Cosmetic Surgery and Beauty Magazine #63

RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 63 • FEB-APRIL 2014
IS IT
REALLY
POSSIBLE
TO STOP
THE CLOCK?
our
top10
AGE BUSTING
PROCEDURES
ISSN 1834-383X
9 771833 383011
03
BEAUTY KIT
2014
essentials
LIGHT
SHOW
YOUR GUIDE TO
LASER AND IPL
NON-SURGICAL
NOSE RESHAPING
SPECIAL FEATURE
ANTI
AGEING
FEEL BETTER, LOOK YOUNGER

acTual rhiNoplasTy paTiENT’s oF dr William mooNEy
DR WILLIAM MOONEY
ENT & Facial cosmETic surgEoN
sydNEy’s rhiNoplasTy spEcialisT
www.drwilliammooney.com.au
FACE PLUS MEDISPA
• Laser Therapy • skin Care
• CosmeTiC injeCTabLes
www.faceplus.com.au
Ph: (02) 9389 4497
FOLLOW DR MOONEY ON:

EXc E llENc E
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Have you always
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Having problem skin since my teens, I know
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Reduce the signs of ageing with
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ARTISTRY

Dr Alex Phoon
MBBS BSc (Med)
MS (Plast)
FRACS
Plastic Surgeon
HARMONY,
BALANCE,
ARTISTRY
Silkwood Medical
Level 4, 75 Grafton Street Bondi Junction NSW 2022
Telephone 1300 SILKWOOD or 1300 745 596
www.silkwoodmedical.com.au

Dr Pouria Moradi
MBBS BSc (Med)
MRCS (Eng)
FRACS
Plastic Surgeon
HARMONY,
BALANCE,
ARTISTRY
Silkwood Medical
Level 4, 75 Grafton Street Bondi Junction NSW 2022
Telephone 1300 SILKWOOD or 1300 745 596
www.silkwoodmedical.com.au

Look and feel good, from top to toe
Dr Joseph Georghy & Dr Vera Georghy have
over 65 years of clinical experience between them.
EXCLUSIVE COSMETIC SERVICES
Dr Georghy is a world pioneer in PhotoTherm ® , a revolutionary
procedure used to improve the appearance of rosacea, acne and acne
scarring, freckles, moles, age spots, large pores, wrinkles, vitiligo,
pigmentation, cellulite, scars and keloids.
Dr Georghy has developed HelioTherm ® , an exciting new procedure
designed to reduce fat deposits and improve the tone and texture of the
skin. Ideal for reshaping the abdomen, thighs, buttocks and other areas
with no downtime. Call today for more information.
Other services include
• Superbug acne therapy
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• Breast reduction (non-surgical)
• Hair-laser stimulation
• Skin cancer treatment
• Labiaplasty & Hymenoplasty
• Excessive sweating correction
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therapy
COMPREHENSIVE DENTAL SERVICES
Discover the smile of your dreams thanks
to dental services from Dr Vera Georghy
• Painless dentistry
• Porcelain veneers, crowns and bridges
• White fi llings
• Old fi llings replaced
• Preventative dentistry
• Home bleaching
• Mouth guards
SPECIAL
Consultation
Cleaning, scaling &
Teeth
Whitening
DR JOSEPH GEORGHY
AMEC Specialist Surgeon (Ljubljana, Slovenia)
B.Sc. General Surgery (Zagreb, Croatia) Fellow
of the European Society of Aesthetic Surgery,
Cosmetic Physician; FFMACCS, Degree in Anti-
Aging & Regenerative Medicine (Germany) Member
of the American Academy of Cosmetic Surgery
DR VERA GEORGHY
Dental Surgeon, University of Adelaide,
Fellow, Diplomate & Lifetime Member in
the World Congress of Minimally Invasive
Dentistry (WCMID).
Voted Clinician of the Year 2009 San
Francisco, USA
NORTH SHORE
COSMETIC
313 Pacifi c Highway
North Sydney NSW 2060 (Opposite Hazelbank Rd)
02 9956 7200
www.northshorecosmetic.com.au
email: doctors@sydneycosmetic.com

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Prosthodontics
& Implant Surgery
DESIGNER SMILES TM
Centre for cosmetic, reconstructive
and implant dentistry
Dr Sarkis Nalbandian completed his Bachelor of Dental Surgery with
Honours in 1983 and Diploma in Clinical Dentistry (Oral Implants) in
2000 at The University of Sydney. He also completed his Masters in
Prosthodontics in 2004 at the prestigious King’s College, University
of London with distinction. He is a fellow of the Royal Australasian
College of Dental Surgeons.
B.D.S. (Hons.) Uni.Syd.
FRACDS
Grad. Dip. Clin. Dent. (Oral Implants) Uni.Syd.
M.Clin.Dent (Prosthodontics) King’s College Uni. London
Dr Nalbandian specialises in Dental Implants and Prosthodontics
for treating simple to complex dental, functional and aesthetic
problems.
He lectures on topics including Dental Implantology, Prosthodontics
and Implant Surgery.
He maintains a specialised practice in Sydney limited to Aesthetics,
Prosthodontics & Implant Surgery.
Dr Sarkis Nalbandian
B.D.S. (Hons.) Dip. Clin. Dent. (Oral Implants) Uni.Syd. FRACDS
M.Clin.Dent (Prosthodontics) King’s College Uni.London
Designer Smiles
17 Gerard Street Cremorne NSW 2090
For more information call
02 9953 4189
Fax 02 9953 4358
www.designersmiles.com.au

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Resurfacing
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Body Balance
Dr John Flynn
cosmedic&
Dr John Flynn
skin clinic
Reshaping can create
cosmedic&
the look you want
skin clinic
Breast augmentation can
enhance the natural size
and shape of your breasts
Refinement in Cosmetic Surgery
With breast augmentation, your natural form can be
enhanced and complemented. This results in a balanced
and symmetrical effect that suits your individual body type
and achieves a feminine silhouette.
Liposuction to Shape and Contour
With liposuction, Dr John Flynn can reshape and contour
your form to achieve balance between your body’s
proportions. Areas such as the abdomen and inner and
outer thighs respond particularly well to this procedure.
CERTIFIED
IN COSMETIC
SURGERY
Dr John Flynn
M.B., B.S., Dip. R.A.C.O.G., F.R.A.C.G.P.
Dip. P. Dermatology., F.A.C.C.S.
Fellow of the Australasian College of Cosmetic Surgery
Certified by the American Board of Laser Surgery
Dr John Flynn has over 20 years of experience as
a medical practitioner on the Gold Coast
AD Flynn.indd 1
CERTIFIED
IN COSMETIC
SURGERY
20/4/09 9:01:39 AM
AD Flynn.indd 1
For more information or to make an
appointment call Cosmedic and Skin Clinic
1300 88 13 88
Southport | Gold Coast
Suite 2, 98 Marine Pde, Southport 4215
www.cosmedic.com.au | info@cosmedic.com.au
Dr John Flynn
20/4/09 9:01:39 AM
cosmedic& skin clinic
Dr John Flynn

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contents
regulars
26 Editor’s letter
28 Contributors
30 Newsfront
48 Where does that come from?
The tragic tale of Lady Hastings
123 How to subscribe
178 Directory
features
52 Penned in ink
The colourful history of tattoos
56 7 skin sins
Lifestyle choices to avoid
58 Stop the clock
The future of anti-ageing is here
62 Ins and outs of facial ageing
How, and why, we age
66 Top 10 anti-ageing procedures
72 5 steps for successful surgery
Preparation is paramount
106 What makes a
beautiful breast?
The four key pillars
126 Light show
Your backstage pass to laser
and light therapy
150 Ageing by numbers
What to look out for as you age
industry
34 Laser Conference
Behind the scenes at the Laser
& Cosmetic Medicine meeting
40 4 ways to boost business
Easy ways to optimise
your clinic
44 Cosmetex 2014
What’s on the agenda
46 Setting the benchmark
Motives and missions of
the ACCS
face
76 Preserving youth
Natural-looking facelifts
78 Is it time for surgery?
80 Beauty through the ages
Bespoke facial beautification
85 Beauty from within
An innovative filler
88 The future is here
The many uses for PRP
90 A modern approach
Combination approach
92 Facelift without surgery?
Thread lifting explained
94 Facial defining surgery
Ethnic surgery
96 Rebuild from within
All about Sculptra
nose
98 More than a nose job
Rhinoplasty as an
anti-ageing procedure
100 Nose for beauty
Form and function converge
102 Nose reshaping
without surgery
teeth
104 Smile rebuilt
Creating a beautiful smile
breasts
108 A surgeon’s perspective
112 Age-defying augmentation
Creating youthful silhouettes
114 Lasting results
All about P-URE implants
body
116 Post-baby tummy tuck
118 The ‘Western
Society’ Syndrome
An innovative approach to
metabolic syndrome

Dr Benjamin Norris
is an internationally renowned
cosmetic and plastic surgeon
who has trained in Australia
and overseas.
He is a Fellow of the Royal
Australasian College of Surgeons,
a member of the Australian
Society of Plastic Surgeons
and the Australasian Society
of Aesthetic Plastic Surgery.
He specialises in the creation of
beautiful, natural-looking breasts
that result in a well-proportioned,
harmonious body.
Dr Norris aims to establish a
close doctor/patient rapport
so that each woman can feel
comfortable knowing she will
achieve the result she desires.
Dr Benjamin Norris
Cosmetic and Plastic Surgeon
MBCHB, FRACS
Bondi Junction | Bella Vista | formandface.com.au | (02) 8916 7328
Actual Patient of Dr Norris

Cover63_FINALX 2.indd 2
31/01/14 5:11 PM
subscribe now!
contents
The first 10 subscribers receive a free
Kiehl’s Ultra Facial Cream valued at $34 each
Kiehl’s introduces its new Ultra Facial Cream, in store March 2014
Kiehl’s presents its latest innovation, Ultra Facial Cream Intense Hydration for drier
skin types, a revolutionary extra lightweight formula, with proven results in just one
week. Drawing upon over 160 years of skin hydration expertise, Kiehl’s chemists
have developed a new formula specifically for drier skin types, that imparts deep
hydration in a surprisingly lightweight architecture.
This new formulation provides improved 24-hour hydration and leaves skin looking
visibly smoother. Instrumental results showed significant improvement in skin
hydration and skin barrier protection in 100 percent of subjects. Clinical results
demonstrated significant improvements on visible skin dryness in just seven days.
see page 123
intimate surgery
120 Your body, your choice
Empowering women
with options
122 Private matters
Genital surgery explained
skin
125 Light-based therapy
IPL and laser light combined
130 Fractionated rejuvenation
Fraxel laser in action
132 Lift, tone & tighten
A non-surgical approach
134 Age eraser
Reduce wrinkles without surgery
136 Leaders in light therapy
Focus on Omnilux
138 Rolling back the years
Latest in microneedling
140 Love the skin you’re in
Holistic approach to anti-ageing
hair reduction
144 One for the blondes
Breakthrough in technology
cosmetic tattoo
146 Living art
The many benefits of
cosmetic tattooing
skincare
148 4 steps to beautiful skin
Latest skincare range
152 The three Ts of ageing
Tone, texture and tightness
154 Stop premature ageing
Combat sun-damaged skin
158 Conquer pigmentation
New cutting edge treatment
161 Leaders in skin health
Q & A with Obagi chief scientist
beauty & spa
164 Red carpet-ready hair
168 Age-defying makeup tricks
170 Message in a bottle
What your perfume signifies
172 DIY spa sanctuary
174 Beauty buzz
Latest products for 2014
177 Editor’s faves
cover stories
RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 63 • FEB-APRIL 2014
IS IT
REALLY
POSSIBLE
TO STOP
THE CLOCK?
our
top
AGE BUSTING
PROCEDURES
ISSN 1834-383X
9 771833 383011
10
03
2014
BEAUTY KIT
essentials
LIGHT
SHOW
YOUR GUIDE TO
LASER AND IPL
NON-SURGICAL
NOSE RESHAPING
SPECIAL FEATURE
ANTI
AGEING
FEEL BETTER, LOOK YOUNGER
58 Is it really possible to
stop the clock?
66 Our top 10 agebusting
procedures
102 Non-surgical nose reshaping
126 Light show – your guide to
laser and IPL
174 2014 beauty kit essentials
Now you can subscribe online at
www.cosbeauty.com.au

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LETTER
FROM THE EDITOR
Welcome to our annual Anti-Ageing issue. One of my mantras
has always been that feeling attractive on the outside has
a very strong psychological effect on our confi dence and
Wself-esteem. The psychology of looking good – not for others, but
for yourself – is an important aspect of our lives. Whether through
makeup, exercise or cosmetic enhancement, the power to transform
your look goes more than skin deep – it can be an immediate boost
to self-esteem. Indeed, the more attractive we feel, the more positive
and confi dent we are.
I experienced this recently when I attended a makeup masterclass
in Auckland and was given a ‘glamorising’ makeover. The before and
after results are amazing – and really took my confi dence up a notch. Turn to page 50 to
see my transformation!
Our Anti-Ageing special is all about transformation, reversing the signs of ageing so that
the vitality we feel on the inside can refl ect on the outside. In our Stop The Clock feature
on page 58 we keep you up to date on the latest breakthroughs in regenerative medicine
and the remarkable potential of internal medicine to help slow down the ageing process.
It’s not just the outside that’s important, but the inside even more so.
In our Top 10 Anti-Ageing Procedures on page 66, we guide you through the most
popular ways to take years off your appearance – both surgically and non-surgically. For
the right candidate and for the right reasons, today’s ever-expanding anti-ageing treatments
and procedures can help us reclaim a fresh, vibrant and more youthful appearance.
Light-based therapy is ever evolving – and increasing in popularity. In our feature on
page 126, we shed light on lasers, IPL and LED and demystify the science behind these
skin treatments and how they work. We also have a section devoted to results-driven,
quality skincare (from page 148) so that you can maintain and optimise the results of your
chosen treatment.
As usual, you’ll fi nd before and after case studies and authoritative information on all
areas of cosmetic enhancement. You’ll also love our beauty & spa features, showcasing
the latest beauty products and makeup tips to ring in 2014 in style.
Plus, visit www.cosbeauty.com.au to get your daily cosmetic enhancement and beauty
fi x and keep up to date with what’s happening in the industry.
Michelle Kearney
Editor-in-Chief
michelle@bellamedia.com.au
Issue 63
FEB - APRIL 2014
Editor-in-Chief
Michelle Kearney
Editorial Director
Aimée Surtenich
Production Coordinator
Camila Kawashita
Art Directors
Debbie Pilarinos,
Stéphanie Blandin de Chalain
Writers
Caitlin Bishop, Tara Casey,
Nicola Donovan, Lizzy Fowler,
Aimée Surtenich
Photographers
Debbie Pilarinos, ShutterStock
Distribution &
Subscription Enquiries
Bill Dunk
Phone 02 9398 2755 Fax 02 9398 2855
Email acsmag@bellamedia.com.au
Advertising Enquiries
Michelle Kearney
Phone 02 9398 2755 Mob 0419 624 246
Email michelle@bellamedia.com.au
Editorial Enquiries
Michelle Kearney, Aimée Surtenich
Phone 02 9398 2755 Fax 02 9398 2855
Email acsmag@bellamedia.com.au
Produced & Published by Bella Media
ABN 86 082 157 695
Managing Director
Michelle Kearney
General Manager
Bill Dunk
Public Relations, Marketing
& Event Organisation
Phone 02 9398 2755 Fax 02 9398 2855
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@bellamedia
Michelle Kearney is sole director of The Bella Media Group and no other parties or individuals have any fi nancial interest in the
company or in Australian Cosmetic Surgery & Beauty Magazine (ACSBM). Reproduction in whole or in part is not permitted without
the written authorisation of the publisher. All reasonable efforts have been made to trace copyright holders. All manuscripts and
articles submitted for publication remain the property of The Bella Media Group. This magazine contains general information only and
does not purport to be a substitute for medical advice. All readers are advised to seek medical advice from a doctor if considering
cosmetic surgery. The publisher and the authors do not accept any liability whatsoever in respect of an action taken by readers in
reliance on the recommendations set out in this magazine. Except where specifi ed in captions, photographs depict models who have
not necessarily received treatments described in this magazine.
Advertising Policy ACSBM follows and upholds the Australian Competition and Consumer Commission (ACCC) Guidelines to
Advertising Medical Services, the Therapeutic Goods Administration (TGA) advertising regulations for therapeutic goods and services,
and individual state Medical Board guidelines. All reasonable effort is made by ACSBM to ensure that all advertisements accepted
for publication follow these guidelines. Copies of these guidelines are available from the individual agencies and boards. ACSBM
reserves the right to reject advertising that is in breach of these guidelines. All ACSBM advertisers assume sole responsibility and
liability for statements contained in their advertising copy, and hold harmless and indemnify ACSBM, Bella Media, and offi cers,
directors and employees from and against all liability, loss, claim, damages, costs or expenses arising out of matter contained in the
advertising. Advertisers accept these terms and responsibilities when signing an advertising contract with ACSBM.
www.cosbeauty.com.au
Read the digital edition at www.zinio.com
Office address
Level 1, 42a Frenchmans Road
Randwick, NSW, 2031
Phone +61 2 9398 2755 Fax +61 2 9398 2855
www.bellamedia.com.au
All ‘before and after’ photographs in
Australian Cosmetic Surgery Magazine
articles are of genuine patients. It is
important to understand that they represent
one person’s experience and there is
no guarantee that any other patient will
experience similar results.
26

Expertise is Everything
More than 30 Years Experience in Cosmetic Plastic Surgery
Specialising in all Facial, Breast and Body Surgery
The Cosmetic and
Restorative Surgery Clinic
20 Manning Road,
Double Bay
02 9362 7400
Fax: 02 9328 6036
Email: info@cosmeticsurgeryoz.com
Dr Darryl J Hodgkinson
MB, BS (Hons), FRCS (C), FACS, FACCS
American Board of Plastic Surgery
Cosmetic Plastic Surgeon
www.cosmeticsurgeryoz.com
The definitive website for all your cosmetic surgical queries. More than 50
megabytes of information and hundreds of Dr Hodgkinson’s outstanding results.

CONTRIBUTORS
CONTRIBUTORS
CONTRIBUTORS
CONTRIBUTORS
CONTRIBUTORS
CONTRIBUTORS Ricky Allen Dr Buddy Beaini Laurence Dryer
Dr Ross Farhadieh Dr John Flynn Dr Joseph Georghy Val Glover-Hovan Dr Doug Grose
Dr Darryl Hodgkinson Suzie Hoitink Eva Karpati Dr Jim Leavesley Dr Steven Liew
Dr William Mooney Dr Colin Moore Dr Pouria Moradi Dr Sarkis Nalbandian Dr Warwick Nettle
Dr Benjamin Norris Dr Oseka Onuma Dr Alex Phoon Rita Porreca Terri Vinson
28 www.cosbeauty.com.au

newsfront
NEWSFRONT
CATCH UP WITH THE LATEST IN THE INDUSTRY...
BREAST CANCER SURVIVORS &
SURGEONS PADDLE FOR BRA DAY
Australia’s inaugural BRA (Breast
Reconstruction Awareness) Day was
held on 26 November, 2013 at the
Sugaroom Restaurant & Wine Bar in
Pyrmont, Sydney.
Breast cancer survivors were able
to learn more about reconstruction
options and hear inspiring stories from
breast cancer survivors and members
of Dragons Abreast Australia, a national
organisation comprised of breast cancer
survivors (and their supporters) who all
participate in the team sport of dragon
boat racing.
Started in Canada in 2011, BRA
Day has gained signifi cant attention
across North America as an annual event
that promotes awareness and access
to post-mastectomy reconstructive
breast surgery.
The Australian Society of Plastic
Surgeons (ASPS) has partnered with the
organisation Dragons Abreast Sydney
to help educate people about the
range of breast reconstruction options
following cancer. In Australia, around
5,000 women have a mastectomy each
year, but a mere six to 12 percent of
these go on to have a reconstruction.
This compares with 42 percent of
women in the United States.
‘The fact that around only one in
10 women is electing to have a breast
reconstruction suggests not enough
women are aware of the options available
to them; some are fearful of further
surgery; or it’s simply not being offered
as an option,’ says President of the
Australian Society of Plastic Surgeons,
Dr Geoff Lyons.
‘Having a breast reconstruction is an
individual choice, and while some women
will decide they simply don’t want to do
so, it’s important women - and men - who
are about to undergo a mastectomy are
aware of the all the available options so
they can make an informed choice,’ he
continues. ‘For instance, many women
are unaware that there may be benefi ts
to having their reconstruction performed
at the same time as the mastectomy to
reduce anaesthesia time and to allow
the breast surgeon and plastic surgeon
to work together to produce an optimal
result. Equally, breast reconstructions
are available in the public system and
claimable under Medicare.
‘BRA Day has turned into an important
event around the world, and the
Australian Society of Plastic Surgeons
is delighted to launch the initiative in
Australia,’ says Dr Lyons.
A comprehensive fact sheet covering
all aspects of breast reconstruction
is available on the ASPS website:
www.plasticsurgery.org.au.
Lumenis UltraPulse helps burns survivor in Perth
Dana Vulin suffered severe burns to her body and neck
when she was set on fi re in her Perth apartment in early
2012. ‘The day I was set on fi re not just my body was
burned… my hopes, my dreams and future ambitions all
burned,’ she says.
Lumenis Australia has been working with Dana on
her scar recovery treatments with the new module on
the UltraPulse CO 2
laser. The UltraPulse’s capability to
remodel scars offers a breakthrough in scar reduction
technology – and in restoring hope to burns victims.
30 www.cosbeauty.com.au

Upcoming
Events
23-24 March 2014 - Salon Melbourne With the latest
products, shows and fashion parades, education and
entertainment, Salon Melbourne has evolved into a onestop-shop
for everyone in the trade to source, learn and
be inspired. Free entry, trade only. For more information
see www.salonmelbourne.com.au
1-5 May 2014 - Cosmetex is the largest
scientific conference in Australasia devoted exclusively to
cosmetic medicine and cosmetic surgery.
For more information see www.cosmetex.org
8-11 May 2014 - ASAPS Non-Surgical Symposium
The Australasian Society of Aesthetic Plastic Surgery
(ASAPS) and the Cosmetic Physicians Society of
Australasia Inc. (CPSA) join forces to deliver an
educational event dedicated to non-surgical aesthetics.
For more information see www.asapsevents.org
Merz acquires Swiss
aesthetic company Anteis
Merz Pharma Group has purchased the Swiss
company Anteis, developers and manufacturers of
biomedical products in the area of aesthetics.
This completes a union of two companies that have
been working in strong and trustworthy partnership
for many years. The acquisition strengthens Merz
Aesthetics’ portfolio and reinforces its market position
in the field of aesthetic medicine, making it one of the
leading providers worldwide.
worth a read
Your Skin Factory
Industry gurus Dr Des Fernandes and
Jennifer Monro guide you through the
mind-boggling science and ‘marketing
speak’ to get straight to the point of
how skin works and what it needs to
stay looking its best. It’s an innovative
and enjoyable read that offers a backto-basics
guide to skin management.

newsfront
A cure for baldness?
US researchers say they are a step closer to fi nding
a cure for baldness. In what they call a world-fi rst, a
team of researchers at the University of Pennsylvania’s
Perelman School of Medicine successfully converted
adult cells into stem cells that regrew human skin cells,
hair follicles and hair shafts.
The research team, led by Professor George Xu,
implanted the converted stem cells (called epithelial
stem cells, which better facilitate hair regrowth) onto
mice. Those cells, when grafted onto the mice, grew
the human skin and the hair follicles, which researchers
say were ‘structurally similar to human hair’.
‘There are two parts to regenerating human hair,
however’ said Dr Xu. ‘The fi rst is developing the outer
structures with the epithelial cells. Next is a second set
of cells, called dermal papillae cells, which assist in facilitating growth. So
far, we cannot make the dermal part. And we’re working on it.’
While the results are encouraging, Dr Xu says it may take fi ve to
10 years for his team to be able to unlock the creation of dermal papillae
stem cells and then provide a viable way to regenerate a person’s
own hair – and reverse baldness.
NEW FACES AT HIGH TECH LASER
High Tech Laser has added two new equipment specialists
to their nationwide team. Sharni Fanner joins High Tech
Laser as the cosmetic medicine and aesthetic specialist
for Victoria and NSW, and Michael Raghib takes on the
role of medical and dental specialist in NSW.
‘Our range includes some of the best non-
surgical treatments in the world, and the addition of
Sharni and Michael to our team will ensure clinics using
our equipment can continue to bring their patients the
most advanced non-surgical treatments available,’ said
High Tech Laser Managing Director Matt Moncrieff.
For more information on High Tech Laser visit
www.likeyourlook.com.au or call 1300 309 233
DID YOU KNOW?
alexcoolok / Shutterstock.com
As well as being a facial plastic surgeon
and ENT surgeon, Dr Gillian Dunlop is a
premier portrait artist whose commissions
include the Governor General, Quentin
Bryce, and the Governor of NSW, Marie
Bashir. In 2006, she won the People’s
Choice Award for the Salon des Refuses.
In 2004, she was an Archibald Finalist.
She brings this artistic appreciation
to her surgery and, fi ttingly, recently
presented at the American College of
Surgeons meeting on ‘Rhinoplasty and
the Mona Lisa Smile’.
Sydney plastic
surgeon wins Sydney
to Hobart Yacht Race
Plastic surgeon Dr Darryl Hodgkinson (or should we say,
Skipper Hodgkinson?) and his yacht Victoire have emerged
victorious in the 69th Rolex Sydney to Hobart Yacht Race.
‘It’s an amazing achievement,’ he says. ‘It’s about the
people you gather around you – you believe in them and
they believe in you – as well as having the right equipment. I
crossed the line in one piece but we did have a rather nasty
Chinese gybe – I had a personal taste of the water!’
32 www.cosbeauty.com.au

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MELBOURNE CONVENTION & EXHIBITION CENTRE
SUNDAY 23 & MONDAY 24 MARCH 2014
Hair by Wade Blackford, make up by Zoe Karlis, photography by Carl Keeley, styling by Jessica Cox

industry
The 9th National Laser & Cosmetic
Medicine Conference
The 9th National Laser & Cosmetic 
Medicine Conference
held on 16 to 17 November at the Sofitel Wentworth
Hotel in Sydney brought together experts in laser and
cosmetic medicine.
Delegates were able to update their knowledge of laser and
cosmetic procedures, keep abreast of the latest technological
advances and meet with like-minded practitioners and experts
in the field.
The program consisted of thought-provoking plenary
sessions, followed by hands-on product demonstrations.
Featured speakers included Dr Ralph Bright who discussed
the growing use of stem cells in cosmetic medicine, particularly
in the pioneering area of ‘stem cell facelifts’, and Associate
Professor Lee Collins, who delivered an in-depth and practical
presentation on the science, properties and safety of lasers.
Further, Dr Adam Rish discussed the need (and patient
demand) for judicial use of botulinum toxin for facial
enhancement, as well as sharing his methods and experience
in this ‘less is more’ approach to toxins and fillers.
Dr Keng-Ee Thai also presented, delivering an interesting
talk on topical therapies for re-malignant and non-melanoma
skin cancers as part of the very popular Surgical and Non-
Surgical Management of Skin Cancer plenary session.
An exhibition trade display, featuring leading companies from
the cosmetic medicine and aesthetic industries, showcased
some of the latest advancements and technologies, where
practitioners could learn more about the science behind
emerging aesthetic medicine-based products and devices.
LCMC 2014
15 – 16 November 2014
Sofitel Melbourne on Collins, Melbourne
Further information coming soon, please visit the conference
website for more details.
www.dcconferences.com.au/lcmc2014
www.twitter.com/LCMConference
Pre-Conference Workshop
12 – 14 November 2014, Mantra Southbank
An intensive pre-conference 3 day theoretical and practical
workshop aimed at medical practitioners new to the field of
cosmetic medicine.
Photos courtesy www.shutterstock.com/Neale Cousland
34 www.cosbeauty.com.au

industry
www.cosbeauty.com.au 35

clinic profile
Concierge Care in
Cosmetic Enhancement
We visit Form & Face, the new
Bondi Junction practice of
eminent Sydney plastic surgeon
Dr Benjamin Norris.
Consumers in the 21st Century are the most
sophisticated and demanding in history. Armed with
internet research, they have grown accustomed to
comparing a wide range of products and services. They are
not solely concerned with the best price; they want the best
value for their money.
Dr Benjamin Norris believes that, in the same way
5-star hotels offer personalised, concierge service,
‘5-star’cosmetic surgery practices must do the same
thing. He is putting that theory into practice at his practice,
Form & Face, in Bondi Junction, Sydney.
The Place
Concierge hotels feature beautifully appointed lobbies. Dr
Norris’s waiting room has a simple elegance, which will
make you instantly feel relaxed and comfortable.
With contemporary off-white leather couches and
classic side chairs, the space is intimate and cosy. Extra
heavy doors make it extremely private. A deep, plush
oatmeal-coloured carpet gives the room warmth, while
unique art objects sit atop a marble coffee table, adding
another dimension of beauty. Dr Norris’s rooms reflect his
own philosophy that he applies to his work, which is an
appreciation of beauty, style and proportion.
36 www.cosbeauty.com.au

clinic profile
The People
Personalised care at Form & Face starts at the front or ‘concierge
desk’ where clients are welcomed by Barbara, the newest member
of Dr Norris’s team, though a veteran in the world of patient care.
Barbara is the soul of discretion when it comes to
personal details, and is meticulous in scheduling appointments.
She understands that people wish to remain private when they
are undergoing face, breast or body surgery as well as nonsurgical
treatments.
We want our patients to feel
pampered, cared for and special
from the fi rst visit to the last
Barbara’s most important contribution to the practice, however,
may be the personal support she gives to each and every patient
and the loved ones who may be standing by nervously.
Practice manager Shannon completes the patient-centric staff.
She has been with Dr Norris the past year and, like Barbara, she
has a strong background in cosmetic enhancement. Like a good
concierge, she is always ready with a smile and an answer. Her
goal is to educate and reassure patients about every aspect of the
surgical process.
‘Patients are likely to make several visits to our offi ces during
a course of treatment,’ says Dr Norris. ‘We want them to feel
pampered, cared for, and very, very special from the fi rst visit to
the last.’ csbm
Dr Benjamin Norris
has trained for 20 years in
Sydney and overseas to become
fully qualifi ed as a plastic and
reconstructive surgeon who
specialises in cosmetic surgery
of the breast, face and body.
His areas of expertise and
specialisation include:
BREASTS
Breast enlargement, breast
reduction, breast lift,
breast reconstruction
BODY
Tummy tuck, liposcultpure,
thigh lift and body lift,
labioplasty, gynaecomastia
FACE
Face and neck lift, brow lift,
fat transfer, non-surgical
facial enhancement
FORM & FACE
Level 5, 59-75 Grafton Street
Bondi Junction, Sydney
02 8916 7328
www.formandface.com.au
www.cosbeauty.com.au 37

profile
Staying
Power
WE CHAT WITH VAL GLOVER-HOVAN
ABOUT HER PIONEERING WORK IN THE
FIELD OF COSMETIC TATTOOING AND
BEAUTY IN AUSTRALIA.
For more than 35 years, Val Glover-Hovan has been a
fi xture in the Australian beauty industry as educator,
practitioner and innovative businesswoman.
As director of Cosmetic Tattoo Australia and The
Academy of Image & Cosmetic Corrective Tattoo, Val can
be described as the mother of cosmetic tattoo in Australia,
which she introduced to the local market in 1985.
I’ve strived to set the highest
standards in the industry with
education and quality products
She has been recognised worldwide for her excellence
in cosmetic tattoo practice and education, most recently
by the Society of Permanent Cosmetic Professionals
which presented Val with an Industry Leader Award for her
contribution to the permanent cosmetics industry.
Val’s high standard of training is accepted by beauty
and cosmetic tattoo associations in Australia and the
United States, and she offers training programs in all
aspects of cosmetic tattooing. Her expertise as a presenter
and educator is sought after around the world and she
continually keeps abreast with the latest advancements
and techniques in the industry.
Val has carved a career out of making women look and
feel fabulous with permanent makeup. ‘When performed
by a skilled and experienced cosmetic tattooist, it can really
enhance and beautify a woman’s looks,’ she says. ‘This
might include creating defi ned, well-groomed eyebrows,
enhanced eye shape with eyeliner, and more youthfullooking
lips with added colour and lip border defi nition. The
great thing is that all these cosmetic tattoo treatments can
last for many years.’
‘Importantly, cosmetic tattooing can also be used for
paramedical treatments, such as recreating the look of the
areola and nipple of women who have undergone breast
reconstruction after a mastectomy,’ she continues.
In addition to Val’s cosmetic tattooing work, Hovan’s
Group is a recognised brand in its own right – with cult
products such as the Bikini Saver, In-Grown Gold Medi
Cream, InGrown Gold Body Lotion, Hovan’s Eyelash
Enhancer and now the newly launched anti-ageing skincare
range, Love Life. Principals Val and Leslie Hovan have grown
and diversifi ed the business to an international enterprise
with customers in Australia, New Zealand, Singapore, the
Middle East, United States, Canada and the Caribbean.
‘I’ve strived to always set the highest standards in the
beauty industry with continued cosmetic tattoo education
and quality products, promoting professionalism in
treatments and training,’ says Val. ‘The beauty business
continues to be a dynamic and exciting industry!’ csbm
1
After lip tattooing by Val Glover-Hovan
2
After eyeliner tattooing by Val Glover-Hovan
38 www.cosbeauty.com.au

industry
A trip to the lab
Catherine Biedermann from Advanced Cosmeceuticals recently visited
the mesoestetic headquarters in Barcelona. Caitlin Bishop reports.
Born 28 years ago, in the back office of a small
pharmacy in the Barcelona district of Eixample,
Mesoestetic Pharma Group has grown to span
nations, and change the skin of millions of people across the
globe. The mastermind behind its inception, chemist Joan
Carles Font, has fuelled the company with a philosophy
based on consistent quality and cutting-edge concepts.
Now, the Mesoestetic head office incorporates three
departments – pharmaceutical, medical and clinical – in
a start of the art facility of 8,500 squared metres. Here,
ingredient formulations, professional training, clinical testing
and product manufacturing come together to create the
future of pharmaceutical skincare.
To experience this first hand, Catherine Biedermann,
Managing Director at Advanced Cosmeceuticals, the
Australian distributor of Mesoestetic, recently visited the
Mesoestetic laboratories for a tour of their facilities.
‘Each department maintains a different grade of security
and sterility – I’ve never seen anything like it,’ she says.
‘I’ve been to quite a few manufacturing plants, but the level
of professionalism, hygiene and efficiency at Mesoestetic
really blew me away.’
The Mesoestetic cosmeceutical ranges are tested
against the most stringent scientific and safety standards,
ensuring the final products provide effective, reliable and
predictable results.
‘The complex has a large laboratory where doctors,
pharmacists and cosmeticians work together to formulate
new ingredients and advance the line of cosmeceuticals,’
Biedermann explains. ‘Because it’s a pharmaceutical
company, active ingredients can – and are – used to ensure
maximum efficacy.’
Notably, Mesoestetic Pharma Group makes a point
of investing 40 percent of its revenue back into product
development and research. All new formulations and
treatment concepts are clinically trialled in-house, reinforcing
the brand’s commitment to providing next-generation,
quality skincare.
It’s not just a brand that
formulates and manufactures
products – everything is tested
in-house, under clinical settings,
with diagnostic software
‘It’s not just a brand that formulates and manufactures
products – everything is tested in-house, under clinical
settings, with diagnostic software,’ Biedermann says.
‘Mesoestetic will not release a product until they are 100
percent certain of its effectiveness. I love this about the
brand – you know the products contain quality, active
ingredients; they’ve been formulated under the strictest
professional standards; and they’re only released once their
efficacy has been well and truly established.’ csbm
www.cosbeauty.com.au 39

industry
4ways Shortcuts has a range of
autoMATEd fEATures to help save
time and money and optimise the
performance of your clinic.
Caitlin Bishop reports.
to boost
your business
In a world of technology at your fingertips, automation
is key in keeping your business up to date and on the
cutting edge. Shortcuts offers a range of automated
clinic management software features to assist in everything
from appointment confirmation to stock management.
The software takes care of all the little – but essential –
facets of your clinic, creating time for your team to focus on
the more important things.
The system is centred upon efficiency, and Shortcuts
educator Brooke Morkham-Calvert explains it can help
enhance the performance of your clinic. ‘Shortcuts has
a range of automated services to save you several hours
each day, free up the front desk and enable you to focus on
providing quality client service without being encumbered
by everyday housekeeping,’ she says.
Confirming appointments
A confirmation system is designed to keep appointments
to schedule and save both the practice, and the client,
time. Shortcuts’ TextME is an automated system that asks
patients for confirmation before their appointment.
40 www.cosbeauty.com.au

industry
‘Clinics can set up the system to suit their services. For
example, at 9am, two days prior, a text message goes
out to patients asking for confirmation,’ Morkham-Calvert
says. ‘Based on the patient’s response, the system will
automatically confirm the appointment by changing its
colour on the schedule. No one has to lift a finger.’
Marketing
Shortcuts’ Set & Forget Marketing takes the onus off
your clinic in maintaining personalised, consistent and
topical contact with customers. This system uses your
clinic’s database to schedule and send automated emails
on occasions like birthdays, in the days following an
appointment or if the client hasn’t been heard from in a while.
Shortcuts Software allows
you to focus on providing
quality client service without
being encumbered by
everyday housekeeping
‘Emails are timely, relevant and completely personalised.
We’ve actually had clients say to our clinic members “No
one else remembered my birthday but you did – thank you
for remembering!”’
According to Morkham-Calvert, marketing is only
effective when it’s relevant to those it’s targeting. ‘You don’t
want to bombard patients with general marketing that’s not
personalised, as they could read one of these emails and
never open another from you,’ she adds.
and order stock to replenish your clinic. The software feature
clarifies the exact amount of stock required, and saves the
time and money needed to manage stock manually.
‘Practice managers and clinic staff can automatically
generate an order through the Shortcuts system,’
Morkham-Calvert explains. ‘The software generates the
order based on your “trading history”, or what’s been
selling, and the time period you’re hoping the stock will
last for.’
Notably, the system examines a wide range of data, to
ensure the order’s quantity is reliable.
‘In asking the system for enough stock to last 30
days, the software will examine the previous 90 days and
optimise the order based on this activity,’ Morkham-Calvert
explains. ‘Alternatively, it can analyse activity from the same
time last year, and practice managers can add or subtract
a percentage depending on what’s needed.’
Once the order is complete, it can be sent automatically
to the supplier via email. Morkham-Calvert explains small
benefits like this make all the difference in easy, efficient
clinic management.
‘In clinics, stock management is obviously essential,
but takes such a massive amount of time,’ she says. ‘The
Shortcuts features take the effort out of these simple,
everyday things to keep your clinic running smoothly and
efficiently. It allows the focus to stay where it should –
on superior customer service and not chasing orders or
sending emails!’ csbm
Backing up
In a perfect world, the data and patient information held
in your system should be backed up at least once a
day. Patient details and treatment history are essential in
optimising the everyday function and success of your clinic.
To make life easier, and save you having to think about
it, Shortcuts offers an automated feature that performs a
backup every four hours.
‘The likelihood of the program crashing is extremely low,’
Morkham-Calvert says. ‘But the security of an automated
system means nothing is lost, and you don’t have to worry
about remembering to backup your data manually.’
Restocking
Forget the calculators, spreadsheets and manual
estimations, Shortcuts can automatically evaluate, predict
www.cosbeauty.com.au 41

The Australasian College of Cosmetic Surgery
Raising Standards,
Protecting Patients
Dedicated to quality, ethical
and responsible practice.
Accreditation is Important
All Fellows of the Australasian College of Cosmetic
Surgery (FACCS) are specifically trained in cosmetic
surgery and are required by the College to maintain
their skills through a Continuing Professional
Development programme.
All Fellows of the Faculty of Medicine (FFMACCS)
are specifically trained in cosmetic medicine and
are required by the College to maintain their skills
through a Continuing Professional Development
programme.
CERTIFIED
IN COSMETIC
SURGERY
If doctors display this Seal,
you can be assured they
comply with the College’s
exemplary standards of its
Code of Practice, available
at www.accs.org.au
How qualified is your doctor?
Do they have the right to display these symbols?
For further information about the College
and its members and Fellows in your state call:
1800 804 781
admin@accs.org.au
www.cosmeticsurgery.org.au

CONFERENCE ORGANISER
F: +61 2 9368 1500
ARTISTRY
INTEGRITY
EXCELLENCE
AUSTRALASIAN COLLEGE
.
A C C.
S
. .
OF COSMETIC SURGERY

industry
COSMETEX
2014
COSMETEX 2014 BEGINS MAY 1ST
AND WILL SEE THE WORLD’S BEST
IN COSMETIC MEDICINE COME
TOGETHER ON THE GOLD COAST.
CAITLIN BISHOP REPORTS.
The world of cosmetic surgery is constantly evolving
as new technologies, revolutionary ideas and fresh
possibilities continue to emerge. With the industry
growing at such a momentous rate, it’s more important
than ever before that doctors, practitioners and nurses
alike have an opportunity to share and collaborate, ensuring
patient care, optimum results and steady growth remains at
the forefront of the industry’s priorities.
Cosmetex, run by the Australasian College of Cosmetic
Surgery (ACCS), provides the ultimate platform for this
collaboration to occur. It acts as a hotbed for cosmetic
and medical practitioners to share ideas, discover new
possibilities and further advance the future of cosmetic
surgery in Australia and around the world.
Cosmetex brings world-class
expertise across multiple
specialties in the aesthetic arena
In its 5th year under the Cosmetex banner, the meeting
will see an amalgamation of cosmetic and plastic surgeons
arrive at the Gold Coast for the three-day conference,
beginning May 1st. The meeting will be held at the Royal
Pines Resort, located within minutes from Surfers Paradise.
In keeping with the previous Cosmetex meetings, the
2014 conference will host a selection of experienced,
renowned and respected keynote speakers. One speaker,
renowned Canadian plastic surgeon Dr Arthur Swift, has
been practicing since 1984 and has served on several elite
plastic surgical societies and international committees.
Dr Swift is considered a defi nite trailblazer in the world of
aesthetic rejuvenation and will speak on his approach to
achieving the best results in cosmetic enhancement.
A fi erce advocate of the ‘less is more’ principle, Dr Swift
has developed the BeautiPHIcation approach, where the
golden ratio, or Phi, is used to establish the most natural
and aesthetically pleasing result in facial rejuvenation. This
year, he will give talks on achieving facial harmony and
working on ‘specialty areas’, such as the nose and mouth.
‘Meetings like Cosmetex are invaluable – the conference
offers world-class expertise and discussion across multiple
specialties in the aesthetic arena,’ Dr Swift explains. ‘I
always enjoy discussing the canons of beauty, and the
comprehensive approach to safely rejuvenate the face nonsurgically,
and with minimal downtime.’
From treating hyperpigmentation to the latest in breast
surgery, Cosmetex 2014 will encompass all the elements
of cosmetic medical practice – both non-surgical and
surgical. Dr Swift explains the two fi elds should not be
seen as mutually exclusive; instead, they should be
combined for optimum and holistic results.
‘The combination of non-surgical and surgical
rejuvenation is a marriage made in cosmetic surgery
heaven,’ Dr Swift says.
44 www.cosbeauty.com.au

industry
‘We understand now that these two methods are
synergistic in the results they produce,’ he explains. ‘We
are able to soften lines, contour features and reinflate
volume-loss regions with injectables; optimise skin tone
and texture with topical agents and energy devices; and
then address lax skin and sagging musculature with
surgery. Ageing occurs at all levels, and our response
is likewise.’
Each year Cosmetex plays an integral role in shaping
and advancing the future of cosmetic surgery. The
conference provides an opportunity for the industry’s
best to explore the most cutting-edge concepts, and
future uses, in cosmetic enhancement.
‘Some of the biggest topics in cosmetic surgery
include optimising patient experiences and outcomes
through a comprehensive non-surgical full face
approach; returning to natural results in facial feature
enhancement; improving outcomes and minimising
downtime after breast augmentation surgery; and
freezing body fat away with CoolSculpting,’ Dr Swift
describes. ‘The reason for Cosmetex is to develop
these ideas further.’
Alongside the extensive surgical presentations and
workshops, Cosmetex will host a program designed
for practice managers. This will includes talks on
growing business through social media, tools for
online marketing, and managing risk in building a
successful practice.
In keeping with Cosmetex tradition, the 2014 meeting
has an engaging social program. From the customary
cocktail reception, to a spectacular gala dinner,
the three-day conference will provide ample opportunity
for the world of cosmetic surgery to converge, enabling
cosmetic practitioners to further their skills, have
discussions with like-minded professionals and learn
about the future practice in the cosmetic arena. csbm
STOP PRESS!
A pre-conference workshop on Wednesday,
30 April has just been announced! Don’t miss
your opportunity for hands-on learning and
invaluable tips from industry leaders.
SPEAKERS INCLUDE
Dr Raj Acquilla
MBChB, MRCGP, MBCAM
Cosmetic dermatologist Dr
Raj Acquilla is an expert in medical
aesthetics, facial contouring and
volume replacement. He is a
recognised Masterclass Trainer
using the latest and most innovative
facial rejuvenation techniques from
around the world.
Dr Steven Dayan
MD, FACS
Facial plastic surgeon Dr Steven
Dayan is a renowned speaker
and author and remains on the
cutting-edge of medical techniques
in aesthetics. His latest book,
Subliminally Exposed, explores
the concept of beauty and its
connection to desire, mating
and communication.
Dr Mark Nestor
MD, PhD
Dermatologist Dr Mark Nestor
is considered a world expert
in cutaneous laser surgery,
photodynamic therapy and the
use of fillers and toxins in cosmetic
practice. Dr Nestor has penned
more than 40 articles and book
chapters, and has delivered major
presentations across the globe.
Dr Arthur Swift
MD, CM, FRCS
Canadian plastic surgeon
Dr Arthur Swift is internationally
renowned for his techniques in
using injectables in cosmetic
enhancement. In 2008, Dr Swift
pioneered BeautiPHIcation, a
revolutionary approach to
achieving natural-looking and
aesthetically pleasing results in
non-surgical rejuvenation.
www.cosbeauty.com.au 45

industry
Setting the benchmark
this year the Australasian College of Cosmetic Surgery
notches up 15 years of setting the standard for patient safety
and doctor training. Caitlin Bishop reports.
The latest statistics show Australians spend around
$1 billion on cosmetic surgical and medical-related
treatments each year. Suffice it to say, cosmetic
surgery is more popular than ever before and it has
never been so important to ensure Australian patients
are receiving the best possible treatment at the hands of
their physicians.
With patient care foremost in its priorities, practice and
philosophy, the Australasian College of Cosmetic Surgeons
(ACCS) plays an essential role in regulating and upholding
the standards of cosmetic surgery in Australia.
By ensuring the provision of premium quality, consistent
safety and optimum patient care in cosmetic procedures,
the ACCS signifies one of the major pillars in securing
the healthy growth of the Australian industry. Sydney
hair restoration surgeon and past president of the ACCS
Dr Russell Knudsen says the ACCS plays a leading role in
the Australian cosmetic surgery arena.
‘ACCS is a leader among the groups that monitor and
regulate cosmetic surgery practice in Australia,’ he says. ‘Its
Code Of Practice is the most strict set of regulations applied
in Australia and are compulsory for ACCS members.’
Training and accreditation
Since its inception in 1999, the aim of the ACCS has been
consistently clear: to ensure the safe delivery of cosmetic
surgery and non-surgical procedures to the Australian
community. That appropriately trained and certified medical
practitioners perform these procedures is paramount,
and the ACCS offers formal training and accreditation to
its members. ‘The ACCS provides comprehensive regular
training programs for all members and intense, two-year
registrar programs for physician applicants who wish to
sit the ACCS Fellowship Exam,’ says Dr Knudsen. ‘The
Fellowship Exam is the only cosmetic surgery-specific exam
available in Australia.’
The ACCS plays a key role in ensuring those who
practice cosmetic medicine are sufficiently trained. Indeed,
to become a Fellow of the ACCS, doctors must complete a
minimum of 12 years medical and surgical training.
‘To be recognised as a fellow of the ACCS, doctors
need to have undergone appropriate training, plus
specific procedural training and they must also have
demonstrated substantial clinical experience,’ says Dr
46 www.cosbeauty.com.au

industry
Cosmetic Medical Practice as
a separate medical speciality
The ACCS has applied to the Australian Medical
Council (AMC) to have Cosmetic Medical Practice
recognised as a Medical Speciality. This term
‘Cosmetic Medical Practice’, proposed to replace
‘Cosmetic Surgery’, prevents confusion and is
inclusive of both surgical and non-surgical procedures
performed only by certifi ed cosmetic practitioners.
Cosmetic Medical Practice is already a welldefi
ned and unique medical specialty, practiced
by medical practitioners from various specialties
including dermatology, general surgery, plastic
and reconstructive surgery, oral and maxillofacial
surgery, and gynaecology. Practicing cosmetic
procedures requires specialised knowledge and
skill not normally found in doctors working in
general medicine or in specialists working in general
surgery or even in some cases of plastic surgery.
If the specialty was recognised by the AMC,
any organisation of doctors, or training facility in
Australia, could apply to have their training scheme,
qualifi cations and accreditation processes assessed
against the AMC requirements. This would provide
better, more comprehensive, protection for
consumers and practitioners. It would empower
consumers to make informed decisions in selecting
a practitioner recognised by the AMC, and provide
practitioners in cosmetic medical practice with
enhanced transparency and validated recognition.
John Flynn, past-president of the ACCS. ‘We also ensure
our fellows are participating in continuing education and,
where needed, re-certifi cation.’
Importantly, the ACCS facilitates ongoing education
and auditing for all its existing members. This ensures the
established standards are maintained on a long-term basis.
‘All members must re-certify each year and this involves
annual attainment of strict continuing education criteria,
for example scientifi c meetings, publications, etc.,’ Dr
Knudsen explains. ‘In addition, procedural audits of medical
practitioners affords another level of monitoring standards
of practice.’
Alongside training, the ACCS has a Code of Practice that
covers, among other things, advertising and promotional
guidelines and informed consent regulations.
cosmetic surgery. This is seen in the ACCS Seal of
Approval, which can be displayed by any member who
complies with the College’s Code of Practice.
According to ACCS past-president Dr Colin Moore,
the aim of this seal is to protect both practitioners and
patients. He sees it as an objective accreditation that
empowers patients to make informed decisions and
protects practitioners by increasing the transparency of
their practice.
Furthering this commitment to patient and physician
protection, the ACCS has recently applied to the Australian
Medical Council (AMC) to have Cosmetic Medical Practice
recognised as a ‘medical specialty’.
This would mean any organisation or training facility
in the country could apply to have their training scheme
assessed against the requirements established by the AMC
– affording greater clarity for both patients and physicians
in making decisions to undertake, or become involved with,
cosmetic surgery in Australia.
Looking forward
With cosmetic surgery more popular than ever before –
and showing no signs of slowing down – it is imperative
Australians have access to transparent, professional and
regulated information in deciding to undergo treatment.
The ACCS provides the guidelines, and sets the
standards, for cosmetic surgery practice in Australia and
affords a valuable resource for patients seeking cosmetic
enhancement of any kind – invasive and non-invasive.
Looking forward, Dr Knudsen explains the ACCS will
play a central role in ensuring cosmetic surgery remains a
strong, reputable and reliable fi eld in Australia.
‘The ACCS will continue to be a critical part of the
ongoing setting of standards and maintenance of safe
practice,’ Dr Knudsen says. ‘To this end, the College, is also
in regular contact with other stakeholders and particularly
with the government.’
‘Encouragement of practitioners to sit examinations,
time-limiting the accreditations available by examination,
and annual requirements for proof of satisfactory continuing
medical education, will ensure industry standards are both
raised and maintained in the years to come,’ Dr Knudsen
concludes. csbm
Patient peace of mind
Currently, the ACCS is a voluntary scheme for doctors,
but signifi es a beacon of reassurance for patients hoping
to receive monitored and regulated care in undertaking
www.cosbeauty.com.au 47

column
The
tragic life
of Lady
Flora
Hastings
Where did that come from? In his regular column Dr Jim Leavesley
examines the history and origins of different medical topics.
The Victorian era was well known for its prudishness,
covering piano legs so as not to inflame men and
affront the ladies, for instance. And dresses swept
the floor to hide the alleged sexually charged ankles. So
you can well imagine the scandal when it was rumoured
in Royal Circles that the unmarried and highly respected
Maid in Waiting to her Britannic Majesty Queen Victoria
herself was – wait for it – pregnant. What an affront to
good manners as there were none more Victorian that
Victoria, herself.
The pot belly and medical
consult had not gone unnoticed
and tongues began to wag
The story goes that in January 1839 the royal party was
returning by coach from a holiday in Scotland. Travelling
in one coach was Victoria’s 33-year-old maid, Lady Flora
Hastings, from the very well-connected Hastings family,
together with the rather oily and unpopular Comptroller of
the Royal Household, Sir John Conroy. They were alone.
Hastings had been feeling unwell for several days and
on reaching London she consulted the highly regarded
royal physician, Sir James Clark. The patient complained of
some ‘derangement of the bowel’ (the word ‘constipation’
was far too frank), as well as pain and swelling in the lower
abdomen. She was given an aperient and the bowel settled,
though the swelling persisted, and she returned to work.
The slight pot belly and medical consult, however, had not
gone unnoticed and tongues began to wag. Gossip was
put about that Lady Flora had secretly married – and if she
hadn’t, she certainly should. Sir James then committed a
serious ethical gaff by commenting to the Queen that her
maid could be pregnant. Victoria had already suspected as
much and promptly informed the Prime Minister who wisely
advised a watching brief.
But the ladies of the Court now had the bit firmly
between their collective teeth; such scandal was the breath
of life in the greenhouse atmosphere in which they lived.
The Queen confided in her diary, ‘We have no doubt she, to
use plain words, is with child’. ‘With child’ was underlined
and I daresay she felt she had uttered an obscenity. She
48 www.cosbeauty.com.au

column
went on to blame Conroy and the two or three days they
had spent alone in the carriage and wrote of him in her
diary, ‘the Monster and Demon Incarnate’. We know all this
because years later the diary was published and became
a best-seller.
What the Queen did not explain was how Conroy
managed to carry out his evil intent and have his awful
way with a prim lady of mature years who was doubtless
trussed up in whalebone-strengthened corsets while at the
same time being jolted hither and thither in a spring-less
carriage. Only an imagination produced by a blinkered mind
of the 1830s could have reached such a conclusion.
This was an era when the
medical fraternity boasted they
could diagnose pneumonia by
placing an ear on the chest and
listening through a calico shirt
and two woolly vests
be, even then, not completely convinced a pregnancy was
not behind all this.
On July 3, 1839 the poor benighted subject of the
scandal died. A post-mortem was carried out and there was
found to be a grossly enlarged liver, numerous adhesions,
a distended stomach and many enlarged lymph nodes.
There was certainly no foetus. At this distance the actual
diagnosis is conjectural. I thought at first and before the
autopsy result was revealed it was cancer of the ovary, but
after the post-mortem it was more likely to have been the
much more common malignancy of cancer of the bowel.
Whatever the true cause of death, the poor victim
became lost in an avalanche of righteous indignation from
the press, the scandalised Court, and up to Queen Victoria
herself. When news spread regarding the unblemished
virginal state of the Maid in Waiting, Victoria was hissed
in theatre, stones were thrown at her carriage and people
shouted after her ‘Mrs Melbourne’ while at the Ascot
racecourse. She became an ‘object of indifference and
odium’, as one politician wrote..
The monarch eventually regained her composure to rule
with legendary dignity but the episode ruined Dr Clark’s
reputation. csbm
But, having said that, there was no doubt the abdominal
mass was growing before their very eyes. The odd thing
was that the doctor had only examined Lady Flora through
her dress, which he probably thought was enough in an era
when the medical fraternity boasted they could diagnose
pneumonia by placing an ear on the chest and listening
through a calico shirt and two woolly vests.
Eventually, Dr Clark approached the patient wondering
if he might be permitted to lay his hands on the skin of
the abdominal wall with, well, you know, maybe the stays
removed. To this outrageous request the mortified Lady
Flora Hastings declined to accede.
Then Her Majesty stepped in and conveyed to her maid
that she would be unwelcome at dinner until examined.
Clark himself conveyed the royal message, doubtless
adding words such as ‘my painful duty’, ‘allay foul
suspicions’, ‘possible private marriage’ and so forth. Lady
Flora was incandescent and vehemently denied all, but
did agree to see the Hastings family doctor. The next day,
following some well-chaperoned indignities, she was found
to be virgo intacta and declared not pregnant, whereupon
Queen Victoria sent an apology and invited her maid back
to the dinner table.
But Flora and her family were not to be mollified and her
brother demanded reparations and even called out Lord
Melbourne, the Prime Minister, for a duel. It was ignored.
But the family’s dander was up and proceeded to send all
the correspondence to the Morning Post newspaper.
To cut a long story short, poor Flora Hasting’s health
went rapidly downhill. Victoria visited her and came away to
www.cosbeauty.com.au 49

feature
Make-up
magic
CSBM EDITOR-IN-CHIEF MICHELLE KEARNEY
EXPERIENCED A MAKEOVER IN AUCKLAND,
NZ AT THE HANDS OF CELEBRITY MAKE-UP
ARTIST DEBBIE DELGADO.
Debbie Delgado
50 www.cosbeauty.com.au

Direct from Los Angeles to New Zealand,
internationally renowned makeup artist
Debbie Delgado has brought her extensive
training from around the world to New Zealand.
With more than 18 years of experience, she has
been revolutionising Auckland faces since 2004
with her Hollywood makeup transformations.
Makeup is one of the oldest forms of human
expression and cosmetics in one form or another
have been around for thousands of years.
Women and men alike have long used makeup
for different reasons, ranging from the desire
to conform to standards of beauty of the time,
through to signifying power, wealth or nobility.
Makeup holds the possibility for a woman
(or man) to personally transform herself, both
physically and even psychologically. Numerous
studies have shown that wearing makeup
increases feelings of self-confi dence and
sociability. The more attractive you feel you are,
the more highly you think of yourself.
Wearing makeup also has a signifi cant impact
on how others perceive you – a 2011 study
confi rmed that makeup makes women seem more
attractive, competent, likeable and trustworthy.
To feel beautiful is an important aspect in a
woman’s life. We love to look our best but may
feel unsure when it comes to applying our own
makeup. For me personally, having my makeup
professionally applied by Debbie, and being
taught some of her makeover magic Hollywood
secrets, was an instant self-esteem booster.
There’s something about having a fully made-up,
glamorous face that takes everyone’s confi dence
up a notch. As the before and afters show, the
transformation can be amazing. csbm
Michelle Kearney’s step-by-step makeover
www.cosbeauty.com.au 51

feature
A history
in ink
Caitlin Bishop explores
the unique, diverse and
remarkable history behind
tattoos – and their removal.
52 www.cosbeauty.com.au

Throughout history, the art of tattooing has evolved to
make its mark across all classes of society. Unique
trends, styles and techniques have emerged with
different cultural adoptions, while numerous variations in
technology have made the art what it is today – a popular
and prevalent way to shape identity and individualise selfexpression.
Indeed, in Australia approximately one in 10
people have had a tattoo at some point in their lives.
Inevitably, alongside this increase in popularity, there has
been a rise in the people seeking to undo a decision they
now regret. Once upon a time, tattooing was considered
a permanent and irreversible undertaking. Now, with
the introduction of new technologies, tattoo removal has
become highly sought-after and impressively effective.
Ancient times
The art of tattooing dates back to (at least) Neolithic times.
Patterns of simple dots and lines were found on ‘Otzi the
Iceman’ – a well-preserved natural mummy discovered
in the Otztal Alps, who lived in around 3,000 BC. These
patterns were situated on his lower spine, behind his knees
and on his ankles, which led researchers to think the tattoos
were considered a method of healing as they mirrored the
stimulation sites of acupuncture.
Traditional and tribal tattoos extend across centuries in
many cultures, particularly in Asia, among the Polynesians,
and in certain tribal groups in Africa, Borneo, Cambodia,
Japan, Europe, New Zealand and North and South America.
Historically, tattoos were created by rubbing ash in
wounds and open cuts, or making small incisions in the
skin and filling them with coloured dye.
18th Century
The Dutch were the first Europeans to glimpse the shores of
Samoa and notice the remarkable tattooing upon the legs
and lower torso of the Samoan natives. At first sight, the
Dutch explorers believed the Samoan tribes were wearing
artfully woven silk stockings, but on further inspection
discovered the markings were tattoos. The art of traditional
tattooing in Samoa was passed from father to son and
involved a five-step process that lasted 10 days.
Later in the 1700s, as Captain James Cook regaled
England with stories of the South Pacific, he reintroduced
tattooing to the Western world for the first time since ancient
times. Indeed, some of Cook’s men returned to England
sporting tattoos they’d fashioned while at sea.
19th Century
Following the American Revolution, tattoos were described
on government-issued protection papers to ensure correct
identification and prevent the impressment of American
citizens to the British Navy. Hence, tattoo artists experienced
a huge upsurge in popularity and used everything from
pigments to gunpowder in tattoo creation.
The evolution
of tattoo removal
20th Century
feature
Throughout history, various methods have been trialled
for use in tattoo removal. Preceding the introduction
of laser tattoo removal systems, dermabrasion,
salabrasion (where the skin is scrubbed with salt) and
excision with skin grafts were common techniques for
tattoo removal. Trichloroacetic acid has also been used
to remove the top layer of skin, reaching as deep as the
layer where the ink resides.
Historically, injections of wine, lime juice, garlic and
pigeon excrement were used in a bid to dissolve the ink
pigment in regrettable tattoos.
In the 1990s, laser tattoo removal entered the
commercial market. Initially, this procedure involved
continuous-wave lasers before Q-switch lasers, which
deliver a pulsating light beam, were introduced.
Considerable success in removing black and
darker coloured tattoo pigment can be achieved using
Q-Switch lasers. A number of treatments (between 10
and 20) are usually required to reach the desired result
and lighter ink shades – blues, greens and acquas –
typically remain in the skin after treatment.
The latest innovation in tattoo removal technology
uses lasers with a drastically shorter pulse width. This
incurs a different, more effective, reaction in the skin,
where the ink particles fragment and disperse before
being flushed from the body. The shorter pulse width
causes less trauma to the surrounding skin compared
with other systems, and is more effective in shifting
those difficult, lighter ink shades.
Advancements such as these grant new hope to
people who had previously given up on an ink-free
body. Tattoo removal can now be achieved with fewer
treatments, less reaction and more effective results.
The 1950s began what is now referred to as ‘The Tattoo
Renaissance’, and saw significant figures in popular culture
introducing tattoos to the mainstream. Social movements
saw tattoos emerge at the forefront of resistance, worn as a
sign of rebellion or to signify extreme dedication to a cause.
Members of countercultures began to select body art that
would reinforce their cultural origins, and make a statement
against the values of a predominantly white, heterosexual
society. Similarly an increase in women’s tattooing coincided
with the feminist movement in the 1970s.
Toady, the electric tattoo machine signifies the most
common method of tattooing. It delivers ink to the skin’s
dermis via a single needle, or a group of needles, aligned on
a bar. This bar oscillates and rapidly reinserts the needles
into the skin – usually between 80 and 150 times per
second. csbm
www.cosbeauty.com.au 53

tattoo removal
Breakthrough in
tattoo removal
PicoSure, from Cynosure, is changing the game of tattoo removal in
Australia. Caitlin Bishop reports.
Until now, since the introduction of laser tattoo removal
to Australia more than a decade ago, there have
been no significant breakthroughs in the technology
behind ink removal. Those seeking to undo a past decision,
and remove a tattoo they now regret, had limited options
– traditional laser removal took numerous treatments,
incurred a risk of scarring and typically could not completely
remove the blue, aqua and green ink shades. Now, with the
introduction of PicoSure from Cynosure to Australia, this
reality has changed.
PicoSure signifies an unprecedented innovation in laser
technology. It delivers ultra-short pulse bursts of energy to
the skin, causing a photomechanical reaction for improved
clearance over fewer treatments.
Queensland cosmetic physician Dr Mary Dingley believes
PicoSure has revolutionised tattoo removal. ‘The short pulse
duration enables the laser to produce a much “cleaner”
fracturing effect on tattoo pigments within the skin, while
producing less thermal effects on the surrounding skin,’
she says. ‘The upshot of this is that generally one needs
fewer treatments to clear tattoos, there is less unwanted
skin reaction and treatment is more comfortable.’
PicoSure uses a pulse length of a trillionth of a second
– called a picosecond. This pulse is 100 times shorter than
that used in previous technology and causes a different,
more effective, reaction in the skin.
PicoSure delivers unique
and unmatched results in
tattoo removal
Melbourne cosmetic doctor Dr David MacDonald,
who has worked in tattoo removal for 25 years and has
been using PicoSure since its introduction to Australia last
December, says PicoSure delivers unique and unmatched
results in tattoo removal. ‘These ultra-short pulses deliver
a “shattering” effect on the ink, breaking the ink down into
tiny dust-like particles which are then easily eliminated from
the body,’ he explains. ‘Previous technology relied on a
photothermal (or burning) effect which would deliver heat to
the ink and surrounding tissues. This “burn” could damage
skin and result in scarring. With PicoSure, because the
54 www.cosbeauty.com.au

tattoo removal
pulse width is so short, less injury and damage is caused to
the surrounding skin.’
Alongside a reduced risk of burning, PicoSure is touted
to shift those colours that have been traditionally difficult to
remove. According to Dr Dingley, each tattoo is different but
the chance of success has improved with the introduction
of PicoSure.
‘Most colours respond better with PicoSure than with
prior lasers, including blues and greens,’ Dr Dingley says.
‘It is always hard to say if a tattoo will completely disappear.
Our chances are certainly better now, but some tattoos are
done very heavily and there are some very unusual inks out
there at times which may, perhaps, not respond completely
to any laser.’
Treatment with PicoSure often requires some form
of topical anaesthetic and typically several treatments
are recommended to achieve optimum results. Victorian
dermatologist Dr Philip Bekhor has been using PicoSure
since its arrival in Australia and has achieved positive
results, with less adverse reaction, in his patients.
‘It is still early days but the PicoSure is very gentle, and
we have seen a difference compared with other lasers,’ Dr
Bekhor explains. ‘With PicoSure there is less reaction, less
pain during treatment and a faster result.’
Dr Bekhor often recommends eight weeks between
treatments, and hopes to clear tattoos in five to seven
treatments using PicoSure, as opposed to between 10 and
20 treatments with other lasers.
As with any laser treatment, there is some post-procedure
downtime involved. Redness, swelling and scabbing
can occur directly after treatment. However, because
PicoSure uses a shorter wavelength and incurs fewer
treatments, the risk of scarring is considerably reduced, as
Dr Dingley explains.
‘After treatment, side effects are generally the same,
but to a lesser degree, than with other lasers’, Dr Dingley
says. ‘Scarring is a possibility with any such skin treatment,
however, because the effect on normal skin is less and
there are fewer treatments, this risk is proportionately
less than with prior lasers. Tattoo
pigment will take several weeks to
fade after treatment.’
From changing employment
to romantic milestones, people
seek tattoo removal for a number
of reasons. Dr Bekhor believes
PicoSure signifies new hope for
those who have given up on tattoo
removal in the past. Similarly,
Dr Dingley says tattoo removal with
PicoSure can be a life changing
treatment for certain patients.
‘Most patients say their tattoos
BEFORE
seemed like a good idea at the time
but then their circumstances changed or they just didn’t
feel like the same person that the tattoo suited,’ she says.
‘Parents often want a tattoo removed because of the effect
it might have on their children. One father, who had amateur
tattoos of some swear words on his hands, wanted to
have them removed before his children could read them.
As amateur tattoos tend to be very easily removed, after
just one treatment the words were already illegible, with
just a few spots left which disappeared with the following
treatment. He stood straighter already when he came for
the second treatment and no longer felt ashamed.’ csbm
BEFORE
BEFORE (ink bled during tattoo treatment)
AFTER seven treatments with traditional
Q-switched nanosecond laser
AFTER two PicoSure treatments (photos
courtesy of Dr Alex Kaplan)
AFTER one PicoSure treatments (photos
courtesy of Carmen VanderHeiden)
AFTER one treatment with PicoSure laser
(photos courtesy of Dr Raminder Saluja)
www.cosbeauty.com.au 55

7
IS YOUR SKIN AGEING FASTER THAN YOU ARE?
LEARN WHICH LIFESTYLE CHOICES TO AVOID IN
ORDER TO STAY LOOKING YOUNGER FOR LONGER.
CAITLIN BISHOP REPORTS.
feature
Dehydration
Adequate hydration is responsible for that
plump, dewy look and feel of healthy skin.
Moisture within the skin, and the level of
internal hydration, brightens and nourishes
the complexion and can help slow the
process of ageing.
Internal water resides in interstitial fl uid,
which surrounds the cells throughout the
body. This fl uid plays an essential role in
delivering nutrients and removing waste
to and from the skin and other tissues.
Without a suffi cient water reserve, this
essential exchange is impeded and skin
cell renewal becomes slower.
Sun exposure
Wrinkles, discolouration and textural changes are just
some of the ways sun damage can affect the skin. Years
of sun exposure cause the inner layers of the skin to
thicken, impeding moisture retention and leading to
dehydration. This is to the detriment of skin health and
can increase the appearance of fi ne lines and wrinkles,
particularly around the eyes and mouth.
Melanocytes, or pigment cells, act to protect the
skin against damaging UV radiation. With too much
sun exposure, these cells develop into sun lesions,
forming spots or patches of hyperpigmentation or hypopigmentation
across the face and body.
Sun exposure also accelerates the deterioration of
collagen and elastin in the skin, leading to thinner texture,
increased laxity and reduced resilience.
Stress
The mind and skin are inextricably linked and
stress can manifest itself on the appearance
in a variety of ways. The hormonal fl uctuations
associated with stress – namely the increase
of cortisol – boosts the production of oil on the
skin, which can infl ame rosacea, psoriasis and
acne. Extended periods of stress can result in
breakouts, uneven tone and fi ne lines.
By nourishing the complexion, and
nurturing the body as a whole, regular
exercise, dedicated ‘time out’ and a healthy
diet and sleep regime is essential for boosting
skin vibrancy and slowing the ageing process.
56 www.cosbeauty.com.au

Lack of sleep
Although beauty sleep is not a new concept,
recent research has taken a step towards verifying
the link between those hours of slumber and skin health. A
clinical trial, conducted at the University Hospitals Case Medical
Center and commissioned by skincare giant Estée Lauder,
found sleep enhanced the skin’s ability to overcome stress and
restore itself from the inside out.
People who regularly sleep well were able to recover from
skin stress faster than those who didn’t, and poor sleepers
took longer to overcome sunburn. Those participants who had
regular and suffi cient shut-eye had an average skin rating of
more than two points higher than those who struggled with a
good night’s sleep.
Smoking
Smoking manifests itself in a number of ways, both
within the body and, most visibly, on the skin. There
is evidence to suggest tobacco smoke reduces
the amount of blood, oxygen and nutrients
reaching the dermis and nourishing
the skin. This persistent starvation
damages connective tissue and
hinders the body’s ability to generate
new collagen and elastin, leading to
increased skin laxity and wrinkles.
There is also speculation that
tobacco smoke is phototoxic,
meaning it magnifi es the effects of
ultraviolet light (UV) on the skin.
Bad diet
feature
Skin health is established
from the inside out, and
the way we fuel our body is
refl ected in our complexion. A
bad diet not only reaps havoc
on our waistline and energy
levels, but also detracts from the
skin’s natural glow.
A diet starved of antioxidants, vitamins
and essential fatty acids will leave the skin
dehydrated, prone to irritation, and uneven
in texture and tone. For example, fatty acid
chains play a vital role in maintaining cell
membranes. Without suffi cient Omega
3 and Omega 6, these membranes are
disturbed and the protective effi cacy
of the skin is compromised – leading to
irritation and uneven texture.
Because excess salt contributes to
water retention, diets high in sodium –
often found in overly processed foods
– can result in a swollen, puffy look to
the skin. Dehydrating substances, for
example caffeine and alcohol, dry out
the skin and slow skin cell renewal. This
leaves the skin prone to irritation and
increases the appearance of fi ne lines
and wrinkles. Also, diets high in sugar
can result in increased oil production
and accelerated skin cell division –
factors that can cause bouts of acne and
textural inconsistencies.
ANTI AGEING
Not enough exercise
While the benefi ts of exercise on cardiovascular health are widely
touted, the effect of exercise on the skin is not so widely acknowledged.
Exercise cleanses the skin from the inside out. By increasing
blood fl ow and boosting the levels of oxygen and nutrients delivered
to the skin, exercise helps nourish skin cells and enhance the
complexion. Alongside this infl ux of beautifying nutrients, increased
blood fl ow fl ushes waste products, including free radicals, from
working skin cells.
www.cosbeauty.com.au 57

feature
58 www.cosbeauty.com.au

STOP
the
clock
feature
anti ageing
Regenerative medicine is revolutionising the world of anti-ageing
and aesthetics, promoting younger looking skin from the inside out.
Caitlin Bishop reports.
By kick-starting the body’s natural processes and
energising cellular activity, regenerative medicine
works to repair, heal and reverse the signs of
ageing from within. It uses specialised cells, genes or other
biological building blocks to restore, replace and repair
damaged or aged tissues.
Regenerative medicine has potential in reversing and
preventing damage to vital organs, growing new organs
in patients with organ failure and countering the effects of
neuro-degenerative diseases such as dementia, Alzheimer’s
disease and Parkinson’s disease. Its success in the medical
arena has extended to impact the world of aesthetics, where
platelet rich plasma, stem cells and certain light therapies
are used to optimise results in cosmetic enhancement.
PRP
Platelet Rich Plasma (PRP) gained significant traction in the
world of aesthetic medicine when celebrity Kim Kardashian
posted a photo on social media during a PRP treatment.
But shock value and popular trends aside, autologous PRP
signifies an innovative and seemingly endlessly applicable
rejuvenation therapy.
It use a concentration of platelets, from the patient’s own
blood, to promote healing in both hard and soft tissues.
With a history of use in orthopaedics, sports medicine,
wound healing, neurosurgery, dentistry and ophthalmology,
its introduction into cosmetic and plastic surgery was
virtually inevitable.
The treatment involves sampling the patient’s own blood,
centrifuging the sample to concentrate the platelets and
growth factors in a small volume of plasma, and reinjecting
the concentrated product into the treatment area.
PRP is touted to assist in rejuvenating the complexion,
reducing the appearance of fine lines and wrinkles, evening
skin texture and brightening skin tone. It does this by
triggering the skin’s own regenerative mechanisms and
inducing the proliferation of fibroblasts, osteoblasts and
endothelial cells.
Platelet rich plasma can be used as a standalone
procedure to treat specific concerns – for example,
wrinkles, scarring and dark circles under the eyes – or in
conjunction with other modalities to optimise results and
reduce scarring following surgery.
In fuelling the dermis with growth factors and stimulating
the cell renewal process, PRP can be injected around
the eyes, across the cheeks, mid-face and forehead, and
along the jaw line and décolletage.
Stem cells
A definite buzzword in the world of skincare and cosmetic
rejuvenation, stem cells signify the cutting-edge of
regenerative science. Recent research has revealed their
remarkable potential in the world of cosmetic surgery,
particularly in conjunction with fat grafting. They are
thought to replenish and restore the aged cells and tissues
within the skin.
www.cosbeauty.com.au 59

feature
Recent research has revealed
the remarkable potential of
stem cells in the field of
cosmetic surgery, particularly in
conjunction with fat grafting
Fat transfer and stem cells
Fat grafting, where the patient’s own fat is harvested for use
elsewhere in the body, is commonly used in cosmetic and
plastic surgery. It can help achieve natural-looking results
in facial rejuvenation and breast enhancement, and can be
used in place of dermal fillers to restore facial volume loss.
The problem with autologous fat grafting is ‘reabsorption’,
which occurs when the body absorbs volume from the fat
graft following insertion.
There is, however, a unique reserve of adult stem
and regenerative cells in fatty tissue, which could inhibit
reabsorption and revolutionise the results seen in fat grafting
procedures. Collectively, these cells are known as adiposederived
regenerative cells (ADRCs). They have been used
in breast augmentation and reconstruction following
mastectomy, as fillers in non-surgical facial rejuvenation and
in treating a variety of soft tissue injuries.
Researchers at Copenhagen University Hospital in
Denmark have recently conducted the first randomised
human trial examining the outcomes of infusing fat grafts
with concentrations of ADRCs in plastic surgery. They
found that stem cell-enriched grafts retained 80.9 percent
of their volume following insertion, compared to 16.3
percent for the standard-control grafts. Also, the presence
of stem cells had an added anti-ageing effect in triggering
the formation of new connective tissue, including collagen
and elastin, at the treatment site.
Although the use of ADRCs alongside fat transfer is
relatively new in aesthetic medicine, and further research
is required to ensure the safety and efficacy of treatment,
the existing research shows exciting promise for future
possibilities in aesthetic and reconstructive surgery.
Stem cells in skincare
From plant extracts to reprogrammed cell lines, the use of
stem cells in skincare is a competitive and ever-evolving
field. Plant stem cells are commonly used in skincare
and are said to automatically renew into several types of
differentiated cells. They are thought to stimulate the activity
of fibroblasts, which generate collagen in the dermis,
and deliver phytonutrients and proteins to improve skin
resilience and structure.
Moreover, the plant-derived stem cells in anti-ageing
lotions are touted to reactivate the adult stem cells already
present in the skin’s deeper layers. These adult stem cells
are responsible for skin homeostasis, skin repair and hair
regeneration, and the plant stem cells are thought to protect
this natural reserve for long-term anti-ageing benefit.
Promises aside, there is limited evidence to support
the efficacy of stem cells in skincare. Critics are sceptical
at the ability of skincare ingredients to effectively
penetrate the epidermis and act upon the skin’s deeper
layers, where the production of collagen and elastin is
cultivated. Similarly, the concentration of active ingredients
in skincare is not always sufficient to incur any change to
the skin’s processes.
Light therapy
Low-level light therapy can initiate and promote cellular
processes in the skin and underlying tissue. When light
energy is harnessed at a certain wavelength, this can boost
cellular turnover, increase blood flow and stimulate collagen
production in the dermis.
Regeneration using light at different wavelengths has
been shown to accelerate wound healing, stimulate hair
growth, treat active acne, and to deliver pleasing results as
a non-invasive approach to facial rejuvenation.
During light treatment, and for an extended period of
time following treatment, blood, oxygen and nutrients flood
the treatment area. This enhances cellular processes and
increases energy production for an all-encompassing,
systemic effect. Notably, light therapy has been shown to
incur a thermal effect, which has been used to increase
movement and relieve spasms in cerebral palsy patients.
In aesthetics, light therapy helps improve skin radiance
and strengthen skin structure. It accelerates the skin’s
natural processes – for example collagen production and
skin cell turnover – to help reverse the signs of ageing and
rejuvenate the complexion. csbm
60 www.cosbeauty.com.au

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feature
The ins
& outs of
facial ageing
62 www.cosbeauty.com.au

feature
anti ageing
Facial ageing involves a number of processes, stemming from a
diverse range of causes. Caitlin Bishop reports.
Plump, clear skin and refined, round contours are the
hallmarks of youthfulness, and the quest to maintain
this look of vitality is an age-old story. While there is
a range of treatments and procedures that can help restore
the ageing face, an understanding of how and why the face
ages can make the physical process – and countless antiageing
options – a little less daunting.
Gauntness, skin laxity, deep facial hollows and heavy,
drooping fat pockets all contribute to an aged appearance.
While a strong skincare regime, combined with healthy
lifestyle factors, can help increase skin integrity and slow
the visible manifestations of ageing, a great portion of the
ageing process is down to genetics.
On the surface
The epidermis is the outermost layer of cells in the skin.
With age, these cells have a reduced turnover cycle,
meaning the epidermis becomes weaker and less resilient
to outside stressors. Also, sebaceous glands in the skin
secrete less sebum with age, leading to increased water
loss and, following this, greater dehydration.
Over time, similar deterioration is seen in the dermalepidermal
junction. This barrier, between the superficial skin
cells and the deeper dermis, becomes shallower with age,
detracting from skin health and further slowing the rate of
cellular turnover.
The dermis is the skin’s deepest layer, and holds the
connective tissue – collagen and elastin – that gives the skin
its resilience and structure. The dermis is rich in vascularity,
and plays an essential role in fuelling the epidermis with
oxygen and nutrients. With age, the dermis loses both
cellular and fibrous content; it becomes dehydrated,
thinner, looser and more fragile.
Intrinsic vs extrinsic
Cutaneous ageing, or skin ageing, is caused by two distinct
variables – intrinsic and extrinsic factors.
Intrinsic ageing is an inevitable process, dictated by
genetics and time. It’s determined by our genetic clock and
affected by the degenerative effects of free radicals and
the body’s inability to repair damaged cells. Intrinsic ageing
wears away at cells, tissues and vital organs, causing
changes to muscle, fat, bone and – most visibly – the skin.
Our 20s mark the beginning of the intrinsic ageing
process. Collagen production slows, elastin becomes less
springy and skin cell turnover decreases. While the process
is continuous, the visible signs of intrinsic ageing do not
become noticeable until decades later. The apparent signs
include the loss and descent of underlying fat, which leads
to hollowed cheeks and eye sockets. This is partnered with
a loss of firmness and sagging skin, caused by changes to
the underlying support structures.
Genes control how quickly the normal ageing process
unfolds. At a cellular level, ageing is thought to be related
to the shortening of telomeres (the terminal portions of
chromosomes) with each cell cycle, resulting in cell-cycle
arrest or cell death once a critical length is reached.
Extrinsic ageing occurs alongside this natural, genetically
predetermined process. It signifies the ‘preventable’ side of
ageing and encompasses those environmental factors that
magnify and accelerate the natural ageing process.
Extrinsic ageing can involve UV radiation, air pollution,
gravity and smoking. It manifests itself in a variety of ageassociated
skin changes, including thinning, laxity, fragility
and wrinkles. Sun exposure is the greatest culprit, causing
dyspigmentation, premature wrinkling, telangiectasia and
actinic elastosis.
The scaffolding
Facial bones, the deepest support structure to the skin,
shrink and remodel with age. These foundational, threedimensional
changes contribute to the appearance of
hollowness and volume loss.
The most pronounced skeletal difference in both sexes
is measured in the T-zone. In women, the area between
the brows and top of the nose (glabellar angle) is shown
to decrease, while the area under the rim of the eyebrows
retreats also, leading to sagging brows and a deflated
eyelid area. In men, the change to the glabellar angle
occurs alongside a deterioration to the maxillary angle in
the cheeks.
Accentuating these skeletal changes, the malar fat pad,
which is responsible for cheek fullness, slides down and
forward, pushing against the nasolabial fold and making the
jowls appear more pronounced. Bones can also recede in
the pyriform angle (the opening of the nose), causing the
appearance of an elongated nose and a drooping nasal tip.
www.cosbeauty.com.au 63

feature
Why do we age?
The outward signs of ageing are well recognised, but what
is happening at the cellular level is a little more obscure. In
basic terms, ageing can be seen when cellular death occurs
at a rate at which the cells cannot be suffi ciently replaced.
Numerous theories abound as to what causes the
ageing process. Some theories claim ageing is based
on a genetically controlled biological timetable, while
others attribute ageing to environmental assaults on our
systems, such as ultraviolet light, cell tissue wear and tear
and by-products of metabolic processes. Ageing is most
likely a combination of several processes and the widely
accepted theory today is that unrepaired accumulated
cellular damage, caused by free radicals generated
by ongoing normal metabolism and contributed to by
environmental sources, is the basis of ageing.
Oxidative damage is a natural chemical process that
occurs when oxygen molecules combust within the
human body and release by-products referred to as
oxygen free radicals. These highly reactive free radicals,
or oxidants, are incomplete molecules that either steal
electrons from surrounding molecules or donate their
remaining electrons to a nearby molecule.
In the process, the radicals create molecular instability
that damages, disrupts or destroys nearby cells which
can cause mutations in the sequence of genetic material
(DNA) and alter the structure of tissues and their functions.
The accumulation of these changes is thought to lead to
the development of ageing and degenerative diseases.
In addition to normal metabolic processes, free
radicals are produced exogenously through smoking,
environmental pollutants, exposure to ultraviolet rays and
eating certain carcinogenic foods.
The body’s natural defence mechanisms against free
radicals are referred to as antioxidants. They are used
to neutralise free radicals before they can cause further
damage. Ensuring a daily intake of antioxidants from fresh
fruit and vegetables, avoiding smoking and protecting
skin from the sun can reduce the risk of degenerative
diseases as well as the visual signs of ageing.
Volumetrics
Volume is a major component to facial aesthetics. Plump,
rounded contours signify youthfulness and vibrancy, and
some aspects of the face – particularly the middle third –
should be considered from a three-dimensional, rather than
two-dimensional, perspective in anti-ageing treatment.
The rule of thirds is commonly used in aesthetic medicine
to achieve even, holistic results. In this, the face is divided
into the upper third (forehead and brows), middle third (midface
and nose), and a lower third (chin, jawline and neck).
Notably, common perceptions of beauty revolve around
the mid-face and the synergy between the eyes, nose, lips
and cheekbones. A number of surgical and non-surgical
procedures are aimed at repositioning facial fat and tissue,
and restoring lost facial volume to regenerate this area,
creating a natural-looking, more youthful appearance.
A matter of fat
Between varying intrinsic and extrinsic factors, ageing is
a unique process, different for each individual. There are,
however, some common themes and one of these is the
loss and movement of fat.
The youthful face exhibits full, well-supported fat
pockets, where surrounding ligaments serve to fi xate the
volume of fat to underlying structure. Yet over time, facial
fat descends and causes the shape of our face to change.
During middle age, the anchoring ligaments weaken,
causing the facial fat to volumetrically protrude and descend
in the cheek. This generates a squarer facial shape with
less distinction between upper cheek roundness and
mid-facial fat.
Alongside this volumetric defl ation, and also due to
diminished support, laxity occurs in facial soft tissue and
the mid-face undergoes radial expansion. The descent of
the facial fat, and increase in skin laxity, contributes to the
long, heavy appearance of the ageing face.
Ageing gracefully
While a large part of the ageing process is predetermined
by those relentless and inevitable intrinsic factors, the signs
of skin ageing can be defi nately modifi ed through healthy
lifestyle choices. Sun protection, a healthy diet, exercise
and effective management of stress can preserve help skin
health and ward off the visible signs of ageing. Taking a
proactive approach can have you feeling that age, really is,
just another number. csbm
64 www.cosbeauty.com.au

feature
Lingo Lowdown
ANTI AGEING
FROWN LINES
GLABELLAR LINES
CROW’S FEET
MALAR BAGS, TEAR
TROUGH DEPRESSION
BUNNY LINES
NASOLABIAL FOLDS
VERMILLION BORDER
ORAL COMMISSURES
ACCORDIAN LINES
SMOKERS’ LINES
JOWLING
MARIONETTE LINES AND
PERIORAL WRINKLES
EVER WONDER WHERE YOUR
NASOLABIAL FOLDS ACTUALLY ARE,
OR WHAT BUNNY LINES MEAN?
So you’ve made the decision to consult your
doctor about getting rid of those pesky lines
and wrinkles. But before you can understand
your treatment options you’ll need to learn the lingo.
Check out our visual guide to fi nd out!
www.cosbeauty.com.au 65

feature
top 10
anti-ageing
procedures
66 www.cosbeauty.com.au

feature
anti ageing
anti-ageing procedures
The face shows wear and tear faster than any other area of the
body. Here are 10 of the most popular cosmetic procedures to stop
facial ageing in its tracks. AimÉe Surtenich reports.
Facelift
A facelift is a surgical procedure to reposition and tighten
underlying facial muscles and tissues as well as reduce
excess skin. Incisions are usually made just inside the
hairline at the temple and around the ear.
Healing is a progressive process, with swelling and
bruising usually subsiding after two to three weeks. The full
result of a facelift may take a few months to realise, with
end results generally lasting from seven to 10 years.
Eye Lift
Blepharoplasty is a surgical procedure to improve the
appearance of the upper and/or lower eyelids to give a
more refreshed appearance to the surrounding area of the
eyes. The incision for an upper lid blepharoplasty is in the lid
crease and is made with either a scalpel or CO 2
laser that
seals the blood vessels as it incises. Skin, muscle and fat
are removed to reduce hooding in the upper eyelid.
Incisions for the lower lid blepharoplasty can be made
either inside the eyelid or just below the lower lash line.
Excess skin in the lower eyelids is removed through these
incisions to correct under-eye bags or sagging.
The results of eyelid surgery become apparent gradually,
with swelling and bruising usually subsiding after around
two weeks to reveal a smoother, better defined eye region
and a more alert and rejuvenated appearance. Results
typically last around seven to 10 years.
BROW LIFT
A brow lift raises the brow line by repositioning the muscles
of the forehead. It also rejuvenates the upper eye area,
reducing heaviness and sagging over the eyelid and at the
outer edges of the eye.
In endoscopic brow lifts, small incisions are made in the
hairline, allowing the tissue and muscle beneath the skin
to be repositioned or removed, correcting visible creases
and furrows in the forehead. Swelling and bruising normally
subside after two to six weeks to reveal smoother forehead
skin and a more rejuvenated appearance.
NECK LIFT
Performed in conjunction with a facelift or as a standalone
procedure, a neck lift is designed to correct excess skin
and fatty tissue of the neck (the so-called ‘turkey gobbler
neck’), platysmal bands which run from beneath the chin to
the lower neck, as well as a poorly defined chin/neck angle
and jaw line.
The type of surgical technique used for a neck lift
procedure depends on several factors, such as the degree
of skin excess and laxity and the presence of fatty tissue.
Liposuction of the chin and/or neck area may also be
required to remove excess fatty deposits and help create a
more defined chin/neck angle and jaw line.
Recently there have been advancements in correcting
an aged neck through less invasive means, offering less
downtime and surgical intervention.
RHINOPLASTY
The nose ages along with the rest of the facial features, and
changes to the nose such as increased size and irregularity
can make the face look older. Tip ptosis (drooping of the
tip of the nose), in particular, is a hallmark feature of the
ageing nose.
Rhinoplasty improves the appearance of the nose to
balance it with the other facial features. Nasal surgery is
not just performed for cosmetic reasons; it can also correct
impaired breathing caused by structural abnormalities.
It is performed either using a closed procedure, where
incisions are hidden inside the nose, or an open procedure,
where an incision is made across the columella, the narrow
strip of tissue that separates the nostrils.
Swelling and bruising usually subsides after around 10
days. Results are permanent and it may take up to a year
for the new nasal contour to fully refine.
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feature
FAT TRANSFER
Fat transfer is the process of removing fat cells, usually from
the thighs or buttocks, and re-injecting them into areas of
the face to restore a more youthful appearance.
The use of a person’s own fat in this procedure means
that allergic reactions and side effects caused by the
introduction of foreign materials is avoided. Fat transfer can
be used to correct cheek depressions, contour deformities,
and to fill in deep laughter lines and facial wrinkles.
The downtime is longer than other dermal filler treatments
due to healing of the harvesting sites, but results can last up
to three to five years, depending on the patient.
THREAD LIFTING
Thread lifting is a minimally invasive procedure designed to
elevate the central face and redefine the contours with a
shorter downtime compared with facelift surgery, almost
immediate results and fewer risks.
Latest advancements in thread lifting technology use
minute soft barbs that gently lift sagging facial tissue to
enhance the natural contours of the face and achieve a
subtle lift. These threads are absorbable, meaning once
placed under the skin they dissolve within nine to 12
months, leaving the revitalising effects for several years
to come.
WRINKLE TREATMENTS,
FILLERS & VOLUMISERS
Muscle relaxants Botulinum toxin injections (also called
muscle relaxants and wrinkle injections) work by relaxing
wrinkle-causing muscles, which softens existing facial lines
and can also prevent the formation of new ones.
Small quantities of botulinum toxin are injected into
several locations on the face such as the forehead and
crow’s feet area at the corners of the eyes, reducing nerve
stimulation and therefore etched facial lines.
Results can be seen immediately, although they may
take up to four days to develop. The effects usually last
four to six months. Treatment with botulinum toxin is
not recommended for women who are pregnant or
breastfeeding.
Fillers These are injected into specific areas of the face
to smooth lines and wrinkles or to add volume. Fillers are
also used to contour and reshape facial features such as
the nose, lips and cheeks. There are many different fillers
available, ranging in longevity, composition and viscosity.
Some formulas can be injected close to the skin’s
surface to correct fine lines, such as in the under-eye area,
while others are used in the deeper layers of the skin to
build contours, especially in the cheek area.
A small amount of swelling and bruising at the injection
site may result but is not likely to last more than a few days.
Results for most fillers are not permanent, usually lasting for
several months to a couple of years.
Volumiser Sculptra, a facial volumiser, works differently
from traditional fillers. It is used to gradually build volume
under the skin by working with the body’s natural collagen.
Sculptra is made from poly-L-lactic acid and works by
stimulating neocollagenesis under the skin (collagen
production). Over a six-week period, lines, wrinkles,
sunken cheeks, nasolabial folds and scars are all gradually
diminished, affording subtle, natural-looking results that
develop over time.
LASER THERAPIES
Laser therapies work by targeting tissue and can be
used for a number of treatments, including pigmentation,
scarring, unwanted hair, spider veins, sun-damaged skin,
and wrinkle reduction. Recent advances in laser technology
mean that laser skin resurfacing, once reserved for the
treatment of severe conditions such as acne scarring
due to the extensive downtime involved, has become an
effective option for many people seeking reduction of lines
and wrinkles and correction of pigmentation.
Most resurfacing lasers work by removing microscopic
quantities of skin and stimulating the production of new
collagen. Non-ablative lasers use wavelengths which do
not burn away skin and are suitable for the treatment of
melasma, scarring, fine lines and wrinkles and typically do
not require any downtime. Carbon dioxide (CO2) lasers can
dramatically reduce wrinkles but down time and side effects
such as redness are extended, usually taking many weeks
to heal.
The advent of fractionated laser technology, where
microscopic columns of skin are treated while surrounding
skin is left intact, has made it possible to achieve better
results with fewer side effects. Fractionated technology has
been applied to the CO 2
laser, dramatically reducing the
recovery time required from months to a couple of weeks.
Results for all laser treatments vary, depending on the
depth of treatment.
PLATELET-RICH
PLASMA INJECTIONS
Platelet Rich Plasma (PRP) therapy uses the patient’s
own blood plasma to rejuvenate a tired complexion. PRP
contains certain growth factors that are central to tissue
regeneration, and also stimulates new blood vessel
formation and connective tissue repair.
The treatment involves several injections of the patient’s
own plasma, which is taken via a blood sample and
centrifuged to separate and concentrate the platelets
from the blood. The whole treatment takes approximately
one hour, with final results taking about three months to
appear. csbm
68 www.cosbeauty.com.au

top 10
anti-ageing
procedures
other
Age-defying
procedures
anti ageing
Breast surgery
Procedures that restore breast volume, but also lift the
tissue, can be effective in creating a more youthful and
natural-looking result in breast rejuvenation. A breast lift,
with or without augmentation, can improve the shape and
positioning of the breasts, while also adjusting the nipple
areola complex.
Another popular procedure for improving the appearance
of ageing breasts is a breast reduction, which creates
smaller, more pert breasts, while also alleviating associated
physical discomfort.
Body implants
Body implants are used to create definition and volume to
a range of areas on the body, such as the calves, arms,
chest, buttocks, cheeks and chin. They can be used in
cases of muscle atrophy which can become evident with
age, among other indications such as previous surgery,
injury or disease.
Implants can be placed in any area where there is a nonmoving
contour defect. An incision is made at the site and
the implant is inserted either above or below the muscle.
Swelling and bruising may last several days.
Results are location specific and are designed to
realign the body through a subtle increase in volume to
targeted areas.
Hair transplant
Hair loss can be a cause of psychological distress, especially
for women suffering from female pattern baldness.
Advances in hair transplant techniques allow patients
to undergo procedures to thicken thinning areas while
avoiding damage to existing hair follicles. Newer techniques
also minimise scarring in both donor and recipient sites.
Cosmetic dentistry
A bright and white smile conveys youth, vitality and beauty.
Modern cosmetic dentistry offers advanced techniques
that can improve any smile.
Porcelain or composite veneers can help straighten and
whiten teeth, implants can replace missing teeth, and teeth
whitening procedures can brighten a dull and ageing smile.
A dental makeover can help rejuvenate the entire face,
creating a more youthful and healthy appearance.
www.cosbeauty.com.au 69

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feature
5
steps to a
successful surgery
maximise your facial surgery results and recovery by
following five key steps. tara casey reports.
Even before making the decision to undergo facial
surgery, patients can maximise their chances of
achieving an optimal physical and psychological
outcome by fully preparing themselves. This includes
understanding what the procedure will involve, setting
realistic expectations, learning about and acknowledging
possible risks and complications, as well as planning for
a prolonged period of recovery. It’s of equal importance to
explore any underlying motivations for seeking change with
friends and family, and to prepare the body physically for
surgery by ensuring it’s in its best possible health.
None of this can be rushed, but taking the time prior
to surgery will help alleviate much of the anxiety that can
surround cosmetic changes.
72 www.cosbeauty.com.au

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ANTI AGEING
1
Choose wisely
Choosing a surgeon is one of the most important decisions
facing someone thinking of undergoing facial surgery, and
one of the fi rst to be faced. The surgeon’s experience,
training and judgement will all impact on the physical
outcomes of surgery, as will their openness to discuss
concerns and question the patient’s motivation during the
consultation prior to surgery.
When it comes to selecting a doctor for facial surgery,
prospective patients should ensure their surgeon’s training
and certifi cation is appropriate to the specifi c procedure
they will be performing. Certifi cation from the relevant
medical board or body reassures a patient the doctor has
completed additional requirements surrounding continuing
education and experience in cosmetic surgery.
Trusted sources of information include the Australasian
Society of Aesthetic Plastic Surgery (ASAPS), the
Australasian College of Cosmetic Surgery (ACCS) and the
Australasian Academy of Facial Plastic Surgery (AAFPS).
2Keep it real
For the right individual, facial surgery can restore
confi dence on both the inside and out. It can be a highly
successful procedure for people who are both physically
healthy and psychologically sound. However, having a
clear and realistic understanding of what a procedure
can and can’t achieve is important prior to committing
to surgery.
Facial skin type and age will both infl uence surgical
outcomes, so individuals interested in having surgery
should meet with a qualifi ed surgeon to discuss individual
expectations. By communicating which features of their
face they are unhappy with initially, patients can look
forward to a better post-surgery outcome.
Similarly, if the motivation behind seeking surgery is
to achieve a more youthful appearance, it’s important
to acknowledge that, although this can be achieved in
the short term, the face will continue to age and change
over time. A good skincare regime and sun protection
is always recommended as a long-term combatant to
some of the effects of facial ageing, both before and
after a procedure.
Despite its potential limitations, facelifts and other
facial procedures remain popular because of the longlasting
and noticeable results they can achieve. A facelift
www.cosbeauty.com.au 73

feature
is considered the gold standard of facial surgery in
achieving dramatic outcomes for reversing the clock on
patient’s faces. However, patients need to understand
the limitations of their procedure in order to manage
their reaction to the outcomes. The goal of a facelift
and other facial surgery should be to rejuvenate the
face and give it a fresher look, not to radically change
its appearance.
A facelift is a tailored procedure that will be altered
according to the unique face shape of the patient,
their underlying bone structure, age and general state
of health.
While facial skin is tightened and repositioned to
create a more youthful-looking appearance, a facelift
will not eliminate wrinkles or skin imperfections such as
acne scars and hollows, and nor is it possible to alter
the shape of the face.
Similarly, signifi cantly older people with less elastic
skin may not obtain the same cosmetic result that can
be achieved in those with younger, more supple skin.
3 Prep yourself
When it comes to preparing for surgery, research is a suited to the individual. This will also help the surgeon
fundamental aspect of patient safety and prospective determine the results that can realistically be achieved.
patients are encouraged to learn as much as possible Lab testing or a medical evaluation may be required
about the procedure they are seeking ahead of selecting in order to establish a patient’s level of health and fi tness,
and meeting with their surgeon. It’s equally important for and alterations to any existing medication plan may be
the surgeon to conduct his or her own research, which recommended. Aspirin and other blood thinning drugs,
will take place during the consultation.
for example, should not be taken in the lead up to
The consultation provides the surgeon with the surgery, and smokers will need to stop well in advance
opportunity to discuss the chosen procedure in detail of surgery due to the increase in surgical and anaesthetic
with the patient. The surgeon will relay the type of complications caused by smoking tobacco.
anaesthesia to be used, the risks, limitations and costs Along with the physical aspect of preparing for surgery,
involved, and will outline the steps to take both leading it’s also important patients are mentally prepared for the
up to and after surgery. Importantly, the surgeon will also change that will take place in their appearance. Not only
be able to ask the patient about their expectations, goals are there physical complications associated with surgery
and reasons for pursuing surgery.
but there can also be psychological reactions.
A full medical history will be taken during the Part of preparing for surgery means coming to terms
consultation, and the surgeon will evaluate the shape with the fact that there will be a different face refl ected
and structure of the patient’s facial bones, their skin tone in the mirror post-surgery. Being aware of this and
and elasticity, and the extent of facial ageing in order to accepting a ‘new and improved’ look will help patients
determine which procedure and techniques are best return to normal, everyday life more readily.
74 www.cosbeauty.com.au

4
Understand
the risks
Every surgical procedure involves some risk. In skilled
hands, facial procedures have an excellent safety profile.
But despite the highest standards of surgical practice,
complications can still occur. The most effective way
to minimise the risks is to have a thorough physical
examination prior to surgery and to follow the surgeon’s
advice and guidance.
With most facial surgery procedures, some scarring
should be expected, but an experienced surgeon can
minimise and hide these scars so they become barely
perceptible over time. For these reasons, it is important to
choose a qualified and experienced surgeon.
Complications following a facial procedure often
prove to be temporary. These may include blood or fluid
retention under the skin, crusting of scars and numbness.
There is a minimal risk of nerve damage or infection.
Complications vary from procedure to procedure: for
example, neck and brow lifts are often considered less
complicated and usually involve less pain and lower risk
than a complete facelift.
There are some more common post-operative facelift
complications and side effects such as temporary nausea
and general sickness after receiving anaesthesia. Although
some light, post-operative bleeding is normal, uncontrolled
bleeding is dangerous and can lead to haematomas.
This develops where bleeding occurs under the skin,
leaving the area painfully swollen and may require another
operation to stop the flow and remove the blood.
There is a slight chance of developing deep vein
thrombosis, cardiac and pulmonary complications, or fat
necrosis where fatty tissue dies. Localised infection may
also occur, indicated by swelling, sensitivity, redness and
heat. Unless it is severe, an infection can usually be relieved
with a course of antibiotics.
The risks specific to facial surgery include injury to the
nerves that control facial muscles; problems with healing,
which is more frequent in patients who smoke; scarring;
crust on the incisions; and numbness or tingling around
the incisions. Skin loss or discolouration is rare but can
occur and continue for several months.
Some patients form raised keloid scars or suffer hair
loss around the incisions. Hair transplant surgery may be
needed to correct this and men may find they will need to
shave extra areas because skin has been moved. Facelift
surgery can also result in asymmetrical ears, but this can
be corrected with minor surgery.
feature
5Immediately after surgery, patients will be taken to a
recovery area. While some doctors prefer not to use
bandages, others may apply a loose-fitting wrap or a
compression garment to facilitate healing. A compression
garment is tight-fitting, and will help to reduce swelling by
preventing fluid build-up, as well as provide comfort and
support. Although loose bandages may be removed in
several days, compression garments are often worn for up
to a few weeks.
Post-surgery, most patients can expect to experience
some pain, bruising and swelling, most of which will
subside within a few weeks. If a surgical drain was used, it
will usually be removed within a day, and non-absorbable
sutures may be removed in around seven to 10 days.
Any discomfort experienced can be controlled with pain
medication as needed.
Some patients will be allowed to go home after a few
hours, whereas others may stay overnight in a hospital or
surgical facility.
Keeping the head elevated by sitting up or propping
it up on pillows is beneficial in reducing post-operative
swelling. Surgeons may also recommend the use of a cold
compress.
The specific length of recovery is dependent on factors
such as age, pre-operative activity level as well as the
number and type of procedures that have been performed.
However, most patients can usually return to everyday
activities after between two and three weeks. Final results
may not be evident until several months after surgery.
During the recovery period, it is important that surgical
incisions are not subjected to excessive force, abrasion
or motion during healing. Patients should refrain from
wearing any clothing that has to be pulled down over the
head, as well as avoiding excessive sun exposure and
cigarette smoke.
It is not uncommon for some patients to struggle with
disappointment or depression immediately following
surgery as the positive results often take several weeks
to become noticeable. Only once the swelling has gone
down and the face has finished healing will the results
be visible. csbm
Take
time out
anti ageing
www.cosbeauty.com.au 75

face
Preserving
your
complexion
Sydney plastic surgeon
Dr Warwick Nettle explains
facelift surgery can achieve
natural-looking, long-lasting
results in FAcial rejuvenation.
Caitlin Bishop reports.
By correcting skin issues, preventing the visible signs
of ageing and preserving a youthful complexion,
facelift surgery can achieve effective, reliable and
long-lasting results in facial rejuvenation. While many
patients can sometimes balk at the idea of surgery –
fearful of appearing ‘overdone’ and wary of those standout
photographs of over-tightened celebrities – Sydney plastic
surgeon Dr Warwick Nettle believes securing naturallooking
results is both possible and paramount in facial
rejuvenation surgery.
I talk with my patients about
the techniques I use to avoid the
“tight” look, which I believe is
100 percent avoidable
Over the past 10 years there has been a quantum
leap in the techniques and technologies involved in facial
rejuvenation. At the root of these advancements is a better
understanding of the ageing face. Where once the visible
signs of ageing were solely attributed to loose and sagging
skin, now a more all-encompassing process is recognised.
‘Today, we understand ageing characteristics are largely
due to the deflation that takes place in the face, resulting
in changes to the curves, volumes and proportions of the
face as a whole,’ explains Dr Nettle. ‘Over time, changes
take place in the bone, muscle, fat and skin – each one
impacting the other. This causes a deflation wave that
results in the appearance of sagging.’
Alongside this deeper understanding has been a change
in the techniques used to improve the appearance of the
ageing face. Whereas the solution, once upon a time, was
to simply tighten the skin, Dr Nettle explains the emphasis
should be upon the preservation and relocation of tissue
layers. During modern facelift surgery, adjustments are
made to the underlying muscle and tissues, before redraping
the skin over the newly defined contours.
‘During the consultation I will talk a lot with my patients
about the techniques I use to avoid the “tight” look, which
I believe is 100 percent avoidable,’ he says. ‘It’s important
to understand that changes take place from the inside out,
not just on the surface of the skin.’
Dr Nettle says common patient concerns typically
include the appearance of the upper and lower eye region,
the neckline and jowl area.
However, to achieve natural looking results, he says
the face must be addressed as a whole, often combining
a number of procedures to create optimal results. ‘Most
people recognise the major issues that need addressing
– the eyelids, neck and jawline, for example – but if you
neglect the mid-face and leave a noticeable nasolabial fold,
the results will be less than satisfactory,’ he explains. ‘It’s
by combining a number of procedures such as a face and
neck lift, blepharoplasty and microdermabrasion, that the
most natural-looking results are achieved.’
During full-facial rejuvenation, Dr Nettle may also extract
fat from the stomach for reinjection into the mid-face. ‘Fat
transfer used to be a popular technique for adding volume
to the face, however today we inject even smaller volumes
of fat in order to achieve rejuvenation of the skin,’ he says.
76 www.cosbeauty.com.au

‘The fat is rich in stem cells, which makes a huge difference
to the appearance of the skin after the procedure.’
In a unique approach to conquering wrinkles in the upper
lip – something that is only seen in women – Dr Nettle often
performs dermabrasion during surgery. ‘In my experience,
this is more effective than laser and carries less risk of
causing pigmentation,’ he says. ‘We aim to achieve a 60
to 70 percent improvement in the appearance of wrinkling
on the upper lip.’
face
Dr Nettle recommends taking certain lifestyle measures
to help improve and maintain the results of anti-ageing
procedures. ‘We advise all our patients to make sure
they eat a healthy diet and exercise to maintain their
results,’ he says. ‘Some patients may use anti-wrinkle
injections, laser and dermal fillers following their rejuvenation
surgery, and we also recommend an effective skincare
regime, including Vitamins A and C to help maintain youthful
skin.’ csbm
anti ageing
Case Study
This patient underwent facelift surgery and upper and lower eyelid surgery with Dr Nettle. He used fat transfer to fill
the nasolabial crease and add volume to the mid-face. A more defined and sculpted jaw line was created, as well as a
soft and natural-looking volumisation of the cheeks, recreating the plump and soft contours of youth. Her eyes have
lost that ‘tired’ look and she now looks more vibrant and significantly younger, while still retaining her individuality.
1
2
BEFORE
AFTER facial rejuvenation surgery by Dr Nettle
BEFORE
AFTER facial rejuvenation surgery by Dr Nettle
www.cosbeauty.com.au 77

face
Is it
time for
surgery?
At a cERTAIN point, non-surgical
methods may no longer do the
job. sydney plastic surgeon
Dr Darryl Hodgkinson shares
his approach to surgical
rejuvENATION of the FAce.
As we age, there comes a time when non-surgical
treatments no longer provide a satisfactory result,
and the necessity for surgical procedures becomes
apparent to rejuvenate the face and neck.
With improvements in non-invasive radiofrequency
treatments such as the new INFINI treatment, combined
with injectable fillers, resurfacing procedures and wrinkle
treatments, this age has been pushed up to around 50 for
most women and men. But after that time, the sagging of
facial tissues and facial muscles, as well as bony resorption
and fat maldistribution (either excess or degeneration)
result in the inevitable situation where further non-surgical
procedures alone become a waste of time and money.
Typically with advancing age excess skin and fat bulges
form around the eyes and brow, causing the eyebrows
and often the forehead to sag and make us look tired or
angry. The surgical solution can be eyelid surgery to the
upper and lower eyelids (blepharoplasty) and, in cases of
more profound forehead wrinkling and eyebrow sagging,
an endoscopic brow lift.
The sagging neck and lack of definition in the jaw,
however, are perhaps the most common complaints as
we age for both men and women. As we lose elasticity in
our skin we develop jowls and deeper folds, especially in
the nasolabial area around the mouth. I have had patients
describe this to me as the ‘chipmunk’ or ‘hang dog’ look.
To surgically correct this, there is no single solution and the
surgery must be customised to address the patient’s specific
ageing so as not to create a tight, plastic and ‘operated on’
look. A variety of face and neck lifting techniques – from full
SMAS facelifting, mid-face lifting, mini or minimally invasive
facelifting – all can be employed. What is critical is not to
forget the neck and surrounding areas, which I refer to as
Pan Facial Rejuvenation (PFR).
Pan Facial Rejuvenation, which addresses all areas of
the ageing face and neck simultaneously, gives dramatic
but most importantly natural-looking results. Every aesthetic
unit of the face – the brow, the eyes, the mid and lower
face, the neck and the skin – is addressed and the clock set
back on all of them to reveal a more youthful version of the
patient that still looks like them. In fact, I encourage patients
to bring in pictures of themselves from a much younger age
when they felt more confident to assess the various areas of
their appearance which they feel have changed.
Patients benefit psychologically, gaining not only an
improvement in their appearance but also in their selfimage.
The results speak for themselves and you can
imagine that extra confidence and quality of life that occurs
from a patient’s improved perception of themselves.
Pan Facial Rejuvenation is not a minimal procedure;
it requires careful consultation with the patient and their
supporters, and one to two weeks of healing prior to reentering
public life. Our philosophy is to only provide
treatments and procedures that get the patient a result.
We do not use non-surgical fillers and radiofrequency on
patients who will derive little or no benefit. In other words,
they need the ‘real thing’, namely a surgical result which
only Pan Facial Rejuvenation can achieve. csbm
78 www.cosbeauty.com.au

face
anti ageing
After facelift, neck lift and blepharoplasty by Dr Hodgkinson
After facelift, neck lift and blepharoplasty by Dr Hodgkinson
www.cosbeauty.com.au 79

face
Beauty
through
the ages
Sydney plastic surgeon Dr Steven Liew
says a pesonalised beauty treATMent program yields
speCTACular resuLTS AT any age. AimÉe SuRTenich repoRTS.
Sydney plastic surgeon Dr Steven Liew believes the
new generation of advanced cosmetic non-surgical
treatments are delivering such remarkable results
that in the future most patients, if properly treated, will no
longer require major facial cosmetic surgery. Instead, regular
maintenance with non-surgical treatments will become the
norm – combined with more minor surgical procedures
where required.
A global leader in the development of advanced cosmetic
facial treatments, Dr Liew has developed the Beauty Through
The Ages Program, a personalised beauty treatment plan that
helps guide patients through each decade with the best and
latest procedures available at Dr Liew’s Shape Clinic.
‘The new treatments deliver such natural-looking results
that patients can be a more beautiful version of themselves
at every age,’ says Dr Liew. ‘Regular non-surgical procedures
to beautify the face and skin is far more effective than waiting
until invasive surgery is needed to repair sagging jowls and
skin folds. But for patients with significant skin looseness of
the eyelid, lower face and neck, then eye, face and neck lift
surgery still and always will be the gold standard.’
Treatment plans under the Beauty Through The Ages
Program ensure a more targeted, effective approach for every
age, including:
Your 20s
Most cosmetic treatments for people in their 20s are nonsurgical
(wrinkle relaxers such as Botox, and fillers) and are
aimed at beautifying the face.
Apart from basic treatments such as lip enhancement,
Shape Clinic also offers Dr Liew’s advanced, pioneering
techniques – including his total facial reshaping procedure,
a ‘glamorising’ treatment which can transform the ‘girl next
door’ to a stunning beauty.
Surgically, breast augmentation surgery is the most popular
at this age group, says Dr Liew.
Your 30s
This is the decade when we start to notice the first signs of
facial ageing: most commonly lines and wrinkles on our brow
and mouth.
‘Botox and other injectables to reduce frown and laugh
lines and fillers to resculpture the cheek area will both
beautify the face and maintain youthful radiance,’ says
Dr Liew.
Your 40s, 50s and Beyond
At this age we are increasingly likely to combine non-surgical
treatments with surgery.
‘Face and neck lifts to reduce jowls and sagging neck skin
are in high demand, while eyelid surgery and brow lifts are also
popular,’ says Dr Liew.
‘Dermal fillers in this age group continue to be very effective
in creating a natural-looking and more beautiful appearance,
replacing lost volume to deflated cheeks, thinning lips and
softening the “marionette” lines around the mouth,’ Dr Liew
concludes. csbm
80 www.cosbeauty.com.au

face
Non surgical 20s to 30s
1
BEFORE
A beautifully tailored, sensuous and juicy lip with Juvederm filler
AFTER lip enhancement with dermal filler by Dr Liew
2
BEFORE
Non-surgical lower eyelift with dermal filler to remove the tired dark circles
AFTER non-surgical enhancement by Dr Liew
3
BEFORE
AFTER non-surgical enhancement by Dr Liew
Non-surgical eyebrow and eye lift with Botox to lift the eyebrows and reduce heaviness of the upper eyelid to create
brighter, more attractive eyes
4
BEFORE
AFTER non-surgical enhancement by Dr Liew
Total facial beautification to narrow and define the jawline with Botox and to define the cheek definition with dermal filler
www.cosbeauty.com.au 81

face
Beauty Through The Ages Program 20s to 30s
1
BEFORE
AFTER surgical upper eyelift procedure (in-office) by
Dr Liew
2
BEFORE
AFTER Asian ‘double eyelid’ surgery (in-office) by
Dr Liew
3
BEFORE
AFTER surgical lower eyelift procedure (lower eyebags
removed) by Dr Liew
4
BEFORE
AFTER keyhole browlift and surgical fat removal of
lower eyelids by Dr Liew
82 www.cosbeauty.com.au

face
1
Non Surgical
40s, 50s, 60s
BEFORE
AFTER non-surgical enhancement by Dr Liew
Sunken and hollow cheeks created a sad and tired look. Dermal fillers were used to
transform her facial contour to a beautiful and healthy appearance
2
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial rejuvenation creating a refreshed and aesthetically pleasing appearance
3
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial beautification with strategic use of laser for skin capillaries, Botox and
dermal fillers
4
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial beautification with strategic use of dermal fillers, transforming the facial
structures and profile of the eyebrow, eyelid, nose, cheek and chin
www.cosbeauty.com.au 83

face
Beauty Through The Ages Program
Looking The Best at Any Stage of Your Life
BEFORE
AFTER facial rejvenation by Dr Liew
BEFORE
AFTER facial rejvenation by Dr Liew
Beauty Treatment Plan (combining surgery and non-surgical procedures: This patient underwent upper and lower eyelift surgery and face and
necklift surgery at the age of 49 by Dr Liew. At age 60 she has maintained her beautiful radiance , looking the best for her age by simple skin
care, and strategically planned non-surgical treatments by Dr Liew.
84 www.cosbeauty.com.au

face
anti ageing
from within
Selphyl PRP, from Device Technologies, uses a fibrin matrix to return
volume and vibrancy to the skin in non-surgical rejuvenation.
Caitlin Bishop repoRTS.
Since its introduction to the cosmetic arena, Platelet
Rich Plasma (PRP) has transformed the options in
non-surgical facial rejuvenation. By using the body’s
own products to kick-start natural, regenerative processes,
PRP affords holistic, effective and long-lasting results in
cosmetic enhancement.
Selphyl PRP, distributed in Australia by Device
Technologies, is a system used by doctors and practitioners
to harness a patient’s blood and prepare it for reinjection
into the treatment site. Once injected, the platelets trigger
the activity of growth factors in the skin and stimulate the
production of collagen and keratin in the dermis.
Patients look more youthful,
with better skin tone, but
without looking like they’ve
had anything “done”
‘I like Selphyl because, as time goes on, the results
continue to improve,’ explains Melbourne cosmetic
physician, Dr Mirjana Janjic. ‘This is very unique – with other
treatments, the results are best directly after treatment
and deteriorate from there. With PRP you continue to see
results as time goes by.’
Unlike some other PRP systems, which concentrate the
blood plasma and keep the consistency as it is, Selphyl
prepares this concentrated plasma as a ‘fibrin matrix’
– referred to as PRFM. The fibrin matrix affords greater
volume at the injection site – for additional anti-ageing
benefit – and improves the platelet activation of growth
factors in the skin.
‘I believe the fibrin matrix is the best way to achieve
optimum results in PRP rejuvenation,’ says Dr Janjic. ‘The
system itself is easy to use – it’s clean and precise for
predictable and effective results.’
Treatment with Selphyl is relatively easy; it takes between
30 and 45 minutes per treatment and there’s no risk of
allergic or adverse reactions, given it’s the patient’s own
tissue involved in the procedure.
Dr Janjic commonly uses PRP therapy to improve the
appearance of dark circles under the eyes and reduce
wrinkles around the lips. Notably, she has also achieved
successful results in using PRP to enhance skin quality on
the backs of hands.
‘Selphyl is excellent for treating dark circles under the
eyes and returning natural-looking volume to the skin,’ Dr
Janjic explains. ‘It can be used for general rejuvenation, as
it improves the texture, tone and feel of skin.’
For optimum results, Dr Janjic commonly recommends
three Selphyl treatments, four to six weeks apart. Treatment
can be combined with micro-needling or hyaluronic acid
filler, for more holistic, universal results.
‘Selphyl PRP can achieve natural-looking, refreshed
results in facial rejuvenation,’ Dr Janjic explains. ‘Patients
look more youthful, with better skin tone, but they don’t
look as if they’ve had anything “done”.’ csbm
www.cosbeauty.com.au 85

face
Beauty
from
within
Ellansé from Device Technologies is an innovative dermal filler
that restores lost volume and rejuvenates the skin from within.
Caitlin Bishop reports.
The full cheeks and plump facial contours associated
with youthfulness are often lost in the facial ageing
process. Dermal fillers and fat transfer procedures
can be effective in restoring volume and countering this
three-dimensional process, returning youthfulness and
vitality to the ageing face.
Ellansé, from Device Technologies, is a unique and
innovative filler with dual benefits: it reduces the appearance
of facial wrinkles and folds, while also stimulating the
production of collagen in the dermis, offering long-lasting
and natural-looking rejuvenation.
Queensland cosmetic physician Dr Christopher Leat has
been using Ellansé for more than a year and believes it is a
viable option in achieving noticeable and attractive results
in facial rejuvenation.
‘Ellansé has the benefit of stimulating the skin and
subcutaneous tissues to produce more natural collagen.
This gives, I believe, a longer lasting and sometimes more
natural result,’ Dr Leat explains. ‘Ellansé can last one to
four years, so patients don’t need as many treatments to
maintain the benefit. The results also build gradually over a
period of several months, so there is no dramatic sudden
change in appearance.’
Dr Leat uses Ellansé to address several characteristics
of ageing in his patients. Importantly, patients can choose
from one of four different Ellansé formulas, depending
on their individual concerns and how long they’d like the
results to last.
‘We use Ellansé almost anywhere on the face where
volume restoration is needed – namely, the cheeks, jaw
86 www.cosbeauty.com.au

line, temples, and nasolabial and marionette regions,’ Dr
Leat says. ‘Deciding upon the formula largely depends
on what longevity the patient is looking for. Ellansé has
four formulations that last one, two, three and four years,
respectively. However, I find the results usually exceed
these time frames.’
We can use Ellansé almost
anywhere on the face where
volume restoration is needed
The filler effect of Ellansé is immediately noticeable –
significantly reducing the appearance of wrinkles and folds
by restoring the underlying volume – and over time this
volume restoration is compounded with the stimulation of
collagen in the skin’s dermis.
By replenishing the lost collagen, Dr Leat explains
Ellansé can help reverse the signs of ageing. ‘I describe
collagen as the scaffolding of the skin,’ he says. ‘Collagen
gives much of the strength and integrity to the skin, and it
depletes as we age. It is also diminished by other factors
such as sun damage, which is why Australians tend to age
faster than other nationalities.
‘Ellansé consists of microscopic spheres of a compound
called polycaprolactone,’ he continues. ‘Polycaprolactone
has been used in medicine (for example, in orthopaedics
and in suture materials) for many decades and has a
face
proven safety record. The tiny spheres of polycaprolactone
become coated with cells and a scaffolding of new collagen
is formed in the skin.’
Treatment with Ellansé is relatively simple and incurs
minimal down time. The procedure itself takes approximately
30 minutes and Dr Leat commonly uses local anaesthetic
to counter any discomfort during injection.
‘We often use anaesthetic creams, and I use a little local
anaesthetic with the Ellansé,’ Dr Leat explains. ‘There is
not usually any noticeable swelling following treatment, and
bruising is infrequent but can occur depending on the area
being treated.’
Notably, Ellansé can be used both as a standalone
treatment and in conjunction with other anti-ageing
therapies. ‘We often combine Ellansé with other treatments
to improve skin texture and colour, and also with botulinum
toxin treatments for lines and wrinkles,’ Dr Leat says. ‘I
have also been treating some patients with a combination
of Ellansé and platelet rich plasma (PRP) therapy.’
In filling facial volume and harnessing the body’s natural
processes to promote collagen production, Ellansé is
both an anti-ageing and skin rejuvenation treatment,
offering long-lasting and natural-looking results in volume
replacement and collagen induction.
‘Essentially, we can use Ellansé for anyone who would
benefit from a more traditional volumising filler. Our
typical Ellansé patients are women aged 40 plus, but we
also treat many men and younger patients looking for facial
rejuvenation,’ Dr Leat concludes. cbsm
anti ageing
BEFORE
Six months AFTER Ellansé and Platelet Rich Plasma treatment by Dr Leat
www.cosbeauty.com.au 87

anti-ageing
The future is here
Regen PRP is at the forefront of using platelet rich plasma in a
variety of cosmetic and medical settings. Caitlin Bishop rePORTS.
Platelet Rich Plasma (PRP) therapy is a regenerative
and rejuvenating procedure with seemingly endless
applications. From anti-ageing concerns to treating
Sjorgren’s syndrome, PRP can be used to kick-start the
body’s cellular processes, stimulate collagen production at
the treatment site and invigorate the area with stem cells
and growth factors.
Regen PRP signifies the cutting-edge in PRP technology
and is fast becoming the must-have treatment in both the
cosmetic and medical arena. The procedure harnesses the
patient’s own resources and natural healing mechanisms
to facilitate change. It involves extracting a sample of the
patient’s blood, centrifuging this sample to concentrate the
platelets, and reinjecting the concentrated solution into the
treatment area.
One patient, Lisa Schmelzkopf, who has worked in
the skincare industry for more than 15 years, explains
PRP can be effective in boosting the action of other skin
88 www.cosbeauty.com.au

treatments for a holistic and longer-lasting result. ‘I’ve had
PRP three times now, and find the results fantastic,’ says
Schmelzkopf. ‘It’s a way to give your skin a second chance
and accelerate the results of other treatments or skincare
regimes. My skin tone has evened out, and PRP has given
me a healthier, plumper and firmer complexion.’
It’s a way to give your skin a
second chance; PRP has given
me a healthier, plumper and
firmer complexion
PRP has been used in medical settings for several
decades – for example in sports medicine by assisting
in healing of tendons, muscle tears and joint injury. In the
body, the blood platelets release proteins called growth
factors, which communicate with the body to trigger that
natural healing process.
Companies such as Regen Lab have brought this
treatment into the world of cosmetic enhancement,
supplying cosmetic surgeons and practitioners with the
devices they need to extract, concentrate and reinject
platelets in their own clinic.
Dr May Marr, a cosmetic physician in northern NSW,
uses PRP as an anti-ageing therapy. One of her patients,
Margardia Belleza, has recently undergone a series of
treatments with Regen PRP. ‘I just felt my skin had lost
its glow; it felt tired, dull and without its youthful elasticity,’
Belleza explains. ‘I was attracted to PRP because I do
believe the body can repair itself; PRP just gives it a wake
up call. Since treatment, I’ve had people stopping me and
commenting that I look fresh and more youthful – I really
think it has made a difference.’
Belleza has received three PRP treatments; the first two
were performed one month apart and the third, one year
later. She often combines PRP with small amounts of antiwrinkle
injections, to improve results and achieve a more
holistic rejuvenation.
‘I don’t want to look frozen, and PRP returns that healthy,
youthful glow to my skin via a very natural process,’ she
says. ‘The treatments themselves were easy to tolerate and
did not cause much downtime. I usually have some swelling
for around 24 hours following injection, and I experienced
mild bruising around the mouth on one occasion.’
Gynaecology
Gynaecologist Dr Fariba Willison in Adelaide is trail blazing
the use of PRP in a gynaecological setting. She was the
first to pioneer treatment of PRP for vaginal atrophy and
anti-ageing
women with breast cancer who have dry vagina and cannot
use HRT.
One of her patients underwent PRP to treat a pervasive,
aggressive and uncomfortable condition, which caused great
irritation in her vagina. ‘I had visited several gynaecologists
but no one could pin-point the exact cause of my problem,
nor could they suggest a solution,’ this patient describes.
‘It was so distressing; it affected my sexual health, I was
in constant pain, it hurt to urinate, I couldn’t wear certain
clothes and, psychologically, I was traumatised.’
Other doctors had prescribed anti-depressants and
therapy, but this patient was determined to address the
physical cause of her trauma. After a consultation with
Dr Willison, she went ahead with a series of three PRP
treatments, combined with laser therapy to bolster results.
‘After the first treatment I could wear proper clothes
again,’ she says. ‘Each time I received treatment it
continued to improve. I felt I could stand up tall again; I felt
in control. PRP treatment really gave me my self back – I
want women to know there are options out there. I was told
I had to live with my condition, but PRP has given me
hope.’ csbm
Sjorgren’s syndrome
In an unusual utilisation of PRP treatment one
patient, Bridgette Bradley, has used PRP in the
form of eye drops to manage the symptoms of
Sjorgren’s syndrome – a condition that results in
dryness of the mouth and eyes. ‘One of the most
debilitating side effects of Sjorgren’s syndrome is
the lack of eye tears,’ she says. ‘After being treated
by Dr Willison using PRP drops, I went three days
without needing my regular eye drops. Usually, I
have to apply my eye drops 10 to 20 times a day.’
Though the short-term results were clearly
significant, there was no long-term change in
Bradley’s symptoms following PRP treatment.
She is looking forward to future treatments – and
hopefully take-home eye drops at some point –
and has arranged to inject PRP in her inner cheek
at the next treatment in a bid to stimulate her
salivary glands.
This case, alongside many others, signifies the
extensive opportunities for using PRP in several
cosmetic, regenerative and medical settings.
Regen PRP can enhance the complexion, reverse
the signs of ageing and assist in treating certain
conditions. With such diverse possibilities, the ways
in which PRP can make a difference in patients’
lives will continue to emerge in the years to come.
anti ageing
www.cosbeauty.com.au 89

face
A
modern
approach
to
facial
rejuvenation
Dr John Flynn from
Queensland combines surgical
and non-surgical techniques
to creATe subtle yet beautiful
anti-ageing FACIAl results.
AimÉe Surtenich reports.
Modern facial enhancement is all about reversing the
signs of ageing while enhancing and preserving a
person’s individual look, says Dr John Flynn from
the Gold Coast in Queensland.
‘There is a new paradigm for facial rejuvenation which
focuses on a combination of conservative surgical and
minimally invasive techniques to target ageing concerns in
a more subtle, incremental way,’ he says. By embracing
this new way of thinking, we can create dramatic yet
natural-looking results.’
Dr Flynn says the surgery-focused facelifts of the past
are increasingly being replaced by a different approach:
more conservative surgical techniques with minimally
invasive facial rejuvenation procedures.
‘The modern facelift is very different from previous times,’
he explains. ‘It relies far less on extensive surgery and more
on judicious alterations combining laser resurfacing, dermal
fillers and other minimally invasive techniques so that what
is essentially known as a “facelift” is no longer a purely
surgical experience.’
Combining a selection of different modalities to achieve a
result specific to the individual patient is the key to modern
facial rejuvenation. ‘A single procedure is rarely the answer
to facial ageing,’ Dr Flynn explains. ‘I believe it’s better to
focus on what the actual problem is that needs addressing
and, in most cases, a combination of procedures is likely
the best route to success.’
There is a new paradigm for
facial rejuvenation which focuses
on a combination of more
conservative techniques
‘Ageing affects us all in varying degrees,’ he continues.
‘Different people will therefore benefit from different
combinations and degrees of treatments, depending on
their unique concerns.’
90 www.cosbeauty.com.au

Depending on these concerns, conservative surgery
combined with minimally invasive options such as laser
resurfacing, thread lifting, dermal fillers, muscle relaxants
and an active skincare regimen can produce superior,
long-lasting results.
Aesthetically speaking, Dr Flynn says the eyes are the
most expressive and therefore the most noticed of the
facial features, which makes them a central feature in
facial rejuvenation. ‘There is the concept of emotionality
associated with the eyes, reflected in the age-old saying,
“the eyes are the windows to the soul”,’ he says. ‘As we
get older, noticeable ageing effects occur in and around
the eyes, which usually consist of drooping upper eyelids
and the descent of the eyebrows. These effects contribute
to a look of tiredness or ill health and can be improved with
modern facial rejuvenation techniques.’
Dr Flynn assesses how these changes individually affect
each patient’s eyes by looking at how the fatty tissues bulge
and the skin sags, as well as how the position of the brow
affects the eyes. ‘Addressing all these elements allows me
to determine which combination is right for the patient. For
example, they might require a laser tightening treatment to
tighten and “lift” the skin, and dermal fillers to reshape and
recontour the eye area,’ he explains.
But one of the most influential
1
aspects of rejuvenating the face is the
quality and texture of the skin. ‘The
skin is the fabric that covers the entire
face, so when looking to perform a
combination of procedures on the face
we have to look at how to correct the
quality of the fabric as well,’ explains Dr
Flynn. ‘This is where laser resurfacing
can be extremely effective. Even if a
patient doesn’t necessarily require a lift
or tightening, most people who live in
Australia’s harsh climate could benefit
from laser rejuvenation to renew skin
texture and tone.’
BEFORE
When looking to improve the
2
appearance of a patient’s face, Dr
Flynn will often use stem cell-enriched
fat transfer alongside fractionated laser.
‘Stem cells are attracted to areas in
need of repair,’ he explains. ‘If we use
fractionated laser technology to create
microscopic injuries in the skin, and
then inject stem cells, the stem cells
act to enhance the repair process and,
in my experience, achieve even better
results for the patient then when using
laser alone.’
‘While the field of regenerative
medicine and techniques using the
BEFORE
face
patient’s own stem cells is in its developmental stage,
we already have some very effective applications,’ he
continues. One of these applications is stem cell-enriched
fat transfer, which he often uses to augment areas of the
face that have lost volume with age.
Dr Flynn has access to the latest technology and
research from Monash Immunology and Stem Cell
Laboratories and has been pioneering stem cells in
aesthetic medicine for some time. ‘Adult stem cells can
be differentiated into different cell types but their main
function is in repair of tissues,’ he explains. ‘While stem
cells hold the potential to treat a wide range of diseases,
they are also being used in cosmetic medicine. In this
way, we can use stem cells to enhance facial tissue and
facial skin in conjunction with fat transfer, as well as the
subtle augmentation of the breasts and buttocks, and to
rejuvenate the hands.’
No two people are the same and something as multifaceted
as ageing demands a sophisticated approach.
‘Fortunately, today we’re blessed with a diverse array of
treatments – from minimally invasive to surgical procedures
– which can be combined in order to achieve the best
possible anti-ageing results,’ Dr Flynn concludes. csbm
AFTER facelift and laser resurfacing by Dr Flynn
AFTER thread lifts by Dr Flynn
anti ageing
www.cosbeauty.com.au 91

face
Mini-facelifts
without surgery
Sydney cosmetic physician Dr Buddy Beaini says the Astarte thread
lift is a major advancement in non-surgical facial enhancement.
AimÉe Surtench reports.
There’s been a move towards treating the signs of
ageing with a series of non-surgical treatments
instead of more aggressive surgical options. A thread
lift fits this bill perfectly, offering a minimally invasive way to
lift sagging features and create a fresher, more contoured
and youthful appearance.
With the ever-increasing aesthetic advancements,
Sydney cosmetic physician Dr Buddy Beaini from MD
Cosmedical Solutions Clinics says the key to outstanding
results (where you look years younger) is tailoring a skin
treatment program for each individual patient.
‘A major recent advancement is the development of
the Astarte Absorbable Threads,’ Dr Beaini explains. ‘The
Astarte Thread Lift bridges the gap between the “softer”
beauty salon type of anti-ageing treatments and the radical
aggressive surgical facelifts.’
He says the concern with ‘softer’ beauty salon treatments
is that they often don’t achieve the patient’s expectations
because the results may be minimal. Conversely, the
concern with surgical facelifts is that results may not look
natural, there may be an overcorrection, there are risks of
scarring, infection, nerve paralysis, lopsidedness, and there
is a long downtime.
‘Patients are now opting for real results, but without the
risks and downtime that are involved with radical surgery.
Astarte Thread Lifts offer a non-surgical solution for face
lifting – excellent results with no incisions, no scars and
minimal downtime,’ says Dr Beaini.
Astarte Threads have been available in Australia since
2012, and have been successfully used in hundreds of
thread lift procedures. MD Cosmedical Solutions has been
using the Astarte Threads for over 18 months and Dr Beaini
has been seeing significant results. ‘Our procedure is tailored
to each individual and their face lifting and rejuvenation
What can Astarte Threads treat?
• Face lifting / neck lifting / skin tightening
• reposition sagging cheeks
• Brow lifting
• marionette lines correction
• jowling correction
• lip lines reduction and lip shaping
• adjusting facial and brow asymmetry
92 www.cosbeauty.com.au

equirements,’ he says. ‘The unique Astarte Thread
Lift technique is adaptable, enabling me to customise
treatment to the patient’s needs. This procedure has been
very well received, with excellent patient satisfaction since
its implementation within our clinics.’
According to Dr Beaini, these new revitalising threads
are very different to the older threads that were used in the
past. The new threads (unlike the conventional smooth
threads) have small soft barbs (also known as cogs) that
resemble a fishbone. When inserted just under the skin the
cogs cling to the facial soft tissue, gently lifting the tissue
and thereby providing a new support scaffolding that lifts
and holds the tissue in place. These new threads rebuild
the support structure of your skin from within.
The threads dissolve within nine to 12 months, while
the long-term benefits of the thread lift will typically last for
three to five years. ‘Over a period of nine to 12 months
the Astarte Threads dissolve – but before dissolving
they produce fibrosis that in turn creates a new support
scaffolding of collagen for the skin,’ Dr Beaini explains. ‘This
new scaffolding can lift and support the thread lift for many
years to come. In addition to the lift effect, the thread lift
creates new skin firmness that assists with improved skin
colour, skin tone and texture.’
The procedure itself takes between 30 to 90 minutes,
and the results can last between three to five years in most
individuals. Extra, or ‘touch-up’, threads can easily be
added at any time within or after this period.
‘The Astarte Thread Lift preserves the natural contours
of the face, so that the results are more subtle and natural
looking,’ says Dr Beaini. ‘The results are achieved without
hospitalisation, without scarring and with a minimum of
downtime. In fact, you can return home within a few hours
and resume normal activities after a few days. The major
advantage of absorbable threads is that they will not impact
on any future procedures (should you wish to have further
thread lifts or other lifts in years to come).’
Generally speaking, the best candidates for this
procedure are women and men in their 30s to 70s who
don’t want, don’t need, or are unable to have a traditional
surgical facelift but long for a more youthful appearance.
‘The procedure has a good safety profile, is effective,
requires no general anaesthesia and has a short downtime
of around three to five days,’ says Dr Beaini. ‘There are also
no risks of surgical scars or facial nerve paralysis which
may occur with traditional facelift surgery. And the cost
effectiveness of a Thread Lift is obviously an advantage.’
‘I believe Absorbable Astarte Threads are an excellent
addition to the facial rejuvenation treatment repertoire. An
Astarte Thread Lift gives natural uplifting and rejuvenation
results which can be “topped-up” at any time, and which
do not interfere with any future face treatments,’ Dr Beaini
concludes. csbm
BEFORE
BEFORE
BEFORE
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
AFTER Astarte Thread Lift by Dr Beaini
AFTER Astarte Thread Lift by Dr Beaini
AFTER Astarte Thread Lift by Dr Beaini
face
anti ageing
www.cosbeauty.com.au 93

FEATURE
face
Facial Defi ning Surgery
FOR THE MAJORITY OF ETHNIC PATIENTS SEEKING COSMETIC SURGERY, IT’S
ABOUT ENHANCING THEIR FEATURES RATHER THAN CHANGING THEIR IDENTITY,
SAYS SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON.
A
recent SBS program that aired in December 2013
examined the trend both internationally and in
Australia of performing surgery to change ethnically
defi ning features of the face, especially the eyelids and
the nose.
From my practice in Australia, which spans all ethnic
and racial groups, I do not believe people are wanting to
change their race but rather to appear more multicultural
by modifying features which they believe to be potentially
limiting or defi ning.
With increased globalisation,
we are seeing new beauty trends
develop in many cultural groups
With the media sharing images of perceived beauty
from around the world and with increased globalisation of
business and communications, we are seeing new beauty
trends develop in many cultural groups – not just in the face
but in body shape as well.
Many cultures that used to view a few extra kilos as
signs of health and prosperity now have men and women
queuing up in gyms to shed the same weight coveted
by their parents or grandparents. However, changes to
ideals of facial beauty in an ethnic group, tend to be more
challenged as ‘race changing’.
Korea is a prime example of changing ideals. It is
estimated that 20 percent of women in Seoul have had
facial defi ning surgery, including nasal augmentation,
double eyelid surgery and bone contouring of the lower jaw
to make the face less ‘square’.
This ‘baby face’ look is very popular with young Korean
women and almost gives a ‘rubber stamp’ appearance.
The aforementioned television show noted, however,
that this change to the ‘baby doll’ face has become
the new benchmark of beauty in South Korea and is so
ACSM DEFINITIVE GUIDE NON-SURGICAL FACIAL REJUVENATION
94 www.cosbeauty.com.au

widely accepted that it can actually improve employment
opportunities for these young women.
Iran, on the other hand, has become the rhinoplasty
capital of the world, with the procedure being seven times
more common than in the United States. This demonstrates
the pressure there is in a society not necessarily to want to
change one’s race but to conform to an internationalised
norm or perceived ideal of beauty.
In my Sydney practice, there is an ever-increasing
percentage of Asian and Middle Eastern patients seeking
to have their ethnic features enhanced, especially in
Asians by having rhinoplasty and double eyelid surgery,
8 // ACSM DEFINITIVE GUIDE NON-SURGICAL FACIAL REJUVENATION
face
and especially in Middle Eastern patients by undergoing a
reduction rhinoplasty.
Although ‘fi tting in’ is a subconscious motivation, more
often the surgery is an enhancement and optimisation of
the already beautiful features of Asian and Middle Eastern
faces. To say that different ethnic groups are striving to be
Caucasian is over-simplifying the trend.
Cosmetic plastic surgery performed by surgeons who
have an appreciation of the aesthetics of different racial
subgroups can achieve a ‘harmonising’ of facial features.
There is beauty in all races, which we are privileged to
appreciate in our multicultural society. csbm
ANTI AGEING
1
BEFORE
2
AFTER double eyelid surgery by Dr Hodgkinson
BEFORE
AFTER double eyelid surgery by Dr Hodgkinson
www.cosbeauty.com.au 95

face
Rebuild
&
rejuvenate
from within
Sculptra is a facial volumiser
that stimulates collagen
production for A gradual and
long-lasting facial rejuvenation.
Caitlin Bishop reports.
Acting as a direct collagen stimulator, Sculptra
from iNova rebuilds, refines and fortifies the facial
foundations. It can be used as both a preventative
measure and an anti-ageing treatment. By stimulating and
building upon the body’s natural processes, Sculptra can
return youthfulness to the facial contours for a gradual,
natural-looking rejuvenation.
‘We all start losing collagen at around one percent per
year after the age of 18,’ Sydney cosmetic surgeon Dr Neal
Hamilton explains. ‘Because of this, Sculptra can be used
as a preventative method from around age 25, or as a facial
rejuvenation treatment in older patients. As it directly works
to stimulate your own collagen, it’s suitable for anyone who
wishes to postpone ageing.’
96 www.cosbeauty.com.au

Sculptra is a deep facial injectable that redefines the
facial structure and stimulates the production of new
collagen in the dermis. Dr Hamilton explains it can be
especially effective in tightening and rejuvenating the lateral
parts of the face.
‘The face is a layered structure and, on the outside of the
face – the temples, high cheekbones and the cheek/mouth
junction – these layers of the face are “stuck together”,’
Dr Hamilton explains. ‘In these places it is very difficult
to achieve smooth, effective results with regular fillers,
because there is no space between the layers. Instead, it’s
better to thicken and strengthen what’s already there and I
believe Sculptra is the best way to do this.’
Sculptra is made from poly-L-lactic acid, a biocompatible
and biodegradable material. It works within the facial tissue
to trigger neocollagenesis (the production of new collagen),
Sculptra directly works to
stimulate your own collagen and
postpone signs of ageing
which gradually restores volume to reduce the appearance
of shallow and deep facial wrinkles and hollows on the
skin’s surface. This is a progressive process and takes
time to appear. Typically, neocollagenesis takes around 12
weeks to occur, and results will continue to improve in the
four to five months following treatment.
‘Sculptra works like a fertilizer and is great for those
patients interested in natural-looking, minimally invasive
and subtle results,’ Dr Hamilton says. ‘For patients after
more immediate results, I always take time to explain that
in my experience Sculptra affords better results, that last
longer and are easier to maintain.’
The amount of treatments needed varies between
patients, depending on age and individual concerns. Dr
Hamilton explains it is best to approach a qualified and
experienced practitioner, who can tailor the treatment to
suit each individual.
‘The amount of product needed, and the
number of treatments required, changes
from patient to patient and it is important to
see a practitioner who is experienced and
understands how Sculptra works over the
long term,’ Dr Hamilton explains. ‘Generally,
Sculptra is best to be thought of as a long-term
preventative program. Initially, we perform a
couple of treatments to reach an optimal stage
and then conserve this result with maintenance
treatments every year or so.’
Patients often experience some swelling
following treatment, and some redness,
BEFORE
bruising and numbness can be expected
directly after injection. In some cases, Dr
Where can Sculptra
be used?
face
• Lateral face, to fill hollows and refine cheekbones
• Smile lines, to smooth the folds between the nose
and the mouth
• Marionette lines, to fill the lines framing the mouth
• Chin, to reduce the appearance of chin wrinkling
• Decolletage, to smooth cleavage lines
Hamilton combines Sculptra with other modalities for a
more universal result.
‘Sculptra treatment can be partnered with cosmetic
procedures such as blepharoplasty, thread lifting and
botulinum toxin injections,’ Dr Hamilton explains. ‘If
patients are looking for a facelift effect without the fees and
surgical downtime, I often recommend Sculptra and thread
lifting together.’
Historically, the décolletage has been one of the most
difficult areas to treat cosmetically, however considerable
success has been found using Sculptra to improve the
appearance of the chest.
‘Sculptra noticeably improves the appearance of those
deep cleavage lines and can achieve results that are just
not possibwle with any other filler,’ says Dr Hamilton.
By fuelling the body’s natural regenerative processes
and adding volume, strength and resilience to the facial
structures, Sculptra replaces lost collagen to refresh and
rejuvenate the complexion.
‘The Sculptra patients we’ve had are ecstatic,’ Dr
Hamilton says. ‘And, importantly, they are happy on a
number of fronts: with the results themselves; with the
gradual result that lends discretion and subtlety; with
the affordable cost; and finally, with the small amount of
maintenance required to keep those smooth, refined and
youthful-looking facial contours.’ csbm
25 months AFTER Sculptra treatment (5 vials)
Photos courtesy of iNova. Individual results may
vary. Photos untouched.
anti ageing
www.cosbeauty.com.au 97

nose
Rhinoplasty:
more than just a nose job
Sydney ENT and facial cosmetic surgeon Dr William Mooney
explains rhinoplasty can restore youthfulness to the entire FAce.
Caitlin Bishop reports.
There’s more to rhinoplasty than improving the shape
or size of the nose – it also addresses functional
issues and can have a noticeable anti-ageing effect.
‘The nose is a vital, complicated organ, it’s a gateway to
the upper respiratory tract, the egress to the nasal sinuses
and, unfortunately, there are a lot of problems that can
affect its functioning,’ says Sydney ENT and facial cosmetic
surgeon Dr William Mooney. ‘When patients come to me
because they’re unhappy with the shape of their nose, we
also address the underlying functional problems. They often
leave happier with their new improved nasal airways than
their appearance.’
Indeed, by addressing any nasal obstructions or
breathing irregularities, Dr Mooney explains rhinoplasty can
improve quality of life and, in some cases, sooth an irritable
temper! ‘The types of problems I often see at the same
time as cosmetic concerns are post traumatic obstruction,
allergies, snoring and sleep apnea, and difficulty breathing
during exercise,’ he says. ‘They may seem like little things,
but when stacked up together they can really impinge on
quality of life. For example, if you don’t breath properly,
particularly at night-time, this can give you a tired and
drawn appearance, and also negatively affect your mood.’
Returning the nasal tip to a
more youthful position can be a
fantastic anti-ageing procedure
From post-trauma bumps, to functional difficulties, there
are many reasons people approach Dr Mooney. A common
concern is the ageing nose, which can add years to an
ageing face.
‘As we age, noses become bigger and more irregular,’
Dr Mooney says. ‘Deviations in noses are like the Leaning
98 www.cosbeauty.com.au

nose
Tower of Pisa – they often progress as time goes by. As well
as this, the skin becomes thinner with advancing age so any
irregularities become more pronounced.’
Dr Mooney explains these signs of ageing can occur
alongside tip ptosis – when the tip of the
nose droops downward and the angle of
1
the nose is affected. ‘Everything starts to
go south as the years go by, and the nose
is no exception. Returning the tip to its
lovely youthful position and reducing the
size of the nose can be a fantastic antiageing
procedure.’
Before rhinoplasty, Dr Mooney
conducts a through consultation with
each patient to discuss patient history,
address any concerns and establish
their expectations for surgery. These
consultations are conducted through
Face Plus Medispa at Dr Mooney’s clinic.
‘The nose really has to be in harmony
with the rest of the face,’ he says. ‘Getting
BEFORE
the balance right is not just as simple as
2
altering the nose, sometimes other facial
features need to be addressed at the
same time.’
To optimise results, Dr Mooney often
performs rhinoplasty in conjunction with
other anti-ageing procedures. ‘Where
required, blepharoplasty (eye lift), a
thread lift, facelift or sub mental (chin)
liposculpture can be performed at the
same time as rhinoplasty,’ he says. ‘This
offers a one-stop surgical treatment; it
means patients have one anaesthetic,
one down time and one recovery period.
It also means we can address any other
anti-ageing concerns at the same time as
dealing with the functional and aesthetic
BEFORE
aspects of the nose.’
3
Not everyone, however, is suited to
undergo multiple surgeries at once. In
some cases, the laser therapies, skincare
treatments and anti-ageing injectables
offered at Face Plus Medispa are a
suitable non-surgical alternative to help
combat the ageing face.
For anyone considering cosmetic
enhancement, Dr Mooney advises
consulting an experienced and reputable
surgeon to gain the most from your
chosen procedure.
‘Rhinoplasty, in particular, is a
complicated operation. I advise patients
that it should only be performed by a
surgeon with good ear, nose and throat
BEFORE
experience, as well as a strong cosmetic background,’ Dr
Mooney says. ‘A rhinoplasty is much more than a “nose
job”. It should fix both functional and cosmetic concerns, as
well as offer a great anti-ageing procedure.’ csbm
AFTER rhinoplasty by Dr Mooney
AFTER rhinoplasty by Dr Mooney
AFTER rhinoplasty by Dr Mooney
www.cosbeauty.com.au 99

nose
A
nose
for
beauty
Sydney plastic surgeon
Dr Alex Phoon says rhinoplasty
can improve both the appearance
and function of the nose.
AimÉe Surtenich reports.
Rhinoplasty is one of the most popular cosmetic
surgeries and, for the right individual, it can greatly
improve not only a person’s overall appearance but
also their self-esteem.
‘The benefits of rhinoplasty are endless,’ says Sydney
plastic surgeon Dr Alex Phoon from Silkwood Medical.
‘It can repair or reshape the nose after trauma or injury,
improve the size, shape and angle of the nose to work in
harmony with the rest of the face, and also correct structural
problems and alleviate difficulty breathing. Importantly, for
someone who has lived their whole life with a nose they
aren’t happy with, rhinoplasty can offer the right patient a
new lease on life, boosting confidence and self-esteem.’
First things first
The nose is an intricate network of bones, cartilage, cells,
blood vessels, nerves and skin. It is therefore essential
that any prospective patient choose a surgeon skilled and
experienced in rhinoplasty surgery.
‘It’s also important to have a good rapport with your
chosen surgeon, so you feel comfortable in communicating
the concerns you have about your nose and can be honest
about your expectations of nose surgery,’ says Dr Phoon.
‘My commitment to my patients is foremost; together,
we discuss in detail what is required to achieve the best
results possible. This open dialogue is a fundamental part
of achieving a successful outcome.’
100 www.cosbeauty.com.au

nose
Whereas some patients may know with great
detail what they dislike about their nose, others may
not be able to pinpoint their dissatisfaction. The
consultation therefore provides an ideal opportunity
to ask questions of the surgeon, while also learning
more about the associated risks and complications of
rhinoplasty surgery.
‘There is no “one size fits all” when it comes to
rhinoplasty. In order to determine the optimal nose size and
shape for each individual patient, I assess the shape of the
patient’s face, their bone structure and skin type,’ explains
Dr Phoon. ‘General factors such as age, sex, ethnicity,
height and body type, as well as functional problems of the
nose such as sinusitis, snoring and difficulty breathing, will
also impact on my surgical approach.’
This individualised approach is essential in achieving
natural-looking results in rhinoplasty, something Dr Phoon
believes should be of paramount importance. ‘Patients
should still look like themselves following a rhinoplasty
procedure,’ he says. ‘Especially for male rhinoplasty, the
result should not be too feminised or overly refined; it has
to be tailored to the patient’s own face and body shape.’
The ins and outs of rhinoplasty
The techniques used to augment or sculpt the nose differ
depending on the desired outcome, the preference of the
surgeon and the functional properties of the nose. There
are, however, two main rhinoplasty techniques: the ‘open’
and ‘closed’ approach.
Although the end goal is often the same – either to
augment or reduce the nose – the two techniques differ
primarily in their access to the nasal structure.
In open rhinoplasty, also called external rhinoplasty, the
surgeon makes an incision over the columella (the tissue
and skin that separate the nostrils at the base of the nose),
in addition to several other incisions inside the nose.
‘The transcolumellar incision improves the surgical
access to the nasal framework by allowing the surgeon
to fold the nasal skin upward,’ Dr Phoon explains. ‘This
provides better visibility to the entire nasal framework, in its
natural undisturbed alignment.’
Because the inner cartilage network and underlying
structure of the nose is exposed, the surgeon has greater
visibility than with the closed rhinoplasty approach, and is
able to work on the inner structures with more precision
and freedom. Open rhinoplasty is therefore often chosen for
more complicated cases.
The open technique also helps to ensure the basic
foundation of the nasal structure is kept strong, facilitating a
natural-looking outcome with long-lasting results. Dr Phoon
says the open technique is best suited in major augmentation
cases, in the correction of complex nasal deformities and
during revision rhinoplasty. The other technique, “closed”
rhinoplasty, also known as endonasal rhinoplasty, is where
all the surgical incisions are made inside the nose without
any external incisions,’ says Dr Phoon. ‘Closed rhinoplasty
is employed for the correction of aesthetic deformity of the
nose as well as for the management of anatomic nasal
airway obstruction.’
Breathe easy
Not all rhinoplasty procedures are performed for cosmetic
reasons alone – a deformed exterior often indicates an
equally significant deformity of the internal nose with
impaired function. Typically, in order to adequately restore
function, the surgeon must change the outside of the nose
Functional rhinoplasty can correct breathing difficulties,
frequent sinus infections, snoring, absence of smell and
taste, stuffiness and post-nasal drip. Dr Phoon uses the
latest techniques in endoscopic external nasal valve surgery
to clear the airways and improve the patient’s breathing.
One of the most common functional problems is a
deviated septum (a midline cartilage structure that divides
the nose into right and left sides). ‘A severely deviated
septum results in a blocked nasal airway and a visibly
crooked nose or a hump on the bridge of the nose,’
explains Dr Phoon.
‘Rhinoplasty continues to have one of the highest patient
satisfaction rates; patients often report the surgery has
given them a new lease on life, enabling them to look their
best and breathe easy,’ Dr Phoon concludes. csbm
After rhinoplasty by Dr Phoon
After rhinoplasty by Dr Phoon
www.cosbeauty.com.au 101

nose
Nose
reshaping
– without
surgery
Princess filler offers an
effective non-surgical option
for reshaping the nose.
AimÉe Surtenich reports.
In the past, even the slightest cosmetic irregularity of the
nose was typically only treatable with surgery. Today
the use of fillers for non-surgical rhinoplasty has proved
advantageous for many people who are uncomfortable
with the appearance of their nose but do not wish to
undergo surgery.
While it isn’t an option for patients with internal
complaints, non-surgical nasal reconstruction with
dermal filler offers an immediate result and effective
alternative for those with minor nasal irregularities.
Sydney cosmetic surgeon Dr Peter Kim has been
seeing outstanding results using Princess Volume
hyaluronic acid filler for non-surgical rhinoplasty. ‘It can
correct a myriad of cosmetic defects, such as adding
volume and a more prominent contour to a flat nasal
bridge,’ he says. ‘Other indications can include: a
deviated dorsum, which might be natural or occur after
an accident; an under-projected nose tip where the tip
does not protrude enough; an overhanging nasal tip,
which makes the nose look hooked or ‘witchy’; and a
short columella, the small column running from the tip of
the nose to the upper lip, which separates the nostrils.
In addition to bridge augmentation, smoothing out any
bumps, depressions or asymmetries, and shaping the tip
of the nose, the in-office procedure can be effective for
post-surgical rhinoplasty corrections where the results
have been less than satisfactory.
According to Dr Kim, Princess Volume is a superior
product for non-surgical nose reshaping due to its
precise balance of viscosity and elasticity, delivering a
soft and smooth yet malleable consistency.
102 www.cosbeauty.com.au

nose
‘Princess Volume can be injected through a smaller
needle, which allows me to shape and sculpt the contours
of the nose with unparalleled precision for better definition
and shape,’ he says. ‘In my experience, Princess filler
holds its position precisely where it has been injected at the
time of sculpting, resisting migration and offering a longlasting
result.’
The procedure itself involves injecting filler into key
areas around the nose, depending on the individual
patient’s requirements. ‘It is imperative the patient chooses
an experienced practitioner who truly understands the
aesthetics of the nose and its interrelation with the other
facial features,’ says Dr Kim.
‘For my patients, I first start by examining five key
points on the nose,’ he continues. ‘Then, with the patient’s
feedback, we decide on how we can modify these landmark
points to produce a more aesthetically pleasing nose.
Pre-injection markings are drawn and local anaesthetic
is administered to help reduce any patient discomfort.
Princess Volume filler is then injected in a sequence to
improve the five landmark points in order to create a
nose that is in proportion and
1
harmony with the overall face.
The whole process can take
less than 10 minutes.’
There’s typically no downtime
after non-surgical rhinoplasty
and generally little discomfort
so patients can go straight back
to work and everyday activities.
‘Aesthetic improvement is seen
immediately at the time of
injection,’ says Dr Kim. ‘Patients
can expect some residual
redness and slight swelling
after treatment, but this can be
covered by makeup and should
resolve within a few days.’
Longevity of results varies
2BEFORE
from patient to patient,
depending on factors such as
skin tightness and elasticity. In
most cases, though, patients
can expect results to last around
six to nine months, with top-ups
generally required twice a year.
‘With Princess Volume,
subtle changes can make
a dramatic difference to the
appearance of the nose. For
the suitable patient, it offers an
effective way to define, contour
and beautify the nose without
the need for surgery,’ Dr Kim
concludes. csbm
BEFORE
About Princess Fillers
The Princess suite of fillers, developed by Croma in
Austria, is formulated to treat a wide range of cosmetic
indications. Princess is a cross-linked hyaluronic acidbased
range, which is a naturally occurring substance
in the human body. The unique method of cross-linking
is a process to develop a highly dense tri-dimensional
matrix based on Croma’s Supreme Monophasic and
Reticulated Technology (SMART).
It is a 100 percent non-animal hyaluronic acid (HA)
of biofermentative origin. The HA chains are carefully
aligned with each other in order to create a higher
resistance and therefore a longer lasting filler for patients.
The highly viscous gel is then homogenised to give it
a smooth consistency, which enables more control for
the practitioner throughout the injection process and
more comfort for the patient.
Princess is available in three formulations: Filler,
Volume and Rich to suit a range of cosmetic indications.
AFTER non-surgical rhinoplasty by Dr Kim
AFTER non-surgical rhinoplasty by Dr Kim
www.cosbeauty.com.au 103

teeth
rebuilt
SYDNEY AESTHETIC RECONSTRUCTIVE DENTIST DR SARKIS NALBANDIAN TAKES
AN INDIVIDUALISED APPROACH IN CREATING NATURAL-LOOKING, AESTHETICALLY
PLEASING AND FUNCTIONAL SMILES. CAITLIN BISHOP REPORTS.
In reconstructive cases, Dr Nalbandian uses implants
(he has dual qualifi cations in implant surgery and
prosthodontics) to build the smile framework and form
a scaffolding for the porcelain veneers. He says effective
results can be achieved using dental implants, but patient
care is of upmost importance in securing results.
‘The successful integration of implants depends on many
factors, including general health, the quality and quantity
of bone, surgical techniques and care of the implant site,’
Dr Nalbandian explains. ‘It is also important to stress that
smoking, unhealthy gums and severe teeth grinding after
treatment can greatly reduce the chances of successful
implant integration.’
Careful planning is required before any smile rejuvenation
– reconstructive or aesthetic – and Dr Nalbandian
undertakes an extensive consultation process with each
patient. Before treatment, Dr Nalbandian photographs the
patient from three angles – front, oblique and profi le – to
establish the most important aspects of their smile and
evaluate the interplay between their lips, gums and teeth.
Actual Patient
A
beautiful smile can fuel the face with youthfulness,
beautiful smile can fuel the face with youthfulness,
confi dence and vibrancy. By taking a holistic and
individualised approach to smile rejuvenation, Sydney
aesthetic reconstructive dentist Dr Sarkis Nalbandian uses
minimally invasive techniques to preserve and optimise the
patient’s natural smile.
‘It’s all about the face, and not just about the teeth,’
Dr Nalbandian explains. ‘Optimal tooth shape, tooth
shade and arch shape should be considered alongside the
facial frame – that is aesthetics. Creating a beautiful smile
should be about imitating nature and preserving what’s
already there.’
Dr Nalbandian is experienced in using a variety of
methods for smile rejuvenation, and he often recommends
composite and ultra-thin porcelain veneers to achieve a
signifi cant, though minimally invasive, smile transformation.
‘I believe composite and ultra-thin porcelain veneers,
which are especially developed by my technical team in
clinic, afford aesthetic and functional results with minimal
intervention,’ Dr Nalbandian says. ‘These veneers require
no local anaesthetic and, most importantly, the existing
enamel is always preserved.’
Creating a beautiful smile should
be about imitating nature and
preserving what’s already there
Notably, Dr Nalbandian does not rely on digital smile
design software but instead works within the mouth to
accurately prepare the most suitable treatment plan for each
patient. ‘Smile design is an art form and I work within the
mouth directly to diagnose and plan the best treatments for
my patients,’ he says. ‘The challenge is to create natural
smiles that complement the patient’s beauty and facial
aesthetic. This demands an individualised approach, and
cannot be digitalised.’
Dr Nalbandian’s philosophy is centred upon providing
quality, aesthetic dentistry. There is always a follow-up
regimen to ensure long-term maintenance of results and to
protect against any potential complications.
‘Improving aesthetics and functions is a complex
process; it takes considerable skill, effort and, importantly,
planning and patience from our patients,’ Dr Nalbandian
says. ‘However, with the right preparation and follow-up
process, the results speak for themselves.’ csbm
104 www.cosbeauty.com.au

teeth
CASE STUDY
This patient approached Dr Nalbandian seeking to improve
the aesthetic appearance of his smile. He hoped to correct
his smile line, straighten the arch of his upper teeth and
improve his tooth colour. He was also missing two teeth,
which were replaced with dental implants.
Approximately six months after the insertion of implants,
Dr Nalbandian applied ultra-thin porcelain veneers to
improve the shape, length, symmetry and colour of the
upper arch teeth.
‘His examination showed that, during initial to full smile,
there was good lip symmetry,’ Dr Nalbandian explains. ‘This
lip line served as a reference for building the upper arch with
composite porcelain veneers.’
The veneers also serve to straighten the upper dental
arch and close the ‘reverse smile line’ – or negative space
in between his lower and upper teeth.
‘The “reverse smile line” tends to create dark spaces
during normal speech and smiling, which can drastically
affect dental aesthetics,’ Dr Nalbandian says. ‘An anterior
negative space is aesthetically undesirable in today’s
society. Porcelain reconstructions can improve this smile
line, making the upper arch almost parallel to the lower
lip line.’
Because this patient has a tendency to brux (grind his
teeth), particularly at night, Dr Nalbandian customised a
night guard to protect the results for long-term success.
‘For this patient, the entire treatment process took around
six months,’ he explains. ‘Dentist education and experience
are paramount in achieving aesthetic and functional results
in smile rejuvenation. The aim should be to mimic nature in
creating a smile that is natural looking and harmonious with
the rest of the face.’
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
www.cosbeauty.com.au 105

easts
What makes a
beautiful breast?
RECENT RESEARCH DEFINES THE FOUR
IDEALS OF BEAUTIFUL BREASTS.
When it comes to assessing breasts, you might be
forgiven for thinking it’s all about size. Indeed,
breast augmentation remains one of the most
sought-after cosmetic surgical procedures, and involves
adding volume to the bust. However, many surgeons
believe a satisfactory augmentation is about more than
adding volume – it’s also about shape, projection and
harmonising with the overall body shape and size.
‘There is no such thing as the “perfect” breast,’ says
British plastic surgeon Dr Paul Banwell. ‘However, there are
four aesthetic guidelines that can help surgeons deliver a
beautiful-looking breast.’
These guidelines, which refer to the proportions of the
upper and lower breast, their slope as well as the position
of the nipple were investigated by a group of London
Plastic Surgeons at the University College and Royal Free
Hospitals. In a study entitled Concepts In Aesthetic Breast
Dimensions: Analysis Of The Ideal Breast, Mallucci et al
used computer measurements to examine the dimensions
and proportions of 100 pairs of natural (non-enhanced)
breasts deemed attractive, and identifi ed four features
common to all.
‘The study revealed that in all cases the level of the nipple
lay at a point 20 degrees above the horizontal where, on
average, the proportion of the breast below it represented
55 per cent of overall volume of the breast and above it 45
per cent,’ explains Dr Banwell. ‘In most cases, the upper
pole was either concave or straight, and the lower pole of
the breast was convex, creating a full curve.’
The UK group also analysed images of the breasts of
ordinary women both before and after implant surgery
to establish whether, if a breast deviates from these
measurements, it becomes less attractive. The answer,
they found, was that it does, regardless of size.
However, Dr Banwell is keen to reinforce the importance
of tailoring breast shape and size to the individual
proportions and circumstances of each patient. ‘A onesize-fi
ts all approach is not appropriate,’ he says. ‘We have
a way of assessing the aesthetics we’re trying to achieve
with a breast augmentation, but it’s important to do that via
a tailor-made approach.’
For Dr Banwell, this involves detailed measurement,
careful discussion with each patient and judicious selection
of the optimal implant shape, texture and method of
placement. ‘Every breast is different in terms of its shape
and size and in terms of its characteristics. The surgeon
has to assess that and then needs to make a judgement
based upon the patient’s wishes in terms of what they want
to achieve versus what can actually be achieved.’
With so many media infl uences, today it is even more
important to marry the patient’s wishes with what is both
realistic and achievable. ‘It’s all about having realistic
expectations of improvement,’ he says. ‘Communication
with the patient is therefore so important.’
According to Dr Banwell, the education and knowledge
of patients has changed in the last decade, and they are
becoming increasingly discerning about the shape and type
of implants they want. However, the most common request
today is for breasts to be ‘natural-looking’.
Dr Banwell believes that, by referencing the guidelines
revealed by Dr Mallucci et al, women can look forward
to the most natural-looking, aesthetically pleasing breast
augmentations. csbm
The 4 breast ideals
1. The proportion of the upper to lower pole is 45:55
2. The angulation of the nipple is pointing upwards at
20 degrees
3. The upper pole of the breast is slightly concave
4. The lower pole of the breast is slightly convex
STRAIGHT
OR CONCAVE
45%
20 o
55%
CONVEX
UPPER POLE LOWER POLE
106 www.cosbeauty.com.au

Desired
WHAT IS YOUR
LOOK?
Getting back to what you had or obtaining the look you always wanted.
Silimed offers an extensive range of shapes and sizes, textured or polyurethane
breast implants to suit any desire.
Talk to your surgeon about your desired look and experience the Silimed difference.
Always read the label. Use only as directed. Your surgeon will advise you whether this product is suitable for you.
silimed@device.com.au | www.pureimplants.com.au

easts
The
Art of
Conversation
A surgeon’s perspective
108 www.cosbeauty.com.au

easts
Sydney plastic surgeon Dr Benjamin Norris emphasises the importance
of the human touch In a world of assembly line breast surgery.
Consumers today are bombarded by television
commercials, billboards and magazine adverts
urging them to ‘get a breast lift,’ and ‘see how
breast implants can make you more beautiful’, says plastic
surgeon Dr Benjamin Norris. ‘The problem is that many of
these adverts are for cosmetic enhancement “mills” that
place more emphasis on the number of procedures they
perform than on the individual needs of patients,’ he says.
Dr Norris has trained for 20 years both in Sydney
and overseas to become fully qualified as a Plastic and
Reconstructive Surgeon who specialises in Cosmetic
Surgery. He is the medical director of the Form & Face
clinics located in Bondi Junction and Bella Vista where he
provides surgical and non-surgical cosmetic enhancement
to men and women.
A welcoming environment
Dr Norris has a way of making everyone who walks through
his doors instantly comfortable. ‘The reception area is warm
and inviting, as are the people behind the desk,’ he says.
‘Coming into a plastic surgeon’s office, or any doctor’s office
for that matter, makes many people uncomfortable. That
discomfort can be intensified when cosmetic enhancement
services are provided in a setting that is cold, sterile, or in an
odd location such as a shopping centre.’
‘We welcome clients to our practice with comfortable
furniture, lovely art objects and a gorgeous view to enjoy
while waiting in our offices in Bondi Junction. All these
amenities work to calm patients.’
‘Many doctors overwhelm their patients by talking too
much or too little,’ he continues. ‘I like an initial consultation
to be more of a two-way conversation, a dialogue, not a
monologue.’ This perspective has earned him a reputation
as a patient-friendly surgeon who is an excellent listener as
well as a skilled diagnostician and surgeon.
‘The people who visit me always say afterwards they had
no qualms telling me intimate details about their breasts
and body because they felt so relaxed,’ says Dr Norris.
The importance of sincerity cannot be overstated. Many
cosmetic enhancement procedures are complex surgeries,
and though they are mostly straightforward and simple, the
risk of complications does exist.
To minimise that risk, Dr Norris puts all patients through
a physical screening. ‘I need to be informed about every
aspect of a patient’s health,’ he says. ‘This isn’t always
easy when health issues are sensitive or embarrassing
to the patient. If I take the time to put my clients at ease,
they feel free to tell me about anything that might impact
their surgery, such as sleep apnoea, or having a disease
or illness. Once I know what their challenges are, I can
recommend solutions.
Emotional well-being
Dr Norris works to understand his patients in their entirety,
both physically and emotionally. ‘Women going through
severe stress, such as the loss of a spouse, unemployment
or other life-altering events may not be in the best mental
state to make good decisions about what breast surgery will
mean for them,’ he says. ‘I talk with them to make certain
that their reason for having a cosmetic procedure is sound
and their goals are realistic.’
There are other ‘red flags’ for Dr Norris. ‘I’m always
concerned about a prospective patient who tells me she
wants to achieve perfection because, frankly, barbie-doll
perfection is impossible,’ he says.
Realistic expectations
In a career spanning more than two decades, Dr Norris
has seen every shape and size of breast and heard every
imaginable request for change. He has performed hundreds
of breast augmentations, but often advises women to rethink
the outcome they originally envision. ‘I would never
dictate to a woman what size her breasts should be,’ he
says. ‘But I do try to help guide women down the right path
when choosing breast sizes and shapes.’
Dr Norris feels it’s his responsibility to talk with clients
about body proportions, body image and other factors that
they may not have considered. ‘In this way, my clients can
enjoy a beautiful new, well-proportioned figure and not end
up looking ridiculous or “top heavy”.’
The comfort of continuity
It has become increasingly common in 21st century
healthcare for people to see one doctor one day, and
another doctor the next. They don’t have the opportunity
to build a relationship with the person responsible for their
well-being, and this makes patients uncomfortable. Dr
Norris takes a different tack, with a hands-on approach
from first consultation to final visit.
Rather than asking his nurses or assistants to measure
clients, for example, Dr Norris does this work himself. ‘I don’t
want my patients to feel they’re being shuttled from person
to person and only have access to me in the operating
room and while they’re asleep. My patients aren’t numbers
to me. They’re people I really care about as individuals,’ he
concludes. csbm
www.cosbeauty.com.au 109

easts
1
BEFORE AFTER breast augmentation by Dr Norris
2
BEFORE
AFTER breast augmentation and breast lift by Dr Norris
3
BEFORE AFTER breast augmentation by Dr Norris
110 www.cosbeauty.com.au

easts
4
BEFORE
AFTER breast augmentation by Dr Norris
5
BEFORE
AFTER breast augmentation by Dr Norris
6
BEFORE AFTER breast augmentation by Dr Norris

easts
Age-defying
breast
augmentation
Breast implant surgery isn’t just about increasing size – it can also
create the look of more youthful breasts, says Sydney cosmetic
surgeon Dr Colin Moore. Tara Casey reports.
For many women, breast augmentation can help
restore the more youthful shape of their breasts
prior to ageing and before breastfeeding took its
toll. ‘Rather than seeking a bust that is significantly larger
than their own, many women simply want to balance their
figure and create a more shapely silhouette,’ says Sydney
cosmetic surgeon Dr Colin Moore.
After childbirth and with age, many women want
to recapture how their breasts looked before having
children, where breastfeeding a baby has caused slight
breast atrophy or ptosis (sagging). ‘In such cases, it may
be more beneficial to perform a breast lift (mastopexy),’
says Dr Moore. ‘Depending on the patient, this can
then be combined with a small breast implant to restore
lost volume.’
‘A key concern for a lot of women thinking about breast
augmentation is whether or not their breasts will look
“natural” following surgery,’ he continues. ‘While ensuring a
natural-looking result comes down to accurately measuring
the proportions of each patient, I also believe that advances
in breast implants mean that it is easier than ever to achieve
natural-looking curves. By measuring the proportions
of the body, as well as skin thickness and breast tissue
composition, together the surgeon and patient can
determine the best breast size for the patient.’
When planning a procedure, therefore, it is important to
take a number of measurements to ensure the implant size
and position are best suited to each individual.
‘The basic dimensions of the breast are taken into
account, including the breast base, height and overall
width,’ says Dr Moore. ‘The distance from the nipple
to the inframammary crease (underneath the breast) is
influential in the appearance of a perky breast,’ he says. ‘By
also measuring the relevant proportions of the figure, it is
possible to determine the best breast size for the patient to
enhance the rest of her body.’
Advances in breast implants
mean it is easier than ever to
achieve natural-looking curves
Dr Moore prefers to use polyurethane-coated P-URE
implants as he believes they offer the best of both worlds:
enhanced, natural-looking breasts with an excellent
safety profile. ‘In my experience, polyurethane-coated
breast implants produce very natural-looking results while
minimising the risk of the most common complications
associated with breast augmentation,’ he says. ‘I believe
polyurethane-coated P-URE implants have provided a
significant breakthrough in breast implant surgery.’
All breast implants come with the risk of rippling, moving
and capsular contraction, but Dr Moore believes the risk of
these is significantly less with P-URE implants.
112 www.cosbeauty.com.au

easts
Part of the success of polyurethane implants is their
ability to reduce the rate of capsular contracture, which
is the hardening and distortion of implants as the body
forms a scar capsule around them. The textured surface of
P-URE implants forces the body’s collagen to surround the
implant in a criss-cross pattern, preventing contraction and
lessening the chance of implant distortion.
‘A number of studies have shown there is only a one
percent risk of capsular contracture with polyurethanecoated
implants, which is a significant improvement on the
10 percent risk associated with saline and silicone implants,’
says Dr Moore.
With so many choices in terms of implant size, shape and
material, an experienced surgeon can help guide women as
to the best breast to enhance their body. ‘It comes down
to the proportions of the figure and the desired result of
each patient,’ he explains.
Breast augmentation has one of the highest patient
satisfaction rates, and these days it offers more naturallooking
results than ever before.
‘Importantly, technological advancements to the implants
themselves have also meant the procedure offers greater
long-term safety and patient peace of mind,’ Dr Moore
concludes. csbm
1
BEFORE
AFTER breast augmentation by Dr Moore
2
BEFORE
AFTER breast augmentation by Dr Moore
3
BEFORE (exisiting scar on left breast)
AFTER breast augmentation by Dr Moore
www.cosbeauty.com.au 113

easts
results
Canberra plastic surgeon
Dr Ross Farhadieh shares his
experience using Silimed implants
to achieve optimal results in
breast augmenTATIOn. Caitlin
Bishop repORTS.
There are a number of measures that can help reduce
the risks associated with breast augmentation.
Selecting the most suitable size, shape and type
of implant is foremost in creating the desired result and
minimising complications following surgery.
Silimed implants, distributed in Australian by
Device Technologies, are designed to counter the risk
of capsular contracture – one of the most common
complications in breast implant surgery.
Capsular contracture involves the hardening and
distortion of breast implants following insertion. It occurs
when the scar tissue surrounding the implant begins
to contract, squashing the implant and causing varying
degrees of distortion.
Silimed implants use a textured or polyurethane-foam
coating to prevent the alignment of collagen fibre in the
scar tissue. This helps inhibit contraction and lowers the
risk of complication following surgery.
Canberra plastic surgeon Dr Ross Farhadieh has
been using Silimed implants for the past 12 months.
He is internationally recognised for his contributions
in multiple scientific and clinical journals, including
international plastic surgery textbooks on breast
augmentation, and believes the Silimed range affords
a viable option in reducing the risk of complications in
breast augmentation.
‘The standard Silimed implant range is comparable
with any of the other higher end suppliers,’ he says.
‘Other implant shapes are provided across the range
with the intent of addressing issues such as obviating
the need for mastopexy in mild cases.’
Silimed breast implants are available in a selection
of shapes: round, anatomical (teardrop) or conical. The
114 www.cosbeauty.com.au

easts
implants are fi lled with soft, cohesive silicone gel, which
help create a more natural look and feel following breast
implant surgery.
According to Dr Farhadieh, the polyurethane foam
coating also assists in implant adherence to surrounding
tissue, ‘making it less prone to rotation and subsequent
malpositioning, which is a well known complication with
anatomical shaped implants’.
Because of the benefi ts associated with Silimed implants,
Dr Farhadieh commonly uses the implants in revision
surgery. ‘Suffi ce to say, polyurethane coated implants have
their best place in revisional surgery,’ he explains. ‘This
is especially the case if a capsular contracture has been
present, or in implant-based breast reconstructions.’
While Silimed implants go a long way in reducing the
chances of complication following surgery, there are a
number of additional factors that help achieve the best
results in breast augmentation.
Patient preparation before surgery, a thorough
consultation process and certain precautions during
recovery are all essential in gaining the desired result. For
this reason, Dr Farhadieh takes an individualised approach
with all his patients, undertaking an extensive consultation
process before undertaking the operation. ‘A consultation
is more like an informal chat, for patients to get to know you
and you to get to know them,’ Dr Farhadieh explains.
‘Most patients are well informed and, although part of
the consultation is to convey information as well as physical
examination, the most important part is communication.
Listening to the patient’s expectations and needs is the
most important, if not the most basic, part of the art of
medicine,’ he concludes. csbm
P-URE implants
Breast augmentation continues to be the most
popular cosmetic surgical procedure for women,
and implant choice remains a key deciding factor in
achieving optimum results. So how has the introduction
of polyurethane foam-coated implants changed the
breast augmentation procedure?
The Silimed P-URE implant was developed in Brazil.
What makes this implant different is that the soft cohesive
silicone gel is covered with a layer of polyurethane (PU)
foam. The advantage comes from the modifi cation in the
body’s response to the implant, with native breast tissue
interfacing with the implant surface. The polyurethane
foam becomes part of the capsule, which stabilises
the implant with scaffolding which the natural collagen
fi bres wrap themselves around. The implant is therefore
secured in place with a Velcro-like grip.
According to evidence accumulated from more
than 40 years of use overseas, polyurethane coated
implants have a proven excellent safety record. The
main advantage is the reduced risk of two of the most
common concerns involving breast augmentation
procedures, which surgeons and manufacturers alike
have sought to reduce for years: capsular contracture,
or capsule hardening, and displacement.
Scientifi c evidence suggests the Silimed P-URE
implant minimises the risk of capsular contracture,
rotation and displacement, and with overall less
complications. Published studies show the rate of
capsular contracture – or hardening and distortion of the
implant in the chest – at up to 10 years after surgery was
reduced from around 10 per cent with other implants to
about one percent with the polyurethane coated implant.
Movement or displacement, where the implant
rotates or migrates south, can result in sagging, rippling
or wrinkling of the implant surface. This can also cause
aesthetic problems if an anatomical, or teardrop-shaped,
implant ends up upside down.
Many surgeons believe polyurethane foam-coated
implants have revolutionised the breast augmentation
procedure, offering a signifi cantly lower risk of capsular
contracture and other common risks associated with
breast implant surgery.
Examples of Silimed breast implants
www.cosbeauty.com.au 115

ody
Post-baby
tummy tuck
Sydney plastic surgeon
Dr Pouria Moradi says
abdominoplasty offers an
effecive option in toning
and tightening the
tummy after childbirth.
Caitlin Bishop reports.
Sometimes no matter the dedication, consistency and
motivation behind your fitness regime, abdominal fat
can be frustratingly difficult to conquer. Particularly
after childbirth, which causes the abdominal muscles to
separate, that desirable toned, tight and flat abdomen can
prove elusive.
Sydney plastic surgeon Dr Pouria Moradi says a ‘tummy
tuck’, or abdominoplasty, is a viable option in removing
excess skin and fat from the lower abdomen, and tightening
the muscles within the stomach wall.
‘Patients who have lost considerable weight or are
finding it difficult to flatten their stomach after childbirth
are ideal candidates for a tummy tuck procedure,’ Dr
Moradi explains. ‘The operation should not be seen as an
alternative to weight loss, but it does create a smoother and
firmer abdominal contour.’
Dr Moradi performs two types of abdominoplasty
procedures. A standard tummy tuck where the incision,
and final scar, stems from hip to hip just above the pubic
region. During this procedure, the abdominal skin is lifted
up to expose the underlying musculature. The abdominal
muscles are then repositioned with sutures, and the
excess skin and fat of the lower abdomen is removed. The
standard abdominoplasty operation involves the recreation
of the belly button, which is placed in a more youthful and
aesthetically pleasing position.
Alternatively, for those patients not needing such an
extensive reduction, the ‘mini’ abdominoplasty can be a
more suitable option. In this, both the incision and extent of
dissection is smaller than the standard procedure, but the
excess skin and fat are still effectively removed.
Patients who have lost a lot of
weight or are finding it difficult
to flatten their stomach after
childbirth are ideal candidates
‘Some patients, such as thin women who have had
multiple births, are more suited to a mini abdominoplasty,’
Dr Moradi explains. ‘The belly button does not need
repositioning and the resulting scar is similar to a caesarean
scar – it does not extend to the hip bones.’
In both procedures, Dr Moradi also typically performs
liposuction to smooth the abdominal contour and better
refine the shape of the hips and flanks.
116 www.cosbeauty.com.au

ody
A tummy tuck can also be combined with other
procedures, for example, breast augmentation, labiaplasty,
or a thigh or arm lift for all-over rejuvenation.
Prior to surgery, Dr Moradi conducts a lengthy
consultation with all his patients to discuss their
expectations and concerns going into surgery. ‘The first
step is establishing a great rapport between the patient and
surgeon and to start an honest and open dialogue about
the goals of the patient,’ he says. ‘Ultimately, the final goal
is to create a more proportionate silhouette and I often use
3D digital imaging tools to provide a realistic picture of what
the final result will be.’
This consultation process is followed by a pre-surgery
visit, where Dr Moradi explains how the procedure is
performed and prepares the patient for the post-operative
recovery period.
‘Abdominoplasty is performed under general anaesthetic
and typically involves a one to three night hospital stay,’
he explains. ‘Usually, patients are off work for two to four
weeks following surgery.’
It is common to experience a sensation of tightness
following abdominoplasty, which can sometimes cause
difficulty in bending and other movements. Dr Moradi
explains patients should avoid heavy lifting during the
recovery period, but can resume regular activity around six
weeks post-operatively.
‘Patients won’t be able to lift anything heavy for the first
six weeks after surgery, but then they can return to normal
activities, completely unrestricted,’ Dr Moradi explains.
‘Most women actually feel stronger when they go to the
gym after a tummy tuck, because the core muscles have
been tightened.’
Like any surgery, abdominoplasty comes with certain
risks and complications, which means it is especially
important for patients to choose a skilled surgeon with
extensive experience.
According to Dr Moradi, detailed pre-operative
assessment, thorough surgical planning and diligent postoperative
care can go great lengths in ensuring a smooth
and successful recovery, with optimum results.
‘I devise a pre-operative plan for each of my patients
to optimise their health and healing capacity,’ he explains.
‘We look at what medications or over-the-counter vitamins
they are taking, and get their blood pressure under control
if necessary. It’s also essential patients stop smoking well
in advance of their operation.’
Following surgery, compression body garments are
worn during recovery to accelerate healing and help redrape
the skin more evenly over the body’s newly defined
contours. csbm
Case Study
This patient, a 55-year-old mother of three,
approached Dr Moradi hoping to flatten her stomach.
No matter how much core strengthening work she
did, she couldn’t tighten her stomach because of the
muscle separation resulting from childbirth.
She underwent a mini-abdominoplasty with
liposuction, and the incision only added a small
extension to her previous caesarean scar. She was
able to return home two days after the operation.
The post-operative photographs show a flattened
stomach, even when the patient is leaning all the way
forward. Notably, she reports increased core strength
during exercise after her tummy tuck operation.
BEFORES AND AFTERS
BEFORE
Photos taken from 3D images of real before and after photos.
BEFORE
AFTER abdominoplasty by Dr Moradi
AFTER abdominoplasty by Dr Moradi
www.cosbeauty.com.au 117

ody
The
‘Western Society’
Syndrome
Sydney cosmetic surgeon, anti-ageing and regenerative practitioner
Dr Joseph Georghy has developed a new treatment approach for
Metabolic Syndrome, a complex medical condition also known as the
‘Western Society’ syndrome.
Metabolic syndrome is a medical condition that
usually affects middle-aged men, but it can start at
any time. It is characterised with central abdominal
adiposity, or a growing waistline, occasionally forming an
apron-like fold over the abdomen.
Abdominal adiposity is also called visceral fat, which lies
deep within the abdominal cavity and pads, the internal
abdominal walls, and the attachments of the organs
(particularly the small and large bowel). This internal fat, also
known as white fat, is considered to be mainly responsible
for the metabolic effects on insulin resistance (IR), cardiometabolic
syndrome, type 2 diabetes, hypertension,
depression, Vitamin D deficiency, partial androgen
deficiency in males (PADM), dyslipidaemia, osteoporosis,
cognitive decline, erectile dysfunction, sleep apnoea,
general cancer risk (breast, colon, prostate), kidney disease
and kidney failure, and probably much more.
Unfortunately, many young men are not recognised
with metabolic syndrome and some are misdiagnosed and
treated for depression instead.
What is insulin resistance?
Insulin resistance (IR) is usually defined as a state
characterised by the reduced glucose-lowering activity of
insulin, but it can also be used as a shorthand label for a
clinical syndrome encompassing significant pathologies of
metabolic syndrome. Insulin is a gene expression modulator
involved in many biochemical processes in the body.
Failure to diagnose IR in the younger population has
a possible association with abdominal obesity (cardio
metabolic syndrome is present in 6.7 percent of people
aged 20 to 29 years and is increasing every year).
How does metabolic syndrome
develop?
I believe low testosterone, low Vitamin D, low serotonin
levels, lack of exercise, increased food intake (particularly
carbohydrates and phytoestrogens) and family propensity
to consume excess calories may trigger a cascade of
effects leading to metabolic syndrome. It can start at any
time, even in teenagers, but the risk factor increases with
age and it is more prevalent in the ageing population.
Metabolic syndrome can be treated. An experienced
medical practitioner can diagnose and treat the condition
early with an integrative medical approach, including:
• Lifestyle interventions (low GI Mediterranean diet,
exercise, socialising, stress management)
118 www.cosbeauty.com.au

ody
• Macro- and micro-nutritional management (green
tea, cinnamon, fenugreek, Banaba, fish oil, Boswelia,
Curcumin, Ubiquinol)
• Supplementation (Vitamin D, Q-10 (in the form of
Ubiquinol), Alpha Lipoic Acid)
• 5-hydroxytryptophan (5-HTP) therapy. Researchers have
found 5-HTP make people feel more full after eating, so
they ate less. Since serotonin helps regulate mood and
behaviour, 5-HTP may have a positive effect on sleep,
mood, anxiety, appetite and pain sensation.
• Lipostructure of fat deposits
• PhotoDynamic HelioTherm to treat internal white fat
deposits (thermogenic effect) and
probably much more.
The combination of lifestyle
modification, lipostructure and
PhotoDynamic HelioTherm therapy is a
new advancement in the treatment of
metabolic syndrome. In my experience,
it is painless, there is no downtime
(literally walk in, walk out), provides an
excellent skin retraction (particularly if
combined with MiroPen microneedling
and platelet-rich plasma (PRP) therapy).
The results can be permanent,
provided the patient eats sensibly,
exercises regularly and takes
supplements and prescribed
medications. Most patients are very
satisfied with the results. They feel more
comfortable in a wide variety of clothes
and more at ease with their bodies.
As long as a patient’s expectations
are realistic, they should be happy with
their new shape.
What is the future?
BioRestorative Therapies Inc, a
stem cell biotechnology company, is
advancing its ThermoStem Program,
designed to develop treatments using
brown fat stem cells for metabolic
disorders and obesity, focusing on
potentially preventing the onset of type
2 diabetes.
The ThermoStem Program is based
on pre-clinical research that increased
amounts of brown fat in the body may
be responsible for additional caloric
burning and reduced glucose and
lipid levels. Potential use may include
inducing weight loss (a ‘biologic diet’) and the reduction of
glucose and lipids – perhaps even leading to delaying or
preventing the onset of type 2 diabetes.
I believe that lifestyle modification, lipostructure (to
selected fat deposits), PhotoDynamic HelioTherm (lipolysis
and skin tightening) and adopting the ThermoStem
Program (using brown fat stem cells) is the future treatment
in managing metabolic syndrome. csbm
Declaration of interest: The author is a designer and investor of
PhotoDynamic HelioTherm Therapy and investor in BioRestorative
Therapies - ThermoStem Program (Brown Fat Stem Cells).
Six months after BioRestorative ThermoStem Program by
Dr Georghy
Six months after BioRestorative ThermoStem Program by
Dr Georghy
Six months after BioRestorative ThermoStem Program by
Dr Georghy
www.cosbeauty.com.au 119

intimate surgery
Your
body,
your
choice
women seek genital surgery for numerous reasons, and these
are often overlooked in mainstream media, says Adelaide pelvic
reconstructive surgeon Dr Oseka Onuma.
Recently there has been a lot of negative talk in
mainstream media about the rising popularity of
the ‘designer vagina’. While such coverage may go
some way in increasing public education and awareness of
genital surgery options available to women, it does nothing
to remove the stigma of these procedures.
The number of women who appear to be patronised
by mainstream media and even by some members of the
medical community when seeking help is disappointing.
Comments that have been reported to me range from
‘Only strippers need that’ to ‘It’s all part of being a woman’.
When one considers that seeking help with labial issues is
embarrassing to most women, to be treated with such lack
of empathy means that many women never seek help for
the problem again.
The vast majority of my patients seeking vaginal
rejuvenation are not motivated by the so-called ‘porn
aesthetic’ as touted by many women’s magazines but
a growing dislike of pain during intercourse or labial
discomfort when participating in everyday activities.
Some women live with the discomfort of oversized labia
for many years and adopt strategies to reduce discomfort
such as wearing loose clothing. A significant number of
women who come to see me for a labiaplasty say they
have only recently become aware they can actually have
something done to improve their situation.
Few women find it easy to talk to strangers, doctors or
friends about a loose vagina, labial discomfort or lack of
vaginal sensation. These issues, however, need to be raised
and explored in order to provide the options for improving
quality of life.
As women become more aware that it is possible to
correct potentially embarrassing problems, there is a
growing demand for female genital surgery procedures.
They can increase a woman’s confidence in herself and her
relationships, as well as her overall quality of life.
These days women are less willing to accept changes
in genital anatomy resulting from pregnancy, childbirth
and ageing. They are less likely to have the attitude ‘it’s
just part of being a woman’. Providing knowledge, choices
and alternatives is an essential part of delivering a quality
medical service to improve the quality of life and function
of each patient.
It is important to listen to the concerns of the individual
patient, assess them with examination to establish a
diagnosis and then offer a series of potential solutions
with detailed discussion about how each approach might
impact positively or negatively if adopted.
120 www.cosbeauty.com.au

What problems can be treated?
The kinds of problems are as varied as the women who
suffer from them. They include protrusions or a lump within
the vagina, scar tissue, discomfort, or sagging at the
entrance to the vagina.
Oversized, elongated or asymmetrical labia minora,
the inner vaginal lips which surround the entrance to the
vagina, can cause irritation and discomfort when wearing
certain clothes or doing things such as bicycle and horse
riding or during sexual intercourse.
In addition, loose or weak vaginal muscles, mainly
caused through the muscles stretching during childbirth,
can cause problems for some women and their sexual
partners during intercourse.
Another problem may be female stress urinary
incontinence, caused predominantly by an improperly
functioning urethra. When a woman suffers from stress
urinary incontinence, weakened muscle and pelvic tissue
do not support the urethra adequately. As a result, the
urethra doesn’t maintain a tight seal during exercise or
other movement such as coughing or laughing, and urine
invariably escapes.
There is now a range of surgical options available that
can address and hopefully resolve these problems. Laser
reduction labioplasty can sculpt the elongated or unequal
labial minora as desired.
Labioplasty techniques can also reconstruct conditions
that are a result of the ageing process, childbirth trauma or
injury. The procedure can provide a youthful and aesthetically
appealing vulva. The vulvar structures (including the labia
minora, labia majora, mons pubis, perineum, entrance to
the vagina and hymen) can be surgically enhanced, both
functionally and aesthetically.
Laser vaginal rejuvenation can effectively enhance
vaginal muscle tone, strength and control. In my experience,
laser techniques enhance precision-reliant procedures with
controlled accuracy and result in rapid healing, less pain
and faster recovery.
The tensionless vaginal tape, or TVT sling, is a minimally
invasive procedure during which a Prolene tape sling
is inserted to correct stress urinary incontinence. ‘The
Prolene mesh is inserted through the vagina and positioned
underneath the urethra, creating a supportive sling, which
is held in place by surrounding tissues rather than sutured
into position. During movement or exercise, the mesh
supports the urethra, allowing it to maintain its seal to
prevent urine loss.
All women are born with differently shaped genitalia, and
with the effects of childbirth and age, many can suffer from
problems with their genitalia that can make them feel very
self-conscious and unhappy, often affecting relationships
with sexual partners. Changes to her external genital
structures can help restore a woman’s self-image and
esteem. csbm
feature
Laser Vaginal
Rejuvenation TM
SPECIALISING IN
• Aesthetic and functional
labial surgery
• Curing urinary incontinence
• Restoring pelvic support
• Enhancing sexual gratification
• Resolving menstrual dysfunction
OUR MISSION
To empower women
with knowledge, choice
and alternatives
Dr Oseka Onuma
BSc MJur MBBS FRCOG
FRANZCOG
Gynaecologist &
Pelvic Reconstructive Surgeon
Laser Vaginal Rejuvenation
Institute of Adelaide
Robe Terrace Specialist Centre Suite
4 Robe Terrace, Medindie
South Australia 5081
Phone 08 8344 6085
Facsimile 08 8344 6087
Email rooms@dronuma.com
www.dronuma.com
www.cosbeauty.com.au 121

intimate surgery
Private matters
intimate surgery is FAST gaining popularity among
women in Australia, according to Sydney cosmetic
surgeon Dr Colin Moore. Tara Casey reports.
S
Page 1
GEMENT
idening
ds
tomy Reversal
ry
(Lyn)
.com
OORE
Vaginal abnormalities can often inhibit a woman’s selfconfidence
and sexual satisfaction and, left untreated,
can result in both physical and psychological
concerns. However, there are a number of surgical options
that can alleviate discomfort, pain and hygiene issues
relating to the vagina, whilst improving its aesthetics.
‘Women who seek vaginal surgery have often noticed
changes to their vagina after giving birth or as a result of
ageing,’ says Sydney cosmetic surgeon Dr Colin Moore.
‘Stretched muscles and skin can change the shape of the
vagina significantly, both internally and externally.’
MEN’S & WOMEN’S
Cosmetic Surgery
‘A New You’
• Penis Enlargement – permanent
• Circumcision • Abnormalities (bends)
• Impotence • Vasectomy • Testicular Implants
• Breast Enlargement/Reduction • Tummy Tuck
• Face/Eye Lift • Vaginal Cosmetic/Surgical Repairs
EARS EXPERIENCE
B R I S B A N E
ITAL
Y
ent
y
gery
(Lyn)
.com
THE AUSTRALIAN CENTRE FOR COSMETIC SURGERY
Dr Colin Moore
MBBS, FRCS, FRACS, FACCS
www.drcolinmoore.com.au
To recieve an information pack call Lyn on
0414 251 234 or 1300 malepenissurgery
VISIT THE BEFORE ANd AFTER
pHOTO GALLERY AT
drcolinmoore.com/general/gallery.html
Finance options available
Dr Moore says it’s important in such cases to treat
each patient’s concerns in a holistic manner, tending to
both rough, loosened labial folds through a labiaplasty,
and sling muscles through a vaginaplasty. ‘Depending on
the patient’s concerns, I work with them to deicide on the
most appropriate treatment option for vaginal rejuvenation,’
he says.
A vaginaplasty is a day procedure which involves
tightening the sling muscles in the vagina by lifting the
muscles, removing excess vaginal lining and reattaching
the muscles. ‘However, it’s important the patient knows
that surgery will not turn back the clock 20 years,’ Dr Moore
cautions. ‘Over-tightening stretched vaginal muscles can
cause muscle cramps and spasms during intercourse. This
is where a senior surgeon’s skill and experience is essential
in creating optimal outcomes.’
A labiaplasty involves excising and sealing excess,
roughened tissue that can cause the labial folds to look
asymmetrical or stretched. ‘Younger patients usually opt
for labiaplasty alone to correct an uneven appearance of
the labial folds,’ says Dr Moore. ‘Essentially, if a roughened
edge is the issue, this needs to be removed. If not, we
slightly reduce the edges of the labia minora back to the
same level as the labia majora, and often reduce excess
skin covering the clitoral hood.’
Dr Moore explains that a labiaplasty procedure can
be especially beneficial in improving vaginal hygiene for
some women. ‘With large labia, urine can be trapped,
allowing bacteria from the bowel to migrate and colonise
in the urethra,’ he says. ‘This can result in chronic urethral
contamination or even cause infection to be flushed back
into the bladder, causing bladder infections. For many
women, labioplasty can rectify this.’
All of the above procedures, performed individually or
in combination, are usually carried out as day surgery under
general anaesthetic.
As with any surgery, there is an inherent risk of
possible complications, however when performed by an
appropriately trained surgeon in an accredited operating
theatre, these risks are minimal. csbm
122 www.cosbeauty.com.au

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ellafitness
Keep keeping your up appearances
eye on
the prize
want to flaunt a toned and terrific bod this summer? here are some
exercise essentials to help get you started. words by Jarrat wood
Some people train for health, some people train for
performance and some people train for appearance.
Vanity aside, training for appearance is a realistic
option. Everyone has a body part that they wish was bigger
EASY TIPS TO HELP YOU REACH YOUR
or smaller.
FITNESS GOALS. RUSSELL COX FROM
If you plan to train for appearance then remember some
REGENESIS important health FITNESS and safety guidelines: REPORTS.
• Training opposing muscle groups unevenly can lead to
postural and functional deficiencies.
• Health should be the number-one priority with an
exercise program and all exercise has an element of risk.
The New Year has arrived and it’s that time of the year
• There is a limit to how much you can vary your appearance.
when we usually create our goal list for the next 12
Genetics will always be an overriding determinant of
months. No doubt, getting fi t and losing weight are on
your appearance.
top of most of people’s lists. You can make it happen – but
determination and planning are the key factors to realising
your
The
fi tness
following
goals.
are some ‘cosmetic fitness’ suggestions for
training outdoors as the summer months approach. Break
down your program into body parts: legs, back, chest and
Set abdominals. realistic goals
First off, setting realistic fi tness goals is of paramount
importance.
Legs: stair
If you
running
push yourself too hard and set impossible
goals,
By running
it’s likely
stairs
you’ll
you
get
will
frustrated
pace a
and
higher
motivation
load on
will
the
be
hamstring,
lost. For example,
gluteal muscles
if you want
and calves.
to lose
Making
fi ve kilos
your
in total,
way
focus
back downhill
on losing
slowly
a kilo a
will
month
load
is
the
a
quadriceps
much more
ensuring
attainable
an
and
all-round
realistic
leg
goal.
workout.
Be aware
Try doing
that
normal
it takes
running
a while
or
for
walking
your
body
intervals
to gel
with
with
some
your
variations
new lifestyle.
as you
Training
advance.
can be tough
in the beginning, but after a while exercise and adopting
healthier Back: lifestyle reverse choices flyes become habit and the results
start It’s difficult to show. to train your back without heading to the gym,
but to add some definition to your trapezius and rhomboids
(the major muscles between your shoulder blades) try a
Enjoy reverse fly yourself! and extension.
Find Lie a face workout down you on a enjoy bench, – raise boxing, your swimming, arms out to your dancing, sides,
running, then move no your matter arms what in an is arc your above preference, your head. this Reverse is vital the to
keep movement you motivated. back to the Group starting classes position. are For an a excellent more advanced place
for workout beginners use some to kick-start dumbbells a for fi tness extra regimen. resistance. Over time,
Chest: push-ups
There is really no better all-round exercise than the push-up
when training outdoors. Place your hands shoulder width
or slightly wider with your wrists slightly above the nipple
line but below your shoulders. If you wish to focus more on
your chest muscles, place your hands a little wider and move
your elbows away from the body as you lower yourself.
To focus more on the triceps bring your hands a little
closer to your body and keep your elbows close to your body
as you lower yourself to the ground. Beginners should try
push-ups from the knees. If this is too difficult try push ups
you’ll be able to see what training you enjoy most and
on a raised bench with feet on the floor or against a wall
create your own bespoke exercise routine.
(the more upright you are the easier the push up will be.
Advanced trainers should try a full length push up raising
one leg in the air to increase the load on the upper body.
Get the know-how
Professional fi tness trainers are extremely benefi cial when
you’re
Abdominals
not too sure where to begin. A nutritionist can also
work
While
wonders
defined
in
abdominals
getting your
is
eating
appealing
habits
to
under
many
control
people,
and
the
educating
most significant
you about
effect
the
that
best
abdominals
foods to eat
have
to enhance
on our
the
appearance
results of
is
your
in regards
workouts.
to posture. Try the following sit-up
variation to assist you with walking and sitting tall.
Lie flat on the floor, sit up and raise one knee to your chest,
Location meeting as your is everything
torso and thigh are both almost vertical.
It’s
Focus
all about
on staying
location
as tall
– whether
as possible
in the
without
park, beach
crumbling
or at
your
the
gym,
posture.
make
Raise
sure
your
you
straight
work out
leg
in
at
an
the
environment
same time so
that
that
uplifts
your
and
heel
helps
is just
motivate
off the ground.
you. Even
Lower
better,
to the
try
ground
to fi nd
and
a location
repeat.
on
Try
your
8-10 repetitions
way home
on
from
each
work
leg. For
so
advanced
you can
trainers,
seamlessly
try 2
incorporate
legs at a time.
exercise
Beginners
in your
should
everyday
complete
life and
the leg
make
movements
it easier
to as stick above to without your fi tness the sit goals. up. Don’t wait until next year and
realise You your should fi tness always goals seek today! the advice csbmof a registered fitness
professional before undertaking any program. Visit your local
gym for the personalised guidance you require. bella
Quick Tip: Whether you go to the gym before
Jarrat or Wood after is a work, personal pack trainer and your the gym manager bag at the Regenesis day
Fitness before in Edgecliff, – you Sydney. save For time more and information it helps call you 02 9363 avoid 0376
or changing visit www.regenesisfitness.com.au
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112 // bellaBEAUTY
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skin
anti ageing
Light-Based
Rejuvenation
The Icon Aesthetic System from Cynosure takes light-based therapies
to the next level. Caitlin Bishop repoRTS.
The Icon Aesthetic System by CynoSure signifies the
next generation in fractional, light-based cosmetic
therapies. Delivering both intense pulsed light (IPL)
and laser light, the Icon System can be used to treat a
number of aesthetic and anti-ageing concerns – from laser
skin resurfacing and wrinkle reduction to hair removal and
pigment clearance.
Perth dermatologist Dr Roland Brand has been using the
Icon System for two years. He explains its adaptable nature
means it can treat a number of different skin concerns.
‘The Icon Aesthetic is most suited to patients with sun
damage, premature ageing, rosacea and scarring,’ Dr
Brand says. ‘It can also be used for paediatric patients with
birthmarks such as port wine stains. The Icon System can
also be used for the improvement of stretch marks, which
can usually occur after pregnancy.’
Sydney dermatologist Dr Robert McDonald uses the
Icon System for fractional laser treatment of photoaged and
sun-damaged skin, and to treat scars from acne, trauma
or surgery.
‘Fractional lasers divide the laser beam into smaller
“microbeams”, which interact with the skin to produce
columns of thermal injury,’ Dr McDonald explains. ‘The
skin around the columns provides a scaffolding for rapid
healing. This technology stimulates new collagen and
elastin synthesis and is used to rejuvenate skin by improving
texture and tone.’
Both effectiveness and patient comfort has been
optimised with the Icon System. It uses the maximum,
effective energy and includes an in-built contact cooling
system for enhanced comfort and epidermal protection. The
most revolutionary feature is the Skintel Melanin Reader – a
device that determines the average melanin density of skin
prior to treatment. This further helps protect against postinflammatory
hyperpigmentation and other complications.
‘The Skintel Reader is an important guidance tool for the
clinician as it measures the Melanin Index from a specific
area of the patient’s skin and then recommends a safe and
accurate dose range for a particular treatment parameter,’
Dr Brand explains. ‘It is individualised for that patient, based
on his or her skin type and current amount of melanin
pigment present at the time of treatment.’
Treatment with the Icon System depends on the type of
headpiece selected – IPL or laser – and the concern being
addressed. Topical anaesthesia may be required for certain
laser treatments, and Dr Brand explains the downtime will
vary between procedures.
The Icon Aesthetic stimulates
new collagen and elastin
synthesis, rejuvenating skin by
improving texture and tone
‘The downtime is usually minimal; ranging from a few
hours to a few days of some redness and swelling,’ he says.
‘The areas treated for pigmentation can get temporarily
darker for around seven to 10 days after treatment, and
then fade after the top treated skin layer peels off. ‘
Being such a versatile device, Dr Brand says the
Icon Aesthetic System generates effective results in
every capacity. ‘In most cases, with IPL for vascular and
pigmentation, the results are evident almost immediately,
with each subsequent treatment giving better clearance
and improvement,’ he explains.
‘Fractionated laser treatments for scarring, skin
rejuvenation, and skin resurfacing, take longer to generate
results (between two and six months), as it takes time for
collagen to rejuvenate within the dermis.’
‘I have seen excellent results using the Icon Aesthetic
System for a number of skin indications,’ Dr Brand
concludes. csbm
www.cosbeauty.com.au 125

feature
Light show
Your backstage
guide to laser
and IPL therapy
126 www.cosbeauty.com.au

feature
Laser and light-based technologies have fast become go-to
treatments for skin rejuvenation and cosmetic enhancement. We shed
light on this ever-growing market, how they work and what they
treat. AimÉe Surtenich reports.
anti ageing
The healing power of light has been recognised and
used for thousands of years, dating back to the
Ancient Greeks and Romans. Over the millennia,
our understanding and use of light-based therapies have
continually evolved to optimise results, reduce downtime
and treat a wide range of skin conditions and ageing
concerns. For cosmetic indications – from treating wrinkles,
pigmentation and stretch marks to scars, tattoo removal
and hair reduction – light-based treatments can be broadly
categorised as laser, IPL, LED and photodynamic therapy.
What is a laser?
In 1917 Albert Einstein theorised on the stimulated emission
of radiation, or what we commonly refer to as lasers. Today
lasers are used in a multitude of products and systems –
from CD players to barcode scanners. Laser is an acronym
for Light Amplification for the Stimulated Emission of
Radiation and is used in the cosmetic enhancement and
beauty industries for an array of treatments, ranging from
the correction of skin irregularities, pigmentation and
wrinkles to hair reduction and tattoo removal.
Lasers work by selecting a wavelength that is readily
absorbed by the target tissue. The target tissue is heated
to a temperature high enough to destroy it without
damaging the adjacent normal tissue. The laser emits a
single frequency of light with all the lightwaves going in the
same direction, allowing the target tissue to absorb the
maximum amount of heat. The target tissue is all-important
when treating skin problems with a laser: for pigmentation
it is melanin; for spider veins it is blood; and for wrinkles it
is water. Each of these target tissues absorbs a different
wavelength of light, meaning a different laser is needed for
each specific problem.
So why does absorbing light treat a problem? The light
energy is transformed into heat energy. This energy heats
the chromophore and causes damage. In the case of hair
removal, it heats up the hair follicle to a critical temperature
that causes irreversible damage to the hair follicle and
only the hair follicle. Surrounding structures will be heated
but not to a level where they are irreversibly damaged,
otherwise blistering will appear.
For blood vessels, the haemoglobin is targeted by green
or yellow light as these wavelengths are predominantly
absorbed by blood. The heat causes clotting, coagulation
and the closing down of small vessels. For resurfacing the
skin, the target tissue is water. The laser delivers enough
energy to heat the water in skin, vaporising it and in turn
vaporising skin tissue. Similarly, with each treatment the
heat causes damage of the target tissue, creating the
desired result.
However, without energy (measured in watts) to deliver
the wavelength nothing will happen. More energy increases
the heat and damage, so there is a trade-off.
One of the special qualities of laser light is its ability
to be pulsed. Often the beam can target the chromophore
for long enough to heat it, stopping before surrounding
tissues absorb too much of the light, then this process
is repeated. The duration of pulse is proportionate to the
size of the target.
The main differences between lasers have to do with
the wavelength of the light emitted by the device. What
you need to know is that different laser wavelengths –
which equate to different colours of light – can target
different concerns.
Many different materials may be used as the laser
medium, and the laser type, is commonly known by the
particular medium used. For example, lasers used in
cosmetic procedures frequently include carbon dioxide
(gas), dye (liquid) or Neodymium:yag (solid).
Each medium produces light of a particular wavelength
or, in terms of visible light, colour. The entire range of
potential colours, from ultraviolet to radio waves, is known
as the electromagnetic spectrum.
It is important to note that the ‘yag’ in many laser
types describes not the lasing medium, but the matrix of
Yttrium Aluminium Garnet in which the lasing atoms are
held. This is a clear, glass-like material that is transparent
to visible and near-infrared wavelengths.
Most lasers operate in one of two principal modes. The
first is Continuous Wave (CW), which refers to a laser beam
that is present continuously throughout operation.
The second principal mode is referred to as pulsed
mode, where the laser energy is not continuous but
released entirely over a very short time, such as a millionth
of a second. An example is the Q-switched laser. This
allows for much higher levels of energy to be used than
with CW.
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feature
The beam may also be turned off mechanically or
electronically for brief periods (for example, on for a second,
then off for half a second). This is often called pulsed
CW mode.
When laser light is absorbed by the skin it is converted
to heat, which can result in the burning, vaporisation or
coagulation of the targeted tissue. In this respect, lasers
can be further divided into two basic types: ablative and
non-ablative.
Because laser treatments use heat, a mild to moderate
burning sensation is experienced during treatment and slight
swelling and redness afterwards. This can be covered with
makeup and normally subsides in a few days, depending
on the level of treatment administered.
Ablative and fractionated laser treatments can be
administered only by qualified cosmetic doctors.
Always ask how new the laser is, when it was purchased
and when it was last checked by the manufacturer. Recent
models are far superior to earlier ones in terms of achieving
predictable and precise results with less downtime.
Ablative lasers
Ablative lasers, notably carbon dioxide (CO 2
) and
Erbium:YAG, use a process where the upper layers of
aged or damaged skin are vaporised by a deep, single
wavelength of energy to remove and resurface the skin,
either superficially or through to the deeper layers.
It is this damage that stimulates the healing and
restructuring of the skin, resulting in a more even complexion
and a significant reduction in lines and wrinkles.
These lasers are often used to remove deep lines or
scars as well as to improve overall skin tone and texture
and typically require only one session.
They do need anaesthetic, or some form of pain
management and incur downtime during which the skin will
crust over, shed the scabs and fully heal.
The oldest type of ablative laser is the CO 2
laser, which is
still considered by many practitioners as the gold standard
for dramatic cosmetic improvement.
Carbon dioxide lasers can dramatically reduce wrinkles,
but downtime and side effects such as redness and peeling
are extended, usually taking many weeks to heal. Erbium
lasers have a great accuracy with fewer side effects but
cannot treat deep wrinkles as successfully.
Non-ablative lasers
Non-ablative lasers use wavelengths which do not burn
away skin and are suitable for the treatment of melasma,
scarring, fine lines and wrinkles and typically do not require
any downtime.
This type of laser does not damage the skin, which can
be considered an advantage, but may be less effective and
require multiple sessions.
Non-ablative lasers are commonly used to correct
certain skin concerns, remove tattoos and reduce hair by
targeting the dark pigments.
Fractionated laser technology
The advent of fractionated laser, where microscopic
columns of skin are treated while surrounding skin is left
intact, has made it possible to achieve results comparable
to traditional CO 2
laser resurfacing with fewer side effects
and profoundly less downtime.
Fractional skin resurfacing can utilise both non-ablative
and ablative laser systems – the breakthrough difference of
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How does laser light
differ from other light?
Laser light is different to normal light for many reasons.
It travels in a synchronised fashion, retains its intensity
over a long distance, is monochromatic (of the same
wavelength or colour) and it can be pulsed.
The principle behind lasers is light absorption. The
same as a black car will be hotter than a white car
because it absorbs more wavelengths of light, certain
target tissues will absorb certain wavelengths of light
more effectively. As the laser light is monochromatic,
the target tissue will take on maximum absorption while
the surrounding tissues won’t. This allows the target to
be isolated and treated.
It’s the colour in the structure that absorbs the colour
of the wavelength. There are absorption spectra (level
of absorption of particular wavelengths) outside of our
normal colour vision range. We can’t see ultraviolet light
but it’s there and is absorbed by particular structures.
Carbon dioxide (CO 2
) and erbium lasers emit
frequencies out of our visible range and water is a very
strong target tissue for them.
this technology is the fractionated delivery system of light.
All fractional resurfacing follows the same premise: the
laser beam is broken up, or fractionated, into many small
microbeams. When these beams strike the skin’s surface,
only small areas of the skin are damaged, leaving the
surrounding skin intact. These small areas of undamaged
skin promote much more rapid re-epithelialisation, recovery
and healing, which promotes new collagen production and
facial skin rejuvenation.
The applications for fractional laser technology include
overall facial rejuvenation, improving evenness of skin tone
and texture, reducing pore size, improving the appearance
of lines and wrinkles and helping to reverse the effects
of sun damage. A more mild treatment may take several
sessions, while one procedure is usually sufficient for a
more aggressive treatment.
Light-based therapies
feature
Intense Pulsed Light (IPL) delivers a broader spectrum
of light energy, unlike a laser’s single wavelength – but it
is not a laser. IPL is a non-invasive procedure that has
been shown to help improve the appearance of red and
brown skin discolourations, birthmarks and symptoms of
rosacea, as well as to tighten and refine the appearance of
the skin. This process is also known as photorejuvenation
or a photofacial.
The usual downtime with IPL modalities is minimal to
none, depending on the intensity of treatment, however
full recovery can take around two weeks in some cases.
Immediately after IPL a slight burning sensation can occur
for a few hours but there is generally little discomfort.
Temporary discolouration can usually occur for around
three to four days after the procedure and this skin will flake
off slowly. Short-term side effects include reddening of the
skin (erythema), temporary bruising and swelling (oedema).
Reactions such as scabbing and blistering are possible,
though rare. It’s important to protect skin from UV light with
daily sunscreen application.
Light Emitting Diode (LED) is a shallower, gentler
treatment than IPL, and is often used for collagen boosting
and rejuvenating the skin. LED comes in a variety of colours
– red for fighting acne, blue to combat bacteria and yellow
to reduce redness.
LEDs are very small lightbulbs that, in contrast to
ordinary incandescent bulbs, don’t get especially hot and
don’t burn out. LEDs have been found to trigger natural
chemical processes inside the cells, boosting the body’s
own production of collagen, which make them particularly
useful for skin rejuvenation. Together with certain photoreactive
acids, LEDs have been shown to be extremely
effective in the treatment of acne – this is known as photo
dynamic therapy.
Photodynamic therapy (PDT) uses a chemical
reaction activated by light energy (LED light or laser) to
selectively destroy specific tissues, and can be used to
treat sunspots, certain types of skin cancer, rosacea, acne
and sun-damaged skin.
A photosensitising medication is applied topically on
the skin and a narrow band of light (red or blue light) is
administered to cause a moderately deep exfoliation and
target damaged tissue and sebaceous glands. When skin is
exposed to a light source of an appropriate wavelength, its
photosensitiser molecules are activated to produce oxygen
intermediates that destroy the targeted cells. Recovery time
is around two weeks after each treatment and usually one
to three sessions are required.
The benefits and applications for laser and light-based
treatments continue to grow, and their full potential for
treating a myriad of cosmetic and medical issues is perhaps
still to be realised. csbm
anti ageing
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skin
Fractionated
Rejuvenation
rejuvenate your complexion and improve the look of wrinkles and
pigmentation with the ever-popular fraxel laser. Caitlin Bishop reports.
Since its introduction to Australia in the 1980s,
cosmetic laser technology has evolved significantly.
With new technologies and advanced techniques,
laser treatment has become more refined, granting effective,
predictable and consistent results in facial rejuvenation.
Fraxel, distributed by Solta Medical, signifies the cutting
edge in skin resurfacing, using fractionated laser to reduce
the appearance of wrinkles, combat the signs of ageing
and help treat pigmentation and scarring.
Where once laser was purely an ablative treatment – a
literal skin resurfacing where the top layer and part of the
sub-layer was removed – the advent of fractionated lasers
has transformed the way laser light can be used as an antiageing
treatment.
Instead of removing the skin’s surface, fractionated
lasers make thousands of microscopic injuries in the skin.
These injuries stimulate the production of collagen in the
dermis, which strengthens, tightens and remodels the skin
from within. In this, fractionated laser treatment can help
homogenise skin tone and texture, fill wrinkles and improve
the appearance of skin blemishes, pigmentation, scars and
stretch marks.
Sydney cosmetic surgeon Dr Neal Hamilton uses
Fraxel to treat a number of patient concerns. He believes
the fractionated technology has opened a wealth of
opportunities in treating aged, sun-damaged skin. ‘Fraxel
provides the best combination of beautiful results, comfort
of treatment, expedited healing and affordability,’ he
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elieves. ‘Over the past decade, the Fraxel systems have
revolutionised how we treat aging and sun-damaged skin.’
Dr Hamilton uses Fraxel to treat a number of conditions,
including textural irregularities, fine lines, deep folds, poor
skin tone, enlarged pores, pigmentation and redness.
Notably, Fraxel treatment can be performed using either
light or heavy settings. At his clinic, Dr Hamilton offers Fraxel
‘resurfacing’ (heavy Fraxel) and ‘laser peeling’ (light Fraxel),
depending on patient concerns.
‘Fraxel can be used almost like a “light dimmer switch”,’
Dr Hamilton explains. ‘I find the low settings
are excellent for improving skin texture, enhancing
the complexion, treating pigmentation and
reducing crepey skin.’
‘The high setting achieves the same effect but
also helps tighten skin, reduce the appearance of
wrinkling and assist in scar reduction,’ Dr Hamilton
adds. ‘Typically, heavy Fraxel resurfacing can take
a decade off of the skin’s appearance.’
skin
to keep their skin beautiful,’ Dr Hamilton says. ‘For heavy
Fraxel resurfacing, those with moderate to extreme sun
damage can benefit. The aim is to make the facial skin look
more like the skin on the inside of the forearm.’
As well as a standalone treatment, Fraxel can also
be used to reduce the appearance of scarring following
surgery, or to boost skin health before undertaking surgery.
This can help optimise and maintain the results of surgical
rejuvenation, affording a holistic and long-term approach to
facial anti-ageing. csbm
anti ageing
Over the past decade,
Fraxel has revolutionised
how we treat aging and
sun-damaged skin
BEFORE
One month AFTER one Fraxel treatment. Photos
courtesy of Solta Medical
According to Dr Hamilton, the amount of
treatments required, and the downtime involved
following each treatment, varies depending on
the level used. ‘Ideally, light Fraxel is performed
relatively frequently to maintain results, for example
every 12 to 18 months,’ Dr Hamilton explains.
‘This level of Fraxel offers minimal downtime –
most patients can function as normal following
treatment, using makeup to cover any redness.’
‘Alternatively, the more aggressive level of
Fraxel is performed infrequently – every five years
or so,’ Dr Hamilton adds. ‘Because it is more
ablative, it incurs around 10 days of downtime.’
Each treatment generally lasts between 15 to
45 minutes and results usually take around three
weeks to appear, once the new collagen has
begun to form.
Fractionated laser can be used to address
those concerns once deemed near impossible
to treat – for example, keloid scarring, sun spots,
melasma and deep acne scars. By triggering
the body’s healing response, and harnessing
the skin’s natural processes, Fraxel boosts skin
health, enhances its resilience and helping treat
specific ageing concerns.
‘There is no such thing as a “typical patient” for
light Fraxel – it is suitable for anyone who wants
BEFORE
BEFORE
AFTER xxxxx
One month AFTER one Fraxel treatment. Photos
courtesy of Solta Medical
www.cosbeauty.com.au 131

skin
Lift
& tone
tighten
In a non-surgical approach to
facelifting, Ultherapy by high
tech laser uses ultrasound
technology to lift the face and
neck. caitlin Bishop reports.
132 www.cosbeauty.com.au

skin
In lifting and tightening the skin on the neck, chin and
brow, Ultherapy, distributed by High Tech Laser, signifies
the latest technology in non-surgical, non-invasive
facelifting. It is designed to counteract the skin laxity
associated with ageing, and uses focused ultrasound
technology to improve skin texture, refine the facial contours
and, most notably, lift the skin on the face and neck for an
anti-ageing effect.
‘Ultherapy uses the fundamentals of ultrasound
technology to address the same muscles of the face and
upper neck that are affected in a surgical facelift or brow
lift,’ explains American dermatologist Dr Vivian Bucay, who
will speak at the Australasian Society of Aesthetic Plastic
Surgery’s (ASAPS) Non-Surgical Symposium in May.
‘Ultherapy can be effective in creating a more defined
jaw line, firming the skin under the chin and on the neck,
tightening the skin on the cheeks and reducing sagging
around the eyes,’ she continues. ‘It is also effective in
improving lines around the mouth.’
Similarly, Queensland cosmetic physician Dr Mary
Dingley uses Ultherapy to help combat the signs of ageing
and revitalise the complexion. She explains ultrasound
therapy can achieve consistent and predictable results.
‘Focused ultrasound seems to produce more reliable
results than what we were using before,’ she says. ‘Like all
non-surgical lifting procedures, Ultherapy involves a wait to
see the final results – around six months – but we seem to
get far more predictable effects with this modality.’
Ultherapy causes a gradual
lifting effect, due to the formation
of new collagen in the skin’s
deeper layers
Ultherapy uses a patented DeepSEE technology
to achieve noticeable results. This technology affords
practitioners a visual image of the subcutaneous skin layers,
up to 8mm deep. It is here, in the superficial muscular
aponueurotic system (SMAS), where Ultherapy’s ultrasound
treatment inflicts small, fractional thermal injuries, without
damaging the skin’s upper layers. These injuries trigger
the body’s healing response and cause tightening and
shrinkage in the deep facial tissue.
‘The three-dimensional, digital imagery allows me to
see below the surface of the skin and accurately gauge
depth,’ Dr Bucay explains. ‘During treatment, I move the
transducer over the treatment area, laying down parallel
lines of ultrasound waves.’
For improved results, treatment can be performed at
different depths using alternative transducers. The SMAS
and dermis can be tightened using the 4.5mm and 3mm
transducers respectively, while the 1.5mm transducer
delivers effective results around the eye area.
Though multidimensional lifts can create holistic and
universal results, Dr Dingley says the different transducers
It offers a wonderful alternative
for the patient who wants a
firmer, more youthful face and
neck without surgery
can be used for different skin concerns. ‘Different
transducers will focus at different depths to produce
different effects. The deepest one focuses on the “SMAS”
layer, a fibrous layer below the skin of the face which is
usually tightened in surgical facelifts,’ she explains. ‘A
mid-depth transducer focuses on the deeper layers of
the skin, and a more superficial one may be used for skin
texture issues.’
Common treatment areas for Ultherapy include the
forehead, mid and lower face and eyelids. Treatment can
also help reduce the appearance of crepey and drooping
skin on the neck and cheeks, as well as the appearance of
nasolabial folds and marionette lines.
‘The typical patient is one with mild to moderate laxity,
usually of the cheeks and submental (under the chin) area,’
Dr Dingley says. ‘Ultherapy causes a gradual lifting effect,
which occurs due to the formation of new collagen in the
layers targeted during treatment. This takes place gradually,
over a six month period.’
In most cases, treatment is reasonably well tolerated
and patients can typically resume everyday activities
immediately after. Dr Bucay often combines Ultherapy with
other modalities to optimise results following treatment.
‘I usually have an initial consultation with my patients to
explain how Ultherapy works and explore the possibilities
of combining procedures,’ she explains. ‘Ultherapy can be
partnered with laser resurfacing or other treatments to treat
age spots and surface irregularities.’
Although there are some instances where surgery
is needed to achieve the most suitable results in facial
rejuvenation, Dr Bucay explains Ultherapy offers an effective
option for those patients looking to rejuvenate their face
using a less invasive process with next to no downtime,
if any.
‘Ultherapy affords a wonderful alternative for the patient
who wants a firmer, more youthful-looking face and neck
without surgery,’ says Dr Bucay. ‘Ultherapy improves
skin integrity and resilience, using a discreet process with
minimal downtime.’ csbm
www.cosbeauty.com.au 133

skin
Age eraser
Introducing PellevÉ, the
lATest technology to reduce
wrinkles and tighten skin with
no surgery and no downtime.
AimÉe SURTenich repoRTS.
Want to look younger without surgery and time off
work? Pellevé, distributed in Australia by Medtel,
could be the non-invasive solution you’ve been
looking for.
Pellevé is the latest non-surgical treatment for skin
tightening and mild to moderate wrinkle reduction and
has quickly gained traction in the US as a must-have facial
rejuvenation treatment, as featured on Good Morning
America, The Doctors and the Dr Oz. Show.
The device uses radiofrequency (RF) pulse technology
for non-ablative skin tightening and facial rejuvenation,
offering a less painful treatment to reduce some of the most
common signs of ageing.
Pellevé is designed to precisely deliver RF energy to
dermal tissue to induce collagen contraction without
damaging the epidermis (the outer surface of the skin).
The result is skin tightening and contouring with a
noticeable improvement in skin quality and texture. This
unique radiofrequency technology emits energy in the
134 www.cosbeauty.com.au

form of electromagnetic waves, which create a heated
treatment zone.
This heat induces collagen contraction and stimulates
new collagen formation in the dermis which also results in
epidermal tightening. As heat is most efficiently delivered to
the dermal layers (to trigger collagen production), there is
minimal risk of damaging the surface of the skin.
What makes Pellevé stand apart from some other
skin rejuvenation treatments is that it does not require any
local anaesthetic to numb the skin, it does not use injections
or needles and there is typically no downtime.
Pellevé is the latest
non-surgical procedure for
skin tightening and mild to
moderate wrinkle reduction
The actual treatment involves heating up the underlying
skin tissue using a Glidesafe handpiece connected to the
Pellevé machine. Due to its compact design, the handpiece
offers practitioners greater precision in targeting areas of
concern, such as the often difficult-to-treat eye area.
Using one of four handpieces, heat is gradually delivered
into the deep layers of skin, stimulating new collagen
growth and tightening skin. The gradual heat delivery offers
a painless treatment for the patient.
By using a combination of the different sizes of
handpieces, each patient’s treatment can be customised
so that specific areas of concern can be addressed,
resulting in the desired amount of energy being delivered
to achieve optimal results. Small handpieces are ideal for
manoeuvring around parts of the face that are traditionally
difficult to effectively reach, such as around the eyes and
nose/cheek junction. Larger handpieces are optimised to
treat the mid-face, jowl areas and neck.
It can be used anywhere on the face neck and hands,
smoothing and plumping out mild to moderate wrinkles,
nasolabial folds, and crow’s feet around the eyes, as well
as improving other common signs of ageing associated
with skin texture and skin laxity. Patients typically report no
discomfort during treatment, noting that it feels more like a
warm facial or massage.
The procedure usually takes around an hour, depending
on the number of areas to be treated. One treatment may
suffice, but most doctors recommend a series of three
treatments spaced around a month apart for optimal
rejuvenation results.
Tightening can be seen immediately after the procedure
due to contraction of the collagen layer. This tightening
1
BEFORE
2
What can PellevÉ
be used for?
BEFORE
skin
Pellevé can be used on all areas of the face, neck
and hands, remodelling tissue and tightening skin
through new collagen growth within the deeper skin
layers. It is commonly used to help improve:
• Crow’s feet
• Nasolabial folds
• Mild to moderate wrinkles
• Skin tightness and tone
• Skin imperfections such as age spots
and spider veins
effect continues to improve over two to three months as
new collagen forms, resulting in plumper, thicker skin. Full
results develop over a six-month period and can last up to
two years, with annual follow-up treatments being highly
recommended to maintain long-lasting results.
There is typically some redness, like a mild sunburn,
after treatment but this usually subsides within a couple of
hours. Other than this, there are generally no reported side
effects to Pellevé treatment and normal daily activities can
be resumed.
As a wrinkle reducing and skin tightening treatment, the
Pellevé system looks set to herald a breakthrough in nonsurgical
cosmetic enhancement. csbm
90 days AFTER 4 treatments (photos courtesy
of Dr Igor Jeremic)
180 days AFTER one treatment (photos
courtesy of Dr Antonio Rusciani)
anti ageing
www.cosbeauty.com.au 135

skin
Leaders in light therapy
Omnilux light therapy, a trusted method for rejuvenating and
beautifying the skin, is used by thousands of dermatologists and
plastic surgeons around the world. Caitlin Bishop reports.
Backed by many years of medical research, used
by more than 3,300 dermatologists and plastic
surgeons worldwide, and documented in over 40
peer-reviewed publications, Omnilux has a history that
surpasses any other light therapy device.
The device, distributed in Australia by True Solutions,
works with the body’s natural processes to help reverse the
signs of ageing and treat certain skin conditions. It uses
Light Emitting Diodes (LEDs) to deliver specific colours, or
wavelengths, and trigger precise reactions below the skin’s
surface. This is effective in achieving significant results –
results that have been supported by clinical research – in
skin rejuvenation, acne treatment and anti-ageing.
Sydney cosmetic surgeon Dr Saras Sundrum has been
using Omnilux in her clinics for the past 10 years. She has
received a consistently positive response from her clients.
‘Omnilux is the only proven TGA-approved LED device
with years of research and written papers behind it,’ she
says. ‘Our clients love the non-invasive nature of it and the
immediate results – it is a very relaxing treatment.’
The Omnilux system includes three different wavelengths:
near infrared (Omnilux Plus), red (Omnilux Revive) and blue
(Omnilux Blue). The wavelength is selected depending on
the concern being treated, and each wavelength excites
particular cellular activity in the dermis and epidermis to
promote healthy skin function.
A key difference between Omnilux and other systems
is the delivery of a single wavelength per treatment – as
opposed to using multiple wavelengths. This delivers more
direct, consistent and effective results, as the skin cells are
stimulated in the same way during the entire treatment.
There is no cell confusion, nor counter activity.
Some physicians, however, do choose to combine
Omnilux Plus and Omnilux Revive, as they can work in
conjunction to achieve a more thorough rejuvenation in
certain cases. ‘This combination results in a noticeable
softening of fine lines and a reduction in pore size,’ says
founder of Clear Complexions Clinics and registered nurse
Suzie Hoitink. ‘It also returns an overall, more youthful
appearance to the skin.’
136 www.cosbeauty.com.au

skin
anti ageing
Skin rejuvenation
Suzie uses the Omnilux system to treat a number of
different skin conditions and anti-ageing concerns of her
patients. She explains the light therapy can be effective in
undoing environmental damage and rejuvenating the skin
from within.
‘As we age, the structural integrity of the skin is
compromised, resulting in thinner skin, wrinkles and
capillary damage,’ Suzie explains. ‘Omnilux Plus and
Omnilux Revive work to “kick” the skin back five years or
so, to increase strength, elasticity and overall health.’
Our clients love the noninvasive
nature of Omnilux and
the immediate results
More specifically, Omnilux Revive targets fibroblasts in
the skin’s dermis, which are the cells responsible for
producing collagen and elastin. The red wavelength also
delivers an anti-inflammatory effect, helping promote
efficient, healthy and regular cellular activity in the skin.
Omnilux Plus works at a different level. It promotes the
activity of myofibroblasts, which are the cells that help
tighten collagen bundles and create a neat, even and
resilient structure of collagen fibres in the skin. Treatment
with Omnilux Plus has also been found to assist in healing
and to reduce the level of toxins in the skin.
‘If your skin is feeling tired and the effects of environmental
damage are beginning to show, the Omnilux system is
incredibly effective at rejuvenating your skin,’ Suzie explains.
Previous studies have found 10 treatments with
Omnilux is recommend to achieve optimum results in
general rejuvenation. Suzie typically performs two
treatments, twice a week, over a five-week period, to
achieve the optimal outcome. ‘Each treatment is pain-free
and lasts around 20 minutes in duration,’ she says. ‘Before
treatment, we apply a preparatory solution to the skin to
enhance light penetration.’
Notably, the Omnilux System can be used in conjunction
with other skin therapies to optimise results for a more
universal rejuvenation. ‘We use Omnilux after laser, IPL,
needling and injectable treatments to reduce inflammation,’
Dr Sundrum explains. ‘We also use it as a standalone
treatment for our patients who want rejuvenation and
collagen remodelling without any more invasive treatments.’
Healing benefits
Because of its regenerative and healing benefits, the
Omnilux Plus is often used before and after surgery to
accelerate and improve the healing process. The infrared
wavelength penetrates the skin by 8 to 12mm to trigger
the wound-healing response, reduce healing time and help
prevent scar formation.
‘For anyone considering surgery, the Omnilux Plus is
an absolute must,’ Suzie explains. ‘It can be used before
surgery to prepare the skin, and after surgery to promote
rapid wound healing and assist in scar reduction.’
Similarly, the anti-inflammatory benefits of Omnilux
Revive, and the healing benefits of Omnilux Plus, present
a valuable option in treating rosacea. Facial flushing,
persistent redness, thickened skin, visible capillaries and
painful inflammation are all symptoms of rosacea, and
treatment with the Omnilux system can boost immune
function, clear damaged tissue and promote the production
of new, healthy cells to clear the complexion.
Acne treatment
Acne is one of the most common and debilitating skin
conditions. It occurs when the sebaceous glands in the
skin produce too much oil, creating a breeding ground
for bacteria and leading to clogged pores, pimples,
inflammation and redness.
The Omnilux Blue is designed to prevent the spread of
this bacterium, by penetrating the skin’s deeper layers and
stimulating the production of bacteria-destroying chemicals.
Suzie often combines Omnilux Blue with Omnilux
Revive, to partner the anti-bacterial and anti-inflammatory
effect. When used in acne treatment, the Omnilux system
soothes painful inflammation, reduces the amount of
bacteria and improves acne. At the same time, the system
also accelerates healing and strengthens the natural
function of the skin to prevent against future recurrence of
acne irritation. csbm
www.cosbeauty.com.au 137

skin
rolling
back the
years
The Eclipse MicroPen is an
innovation in microneedling,
improving the appearance of
ageing, damaged skin. AimÉe
Surtenich reports.
The Eclipse MicroPen, distributed in Australia by
Avention Global, is the latest advancement in
microneedling. This skin rejuvenation system is useful
in improving fine lines and wrinkles, acne and surgical
scars, stretch marks and overall skin tone and texture.
Also known as Collagen Induction Therapy (CIT),
microneedling is a minimally invasive procedure that uses
tiny needles to create multiple microscopic injuries in
the epidermis. The micro injuries trigger the production
of collagen and elastin, the building blocks of smoother,
healthier looking skin. The result is a more even-toned,
tighter and radiant skin as the new healthy skin cells
work to rejuvenate skin from the inside out, helping to
fill in depressed scars and wrinkles and smooth skin
imperfections.
In this way, it works like any fractionated procedure,
perforating multiple pin-point holes at various depths in the
skin to trigger the body’s natural healing response.
Benefits of microneedling
The MicroPen is safe to use on numerous parts of
the body, including the face, neck, décolletage, arms,
hands, legs, abdomen and back. Benefits include:
• Reduction in fine lines and wrinkles
• More radiant skin tone and texture
• Improved appearance of pigmentation
• Improved appearance of acne and surgical scars
• Improved appearance of stretch marks
• Overall younger looking skin
What makes the MicroPen different?
Composed of medical-grade stainless steel, the Eclipse
MicroPen is the first completely cordless fractional
automated microneedling device for treating various
dermatologic indications. It uses automated oscillation at
8,500RPM to place microchannels more uniformly and
reduce trauma to the skin.
The MicroPen features the new Turbo Safety Needle,
consisting of 12 32-gauge medical-grade needles for
rapid healing, minimised discomfort and – uniquely – no risk
of cross-contamination. The vented Turbo Safety Needle
virtually eliminates the risk of cross-contamination by
its unique needle cartridge which blocks the migration
of fluids.
The cross-infection protection system works in two
ways: first, the side outlet prevents negative suction drawing
fluid into the pen; and second, the concertina synthetic
prevents any fluid contaminants from entering the pen.
No other needle has this feature and ensures the safety of
the patient.
The ultra-fast pulsation also enhances optimal patient
comfort and shorter treatment time. Further, the MicroPen’s
fractionated Turbo Safety Needle, as featured on the hit US
TV show The Doctors, is designed to cause minimal trauma
to the skin and surrounding tissue while still achieving
desired end points necessary for collagen remodelling.
‘I am very enthusiastic about the new MicroPen skin
needling device,’ says Sydney cosmetic surgeon Dr
Joseph Georghy, one of the first adopters of the MicroPen
138 www.cosbeauty.com.au

in Australia. ‘I believe it has the potential to revolutionise
the practice of treating many skin conditions, as well as for
overall facial rejuvenation,’ he continues. ‘Its slim, light and
ergonomic design fits in the palm of your hand, enabling a
more efficient and comfortable treatment.’
The tiny microchannels created by the MicroPen are
also ideal for the absorption of topical skincare products
such as hyaluronic acid, lightening serums or woundhealing
topicals, allowing diffusion of product into those
deeper skin layers at a cellular level.
For the right patient, microneedling with the MicroPen
offers an effective alternative to common skin resurfacing
techniques such as laser therapy and dermal rollers. It is
also suitable for use in conjunction with platelet-rich plasma
(PRP) treatment, to maximise the skin rejuvenation results
of PRP.
What does the treatment involve?
During the procedure, the pen is gently pressed against the
skin while simultaneously gliding in one direction until the
entire treatment area has been covered.
The Turbo Safety Needle depth is adjustable from 0
to 2.75mm, allowing the practitioner to adjust the level
of treatment according to the patient’s needs. Each
skin
procedure takes around 15 to 30 minutes, depending on
the area treated.
‘Importantly, the MicroPen’s cordless, portable design
allows the practitioner to move more freely during treatment,
affording greater control and accessibility to the patient’s
target areas,’ says Dr Georghy.
Patients can typically resume their everyday activities
straight after treatment. Mild redness and some inflammation
of the skin is typical, but this usually subsides after a day
or two and can be covered by mineral makeup if desired.
Visible changes to the skin develop over the course
of several days and weeks. Results are cumulative, and
continue to improve up to six months after treatment as
collagen production continues.
Some patients only require a single treatment, once
per year to achieve, and maintain, optimal results. However,
it is recommended for most patients to receive a series
of two to three treatments spaced around six to eight
weeks apart. For patients with deep-set wrinkles, advanced
photoageing, stretch marks or acne scars, it is advised to
undergo six to eight sessions at six-week intervals.
‘I believe the MicroPen and the Turbo Safety Needle’s
cross-contamination protection system heralds a
technological breakthrough in microneedling treatment,’
Dr Georghy concludes. csbm
anti ageing
ROLL BACK THE YEARS
WITH THE ECLIPSE MICROPEN
A breakthrough for beautiful skin
The Eclipse MicroPen uses tiny sterile needles to create
controlled micro-injuries to the skin for radiant results.
The MicroPen is a slim, portable, cordless design which fi ts
in the palm of your hand. It gives the practitioner superior
control during micro-needling treatment, while affording a
faster and more comfortable procedure for the client.
The skin benefi ts of micro-needling include:
• Improving fi ne lines
• Tightening skin and improving tone
• Promoting collagen and elastin production
• Reducing the appearance of acne scarring,
pigmentation and stretch marks
To learn more about the unique
benefi ts of the Eclipse MicroPen call
1300 068 357
www.aventionglobal.com
www.cosbeauty.com.au 139

skin
Love
the skin
you’re in
In treating skin from the inside out, Suzie Hoitink from
Clear Complexions Clinics TAkes an individualised, holistic and
combined approach to anti ageing. Caitlin Bishop reports.
Clear, healthy and radiant skin can take years off
your age. By countering the fine lines and wrinkles,
textural irregularities and hyperpigmentation often
associated with premature ageing, effective skincare and a
multi-modal approach to anti-ageing can go a long way in
fortifying the skin and maintaining youthfulness in the body’s
biggest organ.
‘There is a plethora of treatments available that help
minimise and prevent the signs of ageing,’ says Suzie
Hoitink, registered nurse and founder of the award-winning
Clear Complexions Clinics. ‘It’s about knowing how to put
the right combination of skincare and treatments together
for each individual, and establishing a plan that maintains
skin health going forward.’
A common skin complaint, particularly in Australia,
is hyperpigmentation or ‘sun spots’ on the face. This is
caused by increased melanin (the skin’s natural pigment) in
the epidermis, and is triggered by sun damage, hormones,
trauma and some diseases. Scarily, the ‘invisible mask’ of
pigmentation can go unnoticed for years before appearing
to blemish the face, as patches of melanin can accumulate
below the skin’s upper layers without any visible, telltale
signs presenting on the surface.
‘Most clients in their forties come to me concerned
with pigmentation, or brown spots and marks, that keep
appearing on their skin,’ explains Suzie. ‘Despite being
vigilant in more recent years about sun protection, the
damage that was caused in their twenties and thirties due
to sun exposure has already been done and will continue
to surface.’
Although hyperpigmentation is notoriously difficult to
treat, Suzie’s approach combines technologies to help
lighten the appearance of surface spots and regulate the
production of melanin in the skin.
‘The beautiful thing is we’ve got access to numerous
ways for treating hyperpigmentation, among other skin
concerns’ Suzie explains. ‘I don’t want to just improve your
skin now, I want you to look good in ten years time.’
IPL and Laser
Hyperpigmentation is commonly seen alongside vascular
damage, and a popular treatment to address both these
concerns is Intense Pulsed Light (IPL). This harnesses light
energy at certain wavelengths to stimulate cellular turnover
and the production of collagen fibres in the dermis.
In targeting pigmentation, IPL is absorbed by melanin
particles and generates a thermal effect. As a result, the sun
spots are broken up and the melanin particles are flushed
from the body.
Alternatively, fractionated laser is a resurfacing approach
that clears the hyperpigmentation visible on the skin’s
140 www.cosbeauty.com.au

Injectables
As we age, dynamic wrinkles – or those that are visible
when we move our face in expression – slowly turn into
more permanent fixtures. An increase in skin laxity and
loss in facial volume contribute to the appearance of
fine lines and deeper wrinkles, but Suzie explains the
judicious use of anti-wrinkle injections and dermal fillers
can be a viable option in reversing the signs of ageing.
‘Injectables can be used to soften wrinkles, or
restore volume loss in the cheeks or around the mouth,
but should be used as part of a wider anti-ageing
regime,’ she says. ‘Without addressing skin texture and
tone with other modalities, a reliance on injectables can
lead to a strange or “done” appearance.’
surface. This treatment also stimulates the production of
collagen and elastin in the dermis, for an added anti-ageing
skin benefit.
‘Fractionated laser can achieve great results in creating
smoother, softer skin and minimising the appearance of
enlarged pores,’ Suzie explains. ‘It’s usually performed in a
series of four to six treatments, but even a single treatment
will leave your skin radiant and refreshed.’
skin
Clear Complexions offers a range of treatments,
including light and laser therapy, injectables, platelet rich
plasma, collagen induction therapy, procedure peels and
microdermabrasion. Using this extensive variety, the team
of nurses at Clear Complexions Clinics can treat all aspects
of ageing skin from the inside out, for holistic, sustainable
and natural-looking results.
‘The main focus for my team and I is improving the
health and beauty of our clients’ skin. We are not just in
the business of skincare; we are committed to our clients
and believe real beauty comes from feeling confident
in the skin you’re in,’ says Suzie. ‘Whether it’s treating
hyperpigmentation, using injectables to help combat
wrinkles or lost volume, or employing laser therapies and
platelet-rich plasma treatment for all-over facial rejuvenation,
we hold ourselves accountable to making a difference in
each patient’s skin.’ csbm
1
anti ageing
Skin Care
Prevention is key in improving and maintaining skin health.
Diligently following a high-quality skincare program can
reinforce the skin’s resilience against those environmental
factors that accelerate and magnify the ageing process.
‘Products that contain Vitamins C, A, E and B3, as well
as alpha and beta hydroxyl acids, help maintain cellular
function and protect the skin against further damage,’ Suzie
explains. ‘However, it is important to have a professional
skin diagnosis to determine which products are best suited
to your skin.’
This consultation process is paramount in the philosophy
of Clear Complexions Clinics. Before establishing any
treatment or skincare program, each patient has a
thorough and lengthy consultation to address skincare
history, concerns, desires and expectations. In this, Clear
Complexions Clinics use the latest diagnostic software to
accurately examine the skin below its surface.
‘Essentially, we want a “map” of the skin to ascertain
exactly what is needed to bring it back to optimal health
and radiance,’ says Suzie. ‘With the imaging results as a
guide, the patient will be educated in understanding the
true state of their skin and provided with a path forward in
skin care and treatment. The process of diagnostic imaging
is not only about safety and choosing the right treatment
for the client, it’s also about education. The patient needs
to understand how and why we’re going to repair, maintain
and prevent further damage to their skin.’
2BEFORE
3BEFORE
BEFORE
AFTER pigmentation treatment (actual client
of Clear Complexions Clinic)
AFTER two IPL treatments for pigmentation
(actual client of Clear Complexions Clinic)
AFTER Fraxel treatment (actual client of Clear
Complexions Clinic)
www.cosbeauty.com.au 141

ANTI AGEING
skin
let’s get personal
THE TEAM AT SKIN CLINIC@BLYSS TAKES A PERSONALISED AND HOLISTIC
APPROACH WITH EACH PATIENT TO ACHIEVE OPTIMUM ANTI-AGEING RESULTS.
CAITLIN BISHOP REPORTS.
Strong genes and quality skincare can be invaluable
when it comes to ageing gracefully, but the impact
of external stressors can accelerate and magnify
the natural ageing process. Too much time in the sun, or
even that extra glass of wine, can play out in the form of
premature lines and wrinkles on the face. Skin Clinic@
Blyss offers a variety of anti-ageing treatments – from skin
resurfacing to photodynamic light therapy – to help restore
youthfulness and vibrancy to any complexion.
‘We’re passionate about skin health and are committed
to helping clients achieve fresh, bright and luminous skin,’
says Jodie King, who established the clinic 15 years ago.
A personalised approach lies at the heart of King’s
philosophy. No two skins are alike, and the importance of
incorporating multiple modalities into an individual treatment
regime is paramount to achieving the best results for each
client. ‘What works for one person won’t necessarily work
for another,’ King explains. ‘We get to know each patient
– their skin concerns and lifestyle factors – and stay up-todate
with the latest skincare technologies and devices to
offer our clients advanced treatments and optimal results.’
This level of personalisation is also represented in ‘Man
Time’, a time slot solely dedicated to men, offering a range
of targeted techniques. ‘We’ve implemented “Man Time”
to change the feel of what is traditionally seen as a female
domain,’ says King. ‘Men have an oilier and thicker skin (up
to 25 percent thicker) than women, and a different treatment
approach is needed to achieve the best results. The male
skin responds very well to any resurfacing treatments,
designed to unclog pores and brighten the skin.’
142 www.cosbeauty.com.au

Facial ageing, in both men and women, incurs a
number of changes to the underlying structures of the
face. Diminished soft tissue volume, a decline in collagen
and elastin, and changes to the skeletal structure can
cause facial hollows and contribute to an aged, or ‘gaunt’
appearance. Fillers and anti-wrinkle injections help restore
lost volume and create smoother, more youthful contours in
the ageing face.
‘Our cosmetic injector, Dr Stephanie Hyams, has more
than 16 years experience and will discuss the best options
for each patient when it comes to cosmetic injections,’ says
King. ‘We believe in a “fresh, not frozen” approach and
always aim to ensure patients leave with a natural-looking,
youthful appearance.’
Injectables can go a long way in rejuvenating the face, but
the team at Skin Clinic@Blyss takes an all-encompassing,
holistic approach to anti-ageing. By using a range of
We’re passionate about
skin health and are committed
to helping clients maintain
skin that is fresh, bright
and luminous
treatments to enhance skin health and slow the process of
ageing, longer-lasting and more natural-looking results can
be achieved.
‘Looking youthful isn’t just about eliminating fine lines
and wrinkles,’ King says. ‘It’s also important to address the
underlying health of the skin, improving its tone and texture
and evening any pigmentation.’
Minimally invasive treatments, which incur little or no
down time, are popular options for those looking to boost
skin health and strengthen the skin’s resilience. For example,
microhydrabrasion – a two-part exfoliation technique – is
effective in cleansing and unclogging the skin. While certain
light therapies,
pure
such as LED or Intense
blyss
Pulsed Light (IPL),
help stimulate cellular activity in the dermis to improve the
click
here
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www.cosbeauty.com.au
Put your best
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Skin CliniC
Specialising in advanced non-surgical
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uses the latest technology in medical
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our relaxed and discreet atmosphere will
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treatments
• ionzyme treatments
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TreaT DaD This
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hair reduction
One for the Blondes
At last, those with FAIr hair can enjoy the luxury and
convenience of permanent hair removal with the AdÉna IPL system.
Caitlin Bishop reports.
Today, a variety of lasers can be used to reduce hair
growth in unwanted areas. However, until recently, the
effectiveness of permanent hair reduction depended
on several factors, and generally only people with dark hair
and pale skin types could enjoy the benefits of laser and
intense pulsed light (IPL).
Adéna can be used to treat
blonde, white, red and grey
hair, and is also suitable for
dark skin types
Now, with the Adéna IPL system, those with blonde,
grey, white or red hair, and darker skin tones, can achieve
permanent hair reduction – no matter how fair their follicles.
The long-term hair removal solution provided by laser
and IPL has traditionally been unavailable to those with
lighter hair shades and darker skin types. In revolutionising
this paradigm, the Adéna IPL system has been specially
designed to conquer hair growth in these notoriously
difficult-to-treat hair shades. ‘Adéna can treat blonde,
white, red and grey hair, and is also suitable for dark skin
types,’ says Eva Karpati, aesthetician and owner of Karpati
Medispa in Sydney’s Double Bay.
The Adéna IPL system, manufactured in France, uses
light energy to remove hair as it proceeds through the
growth cycle.
‘Like other hair removal systems, Adéna only treats
hairs in the anagen, or growth phase,’ explains Karpati.
‘Because not all hairs are growing at the same time –
some are in transition and others are resting – it can take
anywhere between four to six treatments to successfully
reduce the hair in any one area.’
With traditional hair removal systems, the treatment
area is exposed to high intensity flashes of filtered light.
The energy from this light is absorbed by the chromophore
melanin, which is responsible for hair pigment or colour.
Because dark hair is rich in melanin, the light energy
is readily absorbed into the hair follicle and surrounding
capillaries. This incurs a thermal response and the tiny
blood vessels, which supply blood to growing hairs, are
destroyed. This reliance on melanin is what makes lighter
hair colours so difficult to treat.
144 www.cosbeauty.com.au

Adéna IPL is unique in that it targets the blood vessels
directly – bypassing the pigment – to prevent the growth of
blonde, grey, white and red hairs.
‘The difference between Adéna and other IPL systems is
that it offers a second applicator head, which emits different
wavelengths to target the blood vessels surrounding a
different chromophore – haemoglobin – allowing it to treat
blonde, grey, white and red hair,’ Karpati explains.
During treatment, the blood vessels supplying the hair
follicle are coagulated – preventing further hair growth.
Notably, the Adéna system can also be used in facial
rejuvenation. It is effective in treating a number of skin
conditions, and can be used to help reduce rosacea,
pigmentation and spider veins.
Treatment with Adéna is speedy and typically involves
no downtime. Long-lasting hair removal can be achieved
in a series of short sessions, and facial rejuvenation can be
performed in a single session.
‘The Adéna system is a versatile, multi-programmed
system that can address a wide range of cosmetic
concerns,’ Karpati says. ‘For fair-haired or dark-skinned
people wishing to remove unwanted body hair, the Adéna
offers a giant leap forward in permanent hair reduction
technology.’ csbm
DURING the first week after treatment with
the Adéna IPL system
BEFORE
AFTER treatment with the Adéna IPL system
AFTER treatment with the Adéna IPL system
skin
FACE
BoDy
MIND
advanced cosmetic Procedures
PRE/POST OPERaTivE CaRE
aCNE TREaTMENT
Safe • Effective • all Skin Types
SCaR TREaTMENT
Safe • Effective
LED SKiN ThERaPy
Lumavescence MKii – Photomodulation
Blue • Red • infrared
SKiN REjuvENaTiON
Sun Damage • age Spots • Freckles
FRaCTiONaL LaSER (NEW!)
Non-Ablative
Wrinkles • Open Pores • Scars • Stretch Marks • Tone
MaTRiX iR WRiNKLE REDuCTiON
Safe • Non-invasive • No Downtime • No Discomfort
REFiRME SKiN TighTENiNg
Safe • Non-invasive • No Downtime • No Discomfort
TRiNiTy
Rejuvenation • ReFirm • Matrix iR
REMOvaL OF hyPERPigMENTaTiON
Melasma • Liver Spots • age Spots
vaSCuLaR TREaTMENTS
Removal of Broken Capillaries • Telangiectasia
acne Rosacea • Diffuse Redness
PERMaNENT haiR REDuCTiON
iPL • Laser • all Skin Types
aDENa © (NEW!) hair Removal - Blonde • White • grey • Red
BODy REShaPiNg
CELLuLiTE REDuCTiON/FaT CaviTaTiON
Dermeo ® (NEW!) • Lumologie ® • Endermologie • velaShape
BEFORE
AFTER treatment with the Adéna IPL system
17 Bay Street, Double Bay NSW Australia 2028
Ph: +61 2 9363 2395 | +61 2 9009 6568
Email: info@karpatimedispa.com.au
Web: www.karpatimedispa.com.au
/karpatimedispa
www.cosbeauty.com.au

cosmetic tattoo
Living art
Make the most of your facial features and enhance your look
with cosmetic tattooing. Sydney cosmetic tattooist
Rita Porreca tells us how. tara casey reports.
Offering a non-surgical alternative to cosmetic
enhancement, Sydney cosmetic tattoo practitioner
Rita Porreca says cosmetic tattooing is quickly
becoming known as an effective facial rejuvenation
technique. ‘The art of cosmetic tattooing is becoming
cemented in the beauty industry, with a range of treatments
available to suit a variety of client needs,’ she says. ‘With
today’s techniques, the beauty of your youth can be
extended, and even enhanced.’
The results of cosmetic tattooing come down to the
artistic skill and experience of the practitioner. ‘No two
cosmetic tattooists are the same because it is very much an
art form,’ says Porreca. ‘Results that enhance the client’s
beauty are dependant on the experience of the practitioner
in working with different skin tones and facial features.’
As well as enhancing and prolonging youthful beauty,
Porreca says cosmetic tattooing, also known as permanent
makeup, can create hassle-free mornings for those with
busy lifestyles. With a rainbow of pigments to choose
from, permanent makeup means you can sleep, swim and
exercise without the smudge factor.
Combining long-lasting eyeliner with eyebrow tattooing
can help restore vibrancy and youthfulness to the entire
eye area and help those who have plucked too much, or
have scars or gaps in their eyebrows, create the look of
beautifully manicured eyebrows. Similarly, lip tattooing can
often be an ideal option for women lacking a definite lip
shape, who have pale lips or just want to enhance the
appearance of their pout.
Porreca says clients should be aware that the colour
may seem stronger at first but this will fade to a more
natural-looking colour. ‘Immediately after the treatment,
the cosmetic tattoo will appear brighter in colour. However,
in most cases clients lose approximately 20 to 40 percent
146 www.cosbeauty.com.au

of intense colour throughout the healing process,’ she
explains. ‘Final results are usually apparent after around
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1
two weeks.’
Other cosmetic tattoo uses
timeless and
Paramedical cosmetic tattooing can be used to recreate
timeless
the areola of the breast, improve skin
and
discolouration and
help disguise the appearance of scars.
Women who have recently undergone reconstructive effortless beauty
breast surgery often opt for areola tattoo treatment.
‘Paramedical cosmetic tattooing can help restore a
SPMUC woman’s FP(NEW) self-confidence, 30/4/07 1:30 particularly PM Page for 1 those who have ‘In When 1984 it my comes dream to eyes, was to lips, create face, a
undergone a mastectomy – it can really help them during Centre body, skin that and provided training, personalised we are the
their healing process,’ says Porreca.
beauty experts’ solutions expert. With with more natural than and 22
Cosmetic tattooing can also improve the appearance lasting years’ experience results – a world we have above developed
of vitiligo, a disease characterised by patches of skin traditional an excellent beauty reputation salons.’ with doctors
discolouration where there is a loss of natural skin – and Rita surgeons. Porreca, We Founder also work & MDclosely
timeless and effortless
with surgeons in post-operative
beauty
pigmentation, by camouflaging the diseased spots. It can
care.
also recreate the look of hair for alopecia sufferers, a health When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin and
condition deriving from the immune system (white blood Training
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cells) which results in the arrest of the hair growth stage, with surgeons on post-operative care.
including facial hair.
When seeking help with skin and hair conditions such ‘In 1984 my dream was to create a
SERVICES WE PROVIDE
as vitiligo and alopecia, Porreca emphasises that patients
Centre that provided personalised
SERVICES WE PROVIDE
beauty solutions with natural and
should seek the help of a cosmetic tattooist with experience
Cosmetic Tattooing
lasting results – a world above
in Cosmetic paramedical Tattooing tattooing to avoid unsafe conditions and
traditional beauty Medical salons.’ Tattooing
unsatisfactory Eyebrows Hair results. stroke to shaded brows to give you more of a
– Rita Porreca, Founder Skin & Needling
MD
natural ‘Whether appearance for cosmetic or paramedical purposes, when
performed BEFORE
Eyeliner Subtle by an to experienced, Dramatic or artistic to define and your highly eye skilled
Dermal Planning Peels
shape
practitioner, cosmetic tattoo treatments can significantly When it comes
Lips From lip liner to full lips & blends we make your lips look good with Non to Laser Eyes, Lips, Tattoo Face, Removal
Body, Skin and
enhance a person’s appearance and, in turn, their selfesteem,’
she says.
Training we are the experts' expert. We also work closely
an ideal shape and colour all the time.
with surgeons Cosmetic on post-operative Tattooing care. Courses
Medical Cosmetic Tattooing tattooing is a long-lasting treatment that can
last Areola from re-pigmentation around two to six Is years. the final Porreca stage says of breast clients reconstruction and is AFTER FULL LIP TATTOOING
are also often considered concerned by the those result with will areola appear colour fake loss. or ‘done’
SERVICES WE PROVIDE
– Corrective something Camouflage she avoids by Can using bring two a to natural three skin different colour back to scars
Cosmetic colours and burns in the Tattooing one treatment for a more realistic effect.
Eyebrows Hair stroke to shaded brows to give you more of a BEFORE FULL LIP COLOUR
AFTER FULL LIP COSMETIC TATTOOING
‘The most important thing to remember for both
natural practitioners Skin Needling appearance and clients is “less is more”. Cosmetic
Eyeliner Needling Subtle treatment to Dramatic for wrinkles, or to acne define scars your & eye scar shape relaxation
BEFORE
tattooing can provide clients with a fresh, more youthfullooking
BEFORE
Lips Skin From Rejuvenation
face lip and liner a sense to full of lips refined & blends beauty, we as make well as your help lips look good with
an to Is camouflage ideal for shape the skin rebuilding and imperfections colour of all new the associated collagen time. and with lightening certain pigmentation.
BEFORE EYE LINER TOP AND BOTTOM
AFTER EYE LINER TOP AND BOTTOM
diseases,’ she concludes. csbm
Medical IPL Hair Tattooing Removal
Areola Enables re-pigmentation hair removal from Is nearly the final every stage part of of breast the body reconstruction quickly and is AFTER FULL LIP TATTOOING
also AFTER EYEBROW TATTOOING
and Scar efficiently considered therapy by those with areola colour loss.
Corrective Porreca also Camouflage performs a Can skin bring relaxation a natural treatment, skin colour back to scars
and
Medical
burns
Skin Peels/Microdermabrasion
BEFORE EYEBROW TATTOOING
AFTER EYEBROW TATTOOING
Multitrepannic Collagen Actuation (MCA), which
Skin treatments ranging from Green Peel, CosMedix Peels
helps to rejuvenate scar tissue and stimulate the skin
Skin & Microdermabrasion Needling to give you a natural healthy glow.
to produce its own melanin in areas where surface
Needling treatment for wrinkles, acne scars & scar relaxation
Cosmetic scar tissue Dermal is present Fillers after & injury Mesotherapy or surgery. This skin 02 9569 BEFORE 7799 follow us on
Skin relaxation Rejuvenation treatment can improve the appearance of
Cosmetic Tattooing Courses
Level 1, 157 Great North Road
Is ideal skin post-surgery for the rebuilding as well as of the new appearance collagen of and burns. lightening pigmentation.
Learn, up-skill and expand with professional cosmetic tattooing Five training.
AFTER AEROLA TATTOOING
Dock NSW 2046
IPL Hair Removal
Email: info@spmuc.com.au
Enables hair removal from nearly every part of the body quickly Web: www.spmuc.com.au
www.cosbeauty.com.au
AFTER EYEBROW TATTOOING
and efficiently

anti ageing
skin
4
steps to
beautiful skin
Keep the signs of ageing at bay with Love Life, a brand new skincare
range from HOVAN’s Group. Nicola DONOVAN REPORTS.
Optimise skin health, fight those pesky lines and
add radiance to your complexion with the Love
Life skincare range, developed by industry veteran
Val Glover-Hovan. Formulated after years of research with
Australian bioscientists, the range helps promote healthier
and more beautiful skin – in four easy-to-use products.
As we age, our skin requires extra care and
support, and the new Love Life skincare range can
help keep the signs of ageing at bay. Ingredients in the
results-driven products have been selected for their ability
to help protect skin cells from environmental damage,
support skin metabolism and promote rejuvenation.
1
Moisturise & protect
Perfect Day – Anti-Ageing Moisturiser. Moisturising
is crucial when it comes to warding off fine lines and
keeping skin well hydrated. A potent herbal formula,
Perfect Day Moisturiser helps to reduce the signs of ageing
and enhance skin appearance. The formula contains
a complex of collagen-promoting glucosaminoplycans
and galactomannans; linoleic acids, which assist rapid
penetration while helping to firm the skin; and stem cells of
apple fruit to help stimulate the renewal of skin cells.
2
Repair & renew
Perfect Night – Retinol Renewal Complex. Serums
typically penetrate the skin deeper than creams, and
contain more active ingredients to target specific beauty
concerns. The Perfect Night Retinol Renewal Complex is a
soothing night serum that addresses ageing concerns. The
formula contains Vitamin A to enhance collagen synthesis;
linoleic acid to promote and maintain skin health; Vitamin E
and Tamanu oil to restore skin health; seabuckthorn seed
oil as an antioxidant; passionflower to sooth and calm; and
licorice to reduce inflammation and irritation.
3
Bright eyes
Eyes Best – Exotic Eye Gel. Eye creams are essential for
helping to keep the thin, delicate under-eye area hydrated
and smooth. This potent eye cream helps to reduce the
dark areas under the eyes and the appearance of crow’s
feet. The formula contains Tamanu oil, which is known
for its healing properties, and a mix of herbs to stimulate
collagen synthesis. It’s also fortified with kiwifruit enzymes,
antioxidant grape seed, Vitamin E and green tea.
4
Lighten up
Beauty Light – Lightening Cream. Hyperpigmentation
can develop due to a variety of reasons – from sun damage
to hormones during pregnancy. Often making skin tone
uneven, pigmentation is a common beauty concern. Alpha
fruit acids and citrus extract in the Beauty Light Lightening
Cream target darker skin spots to help reduce their
appearance. The cream has a broad-spectrum sunscreen
to help prevent further pigmentation and UV damage, as
well as the triple action of urva-ursi (bearberry), arbutin
and zinc glycinate to help stop the browning action of
melanocyte production. csbm
148 www.cosbeauty.com.au

feature
STOP
THE
PRESS!
Did that get
your attention?
HERE’S WHY:
Print ads rank #1 for commanding
consumer attention*
Print magazines are the #1
preferred place to look at an ad*
Print magazines rank #1 for
advertising acceptance**
Magazines are #1 for reader
engagement**
Next-generation
marketing
Capture and engage your clients with
a personalised e-Book to showcase
your services. Having your own
bespoke eBook – either with or
without hardcopy – enhances your
profi le and turns your publication into
a viral marketing campaign!
* Source: Adobe Systems Click Here Study, October 2012
** Source: ORC Caravan, February 2013
Why integrate print and digital?
It’s never been more important to have an integrated print
and digital marketing strategy. International research has
proven that print media – notably magazines – drive online
search and purchases. The two mediums exist side by side
to capture and engage an optimum audience.
At Bella Media, we have embraced this next-generation
marketing by integrating print and digital marketing to
enhance the client and consumer experience.
Hair Restoration by
Dr Russell Knudsen
Your name here
Call our expert team to fi nd out more about our bespoke
print and online services:
Tel: 9398 2755
Email: lauren@bellamedia.com.au
www.bellamedia.com.au
Plastic Surgery by
Dr Warwick Nettle

feature
Age
– it’s a
numbers
game!
ALTHOUGH WE ALL AGE
DIFFERENTLY – THANKS TO
GENETICS, LIFESTYLE AND
ENVIRONMENTAL FACTORS –
THERE ARE CERTAIN
AGE-RELATED CHANGES
COMMON TO US ALL
THROUGHOUT THE DECADES.
AIMÉE SURTENICH REPORTS.
20s
Accumulated sun damage can begin to
show on the face, manifesting as fi ne lines
and increased pore size. Skin cell turnover
is still rapid, however there is a mild drop
in dermal repair, the immune system and
collagen synthesis.
Muscles also start to lose fullness and
fi rmness due to shrinkage of muscle fi bres.
In addition, metabolism, the rate at which
the body burns calories at rest, slows down
by about two percent per decade from the
age of 20, and the number of calories the
body needs gradually declines.
150 www.cosbeauty.com.au

feature
30s
More fine lines are evident around the eyes and mouth and the first
wrinkles start to appear. Early signs of sagging near the eyes also
become evident. There is a moderate decrease in dermal repair,
resulting in less collagen and some loss of elasticity. There is also a
significant drop in skin hydration, and the skin’s natural process of exfoliation begins to
slow. Pigmentation may start to appear in response to a reduction of pigment-producing
melanocytes that help protect against ultraviolet radiation.
Loss of facial volume can start to occur in the 30s and continues to progress with age.
Volume loss caused by tissue atrophy and bone resorption as well as increased skin laxity
makes the face look deflated and drawn compared to the full roundness of a younger face.
The decline in cardiovascular fitness begins in the 30s, and can drop 30 to 40 percent
by age 65. Gradual loss of bone strength and density also starts around 35.
From age 30, hair follicles produce less melanin, leading to greying, and hair follicles
eventually turning white. It is at this age that around 25 percent of men begin to show
some signs of baldness.
anti ageing
40s
As the sebaceous glands in the skin cut
back production and supportive fibres grow
less elastic, skin becomes drier and thinner,
resulting in more wrinkles, roughened
skin texture and larger pore size. Signs of
photodamage are more visible: freckles,
pigmentation, discolouration (age spots) and
changes in skin colour. Sagging near the eyes
and cheeks becomes more noticeable.
The lens in the eye also begins to lose
elasticity and flexibility, making it less able to
focus on close objects.
Muscles continue to shrink as fat deposits
expand, making it more difficult to control
weight, and fat tissues are increasingly
deposited towards the centre of the body.
Inflammation, pain and stiffness may result
from the breakdown of the joint structures and
changes in connective tissue.
50s+
By the age of 50, compromised dermal repair, low production of
collagen and sebum and an abundance of damaged connective
tissue all become evident as wrinkles start to appear at the
corners of the mouth and skin loosens and sags in the cheeks,
jowls and neck. Skin tone becomes more irregular and uneven
in colour, and thinning skin starts to lose its natural protective
barrier and becomes more susceptible to environmental factors.
In addition to the ageing effects on the skin, the decline in
oestrogen and progesterone accelerates bone loss and raises
cholesterol levels, increasing the risk for osteoporosis, heart
attack and stroke. Immunity is also likely to start to weaken,
making the body more susceptible to infections and disease.
Bone mass and density is reduced and joints become
stiffer and less flexible. Fluid in the joints may decrease and the
cartilage may begin to rub together and erode.
The rate of hair growth slows, as hair follicles begin to stop
producing new hairs. At the same time, women may notice
coarse facial hair, especially on the chin and upper lip.
Ageing is the natural wear and tear of the body’s component
parts. While it cannot be stopped, a healthy lifestyle that
includes a diet rich in antioxidants can help retard or reverse
many age-related changes.
www.cosbeauty.com.au 151

skin
THE
THREE
Ts OF
AGEING
TERRI VINSON BSc, COSMETIC CHEMIST AND FOUNDER OF SYNERGIE SKIN,
EXPLORES THE RELATIONSHIP BETWEEN INFLAMMATION AND AGEING, AND HOW
TO ADDRESS THE TONE, TEXTURE AND TIGHTNESS OF AGEING SKIN.
AGEING & INFLAMMATION
Every adverse skin condition has one common element:
infl ammation. Most chronic skin conditions such as acne,
rosacea, dermatitis, psoriasis and eczema are simply
infl ammatory responses of the skin to irritation.
Infl ammation leads to impairment of cell function and is
also considered the basis of cellular ageing. While ageing is
a disease, it is controllable but not curable.
Infl ammation is the body’s initial immune response
to infection or irritation. The infl ammatory response is
designed to destroy invading organisms or repair damage,
thus enabling us to survive disease and trauma.
Ironically, infl ammation also bombards tissues with free
radicals and promotes oxidation and destruction of normal
healthy cells.
The following list of cellular events occurs in response
to infl ammation:
• Increased blood fl ow to the damaged area
• Migration of immune cells to the affected area
• Release of large amounts of free radicals
• Destruction of normal tissue
• Deposition of scar tissue.
If these events are repeated over prolonged periods,
this chronic infl ammation results in rhytids (wrinkles),
enlarged pores, skin laxity, hyperpigmentation or visible
blood vessels.
Controlling infl ammation is essential to addressing skin
ageing. It follows that anti-infl ammatory ingredients are
essential in reversing the cycle that accelerates skin ageing.
On a cellular level this presents as depletion in optimal levels
of vital molecules such as collagen, elastin, hyaluronic acid
and skin specifi c growth factors.
One of the most notable anti-infl ammatory ingredients is
niacinamide. This molecule must be formulated in suffi cient
concentration and at the optimal pH to positively affect
the cells. Other ingredients include stable L-ascorbic acid,
Canadian willowherb, aloe vera, chamomile the new marine
microbial sugars such as Phycosaccharide.
Zinc oxide is also a powerful anti-infl ammatory and will
provide UV protective benefi ts in some brands of mineral
makeup and mineral sunblock moisturisers. Look for levels
of at least 20 percent zinc oxide.
Antioxidants are also crucial to a long-term anti-ageing
routine as they reduce cellular infl ammation by neutralising
destructive free radicals.
There are numerous topical antioxidants on the market.
The more powerful ingredients include Vitamin C (as
L-ascorbic acid), green tea, olive leaf extract lycopene,
resveratrol and Vitamin E.
152 www.cosbeauty.com.au

ADDRESSING THE SIGNS OF AGEING
skin
There are three signifi cant aspects linked to the morphology of the ageing face. These are primarily loss of tone, texture
and tightness.
One facet cannot be considered independently of the others. A woman with a fi rm, taut face following a surgical facelift
will look incongruous if she still exhibits pigmentation, dryness and enlarged pores. The ideal cosmetic outcome for a
patient will not be achieved unless all these elements are addressed. Moreover, topical cosmeceuticals are essential to
achieving and maintaining optimal outcomes.
ANTI AGEING
1. 2.
TONE
This is primarily based on uneven skin
colour. This may be due to general
sun damage, melasma or postinfl
ammatory hyperpigmentation. When
treating hyperpigmentation, initial
treatment involves the use of active
topical ingredients. These ingredients
may inhibit tyrosinase and minimise
melanin production. Non-prescription
examples include retinols, kojic acid,
liquorice extract and L-ascorbic acid.
Other topicals may remove surface
pigmentation via chemical exfoliation
(lactic acid, glycolic acid and mandelic
acid). Finally, ingredients such as
niacinamide address pigmentation on
another cellular level by preventing
transfer of melanin to the keratinocyte.
Sun damage and age spots may be
effectively treated with IPL, laser and
chemical peels. Clinicians generally
opt for less invasive chemical peels
using lactic acid over phenol, TCA and
high level glycolics. Photo Dynamic
Therapy (PDT) is gaining popularity
as it simultaneously addresses sun
damage and benign skin lesions.
Diffuse redness in conditions such
as rosacea and poikiloderma may
also be addressed with LED and
lasers targeting haemoglobin. Topical
ingredients can reduce redness and
infl ammation as well as promoting
healthier vascularity. Examples
include niacinamide, chamomile, aloe,
beta glucan, sea buckthorn oil, and
some antioxidants.
TEXTURE
During the ageing process surface
textural changes also occur. Pores
become enlarged and fi ne lines
develop, particularly around the eyes,
neck and mouth. The skin may also
appear dry and fl aky due to a loss in the
integrity of the outer stratum corneum.
Textural changes are primarily due
to loss of collagen, elastin and natural
moisturising factors such as ceramide
and hyaluronic acid. There are a
number of clinical methods which may
improve skin texture.
The most popular method is via
fractionated laser and is now preferred
over ablative laser as the side effects
and downtime are signifi cantly
reduced. Skin needling or Collagen
Induction Therapy (CIT) is another
effective method of improving texture.
In this modality skin is basically ‘tricked’
into massive repair mode and collagen
stimulation as numerous micro-injuries
are created with the needles. A series
of treatments is recommended.
Topical ingredients to improve skin
texture are based on products which
stimulate collagen and replenish
moisture levels in the skin with clinical
data to support effi cacy. These include
retinol, L-ascorbic acid, niacinamide,
collagen-stimulating peptides, and
antioxidants and novel ingredients
which are now able to stimulate stem
cell production and repair cellular
damage on a genetic level.
3.
TIGHTNESS
As the human face ages there is a
loss of volume due to fat and bone
loss. Furthermore, the ligaments
suspending the facial muscles lose
elasticity and skin appears slack.
Volume can effectively be restored with
dermal fi llers and fat transfer.
Various radiofrequency or infrared
skin tightening devices are designed to
bulk heat the lower dermis to stimulate
large-scale collagen remodelling.
Surgical facelifts combined with
volume replacement are the most
effective long-term method of
reversing laxity. The modern facelift is
now designed to achieve more natural
results where the surgeon will work on
the underlying muscles and ligaments
rather than just tightening surface skin.
Skincare in particular is fundamental
to maintaining youthful skin. Unlike
clinical treatments, products are
used 365 days per year and therefore
have a signifi cant bearing on overall
skin health. The range must have
scientifi cally proven active ingredients
with effective delivery and high stability.
There are many excellent treatment
and skincare options available and
trained skin specialists will advise
and educate on the correct procedure
and products to address all skin
concerns. csbm
www.cosbeauty.com.au 153

anti ageing
skin
Put a
stop to
premature
skin ageing
Allmedic skincare can help
protect the skin against harmful
UV RADIATION and improve the
appearance of sun-damaged skin.
Caitlin Bishop REPORTS.
The effects of sun damage are well-known – fine lines,
discolouration, age spots and uneven texture – but
it is not always possible to avoid exposure and
escape those premature signs of ageing. A quality skincare
regime, with particular emphasis on protection and repair,
can play a vital role in preventing further sun damage
and reducing the outward appearance of ageing.
Queensland cosmetic physician Dr Doug Grose believes
allmedic skincare contains the requisite ingredients, at
effective concentrations, to help decelerate the skin’s
ageing process. ‘Everyone should have a core range of
skincare products they use every day, including a cleanser,
exfoliator and sunscreen,’ he says.
Sun protection is essential
The key to healthy, youthful skin lies in prevention, and
sunscreens are the first line of defence against harmful
ultraviolet radiation. By either reflecting or absorbing UV
light, ingredients in sunscreens work to protect the skin and
inhibit the manifestation of photoageing.
Notably, sunscreen from allmedic also contains
Niacinamide, or Vitamin B3, to help hydrate the skin,
reduce the appearance of skin discolouration and improve
skin elasticity, tone and texture.
The allmedic SPF 50+ Face and Body Moisturising
Sunscreen protects against both UVA and UVB radiation.
UVA is the dominant tanning ray, which deeply penetrates
the skin and causes DNA damage to epidermal and dermal
skin cells. UVB is responsible for reddening and sunburn,
as it only penetrates the skin’s superficial layers. Both types
of radiation contribute to sun cancer risk and can lead to
premature ageing.
Exfoliation matters
Alongside sunscreen, exfoliation also works to protect the
skin by stimulating cell renewal. According to Dr Grose,
both mechanical and chemical exfoliation removes rough,
dry, sun-damaged skin to increase cell turnover and
thicken the epidermis – factors that may help prohibit the
development of skin cancer.
‘If left untreated, rough, dry, sun-damaged skin can turn
into a skin cancer,’ Dr Grose explains. ‘Once a skin cancer
is detected, there is a greater risk of further skin cancers
occurring in the surrounding area.’
The allmedic exfoliating scrub is pH balanced to help
bring and maintain the skin at the correct pH. It also contains
medium-sized cellulose beads that work as a mechanical
exfoliator to gently remove dead skin cells.
Chemical exfoliation can be achieved through every
day use of alpha hydroxy acids (AHAs). ‘Of all the AHAs,
I believe glycolic acid is the most effective as it penetrates
the deepest,’ says Dr Grose.
‘The allmedic Face Repair Cream and Body Repair
Cream contain active concentrations of glycolic acid in a low
pH cream to maximise the effect of the AHAs and improve
cell turnover,’ he continues.
154 www.cosbeauty.com.au

Repair & renew
allmedic skincare can help restore sun-damaged skin and
reduce the appearance of wrinkles, discolouration and
unevenness caused by sun damage. Moreover, the allmedic
product range has been formulated to help restore and
maintain the function of the epidermis.
The allmedic Night Repair Serum is designed to help
accelerate skin renewal, smooth fine lines and lighten
discolouration. The serum contains encapsulated Retinol
(Vitamin A), to help stimulate collagen production in the
dermis, and Niacinamide to help improve texture, increase
hydration, and counter redness or inflammation.
The marine enzyme Venuceane,
used in allmedic products, is a
powerful antioxidant
An effective, global rejuvenation can be achieved
when the serum is used in conjunction with the allmedic
Eye Repair Cream. The eye cream is suitable for all skin
types and is designed to help repair and firm the delicate
skin around the eye area. It uses a unique blend of plant
extracts, the marine enzyme Venuceane, moisturisers and
biopeptide technologies to improve microcirculation and
‘plump up’ the periorbital skin. csbm
Photodynamic
Therapy
Photodynamic Therapy (PDT) can be used
alongside an effective skincare regime to further
help treat sun-damaged, blemished and aged skin .
According to Dr Grose, by using PDT’s noninvasive
light technology, practitioners can now
treat a range of skin conditions in a relatively
fast and affordable way with minimal side effects
and downtime. ‘PDT helps improve the skin’s overall
health, look and feel. It can also be effective in
restoring youthfulness to areas that are otherwise
difficult to treat, for example the chest, arms, hands
and legs,’ he continues.
By combining modalities, and partnering PDT
with a comprehensive and active skincare range, Dr
Grose believes patients can look forward to more
vibrant, healthy and resilient skin. ‘The allmedic range
is a complete skincare solution, allowing patients to
target specific skin issues, such as sun damage and
premature ageing, with products that are sciencebased,
effective and affordable,’ he concludes.
www.cosbeauty.com.au
Doctor Designed,
Developed & Recommended
Optimal
Products to Repair and
Protect your skin
ü
o Exclusive supply to Doctors only
o üEveryday skin repair and
protection product range
o üScience and research supported
o üAffordable, simple yet effective
o üResults driven
o üFree of problematic allergens
o üSuitable for men and women
o üLeaders in PDT and skin
o Clinic education and training
ü
Repair the past, Treat the
present & Protect the future
Contact us on:
1300 652 969
admin@allmedic.org.au
www.allmedic.org.au
Everyday
Follow us on
www.facebook.com/
allmedic

anti ageing
skin
Get
the
GLO!
We shed light on the cult glo product range – from luxe makeup to
anti-ageing cosmeceuticals. AimÉe Surtenich reports.
Glominerals – for a perfect canvas
Glo is committed to skin-nurturing products for people
of all ages. Its leading mineral makeup line, glominerals,
is packed with antioxidants and pharmaceutical-grade
minerals, combining skin benefits with on-trend products to
achieve a truly modern and flawless makeup look.
The latest addition to the glominerals range is the Luxe
Liquid Foundation. Diamonds really are a girl’s best friend;
their prismatic structure causes light rays to refract and bend
for a soft, ageless complexion. Luxe Liquid Foundation is
formulated with light-diffusing diamond powder, broadspectrum
UV protection and specialised moisturising agents
that nourish and protect skin while delivering a flawless,
youthful-looking complexion. All glominerals products are
non-comedogenic, using only premium grade ingredients,
and are anti-inflammatory so even compromised skin can
wear these beautiful minerals.
Glotherapeutics – for ageless beauty
Healthy, radiant looking skin needs more than makeup –
and so glo has developed an impressive range of skincare
to offer a complete beauty package, glotherapeutics.
Glotherapeutics is an extensive range – with special
focus on active ingredients formulated to transform the
skin. Glotherapeutics has multiple solutions for all skin
types, with a broad line-up of cleansers, exfoliants, masks,
serums, moisturisers and body products, all of which are
complemented by professional treatment products.
For acne suffers, there are multiple products – from
cleansers, gels, wipes, spot treatments, special moisturisers
and masks – all designed for either the management of
acne, or to deal with breakouts.
Pigmented skin is a special focus of glotherapeutics,
which adopts a strategic approach to this common skin
issue via a range of different home care products, to
complement clinical treatments.
For heavenly bodies, rough, bumpy skin can be a
thing of the past with the Therapeutic Body Exfoliant and
Therapeutic Body Cream – two products developed to deal
with Keratosis Pilaris.
The jewel in the crown of the
glotherapeutics line must be the premium
Cyto-Luxe line. Cyto-Luxe leverages
phytostem technology to target and help
combat the primary causes of ageing skin.
This cascade of actives, including
plant stem cells and peptides, is designed
to lift and tighten skin while helping to
promote healthy skin cells, collagen
production and reducing the appearance
of wrinkles. This Cyto-Luxe line utilises
the beauty of nature’s very own anti-ageing
mechanism.
With the quality,
all-encompassing
range of makeup
and results-driven
skincare, the glo
ranges can help
transform skin at
any age. csbm
156 www.cosbeauty.com.au

let your inner beauty glō
A SYSTEMATIC APPROACH FOR BRILLANT BEAUTY RESULTS
glostore.com.au 1800 66 44 55

skin
Conquer
pigmentation
with skincare
Cosmelan, distributed by
Advanced Cosmeceuticals, is a
cutting edge skincare TREATMENT
to help reduce the appearance
of hyperpigmenTATIon. Caitlin
Bishop reports.
Hyperpigmentation is one of the most common
and unpredictable skin conditions – and is also
one of the most difficult to treat. Patches of
melanin or ‘brown spots’, typically across the face,
can be caused by a number of factors, most notably
sun exposure, pregnancy, hormone therapy and
genetics. But now, with the latest skincare solution
from Advanced Cosmeceuticals, the appearance of
hyperpigmentation can be noticeably reduced.
Cosmelan Professional Treatment from Mesoestetic,
distributed in Australia by Advanced Cosmeceuticals, is
designed to reduce and prevent irregular pigmentation.
The cutting edge range helps inhibit the production
of melanin in the skin and reduce the visible signs of
pigmentation on the face.
The treatment
The Cosmelan pack offers a multi-layered, intensive
approach to pigmentation reduction. It combines
salon treatments and home care products to offer
a holistic, all-encompassing solution to skin health
and beauty.
Each Cosmelan pack contains a salon treatment,
degreaser, a preparatory mask and a homecare
moisturiser and night cream. The degreaser is used insalon
to clear the debris and dead skin cells from the
158 www.cosbeauty.com.au

skin’s surface and prepare the skin for the Cosmelan Mask.
This mask contains an effective mixture of active, antipigmentation
and anti-ageing ingredients. The moisturiser
and night cream are used daily following treatment to
maintain and improve results.
Key ingredients
One of the biggest culprits in melanin production is an
enzyme called tyrosinase, and ingredients to inhibit
tyrosinase activity are often used in skincare lines. Cosmelan
is formulated using naturally derived tyrosinase inhibitors
such as kojic acid (KA), which is touted to generate results
within four weeks of use.
A report by Jean Levy and Frederic Pons et al.,
conducted at the Centre Laser Dermatologique in France,
explains the benefits of KA in de-pigmentation skincare.
‘It is well established that tyrosinase is a key enzyme
in the synthesis of melanin,’ the report states. ‘Depicted
as a natural approach to skin depigmentation, Cosmelan
features KA, which is extremely stable in solution and
retains its potency over time.’
This KA complex is partnered with
a high antioxidant vitamin complex,
as well as a vegetable extract
complex to help hydrate and soothe
the skin and sunscreen filters to
provide significant protection against
UVA and UVB rays.
Notably, Cosmelan also includes
an exfoliating agent to help accelerate
the natural renewal of the skin’s
upper layers and further reduce the
appearance of pigmentation.
skin
Similarly, a study conducted by Mesoestetic’s scientific
research team tested the effectiveness of Cosmelan on
six female subjects who had been unresponsive to
previous treatment. The mean age of the women was 40
years and their melasma duration had spanned anywhere
from two to 20 years.
‘All study participants experienced significant
depigmentation of melasma, not only at study cessation,
but at seven days following twice-daily application of the
maintenance cream,’ the report states.
‘This is much faster than previous studies and could be
relative to the inclusion of various other botanical agents in
the treatment line.’
Hyperpigmentation can detract from an otherwise
smooth, clear and youthful complexion and – with up to 80
percent of women over the age of 25 affected – Cosmelan
signifies an accessible and effective solution.
The range offers an all-inclusive and holistic approach
to de-pigmentation, with a philosophy centred upon
transforming skin using reliable, naturally derived and
scientifically validated ingredients. csbm
anti ageing
Backed by science
The introduction of Cosmelan to the
anti-ageing market has stemmed from
significant research into its efficacy
and reliability.
One study, published in the Journal
of Cosmetic Dermatology, enrolled 22
women with melasma pigmentation
into a split-faced trial lasting four
months. The aim of this study was to
compare the effects of Cosmelan with
another de-pigmentation product on
the market. The study found Cosmelan
to be most effective in reducing the
appearance of pigmentation and, even
though some participants experienced
irritation following use, they preferred
the efficacy of Cosmelan over the less
aggressive alternative.
BEFORE
BEFORE
AFTER Cosmelan treatment
AFTER Cosmelan treatment
www.cosbeauty.com.au 159

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skin
Leading the way
in skin health
WE CHAT WITH LAURENCE DRYER, CHIEF SCIENTIST
AND HEAD OF PRODUCT DEVELOPMENT FOR
OBAGI MEDICAL IN THE US, ABOUT THE
BENEFITS OF A QUALITY SKINCARE REGIME.
Q. iNova has recently brought the muchloved
US skincare range, Obagi, to Australia.
In the US, and worldwide, Obagi consumers
are fiercely loyal to the brand – what can
Australians expect?
A: In a word: effi cacy. Every one of our products is
thoroughly tested for safety and clinically proven to work. We
have a strong relationship based on trust with the physician
community, which transfers to their patients because they
in turn have a trust-based relationship with their doctor.
We don’t give in to fads, fashionable ingredients or storydriven
products. We trust only proven, well-supported,
scientifi cally tested ingredients for our products, and we
submit them to the most stringent standards for testing.
Our clinical strength derives from our stringent protocols as
well as the involvement of well-known KOL physicians who
often run those studies and can attest to the results.
Q. What’s unique about Obagi, compared
with other cosmetic or over-the-counter
skincare ranges?
A: Obagi is only sold in physicians’ offi ces and is
characterised by the safety and effi cacy of its systems,
the strength of its clinical trials, and the transformational
nature of its products. I believe we are the clinical company.
Our uniqueness lies in our complete, prescription-strength
systems such as Nu-Derm, Obagi C-Rx or CLENZIderm
M.D., but we also offer scientifi cally supported solutions
that do not require prescriptions.
The Obagi patient has a close relationship with her
physician and is committed to a regimen that ensures
maximum effi cacy. Through Obagi she is able to address all
signs of ageing in a complete, effi cacious manner.
In the US, over-the-counter cosmetic products typically
address very mild anti-ageing or therapeutic issues. There is
really nothing that is truly interventional and transformational
in the over-the-counter space, and I believe there are no
complete systems that address all signs of ageing. Most
brands focus on preventing issues and rely on various
fashionable ingredients to convey novelty. We are a serious
company and we take care of serious problems, relying on
clinical data and hard facts.
Our clinical superiority is partly due to our prescriptionstrength
products; topical prescriptions are very important
because they are the most effective way to treat moderate
to severe skin concerns. For example, the retinoid category
is widely known for its anti-ageing effi cacy, and our Nu-
Derm system relies on a tretinoin prescription product.
Topical prescription products best serve patients with real
concerns, a need for correction and a high commitment
level, following the ‘three Obagi Cs’ of Concern, Condition
and Commitment.
Q: Are there any hero products within the
Obagi range that we shouldn’t live without?
A: Nu-Derm is our hero system because it contains only gold
standards for maximum effi cacy, such as tretinoin, glycolic
acid and strong sunscreen ingredients. Our Obagi Hydrate
moisturisers are indispensable. Further, our ELASTIderm
products are specifi cally formulated for the delicate and
line-prone area around the eye, and contain our
breakthrough elasticity complex clinically proven to diminish
lines and restore youthfulness to the eye area. csbm
www.cosbeauty.com.au 161

eauty & spa
Post-summer skin saviours
DETOX YOUR SKIN AFTER THE SUMMER PARTY SEASON WITH SPECIALISED SKIN
TREATMENTS FROM NICOLE’S BEAUTY. AIMÉE SURTENICH REPORTS.
The extremes of summer have most likely left your
skin dehydrated, sun damaged and generally a bit
lacklustre but, according to beauty expert Nicole
Gruodiene, now is the optimal time to reclaim your radiance.
Gruodiene, who owns Nicole’s Beauty Salon in Sydney’s
Double Bay, believes a post-summer treatment to combat
sun damage, dullness and skin dehydration will prep your
skin for the winter months ahead.
‘You may notice dry or fl aking skin, dull skin tone, sun
damage and age spots have appeared,’ she says. ‘Sun can
damage the skin cells deep in the dermis layer, diminishing
the production of collagen and elastin. The damaged cells
do not renew properly and skin can become thick, dull
and sallow.’
Gruodiene recommends using the next few months to
restore your body’s moisture balance and treat it to some
rejuvenating salon visits. ‘You should have an exfoliating and
moisturising routine in place at home but a salon treatment
can really boost your results,’ she says.
‘Using a sea salt scrub to exfoliate the whole body will
brighten tone, while stimulating blood fl ow and circulation,’
she adds. ‘Indeed, exfoliation will help your skin rid itself
of dead or damaged cells and help it absorb moisture and
nutrients more effectively. Exfoliation of the top layer has
also shown to stimulate production of new collagen.’
Massage is a great way to stimulate lymphatic drainage
and circulation in your body. ‘A Swedish massage uses a
variety of techniques specifi cally tailored to promote muscle
relaxation and ease tension by applying pressure against
deeper muscles and bones,’ Gruodiene explains. ‘Even a
simple, relaxing back massage helps reduce stress and
anxiety, relieves muscle tension and increases circulation.’
To get skin back in fi ne form, Gruodiene says you can’t
go past microdermabrasion to remove dead skin cell
build-up and an LED light treatment to help stimulate the
production of new collagen and elastin. ‘Everyone’s skin
varies, but most people feel and see a difference after about
four treatments,’ she says.
Gruodiene likes to complete her treatments with an
oxygen facial (‘It’s said to be a favourite of Madonna’s,’
she says). This unique treatment combines pure oxygen
with antioxidants to deliver hydration to the skin’s deeper
layers, promoting a brighter, hydrated, plumper and more
youthful complexion.
If the festive season took its toll on you, it’s likely your
body will also benefi t from a little detox. ‘A full body wrap is
an ideal treatment to detoxify, hydrate and slim the body,’
Gruodiene says. ‘Body wraps are perfect either as a one
off treatment or as a course to gain optimum results.’
She favours the International Body Wrap, which not
only hydrates the body but also guarantees a circumference
loss of at least 15cm. ‘People mainly use it to squeeze into
a “special occasion” dress or to kickstart a weight loss
program,’ she says.
While it’s not possible to turn back the chronological
clock, youthful radiance can be restored to the skin in
as little as a single salon session with a combination of
rejuvenating treatments. csbm
162 www.cosbeauty.com.au

LOSE 15CM AND KEEP IT OFF!
Nicole’s Beauty Salon offers only the very best treatments available,
including the International Body Wrap which improves the appearance
of cellulite, stretch marks and scar tissue and is guaranteed to take 15
centimetres off your entire body size - or your money back!
With highly trained aestheticians and stunning surroundings, any
treatment you have at Nicole’s Beauty Salon will be a luxurious
experience you’ll long for time and time again.
02 9327 7728
mobile 0410 627 767
nicole@nicolesbeautysalon.com.au
Shop 8, 401 - 407 New South Head Rd,
Double Bay NSW 2028
www.nicolesbeautysalon.com.au

eauty & spa
carpet
ready
Create thick, sexy, flowing
tresses with quality
hair extensions. Nicola
Donovan reports.
Forget lusting after the long and seductive locks
of the A-listers – you, too, can have thicker,
longer, look-at-me hair. Hair extensions,
applied by an expert such as Joseph Mourad, can
transform your look from so-so to super sexy in a
matter of hours, enabling you to wake up with redcarpet
ready hair every day.
Long and thick hair will have you oozing
confidence and style instantly, and there’s no
better person for the job than Joseph from Joseph
Mourad’s Hair & Beauty in Double Bay, Sydney.
His advanced hair extension techniques are sought
the world over – with celebrity clientele including
entertainer Mel B, Grammy award-winning recording
artist Mya, and MasterChef favourite Marion Grasby.
‘Hair extensions are about giving people beautiful
and strong hair,’ says Mourad. ‘Extensions provide
volume, length and manageability – and make
getting ready for a night out or special occasion so
much easier.’
s_bukley / Shutterstock.com
164 www.cosbeauty.com.au

eauty & spa
Keratin hair straightening
The humidity of summer can bring about frizzy, unruly
curls. Keratin Complex Hair Therapy by Coppola,
a revolutionary smoothing treatment, can tame
tresses in an instant. Offered at Joseph Mourad
Hair & Beauty in Double Bay, the treatment works
by infusing keratin deep into the hair cuticle, coating
and relaxing the hair, eliminating up to 95 percent of
the frizz and curl.
If you’ve spent too much time with heat stylers,
the good news is that the more damaged hair is, the
better the treatment works.
The treatment isn’t suitable for pregnant women
or children under the age of 16.
After the hair is washed, blow-dried, brushed and
sectioned off, the keratin solution is then applied to
strands of the hair and each section is straightened
with a flat iron. This infuses the solution into the hair,
which stays in the hair for around 72 hours, after
which the hair is washed and ready to be styled.
Lasting anywhere between two to four months, the
hair will retain volume while
looking and feeling silky,
smooth and shiny.
Featureflash / Shutterstock.com
Mourad prides himself on using only the highest quality
human hair extensions. He is skilled in all hair extension
techniques but his preferred method is the innovative
ultrasonic cold fusion technique, which uses ultrasound
technology to attach the hair extension to the client’s
natural roots. The result is natural-looking hair extensions
that are virtually non-detectable.
What makes the cold fusion
technique unique?
The ultrasonic cold fusion technique allows for multistrand
bonding, making the whole process efficient and,
importantly. Bonding clinical keratin with keratin found in
the hair shaft, the extensions are attached to the natural
hair very close to each other so there are no telltale signs.
‘The technology is so advanced and the bonding so
seamless,’ says Mourad. ‘It achieves impeccable results
and the extensions can be completely undetectable to
the eye. And, because there is no use of heat, glue or
clips to bond the extensions, the client’s natural hair is
not damaged.’
When applying the extensions, emphasis is placed on
properly blending colour and thickness with the natural hair.
Attached strand by strand, the extensions can be
attached to long, short, straight or wavy hair as long as the
natural length is more than 2cm. Each strand has about 20
hairs in it and a full head can take from 100 to 300 strands,
depending on the required thickness. In just a few hours,
hair is transformed from short, thin strands to thick, long
locks. ‘The latest advances provide long and voluminous
hair without the need to wait for natural hair to grow out,’
says Mourad. ‘It can completely transform your look.’
Extensions can last anywhere between six and 12
months. Once attached, the extensions can be treated
as normal. ‘Care for your extensions the way you would
your natural hair,’ Mourad advises. ‘It’s important to be
particularly careful when combing and blow-drying your
hair. However, hair extensions can be cut and coloured just
like your natural hair.’
When applied by a hair extension specialist, you can
enjoy a full head of flowing, thicker hair – and look forward
to a good hair day, every day. csbm
For more information visit www.josephmourad.com.au
www.cosbeauty.com.au 165

eauty & spa
Salon
Melbourne
2014:
The best in
beauty
More than ever before, aesthetics have become
increasingly integrated into the traditional spa and
beauty categories. As services for consumers
become less about relaxation and more about results,
this year’s upcoming Salon Melbourne 2014 is placing an
increased focus on medi-based treatments.
As Victoria’s premier hair and beauty destination,
this unique two-day Expo provides beauty, spa and
hair professionals with a leading platform to experience
SALON MELBOURNE, VICTORIA’S ULTIMATE
HAIR AND BEAUTY EVENT, PUTS MEDI-BASED
TREATMENTS ON THE AGENDA THIS YEAR.
hundreds of brands, products and shows – all under the
one roof. ‘Having an increased emphasis on medi-based
products and services is an invaluable addition to this year’s
show line-up. Whether it’s injectables or laser resurfacing,
this year’s Salon Melbourne visitors will be able to evaluate
a range of leading treatments – gaining priceless knowledge
on how aesthetic-focused services can be integrated into
their own salons or spas,’ says Salon Melbourne Event
Director, Julia Erben.
Hair by Wade Blackford, makeup by Zoe Karlis, photography by Carl Keeley, styling by Jessica Cox
166 www.cosbeauty.com.au

eauty & spa
Whether you’re a beauty therapist looking to expand
your treatment base, or a salon owner after increasing
revenue, Salon Melbourne 2014 will provide you with a
one-stop shop for incorporating medi-based services into
your salon or spa.
Bursting with products, shows, education and
entertainment, Salon Melbourne provides the ideal platform
for sourcing, learning and inspiration. Get a step ahead of
your competition and clear the dates of March 23 and 24,
2014 and get registered for Salon Melbourne today!
When, Where
& How To Register
SALON MELBOURNE 2014
March 23 & 24, Melbourne Convention
and Exhibition Centre
For visitors looking for expert guidance on tapping
into this lucrative market, Salon Melbourne will feature an
unmissable Age Management seminar*, run by skincare
expert Suzie Hoitink. Educating on a range of non-invasive
skincare and technological based anti-ageing treatments,
Suzie will offer her sought-after expertise in choosing the
most effective tools based on individual business needs
and profit potential.
From education to exhibitors, the Expo floor will also
have plenty on offer, with a dedicated Medi-Zone providing
spa and beauty visitors with a devoted area to get the
latest news on innovations, trial new products and talk
directly with suppliers. A newly created Medi-Stage will
additionally allow visitors to view some of the industry’s
latest cosmeceutical innovations live in action.
Register Entry
Attending Salon Melbourne is free for all industry
professionals. Register your attendance at:
www.salonmelbourne.com.au
All Access Education Pass
Price: 3 seminars of your choice for $249 per person
(Price includes GST and is tax deductible)
* To purchase a ticket to Salon Melbourne’s Age
Management Skincare and Technology with
Suzie Hoitink seminar (price $99 per person or as
part of an All Access Education Pass) visit: www.
salonmelbourne.com.au/en/visiting/education/
www.cosbeauty.com.au 167

eauty & spa
Age-
Defying
Makeup
Tricks
AS WE AGE, COSMETICS THAT
ONCE ENHANCED OUR LOOKS CAN
BECOME UNFLATTERING. THESE
BEAUTY PRODUCTS CAN HELP
YOU TURN BACK THE CLOCK AND
REVIVE A YOUTHFUL COMPLEXION.
NICOLA DONOVAN REPORTS.
1
2
3
4
5
PROBLEM: A sunken face
FIX: As we age, it’s inevitable we will lose fat and
structure from our face. This results in a loss of volume
that can lead to sagging cheeks and lack of prominent
bone structure.
But all is not lost – there are certain beauty products
that can assist in helping to create the illusion of a
more supple and contoured appearance. To add a more
vibrant and 3D dimensional look to your features, dab
a sheer highlighter on your cheekbones and apples of
your cheeks.
Blush can also be used to make your bone structure
stand out. Simply dust it along the highest points of
your cheekbones.
PROBLEM: Sparse eyelashes
FIX: As the years pass, our eyelashes tend to lose
some of their thickness and length. They can become
sparser and fl atter, causing the eyes to look smaller. To
open up the eye area and create the illusion of wider eyes,
everything should be going upwards against gravity.
An eyelash curler can make a huge difference. Even if
you choose to skip mascara, curling your lashes should
still remain a part of your makeup routine. As for mascara,
opt for a natural brown shade, which will create a youthful
look while still defi ning the eye. But be careful not to be
too heavy handed with the mascara wand – fl aky, cakey
lashes are