Cosmetic Surgery and Beauty Magazine #64

bellamedia

Cosmetic Surgery & Beauty Magazine is the definitive guide to the aesthetic medicine industry for anyone considering a treatment therapy or surgical procedure. This quality quarterly publication contains comprehensive information about practitioners, equipment, techniques, processes and options, presented clearly and completely. The strong emphasis on input by industry professionals provides profiles of the practitioners and understanding of their approach to each procedure, enabling readers to make informed choices in their initial approaches to deciding what will best suit their needs. Hundreds of untouched before-and-after photographs provided by the practitioners themselves graphically illustrate both treatable conditions and the results that can be obtained. Cosmetic Surgery & Beauty Magazine is essential reading for anyone wishing to inform themselves about the options available in aesthetic medicine in Australia.

RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)

ISSUE 64 • MAY-JULY 2014

GUIDE TO

eyes

YOUR BEST

& ever lips

HAIR

CARE

101

9 FOODS

YOU DIDN’T

KNOW HELP FIGHT

CELLULITE

LIPOSUCTION

WHY IT’S NOW THE MOST

POPULAR PROCEDURE

9 771833 383011

ISSN 1834-383X

04

MAN

POWER

THE RISE OF MALE COSMETIC SURGERY


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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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

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Thread Lift • Extended Vertical Lift • Temporary & Permanent Fillers

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Look and feel good, from top to toe

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COMPREHENSIVE DENTAL SERVICES

Discover the smile of your dreams thanks

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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

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02 9956 7200

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you have youth in your blood

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contents

regulars

30 Editor’s letter

32 Contributors

36 Newsfront

44 A royal scandal

The history and origins of

various medical topics

111 How to subscribe

194 Directory

features

46 Trouble in paradise?

Cosmetic surgery should not be

part of a “package deal”

48 9 foods to fight cellulite

50 The holy grail?

Stem cells in cosmetic medicine

58 Your best ever eyes & lips

Guide to cosmetic treatments,

skincare and makeup tricks

66 Lip fashion

Lips trends throughout the times

108 The rise and rise of

cosmetic surgery

Latest statistics on surgical and

non-surgical procedures

112 Liposuction essentials

162 Male motivations

What factors drive men to seek

cosmetic surgery?

industry

40 Shape of the future

A rundown of the Aesthetic

Plastic Surgery Workshop

42 Through the door

Convert online browsers into

actual consumers

eyes

72 Eye rejuvenation

All about eyelid surgery

74 Eyes wide open

An individualised approach

to blepharoplasty

nose

76 The FAQs of rhinoplasty

The most common questions

in nose surgery answered

78 All about rhinoplasty

Achieving natural-looking

results in nose reshaping

teeth

80 Smile design

Aesthetic and functional

smile rejuvenation

face

82 Face and neck lifting

A combined approach

84 Let there be light

Laser and light therapies

86 Rebuild from within

Skin tightening with

radiofrequency energy

88 Tried and tested

Anti-wrinkle injections

90 Plump volume &

refine contours

The future of fillers

skin

94 Purify your skin

96 Treating acne

98 The lowdown on the latest

anti-ageing cosmeceuticals

100 Peel back the layers

Mesopeels by Mesoestetic

102 Youth boost

Hydropeptides in skincare

tattoo removal

106 Changing the game

Laser tattoo removal


Cover64_FINAL_final.indd 2

23/04/14 1:23 PM

subscribe now!

contents

The first 10 subscribers receive a free

jane iredale Colour Sample Kit valued at $54 each

jane iredale – The Skin Care Makeup – is an extensive line of pure mineral makeup

products. Founder and president Jane Iredale has worked with world-renowned plastic

surgeons and dermatologists in the development of the line, creating makeup

that’s as good for the skin as it is aesthetically pleasing.

Explore your natural beauty with the new Colour Sample Kit by jane iredale.

The Sample Kits are filled with 6 best-selling jane iredale products.

Each kit allows you to sample:

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see page 111

body

116 Living sculpture

Liposculpture is more than

just fat reduction

122 Case study

Body transformation

124 Smoother contours &

tighter skin

Minimally invasive

body contouring

136 Care & comfort

Optimise surgery results with

compression garments

138 Harness your

body’s potential

Platelet rich plasma explained

hair reduction

140 The new-generation IPL

Blonde and white hair reduction

breasts

142 Case study

Creating cleavage

148 Breast curves

The optimum shape and fit

152 Total breasts

Different types of breast surgery

156 Consider your options

intimate surgery

158 Breaking the taboo

Empowering women

with options

160 Stitchless labiaplasty

men

164 Mature-age male

cosmetic surgery

166 Restoring youth

Options for subtle facial

rejuvenation for men

beauty & spa

178 Beauty buzz

Latest products for 2014

186 Hair care 101

The right shampoo for your hair

190 Scents appeal

A showcase of fragrances

192 Editor’s faves

cover stories

RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)

ISSUE 64 • MAY-JULY 2014

GUIDE TO

YOUR

eyes

&

BEST

ever lips

9 771833 383011

ISSN 1834-383X

04

HAIR

CARE

101

9 FOODS

YOU DIDN’T

KNOW HELP FIGHT

CELLULITE

LIPOSUCTION

WHY IT’S NOW THE MOST

POPULAR PROCEDURE

MAN

POWER

THE RISE OF MALE COSMETIC SURGERY

48 9 foods to fight cellulite

58 Your best eyes and lips ever

112 Why liposuction is now the

number-one procedure

162 Man power and the rise of

male cosmetic surgery

186 Hair care 101

Read the FREE online version at

www.cosbeauty.com.au


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LETTER

FROM THE EDITOR

Welcome to this feature-packed issue of Cosmetic

Surgery & Beauty Magazine. The good news is

from now on you can also read the current edition

free online at www.cosbeauty.com.au. And it doesn’t stop

there! Since I returned from a Niche Publishers Conference in

Charleston, South Carolina, I’m brimming with ideas to deliver

you quality content in new and innovative ways, so watch

this space!

The world of cosmetic surgery and beauty has never

before been more at your fi ngertips. Not only can you access

Cosmetic Surgery & Beauty Magazine online anytime,

anywhere, we’ve also given a facelift to www.cosbeauty.

com.au, making it even easier for you to access in-depth articles on the latest cosmetic

procedures, beauty products and industry know-how. Our popular road test section

is overfl owing with fi rst-hand experiences and you can jump online to easily locate a

practitioner in our Directory or view before and after photo galleries and videos.

Must-read features in this issue include our comprehensive guide to your best

eyes and lips ever (p58), an in-depth look at the latest advancements in stem cell therapy

(p50), the most recent cosmetic surgery statistics (p108), and don’t miss reading about

the nine foods that can bust cellulite (p48).

We also delve into the world of male cosmetic surgery, examining the motivations

behind the rising number of men seeking cosmetic enhancement, plus detailing some

of the most popular procedures (from p162). As always, we bring you the latest beauty

updates (from p176) with various articles on hair products, advice on how to return your

skin and hair to optimum health after summer, and today’s cult-status fragrances.

Connect with us on Facebook and Instagram to get real-time beauty updates and

share your feedback on www.cosbeauty.com.au. See you online!

Michelle Kearney

Editor-in-Chief

michelle@bellamedia.com.au

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.

Read the online edition at

www.cosbeauty.com.au

Issue 64

MAY - JULY 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,

Lizzy Fowler, Camila Kawashita

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

Chief Operating Officer

Bill Dunk

Public Relations, Marketing

& Event Organisation

Phone 02 9398 2755 Fax 02 9398 2855

find us on

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surgery magazine,

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directory

follow us

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CosBeauty

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

Cosmetic Surgery & Beauty 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

Ricky Allen Dr John Flood Dr John Flynn Dr Joseph Georghy

Val Glover-Hovan Dr Josef Goldbaum Dr Doug Grose Dr Darryl Hodgkinson

Dr Peter Laniewski Dr Jim Leavesley Dr Steven Liew Dr William Mooney

Dr Colin Moore Dr Sarkis Nalbandian Dr Warwick Nettle Dr Oseka Onuma

Rita Porreca Dr Kourosh Tavakoli Terri Vinson Dr Michael Zacharia

32 www.cosbeauty.com.au


Dr Kourosh Tavakoli

cosmetic plastic surgeon

Rhinoplasty

(Nose Job)

RHINOPLASTY SPECIALIST

MBBS, BSc (MED), MS (UNSW),

FRACS (PLAST)

Dr Tavakoli is a renowned

cosmetic plastic surgeon

who is a Fellow of the Royal

Australasian College of Surgeons

and a Member of the Australian

Society of Plastic Surgeons.

He specialises in all aspects of

facial cosmetic surgery, with a

particular interest in cosmetic

rhinoplasty and facelift.

Follow Dr Tavakoli on

Suite 1, 376 New South Head Road, Double Bay

1300 368 107 | drtavakoli.com.au


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


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

Refi nement 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

Certifi ed 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


newsfront

NEWSFRONT

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‘GENERATION

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The 2014 International BioBridge

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22 and see 50 keynote presentations

on the latest advances in platelet rich

plasma therapy. Seven hundred doctors

are expected to attend, and talks will be

heard on musculoskeletal medicine,

wound care and ophthalmology, urology

and general surgery, as well as skincare

and plastic surgery.

THE LATEST FROM SYNERGIE SKIN

On April 7, Synergie Skin hosted an all-day VIP event for salons and

practitioners in Victoria. Founder of Synergie, Terri Vinson, spoke on

her approach to skincare formulation, and the latest practitioner range,

“The Specialist Seven”, was offi cially launched.

ACCS Hosts

Roundtable on

Cosmetic Injectables

This year, February 14 wasn’t just

a day for chocolates and roses. It

marked a roundtable discussion on

cosmetic injectable safety, hosted

by the Australasian College of

Cosmetic Surgery.

With participants from the

College, the Therapeutic Goods

Administration (TGA), the Australian

Medical Board, state government

health departments and several

cosmetic companies, the discussion

afforded expert insight into

optimising consumer protection in

the offering and administration of

cosmetic injectables.

The agenda included advertising

and public education, training,

standards and protocols, and quality

assurance.

Round table attendees:

Dr John Flynn, Chair (ACCS)

Mick O’Connor (TGA)

Sarah Harper (Australian Medical Board)

Dr Melissa McRae (Department of

Health, Victoria)

Nihal D’Cruz (MIGA)

Tony Kofkin (NSW HCCC)

Bruce Battye (PSU NSW Health)

Carlo Malaca (Consumers Health Forum)

Ian Carroll (iNova Pharmaceuticals)

Dr Michael Silverberg (Medical Director

of Allergan)

Kate McGrath (Mondeal Aesthetics)

Michelle Kearney (Bella Media)

Elissa O’Keefe (Australian College of

Nurse Practitioners)

Dr Jan Knight (CPSA)

Dr Soo-Keat Lim (ACCS)

Dr David Topchian (ACCS)

36 www.cosbeauty.com.au


INSIGHT

AESTHETICS, NEW

DISTRIBUTOR OF

EFB BEAUTÉ

ASPS SAYS

‘Buyer Beware’

Insight Aesthetics is the new

distributor of EFB Beauté’s

Adéna and Anthélia IPL systems

which use cutting-edge patented

Australian technology private health to permanently

insurers.

reduce white, blonde, red

and grey hair.

The Australian Society of Plastic Surgeons (ASPS)

is cautioning Australians to be careful seeking

cosmetic surgery overseas. It follows the introduction

of “cosmetic tourism” packages run by reputable

‘We have not been involved in developing the

proposed packages or any auditing or quality

assurance guidelines,’ says President of the Australian

Society of Plastic Surgeons Dr Geoff Lyons. ‘This is

a commercial package that has been developed by

the health insurer and individual surgeons operating

independently.’

The Society recommends patients do their

homework before deciding to undergo cosmetic

surgery. Patients should be informed of their options

and the potential risks involved, before making an

informed decision to undergo cosmetic surgery.

Fundraiser for

Breast Cancer

research

A fundraiser, held at Stanmore’s

Cyprus Club in Sydney on March

8, raised nearly $25,000 for

the Westmead Hospital Breast

Cancer Institute. The function

was coordinated by the Women’s

Committee of the Cyprus Club,

several members of which have

experienced breast cancer

themselves. The Stanmore

community pitched in to make

the night a success, with many

prize donations contributed by

Stanmore locals.


newsfront

INDUSTRY DINNER

Bella Media’s fi rst industry dinner for 2014

was held on March 18 at Prima Luna

restaurant in Randwick, Sydney. It was

a great and entertaining evening, full of

catch-ups, fresh business opportunities

and delicious food and wine. Keep your

eye out for the next industry dinner, to be

held in June.

Salon Melbourne 2014

Each year, Salon Melbourne hosts a spectacular celebration of all things

beauty, cosmetic, grooming, hair and spa. This year’s show – which ran

from March 23 to 24 at the Melbourne Convention and Exhibition Centre

– held expert demonstrations on everything from skincare treatments

to new techniques in makeup application and brow shaping. The 2014

Main Stage showcased the latest designs from Australian Hairdresser of

the Year Frank Apostopoulos, internationally recognised makeup artist

Rae Morris, and hair stylist and educator Lorna Evans.

LATEST COSMETIC SURGERY

STATS REVEALED

Liposuction is now the number-one performed

cosmetic surgery in the US, according to the latest

fi gures from the American Society for Aesthetic

Plastic Surgery (ASAPS). For the fi rst time, breast

augmentation has been knocked from the top position.

Read the full report on page 108

Study: Textured implants may harbour bacteria

An Australian study has found textured implants are

about 70 times more likely to harbour bacteria than their

smooth-surfaced counterparts.

The research will be published in the American

Journal of Plastic and Reconstructive Surgery and has

found that the growth of bacteria on textured silicone-gel

implants is signifi cantly more likely to cause discomfort,

deformity and hardening in the surrounding tissue.

‘Patients need to know, if they have something

artifi cial put in them, there’s a serious risk of chronic

infection,’ said Anand Deva, lead author of the study and

associate professor at Macquarie University’s School of

Advanced Medicine.

Dr Deva recommends implant patients visit their

surgeon for annual check ups every year following their

breast augmentation.

38 www.cosbeauty.com.au


SATURDAY 23 & SUNDAY 24 AUGUST 2014

SYDNEY EXHIBITION CENTRE, GLEBE ISLAND

TICKETS ON SALE IN JUNE – BUY ONLINE AND SAVE!

Celebrate your industry, expand your professional horizons and experience the latest spa and

beauty products, treatments, ideas and equipment. The industries finest will be on hand to share

their insider information and training, see inspiring visual displays, get your creative juices flowing

with live demos or see Australia’s largest gathering of brands.

SPA | BEAUTY | MEDI | WELLNESS | HEALTH

WWW.INTERNATIONALBEAUTYEXPO.COM.AU

PHOTOGRAPHY HENRYK, MAKEUP AMELIA AXTON, HAIR LAUREN MCCOWAN, MODEL SIMONE HOLTZNAGEL


industry

Shape of the Future

The 18th Advanced Aesthetic Plastic Surgery

Workshop WAS held in Melbourne in February,

with a special focus on body contouring.

Caitlin Bishop repoRTS.

The 20th of February marked the opening of the 18th

Advanced Aesthetic Plastic Surgery Workshop. It saw a

number of Australian and international plastic surgeons

descend upon the vibrant city of Melbourne for the three-day

conference, held at the Crown Conference Centre.

The 2014 Workshop focused on body contouring and

delved into some of the most cutting-edge concepts in

liposuction, gluteoplasty, gynaecomastia and trunkoplasty

procedures, with a spotlight on surgery after massive weight

loss. International keynote speakers included American plastic

surgeons Dr Constantino Mendieta, Dr Alexander Moya and

Dr Simeon Wall Jnr.

Dr Wall Jnr spoke about the history of liposuction, and the

improvements in safety, understanding and instrumentation in

the industry. He described his approach to achieving the best

results in body contouring using his SAFE Lipo technique,

which involves no suction and a fat equalisation technique to

ensure smooth and attractive results.

Breast surgery were also discussed at length. Keynote

speaker Dr Mendieta spoke on the different preferences in breast

aesthetics seen across the globe. He also shared the factors

he assesses to achieve the best results in breast rejuvenation.

For example, he looks at the gland to muscle transition, torso

length, gland to muscle relationship and position, and the longterm

results of mastopexy alongside augmentation.

His talks were heard alongside those from Dr Wall Jnr, on

breast issues after massive weight loss and optimising the

“mummy makeover”, Melbourne plastic surgeon Morris Ritz,

on the male chest and gynaecomastia.

The Advanced Aesthetic Plastic Surgery Workshop wouldn’t

be complete without a buzzing social scene. The welcoming

cocktail party and gala dinner provided the perfect venues for

catch-ups and some fun. All in all, the conference left attendees

inspired by the advancements in body contouring aesthetics,

and motivated to continue to achieve the best results possible

in liposuction, breast surgery, arm reduction and surgery after

massive weight loss. csbm

Photos courtesy of Woodrow Wilson

40 www.cosbeauty.com.au


industry

www.cosbeauty.com.au 41


industry

THROUGH

THE DOOR

SHORTCUTS SOFTWARE HELPS CONVERT ONLINE BROWSERS INTO ACTUAL

CUSTOMERS FOR YOUR BUSINESS. CAITLIN BISHOP REPORTS.

Revamped websites and social media engagement

are considered essential in today’s marketing

arena. Yet the fundamental purpose of all this digital

presence is sometimes forgotten. In reality, driving traffi c,

optimising SEO and conquering Google ratings should only

be pursued for one reason – to bring people through the

clinic doors.

Tools from Shortcuts Software are designed to compel

people to make a booking and convert online browsers to

actual customers. Both BookME and mylocalsalon.com.au

are features designed to drive people through the door.

While the end result of these features is the same, the way

they target different customers is very different.

BookME

BookME is a powerful online booking feature, designed to

open your clinic to new appointment opportunities around

the clock. It allows clinics to take appointments online,

through their website or social media pages, without the

risk of double-booking or overlapping clients.

‘BookME is a fully integrated feature that can be used

online, through social media and with email marketing,’

Shortcuts educator Brooke Morkham-Calvert explains. ‘It

is easy for the end-user to navigate, and protects against

any double booking or overlapping. Your clients can book

in straight away, without having to think twice.’

42 www.cosbeauty.com.au


industry

‘We encourage clinics to integrate BookME into

Facebook, and there is a BookME icon (like other social

media tags) that can be displayed on every page of the

clinic’s website,’ Morkham-Calvert explains. ‘Part of

Shortcuts’ services involve showing our clients how to

make the most of these features. We recommend including

a call to action, with a BookME link, in email marketing. It

should be displayed in the middle of the email – not at the

end – and should stand out, urging people to act.’

mylocalsalon.com.au

A platform for clients who are actively seeking clinic services,

mylocalsalon.com.au is designed to attract and convert

potential clients. It is an online platform where consumers

can search for a salon or service in their area. It collects

and showcases client ratings and reviews, and highlights

weekly salon and spa specials.

‘A mylocalsalon listing is free for clinics when they use

the Shortcuts BookME feature,’ Morkham-Calvert explains.

‘Clinics can set up their own profile page – it’s similar to

social media and is sometimes used as an alternative to

a website.’

Mylocalsalon is used to create another online presence

and facilitate bookings at any time, from anyone. Every

clinic can upload a description, and certain key words will

assist in customer searching. Importantly Shortcuts does

their part in optimising Google rankings, ensuring their

clients receive the best possible coverage.

‘We encourage our clients to make their profile as

engaging as possible; it’s all about the description, logo and

images – before and after galleries are always effective,’

Morkham-Calvert explains. ‘The key words are important,

because potential customers will search particular services.

To assist this, we provide training to help optimise your

mylocalsalon.com.au profile.’

When users search the mylocalsalon site, the salons

are listed according to their location and a ranking

system. The star ranking, which is a five star system,

stems from another Shortcuts feature called Spotlight.

This program is an instant feedback tool that prompts

clients to take a quick survey immediately following

their appointments. This timely and relevant feedback

can then be transferred to the mylocalsalon star

ranking, elevating your position and credibility in the online

search engines.

Shortcuts offers full training on the implementation

of their features, and free webinars are designed to help

with handy tips such as increasing online traffic and

adopting an integrated approach in marketing and social

media engagement.

‘Through features such as BookME and mylocalsalon

clinics can ensure they are generating bookings on every

possible platform, encouraging both existing and new

clients to make an appointment through just one click,’

Morkham-Calvert concludes. csbm

Shortcuts at a glance

Clinics can choose the following modules to add to their

core Shortcuts business technology.

MyLocalSalon

An online, interactive, national directory of hair, beauty, spa

and clinic businesses, mylocalsalon affords businesses the

opportunity to have an online presence without investing in

a website. For those with their own website, mylocalsalon

is another means for existing and future clients to book

their next appointment.

BookME

‘BookME is a powerful online booking solution,’ says

Morkham-Calvert. ‘It’s easy-to-use and fully integrated

with Shortcuts. BookME allows you to take appointments

without overlapping and double-booking, 24 hours a day,

365 days a year. It opens your business up to endless

opportunities for new appointments around the clock.’

AnyWHERE

With Anywhere you can access your appointment book

and rosters from your smart phone, tablet or PC. This

feature offers the convenience of remote access to you and

your staff.

Set & Forget MARKETING

‘Our most popular module, Set & Forget Marketing is

the ultimate marketing tool to help you control how you

connect with your clients,’ says Morkham-Calvert. Easy,

automatic, targeted and effective, it offers text message

and email that only needs to be set up once.

SpotLIGHT

Spotlight is a comprehensive feedback management

system designed to open up communication channels

between clinics and their clients. With Spotlight, clinic

owners can take control of the online conversation about

their business.

GiftME

‘Gift cards are the perfect way to grow your client base,

as well as being a strong branding tool,’ says Morkham-

Calvert. GiftME is a fully-integrated, online gift card solution

for single and multi-site businesses.

ScoreCARD

With a vast client base in the hair, spa and clinic industry,

Shortcuts has a unique insight into market trends.

Scorecard affords clinics the opportunity to see how they

compare to industry standards. ‘If a clinic suffers a dip one

month, they can quickly see whether this dip is industry

wide, or whether they might need to address an issue in

their own business,’ explains Morkham-Calvert.

www.cosbeauty.com.au 43


column

A

Royal

Scandal

WHERE DID THAT COME FROM? IN HIS

REGULAR COLUMN DR JIM LEAVESLEY

EXAMINES THE HISTORY AND ORIGINS

OF DIFFERENT MEDICAL TOPICS.

One of the great fl irts and high spirited young women

of the 19th century was the only daughter of the

third Earl of Bessborough and granddaughter of

the fi rst Earl Spencer (and hence related to the late Diana,

Princess of Wales).

Her name was Lady Caroline Ponsonby and it would be

diffi cult to fi nd a more felicitous top drawer from which for

her to emerge; it was all crowns and coronets for Caroline.

At 17 she married William Lamb to become Lady Caroline

Lamb, the name by which she is best known, while William

later became Lord Melbourne, Prime Minister of Britain and

establisher of the name of the Australian city. Coincidentally

with the marriage, Caroline engaged in a tempestuous affair

with the literary lion of the day, Lord Byron.

Let’s go back a bit and look at her from the medical

history viewpoint. She had an ungovernable temper

and was hypomanic. The question is: was all this due

to her high spirits and eccentricities or was she really

mentally disturbed? Whatever the conclusion, despite her

outrageous behaviour she survived in an era when such

carrying-on was usually the kiss of death in decent society.

44 www.cosbeauty.com.au


column

As we shall see, she seems to have been a fascinating

woman; probably a delight to her friends and an acute

embarrassment to her relatives.

Caroline spent her childhood at the wealthy and

great Devonshire House in London, where cultivated

conversation, social ease and modish snobbery made an

impact on our young poppet. Mind you, her mother and

aunt, the Duchess of Devonshire, lived a life of uninhibited

freedom and license, falling in and out love (and bed) with

feckless abandon, possessing the yearnings, jealousies

and emotional poverty of such a lifestyle.

Was lady Caroline Lamb a

sufferer of bipolar or was she a

true eccentric, a person whose

life was outside the ordinary?

When Caroline was 14, into this decadent set up strode

one of the up-and-coming darlings of society, 21-yearold

William Lamb. Her vibrant and tomboyish presence

when often wearing trousers, an unheard of dress code

at the time, appealed to Lamb. He was unfazed by her

screams and drumming heels when crossed, as well as the

tearing of clothes and uncontrollable rage. Overall she was

intimidatingly clever, precocious from her age and articulate.

William did not regard her as ‘tiresome’ or ‘difficult’ and

declared at that time she was the one for him.

He did not know that when she was 10 Caroline’s

grandmother thought her deranged and had a doctor

examine the girl’s mental state. His opinion was that

discipline was likely to injure such a sensitive child, but

grandmother disagreed and thought a sharply descending

hairbrush applied in the right place was the way to go.

Mother disagreed and so things remained the same.

Lady Caroline Ponsonby was introduced to the Royal

Court, and so launched into Society, in 1802 aged 17 and

was now on the marriage market. Lamb, now 24, again fell

in love with her and a marriage was arranged. Oddly his

fiancée’s mood changed as the wedding approached and

she became tearful and melancholic. At the ceremony she

had a fit of rage directed at the cleric, tore her dress, flung

her flowers away and was carried fainting from the room.

In contrast William maintained an amiable and detached

manner. Though seemingly to lack perception he took

control and his wife slowly recovered.

But it did not last and Caroline’s unpredictable behaviour

and mercurial swings were major factors. Her life oscillated

between fantasy and reality and she lived in a world of her

own making.

And then in 1812 a new meteor flashed across the

London social scene – 24-year-old Lord George Byron. He

had just published his lengthy poem Childe Harold and, as

he said, ‘I woke up one day to find myself famous’.

As a man Byron was self-effacing, fidgety and lacking

confidence. He also had an interesting limp, not from a club

foot as has been mooted, but a wasting of the calf muscle.

Anyway, Caroline Lamb insisted on meeting him, ‘be he

ugly as Aesop’. After the arranged get-together she

described Byron as ‘mad, bad and dangerous to know’

– indeed just her cup of tea. So under the gaze of a

scandalised society they carried out a passionate and

volatile relationship. She was besotted with the poet and

once when he ignored her she bit through her wine glass

and broke into hysterical sobs.

Eventually Byron wrote to Caroline to break off the

relationship saying, ‘Correct your vanity which has become

ridiculous and leave me in peace’. By chance they later met

at a ball. He ignored her, whereupon she gashed her arms

and wrote to him wondering if he remembered her. His reply

was one of the great rebuffs in the language.

‘Remember thee! Remember thee!/Till Lethe quench

life’s burning stream/ Remorse and shame shall cling to

thee,/And haunt thee like a feverish dream/ Remember

thee! Aye, doubt it not./Thy husband too shall think of

thee:/By neither shalt thou be forgot,/ Thou false to him,

thou fiend to me!

William sued for separation but when the lawyers arrived

with the papers they found her on his knee feeding him

pieces of bread and butter. But he did leave and London

society rejected her, too. She took to laudanum (an opiate)

and brandy, fell ill with dropsy, maybe due to liver cirrhosis

caused by the drugs and died aged 42 in 1827. William

Lamb’s great years as Prime Minister and confidante of

Queen Victoria lay ahead, but it is said his eyes filled with

tears whenever her name was mentioned.

Was Lady Caroline Lamb a sufferer from a manicdepressive

state (called bipolar now) or was she a true

eccentric, a person whose whole life was outside the ordinary

and did not perform in a conforming way? Oscillations

of exaltations and drives of mania with withdrawals of

depression combined with a slowing of thought and many

bodily functions is a pathological psychotic state into which

the sufferer had little insight. Caroline, I am sure, recognised

her actions and simply did not care, plus it started at a very

young age, so I do not think she was psychotic, more a

dependant egocentric, moody exhibitionist, and impulsive

sexual provocateur. As a child she was given everything

except affection and grew up in an establishment where

libidinous behaviour was acceptable.

So in my view her doubtless bizarre actions were present

because she suffered from a so-called hysterical personality

disorder. csbm

www.cosbeauty.com.au 45


feature

Trouble

in

paradise?

cosmetic surgery should always be centred on individual PATIEnt care

and not be viewed as PArt of a “PACKAge deal”. Caitlin Bishop reports.

Cosmetic surgery tourism sees several thousands

of Australians venturing overseas to undergo

cosmetic surgery each year. The attraction stems

from affordable procedures with an accompanying holiday

but these ideals of luxury can lull patients into a false sense

of security.

‘The decision to have cosmetic surgery should never be

taken lightly,’ says Chief Censor of the Australasian College

of Cosmetic Surgery (ACCS) Dr John Flynn. ‘Considering

cosmetic surgery as an “add on” to an overseas holiday is

not a smart approach.’

Of late, major Australian organisations have introduced

all-inclusive packages offering cosmetic surgery alongside

luxury accommodation, airfares and airport transfers.

But in this seductive mix of tropical getaway and surgical

rejuvenation, the gravitas of cosmetic surgery is somewhat

overlooked. Package deals, recommended by reputable

Australian medical insurance companies, can give the

illusion that cosmetic surgery can be considered as part

of a bundle.

Unfortunately, the confidence patients hold in these

sanctioning parties can stifle their awareness, either

pushing them towards a decision or detracting from their

research into other options.

‘Australians should not make a decision to undergo

cosmetic surgery based solely on the advice of a travel

or insurance agent or organisation,’ Dr Flynn explains.

‘Patients need to do their research, explore their options

and attend consultations in person before making an

informed decision.’

Patients need to do their

research, explore their options

and attend consultations in

person before making an

informed decision to undergo

cosmetic surgery

The Australian authority on consumer protection,

CHOICE, urges patients to carefully consider their options

before deciding to undergo cosmetic surgery overseas.

‘Plenty of people seek cosmetic surgery abroad, but

it’s an option that consumers need to consider with their

eyes open,’ says CHOICE investigative journalist Kate

46 www.cosbeauty.com.au


feature

Browne. ‘Overseas procedures require planning and the

onus is on the patient to do their research.’

Making an informed decision to go ahead with surgery

should involve thorough consultations, with several doctors.

Patients should always have the freedom to explore

other options and select a doctor they feel is the best fit for

their needs.

‘Patients should feel comfortable with their doctor, and

this process of building trust and confidence cannot occur

when the doctor is overseas,’ says Dr Flynn. ‘Once the

patient is overseas, and can meet the surgeon in person,

how likely are they to explore other alternatives after

travelling to be there?’

Not only should patients have the means to “shop

around”, each consultation should be individualised, as

every body heals differently and every patient is unique in

their concerns, desires and expectations. There are several

factors that contribute to a patient’s suitability for surgery,

and part of the consultation process involves determining if

surgery is the best option for each individual’s body type,

skin type and general physical and mental health.

Yet, the same way patient options are limited in seeking

cosmetic surgery overseas, the autonomy of doctor

discretion is also hindered. A cosmetic surgeon should

feel comfortable turning patients away who are not fit for

surgery, but the pressure of airfares, accommodation and

package deals somewhat hampers the freedom of an

individualised approach.

‘The consultation process needs to have two-way

communication between the patient and the doctor,’

explains President of the ACCS Dr Soo Keat Lim. ‘The

patient must convey their concerns and reasons for

seeking surgery, and the doctor has to explain the process

to achieving and delivering these results, according to the

individual patient.’

A major issue in the cosmetic surgery tourism divide

is the lack of follow-up process between the patient and

overseas surgeon. If complications – either medical or

aesthetic – arise, it usually falls to surgeons back in Australia

to conduct the revision procedure.

Post-operative consultations are designed to monitor

the results and manage complications. These consultations

are conducted weeks, months and sometimes years after

the surgery takes place.

‘It is not automatic that things will go wrong in cosmetic

surgery tourism, but it’s not automatic that things will go

right either,’ Dr Flynn says. ‘Even the most reputable doctor

can have patient complications, but how can they address

these if they’re located overseas?’

‘There are some complications that do not declare

themselves directly after treatment,’ he adds. One

complication that does not arise until years after surgery

is capsular contracture, the most common complication

following breast augmentation surgery.

Capsular contracture occurs when the scar tissue

surrounding the implant begins to contract, causing the

implant to become distorted and hardened and often

painful. Revision surgery is usually required to aesthetically

restore the breast and relieve the discomfort caused by

this contraction.

Plenty of people seek

cosmetic surgery abroad, but

it’s an option that consumers

need to consider with their eyes

open. The onus is on the

patient to do their research

In those cases where complications do arise immediately

after surgery, Browne explains the patient must have money

and flexibility to manage these contingencies, as cosmetic

surgery is not covered by travel insurance.

‘People get into trouble when they think they’ll be in

and out quickly,’ Browne says. ‘If things don’t go to plan,

and the patient has to stay in hospital, extend their stay or

change their flights, these expenses will not be covered by

travel insurance. Travel insurance does not cover cosmetic

procedures; patients need to have the money and flexibility

available in case things go wrong.’

The ACCS’ position on the issue of cosmetic surgery

tourism reinforces the absolute necessity of a diligent

consultation and follow-up process in undergoing any form

of cosmetic procedure.

Cosmetic surgery is not a commodity and should not be

dressed up in five-star “care-free” travel packages. Whether

overseas or at home, each patient should be confident they

have made an informed decision.

‘Patients should ask themselves three questions before

deciding to undergo surgery,’ says Dr Lim. ‘Do I feel

comfortable with this doctor to do the procedure? Have

I been given all the necessary information regarding risks

and complications, follow-up procedures and expected

results? And, do I feel confident that this procedure is right

for me?’

Patient research, consultation and aftercare are essential

components to successful surgery. Ultimately, each patient

should be treated as an individual, and not as part of a

“package deal”. csbm

www.cosbeauty.com.au 47


feature

Foods to

Fight Cellulite

Combat the appearance of

cellulite by fuelling your diet

with these nine super foods.

Cellulite is one of the most frustrating aesthetic

concerns. Seemingly impervious to exercise, the

dimpled skin appearance can detract from even

the healthiest of figures. There have been several regimes,

wonder treatments and alternative therapies touted to

reduce the appearance of cellulite, yet the success of

these endeavours remains unclear and elusive. One way

to combat the “orange peel” appearance of cellulite is to

optimise the foods we fuel our body with. What goes into

the body can contribute to skin integrity, fat composition and

circulatory drainage, all factors that affect the appearance

and pervasiveness of cellulite.

48 www.cosbeauty.com.au


feature

Oily Fish

Fish oil benefits skin, hair and nail health. The essential

fatty acids in fish help strengthen the lipid membranes in

the dermis, reinforcing the skin’s integrity from within.

According to some experts, cellulite stems from a

weakness in the collagen fibres of the skin’s deeper

layers, which causes bulges of fat to appear on the surface.

Fish oil can help counter this by strengthening the skin

and fuelling the body with high concentrations of proteins

and minerals.

Citrus Fruits

Citrus fruits, particularly oranges, can help ward off cellulite

by delivering Vitamin C. This helps improve skin elasticity

and rebuild and repair the skin from within. Oranges

also contain methoxylated flavones, which are natural

antioxidants effective in reducing inflammation and helping

the liver process cholesterol and blood fats.

Broccoli

When the body ingests sweets, sugar molecules attach to

collagen fibres to form harmful products called advanced

glycation end products (AGEs). These cause the collagen

fibres to become hardened and brittle, contributing to skin

wrinkling by weakening the dermis. Broccoli contains

lipoic acids, which help prevent the formation of AGEs and

maintain the skin’s integrity – effective in anti-ageing and

cellulite busting regimes.

Green Tea

Those cups of herbal goodness contain rich quantities of

catechins, which help inhibit the break down of collagen

and maintain strong, firm skin. The ingredients in green

tea may also help prevent the expansion of fat cells,

stopping them from pushing against the underlying dermis.

Also, the small amount of caffeine helps flush toxins from

the body and dehydrates fat cells, helping to reduce the

appearance of cellulite.

Sunflower seeds

These little seeds are jam-packed with antioxidants and

are said to help strengthen weakened tissue, improving the

appearance of cellulite. A source of Vitamin E, potassium

and zinc, as well as Vitamin B6, sunflower seeds are

believed to help metabolise those proteins that strengthen

and repair connective tissue. They’re also considered a

natural diuretic, ridding the body of excess water that can

make cellulite more visible.

Bananas

Some researchers suggest there is a link between cellulite

and circulation, or the body’s efficiency in flushing out toxins.

A rich source of Vitamin B6, potassium and magnesium,

bananas are believed to assist in healthy circulation and

combat the appearance of cellulite.

Chilli Peppers

Spicy foods boost the body’s ability to produce heat

internally, helping the body burn fat more efficiently. Those

eye-watering hot sauces contain Vitamin B6 to fortify

connective tissue and help increase the body’s metabolism,

fighting fat cells and improving blood flow.

Asparagus

This healthy green helps strengthen veins and capillaries to

normalise blood circulation. At the same time it encourages

blood flow, asparagus also acts as a diuretic, cleansing the

body of toxins and purifying the skin from within.

Water

When it comes to cellulite, the benefits of eight glasses a

day are definitely not mythical. Water helps plump the skin,

making it look thicker and more supple. By camouflaging

cellulite, and helping flush those stored toxins from the

body, water is essential in busting cellulite and smoothing

the skin.

www.cosbeauty.com.au 49


feature

The

Holy

Grail?

Stem cells signify a cutting-edge frontier in both cosmetic and

medical research. we speak with dr john flood who is pioneering the

use of stem cells in aesthetic rejuvenation. Caitlin Bishop reports.

50 www.cosbeauty.com.au


feature

Stem cells are causing a buzz in all arenas, from

skincare to health care. Sydney plastic surgeon Dr

John Flood is one of the Australians pioneering the

use of stem cells in rehabilitative and aesthetic medicine.

He is at the forefront of discoveries into the use of stem

cells for regenerating tissue, alleviating pain and – quite

literally – reversing the signs of ageing from within.

‘We use autologous, adipose-derived stem cells, which

are stem cells taken from the patient’s own adipose tissue,

or fat,’ Dr Flood explains. ‘We harvest the stem cells while

the patient is under local anaesthetic – usually from the

love-handles, where most people have pockets of fat.

The sample is centrifuged in a lab and the stem cells are

purified. Importantly, we use a regulated and certified lab,

where there is no chance of bacterial contamination or

cross contamination. The stem cells are then inserted into

syringes and returned for use in the clinic.’

Dr Flood’s journey into the use of stem cells began in

the area of rehabilitation. He worked with musculoskeletal

physicians to treat sports injuries in athletes. ‘We saw

fantastic results, which were reflected by very strong

evidence seen in various animal studies,’ says Dr Flood.

‘I witnessed athletes, who were in a lot of pain from joint

injuries, become pain-free within a week.’

Expanding from here, Dr Flood moved into treating

patients with neuropathic facial pain – a condition of chronic

pain that has no detectable cause. He and maxillofacial

surgeon Dr Russell Vickers saw approximately 50 percent

reduction in facial pain using stem cells, and their work has

been accepted for publication in an international journal.

‘Many patients relied on medication because they

couldn’t bear the pain, but then they couldn’t handle the

side effects of the medication,’ Dr Flood explains. ‘The stem

cell injections stopped this reliance and greatly improved

quality of life. People went from not being able to sleep,

and experiencing depression, to having their life back due

to pain relief.’

It was the treatment of one particular patient that

inspired Dr Flood’s investigation into using stem cells in

the cosmetic arena. This patient had developed facial pain

unexpectedly in her mid 20s. Though she had tried a number

of therapies, including muscle relaxant injections, to soothe

the facial pain and muscular contortion, no treatment had

worked and she had developed right hemifacial atrophy

– where the tissue on one side of her face had shrunk

and degenerated.

‘We injected stem cells into her right temporal region,

where she felt the pain originated from,’ he says. ‘After

three months she could sleep better, she was taking

less pain medication and, surprisingly, her facial atrophy

had corrected and her brow spasm had resolved. We’d

not been expecting that when we started treatment. The

tissue appeared fuller and she was ecstatic. She had less

distortion, fuller contours and felt her appearance had

returned to what it was before she developed neuropathic

facial pain.’

This regenerative result comes from the multiple actions

of stem cells and the profound effect of their secretions into

the surrounding tissue. ‘Ten years ago, the research into

stem cells revolved around differentiation, or adult stem

cell renewal – for example adipose stem cells renew into

fat cells, and dermal stem cells renew into dermal cells,’

Dr Flood explains. ‘Now the thinking has evolved, and we

realise that adult stem cells – no matter what their origin

– will stimulate the activity of the surrounding stem cells,

regardless of their differentiation paths.’

Stem cells act like a conductor

of an orchestra, triggering and

accelerating tissue regeneration,

to treat the skin from within

When adipose-derived stem cells are injected into

skin and subcutaneous tissue, they release chemical

factors to increase blood vessel formation and boost

nutrient and blood infusion to the area. As well as increasing

vascularity, the injected stems cells also stimulate the

surrounding stem cells – for example dermal stem cells –

to regenerate.

‘Adipose stem cells could signify the holy grail of

anti-ageing; they work to increase blood flow, stimulate

activity of the surrounding stem cells and, because they

renew into fat cells, they provide added plumping to the

treated area,’ Dr Flood explains. ‘They act like a conductor

of an orchestra – triggering and accelerating natural tissue

regeneration, to treat the skin from within.’

According to Dr Flood, the use of stem cells could

have implications not only as a stand-alone anti-ageing

treatment, but also to assist in the use of implants and grafts

in aesthetic and reconstructive surgeries. ‘Their capacity to

improve vascularity can potentially aid in graft or implant

adherence to the surrounding tissue,’ he says.

‘The whole process of ageing is related to wear,

oxidation and inflammation – stem cells release factors

to counter this wear, reduce inflammation and fight free

radicals. Autologous adipose-derived stem cells work to

regenerate the tissue, improve vascularity, combat ageing

and give rise to new fat cells to return lustre and vibrancy to

the treatment area,’ Dr Flood concludes. csbm

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feature profile

Your

cosmetic

enhancement

destination

Sydney plastic surgeon Dr Peter Laniewski from My Face Clinic in

bella vista takes an individualised approach to cosmetic rejuvenation.

Caitlin Bishop reports.

A

hub of world-class service and personalised care,

My Face Clinic delivers an all-encompassing

approach to cosmetic rejuvenation. Established by

Sydney plastic surgeon Dr Peter Laniewski, the clinic is built

on personalised patient care and is dedicated to achieving

superior results in everything from injectables and surgery,

to light therapies and skincare.

With a vision to build a clinic specialising in high quality,

results-driven treatments, Dr Laniewski has established

a team of highly trained consultants and therapists at his

Bella Vista clinic in North-West Sydney, and has recently

opened a new My Face Clinic in Erina on the Central Coast.

The range of treatments seen at My Face Clinic invites

a wide spectrum of patients – spanning all ages, with

various concerns. Dr Laniewski stresses an individualised

approach is key in achieving the best results in aesthetic

rejuvenation, as every patient is unique in their motivations,

desires and concerns. ‘It’s all about service, we pride

ourselves on offering the highest level of service and care,’

he explains. ‘What’s right for one person isn’t necessarily

suitable for another. There are varying treatments, and

degrees of treatment, that can be tailored to each patient.’

This dedication to individualised service and optimum

patient care is seen in the one-on-one cosmetic

52 www.cosbeauty.com.au


profile

consultants at My Face Clinic. ‘Each patient has his or her

own dedicated cosmetic consultant,’ says Dr Laniewski.

‘Whether it’s a relatively simple procedure like injectables,

right through to a facelift, the cosmetic consultant

walks the patient through the whole process. This forms

a lasting relationship built on trust, professionalism and

dedicated care.’

Notably, Dr Laniewski performs both the surgical and

non-surgical injectable treatments himself, giving all patients

the highest level of service and care.

encompasses the ‘ABC of skincare’. It has Vitamin A, B

and C serums, alongside an anti-pigment serum and an

exfoliating cleanser.

The anti-ageing range is designed to protect skin,

strengthen the underlying tissue, accelerate cellular

processes and beautify the complexion. Used in conjunction

with cosmetic treatments, it helps skin look its best at

every age. csbm

Each patient has his or her

own dedicated cosmetic

consultant to walk them

through the whole process

He has undergone international training in aesthetic

and reconstructive plastic surgery, and is considered a

world leader in breast and face and neck reconstruction.

‘Treatment – whether it’s surgical, non-surgical or a

combination of both, is dependant on the patient’s needs,

desires and expectations,’ Dr Laniewski says. ‘Sometimes,

non-surgical therapies can waylay the need for surgery,

or an upper eyelid lift can afford a rejuvenating effect.

However, a complete facelift remains the gold standard for

revitalising the ageing face, as it repositions and tightens

underlying facial muscles and removes excess skin.’

Alongside the surgical solutions, there is an Appearance

and Wellness Medicine arm to Dr Laniewski’s clinic.

This offers non-invasive solutions to anti-ageing

including skin peels, light-based treatments, and micro/

hydrodermabrasion.

Before undergoing any form of treatment, an extensive

consultation process is required to ensure optimum results.

In surgical cases, Dr Laniewski uses 3D imaging to help

envision the ultimate results and establish the best surgical

approach for optimum outcomes.

‘It’s all about building relationships, someone might be

a great candidate for IPL (intense pulsed light) therapy

or facial peels initially, but later down the track, as more

advanced ageing occurs, surgery may be recommended,’

Dr Laniewski says. ‘By having such a good rapport with

the surgeon and their cosmetic consultant, the patient can

feel at ease, knowing they are in good hands and that their

doctor has their best interests at heart,’ he concludes.

Dr Peter Laniewski

INVEST IN YOURSELF

Cosmetic treatment is an investment

in yourself, but how are you going

to maintain your investment?’ Dr

Laniewski asks. ‘The team at My

Face Clinic helps patients maintain

and optimise results, offering advice

about exercise and diet, skincare and

light treatments to keep each patient

looking their best for longer.’

FACE DR SKINCARE

Following treatment, whether surgical or non-surgical,

optimising results should involve using a quality active

skincare range. Face Dr skincare by Dr Laniewski

www.cosbeauty.com.au 53


profile

Meet the doctor

Silkwood medical welcomes Dr Amira Sanki, a plastic surgeon

specialising in breast surgery and body contouring.

Dr Warwick Nettle of Silkwood Medical in Sydney’s

Bondi Junction is pleased to welcome Dr Amira Sanki

to his talented team of aesthetic specialists. Dr Sanki

is a fully qualified specialist plastic and reconstructive surgeon

with experience and expertise in tummy tucks, breast surgery

(implants, lifting and reduction) and body contouring after

pregnancy and significant weight loss.

Amira graduated from the University of New South Wales in

2000 with Honours in Medicine and Surgery. She undertook

her internship at Royal Prince Alfred Hospital and has trained

intensively in General and Plastic Surgery in Sydney for over 10

years. Upon receiving her Fellowship in Plastic Surgery from the

Royal Australasian College of Surgeons, Dr Sanki commenced

practice as an aesthetic plastic surgeon with a special interest

in cosmetic surgery for the breast and body.

As a female plastic surgeon, Dr Sanki offers the advantage

of understanding how women express the changes they seek

in their appearance. ‘All patients have a right to the highest

standards of understanding, advice, ethics and technique. This

starts with me giving every patient my focused attention, and

listening to his or her goals and concerns,’ she says.

‘My role is to advise patients on what options they have, and

the pros and cons of each. My philosophy is to give patients the

54 www.cosbeauty.com.au


profile

same advice I would give family and friends. At times, plastic

surgery is not the right answer. When it is a good answer, it is

my responsibility to ensure patients are fully informed, and have

confidence that I will take good care of them.’

Dr Sanki works hard to ensure that every aspect of a

patient’s surgery experience is positive. For interested patients,

she offers an all-female surgical team to ensure comfort is

always a top priority.

Qualifications

Dr Sanki has trained to the highest standards. She is a Fellow

of the Royal Australasian College of Surgeons specialising in

Plastic and Reconstructive Surgery (FRACS Plast). FRACS

is the standard qualification required in Australia to perform

surgery in private and public hospitals, and is the only plastic

surgery qualification recognised by the Australian Medical

Council. Dr Sanki is also a member of the Australian Society of

Plastic Surgeons (ASPS). This is the peak plastic surgery body

in Australia.

Medical research

Dr Sanki was awarded a Doctorate in Philosophy at the

University of Sydney. Her research has helped advance the

treatment of melanoma. She has published numerous articles

in prestigious international medical journals and has presented

this research at Australian and international conferences.

She received numerous awards during her training and, with

a strong commitment to both the practical and academic

aspects of surgery, Dr Sanki regularly teaches plastic surgery

trainees preparing to sit their Fellowship exam.

Dr Sanki’s training and commitment ensures patients are

offered the highest standards of care, which is integral to the

Silkwood practice. Enhance your natural beauty with Dr Sanki

and let your confidence soar. csbm

About Silkwood

Silkwood Medical provides

Sydney with the highest standard

of treatment in a comfortable

and caring environment. Patients

come from all over Australia

and overseas for the advanced

cosmetic surgery techniques

and procedures offered by

Dr Warwick Nettle and his

expert team.

Procedures include:

• Face, brow and eye surgery

• Rhinoplasty

• Breast surgery

• Body contouring

• Non-surgical rejuveantion

4/59-75 Grafton St

Bondi Junction NSW

02 9387 3900

www.silkwoodmedical.com.au

www.cosbeauty.com.au 55


profile

The

new home

of beauty

Sydney Permanent Makeup Centre is joining forces with other

established practitioners to open Cosmedic Professionals, a unique

and integrated cosmetic clinic in Sydney. Caitlin Bishop reports.

Enhancing the outward reflection of inner beauty is the

philosophy behind Cosmedic Professionals, a new

cosmetic clinic set to open in Sydney this May.

Cosmedic Professionals is the venture by Rita Porreca

from the Sydney Permanent Makeup Centre and Jessica

O’Brien from the Skin and Laser Clinic Sydney. The new

clinic is built on a philosophy of beauty starting from

within. It will bridge the gap between medical, cosmetics

and alternative therapies to afford a holistic and allencompassing

approach to beauty and wellbeing.

‘Self-confidence comes from how we feel inside and

permeates outwards,’ Porreca explains. ‘Since I started

Sydney Permanent Makeup Centre, I’ve had a dream to

create a clinic that provides personalised natural beauty and

lasting cosmetic results. This is where alternative therapies

and cosmetic treatments meet.’

Porreca has been in the cosmetic industry for more than

30 years and believes there is a gap in the market, which

Cosmedic Professionals will aim to fill.

‘I have always thought there is a missing link between

medical treatments, beauty therapies and alternative

methods,’ she says. ‘It’s time we link our inner health and

skin together, because beauty starts from within.’

With everything from weight loss assistance to skin

rejuvenation and injectables, Cosmedic Professionals will

have a range of treatments on offer.

‘Cosmedic Professionals is a unique venture where

clients can find answers to a variety of concerns,’ Porreca

56 www.cosbeauty.com.au


says. ‘Detoxing with our infrared sauna, and assisting

with weight loss methods will address health and lifestyle

SPMUC FP(NEW) 30/4/07 1:30 PM Page 1

concerns. When these measures are partnered with skin

peels and light therapies for skin rejuvenation, a holistic,

effective and long-term change in the skin and body can

be achieved.’

By optimising both inner

timeless and

effortless beauty

timeless and effortless beauty

health and skin health, a

holistic, effective and long-term

change can be achieved

SPMUC FP(NEW) 30/4/07 1:30 PM Page 1

‘In When 1984 it my comes dream to eyes, was to lips, create face, a

Centre body, skin that and provided training, personalised we are the

Indeed with experts on board such as Porreca and beauty experts’ solutions expert. With with more natural than and 24

O’Brien, the experience and knowledge behind the clinic lasting years’ experience results – a world we have above developed

is a powerful force. Sydney Permanent Makeup Centre is traditional an excellent beauty reputation salons.’ with doctors

known for effective results in both paramedical and aesthetic – and Rita surgeons. Porreca, We Founder also work & MDclosely

timeless and effortless

with surgeons in post-operative

beauty

permanent tattooing, while the Skin and Laser Clinic Sydney

care.

uses medical grade laser technologies combined with active When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin and

skincare to treat a range of skin conditions.

Training

SPCP,

we

AAM,

are

AACT,

the experts'

APAA

expert. We also work closely

‘The team at Cosmedic Professionals has been carefully with surgeons on post-operative care.

selected for their professional understanding,’ Porreca

explains. ‘The collective knowledge and experience behind ‘In 1984 my dream was to create a

SERVICES WE PROVIDE

Cosmedic Professionals will provide a number of treatment Centre that provided personalised

options SERVICES for our WE clients. PROVIDE The beauty of this clinic is that a

beauty solutions Cosmetic with natural Tattooing

and

lasting results – a world above

few Cosmetic specialised Tattooing business are joining forces under the

traditional beauty Medical salons.’ Tattooing

one Eyebrows umbrella.’ Hair stroke to shaded brows to give you more of a

– Rita Porreca, Founder Skin & Needling

MD

natural Cosmedic appearance Professionals will be based in Five Dock,

Sydney Dermal BEFORE Planning Peels

Eyeliner and Subtle is set to to Dramatic open this or May. to define ‘By optimising your eye inner shape

health, and using a holistic and multimodal treatment When it comes to Eyes, Lips, Face, Body, Skin and

Lips From lip liner to full lips & blends we make your lips look

Training

good with Non Laser Tattoo Removal

regime, we will bring out the beauty in all our clients.’ csbm

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 Tattooing

Areola re-pigmentation Is the final stage of breast reconstruction and is AFTER FULL LIP TATTOOING

also considered by those with areola colour loss.

SERVICES An alternative

WE PROVIDE

Corrective Camouflage Can bring a natural skin colour back to scars

Cosmetic and burns Tattooing

approach to beauty

Eyebrows Hair stroke to shaded brows to give you more of a BEFORE FULL LIP COLOUR

AFTER FULL LIP COSMETIC TATTOOING

natural Skin Cosmedic Needling appearance Professionals takes a holistic

Eyeliner Needling approach Subtle treatment to to beauty, Dramatic for wrinkles, using or multiple to acne define treatment scars & scar relaxation

BEFORE

your eye shape

BEFORE

Lipsmodalities Skin From Rejuvenation lip to liner optimise to full inner lips & health blends and we enhance make your lips look good with

an Is ideal the beauty

for shape the

of

rebuilding and each colour and every

of all new the client.

collagen time. and lightening pigmentation.

BEFORE EYE LINER TOP AND BOTTOM

AFTER EYE LINER TOP AND BOTTOM

Their philosophy is centred on filling the

Medical IPL gap Hair between Tattooing Removal medical, beauty and alternative

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

therapies to ensure optimal results.

also AFTER EYEBROW TATTOOING

and efficiently considered by those with areola colour loss.

Corrective Treatments Camouflage include: Can bring a natural skin colour back to scars

and

Medical

burns

Skin Peels/Microdermabrasion

BEFORE EYEBROW TATTOOING

AFTER EYEBROW TATTOOING

• Laser and IPL skin rejuvenation

Skin treatments ranging from Green Peel, CosMedix Peels

Cosmetic injectables

Skin & Microdermabrasion Needling to give you a natural healthy glow.

• Tattoo removal – laser and non-laser methods

Needling treatment for wrinkles, acne scars & scar relaxation02 9569 7799

Cosmetic • Infrared Dermal sauna detox Fillers & Mesotherapy

BEFORE

follow us on

Skin • Rejuvenation

Weight loss assistance

Bella Building, Shop 4/239

Cosmetic Tattooing Courses

Is ideal • Permanent for the rebuilding makeup of new collagen and lightening pigmentation. Great North Rd, Five Dock

Learn, up-skill and expand with professional cosmetic tattooing training.

AFTER AEROLA TATTOOING

located in Cosmedic Professionals

IPL Hair Removal

Email: info@spmuc.com.au

Enables hair removal from nearly every part of the body quickly

www.cosbeauty.com.au

Web: www.spmuc.com.au

AFTER EYEBROW TATTOOING

and efficiently


cosmetic

procedures

58 www.cosbeauty.com.au


feature

your best

ever

From cosmetic procedures to makeup tricks, there are a number of

ways to help make your eyes pop! Caitlin Bishop repoRTS.

Blepharoplasty (eyelid surgery)

Loose or sagging skin of the upper eyelid can detract from

the eye’s aesthetic contour and, in severe cases, obstruct

vision. Similarly, excess fatty deposits under the eyelid, or

heavy bags under the eyes, can add years to the face,

contributing to a tired, drawn appearance. Blepharoplasty

is a surgery designed to improve the appearance of the

upper or lower eyelids – or both – by excising excess skin,

and tightening the surrounding tissue.

During blepharoplasty, incisions are made along the

natural skin creases of the upper or lower eyelids. This

helps reduce the appearance of post-operative scarring,

as the scars will be hidden within the skin lines. In lower

eyelid surgery, the fat is cut away from the directly beneath

the eyelid. In upper eyelid surgery, the skin above the eye

is reshaped and excess skin is removed, reducing the

appearance of a “double eyelid” or hanging eyelid skin.

Brow Lift

As dermal collagen depletes and the skin’s elasticity

weakens, fine lines, deeper furrows and slackened

skin can give the brow a heavy, aged look. Indeed,

the forehead is one of the first areas to exhibit signs

of ageing, and brow-lifting surgery can be effective

in raising, tightening and returning youthfulness to

the area.

There are several options in brow lift surgery.

Endoscopic surgery signifies the least invasive

approach; it uses a scope to lift and tighten the

forehead tissue via several small incisions just behind

the hairline. Alternatively, a longer incision, along or

behind the hairline, affords greater surgical access

and can help lower the hairline to better improve facial

balance and harmony.

Fillers

Restoring lost volume around the eyes can reduce the

appearance of bags and hollowness. In certain cases, fillers

can be effective in refreshing the eye area and granting a

more alert appearance. Fillers under the eye can help

counter the appearance of dark circles, and a small amount

of filler in the upper eyelid can effectively reduce hollowness.

Filler under the eye can be partnered with filler in the upper

cheek for a more holistic rejuvenation.

Anti-wrinkle injections

Fine lines and crow’s feet can detract from an

otherwise youthful appearance, and the use of

anti-wrinkle injections around the eye area can act

as both an anti-ageing and preventative measure.

These injectables work by temporarily paralysing

the underlying muscles to reduce the appearance

of dynamic wrinkles – or wrinkles that occur due

to facial expression. Anti-wrinkle injections can be

placed under and around the eye to help combat fine

lines, crow’s feet and deeper furrows.

Cosmetic Tattooing

Cosmetic eyebrow and eyeliner tattooing can help revitalise

the eye area for striking, permanent and youthful-looking

results. Eyebrow tattooing can encompass the whole

brow, or simply thicken the ends of tapering brows. Solid

colour, subtle shading and feathered patterns can be used

to achieve the best results, depending on the patient.

Eyeliner tattoos can be applied on the upper and lower lash

line, and blue or green ink is often applied above the black

to emphasise natural eye colour for the most aesthetically

pleasing results.

www.cosbeauty.com.au 59


SKINCARE

AND MAKEUP

SKINCARE

INGREDIENTS FOR

AGE-DEFYING EYES

The delicate skin around our eyes can sometimes call for

a gentler, more particular, touch in keeping the signs of

ageing at bay. Here are the top fi ve ingredients to return

youthfulness and hydration to the eye area, for an antiageing

and protective effect.

Retinol

Unrivalled in the skincare arena in terms of anti-ageing

results, retinol is a derivative of Vitamin A and an essential

ingredient in any active skincare regime. It helps reduce the

appearance of fi ne lines, wrinkles, sun spots, crepiness and

sagging skin.

It works by increasing cellular turnover and boosting the

production of collagen in the skin. Because of its potency,

some irritation can occur during the fi rst couple of weeks of

use but, as the skin adjusts, noticeable anti-ageing results

will begin to emerge.

Hyaluronic acid and ceramides

Hydration is key in returning that dewy, youthful look to the

eye area. Hyaluronic acid (HA) occurs naturally in the body

and, when added to skincare, it works to attract moisture

to the delicate skin around the eyes.

Ceramides also help maintain hydration in the skin and,

when used in skincare, can generate an effective, protective

and anti-ageing hydrating effect.

Neuropeptides

Incurring a similar effect to retinol, but in a gentler fashion,

neuropeptides help stimulate collagen and elastin in the

skin. They help increase skin resilience, and tone and

tighten the skin’s surface.

A peptide-packed eye cream will help improve the

eye contour and reduce the appearance of fi ne lines

and wrinkles.

Vitamins C and E

Designed to sooth, protect and nourish, Vitamin C and

Vitamin E are age-defying eye cream ingredients. They

help improve skin elasticity while protecting against further

environmental damage. Their fresh, soothing feel will leave

your eye area revitalised and radiant.

Glamorous eye makeup

Nothing says glamour more so than classic winged

eyeliner. The timeless beauty look is best achieved

using liquid or gel eyeliner on the upper lid. Pull your

lid taught, start from the inner corners of the eyes and

draw outward, following the natural eye contour. The

fl icked ‘wing’ is best achieved in a single motion, by

directing the brush towards the upper ear.

It’s important to layer eye shadows – starting with

a paler shade and gradually building in intensity. The

colour should be strongest in the outer corners, and

along the crease line. Use a light bright shadow in

the inner corner of the eye to add dimension and

make the eyes appear larger. Thicken the wing by

taking shadowing underneath the bottom lash. Heavy

mascara is essential in completing the glamorised look.

But be sure to curl your eyelashes before applying to

elevate the whole appearance of the eyes.

1. YSL Mascara Volume Effet Faux Cils Baby Doll, RRP

$52 2. Max Factor Smoky Eye Effect Eyeshadow in

Bronze Haze, RRP $21.95 3. Dior Diorshow Art Pen in

Catwalk Black, RRP $59 4. Sisley Phyto-Ombre Glow

in Silver and Gold, RRP $55 5. Synergie Magnifeye

Eye, RRP $24 6. Sisley Phyto-Sourcils Perfect in

Cappuccino, RRP $62

60 www.cosbeauty.com.au


feature

6.

7.

1. 2. 3. 4. 5.

Anti-ageing eye makeup

There are a number of surefi re ways to achieve younger

looking eyes using makeup. Lid primer can smooth the

surface of the eyelid and assist in the adherence of eye

shadow. This prevents the shadow from accumulating in

skin folds, creating a smoother, more youthful-looking

base. The shade of shadow is key in restoring youthfulness

to the eye area. Opt for a neutral colour – nude, bone or

peach – that’s a couple of shades lighter than your skin

tone. This makes eyes appear more awake, and helps the

whites of the eyes stand out.

Add some shimmer (not sparkle) to illuminate the eye

area. A dot of light shimmer shadow in the inner corners of

the eyes will create an alert, revitalised look. Eyes should

not be burdened with heavy liner. Make sure to keep the

line as thin as possible when using liner on the upper lid,

and any liner on the lower lid should be two shades lighter

than the one used on top. Finally, use a lash lengthening

mascara – with an eyelash curler – to return a youthful

fullness to the lashes and complete the anti-ageing effect.

1. Covergirl Flamed Out Shadow Pencils in Ginger

Flame, RRP $9.95 2. Shiseido Sheer Eye Zone Corrector,

RRP $42 3. Lancôme Hypnose Precious Cells Mascara,

RRP $52 4. L’Oréal Paris Colour Riche Le Kajal, RRP

$19.95 5. L’Oréal Paris SuperLiner Brow Artist Shaper,

RRP $22.95 6. Estée Lauder Pure Color Instant Intense

Eyeshadow Trio in Beach Metals, RRP $58 7. Shu Uemura

Pressed Eye Shadow Refi ll in Soft Purple, RRP $22

8. Covergirl 4-Kit Eye Enhancers in Urban Basics, RRP

$13.95 9. Make Up Store Microshadow in Saga, RRP

$35 10. Dior Backstage Eye Prime, RRP $45

8.

9.

6.

10.

3.

2.

4.

5.

1.

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feature

cosmetic

procedures

62 www.cosbeauty.com.au


feature

your best

ever

lips exude sensuality and personality. read our guide to the latest

treatments, lip products and makeup to perfect your pout.

caitlin bishop reports.

Dermal filler

Dermal filler injections are the most popular method for

lip augmentation. The filler commonly contains hyaluronic

acid (HA), which is a natural substance found in the

body. Hyaluronic acid attracts hydration and helps boost

volume in the treated area. Fillers specifically formulated

for lip augmentation can improve the appearance of lips by

adding shape, structure and volume.

Cosmetic tattooing

Lip tattooing can be ideal for women lacking a definite

lip shape, who are hoping to add definition and improve

lip colour. One treatment is typically sufficient to achieve

the best results and, though the colour will appear

intensely bright immediately after treatment, this will fade

to a permanent, more natural-looking shade in the weeks

following the procedure.

Thread lifting

A non-surgical method to augment the lips for a longer

lasting result, thread lifting uses specialised suture material

– or ‘threads’ – to outline, lift and plump the lips. When

the threads are passed through the lip line, they cause mild

trauma in the underlying tissue. This stimulates the body’s

natural healing response and triggers the formation of

collagen production in the underlying tissue. The threads

usually dissolve within two years following treatment, and

the underlying tissue rejuvenation means the results will

continue to improve over this time.

Cosmetic Dentistry

A beautiful smile can fuel the face with youthfulness,

confidence and vitality. Cosmetic dentistry optimises the

relationship between the lips, teeth and gums for a naturallooking

smile transformation. Dental veneers in particular

can create a ‘lip lift’ effect by building your lip profile out,

and teeth whitening is a surefire way to bring youth and

vitality to the mouth and overall face.

Treating marionette lines

Marionette lines are the furrows that run straight down

from the corners of the mouth to the chin. They contribute

to the appearance of ageing, and can make the face look

tired, sad or heavy.

Dermal fillers can help restore lost volume and fill these

wrinkles to immediately counter the appearance of ageing.

Typically, the results last up to a year, but some dermal

fillers aid in internal skin rejuvenation for an extended antiageing

result.

www.cosbeauty.com.au 63


LIP CARE

AND MAKEUP

LIP MAKEUP

Ageing can often detract from the full,

plump pout of youthfulness. With time, due

to sun exposure, ageing and environmental

stressors, the lips can lose their volume, shape and

defi nition. Luckily, however, there are certain makeup

tips that can be used to trick the eye and enhance the lips.

1.

2.

3.

4.

Ace of base

Preparation is key in cosmetic lip enhancement. Exfoliating

the lips using Vaseline can help shed fl aky skin and brighten

and soften lips. Following exfoliation, lip plumper and lip

primer should be applied to nourish the lips and provide

an even base for colour. Lip plumpers usually contain

ingredients such as capsicum pepper and cinnamon, to

stimulate and swell the lips. Similarly, lip primer will add

hydration and smooth the lip base. This assists in the even

application of lip colour and prevents feathering around the

lip line.

Extending and defi ning the lip line is best achieve using

lip liner pencils. When choosing a natural, nude look, the

lip liner should be the same shade as your foundation.

Alternatively, when opting for a strong statement colour, like

a classic red or deep berry, use a liner that will deepen or

brighten the lipstick shade.

To achieve the best lip liner look, apply two dots of liner

upon the two highest parts of the cupid’s bow, at the centre

of the top lip. Follow this with a horizontal dash along the

bottom lip, as close to the lip’s edge as possible. Then,

connect the dots by applying liner around the remainder

of the lip’s outline. Finally, fi ll in the lips with lip liner colour,

this will provide a strong base for lipstick application and

prevent colour fading.

Colour me happy

Lipstick can be the perfect accessory in softening makeup

or making a statement. The shade of lipstick should match

your skin type. For red lipstick, cool reds and berry shades

look best on fair skin tones, brownish reds are most striking

on medium skin tones, orange-based reds can be a

standout on olive skin and darker skin can handle deeper,

more intense shades of red. For a modern-day twist on the

classic red lip, coral colours and plum shades add a fresh,

striking effect.

Lip-gloss is the fi nal touch in achieving plump, full and

pouting lips. By applying gloss to the centre of the lips, and

brushing outwards from there, the lips will appear fuller and

the cupid’s bow more pronounced. A highlighting effect

can be achieved with sheer silver, gold or iridescent lipgloss,

perfect over a neutral lip shade or for extra sparkle

at an evening event.

Daytime lips

1. Estée Lauder Pure Color Envy Sculpting Lipstick in

Insatiable Ivory, RRP $50 2. MaxFactor ColourElixir Giant

Pen Stick in Culture Blush, RRP $9.95 3. Covergirl

Outlast All-Day Lipcolor in Forever Fawn, RRP $20.95

4. Asap Hydrating Lip Balm+, RRP $20 5. Synergie

Poutpot Lipliner in Nude, RRP $24 6. Laura Mercier

Naked Lip Pencil, RRP $30

1.

2.

Party time lips

3.

1. Synergie Poutpot Lipliner in Flame, RRP $24 2.

L’Oreal Colour Riche Moisture Matte Lipstick in Bloody

Mary, RRP $21.95 3. You By Sia Iced Gloss – Mineral

Lipgloss in Tango, RRP $24 4. Dior Addict Fluid Stick

in Aventure, RRP $50 5. Make Up Store Lip Plump

X-Treme, RRP $48

4.

6.

5.

5.

64 www.cosbeauty.com.au


feature

Lip

fashion

1940s

1920s

1930s

We look at changes in lip fashion

over the past century and what’s

hot in 2014. Tara Casey reports.

Fashions change over time, and every decade since

the beginning of the century has had its own look,

defined by clothes, hair, makeup, lips... Lips? It’s not

that crazy when you give it some thought.

There have been numerous studies on the influence of

lips on our culture, their social psychology, sexuality and

position as a fashion accessory. We take a look at the way

lip fashions have evolved and the directions they have taken

in the new millennium.

In the 1920s ‘rosebud lips’ of deep red were fashionable

and popularised by pin-ups such as Gloria Swanson. In the

1930s the natural lines of the lips were accentuated with

the upper lip being wider than the lower. Joan Crawford,

renowned for her wide mouth, sported this arrogant look –

and by all accounts an attitude to match.

Marlene Dietrich in the 40s also had an arrogant look,

but the 40s somewhat reverted to the “cupid’s bow” upper

lip of the 1920s,while keeping the broader upper lip of the

30s. Judy Garland had these lips accentuated with strong

colour and Ingrid Bergman wore hers with a natural look.

In the 50s Marilyn Monroe epitomised the ideal in lips

(and everything else). Her strong mouth, with a shorter lower

lip emphasised by natural lines,was sensually highlighted

by her open-mouthed smile, exaggerated by lip gloss.

Shunning the vividly coloured lips of previous eras, the

freelove decade of the 1960s saw pale colours and nude

shades prevailing, taken from the hippie look and worn

successfully by Twiggy and Natalie Wood. This carried

through into the 70s, a decade where clothes seemed

more important than makeup. It was lucky for Jane Fonda

that the absolutely natural fashion of the time supported her

social/political views so strongly.

In a complete turnaround from the hippie and vagrant

look of the past 20 years, the 80s heralded shock, gloss

66 www.cosbeauty.com.au


1950s

feature

The science behind the perfect pout

Full lips have long been viewed as a symbol of beauty, youth and sensuality.

Many people view lips as the focal point of the face, and their shape and volume

can speak volumes about you before you’ve said a word. Indeed, a study by

scientists at Manchester University in the UK concluded that a woman’s lips

are the most attractive part of the female body. Other studies have found that

plumper lips also serve as a biological indicator of a woman’s health and fertility.

With the advent of fillers – lasting anywhere from a few months to several

years – more than a decade ago, we now have the opportunity to temporarily

restore what nature has taken away with age (or didn’t give us in the first place!).

1990s

1960s

1970s

1980s

2000s

and glam. Kim Basinger and Kim Wilde pouted in pinks and

violets and frosts and slicks. This trend increased up until

the 90s, which is best summed up by the words ‘Extremely

Big Lips’. With lip augmentation growing in popularity it

didn’t matter what colour was being worn – lips were full on

the top and full with a slightly slack-jawed expression (think

Pamela Anderson and Elizabeth Hurley).

Fast-forward to 2014 and the lip fashion of the times

has evolved from the over-full ‘trout pout’ to more naturallooking

volume. People nowadays don’t want their lips to

be the focus of attention. They want something that blends

and harmonises with the rest of their features, subtly

accentuating their mouth without screaming ‘overdone’.

In this way, lip augmentation has become a very

customisable procedure; it’s all about working with

each patient’s unique features to create a look designed

especially for them. Most people don’t necessarily want a

radically different lip size and shape, but are more interested

in replacing volume and definition lost through the ageing

process. csbm

www.cosbeauty.com.au 67


face

Informed

Beauty

68 www.cosbeauty.com.au


face

InformedBeauty.com.au is an online platform designed

to educate and empower patients seeking anti-wrinkle injections.

Caitlin Bishop reports.

Injectables signify the most popular non-surgical cosmetic

procedure in Australia. Dermal fillers and anti-wrinkle

injections have become so ingrained in our beauty

regimes that they are used routinely as an anti-ageing

measure for both men and women alike.

While the rise of non-surgical cosmetic procedures

provides patients with more options in facial rejuvenation,

this rise in popularity comes with a danger that consumers

will adopt a carefree attitude in undertaking treatment.

Knowledge is power for a

patient, as it assists them in

making educated choices when

seeking cosmetic treatment

InformedBeauty.com.au is an online platform designed

to educate patients considering wrinkle treatment and

raise awareness around one essential fact – cosmetic

injectables should not be taken lightly.

‘Patients need to have a good grasp of both the benefits

and the risks of injectables so they can make an informed

decision about undertaking treatment,’ Queensland plastic

surgeon Dr Terrence Scamp explains. ‘Patients need to

understand the time of onset and duration of the effects of

treatment, and websites such as InformedBeauty.com.au

are an important resource.’

How Informed Beauty began

The site was launched in March this year after a survey,

entitled The Informed Beauty Report, found the majority

of Australian women using anti-wrinkle injections are

inadequately informed.

Allergan was the driving force behind the study, which

surveyed 7,716 women, aged 18 years and over, to gauge

their understanding of cosmetic injectables.

According to the research, more than 85 percent of

anti-wrinkle injection users claimed they were careful in

receiving treatment yet 71 percent of this sample did not

know which product they were being treated with, and 47

percent did not realise there were different kinds of antiwrinkle

injections on the market.

‘The Informed Beauty site is important for the

patient, as it allows them to better understand

anti-wrinkle injections, the way they work

and the options that are available,’ Sydney cosmetic

surgeon Dr Joseph Ajaka explains.

‘Accurate information on the brands available,

common treatment areas and any risks or possible side

effects involved are invaluable for all patients seeking

cosmetic injections.’

The questions

you should be asking

Which brand of injectable do you use and why?

Has this anti-wrinkle treatment been extensively

tested and researched?

How quickly will I see the effects of this injection and

how long will the results last?

Are side effects different between brands?

How satisfied are your patients with the results?

Patient education

With a goal to set ‘the facts straight on wrinkles’,

InformedBeauty.com.au has fact sheets on wrinkles

and ageing, a timeline of anti-ageing tips for every age

group, and expert advice from trained cosmetic and

plastic surgeons.

The Informed Beauty Report found that 78 percent of

anti-wrinkle injection users claim they were well-versed in

cosmetic injectables before their first treatment. While this

sounds like a promising result, there were some significant

gaps in their preparatory undertaking.

For example, 42 percent of these patients did not ask

about the name of treatment they were receiving, 28 percent

did not ask about the treatments used by the cosmetic

practitioner, and 27 percent did not ask if the treatment is

approved for use in their areas of concern.

www.cosbeauty.com.au 69


face

Key findings of

The Informed Beauty Report

• 83% of women surveyed were satisfied with how

they look

• 74% agreed they enjoyed their beauty routine,

including anti-wrinkle injections

• 47% of anti-wrinkle injection users did not realise

there were different kinds of anti-wrinkle injections

• 86% of anti-wrinkle injection users claimed that

they are very careful about what is injected into

their face

• 71% didn’t know the name or brand of their last

anti-wrinkle injection treatment

• On average, Australian anti-wrinkle injection

users receive treatment 1.7 times a year.

According to Dr Ajaka, patients should be doing their

research before approaching a practitioner, and the initial

consultation should provide further education on a range

of issues.

‘It’s encouraging feedback that women are doing their

research ahead of their treatments, but they shouldn’t

stop once the appointment is booked,’ Dr Ajaka advises.

‘Patients can always ask me questions during their

consultation and I encourage them to do so. I discuss the

time it takes for anti-wrinkle injections to become effective;

post-treatment care and precautions; potential risks such

as bruising and droopy eyes; and rare side effects such as

flu-like symptoms, double vision or headaches.’

The use of injectables

BEFORE

2

The use of anti-wrinkle injections and dermal fillers can

be tailored to different patients. Various approaches can

be used to achieve different results in facial rejuvenation,

depending on the patient’s concerns, desires and

3

expectations. Dr Scamp stresses an individualised

approach is essential to achieve natural-looking results in

non-surgical facial rejuvenation.

‘I explain the ageing process to patients and the way

it manifests itself in ageing skin, expression lines, volume

loss and tissue sag,’ he says. ‘In younger patients, I

discuss facial proportions and the shapes that make a face

universally attractive. I then discuss both surgical and nonsurgical

options to improve the appearance and how these

4

can interact. There is no one single method I use to assess

a face and I try to individualise treatments to best suit the

patient’s face and their desires.’

According to Dr Ajaka, anti-wrinkle injections constitute

a major part of his clinic’s practice. He explains there are

several treatment options, suited to a variety of patients.

‘We administer anti-wrinkle injections just about every

day at the clinic; it’s our most common cosmetic treatment,’

he says. ‘There is not a typical patient type; we treat male

and female, from all backgrounds and over a vast age

range. The areas we commonly treat include the forehead,

frown lines (glabella) and crow’s feet around the eyes. We

can also correct eyebrow height symmetry, gummy smiles

and soften the “square jaw” look.’

With around 33,000 anti-wrinkle injections administered

in Australia each year, platforms such as InformedBeauty.

com.au are an important resource in filling the gaps

in consumer knowledge and ensuring injections are

undertaken with the appropriate amount of care.

‘Knowledge is power for a patient, as it assists them in

making educated treatment choices,’ Dr Ajaka explains. ‘By

being as informed as possible, it empowers the patient to

make the correct decision when consenting to anti-wrinkle

injections. The patient’s understanding also supports the

treating practitioner, as it enables the injector to accurately

understand, assess and treat the patient to generate the

best results,’ Dr Ajaka concludes. csbm

1

BEFORE

BEFORE

BEFORE

AFTER injectable wrinkle treatment by Dr Ajaka

AFTER injectable wrinkle treatment by Dr Ajaka

AFTER injectable wrinkle treatment by Dr Ajaka

AFTER injectable wrinkle treatment by Dr Ajaka

70 www.cosbeauty.com.au


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eyes

Wide-eyed rejuvenation

Sydney plastic surgeon Dr Warwick Nettle says an eye lift – both

alone and in coMBINATIon with other surgery – can creATe a more

youthful and energised appearance. Caitlin Bishop reports.

Labelled the ‘windows to the soul’ and the focal point

of the face, the eyes signify an important aspect of our

overall appearance. Unfortunately, they are also one

of the first areas to show the signs of ageing. Tired, heavy

and wrinkled skin around the eyes can greatly contribute

to an aged appearance. Eyelid surgery, or blepharoplasty,

can counter this and achieve a subtle but noticeable antiageing

effect.

Sydney plastic surgeon Dr Warwick Nettle explains

rejuvenating the eye area can help return youthfulness

to the ageing face as a whole. ‘Bags beneath the eyes,

wrinkled drooping eyelids and sagging eyebrows can give

the face a tired, angry or sad expression,’ he explains.

‘Eyelid surgery can remove any excess skin or bulging fat

pockets to restore a more youthful, awake appearance.’

EYE OPENERS

Laser and chemical peels are another option to help

rejuvenate the eye area. They are commonly used to

boost skin health and combat fine wrinkles, particularly

around the lower lids. They can be used in conjunction

with blepharoplasty to optimise long-term results.

Similarly, dermal fillers and anti-wrinkle injections,

combined with facial skincare and treatments, can

prolong the need for surgery, or be used alongside

blepharoplasty, to achieve the ideal cosmetic makeover.

Men and women in their 40s and 50s are common

candidates for eyelid surgery, and Dr Nettle often combines

blepharoplasty with other facial surgeries for a more

universal rejuvenation.

‘The most common age for blepharoplasty is during

the 40s and 50s, but I still see people in their 30s and late

60s who are looking to improve the eye area,’ Dr Nettle

explains. ‘We can achieve a holistic anti-ageing result in

partnering blepharoplasty with other procedures. I often

recommend undergoing blepharoplasty at the same time

as a face or brow lift.’

As with any surgical procedure, a thorough consultation

process is required to achieve the best results in eyelid

surgery. Dr Nettle tailors his approach according to patient

concerns, desires and expectations.

‘Blepharoplasty calls for different surgical techniques,

depending on the patient. For example, male and female

patients have unique needs, and some Asian patients

are looking to widen the eyes, which requires a different

surgical approach to the general anti-ageing procedure,’

he explains. ‘It is important to consider the patient’s skin

quality, the surrounding anatomy and the way the result will

complement the rest of the face.’

Blepharoplasty is performed under general anaesthesia

and uses small incisions to remove excess skin and fatty

tissue from around the eye area. Generally, the procedure

requires a day stay in surgery, and the post-operative

discomfort is typically managed with paracetamol in the 24

hours following the procedure.

72 www.cosbeauty.com.au


eyes

‘Even though eyelid surgery has a relatively fast and mild

recovery time, patients should take it easy for the first week

or so following surgery,’ Dr Nettle advises. ‘Most patients

can return to work after seven to 10 days, and makeup can

be worn shortly after the procedure.’

Dr Nettle is diligent in undertaking a thorough follow-up

process with his patients, as downtime will vary between

cases. Importantly, scarring following blepharoplasty is

generally quite inconspicuous, as the incisions are placed

in the eyelid creases.

‘Some patients may experience a little tightness,

dryness or sensitivity to light immediately following the

procedure, but this will differ between cases,’ Dr Nettle

explains. ‘Because the incisions are hidden in the natural

crease lines, they are the least noticeable in cosmetic facial

surgery. Usually, the scars are barely visible after 10 days

post-operatively and the incision lines will continue to fade

over time.’

In widening the eyes, and restoring the eyelid and brow

area, blepharoplasty can be a viable option in countering

the signs of ageing as both a stand-alone and integrated

procedure. ‘The eyes are the focal point of the face and

greatly contribute to the overall facial appearance,’ says

Dr Nettle. ‘Eyelid surgery is an effective option in refreshing

the face and granting a more alert, youthful and energised

appearance.’ csbm

1

BEFORE

AFTER eyelid surgery by Dr Nettle

2

BEFORE

AFTER eyelid surgery by Dr Nettle

BEFORE

AFTER eyelid surgery by Dr Nettle

www.cosbeauty.com.au 73


eyes

Eyes

Wide Open

Sydney plastic surgeon Dr John Flood explains his eyelid surgery

approach to return youthfulness and vibrancy to the

entire face. Caitlin Bishop reports.

74 www.cosbeauty.com.au


eyes

Eyelid surgery, or blepharoplasty, can help revitalise a

tired, heavy appearance. By lifting the eyelids, and

excising excess fat and skin from the upper and

lower lid, the eyes are opened up and the face appears

alert and more youthful.

Sydney plastic surgeon Dr John Flood takes an

individualised approach in eyelid surgery to achieve precise,

effective and predictable results for each patient. ‘People

seek eyelid surgery for both cosmetic and functional

reasons,’ he says. ‘Some patients complain of the weight

of heavy eyelids on the lash line, or have impaired vision

due to excess skin hooding the eyes. Cosmetic patients

are looking to reduce the appearance of tiredness, or wish

to be able to apply mascara without getting ink all over their

eyelids. No matter what the motivation for treatment, the

benefits are always double-fold.’

My patients don’t usually

seek further surgery after seeing

their blepharoplasty results

One of the happy by-products following blepharoplasty

surgery is the release of the brow area, often seen in patients

seeking surgery for functional reasons. ‘Many patients

don’t realise it but there is often tension in the forehead

that comes from elevating the eyebrows to counter the

weight of the eyelids,’ Dr Flood explains.

‘The brow usually settles down around

10 weeks post-operatively; the tension

alleviates and the deep furrows sometimes

seen in the forehead relax.’

Dr Flood performs blepharoplasty as

day surgery, with patients under general BEFORE

anaesthetic. He was trained in the

procedure by eyelid and breast surgery

pioneer Dr John Tebbetts in Texas, and

uses a unique surgical approach to

achieve greater precision and control over

the final outcome.

‘First of all, I measure the eye area BEFORE

using ophthalmic callipers when the

patient is sitting, and again when they

are lying down,’ Dr Flood explains. ‘I then

use a very fine cataract blade during the

surgery, which helps increase precision of

skin removal, and a needlepoint cautery

pen which helps seal blood vessels and BEFORE

control intra-operative bleeding and postoperative

bruising.’

Unlike many surgeons, Dr Flood does

not inject local anaesthetic into the eyelid

skin during blepharoplasty. He explains

these injections can impede the surgical

approach and affect the recovery period. BEFORE

‘Even if one, two or three millilitres of fluid are injected,

this immediately makes the eyelids puffy – adding to postoperative

swelling,’ Dr Flood explains.

In typical cases, Dr Flood recommends patients have

a week off work following eyelid surgery. Side effects in

the days following the procedure will typically include

bruising and swelling.

Blepharoplasty can be performed as a stand-alone

treatment, or in conjunction with other facial rejuvenation

modalities. ‘Eyelid surgery, when used with anti-wrinkle

injections or structural fat grafting, can achieve a subtle but

effective overall rejuvenation of the eyes and face.’

Rejuvenating the eye area can have a powerful antiageing

effect and, according to Dr Flood, often waylays

the need for more invasive facial rejuvenation treatments.

‘If a patient comes to me hoping to return youthfulness

and counter a tired appearance, I often recommend eyelid

surgery – if they have lovely eyes, why not show them?’

he says.

‘Oftentimes, I see blepharoplasty patients in their

follow-up consultations and, although they might have

been considering more surgery, they don’t usually feel the

need for further treatment after seeing the results of their

blepharoplasty,’ Dr Flood explains.

‘Patients look less tired, have a wider field of vision, and

the furrows in their brow are often improved. This affords

an anti-ageing result that revitalises the entire face,’ he

concludes. csbm

AFTER blepharoplasty by Dr Flood

AFTER blepharoplasty by Dr Flood

AFTER blepharoplasty by Dr Flood

AFTER blepharoplasty by Dr Flood

www.cosbeauty.com.au 75


nose

The

FAQs

of

rhinoplasty

Sydney plastic surgeon Dr Darryl Hodgkinson answers some of the

most common questions about nose reshaping surgery.

Of all the cosmetic plastic surgery procedures, nose

enhancement, or rhinoplasty, remains one of the

most common and satisfying for patients. Just as

no two noses are alike, no two rhinoplastic procedures are

alike. Every operation must be customised so that the result

for the patient is a nose that is not only attractive but one

that fits their face and is in balance with all of their features.

Rhinoplasty can take the form of nose reduction surgery

to reduce the size, or plastic surgery to modify the size and

shape of the nostrils, tip or bridge of the nose, or to alter

the slope or angle of the nose. Rhinoplasty can also be

performed to repair birth defects or injuries to the nose.

Because of the many factors involved in communicating

with the patient, planning the operation and carrying out

the procedure, the experience and expertise of the surgeon

are the major determinant in the quality of the result. I

have performed thousands of rhinoplasties in my years in

practice and have found that the following are some of the

most common questions that patients ask.

How will my new nose likely look?

At the clinic we use digital imaging technology as a tool

to communicate with prospective patients so that both

surgeon and patient can agree not only on what is desired

but also what is possible in terms of creating their ‘new

look’ nose. I also encourage patients to bring in pictures of

noses that they do and do not like.

Clear and accurate communication between surgeon

and patient using visual tools allows the patient not only

to explain their expected result but also allows for a proper

assessment to be carried out and realistic advice to be

given by the surgeon.

What is the right age to get your nose fixed?

Many patients come to us in their late teenage years

and early 20s asking about rhinoplasty. They have been

incorrectly told when they were younger and already selfconscious

about the shape of their nose that they should

only consider surgery when they are much older.

In fact, the nose is completely grown by 18 years of

age, and the end of high school is a popular time for young

people to have nose surgery, as they are then entering the

workforce or moving on to university.

Can a rhinoplasty improve my breathing?

If a breathing problem is present, in addition to imaging,

I test the breathing function of the nose and sometimes

X-rays are necessary to discover the cause of nasal

obstruction.

If the septum of the nose is crooked, often referred to

as a deviated septum, this can be corrected surgically at

the same time as a cosmetic rhinoplasty to improve both

breathing and appearance.

Breathing can also be improved by removing or adjusting

the turbinates which act as the internal humidifying

mechanisms of the nose. In most cases, any difficulties

with breathing can be improved at the same time as the

rhinoplasty surgery.

76 www.cosbeauty.com.au


nose

Can a rhinoplasty fix a flat nose?

Many Asian patients and some Caucasians

have a ‘flat’ nose and would like the bridge of

their nose to be built up to create a ‘high nose’.

The desire for a more Eurasian appearance is

becoming increasingly popular – it is however

an aesthetic that dates back more than a

century in some cultures.

Other patients who complain of a flat nose

are those who have had nasal fractures, often

associated with contact sports like rugby. This

can also create an unattractive ‘flattening’ of

the nose.

Elevation of the nasal bridge with silicone

is an occasional option, but I prefer to use the

patient’s own tissue, be it cartilage or bone,

as it does not react or have a tendency to

move around or extrude like silicone over time

and gives an excellent result. I have published

these results in international journals and

presented them at conferences worldwide.

BEFORE

After rhinoplasty by Dr Hodgkinson

Do I have to stay in hospital?

Rhinoplasty surgery is performed on an

outpatient basis at our fully licensed and

accredited day surgery facility. The patient

goes home the day of surgery with a family

member or friend to act as their overnight

support person.

How long do I have to be off work

or away from my studies?

The normal recovery period for rhinoplasty is

approximately seven to 10 days, during which

time the patient wears a splint and/or has their

nose taped. After this, the nose is still tender

and slightly swollen but the appearance is

such that patients are able to resume most

activities except for contact sports within

two weeks.

BEFORE

After rhinoplasty by Dr Hodgkinson

In conclusion, in my 30+ years of

performing rhinoplasty surgery, I have never

seen two cases exactly alike. I have, however,

noted the obvious gain in self-confidence for

all age groups in both men and women.

The wonderful thing about rhinoplasty,

unlike age-related rejuvenation surgery, is

that it is an operation that if done properly the

first time never needs to be repeated. This

technically demanding procedure provides

great satisfaction for patient and surgeon

alike. csbm

BEFORE

After rhinoplasty by Dr Hodgkinson

www.cosbeauty.com.au 77


nose

all about

rhinoplasty

Sydney ENT and facial plastic

surgeon Dr Michael Zacharia

says the modern approach to

rhinoplasty is about achieving

natural-looking results. Lauren

Alexander reports.

Rhinoplasty not only improves the appearance of the

nose, indeed the whole face, but it can also restore

confidence to people who have been lamenting the

size or shape of their nose their whole lives.

‘Sometimes the most minor alterations can achieve

dramatic changes to a person’s appearance,’ says Sydney

ENT and facial plastic surgeon Dr Michael Zacharia. ‘My

philosophy is to achieve natural-looking results – I believe

the best nose reshaping is one in which the nose still looks

true to the patient’s ethnic background as well as to their

facial bone structure.’

One of the most frequently requested surgeries,

rhinoplasty can also be considered one of the most complex

cosmetic procedures given the need to preserve, and

sometimes enhance, the anatomical function of the nose.

‘Unlike many other cosmetic enhancement procedures,

surgically enhancing the nose requires the surgeon to

maintain a balance between conserving a stable anatomical

structure and creating an aesthetically pleasing result,’

Dr Zacharia explains. ‘In other words, while aesthetic

concerns can be effectively addressed through surgery,

they need to be done in a way that preserves or improves

the functionality of the nose.’

One thing most prospective rhinoplasty patients have in

common is the fact that they’ve been living with something

they don’t like about their nose for a long time.

In Dr Zacharia’s experience, rhinoplasty patients tend to

have a strong idea about what they want to change, and

how they’d like their rejuvenated nose to look. Marrying

these expectations with what is surgically possible requires

an extensive consultation period ahead of surgery.

‘It is important to understand exactly what kind of

aesthetic the patient desires,’ he explains, adding that there

are a couple of steps to ensure this happens.

‘Firstly, both the patient and the surgeon need to be

completely honest with one another about realistic options

and what can be achieved. We utilise a computer imaging

system to help the patient illustrate the changes they want

made to their nose, which also allows the surgeon to

translate these changes into what is required surgically –

this is key to ensuring both patient and surgeon are on the

same page.’

Whether correcting a small deformity inherited from

injury or remodelling the nose to better suit a patient’s facial

features, surgery will sometimes take place in two stages.

‘First we perform the initial operation, and then go on to

“tweak” the nose, which usually involves minor non-surgical

changes,’ Dr Zacharia explains.

‘The result is an aesthetic that preserves function, while

also paying heed to the cosmetic changes requested by

the patient.’

For Dr Zacharia, the key to a successful outcome for

both doctor and patient is communication. ‘It’s important

to have a great rapport with your chosen surgeon and to

feel confident in the entire process – from consultation and

treatment to post-op and recovery.’ csbm

78 www.cosbeauty.com.au


nose

1

BEFORE

BEFORE

AFTER rhinoplasty by Dr Zacharia

AFTER rhinoplasty by Dr Zacharia

2

BEFORE

BEFORE

AFTER rhinoplasty by Dr Zacharia

AFTER rhinoplasty by Dr Zacharia

www.cosbeauty.com.au 79


teeth

Smile design

SYDNEY AESTHETIC RECONSTRUCTIVE DENTIST DR SARKIS NALBANDIAN USES

A VARIETY OF TECHNIQUES TO CREATE AESTHETIC, FUNCTIONAL AND NATURAL-

LOOKING RESULTS IN SMILE REJUVENATION. CAITLIN BISHOP REPORTS.

Actual Patient

A

beautiful smile should be natural looking, symmetrical

and striking. Sydney aesthetic reconstructive dentist

Dr Sarkis Nalbandian takes a minimally invasive

approach in preserving, improving and maintaining a

patient’s natural smile.

‘Optimising the smile should be about imitating nature

and working with what’s already there,’ Dr Nalbandian

explains. ‘It is essential that the smile is considered in

relation to the rest of the face. The shape and shade of

the teeth, as well as the arch shape, should be recreated

according to the facial frame. It’s really about the face, not

about the teeth – that’s true aesthetics.’

While Dr Nalbandian uses a variety of techniques to

create aesthetic and functional results in smile rejuvenation,

he often recommends composite porcelain and ultrathin

porcelain veneers to achieve noticeable results with

minimal intervention.

Dr Nalbandian performs a One Visit Smile Lift, where he

uses composite and ultra-thin porcelain veneers developed

by him and his technical team to rejuvenate the smile without

damaging the existing teeth,’ Dr Nalbandian explains.

‘Porcelain veneers require no local anaesthetic and, most

importantly, the existing enamel is always preserved.’

Composite veneers can be effective in improving the

appearance of worn teeth that are damaged by ageing

or tooth grinding. They can also improve the appearance

of a reverse smile line, and correct any asymmetry and

tooth discolouration.

‘Bruxing, or teeth grinding, is a habit that can impact both

the canine and front teeth, wearing them down and leading

to asymmetry,’ Dr Nalbandian explains. ‘While orthodontic

realignment is often the ideal way to improve crowded or

worn upper and lower teeth, there are many ways we can

use non-invasive methods to improve a patient’s smile in

just one visit.’

Dr Nalbandian makes a point of examining the mouth

directly to accurately devise the most suitable treatment

plan for each patient. This is a major point of difference, as

other dentists often use digital design software during the

diagnosis process.

‘Smile design is an artform and I work within the mouth

directly to diagnose and plan the best treatments for my

patients,’ he says. ‘The challenge is to create a natural

smile that complements the patient’s beauty and facial

aesthetic. This demands an individualised approach, and

cannot be digitalised.’

Even though a One Visit Smile Lift involves minimal

downtime and a relatively speedy process, it requires

extensive and individualised planning to ensure optimum

results. During the consultation process, Dr Nalbandian will

photograph 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.

In complex cases, Dr Nalbandian may incorporate the

use of dental implants to achieve the best result. For patients

considering future orthodontic treatment, he will usually

suggest composite veneers, as tooth enamel is preserved

and the veneers can be removed to accommodate

future realignment.

‘There are numerous options in smile rejuvenation, and it’s

important to work with each patient individually to establish

the best treatment plan,’ says Dr Nalbandian. ‘Whether it’s

reconstructive and implants are needed, or aesthetic where

veneers will suffi ce, each patient will undergo an extensive

consultation process to ensure the results are naturallooking

and suited to the rest of the face.’ csbm

80 www.cosbeauty.com.au


teeth

CASE STUDY

AFTER smile rejuvenation One Visit Smile Lift treatment using composite veneers in one visit by Dr Nalbandian

The following patient had

worn upper front teeth

which impacted negatively

on her overall appearance,

speech and confidence.

Initially during diagnosis, Dr

Nalbandian established the

patient’s ideal tooth length

and aesthetic and she was

happy to proceed. Eight

composite reconstructions

were completed in one visit

with no drilling of the tooth

structure and no injections for

complete smile rejuvenation.

BEFORE (note the worn, reverse smile line)

AFTER non-invasive treatment in one visit by Dr Nalbandian. Note the improved smile

line and teeth display.

BEFORE (note the obvious reverse smile line)

AFTER smile rejuvenation in one visit by Dr Nalbandian, enhancing this

patient’s whole facial aesthetic.

www.cosbeauty.com.au 81


face

face & neck lifting

for harmonoius, natural-looking results, Sydney plastic surgeon

Dr Warwick Nettle says a neck and face lift are often combined.

tara casey reports.

Facial rejuvenation surgery is really about having an eye

for creating harmony and beauty, says Sydney plastic

surgeon Dr Warwick Nettle.

‘Procedures such as a facelift or neck lift can’t

be approached as a routine task,’ he continues. ‘They

should be modified to suit the individual patient’s needs

and unique look.’

‘Whereas in the past facial surgery procedures often

resulted in telltale sharp angles and hollowness, there has

been a paradigm shift from just stretching and tightening

the skin to creating soft curves and beautiful angles as

well,’ he continues. ‘By repositioning volume in the mid and

lower face, a more youthful roundness can be restored.’

Facelift and neck lift surgery can achieve a significantly

more refreshed and younger looking appearance. The

procedures have evolved into safer and more effective

methods to rejuvenate the face without the windswept

look often seen in the past.

A neck lift is designed to improve the appearance of

loose skin on the neck, sometimes referred to as ‘turkey

neck’, to achieve a more youthful-looking jaw line and

aesthetically pleasing neck and profile.

‘A neck lift can also address the common problem of

platysma bands, the vertical muscle bands in the neck

that become increasingly visible throughout the ageing

process,’ says Dr Nettle.

Incisions for a neck lift procedure are usually made in

the crease under the chin and behind the ear, explains Dr

Nettle. The skin is lifted away from the underlying muscles

and excess skin is removed. If necessary, any extra fat can

be removed using liposuction.

The platysma muscles are tightened during a neck lift

procedure to correct neck banding and improve the neck

contour. When tightened in the midline below the chin,

lateral traction on the platysma then creates a ‘sling’ which

elevates the soft tissues below the jaw line. The angle

between the jaw and neck, and positioning of the hyoid

bone and digastric muscle, are also all carefully assessed

to achieve maximised results.

A lower facelift in conjunction

with a neck lift can achieve

outstanding results

Dr Nettle says a lower facelift performed in conjunction

with a neck lift can achieve outstanding results. ‘Performing

a facelift alone may be suitable for a younger patient who

does not present with sagging jowls, however above the

age of 45 I normally recommend having the procedures

performed in tandem,’ he explains.

‘The 40s and 50s are an ideal age for facial rejuvenation

surgery. This is because the facial tissues still have

reasonable elasticity, and the extent of the surgery may

be limited. I believe facelift and neck lift surgery performed

slightly earlier rather than later can produce a more naturallooking

and longer lasting result,’ he concludes. csbm

82 www.cosbeauty.com.au


face

1

BEFORE

AFTER full face rejuvenation by Dr Nettle

BEFORE

AFTER full face rejuvenation by Dr Nettle

2

BEFORE

AFTER neck lift by Dr Nettle

3

BEFORE

AFTER neck lift by Dr Nettle

www.cosbeauty.com.au 83


face

Let

there

be

Dr John Flynn

considers laser and

light therapies an

integral component

of modern cosmetic

treATment. Caitlin

Bishop reports.

Laser and light therapies have come to occupy a very

specialised and integral position in the cosmetic arena.

Laser treatments can help improve the tone, texture

and tautness of the skin, while light therapy can kick-start

cellular processes to rejuvenate the skin from within. This

not only bridges the gap between skincare and surgery but

has become a major part of improving the results of more

invasive procedures.

Dr John Flynn from Queensland routinely uses laser

treatment to optimise results following facelift surgery.

‘About one-third of our practice is laser therapy; it interacts

with almost everything we do,’ he says. ‘I consider laser

resurfacing to be an integral part of the modern day facelift.

It means the texture, colouring and integrity of the skin is

addressed, alongside the surgical correction of skin laxity.’

Different uses of laser treatment

Dr Flynn offers both laser rejuvenation and resurfacing at

his Gold Coast clinic. He says the two types are effective

in correcting different skin conditions and can help counter

the signs of premature ageing.

‘Laser rejuvenation is most effective for colour correction;

it can help treat redness and pigmentation, and reduce

the appearance of birth marks or blood disorders on the

skin,’ he says. ‘In comparison, laser resurfacing is best for

84 www.cosbeauty.com.au


face

improving texture, reducing wrinkles and really rebuilding

and reinforcing the skin’s collagen support structures.’

The laser rejuvenation treatment is relatively gentle and

involves very little downtime. It is suitable for those patients

looking to maintain the results of more invasive procedures,

or improve the appearance of broken capillaries, prominent

veins, rosacea or pigmentation, and overall skin radiance.

Several treatments are typically required to achieve the

best results.

Laser resurfacing improves

skin texture, reduces wrinkles

and helps rebuild collagen

For those after a more hard-hitting approach, laser

resurfacing is suited to patients looking to help reverse

the signs of ageing and slow the future formation of lines

and wrinkles. Although it involves

1

some downtime, laser resurfacing can

achieve noticeable results in a single

treatment.

‘The downtime will vary between

patients, and some redness will usually

persist for a few weeks following

treatment,’ says Dr Flynn. ‘Laser

resurfacing can achieve noticeable

improvement in one treatment.’

LED therapy

Treatment with light emitting diodes

(LED) delivers light at certain

wavelengths to stimulate cellular

activity and collagen production in the

dermis. This delivers an anti-ageing,

rejuvenating effect, and Dr Flynn often

recommends LED treatment before

and after surgery.

‘LED therapy can be used to improve

skin health before and after surgery, or

as a stand-alone treatment for general

skin rejuvenation,’ he explains. ‘It uses

different wavelengths to increase blood

flow to the skin, accelerate cellular

turnover and address specific concerns

such as acne or pigmentation.’

During treatment, certain light

wavelengths are used to cause

different reactions in the skin. Infrared

light deeply penetrates the dermis and

stimulates blood flow and collagen

2BEFORE

BEFORE

3

BEFORE

rebuilding in the skin’s deeper layers. Blue light, which is

a shorter wavelength, doesn’t penetrate as deeply and is

used for its anti-microbial effect, inhibiting the growth of

acne-causing bacteria.

Practically anyone seeking a non-invasive way to

enhance skin health and kick-start the body’s natural

processes is suitable for LED therapy. The treatment is

non-invasive and involves no downtime. Notably, patients

at Dr Flynn’s clinic can take home an LED light mask to

receive the benefits of light therapy in their own homes.

‘It’s an innovative concept that delivers all the benefits

of LED therapy in a take-home mask,’ Dr Flynn says. ‘Light

therapy can achieve extraordinary results by using the

right dose of light at the right wavelengths. LED therapy

harnesses those wavelengths that trigger cellular activity

and benefit skin health, rejuvenating the complexion from

within.’ csbm

For more information, visit www.lasermedic.com.au

AFTER laser wrinkle reduction by Dr Flynn

AFTER laser eyelid lift by Dr Flynn

AFTER laser tattoo removal by Dr Flynn

www.cosbeauty.com.au 85


face

Rebuild from within

THE THERMAGE SKIN TIGHTENING SYSTEM RESTORES YOUTHFULNESS TO THE

COMPLEXION USING RADIOFREQUENCY TECHNOLOGY. CAITLIN BISHOP REPORTS.

During ageing, the elastin and collagen in the skin

breaks down faster than the body can rebuild it. This

causes wrinkles, skin laxity and pockets of loose,

sagging skin. While surgical options for facial rejuvenation

can tighten and lift the skin, non-surgical alternatives can

stimulate the production of new connective tissue in the

dermis and rebuild and reinforce the skin from within.

More than a decade ago, Thermage pioneered the noninvasive

treatment of wrinkles using radiofrequency energy.

The system was designed to add defi nition to the facial

contours, smooth the skin’s surface and, quite literally,

regenerate the skin from within.

Amy Lin, owner of Pally Beauty Laser Clinics in

Sydney, believes Thermage radiofrequency (RF) skintightening

can create a fi rmer, fresher and more youthfullooking

appearance. ‘At Pally Beauty, we are committed

to providing high quality treatments, using gold standard

equipment,’ she says. ‘In my experience, Thermage is a

relatively simple treatment with outstanding results. It

generally involves minimal discomfort and downtime, so

patients can continue their daily routine without interruption.’

Thermage uses RF technology to heat the skin and

stimulate the renewal of collagen in the skin’s deeper layers.

Importantly, the heat energy is focused at a precise depth

within the skin and cooling technology is used to protect

the upper epidermal layers.

Some tightening will be evident immediately following

treatment, and an improved tone and texture is often

noticeable in the days following the procedure. The real

benefi t, however, is in the improvements that continue to

emerge for around four to six months following treatment

with Thermage.

86 www.cosbeauty.com.au


face

This continued improvement is due to a process called

collagenogenesis, which is the production of new collagen

fi bres in the skin. Over time, the appearance of sagging

skin is improved and the contours of the jaw line become

better refi ned. The production of new connective fi bres

noticeably softens the lines and wrinkles around the mouth,

eyes and forehead, causing the skin to appear plumped

and refreshed.

‘Thermage treatment can make a patient look and

feel years younger,’ Lin explains. ‘The results

continue to improve after treatment, so

patients can see increased rejuvenation for up

to six months post-procedure.’

During treatment, patients can experience

some mild discomfort due to the thermal

response in the skin but this is usually managed

with cooling gel. However, the newest

evolution of Thermage includes a patented

Comfort Pulse Technology, which uses gentle

vibrations and interspersed cooling to increase

the comfort of Thermage treatment.

Treatment itself usually takes between 45

and 90 minutes and, in most cases, only one

session is required to achieve the best result.

Following a Thermage procedure, there is

typically no redness or swelling.

‘Thermage is most commonly used for the

BEFORE

neck and face, however it can also achieve

effective results in rejuvenating the décolletage,

which is usually very diffi cult to treat,’ Lin

explains. ‘We also have patients who undergo

Thermage treatment to tighten the upper arms,

abdomen, buttocks, thighs and the backs of

the hands.’

option in combating facial ageing for both an immediate

and long-term result. As Pally Beauty prepares to open a

new Laser Clinic in Sydney’s CBD this month, Thermage will

be a valuable addition to the new anti-ageing destination.

‘In my experience, Thermage affords effective results in

a simple, gentle and non-invasive procedure,’ Lin says. ‘It

can be used as a stand-alone rejuvenation treatment, or in

conjunction with other therapies for a holistic, convenient

and noticeable anti-ageing result.’ csbm

AFTER Thermage treatment for facial rejuvenation.

Photos courtesy of Solta Medical.

For the right patient,

Thermage offers effective

skin tightening results in

a simple, gentle and

non-invasive procedure

BEFORE

AFTER Thermage treatment for skin tightening. Photos

courtesy of Solta Medical.

Notably, Thermage can be used in

conjunction with other collagen induction

therapies or laser treatments for a more

universal rejuvenation. When incorporated into

a beauty regime, a single Thermage treatment,

performed annually, can help turn back the

clock and keep the signs of ageing at bay.

By kick-starting the body’s natural

rejuvenation processes and triggering collagen

production in the skin, Thermage is a viable

BEFORE

AFTER Thermage treatment for skin tightening. Photos

courtesy of Solta Medical.

www.cosbeauty.com.au 87


face

&

Tried

Tested

Dysport has been used by

thousands of women to combat

one of the most lamented signs

of ageing: wrinkles. Caitlin

Bishop reports.

The rise in popularity, across both genders, of nonsurgical

anti-ageing procedures is undeniable.

While the emergence of new technologies is

keeping up with, and somewhat fuelling this rise, there is

something to be said for the ‘tried-and-tested’ reputation

of established products and treatments.

First introduced to Australia in the 1990s, wrinkle

relaxants have a long history as a staple of the modern

woman’s – and man’s – beauty regime. One form of

botulinum toxin, Dysport (distributed by Galderma), has

been used by hundreds of thousands of people to solve

one of the most lamented hallmarks of ageing: wrinkles.

88 www.cosbeauty.com.au


face

Dysport has been available in New Zealand since

1992 and in Australia since 2000 and is indicated for the

cosmetic treatment of frown lines.

The thing about wrinkles

Frowning, talking and squinting contract muscles all over

the face, particularly the muscles above and between the

eyebrows. This consistent contraction breaks the collagen

fibres between these muscles, leading to deep frown lines

above the nose. Because these are dynamic wrinkles – or

lines caused by facial movement – they can appear on

younger individuals and are not necessarily associated

with ageing.

‘Dysport can be used for both men and women, young

and older,’ says Sydney dermatologist Dr Robert Rosen.

‘The typical patient is interested in regaining a younger

looking appearance with natural-looking results. Patients

today don’t want an immobile face. Successful Dysport

treatment should grant a natural-looking result. It will have

the patient’s friend, partner or patents commenting on how

good they appear, maybe asking if they’re using a new

moisturiser or have had a recent holiday.’

How does Dysport work?

Dysport is injected into the treatment area to block the

signal from the nerves to the muscles. This temporarily

reduces muscle activity, preventing the contractions that

cause wrinkles on the face. However, only the muscles

involved in the wrinkle are affected, meaning the rest of the

face will retain its expression as usual.

‘For the practitioner, it’s a matter of anatomy. If you

know where the muscles are, where they start and where

they finish, you can achieve the removal of angry lines and

still leave the face able to move,’ says Dr

Rosen. ‘Results are usually very satisfying,

and are generally evident within a couple

of days.’

small. I also provide ice to help with numbing and prevent

bruising,’ he adds.

Results typically last between three and six months,

and there should be at least a 90-day period between

Dysport treatments.

While Dysport is effective in combating wrinkles as a

stand-alone treatment, it can be used in conjunction with

other treatment modalities to achieve an improved result in

general facial rejuvenation. It can work well in conjunction

with dermal fillers, to treat deeper lines, folds and volume

loss, or with laser skin rejuvenation to boost skin health.

According to Dr Rosen, a holistic approach, with

combined modalities, can achieve a universal and

preventative anti-ageing effect. ‘I often use Dysport in

conjunction with other treatments, and discuss these

options with my patients during consultation,’ he explains.

‘However, my approach always depends on each

individual patient. Sometimes it is better to improve a

patient’s appearance gradually, rather than use multiple

treatments all at once. This way, it becomes a case of

preventative maintenance.’

While the risks are relatively low, side effects can

include some immediate swelling and occasional bruising.

‘Patients can usually apply makeup and return to work

directly following treatment,’ Dr Rosen says. ‘Bruising can

occur, and will take a few days to pass, but that is rare with

toxin injections.’

As with anything in anti-ageing, prevention is key and

Dysport can counter the first dynamic signs of ageing,

leaving the complexion smoothed and refreshed.

Whether you’re seeking comprehensive facial

rejuvenation, or just looking to combat a few persistent

wrinkles, Dysport affords an effective, time efficient

and, most importantly, predictable approach to wrinkle

prevention. csbm

The treatment itself

Before treatment with Dysport, an initial

consultation is needed to establish the

patient’s concerns and expectations. The

procedure itself will typically last less than

half an hour.

‘In the initial consultation I usually

discuss with patients what they would

like to achieve and how we can plan to

achieve that result,’ Dr Rosen says.

‘Topical anaesthetic cream can be

used before treatment, although not all

patients request it, as the needles are very

BEFORE

AFTER treatment with Dysport

www.cosbeauty.com.au 89


face

contours&

Plump volume

refine

Emervel fillers are currenty used in europe and the UK and have a

proven track record in restoring lost facial volume and creating

more youthful countours. Caitlin Bishop reports.

With age, facial hollows in the cheeks become

deeper and those dark circles under the eyes

become more prominent, contributing to a gaunt,

tired appearance. Although skincare and sun protection

can go a long way in preventing wrinkles and reducing

hyperpigmentation, volume loss can be frustratingly difficult

to treat.

90 www.cosbeauty.com.au


face

Dermal fillers are a viable option in restoring lost volume

and returning the plump contours of a youthful face. These

injectables help counter the descent of volume from the

mid-face and fill the hollows in the temples and eye area for

a fresher, more youthful appearance.

Emervel is a range of hyaluronic acid dermal fillers

used extensively throughout Europe and the UK. The

comprehensive range helps counter facial wrinkles, refine

facial contours and restore lost volume.

‘I use Emervel to treat all areas of the face, including

the forehead, temples, tear troughs, cheekbones and

cheeks,’ says British cosmetic surgeon Dr Ravi Jain.

‘Emervel can fill the nasolabial folds (the wrinkles that

stem from the nose to the mouth) and can also be used

to fill the lips, refine the lipstick lines, restore volume to the

chin and fill marionette lines.’

Emervel has an amazing ability

to give volumetric correction with

fast integration, so it doesn’t feel

like a filler is there

Built upon an innovation called Optimal Balance

Technology, Emervel is a gel filler designed to maximise

integration into the appropriate skin layer. ‘Emervel has an

amazing ability to give volumetric correction and achieve

effective integration into the tissue. It is very precise,’ Jain

explains. ‘Patients can expect natural-looking results with

minimal swelling and fast integration, so it doesn’t feel like

a filler is there.’

There are several different types of Emervel filler

designed to treat the various stages of facial ageing. A

consultation is required to establish the most suitable

option in facial rejuvenation. The type of filler used depends

on the injection site, the condition of facial tissue and the

patient’s preferences.

‘A full consultation helps the doctor understand the

reasons the patient is seeking aesthetic treatment,’ Dr Jain

explains. ‘The consultation may take 30 minutes, and the

injections can last between 10 and 30 minutes, depending

on the extent of work being done.’

‘There should be no downtime associated with Emervel

filler treatment, but some bruising is always possible with

injections to the face,’ he continues. ‘In most cases,

particularly for lip augmentation, there is almost no swelling

following injection, so patients can go out for lunch straight

after their treatment and nobody can tell they’ve had

anything done.’

Depending on the area of injection and injection type,

results with Emervel can last anywhere from six to 18

months. According to Dr Jain, lip injections last between six

to 12 months, and facial results will last between nine and

12 months in the first instance and 12 to 18 months after

multiple treatments.

Emervel can be used in conjunction with other modalities

to achieve a universal and enhanced result in anti-ageing

rejuvenation. ‘I regularly use Emervel with anti-wrinkle

injections, as well as skin peels and laser therapies to

optimise skin health and create a smoother, younger looking

complexion,’ Dr Jain concludes. csbm

Emervel Touch

The softest product in the range, Emervel Touch is

suitable for injection in the superficial dermal layers.

The soft gel consistency offers effective distribution

through the treatment area and predictable results

in volume restoration. Emervel Touch is designed for

long-lasting correction of superficial wrinkles such as

perioral lines and superficial facial wrinkles.

Emervel Classic

The Classic filler is designed for effective and longlasting

correction of moderate wrinkles. Suitable for

conquering areas like the nasolabial folds, Emervel

Classic uses moderately soft gel to achieve a noticeable

lifting effect.

Emervel Deep

Using a firmer, more resilient gel, Emervel Deep is

injected into the deeper dermis for correction of more

severe facial folds and wrinkles. It is effective in treating

deeper nasolabial folds or forehead wrinkles.

Emervel Volume

The Volume filler is designed for refining the facial

contours and restoring volume in the cheeks and chin.

It has a moderately firm consistency and is injected

into the subcutaneous tissue (below the skin) for a

highly volumising effect.

Emervel Lips

Specifically designed to restore and augment the lips,

Emervel Lip filler is optimised in texture to grant the

subtle firmness needed for lip enhancement. It restores

volume and lifts the lips for a fuller, more youthfullooking

pout.

www.cosbeauty.com.au 91


face

Reveal a

younger

looking you

US dermatologist

Dr Rebecca Fitzgerald says

Sculptra has changed the game

of facial rejuvenation.

AimÉe Surtenich reports.

It’s inevitable that as we age the natural production

of collagen slows, resulting in a loss of volume and an

increase in skin laxity. By stimulating the production of

dermal collagen, and rebuilding the facial foundations,

Sculptra can regenerate the skin from within, refining facial

contours for a natural-looking, more youthful result.

Sculptra is a deep facial injectable that redefines the

facial structure by stimulating the production of new

collagen in the skin. ‘Sculptra is a volumiser, not a “filler”;

it’s the patient’s own collagen, generated in response

to Sculptra, that provides the filler effect,’ says US

dermatologist Dr Rebecca Fitzgerald and International

Master Training Physician for Sculptra. ‘Sculptra is aptly

named as it can contour and define many areas which

affect the topography, shape and proportions of the entire

face. These subtle changes in the curves and proportions

can make an enormous difference in the overall perception

of the age, health and beauty of a face.’

‘A young face has fullness and roundness in the cheeks,

under the eyes, in the lips and around the mouth. This

fullness causes light to reflect with very little shadow, which

the human eye is drawn to. An older face will show a loss

of the fullness of the cheeks, temples, the lips and area

around the mouth and will show fat loss under the eyes

which creates a hollow effect. Where there used to be light,

now there are shadows,’ she continues.

‘Replacing this lost volume is very important and explains

why a facelift may be the wrong thing to do or only part of

what to do if you want to look younger. A facelift will remove

excess skin, but it will not restore volume.’

Acting as a direct collagen stimulator, Sculptra refines

and fortifies the facial foundations to gradually replace this

lost volume. ‘By replacing the volume loss, you reverse the

creation of shadow and restore the reflection of light and the

appearance of youth, energy and vibrancy,’ Dr Fitzgerald

explains. ‘Deflation and volume loss leaves us looking less

3-dimensional than we did when we were younger. Volume

restoration brings back the dimensional qualities, improves

symmetry and can “pick up” sagging skin.’

Often called ‘The Liquid facelift’, 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), 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 the full effect

92 www.cosbeauty.com.au


face

takes around 12 weeks to occur, with results

continuing to improve in the four to five

months following treatment.

‘As we learn more about the anatomy

of ageing, we are able to better target the

root of the problem, not just mask the

consequences,’ says Dr Fitzgerald. ‘This

approach leads to very natural-looking

results. Patients often tell me “I can’t really tell

what you did, I just look more refreshed”.’

Sculptra can be used to restore volume

to hollow areas of the temples, cheeks, chin

and under the eyes, as well as to define the

jaw line. It is not recommended for use in and

around the lips.

The amount of treatments needed varies

between patients, and is typically dependent

on age. A common recommendation is three

to four treatments, around six weeks apart.

Topical anaesthetic is applied before injection,

though most patients report the discomfort

is not severe.

Results typically last up to or greater than

two years, and periodic maintenance ‘topups’

will maintain the desired results.

As with all injections, there can be

temporary swelling and bruising, but typically

there is no downtime and patients can

resume their everyday activities immediately.

‘Sculptra is not intended to replace a

facelift, but its capacity to lift tissue is proven

over and over,’ says Dr Fitzgerald. ‘Strategic

placement not only restores or creates

balanced contours but also the effect of filling

a compartment above one area means the

compartment adjacent to and/or below the

treated one gets its own lift. The goal is to

look better, not different!’

Sculptra stimulates the body’s natural

regenerative response and reforms a

more youthful facial support structure. It

replaces lost collagen to boost skin integrity

and resilience, while also recreating more

aesthetic contours.

‘Ageing is a slow, gradual process that

affects all tissues and areas of the face,

and all the changes are interdependent.

An empty temple contributes to tired eyelids

and a sagging jawline, while an empty

cheek leads to heavy jowls and marionette

lines. Sculptra is a great choice to achieve a

global, anti-ageing rejuvenation,’ Dr Fitzgerald

concludes. csbm

BEFORE

BEFORE

BEFORE

After Sculptra treatment by Dr Fitzgerald

After Sculptra treatment by Dr Fitzgerald

After Sculptra treatment by Dr Fitzgerald

www.cosbeauty.com.au 93


skin

Purify

your

skin

The HydraFacial heralds a new

era of radiant skin – merging

invigorating spa therapies with

advanced medical technologies.

Caitlin Bishop reports.

Facial treatments are often associated with feelings of

indulgence, luxuriousness and rejuvenation. These

feelings of wellbeing are even more profound if the

treatment generates immediate results in skin rejuvenation,

with long-term benefits for skin health.

One such innovation is the HydraFacial from High Tech

Laser is a facial treatment designed to deeply cleanse the

skin and infuse it with antioxidants for a brighter, invigorated

and healthier complexion.

Perth facial plastic surgeon Dr Jayson Oates has been

using the HydraFacial in his clinic since August 2013. He

explains it’s a popular option for patients looking to increase

radiance without the irritation or downtime associated with

more aggressive skin rejuvenation treatments.

‘Patients enjoy the whole process – from the actual

treatment, how skin feels immediately afterwards, to the

long-term benefits seen in skin health,’ he says.

‘I have always preferred using the more “medical” side

of dermal therapies – treatments that make a difference but

that patients don’t necessarily enjoy. Now, we can achieve

these same benefits with a treatment that patients look

forward to experiencing.’

The HydraFacial incorporates a series of highly

specialised treatments to purify and beautify the skin.

Cleansing and exfoliation removes dead skin cells, an acid

The HydraFacial decongests,

hydrates and protects skin,

offering immediate results with

no downtime or discomfort

peel dislodges grime from the pores and a vortex suction

extraction system unclogs the pores completely. This

cleansing is following by the infusion of a highly active,

hydrating serum to nourish and protect the skin.

‘The HydraFacial cleanses and exfoliates, then uses

vortex suction to clean out the pores and extract sebaceous

oil,’ Dr Oates explains. ‘The infusion of hyaluronic acid,

94 www.cosbeauty.com.au


skin

Step 1

Step 2

Step 3

Step 4

Step 5

The 5 steps

Cleansing and Exfoliation

Dead skin calls are removed to reveal

healthy new skin

Acid Peel

This gentle peel helps loosen dirt and debris

from pores without irritation

Extractions

Automated extractions use vortex suction to

clean out pores

Hydration

Antioxidants and hyaluronic acid are vortexfused

to nourish and protect the skin

Protection

The HydraFacial Daily Essentials skincare

helps maintain and protect results.

antioxidants and vitamins works to restore, plump and

hydrate the complexion. Ampoules of serum are also

available with varying strengths, some enriched with

peptides to boost collagen production in the dermis.’

Toowoomba plastic surgeon Dr Mark Magnusson

explains these steps signify a holistic approach to boosting

skin health. ‘The process provides all the elements we

need to look after our skin,’ he says. ‘A full HydraFacial

treatment takes around 45 minutes. Additional lymphatic

drainage and Light Emitting Diode (LED) therapy can be

used to optimise results and stimulate activity in the skin’s

deeper layers.’

Anyone is suitable for HydraFacial

1

treatment, as it can be tailored

to suit different skin concerns

and conditions. Dr Magnusson

says it is effective in improving the

appearance of congested, acneprone,

aged, dulled or dehydrated

skin. ‘HydraFacial treatments

BEFORE

provide deeper cleansing and

extractions with suction that would

normally have to be performed

2

manually,’ he explains. ‘Patients love

it because they can have regular

treatments where they instantly see

and feel the difference in their skin.’

Dr Magnusson says he

typically recommends HydraFacial

BEFORE

treatments be performed monthly, or in conjunction with

other methods for facial rejuvenation.

‘The HydraFacial is a great adjunct to other surgical and

non-surgical services. For example, it can prepare skin

before laser or surgery, or help freshen the skin after the

use of dermal fillers or anti-wrinkle injections,’ he explains.

‘It’s great for the patient and the clinic, as it’s relatively

inexpensive and can be used as a monthly treatment to

encourage return visits.’

The results are evident immediately following HydraFacial

treatment, and Dr Oates says they should continue to

improve in the week following the facial.

‘The HydraFacial has become one of our most popular

treatments. There is some pinkness following treatment

but essentially no downtime is involved,’ Dr Oates explains.

‘The skin feels soft and hydrated right away following

treatment and over the next week patients will continue

to see further improvement in the appearance of acne,

pigmentation and skin tone and texture.’

To extend the results and retain the skin’s lustre and

brightness between treatments, the final step in the

HydraFacial is the introduction of the ‘daily essentials’

skincare. Tailored to certain skin complaints, the range

incorporates topical moisturisers, refining eye gels and

daily sun protection. Each product is infused with select

concentrations of the same active ingredients found in the

salon treatment, providing detoxification, rejuvenation and

protection in between visits.

‘HydraFacial is great for skin health,’ Dr Magnusson says.

‘It decongests, hydrates and protects with no discomfort or

downtime. The skin is left smooth and hydrated with no

irritation and results are immediate.’ csbm

AFTER HydraFacial by Dr Oates

AFTER HydraFacial by Dr Magnusson

www.cosbeauty.com.au 95


skin

Treating acne

Allmedic uses a systematic, results-driven approach to manage and

resolve acne. Caitlin Bishop reports.

A

condition that can cause long-term physical and

psychological distress, persistent acne can lead

to inflammation, scarring and certain types of

hyperpigmentation. It affects around 80 percent of all

adolescents and can sometimes extend into adulthood.

Acne can stem from several different causes, including

diet, hormone imbalances, genetics or personal hygiene.

Clearing the skin of persistent acne can prove an arduous,

traumatising and prolonged experience. But there’s hope

– active skincare from allmedic, commonly used alongside

photodynamic therapy, offers an effective way to help

reduce the appearance of acne for long-term results.

Queensland cosmetic physician Dr Doug Grose sees

Practitioner Acne MasterClass

An emerging trend in general practice involves subspecialising

in an area of medicine such as acne.

allmedic will be hosting an Acne Management

MasterClass in Melbourne on June 14. ‘This will be

a whole day dedicated to understanding acne, and

acne treatment, in serious detail,’ Dr Grose explains.

‘It will also include sessions on how diet and skincare

can be combined to achieve the best results.’

For more information call 1300 652 969 or visit

www.allmedic.org.au

first-hand the psychological effect acne has on many of his

patients. ‘The most common side effect is social isolation of

some extent,’ he explains. ‘Some female acne sufferers say

they wouldn’t want to leave their bedroom, let alone their

house, without makeup.’

Physiologically, acne is caused by an overproduction

of sebum combined with overactivity of skin cells at the

opening of the hair follicles. This sebum, alongside dead

skin cells and debris, can cause blockages in the skin’s

pores, where the hair follicle opens. On top of this, bacteria

found naturally on the skin become active in the blocked

follicle, leading to infection and inflammation seen as red,

sometimes tender lumps.

‘Patients, particularly those in their adolescence, come

to me thinking acne is normal, but it isn’t at all,’ Dr Grose

explains. ‘Acne is a disease of the hair follicles, and effective

treatment calls for medical help. Something like 70 percent

of people do not seek medical attention for acne, and this

attitude needs to change.’

In-clinic treatment

Traditionally, acne sufferers have looked to antibiotics or

prescription treatments to shed dead skin cells, reduce oil

production, fight bacterial infection and limit the inflammation

associated with acne. Roaccutane – a derivative of Vitamin

A – is commonly used in severe cases, though Dr Grose

96 www.cosbeauty.com.au


explains long-term use can have serious side effects and

antibiotic or prescription options are not always suitable.

‘Antibiotic treatment is generally long term (anywhere

between three and 12 months) and, for some people, that

is a concern,’ Dr Grose says. ‘Roaccutane capsules can

cause serious side effects: for example, women should

not conceive while taking Roaccutane, as it can lead to

birth defects; it has a known association with depression;

and young men sometimes experience hair loss during

Roaccutane use.’

According to Dr Grose, Photodynamic Therapy (PDT)

can be a viable alternative for clearing the skin and achieving

long-term results in acne management.

PDT uses light emitting diode (LED) technology to treat

a range of skin conditions – from sun damage to oily, acneprone

skin. It is a non-invasive procedure that helps kickstart

the skin’s internal processes and boost skin health.

‘Before PDT treatment, we apply a sensitising agent on

the skin, which is attracted to cells that are over replicating

– in acne patients, these are over-active oil cells,’ says

Dr Grose. ‘We leave this agent on for a time – called the

incubation period – and then use red and blue light to cause

a reaction in the skin. The sensitising lotion harnesses the

light energy to produce free radicals and destroy the overproductive

cells.’

Dr Grose typically recommends two or three PDT

treatments for acne patients, performed about a month

apart. ‘We usually find the results are long lasting, especially

if the patients follow a corrective skincare regime and make

some essential diet adjustments,’ he adds. ‘We have found

that by stripping carbohydrates from the diet we can see a

huge difference in acne and the skin.’

At-home treatment

allmedic has developed a range of products to target

acne: the face & body cleanser, face & body exfoliator and

allclear lotion. Used as a three-step skincare program, the

products are specifically formulated to help improve the

appearance of acne.

Integral to the range is the allclear lotion, which helps

to clear acne by de-greasing the skin’s surface, optimising

the skin’s pH and using anti-inflammatory, anti-bacterial

and anti-fungal ingredients. ‘The allclear lotion helps reduce

inflammation and open the hair follicles,’ says Dr Grose.

‘After using PDT to get acne under control, we can maintain

results and optimise skin health using the allmedic range.’

By combining effective skincare with light therapy, the

need for more severe treatments can be avoided and

clear, healthy skin can be achieved. ‘One of my patients, a

woman in her 30s who responded remarkably well to acne

treatment, said people treat her differently now her skin is

clear,’ Dr Grose recalls. ‘She notices that people will look

at her face while she talks to them, as opposed to looking

away. Clear, acne-free skin can truly work wonders for a

person’s confidence.’ csbm

www.cosbeauty.com.au

Become an Expert in

Acne Management

Would you like to incorporate advanced

acne management into your practice?

Would you like an update on the

latest concepts and treatment

modalities for acne?

Are you looking for an area of medicine

to ‘sub specialise’ in?

Are you unsure or lack confidence in

managing acne, especially moderate

to severe acne?

If ‘yes’ then you should attend the

Acne Management MasterClass

on 14 June 2014 at the

Crown Promenade in Melbourne

The last MasterClass was highly rated by

all Doctors and clinicians who attended:

92% were more confident about treating

acne after attending

92% would recommend it to a friend

All presentations and presenters scored

very good to excellent

84% said it was very good value for money

For more details contact us on:

1300 652 969

admin@allmedic.org.au

www.allmedic.org.au

Follow us on

www.facebook.com/

allmedic


skin

The lowdown on the latest

anti-ageing cosmeceuticals

– direct from the formulator

Terri Vinson BSc, Dip.Ed, ASCC, owner of Synergie Skin,

spills the beans on two new breakthrough ingredients

shaping the future of cosmeceuticals.

There are truly exciting times ahead in regard to new

cosmeceuticals in the appearance-medicine industry.

Formulators are now able to harness the power of

peptides and marine biotechnology to create novel new

anti-ageing products with clinical data to support results.

Let’s take a look at the future of cosmeceuticals in terms

of combining the best of new scientific breakthroughs

and what is provided from natural sources. There are two

new breakthrough ingredients that, as a cosmeceutical

formulator, I consider to be breakthrough technology for

addressing the visible signs of ageing.

98 www.cosbeauty.com.au


skin

Juvefoxo

Skin aging is considered as a slowing or loss of the natural

cell functions of skin. This results in the appearance of fine

lines, uneven tone and texture, dryness and loss of elasticity.

This ages skin primarily due to cellular senescence. This

means that the cells no longer proliferate due to DNA

damage and the inability of the DNA repair machinery to

reverse errors in the genetic code.

So cosmeceuticals aimed at skin rejuvenation must

target mechanisms to avoid cell damage and enhance the

ability of the cells to repair, and this is the focus of current

cosmetic science.

Scientists often look at nature to provide clues to

longevity. The marine Hydra is also known as the ‘immortal

jellyfish’ as it is able to replicate its cells with no genetic

errors in its DNA. The cells essentially possess an unlimited

lifespan. Scientists have discovered that specific peptides

called Forkhead box transcription factors (FOX) in the

nucleus of the cells, is able to control cell renewal. In human

cells a natural peptide called FOX03a protects DNA and

stimulates DNA repair to reverse mutations and cell aging.

This peptide is actually a marker is longevity, and humans

who live to be over a hundred years old have higher levels

of FOX030 in their cells.

FOXO3a is activated in the presence of cell damage –

from factors such as pollution, free radical damage, dietary

deficiency, heat and UV exposure – and then sets out to

repair the damage and prevent cell mutation. However, if

the damage is irreversible, the cell is programmed to selfdestruct.

This is crucial as DNA mutation can be copied to

all future cells unless the error can be repaired before being

passed onto daughter cells.

Enter a breakthrough ingredient in the cosmetic medicine

arena called Juvefoxo, with clinical data to support

results. In vivo tests show skin cells taken from a 55 year

old woman treated with Juvefoxo had the structure and

function of cells that are 10 years younger in cell morphology,

compared to untreated cells from the same woman. Further

tests on UV treated skin showed significantly reduced DNA

damage when Juvefoxo solution was applied to the UV

damaged epidermal skin cells.

So how is this relevant to the cosmeceutical market?

Scientists have been able to replicate this vital controller of

cell repair with the new hexapeptide Juvefoxo. Essentially,

if we are able to mimic the activity of FOXO3a in the skin,

the DNA will be protected which will prevent cell ‘shutdown’

and delay the visible signs of ageing.

The development of Juvefoxo a peptide that both

guards and protects the human genome, is truly a game

changer in our industry.

Phycosaccharide AI

This complex sugar has been trade named Phycosaccharide

AI and is the product of microbial synergy between marine

bacteria and a unique species of seaweed unique to the

Brittany coast. Scientists are able to mimic this symbiotic

process in the lab so as not to adversely affect the delicate

balance in the environment.

Phycosaccharide AI stimulates the activity of

epidermal stem cells to rapidly restore and reconstruct the

skin matrix. This results in repair and subsequent smoothing

of fine lines. It is also capable of reducing inflammation and

soothing irritated skin.

Key properties of this oligoalginate

sugar molecule include:

• Repairing the skin surface

• Healing injury and reducing fine lines via

mobilisation of epidermal stem cells

• Inhibiting skin inflammation and skin stinging

• Improving immune defence of skin to

environmental stress

The use of topical growth factors found in many

cosmeceutical products is highly controversial and a recent

article in Scientific American (‘In the Flesh: The Embedded

Dangers of Untested Stem Cell Cosmetics: Unapproved

procedures and skin care products endanger consumers

and clinical research’ Dec 17, 2012) cautioned against

the use of nonspecific growth factors directly on the skin.

Phycosaccharide AI stimulates the skin’s own growth

factors from within, which are highly specific and safe in

their action on skin cells.

Our industry is evolving at an exponential rate and

formulators are constantly introduced to raw ingredients

designed to reduce the appearance of aging and rejuvenate

skin. It is our responsibility as medical professionals,

scientists and skin specialists, to ensure that all ingredients

used have been clinically tested and passed the highest

levels of efficacy and safety.

Please read labels and cut through the hype to ensure

that the public is treated with care, conservatism and

respect. csbm

For more information or further studies, please visit

www.synergieskin.com

www.cosbeauty.com.au 99


skin

Peel

back

the

layers

Advanced Cosmeceuticals

brings you Mesopeels by

Mesoestetic, which enhance

the skin’s appearance and

revITAlises the complexion.

Caitlin Bishop reports.

Over time, as the skin’s renewal processes slows

down, the appearance of wrinkles, pigmentation,

enlarged pores and textural irregularities can arise.

Chemical peels exfoliate different layers of the skin to

reboot skin cell renewal and minimise imperfections on

the skin’s surface. Mesopeel by Mesoestetic, distributed

in Australia by Advanced Cosmeceuticals, is a range of

chemical peels designed to refresh the skin’s layers and

revitalise the complexion.

Chemical peels

Taking a non-invasive approach to skin rejuvenation,

chemical peels apply active agents, usually acids, to the

skin’s surface. This eliminates the skin’s upper layers and

stimulates the rejuvenation of skin cells in the dermis,

resulting in a more purified and oxygenated complexion.

Only trained practitioners and aestheticians must apply

chemical peels, as the peel’s penetration needs to be

professionally monitored during treatment.

Chemical peels can be used as a standalone skin

rejuvenation treatment, and a series of peels is often

recommended to achieve the best results. Alternatively,

applying a chemical peel prior to any type of aesthetic

treatment can optimise results and improve the penetration

of topical active ingredients.

The Mesopeel difference

In catering to different skin conditions, Mesoestetic provides

two categories of chemical peels – single acid peels and

combined acid peels.

Single acid peels are available in various concentrations

and use a single type of agent to address specific skin

concerns. The combined peels are formulated with an

effective mixture of exfoliating agents, to improve the results

in holistic facial rejuvenation.

The Mesopeel range includes seven individual peels,

which are selected by skincare professionals according

to the patient’s needs, concerns, expectations and skin

condition. Concentrations can be customised to suit

each individual patient, and a treatment program can

incorporate multiple peels to more effectively address the

patient’s skin concerns.

100 www.cosbeauty.com.au


skin

The

Mesopeel

range

Enhancing the

complexion

Mesopeel glycolic: Suitable for all skin

types, this anti-ageing peel is designed

to help improve sun-damaged skin and

achieve general rejuvenation.

Mesopeel lactic: A moisturising peel

with a high skin tolerance, the lactic peel

can be used on sensitive skin types to

improve the appearance of a dry or

dull complexion.

Improving skin texture and

pigmentation

Mesopeel salicylic: This peel is best

for blemish-prone skin that is excessively

oily. It will help clear the complexion and

stimulate skin renewal.

Mesopeel mandelic: A non-irritating

treatment that helps even out skin tone,

the mandelic peel can improve the texture

of thick and oily skin, or reduce the

appearance of pigmentation irregularities.

Mesopeel modified jessner: This

treatment is best for the treatment of

dark spots, irregular skin tone and ageing.

It is a broad-spectrum peel designed

to achieve effective and holistic skin

rejuvenation results.

Reducing the signs

of ageing

Mesopeel TCA: This peel is used for

treatment on advanced skin ageing, and

uses active agents to target a range of

age-related skin conditions.

Mesopeel piruvex: This peel acts deeply

within the skin to improve the appearance

of a tired, aged complexion.

What to expect

Chemical peels generate immediately noticeable results in skin

rejuvenation. While some skin flaking may occur following treatment, a

chemical peel leaves the skin immediately more hydrated, oxygenised

and illuminated.

In reducing enlarged pores and improving any textural irregularities,

chemical peels help even out skin tone and smooth the skin’s surface.

By shedding the skin’s upper layers, peels assist in reducing the

appearance of blemishes, sunspots and scarring.

During treatment, patients may experience some tingling or stinging

as the agents are applied. Importantly, the peels in the Mesopeel range

exhibit a high skin tolerance, meaning they incur minimal irritation.

Some tautness or redness should be expected following application

and often a soothing mask is applied after treatment to calm the skin

and improve results.

It is imperative to protect the skin from sun exposure following

a chemical peel, and a sunscreen is usually applied before leaving

the clinic. Makeup can be applied directly after treatment, to counter

any redness, and skincare should be continued as usual – as active

skincare ingredients will be afforded deeper penetration following a

chemical peel. csbm

www.cosbeauty.com.au 101


feature skin

Youth

boost

Skincare range

HydroPeptide,

distributed in Australia

by True Solutions,

signifies an innovative

and effective approach

to skin rejuvenation.

Caitlin Bishop reports.

Peptides have become the latest rage in skincare.

Chains of amino acids, linked by specific peptide

bonds, work within the skin to strengthen collagen

fibres, revive cellular processes and reinforce the skin

from within. HydroPeptide, distributed in Australia by True

Solutions, is trailblazing the use of peptides in cosmetics

and is suitable for treating a wide range of skin types

and conditions.

Peptides have traditionally been revered as a way to

increase collagen stimulation. HydroPeptide creator, Dr

Louise Peck, has built on this approach and developed a

range that not only targets collagen synthesis but hydration,

protection and purification as well.

‘HydroPeptide’s technology allows for a variety of

specific peptides, in active concentrations, to be delivered

repeatedly to their targeted areas for maximum results,’

Head of Education at True Solutions Christine Snow

explains. ‘While peptides are the driving force, HydroPeptide

takes a multifunctional approach with hyaluronic acid, plant

stem cells and active botanicals that work harmoniously

102 www.cosbeauty.com.au


feature skin

to nourish and rejuvenate skin without requiring recovery

time or resulting in irritation.’

Designed to deliver a universal anti-ageing result, the

HydroPeptide range harnesses the power of peptides,

which work as messenger molecules in the skin, to

stimulate cellular activity and increase hydration. The

HydroPeptide range uses encapsulation technology to

deliver the peptides deep within the skin’s layers and target

the root causes of ageing.

HydroPeptide harnesses the

power of peptides, which work as

messenger molecules in the skin

to stimulate cellular activity and

increase hydration

‘HydroPeptide is formulated to address the key issues

of visible skin ageing,’ Snow explains. ‘As we age, the

body loses one percent of collagen every year. The decline

of collagen is one of the most recognised causes for the

appearance of fine lines and wrinkles. Healthy collagen is

crucial to the appearance of the skin.’

Importantly, HydroPeptide has a solution suitable for all

skin types, and several skin concerns. It offers customisable

regimens effective in treating sensitive, acne-prone skin

and hyperpigmentation. These targeted solutions are in

conjunction with long-term anti-ageing benefits that stem

from boosting skin health and stimulating cellular activity.

Indeed, from a glycolic anti-wrinkle cleanser to a rich

enzyme mask, the HydroPeptide range seems to offer all

the necessities for the modern day beauty routine. For

example, the eye concentrate uses seven peptides, within

a mixture of hyaluronic acid and luminescent pearls, to

help improve firmness, reduce dark circles and enhance

texture and tone. Similarly, HydroPeptide’s collagen

boosting lip plumper uses anti-ageing peptides to plump

the lips, boost the natural lip line and improve hydration

and colour.

‘The growing success of HydroPeptide in Australia

speaks for itself, but one case that stands out is a client

who was concerned with the lines around her eyes,’

Snow recalls. ‘She achieved a 91 percent improvement on

peri-orbital lines in two weeks with HydroPeptide’s Eye

Authority solution.’

Signifying the first skincare company to incorporate

peptides into every anti-ageing product, HydroPeptide

landed on Australian shores just under two years ago. Since

then, it has been touted as an effective option in returning

youthfulness to Australian skin, which is so often damaged

by our harsh climate and unforgiving sun.

‘HydroPeptide delivers innovative anti-ageing skincare

solutions with patented technology and peptides. It also

offers effective solutions for hyperpigmentation, sensitive

skin prone to redness, acne-prone skin and dehydrated

skin,’ Snow concludes. csbm

BEFORE

Two weeks AFTER using HydroPeptide

www.cosbeauty.com.au 103


skin

Younger

skin

today

Start a love affair with your skincare, with the new Love Life range

from HoVAN’s Group. TARA casey repoRTS.

After years of research with some of Australia’s best

bioscientists, Hovan’s Group has created Love Life,

a new anti-ageing skincare range.

Inspired by industry veteran Val Glover-Hovan, a

renowned name in the world of beauty and cosmetic

tattooing, Love Life is formulated to work in harmony with

your skin and promote a healthier, more beautiful and

youthful-looking complexion.

Ingredients in the range have been selected for their

ability to help protect skin cells from environmental damage,

support skin metabolism and promote rejuvenation.

1

Perfect Day

Anti-Ageing Moisturiser

With a potent herbal formula, Perfect Day Moisturiser keeps

skin well hydrated and helps to reduce 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

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 light yet emollient 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

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

Beauty Light Lightening Cream

Hyperpigmentation can develop due to a variety of reasons

– from sun damage to hormones during pregnancy.

Beauty Light contains the triple action of urva-ursi

(bearberry), arbutin and zinc glycinate to help stop the

browning action of melanocyte production. Alpha fruit acids

and citrus extract target darker skin spots to help reduce

their appearance. The cream also has a broad-spectrum

sunscreen to help prevent further skin damage. csbm

104 www.cosbeauty.com.au


skin

Obagi Q&A

OBAGI MEDICAL, , THE #1 PHYSICIAN-DISPENSED

SKINCARE BRAND IN THE US, HAS BROUGHT ITS

TRANSFORMATIONAL SKIN HEALTH PRODUCTS TO

AUSTRALIA. AIMÉE SURTENICH REPORTS.

With a full portfolio of skincare solutions to promote

beautiful complexions for all skin types, Obagi

Medical is an international leader in topical

skincare, available only through practitioners. Each product

range – including the hero skincare system NuDerm – is

designed to transform skin and help bring it back to

optimum health.

We chat with Obagi Chief Scientist Laurence Dryer about

the Obagi difference and the benefi ts of following a quality

skincare program.

Q: In the US, and worldwide, Obagi users are

fiercely loyal to the brand – what’s behind the

cult following?

A: In a word: Effi cacy. Each one of our products is

thoroughly tested for safety and, most importantly, 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

but also from the involvement of leading physicians who

often run those studies and can attest to the results.

secondary effects of UVA and UVB. Lighten up on anything

that can irritate your skin; dry skin is more sensitive. Women

with naturally sensitive skin should feel comforted that

Obagi products are hypoallergenic and non-comedogenic.

Q: What are some tips in helping prevent

lines around the delicate eye area?

A: The under-eye skin area is very thin and delicate and needs

special care. In this area multiple biological phenomena

converge to result in the fatigued look characterised by

sagging, lines, puffi ness and dark circles. I believe you must

use a dedicated topical line specially formulated for the eye

area; products that will not run into the eye but multi-task to

help remedy all of these signs of ageing.

Obagi ELASTIderm eye cream, gel and serum contain

a breakthrough bi-mineral complex technology that

helps rebuild the appearance of youthful eyes. The line is

clinically proven to help revitalise the skin around the eyes

and restore resilience, and the innovative roller-ball delivery

of the serum helps massage away the look of puffi ness

and wrinkles.

Finally, always be gentle when applying eye products

(pat with your ring fi nger; don’t rub and don’t pull!). csbm

Q: As we head into Australian winter, how

should we change our skincare regime?

A: Photodamage from the sun is the leading cause of ageing

as well as various forms of cancers. It is crucial to protect

yourself from the elements in as many ways as possible,

even in the winter months. Arm your skin with a strong,

broad-spectrum sunscreen with a high SPF, even if you are

going to stay indoors.

Support your skin with products rich in antioxidants such

as Vitamin C, like the Obagi Professional-C serum line or

the Obagi C-Rx system, to protect against free radicals and

www.cosbeauty.com.au 105


tattoo removal

Changing the game

of tattoo removal

PicoSure uses revolutionary laser technology to achieve

unprecedented results in tattoo removal. Caitlin Bishop reports.

The tattoo removal arena has been radically changed

with the introduction of PicoSure to Australia.

Historically, laser tattoo removal has been associated

with a realm of somewhat negative connotations – from

the arduous process, to the risk of scarring and

incomplete results. Now, however, with the latest technology

from Cynosure, the process has been shortened,

the downtime lessened and the results improved for

more effective tattoo removal.

PicoSure represents an unprecedented innovation in

laser technology. It uses ultra-short pulses of energy to

cause a photomechanical reaction in the skin, clearing

tattoo pigment more effectively over fewer treatments.

The PicoSure difference stems from the pulse

duration. It uses a pulse length of a trillionth of a second

(a picosecond), which is 100 times shorter than that used

in previous technology. Queensland cosmetic physician Dr

Mary Dingley says the shorter duration causes a different,

more effective reaction in the skin.

‘The short pulse duration enables the laser to produce a

much “cleaner” fracturing effect on tattoo pigments within

the skin, while producing less in the way of heat effects on

the surrounding skin,’ Dr Dingley explains. ‘The upshot of

this is that generally one needs fewer sessions, there is less

unwanted skin reaction and treatment is more comfortable.’

As well as shortening the process and reducing down

time, PicoSure achieves superior results in tattoo removal.

Melbourne cosmetic doctor Dr David MacDonald, who has

worked in tattoo removal for 25 years, describes the unique

and unmatched results he has experienced using PicoSure.

‘PicoSure’s ultra-short pulses deliver a “shattering”

effect on the ink, breaking the ink down into tiny dust-like

BEFORE

AFTER two PicoSure treatments (photos

courtesy of Dr Alex Kaplan)

106 www.cosbeauty.com.au


tattoo removal

particles which are then easily eliminated from the body,’ Dr

MacDonald 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 pulse

width is so short, less injury and damage is caused to the

surrounding skin.’

Most patients say their tattoos

seemed like a good idea at the

time, but their circumstances

have since changed

Traditionally, colours such as blues and greens have

been difficult to clear during tattoo removal. Again,

PicoSure has changed this reality and Dr Dingley says that

the chance of success has significantly improved with the

new technology.

‘Most colours respond better with PicoSure than with

prior lasers, including blues and greens,’ she says. ‘It is

always hard to say, however, 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.’

Typically, topical anaesthetic is required for treatment

with PicoSure and several treatments are recommended

to achieve the best results.

Victorian dermatologist Dr Philip Bekhor has been using

PicoSure since its arrival in Australia. He has achieved

effective results, with less adverse reaction, using this

picosecond technology.

‘It is still early days but the PicoSure is very gentle, and

we have seen a difference compared with other lasers,’ he

explains. ‘With PicoSure, there is less reaction, less pain

during treatment and a faster result.’

Dr Bekhor commonly performs five to seven treatments,

eight weeks apart, to achieve

adequate clearance – as opposed to

between 10 and 20 treatments with

other lasers.

There is some downtime involved

following treatment, and redness,

swelling and scabbing can occur

directly after the procedure. A

dressing is often applied to assist

in recovery and, because PicoSure

calls for fewer treatments, the risk

of scarring is considerably reduced

compared to other systems.

‘After treatment, side effects are

BEFORE

generally the same, but to a lesser

degree, than with prior 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 lower than with

prior lasers.’

In revolutionising tattoo removal, PicoSure grants fresh

hope to those who have given up trying to erase a past

decision. Tattoo removal can be a life-changing venture,

for both personal and professional reasons, and Dr Dingley

explains treatment with PicoSure can boost confidence in

certain patients.

‘Most patients say that their tattoos 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,’ Dr Dingley says.

‘Parents often want tattoos removed because of the

effect they might have on their children. I remember one

father, who had amateur tattoos of some swear words on

his hands and wanted to have them removed before his

children could read them,’ she recalls.

‘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. I remember he stood straighter already when

he came for the second treatment and no longer felt

ashamed.’ csbm

BEFORE (ink bled during tattoo treatment)

AFTER seven treatments with traditional

Q-switched nanosecond laser

AFTER one PicoSure treatment to clear

ink bleed (photos courtesy of Carmen

VanderHeiden)

AFTER one treatment with PicoSure laser

(photos courtesy of Dr Raminder Saluja)

www.cosbeauty.com.au 107


feature

The

rise

and

rise

of cosmetic surgery

108 www.cosbeauty.com.au


feature

surgical and non-surgical cosmetic procedures are more popular

than ever before, a trend ATTRIBUTED to the tried and tested

REPUTATIon of cosmetic enhancement. Caitlin Bishop repoRTS.

The latest statistics on cosmetic surgery have been

released and, even though they’re based on the US

population, they clearly demonstrate the rise and rise

of cosmetic enhancement – a trend that is surely reflected

across the rest of the globe.

The survey, conducted by the American Society for

Aesthetic Plastic Surgery (ASAPS), found Americans spent

the largest amount of money on cosmetic procedures in

2013 since the Global Financial Crisis in 2008.

Indeed, for the first time since the GFC, Americans spent

more than 12 billion dollars on cosmetic procedures last

year, with more than 11 million cosmetic surgical and nonsurgical

procedures performed.

The rebounding economy is

encouraging people to invest in

themselves once again

This number – signifying a 12 percent rise from 2012 – is

the result of an increase in popularity across all spectrums

of surgical cosmetic enhancement. President of ASAPS

Dr Jack Fisher attributes this boom to the technological

advances and greater accessibility of cosmetic procedures

in America.

‘The numbers do not come as a surprise,’ Dr Fisher

says. ‘Technological advances, less-invasive procedures

and greater accessibility are making aesthetic procedures,

surgical and non-surgical, far more attractive to the public

at large. Further, the rebounding economy is encouraging

people to start investing in themselves once again.’

The numbers

Though the entire US industry seems to be booming,

liposuction replaced breast augmentation as most popular

surgical procedure in 2013, with 363,912 procedures

performed. This signified a 16 percent increase from 2012,

and mirrors the huge liposuction boom seen in the UK last

year, as revealed by the British Association of Aesthetic

Plastic Surgery (BAAPS) in February.

Although breast augmentation came a close second in

popularity in the ASAPS statistics – 313,327 surgeries

were performed – it was the only surgery in the top five

procedures that experienced a decrease in numbers (down

5.2 percent from 2012).

Eyelid surgery (161,389 procedures, up 5.4 percent),

tummy tucks (160,077 procedures, up 2.3 percent)

and nose surgery (147,966 procedures, up 2.9 percent)

completed the top five surgical procedures for 2013.

What is it about liposuction?

With more than one billion dollars spent on the procedure in

the US last year, both genders have certainly contributed to

the impressive increase in liposuction demand.

Indeed, liposuction ranked as the most frequently

performed cosmetic surgery procedure in 2013 – it was

the second most popular female procedure, with 312,176

women undertaking the procedure, and the most popular

cosmetic surgery procedure for males, with 51,736

procedures performed.

The same trend was seen in the UK during 2013,

with liposuction exhibiting a 41 percent increase over

the previous year. President of BAAPS Dr Rajiv Grover

attributes this boom to the “tried-and-tested” standing of

liposuction in Britain.

‘Patient confidence and also consumer confidence

has returned,’ Dr Grover explains. ‘Britons are choosing

to spend on procedures with proven track records

such as liposuction, which remains the gold standard for

body contouring.’

The rise in liposuction popularity could be partly attributed

the number of new technologies used to assist the traditional

liposuction technique. Certainly, the introduction of power,

ultrasound and radiofrequency assisted liposuction has

made the emulsification and extraction of fat easier and, in

some cases, more effective.

Yet, while emerging technologies have helped optimise

procedure results, the approach, philosophy and

principle technique in liposuction has remained the same

– contributing to the established reputation Dr Grover

mentioned above.

www.cosbeauty.com.au 109


feature

Emerging trends

Buttock augmentation and

labiaplasty saw the most

significant annual increases

in America last year – with

a 58 percent rise in buttock

augmentation (11,527 procedures)

Liposuction and a 44 percent increase in

labiaplasty (5,070 procedures).

363,192

+16%

Breast

augmentation

313,327

-5.2% Facelift

129,807

+9.1%

Women

10.3 m

91%

of the total

Breast

reduction

122,838

+8.9%

Men

1m

9%

of the total

Top 5 Surgical Women Men

Liposuction 312,176 51,736

Breast augmentation 313,327 N/A

Blepharoplasty 133,185 28,204

Abdominoplasty 151,200 8,877

Rhinoplasty 121,171 26,825

Top 5 Non-surgical Women Men

Anti-wrinkle injections 3,381,476 384,672

Hyaluronic acid filler 1,738,999 133,173

Hair removal 773,278 128,292

Microdermabrasion 452,351 27,514

Photorejuvenation 413,186 43,427

Anti ageing

The ASAPS survey revealed a rise in eyelid, face and

neck lifting surgery, highlighting the fact that anti-ageing

procedures are more popular than ever before. Notably, fat

transfer to the face – a procedure designed to add volume

and rejuvenate the complexion – increased by 11.5 percent

in 2013 in the US.

In keeping with this anti-ageing trend, 29,414 brow lifting

procedures were performed in 2013. This signifies a 20.4

percent increase in both men and women.

In the non-surgical arena, anti-wrinkle injections were

the most popular treatment, with 3,766,148 procedures

performed (up 15.6 percent). Hyaluronic acid filler injections,

with 1,872,172 treatments administered, were ranked

second in popularity, and photo rejuvenation, with 456,613

procedures, showed the greatest annual increase of

35.3 percent.

Hair removal (901,571 procedures, up two percent)

and microdermabrasion (479,865 procedures, down 3.8

percent) constituted the remainder of the top five nonsurgical

cosmetic procedures in 2013.

Across the Board

Interestingly, 2013 saw an increase in those procedures that

are somewhat shrouded in stigma. Buttock augmentation

and labiaplasty saw the most significant boost in numbers

from the previous year. Buttock augmentation saw a 58

percent increase over a 12 month period, and labiaplasty a

44 percent rise from the year before.

As the statistics from 2013 continue to emerge across the

globe, similar trends in cosmetic surgery will undoubtedly

become clear. The future of the industry is seemingly secure,

with patients turning to those methods of rejuvenation that

demonstrate tried, tested and predictable results.

As the knowledge and science behind cosmetic surgery

moves from strength to strength, more and more people

are turning to surgical enhancement to restore, rejuvenate

and return youthfulness to the face and body.

‘A significant increase in the number of both cosmetic

surgical and non-surgical procedures suggests that people

are once again investing in their appearance and perhaps

have more disposable income to do so,’ says Dr Fisher.

‘Given the state of the economy and the competitiveness

of the job market, we expect to see the numbers for antiageing

procedures continue to increase.’ csbm

110 www.cosbeauty.com.au


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feature

liposuction

essentials

SINCE ITS INTRODUCTION MORE THAN

30 YEAR AGO, LIPOSUCTION HAS

CONTINUED TO RISE IN POPULARITY

TO BECOME THE NUMBER-ONE

PERFORMED COSMETIC SURGERY.

AIMÉE SURTENICH

REPORTS.

112 www.cosbeauty.com.au


feature

Liposuction has replaced breast augmentation as

most popular surgical procedure in 2013, according

to recent statistics from the American Society for

Aesthetic Plastic Surgery, which usually reflects similar

trends seen here in Australia.

The benefits of fat removal can be enormous, and

liposuction is among the cosmetic surgery procedures

with the highest rate of patient satisfaction. Many patients

experience an immediate improvement in their self-esteem

and overall confidence.

There have been many advances in liposuction

procedures over the past few decades, and particularly the

past few years, making it one of the most predictable and

popular body contouring surgeries in the world.

Liposuction is a surgical procedure to remove deposits

of subcutaneous fat from specific areas of the body such as

the thighs, hips, abdomen, buttocks, knees, upper arms,

neck and chin.

The basic liposuction procedure involves the insertion of

a small tube-like instrument, called a cannula, into the layer

of subcutaneous fat via tiny incisions made by the surgeon.

The cannula is commonly connected to a clear plastic

hose which leads to a suction source that breaks up and

vacuums away the targeted fat deposits beneath the skin.

There are two main layers of subcutaneous fat:

superficial and deep. Liposuction is primarily focused on the

deeper layer of fat, since suctioning is thought to be safer

and easier there. Suctioning in the superficial layer allows

the surgeon to achieve subtle benefits in the procedure

but, because of its proximity to blood vessels and nerve

endings, it can increase the risk of contour irregularities

and injury to the skin. Some surgeons believe superficial

liposuction enhances skin retraction.

Although the cannula is designed to slide through fat

tissue and cause minimum damage to blood vessels and

nerves, some may be injured during the procedure. In some

cases, liposuction is performed alone, in other cases it is

used with plastic surgery procedures such as a facelift,

breast reduction or a tummy tuck.

Liposuction and weight loss

Liposuction is not a way of losing weight. However, it may

be a viable option for men and women who want to reduce

bulges of fat that have resisted dieting and exercise. The

ideal liposuction candidate is at or near their ideal weight,

with good skin elasticity, and is seeking reduction of dietresistant

localised pockets of fat. Common sites include the

hips, outer thighs, abdomen, lower back, knees and neck.

Overweight individuals can benefit if they are in the

process of exercising and losing weight. However,

liposuction is not a cure for obesity. Candidates must have

realistic expectations of what liposuction can and cannot

do for them.

If a person has loose skin, liposuction can actually make

it worse. If this is the case, a body lift procedure may be

required to remove excess skin and help the skin conform

to the body’s new contours.

Liposuction surgery has

one of the highest patient

satisfaction rates

It should also be noted that liposuction does not improve

cellulite (the dimpled appearance of the skin of commonly

seen on the buttocks and thighs) or stretch marks (caused

by pregnancy or rapid weight gain) as these appearance

concerns are not related to fat accumulation beneath

the skin.

Both men and women can achieve an improved and

more contoured body shape through liposuction. The most

commonly treated areas in women are the outer thighs and

abdomen, and the most commonly treated areas in men

are the abdomen and the flanks, or ‘love handles’. Some

men have excess fatty tissue in and around the breast, or

gynaecomastia, which can also be removed. A specific

area treated by liposuction is less likely to increase to its

former size because it has fewer fat cells.

The liposuction procedure

Various types of anaesthesia can be used for liposuction,

depending on the surgeon’s and patient’s preference and

the extent of the procedure. If only a small amount of fat

and a limited number of body sites are involved, liposuction

can be performed under local anaesthesia, which numbs

only the affected areas. Local anaesthetic is usually used

in conjunction with intravenous sedation to help relax the

patient during the procedure. Some surgeons will only use

general anaesthesia, particularly if a large volume of fat is

being removed.

Generally, the surgeon makes tiny incisions in the areas

to be suctioned and a cannula is inserted. Using the

cannula, the surgeon moves in a specific pattern through

the fat layer to break up fat cells, which are then vacuumed

or suctioned out. The overlying skin remains attached to

the connective tissue and underlying muscles of the skin

during the operation. A thin blanket of fat is left under the

skin to help prevent rippling or bumpy skin occurring after

the liposuction is over.

www.cosbeauty.com.au 113


feature

The aim of liposuction is to decrease the bulk of fat

in a specific area, but not to remove all the fat. Fat is an

important tissue which helps to maintain skin shape and

firmness and removing too much fat can cause loose skin

and surface irregularities.

Depending on the size and number of the areas being

treated, as well as the technique employed by the surgeon,

the procedure can last from around one to five hours.

The aim of liposuction is

to decrease the bulk of fat in

a specific area, but not to

remove all the fat

After surgery, the patient can expect to be swollen and

bruised. Most patients report feeling sore for a few days. It is

also common to experience some numbness in the treated

areas, although this should go away in the first few weeks.

Patients are required to wear a compression garment for

up to six weeks, but should be back to their normal routine

after two to four weeks and vigorous exercise in a month.

Although results can be seen as swelling subsides, it can

take from six months to a year to achieve the final effect.

Although different surgeons may favour certain

modalities and variations, it is important to remember that

all liposuction is surgery, requiring incisions, anaesthesia

and diligent post-operative care.

Liposuction techniques

– which work best?

There are numerous liposuction techniques available today,

however each doctor has their preferred method, all of which

offer effective, predictable results. As well as the technique

employed, in every liposuction procedure the doctor takes

into account the level of sedation administered, the type of

cannula used and the patient’s wishes.

No single technique, piece of equipment or instrument

necessarily offers better results. Most surgeons will adapt

techniques and tools to each individual patient to achieve

optimal results. Generally, the technique that the doctor is

most skilled in will cause the least complications.

There are generally three techniques used in liposuction

surgery today: ‘wet’, ‘superwet’ and ‘tumescent’. These

are all dependent on the amount of fluid preinjected –

predominantly local anaesthetic, blood vessel constrictors

and saline – into the fat cells before the actual liposuction.

Liposuction was originally performed with what is now

referred to as the ‘dry technique’. It derived its name from

the fact that it did not preinject any fluids into the fat before

surgery. While fat removal using the dry method was

effective, it was for the most part abandoned because of

its association with increased discomfort for the patient,

excessive blood loss, increased tissue and nerve damage,

as well as extensive bruising and a greater propensity for

uneven or asymmetrical results.

The introduction of tumescent liposuction was a

significant advancement in liposuction surgery and

made it a much safer and more predictable procedure.

Tumescent refers to a saline-based solution that usually

contains epinephrine (which causes smaller blood vessels

to constrict and reduces bleeding and bruising) and

lidocaine (an anaesthetic that provides localised pain relief)

which is injected into the area to be treated. Ironically, the

dry technique is wet (lots of blood loss), while the wet

technique is dry.

Performing liposuction surgery with tumescent helps to

separate tissues, allowing easier movement of the cannula

through the swollen fat cells. Suction, either manually with

a syringe or mechanically, then removes the fat tissue and

most of the injected fluid. The rest of the fluid is largely

excreted by the body in the days following surgery. As the

114 www.cosbeauty.com.au


feature

An ideal candidate

for liposuction

• Is close to their ideal body weight

(within 30 percent)

• Wants to remove specifi c areas of fat that are

resistant to diet and exercise (fat pockets in the

abdomen, arms, knees, inner and outer thighs,

‘love handles’ and neck)

• Weight has been stable for six months or more

• Has good skin tone and elasticity

• Does not have loose or saggy skin

• Does not have stretch marks

• Has realistic expectations

• Is emotionally stable

tumescent technique reduces bruising and swelling, larger

quantities of fat can be removed.

The amount of tumescent fl uid used varies from patient

to patient and is usually driven by what level of anaesthetic

the patient prefers. Technically, the tumescent method also

Most surgeons will adapt

techniques and tools to each

individual patient to achieve

optimal results

includes the ‘wet’ and ‘superwet’ techniques as these also

inject fl uid to expand, or tumesce, the target area. The

main differences of the true tumescent technique and the

‘wet’ and ‘superwet’ modifi cations are the volume of fl uid

injected in relation to the amount of fat removed and the

type of sedation used.

Generally, there is a balance between the volume of fl uid

injected and the anesthetic used – the more fl uid, the less

additional anaesthetic needed. For example, liposuction

performed using the true tumescent technique will typically

negate the need for additional sedation because the local

anesthetic in the injected fl uid is suffi cient. Conversely,

the wet technique preinjects a minimal amount of fl uid so

more sedation is required, usually in the form of general

anaesthetic. The superwet technique, which normally

involves an amount of fl uid equal to the amount of fat to be

removed, would typically require intravenous sedation. The

volume of fl uid and corresponding level of anaesthetic used

is also dependent on the projected length of surgery and

the amount of fat to be removed.

The terms ‘tumescent’, ‘wet’ and ‘superwet’ are used

loosely. Generally, each doctor has their own preferred

amount and composition of fl uid to be injected and it has

never been completely standardised. Doctors will usually

adjust the amount of fl uid used depending on the desires

of the individual patient and their preference for local

anaesthesia, intravenous sedation or general anaesthesia.

Once the areas of fat to be treated have absorbed

the injected solution, there are generally three ways to

actually remove the fat: the traditional cannula method,

the syringe technique and the energy-assisted method,

which can further be broken into numerous sub-categories

such as laser-assisted. The method of fat extraction used

is mainly dependent on the surgeon’s preference and

their level of expertise and experience in that particular

technique. csbm

www.cosbeauty.com.au 115


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living

sculpture

Dr Josef Goldbaum says

liposculpture is more than

just fat reduction – it can also

sculpt the body to create a

more streamlined silhouette.

Lizzy Fowler reports.

Liposculpture is more than just fat removal, and it

requires a specialised approach, says Liposuction

Australia’s chief cosmetic surgeon Dr Josef

Goldbaum. ‘One of the most important aspects of superior

liposculpture results is not just removing fat but sculpting it,’

he says. ‘The body is three-dimensional; it has rounded bits,

flat bits, crests and curves. Because of this, I believe the

best liposculpture results can only be achieved if the patient

is able to be responsive and move during the procedure.’

Dr Goldbaum’s approach allows the use of small

cannulas, 2, 3 or 4mm in diameter, which he says leaves

next to no scarring, removes fat in a gentle manner and

allows the use of local instead of general anaesthetic. ‘My

technique involves the simplest system: the patient, the

doctor and the cannula,’ he says. ‘I don’t use tumescent

fluid during the procedure, and I don’t use energy-assisted

liposuction techniques; the less unnecessary risk, the better

for the patient.’

Dr Goldbaum says there are major advantages to

performing liposculpture using local anaesthetic instead of

general anaesthetic, the most beneficial of which is that the

patient is able to move and respond to the surgeon during

the procedure. ‘If the patient is lying down under general

anaesthetic, they have no muscle tone, which means

116 www.cosbeauty.com.au


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there are no reference points to sculpt the body threedimensionally,’

he says. ‘This can mean uneven removal

of fat and, more importantly, a higher risk of penetrating

relaxed muscle.’

While the patient is sitting for most of his procedure,

they are gently moved into a standing position towards the

end to make sure there are no inconsistencies with the fat

removal.

By using only the cannula without energy assistance,

Dr Goldbaum says the fat can be removed intact and

atraumatically. ‘The moment you start introducing energy

assistance, it changes the equation. I believe there is more

risk of things going wrong – it’s the skills that create the

results, not the technology,’ he says.

‘I believe that frying the fat cells with laser energy or

shrinking them with ultrasound compromises the fat cells

– not only to the fat being removed but also the fat which

stays in the body,’ he continues. ‘This is why many patients

experience fat returning some time after their procedure,

because the body is repairing these damaged fat cells.’

Sometimes the problem is too much fat in some places,

and not enough in others. In such cases, fat transfer

can be an effective adjunct procedure when undergoing

liposculpture, particularly for those who are looking for

natural-looking volumisation. ‘One of the other reasons

I don’t use energy assisted liposuction is to preserve the

integrity of the healthy stem cells in the fat if we’re also

performing fat transfer,’ he says.

His ultimate aim, Dr Goldbaum explains, is to sculpt

the existing fat into a nicer shape, not melt it inconsistently

for the sake of removal. ‘We have successfully reduced

the size of large stomach aprons, breasts, hips, thighs,

abdomen, and even harder to reach areas such as the neck

and ankles.’

‘There are sometimes instances where surgery is

required,’ he continues. ‘For example, if a woman has more

glandular tissue than fat in her breasts, this will need to be

removed surgically. However, there are many cases where

women undergo a surgical breast reduction when they

can simply reduce their breast size with liposuction, which

involves two small nicks on either side of the breast instead

of obtrusive scarring. Put simply, if there’s fat, I can remove

it,’ he says.

Safety first

Dr Goldbaum’s use of local anaesthetic to numb the target

areas before surgery means the risks associated with

general anaesthetic are eliminated. ‘Liposuction under

local anaesthetic carries minimal risks; by not using general

anaesthetic we are removing any unnecessary associated

complications,’ he explains. ‘With intravenous sedation

there is a 1 in 50,000 mortality rate and there is a 1 in 5,000

mortality rate for liposuction under general anaesthetic. No

deaths have been reported from liposculpture under local

anaesthetic.’

Patients can be assured there will be little sensation in

the areas to be sculpted, says Dr Goldbaum. ‘There may

be slight discomfort in the form of a slight pinch every now

and then, but this usually passes very quickly.’

One of the most important

aspects of superior liposculpture

results is not just removing the

fat but also sculpting it

Dr Goldbaum stresses the importance of patients

researching their chosen surgeon before entering into any

kind of cosmetic procedure. ‘If you don’t choose the right

cosmetic surgeon you may encounter problems such as

permanent lumpiness under the skin if the fat isn’t removed

in a smooth manner, asymmetric finish on one or both sides

of the body, not enough fat or too much fat removed and,

in some cases, scarring,’ he explains. ‘These problems

are often associated with inexperience, so patients

should always ask to see photos of the surgeon’s results

beforehand.’

‘Ninety-five percent of my patients are back at work three

days after the procedure,’ Dr Goldbaum says. ‘My patients

are typically able to shower and walk about the next day,

can resume swimming a week or so later, and can usually

go back to the gym again after a month. Of course, every

patient recovers at a different pace, so patients should pay

attention to how they feel before doing any kind of day-today

activity.’

In Dr Goldbaum’s experience, most patients have found

the local anaesthetic to wear off within a few hours after

surgery. Patients may experience a change in sensation of

their skin, which may take a month or two to come back,

but Dr Goldbaum says this is a rare complication. ‘We only

infiltrate as much local anaesthetic as needed, no more. It

is also removed with the fat during the procedure so any

residual anaesthetic is very minimal,’ he explains. ‘This also

lessens the likelihood of toxicity after surgery.’

‘My aim is to create the best possible results for each

of my patients, helping them achieve more balanced and

streamlined proportions. Using advanced techniques,

superior three-dimensional body contouring results can be

achieved,’ Dr Goldbaum concludes. csbm

www.cosbeauty.com.au 117


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1

BEFORE

AFTER liposculpture by Dr Goldbaum

2

BEFORE

AFTER liposculpture by Dr Goldbaum

3

BEFORE AFTER liposculpture by Dr Goldbaum

118 www.cosbeauty.com.au


Don’t Just Remove Fat

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Tweed Heads Tweed Day Surgery & Specialist Centre,

Suite 8 38- 44 Boyd Street, Tweed Heads NSW 2486 phone 07 5536 9234


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LIPOSCULPTURE

The gold standard

in body contouring

SYDNEY COSMETIC SURGEON DR JOSEPH GEORGHY SAYS SYRINGE

LIPOSCULPTURE CAN ACHIEVE OUTSTANDING RESULTS IN BODY CONTOURING. HE

ANSWERS SOME COMMONLY ASKED QUESTIONS ABOUT THE PROCEDURE.

Syringe liposculpture is considered the gold standard

in fat removal. I perform liposculpture to help

patients rediscover the contours of their youth. The

procedure is ideal for contouring areas of the body such as

the breast, thighs, arms, ankles, knees and abdomen, as

well as the more delicate face, chin and neck region. My

preferred technique is the manual, or syringe, technique.

The results are excellent, however there is a steep

learning curve and mastering this technique is much harder.

What is liposculpture?

Liposculpture is a surgical technique to remove unwanted

fat deposits from specifi c areas of the body. Virtually any

part of the body can be treated.

Who is an ideal candidate?

The best candidates for liposculpture are of normal weight

with fi rm, elastic skin but who have pockets of excess fat.

What are the risks?

Liposculpture is normally safe, as long as patients are

carefully selected, the operating facility is properly equipped,

and the physician is adequately trained in liposculpture

body contouring as well as in general surgery.

What results can be achieved?

Most patients are very satisfi ed with the results of their

liposculpture surgery. 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.

Is the result permanent?

Liposculpture is an excellent technique and remains a

gold standard for creating a new body contour with very

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little scarring. The results can be permanent, provided the

patient eats sensibly and exercises regularly.

How is liposculpture performed?

I perform liposculpture under local anaesthesia, and

the patient is conscious the whole time. Recovery time

is minimal and all my patients are able to walk around

immediately after the procedure. In my experience, results

are consistent with minimal surgical risk involved.

Low level laser therapy is applied as soon as the

procedure is completed. PhotoDynamic HelioTherm,

a unique treatment and only available at North Shore

Cosmetic, is performed to help improve skin contraction,

minimise swelling and reduce the risk of scarring.

I believe syringe liposculpture

remains the gold standard for

creating a new body contour

I believe this combination treatment helps the patient

recovery quickly, delivers better cosmetic results and

minimises any potential side effects. csbm

Case study

This 57-year-old female patient wanted to get rid of excess fat deposits. She was very

concerned about the possibility of skin rippling or excess skin following the procedure. She

is very happy with her result. Photos courtesy Dr Joseph Georghy.

BEFORE

Manual liposculpture, Low Level Laser Stimulation Therapy and

PhotoDynamic HelioTherm by Dr Georghy

BEFORE

Manual liposculpture, Low Level Laser Stimulation Therapy and

PhotoDynamic HelioTherm by Dr Georghy

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Case study:

body transformation

One patient who underwent body transformation surgery with Sydney

plastic surgeon Dr Kourosh Tavakoli says the surgery has given her

a new lease on life. Caitlin Bishop reports.

Diet regimes and exercise programs are sometimes

not enough to conquer stubborn pockets of fat

and return the body to a healthy weight. The

psychological effects that come with being overweight

can mean other solutions, for example surgical body

transformation, become viable options in re-contouring the

body and removing excess fatty tissue.

One patient, named Alyssa for the purposes of this article,

approached Dr Kourosh Tavakoli seeking abdominoplasty

surgery to slim down her tummy. She had been considering

surgery for many years and, after no success with

numerous weight loss methods, decided to go ahead with

the operation.

‘I’d been looking at it for a few years,’ Alyssa says. ‘I

tried various diets but was just unhappy with my body. I did

my research and spoke to friends of mine in the medical

industry. Dr Tavakoli’s name came up a number of times and

he was highly recommended.’

Though Alyssa had done her initial research into the

abdominoplasty procedure, she still had some concerns

about the downtime involved and the eventual results.

During her initial consultation with Dr Tavakoli, he showed

her several before and after photographs and explained

what he thought he could achieve.

‘I was concerned about the surgery itself, the downtime

was an issue and obviously I wanted to be sure about the

results before committing to such big surgery,’ she says.

‘During the initial consultation I was able to communicate

these concerns freely and ask any questions I had openly.

Dr Tavakoli spoke to me about what the procedure would

involve, we discussed my feelings going in, and he outlined

the results he thought were possible.’

Abdominoplasty is an extensive procedure that involves

an incision that runs from one hip to the other, near the pubic

hairline. Excess fat is removed and the stomach muscles

are tightened via this incision. Loose skin is excised before

the incision is closed, and often the navel is repositioned

during the operation.

On the day of her surgery, Alyssa found Dr Tavakoli’s

nurses comforting and soothing. She said they helped

alleviate any anxiety before the operation.

‘The nurses were very communicative, they were

knowledgeable, soothing and caring,’ Alyssa recalls.

‘After the surgery I woke up in my room and there was a

degree of pain but the nurses were very helpful. I was on

pain medication for about a week post-operatively but had

no difficulties – I always knew Dr Tavakoli was on call, no

matter what.’

Following her operation, Alyssa experienced minimal

bruising and some swelling. The swelling lasted around one

month and, as it started to go down, she felt her body had

settled into its newly defined contours.

I’m extremely happy and have

no regrets. The results have

been life changing

‘After around one month I felt like I was back to normal,’

Alyssa says. ‘The third week I was back at work full time,

and after four weeks it was all systems go.’

To help reduce the appearance of scarring, Alyssa has

been using vitamin E and Bio Oil lotion on the incision. ‘The

scar is healing beautifully,’ Alyssa says. ‘It’s very discreet

and the results are really worth it.’

Looking back, Alyssa is pleased with her decision to

undergo body transformation surgery and is happy about

the results.

‘I’m extremely happy with the outcome of my surgery.

I have no regrets whatsoever,’ she says. ‘It was worth the

money – the results are life changing and I was really quite

stunned at the change to my overall body.’

‘Dr Tavakoli is a gem and a great surgeon, and his team

have the same comforting, professional and soothing

manner,’ she concludes. csbm

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BEFORE

AFTER abdominoplasty by Dr Tavakoli

BEFORE

AFTER abdominoplasty by Dr Tavakoli

www.cosbeauty.com.au 123


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The

Vaser Lipo

advantage:

smoother

contours &

tighter skin

two plastic surgeons

discuss their experience using

vaser lipo for body reshaping.

caitlin bishop reports.

Vaser Lipo is a form of liposculpture that uses

controlled ultrasonic energy to assist the surgeon

in the selective removal of fat in body contouring

surgery, offering smoother results and faster recovery than

tradition liposuction.

Sydney plastic surgeon Dr Naveen Somia has been using

Vaser Lipo by Device Technologies for the past four years.

He uses it both as a standalone liposuction procedure and

in combination with other surgical procedures, for example

tummy tucks and breast reductions. Common treatment

areas include the arms, thighs, buttocks, love handles and

male breasts (medically called gynaecomastia.

Vaser Lipo uses ultrasound energy to liquefy the fat

before extraction, which helps to reduce trauma and

achieve a smoother contour. ‘The ultrasound energy

emulsifies the fat, so that it is extracted in a liquid form,’ Dr

Somia explains. ‘This reduces the amount of mechanical

action needed to dislodge and extract fat, meaning less

tissue trauma is inflicted. Importantly, the energy is selective

and targeted, so the nerves, lymphatics and blood vessels

are not affected.’

Dr Somia performs all Vaser Lipo procedures using

general anaesthetic. He believes this allows for a greater

volume of fat to be extracted, and affords easier access

124 www.cosbeauty.com.au


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I have found that

Vaser Lipo enhances the

predictability and quality

of fat reduction results

to the deeper fatty layers. Before treatment, Dr Somia fills

the area with tumescent saline solution that contains local

anaesthesia. This helps constrict blood vessels, reduce

bleeding and assist in the emulsification of fatty tissue.

The ultrasound method of Vaser offers a skin tightening

benefit, alongside fat reduction. This is due to the ultrasound

heat causing the tightening and regeneration of collagen

fibres in the skin.

Dr Somia has achieved noticeable results in skin

tightening, although he explains the tightening effect

varies between patients and is difficult to predict. ‘I have

seen impressive results in skin tightening. For example,

one patient in her late 20s had Vaser Lipo on her arms,

and the degree of skin tightening was remarkable,’

Dr Somia explains. ‘But, although this skin tightening

effect is applicable across the board, it is difficult to

accurately predict the degree of skin tightening for each

individual patient.’

Following Vaser Lipo, Dr Somia says it is important

to wear compression garments for at least six weeks to

minimise swelling, and help the body better conform to the

new, slimmer contours.

‘I see my patients for follow-up appointments at the first,

second and sixth week after Vaser Lipo surgery,’ Dr Somia

explains. ‘Final results are usually seen at six to 12 weeks

post-procedure, once all swelling has gone.’

Dr Patrick Briggs, a plastic surgeon from Perth, also

uses Vaser Lipo and believes it achieves more consistent

and effective results than other systems on the market.

‘There have been many changes in liposuction

over the years, including different techniques and

the introduction of various cannulas,’ Dr Briggs

explains. ‘But the perennial problems remained: loose skin,

wavy results, lumps and bumps, and irregularities in fat

deposition, for example. Thankfully, Vaser Lipo seems to

have done away with the vast majority of these problems.’

Dr Briggs explains that the Vaser Lipo system has

revolutionised the way ultrasound is used alongside

liposuction. ‘While other machines have used ultrasound in

conjunction with liposuction in the past, Vaser has changed

this process,’ he says.

‘With Vaser, ultrasound is performed first to emulsify

the fat, and this is followed by suctioning. I have found

this enhances the predictability and quality of fat reduction

results. Other systems perform emulsification and suction

at the same time and this, in my view, holds a level

of unpredictability.’

Vaser Lipo can be used on several areas of the body and

Dr Briggs says, in some cases, there can be a degree of

skin tightening, alongside fat reduction, following treatment.

‘I have used Vaser on virtually all areas of the body

with the exception of the breast, and have found it to hold

minimal complications,’ Dr Briggs explains. ‘There is no

doubt, anecdotally, that Vaser tightens skin but we have no

scientific way of proving this. Notwithstanding, it would be

foolhardy to think that significant skin tightening will occur

in a patient over 45 or 50 years of age.’

Bruising and swelling are common side effects following

and liposuction procedure, and Dr Briggs encourages

his patients to use adequate compression garments

post-operatively to help reduce these symptoms and

optimise healing.

As with all body contouring procedures, Vaser Lipo

should not be considered an alternative to weight loss, and

is best suited to patients hoping to optimise the results of a

healthy exercise and dietary regime.

‘Patient selection in liposuction is critical, and appropriate

patient selection will lead to good if not excellent results,’

Dr Briggs explains. ‘All in all, I’m a big fan of Vaser

Lipo. I have been performing liposuction for so long, with

so many different techniques (with mixed results), so

the predictability and consistency of the Vaser has really

changed the ball game for me. I look forward to liposuction

cases, knowing the kind of results that can be achieved

with Vaser Lipo.’ csbm

www.cosbeauty.com.au 125


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1

BEFORE

AFTER Vaser Lipo on arms by Dr Briggs

2

BEFORE

AFTER Vaser Lipo (photos courtesy of the manufacturer)

3

BEFORE AFTER Vaser Lipo (photos courtesy of the manufacturer)

126 www.cosbeauty.com.au


Muffin Top?

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Get a slimmer,

smoother body

Vaser Lipo and Vaser Smooth can optimise fat reduction and improve

the appearance of cellulite. caitlin bishop reports.

What is Vaser Lipo?

Revolutionising fat removal, Vaser Lipo from Device

Technologies is a minimally invasive approach to liposuction.

It uses ultrasound energy alongside liposuction to create

even, smoother and slimmer contours in liposuction

patients. This combination of technology helps optimise

results and reduce downtime following the procedure.

Perth cosmetic surgeon Dr Glenn Murray has been using

Vaser Lipo for the past two years. He explains Vaser Lipo

is particularly beneficial in treating stubborn areas of fatty

tissue, which are otherwise impervious to exercise.

‘Vaser Lipo is suable for all areas of the body,’ Dr Murray

says. ‘It is especially effective in treating stubborn areas of

fat, for example on the back, knees and inner thighs.’

Vaser Lipo targets subcutaneous fat, or the pockets of

fat directly below the skin. During treatment, the targeted

area is injected with tumescent fluid. This is a saline

solution that shrinks blood vessels and temporarily

expands the treatment area, to reduce bleeding and assist

in fat removal.

Following this, small probes that release high ultrasound

energy are inserted via small incisions. The ultrasound

energy is specifically targeted to loosen and ‘melt’ fat cells,

while leaving the surrounding tissues unaffected. Finally, the

liquefied fat, combined with the tumescent fluid is removed

from the body using specialised cannulas.

Because Vaser Lipo uses ultrasound energy to emulsify

the fat before extraction – unlike other systems, which

perform both ultrasound and extraction at the same time

– Vaser Lipo can achieve greater consistency and even

results for fat reduction.

‘Vaser Lipo can break down stubborn, fibrous-laden fat

more easily,’ Dr Murray explains. ‘A smoother result can be

obtained with Vaser Lipo, especially in patients who have

suffered rippling from previous liposuction procedures.’

Alongside fat reduction, Vaser is touted to achieve

a skin tightening effect. The heat from the ultrasound

128 www.cosbeauty.com.au


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energy causes the collagen fibres in the skin’s dermis to

contract and tighten. It also promotes the production of

new collagen at the site. This results in a skin tightening

and rejuvenating effect, helping smooth the skin for

a more youthful appearance across the body’s newly

formed contours.

Following treatment with Vaser Lipo, compression

garments are generally worn for six weeks post-operatively.

This helps reduce swelling and bruising, normalise healing

and retract the skin over the treatment site.

Full results in fat reduction are evident once the swelling

has decreased, and some degree of skin tightening should

be seen around 12 weeks post-operatively, once new

collagen has been generated at the site. Vaser Lipo is a

minimally invasive approach to liposuction, and achieves

effective results in trimming those problems areas and

tightening skin for an even, smooth and slimmer silhouette.

What is Vaser Smooth?

The dimpled or ‘cobblestone’ appearance of cellulite can

detract from an otherwise healthy figure and is frustratingly

difficult to treat. Vaser Smooth from Device Technologies

signifies a solution to this pervasive problem. It uses

ultrasound energy, conducted through a specialised probe,

to emulsify undesired fat and sever the fibrous bands that

cause the dimpling in cellulite. By liquefying fat cells, and

then cutting loose those uneven fibres, the contour is

slimmed and the appearance of cellulite noticeably reduced.

Dr Murray has achieved effective results in cellulite and

fat reduction using Vaser Smooth. ‘Vaser Smooth works

very well especially for the front and back thigh,’ he says.

‘The focused ultrasound energy disrupts the fibrous bands,

and at least 50 percent clearance is easily achieved.’

Vaser Smooth also uses tumescent fluid to assist in fat

emulsification and achieve even, consistent results. Small

incisions are used to deliver the probe into the subcutaneous

fatty tissue. Dr Murray says common side effects following

treatment include bruising and swelling, and results will vary

between patients.

‘Tumescent anaesthesia is used alongside sedation,’

he explains ‘There is more bruising following treatment

than usually seen after tumescent liposuction. A Vaser

Smooth patient must be realistic, and looking for

improvement not perfection.’

Vaser Lipo is especially

effective in treating stubborn

areas of fat, such as on the back,

knees and inner thighs

Liposuction can be performed alongside Vaser Smooth,

for more noticeable fat reduction results. The best

candidates for Vaser Smooth are of a relatively normal

weight, with isolated pockets of fat within the uneven,

fibrous bands.

‘My typical Vaser Smooth patient is female in her 20s to

30s, but men with cellulite are always very keen to reduce

this condition,’ Dr Murray explains. ‘Vaser Smooth patients

are often slim with isolated problem areas, however slightly

overweight people are also very interested.’

With cellulite such a common concern – affecting around

90 percent of adult women – Vaser Smooth offers an

effective option to smooth the skin’s surface and optimise

the results of a healthy lifestyle. csbm

BEFORE

AFTER Vaser Lipo (photos courtesy of the manufacturer)

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Refine

your figure

130 www.cosbeauty.com.au


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Dr Mark Magnusson and

dr gary kode share their

experience using Exilis as

a non-invasive method

for body contouring. caitlin

bishop repoRTS.

Exilis is both a skin tightening and fat reduction

system. It combines monopolar radiofrequency (RF)

and ultrasound energy to trim, tone and tighten the

body’s contours. Suitable for use on all areas of the body,

Exilis is a non-invasive solution to shifting love handles,

slimming thighs and conquering stubborn pockets of fatty

tissue, which are otherwise impervious to exercise.

Exilis concentrates RF and ultrasound energy at specific

depths in the subcutaneous fat layer, directly beneath

the skin. This causes deep thermal heating to increase

metabolic activity and ‘melt’ the localised fat cells.

As the fat volume is liquefied, the surrounding collagen

is also affected. The collagen fibres in the skin’s dermis

contract in the heat, causing skin retraction and triggering

the production of new collagen at the site. This results in skin

tightening, alongside fat reduction, for an all-encompassing

rejuvenating effect.

No anaesthesia is required during treatment, and

cooling gel is used to protect the skin’s upper layers. This

cooling system can be adjusted depending on the required

treatment – maximum cooling is used to target the deeper

fat layers, while minimal cooling is sufficient when the

system is used solely for skin tightening.

Exilis can achieve a circumferential reduction of up to

10cm in select patients. The system is unique in combining

RF, ultrasound energy and the cooling system in a single

handpiece. It achieves effective results in circumferential

reduction and skin tightening, conquering those isolated

pockets of stubborn fatty tissue.

Dr Mark Magnusson, a Queensland plastic surgeon, has

been using Exilis for more than a year. He uses it as a noninvasive

approach to both circumferential reduction and

facial rejuvenation.

‘Using Exilis, we have achieved circumferential reduction,

significant improvement in skin laxity on both the face and

body, and smoother, tighter skin,’ says Dr Magnusson. He

explains the non-invasive approach is an attractive option

for many patients hoping to achieve subtle results, with

minimal downtime.

‘Exilis is an all-in-one system, which utilises a combination

of monopolar radiofrequency (RF) and ultrasound,’ he says.

‘This enables it to deliver more energy over a shorter period

of time. Patients can be treated more quickly than before,

with no need for anaesthesia or downtime.’

Dr Magnusson uses Exilis for fat reduction on many

areas of the body. Common treatment areas include the

outer thighs, abdomen, arms and the face. To optimise

results, he often combines the procedure with other body

contouring methods.

Importantly, there are several steps patients can

employ to enhance results following Exilis. Dr Magnusson

advises patients should be well hydrated before treatment.

‘Adequate hydration is important when being treated with

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‘This promotes the remodelling of fresh collagen and elastin

in the treated area, inducing skin tightening and a smoother,

tauter result.’

Dr Gary Kode, a plastic surgeon in Tasmania, finds

Exilis effective for both circumferential reduction and skin

tightening. He explains it is a viable option for people

looking to reduce isolated fatty pockets.

‘While the results are not as drastic as more invasive

methods for body contouring, they are certainly significant,’

says Dr Kode. ‘Before and after photographs show a visible

difference after treatment with Exilis, and patients notice a

reduction in fatty pockets and the tightening effect.’

Exilis treatment

promotes skin tightening

as well as fat reduction

for an all-encompassing,

rejuvenating effect

Exilis,’ he explains. ‘For example, if you put a wet sponge

and a dry sponge in the microwave, the wet sponge will

absorb more heat – just as the skin and fat tissue will

absorb more heat when they’re well hydrated.’

Dr Magnusson describes the procedure as a ‘massage

type’ experience: ‘During an Exilis treatment patients will

experience an intense heat but no pain. Most people say it

feels relaxing like a hot stone massage.’

While Exilis is suitable for many patients, Dr

Magnusson explains it should not be considered an

alternative to weight loss. ‘Body contouring patients

are usually fit and healthy but have stubborn areas of

fat that remain, even after diet and exercise,’ he says.

‘Additionally, Exilis can help restore post-baby bellies,

and improve the appearance of loose skin and stretch

marks after pregnancy.’

The combined technologies of Exilis – using both

radiofrequency and ultrasound energy – incurs a doublefold

effect. Both fat reduction and skin tightening can be

achieved after a series of Exilis treatments.

‘The Exilis system causes thermal damage to the

collagen and elastin in the skin,’ Dr Magnusson explains.

Dr Kode often uses Exilis in combination with other

procedures, and believes the skin tightening benefit can

optimise results following liposuction.

For fat reduction itself, Exilis precisely targets different

layers of subcutaneous fat and several passes are performed

to achieve even, consistent results. While Exilis is an effective

option for non-invasive fat reduction and body contouring,

Dr Kode says it should not be considered an alternative to

weight loss.

‘Fat reduction with Exilis is best suited to patients who

are a healthy, level weight,’ Dr Kode explains. ‘It is used to

treat pockets of stubborn fatty tissue, not to achieve overall

weight loss. For the right candidate, this non-invasive

treatment can achieve great results in refining the figure

and contours.’

Multiple sessions are generally required to optimise

results. Four treatments are typically performed, usually one

to two weeks apart. It normally takes three to six months for

the full result to become evident, once collagen synthesis

has occurred and the dead fat cells have been metabolised

by the body.

‘Patients will feel heat but no discomfort during treatment

with Exilis,’ Dr Kode explains. ‘No anaesthesia is needed,

and most of patients report that it’s an overall relaxing

experience.’

In a cutting-edge combination of radiofrequency and

ultrasound technology, Exilis can achieve effective results in

body contouring and skin rejuvenation. It signifies a solution

to reducing isolated, stubborn pockets of fat, and can be

used to slim the arms, flatten the stomach, trim the thighs

and shape the hips. csbm

132 www.cosbeauty.com.au


MAKE EVERYDAY

“A Skinny Jeans Day”

Exilis redefines Non-Invasive body & facial treatments.

Melt away centimetres, the non-surgical way.

BEFORE

AFTER BEFORE AFTER

Your Exilis Specialist Clinic

NEW SOUTH WALES

Elixxir Medispa

Dr Michael Miroshnik

Bondi Junction

1300 854 610

www.elixxirmedispa.com.au

Face Today Mediclinic

Chatswood

1300 668 573

www.facetoday.com.au

Alpha Cosmetic Clinic

Dr Phil Caraiscos

Hurstville

02 9579 2777

www.alphacosmedicclinic.com.au

QUEENSLAND

Face Today Mediclinic

Cairns

07 4053 3021

www.facetoday.com.au

Allure Clinic

Dr Mark Magnusson

Toowoomba

1300 662 960

www.allurecosmeticclinic.com.au

Sunshine Vein Clinic

Dr Hugo Pin

Peregian Beach

1300 698 346

www.sunshineveinclinic.com.au

WESTERN AUSTRALIA

Bramis Facial Rejuvenation Clinic

Dr Mela Brankov

Subiaco

08 6161 5425

www.bramis.com.au

Dermedica

Dr Joanna Teh

Scarborough

08 9205 1995

www.dermedica.com.au

Mercy Medical Centre

Dr Anh

Mt Lawley

08 9271 8624

www.femaleplasticsurgeon.com.au

VICTORIA

Rejuvenex Medical Aesthetic

& Laser Clinic

Blackburn South

03 9877 2366

www.rejuevenex.com.au

TASMANIA

Launceston Plastic Surgery

Dr Gary Kode

Launceston

03 6334 9313

E: exilis@device.com.au

device.com.au/exilis


ody

Tone

tighten

Exilis offers a non-invasive approach to eliminATE unwanted fat on the

face and body, says Dr Phil Caraiscos.

Exilis offers a revolutionary non-invasive form of

treatment for the reshaping and elimination of

targeted fat deposits on the body, as well as skin

tightening and wrinkle reduction for a smoother, more

youthful-looking face.

Exilis from Device Technologies can help reduce fatty

pockets, tighten skin and bring the body’s curves into

proportion. It uses a combination of radiofrequency and

ultrasound energy to slim the waistline and tighten skin in a

non-invasive approach to body contouring.

‘The combination of radiofrequency and ultrasound

energy is innovative as it enables us to perform fat reduction

and skin tightening in the same treatment,’ explains Sydney

cosmetic physician Dr Phil Caraiscos. ‘If you were to just

reduce the fat alone, you would be left with saggy wrinkly

skin around the area of reduction, which sometimes occurs

after liposuction.’

Exilis targets the radiofrequency and ultrasound energy

at specific depths in the subcutaneous fat. This causes

deep thermal heating to accelerate metabolic activity and

initiate lipolysis – the death of fat cells.

‘In terms of fat reduction, we have seen very good results

on the stomach, inner thighs, outer thighs, love handles

and double chins,’ Dr Caraiscos explains. ‘For fat removal

we target each layer of fat separately. The first pass targets

deep fat with the machine set to full power and the cooler

set to full. We then reduce the settings to target the middle

fat layers, and then reduce them again for a third pass to

target the superficial fat.’

As the fat cell volume declines, the surrounding

collagen is also affected. The heat triggers the contraction

of collagen fibres in the skin and promotes the production

of new collagen at the site – for a skin tightening and

rejuvenating effect.

To treat skin laxity on the face, Exilis uses Collagen

Refill Technology. The combination of radiofrequency and

ultrasound energies quickly and efficiently dissociates

the collagen structure under the skin. As a result, the

natural healing process evokes the fibroblasts to produce

new collagen fibres and the skin structure is eventually

refilled with collagen to produce a tauter and more defined

facial structure.

134 www.cosbeauty.com.au


ody

‘As skin ages, the bundles of collagen and elastin fibres

unwind,’ Dr Caraiscos explains. ‘The skin tightening effect

from Exilis occurs due to the focused radiofrequency energy

elevating the tissue temperature and having a twofold

effect: we see an immediate tightening from the winding up

of these bundles, then, in the medium term, we see further

tightening occur due to new collagen being produced in

the skin. We have found the results with skin tightening to

be remarkable.’

Exilis is suitable for use on all skin types and typically

four treatments are recommended, usually one to two

weeks apart.

The full results of fat reduction and skin tightening are

usually seen three to six months after treatment, once

collagen synthesis has occurred and the fat cells have been

metabolised by the body.

‘Some results are seen almost immediately, and

improvements are seen for a further six months,’ Dr

Caraiscos says. ‘For fat removal, results can be permanent

if there is no more weight gain. For skin tightening, a top-up

treatment is usually needed every one to five years.’

The treatment itself requires no anaesthesia and should

not involve any downtime. It can be used in conjunction

with other body contouring or skin resurfacing methods to

achieve optimum results. Exilis signifies a breakthrough in

shifting stubborn fatty pockets, tightening and smoothing

skin, and creating more shapely, defined contours on both

the face and the body. csbm

1

BEFORE

2

AFTER Exilis skin tightening treatment (photos courtesy of the

manufacturer)

BEFORE

3

AFTER Exilis skin tightening treatment (photos courtesy of the

manufacturer)

BEFORE

AFTER Exilis skin tightening treatment (photos courtesy of the

manufacturer)

www.cosbeauty.com.au 135


ody

CARE

COMFORT

THE ISAVELA RANGE OPTIMISES

SURGICAL RESULTS AND POST-

PROCEDURE CARE IN A SELECTION

OF COMFORTABLE, FUNCTIONAL

AND EFFECTIVE BODY GARMENTS.

CAITLIN BISHOP REPORTS.

Isavela compression garments combine the latest

compression technology, offering comfort and function.

Isavela garments are distributed by Statina Healthcare

and are designed to improve post-operative healing and

boost circulation at the treatment site.

Following liposuction, compression garments are an

essential element of post-procedure care. They help minimise

swelling and bruising, and aid in accelerating and normalising

the healing process. Compression garments also assist in

re-draping the skin over the body’s slimmer and newly

defi ned contours.

For increased support and advanced compression,

Isavela garments have a double layer of compression

fabric across the abdominal area. Fran Kearns, an Isavela

retailer and owner of Body Plus in Perth, says this double

layer is a valuable point of difference and a major advantage

in post-operative care.

‘Most compression garments only have one layer of

compression material over the stomach,’ Kearns explains.

‘Isavela garments have a double layer, which provides

extra compression and support. Many surgeons have

identifi ed this double layer as being advantageous in

accelerating healing, controlling swelling and achieving

optimum results.’

136 www.cosbeauty.com.au


ody

Importantly, the material used in the abdominal binders

stretches in all directions to afford homogenised and

consistent compression while allowing the body to move

freely and naturally.

All Isavela garments are made with Naturexx fabric,

which is designed to regulate moisture and keep the wearer

cool and dry. The fabric helps evaporate body moisture and

prevent the production of bacteria during use. The fabric

itself is soft and smooth, providing increased comfort

alongside optimal, post-procedural support.

‘The fabric of Isavela garments is luxurious and soft,’

Kearns says. ‘It is smooth and silky and feels great on

the skin. Comfort is important following any procedure,

especially for liposuction patients where the skin is often

very sensitive due to swelling. The Isavela garments afford

gentle and effective support.’

Compression garments are typically worn for six

weeks following a liposuction procedure. Kearns explains

the durability and comfort of Isavela garments makes

it easy for patients to adhere to the post-procedure

recommendations. ‘To reap the best results, liposuction

patients must wear compression garments 24/7 for several

weeks following treatment,’ she explains. ‘With this level

of use, it is important the garments wash well and retain

their elasticity. Isavela garments are extremely durable and

their level of comfort encourages patients to continue using

them throughout the entire recovery period.’

With a range of mid body and full body compression

garments, alongside a specialised line of abdominal

binders, Isavela presents an array of options for every

patient. Each garment is adjustable with straps, and there

are several design options available, varying in length and

bust style. Kearns believes the Isavela range is a valuable

and ground-breaking addition to the Australian compression

garment market.

‘Isavela garments are competitive in terms of price,

deliver increased comfort and have the benefi t of a

double abdominal compression layer,’ she continues.

‘Compression garments are never easy to take on and off

– that would defeat the purpose – but Isavela garments

effectively balance functionality, ease-of-use and comfort in

a revolutionary approach to post-procedure care.’ csbm

WHY ARE COMPRESSION

GARMENTS NECESSARY

AFTER SURGERY?

• Increases blood circulation

• Reduces propensity of swelling and bruising

• Helps prevent fl uid accumulation

• Helps prevent implant displacement

• Increases comfort post-operatively

Visit www.isavela.com.au for more information.

www.cosbeauty.com.au 137


ody

Harness your

body’s potential

Regen PRP can improve skin laxity in the face and décolleTAge, reduce

the appearance of stretch marks on the body, and even stimuLATe hair

growth. Caitlin Bishop repoRTS.

Platelet Rich Plasma (PRP) is changing the future of

aesthetic medicine. It harnesses the body’s own

resources and natural healing mechanisms to

achieve a regenerative and rejuvenating response in the

skin. With a long history of use in sports medicine, PRP is

now taking over the cosmetic arena.

PRP stimulates collagen production in the skin and fuels

the treatment area with stem cells and growth factors. This

helps enhance skin tone, strengthen dermal integrity and

boost skin health on the face and body.

Companies such as Regen Lab are trail blazing the use

of PRP in cosmetic therapy, supplying cosmetic surgeons

and practitioners with devices needed to conduct the

procedure and optimise the results following treatment.

‘The Regen Lab PRP system is a well-established

system backed by a strong network of research from plastic

and cosmetic surgeons around the world,’ says Adelaide

cosmetic surgeon Dr Robin Chok. ‘I have been using

Regen PRP since 2012, with excellent results to the face

initially. It was actually my patients, after experiencing great

results in facial rejuvenation, who pushed me to develop a

program for the neck and body.’

The procedure involves extracting a sample of the

patient’s blood, centrifuging this sample to concentrate the

blood’s platelets and reinjecting the concentrated solution

into the treatment area. According to Dr Abbas Al-Taiff in

Sydney, Regen PRP can achieve effective rejuvenation in a

number of problem areas. ‘The Regen PRP system gives a

clear and good concentration of platelets that is necessary

for the appropriate treatment,’ he says. ‘I have achieved

excellent results treating patients with infra orbital laxity

around the eyes, lack of skin elasticity in the hands and

abdominal stretch marks.’

With seemingly endless applications, Regen PRP

signifies a potential solution to improving the neck and

décolletage area, which is traditionally difficult to treat.

138 www.cosbeauty.com.au


ody

‘A large number of my patients seeking neck and

décolletage treatments are in their 50s and 60s,’ Dr

Chok says. ‘The results from Regen Lab PRP are almost

immediate, with vectored lift and enhanced tissue density.

The colour of their skin also becomes more radiant. My

patients’ enthusiasm over the results of PRP, and indeed

the great results I’ve been seeing, is a major driving force

for me to continue using PRP in face and body treatment.’

PRP has achieved excellent

results in treating the eye area

and abdominal stretch marks

Similarly, the appearance of stretch marks, which

are frustratingly impervious to creams, oils and lifestyle

interventions, can be somewhat improved using Regen

PRP. ‘It is best if stretch marks and loose skin from

pregnancy are treated within the first two months postchildbirth

to achieve the best results,’ says Dr Chok.

‘Collagen scar tissue causes the stretch

marks to become white. Once this happens,

lasers or radiofrequency treatment may be

required, otherwise results will be limited.’

With seemingly endless applications,

Regen PRP can be used to treat a number

of concerns, in patients of all ages. ‘Age

does not seem to be a limiting factor for

PRP treatment when the conditions are

favourable,’ says Dr Chok. ‘The best results

are often seen in patients who are not

stressed and who don’t’ smoke. Stress

seems to create a negative response where

the body is not in harmony and all the BEFORE

systems – hormones, nerves and the repair

homeostasis system – are out of sync.’

As with any medical treatment, a

consultation process is required to achieve

the best results. Dr Al-Taiff typically

recommends a series of PRP treatments,

depending on the individual patient.

‘I ask the patient to describe his or her

main concern and I take photographs of

the area to be treated,’ Dr Al-Taiff explains. BEFORE

‘I discuss my analysis with the patient and

explain the benefits of PRP therapy. I believe

all patients are suitable for PRP treatment,

provided they have no contradictions.

Usually a minimum of three sessions of PRP,

performed four weeks apart, is required.’

Typically, results take four to six weeks

to appear following PRP treatment,

and continue to improve in the three

months following treatment. A repeat

PRP session is usually recommended BEFORE

at the eight-week mark, to generate the ‘boost’

effect. This phenomenon occurs when the cells –

which are already activated from the first treatment –

are ‘re-boosted’ by repeat treatment, augmenting the

final result.

Dr Chok commonly recommends combining Regen

PRP treatment with other modalities to achieve a more

effective rejuvenation. ‘A repeat PRP treatment should

be performed within eight weeks, to avoid missing the

boost effect required to provide better skin density,’

he explains. ‘In between these, I would encourage an

enhancement of the cellular process by treating the area

with radiofrequency or ultrasound modalities, especially on

the abdomen or neck.’

A treatment with seemingly endless areas for application,

Regen PRP calls upon the body’s natural processes to

rejuvenate the skin. From improving skin laxity and tone in

the face, neck and décolletage to reducing the appearance

of stretch marks on the abdomen or thighs, Regen PRP

is a viable option in retuning youthfulness to the face and

body. csbm

AFTER PRP treatmetn for hair regrowth by Dr Al Taiff

AFTER PRP treatment for eye area

rejuvenation by Dr Al Taiff

AFTER PRP treatment for stretch marks by Dr Al Taiff

www.cosbeauty.com.au 139


hair removal

the

new-generation

IPL

EFB BEAUTÉ HAS DEVELOPED A

UNIQUE PATENTED IPL TECHNOLOGY TO

REMOVE BLONDE AND WHITE HAIR.

AIMÉE SURTENICH REPORTS.

Technological innovations are the hallmarks of EFB Beauté,

a specialist in IPL technology since 1994 and holder of 17

pulsed light patents in 83 countries. One such exclusive

patent is the permanent epilation of not only dark hair but

also blonde, grey, white and red hair – hair colours that have

traditionally been notoriously diffi cult to treat.

Distributed in Australia by Insight Aesthetics, the EFB Beauté

Adéna and Anthélia IPL systems are made and manufactured in

France – and herald a breakthrough in permanent hair reduction.

Hair removal revolution

Until recently, the effectiveness of permanent hair reduction

depended on factors such as darker hair colour and paler skin

types. The long-term solution provided by laser and intense

pulsed light (IPL) has traditionally been unavailable to those with

lighter hair shades and darker skin types.

In 2011, after 10 years of research, the Adéna IPL system

by EFB Beauté entered the market with its exclusive worldfi

rst patented technology for the removal of not only dark

hair but also white, blonde, red and grey hair, as well as darker

skin types.

Today EFB Beauté has become synonymous around the

world with blonde and white hair removal, offering an effective

and long-lasting solution to conquer previously diffi cult-to-treat

hair shades and skin types.

140 www.cosbeauty.com.au


hair removal

5 treatments, 1 system

The Adéna and Anthélia IPL devices by EFB

Beauté combine multiple applications in one,

offering progressive and lasting photoepilation

of all hair colours on all skin types, as well as

photorejuvenation to improve ageing skin,

acne, rosacea, pigmentation and spider veins.

Both offer effective results; the Adéna is a more

gentle treatment, while the Anthélia offers faster,

more effi cient results.

1. Photoepilation

World-fi rst exclusive patent in permanent hair

reduction for all hair colours, including blonde,

white, grey and red.

Innovative IPL technologies, such as the stability of

delivered energy and a new absorption fi lter that won’t

wear out during its lifetime, are the hallmarks of EFB

Beauté and ensures the safety and optimal effectiveness of

treatment on darker complexions without risk of burning or

hypopigmentation.

EFB Beauté has developed versatile, intuitive and multiprogrammed

systems to address a variety of cosmetic

concerns, offering an impressive leap forward in IPL

technology, particularly for fair-haired people wishing to

remove unwanted body hair. csbm

2. Skin tightening and anti-ageing

Stimulation of the dermis for a restructuring,

lifting and tightening effect of the skin.

3. Pigmentary treatment

Removal of dark patches on the skin caused

by sun damage and ageing.

4. Vascular treatment

Fast elimination of spider veins and broken

capillaries by selective photo-coagulation.

BEFORE

AFTER pigmentation treatment

5. Acne treatment

Weakens production of the sebaceous glands

and treats infl ammatory and bacterial acne.

How does it work?

During dark hair photoepilation procedures, an applicator

head that emits high intensity fl ashes of fi ltered light is

placed on the treatment area. The energy from this light is

absorbed by the chromophore melanin, which is responsible

for hair pigment or colour. Dark hair, which is rich in melanin,

readily absorbs this light and transfers it as heat into the

surrounding capillaries, which supply blood to the papilla

of growing hairs. When the papillae are destroyed in high

temperatures, additional hair growth is prohibited.

The EFB Beauté Adéna and Anthélia IPL systems are

unique in that they do not rely only on the hair pigment to

absorb the light energy, meaning it can effectively target

those hair shades not so rich in melanin. Instead, the

patented technology of Adéna and Anthélia target the blood

vessels at the bottom of the follicle directly, preventing the

growth of blonde, grey, white and red hairs. EFB Beauté has

carry out a clinical trial in the French laboratory DERMSCAN

to prove the performance of this revolutionary process.

BEFORE

BEFORE

BEFORE

AFTER skin tightening treatment

AFTER spider vein treatment

AFTER hair removal

www.cosbeauty.com.au 141


easts

ACTUAL PATIENT OF DR TAVAKOLI

Case study:

Creating cleavage

One patient recalls her experience undergoing breast augmentation

with Sydney plastic surgeon Dr Kourosh Tavakoli.

Caitlin Bishop reports.

Like many women, Moneisha spent a long time

considering her options before making the decision

to undergo breast augmentation surgery. After years

of deliberation, she approached Sydney plastic surgeon

Dr Kourosh Tavakoli to further explore her options.

Feeling unhappy with the shape of her breasts and the

way they fit with the rest of her body, Moneisha was hoping

to enhance her bust to a size slightly bigger than her figure’s

natural proportions.

While she was confident in her decision to go ahead with

surgery, Moneisha wanted to be sure she had found the

right doctor to perform the procedure.

Her first consultation was an opportunity to get to know

Dr Tavakoli and share her concerns and desires in seeking

breast augmentation surgery. During the consultation,

Dr Tavakoli showed Moneisha several before and after

photographs. These helped her better understand the

look of implants, of various sizes and shapes, on different

body types. Moneisha was hoping for implants that

would complement her slim, athletic frame, but was not

afraid to opt for a bigger size. She wanted to achieve a full

D cup, but still look relatively natural.

By taking a series of measurements, Dr Tavakoli

established the best approach to Moneisha’s surgery.

Moneisha also “tried on” a number of different cup sizes

to get a better feel for the kind of result she would be

happy with.

Dr Tavakoli and Moneisha decided on 425cc teardropshaped

implants for her breast augmentation surgery.

The teardrop, or anatomical shaped, implants are designed

to grant natural-looking results with less conspicuous

edges, particularly on slim patients with little natural

142 www.cosbeauty.com.au


easts

breast tissue. Leading up to the procedure, after her initial

consultation, Moneisha was able to call upon Dr Tavakoli

and his nurses to lay any final concerns to rest.

On the day of the surgery, Dr Tavakoli and his staff

ensured all Moneisha’s questions or concerns were

addressed before going in. Everyone – from the preparation

nurse to the anaesthetist – made her feel comfortable with

their friendly, caring and supportive manner.

During the operation, Dr Tavakoli placed the implants

in a dual plane, sub-muscular pocket, which means the

implant sits both above and beneath the pectoral muscle,

as the implant pocket is 50 percent over and 50 percent

under the muscle.

The dual-plane technique grants a smooth contour or

‘take-off’ from the chest wall (as the top of the implant is

underneath the muscle) but also affords increased size

projection, due to the over-the-muscle placement at

the base.

Moneisha recovered from her operation with relative

ease. She had been prescribed pain medication for the

days following surgery and was able to return to work within

seven days. She was advised to refrain from strenuous

activity and heavy lifting for two to three weeks after surgery.

Since her breast augmentation, Moneisha’s newly

defined proportions have left her feeling confident and

happy with her decision to undergo breast augmentation.

She no longer feels the need for push-up or padded bras

and can happily fill any type of bra or clothing.

She enjoys being able to shop without worrying about

how clothes will fit, and believes the choice she made to

go ahead with breast surgery was the right decision for her

confidence, her lifestyle and her body. csbm

BEFORE

AFTER breast augmentation by Dr Tavakoli

What makes a beautiful breast?

A

well-augmented breast has a natural fullness, with

gentle sloping off the chest wall. There should be

natural cleavage without webbing between the

breasts and only a certain amount of perkiness.

To achieve this natural-looking fullness, Dr Tavakoli

says there are three main criteria:

1. Correct selection of implant pocket – behind or

above the muscle.

2. Correct selection of implant diameter to match the

patient’s build and height.

3. Correct selection of implant projection. An

augmented breast that is too perky will tend to

look fake, as a small amount of droop is natural.

AFTER breast augmentation by Tavakoli

www.cosbeauty.com.au 143


easts

BEFORE (29 year old female, 6’, nil pregnancies)

AFTER breast augmentation by Dr Tavakoli (440 FX anatomical (teardrop) implant,

submuscular pocket, full C cup)

BEFORE (27 year old female, nil 5’8”, pregnancies)

AFTER breast augmentation by Dr Tavakoli (350g anatomical Brazilian

P-URE implant, full C cup)

BEFORE (20 year old female, 4’9”, nil pregnancies)

AFTER breast augmentation by Dr Tavakoli (230cc ultra high implant,

submuscular pocket, A to C cup)

144 www.cosbeauty.com.au


easts

BEFORE (21 year old female, 5’2”, nil pregnancies)

AFTER breast augmentation by Dr Tavakoli (250 high profile round implant,

submuscular pocket, moderate chest wall, A cup to D cup)

BEFORE (25 year old female, 5’6”, nil pregnancies)

AFTER breast augmentation by Dr Tavakoli (420 high profile anatomical implants,

submuscular pocket, moderate chest wall, A cup to full C cup)

BEFORE (32 year old female, 5’6”, three pregnancies)

AFTER breast augmentation by Dr Tavakoli (320 moderate profile anatomical

implants, submuscular pocket, average chest wall width, A cup to full C cup)

www.cosbeauty.com.au 145


easts

BEFORE (23 year old female, nil pregnancies, wide chest wall, 5’2”)

AFTER breast augmentation by Dr Tavakoli (395cc anatomical high profile silicone

gel textured implants, dual plane sub muscular pocket) A cup to D cup.

BEFORE (29 year old Asian female, 5’2”, nil pregnancies, asymmetrical breasts,

moderate chest wall)

AFTER breast augmentation by Dr Tavakoli (round silicone gel textured implants, right

side 330cc, left size 300cc, moderate projection, dual plane pocket)

BEFORE (38 year old female, nil pregnancies, wide chest, 5’4”)

AFTER breast augmentation by Dr Tavakoli (390cc anatomical moderate profile

textured silicone gel implants, dual plane type 2 pocket, A cup to C cup)

146 www.cosbeauty.com.au


Dr Kourosh Tavakoli

cosmetic plastic surgeon

ACTUAL PATIENT

Breast lift &

Augmentation

Specialist

BREAST AUGMENTATION SPECIALIST

MBBS, BSc (MED), MS (UNSW),

FRACS (PLAST)

Dr Tavakoli is a renowned cosmetic

plastic surgeon who is a Fellow

of the Royal Australasian College

of Surgeons and a Member of

the Australian Society of Plastic

Surgeons. He subspecialises in all

aspects of cosmetic breast surgery

and is considered an industry

leader in primary and corrective

breast augmentation surgery.

Follow Dr Tavakoli on

Suite 1, 376 New South Head Road, Double Bay

1300 368 107 | drtavakoli.com.au


easts

Breast curves:

creating the perfect

shape and fit for you

SYDNEY PLASTIC SURGEON

DR STEVEN LIEW SHARES HIS

EXPERTISE IN CREATING BEAUTIFUL,

NATURAL-LOOKING CURVES.

One of the critical decisions to be made when

considering breast augmentation is not just the cup

size but also the degree of fullness in the upper part

of the breast.

Plastic surgeon Dr Steven Liew (FRACS) says as

surgical procedures and implant types have become

more advanced over the past decade, a good surgeon

can effectively customise a breast shape to match the

requirements of patients.

Dr Liew says patients, too, are more sophisticated in

their approach to breast augmentation. Where previously

they were focussed almost entirely on breast size, most

patients are now more aware of the fi ner aesthetics involved

– such as the degree of perkiness and breast fullness in the

upper chest – in producing their perfect breast shape.

The three types of upper breast fullness include:

• A gentle slope from the chest to the nipple – almost a

straight line

• A gentle curve with moderate degree of fullness

• A very full convex curve – the so-called Wonderbra look.

‘Breast augmentation is such a personal decision,’

says Dr Liew, ‘and surgeons need to take time and care to

work with each patient – including family members where

requested – to ensure they understand the physical and

emotional impacts involved.’

‘Different body types, personality and the kind of

clothes you like to wear are all factors to be considered to

ensure your new breast shape is the perfect fi t for you,’ Dr

Liew concludes. csbm

Actual patient of Dr Liew

148 www.cosbeauty.com.au


easts

Natural-looking breasts of different sizes, with a gentle slope from the chest

to the nipple – almost a straight line – to fit the patients’ requirements

1

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

2

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

3

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

www.cosbeauty.com.au 149


easts

Natural-looking breasts of different sizes with a gentle curve to the upper pole

and moderate degree of fullness to fit the patients’ requirements

1

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

2

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

3

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

150 www.cosbeauty.com.au


easts

Natural-looking breasts of different sizes with significant convex curve to the upper

pole, the so-called ‘pushup bra’ look to fit the patients’ requirements

1

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

2

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

3

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew

www.cosbeauty.com.au 151


easts

Total

breasts

Sydney plastic surgeon

Dr Peter Laniewski TAkes a

personalised approach to

achieve optimum resuLTS in

all types of breast surgery.

AimÉe Surtenich reports.

For many women, rejuvenating the breasts can be a

life-altering event that reaps significant rewards, both

physically and emotionally. Sydney plastic surgeon

Dr Peter Laniewski uses several techniques to help

women overcome any issues they may have with their

natural form. He strives to build a close rapport with his

patients and work with them individually to decide on the

most suitable procedure – be it a breast lift, reconstruction,

reduction or augmentation.

Breast augmentation

Breast augmentation is a cosmetic surgical procedure to

increase the volume of the breasts through the insertion

of implants. ‘The extensive range of implants available in

Australia allow us to find the ideal fit for just about everyone,’

says Dr Laniewski.

Generally, the preferred breast implants used in Australia

are silicone-gel filled, which is regarded as one of the most

common and compatible materials for implanting into the

body. They tend to feel softer to the touch and more like

natural breasts than saline implants.

The prospective patient has a number of choices to

discuss with her surgeon, including the location for the

incision, the type, shape and size of the breast implant, and

its placement. ‘These are all dependent on the patient’s

body shape and size, natural breast tissue, as well as her

expectations and desires,’ says Dr Laniewski. ‘That’s why

it’s important an experienced surgeon guides her through

the decision-making process and provides all the relevant

information before she decides to go ahead with surgery.’

As every woman’s physiology and presenting conditions

are different, the way breast augmentation is carried out

varies with each individual. In some cases, augmentation

surgery can be accompanied by a mastopexy, or breast lift,

for patients who have sagging breasts.

Breast lift

Restoring drooping breasts to a more youthful shape and

position can dramatically improve a patient’s aesthetic

and personal outlook. It is inevitable that factors such as

ageing, gravity, genetics and child bearing will affect a

woman’s breasts.

‘Breast size is also a factor in ptosis, with large breasts

dropping sooner than smaller breasts,’ says Dr Laniewski.

‘Breasts that have begun to sag and droop have a more

empty or heavy appearance. A breast lift, or mastopexy,

can help restore a more youthful appearance.’

A breast lift is an operation that not only elevates

the breast and areola but also reshapes it. Dr Laniewski

prefers to use a vertical incision to minimise scarring.

For patients seeking a straightforward rejuvenation, the

breast lift can be performed alone. For those wishing to

add volume in addition, an implant can be incorporated to

increase cup size.

152 www.cosbeauty.com.au


easts

Breast reduction

Breast reduction surgery can significantly improve the

quality of life for large-breasted women, affecting how they

feel about themselves and alleviating associated physical

concerns such as back and shoulder pain.

‘The main aims during breast reduction surgery are to

lift and reshape the breasts and nipples and to reduce

the volume of the breasts,’ explains Dr Laniewski. ‘Breast

reduction involves the removal of breast tissue and some

skin, and then reshaping the breast and repositioning the

nipple and areola to create a harmonious result.’

‘We offer a refined vertical short scar technique that

utilises a keyhole method,’ he says. ‘Such modern

techniques offer patients more discreet scars as it involves

a short incision that only stretches from the areola to the

inframammary fold.’ 


Breast reduction surgery differs from some other types

of breast surgery as it tends to be carried out to correct

medical concerns such as backache, rather than purely

for aesthetic reasons. Therefore it can be performed on

women of any age once breast maturity has been reached.

Breast reconstruction

Breast reconstruction after mastectomy is a complex

yet valuable procedure in restoring the breast and

creating curves. It is typically performed using implants,

the patient’s own tissue (flap breast reconstruction) or

a combination of the two. ‘I believe a DIEP flap breast

reconstruction is the current gold standard and can

offer the most natural-looking and feeling result as it

uses the patient’s own excess skin and fat. Importantly,

it preserves the rectus muscle (and core strength) and

also has the benefit of an abdominoplasty (tummy tuck),’

Dr Laniewski explains.

Regardless of the type of breast surgery carried out,

there is no ‘one size fits all’ approach. ‘An experienced

and skilled surgeon will tailor the procedure to each

individual patient’s needs and anatomy, taking into account

her body shape, existing breasts, circumstances and

desires,’ he says. ‘There needs to be a strong patientdoctor

relationship built on trust, care and openness,

so that together we can achieve the best outcomes

possible.’ csbm

1

BEFORE

Two months after breast augmentation by Dr Laniewski

2

BEFORE

after breast augmentation by Dr Laniewski

www.cosbeauty.com.au 153


easts

3

BEFORE

Two months AFTER breast lift with implants by Dr Laniewski

4

BEFORE

Three months AFTER breast reduction by Dr Laniewski

5

BEFORE

AFTER breast reconstruction by Dr Laniewski

6

BEFORE

Three months AFTER breast reduction by Dr Laniewski

154 www.cosbeauty.com.au


PLASTIC SURGEON

It’s all about you... The most beautiful you

Beautiful,

natural results

FACE BREAST BODY

Our clinics are located in Sydney, Albury, and The Central Coast

Call us now on 1300 322 337

Or visit us online at drpeter.com.au

facebook.com/drpeterlaniewski


easts

Consider

your

options

WITH DETAILED PLANNING,

BREAST IMPLANT SURGERY CAN

ACHIEVE BEAUTIFUL, LASTING

RESULTS, SAYS SYDNEY COSMETIC

SURGEON DR COLIN MOORE.

TARA CASEY REPORTS.

Breast augmentation can help return the breasts to a

more youthful shape and bring the body into more

aesthetic proportions. Indeed, many women seeking

surgery are hoping to undo the changes brought on by

breast feeding or ageing. ‘Breast augmentation can help

balance the fi gure and create a more shapely silhouette,’

says Sydney cosmetic surgeon Dr Colin Moore.

After childbirth, and as the body ages, many women

can experience breast atrophy or ptosis (sagging). In these

cases, Dr Moore often recommends undergoing a breast lift

(mastopexy) as well as an augmentation.

‘In some cases, it may be more benefi cial to perform

a breast lift and, depending on the patient, this can then

be combined with a small breast implant to restore lost

volume,’ he says.

Like any surgery, an extensive consultation process is

required to achieve the best results. Dr Moore explains one

of the main concerns in breast augmentation patients is the

desire for a natural-looking result. ‘A key concern for a lot of

women considering breast augmentation is whether or not

their breasts will look “natural” following surgery,’ he explains.

‘While ensuring a natural-looking result comes down to

accurately measuring the proportions of each patient, I

also believe that advances in breast implant technology

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.’

During the consultation process, the basic dimensions

of the breast area are taken into account. These include the

breast base, height and overall width. Measurements such

as the distance from the nipple to the inframammary crease

(underneath the breast) can infl uence the appearance of a

perky breast, and the best breast size is usually established

by measuring the body’s proportions.

While all breast implants carry a risk of rippling, postoperative

movement and capsular contracture, Dr Moore

believes these risks are somewhat mitigated with the use of

polyurethane-coated P-URE implants.

‘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 polyurethanecoated

P-URE implants have provided a signifi cant

breakthrough in breast implant surgery.’

156 www.cosbeauty.com.au


easts

By balancing optimum results with an excellent safety

profile, polyurethane coated implants offer natural-looking

and long-term results in breast implant surgery. ‘Breast

augmentation has one of the highest patient satisfaction

rates and, importantly, technological advancements to the

implants have meant the procedure also offers long-term

safety,’ says Dr Moore.

Part of the P-URE implant’s appeal is its ability to reduce

the rate of capsular contracture, which is one of the most

common complications following breast augmentation

surgery. Capsular contracture occurs when the body forms

a scar capsule around the breast implant, leading to the

hardening and distortion of the implants. The textured

surface of P-URE implants inhibits the scar capsule’s

collagen fibres from aligning, preventing contraction and

reducing the chance of 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.

When deciding to undergo breast augmentation, the

patient must consider the implant size, shape, projection

and material. The role of the surgeon is to help guide women

through this process, to ensure the best implants are

selected according to each patient’s body type, concerns

and expectations. ‘It comes down to the proportions of the

figure and the desired result of each patient,’ concludes

Dr Moore. ‘These days patients are much more educated

about their options and are seeking an approach that will

give them the most desirable results, no matter what their

chosen aesthetic.’ 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 157


intimate surgery

Breaking

the taboo

Adelaide pelvic reconstructive surgeon Dr Oseka Onuma explains

geniTAl surgery can ease discomfort, enhance self-esteem and

improve quality of life. Caitlin Bishop reports.

The way women are unique in their mental, physical and

emotional makeup is celebrated, and often reinforced,

in conversations between girlfriends or even with

strangers. Yet, when it comes to genital surgery, the

differences between women, and any potential concerns,

are often shrouded in a blanket of taboo, misunderstanding

or unfair generalisations.

For example, vaginal rejuvenation has received a lot

of negative coverage in mainstream media under the

“designer vagina” banner. Women seeking surgery are

often condemned as bowing to the “porn aesthetic”, and

receive little support in making a decision that is necessary

to ease discomfort or improve self-confidence.

Adelaide pelvic reconstructive surgeon Dr Oseka Onuma

explains most patients seeking genital surgery are hoping

to alleviate pain and improve quality of life. ‘The number

of women patronised by mainstream media and even by

some members of the medical community when seeking

help is disappointing,’ he says. ‘The majority of my patients

seeking vaginal rejuvenation are not motivated by the

aesthetic, but a growing dislike of pain during intercourse

or discomfort when participating in everyday activities.’

The stigma surrounding genital surgery means few

women feel comfortable talking to friends or exploring

their options with doctors or health professionals. For

this reason, some women aren’t aware of the possibilities

available in correcting potentially embarrassing problems;

in fact, there is often a limited understanding of what is

“normal” and what is not.

‘Some women live with the discomfort of oversized labia

for many years, and often when they come to see me for a

labiaplasty they have only recently become aware they can

have something done to improve the situation,’ Dr Onuma

explains. ‘The only comment that can be made with any

certainty about the size and shape of the labia is that they

are all very different.’

Indeed, oversized, enlarged or asymmetrical labia

minora can cause discomfort during sex and hinder certain

activities such as such as bike riding or horse riding. It can

also cause irritation and discomfort when wearing certain

clothes, for example, swimwear, tights or jeans.

The growing awareness surrounding genital surgery

means there is an increased demand for vaginal rejuvenation

surgeries. Yet, alongside this growing awareness, Dr

Onuma believes there should be an adjustment in how

genital surgery is perceived.

‘Genital surgery can increase a woman’s confidence

in herself and her relationships,’ Dr Onuma explains.

158 www.cosbeauty.com.au


‘Women may not find it easy to talk to stranger, doctors

or friends about a loose vagina, labial discomfort or lack of

vaginal sensation but these issues need to be raised and

explored in order to provide the options for improving

quality of life.’

As is the case in any surgery, the consultation process

before genital surgery must be individualised to address

the specific concerns, anatomy and expectations of

each patient. ‘Each patient will have different motivations,

concerns and expectations in seeking genital surgery,’ Dr

Onuma explains. ‘It is important to listen to the concerns

of the individual patient, assess them with appropriate

examinations and offer a series of potential solutions.’

Options in genital surgery

Laser reduction labiaplasty can sculpt the elongated or

unequal labial minora as desired. Labiaplasty techniques

can also reconstruct conditions that are a result of the

ageing process, childbirth trauma or injury.

During labiaplasty, 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. Laser techniques

typically afford greater accuracy and result in rapid healing,

less pain and faster recovery.

Options for urinary incontinence

Female stress urinary incontinence is usually caused by an

improperly functioning urethra. The surrounding muscles

and pelvic tissue are generally weakened, meaning the

urethra doesn’t maintain a tight seal during exercise or

other movements such as coughing or laughing, and urine

invariably escapes.

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 mesh is inserted through the vagina and positioned

underneath the urethra, creating a supportive sling.

Notably, this 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 and prevent urine loss.

‘Today, women are less willing to accept changes in

genital anatomy resulting from pregnancy, childbirth and

ageing,’ Dr Onuma explains. ‘With various surgical and

non-surgical techniques, there is a range of options

available to address, and hopefully resolve, these problems.

Taking action and seeking intervention can help restore

self-image, enhance self-esteem and improve overall quality

of life.’ 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 159


intimate surgery

Stitchless

Labiaplasty

Sydney cosmetic surgeon Dr Joseph Georghy explains

a new minimally invasive ‘stitchless’ procedure to improve appearance

and function of the female genitalia. aimÉe surtenich reports.

Sydney cosmetic surgeon Dr Joseph Georghy says

a new ‘stitchless’ approach to labiaplasty delivers

superior aesthetic results, requires no painful suture

removal and, most importantly, has no ‘suture lines’

following surgery.

‘Using no external stitches, the surgical wound is sutured

internally using absorbable sutures, meaning no stitches

need to remove at a later date,’ he says. ‘In brief, signs of

the surgery are virtually unrecognisable, and the results look

very natural.’

With ‘stitchless’ labiaplasty,

signs of the surgery are virtually

unrecognisable and the results

look very natural

Labiaplasty involves the surgical reduction and/or

reshaping of the female external genital structures such as

the outer lips – the labia majora – or, more commonly, the

inner lips – the labia minora.’

Dr Georghy’s preferred stitchless labiaplasty method is

typically performed under local anaesthesia and the patient

can resume their normal activities between two and three

days after surgery.

Female genitalia come in different sizes, colours and

shapes — there is no such thing as ‘normal’. However,

when aspects of the genitals cause psychological distress

and/or physical discomfort, it can have a profound

impact on a woman’s confidence, comfort and often their

intimate relationships.

‘There are multiple reasons women are requesting genital

surgery, and these can include psychological distress and

physical discomfort,’ Sydney cosmetic surgeon Dr Joseph

Georghy explains.

‘Some women want to alleviate the discomfort caused

by a large or overgrown labia, which can often interfere with

exercise and even walking; protrude when wearing tightfitting

clothes and cause embarrassment; and interfere with

or cause discomfort or pain during sexual intercourse,’ he

continues.

Female genital surgery is rapidly increasing in popularity

as there is more awareness of and less ‘taboo’ about the

subject. Despite some negative coverage in mainstream

media in recent years, the majority of patients seek

labiaplasty not to attain ‘perfection’ but to alleviate the

discomfort associated with overly large labia.

Labiaplasty surgery is performed to improve the

appearance and alleviate the discomfort of large or

overgrown labia which can interfere with — even cause

pain during — sex, exercise and even walking.

Dr Georghy has been performing labiaplasty for more

than 30 years. In that time, he has seen the dramatic

impact an aesthetic and functional improvement of the

female genitals can have on his patients’ emotional, social,

personal and general wellbeing.

‘A labiaplasty is a surgical procedure, medically and

aesthetically indicated, designed to reduce the size of

labia and therefore improve the appearance of the female

genitals,’ says Dr Georghy.

‘Having performed many labiaplasty surgeries, many

women report an improvement in their confidence, physical

comfort, as well as improved sexual gratification,’ he

concludes. csbm

160 www.cosbeauty.com.au


hair loss

disguising

hair loss

Hair loss doesn’t just affect men. This

former model shares her stoRY on female

hair loss, and an innovative technique

to conceal it. Evelyn Duffy repoRTS.

Former model, actress and songwriter Joanna

Ferguson experienced hair loss as early as her

primary school days. She had always been aware of

her ‘exceptionally high hairline’, a feature inherited from her

maternal grandmother.

But like many women, Joanna, now 35, was extremely

creative in finding ways to conceal her hair loss and forged

ahead with a career that often put her in front of the camera.

‘I became very fond of baseball caps and in Year 12 I set

my sights on becoming a hairdresser. It was purely so that I

could develop ways to disguise my thinning hair,’ she says.

‘Hairdressing wasn’t for me, so I trained as a makeup

artist and this supplemented income earned from

modelling, acting and song writing. But a big portion of my

earnings were always spent on solutions for camouflaging

my thinning hair.’

Joanna says some of the solutions she chose included

expensive hair extensions and treatments, and combing her

hair in a strict style to conceal thinning areas on her scalp.

After her two sons were born, Joanna’s hair loss became

more pronounced and increasingly difficult to conceal.

But as a single mother, investing in ongoing solutions for

concealing her hair loss became increasingly unaffordable.

Joanna says she gained encouragement when a

friend told her about the latest techniques in scalp micro

pigmentation (SMP), which offer an affordable and semipermanent

solution for concealing hair loss.

BEFORE

AFTER scalp micropigmentation treatment

SMP, which involves applying micro organic pigment into

the epidermis layer of the skin, creates the illusion of greater

hair density. The organic pigment appears as hair follicles,

thereby creating the appearance of a fuller head of hair.

Matched to the patient’s existing hair colour and skin

tone, the non-invasive procedure, which involves no down

time or scarring, lasts up to five years.

After a consultation with trichologist Kate Dawes, IAT,

of Medical Hair Restoration Australia (MHRA) in Nedlands,

WA, Joanna decided to proceed with the treatment. ‘I didn’t

think twice about having SMP and I most certainly will have

it done again when it starts to wear off in five years,’ she

says. ‘Life is short so if something bothers you and you are

in a position to do something about it, then do it.’

Joanna says hair loss can be devastating for women,

particularly given that women link the appearance of their

hair to their overall attractiveness. ‘Any woman will tell you

they don’t feel right when their hair isn’t right,’ she says. ‘It’s

pretty hard to feel good when one looks in the mirror and

sees evidence of balding.’

Trichologist Kate Dawes says demand is rising among

both men and women for SMP treatment. ‘SMP provides an

ideal alternative for people who can’t afford hair transplant

surgery or who aren’t ready to commit to a completely

permanent solution,’ she explains. ‘Patients are delighted

with the results achieved with SMP.’

‘We use only use the highest standard quality organic

pigments available, and procedures are completed at our

modern, hygienic and sterilised clinic in Nedlands, Perth,’

she says.

Joanna says that after two treatments with SMP at

Medical Hair Restoration Australia, she no longer uses

baseball caps to conceal her hair loss. Nowadays, she only

wears caps for protection from the sun or wind and she

enjoys the freedom to wear her hair in a greater variety of

styles. ‘I have had lots of compliments about my appearance

lately; people can’t quite pinpoint why I am looking better,’

Joanna concludes. csbm

www.cosbeauty.com.au 161


feature

Male

motivations

More men are seeking

cosmetic enhancement than

ever before. Caitlin Bishop

investigates the world of

male cosmetic surgery.

162 www.cosbeauty.com.au


feature

Traditionally, cosmetic enhancement has been

considered a definite female domain. Yet, the desire

to advance in the workplace, keep up in love and

have that inner energy reflected in physical appearance

is not restricted to those with XX chromosomes. Recent

research has revealed the growing popularity of male

cosmetic procedures, both surgical and non-surgical,

across the globe.

In the US, men underwent

more than one million surgical

and non-surgical cosmetic

procedures in 2013

Last year, according to the British Association of Aesthetic

Plastic Surgeons (BAAPS), men accounted for 9.5 percent

of all cosmetic procedures performed in the UK. A total of

4,757 men underwent cosmetic surgery, signifying a 16

percent increase from the year before. Rhinoplasty, eyelid

surgery, gynaecomastia (breast reduction) and liposuction

were the top procedures performed, with liposuction

showing the biggest increase from the previous year.

A similar rise has been seen in males undergoing

non-surgical cosmetic enhancement. In 2012, just over

460,000 men oped for cosmetic injectables such as antiwrinkles

injections and dermal fillers. A further 160,000

men underwent non-surgical rejuvenation treatments, for

example chemical peels, microdermabrasion and fractional

laser resurfacing.

These numbers are virtually mirrored in the recently

released American Society for Aesthetic Plastic Surgery

(ASAPS) 2013 statistics, where men underwent more than

one million surgical and non-surgical cosmetic procedures,

9.4 percent of the total number performed in 2013.

But what is it that drives men to seek cosmetic

enhancement? The influences of media ideals on women

are widely documented, and the motivations behind

women seeking cosmetic surgery have been extensively

investigated. Surely, the influences that push men to seek

cosmetic enhancement are just as diverse and multifaceted,

and the recent upsurge in male interest has

pushed researches to try to pinpoint the main motivations.

Career competitiveness

One of the most prominently touted male motivations is

the desire to stay ahead in the career game. The American

Academy of Facial Plastic and Reconstructive Surgery

(AAFPRS) states cosmetic surgery as a career booster

is something very distinctive to male clientele. It seems

looking younger, more masculine and less tired can help

maintain competiveness in the job market.

Some cosmetic surgeons are now dedicating a large

portion of their practice specifically to male clientele,

offering a variety of surgical and non-surgical procedures

to address many diverse subsets of men seeking

cosmetic enhancement.

Personal dissatisfaction

For some men, cosmetic surgery is a viable option in

building inner confidence, or addressing as aspect of their

appearance of particular concern. From simply refreshing

the complexion to counter a tired, gaunt appearance, to

using rhinoplasty, gynaecomastia or facelifting to tackle

specific concerns, men are becoming much more forthright

in addressing their ageing process. Many surgeons cite

confidence-building as one of the most common reasons

men approach him for cosmetic surgery.

Canadian plastic surgeon Dr Mitchell Brown has found

male patients often approach him for personal, confidence

reasons. ‘I find men are usually motivated by personal

rather than career reasons,’ he. ‘They’re self-conscious

about a particular area and uncomfortable at the beach or

in the locker room.’

The dating game

There is no doubt keeping up appearances can grant

the confidence and poise often needed to keep up in the

romance scene.

Many patients who have recently divorced and are reentering

the dating game seek cosmetic surgery. Men in

this situation are often hoping to create a more youthful

look and re-establish the confidence that comes with a

refreshed, more youthful appearance.

Whether for career, personal

or romantic reasons, male

cosmetic surgery is inarguably

on the rise

Eyelid surgery, or blepharoplasty, is a viable option to

reduce the appearance of baggy lower lids or tired, heavy

upper lids. This is a procedure that grants subtle, but

effective results, with a relatively brief downtime.

Whether it’s surgical or non-surgical, for career, personal

or romantic reasons, male cosmetic surgery is inarguably

on the rise. As the cosmetic surgery arena grows and

advances, both men and women are becoming more aware

of the processes of ageing, and the possibilities available in

keeping the signs of ageing at bay. csbm

www.cosbeauty.com.au 163


men

MATURE-AGE

MALE

COSMETIC

SURGERY

GROWING OLDER AND LOOKING GOOD ARE NOT MUTUALLY EXCLUSIVE, SAYS

SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON.

I

am seeing male patients in the over-50 age group

more and more frequently in my clinic. Mostly these are

successful men, who for one reason or another fi nd their

status in life has changed. Either the family is moving on,

they are changing careers, or fi nding a new direction in their

life. Some of them are widowers; some of them are just

encouraged by their wives or partners to look the best they

can be. In every instance there is a sense that inside they

feel more vital than the way in which the world increasingly

perceives them.

Because many men in Australia are involved in outdoor

activities, such as golfi ng, sailing, tennis and surfi ng as

well as team sports, the ravages of the sun take their

toll, compounding the problem of normal ageing and

deterioration of the quality of the skin. As early as their

40s, and certainly in their 50s, many of these men tend to

lose the defi nition of the jaw and chin and start complaining

of a ‘turkey neck’.

Most commonly, men initially choose eyelid surgery and

then progress on in their mid-50s to facelifting procedures.

Along with facelifting, I often perform chin implant surgery

to give or restore a stronger masculine defi nition to the

face. The most important thing, however, is to restore the

patient’s jaw and neckline, thereby reducing the saggy

‘turkey neck’ by platysma surgery which addresses not

only the skin but also the muscles of the face and neck,

removing or recontouring the fat of the jowls and re-draping

the skin in a natural way, so as not to distort the earlobes

or show any scars.

The incisions from a facelift in a male are different from

those in a female, in that the incision goes carefully into a

crease in front of the ear and does not distort the beard

line, whereas in a woman, the incision goes behind the

tragus of the ear and into the ear. Experience in the specifi c

aesthetics and techniques for male surgery are important

to achieve natural-looking results. Men are just as, if not

more, terrifi ed as women of having the look of having been

‘operated on’.

Males do have a slightly higher incidence of haematoma

– this is because their skin is irritated from years of shaving

and tends to bleed easily – so the surgeon must be aware

of this potential complication. Even so, we always perform

164 www.cosbeauty.com.au


men

the surgery on healthy patients on an outpatient surgical

basis and the patient returns home or to a local facility, with

one of our private nurses for one-on-one overnight care to

reduce the chance of a haematoma or significant bruising.

Most patients take about 10 days off work and gradually

resume their active lifestyle in four to six weeks.

Men are becoming more

and more aware of the

benefits of feeling good

about their appearance

Another procedure commonly sought by men is

rhinoplasty or nose reshaping surgery. This procedure, like

body contour surgery, spans the age range from young to

mature age.

Many mature-age men who sustained fractures to their

nose and had subsequent breathing problems, or who

formerly considered corrective surgery as too vain, are

seeking not only to have their breathing corrected but also

to improve the appearance of their nose. Indeed, men are

becoming more and more aware of the benefits of feeling

good about their appearance.

While cosmetic surgery in the mature age male tends to

concentrate primarily on the face, an increasing number of

men are seeking body contour surgery such as liposuction/

liposculpture to their ‘love handles’ or ‘man boobs’ to

counteract the extra weight many gain in their middle years.

This, too, goes in hand with maintaining an active lifestyle

and wearing of swimwear, sports gear and fitted clothing,

especially with the rise of male fashion consciousness.

We all know that ‘baby boomers are living longer lives.

It is believed that 50 percent of people in Australia now

over the age of 65 will live to 100 years. With this in mind,

retirement in one’s 60s is no longer such an attractive or

financially viable option. Staying active in the workforce

maintains more than one’s standard of living but also one’s

self-esteem and connectedness. The baby boomers also

have a lot to offer in the way of experience and expertise.

As more and more men, and baby boomers in particular,

reassess their futures and their capacity to remain vital

professionally and socially, I am sure that we will continue

to see an increase in cosmetic plastic surgery for matureaged

men. csbm

BEFORE

AFTER face and neck lift by Dr Hodgkinson

www.cosbeauty.com.au 165


men

Restoring

youth

in the male face

SYDNEY FACIAL PLASTIC SURGEON DR WILLIAM MOONEY EXPLAINS THERE ARE

MANY OPTIONS FOR REJUVENATING THE MALE FACE FOR SUBTLE AND NATURAL-

LOOKING RESULTS. CAITLIN BISHOP REPORTS.

166 www.cosbeauty.com.au


men

With the likes of George Clooney and Sean

Connery on side, it certainly seems the mantel of

ageing sits a little more comfortably on men than

on women. The smooth, dewy, homogenised complexions

that females strive for are not so coveted by their male

counterparts, and it seems society expects and appreciates

a touch of ruggedness on ageing men.

Sydney facial plastic surgeon Dr William Mooney explains

the male face calls for a radically different approach to antiageing

than the female face. ‘It’s a big mistake to use the

female template facial rejuvenation on the male face,’ he

says. ‘Dynamic wrinkles help characterise a male’s face, so

facial treatments should preserve this character, while still

granting an anti-ageing effect.

Treatments should preserve

facial character, while still

granting an anti-ageing effect

‘Also, male skin is very different to female skin. It is

usually more damaged, thicker in texture, and males will

have different skin concerns,’ he adds. ‘Throughout their

lives, generally speaking men spend more time outdoors,

they are less likely to be careful with protecting their skin

and when I ask them what their skincare regime consists of,

their usual response is “soap”.’

Understanding that most men will not commit to a

skincare routine that is too time consuming, Dr Mooney is

taking skincare back to basics with his male patients. He

recommends using an in-shower cleanser, a moisturiser

after shaving and a daily sunscreen.

Alongside skincare, there are several surgical and nonsurgical

methods for facial rejuvenation that can be tailored

to male patients.

Light therapies

Dr Mooney explains one of the most subtle but potent signs

of ageing in male patients is the age spots and wrinkles

around the temples. He uses laser and Intense Pulsed Light

treatments to counter the appearance of these wrinkles.

‘Laser treatment can also be used to counter redness,

unevenness and blocked pores, which are common

concerns in male patients,’ he says. ‘For the best results,

we often intersperse light treatments with facial treatments

such as the enzyme facial peel.’

Injectables

Anti-wrinkle injections and dermal fillers can rejuvenate the

aging face and counter the visible signs of ageing.

‘I use less and less anti-wrinkle injections in men,’ Dr

Mooney explains. ‘Lines help characterise a male’s face, so

A masculine nose and jaw

According to Dr Mooney, the size and shape of the

nose can be a common concern in male patients.

Oftentimes, he explains, it is the size of the jaw and not

the nose which is putting the face out of proportion.

‘A weak jaw can make the nose look bigger, and can

detract from the male aesthetic,’ Dr Mooney explains.

‘I will sometimes use deep dermal filers or a surgical

augmentation to strengthen the jawline, and bring the

face into more masculine proportions. After this, some

patients no longer feel the need for rhinoplasty.’

In those cases where rhinoplasty is needed, Dr

Mooney explains nose surgery can have a significant

anti-ageing effect.

‘Rhinoplasty is one of the most popular male

procedures,’ he says. ‘Both functional and aesthetic

concerns can be addressed through surgery, and the

procedure can really impact quality of life – it helps

boost self-confidence, assists in breathing and this,

in turn, helps with sleeping. All these factors can

contribute to an anti-ageing effect.’

we want to avoid the frozen look. I often use subtle filler,

instead of anti-wrinkle injections, to correct crow’s feet

in men. A cross hatching filler pattern will grant a subtle,

natural-looking and longer-lasting effect.’

Threading

Ageing often deteriorates volume and causes skin laxity in

the mid face, generating a tired, gaunt appearance. While

facelifting can be effective in countering this process, Dr

Mooney says thread lifting can be a viable alternative to

facelift surgery.

‘Thread lifting can build volume in the face, and help

redefine the facial contours,’ he says. ‘Men lose volume

in their midface but are often reluctant to undergo face

lifting surgery; they want to avoid that tight, overdone look.

Thread lifting – sometimes combined with eyelid surgery

– can have a significant, though subtle, anti-ageing result

without the downtime associated with a full face lift.’

Between injectables, thread lifting and jaw augmentation,

there are several options for facial rejuvenation in male

patients. An extensive consultation process is needed

with each patient to ensure the best treatment method is

established.

Dr Mooney says many men aren’t aware of the number

of options available for facial rejuvenation, but are typically

open to fresh possibilities. ‘While female patients are

generally more educated coming into consultation, male

patients are very open minded and appreciate non-invasive

options that will generate effective, though natural-looking,

anti-ageing results.’ cbsm

www.cosbeauty.com.au 167


men

You’ve

got male!

With an increased interest in ‘self-preservation’, more and more men

are seeking cosmetic enhancement. We profile the male-only skin

trEATMEnt menu AT Skin Clinic@Blyss. AimÉe Surtenich reports.

Generally speaking, looking good has long been a

prerogative of women, but in the past there was a

stigma attached to men who cared too much about

their appearance. While it was considered acceptable for

a man to work on improving his body, acquiring a more

attractive face was far more taboo.

Enter 2014 and a paradigm shift in attitudes, the range

of quality new-generation treatments available and the

widespread use of cosmetic injectables have made the field

of cosmetic enhancement much more accessible – and

desirable – to men.

As cosmetic procedures continue to move from the

marginal to the mainstream, more and more men are

seeking subtle cosmetic intervention to help reverse the

signs of ageing or enhance aspects of their appearance

that have always bothered them. Indeed, Australian men

are some of the biggest users in the world of anti-wrinkle

injections and skin rejuvenation treatments.

Skin Clinic@Blyss is meeting this rise in demand for

male cosmetic procedures by offering a comprehensive

cosmetic enhancement and skin health treatment menu

specifically for men.

They have also introduced Man Time at the Clinic, a

‘man only’ time slot between 5pm and 7pm every Tuesday,

with more dedicated time slots on the horizon, and a maleoriented

website – www.skinclinicformen.com.au – which

details the most popular procedures for men.

The Clinic offers a warm, relaxing, discreet and non-stuffy

environment in which men can have access to advanced

skin therapies and cosmetic treatments based on the latest

proven technology.

Led by veteran skin clinician Jodie King, who has more

than 20 years’ experience in the industry, the practitioners

at Skin Clinic@Blyss understand the concerns, motivations

and expectations of both men and women seeking

treatment and, importantly, the differences between men

and women’s skin – and the different ways of treating them.

Male skin responds very well

to any resurfacing treatments

designed to unclog pores and

brighten the skin

‘Men have an oilier and thicker skin – up to 25 percent

thicker – than women, therefore it can be much more

robust,’ King explains. ‘Some common male concerns

include blackheads or congestion of the skin, shaving

rashes or irritations, and acne, which is often more severe

in men due to their higher levels of testosterone.’

‘Male skin responds very well to any resurfacing

treatments, designed to unclog pores and brighten the skin,’

says King. ‘Most people these days do not want downtime

168 www.cosbeauty.com.au


following a treatment. For this reason, microhydrabrasion (a

two-part exfoliation technique) is one of our biggest male

procedures, as well as LED treatments and IPL for treating

vascular lesions, pigmentation, rosacea and large pores.’

Importantly, every treatment at Skin Clinic@Blyss is

individualised to address each patient’s concerns, desires

and expectations. Using an advanced digital imaging

system to analyse the skin, recommendations are first and

foremost based on scientific diagnostic imaging, which

takes the guesswork out of knowing which procedure or

treatment will best suit each client’s needs.

With such an extensive consultation process, King

and her team of skin clinicians and in-house cosmetic

doctor are dedicated to achieving the best results by taking

a holistic and personalised approach to skin rejuvenation.

‘Achieving good skin starts with a good relationship

between the client and the clinician,’ King explains.

‘This rapport can only be built through listening and

understanding. While we have the expertise and experience

to address your skin concerns, you are the best judge of

what your skin can tolerate and which treatments you are

most comfortable with.’

The clinic opened in 1998 and its philosophy is centered

on optimising skin health for long-term results. By using

the latest technologies and taking a multi-modality,

individualised approach to anti-ageing, the practitioners

at Skin Clinic@Blyss offer predictable, professional and

effective results in boosting skin health and helping to

combat the signs of premature ageing. csbm

BE comfortaBlE

in your skin

specialising in advanced non-surgical

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and damaged skin, the highly qualified

clinicians and cosmetic physician at skin

clinic for men use the latest technology

to deliver exceptional results, leaving you

feeling refreshed, confident and looking

your best.

Male vs female skin

Men’s skin is different from women’s in a number

of respects. One such difference is that men have

more sebaceous glands than women. Testosterone

gives men a 70 percent higher sebum production

than women, which diminishes with age but still

contributes to maintaining the emollient film of lipids

on the skin’s surface. While this keeps their skin

naturally lubricated, it also means they have larger

pores and sweat more.

Men’s skin is not only more lubricated, it is also

denser. While women’s skin is characterised by

a smooth surface and plump texture, due to the

underlying fat, men’s skin contains more collagen, the

fibrous protein that makes up the skin’s connective

tissue. This gives men thicker skins and is the reason

they can appear to age more slowly than women.

Another structural difference in men’s skins is its

vascularity. The fine network of blood vessels below

the surface is more extensive, making men more

prone to bleeding and to appearing ruddy faced.

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intimate surgery

When size

does matter

An increasing number of men are opting to

undergo penis enlargement surgery, Sydney

cosmetic surgeon Dr Colin Moore explains.

S

Page 1

GEMENT

idening

ds

tomy Reversal

ry

(Lyn)

.com

OORE

Surgery is becoming more and more popular for

men hoping to lengthen and widen their penis.

Phalloplasty – or penile surgery – can improve both

the appearance and function of the penis. It is suitable for

men who’ve been born with an unusually small penis, who

have suffered trauma or who simply wish to make their

penis larger.

As technology advances, and the stigma around genital

surgery begins to lift, an increasing number of men are

opting for phalloplasty. As well as being able to augment

the penis, and correct what might be perceived as an

“abnormality”, Sydney cosmetic surgeon Dr Colin Moore

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

believes penis enlargement can lead to a significant boost

in confidence.

‘Men who are embarrassed about the size of their

penis seek penile enlargement surgery not just for physical

reasons – more often than not psychological reasons also

play a significant role,’ he says. ‘Most patients who come

to me seeking a penile enlargement fall into this category

and have a desire to not only feel more confident but to also

correct issues such as performance anxiety or impotence

that have stemmed from their embarrassment.’

Penile surgery can increase both the length and the

width of the penis. Typically during surgery, the section of

the penis that resides inside the body is extracted, resulting

in a permanent augmentation.

‘About one third of the penis resides inside the body

and, in most cases, we can expose at least half of this

during phalloplasty,’ says Dr Moore. ‘We do this by creating

an incision and cutting the suspensory ligaments which

hold back the extra penis length. To widen the penis,

we use fat grafts taken from the stomach or buttocks

to widen the erectile cylinders of the penis underneath

the skin. This ensures the increase in diameter is even all

along the shaft and back inside the tissues deep within

the intra-pubic region.’

The operation typically takes around four hours to

complete, which is followed by an extensive recovery

process. For the first 48 to 72 hours after surgery the patient

uses a “pain buster system” where a catheter releases local

anaesthetic into the area. During this period, patients also

take medication to suppress erections; this ensures the

grafts and sutures don’t dislodge.

Two weeks of bed rest is recommended post-operatively,

and patients may experience some swelling for up to three

months. The bandaging can be removed a week after

surgery, and the sutures dissolve by themselves.

Sex can be resumed around six weeks after surgery, and

men will generally be fit to resume normal activities after

six to 10 weeks. Typically, scarring will fade in one to three

years following surgery. The duration of scarring depends

on the type of grafting used and the patient’s individual

healing response. csbm

170 www.cosbeauty.com.au


ellafitness

fitness

weight keeping loss up appearances

want to flaunt

fast

a toned and terrific bod this summer? here are some

exercise essentials to help get you started. words by Jarrat wood

vs

slow & steady

Some people train for health, some people train for Chest: push-ups

performance and some people train for appearance. There is really no better all-round exercise than the push-up

Vanity aside, training for appearance is a realistic when training outdoors. Place your hands shoulder width

option. Everyone has a body part that they wish was bigger or slightly wider with your wrists slightly above the nipple

or smaller.

line but below your shoulders. If you wish to focus more on

WHAT’S

If you plan

THE

to train

MOST

for appearance

EFFECTIVE

then remember

WAY TO

some

LOSE

your

WEIGHT

chest muscles,

– AND

place

KEEP

your hands

IT

a

OFF?

little wider and move

RUSSELL important health COX and safety FROM guidelines: REGENESIS FITNESS your IN SYDNEY elbows away REPORTS.

from the body as you lower yourself.

• Training opposing muscle groups unevenly can lead to To focus more on the triceps bring your hands a little

postural and functional deficiencies.

closer to your body and keep your elbows close to your body

The human body has a natural resistance to change. Slower, less strict and more balanced eating plans

• Health should be the number-one priority with an as you lower yourself to the ground. Beginners should try

This is just as well – otherwise when you have a allow the same results to be achieved, albeit over a longer

exercise program and all exercise has an element of risk. push-ups from the knees. If this is too difficult try push ups

blowout weekend of bad eating and drinking, you period of time. Having suffered less deprivation during

• There is a limit to how much you can vary your appearance. on a raised bench with feet on the floor or against a wall

wouldn’t be able to fi t in your clothes the next day!

the weight loss process because of more moderate

Genetics will always be an overriding determinant of (the more upright you are the easier the push up will be.

Your body requires consistent, ongoing change of diet dietary restrictions, you should be less likely to feel the

your appearance.

Advanced trainers should try a full length push up raising

and energy expenditure before adaptations (in this case, psychological need to compensate with poor eating and

weight loss) will occur. Known as your body’s ‘natural drinking

one leg in

habits

the air

the

to

minute

increase

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the

goal

load

weight

on the

is

upper

achieved.

body.

resistance

The following

to change’,

are some

this

‘cosmetic

factor has

fitness’

a direct

suggestions

infl uence

for

If the ‘diet’ is actually an eating plan that can be adjusted

on

training

the effectiveness

outdoors as

of

the

all

summer

weight loss

months

programs

approach.

– whether

Break

to

Abdominals

include a few more enjoyable foods for the occasional

they’re

down your

designed

program

for slow

into

and

body

steady

parts:

or

legs,

quick

back,

weight

chest

loss.

and

treat

While

or

defined

reward

abdominals

once the

is

goal

appealing

has been

to many

achieved,

people,

abdominals.

How so? A weight loss program needs to provide maintenance

the most significant

of the weight

effect

loss

that

and

abdominals

adherence to

have

the

on

eating

our

enough stimulus to your body to elicit a change, in other plan

appearance

are much

is in

more

regards

achievable,

to posture.

especially

Try the following

for those of

sit-up

us

words

Legs:

a decrease

stair running

in body fat, but not so much stimulus who

variation

do not

to

have

assist

the

you

willpower

with walking

of a super

and sitting

human.

tall.

that

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your body’s

stairs

‘resistance

you will

to

pace

change’

a higher

mechanism

load on

kicks

the

Finally,

Lie flat

the

on the

pain

floor,

and

sit

suffering

up and raise

of a

one

quick-fi

knee

x

to

diet

your

for

chest,

that

in.

hamstring,

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gluteal

body

muscles

fat levels

and

are

calves.

maintained

Making

to

your

use

way

as upcoming

meeting as

social

your

event

torso

is,

and

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thigh

face

are

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on

almost

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your

fuel

back

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downhill

the future

slowly

because

will load

it thinks

the quadriceps

it’s being starved

ensuring

and

an

family

Focus

and

on staying

your colleagues!

as tall as possible

Is all the

without

angst and

crumbling

deprivation

your

switches

all-round

to

leg

survival

workout.

mode.

Try doing normal running or walking

really

posture.

worth

Raise

it for

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straight

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at the

you

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actually

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get

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to enjoy

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intervals

Weight

with

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is considered steady your

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the ground.

Do those

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around

to

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the ground

a favour

and

and

repeat.

start

and maintainable. Losing more than 1.5kg a week is hard to your

Try 8-10

weight

repetitions

loss program

on each

earlier

leg.

rather

For advanced

than later!

trainers, try 2

keep Back: off. It’s reverse well accepted flyes that quick weight loss is diffi cult

legs

If

at

you’ve

a time.

run

Beginners

out of

should

time and

complete

are desperate

the leg movements

to lose

to It’s maintain. difficult to The train psychological your back without factors heading that contribute to the gym, to those as above extra without kilos, the consult sit up. your GP before undertaking any

this but may to add be some more definition relevant than to your the trapezius scientifi c. and rhomboids fast-track You should weight always loss seek programs the advice as they of a can registered have serious fitness

(the Quick major weight muscles loss between programs your are shoulder hard work, blades) involving try a health professional implications. before undertaking any program. Visit your local

discomfort reverse fly and displeasure extension. from hunger, mood swings due gym The for longer the personalised the duration guidance of, and you the require. more often bella‘quick

to low Lie blood face down sugar, on and a bench, lack raise of satisfaction your arms out at meal to your times. sides, fi x’ weight loss programs are undertaken, the greater

These then move negative your experiences arms in an arc can above result your in head. a psychological Reverse the the Jarrat negative Wood is a effect personal on trainer your and overall the gym mental manager and at physical Regenesis

compensation movement back like to comfort the starting eating position. and overindulging, For a more resulting advanced health Fitness in – Edgecliff, and the Sydney. harder For it more will information be to shift call that 02 9363 excess 0376

in workout your hard-earned use some dumbbells weight loss for quickly extra resistance. disappearing. weight! or visit www.regenesisfitness.com.au

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112 // bellaBEAUTY

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eauty & spa

Balinese Beauty

Cocoon Medical Spa in Bali is a luxurious pampering mecca with

a range of cosmetic and holistic heaLTh therapies.

There’s nothing more relaxing than a touch of

pampering to complement a tropical holiday. Indeed,

a luxurious facial treatment should be one of the

very few reasons for rising from the poolside sunbed or the

sand-laden beach towel during an island getaway.

The Cocoon Medical Spa, located in Kaja Legian in

Bali, is designed to relax, soothe and revitalise. With a

selection of treatments against a picturesque backdrop,

an afternoon at Cocoon is sure to leave visitors feeling

refreshed, relaxed and thoroughly pampered. The spa

offers a warm, inviting environment, complete with avante

garde architectural elements and private consultation and

treatment rooms.

Cocoon Medical Spa was born from a dream to deliver

an anti-ageing spa with a difference. Founder Louise Cogan,

who has worked in the cosmetic industry in Malaysia and

Thailand for the past 10 years, has truly created a worldclass

medical spa with immaculate attention to detail and

highly personalised care.

Taking a holistic approach to anti-ageing, the clinicians

at Cocoon Medical Spa consider beauty as possessing

“youthful vitality”, not just a wrinkle-free complexion. They

offer a combination of treatments and technologies to

deliver the best anti-ageing solution for each individual client.

With programs to boost vitamins, balance hormones and

172 www.cosbeauty.com.au


eauty & spa

The 24-carat Gold Facial:

a personal account

Upon entering the cocoon medical spa, I was struck

immediately by the tranquillity and serenity of the

setting. With stepping stones leading to the sleek,

new-age reception area, calming lighting and the

tropical greenery, I felt calmer and peaceful. Cocoon

Medical Spa is designed to embody the luxuriousness

of a Bali holiday and it certainly feels like an extension

of the surrounding paradise.

I had opted for the Cleopatra 24 Carat Gold

Facial. The story behind the treatment stems from

Cleopatra herself, as it’s said that the pharaoh slept

in a pure gold mask every night, believing it was the

secret to her flawless skin. These days, the gold

mask is touted to improve skin elasticity, reverse cell

damage, improve blood circulation and stimulate the

production of natural collagen in the skin’s dermis.

Considering I was looking for a general anti-ageing

rejuvenation, the 24 Carat Gold Facial seemed

appropriately tailored to my needs and the condition

of my skin.

Before treatment, I was taken to one of the pods

alongside the stepping stone path. I hadn’t realised

walking in, but these pods are individual treatment

rooms – symbolising the “cocoon” namesake. The

idea is, you enter the pod before treatment and

emerge beautiful after your facial, just like a butterfly

from a cocoon. Each pod is unique in its design, and

feels like your personalised pampering sanctuary.

Before the gold mask was applied, I underwent

a microdermabrasion treatment to exfoliate dead

skin cells and help improve infusion of the gold mask

to follow.

Once the mask was administered, I received

a fabulous foot massage while the 24 carat gold

worked its magic. The treatment was relaxing and

calming, and the mask felt cool and soothing on

my skin.

Following treatment, my face felt tighter and more

refreshed. It felt cleansed and purified and I noticed a

definite glow to my complexion. I put this down to the

gold mask – plus the rush that comes from an hour of

pampering in a luxurious setting.

I definitely hope to return to Cocoon during my

next trip to Bali, as the level of care, the luxuriousness

of treatments and the quiet, tropical feel was the

perfect complement to brief island getaway.

www.cosbeauty.com.au 173


eauty & spa

detoxify the body, the wellness arm is a major component

of the Cocoon philosophy – alongside facial treatments and

platelet rich plasma (PRP) therapy.

Facial rejuvenation at Cocoon Medical Spa can include

anti-wrinkle injections, dermal fillers and PRP treatments,

alongside customised skin peels, skin needling and

diamond microdermabrasion. Laser and light therapies

are also offered, as well as various collagen induction

modalities.

With a selection of spa

treatments, an afternoon at

Cocoon is sure to leave visitors

feeling refreshed, relaxed and

thoroughly pampered

With such an extensive range of anti-ageing treatments

on offer, the clinicians at Cocoon conduct an in-depth

consultation with each client to establish the most suitable

cosmetic approach.

Cogan understands the various techniques needed to

treat patients of different ages – for example, patients in their

20s to 30s are usually seeking a skin pick-me-up, those in

their middle ages are hoping to slow the process of ageing

and those in their 50s and 60s are looking for results-based

treatments to improve skin health and reverse the signs of

ageing. She has infused the clinic with this individualised

perspective, and each treatment is optimised to improve

the client’s health, appearance and overall quality of life.

In a unique approach to treating allergies, soothing skin

conditions such as psoriasis and eczema, and relieving

stress, anxiety and headaches, Cocoon Medical Spa offers

Halotherapy, or salt therapy, to help boost health and

restore energy levels.

Halotherapy is a holistic method that recreates the

natural micro climate of a salt cave. Patients enter a room

where every surface is covered in layers of salt, and a dry

salt aerosol maintains the salty concentration at an optimum

level. By performing breathing exercises and relaxing in

the salty surrounds, the vapour can help treat respiratory

ailments, calm skin irritations and combat mental lethargy.

Halotherapy is often used in conjunction with Cocoon’s

Vitamin IV Therapy, which delivers a mixture of rejuvenating

vitamins and minerals directly to the blood stream

Cocoon’s unique approach to anti-ageing leaves

visitors feeling relaxed, revitalised and purified. Whether it’s

skin rejuvenation, or holistic health therapies, the benefits

of a day at Cocoon Medical Spa can infuse a Bali holiday

with wellness, revitalisation and that essential dose of

luxurious pampering.

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Sentosa

Villas

A trip to Bali is not complete without

a stay at Sentosa Seminyak luxury

world-class villas.

A

collection of luxurious three-bedroom, four-bedroom and

five-bedroom villas, Sentosa in Seminyak is a world-class

resort of opulence and Indonesian style extravagance.

Located in Seminyak, on the southwest coast of Bali, the resort is

perfect for a private getaway or a holiday with family and friends.

Boasting 43 private villas, each unit has a private swimming

pool, nestled between lush tropical gardens and lotus ponds.

Fully equipped gourmet kitchens transform each villa into a

home away from home, and the open living-dining plan, as well

as private ensuite bathrooms and five-star bedding, means no

indulgence is overlooked.

The resort features a signature restaurant by Australian

chef Luke Mangan, who conducts private cooking classes for

Sentosa visitors. Guests can lounge in a 35-metre rock pool,

relax in the bar area, or make the most of the fitness centre and

spa. Notably, a touch of Cocoon luxury can be experienced at

Sentosa Villas, as the medical spa has launched a pop-up salon

at the extravagant holiday accommodation.

For those looking for an indulgent getaway, complete with

the best elements of the Bali lifestyle, a stay at Sentosa Villas

will tick all your holiday boxes. Its central location means visitors

can walk to designer boutiques, world-class restaurants and

Petitenget Beach Temple, located next to Petitenget Beach.

Certainly, combining Cocoon Medical Spa indulgence, with a

luxurious Sentosa stay, is sure to leave you feeling refreshed and

invigorated upon your return from Bali.

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eauty & spa

Sydney International

Spa & Beauty Expo

CLEAR YOUR DIARIES FOR SATURDAY AUGUST 23 AND SUNDAY AUGUST 24 AND

GET SET FOR THIS YEAR’S BEAUTY EXTRAVAGANZA!

As Australia’s largest spa and beauty event, the Sydney

International Spa & Beauty Expo brings together

the latest products and services from the beauty,

rejuvenation, cosmeceuticals and wellbeing industries– all

under the one roof.

‘Whether it’s education, brands or talent, the Sydney

International Spa and Beauty Expo is constantly evolving.

This year, among an array of fresh features – including

an increased focus into the worlds of wellness and medibased

treatments – visitors will not only be provided with

a one-stop-shop to the latest products and services but

will also be able to gain invaluable knowledge on how to

successfully tap into these two rapidly growing markets,’

says Event Director, Amelia Coote-Harris.

ON THE FLOOR

From the latest in makeup to organic beauty, this year’s

exhibition fl oor is jam-packed with features. Fresh to the

Expo fl oor is a newly created Medi-Stage that will showcase

leading treatments live in action from some of the industry’s

latest cosmeceutical innovations.

Back by popular demand is the Medi Spa Area, along

with the popular Wellness, New Business and Meet the

Expert Zones. The New Business Zone offers visitors unique

access to unearth the latest innovations from a range of up

and coming brands.

With more than 250 brands expected, visitors can

anticipate seeing leading industry names such as

International Beauty Supplies, Napoleon Perdis, Caron

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eauty & spa

The Business Leaders Summit is also back for 2014.

This year’s theme, How Will The World Remember You?,

offers a high profile agenda of keynote speakers to

strategically educate salon and spa owners on elevating

business performance to new heights.

With an emphasis on the growing world of medi-spas,

2014 will see the introduction of a new Medi Conference.

This half-day event will offer an informative discussion

on how salons and spas can best integrate medi-based

treatments into their services.

Laboratories, Mancine, Youngblood, BioLink, Switch Funky,

BioSculpture, Pacific Nail and many more.

MAIN STAGE ACTION

The Main Stage will provide non-stop inspiration with live

demonstrations and fashion and nail shows. Names include

the likes of celebrity artists Dale Dorning, Michael Brown

and Rae Morris.

EDUCATION & EVENTS

This year’s extensive educational offering will grant access

to a range of experts, ranging from practical beauty skills

to business acumen. Already locked-in for the 2014 lineup

are: make-up maestros Jazz Pampling and Rae Morris;

Channel Nine’s Mornings’ Michael Brown; An Insight Into

Male Skincare with Dermalogica; Bridal Hair and Makeup;

and a hands-on look into eyebrow threading.

AWARDS

The Sydney International Spa & Beauty Expo would not be

complete without the prestigious Face2Face Makeup and

Nail Awards, which are returning for another great year.

And to celebrate the dynamic worlds of beauty and spa

in style, 2014 will bring a glamorous awards night dinner to

the mix on the evening of Saturday August 23, offering a

night of glitz and style.

The Sydney International Spa & Beauty Expo provides

beauty and spa professionals with a unique opportunity

for growth. Whether it’s education, experiencing the latest

product, networking or tapping into new market trends,

the 2014 expo is not to be missed. With ticket sales opening

in June, save the date and take your career or business to

the next level! csbm

WHEN Saturday August 23

and Sunday August 24, 2014

WHERE Sydney Exhibition Centre, Glebe Island

VISIT www.internationalbeautyexpo.com.au

for more information

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eauty & spa

RICKY ALLEN PRESENTS THE LATEST BEAUTY

OFFERINGS FOR AUTUMN/WINTER.

3.

4.

2.

1. 2.

lips

1. Giorgio Armani Flash Lacquer Crystal Shine Gloss in

Ivy, $49. 2. Maybelline New York Color Sensational

Lipstick in Hot Plum, $16.95. 3. L’Oreal Paris Glam Shine

Balmy Gloss in Fall for Watermelon, $16.95. 4. Crabtree

& Evelyn English Honey and Peach Blossom All Purpose

Balm, $16.

1.

Colour &

contouring

1. Ere Perez Versatile

Vanilla Highlighter, $31.90,

2. Guerlain Meteorites

Bubble Blush, $54

hair care

1. Clear Scalp & Hair Beauty Therapy Damage

& Colour Repair, $9.99. A smoothing hair treatment

that doubles up to treat and repair all hair, especially

colour-treated hair. 2. Suigo Hairlook Arts 504 Ultimate

Shine, $21.50. This botanical hair treatment delivers

improved shine and condition. 3. Fudge Push It Up Blow

Dry Hair, $19.95. This product works against gravity,

taking the roots to incredible heights and conditioning

hair at the same time. 4. Nioxin DiaBoost Thickening

Xtrafusion Treatment, $59.95. Used on wet or dry hair

this helps thicken even the wispiest hair strands in a

matter of minutes.

3.

4.

1.

2.

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2.

1.

1.

2.

3.

eyes

1. YSL Flower Crush Palette in Pivoine Crush 5 Colour

Eye Shadow, $99. 2. Napoleon China Doll Gel Eyeliner,

$39. 3. ELES Signature Shadow Quad in Fashionista,

$99. 4. L’Oreal False Lash Butterfl y Mascara, $25.95.

5. Designer Brands Outrageous Volume Mascara, $9.99.

6. L’Oreal Paris ColorRiche Eye Colour Pencil, $16.95.

3.

skincare

1. Lancome Visionnaire (1 Minute Blur) Smoothing

Skincare Instant Perfector, $60. This skin perfector glides

on skin to instantly smooth and blur any imperfections

while providing effective hydration. 2. ELES Age

Defying B.B. Cream 30, $49.50. This is a true multitasker:

a primer, foundation and sunscreen as well as

skin treatment to help soften fi ne lines and improve skin

elasticity. 3. GloTherapeutics Line Smoother Facial

Treatment, $75. This beauty does more than smooth

the skin – containing more than 40 percent active

ingredients, it also helps ‘lift’ the skin to create younger

looking skin.

4.

1.

2.

3.

5.

body

1. Crabtree & Evelyn English Honey and Peach Blossom Body Wash, $26,

2. St. Tropez Instant Tan Wash Off Face and Body Lotion, $19.95, 3. Nivea

In-Shower Smooth Lotion Skin Conditioner for Dry Skin, $7.99, 4. Premium

Spa Face & Body Mask White Clay, Rosehip & Chamomile, $14.95

6.

4.

fragrance

1. YSL Manifesto L’Eclat EDT 50ml, $95. Combining freesia,

jasmine, green tea, bergamot and neroli, this seductive fragrance

is bold, fresh and feminine, 2. Penhaligon’s London Iris

Prima EDP 100ml, $269. A brand new twist on the iris fl ower,

this fragrance was inspired by the English National Ballet and

embodies feminine, strong women. 3. Jonathan Ward London

Orange Opium Artisan Candle, $55. This double wick candle

is beautifully scented with premium ingredients for a rich yet

uplifting perfume. It is housed in an Italian hand blown glass,

making it look as luxurious as it smells.

1.

2.

3.

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step-by-step

look book

Jane Iredale makeup artist Emma Chen shows us the products

used to create this season’s classic makeup looks.

Jane iredale’s mineral cosmetics have set the benchmark in

mineral makeup the world over. Inspired by working in the

film industry, jane iredale launched The Skin Care Makeup

range in 1994, redefining makeup as something which is a true

extension of skincare. It is recognised and recommended by

plastic surgeons, dermatologists and hailed by makeup artists

globally for its weightless, flawless coverage and exceptional

colour palette.

Non-comedogenic, talc-free and made from pure, inert

micronised minerals, jane iredale mineral makeup offers

impeccable coverage, staying power and amazing anti-ageing

benefits. csbm

Weekend makeup

Step 1 – Foundation

Liquid Minerals in Amber and

Amazing Base in Warm Sienna

Step 2 – Concealer

Enlighten Concealer 1

Step 3 – Bronzer

So-Bronze #2

Step 4 – Eyes

Mystikol in Onyx, PurePressed Eye

Shadow in Nude, Merlot and Double

Espresso; Longest Lash Mascara in

Black Ice

Step 5 – Cheeks

PurePressed Blush in Sheer Honey

Step 6 – Lips

PureGloss in Soft Peach

BEFORE

AFTER

Step 7 – Spritz

D2O Hydration Spray to set makeup

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Evening makeup

BEFORE

AFTER

Step 1 – Foundation

Liquid Minerals in Latte and

Amazing Base Loose Minerals

in Latte

Step 2 – Eyes

goWarm Eye Steppes Eye

Shadow and NEW Jelly Jar

Gel Eyeliner in Black; PureLash

Lengthening Mascara in JetBlack

Step 3 – Brows

Bitty Brow Kit in Brunette and

PureBrow Brow Gel in Brunette

Step 4 – Cheeks

PurePressed Blush in Whisper

Step 5 – Lips

PureMoist Lipstick in Madison

Step 6 – Spritz

POMMISST Hydration Spray to

set makeup

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eauty & spa

Post-summer beauty fi xes

POOLSIDE, BEACHSIDE, SCORCHING SUMMER DAYS

– WHAT STATE HAS THAT LEFT YOUR SKIN AND HAIR IN? RICKY ALLEN

REPORTS ON THE BEST WAYS TO GET YOUR BEAUTY REGIME BACK ON TRACK.

Dr Adam Geyer, a New York dermatologist and

consulting specialist to Kiehl’s, believes that so

much of the negative changes to our skin are related

to the sun. He says that about 90 percent of extrinsic or

premature ageing is associated with exposure to UV rays.

Face care

The best way to prevent premature skin ageing is to

wear sunscreen every day, regardless of planned outdoor

activities or the temperature. In Australia the passage

between summer and winter should have no effect on the

amount of sunscreen worn, as the strength of the sun’s

rays does not vary all that much between the seasons.

Try Ultraceuticals SunActive SPF 50+ Face Cream

$45 (1) for convenient and long-lasting sun protection.

Pigmentation usually becomes more noticeable after

summer following too much sun exposure. A great all-year

product is Pigment Punch by Aspect, $118.80 (2), which

helps to improve the appearance of pigmentation.

Whatever the season use an eye cream such as YSL

Forever Youth Liberator Eye Cream, $105 (3), and a

neck cream such as Racinne Ultimate Youth Power

Neck Emulsion, $63 (4), as these areas of the face contain

less sebaceous glands and have a smaller subcutaneous

layer so are more susceptible to the signs of ageing.

6.

7.

5.

1. 2. 3. 4.

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eauty & spa

16.

8. 9. 10. 11.

12. 13. 14. 15.

With the drop in humidity, the skin’s barrier function

becomes more easily compromised, making it more diffi cult

for the skin to retain moisture, both in terms of overall lipid

and water content. Winter moisturisers should therefore be

more concentrated, such as Kiehl’s Ultra Facial Cream

with Intense Hydration, $36 (5), Biotherm Blue Therapy

Serum-In-Oil Night, $90 (6), and Giorgio Armani Crema

Nera Extrema Night Repair, $340 (7).

To boost skin health in general, some excellent betweenseasons

skin treatments include Midnight Recovery

Concentrate by Kiehl’s, $59 (8), Sanctuary Brightening

Facial Radiance Exfoliator, $19.99 (9), Glo Therapeutics

Refine Hydrator, $119 (10), and the Lancôme Genefique

Advanced Youth Activating Serum, $88 (11).

Body care

When it comes to the skin on your body, lingering effects

of heat and humidity from the summer months can leave

your skin dry and blotchy, especially on the décolletage

and shoulders. Lanolips Triple Buttermilk Body Balm

for Very Dry Skin, $23.95 (12), works very well to bring

skin back to silkiness. Washing with Derma Sukin Daily

Hydrating Wash, $12.95 (13), will also help get your skin

back on track to luminosity.

As winter approaches start exfoliating your body more so

that hydrating body lotions can penetrate more effectively.

It will also help remove dead skin cells for a more even look

and feel. Pevonia Botanica Silky Skin Body Scrub,

$75 (14), Glo Therapeutics Body Exfoliant, $46 (15),

and Premium Spa Salt Body Scrub in Lemon Butter,

$14.95 (16), are all good ones to try.

Eczema and other skin conditions can present on the

lower legs because the concentration of sebaceous glands

is less in the skin on the legs than the rest of the body.

The wearing of stockings, boots and thicker socks will also

worsen the problem – so don’t forget to moisturise your

legs every day.

Hair care

Your hair also takes a beating during summer so using

hair treatment products are essential. Every so often leave

the treatment in overnight for more intensive repair. Try

L’Occitane Repairing Mask, $38 (17), Bhave Deep

Intense Conditioning Treatment, $41.95 (18), and

L’Oreal Paris EverStrong Deep Replenishing Masque,

$12.95 (19), with is sulphate free and helps ensure your hair

colour will last longer.

Hair reacts in a similar fashion to the skin during winter,

so more concentrated hair care products are advised

to prevent dull and damaged-looking hair. L’Occitane

Repairing Oil, $34 (20), Davines Relaxing Moisturizing

Fluid, $31.95 (21), and Moroccanoil Hydrating Styling

Cream, $44.50 (22), and Restorative Hair Mask, $49.50

(23), work wonders.

Oh, and it should also go without saying you should

never neglect your hands, especially in winter. Apply a hand

cream, such as Sukin Hand and Nail Cream, $9.95 (24),

several times a day to prevent rough, chapped hands.

A good beauty regimen, with specialised products to

improve post-summer skin and hair and prep for winter, will

help you maintain clear, smooth and healthy looking skin

all-year round. csbm

19.

20. 21.

22.

23.

17. 18.

24.

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eauty & spa

winter wrap up

NICOLE GRUODIENE FROM NICOLE’S BEAUTY SALON IN DOUBLE BAY

REVEALS A WAY TO LOSE 15CM FROM YOUR CIRCUMFERENCE

– IN YOUR LUNCH BREAK! TARA CASEY REPORTS.

Even the most dedicated exercise fanatics can fi nd

themselves slipping into hibernation during the cold

winter months as sneakers are left to fester by the

back door and the kilos slowly creep back on.

But if you fi nd your fi tness regime falling by the wayside

as the days get shorter and the mercury drops, give your

body a helping hand with the International Body Wrap,

guaranteed to reduce your total body circumference after

just one visit.

‘A full body wrap is a great treatment to detoxify, hydrate

and slim the body,’ Nicole Gruodiene from Nicole’s Beauty

Salon in Double Bay says. ‘They are perfect as a one-off

treatment or as a course to gain optimum results. People

use them to squeeze into a “special occasion” dress or to

kick-start a weight loss program.’

The International Body Wrap not only hydrates your

body but also guarantees a circumference loss of at least

15cm, and you’ll walk away with your money still in your

pocket if you fail to do so.

Once your body has been accurately measured, you’ll

be wrapped from head to toe in bandages soaked in natural

clay from the Dead Sea. A vinyl suit is worn over the top to

provide warmth and comfort while the clay cleanses and

detoxifi es the body over the course of an hour.

As the clay particles become hydrated, they expand

and are able to absorb many times their own weight in

body toxins. The solution acts as a magnet for many

toxic elements present in the body such as free radicals,

and draws out toxins and impurities from the body while

cleansing your skin.

People use the Body Wrap to

help them squeeze into a special

occasion dress or to kick-start a

weight loss program

After just one hour, not only is your skin softer, fi rmer and

more toned but the skin tissue is also compressed and the

soft fatty tissues are compacted, resulting in the reduction

of your body circumference.

Results last for at least 30 days and can be maintained

for several months by following a healthy lifestyle. Best

of all, the wrap will improve circulation, helping you

survive the winter months and avoid the cold weather

blues. csbm

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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

hair

care

1o1Frizzy and fly-away

GETTING THE RIGHT SHAMPOO FOR

YOUR HAIR TYPE IS AS IMPORTANT

AS USING THE RIGHT SKINCARE FOR

YOUR FACE. WE HELP POINT YOU

TOWARDS THE RIGHT PRODUCT FOR

YOU. aimÉe surtenich REPORTS.

Beautiful tresses are all about choosing the right

products for your hair type, but facing the wall of

products at your retailer can be overwhelming

if you don’t know what you’re looking for. There are

dozens of different brands to choose from, and a

dichotomy of sub-types within those brands.

It’s important to identify your hair type and match

it with the products that will work the best for you. If

you’re having trouble listening to your tresses, just ask

your hair stylist or colourist for advice. Your lustrous,

flowing mane will thank you while you’re flaunting a

good hair day, every day!

If your hair has a penchant for fuzz, a smoothing hair care

product will keep those frizzies at bay. Use a product

that soothes and smooths the cuticle and provides some

weight. Our faves: Kiehl’s Superbly Smoothing Argan

Shampoo, RRP $32 (1), L’Oréal Paris Elvive Smooth-

Intense Anti-Frizz Shampoo and Conditioner, RRP $5.95

each (2), Sunsilk Expert Perfect Straight Shampoo and

Conditioner, RRP $7.79 each (3)

1. 2. 3.

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Coarse and curly

Curly hair is almost always dry because the oils produced

in the scalp don’t travel as easily down the hair shaft. Go for

creamy, nourishing shampoos and conditioners that coat

the hair shaft. Our faves: Dove Nutritive Therapy Nourishing

Oil Care Shampoo and Conditioner, RRP $6.49 each (1),

Tresemmé Keratin Smoothing Shampoo and Conditioner,

RRP $11.49 (2), Wella SP Reconstructive Elixir, RRP $42

(3) Evo The Therapist Calming Shampoo and Conditioner,

RRP $29.95 each (4)

1. 2. 3.

4.

1. 2. 3.

Processed and prodded

Adding moisture is key for coloured and straightened

hair. Unfortunately, overly processed hair can suffer from

oily roots but dry shaft and ends, which makes for tricky

business. Concentrate on cleansing the scalp and using

a strong conditioner on the mid-shaft to ends. Our faves:

Moroccanoil Hydrating Shampoo and Conditioner, RRP

$32.95 each (1), Clear Scalp & Hair Therapy Total Nourishing

Care Shampoo and Conditioner, RRP $9.49 each (2), Wella

Pro Series Moisture Shampoo and Conditioner, RRP

$10.99 each (3).

Dull and limp

Dull hair is most likely the result of a combination of product

build-up and over-coloured hair. Opt for clear gel-like, gentle

shampoos and conditioners to get hair back on track.

Our faves: Herbal Essence Naked Shine Shampoo and

Conditioner, RRP $6.99 each (1), Jurlique Sandalwood

Shampoo and Conditioner, RRP $26 each (2), Pantene Ice

Shine Shampoo and Conditioner, RRP $7.99 each (3).

1. 2. 3.

Dry and dandruffy

Scaling of the scalp is a result of

when the top layer of skin, which is

usually constantly being shed and

renewed, is trapped by the hair

so that the scales become more

evident. About 50 percent of the

population suffer from dandruff,

and most cases can simply be

treated with a medicated dandruff

shampoo. Look for those

containing ingredients such as

piroctone olamine, ketoconazole,

miconazole and salicylic acid.

Our faves: Head & Shoulders

Smooth & Silky Shampoo and

Conditioner, RRP $5.99 each (1).

1.

Dry and damaged



Head for the creamy shampoos. These smooth,

detangle and diffuse static. A protein-rich and

reconstructive conditioner helps heal dry and damaged

hair, and try a moisturising mask once a week to

restore health. Our faves: Wella SP Luxe Oil Keratin

Boost Essence, RRP $32, Wella SP Keratin Restore

Mask, RRP $34, Wella SP Keratin Protect Shampoo,

RRP $32 (1), L’Occitane Aromachologie Repairing

Shampoo, RRP $39 and Conditioner, RRP $26 (2),

L’Oréal Paris Hair Expertise EverCreme Shampoo

and Conditioner, RRP $15.95 each (3).

1.

2.

3.

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Va-Va-Voom

HAIR

ROCK YOUR BEST HEAD OF HAIR EVER WITH GLOSSY,

THICK HAIR EXTENSIONS BY JOSEPH MOURAD.

TARA CASEY REPORTS.

Hair extensions allow you to have long, thick, lustworthy

hair in a matter of hours. Hair maestro and

extensions expert Joseph Mourad from Joseph

Mourad’s Hair & Beauty in Sydney’s Double Bay, transforms

lank and listless hair to super sexy with his highly sought

after hair extension techniques.

Indeed, his hair extension methods are highly coveted

the world over – with celebrity clientele including entertainer

Mel B and Grammy award-winning recording artist Mya.

‘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. It’s also

surprisingly affordable.’

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.

The cold fusion method 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.

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BEHIND THE SCENES

Sydney hair extension specialist

Joseph Mourad with Mya (left) and Mel B

IT’S ALL IN THE TECHNIQUE

The ultrasonic cold fusion technique allows for multistrand

bonding, making the whole process effi cient

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 fl owing, thicker hair – and look

forward to a good hair day, every day. csbm

Featureflash / Shutterstock.com

s_bukley / Shutterstock.com

Visit www.josephmourad.com.au for details.

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eauty & spa

SCENTS APPEAL

WE SHOWCASE THE

FRAGRANCES SET TO BECOME

MODERN DAY CLASSICS.

CAMILA KAWASHITA REPORTS.

The doyenne of perfume, Coco Chanel, described the appeal

of perfume beautifully when she said, ‘It is the unseen,

unforgettable, ultimate accessory of fashion that heralds

your arrival and prolongs your departure’. Today of course it is also

the epicentre of a multi-million dollar industry, and most women

could instantly name their favourite scent – numerous favourites in

some cases!

Floral, fruity, oriental, gourmand, woody – whichever notes tickle

your nose buds, the latest classic fragrances are sure to seduce,

inspire and beautify your surroundings.

1.

5.

2.

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3.

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eauty & spa

10.

9.

11.

12.

8.

7.

1. Angel Shooting Star EDP 50ml, RRP $135. Angel, which

launched a new fragrance category called the “oriental

gourmands,” continues to seduce us with soft and sensual

notes of bergamot, red berries, vanilla and patchouli.

2. Kiehl’s Aromatic Blends Vetiver & Black Tea EDT 100ml,

RRP $75. This rich fusion of Haitian vetiver and black tea has

underlying hints of spicy pepper and wood for an aromatic,

powerful scent. Layer with Aromatic Blends Vetiver & Black

Tea Liquid Body Cleanser 250ml, RRP $30.

3. Burberry Brit Rhythm for Women EDT 90ml, RRP $125.

This fragrance combines a powerful femininity with a rock

and roll edge, bringing together classic and unexpected

notes in a new powdery fl oral fragrance.

4. Dior J’Adore EDP 50ml, RRP $130. This perennial

classic is femininity, sophistication and glamour in a bottle,

uniting several fl oral absolutes for an opulent and fruity fl oral

bouquet. Layer with J’Adore Dry Silky Body Oil 150ml, RRP

$87, for extra luxury.

5. Chloé EDP 50ml, RRP $130. The scent takes classic

rose and adds pink peony, freesia, lily of the valley, magnolia,

cedarwood, amber and honey to ingeniously translate it

into a chic, warm and addictive scent. Layer with Chloé

Crème Collection 150ml, RRP $95.

6. Giorgio Armani Sì 50ml, RRP $110. Combining an

infl ection of three accords, cassis nectar, modern chypre

and light musky wood, its olfactory signature is rhythmic,

elegant and unique.

7. Sisley Eau Tropicale EDT 100ml, RRP $200. Inspired

by the atmosphere of a tropical forest after a storm, this

fragrance has fresh and zesty notes of bergamot, exotic

ginger fl ower, hibiscus, frangipani and passionfruit, and

a musky base of cedar and patchouli for a sensual and

powerful perfume.

8. YSL Manifesto L’Élixir ED EDP Intense 50ml, RRP $115.

Opening with citrusy notes of bergamot and mandarin, this

beguiling fragrance is punctuated by a bouquet of jasmine

and tuberose absolute, and base notes of cashmere, vanilla

and ambergris for a new take on femininity and power.

9. Balenciaga Rosabotanica EDP 100ml, RRP $155. A

decidedly modern, feminine and sexy fragrance, based on

contemporary vegetal rose accord, it has a fresh and bright

rose with a racy and luminous character. Layer it with the

Rosabotanica Perfumed Body Lotion 200ml, RRP $60, for

optimum longevity.

10. L’Occitane Fleur D’Or & Acacia EDT 175ml, RRP $80.

With base notes of musk and white wood, an intense acaciamimosa

accord, and top notes of lemon and bergamot, this

fl oral fragrance is soft, feminine and invigorating. For a really

long-lasting effect, use the Fleur D’Or & Acacia Shower Gel

175ml, RRP $23.

11. Tom Ford Velvet Orchid EDP 100ml, RRP $230. This is

an Oriental fl oral fragrance that evolves the carnal grandeur

and seductive power of the iconic Tom Ford Black Orchid

into an uber-feminine fragrance lavished with notes of cool

citrus, dramatic petals, honey and rum.

12. YSL Belle D’Opium EDP Spray 50ml, RRP $110.

Bewitchment and luminosity mark this oriental fragrance

with an overdose of rare and precious ingredients such as

Casablanca lily and jasmine absolute.

www.cosbeauty.com.au 191


eauty & spa

EDITOR’S

FAVES

WE SHARE THE PRODUCTS WE

CAN’T LIVE WITHOUT, STRAIGHT

FROM THE BELLA BEAUTY DESK.

1.

1. Colorescience Pressed Mineral Foundation in Second

Skin, RRP $79.20. Provides light to full coverage with

a weightless, non-drying feeling on the skin. It gives

the appearance of perfection without the thick look of

traditional pressed powder.

2. YSL Souffl e D’Éclat, RRP $79. The skin is highlighted in

a luminous veil that ensures a fresh feeling throughout

the day.

3. BeneFit Gimme Brow, RRP $32. Creating brows where

before there were none, this nifty product builds easily

for thick, lush arches.

4. BeneFit Big Easy, RRP $38. This complexion perfector

gives natural coverage to even out skin tone and

conceal imperfections.

5. BeneFit Hello Flawless Oxygen Wow! in honey, RRP

$55. Oil-free brightening liquid foundation creates a

luminous and healthy looking complexion.

3.

5.

6.

4.

7.

2.

192 www.cosbeauty.com.au


eauty & spa

8.

9.

10.

16.

15.

11.

12.

13.

14.

17.

6. Colorescience Mineral Powder Sunforgettable in Medium,

RRP $79.20. Lightweight mineral powder with a barelythere

feel that provides non-irritating UVA and UVB sun

protection in a self-dispensing powder brush.

7. Dior Vernis in Mirage, RRP $39. With a gel-effect formula,

the new Dior nail lacquers coat nails in an ultra-shiny

finish, offering professional results with lasting wear in this

season’s latest shades.

8. Ultraceuticals SunActive 50+ Face Cream, RRP $45. This

complete-spectrum sunscreen is four hours water-resistant.

It also offers the extra benefit of hydrating skin while it

protects it from damaging UVA and UVB rays.

9. Biotherm Blue Therapy Eye, RRP $55. Targets wrinkles,

darkness and lack of firmness around the eyes, as well as

crow’s feet and under-eye bags.

10. You By Sia Complexion Domes Mineral Compact in Sand,

RRP $55. Enriched with Vitamins C and E, this foundation

is antioxidant-rich and leaves the skin feeling moisturised

and smooth.

11. Nimue Skin Refirmer, RRP $185. Rejuvenation treatment

with advanced refirming and anti-ageing technology to fight

wrinkles and skin laxity on the face, neck and décolletage.

12. Skinceuticals Resveratrol B E, RRP $169. Intensive night

concentrate that boosts the skin’s antioxidant defence

system to help repair, rebuild and prevent accumulated

skin damage.

13. Obagi Elastiderm Eye Complete Complex, RRP $104.

This refreshing “rollerball” eye complex delivers firmer, more

resilient skin around the eyes, reducing the look of fine lines

and wrinkles and under-eye circles.

14. ASAP A+ Super Serum, RRP $89. Improves and

accelerates the skin’s renewal process, visibly reducing the

appearance of pigmentation, fine lines and wrinkles.

15. HydroPeptide Eye – Anti-Wrinkle Dark Circle Concentrate,

RRP $120. This high-performing, powerful eye brighter and

wrinkle fighter reduces puffiness, hydrates and firms.

16. Gatineau Collagene Expert Smoothing Eye Concentrate,

RRP $80. Rich in collagen, this fluid and refreshing eye

concentrate helps diminish the appearance of wrinkles.

17. Pelactiv Mineral Powder Foundation, RRP $34.95. This

chemical-free mineral foundation is gentle on the skin,

delivering a flawless finish on all skin types.

www.cosbeauty.com.au 193


Directory

Allergan Australia

Phone +61 02 9498 0100

www.allergan.com.au

Allmedic

Phone 1300 652 969

admin@allmedic.org.au

www.allmedic.org.au

Australasian College of Cosmetic Surgery (ACCS)

Phone 1800 804 781

admin@accs.org.au

www.accs.org.au

Bella Media

Phone +61 02 9398 2755

info@bellamedia.com.au

www.bellamedia.com.au

Cosmelan by Mesoestetic

Advanced Cosmeceuticals

Phone 1800 242 011

www.advancedcosmeceuticals.com.au

Cosmetic Beauty Directory

Bella Media

www.cosbeauty.com.au

Definitive Guides

Phone +61 02 9398 2755

www.bellamedia.com.au

Dysport

Galderma

Phone 1800 144 944

info.au@galderma.com

www.galderma.com.au

EFB Beauté

1300 737 393

info@insightaesthetics.com.au

www.efbaustralia.com.au

Exilis

Device Technologies

Phone 1800 429 551

www.device.com.au

Dr John Flood

Phone +61 02 9476 8066

info@drjohnflood.com.au

www.drjohnflood.com.au

Dr John Flynn

Cosmedic & Skin Clinic

Phone 1300 881 388

info@cosmedic.com.au

www.cosmedic.com.au

Galderma

Phone 1800 144 944

info.au@galderma.com

www.galderma.com.au

Dr Joseph Georghy

North Shore Cosmetic Clinic

Phone +61 02 9956 7200

www.northshorecosmetic.com.au

Val Glover-Hovan

Cosmetic Tattoo Australia

Phone +61 02 9938 2111

www.cosmetictattooaustralia.com

Dr Josef Goldbaum

Liposuction Australia

Phone 1800 600 800

www.liposuctionaustralia.com.au

Dr Darryl J Hodgkinson

Cosmetic & Restorative Surgery Clinic

Phone +61 02 9362 7400

info@cosmeticsurgeryoz.com

www.cosmeticsurgeryoz.com

HydraFacial

High Tech Laser Australia

Phone 1300 309 233

www.hydrafacial.com.au

Isavela

Statina Healthcare International

Phone 1300 791 404

www.isavela.com.au

Jane Iredale

Phone 1300 850 008

www.janeiredale.com.au

Joseph Mourad Hair & Beauty

Phone +61 02 9328 2277

contact@josephmourad.com.au

www.josephmourad.com.au

Dr Peter Laniewski

Phone 1300 322 337

www.myfaceclinic.com.au

www.drpeterlaniewski.com.au

Dr Steven Liew

Shape Clinic

Phone +61 02 8356 2888

nola@shapeclinic.com.au

www.shapeclinic.com.au

www.breastshape.com.au

Dr William Mooney

Phone 1300 DR WILL (1300 379 455)

www.rhinoplastysydney.com.au

Dr Colin Moore

The Australian Centre of Cosmetic Surgery

Phone 0414 251 234

info@austcps.com

www.drcolinmoore.com

Dr Sarkis Nalbandian

Designer Smiles

Phone +61 02 9953 4189

www.designersmiles.com.au

Dr Warwick Nettle

Silkwood Medical

Phone 1300 SILKWOOD (1300 745 596)

www.silkwoodmedical.com.au

Nicole’s Beauty

Phone +61 02 9327 7728

Phone 0410 627 767

www.nicolesbeautysalon.com.au

Obagi

iNova Pharmaceuticals

Phone +61 02 8918 6322

www.obagimedical.com.au

www.inovapharma.com.au

Omnilux

True Solutions International

Phone 1800 808 993

www.omnilux.com.au

Omnimax

Allure Medical Group

Phone +61 02 8208 7778

www.alluremedical.com.au

Dr Oseka Onuma

Laser Vaginal Rejuvenation Institute of Adelaide

Phone +61 08 8344 6085

rooms@dronuma.com

www.dronuma.com

Picosure

Cynosure

www.picosure.com.au

www.cynosure.com.au

Rita Porreca

Sydney Permanent Makeup Centre

Phone +61 02 9569 7799

info@spmuc.com.au

www.spmuc.com.au

Regen PRP

Australasian Medical & Scientific

Phone 1800 201 760

www.regenlab.com

www.amsl.com.au

Regenesis Fitness

Phone +61 02 9363 0376

info@regenesisfitness.com.au

www.regenesisfitness.com.au

Dr Amira Sanki

Silkwood Medical

Phone 1300 SILKWOOD (1300 745 596)

www.silkwoodmedical.com.au

Sculptra

iNova Pharmaceuticals

Phone +61 02 8918 6322

www.inovapharma.com

Shortcuts

Phone 1300 66 73 74

www.shortcuts.com.au

Silkwood Medical

Phone 1300 SILKWOOD (1300 745 596)

www.silkwoodmedical.com.au

Skin Clinc @ Blyss

Phone +61 02 9664 8011

www.blyssclovelly.com.au

Sydney Beauty Expo

Phone +61 02 9422 2535

visit@internationalbeautyexpo.com.au

www.internationalbeautyexpo.com.au

Synergie Minerals

Terri Vinson

Phone 1300 689 619

info@synergieminerals.com

www.synergieskin.com

Dr Kourosh Tavakoli

Phone 1300 368 107

admin@drtavakoli.com.au

www.drtavakoli.com.au

Thermage

iNova Pharmaceuticals

(02) 9999 1081

www.inovapharma.com

Vaser Lipo

Device Technologies

Phone 1800 429 551

www.device.com.au

Dr Michael Zacharia

Phone 1800 685 438

www.drzacharia.com.au

194 www.cosbeauty.com.au


A + B + C

GETTING BACK TO BASICS

SILKWOOD ESSENTIALS BIOACTIVE SKINCARE

Silkwood Medical

Level 4, 75 Grafton Street Bondi Junction NSW 2022

Telephone 1300 SILKWOOD or 1300 745 596

www.silkwoodmedical.com.au

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