to anti-ageing, the practitioners<br />
at Skin Clinic@Blyss offer predictable, professional <strong>and</strong><br />
effective results in boosting skin health <strong>and</strong> helping to<br />
combat the signs of premature ageing. csbm<br />
BE comfortaBlE<br />
in your skin<br />
specialising in advanced non-surgical<br />
treatments for problem skin, anti-ageing,<br />
<strong>and</strong> damaged skin, the highly qualified<br />
clinicians <strong>and</strong> cosmetic physician at skin<br />
clinic for men use the latest technology<br />
to deliver exceptional results, leaving you<br />
feeling refreshed, confident <strong>and</strong> looking<br />
your best.<br />
Male vs female skin<br />
Men’s skin is different from women’s in a number<br />
of respects. One such difference is that men have<br />
more sebaceous gl<strong>and</strong>s than women. Testosterone<br />
gives men a 70 percent higher sebum production<br />
than women, which diminishes with age but still<br />
contributes to maintaining the emollient film of lipids<br />
on the skin’s surface. While this keeps their skin<br />
naturally lubricated, it also means they have larger<br />
pores <strong>and</strong> sweat more.<br />
Men’s skin is not only more lubricated, it is also<br />
denser. While women’s skin is characterised by<br />
a smooth surface <strong>and</strong> plump texture, due to the<br />
underlying fat, men’s skin contains more collagen, the<br />
fibrous protein that makes up the skin’s connective<br />
tissue. This gives men thicker skins <strong>and</strong> is the reason<br />
they can appear to age more slowly than women.<br />
Another structural difference in men’s skins is its<br />
vascularity. The fine network of blood vessels below<br />
the surface is more extensive, making men more<br />
prone to bleeding <strong>and</strong> to appearing ruddy faced.<br />
www.cosbeauty.com.au<br />
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phone 02 9664 8011<br />
Shop 2/214 Clovelly Road,<br />
Clovelly facial NSW TreaTmenTs 2031 *<br />
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Treatments<br />
• ionzyme treatments<br />
• Platelet-rich Plasma<br />
• lED Photofacials<br />
• iPl Photorejuvenation<br />
• Photodynamic therapy<br />
• facials<br />
• resurfacing<br />
• Dermaroller<br />
• anti-wrinkle injections<br />
• Dermal fillers<br />
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intimate surgery<br />
When size<br />
does matter<br />
An increasing number of men are opting to<br />
undergo penis enlargement surgery, Sydney<br />
cosmetic surgeon Dr Colin Moore explains.<br />
S<br />
Page 1<br />
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<strong>Surgery</strong> is becoming more <strong>and</strong> more popular for<br />
men hoping to lengthen <strong>and</strong> widen their penis.<br />
Phalloplasty – or penile surgery – can improve both<br />
the appearance <strong>and</strong> function of the penis. It is suitable for<br />
men who’ve been born with an unusually small penis, who<br />
have suffered trauma or who simply wish to make their<br />
penis larger.<br />
As technology advances, <strong>and</strong> the stigma around genital<br />
surgery begins to lift, an increasing number of men are<br />
opting for phalloplasty. As well as being able to augment<br />
the penis, <strong>and</strong> correct what might be perceived as an<br />
“abnormality”, Sydney cosmetic surgeon Dr Colin Moore<br />
MEN’S & WOMEN’S<br />
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To recieve an information pack call Lyn on<br />
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believes penis enlargement can lead to a significant boost<br />
in confidence.<br />
‘Men who are embarrassed about the size of their<br />
penis seek penile enlargement surgery not just for physical<br />
reasons – more often than not psychological reasons also<br />
play a significant role,’ he says. ‘Most patients who come<br />
to me seeking a penile enlargement fall into this category<br />
<strong>and</strong> have a desire to not only feel more confident but to also<br />
correct issues such as performance anxiety or impotence<br />
that have stemmed from their embarrassment.’<br />
Penile surgery can increase both the length <strong>and</strong> the<br />
width of the penis. Typically during surgery, the section of<br />
the penis that resides inside the body is extracted, resulting<br />
in a permanent augmentation.<br />
‘About one third of the penis resides inside the body<br />
<strong>and</strong>, in most cases, we can expose at least half of this<br />
during phalloplasty,’ says Dr Moore. ‘We do this by creating<br />
an incision <strong>and</strong> cutting the suspensory ligaments which<br />
hold back the extra penis length. To widen the penis,<br />
we use fat grafts taken from the stomach or buttocks<br />
to widen the erectile cylinders of the penis underneath<br />
the skin. This ensures the increase in diameter is even all<br />
along the shaft <strong>and</strong> back inside the tissues deep within<br />
the intra-pubic region.’<br />
The operation typically takes around four hours to<br />
complete, which is followed by an extensive recovery<br />
process. For the first 48 to 72 hours after surgery the patient<br />
uses a “pain buster system” where a catheter releases local<br />
anaesthetic into the area. During this period, patients also<br />
take medication to suppress erections; this ensures the<br />
grafts <strong>and</strong> sutures don’t dislodge.<br />
Two weeks of bed rest is recommended post-operatively,<br />
<strong>and</strong> patients may experience some swelling for up to three<br />
months. The b<strong>and</strong>aging can be removed a week after<br />
surgery, <strong>and</strong> the sutures dissolve by themselves.<br />
Sex can be resumed around six weeks after surgery, <strong>and</strong><br />
men will generally be fit to resume normal activities after<br />
six to 10 weeks. Typically, scarring will fade in one to three<br />
years following surgery. The duration of scarring depends<br />
on the type of grafting used <strong>and</strong> the patient’s individual<br />
healing response. csbm<br />
170 www.cosbeauty.com.au
ellafitness<br />
fitness<br />
weight keeping loss up appearances<br />
want to flaunt<br />
fast<br />
a toned <strong>and</strong> terrific bod this summer? here are some<br />
exercise essentials to help get you started. words by Jarrat wood<br />
vs<br />
slow & steady<br />
Some people train for health, some people train for Chest: push-ups<br />
performance <strong>and</strong> some people train for appearance. There is really no better all-round exercise than the push-up<br />
Vanity aside, training for appearance is a realistic when training outdoors. Place your h<strong>and</strong>s shoulder width<br />
option. Everyone has a body part that they wish was bigger or slightly wider with your wrists slightly above the nipple<br />
or smaller.<br />
line but below your shoulders. If you wish to focus more on<br />
WHAT’S<br />
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RUSSELL important health COX <strong>and</strong> safety FROM guidelines: REGENESIS FITNESS your IN SYDNEY elbows away REPORTS.<br />
from the body as you lower yourself.<br />
• Training opposing muscle groups unevenly can lead to To focus more on the triceps bring your h<strong>and</strong>s a little<br />
postural <strong>and</strong> functional deficiencies.<br />
closer to your body <strong>and</strong> keep your elbows close to your body<br />
The human body has a natural resistance to change. Slower, less strict <strong>and</strong> more balanced eating plans<br />
• Health should be the number-one priority with an as you lower yourself to the ground. Beginners should try<br />
This is just as well – otherwise when you have a allow the same results to be achieved, albeit over a longer<br />
exercise program <strong>and</strong> all exercise has an element of risk. push-ups from the knees. If this is too difficult try push ups<br />
blowout weekend of bad eating <strong>and</strong> drinking, you period of time. Having suffered less deprivation during<br />
• There is a limit to how much you can vary your appearance. on a raised bench with feet on the floor or against a wall<br />
wouldn’t be able to fi t in your clothes the next day!<br />
the weight loss process because of more moderate<br />
Genetics will always be an overriding determinant of (the more upright you are the easier the push up will be.<br />
Your body requires consistent, ongoing change of diet dietary restrictions, you should be less likely to feel the<br />
your appearance.<br />
Advanced trainers should try a full length push up raising<br />
<strong>and</strong> energy expenditure before adaptations (in this case, psychological need to compensate with poor eating <strong>and</strong><br />
weight loss) will occur. Known as your body’s ‘natural drinking<br />
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<strong>and</strong><br />
are<br />
calves.<br />
maintained<br />
Making<br />
to<br />
your<br />
use<br />
way<br />
as upcoming<br />
meeting as<br />
social<br />
your<br />
event<br />
torso<br />
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<strong>and</strong><br />
let’s<br />
thigh<br />
face<br />
are<br />
it, hell<br />
both<br />
on<br />
almost<br />
yourself,<br />
vertical.<br />
your<br />
fuel<br />
back<br />
in<br />
downhill<br />
the future<br />
slowly<br />
because<br />
will load<br />
it thinks<br />
the quadriceps<br />
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ensuring<br />
<strong>and</strong><br />
an<br />
family<br />
Focus<br />
<strong>and</strong><br />
on staying<br />
your colleagues!<br />
as tall as possible<br />
Is all the<br />
without<br />
angst <strong>and</strong><br />
crumbling<br />
deprivation<br />
your<br />
switches<br />
all-round<br />
to<br />
leg<br />
survival<br />
workout.<br />
mode.<br />
Try doing normal running or walking<br />
really<br />
posture.<br />
worth<br />
Raise<br />
it for<br />
your<br />
the<br />
straight<br />
period of<br />
leg<br />
time<br />
at the<br />
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same<br />
actually<br />
time<br />
get<br />
so that<br />
to enjoy<br />
your<br />
intervals<br />
Weight<br />
with<br />
loss<br />
some<br />
of 1 to<br />
variations<br />
1.5kg per<br />
as<br />
week<br />
you advance.<br />
is considered steady your<br />
heel<br />
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is just off<br />
body?<br />
the ground.<br />
Do those<br />
Lower<br />
around<br />
to<br />
you<br />
the ground<br />
a favour<br />
<strong>and</strong><br />
<strong>and</strong><br />
repeat.<br />
start<br />
<strong>and</strong> maintainable. Losing more than 1.5kg a week is hard to your<br />
Try 8-10<br />
weight<br />
repetitions<br />
loss program<br />
on each<br />
earlier<br />
leg.<br />
rather<br />
For advanced<br />
than later!<br />
trainers, try 2<br />
keep Back: off. It’s reverse well accepted flyes that quick weight loss is diffi cult<br />
legs<br />
If<br />
at<br />
you’ve<br />
a time.<br />
run<br />
Beginners<br />
out of<br />
should<br />
time <strong>and</strong><br />
complete<br />
are desperate<br />
the leg movements<br />
to lose<br />
to It’s maintain. difficult to The train psychological your back without factors heading that contribute to the gym, to those as above extra without kilos, the consult sit up. your GP before undertaking any<br />
this but may to add be some more definition relevant than to your the trapezius scientifi c. <strong>and</strong> rhomboids fast-track You should weight always loss seek programs the advice as they of a can registered have serious fitness<br />
(the Quick major weight muscles loss between programs your are shoulder hard work, blades) involving try a health professional implications. before undertaking any program. Visit your local<br />
discomfort reverse fly <strong>and</strong> displeasure extension. from hunger, mood swings due gym The for longer the personalised the duration guidance of, <strong>and</strong> you the require. more often bella‘quick<br />
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These then move negative your experiences arms in an arc can above result your in head. a psychological Reverse the the Jarrat negative Wood is a effect personal on trainer your <strong>and</strong> overall the gym mental manager <strong>and</strong> at physical Regenesis<br />
compensation movement back like to comfort the starting eating position. <strong>and</strong> overindulging, For a more resulting advanced health Fitness in – Edgecliff, <strong>and</strong> the Sydney. harder For it more will information be to shift call that 02 9363 excess 0376<br />
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csbm<br />
112 // bellaBEAUTY<br />
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www.regenesisfitness.com.au
eauty & spa<br />
Balinese <strong>Beauty</strong><br />
Cocoon Medical Spa in Bali is a luxurious pampering mecca with<br />
a range of cosmetic <strong>and</strong> holistic heaLTh therapies.<br />
There’s nothing more relaxing than a touch of<br />
pampering to complement a tropical holiday. Indeed,<br />
a luxurious facial treatment should be one of the<br />
very few reasons for rising from the poolside sunbed or the<br />
s<strong>and</strong>-laden beach towel during an isl<strong>and</strong> getaway.<br />
The Cocoon Medical Spa, located in Kaja Legian in<br />
Bali, is designed to relax, soothe <strong>and</strong> revitalise. With a<br />
selection of treatments against a picturesque backdrop,<br />
an afternoon at Cocoon is sure to leave visitors feeling<br />
refreshed, relaxed <strong>and</strong> thoroughly pampered. The spa<br />
offers a warm, inviting environment, complete with avante<br />
garde architectural elements <strong>and</strong> private consultation <strong>and</strong><br />
treatment rooms.<br />
Cocoon Medical Spa was born from a dream to deliver<br />
an anti-ageing spa with a difference. Founder Louise Cogan,<br />
who has worked in the cosmetic industry in Malaysia <strong>and</strong><br />
Thail<strong>and</strong> for the past 10 years, has truly created a worldclass<br />
medical spa with immaculate attention to detail <strong>and</strong><br />
highly personalised care.<br />
Taking a holistic approach to anti-ageing, the clinicians<br />
at Cocoon Medical Spa consider beauty as possessing<br />
“youthful vitality”, not just a wrinkle-free complexion. They<br />
offer a combination of treatments <strong>and</strong> technologies to<br />
deliver the best anti-ageing solution for each individual client.<br />
With programs to boost vitamins, balance hormones <strong>and</strong><br />
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The 24-carat Gold Facial:<br />
a personal account<br />
Upon entering the cocoon medical spa, I was struck<br />
immediately by the tranquillity <strong>and</strong> serenity of the<br />
setting. With stepping stones leading to the sleek,<br />
new-age reception area, calming lighting <strong>and</strong> the<br />
tropical greenery, I felt calmer <strong>and</strong> peaceful. Cocoon<br />
Medical Spa is designed to embody the luxuriousness<br />
of a Bali holiday <strong>and</strong> it certainly feels like an extension<br />
of the surrounding paradise.<br />
I had opted for the Cleopatra 24 Carat Gold<br />
Facial. The story behind the treatment stems from<br />
Cleopatra herself, as it’s said that the pharaoh slept<br />
in a pure gold mask every night, believing it was the<br />
secret to her flawless skin. These days, the gold<br />
mask is touted to improve skin elasticity, reverse cell<br />
damage, improve blood circulation <strong>and</strong> stimulate the<br />
production of natural collagen in the skin’s dermis.<br />
Considering I was looking for a general anti-ageing<br />
rejuvenation, the 24 Carat Gold Facial seemed<br />
appropriately tailored to my needs <strong>and</strong> the condition<br />
of my skin.<br />
Before treatment, I was taken to one of the pods<br />
alongside the stepping stone path. I hadn’t realised<br />
walking in, but these pods are individual treatment<br />
rooms – symbolising the “cocoon” namesake. The<br />
idea is, you enter the pod before treatment <strong>and</strong><br />
emerge beautiful after your facial, just like a butterfly<br />
from a cocoon. Each pod is unique in its design, <strong>and</strong><br />
feels like your personalised pampering sanctuary.<br />
Before the gold mask was applied, I underwent<br />
a microdermabrasion treatment to exfoliate dead<br />
skin cells <strong>and</strong> help improve infusion of the gold mask<br />
to follow.<br />
Once the mask was administered, I received<br />
a fabulous foot massage while the 24 carat gold<br />
worked its magic. The treatment was relaxing <strong>and</strong><br />
calming, <strong>and</strong> the mask felt cool <strong>and</strong> soothing on<br />
my skin.<br />
Following treatment, my face felt tighter <strong>and</strong> more<br />
refreshed. It felt cleansed <strong>and</strong> purified <strong>and</strong> I noticed a<br />
definite glow to my complexion. I put this down to the<br />
gold mask – plus the rush that comes from an hour of<br />
pampering in a luxurious setting.<br />
I definitely hope to return to Cocoon during my<br />
next trip to Bali, as the level of care, the luxuriousness<br />
of treatments <strong>and</strong> the quiet, tropical feel was the<br />
perfect complement to brief isl<strong>and</strong> getaway.<br />
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eauty & spa<br />
detoxify the body, the wellness arm is a major component<br />
of the Cocoon philosophy – alongside facial treatments <strong>and</strong><br />
platelet rich plasma (PRP) therapy.<br />
Facial rejuvenation at Cocoon Medical Spa can include<br />
anti-wrinkle injections, dermal fillers <strong>and</strong> PRP treatments,<br />
alongside customised skin peels, skin needling <strong>and</strong><br />
diamond microdermabrasion. Laser <strong>and</strong> light therapies<br />
are also offered, as well as various collagen induction<br />
modalities.<br />
With a selection of spa<br />
treatments, an afternoon at<br />
Cocoon is sure to leave visitors<br />
feeling refreshed, relaxed <strong>and</strong><br />
thoroughly pampered<br />
With such an extensive range of anti-ageing treatments<br />
on offer, the clinicians at Cocoon conduct an in-depth<br />
consultation with each client to establish the most suitable<br />
cosmetic approach.<br />
Cogan underst<strong>and</strong>s the various techniques needed to<br />
treat patients of different ages – for example, patients in their<br />
20s to 30s are usually seeking a skin pick-me-up, those in<br />
their middle ages are hoping to slow the process of ageing<br />
<strong>and</strong> those in their 50s <strong>and</strong> 60s are looking for results-based<br />
treatments to improve skin health <strong>and</strong> reverse the signs of<br />
ageing. She has infused the clinic with this individualised<br />
perspective, <strong>and</strong> each treatment is optimised to improve<br />
the client’s health, appearance <strong>and</strong> overall quality of life.<br />
In a unique approach to treating allergies, soothing skin<br />
conditions such as psoriasis <strong>and</strong> eczema, <strong>and</strong> relieving<br />
stress, anxiety <strong>and</strong> headaches, Cocoon Medical Spa offers<br />
Halotherapy, or salt therapy, to help boost health <strong>and</strong><br />
restore energy levels.<br />
Halotherapy is a holistic method that recreates the<br />
natural micro climate of a salt cave. Patients enter a room<br />
where every surface is covered in layers of salt, <strong>and</strong> a dry<br />
salt aerosol maintains the salty concentration at an optimum<br />
level. By performing breathing exercises <strong>and</strong> relaxing in<br />
the salty surrounds, the vapour can help treat respiratory<br />
ailments, calm skin irritations <strong>and</strong> combat mental lethargy.<br />
Halotherapy is often used in conjunction with Cocoon’s<br />
Vitamin IV Therapy, which delivers a mixture of rejuvenating<br />
vitamins <strong>and</strong> minerals directly to the blood stream<br />
Cocoon’s unique approach to anti-ageing leaves<br />
visitors feeling relaxed, revitalised <strong>and</strong> purified. Whether it’s<br />
skin rejuvenation, or holistic health therapies, the benefits<br />
of a day at Cocoon Medical Spa can infuse a Bali holiday<br />
with wellness, revitalisation <strong>and</strong> that essential dose of<br />
luxurious pampering.<br />
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eauty & spa<br />
Sentosa<br />
Villas<br />
A trip to Bali is not complete without<br />
a stay at Sentosa Seminyak luxury<br />
world-class villas.<br />
A<br />
collection of luxurious three-bedroom, four-bedroom <strong>and</strong><br />
five-bedroom villas, Sentosa in Seminyak is a world-class<br />
resort of opulence <strong>and</strong> Indonesian style extravagance.<br />
Located in Seminyak, on the southwest coast of Bali, the resort is<br />
perfect for a private getaway or a holiday with family <strong>and</strong> friends.<br />
Boasting 43 private villas, each unit has a private swimming<br />
pool, nestled between lush tropical gardens <strong>and</strong> lotus ponds.<br />
Fully equipped gourmet kitchens transform each villa into a<br />
home away from home, <strong>and</strong> the open living-dining plan, as well<br />
as private ensuite bathrooms <strong>and</strong> five-star bedding, means no<br />
indulgence is overlooked.<br />
The resort features a signature restaurant by Australian<br />
chef Luke Mangan, who conducts private cooking classes for<br />
Sentosa visitors. Guests can lounge in a 35-metre rock pool,<br />
relax in the bar area, or make the most of the fitness centre <strong>and</strong><br />
spa. Notably, a touch of Cocoon luxury can be experienced at<br />
Sentosa Villas, as the medical spa has launched a pop-up salon<br />
at the extravagant holiday accommodation.<br />
For those looking for an indulgent getaway, complete with<br />
the best elements of the Bali lifestyle, a stay at Sentosa Villas<br />
will tick all your holiday boxes. Its central location means visitors<br />
can walk to designer boutiques, world-class restaurants <strong>and</strong><br />
Petitenget Beach Temple, located next to Petitenget Beach.<br />
Certainly, combining Cocoon Medical Spa indulgence, with a<br />
luxurious Sentosa stay, is sure to leave you feeling refreshed <strong>and</strong><br />
invigorated upon your return from Bali.<br />
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eauty & spa<br />
Sydney International<br />
Spa & <strong>Beauty</strong> Expo<br />
CLEAR YOUR DIARIES FOR SATURDAY AUGUST 23 AND SUNDAY AUGUST 24 AND<br />
GET SET FOR THIS YEAR’S BEAUTY EXTRAVAGANZA!<br />
As Australia’s largest spa <strong>and</strong> beauty event, the Sydney<br />
International Spa & <strong>Beauty</strong> Expo brings together<br />
the latest products <strong>and</strong> services from the beauty,<br />
rejuvenation, cosmeceuticals <strong>and</strong> wellbeing industries– all<br />
under the one roof.<br />
‘Whether it’s education, br<strong>and</strong>s or talent, the Sydney<br />
International Spa <strong>and</strong> <strong>Beauty</strong> Expo is constantly evolving.<br />
This year, among an array of fresh features – including<br />
an increased focus into the worlds of wellness <strong>and</strong> medibased<br />
treatments – visitors will not only be provided with<br />
a one-stop-shop to the latest products <strong>and</strong> services but<br />
will also be able to gain invaluable knowledge on how to<br />
successfully tap into these two rapidly growing markets,’<br />
says Event Director, Amelia Coote-Harris.<br />
ON THE FLOOR<br />
From the latest in makeup to organic beauty, this year’s<br />
exhibition fl oor is jam-packed with features. Fresh to the<br />
Expo fl oor is a newly created Medi-Stage that will showcase<br />
leading treatments live in action from some of the industry’s<br />
latest cosmeceutical innovations.<br />
Back by popular dem<strong>and</strong> is the Medi Spa Area, along<br />
with the popular Wellness, New Business <strong>and</strong> Meet the<br />
Expert Zones. The New Business Zone offers visitors unique<br />
access to unearth the latest innovations from a range of up<br />
<strong>and</strong> coming br<strong>and</strong>s.<br />
With more than 250 br<strong>and</strong>s expected, visitors can<br />
anticipate seeing leading industry names such as<br />
International <strong>Beauty</strong> Supplies, Napoleon Perdis, Caron<br />
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eauty & spa<br />
The Business Leaders Summit is also back for 2014.<br />
This year’s theme, How Will The World Remember You?,<br />
offers a high profile agenda of keynote speakers to<br />
strategically educate salon <strong>and</strong> spa owners on elevating<br />
business performance to new heights.<br />
With an emphasis on the growing world of medi-spas,<br />
2014 will see the introduction of a new Medi Conference.<br />
This half-day event will offer an informative discussion<br />
on how salons <strong>and</strong> spas can best integrate medi-based<br />
treatments into their services.<br />
Laboratories, Mancine, Youngblood, BioLink, Switch Funky,<br />
BioSculpture, Pacific Nail <strong>and</strong> many more.<br />
MAIN STAGE ACTION<br />
The Main Stage will provide non-stop inspiration with live<br />
demonstrations <strong>and</strong> fashion <strong>and</strong> nail shows. Names include<br />
the likes of celebrity artists Dale Dorning, Michael Brown<br />
<strong>and</strong> Rae Morris.<br />
EDUCATION & EVENTS<br />
This year’s extensive educational offering will grant access<br />
to a range of experts, ranging from practical beauty skills<br />
to business acumen. Already locked-in for the 2014 lineup<br />
are: make-up maestros Jazz Pampling <strong>and</strong> Rae Morris;<br />
Channel Nine’s Mornings’ Michael Brown; An Insight Into<br />
Male Skincare with Dermalogica; Bridal Hair <strong>and</strong> Makeup;<br />
<strong>and</strong> a h<strong>and</strong>s-on look into eyebrow threading.<br />
AWARDS<br />
The Sydney International Spa & <strong>Beauty</strong> Expo would not be<br />
complete without the prestigious Face2Face Makeup <strong>and</strong><br />
Nail Awards, which are returning for another great year.<br />
And to celebrate the dynamic worlds of beauty <strong>and</strong> spa<br />
in style, 2014 will bring a glamorous awards night dinner to<br />
the mix on the evening of Saturday August 23, offering a<br />
night of glitz <strong>and</strong> style.<br />
The Sydney International Spa & <strong>Beauty</strong> Expo provides<br />
beauty <strong>and</strong> spa professionals with a unique opportunity<br />
for growth. Whether it’s education, experiencing the latest<br />
product, networking or tapping into new market trends,<br />
the 2014 expo is not to be missed. With ticket sales opening<br />
in June, save the date <strong>and</strong> take your career or business to<br />
the next level! csbm<br />
WHEN Saturday August 23<br />
<strong>and</strong> Sunday August 24, 2014<br />
WHERE Sydney Exhibition Centre, Glebe Isl<strong>and</strong><br />
VISIT www.internationalbeautyexpo.com.au<br />
for more information<br />
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eauty & spa<br />
RICKY ALLEN PRESENTS THE LATEST BEAUTY<br />
OFFERINGS FOR AUTUMN/WINTER.<br />
3.<br />
4.<br />
2.<br />
1. 2.<br />
lips<br />
1. Giorgio Armani Flash Lacquer Crystal Shine Gloss in<br />
Ivy, $49. 2. Maybelline New York Color Sensational<br />
Lipstick in Hot Plum, $16.95. 3. L’Oreal Paris Glam Shine<br />
Balmy Gloss in Fall for Watermelon, $16.95. 4. Crabtree<br />
& Evelyn English Honey <strong>and</strong> Peach Blossom All Purpose<br />
Balm, $16.<br />
1.<br />
Colour &<br />
contouring<br />
1. Ere Perez Versatile<br />
Vanilla Highlighter, $31.90,<br />
2. Guerlain Meteorites<br />
Bubble Blush, $54<br />
hair care<br />
1. Clear Scalp & Hair <strong>Beauty</strong> Therapy Damage<br />
& Colour Repair, $9.99. A smoothing hair treatment<br />
that doubles up to treat <strong>and</strong> repair all hair, especially<br />
colour-treated hair. 2. Suigo Hairlook Arts 504 Ultimate<br />
Shine, $21.50. This botanical hair treatment delivers<br />
improved shine <strong>and</strong> condition. 3. Fudge Push It Up Blow<br />
Dry Hair, $19.95. This product works against gravity,<br />
taking the roots to incredible heights <strong>and</strong> conditioning<br />
hair at the same time. 4. Nioxin DiaBoost Thickening<br />
Xtrafusion Treatment, $59.95. Used on wet or dry hair<br />
this helps thicken even the wispiest hair str<strong>and</strong>s in a<br />
matter of minutes.<br />
3.<br />
4.<br />
1.<br />
2.<br />
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eauty & spa<br />
2.<br />
1.<br />
1.<br />
2.<br />
3.<br />
eyes<br />
1. YSL Flower Crush Palette in Pivoine Crush 5 Colour<br />
Eye Shadow, $99. 2. Napoleon China Doll Gel Eyeliner,<br />
$39. 3. ELES Signature Shadow Quad in Fashionista,<br />
$99. 4. L’Oreal False Lash Butterfl y Mascara, $25.95.<br />
5. Designer Br<strong>and</strong>s Outrageous Volume Mascara, $9.99.<br />
6. L’Oreal Paris ColorRiche Eye Colour Pencil, $16.95.<br />
3.<br />
skincare<br />
1. Lancome Visionnaire (1 Minute Blur) Smoothing<br />
Skincare Instant Perfector, $60. This skin perfector glides<br />
on skin to instantly smooth <strong>and</strong> blur any imperfections<br />
while providing effective hydration. 2. ELES Age<br />
Defying B.B. Cream 30, $49.50. This is a true multitasker:<br />
a primer, foundation <strong>and</strong> sunscreen as well as<br />
skin treatment to help soften fi ne lines <strong>and</strong> improve skin<br />
elasticity. 3. GloTherapeutics Line Smoother Facial<br />
Treatment, $75. This beauty does more than smooth<br />
the skin – containing more than 40 percent active<br />
ingredients, it also helps ‘lift’ the skin to create younger<br />
looking skin.<br />
4.<br />
1.<br />
2.<br />
3.<br />
5.<br />
body<br />
1. Crabtree & Evelyn English Honey <strong>and</strong> Peach Blossom Body Wash, $26,<br />
2. St. Tropez Instant Tan Wash Off Face <strong>and</strong> Body Lotion, $19.95, 3. Nivea<br />
In-Shower Smooth Lotion Skin Conditioner for Dry Skin, $7.99, 4. Premium<br />
Spa Face & Body Mask White Clay, Rosehip & Chamomile, $14.95<br />
6.<br />
4.<br />
fragrance<br />
1. YSL Manifesto L’Eclat EDT 50ml, $95. Combining freesia,<br />
jasmine, green tea, bergamot <strong>and</strong> neroli, this seductive fragrance<br />
is bold, fresh <strong>and</strong> feminine, 2. Penhaligon’s London Iris<br />
Prima EDP 100ml, $269. A br<strong>and</strong> new twist on the iris fl ower,<br />
this fragrance was inspired by the English National Ballet <strong>and</strong><br />
embodies feminine, strong women. 3. Jonathan Ward London<br />
Orange Opium Artisan C<strong>and</strong>le, $55. This double wick c<strong>and</strong>le<br />
is beautifully scented with premium ingredients for a rich yet<br />
uplifting perfume. It is housed in an Italian h<strong>and</strong> blown glass,<br />
making it look as luxurious as it smells.<br />
1.<br />
2.<br />
3.<br />
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eauty & spa<br />
step-by-step<br />
look book<br />
Jane Iredale makeup artist Emma Chen shows us the products<br />
used to create this season’s classic makeup looks.<br />
Jane iredale’s mineral cosmetics have set the benchmark in<br />
mineral makeup the world over. Inspired by working in the<br />
film industry, jane iredale launched The Skin Care Makeup<br />
range in 1994, redefining makeup as something which is a true<br />
extension of skincare. It is recognised <strong>and</strong> recommended by<br />
plastic surgeons, dermatologists <strong>and</strong> hailed by makeup artists<br />
globally for its weightless, flawless coverage <strong>and</strong> exceptional<br />
colour palette.<br />
Non-comedogenic, talc-free <strong>and</strong> made from pure, inert<br />
micronised minerals, jane iredale mineral makeup offers<br />
impeccable coverage, staying power <strong>and</strong> amazing anti-ageing<br />
benefits. csbm<br />
Weekend makeup<br />
Step 1 – Foundation<br />
Liquid Minerals in Amber <strong>and</strong><br />
Amazing Base in Warm Sienna<br />
Step 2 – Concealer<br />
Enlighten Concealer 1<br />
Step 3 – Bronzer<br />
So-Bronze #2<br />
Step 4 – Eyes<br />
Mystikol in Onyx, PurePressed Eye<br />
Shadow in Nude, Merlot <strong>and</strong> Double<br />
Espresso; Longest Lash Mascara in<br />
Black Ice<br />
Step 5 – Cheeks<br />
PurePressed Blush in Sheer Honey<br />
Step 6 – Lips<br />
PureGloss in Soft Peach<br />
BEFORE<br />
AFTER<br />
Step 7 – Spritz<br />
D2O Hydration Spray to set makeup<br />
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eauty & spa<br />
Evening makeup<br />
BEFORE<br />
AFTER<br />
Step 1 – Foundation<br />
Liquid Minerals in Latte <strong>and</strong><br />
Amazing Base Loose Minerals<br />
in Latte<br />
Step 2 – Eyes<br />
goWarm Eye Steppes Eye<br />
Shadow <strong>and</strong> NEW Jelly Jar<br />
Gel Eyeliner in Black; PureLash<br />
Lengthening Mascara in JetBlack<br />
Step 3 – Brows<br />
Bitty Brow Kit in Brunette <strong>and</strong><br />
PureBrow Brow Gel in Brunette<br />
Step 4 – Cheeks<br />
PurePressed Blush in Whisper<br />
Step 5 – Lips<br />
PureMoist Lipstick in Madison<br />
Step 6 – Spritz<br />
POMMISST Hydration Spray to<br />
set makeup<br />
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eauty & spa<br />
Post-summer beauty fi xes<br />
POOLSIDE, BEACHSIDE, SCORCHING SUMMER DAYS<br />
– WHAT STATE HAS THAT LEFT YOUR SKIN AND HAIR IN? RICKY ALLEN<br />
REPORTS ON THE BEST WAYS TO GET YOUR BEAUTY REGIME BACK ON TRACK.<br />
Dr Adam Geyer, a New York dermatologist <strong>and</strong><br />
consulting specialist to Kiehl’s, believes that so<br />
much of the negative changes to our skin are related<br />
to the sun. He says that about 90 percent of extrinsic or<br />
premature ageing is associated with exposure to UV rays.<br />
Face care<br />
The best way to prevent premature skin ageing is to<br />
wear sunscreen every day, regardless of planned outdoor<br />
activities or the temperature. In Australia the passage<br />
between summer <strong>and</strong> winter should have no effect on the<br />
amount of sunscreen worn, as the strength of the sun’s<br />
rays does not vary all that much between the seasons.<br />
Try Ultraceuticals SunActive SPF 50+ Face Cream<br />
$45 (1) for convenient <strong>and</strong> long-lasting sun protection.<br />
Pigmentation usually becomes more noticeable after<br />
summer following too much sun exposure. A great all-year<br />
product is Pigment Punch by Aspect, $118.80 (2), which<br />
helps to improve the appearance of pigmentation.<br />
Whatever the season use an eye cream such as YSL<br />
Forever Youth Liberator Eye Cream, $105 (3), <strong>and</strong> a<br />
neck cream such as Racinne Ultimate Youth Power<br />
Neck Emulsion, $63 (4), as these areas of the face contain<br />
less sebaceous gl<strong>and</strong>s <strong>and</strong> have a smaller subcutaneous<br />
layer so are more susceptible to the signs of ageing.<br />
6.<br />
7.<br />
5.<br />
1. 2. 3. 4.<br />
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16.<br />
8. 9. 10. 11.<br />
12. 13. 14. 15.<br />
With the drop in humidity, the skin’s barrier function<br />
becomes more easily compromised, making it more diffi cult<br />
for the skin to retain moisture, both in terms of overall lipid<br />
<strong>and</strong> water content. Winter moisturisers should therefore be<br />
more concentrated, such as Kiehl’s Ultra Facial Cream<br />
with Intense Hydration, $36 (5), Biotherm Blue Therapy<br />
Serum-In-Oil Night, $90 (6), <strong>and</strong> Giorgio Armani Crema<br />
Nera Extrema Night Repair, $340 (7).<br />
To boost skin health in general, some excellent betweenseasons<br />
skin treatments include Midnight Recovery<br />
Concentrate by Kiehl’s, $59 (8), Sanctuary Brightening<br />
Facial Radiance Exfoliator, $19.99 (9), Glo Therapeutics<br />
Refine Hydrator, $119 (10), <strong>and</strong> the Lancôme Genefique<br />
Advanced Youth Activating Serum, $88 (11).<br />
Body care<br />
When it comes to the skin on your body, lingering effects<br />
of heat <strong>and</strong> humidity from the summer months can leave<br />
your skin dry <strong>and</strong> blotchy, especially on the décolletage<br />
<strong>and</strong> shoulders. Lanolips Triple Buttermilk Body Balm<br />
for Very Dry Skin, $23.95 (12), works very well to bring<br />
skin back to silkiness. Washing with Derma Sukin Daily<br />
Hydrating Wash, $12.95 (13), will also help get your skin<br />
back on track to luminosity.<br />
As winter approaches start exfoliating your body more so<br />
that hydrating body lotions can penetrate more effectively.<br />
It will also help remove dead skin cells for a more even look<br />
<strong>and</strong> feel. Pevonia Botanica Silky Skin Body Scrub,<br />
$75 (14), Glo Therapeutics Body Exfoliant, $46 (15),<br />
<strong>and</strong> Premium Spa Salt Body Scrub in Lemon Butter,<br />
$14.95 (16), are all good ones to try.<br />
Eczema <strong>and</strong> other skin conditions can present on the<br />
lower legs because the concentration of sebaceous gl<strong>and</strong>s<br />
is less in the skin on the legs than the rest of the body.<br />
The wearing of stockings, boots <strong>and</strong> thicker socks will also<br />
worsen the problem – so don’t forget to moisturise your<br />
legs every day.<br />
Hair care<br />
Your hair also takes a beating during summer so using<br />
hair treatment products are essential. Every so often leave<br />
the treatment in overnight for more intensive repair. Try<br />
L’Occitane Repairing Mask, $38 (17), Bhave Deep<br />
Intense Conditioning Treatment, $41.95 (18), <strong>and</strong><br />
L’Oreal Paris EverStrong Deep Replenishing Masque,<br />
$12.95 (19), with is sulphate free <strong>and</strong> helps ensure your hair<br />
colour will last longer.<br />
Hair reacts in a similar fashion to the skin during winter,<br />
so more concentrated hair care products are advised<br />
to prevent dull <strong>and</strong> damaged-looking hair. L’Occitane<br />
Repairing Oil, $34 (20), Davines Relaxing Moisturizing<br />
Fluid, $31.95 (21), <strong>and</strong> Moroccanoil Hydrating Styling<br />
Cream, $44.50 (22), <strong>and</strong> Restorative Hair Mask, $49.50<br />
(23), work wonders.<br />
Oh, <strong>and</strong> it should also go without saying you should<br />
never neglect your h<strong>and</strong>s, especially in winter. Apply a h<strong>and</strong><br />
cream, such as Sukin H<strong>and</strong> <strong>and</strong> Nail Cream, $9.95 (24),<br />
several times a day to prevent rough, chapped h<strong>and</strong>s.<br />
A good beauty regimen, with specialised products to<br />
improve post-summer skin <strong>and</strong> hair <strong>and</strong> prep for winter, will<br />
help you maintain clear, smooth <strong>and</strong> healthy looking skin<br />
all-year round. csbm<br />
19.<br />
20. 21.<br />
22.<br />
23.<br />
17. 18.<br />
24.<br />
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winter wrap up<br />
NICOLE GRUODIENE FROM NICOLE’S BEAUTY SALON IN DOUBLE BAY<br />
REVEALS A WAY TO LOSE 15CM FROM YOUR CIRCUMFERENCE<br />
– IN YOUR LUNCH BREAK! TARA CASEY REPORTS.<br />
Even the most dedicated exercise fanatics can fi nd<br />
themselves slipping into hibernation during the cold<br />
winter months as sneakers are left to fester by the<br />
back door <strong>and</strong> the kilos slowly creep back on.<br />
But if you fi nd your fi tness regime falling by the wayside<br />
as the days get shorter <strong>and</strong> the mercury drops, give your<br />
body a helping h<strong>and</strong> with the International Body Wrap,<br />
guaranteed to reduce your total body circumference after<br />
just one visit.<br />
‘A full body wrap is a great treatment to detoxify, hydrate<br />
<strong>and</strong> slim the body,’ Nicole Gruodiene from Nicole’s <strong>Beauty</strong><br />
Salon in Double Bay says. ‘They are perfect as a one-off<br />
treatment or as a course to gain optimum results. People<br />
use them to squeeze into a “special occasion” dress or to<br />
kick-start a weight loss program.’<br />
The International Body Wrap not only hydrates your<br />
body but also guarantees a circumference loss of at least<br />
15cm, <strong>and</strong> you’ll walk away with your money still in your<br />
pocket if you fail to do so.<br />
Once your body has been accurately measured, you’ll<br />
be wrapped from head to toe in b<strong>and</strong>ages soaked in natural<br />
clay from the Dead Sea. A vinyl suit is worn over the top to<br />
provide warmth <strong>and</strong> comfort while the clay cleanses <strong>and</strong><br />
detoxifi es the body over the course of an hour.<br />
As the clay particles become hydrated, they exp<strong>and</strong><br />
<strong>and</strong> are able to absorb many times their own weight in<br />
body toxins. The solution acts as a magnet for many<br />
toxic elements present in the body such as free radicals,<br />
<strong>and</strong> draws out toxins <strong>and</strong> impurities from the body while<br />
cleansing your skin.<br />
People use the Body Wrap to<br />
help them squeeze into a special<br />
occasion dress or to kick-start a<br />
weight loss program<br />
After just one hour, not only is your skin softer, fi rmer <strong>and</strong><br />
more toned but the skin tissue is also compressed <strong>and</strong> the<br />
soft fatty tissues are compacted, resulting in the reduction<br />
of your body circumference.<br />
Results last for at least 30 days <strong>and</strong> can be maintained<br />
for several months by following a healthy lifestyle. Best<br />
of all, the wrap will improve circulation, helping you<br />
survive the winter months <strong>and</strong> avoid the cold weather<br />
blues. csbm<br />
184 www.cosbeauty.com.au
LOSE 15CM AND KEEP IT OFF!<br />
Nicole’s <strong>Beauty</strong> Salon offers only the very best treatments available,<br />
including the International Body Wrap which improves the appearance<br />
of cellulite, stretch marks <strong>and</strong> scar tissue <strong>and</strong> is guaranteed to take 15<br />
centimetres off your entire body size - or your money back!<br />
With highly trained aestheticians <strong>and</strong> stunning surroundings, any<br />
treatment you have at Nicole’s <strong>Beauty</strong> Salon will be a luxurious<br />
experience you’ll long for time <strong>and</strong> time again.<br />
02 9327 7728<br />
mobile 0410 627 767<br />
nicole@nicolesbeautysalon.com.au<br />
Shop 8, 401 - 407 New South Head Rd,<br />
Double Bay NSW 2028<br />
www.nicolesbeautysalon.com.au
eauty & spa<br />
hair<br />
care<br />
1o1Frizzy <strong>and</strong> fly-away<br />
GETTING THE RIGHT SHAMPOO FOR<br />
YOUR HAIR TYPE IS AS IMPORTANT<br />
AS USING THE RIGHT SKINCARE FOR<br />
YOUR FACE. WE HELP POINT YOU<br />
TOWARDS THE RIGHT PRODUCT FOR<br />
YOU. aimÉe surtenich REPORTS.<br />
Beautiful tresses are all about choosing the right<br />
products for your hair type, but facing the wall of<br />
products at your retailer can be overwhelming<br />
if you don’t know what you’re looking for. There are<br />
dozens of different br<strong>and</strong>s to choose from, <strong>and</strong> a<br />
dichotomy of sub-types within those br<strong>and</strong>s.<br />
It’s important to identify your hair type <strong>and</strong> match<br />
it with the products that will work the best for you. If<br />
you’re having trouble listening to your tresses, just ask<br />
your hair stylist or colourist for advice. Your lustrous,<br />
flowing mane will thank you while you’re flaunting a<br />
good hair day, every day!<br />
If your hair has a penchant for fuzz, a smoothing hair care<br />
product will keep those frizzies at bay. Use a product<br />
that soothes <strong>and</strong> smooths the cuticle <strong>and</strong> provides some<br />
weight. Our faves: Kiehl’s Superbly Smoothing Argan<br />
Shampoo, RRP $32 (1), L’Oréal Paris Elvive Smooth-<br />
Intense Anti-Frizz Shampoo <strong>and</strong> Conditioner, RRP $5.95<br />
each (2), Sunsilk Expert Perfect Straight Shampoo <strong>and</strong><br />
Conditioner, RRP $7.79 each (3)<br />
1. 2. 3.<br />
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Coarse <strong>and</strong> curly<br />
Curly hair is almost always dry because the oils produced<br />
in the scalp don’t travel as easily down the hair shaft. Go for<br />
creamy, nourishing shampoos <strong>and</strong> conditioners that coat<br />
the hair shaft. Our faves: Dove Nutritive Therapy Nourishing<br />
Oil Care Shampoo <strong>and</strong> Conditioner, RRP $6.49 each (1),<br />
Tresemmé Keratin Smoothing Shampoo <strong>and</strong> Conditioner,<br />
RRP $11.49 (2), Wella SP Reconstructive Elixir, RRP $42<br />
(3) Evo The Therapist Calming Shampoo <strong>and</strong> Conditioner,<br />
RRP $29.95 each (4)<br />
1. 2. 3.<br />
4.<br />
1. 2. 3.<br />
Processed <strong>and</strong> prodded<br />
Adding moisture is key for coloured <strong>and</strong> straightened<br />
hair. Unfortunately, overly processed hair can suffer from<br />
oily roots but dry shaft <strong>and</strong> ends, which makes for tricky<br />
business. Concentrate on cleansing the scalp <strong>and</strong> using<br />
a strong conditioner on the mid-shaft to ends. Our faves:<br />
Moroccanoil Hydrating Shampoo <strong>and</strong> Conditioner, RRP<br />
$32.95 each (1), Clear Scalp & Hair Therapy Total Nourishing<br />
Care Shampoo <strong>and</strong> Conditioner, RRP $9.49 each (2), Wella<br />
Pro Series Moisture Shampoo <strong>and</strong> Conditioner, RRP<br />
$10.99 each (3).<br />
Dull <strong>and</strong> limp<br />
Dull hair is most likely the result of a combination of product<br />
build-up <strong>and</strong> over-coloured hair. Opt for clear gel-like, gentle<br />
shampoos <strong>and</strong> conditioners to get hair back on track.<br />
Our faves: Herbal Essence Naked Shine Shampoo <strong>and</strong><br />
Conditioner, RRP $6.99 each (1), Jurlique S<strong>and</strong>alwood<br />
Shampoo <strong>and</strong> Conditioner, RRP $26 each (2), Pantene Ice<br />
Shine Shampoo <strong>and</strong> Conditioner, RRP $7.99 each (3).<br />
1. 2. 3.<br />
Dry <strong>and</strong> d<strong>and</strong>ruffy<br />
Scaling of the scalp is a result of<br />
when the top layer of skin, which is<br />
usually constantly being shed <strong>and</strong><br />
renewed, is trapped by the hair<br />
so that the scales become more<br />
evident. About 50 percent of the<br />
population suffer from d<strong>and</strong>ruff,<br />
<strong>and</strong> most cases can simply be<br />
treated with a medicated d<strong>and</strong>ruff<br />
shampoo. Look for those<br />
containing ingredients such as<br />
piroctone olamine, ketoconazole,<br />
miconazole <strong>and</strong> salicylic acid.<br />
Our faves: Head & Shoulders<br />
Smooth & Silky Shampoo <strong>and</strong><br />
Conditioner, RRP $5.99 each (1).<br />
1.<br />
Dry <strong>and</strong> damaged <br />
Head for the creamy shampoos. These smooth,<br />
detangle <strong>and</strong> diffuse static. A protein-rich <strong>and</strong><br />
reconstructive conditioner helps heal dry <strong>and</strong> damaged<br />
hair, <strong>and</strong> try a moisturising mask once a week to<br />
restore health. Our faves: Wella SP Luxe Oil Keratin<br />
Boost Essence, RRP $32, Wella SP Keratin Restore<br />
Mask, RRP $34, Wella SP Keratin Protect Shampoo,<br />
RRP $32 (1), L’Occitane Aromachologie Repairing<br />
Shampoo, RRP $39 <strong>and</strong> Conditioner, RRP $26 (2),<br />
L’Oréal Paris Hair Expertise EverCreme Shampoo<br />
<strong>and</strong> Conditioner, RRP $15.95 each (3).<br />
1.<br />
2.<br />
3.<br />
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eauty & spa<br />
Va-Va-Voom<br />
HAIR<br />
ROCK YOUR BEST HEAD OF HAIR EVER WITH GLOSSY,<br />
THICK HAIR EXTENSIONS BY JOSEPH MOURAD.<br />
TARA CASEY REPORTS.<br />
Hair extensions allow you to have long, thick, lustworthy<br />
hair in a matter of hours. Hair maestro <strong>and</strong><br />
extensions expert Joseph Mourad from Joseph<br />
Mourad’s Hair & <strong>Beauty</strong> in Sydney’s Double Bay, transforms<br />
lank <strong>and</strong> listless hair to super sexy with his highly sought<br />
after hair extension techniques.<br />
Indeed, his hair extension methods are highly coveted<br />
the world over – with celebrity clientele including entertainer<br />
Mel B <strong>and</strong> Grammy award-winning recording artist Mya.<br />
‘Hair extensions are about giving people beautiful <strong>and</strong><br />
strong hair,’ says Mourad. ‘Extensions provide volume,<br />
length <strong>and</strong> manageability – <strong>and</strong> make getting ready for<br />
a night out or special occasion so much easier. It’s also<br />
surprisingly affordable.’<br />
Mourad prides himself on using only the highest quality<br />
human hair extensions. He is skilled in all hair extension<br />
techniques but his preferred method is the innovative<br />
ultrasonic cold fusion technique.<br />
The cold fusion method uses ultrasound technology to<br />
attach the hair extension to the client’s natural roots. The<br />
result is natural-looking hair extensions that are virtually<br />
non-detectable.<br />
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BEHIND THE SCENES<br />
Sydney hair extension specialist<br />
Joseph Mourad with Mya (left) <strong>and</strong> Mel B<br />
IT’S ALL IN THE TECHNIQUE<br />
The ultrasonic cold fusion technique allows for multistr<strong>and</strong><br />
bonding, making the whole process effi cient<br />
<strong>and</strong>, importantly. Bonding clinical keratin with keratin<br />
found in the hair shaft, the extensions are attached to<br />
the natural hair very close to each other so there are<br />
no telltale signs.<br />
‘The technology is so advanced <strong>and</strong> the bonding<br />
so seamless,’ says Mourad. ‘It achieves impeccable<br />
results <strong>and</strong> the extensions can be completely<br />
undetectable to the eye. And, because there is no<br />
use of heat, glue or clips to bond the extensions, the<br />
client’s natural hair is not damaged.’<br />
When applying the extensions, emphasis is placed<br />
on properly blending colour <strong>and</strong> thickness with the<br />
natural hair. Attached str<strong>and</strong> by str<strong>and</strong>, the extensions<br />
can be attached to long, short, straight or wavy hair<br />
as long as the natural length is more than 2cm. Each<br />
str<strong>and</strong> has about 20 hairs in it <strong>and</strong> a full head can take<br />
from 100 to 300 str<strong>and</strong>s, depending on the required<br />
thickness. In just a few hours, hair is transformed from<br />
short, thin str<strong>and</strong>s to thick, long locks. ‘The latest<br />
advances provide long <strong>and</strong> voluminous hair without<br />
the need to wait for natural hair to grow out,’ says<br />
Mourad. ‘It can completely transform your look.’<br />
Extensions can last anywhere between six <strong>and</strong><br />
12 months. Once attached, the extensions can be<br />
treated as normal. ‘Care for your extensions the way<br />
you would your natural hair,’ Mourad advises. ‘It’s<br />
important to be particularly careful when combing <strong>and</strong><br />
blow-drying your hair. However, hair extensions can<br />
be cut <strong>and</strong> coloured just like your natural hair.’<br />
When applied by a hair extension specialist, you<br />
can enjoy a full head of fl owing, thicker hair – <strong>and</strong> look<br />
forward to a good hair day, every day. csbm<br />
Featureflash / Shutterstock.com<br />
s_bukley / Shutterstock.com<br />
Visit www.josephmourad.com.au for details.<br />
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eauty & spa<br />
SCENTS APPEAL<br />
WE SHOWCASE THE<br />
FRAGRANCES SET TO BECOME<br />
MODERN DAY CLASSICS.<br />
CAMILA KAWASHITA REPORTS.<br />
The doyenne of perfume, Coco Chanel, described the appeal<br />
of perfume beautifully when she said, ‘It is the unseen,<br />
unforgettable, ultimate accessory of fashion that heralds<br />
your arrival <strong>and</strong> prolongs your departure’. Today of course it is also<br />
the epicentre of a multi-million dollar industry, <strong>and</strong> most women<br />
could instantly name their favourite scent – numerous favourites in<br />
some cases!<br />
Floral, fruity, oriental, gourm<strong>and</strong>, woody – whichever notes tickle<br />
your nose buds, the latest classic fragrances are sure to seduce,<br />
inspire <strong>and</strong> beautify your surroundings.<br />
1.<br />
5.<br />
2.<br />
4.<br />
3.<br />
6.<br />
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10.<br />
9.<br />
11.<br />
12.<br />
8.<br />
7.<br />
1. Angel Shooting Star EDP 50ml, RRP $135. Angel, which<br />
launched a new fragrance category called the “oriental<br />
gourm<strong>and</strong>s,” continues to seduce us with soft <strong>and</strong> sensual<br />
notes of bergamot, red berries, vanilla <strong>and</strong> patchouli.<br />
2. Kiehl’s Aromatic Blends Vetiver & Black Tea EDT 100ml,<br />
RRP $75. This rich fusion of Haitian vetiver <strong>and</strong> black tea has<br />
underlying hints of spicy pepper <strong>and</strong> wood for an aromatic,<br />
powerful scent. Layer with Aromatic Blends Vetiver & Black<br />
Tea Liquid Body Cleanser 250ml, RRP $30.<br />
3. Burberry Brit Rhythm for Women EDT 90ml, RRP $125.<br />
This fragrance combines a powerful femininity with a rock<br />
<strong>and</strong> roll edge, bringing together classic <strong>and</strong> unexpected<br />
notes in a new powdery fl oral fragrance.<br />
4. Dior J’Adore EDP 50ml, RRP $130. This perennial<br />
classic is femininity, sophistication <strong>and</strong> glamour in a bottle,<br />
uniting several fl oral absolutes for an opulent <strong>and</strong> fruity fl oral<br />
bouquet. Layer with J’Adore Dry Silky Body Oil 150ml, RRP<br />
$87, for extra luxury.<br />
5. Chloé EDP 50ml, RRP $130. The scent takes classic<br />
rose <strong>and</strong> adds pink peony, freesia, lily of the valley, magnolia,<br />
cedarwood, amber <strong>and</strong> honey to ingeniously translate it<br />
into a chic, warm <strong>and</strong> addictive scent. Layer with Chloé<br />
Crème Collection 150ml, RRP $95.<br />
6. Giorgio Armani Sì 50ml, RRP $110. Combining an<br />
infl ection of three accords, cassis nectar, modern chypre<br />
<strong>and</strong> light musky wood, its olfactory signature is rhythmic,<br />
elegant <strong>and</strong> unique.<br />
7. Sisley Eau Tropicale EDT 100ml, RRP $200. Inspired<br />
by the atmosphere of a tropical forest after a storm, this<br />
fragrance has fresh <strong>and</strong> zesty notes of bergamot, exotic<br />
ginger fl ower, hibiscus, frangipani <strong>and</strong> passionfruit, <strong>and</strong><br />
a musky base of cedar <strong>and</strong> patchouli for a sensual <strong>and</strong><br />
powerful perfume.<br />
8. YSL Manifesto L’Élixir ED EDP Intense 50ml, RRP $115.<br />
Opening with citrusy notes of bergamot <strong>and</strong> m<strong>and</strong>arin, this<br />
beguiling fragrance is punctuated by a bouquet of jasmine<br />
<strong>and</strong> tuberose absolute, <strong>and</strong> base notes of cashmere, vanilla<br />
<strong>and</strong> ambergris for a new take on femininity <strong>and</strong> power.<br />
9. Balenciaga Rosabotanica EDP 100ml, RRP $155. A<br />
decidedly modern, feminine <strong>and</strong> sexy fragrance, based on<br />
contemporary vegetal rose accord, it has a fresh <strong>and</strong> bright<br />
rose with a racy <strong>and</strong> luminous character. Layer it with the<br />
Rosabotanica Perfumed Body Lotion 200ml, RRP $60, for<br />
optimum longevity.<br />
10. L’Occitane Fleur D’Or & Acacia EDT 175ml, RRP $80.<br />
With base notes of musk <strong>and</strong> white wood, an intense acaciamimosa<br />
accord, <strong>and</strong> top notes of lemon <strong>and</strong> bergamot, this<br />
fl oral fragrance is soft, feminine <strong>and</strong> invigorating. For a really<br />
long-lasting effect, use the Fleur D’Or & Acacia Shower Gel<br />
175ml, RRP $23.<br />
11. Tom Ford Velvet Orchid EDP 100ml, RRP $230. This is<br />
an Oriental fl oral fragrance that evolves the carnal gr<strong>and</strong>eur<br />
<strong>and</strong> seductive power of the iconic Tom Ford Black Orchid<br />
into an uber-feminine fragrance lavished with notes of cool<br />
citrus, dramatic petals, honey <strong>and</strong> rum.<br />
12. YSL Belle D’Opium EDP Spray 50ml, RRP $110.<br />
Bewitchment <strong>and</strong> luminosity mark this oriental fragrance<br />
with an overdose of rare <strong>and</strong> precious ingredients such as<br />
Casablanca lily <strong>and</strong> jasmine absolute.<br />
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eauty & spa<br />
EDITOR’S<br />
FAVES<br />
WE SHARE THE PRODUCTS WE<br />
CAN’T LIVE WITHOUT, STRAIGHT<br />
FROM THE BELLA BEAUTY DESK.<br />
1.<br />
1. Colorescience Pressed Mineral Foundation in Second<br />
Skin, RRP $79.20. Provides light to full coverage with<br />
a weightless, non-drying feeling on the skin. It gives<br />
the appearance of perfection without the thick look of<br />
traditional pressed powder.<br />
2. YSL Souffl e D’Éclat, RRP $79. The skin is highlighted in<br />
a luminous veil that ensures a fresh feeling throughout<br />
the day.<br />
3. BeneFit Gimme Brow, RRP $32. Creating brows where<br />
before there were none, this nifty product builds easily<br />
for thick, lush arches.<br />
4. BeneFit Big Easy, RRP $38. This complexion perfector<br />
gives natural coverage to even out skin tone <strong>and</strong><br />
conceal imperfections.<br />
5. BeneFit Hello Flawless Oxygen Wow! in honey, RRP<br />
$55. Oil-free brightening liquid foundation creates a<br />
luminous <strong>and</strong> healthy looking complexion.<br />
3.<br />
5.<br />
6.<br />
4.<br />
7.<br />
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192 www.cosbeauty.com.au
eauty & spa<br />
8.<br />
9.<br />
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16.<br />
15.<br />
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13.<br />
14.<br />
17.<br />
6. Colorescience Mineral Powder Sunforgettable in Medium,<br />
RRP $79.20. Lightweight mineral powder with a barelythere<br />
feel that provides non-irritating UVA <strong>and</strong> UVB sun<br />
protection in a self-dispensing powder brush.<br />
7. Dior Vernis in Mirage, RRP $39. With a gel-effect formula,<br />
the new Dior nail lacquers coat nails in an ultra-shiny<br />
finish, offering professional results with lasting wear in this<br />
season’s latest shades.<br />
8. Ultraceuticals SunActive 50+ Face Cream, RRP $45. This<br />
complete-spectrum sunscreen is four hours water-resistant.<br />
It also offers the extra benefit of hydrating skin while it<br />
protects it from damaging UVA <strong>and</strong> UVB rays.<br />
9. Biotherm Blue Therapy Eye, RRP $55. Targets wrinkles,<br />
darkness <strong>and</strong> lack of firmness around the eyes, as well as<br />
crow’s feet <strong>and</strong> under-eye bags.<br />
10. You By Sia Complexion Domes Mineral Compact in S<strong>and</strong>,<br />
RRP $55. Enriched with Vitamins C <strong>and</strong> E, this foundation<br />
is antioxidant-rich <strong>and</strong> leaves the skin feeling moisturised<br />
<strong>and</strong> smooth.<br />
11. Nimue Skin Refirmer, RRP $185. Rejuvenation treatment<br />
with advanced refirming <strong>and</strong> anti-ageing technology to fight<br />
wrinkles <strong>and</strong> skin laxity on the face, neck <strong>and</strong> décolletage.<br />
12. Skinceuticals Resveratrol B E, RRP $169. Intensive night<br />
concentrate that boosts the skin’s antioxidant defence<br />
system to help repair, rebuild <strong>and</strong> prevent accumulated<br />
skin damage.<br />
13. Obagi Elastiderm Eye Complete Complex, RRP $104.<br />
This refreshing “rollerball” eye complex delivers firmer, more<br />
resilient skin around the eyes, reducing the look of fine lines<br />
<strong>and</strong> wrinkles <strong>and</strong> under-eye circles.<br />
14. ASAP A+ Super Serum, RRP $89. Improves <strong>and</strong><br />
accelerates the skin’s renewal process, visibly reducing the<br />
appearance of pigmentation, fine lines <strong>and</strong> wrinkles.<br />
15. HydroPeptide Eye – Anti-Wrinkle Dark Circle Concentrate,<br />
RRP $120. This high-performing, powerful eye brighter <strong>and</strong><br />
wrinkle fighter reduces puffiness, hydrates <strong>and</strong> firms.<br />
16. Gatineau Collagene Expert Smoothing Eye Concentrate,<br />
RRP $80. Rich in collagen, this fluid <strong>and</strong> refreshing eye<br />
concentrate helps diminish the appearance of wrinkles.<br />
17. Pelactiv Mineral Powder Foundation, RRP $34.95. This<br />
chemical-free mineral foundation is gentle on the skin,<br />
delivering a flawless finish on all skin types.<br />
www.cosbeauty.com.au 193
Directory<br />
Allergan Australia<br />
Phone +61 02 9498 0100<br />
www.allergan.com.au<br />
Allmedic<br />
Phone 1300 652 969<br />
admin@allmedic.org.au<br />
www.allmedic.org.au<br />
Australasian College of <strong>Cosmetic</strong> <strong>Surgery</strong> (ACCS)<br />
Phone 1800 804 781<br />
admin@accs.org.au<br />
www.accs.org.au<br />
Bella Media<br />
Phone +61 02 9398 2755<br />
info@bellamedia.com.au<br />
www.bellamedia.com.au<br />
Cosmelan by Mesoestetic<br />
Advanced Cosmeceuticals<br />
Phone 1800 242 011<br />
www.advancedcosmeceuticals.com.au<br />
<strong>Cosmetic</strong> <strong>Beauty</strong> Directory<br />
Bella Media<br />
www.cosbeauty.com.au<br />
Definitive Guides<br />
Phone +61 02 9398 2755<br />
www.bellamedia.com.au<br />
Dysport<br />
Galderma<br />
Phone 1800 144 944<br />
info.au@galderma.com<br />
www.galderma.com.au<br />
EFB Beauté<br />
1300 737 393<br />
info@insightaesthetics.com.au<br />
www.efbaustralia.com.au<br />
Exilis<br />
Device Technologies<br />
Phone 1800 429 551<br />
www.device.com.au<br />
Dr John Flood<br />
Phone +61 02 9476 8066<br />
info@drjohnflood.com.au<br />
www.drjohnflood.com.au<br />
Dr John Flynn<br />
Cosmedic & Skin Clinic<br />
Phone 1300 881 388<br />
info@cosmedic.com.au<br />
www.cosmedic.com.au<br />
Galderma<br />
Phone 1800 144 944<br />
info.au@galderma.com<br />
www.galderma.com.au<br />
Dr Joseph Georghy<br />
North Shore <strong>Cosmetic</strong> Clinic<br />
Phone +61 02 9956 7200<br />
www.northshorecosmetic.com.au<br />
Val Glover-Hovan<br />
<strong>Cosmetic</strong> Tattoo Australia<br />
Phone +61 02 9938 2111<br />
www.cosmetictattooaustralia.com<br />
Dr Josef Goldbaum<br />
Liposuction Australia<br />
Phone 1800 600 800<br />
www.liposuctionaustralia.com.au<br />
Dr Darryl J Hodgkinson<br />
<strong>Cosmetic</strong> & Restorative <strong>Surgery</strong> Clinic<br />
Phone +61 02 9362 7400<br />
info@cosmeticsurgeryoz.com<br />
www.cosmeticsurgeryoz.com<br />
HydraFacial<br />
High Tech Laser Australia<br />
Phone 1300 309 233<br />
www.hydrafacial.com.au<br />
Isavela<br />
Statina Healthcare International<br />
Phone 1300 791 404<br />
www.isavela.com.au<br />
Jane Iredale<br />
Phone 1300 850 008<br />
www.janeiredale.com.au<br />
Joseph Mourad Hair & <strong>Beauty</strong><br />
Phone +61 02 9328 2277<br />
contact@josephmourad.com.au<br />
www.josephmourad.com.au<br />
Dr Peter Laniewski<br />
Phone 1300 322 337<br />
www.myfaceclinic.com.au<br />
www.drpeterlaniewski.com.au<br />
Dr Steven Liew<br />
Shape Clinic<br />
Phone +61 02 8356 2888<br />
nola@shapeclinic.com.au<br />
www.shapeclinic.com.au<br />
www.breastshape.com.au<br />
Dr William Mooney<br />
Phone 1300 DR WILL (1300 379 455)<br />
www.rhinoplastysydney.com.au<br />
Dr Colin Moore<br />
The Australian Centre of <strong>Cosmetic</strong> <strong>Surgery</strong><br />
Phone 0414 251 234<br />
info@austcps.com<br />
www.drcolinmoore.com<br />
Dr Sarkis Nalb<strong>and</strong>ian<br />
Designer Smiles<br />
Phone +61 02 9953 4189<br />
www.designersmiles.com.au<br />
Dr Warwick Nettle<br />
Silkwood Medical<br />
Phone 1300 SILKWOOD (1300 745 596)<br />
www.silkwoodmedical.com.au<br />
Nicole’s <strong>Beauty</strong><br />
Phone +61 02 9327 7728<br />
Phone 0410 627 767<br />
www.nicolesbeautysalon.com.au<br />
Obagi<br />
iNova Pharmaceuticals<br />
Phone +61 02 8918 6322<br />
www.obagimedical.com.au<br />
www.inovapharma.com.au<br />
Omnilux<br />
True Solutions International<br />
Phone 1800 808 993<br />
www.omnilux.com.au<br />
Omnimax<br />
Allure Medical Group<br />
Phone +61 02 8208 7778<br />
www.alluremedical.com.au<br />
Dr Oseka Onuma<br />
Laser Vaginal Rejuvenation Institute of Adelaide<br />
Phone +61 08 8344 6085<br />
rooms@dronuma.com<br />
www.dronuma.com<br />
Picosure<br />
Cynosure<br />
www.picosure.com.au<br />
www.cynosure.com.au<br />
Rita Porreca<br />
Sydney Permanent Makeup Centre<br />
Phone +61 02 9569 7799<br />
info@spmuc.com.au<br />
www.spmuc.com.au<br />
Regen PRP<br />
Australasian Medical & Scientific<br />
Phone 1800 201 760<br />
www.regenlab.com<br />
www.amsl.com.au<br />
Regenesis Fitness<br />
Phone +61 02 9363 0376<br />
info@regenesisfitness.com.au<br />
www.regenesisfitness.com.au<br />
Dr Amira Sanki<br />
Silkwood Medical<br />
Phone 1300 SILKWOOD (1300 745 596)<br />
www.silkwoodmedical.com.au<br />
Sculptra<br />
iNova Pharmaceuticals<br />
Phone +61 02 8918 6322<br />
www.inovapharma.com<br />
Shortcuts<br />
Phone 1300 66 73 74<br />
www.shortcuts.com.au<br />
Silkwood Medical<br />
Phone 1300 SILKWOOD (1300 745 596)<br />
www.silkwoodmedical.com.au<br />
Skin Clinc @ Blyss<br />
Phone +61 02 9664 8011<br />
www.blyssclovelly.com.au<br />
Sydney <strong>Beauty</strong> Expo<br />
Phone +61 02 9422 2535<br />
visit@internationalbeautyexpo.com.au<br />
www.internationalbeautyexpo.com.au<br />
Synergie Minerals<br />
Terri Vinson<br />
Phone 1300 689 619<br />
info@synergieminerals.com<br />
www.synergieskin.com<br />
Dr Kourosh Tavakoli<br />
Phone 1300 368 107<br />
admin@drtavakoli.com.au<br />
www.drtavakoli.com.au<br />
Thermage<br />
iNova Pharmaceuticals<br />
(02) 9999 1081<br />
www.inovapharma.com<br />
Vaser Lipo<br />
Device Technologies<br />
Phone 1800 429 551<br />
www.device.com.au<br />
Dr Michael Zacharia<br />
Phone 1800 685 438<br />
www.drzacharia.com.au<br />
194 www.cosbeauty.com.au
A + B + C<br />
GETTING BACK TO BASICS<br />
SILKWOOD ESSENTIALS BIOACTIVE SKINCARE<br />
Silkwood Medical<br />
Level 4, 75 Grafton Street Bondi Junction NSW 2022<br />
Telephone 1300 SILKWOOD or 1300 745 596<br />
www.silkwoodmedical.com.au
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