RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 61 • AUG-OCT 2013
GET THE MOST FROM
YOUR GUIDE TO
HOW TO MASTER
24 // CSBM DEFINITIVE GUIDE BREAST AUGMENTATION
ACTUAL PATIENT OF DR VLAD MILOVIC
to how you
look and feel
Dr Vlad Milovic MD FRACS (PLAST.) , well-known
Plastic and Cosmetic Surgeon, with over
20 years of training and experience in
Australia and across the world, offers the
latest and most up-to-date approach to
breast enhancement for the most natural
and youthful look and feel.
Contact us today for your personal
appointment with Dr Vlad.
PHONE 02 6260 4882
SUITE 1, BUILDING 1
EQUINOX, 70 KENT ST
DEAKIN ACT 2600
CSBM DEFINITIVE GUIDE BREAST AUGMENTATION // 25
ACTUAL RHINOPLASTY PATIENT’S OF DR WILLIAM MOONEY
DR WILLIAM MOONEY
ENT & FACIAL COSMETIC SURGEON
SYDNEY’S RHINOPLASTY SPECIALIST
FACE PLUS MEDISPA
• Laser Therapy • skin Care
• CosmeTIC InjeCTabLes
Ph: (02) 9389 4497
FOLLOW DR MOONEY ON:
EXC E LLENC E
SYDNEY ’ S RHIN OPLAST Y SPE CIALIST
suite 1902 Level 19, Westfield Tower 2, 101 Grafton st bondi Junction sydney nsW 2022
© 2013 Palomar Medical Technologies, Inc. Palomar and Palomar Emerge are
registered trademarks of Palomar Medical Technologies, Inc. ALL RIGHTS RESERVED.
Beautiful skin is
easier than ever
with the EMERGE
The EMERGE Fractional Laser is the latest laser skin resurfacing technology
from Palomar that treats undesirable skin imperfections on your face and body.
EMERGE is quick and easy to use and can improve a multitude of skin flaws
and give you youthful, radiant and more beautiful skin all over!
EMERGE can improve the appearance of:
To see more amazing results from Emerge
visit the website www.emergelaser.com.au
Skin tone & texture
EMERGE Fractional Laser will reveal your beautiful skin from within!
Scan the QR code and
find your provider today!
The solution to stamp away wrinkles and scars
STIMULATE MY SKIN!
Wrinkles, Wrinkles, Wrinkles! I look in the mirror and it’s all I see.
I honestly don’t want to have a laser resurfacing treatment. The
thought of this, seems extreme, aggressive and I’m not ready for
that (just yet). I really want something more but my
skincare isn’t refining my skin enough.
What is the middle ground?
Collagen Induction Therapy (CIT)
Dermastamp - Collagen Induction Therapy procedure works by stimulating
your own body’s collagen. Your body will start to naturally regenerate the skin. It
will only take up to 6 weeks before visible signs of regeneration are seen & the
process will continue over the following months, providing you with a gradual &
long lasting enhancement. The Dermastamp also utilises INFUSE-AS-YOU-GO
technology to instantly infuse anti ageing ingredients deep into the skin to give it
an instant hit of stimulation. You will arise with instantly softer, more supple skin!
You’re going to love this treatment!
• Results can be seen within 6 weeks
• Instant Collagen Stimulation
• Instantly Hydrating
NSW / VIC: VIC:
BALGOWNIE BEAUTY + MEDISPA
133 Balgownie Rd, Balgownie
02 4284 5602
10 Henrietta St, Double Bay
1300 138 797
COSTAL PLASTIC SURGERY
127 Orina St, Gosford
(02) 4365 0406
DR SARAS & CO.
Annandale, Double Bay, Miranda
02 9692 9929
INFINITY SKIN CLINIC
L1, 357 Military Rd, Mosman
02 9904 3500
PEACH COSMETIC MEDICINE
330 Oxford St, Paddington
02 9368 0100
4/59-75 Grafton St Bondi Junction
(02) 9387 3900
L22/520 Oxford St, Bondi Junction
02 9386 1533
Shop 2, 220 Elgin St, Carlton
1300 513 913
DERMAL AESTHETICS MEDISPA
Suite 10, 51-55 City Rd, Southbank
(03) 9699 3177
ELIXIR DE BEAUTE
475b St Kilda St, Elwood
03 9537 7355
LAVISH SKIN CLINIC
414 Toorak Rd, Toorak
03 9827 9243
VIC / ACT:
1/1001 Point Nepean Rd, Rosebud
03 5982 0610
Ground, Equinox 2, 70 Kent St, Deakin
02 6281 3294
The solution to stamp away wrinkles and scars
THE ISSUE OF SCARS!
Acne Scars are a real concern for many. In this day and age of
perfection, it’s the one thing that is instantly noticeable in photos,
instantly noticeable on your first date and instantly on your mind when
you think of your skin…
Did you know that to fix this issue is actually very simple
and very inexpensive to treat.
Scar Reduction Therapy (SRT)
Dermastamp - Scar Reduction Therapy procedure works by releasing old
fibrotic scar tissue deep within the skin. Scar tissue is what creates visible
scars on the skin’s surface. The treatment will repair the skin naturally,
working below the surface in the dermis. This takes time as new collagen
& elastin fibres are formed, softening scars, generating new skin cells &
enhancing blood supply.
• Results can be seen within 6 weeks
• Treatment time can take 5 mins
• Inexpensive to treat
• 70-80% improvement of scars
• No downtime
QLD / NZ:
LASERWAY ON DAVEY
173 Davey St, Hobart
03 6223 8981
DR SERENE LIM
206 Sterling Highway, Claremont
08 9285 5100
COSMETIC ELEGANCE CLINIC
Suite 102, 15 Scott St Toowoomba
07 4638 2700
LLOYDS NORTHSIDE CLINIC
81 Phillip St, Mount Pleasant
07 4942 9910
Centro On Nathan - Crn Fulham
& Nathan St Townsville www.
skinworx.com.au 07 4779 3333
VICTORIAS COSMETIC MEDICAL CLINIC
Suite 16, 11 High St, Launceston
03 6331 0377
KAREN BOWEN DERMAL THERAPIST
Shop 4, 4 Sleat Rd, Applecross
08 9316 3836
DR BRETT TOWNER @
Capalaba Medical Centre
189 Old Cleveland Rd, Capalaba
07 3245 9600
2 Short St, Southport
07 5509 4488
THE FACE PLACE
L2, 4 Vulcan Lane, Auckland City
0800 226 869
YOUNGER YOU MOBILE CLINIC
covering perth + surrounding
0478 616 781
INTEGRITY PARAMEDICAL SKIN
PRACTITIONERS Village 15/1932
Logan Rd Upper Mt Gravatt www.
integrityskin.com.au 07 38494111
Suite 2, 200 Mulgrave rd Cairns
07 4041 5770
LASER CLINICS NEW ZEALAND
7/28 Remuera Rd, Newmarket
09 550 2664
Statina Healthcare is committed to
providing high quality post-surgical
garments and scar treatments to
ensure optimum results.
Raineywear garments are a primary resource for
post-surgical compression garments for plastic
and cosmetic surgery.
Gentle support and compression
Breathable DuPont Power Lycra fabric
Suitable for Breast Augmentation, Facelift,
Liposuction, Arm (brachioplasty), Tummy
Tuck (abdominoplasty) and Male Chest
Carefi x garments have been created to provide
functional comfort for the recovery period
following a surgical procedure.
Suitable for Breast Augmentation,
Reduction, Reconstruction, Mastopexy,
Lumpectomy and Radiation.
Biodermis provides the most comprehensive
range of scar management products providing
its silicone gel technology to dermatologists and
plastic surgeons world-wide.
Statina Healthcare Australia P 1300 365 404 F 1300 308 259 W www.statina.com.au
FACIAL REJUVENATION &
Reduce the signs of ageing with
natural-looking results for a
refreshed and youthful appearance
ACHIEVE THE ULTIMATE
Gain confidence in your body
again with Liposonix.
The Liposonix treatment uses noninvasive,
high-intensity focused ultrasound to target
fat around your trunk and lower extremities
(abs, flanks, hips, thighs, and buttocks)
Find a practitioner in your area:
Make sure every day is your
skin’s premiere with Thermage.
Thermage procedures can help smooth and
contour your skin for an overall younger
looking appearance in a single treatment.
Find a practitioner in your area:
© 2013 Solta Medical, Inc. All rights reserved. Thermage and Liposonix are registered trademarks of Solta Medical, Inc. or its subsidiaries.
Thermage side effects are generally mild and may include redness, swelling and mild/moderate pain during treatment. Potential risks include itching, blanching, blisters, bumps, burns,
scabbing, scarring, bruising pigment changes, altered sensations, surface irregularities, and herpes reactivation.
The Liposonix system is for use when there is at least 1.0 cm of subcutaneous adipose tissue beyond the selected focal depth setting of the system in the area to be treated. Most frequently
reported side effects during Liposonix treatment are discomfort, pain, cold, prickling, tingling, or warmth. Treatment is contraindicated for patients who are pregnant or suspected to be
pregnant. The most frequently reported side effects after Liposonix treatment are pain (discomfort), bruising, redness, and swelling, which are generally described (or rated) as mild.
Dr Alex Phoon
MBBS BSc (Med)
Level 4, 75 Grafton Street Bondi Junction NSW 2022
Telephone 1300 SILKWOOD or 1300 745 596
Dr Pouria Moradi
MBBS BSc (Med)
Level 4, 75 Grafton Street Bondi Junction NSW 2022
Telephone 1300 SILKWOOD or 1300 745 596
Dr John Flynn
Dr John Flynn
Use your fat to redefi ne
your body shape
Rediscover youthful contours
and subtle curves with
stem cell enriched fat transfer
Cutting Edge Cosmetic Enhancement
Stem cell therapies help us build on the results we can
already achieve with fat transfer procedures. We can harvest,
activate and reinject these powerful cells from your
own body to help restore volume lost with age or add subtle
shape to the face, breasts and buttocks
Scientifi c Backing
With access to the latest in stem cell technology and
research from Monash University, our adjoining laboratory
has a strong scientifi c backing, helping us achieve outstanding
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
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 | email@example.com
Dr John Flynn
20/4/09 9:01:39 AM
cosmedic& skin clinic
Dr John Flynn
| 38 Automotive Drive Wangara WA 6065 Tel 08 9409 5433
| 1800 242 011 | SA | NT | NSW | WA | QLD | VIC | Available at selected clinics and professionals
“A Skinny Jeans Day”
Exilis redefines Non-Invasive body & facial treatments.
Melt away centimetres, the non-surgical way.
AFTER BEFORE AFTER
Your Exilis Specialist Clinic
NEW SOUTH WALES
Dr Michael Miroshnik
1300 854 610
Face Today Mediclinic
1300 668 573
Alpha Cosmetic Clinic
Dr Phil Caraiscos
02 9579 2777
Face Today Mediclinic
07 4053 3021
Dr Mark Magnusson
1300 662 960
Sunshine Vein Clinic
Dr Hugo Pin
1300 698 346
Rejuvenex Medical Aesthetic
& Laser Clinic
03 9877 2366
Launceston Plastic Surgery
Dr Gary Kode
03 6334 9313
Bramis Facial Rejuvenation Clinic
Dr Mela Brankov
08 6161 5425
Dr Joanna Teh
08 9205 1995
E: firstname.lastname@example.org | W: www.device.com.au/exilis
spring with our
433 Crown Street
02 9699 2667
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Look and feel good, from top to toe
Dr Joseph Georghy & Dr Vera Georghy have
over 65 years of clinical experience between them.
EXCLUSIVE COSMETIC SERVICES
Dr Georghy is a world pioneer in PhotoTherm ® , a revolutionary
procedure used to improve the appearance of rosacea, acne and acne
scarring, freckles, moles, age spots, large pores, wrinkles, vitiligo,
pigmentation, cellulite, scars and keloids.
Dr Georghy has developed HelioTherm ® , an exciting new procedure
designed to reduce fat deposits and improve the tone and texture of the
skin. Ideal for reshaping the abdomen, thighs, buttocks and other areas
with no downtime. Call today for more information.
Other services include
• Superbug acne therapy
• Scarless facelift
• HelioTherm ® Facelift
• Wrinkle reduction
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• Breast reduction (non-surgical)
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COMPREHENSIVE DENTAL SERVICES
Discover the smile of your dreams thanks
to dental services from Dr Vera Georghy
• Painless dentistry
• Porcelain veneers, crowns and bridges
• White fi llings
• Old fi llings replaced
• Preventative dentistry
• Home bleaching
• Mouth guards
Cleaning, scaling &
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
Voted Clinician of the Year 2009 San
313 Pacifi c Highway
North Sydney NSW 2060 (Opposite Hazelbank Rd)
02 9956 7200
Because nothing is more natural than you TM
Because nothing is more natural than you TM
Get your skin
glowing this spring
Improve fine lines, skin tone and texture
A treatment for your skin based
on your body’s own processes
Selphyl treats the root cause of skin aging
by triggering tissue regeneration and collagen
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or artificial components.
Platelet-rich plasma is extracted from a small
amount of your blood and used to treat desired
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Selphyl helps restore the youthful appearance
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Ask your physician today if Selphyl is right for you
For more information please contact us
*ALWAYS READ THE LABEL. USE ONLY AS DIRECTED.
YOUR HEALTHCARE PRACTITIONER WILL ADVISE
WHETHER SELPHYL IS SUITABLE FOR YOU.
26 Editor’s letter
44 Where does that come from?
189 How to subscribe
62 The never ending story
Is hGH the key to anti-ageing?
70 Love the skin you’re in
Discover ultimate skin perfection
74 Skin SOS
Is your skin crying out for help?
78 Diet and the skin
80 Smoking and your skin
Kick the habit and see results
140 By a nose
Your guide to rhinoplasty
155 A combined approach
Thermage and Ulthera
206 Reveal a radiant complexion
Exfoliators and face masks: your
new beauty essentials
46 ASAPS 2013
Behind the scenes at Port Douglas
50 Cosmetex 2013
54 Petition for safety
Raising standards for patients
58 Ready, set socialise!
Why clinics are embracing
60 Putting age management
on the agenda
The Sydney Spa & Beauty Expo
62 The never ending story
64 Forever young
The role of IGF-1 in
66 Generation Regeneration
70 Love the skin you’re in
Discover ultimate skin perfection
74 Skin SOS
Is your skin crying out for help?
78 Diet and the skin
80 Smoking and your skin
Kick the habit and see results
82 Best face forward
84 3D Rejuvenation
90 See the light
94 A journey of positivity
Facing up to pigmentation
96 Skin needling
Discover the latest advances in
skin needling technology
102 A facial like no other
104 Stem cells and skincare
Facing up to pigmentation
106 Skin deep
114 Heal over
116 Unlock your beauty potential
120 Patient case studies
128 Tailored to fit
How procedures are tailored to
130 Consult for success
Your breast augmentation
134 Big decisions
136 Compression garments
140 By a nose
Your guide to rhinoplasty
144 With great finesse
146 Structural rhinoplasty
Creating long-lasting noses
148 A nose for detail
Why the nose is often just the
beginning of your rejuvenation
150 Reshaping the nose
152 Full face rejuvenation
Modern facelift techniques
The fi rst 10 subscribers receive a free home
care Dermaroller valued at $150 each
Did you know that as little as three per cent of
the skincare products you apply to your skin
actually penetrate the surface? By rolling the
Dermaroller across your skin after applying
serums, the penetration of skincare can
dramatically increase by more than 200 times.
Use every night or every second night to start
to see softening of fi ne lines and wrinkles.
Visit www.genuinedermaroller.com.au to
fi nd out more.
see page 189
154 Composite facelift
156 Beauty through the ages
What to do in your 30s, 40s, 50s
160 Joined Forces
162 The TAN-Facial
Embracing the golden ratio
164 Guided by the light
The iGuide neck lift
166 Anti-wrinkle injections
168 The Angel Lift
176 Ignite your smile
Give your smile a makeover in
one visit to the dentist
178 Shape up
Some of the most popular body
180 Target stubborn areas
Non-surgical approach to
186 The personal touch
Invest in a personal trainer
192 When bigger is better
Male enhancement surgery
194 Speak out!
Tackling common female
196 Extended benefits
Get longer locks, fast!
198 I am woman
Red-carpet glamour everyday
beauty & spa
202 Beauty Buzz
The latest products to hit
beauty shelves near you
205 Editor’s favourites
206 Reveal a radiant complexion
Exfoliators and face masks: your
new beauty essentials
234 The body beautiful
Keep your body smooth and
supple with these skincare faves
RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 61 • AUG-OCT 2013
GET THE MOST FROM
YOUR GUIDE TO
HOW TO MASTER
LOVE SPECIAL FEATURE
62 Forever young
70 Love your skin
120 Real patients tell all
130 Big decisions
140 Nose surgery
178 Shape up for summer
196 Hollywood hair
Now you can subscribe online at
A medical approach
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by qualified nurses
“Clear Complexions is about healthy skin.
We fill a niche between a beautician and a
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with a medical approach. Our nurses achieve
real improvement in your skin and teach you
how to keep it healthy going forward.”
Suzie Hoitink RN, founder
of the Clear Complexions Clinics
Associate Member of the
ASCM and ACCS
To book your consultation with a nurse,
call the clinic today.
Aged & Tired Skin
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Acne & Acne Scarring
T 02 6251 8889
T 02 6231 0003
T 02 6241 7660
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FROM THE EDITOR
As you know, our last issue marked the 15 year milestone in the
life of Cosmetic Surgery and Beauty Magazine and I’ve been
overwhelmed by the interest and support shown by all of you
following our 60th issue.
The months that have passed since have been jam packed, not
only with a seemingly endless stream of interviews (scan the QR code
below to watch my interview on Sky News Business), but also with a
number of important industry events. We are as committed as ever to
our goal of bringing you the latest information on cosmetic procedures
as we were when we fi rst published our magazine, back in 1998, and
we’ve reported on each of these events in this issue. From page 46
you’ll fi nd photos and news from the 36th Annual ASAPS event, as well as Cosmetex 2013.
Earlier this year we asked you what you were most concerned about when it came to
your appearance. The vast majority of you fl agged your skin as your number one concern.
We listened, and this issue is packed with everything you need to ensure your body’s largest
organ – your skin – is in tip-top condition. Turn to page 70 to fi nd out how you can change
your diet and lifestyle to see visible improvements in your skin, and learn which procedures
are best suited to optimising its condition.
Our survey also revealed just how many of you have considered – or undergone –
rhinoplasty. It is consistently within the top fi ve most popular cosmetic procedures, so in this
issue we take a closer look at the techniques used to improve and correct the appearance
of the nose (page 140).
Our beauty shelves have been overfl owing with new products set to hit stands this spring
so our beauty and spa section is full of features you’ll love. Uncover the latest products
designed to keep your skin smooth and supple, and learn how and why you should be
introducing face masks and exfoliation into your beauty regime.
Don’t forget to join us online and let us know what you think of our latest issue. You can
fi nd us on Facebook (/cosmeticsurgeryandbeautymagazine) and, until the next issue, keep
up with the latest cosmetic news on cosbeauty.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 digital edition at www.zinio.com
AUG - OCT 2013
Stéphanie Blandin de Chalain
Lauren Alexander, Caitlin Bishop, Tara Casey,
Nicola Donovan, Evelyn Duffy, Lizzy Fowler
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find us on
bella beauty magazine,
All ‘before and after’ photographs in
Australian Cosmetic Surgery Magazine
articles are of genuine patients. It is
important to understand that they represent
one person’s experience and there is
no guarantee that any other patient will
experience similar results.
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,
02 9362 7400
Fax: 02 9328 6036
Dr Darryl J Hodgkinson
MB, BS (Hons), FRCS (C), FACS, FACCS
American Board of Plastic Surgery
Cosmetic Plastic Surgeon
The definitive website for all your cosmetic surgical queries. More than 50
megabytes of information and hundreds of Dr Hodgkinson’s outstanding results.
Ricky Allen Dr Leslie Baumann Dr Glenn Calderhead Dr John Flynn Dr Joseph Georghy Dr Doug Grose
Suzie Hoitink Val Glover-Hovan Dr Darryl Hodgkinson Eva Karpati Dr Jim Leavesley Dr Steven Liew
Dr George Marcells Dr Jennifer Martinik Dr Vlad Milovic Dr William Mooney Dr Colin Moore Dr Pouria Moradi
Dr Sarkis Nalbandian Dr Warwick Nettle Dr Benjamin Norris Dr Oseka Onuma Dr Alex Phoon Rita Porreca
Dr Arthur Swift Dr Tony Tan Dr Howard de Torres Dr Kourosh Tavakoli Terri Vinson
MBBS, BSc (MED), MS (UNSW),
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
New premises: Suite 1, 376 New South Head Road, Double Bay
Suite 10, 6 Meridian Place, Norwest Business Park, Bella Vista
1300 368 107 | drtavakoli.com.au
SKINBOOSTERS FOR DEEP SKIN HYDRATION
Skinboosters deliver deep skin hydration by holding water within
the dermal layer. Natural moisture levels are replenished from the
inside, creating smooth, firm and luminous skin on the outside.
For skin that glows from within, talk to your cosmetic practitioner
about Skinboosters or visit WWW.WRINKLECLINICFINDER.COM.AU
Galderma Australia, 13B Narabang Way, Belrose 2085, Australia. ABN 12 003 976 930.
Tel: 1800 144 944. Fax: 9986 1699. EMVGAL0082b Last revised July 2013.
The Australasian College of Cosmetic Surgery
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
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
If doctors display this Seal,
you can be assured they
comply with the College’s
exemplary standards of its
Code of Practice, available
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
& 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.
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
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
17 Gerard Street Cremorne NSW 2090
For more information call
02 9953 4189
Fax 02 9953 4358
I AM RED-CARPET READY
DISCOVER HOLLYWOOD HAIR
AT I AM THE SALON
128 CASTLEREAGH STREET, SYDNEY | 02 9268 0099
Dr Tan and his team at Beauty Logic
offer a combination of non-surgical and
surgical treatments in an exclusive,
‘‘My aim is to release a patient’s natural beauty potential...
to create the best version of you, rather than a different you’’
• Dermal Fillers
• Anti-Wrinkle Injections
• Platelet Rich Plasma
• Thread Lifting
• Chemical Peels
• Micro Needling Therapy
• IPL Therapy
• Laser Hair Removal
• Intravenous Nutrients
• Acne Management
• Non Surgical
Dr Tony Tan
Specialist Cosmetic Physician
MB BS, Bachelor of Science
• Associate member of the Cosmetic Physicians
Society of Australasia (CPSA)
• Member of the American Academy of Aesthetic
• Member of the Australasian College of
• Member of the A4M
• Member of the ACNEM
Phone 1300 196 196
196 The Boulevarde Fairfi eld Heights NSW 2165
CATCH UP WITH THE LATEST IN THE INDUSTRY...
The news that Angelina Jolie – one of the world’s most glamorous women –
had undergone a double mastectomy at the age of 37 stunned the world and
brought a very relevant debate to the forefront of international media in May
this year. As a carrier of the BRCA1 gene, Jolie had been faced with an 87%
chance of developing breast cancer in the future. She therefore opted to undergo
her procedure as a preventative measure – bringing her risk of developing the
disease down to just 5%
It’s a similar journey to that undertaken by Krystal Barter, founder and director
of Pink Hope, whose national campaign ‘Bright Pink Lipstick Day’ will take
place on September 20th. ‘I never thought in a million years that I would have
something in common with Angelina Jolie,’ Barter says. ‘When I found out it
stopped me in my tracks. For someone like her to share her story gives hope to
those affected by the gene.’
Barter founded Pink Hope in 2009, after her experience meant she had to seek
help and advice from overseas. She hopes her experience, along with Angelina
Jolie’s announcement, will give hope for the future of those suffering from the
rare genetic disorder. Since Jolie’s revelation, Cancer Council Victoria says there
has been a massive 1033% increase in the number of calls its helpline receives.
‘Angelina coming out with this publicly has seen hundreds of helpline calls from
women mentioning her name as a basis for their call,’ says Cancer Council NSW
helpline program manager Lorna O’Brien. ‘People are really wanting to live well
and be healthy, and they see that she’s done it, so they realise that they can.’
GEELONG PLASTIC SURGEON HELPS CLEFT
PALATE AND BURNS VICTIMS IN PACIFIC REGION
Eleven per cent of the global burden of disease can
be treated with surgery, yet two billion people around
the world have no access to basic surgical care. In
fact, healthcare systems in some of Australia’s closest
neighbouring countries simply aren’t robust enough to
meet the extensive needs of the population.
Principal plastic surgeon and founder of Australian
Skin Face Body (ASFB) clinics, Mr Ian Holten, is donating
his services to help bridge this gap and change the lives
of children in the Pacifi c region.
Mr Holten volunteers his services through Interplast,
a not-for-profi t organisation that, since 1983, has been
working in developing countries such as Papua New
Guinea and Burma to help bring about change.
‘My work with Interplast is some of the most rewarding
I do,’ says Mr Holton, who has recently returned from
volunteering in Interplast’s partner countries in the
Pacifi c, including Vanuatu and Fiji.
‘The people we treat, mainly children, have the most
beautiful spirit,’ he adds. ‘There are many patients and
families who are so grateful. I see the families years later
and hear about how happy the children are and the
difference the surgery has made to their lives.’
Mr Holten regards working for Interplast as a privilege
and an honour, and takes time out from his day-to-day
role as principal surgeon at Australian Skin Face Body
clinics to perform a number of vital services whilst
‘Interplast work is about teaching and being taught,’
says Mr Holten. ‘It provides an opportunity to learn
about new cultures and hear about both devastating and
inspirational stories. It’s life changing work.’
presents at ICAPS
Sydney plastic surgeon Dr Darryl Hodgkinson
was recently honoured to attend the International
Consortium of Aesthetic Plastic Surgeons (ICAPS)
meeting in Singapore. A gathering of international
surgeons, Dr Hodgkinson was pleased to spend time
with like-minded, world class colleagues discussing
peer-reviewed literature and research.
Whilst at the conference, Dr Hodgkinson gave
presentations on his face and neck lifting procedures
as well as breast augmentation and diffi cult cases
with chest wall deformity. He also presented papers
on rhinoplasty and nasal reconstruction.
take the quiz
Best selling author and internationally
renowned dermatologist, Professor
Leslie Baumann, took time out of
her busy schedule to chat to CSBM
during her recent trip Down Under.
She told us of the importance of
selecting a home skincare regime specifi cally tailored to
your own skin type – something discussed at length in her
book The Skin Type Solution. If you’re not sure what your
skin type is, pick up a copy of the book or head to Professor
Baumann’s website, where you’ll fi nd a comprehensive quiz
designed to accurately diagnose skin type.
‘The quiz will tell you whether you’re oily or dry, sensitive
or resistant, wrinkled or fi rm and pigmented or not,’
Professer Baumann says. ‘My favourite thing in the world is
when someone comes up to me and tells me what skin type
they are: I get so happy because it means we’re starting to
all speak the same language. When we start speaking the
same language, doctors, department store physicians and
clinic nurses will all be able to communicate more effectively.
At the moment there is no consistency across skin care.’
With a vision to establish a universal language in
addressing skin types, Professor Baumann hopes to
transform skincare into something uniform and seamless
between clinics, surgeries and retailers around the world.
Drink more water,
lose more weight
It’s the simple solution dieters have been waiting for: a fast and
proven way to lose more weight, that doesn’t involve exhausting
workouts or expensive meal plans. Simply by upping their
intake of water, dieters can look forward to greater weight loss,
according to a new review of existing studies.
Published in the American Journal of Clinical Nutrition, the
review was led by Rebecca Muckelbauer, a researcher at the
Berlin School of Public Health, Charité University Medical Center
As a nutrition researcher, Muckelbauer was often asked by
patients whether they should drink water to lose weight, yet
she didn’t have an accurate response. She therefore decided to
examine all the existing studies on weight and water consumption.
Of the 11 studies that fi t her criteria, Muckelbauer discovered
that three showed an increase in water intake among dieters was
tied to greater weight loss. One showed that those who drank
two cups of water before a meal lost four pounds more than
those who didn’t drink extra water; whilst another showed that
women who increased their water consumption whilst dieting lost
more weight than those who consumed less than a litre a day.
Although the study does not reveal exactly how water helps
people shed pounds, Professor Brenda Davy, who was involved
in some of the earlier studies, believes water quashes feelings
of hunger, helping study participants reduce their calorifi c intake.
Muckelbauer agrees that increased fullness is the most likely
explanation, but says that another possibility is something called
‘water-induced thermogenesis’. ‘Drinking water itself increases
energy expenditure of your body,’ she explains. ‘It has an energy
consuming effect. This is not very well studied.’
An estimated 65% of healthcare professionals now
regularly take clinical photos with smart phones. Yet
most are not aware of the legal ramifi cations of such
a practice. Melbourne-based app development
and brand-building company, ProjectProject, has
recently released a unique mobile photography
app designed to help healthcare professionals
comply with electronic health record and patient
privacy legislation. PicSafe Medi allows healthcare
professionals to safely snap, transmit and securely
store patient-consented clinical photos.
‘PicSafe Medi was designed to meet a real-time
problem head on. With the majority of healthcare
professionals surveyed out there now using their
own camera-equipped smart devices in their
practices, these devices clearly benefi t our patients
by helping us do our jobs better and more effi ciently,’
says Dr Ted Carner, a key founder of the PicSafe
Medi solution and system.
Pre-PicSafe Medi, however, no secure,
standardised system existed for safely using these
devices within a medical setting.
Farewell to the Father of Topical Antioxidants
The dermatology community lost a leader in the fi eld of antioxidant technology and skin
cancer protection earlier this year when Dr Sheldon Pinner, often referred to as the founding
father of topical antioxidants, passed away aged 76.
Dr Pinnell, who was an internationally eminent scientist and dermatologist, passed away
peacefully in Durham, North Carolina on Thursday, July 4, 2013.
Dr Pinnell’s investigative research has changed the way the world uses topical antioxidants
today, and he leaves behind an impressive legacy. The fi rst to patent a stable form of vitamin C
proven through peer-reviewed research to effectively penetrate skin, delivering eight times the
skin’s natural antioxidant protection, Dr Pinnell also led major advances in the understanding
of skin biology and the pathogenesis of skin diseases.
Dr Sheldon Pinnell
Clear Complexions arrives in Sydney
A fi nalist in last year’s Telstra Business Women’s
Awards, Suzie Hoitink has this year expanded her
Clear Complexions Clinics from its base in Canberra to
Sydney’s inner west, opening a new clinic in Balmain.
‘We have plans for more clinics in Sydney and are
exploring those options now,’ says Hoitink, who was
driven to create her award-winning business because of
her own personal struggle with poor skin.
Now a registered nurse, Hoitink founded Clear
Complexions in 2005 and it proved an instant success.
‘I made it mandatory that only nurses or doctors treat
clients,’ she says. ‘This has allowed us to source
equipment that wasn’t available to those individuals
without a medical background.’
The new clinic is located on Balmain’s Rowntree
Street, and is open Monday to Saturday.
Celebrating 18 years!
The Double Bay Day Surgery, located in Sydney’s exclusive
Double Bay, is celebrating its 18th Birthday! Twenty years
ago, Dr Darryl Hodgkinson bought a two storey building
in Double Bay and converted it into a fully licensed and
accredited day surgery hospital. Since then, more than
10,000 cases have passed through the Double Bay Day
Surgery and it has continued to expand.
Nearly two decades since the doors fi rst opened and
some members of the original operating room staff are
still assisting Dr Hodgkinson in performing facelifts and
eyelid surgery, rhinoplasties, breast surgery, liposuction
and tummy tucks as well as reconstructive procedures
such as skin cancer resection and reconstruction with a
From Italy with Love
Italian surgeon Dr Ciro Accardo made his annual
trip to Australia in June this year to share his latest
techniques in thread lift surgery. Hosted by Mara
Aesthetics, Dr Accardo spent time at YOU Clinic
in Mosman, demonstrating to Australian surgeons
his advanced thread lift procedures for neck lifting
and lip augmentation as well as a new microsuturing
Dr Accardo also addressed a packed out
crowd at a symposium held at the InterContinental
in Sydney where he provided an overview on the
latest advancements in absorbable thread lifting
techniques from Europe.
Earlier this year, more than 100 Australian Dermalogica
Skin Therapists returned from what they described
as an ‘absolutely incredible’ symposium in Kuala
Lumpur, Malaysia. Held in June, the conference was an
opportunity for the extended Dermalogica team to gain
insight from some of the most infl uential professionals in
the skincare industry.
The Symposium covered the latest cosmeceutical
ingredients and treatments in the medical setting and
also offered business advice for salon owners.
The Power of One Symposium offi cially opened with
a poolside cocktail party on the evening of Sunday 9th
June. The guest speaker line-up included the inspiring
CEO and Founder of Dermalogica, Jane Wurwand,
Vice President of Research and Development, Dr Diana
Howard and Education Manager of Australia, Asia and
New Zealand, Emma Hobson.
To celebrate a successful symposium, the Malaysian
Team hosted a Gala Dinner for all international guests,
including attendees from New Zealand, Thailand,
Vietnam and the UAE. Traditional Malay Drum
musicians entertained throughout the eight course
banquet, and a live band had everyone on the dance
fl oor well into the evening.
You heard it here fi rst!
A new paramedical clinic called Cosmedic
Professionals is due to open in Five Dock in
September this year. This exciting new venture is
set to help men and women in the local area with
all their inner and outer needs. Look out for more
information in our next issue!
To coincide with our 15 year anniversary, we’ve given our
corporate website, www.bellamedia.com.au a facelift.
The launch of the new website, which offers easier
access to our latest news, service offerings and vast content
network, is part of our ongoing efforts to enhance the quality
and availability of information to new and existing clients as
well as to you, our loyal magazine and website subscribers.
The updated website is also a refl ection of the
considerable advances we have made in the last 12 months
with the launch of our digital lifestyle channels SAGE Living,
Single File and Destination Bali; and of our expanded service
offerings, with web design, custom publishing and social
networking now a key focus.
‘I am thrilled with the launch of the new website. Having
launched Bella Media 15 years ago, we felt it was time to
update the look and feel of our corporate website to better
refl ect the quality and diversity of work we perform for our
clients,’ says Cosmetic Surgery and Beauty Magazine’s
editor-in-chief, Michelle Kearney.
‘Although we’re well known as the publishers of Cosmetic
Surgery and Beauty Magazine, many people aren’t aware of
our integrated marketing and PR services, our experience
in event management, our custom publishing branch and
our digital expertise,’ she adds. ‘I believe the new website
will help communicate these services with both new and
existing clients and with our loyal magazine subscribers.’
What’s keeping Hollywood
looking and feeling young?
The Secret that ALL Hollywood Stars Know About is Rewind High Potency IGF-1
Celebrities and Elite Athletes alike have known for some time
that the answer is IGF-1. Using IGF-1 they are losing weight and
have the energy levels of someone 20 years younger. But not just
‘Vigor in a bottle’. Research suggests IGF-1 can also improve your
immune system and heart health as well as aid with arthritis and
bone density. You’ll likely look younger, feel stronger and have the
energy to do all the things you used to enjoy when you were young.
As endorsed by award winning biologist Dr. Bill Andrews.
So how does Rewind work?
Research suggests most of the feel good, look good benefits of hGH
come when it converts to IGF-1. The Hollywood stars and wellto-do
have been paying thousands for
hGH therapy. It is costly and invasive
and now with the discovery that
IGF-1 is actually the magic behind
this hormone’s anti-aging properties
there is no need to take synthetic
injectables. Rewind is a naturally
sourced, high potency IGF-1
supplement. Simply take one
yummy tasting sub-lingual
lozenge a day. And you won’t
believe how affordable it is!
Use only as directed. Always read the label.
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Dr Howard C. De Torres
PhC, MBBS, FRCS.Ed, FRACS
Fellow of the Royal Australian College of Surgeons
Member of the Australasian Society of Aesthetic Plastic Surgeons
Member of the Australian Society of Plastic Surgeons
Registered specialist plastic surgeon
specialising in cosmetic surgery
Over 30 years experience
• Face & neck lifts
• Nose surgery
• Breast enlargement
• Breast reduction & lift
• Eyelid surgery
• Brow lifts
• Bat ears
• Calf implants
• Skin Cancer Treatment
Ph 02 9327 5599
Main Office Suite 504
180 Ocean Street, Edgecliff NSW 2027
(Above Edgecliff Station)
And also at 92 Old Prospect Road
Wentworthville NSW 2145
(near the junction of the M4
and Cumberland Highway)
WHErE DID THAT CoME froM? IN HIS rEgULAr CoLUMN DR JIM LEAVESLEY
ExAMINES THE HISTorY AND orIgINS of A MEDICAL ToPIC.
In 1938, when I was a young schoolboy troubled by
recurrent asthma, my doctor called to see me. Doctors
did lots of home visits in those days and, after checking
me over, out of the blue he said, ‘Mary Mallon has died’. It
meant nothing to me. ‘Mary who?’ I asked, as would have
most people. Although the name stayed with me, it wasn’t
until I was a final year medical student in 1953 that I found out
the impact this mystery woman had made on medical history.
The story goes that for over 30 years Mary Mallon had
made her way through New York society like a latter-day
grim reaper, dispensing with deadly and feckless abandon
the serious and often fatal bowel infection, typhoid. She
became known as Typhoid Mary.
Although the name stayed with
me it wasn’t until I was a final
year medical student I learned of
the impact of Mary Mallon on
The disease was not universally fatal but, up until around
1947 when antibiotics became available, about five per
cent of those who recovered from typhoid fever remained
long term carriers of the causative bacteria, which happily
shed germs into the bowel from their life-long hiding place
in the former sufferer’s gallbladder.
The bacillus was not fussy about its victims and over
the centuries has afflicted some notable historic figures.
Queen Victoria’s consort, Prince Albert, died of typhoid and
her son, Edward VII almost succumbed. In fact, of all the
deaths that occurred during the American Civil War, typhoid
accounted for almost 33 per cent. In passing, another third
died of other diseases and only a third of the deaths were
as a result of heroic circumstances: which brings us to New
York in 1900.
In September that year, a young man died of typhoid
in a house in which Mallon was working as a general
maidservant. The following year she was employed by a
lawyer in Maine and, within a fortnight, seven of the eight
members of the household came down with the disease.
Mary worked unstintingly in the sick bay situation she
had unwittingly created and was given a US$50 bonus
for her trouble. It was only years later after widespread
investigations that she and the disease were connected.
Ignorant of her role in infecting others, Mary moved from
house to house as a cook. As a wit wrote of the saga, ‘The
cook was a good cook as cooks go. And as good cooks
go, she went’.
Whilst working on Long Island in 1909, six of the 10
residents fell ill, and still there was no connection. With
3,467 cases in New York that year and 639 deaths, a 60
per cent death toll in one house was not regarded as a
public health scandal at the time. However, a Dr Soper did
smell a few drains at the house, toilets and the local clams,
but nothing stood out. ‘Well’, he reportedly wondered
aloud, ‘Has anyone eaten any exotic food ?’
The cook’s tangy ice cream was everyone’s favourite. It
raised the good doctor’s suspicions, but by now Mary had
left and it took Soper six months of working through houses
grief stricken from typhoid deaths to fi nd her. By now he
knew she was a 40-year-old single women from Northern
Ireland and he eventually found her in a Park Avenue top
Knowing Mallon’s quick temper, as he approached her
he wondered aloud in a well-rehearsed circumlocutory
way if she could see any possible connection between
herself and the trail of people with hectic temperatures,
greenish diarrhoea, rose coloured spots and prostration
she left behind her. Symptoms that could be taken for, ‘Er,
Her answer was short, to the point and impressive: she
attacked him with a meat cleaver. He bolted and so did she;
he to the police and she to the outside toilet.
New York’s fi nest turned up and the sergeant shouted
through the toilet door that he believed Miss Mallon could
help with their enquires. Her answer was uncompromising,
succinct and hurtful to police sensitive about their
parentage. The door was broken down and the suspect
was removed kicking and screaming to the Riverside
Hospital for Communicable Diseases. Her stools were
examined and it came as no surprise to anyone they were
teeming with typhoid bacilli.
It fell to Dr Soper to inform Mary she was the carrier
of a dangerous condition from germs lodging in her gall
bladder. Further – and he must have braced himself for this
– the treatment was simple: removal of the gall bladder. The
negative response can be well imagined; fortunately anything
that could be used as a missile had been removed.
Mary Mallon was kept brooding in the hospital for three
years. She worked in the laundry (not kitchen, mercifully)
while she honed to perfection a heart rending, derring-do
story for which her country folk were famous. The upshot
was that she was released, promising with all the vehemence
she could muster only to work in a laundry and report to the
Health Department every three months for tests.
She promptly disappeared, changed her name to Mrs
Brown and got a job as, somewhat unsurprisingly, a cook,
plying her trade round New York city where unsuspecting
gourmet trenchermen wolfed down her terrifi c ice cream
and other typhoid-ridden gobbets.
In 1915 there was a serious outbreak at the Sloane
Hospital for Women where she worked. In a moment of
ingenuous banter another cook called her Typhoid Mary
whereupon to everyone’s surprise she fl ed. She was caught
on Long Island and gave up like a lamb. Returning to
Riverside Hospital she was given a life sentence of custodial
care, gall bladder intact. Mary worked in the laboratory
and the management even built her a small cottage in the
ground. The fi ght had gone out of her and she had a stroke
in 1932, dying, as I say, in 1938 secreting the lethal bacilli
to the end.
Her peripatetic history was traced and it seems for certain
she was associated with 10 outbreaks of the fever involving
53 cases and three deaths, and possibly responsible for the
1904 outbreak at Ithaca, New York State with 1400 cases.
Typhoid Mary touched scores of lives with her unique
brand of ice-cream, terrorised dozens of policemen,
insulted numerous health workers and put the breeze up
countless doctors. You cannot ask for much more than that
out of life. csbm
PORT DOUGLAS PLAYED HOST TO
THE 36TH ANNUAL AUSTRALASIAN
SOCIETY OF AESTHETIC PLASTIC
SURGERY MEETING IN JULY THIS YEAR.
CAITLIN BISHOP REPORTS.
The wind-swept palm trees, azure ocean and inviting
climes of north Queensland were a welcoming
backdrop when a mix of plastic surgeons from
Australia and overseas descended on Port Douglas for
the 36th Annual Australasian Society of Aesthetic Plastic
Surgeons (ASAPS) conference in July this year.
The conference’s theme, entitled ‘The Great Barrier Reef:
Multi-Modalities in Facial Rejuvenation’ promised much
in the way of educational talks and inspiring discussions,
not-to-mention exciting social events. July 9th saw plastic
surgeons from around the world arrive at the Sheraton
Mirage in Port Douglas where a luxurious scene – complete
with poolside sun beds and beachside villas – was set for
the five-day meeting.
The ASAPS 2013 keynote speakers included three US
surgeons, including plastic surgeon and urologist, Dr Gary
Alter, plastic and reconstructive surgeon, Dr A Jay Burns
and plastic and aesthetic surgeon, Dr Timothy Marten.
Unfortunately, due to flight delays, Dr Marten was unable to
attend the conference in person and instead gave his talks,
covering all aspects of facelifting, via Skype.
As part of a comprehensive delegate program, Dr Burns
spoke about the surgical and non-surgical options for
treating the ageing face. He spoke about his experiences
using various lasers for facial rejuvenation, different
techniques for surgical facelifting and minimally invasive
approaches for treating fat, cellulite and ageing skin. With
an audience of experienced surgeons, these talks were
met with lively discussion and a dynamic question time.
Dr Burns shared his tips for managing both the surgical
and non-surgical elements of his practice, showing equal
passion and enthusiasm for each facet of his clinic.
Encompassing a somewhat contrasting theme, Dr
Alter, who is internationally recognised for his work in
genital reconstruction and rejuvenation, spoke on genital
aesthetics, surgery and reassignment. He gave talks on
his approach to labiaplasty, his techniques for clitoral hood
augmentation and his approach to correcting the buried or
Describing genital surgery as a speciality that is
sometimes overlooked, he encouraged the surgeons in
the audience to learn from his sessions, ensuring they are
equipped to answer the questions and, in some cases,
address the concerns of patients seeking genital surgery.
While the program covered everything from
blepharoplasty to breast augmentation, the social program
was similarly assorted. The traditional welcome reception
involved cocktails by the pool and was accompanied by
live music, sumptuous canapés and flowing beverages.
From here, the program diversified. Yoga on the beach,
‘Pinot and Putting’ on the golf course and star gazing on
the dunes saw surgeons and their families, media and trade
relax and enjoy the social setting; a scene enhanced by the
stunning, tropical backdrop.
As part of the conference, delegates were also treated
to a low isles cruise to the Great Barrier Reef – an afternoon
of snorkelling, stand up paddle boarding, beach walking
and sun bathing proving the perfect antidote to hours of
concentration in the lecture hall.
Back to business and Saturday marked the close of
the conference program with informal presentations given
by Dr Alter and Dr Burns. Revealing the contrast between
their personal and professional lives, those in the audience
were left with a greater appreciation of the personalities,
professionalism and experience of the surgeons who had
travelled so far to take part in ASAPS 2013.
The conference came to an end with a successful Gala
Dinner, which saw delegates welcomed by men on horse
back to a paddock surrounded by reeds, as the sun set
over the hills.
A happy end to a successful week, the ASAPS
conference dispersed on Sunday, July 15, with surgeons,
trade and media returning to their cooler-clime hometowns.
After five days of discussion, networking and education,
Australia’s plastic surgeons left the meeting inspired to
incorporate fresh ideas and renewed passion into their
practice in aesthetic plastic surgery. csbm
THIS YEAR’S COSMETEX CONFERENCE TACKLED TWO IMPORTANT ISSUES FACING
THE COSMETIC ENHANCEMENT INDUSTRY. CAITLIN BISHOP REPORTS.
As the first chills of winter crept into Melbourne,
cosmetic and plastic surgeons, dermatologists,
cosmetic physicians and nurses descended on the
Victorian capital to take part in Cosmetex 2013.
Organised by the Australian College of Cosmetic
Surgery (ACCS), Cosmetex welcomed an authoritative
team of keynote speakers from around the globe, including
Canadian plastic surgeon Dr Arthur Swift and Professor
Leslie Baumann, a US cosmetic dermatologist and author
of New York Times bestseller The Skin Type Solution.
‘Cosmetex is the biggest cosmetic surgery conference in
the Southern Hemisphere and this year was our biggest so
far,’ said ACCS President, Dr Colin Moore.
This year, the emphasis of the conference was on two
prevalent issues: new techniques in the field of fillers and
injections and how best to step away from ‘the alien face’
of cosmetic surgery.
‘There’s a heavy emphasis on not over-doing things,
especially around the face,’ said Dr Moore, ‘The emphasis
this year is doing less – less is more.’
Less is More
A fierce proponent of the ‘less is more’ approach to
cosmetic enhancement, Dr Swift’s keynote presentation
highlighted something he believes is often overlooked by
practitioners – that of an aesthetic stopping point.
In his talk on BeautiPHIcation: A Caliper Approach to
Global Facial Enhancement, Dr Swift explained his principle
using the golden ratio, or Phi, to establish the most natural
and aesthetically pleasing result in facial rejuvenation. He
urged physicians to stop striving for perfection and instead
focus on proportions.
‘Physicians try to push a result so far they actually go
past the point of creating the best version of someone, and
actually start detracting from their patient’s beauty,’ he said
in an exclusive interview with Cosmetic Surgery and Beauty
Magazine (CSBM). ‘Take symmetry for example: some
physicians try so desperately to make the two sides of the
face look like twins, but if you see somebody who has the
left side of their face reflected onto the right side by mirror
imaging, it looks quite boring and alien like. The two sides
of the face should be sisters, not twins.’
An advocate of the use of Phi in aesthetic medicine, Dr
Swift believes it’s possible to define a ‘stopping point’ for
cosmetic enhancement based on mathematics and the
golden ratio, 1.618. Inspired by the occurrence of Phi in
historical art, architecture and nature, Dr Swift researched
the possibility of applying the same principle of divine
proportions to the face. After three years of research, Dr
Swift established that the distance across the nose, from
the corner of one eye to the other, doesn’t change with
age. With this measurement as his constant, Dr Swift
began using the phi ratio of this distance, or 1.618 times
this distance, to guide his work in non-facial rejuvenation.
‘I was always surprised to see how people could discern
an attractive face so quickly. If you’re walking down the
street and you see someone walking by, even if you only
see them for a second, you’re able to tell if it’s a beautiful
face or not,’ Dr Swift says. ‘I started to apply the phi ratio
to all different areas of the face and it seems our eye picks
up on how close those ratios are to 1 to 1.618. The closer
they are, the more beautiful the person seems to be. Now,
instead of injecting dermal filler and saying “I think that looks
right,” I use filler to bring faces closer to the phi proportion.’
With a guiding measurement established, Dr Swift
addressed the importance of treating the face holistically for
the best results in facial rejuvenation. Identifying the difficulty
presented by the ‘moving canvas’ of an ageing face, Dr
Swift recommends dividing the face into thirds (upper third,
middle third and lower third) and treating one of three things
in each section – either the lines, the feature or the volume.
By dividing the face like this, Dr Swift believes nothing is
missed, everything is considered in proportion and the
often overwhelming task of rejuvenating an entire face is
‘Our phi destination is unique for each female; it’s
a daunting task, especially when we’re dealing with a
landscape that’s always changing – the fat is reabsorbing,
the nose is lengthening, the bones are shifting – it’s really
not fair,’ Dr Swift explains. ‘Many injectors will treat the areas
they know how to treat, focusing on the lips or cheeks and
forgetting about the other areas. When you restore the face
you must focus on the whole face. If you divide the face
into thirds, and treat the feature, lines or volume in each
area, you’re not faced with that blank piece of paper that
gives you writer’s block, you’re faced with specific areas to
Dermal fillers – countering the risks
Building on Dr Swift’s thoughts on using dermal fillers
and toxin injections for facial rejuvenation, Professor
Baumann discussed the possible risks associated with
fillers and the importance of being prepared to counter
these complications should they arise. Touching on the
occurrence of vascular necrosis after filler injections,
Professor Baumann explained the complication, how it
can be fixed and the simple necessity of having the tools
available to treat it.
‘Blood vessels bring blood and oxygen to the skin’s
surface; if these vessels are compromised the skin cells will
start to die, which is called necrosis,’ Professor Baumann
explains. ‘There are two ways fillers can cause this. Firstly,
if someone injects it into an artery, the filler will block the
blood flow and necrosis will begin. It can also happen if they
inject too close to the blood vessel and the filler swells and
pushes in on the artery.’
According to Professor Baumann, this is why choosing a
doctor with experience is so important. ‘Anyone can inject
filler but not anyone can inject it into the right place and
treat the problem,’ she says.
While managing vascular necrosis is the responsibility of
the physician, Professor Baumann says the risk of bruising
after cosmetic injections can also be moderated, this time
by the patient. Professor Baumann urges her clients to
follow a nutrition regime leading up to the procedure, in a
bid to lower the chance of bruising following the injections.
‘There are several things patients can do to reduce
the chance of bruising, which is a common side effect
following injections,’ Professor Baumann says. ‘These
include no alcohol for 24 hours, no Omega-3 fatty acids
for 10 days, no aspirin for 10 days, no anti-inflammatory
medications like Ibuprofen for 10 days, as all these things
– minus the alcohol – are good for your heart. They prevent
platelets from sticking together, reducing the risk of blood
clots and heart disease, but they also increase the severity
Alongside these inspiring presentations, Cosmetex 2013
played host to the first annual cosmetic nurses’ meeting in a
specifically tailored paramedical program. Registered nurse
and founder of Clear Complexions Clinic, Suzie Hoitink,
spoke throughout the paramedical program and, in an
exclusive interview with CSBM, explained the importance
of professional collaboration at conferences like Cosmetex.
‘As nurses, we need to talk about our experiences and
learn from each other,’ says Hoitink. ‘We should be thinking
of the client first, alongside public safety and education. We
should be aiming for the best results for our clients and
sharing our knowledge to achieve this.’
As the event came to a close, delegates, faculty and
exhibitors alike revelled in the celebratory atmosphere of
the Gala Dinner. The night presented an opportunity for
Cosmetex attendees to relax and absorb the information,
advice and fresh perspectives afforded by the conference.
In bringing together professionals from around the globe,
Cosmetex presented a rare opportunity for collaboration
across nations and specialties, fuelling physicians with fresh
motivation to continue to enhance their practice in surgical
and non-surgical rejuvenation. csbm
A C C.
OF COSMETIC SURGERY
Call for Abstracts Open 6th August!
All abstracts are to be submitted online. Please ensure you have read the submission guidelines and sample abstract prior to
submitting your abstract. For detailed information and to submit your abstract, please visit www.cosmetex.org/qld2014
- Energy Based Treatments/Lasers
- Skin Symposium
- Body Contouring
- Business and Marketing
- Facial Surgery
- Facial Rejuvenation
- Stem Cells and Fat Transfer
Stay at the forefront of all things Cosmetic Surgery with cutting edge technology and techniques delivered by highly acclaimed
and world-class Cosmetic, Plastic, Facial and Reconstructive Surgeons; Dermatologists; Cosmetic and Aesthetic Physicians and
Keep up to date with conference announcements and up-to-the-minute information about the conference, including the
program, speakers, registration, venue and program at www.cosmetex.org/qld2014
International Conferences & Events (ICE)
183 Albion Street, Surry Hills, NSW 2010
T: +61 2 9368 1200
F: +61 2 9368 1500
PETITION FOR SAFETY
THE AUSTRALASIAN COLLEGE OF COSMETIC SURGERY WELCOMES THE
LATEST CALL FOR COSMETIC MEDICINE AND SURGERY REFORMS.
LIZZY FOWLER REPORTS.
With the latest statistics revealing Australians spend
in excess of $350 million each year on anti-wrinkle
injections alone, and with total expenditure on
cosmetic surgical and medical related treatments estimated
to be around $1 billion, it’s more important than ever before
Australians can rely on their surgeons and practitioners.
Founded in 1999, the Australasian College of Cosmetic
Surgery (ACCS) aims to ensure the safe provision of cosmetic
surgery and non-surgical procedures to the Australian general
community through the supply of appropriately trained and
certifi ed medical practitioners. This aim has remained true
to the College as, over the last 14 years, it has grown to
embrace hundreds of cosmetic specialists from across
Australasia and as the popularity of cosmetic procedures in
Australia and beyond has sky rocketed.
‘Australians should be able to have confi dence that
the practitioner they choose for their procedure has been
appropriately trained,’ says College president, Dr Colin
Moore. The College is therefore committed not only to
providing the relevant training to cosmetic practitioners, but
to raising the standards for patient safety.
The July issue of Marie Claire magazine hit Australian
news stands with a campaign calling on its readers to sign
a petition to the Minister for Health, Tanya Plibersek MP to
help make cosmetic medical procedures safer.
ACCS president, Dr Colin Moore said he welcomed
Marie Claire’s initiative.
‘Cosmetic Medical Practice is a well-defi ned medical
discipline and the ACCS has set the benchmark for training
and standards in cosmetic medicine and surgery,’ says
Dr Moore, who is concerned many Australians routinely,
unknowingly undergo cosmetic procedures by a variety
of doctors and specialists who may be unable to provide
evidence of appropriate, specifi c education and training.
‘Australians should be able to have confi dence that
the practitioner they choose for their procedure has been
appropriately trained. A lack of recognition exposes the
patient to avoidable risks,’ Dr Moore warned.
‘Our College has also continuously expressed its
concern to authorities that there is a misperception in the
Australian community that practitioners who may have
recognised, specialist qualifi cations such as plastic surgery
are specifi cally trained in and therefore a “specialist” in
cosmetic surgery,’ Dr Moore says.
‘If a new cosmetic medical specialty is recognised in
Australia, then medical colleges will be able to have their
training assessed against the requirements of the specialty.
It will help remove the confusion about the training and skills
of different types of doctors.
‘Recognition will ensure that the same high standards
applied to other areas of medicine are matched in the
training for and provision of cosmetic medicine and surgery.
Marie Claire and its readers are right to demand nothing
less,’ adds Dr Moore.
The College has also made a full application to the
Australian Medical Council to have Cosmetic Medical
Practice recognised as a new Medical Specialty.
The ACCS is the only group in Australia with a single
focus on cosmetic surgery and medicine and is the only
one to offer formal training and accreditation to its members
in both these specialist areas.
One of the key roles of the ACCS is to accredit cosmetic
surgeons and physicians – ensuring those who practice
cosmetic medicine are suffi ciently trained and helping to
uphold the high standards Australian patients have come
to expect. In fact, to become a Fellow of the ACCS, doctors
must complete a minimum of 12 years of medical and
surgical education and training.
‘To be recognised as a fellow of the ACCS, doctors
need to have undergone appropriate training, plus specifi c
procedural training and they must also have demonstrated
substantial clinical experience,’ says Dr John Flynn, a
spokesperson for the College. ‘We also ensure our fellows
are participating in continuing education and, where
needed, recertifi cation.’
In addition to their annual certifi cation program, the
College maintains a procedural register as a resource
to prospective patients. ‘Not everyone is an expert in
every cosmetic procedure,’ says Dr Flynn. ‘However, if
someone is listed on the procedural register, patients can
be assured that surgeon has performed at least 100 of
The procedural register isn’t the only initiative aimed at
reassuring patients and encouraging safe practice. In 2009,
the ACCS introduced a Code of Practice – endorsed by
the Australian Competition and Consumer Commission
(ACCC) – provide patients with additional reassurance their
surgeon or physician meets relevant standards.
‘The Code covers, among other things, advertising and
other promotional conduct, informed
consent guidelines, monitoring of the
code and has an extensive governance
regime including independent
compliance audits and reports to the
ACCC,’ explains Dr Flynn.
The Code is available for patients
to read in full on the College website,
alongside another initiative Dr Flynn
believes is of signifi cant value to
prospective patients. ‘Our Patient
Information Brochure is also available
on the College website to anyone
considering a cosmetic procedure,’ he
says. ‘This important resource outlines
the things patients should be asking
their surgeon, and the information
they should expect to receive before
deciding to proceed with their
treatment. It also gives information on how to lodge and
handle a complaint should they need.’
More recently, the ACCS introduced its Code of
Practice Seal, which can be displayed by any member who
complies with the College’s Code of Practice. Launched at
the Cosmetex annual conference in 2012, Dr Flynn says the
Seal should give patients a sense of confi dence about the
person they’re intending to consult.
As well as reassuring patients, the Seal is also designed
to protect those who uphold high ethical standards. ‘It
protects them through a high level of standards that
increase transparency and information,’ says Dr Moore.
With the latest census suggesting cosmetic medical
practices are growing by as much as 20 to 30 per cent
year on year, the signifi cance of a governing body can’t
And, as more men and women choose to undergo
cosmetic enhancement, initiatives such as the Code of
Practice, Code of Practice Seal and Patient Information
Brochure provide reassurance the ACCS is fulfi lling its
commitment to ensuring the safe provision of cosmetic
surgery and non-surgical procedures. csbm
Scan the QR code below to download the ACCS Patient
Goes for Gold
THE SUN IS SET TO SHINE ON COSMETEX 2014 AS THE GOLD COAST’S ROYAL PINES
RESORT IS CONFIRMED AS THE CONFERENCE VENUE. LIZZY FOWLER REPORTS.
Just a few months after the close of their successful
2013 event, the wheels are already in motion for next
year’s Cosmetex. Scheduled to take place between
30 April and 3 May 2014, the conference, which is
hosted by the Australasian College of Cosmetic Surgery
(ACCS), will next year make a return to Queensland,
taking advantage of the late summer sun.
Set just a few short strides from the white, sandy
beaches of Surfer’s Paradise, the RACV Royal Pines
Resort will play host to the speakers, delegates and
exhibitors already set to attend the popular event.
A 100-hectare resort set amongst a champion golf
course, the venue boasts a relaxing and peaceful vibe
and is the perfect location to host what has become
Australasia’s largest scientific conference devoted
exclusively to cosmetic medicine and cosmetic surgery.
A forum for debate
Since it was launched more than 10 years ago, Cosmetex
has grown to become the largest aesthetic medicine
conference in the Southern Hemisphere, bringing together
leading cosmetic and plastic surgeons, dermatologists,
cosmetic physicians and nurses all in the pursuit of
Cosmetex is the only conference in the field of cosmetic
surgery and medicine to offer a multidisciplinary agenda,
affording professionals an unparalleled environment to
meet with and learn from peers.
The Royal Pines Resort boasts
a relaxed and peaceful vibe and
is the perfect environment for the
free exchange of ideas
The annual event has a well-earned reputation for
inviting acclaimed speakers from around the world to
deliver keynote presentations. Earlier this year, more
than 900 cosmetic surgeons practitioners and exhibitors
descended on Melbourne to attend the 2013 event. With
a faculty of internationally renowned speakers as well as an
enjoyable social program Cosmetex 2013 went a long way
to reinforce the event’s reputation as a forum for the free
exchange of information and ideas.
Looking ahead to 2014
Whilst the academic program is yet to be finalised, next
year’s event on the Gold Coast is set to be no different, with
even more surgery sessions to enhance the value of the
conference to all practitioners.
During the conference, doctors will be invited to attend
live workshops, ranging from injectables and lasers to
surgical procedures, and there will be a comprehensive
paramedical program with presentations from industry
Whilst general sessions will cover injectables, lasers and
energy-based treatments, skincare and anti-ageing, the
expanded surgical program will cover the latest advances
in techniques and technologies, touching on stem cells,
autologous fat transfer, breast surgery, body contouring, facial
rejuvenation surgery, peri-orbital surgery and liposuction.
The popular Interactive Panels delegates have come to
enjoy will continue, pitting expert against expert in offering
comparisons of how they manage specific cases. And with
an exhibition hall and social program to rival earlier events,
it’s time to mark your calendar for Cosmetex 2014. csbm
The Royal Pines Resort
Smart, contemporary and set on a world-class golf
course, RACV Royal Pines Resort offers everything
needed for a sun-kissed holiday on the Gold Coast,
Queensland’s most famous stretch of coastline.
Positioned at the heart of the region’s sand
belt, the 100-hectare resort is midway between
the sparkling coastline and the lush beauty of the
The resort itself stands at the centre of beautiful
established gardens, with 331 stylish rooms and
premium spa suites offering views across the
hinterlands and Gold Coast skyline. Free internet
access will help you stay connected during your
stay at the resort.
A golfer’s dream, there’s also plenty to help you
unwind after a busy day, with a renowned Day Spa
and lagoon pool to lap up the late summer sun.
Ready, set, socialise!
INEXTRICABLY LINKED TO BUSINESS GROWTH AND PROMINENCE, SOCIAL MEDIA
ENGAGEMENT IS MADE EASY WITH THE LATEST SOFTWARE FROM SHORTCUTS
SMARTER BUSINESS TECHNOLOGY. CAITLIN BISHOP REPORTS.
Businesses and business owners who embrace social
media are reaping rewards beyond building closer
relationships with customers, suppliers, partners
and others – the fi nancial rewards, too, can be great.
Indeed, according to research revealed earlier this year,
small and medium businesses who embrace social media
were much more likely to see a revenue rise than a fall in the
year to February 2013.
There’s no denying that, to attract more customers, share
your positive reviews and generate the most coveted form of
public endorsement – that of your clients – social media is the
answer. But with so many channels, and already stretched
resources, where do you start?
As the leading providers of business technology to salons,
spas and clinics, the latest software from Shortcuts Smarter
Business Technology can help create a seamless transition
between your clinic and your online presence.
Experts in using social media to boost bookings,
spread awareness and share glowing client testimonials,
Shortcuts have refi ned their software to make social media
engagement intuitive, easy and relevant.
‘The great thing about social media marketing is it’s free
and you have the ability to reach so many people if you
use it well,’ says Shortcuts specialist Brooke Morkham-
Calvert. ‘Through other people’s shares you are exposed to
a broader audience – more people than through either text
message or email marketing.’
Shortcuts provides clinics with key tools such as Set &
Forget Marketing, BookME and Spotlight, each of which
is designed to optimise social media presence, as well as
performing specifi c roles for the business.
By generating newsletters and promotions, while
maintaining automated, personalised and topical email contact
with clients, Set & Forget Marketing connects with clients and
encourages their recommendations through social media.
Built-in ‘share’ or ‘like’ plug-ins attached to personalised
marketing emails mean client participation is only a click
away, while clinics can opt for their promotional emails to be
automatically shared on social media platforms.
Alongside ‘likes’ and ‘shares’, client feedback can be a
powerful form of endorsement. Using Shortcuts’ Spotlight
software these recommendations can be used to their full
potential. Clients receive a feedback email 24 hours after their
visit, sent automatically using the email address entered at the
initial visit. The email gives clients the option to rate their visit
or leave a written comment, which can be shared on social
media and used to enhance search engine optimisation.
The great thing about social
media is it’s free and you have
the ability to reach so many
people if you use it well
‘Client referral is the best way to get other clients through
the door,’ says Morkham-Calvert. ‘Lots of businesses don’t
ordinarily promote their ratings but using Spotlight they can
easily share reviews on their Facebook page and website.
Facebook also offers a platform for clients to like posts and
share their experiences.’
Finally, Shortcuts takes the onus off businesses in keeping
up with the ever-changing trends of social media. In tailoring
their software to refl ect public behaviour, Shortcuts have
extended their BookME software to allow bookings through
Facebook. This was designed after research revealed
Facebook users prefer to stay on the social media platform
when they’re online, meaning business postings that take
the user to an external website have a lower performance
rate than those that stay in Facebook.
‘The Facebook booking application means clients can
make bookings straight away, directly after viewing client
recommendations or reading a marketing newsletter that
has been shared on Facebook,’ says Morkham-Calvert.
‘Moreover, when clients book themselves in anywhere –
on the website, through Facebook or in the clinic - they
can share the fact they’ve booked in for an appointment
through social media. This is often done for hair, skin and
If you’re yet to take the social media plunge, it seems the
high level of integration and automation offered by Shortcuts
means your social media presence will soon be taking care
of itself, and your clinic’s name, endorsements and marketing
material will be the talk of the town in no time. csbm
Clinics can choose the following modules to add to their core
Shortcuts business technology.
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
‘BookME is the most powerful online booking solution on
the market,’ 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.’
Access your appointment book and rosters from your smart
phone, tablet or PC. ‘Anywhere offers the convenience of
remote access to you and your staff,’ says Morkham-Calvert.
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 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,’
‘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.
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,’
Putting age management
on the agenda
AS THE SYDNEY INTERNATIONAL SPA & BEAUTY EXPO RETURNS THIS AUGUST WE
DISCOVER WHY AGE MANAGEMENT IS TAKING CENTRE STAGE. LIZZY FOWLER REPORTS.
trip to your local spa or beauty salon is no longer
simply about taking time out to relax and unwind. An
increasing number of Australian men and women
are turning to their salon owner for trusted advice when it
comes to a wealth of aesthetic concerns. And, topping the
list, is the ongoing fight against the signs of ageing.
As treatments become less about relaxation and more
about results, this year’s Sydney International Spa and
Beauty Expo is adding to its already packed program,
introducing an invaluable Age Management seminar
series designed to equip salon and spa owners with the
knowledge they need to keep up with demand. Because,
with so many treatments available, confusion may reign
when it comes to knowing which treatment or therapy will
best serve the needs of new and existing clients.
Spread across the last day of the Expo, which runs from
August 25th to the 26th, these beneficial seminars are
aimed at demystifying the options and technologies on offer
to spa and salon businesses. From skincare to non-invasive
cosmetic procedures, attendees will leave with a clearer
understanding of the science, technology and business
considerations surrounding the most popular treatments
and products currently on the market.
Brought together by an expert panel of speakers, the
two-part seminar series – one on skincare and the other on
technology – will be lead by skincare expert and co-founder
of the Clear Complexions clinics, Suzie Hoitink, who was
also a 2012 National Finalist in the Telstra Business Women’s
Awards. Chosen for her unique approach to skincare, she
will advise delegates on the changes facing the industry
and the crucial considerations owners should be aware of
before integrating these therapies into their salons.
‘The Age Management sessions at this year’s Sydney
International Spa & Beauty Expo have been designed to
bridge the gap between knowledge and practice so attendees
make the most informed investment decision for both their
customers and business performance,’ says Suzie.
The Age Management sessions
are aimed at demystifying the
options and technologies on offer
to spa and salon businesses
Director of the Expo, Julia Erben believes the new Age
Management seminar will prove invaluable for salon and
spa owners. ‘Whether you’re looking to increase your
revenue, customer base or be a step ahead of competition,
the Age Management seminars are unmissable,’ she says.
‘They will not only provide the know-how to make
the best investment decisions for your business, but
enable you to learn from others and potentially help you
avoid detrimental, costly mistakes when choosing new
technology and skincare for your salon or business.’ csbm
PARAMEDICAL | COSMECEUTICALS | ANTI-AGEING | TECHNOLOGY
AT SYDNEY INTERNATIONAL
SPA & BEAUTY EXPO
AT SYDNEY INTERNATIONAL
SPA & BEAUTY EXPO
With results-oriented treatments growing by 25%*,
many businesses are experiencing incredible
successes with the new technology treatments and
procedures. The Sydney International Spa & Beauty
Expo With brings results-oriented together suppliers treatments in this growing sector by and 25%*,
dedicates many businesses a new feature are experiencing area for these incredible products.
Come successes to the with expo the in new August technology and: treatments and
• procedures. Learn about The the Sydney latest innovations International Spa & Beauty
suppliers in this sector and
dedicates a new feature area for these products.
• Talk directly to the supplier
• Come Get to advice the expo on how in August to maximise and: your profits
• Learn about the latest innovations
• Increase your product offering
• Try the newest products
• Talk directly to the supplier
SUN • Get 25 advice & on MON how to 26 maximise AUGUST your profits 2013
SYDNEY • Increase CONVENTION your product offering & EXHIBITION CENTRE
*IBIS World Report 2012 Illustration by Sarah Hankinson
SUN 25 & MON 26 AUGUST 2013
SYDNEY CONVENTION & EXHIBITION CENTRE
*IBIS World Report 2012 Illustration by Sarah Hankinson
IN OuR NeveR-eNDING quesT FOR
YOuTH, MANY BelIeve HuMAN
GROwTH HORMONe COulD Be THe
elIxIR we’ve BeeN seARCHING FOR.
LIZZY FOWLER RepORTs.
It’s long been suspected that human growth hormone,
or hGH, is a key player not only in the health and
ageing of our skin, but in the wider context of antiageing.
Its capacity to arrest the signs of ageing – both
externally and internally – has sparked a frenzy of
scientific research and debate, not-to-mention an entire
underground industry supporting our apparent desire to
look leaner, better, younger.
Human growth hormone, which is a natural hormone
produced by the pituitary gland, has a number of positive
effects throughout the body. It prompts the liver into making
a substance called insulin-like growth factor one, or IGF-1,
which, along with other, similar compounds, is intricately
involved in bone growth and the maintenance of optimum
cellular performance. hGH is also known as the major
hormone involved in repair and acts on many different
tissues to promote a healthy metabolism. Yet, with age,
our levels of hormones, including hGH, decline, and so too
does our bodies’ ability to repair the damage caused by
everyday stress, illness and disease. The result? Old age.
Could hGH therefore be the elixir of youth scientists
and longevity experts have long been searching for? By
boosting levels of hGH in the body, will the ageing process
slow and even reverse?
THE STORY SO FAR
There’s no denying hGH has courted controversy since it
first hit mainstream headlines in 1990, thanks to a study
published in the New England Journal of Medicine in which
12 men over the age of 60 saw an increase in lean muscle
and a decrease in fatty tissue when treated with growth
hormone injections. The medical and scientific community
was quick to translate these results as evidence supporting
the role of hGH in slowing or reversing ageing and, as a
result of the study, the American Association of Anti-Ageing
Medicine (A4M) was founded.
Not everyone agreed with the interpretation, however,
and some of the methods advocated by anti-ageing
experts still do not have support from a consensus of the
wider medical community – some claiming anti-ageing
medicine as a specialty can cause serious side effects such
as diabetes or pre-diabetic conditions.
One of the undisputable side effects of treatment with
hGH is the lean look it creates – something that was
highlighted in Daniel Rudman’s 1990 study. Injections with
growth hormone help build lean muscle whilst fat simply
melts away to give tremendous muscle definition. This in
itself has spawned an underground industry in which hGH
– known in Australia as somatropin or recombinant human
growth hormone – is sold without a prescription on the
black market as a body-building supplement to improve
physique and enhance athletic performance.
It is legal to use hGH in Australia when prescribed by
a doctor, however, the use of hGH for these purposes is
considered ‘off-label’. In 2007 Hollywood actor Sylvester
Stallone was famously arrested in Australia for possessing
almost 50 vials of hGH, which he credits with helping him
prepare for the physically demanding roles of Rocky and
Rambo. More recently, the professional sporting community
was rocked when evidence of its use of performance
enhancing drugs including peptides and human growth
hormone was unveiled following a 12 month investigation
by the Australian Crime Commission.
Despite the need for a prescription, seizures of
performance enhancing drugs including hGH by Customs
and Border Protection have soared in the last year. ‘The
easy access to these substances over the internet makes
people believe that it is legally acceptable in Australia,’ a
representative from Customs said.
In Australia, somatropin is approved by the Therapeutic
Goods Administration (TGA) for use in children and
adults suffering from growth hormone deficiency. In a
statement given to CSBM by the Australian Government, a
representative said, ‘Growth hormone is subsidised by the
Australian Government through the Australian Government
Pharmaceutical Benefits Scheme (PBS) Growth Hormone
Program for neonates, children and adolescents; for a
range of clinical conditions associated with short stature.’
Growth hormone deficiency in adulthood (GHDA) is a
condition that often develops as a result of childhood GHD.
It is also possible to be hGH insufficient. Human growth
hormone insufficiency has many characteristics, which
include an increase of the intra-abdominal fat as part of
obesity, the loss of muscle mass and the gaining of fat mass,
decreased bone mineral density, a loss of emotional stability
and a decreased exercise capacity. There is a deterioration
of skin including thinning and drying, a decrease in tissue
elasticity and reduced skin healing ability. The skin is also
more prone to the effects of gravity, increased sagging and
It has been known for over 40 years that children
suffering from GHD can benefit from hGH replacement.
However, it was not until biosynthetic hGH was introduced
20 years ago that its use was no longer restricted to severe
growth retardation in hypopituitary children.
The treatment of growth hormone deficiency in
adulthood using hGH has been shown to have minimal
side effects when practised according to a replacement
therapy protocol. Indeed, it can offer patients enhanced
physical and emotional wellbeing by correcting the
reduction of growth hormones responsible for many of the
GHDA symptoms. Since hGH works in sync with other
hormones, it is advisable for levels of testosterone, DHEA
and oestrogen to be assessed, so they can be replaced at
the same time, creating a synergy of hormone replacement,
resulting in comprehensive improvement.
The only published measured benefits recorded
from hGH therapy are via injection and this may only be
administered by a licensed doctor or through a medical
clinic. There are a number of companies that promote
various pills, elixirs, sprays and creams claimed to have
useful amounts of hGH. However, the effectiveness of such
treatment methods should be viewed with scepticism, as
molecules as large as hGH cannot be absorbed into the
body across skin or mucous membranes and, being a
very fragile molecule, hGH is digested or broken down into
simpler compounds if it is ingested and not injected.
There are also ways to increase levels of hGH in the
body without the need for injection. That is, to stimulate the
hHG is the major hormone
involved in repair and acts on
many different tissues to promote
a healthy metabolism
body to increase the amount of hormone it produces itself,
or enhance the function of the hormone that has already
been produced. These methods include secretagogues,
hGH precursors and anti-somatostatin therapy.
Human growth hormones secretagogues work by directly
stimulating the pituitary to release hGH and by affecting
contiguous endocrine organs, like the hypothalamus.
Human growth hormone precursors work on the concept
that if the body is supplied with the constituent parts of hGH,
then it may be more apt to decide to use that fortuitous
blend of amino acids to more easily make hGH.
Anti-somatostatin therapy tries to identify compounds
or hormones that counteract the effect of human growth
hormone, and tries to negate them.
Unfortunately, in the case of the first two, substantive
effectiveness is notable predominatntly in young (under
25 years of age) and highly athletic people, while the third
typically only achieves a one per cent rise in IGF-1 levels.
Human growth hormone is one of many endocrine
hormones, including oestrogen, progesterone, testosterone,
melatonin and DHEA. When testing hGH levels, it is
important to assess the levels of the other hormones,
which can, if necessary, be treated simultaneously,
creating a symphony of hormone replacement resulting
in comprehensive improvement. Ultimately, hGH can offer
patients enhanced physical and emotional wellbeing by
correcting the reduction of growth hormones responsible
for many of the GHDA symptoms. Whether it is the answer
to eternal youth is yet to be determined. csbm
Turning back the
clock may no longer
be the stuff of sci-fi
movies. We meet the
Nobel prize winning
goal it is to cure
ageing or die trying.
Lizzy fowler reports.
When Mel Gibson hit our screens in 1992 as
Captain Daniel McCormick, a man who had
been frozen in time for more than 50 years, we
all believed it was the stuff of science fiction. Yet, according
to one Nobel Prize winning scientist, the concept touched
on in Gibson’s Forever Young – that of halting, even
reversing the ageing tide – could be a reality in as little as
three years time.
‘My obsession with ageing dates back to when I was
10 years old,’ recalls Dr Bill Andrews who, now aged 61,
regularly competes in (and wins) ultra marathons and
endurance events. ‘I wanted to know how to cure ageing,
and remember thinking there must be a clock we can stop
or reverse – nothing else made sense.’
Dr Andrews, one of the most highly respected scientists in
America, went on to learn about telomeres and, thanks to his
role in discovering telomerase – a discovery that led to him
being awarded the Nobel Prize – has been described as ‘The
Man Who Would Stop Time’, by Popular Science Magazine.
The Telomere Connection
The so-called ‘clock’ Dr Andrews had conceived aged just
10 turned out to be located in every dividing cell of our
bodies, at the tip of our chromosomes, in a region known
as the telomere. ‘I like to use the analogy of a shoelace,
where a chromosome is a long shoelace and the telomere
is the protective cap at the end that stops the shoelace
from fraying,’ explains Dr Andrews.
‘As we age, that protective cap at the end – the telomere
– gets shorter, and the shoelace – or chromosome – is more
likely to fall apart.’ The end result, according to Dr Andrews,
is an increased susceptibility to almost every disease there
is, including cancers, heart disease and Alzheimer’s.
Whilst telomeres and the role their shortening plays in
ageing have been studied since the 1930s, Dr Andrews
believed there must be a way to halt or reverse the
shortening of telomeres. ‘I learned that the telomeres
present in reproductive cells don’t shorten, and it was this
that led me to discover telomerase – an enzyme that has
the potential to not only prevent telomeres from shortening,
but to lengthen them.’
Having made his Nobel Prize winning discovery in the
mid 1990s, Dr Andrews says that, since then, Harvard
scientists have gone on to successfully reverse ageing in
mice. It’s this recent advance that leads Dr Andrews to
believe his ultimate goal – to cure ageing (or die trying) – is
just three years away.
‘I believe we’re on the brink of the biggest change
this planet has ever seen,’ Dr Andrews says. ‘We’ll see
a decrease in almost every disease imaginable because
telomeres effect just about every human process, not just
ageing. If we can lengthen telomeres, people will enjoy a
reduced risk of cancer, and those who have cancer will be
better equipped to fight it off. Scientists have even been
able to reverse Alzheimer’s in mice – something I hadn’t
thought possible before.’
hGH and IGF-1
Whilst Dr Andrews and his team at Sierra Sciences
in Reno, Nevada are still several years away from being
able to offer the ‘solution’ to ageing, Dr Andrews is a firm
advocate there are steps we can take now to prevent the
premature shortening of telomeres and to address some of
the symptoms of ageing.
‘It appears as we age, our telomeres are not the only
things that are depleting,’ says Dr Andrews. ‘As we get
older our bodies produce less IGF-1. A lack of this essential
hormone is responsible for many of the negative symptoms
of ageing, so it makes sense to correct this deficiency for
Dr Andrews explains that IGF-1, or insulin-like growth
factor 1, stimulates bone cell and muscle cell proliferation
in the body. Alongside a general depletion in hormones as
we age, the drop in IGF-1 can leave people suffering an
array of symptoms. ‘People will notice they have weakened
muscles and bone density and a general lack of energy,’
says Dr Andrews. ‘Cognitive skills decline and people
report an overwhelming decline in sex drive.’
An advocate of human growth hormone, or hGH, (which
produces IGF-1), Dr Andrews says many people today are
enjoying the benefits of synthetic hGH and IGF-1. ‘In terms
of feeling youthful and restoring all your hormone levels
back to your younger days, you can’t beat IGF-1,’ he says.
‘In my experience, people taking IGF-1 report an increase
in sex drive, their muscles get bigger, their skin improves
and they gain more benefit from exercise.’
Although the results are only noticeable in those who are
experiencing a decline in their hormones, Dr Andrews says
people who are in need of IGF-1 supplements will see a
significant result within just a few days or weeks. ‘It’s a case
of fixing problems that are broken,’ he says. ‘If nothing is
broken, you won’t see a result, but those who need it will
become sharper mentally and will look and feel a lot better
in a relatively short space of time.’
New to the market, Rewind Youth – a daily lozenge
containing a high dose of IGF-1 – has recently been
launched in Australia and is designed to promote all the
feel-good benefits of naturally-occurring IGF-1. An easyto-take
and cost-effective supplement that helps support
the immune system and heart health as well as maintain
bone mobility and density, Dr Andrews believes Rewind is
a sensible option for those interested in supporting their
energy levels and wellbeing.
Whilst he may not yet have reached his ultimate goal
of ‘curing’ ageing, Dr Andrews believes sensible lifestyle
choices combined with cutting edge scientific research can
certainly help those wanting to look – and feel – like they did
10 or even 20 years ago. csbm
THE ITALIAN CITY OF VENICE WILL PLAY HOST TO LEADERS IN THE WORLD OF
RegeneRAtIve medIcIne thIs sePtemBeR As PARt of the 5TH INTERNATIONAL
BIOBRIDGE FOUNDATION CONFERENCE. LIZZY FOWLER REPORTS.
Once described as ‘undoubtedly the most beautiful
city built by man,’ the canals and bridges that
divide the city of Venice will, this September, be
home to some of the world’s greatest minds in the field of
As supporters of BioBridge – a foundation dedicated to
funding research and ongoing education in regenerative
medicine, Regen Lab will host the 5th International BioBridge
Foundation Conference in Venice, Italy from September 23
to 24th. An invitation only event, the conference is set
to gather thought leaders in regenerative medicine from
around the globe, the Giorgio Cini Foundation providing
an impressive back drop bound to spark discussion,
debate and learning.
Known in Australia as the manufacturers and
distributors of Regen Platelet-Rich-Plasma (PRP), Regen
Lab has long been committed to promoting the field of
regenerative medicine. Indeed, in 2011, approximately
100,000 patients were treated with Regen Lab’s technical
and science based solutions with a 50 per cent increase
expected year on year.
Regen Lab, who were the first to market in the cosmetic
medicine industry in Australia, gaining TGA approval ifor Regen
PRP back in 2007, will host its 5th International Biobridge
Foundation Conference in Venice, Italy this September.
Venice has a rich history as a trade hub to Asia and was an
important arts and culture centre during the Renaissance and
is the perfect setting for this important event.
An emerging field
With stem cells and PRP both hot topics in the emerging
field of regenerative medicine, the two-day BioBridge event
is bound to stimulate debate from both the faculty and
delegates, eager to learn and discuss the latest advances
in what is a relatively new specialty.
In Australia, regenerative medicine has fast been gaining
traction, with scientists and researchers turning to look
at the body’s own ability to repair and replace damaged
human tissue and organs. Focusing on recapturing the
remarkable regenerative capacity of tissue that’s present in
everyone before birth, regenerative medicine incorporates
the use of cells, factors and other biological building blocks,
along with bio-engineered materials and technology.
According to the Australian Regenerative Medicine
Institute, we are constantly undergoing structural renewal
by replacing molecular components of our tissues, yet the
human body gradually loses effective regenerative capacity
as we age. The field of regenerative medicine brings
together stem cell physiology, knowledge of cell growth
and death, stimulation of cell replacement and the factors
that regulate these, as well as knowledge of the supporting
structures between cells.
Leaders in the development of autologous tissue repair,
replacement and regeneration therapies and products,
Regen Lab provides innovative technical and sciencebased
solutions to customers and patients both in Australia
One of these solutions is Regen PRP, which is used in
various medical disciplines including orthopaedics, sports
medicine, wound healing, neurosurgery, dentistry and
ophthalmology, as well as more recently in cosmetic,
plastic, maxillofacial and cardiothoracic surgery.
Autologous platelet-rich-plasma refers to a
concentration of human platelets in a small volume of
plasma. In the field of regenerative medicine, platelets
are now well-known as vehicles for the delivery of growth
factors, which can induce the proliferation of fibroblasts,
osteoblasts and endothelial cells, promoting and
accelerating healing of hard and soft tissues.
Autologous platelet-rich-plasma also contains fibrin,
fibronectin and vitronectin, which act as cell adhesion
molecules for osteoconduction and as a matrix for bone,
connective tissue and epithelial migration. Ultimately,
therefore, PRP is a naturally derived product that has a vast
potential for regeneration and healing.
Platelet-rich-plasma has been used in a medical setting
for several decades – for example in sports medicine to
facilitate the healing of tendons, muscle tears and joint
injuries. Blood platelets, which are already well known
for their role in clotting, release signals known as growth
factors. These proteins communicate with the body to
initiate the natural healing process – when injected into a
torn muscle, the healing process is therefore expedited and
recovery comes that little bit quicker for the athlete.
Regen Lab’s core competence is in the ability of the
Regen system to prepare PRP simply and efficiently.
Platelet-rich-plasma is a small portion of the blood made
up of a high concentration of platelets and more than
600 published clinical studies can be found on PubMed,
investigating the effectiveness of autologous plateletrich-plasma
in various medical disciplines such as sports
medicine, wound healing, surgery and aesthetics.
PRP and cosmetic medicine
Whilst the role PRP therapy plays within wound healing, sports
medicine and orthopaedics will form a significant part of the
debate when the 5th International BioBridge Foundation
Conference kicks off, the latest concepts surrounding PRP
and cosmetic medicine will also be discussed.
It’s thanks to companies such as Regen Lab that
treatment with PRP has more recently been able to move
into a cosmetic setting, supplying cosmetic surgeons and
physicians with the equipment they need to concentrate
platelets in the comfort and convenience of their own clinics.
A number of leading Australian surgeons will be
attending BioBridge when the conference convenes in
September. Dr Phillip Lim from Northside Physical Medicine
will present on PRP as the ‘Missing Link in Musculoskeletal
Medicine’ whilst cosmetic physician Dr Herbert Hooi from
Aesthetic Medicine Australia and Nicole Belle RN from Face
Today Mediclinic will give their presentation on ‘Autologous
Growth Factors in Cosmetic Medicine’ and share in the
Australian experience of using Regen PRP.
Also set to attend the conference as a speaker, Dr Ross
Clevens from the US, explains that one of the advantages
of PRP is its versatility. ‘We use Regen PRP in a wide variety
of facial plastic and reconstructive procedures,’ he says.
‘In surgical procedures such as facelift and rhinoplasty, we
have found Regen PRP aids in healing, reduces bruising
and swelling and shortens the recovery period.’
Dr Clevens also uses Regen PRP in combination with
laser-based procedures, such as skin resurfacing. ‘In
this situation, Regen PRP can enhance the effects of the
laser, resulting in improved outcomes with respect to the
reduction in lines and wrinkles and the improvement of skin
tone, colour and texture.’
The potential for PRP to be used in conjunction with
fat transfer procedures is bound to be a hot topic in Italy.
Indeed, Dr Clevens has found Regen PRP improves graft
take and survival and, in rhinoplasty, Regen PRP can
facilitate graft placement and adhesion. ‘Finally, in the
reconstructive arena, we employ Regen PRP in numerous
graft, flap and post-MOHS reconstructive scenarios.’
As scientists and researchers come together to share
their expertise in Italy, there’s no doubt the future of
PRP in regenerative medicine – cosmetic or otherwise
– is bright. With a vast body of research already well
established, we can look forward to a future in which
the incredible healing powers of the body are better
understood, harnessed and applied. csbm
What is Regenerative Medicine?
Regenerative medicine research:
• Investigates ways to help the human body repair,
replace, restore and regenerate damaged tissues
• Uses cells, genes or other biological building
blocks, along with bioengineered materials and
• Focuses on restoring the remarkable tissue
regenerative capacity that all humans have
Regenerative medicine scientists are asking:
• How do some human tissues (our skin, blood
cells and lining of the digestive tract) naturally
• What determines this ability of cells? What
switches it on and off?
• How do newts re-grow their tail or limb, or fish
regenerate their fins or heart? What biological
and molecular processes make this happen?
• Do the parts of our bodies that do not regenerate
(such as the brain and heart) retain a latent ability
Regenerative medicine could:
• Halt, reverse and prevent damage to vital organs
such as kidneys, livers and even hearts
• Grow new vital organs for people with organ
failure due to disease, injury or genetic conditions
• Treat and cure diabetes through stem cell therapies
• Reverse the effects of neuro-degenerative
diseases such as dementia, Alzheimer’s disease
and Parkinson’s disease
• Stop the body attacking itself in auto-immune
diseases including multiple sclerosis, type 1
diabetes, Crohn’s disease and rheumatoid arthritis
• Treat cancer by building on current stem cell
therapies such as bone marrow transplants
• Prevent ageing
Regenerative medicine can involve:
• Regeneration of tissues by injecting or implanting
regeneration-competent cells (usually derived
from adult or embryonic stem cells)
• Protecting cells and tissue from damage due to
disease or injury (e.g. by preventing cell death)
• Inducing regeneration in tissue by recruitment
of a patient’s own cells to the tissue or using
proteins or gene delivery to stimulate cell division
in the tissue
• Prevention of inflammation and scarring in tissues
to better enable the use of these methods
SOURCE: Australian Regenerative Medicine Institute
you have youth in your blood
Regen PRP pioneering platelet rich plasma since 2003
RegenLab has been pioneering the use of autologous
platelet rich plasma to regenerate ageing skin, since 2003.
The proven Regen ACR PRP system concentrates powerful
growth factors contained in our blood, before reinjecting
them back into the skin.
By harnessing the growth factors contained in our blood,
it’s possible to accelerate and increase tissue regeneration
by stimulating collagen production, stem cell migration,
differentiation, and proliferation, and stimulation of new
blood vessels, nutrients, antioxidants and the other
components of the extracellular matrix.
• Full face rejuvenation
• Neck, décolletage, eyes
• Fine lines
• Textural improvement
• Body areas
• Hair loss
• In combination with laser
• In surgical procedures
www.amsl.com.au • www.regenlab.com • 1800 201 760
FLAWLESS SKIN DOESN’T ALWAYS COME NATURALLY. GIVE YOUR SKIN THE HELPING
HAND IT MIGHT NEED AND DISCOVER ULTIMATE SKIN PERFECTION.
LIZZY FOWLER REPORTS.
Having spent 20 years working as a high profile
makeup artist, and with a clientele that boasts
Angelina Jolie amongst other famous faces,
Jennifer Gerace is used to being asked questions about
how to look good. Yet it’s not the finishing touches people
seem to be interested in. ‘The number one thing I’m asked
is not what makeup should I use, but how do I make my
skin look better,’ she says.
Flawless skin is perhaps the most sought-after beauty
must-have by women around the world, with many of us
clamouring as much for the luminous complexions models
parade down the runway as the clothes they are draped in.
Indeed, nothing radiates health and good looks in quite the
same way as an impeccable skin tone.
Yet not all of us are blessed with the faultless looks of
internationally renowned models – in fact, even supermodels
struggle to maintain their superior skin, with Helena
Christensen recently admitting to succumbing to freckles
and sunspots no matter how well she protects her skin from
the sun. With acne, dehydration, pigmentation, eczema,
rosacea, fine lines and wrinkles all on hand to wreak havoc
with our looks, it can be hard to love the skin we’re in.
Today, however, we’re blessed with an armoury of
weapons designed to help reduce pore size, perfect
skintone, even blemishes and leave a long-lasting glow.
From laser resurfacing to microdermabrasion and active
cosmeceuticals, we run down the skincare essentials you’ll
need to fast track your way to flawlessness.
Laser & light based therapies
Today’s lasers can significantly diminish and even reverse
many of the tell-tale signs of ageing, from early lines, uneven
pigmentation and broken capillaries to deep wrinkles and
severe sun damage. They can reach much deeper levels
and affect far more significant changes than would be
possible with most other common modalities of treatment,
and without needing to invest significant money. Moreover,
a procedure can often be performed in less than an hour
and may require little or no downtime.
One of the most influential advances in aesthetic laser
technology only became available for consumer use in
2006. Fractional laser resurfacing (ablative and non-ablative)
can achieve skin rejuvenation results that approximate
conventional ablative laser but with less aggressive
treatment protocols and, so, fewer potential side effects.
With traditional ablative laser (selective photothermolysis),
the whole of a selected target area is damaged – in effect
burnt – usually requiring significant downtime and prolonged
redness or pinkness of the treatment area for up to three
months, and even more.
Fractional laser (fractional photothermolysis), on the
other hand, seeks to only damage certain zones. The laser
beam is fractionated into thousands of tiny little shafts of
light. These penetrate the deeper layers of the skin, causing
tiny injuries to the skin, whilst leaving the surrounding skin
The skin then repairs those tiny shafts by pushing out
the old, damaged skin and replacing it with new skin. The
targeted heat damage also helps to shrink existing collagen
for an immediate firming effect.
This process only causes fractional damage and allows
the skin to heal much faster than if the whole area was
treated. It causes no visible wounds and requires less
downtime than traditional ablative lasers.
With light therapies such as intense pulsed light (IPL)
also available to help ward off the signs of ageing, there is
a dizzying array of choice – and much potential confusion
for the consumer. It’s always best, therefore, to seek the
advice of a doctor or clinician who is fully qualified and
experienced in using laser and light devices and who will be
able to advise which treatment is best for you.
Packed full of growth factors, platelet-rich-plasma (PRP)
is fast becoming one of the most popular tools for those
looking to restore a youthful tone, texture and firmness to
Drawing on the body’s own healing capabilities, PRP
uses a patient’s own cells to regenerate and rejuvenate
the skin, helping to improve the appearance of sagging
skin, fill lines and wrinkles and plump areas that have lost
volume over time. PRP therapy targets the growth factors
found in the patient’s blood, which are then injected back
into the patient to stimulate the body into producing new
See the light
It’s easy to get confused over which laser or light
based treatment is good for your skincare needs.
Here’s a run down of the most popular procedures
Non-ablative laser is good for younger patients
(approximately aged between 30 and 50 years) who
have early wrinkles or for those who truly can’t take
any time off from family or work commitments to
have traditional ablative laser. There is minimal or no
downtime involved. A series of treatments (three to
six) may be necessary to see the desired results.l.
While not a laser, Intense Pulsed Light (IPL)
penetrates deeper into the skin than a non-ablative
laser. It does not injure the surface, so there is usually
no downtime. It can improve skin texture and colour
as well as reduce pore size. IPL can effectively treat
some types of hyperpigmentation, including age
spots and freckles.
Photodynamic Therapy (PDT) is a two-step
procedure and is commonly used to treat skin
complaints such as acne and acne scarring. First, a
solution that makes the skin more sensitive to light
is applied to the treatment area and left on for 30
minutes or longer. Next, a light source is beamed
onto the treatment area. This process can improve
the appearance of redness, age spots and freckles
and improves the overall texture and appearance of
the skin. It’s important to look after the skin posttreatment,
protecting it from the sun and other
sources of bright light. Sun exposure after PDT can
be painful and may result in sunburn and blistering.
Ablative fractional laser offers deeper
rejuvenation. It is best for improving the appearance
of age spots, wrinkles and skin discolourations.
It can be used on the delicate skin around the
eyes and mouth. It is also effective for treating
precancerous growths (actinic keratoses). Recovery
time is generally between one and three days.
Traditional ablative laser heats the skin to
cause a visible wound, which means up to 14 days’
downtime. While invasive and performed only by
doctors, with a longer and more uncomfortable
recovery process, the results of traditional ‘flat
beam’ laser are still regarded by many professionals
as the gold standard for improving deeper wrinkles,
severe sun damage and crepiness around the eyes
and on the neck.
It is best for patients who are in their late 40s
to 70s. During the recovery period the treated
area will be red and swollen, and may then scab
and ooze before healing. There will be a period of
between four and six weeks when the skin may
appear red or pink.
collagen and hyaluronic acid. During a typical treatment,
blood is collected and then spun in a centrifuge in order
to concentrate the blood plasma. The platelet rich plasma
is then injected into the treatment area. Depending on the
areas being treated, different amounts of plasma will need
to be collected.
Because the raw material is taken from the patient’s
own body, PRP is considered a non-allergenic, ‘body’s
own’ physiological product as opposed to animal derived
or human donor products, synthetic fillers or neurotoxins.
When being used aesthetically to invigorate the
appearance of the skin, patients may benefit from a number
of treatments, spaced several weeks apart.
During the procedure, numbing cream or local
anaesthetic is applied in order to numb the area before
injection, and patients should expect to experience slight
bruising, swelling and redness after the procedure. Any side
effects tend to settle over the course of 24 hours.
Patients typically see some results two to three weeks
after their first treatment, but for optimum results a course
of three or four treatments is required, spaced a minimum
of eight weeks apart. Results will continue to improve over
the course of a few months.
With age, the rate at which our skin sloughs off dead cells slows
down dramatically, which leads to a build-up of hardened
cells on the top layer of the skin. Microdermabrasion removes
the outer layer of the stratum corneum (outermost layer of
the skin) to aid this process, improving the appearance of
fine lines, sun damage and scars, and creates a more even
tone and texture on the skin.
There are a number of different types of microdermabrasion.
Most commonly, however, an exfoliating
material is used to buff away the top layer of the skin whilst
a handpiece vacuums the stripping agent and skin particles
from the treatment area.
The treatment is generally well tolerated and can be
adjusted according on the sensitivity of the skin and the
After treatment, the skin can feel hot and appear slightly
red but this usually settles over a few hours.
It’s generally recommended that a course of six
treatments is carried out to improve problems such as age
spots, but it can also be effective to treat blocked pores and
blemishes with two to three treatments.
Peels are solutions applied to the surface of the skin to
strip away the outermost layers, revealing fresh new skin
beneath. Used to treat a variety of conditions, peels can
5steps to healthier skin
Of course, there are a number of free, easy steps everyone can take to safeguard their skin and
maintain a flawless complexion.
1. Protect yourself from the sun
From wrinkles and pigmentation to skin cancer, over-exposure to the sun is to blame, so cover
up with a quality SPF and stay in the shade between 10am and 4pm.
2. Stub it out
If you want to fast forward your way to older-looking skin, light up a cigarette. Smoking
decreases blood flow to the skin and damages collagen and elastin. The result? Aged, sagging
and wrinkled skin long befor your time.
3. Be gentle
Daily cleansing, shaving and baths can all take their toll on the skin. Be kind – choose a mild
cleanser, use warm, not hot, water and pat your skin dry rather than rubbing it.
4. Eat a healthy diet
A diet rich in fruits, vegetables, whole grains and lean proteins will all help you look (and feel)
5. Stress less
Stress isn’t just bad for your health, it’s bad for your skin, too, so take steps today to manage
your stress. Try regular meditation or yoga and scale back if you feel you have too much on.
improve problems ranging from lines and wrinkles to
dryness or dullness, acne, rosacea and pigmentation.
Ingredients range from naturally-occurring chemicals
and herbal extracts to synthetic chemicals, and their effects
range from mildly brightening to aggressive resurfacing.
Depending on the strength, peels can be administered
by dermatologists, cosmetic practitioners and skincare
professionals, and in most cases are recommended as a
course of treatments.
Natural peels are relatively mild and only affect the
superficial layers of the dermis. Alpha hydroxy acid (AHA)
peels are the mildest option, available in salon treatments
and can be used on most skin types. They use lactic, fruit
or glycolic acids to treat dryness and improve skin texture.
Beta hydroxy acid (BHA) peels use salicylic acid to speed
the skin cell shedding process and improve blemished skin.
Chemical peels are higher strength solutions that use
different grades of acid to strip the skin of dead skin cells and
promote the production of collagen and elastin in the skin.
Chemicals ranging from alpha hydroxy, kojic and salicylic
acids to extremely potent trichloroacetic acid (TCA) and
phenol also vary in their depth of penetration, causing them
to directly target specific concerns.
Typically, the stronger the peel the deeper the penetration
and the more severe the post-treatment side effects.
The treatments typically cause stinging during application
and various degrees of flaking after treatment – from fine
flaking to sheeting – as the new layers of skin start to form.
Chemical peels can be quite aggressive, so skin analysis
during consultation is required to find out which peel is
most suitable, and whether any allergic reactions will occur.
Dryness, redness and peeling can be expected for up to a
week after most peels, which feels similar to sunburn. It is
imperative the peeling skin is not picked at or rubbed as it
may cause scarring.
Of course, the results of any skin treatment need to
be backed up with a skincare regime that will maintain
and enhance your results. Rather than heading for the
skincare aisle in your local supermarket, it’s best to
discuss your specific skincare needs with a specialist,
who will not only prescribe a skincare range suited to you
and your needs, but who will also lean towards a range
packed with active ingredients.
Also known as cosmeceutical or clinical skincare, active
skincare is often prescription based thanks to the high
percentage of active ingredients contained in the products.
As well as more traditional creams, active ranges typically
centre around a number of different serums, each designed
to address a specific concern.
Packed with potent ingredients such as retinol, topical
vitamin C and AHAs, it’s best to introduce these ranges
slowly to your skincare regime, and under guidance, to
ensure against any reaction. With time and guidance,
however, there’s no doubt your skin will benefit from your
investment in actives. csbm
IS YOUR SKIN CRYING OUT FOR HELP?
WE RUN THROUGH THE CAUSES,
SYMPTOMS AND TREATMENTS OF
AN A TO Z OF SKIN COMPLAINTS.
CAITLIN BISHOP REPORTS.
It’s easy to tell when your skin sends out an SOS. Your
once clear complexion may have erupted in a seemingly
unstoppable outbreak of acne; it may appear red and
fl ushed or dry and cracked. Too long spent in the sun might
have fast tracked your path to fi ne lines and wrinkles, and
pigmentation may be starting to rear its head. Here, we
get to know some of the most common skin concerns,
investigating the causes, symptoms and cures.
Ais for Acne
Thought to affect up to 80 per cent of girls aged
15 to 16 and 95 per cent of boys aged 17 to
18, acne vulgaris is the bacterial infection of
the pilosebaceous unit, or the hair follicle and its adjacent
sebaceous glands. And its not just adolescents who are
affected by the dreaded outbreaks, with women far more
likely than men to continue to suffer acne into adulthood.
Acne develops within the skin’s pores. Fine hairs grow
pustules and cysts are all forms of acne and can ultimately
lead to scarring, not to mention destroying self-confidence.
From toothpaste cleansers to oatmeal paste masks, it
seems every remedy type has been tried and tested in a bid
to clear the spots of acne. Mild acne can usually be treated
with regular skin cleansing, topical moisturisers and dietary
adjustments. Moisturisers rich in active ingredients will
strengthen the skin’s protective oil/water layer and improve
the integrity of its structure, making it more resistant to
infection and more efficient in shedding dead skin cells.
In more severe cases, medical grade treatment is often
required. Prescription ointments can reduce levels of the
Propionibacterium acne, the bacteria responsible for
most acne infections, while antibiotics can fight the same
bacteria or reduce testosterone hormone levels in the
body. However, these treatments dehydrate the skin and
can cause redness, irritation and sensitivity to sunlight.
Laser therapy, chemical peels, microdermabrasion and
light induction therapy can also be effective in reducing the
appearance of acne scarring.
through these pores, alongside sebaceous glands that
produce oil to lubricate the hair and protect the skin. In
response to a number of factors, most predominantly the
rise of testosterone levels in both males and females during
puberty, these sebaceous glands can begin to secrete
excessive oil, termed sebum. This oil, combined with a
build up of dead skin cells, can plug the pore, creating an
optimum breeding ground for bacteria. As hypercolonisation
of bacteria occurs, so too does the formation of a pusstrapped,
inflamed pimple. Black heads, white heads,
Dis for dehydration
As much as 60 per cent of the body is
comprised of water and, with the skin its
largest organ, it makes sense you need to keep
your skin hydrated. Tired, aged, wrinkled and pimpled skin
are all signs of dermal dehydration, where enzyme activity
is impaired and skin health has deteriorated. Quite simply,
to regain and retain hydration the skin’s oil barrier, known
as the acid mantle, must be restored. The acid mantle –
the outermost layer of the epidermis – is secreted by the
sebaceous glands to keep water and nutrients circulating
between skin cells in the epidermis, preventing water loss
and protecting against pathogens. When the acid mantle is
depleted, ‘transepidermal water loss’ occurs and enzyme
activity, which is dependent on water and responsible for
the correct functioning of skin cells, is compromised.
Water intake, humidity, lymphatics and essential fatty
acids can influence dehydration and enzyme activity.
Increasing the amount of water consumed, upping your
exercise regime and supplementing your diet with omega
oils can boost the amount of water reaching the epidermis
through the dermal-epidermal junction and maintain
hydration within the skin. These changes, complemented
with a diligent skincare regime can restore enzyme activity
and reduce the premature signs of ageing associated
with dehydration. A home-care range for dry skin should
incorporate hyaluronic acid to attract water, antioxidants to
regenerate and repair, and vitamin A to stimulate the dermis
and normalise cell function.
Eis for eczema
A form of dermatitis, eczema is the inflammation
of the skin’s outer layer, resulting in rashes that
can exhibit dryness, redness, swelling, crusting
and flaking. These symptoms can cause itchiness, oozing
infection and bleeding, which sometimes leads to scarring.
With no known cause, some researchers speculate
limited exposure to environmental pathogens as a child
can lead to a heightened susceptibility to eczema. For
this reason Flohr, Pascoe and Williams urge caution in
prescribing antibiotics to children, particularly those with
a family history of ‘atopic dermatitis’, or eczema. Others
speculate eczema may be triggered by an allergic reaction
after exposure to proteins in meat or vegetables, whilst
some researchers speculate eczema may be linked to dust
mites and celiac disease.
With no single causal factor, eczema cannot be ‘cured’
but the skin irritations can be managed. Once again an
array of home remedies have been put forward to reduce
inflammation, and certainly modifying your diet and
exposure to certain irritants can go lengths in achieving
relief from eczema symptoms.
Though a study by Hoare, Li Wan Po and Williams found
the use of immunosuppressant medication, corticosteroid
creams (using chemicals that resemble steroid hormones
produced in the body) and ultraviolet light therapy were
most effective in eczema treatment.
Gis for Glycation
If you indulge in sugary delights, you’re
probably fully aware of the havoc it will reap on
your hips and waistline, yet as sugar bombards
your system your skin can suffer too. Glycation presents
itself as aged skin, leading to cross-hatched wrinkles on
the chin and around the eyes. It is caused by the bonding
of sugar molecules onto protein or lipid molecules without
the controlling action of an enzyme. The end result is an
abundance of ‘advanced glycation end products’, or AGEs,
which stiffen and weaken the collagen and elastin in our
skin. When this happens, the elasticity, plumpness and
youthfulness of skin deteriorate, and the tell tale fine lines
start to appear.
To a certain extent, glycation is inevitable, as AGEs will
exist in even the cleanest of diets. To slow the process, you
can avoid foods that include pre-formed AGEs, caused by
cooking sugar alongside protein or fat. ‘Browned’ products
like chips and baked goods achieve their colour through
dietary glycations, while soft drinks and caramelised
treats also contain the pre-formed toxins. To help ward
off glycation’s effect on the skin, many cosmetic skincare
ranges include antiglycation agents. Retinoids promote
new collagen formation to eradicate the damage caused
by sugar, and pharmaceutical companies are working on
products to break the AGE cross-links after they’re formed.
is for Pigmentation
Hyperpigmentation, or the darkening of the
skin in localised areas such as the cheeks,
forehead and around the eyes, can be
triggered by several factors and can spoil an otherwise
clear complexion. The appearance of dark, often brown
spots is caused by the overproduction of melanin by
melanocytes in the basal layer of the epidermis. This
can occur in response to hormonal changes, pregnancy,
inflammation and sun damage.
The most avoidable form of pigmentation, particularly
common in Australia, is caused by sun exposure, when
melanin is produced to protect skin cells from harmful UV
rays. Acting like an umbrella, melanocytes release pigment
into the skin cells to surround and protect the cell’s nucleus.
This causes skin darkening and concentrated spots of
melanin, often termed ‘sun spots’. Certain products such
as perfumes, soaps or cosmetics contain ‘phototoxic’
ingredients, which induce a sensitised reaction to sun
exposure and trigger excessive melanin secretion.
Presenting in a more ordered, symmetrical pattern,
hormonal melasma is caused by overstimulation of
melanocytes in response to increased levels of oestrogen
and progesterone. Most common in women, hormonal
melasma can arise after pregnancy, in women with a
history of taking the oral contraceptive pill or in those
undergoing hormonal therapy. Finally, post-inflammatory
pigmentation occurs as a result of injury to the epidermal/
dermal junction. This can appear in skin conditions like
eczema, acne or chronic dermatitis, or in some cases
after harsh cosmetic treatments.
Pigmentation of all forms can lie unnoticed in the lower
layers of the epidermis for years before appearing on the
face. Because of this, and the fact it is so sensitive to
inflammation, treating visible signs of pigmentation can be
difficult with no guarantee of complete eradication.
Regardless of the cause, all pigmentation is treated with
a similar approach. Topical treatments are the first step,
with a skincare range incorporating vitamin A to normalise
cell function, vitamin C to protect DNA and niacinamide (the
active form of vitamin B) to inhibit the synthesis of melanin
and lighten existing pigmentation. This treatment can be
combined with collagen induction therapy (skin needling),
light-emitting diode (LED) therapy and chemical peels.
It is best to work with a dermatologist when fighting the
appearance of pigmentation, as it is often a long process
involving multiple aspects.
Ris for rosacea
Evident as redness, pimples, flushing and
pustules, rosacea is a vascular disorder that
can arise in the centre plane of the face,
across the cheeks, neck, chest and around the eyes. A
flushed appearance occurs on account of mildly inflamed
superficial vasculature, and the redness can be dotted
with small bumps called papules or, in more severe cases,
Rosacea symptoms can flare up in response to various
triggers, including sun exposure, heat, alcohol, spicy foods
and certain cosmetics. Treatment for rosacea will usually
begin with a patient journal to identify the triggers most
troublesome to the individual so that lifestyle adjustments
can be made to avoid these irritants.
Skincare with anti-inflammatory ingredients can be
effective in combating the appearance of rosacea, with aloe
vera, provitamin B5, green tea, red algae, and zinc just some
of the ingredients shown to sooth skin irritation. Salicylic
acid can help with rosacea, and retinaldehyde, the milder
version of retinoid, is usually appropriate to promote skin
integrity in rosacea patients, though progressive adoption is
recommended. Alongside topical treatments, oral antibiotics
can be used to reduce inflammation and eradicate the
papules and pustules that can sometimes arise.
Though steroid treatment will succeed in promoting
short-term relief of rosacea symptoms, it will usually
increase capillary formation and result in amplified redness
and flushing in the long-term. While some cosmetic
treatments like chemical peels and microdermabrasion will
inflame rosacea symptoms, other procedures like vascular
laser therapy or intense pulsed light (IPL) treatment can
successfully relieve redness and flushing. By targeting
the capillaries in the dermis, these treatments use light to
destroy the tiny blood vessels and reduce flushing. csbm
THE WAISTLINE ISN’T THE ONLY VICTIM
OF CRAVINGS AND INDULGENCES;
A POOR DIET CAN ALSO HAVE
A PROFOUND EFFECT ON THE
APPEARANCE OF THE SKIN.
CAITLIN BISHOP REPORTS.
Bloated, energised or lethargic, the effects of how you
fuel your body are obvious when it comes to your
digestive comfort and, of course, your weight. Yet how
many of you have considered the way your diet is reflected in
your skin? Although you may readily spend money and time
establishing a promising skincare regime, its easy to forget to
nourish your skin from within.
But what you put in your mouth may be having as big
an impact on the appearance of your skin as what you put
on your outer-most organ on a day-to-day basis. From
loose, sagging skin to wrinkles, dullness and other signs of
premature ageing, there’s no doubt a diet devoid of nutrients
can take its toll on your complexion. Radiant skin, on the
other hand, is an expression of inner health, largely built on
the foundations of a healthy diet. Here, we take a look at
what vitamins, minerals, fibre and other nutrients you need
to consume in order to look as good on the outside as you’ll
be feeling on the inside.
Eat your wrinkles away
If you’re choking on your greens, or dragging your feet all
the way to the fruit market, you might be interested to know
that, according to an international study by Martalena Purba
et al, there is a direct correlation between nutrient intake
and skin wrinkling. The results of the study revealed there
was less skin damage with a higher intake of vegetables,
olive oil, fish and legumes. On the other hand, more severe
sun damage and skin wrinkling was seen in diets containing
higher concentrations of butter, margarine, milk products
and sugar products.
In a similar vein, ultra violet (UV) exposure is a source of
oxidative stress, which causes free radicals to reap toxic
havoc on the membranes, proteins and DNA of skin cells.
To protect against this fast-track path to skin ageing, it’s
imperative to load your diet with antioxidants, which help
fight free radicals. Maurizio Podda and Marcella Grundmann-
Kollmann reported low-molecular weight antioxidants, found
in fruits and vegetables, promote skin integrity and protect
against the wrinkles, pigmentation and loss of elasticity
associated with sun damage or ‘photo ageing’.
Dr Leslie Baumann, well-known dermatologist and
author of the book The Skin Type Solution, encourages
avoidance of, and protection against, extrinsic ageing
factors in achieving healthy skin. ‘This entails avoiding
exposure to the sun, using sunscreen when sun avoidance
is impossible, avoiding cigarette smoke and pollution and
eating a diet high in fruits and vegetables,’ she explains.
She also suggests using oral anti-oxidant supplements or
topical anti-oxidant treatments to enhance this protection.
Red is for radiance
Whilst the consumption of fruits and vegetables has
obvious benefits for the skin, those who only fill their diet
with plant-based ingredients are at risk of developing an
iron deficiency, which can manifest itself on the skin.
Dark circles under the eyes, a pale complexion, skin
irritations and cracks at the corner of the mouth are all
symptoms of an iron deficiency. The highest concentrations
of iron are found in meats, as molluscs, red meat and liver
exhibit ‘heme’ iron from red blood cells, the type readily
absorbed by the body.
For those of the vegetarian persuasion, however,
‘nonheme’ iron, derived from non-animal sources, is also
beneficial to the body but not absorbed as rapidly. It can be
found in dark green vegetables, beans, wholegrain and soy
derived products like tofu.
Fight acne with food
The glycemic-index (GI) rating of certain foods is a concept
widely toted in diet regimes and weight loss programs, yet
this index can also influence the inflammation of acne and
the production of sebum, or oil, in the epidermis. A GI is a
measure of how quickly blood sugar levels rise after eating
certain foods, with ‘high’ GI foods rapidly breaking down
and flooding our system with glucose, and ‘low’ GI foods
releasing sugar more steadily into the blood stream.
Elsa H. Spencer et al explain foods with a high GI
are associated with increased sebum production and
heightened blood testosterone levels, which can contribute
to the inflammation of acne. On the other hand, foods
with a low GI have been shown to increase the blood
concentration of sex hormone-binding globulins (SHBG),
which bind to testosterone and inhibit its function, therefore
reducing acne inflammation.
To moderate the rate of glucose flooding your blood
stream, and inhibit the break out of unwanted spots across
your complexion, fill your diet with more whole grains,
beans, seeds, fruits and vegetables and avoid white bread,
most white rice, processed breakfast cereals and foods
high in glucose.
To further stave off the spots, it is best to avoid dairy
foods and diets high in protein. Spencer et al cite authors
who have found selective hormones in milk, including insulin
growth factor-1 (IGF-1), may survive milk processing to
affect the pilosebacious unit (the pore, hair and surrounding
sebaceous gland), causing acne. Similarly, the amino acids
found in protein enhance testosterone secretion, meaning a
high-protein, low carbohydrate diet can result in a hormoneinduced
Essential fatty acids play an integral part in skin hydration,
cell renewal and protecting the epidermis against harmful
bacteria. These unsaturated fatty acid chains maintain the
permeability barrier of the stratum corneum – or the top
layer of the epidermis. This barrier protects the skin from
bacteria to prevent acne and inhibits trans-epidermal water
loss to maintain skin hydration.
Remarkably, Meagen McCusker and Jane Grant-
Kels found Omega 3 and Omega 6 can promote wound
healing, elevate the sunburn threshold and trigger cell
death in malignant cells, including melanoma. With such
extensive benefits, it is important to fill your diet with
sources of essential fatty acids, as the body does not
produce them naturally. Fish, shellfish, flaxseed, chia seeds,
sunflower seeds, leafy vegetables and walnuts are all good
natural sources of Omega 3 and Omega 6, while fish oil
supplements will also leave your skin glowing, healthy and
free from harmful bacteria.
Banish the booze
Filling your diet with fruits, vegetables and omegas will go
a long way to clear, beautify and nourish your complexion.
Unfortunately, this good work can easily be undone by
alcohol. While it seems counter intuitive, those relaxing
glasses of wine inflict stress upon the body, stimulating the
secretion of cortisol. This hormone thins the skin, making
it more susceptible to infection, causes fat storage around
the face, creating a bloated appearance, and provokes
increased water retention, adding to facial puffiness.
Regular drinking will overstimulate the salivary glands,
swelling the jowls even further, and collapse the skin’s
collagen and elastin into wrinkles – an effect caused by
excess sugar in the blood stream, a common by-product
of beverage indulgence.
Ultimately, if your diet is unbalanced or rich in unhealthy
foods, your skin could be paying the price and, no matter
what skincare products you invest in, the wrinkles and
dullness won’t improve. However, by making just a few
simple changes to your dietary habits, your skin will no
doubt radiate health. csbm
Smoking & your skin
If you’re guilty of smoking, you could be guilty of killing your
complexion. FIND OUT WHY The skin is often the first place on the body
TO SHOW THE detrimental effects of smoking. Lizzy FOWLER reports.
Despite knowing you shouldn’t smoke – the hardhitting
advertising campaigns are almost impossible
to avoid – it can be a tough habit to kick. And, the
longer you spend puffing on cigarettes, the more likely
you are to experience the detrimental effects of smoking.
Although the number of smokers in Australia has been
dropping since 1945, when approximately 72 per cent of
the population smoked, smoking is still considered the single
most preventable cause of ill health and death in the country.
The harm smoking inflicts on the skin might seem
superficial compared to heart disease or lung cancer –
two common, not to mention deadly, consequences of a
smoking habit – but it is usually the first, and most visible,
sign of the damage smoking can cause.
The good news is this damage is reversible. The bad
news, however, is that the longer you leave it before
quitting, the more likely the sagging, wrinkled complexion
you’ve been left with will be permanent.
How smoking affects the skin
The exact ways in which tobacco smoke changes or
damages the skin are not yet fully understood. However,
scientific studies suggest a number of mechanisms may
Some research suggests exposure to tobacco smoke
decreases blood flow in the arteries and capillaries, resulting
in damage to the connective tissues that help maintain
healthy skin. Fibroblasts – the cells in connective tissue that
form collagen and elastin – are also thought to be damaged
by tobacco smoke.
There is also evidence that tobacco smoke is
phototoxic, becoming more damaging – or toxic – in
the presence of ultraviolet (UV) light. The skin of a heavy
smoker would therefore be more prone to UV damage
than that of a non-smoker.
Smoke is also thought to sap the body of vitamin C –
a key component in the manufacturing of collagen, which
underpins the structure of the skin. Not only this, but
smoking is thought to disturb the production of matrix
metalloproteinase – an enzyme that, in non-smokers,
regulates the production of collagen.
Of course, all that sucking puts the skin around the
mouth under stress, too, resulting in the hollow cheeks,
crow’s feet and puckered upper lip characteristic to the
Wrinkles and smoking
Although you may be more used to reading about wrinkles
that appear on the face, smoking doesn’t discriminate,
contributing towards the emergence of fine lines and
wrinkles all over the body – including often-exposed areas
such as the normally delicate inner arms.
But what causes the wrinkles? The blame ultimately lies
with the nicotine in cigarettes, which causes narrowing of
the blood vessels in the outermost layers of the skin. This
impairs blood flow to the skin, restricting not only the amount
of oxygen but also the amount of important nutrients such
as vitamin A that reach the dermis. Of course, the cocktail
of more than 4,000 chemicals in tobacco smoke also
damage collagen and elastin, both of which give the skin its
strength and elasticity. The end result is skin that begins to
sag and wrinkle prematurely.
There is evidence that the more you smoke, the more
accelerated the ageing effect will be, with heavy smokers
experiencing more premature wrinkles than those who
dabble in the odd cigarette. But how much older can a
smoker expect to look? One study, in which eight judges
individually rated the age of smokers and non-smokers
from their photographs, reported that smokers were, on
average, rated as being 2.7 years older than their actual
age, while non-smokers were rated at 0.7 years younger
than their actual age.
Smoking and sun damaged skin
Of course, sunlight is already known to prematurely age
the skin, so what happens when a smoker is exposed
to sun damage? Some research suggests individuals
exposed to both tobacco smoke and sunlight prematurely
wrinkle more than individuals exposed to tobacco smoke
or sunlight alone.
One study found that smokers were 5.8 times more
likely to develop wrinkles than non-smokers, while those
with excessive sun exposure (defined in the study as more
than two hours per day) were only 2.65 times more likely
to wrinkle than those who were not excessively exposed
Individuals who smoked heavily (defined as ‘35 pack
years’) and who had excessive sun exposure were 11.4
times more likely than non-smokers with less than two
hours per day of sun exposure to develop wrinkles. This
is a much greater risk than the combined individual risks of
smoking and sun exposure alone. Given the phototoxicity of
tobacco smoke, this synergistic relationship is unsurprising.
Reverse the damage
The good news is many experts believe much of the
damage done to the skin by tobacco smoke is reversible.
In fact, as soon as you stop smoking, the body begins to
function better and can take steps to repair itself, the skin
showing noticeable signs of improvement after as little as
six weeks without a cigarette.
Although kicking the habit is the first – and perhaps
hardest – step in reversing the damage, you can also give
your skin a little helping hand. Replenish your stores of
vitamins A and C – both topically through your skincare
and internally through your diet; stay hydrated and limit
your intake of alcohol and caffeinated drinks. Lastly, make
an appointment to see your dermatologist – some of the
damage caused by smoking may be harder to heal and,
depending on the degree of wrinkling, you may want to
consider treatment options such as anti-wrinkle injections,
dermal fillers or dermabrasion. csbm
REigniTE yoUR coMPLExion anD
FigHT THE SignS oF agEing WiTH
THE PALOMAR EMERGE FRacTionaL
LaSER. caiTLin BiSHoP REPoRTS.
If beauty is only skin deep, it pays to keep the skin healthy
and radiant. However, as the body’s largest organ, and its
first line of defence against the outside world, the skin is
prone to discolouration, dehydration, acne, wrinkling and
a wealth of other common complaints. Beauty, then, can
often seem a long way off.
Fortunately, a number of technologies exist to help
improve the appearance of skin complaints such as wrinkles,
pigmentation and textural irregularities. Fractional laser is one
of these technologies, affording non-ablative skin resurfacing
to brighten, refresh and reinvigorate the complexion with
minimal downtime and little to no discomfort.
The new Palomar Emerge Fractional Laser delivers
pulses of heat in micro-beams to the skin’s epidermis
and dermis. Used commonly to treat the skin on the face,
this creates controlled columns of damage to trigger the
body’s natural healing response. The resultant increase in
oxygen, nutrients and hydration promotes the production
of collagen and elastin in the treatment area – the building
blocks of youthful skin.
‘Due to the body’s natural healing process, the columns
of damage are replaced by new, healthy tissue. This
results in fresher, younger looking skin with a reduction
in pigmentation, fine lines and wrinkles,’ explains Sydney
dermatologist Dr Michelle Hunt, who has been using the
Palomar Emerge for the last year. ‘The upper level of the
skin remains intact, allowing for minimal downtime, and
reduced risk of side effects such as infection.’
While the Emerge is suitable for use all over the body,
Sydney facial plastic surgeon, Dr Tobias Pincock, commonly
uses it to address ageing characteristics around the face.
‘Primarily, we use the Emerge to treat the ageing face,
as it stimulates collagen induction, decreases pore size,
reduces wrinkles, homogenises texture and rejuvenates
the skin,’ Dr Pincock explains. ‘We’ve also achieved some
great results in scar revision and treating stretch marks.’
With five specialised parameters, the Emerge can be
tailored to suit each patient, depending on the severity of
facial wrinkles, prevalence of pigmentation and the need for
Before the procedure, therefore, an extensive
consultation is required in order to gauge the particular
concerns and circumstances of each patient. It also
provides an opportunity for the physician to capture
photographs of the patient so results can be compared
before and after treatment.
Although the laser treatment itself is typically well
tolerated, Dr Pincock says patients can opt for topical
anaesthetic to be applied to the treatment area ahead of
‘We generally use cold rollers and topical numbing
cream when preparing patients for their treatment,’ says
cosmetic nurse specialist JC Neveu-Collins who works with
more stubborn pigmentation,’ Dr Hunt explains. ‘Often
patients like to return after six to 12 months for a “refresher”
treatment, or prior to special events.’
Some patient care is needed before and after treatment.
Sun exposure should be avoided for two weeks both before
and after treatment, while gentle skincare, incorporating
anti-inflammatory agents and peptides, is recommended
in the days following the procedure. Retinoids, or serums
containing vitamin A, should be avoided directly after
treatment and sunscreen should be used regularly while
undergoing a series of Emerge procedures.
For those looking to conquer stretch marks, tighten
wrinkles or return their skin to an even glow and texture,
the Emerge affords a fast and tailored approach. Used
either alone of alongside other rejuvenation procedures,
the Emerge will leave skin renewed from within, with
heightened collagen induction and enhanced quality for a
fortified, revitalised and refreshed complexion. csbm
The Emerge stimulates
collagen induction, decreases
pore size, reduces wrinkles and
rejuvenates the skin
‘Any discomfort is bearable but the level of anaesthetic
always depends on the patient,’ he adds. ‘Treatment with
the Emerge is commonly used to tighten the skin under
the eyes, which is an area that can noticeably deteriorate
with age. Around this area – the periorbital rim, temples and
cheekbones – there is less tissue and the level of discomfort
will typically be greater.’
According to Dr Pincock, the procedure itself can usually
be performed within just half an hour. Although a short
procedure with minimal downtime, patients should expect
some redness and swelling and may also experience
peeling skin. ‘The redness tends to fade within 24 hours,
while any dryness may persist for a couple of days,’ notes
For the best results, a series of four to six treatments
is recommended to rigorously enhance skin health, with
each treatment spaced two weeks apart. New collagen
formation can be seen after three months following the
procedure and these results can be maintained and,
according to Dr Hunt, can be improved with diligent home
skincare and complementary procedures.
‘The Emerge laser can be used alone, but it is a great
adjunct to other cosmetic procedures such as muscle
relaxing injections, dermal fillers and even other lasers for
AFTER 3 treatments with the Palomar Emerge
by Dr Hunt
AFTER 3 treatments with the Palomar Emerge
by Dr Hunt
AFTER 5 treatments with the Palomar Emerge
by Dr Hunt
ONE PATIENT DESCRIBES HOW TREATMENT WITH INFINI FROM LUTRONIC USED
MuLtIpLe MoDeS to enhAnCe the StRuCtuRe AnD SMooth the textuRe oF
heR SkIn. CAItLIn BIShop RepoRtS.
Like many patients, Desi was hoping to address the
loss of volume and skin laxity she had experienced
with age. Having approached the Australian Skin
Face Body clinic in Geelong, after thorough consultation
she was recommended a new procedure, designed to
leave the skin refreshed, soothed and volumised.
Recently introduced to Australia, the Infini from Lutronic
is the world’s first dual-mode fractional radiofrequency (RF)
platform, capable of delivering both microneedling fractional
RF and superficial fractional RF.
‘My major concern was that, over time, I had begun to
lose volume from the fat pads in my face, which left me with
an aged appearance,’ says Desi. ‘Because Infini has two
modes, it grants rejuvenation both on the inside and out. I
therefore hoped it would improve both the contours of my
face and the texture of my skin.’
By combining both microneedle fractional radiofrequency
(MFR) and superficial fractional radiofrequency (SFR),
the Infini offers a rigorous approach to skin rejuvenation,
tackling both the superficial and deeper layers of the skin.
With MFR, insulated microneedles deliver radiofrequency
energy deep into the dermis inducing controlled areas of
coagulation – or tissue shrinkage – and triggering the body’s
natural healing response. This promotes collagen production
and skin tightening, without damaging the epidermis, to
create a firmer, stronger and more youthful complexion.
SFR, on the other hand, uses two channels to deliver
thermal energy deep into the epidermis and dermis, while
also providing micro ablation on the skin’s upper layers.
This illuminates the skin and homogenises its texture, which
is particularly effective for scar revision.
By combining the two technologies, the Infini platform
can be used to address a number of patient concerns.
‘Infini treatments commonly address wrinkles, facial
and neck skin quality and acne scars, though it’s also
been tested on stretch marks and skin laxity,’ says Dr
Claderhead, director of scientific affairs at Lutronic. ‘Infini
is not the answer to everything, however it is a bridge
between non-surgical and surgical procedures.’
During the procedure, multiple passes of the Infini
can be used to treat the skin’s superficial layers as well
as the epidermis and the dermis and the treatment will
e tailored according to each patient’s skin complaints.
The highest energy is typically used on the skin’s deeper
layers, with more aggressive settings selected for those
areas of patient concern.
‘Before treatment, a dermal therapist examined my skin
and I explained the areas I really wanted to improve,’ Desi
says. ‘Going into treatment, my face was cleansed, dried and
I was given high grade, topical anaesthetic. This was left on
for 45 minutes underneath a coating of Glad Wrap, which
was removed just before the treatment began. The physician
methodically treated sections of my face, using more
aggressive settings on those areas I was concerned about.’
The treatment itself usually takes around 40 minutes to
complete, with the starting energy level and needle depth
selected according to the patient’s skin condition.
To ensure a three-dimensional improvement, levels are
adjusted with each pass of the handpiece across the face.
‘In the fi rst pass, the needle depth could be anywhere
between 0.5 and 3.5mm,’ Dr Calderhead explains.
‘Typically, females have 2 to 2.5mm of facial skin, so we
would normally start at 2mm for the cheeks and 1.5mm for
areas over bony tissue. After the fi rst pass, the physician
will go to the next depth, which might be 1mm deep, and
use slightly lower parameters.’
The level of discomfort felt during the procedure, as well
as the down time experienced afterwards, varies between
patients. Patients can usually expect some swelling,
redness and sensitivity in the days after treatment and,
in some cases, Infi ni will induce mild bruising, particularly
under the eyes.
Dr Calderhead explains any infl ammation should peak
12 hours after treatment and is usually gone within 24 to 48
hours. He also recommends some patient care following
the procedure, to limit irritation and assist in healing.
‘The tiny microneedle wounds heal within 12 hours, so
the patient can go home and gently wash at night before
giving themselves a thorough wash the following day,’
Dr Calderhead says. ‘We discourage patients from using
aggressive cleansers or any products containing powerful
scrubbing agents for a couple of weeks following treatment.’
Typically, a series of Infi ni treatments is recommended
to achieve the desired outcome. Two treatments, spaced
four weeks apart, are typically needed for optimal results,
with some patients opting for more treatments to further
According to Dr Calderhead, new collagen fi bres begin
to form four weeks after treatment, with results showing
within 10 weeks.
Having undergone two treatments with Infi ni, and with
another two to go, Desi is already more than satisfi ed
with her own results and is looking forward to continued
‘Even after my fi rst treatment with Infi ni, I noticed a
difference in my complexion,’ she says. ‘After two to three
weeks I saw a tightening and fi rming of my skin. I’ve found it to
be a fantastic treatment for general facial rejuvenation.’ csbm
Lutronic has developed a single
device for all skin types and for
a vast range of needs. Indicated
for skin tightening, skin laxity, skin
rejuvenation and acne scarring,
the two-in-one fractional radio
frequency (RF) system combines
microneedle fractional RF and
superfi cial fractional RF in one
platform, offering versatility to
both patients and practitioners.
• Skin tightening
• Skin laxity
• Skin rejuvenation
• Excessive sebum secretion
• Active infl ammatory acne
• Enlarged pores
• Acne scarring
AFTER acne scar treatment with Infini.
Courtesy of S. Savant, MD, India
AFTER scar revision with Infini. Courtesy of
Devrim Gursoy, MD, Turkey
AFTER skin laxity treatment with Infini.
Courtesy of Devrim Gursoy, MD, Turkey
LUTRONIC’S SPECTRA OffErS a vErSaTiLE
SOLUTiOn TO SOmE Of ThE mOST COmmOn
SiGnS Of aGEinG anD ThE PErSiSTEnCE Of
PiGmEnTaTiOn. CaiTLin BiShOP rEPOrTS.
With such a wealth of common skin complaints, the
ability of a treatment protocol to adapt to different
concerns is essential. From non-ablative skin
resurfacing to tattoo removal and acne scars, the Spectra
from Lutronic is a versatile laser that can be tailored to treat
a variety of concerns. Signifying the first ‘Q-Switch’ laser
approved by the Therapeutic Goods Administration (TGA)
for treating melasma, the Spectra also presents a wide
range of options for more generalised skin rejuvenation.
Originally designed for tattoo removal, the Spectra’s 1064
nanometre ‘Q-Switch’ laser – which uses pulsed light at high
energies – is capable of blasting apart the skin cells that hold
tattoo pigment, without affecting the surrounding tissue.
This same principle also applies when treating pigmentation.
‘We can destroy the deeper pigments in both tattoos
and sun spots using the 1064 Q-Switch,’ explains Dr
Glenn Calderhead, director of scientific affairs at Lutronic.
‘Each melanin particle is blown apart by the laser, but it
doesn’t disrupt the tissue surrounding it; it only destroys
the containing cell.’
While this is suitable for reservoirs of pigment situated
deeper into the dermis, the 1064 Q-Switch can’t be used
on skin cells nearer the surface. Instead, the use of the
1064 Q-Switch has been refined in a new technique termed
‘laser toning’. Particularly effective in treating melasma,
laser toning uses low energies and multiple passes to gently
correct pigmentation closer to the skin’s surface.
‘Using 0.9 joules as the starting level on every skin type,
we perform multiple passes with a 7 or 8mm headpiece,’ Dr
Calderhead explains. ‘This has been found to destroy the
melanin but not destroy the cells containing the melanin.’
Sometimes dubbed ‘the mask of pregnancy’, melasma
is common in women who have recently had a baby or
have a history of taking the contraceptive pill. Appearing in
bands of pigmentation across the face, melasma can arise
suddenly and is frustratingly difficult to treat.
‘With conventional treatments, the pigmentation will
either worsen after treatment or return in eight to 12 weeks,’
Dr Calderhead says. ‘With laser toning we can ensure the
skin doesn’t become overly warm or red, as this indicates
increased inflammation. Over six to 10 treatments we can
remove melasma and it stays away for up to 18 months.’
The Spectra is a versatile laser
that can be tailored to treat a
variety of concerns
Combining the two approaches, Lutronic has developed
a ‘Spectra mask’ designed to treat acne, reduce enlarged
pores and improve skin texture. This uses a carbon
facemask, a 300 micrometres pulsed laser and the 1064
Q-Switch laser to create a mild-epidermal peel.
‘The 300 micrometres laser heats the skin and this can
be effective for skin rejuvenation and treating fine pores,’ Dr
Calderhead says. ‘When we immediately follow this with the
1064 Q-Switch treatment, while the carbon lotion is on the
face, we can treat acne, enlarged pores and uneven texture.’
With different parameters for treating rosacea,
pigmentation, burst capillaries and enlarged pores,
the Spectra system affords a holistic approach to skin
rejuvenation. With adjustable energy levels and exposure
times, the laser can be as aggressive or as mild as needed,
ensuring each patient receives an individualised, effective
treatment suited to his or her concerns. csbm
Ditch the down time
WAnT TO SEE An IMpROvEMEnT In yOUR SKIn BUT dOn’T hAvE A hUgE AMOUnT
OF TIME? SydnEy AESThETIcIAn EVA KARPATI REcOMMEndS nOn-ABlATIvE
FRAcTIOnAl SKIn RESURFAcIng. lIzzy FOWlER REpORTS.
Wrinkles, open pores, fine lines, scars and stretch
marks can cast their shadow on all of us,
causing unnecessary heart ache when severe or
located on visible parts of the body. Today, however, nonablative
fractional rejuvenation can significantly improve
the appearance of these conditions and more, with no
downtime and in just a few treatments.
According to Sydney aesthetician and owner of Karpati
Medispa, Eva Karpati, non-ablative fractional skin resurfacing
can be used to improve a number of common dermatological
and cosmetic skin conditions. Best of all, with minimal to
no downtime, men and women can return to their busy
schedules immediately, whilst seeing a real improvement in
their complaint within just a few treatment sessions.
‘With age, the cumulative effects of lifestyle choices can
take their toll on the face. Skin loses firmness and radiance,
wrinkles can become ingrained and uneven pigmentation
can mar the complexion,’ says Karpati. ‘Advances in
laser technology over the past five years have meant the
visible signs of chronological and environmental ageing
can be significantly reduced and sometimes reversed, with
treatments that take the equivalent of a lunch hour and
require little or no downtime.’
Fractional skin resurfacing uses laser energy to create
microscopic injuries in the skin. In non-ablative treatments,
the laser coagulates the affected tissue, and the body’s
natural healing mechanisms kick in to create new, healthy
tissue to replace the coagulated tissue. The result is
healthier, younger-looking skin.
According to Karpati, fractional laser systems have
revolutionised skin rejuvenation. ‘Rather than “burning”
the surface of the skin, fractional lasers work in the deeper
layers to promote collagen renewal, leaving the surface
virtually untouched,’ she says.
‘Unlike ablative laser procedures, which vaporise, rather
than coagulate the tissue, non-ablative procedures involve
minimal to no redness and swelling and patients can
return to their day-to-day activities immediately,’ she adds.
The treatment is also much better tolerated with minimal
discomfort experienced by most patients, and no need for
any topical anaesthesia.
Although multiple treatments are needed in order to
see an improvement in the appearance of common skin
complaints such as open pores, fine lines and wrinkles,
stretch marks and scars, Karpati says the treatments are
both fast and effective. ‘I can treat a full face or an entire
chest in around 12 minutes,’ she says. ‘This is a great
advantage to those who don’t have a lot of time to give to
either their procedure or their recovery.’
Of course, the key is to accurately assess the condition
of each client’s skin, and to prescribe the optimal course
of treatment. ‘I will spend as much as an hour talking to
each client, taking photos and analysing their skin before
any treatment is undertaken,’ says Karpati. ‘I do not charge
for this. It is so important for me – and the client – to first
thoroughly understand what we are dealing with and how
to deal with it effectively. It’s my philosophy every person
needs an individualised approach.’
Karpati uses different laser wavelengths to address a
number of different cosmetic concerns. ‘We use different
wavelengths, which allow us not only to meet different
needs – be it laser hair removal, pigmentation, vascular
spots or skin rejuvenation – but also to treat different skin
types safely, from the darkest to the lightest.’
According to Karpati, the 1540 laser, which has a
wavelength of 1540 nm, is particularly beneficial. ‘This is a
fractional, non-ablative laser that can effectively rejuvenate
skin on areas such as the face, décolletage and hands.
Moreover, it can improve problematic scars such as those
that might be left post-surgery, as well as stretch marks.’
Patients will typically see a noticeable improvement
in the appearance of these conditions after just one
treatment although Karpati usually recommends four to
six treatments spaced four to six weeks apart in order to
see maximum benefit.
‘Results will continue to improve over time as new
collagen is manufactured,’ says Karpati. ‘Best of all,
as patients have more treatments, results will just keep
getting better and better.’ csbm
AFTER non-ablative fractional rejuvenation
AFTER non-ablative fractional rejuvenation
AFTER non-ablative fractional rejuvenation
See the light
FOR THOSE SUFFERING SEVERE ACNE OR SUN DAMAGE, CLEAR, RADIANT SKIN
HAS NEVER BEEN MORE ACHIEVABLE, THANKS TO THE NEW ALLMEDIC SUPER
CONTOURFLEX LED. LIZZY FOWLER REPORTS.
If you’re one of the many Australian adolescents or
adults suffering persistent acne, you might have heard
of photodynamic therapy (PDT). A non-invasive and
effective means of treating a number of skin complaints,
PDT combines light with a special light-activated solution to
target abnormal skin cells and unveil clear, radiant skin. As
well as helping to treat acne, PDT has become particularly
popular in Australia, where sun-damage can result in large
areas of scaly, hardened and wrinkled skin. However,
treating anything larger than a localised area of the body with
PDT has, until now, been both a costly and time consuming
process, frustrating both surgeons and patients whose skin
complaint might be spread across large or multiple areas of
the body such as the back or face and scalp.
For the last fi ve years, the team of skincare experts
at allmedic has been working to address this frustration,
developing a new LED machine capable of treating large
areas of the body in just a short space of time.
Known as the allmedic Super ContourFlex LED, the device
has been designed by experts in LED (light emitting diode)
technology, skin cancer specialists and dermatologists, to
overcome the limitations of old technology.
Unlike some LED machines, the allmedic Super
ContourFlex LED incorporates red and blue LEDs into a
large fl exible head, which not only allows for the treatment
of multiple or large areas in a single illumination, but which
can also be moulded around the contours of the body to
improve treatment effi ciency.
Integrating optimal power with a blue LED wavelength,
which affords maximum absorption and activation of
results for acne,
as well as a
wide range of
as sun damaged
and aged skin
AFTER treatment with Photodynamic Therapy and allmedic
everyday product range
Developed & Recommended
Introducing the New allmedic TM
Super ContourFlex LED
AFTER treatment with Photodynamic Therapy
and allmedic everyday product range
ALA – the photosensitiser that is selectively absorbed by
active cells such as the sebaceous gland – means the
length of time patients need to be exposed to illumination
is dramatically reduced. The result is not only shorter
treatment times and, therefore, greater patient compliance,
but also optimal treatment outcomes and a reduced risk of
immunosuppression as a result of the treatment.
Dr Doug Grose, managing director at allmedic,
explains that during the procedure a product containing
the photosensitizer (either 5-ALA or m-ALA) is applied to
the skin of the treatment area. ‘The active ingredient is
selectively absorbed into damaged cells such as sun spots
or active cells such as in the sebaceous glands of acne
patients. Once inside the cells the product changes in a way
which makes it very sensitive to light,’ he says.
After the incubation phase, the photosensitiser is
then activated by the light emitted by the allmedic Super
ContourFlex LED. ‘By exciting the photosensitiser, intracellular
reactive oxygen species are produced, which in turn
leads to the apoptosis and necrosis of the abnormal cells,’
Dr Grose explains.
According to Dr Grose, teatment with PDT can reduce
the oiliness of the skin and improve the appearance of large
pores. ‘In my experience, PDT provides exceptional results
for acne, as well as a wide range of other skin conditions,
including rosacea, sun-damaged and aged skin, fine lines,
and pigmentation,’ says Dr Grose.
PDT can also have a positive impact on the texture,
luminosity and firmness of the skin by increasing the
production of collagen. ‘PDT treatment not only effects
the epidermis, or the top-most layer of the skin, it also
has an indirect effect on the dermis, as cytokine induction
stimulates the creation and inducement of new collagen,
which has a cosmetic effect on the appearance of the skin,’
says Dr Grose.
Ultimately, PDT offers a non-surgical, long-lasting and
cost effective solution to a number of skin complaints
and now, thanks to the advances made with the allmedic
Super ContourFlex LED, treatment is more accessible than
ever before. csbm
o Exclusive supply to doctors only
o Supported by science and research
o Red and Blue LEDs in a large, flexible head, which
moulds around the treatment area so PDT can be
performed on large or multiple areas in one
illumination (shorter treatment time)
üo Optimal power and illumination for reduced risk of
immunosuppression, incubation and patient
discomfort during PDT
üo Blue LED wavelength matches peak absorbtion
and activation of ALA
üo Soft touch control panel and distance sensor for
convenience and ease of use
Convenience · Optimal Results · Reduced Risk
· Improved Satisfaction
Contact us on:
1300 652 969
Follow us on
Key Benefits of the allmedic Super ContourFlex LED Machine
The allmedic Super ContourFlex LED has been developed to overcome the limitations of traditional LED machines.
The new machine has a large, flexible treatment head, which means larger treatment areas such as the back and
legs can be targeted in one PDT illumination. Because of its flexibility, the LED machine can also be moulded
around the treatment area, affording better results. The optimal power emitted by the machine also limits the risk of
immunosupression whilst also reducing any significant patient discomfort.
1. The large treatment head, incorporating red and blue LEDs, means multiple or large areas of the body can be treated in a single illumination without having to change the LED head.
2. The flexible head ensures it can be moulded around the treatment area, which optimises PDT.
3. The blue LED wavelength matches the peak absorption and activation wavelength of photo-sensitive ALA and a soft-touch control panel and distance sensor ensures ease-of-use.
Why you need a
SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON EXPLAINS WHY WINTER IS
THE BEST TIME OF YEAR FOR SKIN RESURFACING.
As the temperatures dip below 20 degrees, Sydney
plastic surgeon Dr Darryl Hodgkinson says it’s
the perfect time to think about treating your
skin to a resurfacing procedure. ‘Winter is the best time
for skin resurfacing, whether by laser, chemical peel or
dermabrasion,’ he says. ‘This is because, no matter what
technique is used for resurfacing the skin, the new, tender
skin that is exposed after the procedure will be pink and/
or red and, when exposed to the sun – especially in the
summer months – can become brown or hyperpigmented.’
Dr Hodgkinson offers three types of resurfacing: laser
resurfacing, which he refers to as ‘laserbrasion’; peel
resurfacing (chemical peels); and
dermabrasion. ‘At my clinic in
Sydney’s Double Bay, we use
all of these techniques in order
to improve skin that has often
been damaged by the sun,’ he
says. ‘Given expertise, all these
techniques can be combined and,
when used appropriately, can
address a myriad of problems.’
For example, according to Dr
Hodgkinson, fine wrinkles such
as those around the eyes can be
improved with laserbrasion; deeper
wrinkles around the mouth such
as ‘smokers lines’ might best be
addressed with dermabrasion; and
the hyperpigmentation and browny
splotchiness of the skin and a sallow complexion are best
reinvigorated by chemical peeling.
For people with less severe pigmentation or who do not
have the time to recover from a complete skin resurfacing,
lighter forms of peeling are available, which include low
percentage trichloroacetic acid (TCA) or alpha-hydroxy acid
peels. ‘These are appropriate for more minor pigmentation
and, when used in conjunction with microdermabrasion, can
give the skin a fresher, cleaner look,’ says Dr Hodgkinson.
‘The KTP laser is a good option for improving the appearance
of broken capillaries on the face, but again, for the best
results, a combination of procedures can be used.’ csbm
Full face resurfacing to improve severe damage from the sun. An upper eyelid blepharoplasty also helped refresh the appearance.
YOU DON’T HAVE TO PUT UP WITH
SCARS, SAYS REGISTERED NURSE AND
FOUNDER OF CLEAR COMPLEXIONS
CLINICS, SUZIE HOITINK. CAITLIN
There’s no denying the impact scars can have on body
confidence. Unsightly and often conspicuous, scars
can cramp self esteem, detract from confidence and
prompt the desire to cover up with clothes or makeup,
no matter their type or location. Yet registered nurse and
founder of Clear Complexions skin clinics, Suzie Hoitink,
says scarring shouldn’t be something patients learn to
live with. Although it may take time, Suzie believes the
appearance of scarring can be improved, and assures it’s a
journey that will reap significant, life changing results.
‘We might be treating a client for a year and half, even
two years, but, compared to the rest of their life, this is a
blink,’ she says. ‘The end results are permanent so I see it
as a long-term, life-changing journey to positive change.’
With clinics scattered around Canberra and now Sydney,
the medically trained registered nurses who work at Clear
Complexions are committed to helping their clients find a
long-lasting resolution to their skin issues.
An hour-long consultation signifies the beginning of this
journey – a session that is compulsory before undergoing
any treatment at Clear Complexions.
‘Everybody is different and every scar is different,’
says Suzie. ‘We need to know their age, ethnicity, and
gender; how they got the scar and how it healed; and the
medications they were on at the time; as these factors
effect how we treat the scar. We must take an individualised
approach and it’s only with a detailed consultation we can
formulate a tailored treatment plan.’
According to Suzie, aged skin, for example, will respond
more slowly to treatment, due to the reduced amount of
quality collagen in the skin. Darker skin tones, on the other
hand, are more prone to hyperpigmentation and will need
gentler treatment over a longer period of time.
The consultation also allows the registered nurse to
assess the type of scar in need of treatment. ‘Hypertrophic
scars can be identified by a raised red bump, which arises
due to an over-production of collagen at the scar site,’
explains Suzie. ‘Keloid scars are a type of hypertrophic scar
but are more severe and can expand from the wound site.
An atrophic scar, often associated with acne or chickenpox
scarring, is a sunken recess, while stretch marks occur
With surgical scars one of the most common
concerns seen in patients at Clear Complexions, Suzie
recommends Omnilux photodynamic therapy (PDT)
to prevent scar formation in those patients who know
they are going into surgery. A non-invasive treatment,
PDT uses a combination of light wavelengths to activate
certain cells, depending on the desired result. Treatment
with Omnilux can enhance skin health, which results
in an advanced healing response – and reduced scar
formation - after surgery.
‘If we know the patient needs surgery, for example
they’re undergoing a face lift or having a skin cancer
removed, we will give them a treatment of Omnilux to
enhance skin health before the treatment,’ says Suzie.
‘Post surgery, we begin Omnilux as soon as we can
reach the scar and perform the procedure twice a week
for about one month. This stimulates collagen renewal
and prevents fibrous tissue formation. Diligent Omnilux
treatment will either stop the scar forming or, if it does
form, makes it much easier to manage.’
Evident as pitted lesions, pox-marked spots or lingering
pigmentation, acne scars can be difficult to hide, even
using makeup, and can have a profoundly negative
effect upon self-confidence. Suzie explains there is an
abundance of misleading advice regarding treating acne
scars, some of which can prompt unwise decisions with
‘Lots of people try microdermabrasion to treat severe
acne scarring but effective treatment needs something
more aggressive,’ she says. ‘We can accelerate the
healing process using PRP, fractional laser or Genesis
laser and establish an individualised treatment program
best suited to you.’
and patients are afforded faster, more effective results.’
For any type of scar, Suzie recommends seeking
treatment sooner rather than later. For example, new
stretch marks exhibit a reddish colour and can be treated
with PRP alone, but as they age and turn white, more
thorough treatment, involving multiple modalities, is
No matter the type, severity, cause or location, the
nurses at Clear Complexions understand how scars can
manifest themselves as negative self-confidence barriers.
By embarking on what Suzie refers to as a ‘journey
of positivity’ at Clear Complexions, your concern will be
addressed in a thorough, individualised and personal
approach, using contemporary medical treatments
performed by qualified and passionate professionals.
‘Of all the treatments and conditions we see in the
clinic, treating scarring is the most rewarding,’ Suzie says.
‘It doesn’t matter if the scar is on the face, if it is visible or
not, scars of any kind can absolutely effect self-confidence
and self-esteem. The most important thing to remember
is that treating scars requires a medical approach and the
sooner you take action, the better.’ csbm
AFTER Fraxel treatment
when the skin is stretched rapidly.’
According to Suzie, Fraxel laser resurfacing is the ‘gold
standard’ treatment for reducing the appearance of scars.
During the procedure, a laser device targets fractional
sections of the dermis and epidermis to break down the
fibrous tissue within the scar and stimulate the production
of new collagen to restore and rejuvenate the skin. While
this practice is widely used, Clear Complexions combines it
with other treatments to afford enhanced results.
‘We use fractional laser in conjunction with other
modalities such as platelet rich plasma (PRP) and intense
pulsed light (IPL) for a faster result,’ explains Suzie. ‘This
means we don’t need to use as many laser treatments
AFTER Fraxel treatment
AFTER Fraxel treatment
FAST AND EFFECTIVE, THE
DERMAROLLER IS PROVEN
TO INDUCE COLLAGEN
AND REDUCE SCARRING,
LOOKING SKIN. CAITLIN
We may not be able to halt the inevitability of
ageing, but we can exercise some control over
how old we look, thanks to evolving technologies
in skincare. Skin needling is one of those technologies,
inducing the remodelling of collagen and elastin in order to
deliver the hallmarks of a youthful complexion: hydrated,
clear and radiant skin.
German engineered and designed, the Dermaroller
was launched in Europe more than 10 years ago. A
market leader in skin needling, the Dermaroller has helped
thousands of men and women address the hallmarks
of ageing and see a clear improvement in conditions
such as acne scarring and hyperpigmentation. Today,
however, and skin needling technology has evolved, with
the newly released Dermastamp, distributed in Australia
by Clinic Care, clinically proven to induce collagen and
The evolution of skin needling
The launch of the Dermaroller in 2000 revolutionised the
concept of skin needling and Collagen Induction Therapy
(CIT), transforming it into an accessible and viable
restorative and rejuvenating treatment. In part inspired by
a Canadian doctor who was treating the appearance of
scars with a tattoo gun – minus the ink – to break up the
fi brous tissue, Dr Liebl improved upon the single needle,
tattoo-gun-approach by developing a device with multiple
micro needles positioned on a drum-like, rotating head. The
device was christened the Dermaroller.
‘Since then there have been thousands of procedures,
very successful results and minimal adverse effects using
the Dermaroller,’ says Sean Abel from Clinic Care.
Listed by the Australian Register of Therapeutic Goods
(ARTG) as a collagen induction device that can reduce the
appearance of wrinkles and scars, the Dermaroller can also
be used to treat stretch marks, pigmentation and some of
the most common signs of ageing.
The concept is relatively simple: when rolled on the
surface of the skin, the needles on the medical grade
Dermaroller create microchannels, which not only aid in the
absorption of topical active ingredients, but also cause mild
trauma to the dermis.
This stimulates the body’s natural healing response
to promote the production of collagen, enhance skin cell
renewal and attract blood, oxygen and hydration to the site.
As new skin cells are generated, and blood flow enhanced,
patients can look forward to an enhanced appearance
within six weeks.
In treating scars, the same rejuvenating effect is achieved,
though the micro needles also work to pierce and release
the fibrous scar tissue, softening the appearance of scars
and making way for improved cell renewal and increased
‘It is a constructive treatment – not an ablative procedure
– so it builds the skin from within, without causing trauma
to the surface,’ Mr Abel explains. ‘It stimulates type three
collagen, which matures into type one collagen. This
maturation process can take anywhere from six weeks
to six months, and patients will see gradual improvement
throughout this maturation.’
A study into skin needling found one Dermaroller
treatment induced, on average, a 206 per cent increase
in new collagen and elastin fibres in the skin. This was
determined using biopsy, where a control biopsy was taken
adjacent to the site of skin needling and a second biopsy
was taken, six to eight weeks later, at the skin-needling site.
In fact, the greatest improvement recorded in this study
was a 1000 per cent increase in new fibres.
Dermastamp: the next frontier
Technology doesn’t stay static for long, and skin needling
has recently taken another step forward with the introduction
Moving away from the traditional design of the Dermaroller,
the Dermastamp comprises a vibrating stamp of micro needles,
affording greater control in a clinical setting.
Unlike the Dermaroller, the Dermastamp is completely
automated, which means physicians can select how many
channels are made in the skin per second and the degree of
penetration for each facial site, according to the condition
being treated. This differs to the Dermaroller, where the
number of channels is dependant on manual application
and a different roller is used for different areas of the face.
‘The Dermastamp is unique in that physicians can
manipulate how many channels are made per second,’ Mr
Abel explains. ‘They can select 50 to 150 micro channels
per second and, with six needles on the tip, this can result
in 900 perforations per second.’
The depth of the Dermastamp needles can also be
adjusted, meaning physicians can vary the depth according
to the area being treated, customising the procedure for each
patient. ‘Literally, one Dermastamp treats all,’ says Mr Abel.
In keeping with this philosophy, the Dermastamp needles
are supported on a ball and socket joint, meaning their
positioning is continuously attuned to match the contours
of the face.
Remarkably, though the Dermastamp treatment is more
thorough than the traditional Dermaroller treatment, the fact
it vibrates means the Dermastamp is more comfortable
than its predecessor.
Dermastamp bridges the gap
between home skincare and more
‘Because Dermastamp vibrates, it distracts the nervous
system and our research shows it is approximately 70 per
cent better tolerated than the Dermaroller,’ Mr Abel says.
‘We’ve performed the treatment on patients who
say, “I can’t tolerate pain”. Yet, after treatment with the
Dermastamp, these patients usually tell us they didn’t feel
Before the procedure, topical anaesthetic is applied,
and some practitioners use water microdermabrasion to
increase the effect of the numbing cream.
The procedure will usually result in some blood spotting
during treatment and Mr Abel says most patients will
leave the clinic with a flushed, sunburnt appearance. ‘This
redness will generally persist for 12 to 24 hours following
the procedure, depending on the patient,’ he adds.
Three treatments, spaced four to six weeks apart,
are recommended for those wanting to see an overall
improvement in the appearance of their skin. For those with
scarring, however, the number of treatments will vary.
Suitable for most skin types including fine and sensitive
skins, Mr Abel believes the Dermastamp should be
considered the first step in facial rejuvenation and, when
complemented with the Dermaroller home care system,
can induce long-lasting improvements.
‘It is for those patients who are concerned about their
wrinkles, but don’t want to opt for an extreme treatment
just yet,’ he says. ‘Dermastamp bridges the gap between
home skincare and more aggressive treatments.’ csbm
SUZIE HOITINK, REGISTERED NURSE AND
FOUNDER OF CLEAR COMPLEXIONS
CLINICS, REVEALS HER FIVE STEPS TO
BEAUTIFUL SKIN. CAITLIN BISHOP REPORTS.
No matter what the extent of your skin damage,
registered nurse and founder of Clear Complexions
Clinics, Suzie Hoitink, believes improvement can be
achieved using a professional and dedicated approach to
‘A clear complexion can still be a reality even if you
have damaged skin, but it is never achieved with one
miracle cure,’ she says. ‘Damage like pigmentation has
multiple causes and lies at different depths. Clearing the
skin of pigmentation requires a variety of technologies, the
combination of which will be different for every individual.’
Under the surface
By taking a look at what lies below the skin’s surface, a more
holistic and effective skincare program can be established.
Vascular damage, pigmentation and ultraviolet (UV) damage
can be better assessed using diagnostic imaging and, while
this may reveal some alarming truths about the condition of
your skin, Suzie believes it’s the first step in an effective skin
‘You must be aware of what lies beneath your skin’s
surface. This can only be achieved with a skin assessment
conducted by a professional and using skin imaging
technology,’ she explains. ‘There is no point in clearing
pigment if you will be seeing rebound pigmentation two
months later. We want a map of the skin to know exactly
what we’re dealing with.’
Once this ‘map’ has been uncovered, suitable treatments
to counter the damage can be chosen. With several
treatments on offer, from laser and Intense Pulsed Light (IPL)
to peels and microdermabrasion, Suzie’s clinics provide an
all-encompassing approach to skin rejuvenation.
‘IPL, laser and fractional laser are all effective in treating
pigment, and can be used to address pigmentation at
different depths,’ Suzie explains. ‘At Clear Complexions
we have access to multiple modalities, or different ways for
treating different conditions, because we don’t just want to
improve your skin now, we want you to look good in ten
In fighting the ongoing process of ageing, it is important
to maintain the enhanced health and improved integrity
of your skin after these initial treatments. Through home
skincare and regular clinic treatments, the health, resilience
and youthfulness of your skin can be preserved.
‘I advise clients to maintain their results using less
aggressive and less expensive treatments monthly,’ Suzie
says. ‘It is beneficial to combine resurfacing treatments with
those that build the structural quality of your skin.’
Prevention and protection
In preventing further damage, home skincare plays an
essential role in protecting the skin and countering the
activity of melanocytes – or the cells that produce pigment.
According to Suzie, a home skincare regime should include
antioxidants – most importantly vitamins A, B3 and C – and
a daily dose of sunscreen.
Alongside home care and monthly maintenance
treatments, regular reassessment should be conducted
for a preemptive approach to anti-ageing. ‘We review
clients at least twice a year to keep them abreast of new
technology and ensure they are using the best treatments
and skincare available,’ Suzie explains.
‘You have to put time and effort into the health of your
skin, if you do this, you’ll reap the rewards for the rest of
your life.’ csbm
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*Images are courtesy of Dr.T.Chu
(After 5 treatments)
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DERMAPEN FroM EquipMED HELpS
coMbAT THE AppEArAncE oF FinE
LinES, wrinkLES AnD ScArS by
rEgEnErATing your Skin FroM
wiTHin. cAiTLin biSHop rEporTS.
With skin laxity, fine lines and a weakened skin texture
all inevitable players in the ageing game, skin needling
can help counter these symptoms and grant your
skin the boost it needs. Effective in improving the appearance of
scars, wrinkles and uneven texture, Dermapen from Equipmed
optimises skin-needling technology to rejuvenate, brighten and
smooth your complexion.
Designed for facial rejuvenation, Dermapen features
multiple needles which vertically pierce the skin. This allows for
deeper absorption of active ingredients, whilst simultaneously
triggering the body’s natural healing response – stimulating the
production of new collagen fibres. Effective in tightening skin,
boosting facial contours and improving the appearance of fine
lines, wrinkles and scars, the Dermapen works by renewing
your skin from within, as Melbourne medical practitioner Dr
Filomena Lucente explains.
‘Today, people are seeking more natural ways to improve
their skin, and what better way than inducing your own growth
factors and collagen fibres?’ she says. ‘Dermapen triggers the
body’s reaction to trauma, increasing the production of collagen
and tightening skin. This is particularly effective in treating
scars, as scars often cause a depression in the skin and the
new collagen induced by Dermarpen can fill that depression.’
Affording an holistic approach to enhancing skin health,
treatment with Dermapen involves three steps. First,
patients are encouraged to incorporate Beauté Pacifique
products into their home skincare regime. Scientifically
shown to repair, renew and strengthen skin, Beauté
Pacifique improves skin density by up to 80 per cent
when used consistently. These results are then enhanced
with Dermapen skin needling, which is used alongside
Dermaceutical Hyla Active gel to afford smoother gliding
and enhanced absorption. Finally, directly after treatment
with Dermapen, a covering of Lycogel Cover and Recovery
will seal the skin and conceal any post-procedure redness.
‘I ask my patients to use Beauté Pacifique skincare before
treatment with Dermapen, as the range is scientifically
proven to increase the thickness of the epidermis and boost
collagen production in the dermis,’ Dr Lucente explains.
The Dermapen itself allows an individualised approach
to skin rejuvenation, as the needle depth can be adjusted
according to the patient’s skin type, the nature of their
concern and the treatment area. Dermapen uses an
automatic vibrating function to allow maximum penetration,
while the needles themselves are disposable, countering
any risk of cross-infection.
‘The needle depth is controlled by the operator. This
is important because the needles must be adjusted
according to the section of the face or body that is being
treated,’ Dr Lucente explains. ‘For example, a shallow
needle is needed under the eyes, where the skin is much
thinner, and a deeper needle is used in treating acne
scars, as this optimises collagen induction and fills the
indentations from below.’
Before treatment with Dermapen, Dr Lucente conducts a
thorough consultation. During this one-on-one session, any
medical concerns, like active acne or potential sun cancers,
are addressed and the patient’s suitability for treatment is
established. Afterwards, Dr Lucente recommends patients
allow at least an hour for the procedure itself.
‘To prepare the patient for their treatment I will ask them
to lie down and then apply topical anaesthetic, which takes
around 20 minutes to work,’ Dr Lucente says. ‘I then wipe
off the anaesthetic and cleanse the skin with alcohol based
antiseptic. Using the Dermapen, I perform three passes
across the face, changing the needle depth as needed.’
After treatment, patients typically experience redness,
dryness and mild swelling. While this can be somewhat
improved using Lycogel, Dr Lucente assures the symptoms
themselves should not persist for long.
‘Patients are left with a mildly sunburnt appearance,’ Dr
Lucente says. ‘There is minimal swelling and this should
fade within 24 hours. I provide patients with the correct
Beauté Pacifique products to use that evening and the next
day. Particularly when using Lycogel, patients can resume
regular activity immediately after treatment.’
Generally, a series of Dermapen treatments is necessary
to achieve optimum results. Dr Lucente recommends four
treatments, six weeks apart and says results can usually be
seen in one week following treatment.
‘Patients will see an improvement in skin tone and
texture in six to eight days following treatment,’ Dr Lucente
says. ‘From this, the results will continue to improve, with
skin becoming smoother and tighter’
While Dermapen can be used in conjunction with other
facial rejuvenation treatments, for example anti-wrinkle
injections or volumising fillers, Dr Lucente believes it should
be considered the first step in facial enhancement.
‘I use Dermapen as the first approach to skin rejuvenation,
as it takes a holistic approach in combining quality skincare
and science,’ Dr Lucente says.
‘If patients are still considering particular injectables
following treatment with Dermapen, then these injections
will just be the “cherry on top”. Dermapen represents an
important step in improving the quality and health of the
skin, as it uses science to achieve natural results in facial
AFTER 3 treatments for skin rejuvenation with
AFTER 4 treatments with the Dermapen for
acne rolling and box scars
AFTER 5 treatments for acne scarring and skin
rejuvenation with the Dermapen
like no other
DESIGnED To pRomoTE SKIn HEALTH FoR LIFE, THE HYDRAFACIAL FRom HIGH
TECH LASER wILL LEAvE you wITH A youTHFuL, RADIAnT GLow In nExT To no
TImE. CAITLIn BISHop REpoRTS.
When it comes to achieving healthy, radiant
skin, there’s no shortcut or quick fix. However,
integrating regular facials into your beauty regime
will give your skin the extra deep-cleanse it often needs,
boosting the inner health of your skin so it radiates health
on the outside, too.
Recently launched in Australia, the HydraFacial from
High Tech Laser is designed to detoxify, rejuvenate and
protect the skin. It combines exfoliation, acid peels, pore
extractions and antioxidant infusions in a completely
non-invasive procedure. Suitable for every skin type, the
HydraFacial treatment claims to achieve ‘Skin Health For
Life’, and grants a brighter, cleaner and more youthful
complexion without the irritation or downtime associated
with more aggressive resurfacing procedures.
Sydney cosmetic physician Dr Garry Cussell has found
the HydraFacial an effective method to rejuvenate and
hydrate his patient’s skin, with immediate results.
‘In my experience the HydraFacial is an excellent, 30
minute treatment that leaves the skin particularly clean,’
he says. ‘It increases shine and lustre, while taking away
dullness and is therefore the perfect treatment to refresh
your complexion before a special occasion, weekend
away or overseas holiday.’
The HydraFacial incorporates a series of specialised
treatments to deeply clean and nourish the skin. The five-step
process involves cleansing and exfoliation to remove dead skin
cells, an acid peel to soften grime lodged in the pores and a
vortex suction extraction system to unclog the pores.
To complete the process, an active, hydrating serum
comprised of peptides and antioxidants is applied to nourish
and protect the skin. The serum also contains hyaluronic
acid to increase and maintain hydration.
‘Every stage of the HydraFacial is essential to the
outcome,’ explains Dr Cussell. ‘The infusion of antioxidants
and active ingredients is extremely valuable, while the
peel, exfoliation and deep extractions involved induce
The HydraFacial applicator is equipped with a series
of patented tips that use vortex fusion technology to
Step 1 Cleansing and Exfoliation
Dead skin calls are removed to reveal
healthy new skin
Step 2 Acid Peel
This gentle peel helps loosen dirt and debris
from pores without irritation
Step 3 Extractions
Automated extractions use vortex suction
to clean out pores
Step 4 Hydration
Antioxidants and Hyaluronic Acid are
Vortex-Fused to nourish and protect the skin
Step 5 Protection
The HydraFacial Daily Essentials help
maintain and protect results
‘It’s a relatively inexpensive treatment and people can
have it once a week, every fortnight or occasionally, perhaps
when leading up to a special event,’ he says. ‘However,
ideally it should be considered a “gym for your skin” as
regular visits will ensure ongoing skin health.’
The HydraFacial can also be used in conjunction with
other skin rejuvenation procedures and Dr Cussell will
frequently perform the procedure before and after laser
resurfacing to enhance skin health and enhance the results.
‘While the HydraFacial works on the skin’s surface, laser
therapy targets the skin’s deeper layers and Thermage uses
radiofrequency energy to stimulate collagen production in
the dermis, or the skin’s deepest layer,’ Dr Cussell explains.
‘Using them together creates an all-encompassing
approach to anti-ageing.’
Whether you’re looking for a facial to integrate into your
monthly beauty regime, or something to complement a
more invasive procedure, the HydraFacial will leave your
skin clean, smooth and bright in next to no time. ‘The
HydraFacial is for those patients hoping to look fi tter,
younger and more vibrant,’ Dr Cussell concludes. csbm
simultaneously cleanse and nourish the skin during the
different stages of the treatment. Each head has multiple
edges in a unique spiral design to exfoliate the skin multiple
times during each pass.
According to Dr Cussell the treatment is ideal for
anyone looking to enhance his or her complexion. ‘The
HydraFacial deeply cleanses inside the facial pores and
hair follicles, which is something not achieved in homecare
cleansing and exfoliations,’ Dr Cussell says. ‘This
treatment is suitable for virtually anyone. It doesn’t matter
if you’re a supermodel or just an average person – your
complexion can always be brightened.’
To extend the results and retain the skin’s hydration
and brightness between treatments, the fi nal step in the
HydraFacial is the introduction of the ‘Daily Essentials’
skincare pack. Tailored to certain skin complaints, the
range incorporates a topical moisturiser, antioxidant serum
and a refi ning eye gel. Each product is infused with select
concentrations of the same active ingredients found in the
salon treatment, providing detoxifi cation, rejuvenation and
protection in between visits.
According to Dr Cussell, patients see and feel the results
from the HydraFacial for up to a week and, as their skin health
improves, with continued treatments the results last longer.
Because of its gentle, multi-modal approach, Dr Cussell says
patients can undergo the procedure as often as they wish.
A patient receives a HydraFacial treatment
STEM THE AGEING TIDE WITH
MESOESTETIC STEM CELL,
A POWERFUL COMBINATION
OF PROFESSIONAL AND HOME
MAINTENANCE SKINCARE TREATMENTS.
CAITLIN BISHOP REPORTS.
Stem cells have fast become a buzz word in skincare.
The mainstay of cell renewal, stem cells are being
harnessed from plant extracts to help stimulate, repair
and protect the skin and fi ght the most common signs of
ageing: deep wrinkles and skin elasticity.
Combining plant stem cells and growth factors, the
Mesoestetic Stem Cell solution, distributed in Australia by
Advanced Cosmeceuticals, works inside the skin’s cells
to strengthen, enhance and revitalise. Designed for those
aged in their 30s, the range, which includes a series of fi ve
professional treatments and three at-home maintenance
products, targets deep wrinkles, skin elasticity and skin
According to managing director of Advanced
Cosmeceuticals, Catherine Biedermann, while it’s important
to commit to a series of professional treatments – she
recommends five treatments spaced seven to 10 days
apart – as much as 70 per cent of the improvement clients
will see in their skin comes down to using the at-home
skincare range to support and maintain results.
‘It’s a bit like gym membership: you could go to gym once
a week and you’d only get moderate results. If you went to
the gym once a week and walked every day or did push ups
at home you’d see improved results,’ she explains.
The Mesoestetic Stem Cell home maintenance products
include an active growth factor 24-hour cream, a nanofiller
lip contour cream and a restructuractive serum, which,
when used together, help skin retain its salon-induced glow
for weeks following professional treatment.
‘This comprehensive approach to skincare gives your
skin the nourishment it needs,’ Biedermann notes.
Each of the three take-home products exhibit high
concentrations of active ingredients. While the plant stem
cell extract is the standout ingredient, the addition of growth
factors works to establish a structured and resilient defence
‘One of the things that differentiates this skincare range
from others is that it combines stem cells with growth
factors – most products contain either one or the other,’
The stem cells are obtained using biotechnology and
automatically renew into many types of differentiated cells.
They infuse the Mesoestetic line with phytonutrients and
proteins, which stimulate fibroblasts to generate collagen in
the epidermis, improving skin integrity and structure.
Moreover, there are naturally occurring adult stem cells
residing in our epidermis that are responsible for skin
homeostasis, skin repair and hair regeneration. The plant
stem cells extract in the Mesoestetic range protects and
reactivates these stem cells, strengthening connective
tissue and improving skin quality, structure and texture.
In order to achieve these results, the ingredients must
be delivered deep into the skin’s external layers. This is
accomplished through salon treatments and, in the case of
the home care range, primarily through the serum.
‘The salon treatment uses a crystal fibre mask to
increase the absorption of ingredients into the epidermis,’
Biedermann explains. ’This results in a boost in skin health
and triggers adult stem cell proliferation.’
While each take-home product exhibits the plant stem
cells extract, the serum holds the highest concentration.
Packaged in five 3ml pipettes, the ultra-concentrated serum
is applied once a week, at night, directly after cleansing.
Each applicator contains 10 per cent plant stem cell extract
and high quantities of vitamins A and E.
While the serum’s water-based structure affords
unmatched absorption of ingredients into the skin, the 24-
hour active growth factor cream offers high performance
ingredients to gradually and effectively enhance skin health.
‘No topically applied cream is going to allow for the
same absorption as a serum because of its formulation,’
says Biedermann. ‘But the 24-hour maintenance cream
includes additional growth factors for further benefit.’
Small fragments of biologically active proteins, the
growth factors dexpantenol, matrixyl and lipochroman-6
fuel the 24-hour moisturiser to regenerate the skin and
boost cell reproduction in healthy cells. They stimulate the
generation of fibroblasts to strengthen skin, enhance the
repair process in the dermal matrix and use antioxidant
properties to protect skin cells from further damage.
Finally, the nanofiller lip contour cream is specifically
designed for treating the lip area. It affords both a
regenerative and filler effect using plant stem cells extract
and hyaluronic acid, which attracts and retains hydration.
The range’s protocol recommends the five salon
treatments be performed every seven to 10 days,
accompanied by weekly use of the serum and daily use
of the 24-hour cream and nanofiller contour cream. ‘This
intense regime will give your skin the health boost it needs
and can be followed with diligent home care and monthly
salon maintenance after the five treatments are concluded,’
As well as general use, Biedermann recommends
integrating the stem cell treatment into a long-term
management plan, perhaps alongside chemical peels,
intense pulsed light (IPL) or laser treatments. The skincare
element will strengthen the skin and lead to advanced
results in any complementary procedure.
‘This range has brought a bit of luxury into the salon; it
enhances skin health and causes the renewal of healthy cells
– it’s a positive cycle,’ Biedermann says. ‘The Stem Cell line
is a pharmaceutical treatment, offering active ingredients,
visible results and a little bit of indulgence.’ csbm
THE TEAM AT SKIN CLINIC
@BLYSS OFFERS A TAILORED
APPROACH TO SKIN HEALTH
BECAUSE NO TWO SKINS ARE THE
SAME. LIZZY FOWLER REPORTS.
Although we all know the rules to follow when it
comes to looking after our skin and guarding
against the premature appearance of lines and
wrinkles, it’s easy to spend too long in the sun, indulge in
that extra glass of wine or neglect our rigorous skincare
regime. The result can be a worn appearance long before
our time. Fortunately, skincare salons such as Skin Clinic@
Blyss are here to help, offering a diverse array of procedures
designed to restore health, vitality and youth to even the
most tired of complexions.
A boutique clinic specialising in non-surgical skin
treatments, Blyss offers a wide range of treatments suitable
for all skin types and budgets. ‘We’re passionate about
skin health and are committed to helping clients maintain
skin that is fresh, bright and luminous,’ says Jodie King,
who established Blyss 15 years ago, moving to the current
location in Sydney’s Clovelly 10 years ago.
Core to King’s philosophy is that no two skins are alike.
‘What works for one person won’t necessarily work for
another,’ she says. It’s therefore important to King and her
team of skincare experts to not only spend a long time
getting to know the skin concerns of each patient, but
also to stay on top of the latest skincare technologies and
Amongst the wealth of procedures offered by Blyss,
King says cosmetic injectables are commonly requested.
Indeed, recently revealed statistics showed that more
Australians than ever before are turning to dermal fillers and
anti-wrinkle injections to help maintain or restore a sense
‘Our cosmetic injector, Dr Stephanie Hyams, has more
than 16 years experience and will discuss the best options
for each patient when it comes to cosmetic injections,’
says King. ‘We believe in a “fresh not frozen” approach and
always aim to ensure patients leave with a natural-looking
Whilst anti-wrinkle injections and dermal fillers are often
at the forefront of people’s minds, King says patients
typically benefit from a holistic approach to rejuvenation.
‘Looking youthful isn’t just about eliminating fine lines and
wrinkles,’ she says. ‘It’s also important to address the
underlying health of the skin, improving its tone and texture
and evening any pigmentation.’
King therefore often recommends a range of
procedures, which, depending on the concerns of each
patient, may include chemical peels, microdermabrasion,
photorejuvenation, skin needling and more.
‘Skin needling is a popular treatment for those wanting
to improve the appearance of scars or simply to improve
the health and appearance of the skin,’ says King. ‘We
use the Dermaroller, which is suitable for all skin types and
colours and is well tolerated by patients. Those with scars
can typically expect an improvement of up to 80 per cent in
their appearance following three to five treatments spaced
six to eight weeks apart.’
According to King, another universally appealing
treatment is photodynamic therapy (PDT). ‘PDT is particularly
effective for teens and adults struggling with persistent acne
and has been proven to cure 60 per cent of cases after
just two treatments,’ says King. ‘One of the advantages
of PDT, however, is that it can be used to improve a wide
range of skin complaints, including rosacea, psoriasis and
pigmentation as well as fine lines and large pores.’
With such a wide array of cutting-edge treatments,
King is confident she can help men and women restore
and maintain a healthy complexion. ‘As the body’s largest
organ, it’s imperative we don’t neglect the health of our
skin,’ she concludes. ‘Keeping to regular appointments
with your local skin clinic will help improve skin health and
ensure you look as great as you feel.’ csbm
PUT YOUR BEST
FACE FORWARD WITH
AFTER skin rejuvenation by Skin Clinic@Blyss
Specialising in advanced non-surgical
treatments for problem skin, anti-ageing,
and damaged skin, Blyss Skin Clinic Clovelly
uses the latest technology in medical
needling, IPL, Photofacials, Resurfacing and
Ionzyme treatments. Our highly qualified
skin care therapists have been achieving
amazing results for over 15 years using
Our relaxed and discreet atmosphere will
leave you feeling refreshed and confidant.
• Ionzyme Treatments
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• Photodynamic Therapy
AFTER skin rejuvenation by Skin Clinic@Blyss • Resurfacing
• Anti-wrinkle Injections
• Dermal Fillers
• Eye Treatments
• Permanent Hair
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phone 02 9664 8011
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TREAT DAD THIS
FATHER’S DAY TO THE
KING FOR A DAY ‘MAN
K is for
PROTECTING YOUR EPIDERMAL SKIN CELLS
SHOULD BE YOUR FIRST PRIORITY WHEN IT COMES
TO SELECTING SKINCARE SAYS THE TEAM FROM
GERNÉTIC. TARA CASEY REPORTS.
Ageing is a fact of life – however, it is often not age
itself that bothers people, but the visible signs that
come with it. The health and appearance of our skin
– whether on our face or on our body – plays a huge part in
how old we perceive ourselves and is often the basis upon
which others judge our age. As the body’s largest organ,
our skin is hugely influenced by our general health and
wellbeing – if our body is out of balance, chances are that it
will reflect on the condition of our skin.
The skin is a complex organ with multiple roles to play.
As the outermost layer of the skin, the epidermis serves as
a barrier to protect the body against pathogens, oxidative
stress and chemical compounds whilst also acting to hold
moisture and keep the skin looking healthy. Categorised
into five layers – the stratum garminativum; the stratum
spinosum; the stratum granulosum; the stratum lucidum
and the stratum corneum – the epidermis is predominantly
made up of keratinocytes, or epidermal skin cells, which
are formed in the deepest layer of the epidermis. As the
epidermis essentially renews itself every 28 days, these
keratinocytes continually replace those being shed from the
upper layers of the epidermis. Known as skin cell renewal,
it’s this process that gradually slows as we age.
As the keratinocytes move towards the stratum corneum
– the outermost layer of the epidermis – they begin to take
on a flattened shape. Also known as the ‘horny layer’, the
stratum corneum consists of 25 to 30 layers of flattened
keratinocytes and represents the real protective layer of
the skin. Continuously shed by friction and replaced by
newer cells formed in the deeper sections of the epidermis,
the keratinocytes are interspersed with epidermal lipids,
which together form a waterproof barrier that minimises
keratinocytes transepidermal water loss (TEWL), locking
moisture in the skin. It’s this moisture barrier, or acid mantle,
that protects against invading microorganisms, chemical
irritants, and allergens. If the integrity of the moisture barrier
is compromised, the skin will become vulnerable to dryness,
itching, redness, stinging, and other skin care concerns.
Maintaining a slightly acid pH helps the acid mantle
perform its job correctly: if the skin’s surface becomes
alkaline, keratin fibres loosen and soften, losing their
protective properties. When the pH level of the acid mantle
is disrupted – often a side effect of common soaps—the
skin becomes prone to infection, dehydration, roughness,
irritation, and noticeable flaking.
If the integrity of the skin’s
moisture barrier is compromised,
the skin will become vulnerable
to dryness, itching and redness
It’s therefore imperative to select skincare products that not
only keep your keratinocytes as healthy as possible, but that
also ensure a healthy cell renewal process.
Developed by French biologist and gerontologist Dr Albert
Laporte, Gernétic skincare is not only designed to adjust
the pH of the skin to its correct level, but includes specific
formulations to slow the ageing process and ensure the timely
replacement of keratinocytes so that your complexion never
looks dry, dull or lifeless.
Nutritive creams such as Synchro and Cytobi supply
the keratinocyte cells with essential nutrition so the DNA of
cells is protected and mistakes are less likely to occur when
they reproduce; whilst Gernétic’s Immuno Mask has been
formulated to encourage cell desquamation and renewal. Its
powerful active ingredients act to rejuvenate the basal cells
and stimulate the skin’s own defences by fighting bacteria,
eliminating irritation and restoring the moisture barrier.
By assisting your skin’s own functions and renewal
process with Gernétic’s powerful skincare range, you will
achieve results, that will make you beautiful on the outside
and from within. csbm
a doctor’s expertise.
perfect results fast.
Gernétic performs at the cellular level to speed dermal recovery,
reduce scarring and enhance results from cosmetic procedures.
(02) 9452 6230 email@example.com www.gernetic.com.au
FOUNDER OF SYNERGIE MINERALS AND
SYNERGIE SKIN, TERRI VINSON, EXPLAINS
HOW TO WIN THE BATTLE AGAINST
In its various forms, skin hyperpigmentation affects over
80 per cent of women over the age of 25 and is the
number two skin concern besides facial wrinkling. The
skin lightening market is growing at an exponential rate and
formulators are continually challenged with creating products
to address this major concern. But is pigmentation curable and
what ingredients really work to address this condition?
What is hyperpigmentation?
Hyperpigmentation refers to changes in the melanin content
and distribution of the skin. There are considered to be three
major types of skin pigmentation:
These are non-cancerous, UV-induced pigmented lesions
with a clearly defined edge. This damage is primarily
superficial and present in the upper layers of the skin
(epidermis). Lentigines may evolve slowly over years or
appear suddenly and may occur anywhere on the body
and vary in colour from light brown to black. These spots
are caused by UV sun-exposure and the degree depends
on how much UV light the melanin pigments are exposed
to. These must be monitored as they may develop into skin
cancer and melanoma.
Post-inflammatory hyperpigmentation (PIH)
This is a response to injury of the skin and can be the
result of acne, burns, friction or overly aggressive clinical
treatments such as chemical peels, dermabrasion, laser
and IPL. This condition often resolves with time and generally
responds well to topical products.
Melasma / Chloasma
This is pigmentation that is deeper in the skin’s dermis. It
appears on the face as larger brown patches, which are
often symmetrical, with a non-distinct border. This type of
pigmentation mostly affects Asian and fair skinned people
and is more common in women. Though causes are
unknown, it is often linked to hormonal imbalances and can
be made worse with UV exposure, overheating the blood,
some medications, pregnancy and stress. Unfortunately
melasma is not curable. However, with the correct treatments
and topical home care, it can be reduced and controlled.
In terms of home skin maintenance the following nonprescription
ingredients will help reduce pigmentation:
• Vitamin A – In the form of stabilised retinol (retinol
molecular) enables surface hyperpigmented cells to be
sloughed of evenly in addition to reversing the damaging
effects of UV light on the skin cells, which result in
hyperpigmentation. Retinoids are also responsible for
tyrosinase inhibition, reducing clumping of melanin and
reducing melanosome size.
• Vitamin B3/Niacinamide – Prevents transfer of the
melanin pigment from the melanocyte to the keratinocyte
in the epidermis.
• Vitamin C – In the form of L-ascorbic acid (dry crystals
or stabilised) acts on the melanin pathway by converting
O-Dopaquinone back to Dopa. This results in reduced
formation of oxidised melanin. It also inhibits the enzyme
tyrosinase which causes melanin production.
Specific hyperpigmentation active ingredients will help
reduce uneven skin tone and skin discolouration without
harmful ingredients, which may inflame the skin. These
• Dimethyl methoxy chrominyl palmitate – a cutting edge
tyrosinase inhibitor that also increases skin cell viability.
Clinical studies show this ingredient to be as effective as
Hydroquinone and more effective than arbutin and kojic
acid in lightening skin tone.
• Alpha Hydroxy acids (lactic and glycolic acid) – help
to remove surface cells and therefore superficial
pigmentation due to increase exfoliation.
• Kojic acid – derived from mushrooms, this acid is a
potent tyrosinase inhibitor but may occasionally result in
• Soy protein – acts by inhibiting uptake of melanosomes
by keratinocytes. However, the molecular size of this
molecule makes delivery to target cells difficult.
• Liquorice extract – a tyrosinase inhibitor. However,
cosmetic elegance is a concern as pure liquorice powder
at the recommended dosage turns formulations a dark
Prescription products such as hydroquinone/
corticosteroid/retinoic acid compounds (e.g. Kligmans
formula) offer effective results but are not recommended for
long term application due to potential cellular toxicity and
must be prescribed by a doctor only.
Prevention and protection with sunscreen really is
the vital key to preventing sunspots and protecting the
skin from harsh UVA and UVB rays. To prevent future
pigmentation use natural mineral sunscreen containing at
least 20 per cent zinc oxide. Mineral (physical) sunscreen
is also less likely to result in skin sensitivity compared to
organic (chemical absorbing) sunscreens.
Treating hyperpigmentation is highly complex and depends
on a number of factors including the type of pigmentation
(epidermal/dermal/hormonal/UV-induced) and the skin type
and ethnicity of the client. Caution should be exercised
with skin of colour (Fitzpatrick 4+), as darker skin tones
are prone to post inflammatory hyperpigmentation (PIH).
Galvanic infusion of L-ascorbic acid, superficial peels,
fractional laser, topical products and low level laser can
be used conservatively for higher Fitzpatrick skin types.
Lower Fitzpatrick skin tones can tolerate more aggressive
chemical peels, IPL, laser and microdermabrasion.
The best results are always achieved with combination
therapy including cosmeceutical grade skincare, lifestyle
modification, individualised clinical treatment and hormonal
analysis if required. Not all forms of hyperpigmentation can
be permanently removed, however, with education and a
clear understanding of the client’s skin, good results can
be achieved and maintained in successfully treating this
complex skin condition. csbm
FOUNDER OF SYNERGIE MINERALS AND SYNERGIE SKIN, TERRI VINSON HAS
NOW DEVELOPED THE ULTIMATE ANTI-AGEING SERUM. LIZZY FOWLER REPORTS.
Having built up a comprehensive range of high-grade
skincare products that are both scientifi cally effective
and free of questionable ingredients, Australian
biomedical scientist and cosmetic chemist Terri Vinson
turned her hand to developing the ultimate age-defying
serum. Combining the power of scientifi cally generated
peptides and microbial technology, Vinson now believes
she has developed a revolutionary serum with clinical data
to support the results it claims to achieve.
The culmination of years of scientifi c research into the
biology and natural ageing processes of the skin, the
‘Synergie SuperSerum’ contains fi ve key ingredients that
set the product apart from other anti-ageing products.
According to Vinson, the inclusion of the new peptide
Juvefox-O TM stimulates DNA repair and protection whilst
slowing cell ageing. ‘It is vital to protect DNA for cell survival.
Our DNA is constantly attacked by internal and external
damage including ultra-violet (UV) light and toxins, which
results in cell mutation, ageing and possible malignant
damage,’ explains Vinson. ‘DNA mutation can be copied to
all future cells unless the error can be repaired before being
passed onto daughter cells.’
A natural transcription factor, FOXO3a in the human cell
nucleus, is able to control this process by either repairing
the DNA or inducing programmed cell death if the DNA
cannot be repaired. ‘This vital “master regulator” has been
mimicked in Synergie SuperSerum with the production of
the JuvefoxO hexapeptide,’ says Vinson. ‘This peptide
is an analogue of the same molecule responsible for
immortality of the marine Hydra.’
A second stand-out ingredient is a marine phycosaccharide,
which rebuilds and repairs the epidermis by activating the skin’s
natural growth factors and stem cells. ‘This stable, sugar chain
molecule is secreted by the brown seaweed Laminaria digitata
and is harvested through marine biotechnology,’ says Vinson.
‘It is able to precisely target epidermal damage and microdepressions
such as wrinkles by enhancing the production
of Endothelial Growth Factor (EGF), which then initiates the
division of healthy epidermal stem cells.’
During skin ageing the formation of wrinkles involves
the same process as an injury. According to Vinson,
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 fi ne lines.
Three further ingredients – Trylagen peptide complex,
Hyanify and Snap-8 peptide – work to promote the collagen
cycle, boost the synthesis of the skin’s own hyaluronic
acid and relax muscles, to cumulatively reduce expression
wrinkles and improve hydration of the skin.
‘I believe the Synergie SuperSerum should be the
number one skincare product for those looking to fi ght
signs of ageing,’ concludes Vinson.
‘The powerful ingredients not only assist in repairing
damage and improving the appearance of some of the
most common ageing characteristics, but can also help to
prevent further ageing.’ csbm
-‐ Clinical grade skincare
-‐ 100% Australian made and owned
-‐ Advanced topical delivery systems
1300 689 619
SCARS MAY BE INEVITABLE AFTER SURGERY
BUT THANKS TO STRATADERM AND
STRATAMED PATIENTS CAN LOOK FORWARD
TO BETTER OUTCOMES THAN EVER BEFORE.
LIZZY FOWLER REPORTS.
Scar-prevention and the management of scarring post-surgery
is an important aspect of any cosmetic procedure. Although
scarring is to a large extent inevitable, there are steps both
patients and surgeons can take to minimise the appearance of
scarring and improve healing post-procedure.
The way a scar develops depends on both internal and external
factors. For example, genes determine how slowly or quickly the
body can produce new cells and collagen. If the skin renewal
process is slow, then the scars tend to be more prominent, and
take longer to heal.
Scars are also affected by the location of the wound – scars form
quickly on the chin, jaw, neck, shoulders, chest and upper back, for
example, because the skin in these regions is thinner compared to
elsewhere on the body.
No matter where or how the scar forms, there is no doubt their
appearance can have an impact on those affl icted and Sydney
ENT and facial cosmetic surgeon Dr William Mooney goes to some
lengths to both minimise the incidence of scarring and facilitate
‘Everyone heals differently and, in my experience, the incidence
of keloid and hypertrophic scarring, in particular, is increasing, partly
due to the diverse ethnicities we see in Australia,’ he says. ‘Although
there are steps I, as a surgeon, can take during the surgery itself to
prevent scarring – putting as little tension as possible on the wound
closure and using meticulous suturing, for example – the introduction
of scar-treatment products post-procedure has radically improved
outcomes in my clinic.’
Dr Mooney has been using two breakthrough scar-treatment
products in his clinic since they were launched in Australia in
2011. Developed by Swiss company Stratpharma and introduced
to Australia by SciGen Australia, Stratamed is the fi rst siliconebased
scar therapy gel approved for use in open wounds and
compromised skin, and is designed for use immediately after
surgery. Strataderm, on the other hand, is designed for scars old
and new, helping to improve the appearance of scars a patient
may have endured for years.
‘The fi rst line of treatment for any scar post-procedure is the use of
chloromycetin ointment,’ says Dr Mooney. ‘However, we now follow
this with the immediate application of Stratamed. In my experience,
Stratamed promotes faster wound healing, decreases the
redness at the scar line and decreases the vertical height
of the scar.’
A silicone gel, Stratamed is applied to the affected area and
forms a fl exible, protective layer that is both gas permeable
and semi-occlusive. This layer weakly bonds to the injured
skin and protects it from chemical and microbial invasion, but
it does not penetrate into the epidermis or dermis.
Stratamed consists of inert silicone polymers, which have
no measurable pH value, and therefore do not affect the
protective acid mantle of the skin and do not react with the
newly forming epithelial tissues. This leads to a reduction in
the infl ammatory response, an effective healing of the wound
and therefore enhanced therapeutic results.
Dr Mooney advises each of his patients to apply
Stratamed twice a day for the fi rst month following their
procedure. ‘We then follow this protocol with two months
during which the second scar therapy gel, Strataderm, is
applied,’ he says.
For patients who might have lived with a scar for many
years, Dr Mooney says introducing Strataderm for a couple
of months can visibly improve the appearance of scarring.
‘Patients might think the only option is scar revision, during
which the old scar is excised, and a new wound created,’
he says. ‘However, with Strataderm, patients often see a
decrease in the redness of their scar within one month – no
Easy to use and affording fast results, it seems there’s no
longer any need for patients to learn to live with the scars
they thought would last a lifetime. csbm
AFTER treatment with Strataderm
AFTER treatment with Stratamed
Strataderm - effective and affordable
silicone scar therapy for old and new scars
• Softens and flattens raised scars
• Relieves the itching and discomfort
associated with scars
• Reduces redness and discoloration
• Prevents abnormal and excessive
Visit our website for more information about scar management and Strataderm scar therapy gel: www.strataderm.com
Distributed by SciGen (Australia) Pty Ltd
Suite Proudly 1, 13b Distributed Narabang by Way, SciGen Belrose (Australia) NSW 2085, Pty Australia Ltd Suite 1, 13B Narabang Way Belrose NSW
Ph: 1800 676 833
FROM SKIN NEEDLING TO
COSMETIC TATTOOING, SYDNEY
PERMANENT MAKEUP CENTRE
OFFERS A RANGE OF SERVICES
DESIGNED TO ENHANCE YOUR
LIZZY FOWLER REPORTS.
Rita Porecca, founder and managing director of
Sydney Permanent Makeup Centre, believes the
key to beauty is making everything about you the
best it can be. And whether that means improving your
skin’s tone and texture, enhancing the appearance of your
lips, or removing regrettable, conspicuous tattoos, Porecca
has built a range of services designed to do exactly that:
unlock your beauty potential.
Well known for her artistry in permanent makeup, Porecca
offers a range of cosmetic tattoo services designed to
aesthetically enhance the appearance of features such
as the eyes and lips, or disguise skin complaints such as
vitiligo and alopecia.
Over recent years, cosmetic tattoo treatments have
grown in popularity, and today offer hassle-free mornings
to those whose lifestyles don’t allow the luxury of free time
between work and kids. For women who have undergone
reconstructive breast surgery, cosmetic tattooing can also
add the all-important finishing touches.
‘When performed by an experienced practitioner and
tailored to the facial proportions and symmetry of each
patient, cosmetic tattooing can complement and enhance
a client’s features,’ says Porreca.
Permanent eyeliner combined with eyebrow tattooing
can restore vibrancy to the entire eye area and help those
who have over-plucked, or who have scars or gaps in their
brows. Similarly, lip tattooing can be ideal for women who
lack a definite shape, have pale lips or who simply want to
enhance the appearance of their pout.
‘Whether for cosmetic or paramedical reasons, when
performed by an experienced and highly skilled practitioner,
long-lasting cosmetic tattoo treatments can significantly
enhance a person’s appearance and, in turn, their self
esteem,’ says Porecca.
Although it’s been around since the 1940s, skin needling
has recently experienced a surge in popularity as more and
more people are discovering the anti-ageing benefits of this
Skin needling is performed with a roller studded with
micro-fine needles or single needle application, depending
on what needs to be treated. It is primarily used to plump
up the skin by stimulating the production of new collagen
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1
and elastin, helping to reduce fine lines and wrinkles, even
out the complexion and improve the appearance of scars.
The efficacy of the treatment is further enhanced when
applied in conjunction with quality anti-ageing serums.
Porreca has been treating clients with skin needling
for the past 10 years with impressive results. ‘The beauty timeless and
timeless and of skin needling is that it continues to work long after the
treatment itself,’ she says. ‘Although some immediate effortless beauty
improvement is noted, over the next six to nine months
inner healing of the dermis continues to smooth and tighten
SPMUC the FP(NEW) skin as collagen 30/4/07 begins 1:30 to PM lay down Page 1in a smoother, more ‘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
Skin needling can be performed on all skin types and beauty experts’ solutions expert. With with more natural than and 22
colours anywhere on the body. In sensitive areas topical lasting years’ experience results – a world we have above developed
anaesthetic can be applied to numb the area and alleviate traditional an excellent beauty reputation salons.’ with doctors
any discomfort. Up to four to eight treatments are required – and Rita surgeons. Porreca, We Founder also work & MDclosely
timeless and effortless
for maximum results and a maintenance session can be with surgeons in post-operative
performed every six weeks.
When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin and
‘This treatment is ideal for people who want to improve Training
expert. We also work closely
the appearance of lines and wrinkles without botulinum with surgeons on post-operative care.
toxin or filler injections,’ says Porreca. ‘Clients also like the
fact results are gradual and long lasting.’
‘In 1984 my dream was to create a
SERVICES WE PROVIDE
Centre that provided personalised
SERVICES WE PROVIDE
beauty solutions Cosmetic with natural Tattooing
lasting results – a world above
traditional beauty Medical salons.’ Tattooing
For Eyebrows those wanting Hair stroke to remove to shaded traces brows of artistic to tattoos give you that more of a
– Rita Porreca, Founder Skin & Needling
may natural not appearance
have been thoroughly thought through, Porecca
has a new solution. ‘Using a normal tattoo gun loaded
Dermal BEFORE Planning Peels
Eyeliner Subtle to Dramatic or to define your eye shape
with a special solution manufactured in Germany, we can When it comes
Lips From lip liner to full lips & blends we make your lips look good with Non to Laser Eyes, Lips, Tattoo Face, Removal
Body, Skin and
reverse the appearance of a tattoo,’ she explains.
Training we are the experts' expert. We also work closely
an ideal shape and colour all the time.
Porecca meets plenty of people who have fallen out of with surgeons Cosmetic on post-operative Tattooing care. Courses
love Medical with tattoos Tattooing they thought a good idea in their youth
and Areola introduced re-pigmentation the Skinial system Is the to final her stage clinic of to meet breast the reconstruction and is AFTER FULL LIP TATTOOING
rising also considered demand for tattoo by those removal. with areola colour loss.
SERVICES WE PROVIDE
Corrective Skinial uses Camouflage a micro pigmentation Can bring device a natural with skin a weak colour back to scars
Cosmetic solution and burns of lactic Tattooing acid to trigger the body’s natural immune
Eyebrows system. The Hair pigmentation stroke to device shaded targets brows clusters to give of up you to 20 more of a BEFORE FULL LIP COLOUR
AFTER FULL LIP COSMETIC TATTOOING
natural small Skin spots Needling appearance
the tattoo at one time, releasing the solution
into Needling each site. treatment The lactic for acid wrinkles, eliminates acne macrophages scars & scar from relaxation
Eyeliner Subtle to Dramatic or to define your eye shape
large-volume From Rejuvenation lip liner colour to full particles, lips & which, blends up we until make this point, your lips look good with
an have Is ideal encased for shape the the rebuilding and particles colour of all colour, new the collagen time. shielding and them lightening from pigmentation.
BEFORE EYE LINER TOP AND BOTTOM
AFTER EYE LINER TOP AND BOTTOM
the body’s immune system.
Medical IPL With Hair the Tattooing Removal macrophages removed, the body recognises
Areola the Enables ink as re-pigmentation hair foreign, removal prompting from Is the nearly the immune final every stage system part of of breast to the ‘flush’ body reconstruction quickly and is AFTER FULL LIP TATTOOING
also AFTER EYEBROW TATTOOING
the and rejected efficiently considered
Corrective surface, where Camouflage they aggregate Can to form bring a scab a natural and ultimately skin colour back to scars
Medical Skin Peels/Microdermabrasion
fall off. burns
BEFORE EYEBROW TATTOOING
AFTER EYEBROW TATTOOING
Because the body naturally produces lactic acid to
Skin treatments ranging from Green Peel, CosMedix Peels
maintain energy production during exercise, any residues
Skin & Microdermabrasion Needling to give you a natural healthy glow.
left after treatment will be easily metabolised.
Needling treatment for wrinkles, acne scars & scar relaxation
Cosmetic According Dermal to Porecca, Fillers the & Mesotherapy
technology represents a 02 9569 BEFORE 7799 follow us on
Skin real step Rejuvenation forward in tattoo removal, and is just another
Cosmetic Tattooing Courses
Level 1, 157 Great North Road
Is weapon ideal for in her the armoury rebuilding to help of new you collagen enhance your and natural, lightening pigmentation.
Learn, up-skill and expand with professional cosmetic tattooing
underlying beauty. csbm
AFTER AEROLA TATTOOING
Dock NSW 2046
IPL Hair Removal
Enables hair removal from nearly every part of the body quickly Web: www.spmuc.com.au
AFTER EYEBROW TATTOOING
Looks that last the long haul
SYDNEY COSMETIC TATTOO PRACTITIONER VAL GLOVER-HOVAN EXPLAINS
hoW PermAnent mAkeuP CAn Add the finishing touChes to your look.
lizzy foWler rePorts.
From the runways in New York, London and Paris to the
red carpet in Cannes, models, actors and celebrities
all tend to have two things in common – well defined,
full brows complemented by a set of plump, prominent lips.
Yet for many women, years of over plucking can leave their
brows sparse and, thanks to the natural ageing process,
once clearly defined lips can become faded.
‘As our body ages we can lose definition of our features;
they no longer appear as prominent and sharp as they
were in youth,’ says Sydney cosmetic tattoo practitioner Val
Glover-Hovan who, for the last 26 years, has helped women
redefine their features using permanent makeup. ‘When
done well, cosmetic tattoo can have a significant antiageing
effect and can help re-instil a sense of confidence
Having performed cosmetic tattoo procedures on
thousands of women, Glover-Hovan understands that no
two women are alike, and that each needs the procedure
tailored to enhance their underlying beauty. ‘We all have
different needs, lifestyles and tastes, and the cosmetic
tattoo needs to reflect this,’ she says.
According to Glover-Hovan, two of the most popular
procedures are those to enhance the brows and lips.
‘Permanent lip line is suited to people who have no definite
lip shape, or for pale, sun damaged or uneven lips and those
that have lost shape as a result of cold sores or injury,’ she
explains. Permanent lip line can also simply add definition
for women who want to put more emphasis on their lips.
To further enhance the appearance of the lips, Glover-
Hovan explains clients can choose between a lip line and
blend, which outlines the mouth and blends the colour onto
part of the lips, making the lip line more subtle; or a full lip
colour, with more than 100 shades to choose from. ‘This
is one of the most popular treatments,’ she says. ‘You can
kiss without leaving a trace – no more worry about lipstick
marks on your teeth, glassware or other people.’
According to Hovan, many women ask whether they
can wear lipstick over the top of their cosmetic tattoo, and
are surprised to learn that they can, pale or dark tones
complementing the enhanced lips.
Cosmetic tattoo can also bring definition to the brows,
enhancing facial symmetry and framing the eyes. With
techniques that allow her to mimic the appearance of hair,
Glover-Hovan believes cosmetic tattooing can result in a
As a specialist and educator in cosmetic tattoo, Glover-
Hovan carefully evaluates facial proportions and symmetry,
as well as hair and skin colouring, before creating a design
that will complement and enhance each client’s features.
Fully informing the client about all the aspects of
cosmetic tattoo treatments and ensuring they have the right
expectations is a very important part of this service. csbm
AFTER full lip tattoo treatment by Val Glover-Hovan
AFTER eyebrow tattooing treatment by
9:40 AM Page 1
9:40 AM Page 1
DESIGNING 9:40 AM Page 1
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ONE PATIENT REVEALS HOW A REVISION BREAST AUGMENTATION WITH SYDNEY
PLASTIC SURGEON DR KOUROSH TAVAKOLI HELPED RESTORE HER SELF-
CONFIDENCE. CAITLIN BISHOP REPORTS.
Before she met Sydney plastic surgeon, Dr Kourosh
Tavakoli, Renee had thought she would have to
live with the distorted nipples, misaligned implants
and aggressive scars she’d been left with after an
earlier augmentation for the rest of her life. After years of
deliberation, she went to see Dr Tavakoli, hoping he could
return her breasts to a more natural-looking appearance.
‘I was going to live with my breasts after the first
operation, even though I felt embarrassed about their
appearance,’ says Renee, who had undergone her first
augmentation aged just 18. ‘It wasn’t until I got married
that I made the decision to have them revised.’
According to Dr Tavakoli, some of the issues Renee
experienced following her initial augmentation were due to
the placement of the implants. ‘Renee’s original implants
had been positioned above the pectoral muscle, which
is sometimes associated with a greater risk of implant
movement and capsular contracture, where the implant
hardens and distorts,’ he says. ‘In Renee’s case, the
implants had moved laterally and caused the skin to ripple
‘I had skin folds at the top of the implants, towards the
chest, and on the sides of the implants, towards the middle
of the cleavage,’ Renee recalls. ‘They were visible when
I was wearing a bikini and made the implants extremely
noticeable and unsightly.’
Unfortunately the scars Renee had been left with
beneath the breast crease had not healed well, and had
widened due to the movement of the implants.
‘The scars had tripled in length and increased in width;
they were shiny white lesions over 1cm wide and around
10cms long,’ recalls Renee. ‘When I was lying down,
if someone saw me naked, I couldn’t have been more
embarrassed – they were so obvious.’
Finally, because Renee’s nipples weren’t correctly
positioned in her original surgery, her areolas had extended
to cover a larger area than normal.
‘With my original implants I would have been between
a B and a C cup, but as the years progressed my nipples
started to distort until they almost look bigger than my
breasts,’ Renee says.
It was with the help and support of her husband that
Renee ultimately decided to have her breasts corrected.
Having decided to approach Dr Tavakoli, Renee wasn’t
concerned by the prospect of surgery – she had been
through it before – but wanted to know if, and how, her
problems could be addressed. Fortunately, Dr Tavakoli was
able to answer all Renee’s questions.
‘He explained he could fix my implants, improve the
appearance of my scars and correct my nipples but it
sounded as if I was falling apart – he had so much work to
do,’ Renee says. ‘That’s the only thing that slightly scared
me. I was familiar with the procedure and the time leading
up to surgery, but I had not grasped how much work was
necessary to correct the previous surgery.’
Renee had a number of consultations with Dr Tavakoli,
during which they discussed the surgery itself, how long
it would take, the downtime that would follow and the
reasons behind some of the existing complications. It was
only after these in-depth conversations that Renee was
reassured and became comfortable with what lay ahead.
According to Renee, Dr Tavakoli’s team of expert nurses
and relaxing clinic environment also helped put her at ease.
‘It was as if I was at a five-star hotel; the nurses were so
nice and the rooms are amazing,’ says Renee. ‘My initial
consultation was the last appointment of the day and even
though I arrived at 4pm, the nurses made me feel like I was
the first appointment of the day.’
It was this attention to detail that left a lasting impression
on Renee. As the nurses prepared her for surgery and Dr
Tavakoli measured and marked her body, any last minute
doubts Renee might have had were blown away by the
quality of treatment.
‘I couldn’t believe it; they gave me a robe to wear and
it was actually heated, like it had just come from the dryer.
When they laid me down, instead of giving me a normal
blanket, they gave me a specialised compression blanket
before asking if I needed medication to calm my nerves,’
Renee laughs. ‘I almost forgot I was in there for surgery, it
felt like I was in a day spa!’
Ultimately, however, it was the results of her surgery that
Renee was most concerned about.
Although recovery took longer than expected, given the
extent of correction required, Renee saw Dr Tavakoli weeky
in the months following surgery.
‘I made an additional appointment to see Dr Tavakoli
to ask why I wasn’t recovering well,’ says Renee. ‘He
reiterated the extent of my reconstruction, which involved
disturbing the muscle, making a pocket, disrupting the
gland, fixing the scars and adjusting the nipple – that’s a lot
to recover from.’
Two months after her procedure and Renee is feeling
energised and comfortable. The swelling has reduced and
the outcome of Dr Tavakoli’s work is made clear.
‘I couldn’t be happier,’ Renee says. ‘The results are
great and only now do I realise how much my breasts were
affecting my self-confidence. I keep asking myself why I
didn’t do it years ago!’ csbm
AFTER revision breast augmentation by Dr Tavakoli
ONE PATIENT DISCUSSES HER DECISION TO HAVE A BREAST AUGMENTATION WITH
SYDNEY PLASTIC SURGEON DR KOUROSH TAVAKOLI. CAITLIN BISHOP REPORTS.
Like many women, it took a long time for Jessica to
make the decision to speak to an expert about her
desire for bigger breasts – and longer still before
deciding to proceed with a breast augmentation. Surrounded
by a loving and supporting family who encouraged her
to accept her body the way it was, Jessica still struggled
with the appearance of her ‘fl at chest’ and, after four
years of deliberation, she took the next step in her journey,
approaching Sydney plastic surgeon Dr Kourosh Tavakoli.
‘I had always been fl at chested and didn’t even fi ll an A
cup bra. I had no cleavage or shape in my breasts and they
were completely out of proportion with the rest of my body,’
Despite her obvious desire for a bigger bust, it was
important to Jessica she found the right surgeon to perform
her augmentation. ‘I always wanted to see a specialist with a
good reputation,’ she says. ‘Dr Tavakoli was recommended
to me by a friend and I’d seen him in the media and knew
he had performed a lot of revision work with good results.’
In her fi rst consultation with Dr Tavakoli, Jessica was
shown several before and after photographs to help her
become familiar with the appearance of different size and
shape implants on different body shapes. Dr Tavakoli took
extensive measurements and discussed Jessica’s reasons
for choosing to undergo breast augmentation surgery.
‘He measured the width between my nipples as well as
the height of my breasts,’ Jessica says. ‘He measured my
waist because I specifi cally requested implants that were
in proportion with the rest of my body. We also discussed
the reasons why I wanted a breast augmentation and I
was able to tell Dr Tavakoli it was a personal decision I had
Jessica was able to ‘try on’ a number of different cup
sizes to get a better feel for the kind of result she would be
happy with. Given her desire for a more proportioned body
shape, Dr Tavakoli suggested an implant size bigger than
that Jessica had originally anticipated. After measuring her
body, Dr Tavakoli suggested the bigger size would be more
effective in bringing her hips and shoulders into proportion.
‘I have quite broad shoulders, so I could afford to go a size
bigger than I’d anticipated,’ Jessica explains. ‘Dr Tavakoli
actually ordered two different sized implants for my surgery. In
the operating theatre he initially inserted the 400cc implants
but, because I had so little breast tissue, they stretched the
skin too much. The 375cc looked more natural, though it
was still a size bigger than I had originally thought.’
Leading up to surgery, Jessica still had a number of
questions and was able to speak to both Dr Tavakoli and
his nurses following her initial consultation in order to lay
any final concerns to rest.
‘It was quite a quick process, and was only about three
to four weeks from the initial consultation to the operation,’
Jessica says. ‘Through this time I was still debating whether
I wanted the bigger size and I often called the nurses at Dr
Tavakoli’s clinic asking them different questions. They were
very patient and extremely kind.’
Although she had uncertainties over the size of
implants, the surgery itself didn’t faze Jessica. ‘I wasn’t too
nervous coming into the surgery,’ she says. ‘Dr Tavakoli
had explained everything in detail, which made me feel
comfortable throughout. I never felt rushed, as he would
always sit down with me and ask, “Do you have any
questions?” or, “Is there anything you want to ask me?”
This was great for someone who’d never experienced any
cosmetic procedures before.’
Jessica tackled her recovery, too, with ease. Having
been prepared to spend days in bed, Jessica was surprised
to find she was out of bed after day one, and not in need of
the pain-killers she’d been prescribed.
Now, three months after her operation, Jessica is back
at the gym and this, alongside regular cycling and walks
with her dog, is aiding her speedy recovery.
‘After surgery I had prepared myself to be immobile and
uncomfortable,’ Jessica says. ‘The first day I was a little
sick due to the anaesthetic but other than that I was fine.
Everything was much neater than I had expected – the
wounds had no leakage, they didn’t even look like wounds,
they were so clean and neat.’
Now able to see the final results of her surgery, Jessica is
happy with the size of her breasts and feels confident in her
long-debated decision. ‘It was one of the best things I’ve
done. It’s the little things, like trying on clothes I’d bought
before the operation and being able to fill them out, having
tops fit properly and having clothes look right on my body –
it’s really helped my confidence,’ Jessica says.
‘It’s funny, everyone who told me I didn’t need surgery
has had a complete attitude change. My mum and dad
now realise I was doing it for the right reasons - to bring my
body back into proportion. I don’t know why I didn’t do it
ages ago.’ csbm
AFTER breast augmentation by Dr Tavakoli
AFTER breast augmentation by Dr Tavakoli
One patient describes how Sydney plastic surgeon Dr Kourosh
Tavakoli restored her breasts both anatomically and aesthetically.
Caitlin Bishop reports.
Having undergone both a breast augmentation and a
corrective operation on her breasts in the last year,
Sarah’s breast tissue had begun to tear from her
breastbone, causing progressive discomfort and increasing
disfigurement. The condition, termed symmastia, is a rare
complication of breast augmentation surgery and occurs
following the over-dissection of breast tissue. As the muscle
and fat detach from the breastbone, the breast tissue of
both breasts begins to merge, creating the appearance of
After calling a dozen Sydney plastic surgeons hoping
to find one trained in treating her condition, Sarah came
across Sydney plastic surgeon Dr Tavakoli.
‘In treating symmastia, a revision surgery is required
to reattach the chest muscles to the breastbone using
permanent internal sutures,’ explains Dr Tavakoli. ‘This is
accompanied by a procedure to reposition the implant,
often using sutures in the breast pocket to prevent implant
migration from occurring again.’ Although some doctors
use two surgeries to achieve this restoration, Dr Tavakoli
performs it in one.
After extensive research into the condition and the
specialised surgery required to correct it, Sarah approach
Dr Tavakoli, who explained during her first consultation what
sort of implants were needed and suggested a different size
and shape of implant to better suit Sarah’s body.
‘I needed a lift, reduction, new implants and the muscle
reattached,’ Sarah recalls. ‘During two consultations
Dr Tavakoli showed me the type of implant he would
use to prevent further complications. He took extensive
measurements and suggested I opt for smaller implants,
before outlining exactly what the surgery would involve and
what to expect afterwards.’
Because of the urgent nature of her condition, Sarah
was taken through the preparation period as quickly as
possible and found herself in the operating theatre just two
weeks after her initial consultation.
‘The level of discomfort and the amount of damage
still being caused to my muscle meant it was an urgent
procedure,’ Sarah says. ‘Dr Tavakoli wanted to treat it as
quickly as possible, to prevent further damage.’
Remarkably, Sarah arrived at Dr Tavakoli’s day surgery
at 7am on the morning of her operation and left the clinic
no later than midday. ‘I’d spent so long in hospitals and
day surgeries because of my breasts, I just really wanted
to go home.’
Not letting her leave without ensuring she was equipped
with all those things needed for a successful recovery, Dr
Tavakoli gave Sarah medication to manage the discomfort
and confirmed she had someone to transport her home
and monitor her from there.
After recovering quickly from her previous operations,
Sarah did not expect to be incapacitated for long.
Considering the extent of her operation, Dr Tavakoli
predicted she would be in bed for three days following
surgery, but Sarah was up and moving after day one.
‘The first day I was in bed the whole day, which I expected,
but I was up the second day and it only took about a week
for me to move normally without discomfort,’ she says.
‘I’m still recovering now, four and a half weeks after
surgery, but I’m back in the gym and training regularly,’
Sarah says. ‘The only thing that causes me difficulty is my
chest muscle because its not working fully yet. I still use the
treadmill and lift weights and Dr Tavakoli says it will take up
to eight weeks before I can use my chest muscle again.’
At four and a half weeks post-procedure, the swelling
has now subsided and the results of the procedure are
‘I’m so pleased with the results,’ says Sarah, who adds
that she was happy the second she walked out of the
surgery. ‘Before Dr Tavakoli’s surgery it looked like I had one
big breast, it was shocking. I’d had thousands of dollars
worth of work done on my breasts, yet I couldn’t even wear a
V-neck top. It was devastating.’ Now, the situation has been
reversed and the prospect of wearing low-cut tops during
the impending summer months poses no problem. csbm
AFTER revision breast augmentation by Dr Tavakoli
ACTUAL PATIENT OF DR TAVAKOLI
BREAST AUGMENTATION SPECIALIST
MBBS, BSc (MED), MS (UNSW),
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
New premises: Suite 1, 376 New South Head Road, Double Bay
Suite 10, 6 Meridian Place, Norwest Business Park, Bella Vista
1300 368 107 | drtavakoli.com.au
Tailored to fit
CANBERRA PLASTIC SURGEON DR VLAD MILOVIC SAYS SELECTING THE RIGHT
SHAPE AND SIZE IMPLANTS MEANS BREAST AUGMENTATION PATIENTS CAN LOOK
FORWARD TO A BALANCED PHYSIQUE. LIZZY FOWLER REPORTS.
Regardless of what drives a woman to seek breast
augmentation surgery, Canberra plastic and
cosmetic surgeon Dr Vlad Milovic says the ultimate
goal of the procedure is to create the most natural-looking,
optimally sized breasts afforded by the patient’s anatomy
and aesthetic goals. And, more often than not, this doesn’t
involve a great increase in the size of a patient’s assets.
‘Although breast augmentation can increase the size of
the breasts considerably, and some women do request an
augmented look, most women are much more driven to
achieve breasts that are in proportion with the rest of their
body,’ he says. ‘We don’t really see the same trend as in some
other countries, where the tendency is to emphasise fullness.’
Indeed, according to Dr Milovic, in around 90 per cent of
the patients he sees, women want an improvement in the
shape and firmness of their breasts, and a modest increase
in size that doesn’t look unnatural or draw glaring attention
to the fact they have had an augmentation.
Achieving natural-looking breasts that balance a
patient’s existing curves, however, involves a number
of important stages. ‘Successful breast augmentation
demands not only a skillful surgeon with significant
experience, but also diligent planning,’ explains Dr Milovic.
‘Before surgery, it’s important to conduct a thorough clinical
examination and full assessment, and to involve the patient
in what their results will look and feel like through the use of
3D imaging and pre-operative volume inserts.’
Having introduced 3D breast scanning technology to
his Canberra clinic some years ago, Dr Milovic is a strong
advocate for the use of imaging prior to augmentation,
believing it gives patients a very good impression of what
impact their surgery will have on their appearance.
As well as helping the plastic surgeon and patient work
together to select an implant they both feel comfortable
with, thereby facilitating communication between the two
parties, Dr Milovic believes imaging can take away some of
the anxiety associated with ‘the unknown’.
‘No matter how much a patient may want a procedure,
cosmetic surgery can have a profound psychological as
well as physical impact,’ he says. ‘In my experience, 3D
visualisation helps alleviate much of this anxiety.’
Dr Milovic finds imaging particularly beneficial when it
comes to breast surgery, where patients might be unsure
about the size of implant they want, or when performing
breast reconstruction after mastectomy or other surgeries
where tissue has been removed.
‘At my clinic, a patient’s upper body is scanned with a
bra or bikini top and they can “try on”, in a virtual sense,
different implant sizes, shapes and placements to see how
their new look would complement their figure and lifestyle
before proceeding with surgery. This part of the consultation
process facilitates discussion and allows me to tailor the
operation to their needs.’
From a surgical point of view, imaging also allows Dr
Milovic to identify any nuances that may be significant
‘It’s easier to notice minor asymmetries that naturally
occur between the breasts when using imaging,’ he
explains. ‘It’s also possible to determine the existing volume
of each breast before simulating the appearance of different
types of implant on the patient.’
Although he will adapt his surgical technique depending
on the particular circumstances of each patient, Dr Milovic
performs the majority of his procedures via the inframammary
incision with a dual plane placement. ‘An incision is made in
the crease under the breast, through which the implant is
then positioned,’ explains Dr Milovic.
‘This affords the surgeon the best control over the implant
pocket and where and how the implant is positioned.’
Breast augmentation surgery is typically performed as a
day procedure but Dr Milovic offers his patients the option
to stay at Caberra’s only five star Medihotel, a favourite for
interstate and local patients alike.
After surgery, Dr Milovic says that some swelling and
bruising is to be expected, but that this should settle within
two to six weeks. ‘It’s important for patients to rest during
this time and follow the post-operative instructions, which
we provide to all patients,’ he says.
Patients can also look forward to comprehensive postoperative
follow up, with Dr Milovic, which is included in
the cost of their surgical fees. ‘I see my breast surgery
patients the day after surgery, as well as one, two and six
weeks after their procedure
‘I then like to follow up with each of my patients after
three and six months and will perform an ultrasound one
year after surgery to check the implant,’ he says.
With careful planning leading up to surgery, and attentive
follow-up post-procedure, Dr Milovic believes his patients
can look forward to breasts that are in balance with both
their body shape and lifestyle. csbm
AFTER breast augmentation by Dr Milovic
AFTER breast augmentation by Dr Milovic
SYDNEY PLASTIC SURGEON DR BENJAMIN NORRIS EXPLAINS WHY HE BELIEVES
A SUCCESSFUL BREAST AUGMENTATION DEPENDS ON AN OPEN AND HONEST
CONSULTATION. CAITLIN BISHOP REPORTS.
It’s often said that the most important aspect of
communication is hearing what isn’t said, and it’s this
philosophy that Sydney plastic surgeon Dr Benjamin Norris
carries into his consultations with patients. An experienced
plastic surgeon specialising in breast augmentation, Dr
Norris believes that, no matter what the surgery, optimal
outcomes depend on an open and honest relationship
between patient and surgeon.
‘To ensure a successful outcome and a satisfied patient
there needs to be an intensive consultation at the outset
and consistent follow-up in the weeks and months after the
procedure,’ says Dr Norris. ‘The surgery itself is just one
stop along the way.’
For those contemplating surgery, the initial consultation
– undertaken with a qualified surgeon – should clarify any
misconceptions or queries the patient might have. It’s the
ideal forum, and the first opportunity a patient has, to openly
and confidently discuss their desires and expectations,
while learning more about what might be possible surgically
and the limitations presented by their own body shape, sin
type and physiology.
Indeed, Dr Norris fiercely believes in educating his
patients so they are informed, reassured and prepared
going into surgery. ‘In order to make an informed decision,
it’s important patients are furnished with all the information
and reassured their surgeon will be there every step of the
way,’ he says.
According to Dr Norris, it’s only when a patient speaks
freely about their concerns, expectations and goals that
determining the optimal shape and size of breast implant
‘A patient usually arrives at the consultation with her
own ideas to contribute, and it’s the responsibility of a good
surgeon to gauge exactly what these are,’ he says. ‘My job is
to extract that information through effective communication
and by listening to both the verbal and nonverbal cues the
Clearly, patient desires must be accompanied by the
doctor’s keen eye for balance, detail and harmony. ‘An
important part of the discussion is considering proportion
as well as size,’ he says. ‘This kind of communication
helps the patient better understand the procedure and
take an active role in the decision-making regarding the
Because of their significance, Dr Norris conducts all
initial consultations himself. He will take measurements,
discuss medical history, offer different implants to ‘trial’ in
the case of a breast augmentation and run through the
procedure itself, including the possible risks, complications
‘My consultations take the form of an informal chat that
can last anywhere up to an hour. This way a patient has
the opportunity to relax and open up to me, asking any
questions they need to. It also gives me more insight into
their motivations for surgery and the concerns they have
about their body.’
In a unique effort to further understand patient priorities,
Dr Norris often asks which cosmetic procedure they would
choose if they were only able to have one in their lifetime. ‘I
find that posing this hypothetical question helps the patient
focus on their priorities,’ he explains.
Following this, Dr Norris outlines all the suitable surgical
options and explains what to expect leading up to, and in
recovering from, the procedure.
When it comes to planning the surgery itself, Dr Norris is
diligent in raising all those practical issues often overlooked
by patients, which can impact their experience during the
‘I raise topics such as what help they intend to organise
for the kids, the cooking and housework; how they will
navigate potentially tricky situations in the workplace;
what exercise they should and shouldn’t do until they’ve
healed – even simple things like remembering to put a gym
membership on hold until they are physically able to use it
again,’ Dr Norris says.
‘If matters like these aren’t addressed beforehand they
can cause all sorts of problems. While it might not impact
on the physical healing, it may leave the patient feeling the
overall experience was a less than satisfactory one.’
Importantly, Dr Norris says he is absolutely opposed to
pressuring patients into opting for surgery when they are
not fully convinced or don’t feel ready. Because of this, he
prefers to see all his patients for a second consultation to
reinforce the information provided at the initial meeting and
address any additional concerns.
‘When a patient is considering a cosmetic surgery
enhancement, they are often vulnerable and not always
entirely convinced what they want, or whether they want it
at all,’ he explains.
Yet it’s not just before surgery that open communication
is key. Dr Norris stresses a strong doctor-patient relationship
is just as vital in the time following the procedure.
During recovery, significant trust and understanding
must be present in monitoring patient progress and any
complications that might arise. ‘It’s imperative the lines
of communication remain open post-surgery. I am happy
to see a patient as often as he or she wishes after their
procedure,’ Dr Norris says.
This approach to surgery, where communication is
paramount in achieving a successful result, is something
Dr Norris abides by with all his patients, no matter what the
procedure. ‘Patients put their faith in me and therefore I feel
an obligation to be involved in all parts of the process, not
simply turning up for surgery,’ he concludes. csbm
BEFORE AFTER breast augmentation by Dr Norris
BEFORE AFTER breast augmentation and breast lift by Dr Norris
BEFORE AFTER breast augmentation by Dr Norris
AFTER breast augmentation and breast lift by Dr Norris
BEFORE AFTER breast augmentation by Dr Norris
Dr Benjamin norris
Cosmetic and Plastic Surgeon
BONDI JUNCTION | HILLS DISTRICT | 1800 DR NORRIS | FORMANDFACADE.COM.AU
THE DECISION TO UP THE SIZE
OF YOUR BUST ISN’T AN EASY ONE
AND SHOULD BE TAKEN SERIOUSLY,
SAYS SYDNEY PLASTIC SURGEON
DR ALEXANDER PHOON.
LIZZY FOWLER REPORTS.
Last year breast augmentation came out on top
as the most popular cosmetic procedure for US
women, with just shy of 350,000 procedures
performed in total. And whilst we wait for statistics to
be released in Australia, it’s a trend that’s likely to be
replicated at home.
Breast augmentation is undoubtedly one of the most
popular cosmetic procedures sought by women, yet
despite record numbers of surgeries performed year on
year, Sydney plastic surgeon Dr Alexander Phoon says
it’s not a decision that should be undertaken lightly.
‘It’s important to realise that proceeding with a breast
augmentation is a big decision for any woman,’ he says.
‘It’s therefore crucial I take the time to listen to their
concerns, their lifestyle and their priorities.’
According to Dr Phoon, a successful breast
augmentation begins with a quality consultation between
patient and surgeon. ‘The consultation provides the
opportunity to build trust and understanding – something
that’s crucial to ensuring patients are satisfied with their final
results,’ he says.
By understanding the patient and the wider context of
why they’re seeking breast augmentation, Dr Phoon is able
to marry the patient’s objectives with the implant shape,
size, projection and placement that will ensure the best
possible outcome for each patient.
It’s important to realise that
proceeding with breast
augmentation is a big decision
for any woman. It’s therefore
crucial I take the time to listen to
a patient’s concerns, their
lifestyle and their priorities
Dr Phoon believes that taking time to get to know each
patient also forges trust and understanding between the
surgeon and patient. ‘I can’t stress enough the importance
of taking time during consultation to get to know each
patient,’ he says. ‘I get upset when I hear about clinics
where patients are treated more like a production line. One
breast augmentation definitely does not fit all, and it’s our
philosophy at Silkwood Medical that a beautiful breast is
one that’s customised to the patient, their lifestyle, goals
and body shape.’
Dr Phoon uses three-dimensional imaging technology to
help patients ‘see’ how their results might look after surgery.
‘Using 3D imaging allows the patient to realistically see what
any size implant might look like on their body,’ he explains.
‘I have found the technology is both incredibly accurate
and informative and patients enjoy the process – they get
the opportunity to sit comfortably, with their clothes on, and
review the effect different implant shapes and sizes will have
on their appearance.’
Indeed, Dr Phoon finds many patients change their mind
about what it is they want thanks to the time they spend
reviewing their options with him. ‘Many women come in
with an idea of what they’d like, but it’s only when they
consult with a fully qualified plastic surgeon that they can
get an idea of what they need,’ says Dr Phoon.
It’s this expertise that Dr Phoon says helps women cut
through the myriad of options available to them. ‘There is so
much choice today in terms of implant brands, shapes and
sizes, it’s easy for women to get confused. The consultation
is therefore an opportunity to learn more about what’s right
Dr Phoon also believes it’s important to furnish his
patients with information regarding the risks, limitations and
complications associated with breast augmentation. ‘Any
surgery has risks, and it’s important patients are informed
as to the potential risks of anaesthesia,’ says Dr Phoon.
‘Breast augmentation also carries the risk for certain
complications such as rotation, displacement and
capsular contracture. Fortunately these are becoming
increasingly infrequent in Australia thanks to advances in
Whilst many surgeons have a preferred implant – be it
textured, smooth, silicone, saline or polyurethane, Dr Phoon
believes in selecting the implant that is right for each patient.
‘Some women may benefit from round implants, others from
anatomical. Some need polyurethane implants, whereas this
isn’t the right choice for others,’ he explains. ‘In the light of
the PIP implant crisis, the take home message is safety first.
We offer our patients a wide range of implants, but only the
most reliable, with a long, proven history of safety.’
At Silkwood Medical, all breast augmentation patients
are invited to a minimum of two consultations before their
procedure. ‘It’s vital patients take the time to attend two
consultations so that any concerns can be addressed
and the procedural plan fine tuned,’ explains Dr Phoon.
‘It’s common for women to come back to the second
consultation with plenty of questions that can then be
answered well ahead of surgery.’
Dr Phoon also spends time with each of his patients
before their procedure on the day of surgery. ‘It’s important
patients know I’m there with them on this journey,’ he says.
‘I can also answer any last minute questions.’
Dr Phoon adopts a meticulous approach to surgery
to minimise the extent of bruising and swelling. ‘Patients
should expect minimal swelling but will be able to anticipate
the final results after a couple of weeks,’ he says.
At Silkwood Medical, all the surgeons share the same
philosophy towards patient care and excellence in plastic
and cosmetic surgery. ‘I personally strive to create breasts
that make the patient feel feminine, confident and age
appropriate,’ concludes Dr Phoon. ‘The most beautiful
breast is one that makes the patient feel beautiful’. csbm
WORN AFTER BREAST AUGMENTATION,
CAREFIX COMPRESSION GARMENTS
CAN SPEED RECOVERY AND ENHANCE
RESULTS. LIZZY FOWLER REPORTS.
Comfort is a number one concern in the days that
follow any surgery, helping to make those early
days as easy as possible. But as well as providing
comfortable support after procedures such as liposuction,
abdominoplasty, breast augmentation and facelift surgery,
post-operative compression garments also play an
important role in speeding recovery.
Surgeons commonly prescribe compression garments
to reduce swelling and bruising and increase circulation,
promoting faster healing and therefore recovery. By
compressing the treatment area immediately postprocedure,
some sagging of the skin might be prevented by
comfortably pressing the skin and muscle tissues together.
The compression aids the skin and tissue in reattaching
itself smoothly as well as providing support to sutures by
The CareFix range of compression garments, distributed
in Australia by Statina Healthcare, is based on the key
values of comfort, functionality and ease-of use.
Canberra plastic surgeon Dr Vlad Milovic has recently
introduced the CareFix range of post-surgical bras to his
clinic. Designed to be worn by breast surgery patients in the
weeks immediately following surgery, when the skin is still
tender and sensitive, Dr Milovic chose CareFix because he
believes the medical-grade textiles provide more comfort to
his patients than some other garments.
‘The CareFix range has been designed with maximum
comfort in mind, without compromising on functionality,’
he explains. ‘In my experience, the material itself is better
tolerated by patients than some others, which can be
One of the main risks associated with breast augmentation
is implant displacement. This is when the implant shifts from
its desired position and is more likely to occur in women who
have teardrop-shaped or very large or high-profile round
implants. It can result from erroneous positioning in the tissue
pocket, excessively stretched tissue or trauma and is also
thought more likely to occur with a larger implant as gravity
acts on the weight of the implant.
According to Dr Milovic, compression bras should be
worn for six weeks post-surgery in order to guard against
this risk of displacement. ‘Compression garments are
designed to provide support,’ he says. ‘Patients can’t rely
on regular underwear or sports bras to provide the strength
and support they need after breast augmentation.’
By restricting movement of the implant, it’s also thought
compression garments can help minimise any bruising,
swelling and discomfort experienced post-surgery.
However, Dr Milovic says surgeons shouldn’t rely on
compression garments to minimise swelling.
‘External compression reduces swelling a little bit,
however it’s more important for the surgeon to create a
careful pocket dissection when placing the implant,’ he
says. ‘This has a much greater impact on the extent of
swelling experienced by the patient.’
Dr Milovic fits each of his breast augmentation patients
with their bra during consultation, before their surgery. ‘We
place the bra onto the patient as soon as their surgery is
over – they wake up in the compression garment – so it’s
important to fit the bra ahead of surgery,’ he says. ‘Fitting
the bra before the procedure also means the patient can
get used to the material and design of the garment.’
Whilst the support needs to be worn 24/7, they can be
taken off to shower and have a convenient front closure
mechanism to ease their removal – something that’s of
significant value if a woman is tender post-op.
Although patients have to wait for six weeks before
fitting into the new, stylish underwear they will have no
doubt picked out to complement their post-augmentation
breasts, the CareFix range certainly isn’t dowdy. The bras
come in a range of colours and, as they’re latex free, they
eliminate any risk of latex reaction.
Recently, CareFix launched their Breast Implant Stabiliser
Band, which is designed to help stabilise and position the
breast implant in the first two weeks post surgery, speeding
up the time it takes for the implant to settle into it’s position.
There’s no doubt that, no matter what the surgery,
the steps taken in the days and weeks that follow can
have a significant impact on results. Indeed, planning for
the recovery period should never be overlooked and it’s
thanks to compression garments such as those by CareFix
patients can look forward to recovering with greater ease
and comfort than ever before. csbm
CareFix Post-Op Care Bra Celia
CareFix Post-Op Care Bra Bella
CareFix Post-Op Care Bra Bianca
á la Brazil
SYDNEY COSMETIC SURGEON DR COLIN
MOORE OPTS FOR POLYURETHANE IMPLANTS
IN CREATING NATURAL LOOKING BREASTS.
CAITLIN BISHOP REPORTS.
Signifying what many believe is a breakthrough in breast
augmentation, polyurethane-coated P-URE implants
use a textured surface to reduce the risk of common
complications and help create a natural-looking contour.
With subtle enhancement a common request from women
wanting breast augmentation, Sydney cosmetic surgeon Dr
Colin Moore believes P-URE implants – fondly termed ‘furry
Brazilians’ – offer the best results for these patients.
‘In my experience, polyurethane-coated implants can
produce the most natural-looking results whilst minimising
the risk of the most common complications associated with
breast augmentation,’ he says.
With overly enlarged breasts no longer a popular trend,
many women interested in breast augmentation are simply
seeking to enhance their natural assets, balance their figure
and improve their breast contours. ‘A key concern for
women considering breast surgery is whether or not their
breasts will look “natural” following surgery,’ says Dr Moore.
Accurate measurements to define body proportions are
the number one step in achieving natural looking results.
Yet Dr Moore suggests advances in implant technology
can go lengths in achieving aesthetically attractive, natural
Part of the success of P-URE implants is their ability
to reduce the rate of capsular contracture, which is the
rippling, hardening and distortion of implants as the body
forms a scar capsule around them. The textured surface
of P-URE implants forces the body’s collagen to surround
the implant in an uneven pattern, preventing contraction
and lessening the chance of implant distortion.
‘A number of recent studies have shown that there
is only a one per cent risk of capsular contracture with
polyurethane-coated implants, which is very minimal and a
significant improvement on the 10 per cent risk associated
with saline and silicone implants,’ says Dr Moore. ‘This
is one of the many reasons I believe patients should
choose polyurethane implants. With the right surgeon and
the proper patient consultation, I believe they can create
Whether or not a natural outcome is desired, extensive
consultation is essential in deciding upon the final shape
and size of implant. With expectations, desires and body
shape varying drastically between patients, a lengthy and
in-depth consultation process will prepare the patient for
surgery, address the preferred outcomes and establish
the limitations posed by body shape, skin thickness and
‘Sometimes patients describe an aesthetic which is
unachievable because of their physical limitations,’ says Dr
Moore. ‘By measuring the proportions of the figure we can
determine the best breast size for the patient to enhance
the rest of her body.’
Dr Moore completes a number of measurements during
a consultation. ‘The basic dimensions of the breast are
taken into account, including the breast base, height and
overall width,’ he says. ‘The distance from the nipple to the
inframammary crease (underneath the breast) is influential
in the appearance of a perky breast,’ he says.
These measurements, alongside an understanding
of what each patient hopes to achieve, will guide the
surgeon in selecting the most suitable implant size and
shape for that individual. Planning, diligent measurements
and careful implant selection will see breast augmentation
result in natural-looking, beautified breasts. csbm
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by a nose
CONSISTENTLY IN THE TOP 5 MOST POPULAR COSMETIC PROCEDURES,
WE TAKE A CLOSER LOOK AT THE INTRICATE PROCEDURE THAT IS RHINOPLASTY.
LIZZY FOWLER REPORTS.
Nose surgery, or rhinoplasty, has long been one of
the most frequently performed plastic surgery
procedures. While some want their nose reshaped
because they are unhappy with the nose they were born
with, others become unhappy as ageing changes the
appearance of their nose. For others, an injury may have
bent or distorted the nose, or they may have grown tired of
functional concerns. Whatever the complaint, one thing is
clear: nothing has a greater impact on how a person looks
than the size and shape of the nose.
Because the nose is the most defining characteristic of
the face, a slight alteration can greatly improve a person’s
appearance. Similarly, a slight imperfection – caused by
injury, ageing or genetics – can have an overwhelmingly
negative impact on the rest the face. Fortunately, surgeons
are equipped with a number of techniques that allow them
to disguise imperfections and restore a nose that is not only
beautiful, but in keeping with the rest of the face.
The techniques used to augment or sculpt the nose differ
depending on the desired outcome, the preference of the
surgeon and the functional properties of the nose. Before
the 1970s, the procedure was generally performed via the
intranasal approach, referred to as ‘closed rhinoplasty’. In
1973, however, Dr Wilfred S Goodman initiated a shift in
technique when he published the paper External Approach
to Rhinoplasty, detailing what has become known as ‘open
rhinoplasty’. Today, both open and closed techniques are
widely used by surgeons, each having their own relative
merits and disadvantages.
Although the end-goal is often the same – either to
build-up (augment) or reduce the size of the nose – the
two techniques differ primarily in their access to the nasal
structure. In open rhinoplasty, the surgeon will make a small
incision between the nostrils, and go on to make a number
of additional incisions inside the nose. Closed rhinoplasty,
on the other hand, involves incisions made only to the
interior of the nose.
Rhinoplasty for cosmetic purposes grew in popularity
throughout the 20th Century and, consequently,
techniques were continually evolving. However, it wasn’t
until Dr Goodman’s paper in 1973 that open rhinoplasty
as a technique became more readily available. This new
approach was further popularised and refined by Dr Jack
Anderson, who wrote Open Rhinoplasty: An Assessment in
1982. Although the technique was initially used for first-time
rhinoplasty, towards the late 1980s the open technique
started to become more prevalent in secondary, or revision
rhinoplasty, encouraged by the work of Dr Jack P Gunter.
During open rhinoplasty, an incision is made at the
base of the columella – the tissue and skin that separate
the nostrils at the base of the nose. The nasal skin is then
carefully lifted back, allowing the surgeon to work on the
cartilage and tissue inside the nose.
Because the nose is the most
defining characteristic of the
face, a slight alteration can result
in a great improvement
Because the inner cartilage network and underlying
structure of the nose is exposed, the surgeon has greater
visibility than with closed rhinoplasty, and is able to work
on the inner structure of the nose with more precision and
freedom. Open rhinoplasty is therefore often chosen for
more complicated cases, where considerable work may be
required in order to achieve the desired outcome.
The open technique, for example, can be helpful
when performing cleft lip operations, or during revision
rhinoplasty when an earlier procedure has left a nose
pulled too high and structural grafts are required. In these
scenarios, surgeons will tend to favour open rhinoplasty
due to the extra visibility given by revealing the internal
structure of the nose.
The open technique also helps ensure the basic
foundation of the nasal structure is kept strong, facilitating
a natural-looking outcome. It also leads to a more stable
shape post-surgery, helping to safeguard against collapse.
Because an incision is made at the base of the columella,
the open technique will leave a small scar on the underside
of the nose. This will fade over time and, in most cases,
become barely noticeable. The patient may also experience
swelling, bruising and numbness for a more drawn out
period of time than with the closed approach to rhinoplasty.
techniques have been adopted in
order to help correct minor
irregularities in the nose
Whereas the open technique may be used to tackle
complex cases, closed rhinoplasty is generally used to
address minor defects. The operation is much quicker,
typically taking between one and two hours – around half
the time taken to perform closed rhinoplasty and because
all incisions are made inside the nostrils, the procedure
does not result in visible scarring. Given this minimally
invasive approach, healing and recovery time is also less,
as are swelling, bruising and numbness of the nasal tip
Often, the type of surgery selected will come down to
the preference of the surgeon. Where some prefer open
surgery because it unveils the underlying structure of the
nose, others prefer the closed approach because it offers
better ability to judge the final shape and contour of the
nose. This is because there are no external incisions
compromising the appearance of the nose.
The closed technique offers surgeons considerable
freedom to reshape the nose. Bone and cartilage can both
be removed using this technique or in some cases taken
from other parts of the body and used to better shape and
support the nose. However, despite offering plenty of scope
to address minor modifications, the main disadvantage of
the closed technique is its limited use. Although suitable for
reshaping the contours of the nose, complex cases cannot
be tackled as effectively with closed rhinoplasty.
Relatively recently, non-surgical techniques have also
been adopted in order to correct minor irregularities in the
nose, allowing suitable candidates to alter their appearance
without having to undergo surgery.
Already known for their ability to ease the appearance
Anatomy & Function
There’s a good reason rhinoplasty is often referred to
as the most intricate of facial surgeries. An intricate
network of bones, cartilage, cells, blood vessels, nerves
and skin, rhinoplasty needs to not only improve the
appearance of the nose, but also maintain or improve
upon its function. Different parts work together to filter
the air that then enters the lungs, and to send messages
to the brain to enable the sense of smell.
The nose can be divided into two main parts – the
external and the cavity. A ‘wall’ called the nasal septum
divides these sections vertically.
‘External’ refers to the actual structure of the nose,
comprising bone, cartilage and tissue. At the very top
of the nose, two nasal bones link the nose to the frontal
bone of the forehead. These bones form the ‘bridge’
of the nose, or dorsum. The lower part of the external
structure is made up of cartilage and tissue, which give
shape to the nose. The nasal bones give way to septal
of wrinkles, fi llers are increasingly being used to refi ne facial
contours. Indeed, nasal irregularities can be corrected
using either temporary or long-lasting dermal fi llers, allowing
suitable patients to alter their appearance without the need
Non-surgical rhinoplasty can correct minor external
nasal deformities, depressions, asymmetries, collapsed
nasal bridges and saddle noses. It can also be an effective
technique for making corrections post-surgery where the
results of earlier rhinoplasty have been unsatisfactory.
A relatively quick procedure, non-surgical rhinoplasty
requires no anaesthesia and involves minimal downtime.
Most fi llers will leave residual redness and slight tenderness
for up to a few days and patients can expect slight swelling
and bruising. Unlike closed and open rhinoplasty, the results
are immediately evident.
Sometimes, surgeons are called on to address
complications from earlier rhinoplasty procedures.
Considered one of the most diffi cult forms of cosmetic
surgery to perform, revision rhinoplasty, or ‘secondary’
rhinoplasty, involves the correction of previous cosmetic
procedures. Despite the best efforts of any skilled surgeon,
revision rhinoplasty is necessary in fi ve to 12 per cent of
rhinoplasty cases. Whilst some may require only minor
adjustments, others may need major modifi cation, and may
be a result of too much or too little bone, cartilage or tissue
having been removed, resulting in a nose that is too large or
too small for their face.
The techniques adopted for secondary rhinoplasty will
vary from one patient to the next and according to the
issues that need to be corrected. Implants or grafts may be
needed to fi ll in dips and smooth the contours of the nose,
or breathing diffi culties caused by the initial rhinoplasty may
need to be addressed.
Because the procedure takes place after an original
surgery, the presence of scar tissue makes secondary
rhinoplasty diffi cult. Because of this, it is usually recommended
that patients requiring revision rhinoplasty wait at least one
year from the date of their last nasal operation.
Ultimately, the technique used for any rhinoplasty
surgery will come down to the goals and desired results of
the patient, as well as the surgeon’s preference.
However, with so many variables, the most suitable
approach to each individual’s rhinoplasty should only be
decided after careful and detailed discussion between the
patient and surgeon.
No matter which technique is adopted, there’s no
doubt a well performed rhinoplasty can result in siginifi cant
changes to not only the appearance of the nose, but to the
face as a whole. csbm
cartilage, which forms the dividing wall of the nose. Further
down, major alar cartilage runs from the tip to either side of
the nose, forming the nostrils.
The internal structure of the nose centres around the
nasal cavity, which can be thought of as a tunnel with an
opening on the face and an opening at the top of the throat.
The nasal septum divides the cavity vertically. The upper
part of the nasal cavity is lined by the olfactory epithelium,
which contains receptor cells that detect odours and enable
the sense of smell.
Three small bones called turbinates protrude into the
nasal cavity on either side, which help to maintain the
temperature, humidifi cation and fi ltration of the air as it
passes through the nostrils. The lungs need to be supplied
with air that is around 35 degrees centigrade and 95 percent
humidity, and therefore the nose is structured to not only
receive the air but also to warm and fi lter it prior to entering
Both the nostrils and the nasal cavity are lined with
mucous membranes and small hairs called cilia. Together
with the mucous produced by the membranes, the cilia
fi lter the air and prevent the entry of dust, germs and
other unwanted particles into the respiratory system.
Should something become stuck in the nose, a sneeze is
triggered to clear it out. The mucous also helps moisten
the air, and blood capillaries located beneath the mucous
membrane help to warm it before it reaches the lungs.
Paranasal sinuses, located behind the bones above
and behind the eyes and behind the ethmoids, assist
with air fi ltration by producing mucous. Hollow air cavities
lined with mucous membranes, sinuses help warm and
humidify the air that passes through the nasal cavity,
while also improving vocal resonance.
SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON EXPLAINS THE FINER
DETAILS OF ‘FINESSE’ RHINOPLASTY. LAUREN ALEXANDER REPORTS.
Rhinoplasty is often referred to as the most
complicated of facial surgeries. The delicate balance
needed to address both aesthetic and functional
concerns demands considerable skill and an eye for beauty.
Sydney plastic surgeon Dr Darryl Hodgkinson refers to this
need to balance the shape and size of the nose with the
other features of a patient’s face as ‘Finesse Rhinoplasty’.
‘The goal of “Finesse” Rhinoplasty is to achieve a nose
that complements the patient’s appearance, giving ideal
proportion to the profile so that the other, more expressive
features of the face such as the eyes, the brows and the
mouth are emphasised,’ he says. ‘I believe Rhinoplasty is
probably the most challenging of all aesthetic facial surgical
procedures and I have been performing rhinoplasty for 30
years yet still find it very demanding.’
CHOOSING THE ‘RIGHT’ NOSE
According to Dr Hodgkinson, each patient has an idea
of what they want their nose to look like post-surgery,
although they can find it hard to communicate that goal.
‘We use Alter-Image, which is a very accurate computer
imaging program, to not only help us illustrate the possible
outcome of surgery but to help us communicate with the
patient,’ he says. ‘With my input as to what is surgically
possible and the patient’s input as to what they would like
to achieve, we are able to come up with the most ideal,
individualised nose for each patient.’
Dr Hodgkinson believes that using digital imaging also
helps the patient form realistic expectations and better
understand that there isn’t a ‘one-size-fits-all’ solution when
it comes to rhinoplasty. ‘Simply making a nose smaller is not
the answer as every nose must be as unique as every face,’
explains Dr Hodgkinson. ‘A successful rhinoplasty does not
just alter the size of the nose but nearly always changes the
shape of multiple aspects of the nose: the tip; the bridge;
the position of the nostrils; and the width of the nose.’
Many patients may be unaware that the aesthetic issues they
see on the exterior of the nose are often reflected internally,
resulting in functional concerns. Dr Hodgkinson therefore
tests all his rhinoplasty patients to assess their breathing.
‘If compromised they may require septal surgery or
turbinate surgery in order to improve the breathing,’ he
says. ‘The breathing tests point to what is causing the nasal
obstruction if one exists and the septal surgery or “septoplasty”
can be performed at the same time as the rhinoplasty.’
AFTER rhinoplasty by Dr Hodgkinson
According to Dr Hodgkinson, there are three distinct groups
of patients who seek rhinoplasty to address anomalies in
their nose common to their ethnicity.
‘Caucasians often have a large bump on their nose and
the tip can over-project or appear too broad,’ he says.
‘Asians often have a too flat and broad nose; and Middle
Eastern patients often have a hump, and the tip is not
supported and droopy.’
No matter what the individual concern or end-goal, Dr
Hodgkinson says all procedures to correct the nose and the
breathing are carried out under light general anaesthesia,
and typically take between one and two hours. ‘A small
splint is placed on the nose and if work has been done on
the septum there will be a splint positioned internally, also,’
For patients who have previously undergone an
unsatisfactory rhinoplasty, Dr Hodgkinson offers secondary,
or revision surgery.
‘These patients have typically had an earlier rhinoplasty
elsewhere and are unsatisfied with the result or the healing
has distorted the nose,’ he explains. ‘Secondary rhinoplasty
tends to be more complex and the patient’s recovery might
AFTER rhinoplasty by Dr Hodgkinson
AFTER rhinoplasty by Dr Hodgkinson
be more extended but in general the time off work for either
primary or a secondary rhinoplasty is no more than seven to
ten days with a return to full activities and four to six weeks.’
Most importantly, Dr Hodgkinson says rhinoplasty
is an operation that, when performed by a qualified and
experienced surgeon, only needs to be done once. ‘The
largest variable in the quality of the outcome will be the
expertise of the surgeon,’ he concludes. csbm
CREATING A STABLE FRAMEWORK
ENSURES RHINOPLASTY RESULTS
WILL LAST A LIFETIME SAYS SYDNEY
FACIAL PLASTIC SURGEON DR GEORGE
MARCELLS. LIZZY FOWLER REPORTS.
The end goal of any rhinoplasty is to create a nose that
not only suits the patient’s face and enhances their
breathing, but that will stand the test of time.
According to Sydney facial plastic surgeon, Dr George
Marcells, rhinoplasty has one of the highest rates of revision
of any cosmetic procedure. ‘If the nose is not given enough
support during surgery, it will twist and bend over time and
patients will be left needing revision surgery,’ he says. ‘Of
course, at that stage it’s harder to go in and make changes
because you will be operating through scar tissue, and
there is less cartilage left in the nose.’
To counter the risk of needing revision surgery, Dr
Marcells believes it’s important to adhere to what he
refers to as ‘Structured Techniques’. ‘Just as when you’re
building a house, it’s important to lay the foundations of a
structurally sound nose,’ he says. ‘The structural approach
refers to the techniques we use to reinforce the framework
of the nose – it’s all about architecture and engineering: if
you build the nose well you’ll achieve a long-lasting result.’
These techniques include using cartilage grafts to
straighten the nose and to refine the tip. In revision cases,
where too much cartilage has been removed, Dr Marcells
increasingly may draw on cartilage taken from the patient’s
rib. ‘There’s plenty of it and it can easily be made into thin,
straight grafts,’ he says. ‘The grafts are taken at the same
time as the rhinoplasty, under general anaesthetic so there’s
no extra inconvenience for the patient.’
One of the reasons rhinoplasty is such a
complicated procedure is the need to balance
outward aesthetics with improved function.
Although most patients are driven to seek nose
surgery for aesthetic reasons, Dr Marcells says
he often identifies functional issues.
‘Nasal obstruction can result in difficulties
breathing and sleeping,’ he says. ‘Improving the
function of the nose may lessen the impact of
To determine if there are any functional
issues, Dr Marcells gives each of his patients a
thorough examination and organises a base line
CAT scan and nasal airway assessment.
‘During the assessment we measure flow
rates in the nose, resistance and the cross
sectional areas,’ adds Dr Marcells, who is
also involved in a number of research projects
investigating the objective measurements and
functional outcomes of breathing in patients
having cosmetic and functional rhinoplasty.
Of course, even for those whose number
one concern is improving their breathing, it’s
important to consider the appearance of the
nose and Dr Marcells conducts a very involved
consultation to ensure he gets to the bottom of
what each patient wants to achieve. Dr Marcells
uses computer imaging to demonstrate the
impact certain changes to the shape and size of
the nose will have on the patient’s appearance
but, whilst he believes imaging provides a reliable
guide, he says patients should never rely on the
imaging as a promise of what can be delivered.
‘Ultimately it’s down to the surgeon’s skill as to
what can actually be achieved,’ he says.
Although most procedures are performed
as day surgery, Dr Marcells says for more
complicated patients an overnight stay may be
involved. ‘I advise all my rhinoplasty patients to
take two weeks off work to recover,’ he says.
‘After this the nose begins to look like normal and
they will be able to resume their regular activities.’
Whilst most patients are back up and
functioning normally within two weeks, Dr
Marcells points out that ongoing care is needed
for the next one to two years. ‘We provide
comprehensive follow up, and I encourage
my patients to maintain appointments for up
to two years so we can review the longevity of
the results,’ he says. ‘In most cases, because
we have built a stable framework, patients can
expect their results to last a lifetime.’ csbm
Case 1: Renee underwent structural nasal surgery to improve her
breathing and the appearance of her nose.
AFTER structural nasal surgery by Dr Marcells
AFTER structural nasal surgery by Dr Marcells
Case 2: James underwent structural nasal surgery to improve his
breathing and the appearance of his nose.
AFTER revision structural nasal surgery by Dr Marcells
Case 3: Tania underwent revision structural rhinoplasty with Dr
Marcells who used rib graft to reconstruct her nose after previous
failed surgery left her with nasal deformity and breathing problems.
SYDNEY ENT AND FACIAL COSMETIC SURGEON DR WILLIAM MOONEY EXPLAINS
WHY RHINOPLASTY IS OFTEN THE FIRST STEP TOWARDS A GREATER COSMETIC
CHANGE. LIZZY FOWLER REPORTS.
Although it’s often a concern with the appearance of
their nose that drives patients to see Sydney ENT
and facial cosmetic surgeon Dr William Mooney,
rhinoplasty is more often than not just the starting point on
a longer journey to facial enhancement.
‘Patients often come in with a specific concern about
their nose, but it’s interesting it’s rarely just the thing that
they present with that we end up treating,’ says Dr Mooney
who, as an ENT surgeon, specialises in conditions affecting
the ears, nose and throat.
According to Dr Mooney, whilst a patient might be
concerned about a dorsal hump or a bulbous tip, with
further consultation and the use of computer-aided
imagery, it often becomes obvious there are other concerns
at play. ‘Aesthetically, it’s common to identify concerns
such as asymmetry, crookedness or a tip that’s poorly
defined. Even though these issues might be secondary to
the primary problem that brought the patient to see me,
it’s important to address them at the same time,’ he says.
‘That’s what makes the difference between a “good” and
a “great” rhinoplasty – it’s a case of crossing all the Ts and
dotting all the Is.’
The nose, however, is not just a cosmetic organ, and
more often than not Dr Mooney will identify functional
concerns that need to be addressed during rhinoplasty.
‘I strongly believe patients should trust their nose to
an experienced rhinoplasty surgeon and preferably an
ear nose and throat trained surgeon,’ he says. ‘The nose
isn’t just decoration on the front of the face – the nose is a
complicated and important organ. It’s important for sense
of smell; it’s the opening of the respiratory tract; it’s the
resonance chamber for the voice; it’s the portal of exit and
entry for all the sinuses; and it’s intimately associated with
the eyes and brain. Quality of life is significantly impinged if
the nose doesn’t work.’
However, patients aren’t always aware there’s anything
wrong with the way their nose functions. ‘It’s often a gradual
deterioration, prompted by trauma in youth, so that by the
time they come to see me, patients have got used to their
nasal obstruction,’ says Dr Mooney.
Addressing both the aesthetic and functional
concerns identified by the patient is not always
the end of the story, however. Although this can
improve the appearance and function of the
nose, Dr Mooney says it‘s just as important to
assess the other features of a patient’s face.
‘Getting the balance right is not just as
simple as altering the nose. Sometimes other
facial features have problems we need to
address at the same time,’ he says.
According to Dr Mooney, it’s common for
men in particular to present thinking they have a
large nose when this is not, in fact, the case. ‘In
reality, they have a moderately large nose, but
the size of their chin is deficient,’ he explains.
‘In this instance, a chin augmentation alongside
a moderate change to the size or shape of the
nose can give strength and masculinity to the
face that often goes unnoticed by friends and
family yet makes a real improvement to the
Other procedures can also be performed at
the same time as rhinoplasty to result in a more
significant improvement to the patient’s overall
look. ‘A patient may benefit from having their
ears pinned back, or from minor liposuction
around the neck,’ says Dr Mooney. ‘More
commonly I may perform simple anti-ageing
procedures at the same time as rhinoplasty such
as dermal fillers and muscle relaxants or more
invasive procedures such as blepharoplasty or
thread lifts. The patient benefits by combining
procedures as they only have to endure one
anaesthesia and hospital stay and only have to
take time off work once to recover.’
However, not everyone is suited to
undergo multiple procedures at once and, if
they are, Dr Mooney recommends multiple
consultations ahead of surgery. ‘Conducting
multiple preoperative consultations is key when
someone is having a number of procedures,’
he says. ‘It can be a lot to take in if the patient
has walked in the door thinking they just need
a rhinoplasty and they walk out with a quote for
having their ears, eyes and skin treated, too.’
For anyone considering facial enhancement,
Dr Mooney advises a few simple rules. ‘Go to
someone reputable, aim for a natural, balanced
look and work within a budget,’ he says. ‘If
patients follow these rules, I believe rhinoplasty
can often be just the first step towards a lovely
cosmetic and functional change.’ csbm
AFTER Rhinoplasty and chin augmentation by Dr Mooney
AFTER Rhinoplasty and chin augmentation by Dr Mooney
AFTER Rhinoplasty and chin augmentation by Dr Mooney
Reshaping the nose
Sydney plastic surgeon Dr Pouria Moradi gets to the bottom of what
makes a beautiful nose. Lizzy FOWLER reports.
It takes centre stage on the face and, if international
statistics are to be believed, an overwhelming number
of us are unhappy with its appearance. But, thanks to
rhinoplasty, which has appeared amongst the top five most
popular cosmetic procedures around the world for the last
five years, thousands of men and women look more fondly
at their noses every year.
In Australia alone, it’s estimated that plastic surgeons
perform around 4,000 rhinoplasty procedures each year,
making it the country’s 4th most popular aesthetic surgical
procedure, behind liposuction, breast augmentation and
eyelid surgery. Yet, according to Sydney plastic surgeon
Dr Pouria Moradi, it can result in some of the happiest
outcomes – perhaps because of the overall impact a
misshapen or oversized nose can have on the rest of a
patient’s face and, consequently, on their self-esteem.
‘When performing rhinoplasty my ultimate goal is to
achieve a happy patient. But this process begins long
before the surgery itself,’ says Dr Moradi, who is based at
Silkwood Medical in Sydney’s Bondi Junction. ‘A successful
surgical outcome is obviously key to a happy patient, but
just as important is the consultation that takes place before
the operation, and the ability of the surgeon to tailor the
operation to address the concerns a patient has with their
nose, whether cosmetic or functional.’
It’s during the initial consultation that Dr Moradi gets
to the bottom of what these concerns are – and they will
vary widely for each patient. ‘The initial consultation takes
around one hour, during which I will take a detailed clinical
and medical history focusing on the exact concerns of
the patient and paying particular attention to any previous
trauma, operations or medications the patient may be on
and any breathing difficulties they may have,’ he says.
Dr Moradi then performs a clinical examination. ‘We look
at the internal structure and the external appearance of the
nose,’ he says.
‘It’s also important to assess the harmony and relationship
of the nose with the rest of the face – for example, is the
nose really “too big” or is the real issue that the chin is too
small?’ he adds.
It’s important for Dr Moradi that each patient is aware of
what a rhinoplasty involves, and that they understand why
he recommends certain adjustments. As well as discussing
the possible risks and complications inherent to rhinoplasty
and surgery in general, Dr Moradi draws the anatomy of the
patient’s nose – including details of the cartilages and bone
structure – to better describe the operative manoeuvres he
believes will address their concerns.
According to Dr Moradi, visualising the changes that are
going to take place helps a patient feel comfortable and
confident in proceeding with surgery. He’s therefore invested
in the latest digital imaging software to help patients predict
what their outcome will look like.
‘We use the Vectra to capture three dimensional
photographs of the patient’s face, profile and nose,’
he explains. ‘I can then use sophisticated software to
simulate the surgical manoeuvres I described earlier in the
consultation. This allows the patient to see an accurate
representation of how they might look after their operation.’
Using digital imaging also allows Dr
Moradi to assess the patient’s nasal
dimensions in relation to their facial
measurements. ‘By cross checking the size
of the nose with the height and width of the
face I can ensure that a rhinoplasty is in fact
the correct procedure and not a genioplasty,
where I might increase or decrease the size
of the chin,’ he says.
According to Dr Moradi it’s important
each patient has time to digest all the
information they’re given during the initial
consultation before they decide to proceed.
‘I give each patient my personal email address
and encourage them to contact me with any
further questions,’ he says. ‘Should they want
another consultation I always offer this free of
charge and, if they decide to proceed, there
will be a further meeting where we review the
3D model again and discuss the risks and
complications once more.’ Patients are also
invited to spend time with the practice nurse
at Silkwood, who discusses the procedure
with the patient.
Rhinoplasty is commonly performed
using either the open or closed technique.
Although the latter means that no incisions
are made on the outside of the nose,
Dr Moradi prefers the open technique,
especially where he needs to make any
adjustments to the tip of the nose. During
an open rhinoplasty, a small incision is made
at the base of the nose, between the nostrils
before the surgeon carefully lifts the nasal
skin back in order to work on the cartilage and other tissues
inside the nose.
‘Although the swelling may take longer to settle postop,
this technique gives absolutely the best view of the
anatomy of the nose and allows you to accurately perform
all your surgical manoeuvres with precision,’ says Dr
Moradi. ‘It takes away the guess work involved with a
However, the approach Dr Moradi takes depends very
much on each patient. ‘For example, a man who has
broken his nose playing football and needs the nose and
septum straightened, a closed rhinoplasty would be a
Although Dr Moradi says all patients should expect to
experience swelling and bruising, he says that after four
weeks the swelling will settle. The end result? ‘Having
delved to the bottom of what was troubling each patient
about the appearance of their nose and having prepared
them for the changes they were going to see, the ultimate
outcome is a happy patient,’ Dr Moradi concludes. csbm
AFTER rhinoplasty by Dr Moradi
AFTER rhinoplasty by Dr Moradi
MODERN FACELIFT TECHNIQUES ARE NOTHING TO BE SCARED OF SAYS SYDNEY
PLASTIC SURGEON DR WARWICK NETTLE. LIZZY FOWLER REPORTS.
There’s no denying facelift surgery had, for a short
while, a certain stigma attached to it. Thanks to the
odd photograph of over-tightened ageing celebrities,
men and women became understandably fearful of
appearing ‘overdone’ after surgery. Yet, as Sydney plastic
surgeon Dr Warwick Nettle points out, there has been a
quantum leap in the techniques and execution involved
in facial rejuvenation surgery in the last 10 years, thanks
largely to a better knowledge and understanding of facial
ageing. Today, he says, that ‘wind-tunnel’ look is, thankfully,
a thing of the past.
‘We used to believe that the common signs of ageing
were the result of loose, sagging skin alone,’ explains
Dr Nettle whose clinic, Silkwood Medical, is located in
Sydney’s Bondi Junction. ‘Today, however, we understand
ageing characteristics are largely due to the deflation that
takes place in the face, resulting in changes to the curves,
volumes and proportions of the face as a whole.’
Likening a youthful face to a sailboat with the wind
billowing in its sails, Dr Nettle explains that, with age, the
wind wanes, leaving the sail loose. ‘Changes take place
from the inside out, not just to the skin,’ he says. ‘Over time,
changes take place in the bone, muscle, fat and skin – each
one impacting on the other. This causes a deflation wave
that results in the appearance of sagging.’
Whereas the solution, once-upon-a-time, was to
simply tighten the skin, Dr Nettle explains that today the
emphasis is on the preservation and relocation of tissue
layers. Rather than simply pulling the skin tight, Dr Nettle
makes adjustments to the underlying muscle and tissues,
before carefully redraping the skin. ‘During the consultation
I will talk a lot with my patients about the techniques I use
to avoid the “tight” look, which I believe is 100 per cent
avoidable,’ he says.
Of course, the techniques Dr Nettle draws on vary
depending on the unique circumstances of each patient.
Typically, however, Dr Nettle says patients are concerned
by the appearance of the upper and lower eye region, their
neck and jawline. ‘Women are also commonly troubled by
wrinkles that appear on their upper lip, which are unrelated
to smoking,’ he says.
It’s therefore not uncommon for Dr Nettle to recommend
a number of procedures in order to achieve full-facial
rejuvenation. ‘Most people recognise the major issues
that need addressing – the eyelids, neck and jawline,
for example – but if you neglect the mid-face and leave
a noticeable naso-labial fold the results will be less than
satisfactory,’ he explains. It’s by combining a number of
procedures such as a face and neck lift, blepharoplasty
and microdermabrasion, Dr Nettle says the most naturallooking
results are achieved.
During full-facial rejuvenation, Dr Nettle may also extract
fat from the stomach for reinjection into the mid-face. ‘Fat
transfer used to be a popular technique for adding volume
to the face, however today we inject even small volumes
of fat in order to achieve rejuvenation of the skin,’ he says.
‘The fat is rich in stem cells, which makes a huge difference
to the appearance of the skin after the procedure.’
To address wrinkling in the upper lip – something that is
unique to women – Dr Nettle might perform dermabrasion
during surgery. ‘In my experience, this is more effective
than laser and carries less risk of causing pigmentation,’ he
says. ‘We aim to achieve a 60 to 70 per cent improvement
in the appearance of wrinkling on the upper lip.’
Although a face and neck lift can, according to Dr Nettle,
reset the clock 10 years ahead of where a patient was
before surgery, he’s careful to tell his patients that the clock
will continue to tick.
‘We advise all our patients to make sure they eat a
healthy diet and exercise to maintain their results,’ he says.
‘Some patients may use anti-wrinkle injections, laser and
dermal fillers following their rejuvenation surgery, and we
also recommend an effective skincare regime, including
vitamins A and C to help maintain youthful skin.’ csbm
This patient, aged in her early-50s, was concerned with the appearance of her upper eyelids, wrinkling on her upper lip
and sagging around her neck and jawline. Dr Nettle performed full facial rejuvenation, including an upper blepharoplasty,
face and neck lift, micro fat transfer and dermabrasion to the upper lip. The result is a fresher, more youthful appearance.
AFTER full face rejuvenation by Dr Nettle
AFTER full face rejuvenation by Dr Nettle
CANBERRA PLASTIC SURGEON DR VLAD MILOVIC EXPLAINS WHY THE COMPOSITE
FACELIFT CAN ACHIEVE SUPERIOR RESULTS. LIZZY FOWLER REPORTS.
Traditional or conventional facelifting techniques don’t
always take into account the three-dimensional
changes that take place in the face over time. Whilst
tightening the skin can remove the sagging, loose skin
associated with ageing, it’s just as important to replace
volume that can be lost in the mid-face.
‘The majority of my patients present with concerns
around the mid-face, where the plumpness associated with
youth has been lost,’ says Canberra plastic and cosmetic
surgeon Dr Vlad Milovic. ‘This is often combined with heavy
jowls and some degree of neck laxity, which together
contribute to an aged appearance.’
Fortunately, Dr Milovic says recent advances in facelifting
techniques have helped surgeons achieve more naturallooking
results for their patients.
‘I’ve adapted my approach to facelifting to achieve
results that stand the test of time, tailoring the procedure
to each patient.’
He believes the composite facelift technique, when
combined with adjunct procedures such as neck lifting
and advanced upper blepharoplasty where required, can
achieve the most natural-looking, long-lasting results.
Balance is central when it comes to facelift surgery
and, while other procedures only reposition facial tissue
horizontally, Dr Milovic says the composite lift counters the
natural descent of the face with a vertical lift.
‘The composite facelift is a next-generation alternative
to standard procedures,’ he says. ‘It is a sophisticated
technique that requires experience to perform, but it can
successfully restore a youthful appearance.’
The composite facelift is similar to a deep plane lift, with
the addition of an extra step to include the muscle around
the eyelid. Like the deep plane lift, the composite lift involves
the elevation and resection of the superficial musculo
aponeurotic system (SMAS), as well as the orbicularis
muscle and cheek fat pad.
During the lift, the orbicularis oculi muscle (around the
eye) is separated from its attachment to the cheekbone
through an incision in the lower eyelid and then lifted and
sutured into place.
‘The whole face can be lifted to achieve more youthful
contours without that telltale “pulled” appearance that
people might experience with conventional procedures,’
says Dr Milovic.
Dr Milovic explains that, as well as creating a smoother
neck and more defined jawline, the composite lift can
recreate the full, plump cheeks of youth – something that
can’t be achieved with other facelifting techniques alone.
An added advantage is that the composite lift also helps
blend the dividing line between the lower eyelid and cheek,
which can appear with age.
With adjunct procedures such as micro-fat grafts
harvested from the inner thigh and skin preparation
including facial peels, Dr Milovic says patients can look
forward to a refreshed and rejuvenated appearance with
none of the tell-tale signs of surgery. csbm
5 weeks AFTER facelift by Dr Milovic
4 weeks AFTER face and neck lift by
WHILe In MeLBoURne AT CoSMeTex, CAnADIAn pLASTIC SURgeon DR ARTHUR SWIFT
pRopoSeD THe CUMULATIve BeneFITS oF CoMBInIng ULTHERA AND THERMAGE.
CAITLIn BISHop RepoRTS.
Ulthera and Thermage are both designed to enhance
the skin’s integrity by promoting the production of new
collagen fibres in the dermis. With similar outcomes
and treatment areas, it’s common for patients to select one
of the two procedures. However, in a recent seminar on the
benefits and contrasting approaches of the two treatments,
Canadian plastic surgeon Dr Arthur Swift suggested
combining the two for optimum outcomes, recommending
Thermage two weeks before a treatment with Ulthera.
While Thermage uses radio frequency energy to heat
the epidermis and dermis, Ulthera draws on ultrasound
technology to specifically target deeper areas in the
dermis, without disrupting the skin’s outer layers. Dr Swift
believes the two treatments, which he compares by using a
‘grilling’ versus ‘microwaving’ analogy, are complementary,
proposing the effect of using both modalities, one a few
weeks after the other, is cumulative.
In both cases, the inflammation caused by heat
stimulates the body’s natural healing response, triggering
an increased production of collagen in the dermis. The
result is a lifting and tightening of the treatment area.
Dermatologist and author of The Skin Type Solution,
Dr Leslie Baumann, tends to use Ulthera in her practice.
Following Dr Swift’s presentation, however, she conceded
there might be a benefit in combining the targeted heat of
Ulthera with the more overall heat of Thermage.
Recently, a senior team member at Cosmetic Surgery and
Beauty Magazine decided to undergo both Thermage and
Ulthera, and booked in to Sydney’s Skin Renu for treatment
with Thermage. Two weeks later, a second appointment was
made at Sydney’s Silkwood Medical for Ulthera.
Before treatment with Thermage, dermal clinician, Daniela
Liga, from Skin Renu, reviewed the patient’s medical history,
current concerns and skin condition during an in-depth
consultation. Daniela shared information about the procedure
and spoke about its ability to improve the appearance of the
jowl area, which was the primary concern.
During the procedure, the automated Thermage device
directed Daniela in guiding the hand piece over the face. The
radiofrequency energy level was tailored to suit the patient’s
concerns, with higher energy used along the jawline.
Throughout the treatment, Daniela outlined exactly what
was going on, discussing how many passes were needed
on each part of the face and warning that certain areas –
around the nose, eyes and temples, for example – may be
more uncomfortable than others.
After the procedure there was slight redness, mild
swelling and tingling along the jaw, which all faded within
24 to 48 hours. ‘Swelling is a positive sign,’ says Liga, ‘It
means the body’s healing response has been adequately
stimulated, and suggests the future collagen induction will
mirror the swelling pattern.’
After just two weeks, it was time for the second stage
of Dr Swift’s recommended treatment protocol. Silkwood
Medical’s Maureen Cole, a paramedical aesthetician,
administered Ulthera after a thorough analysis of the
patient’s skin using 3D imaging.
‘We perform several Ulthera treatments each week, with
younger patients opting for treatment to waylay the signs of
ageing and others using it as a bridge between non-surgical
and surgical methods of facial rejuvenation,’ says Cole.
After the procedure, the patient experienced mild swelling
and redness, which resolved within just 48 hours. The facial
bones, however, continued to be sensitive for a few weeks.
Now, three months after the last procedure, the results
are visible and the patient is thrilled with the outcome. The
jowls have visibly improved and the skin around the eyes is
While it’s not possible to quantify the improvement
afforded by combining the two treatments, there’s no doubt
that Thermage followed by Ulthera, grants unmistakable
results. And with both procedures involving little to no
downtime and tolerable discomfort, it’s likely Dr Swift’s
protocol will soon take off. csbm
Don’t wait until your later years to
improve your appearance. Sydney
plastic surgeon Dr Steven Liew
explains how to look your best at
any age. Tara Casey reports.
It’s a promise Sydney plastic surgeon Dr Steven Liew
makes to all of his patients: that they can be a more
beautiful version of themselves, no matter what their age.
‘For years the cosmetic industry has been fixated on
the idea it’s all about making everyone look younger,’ says
Dr Liew. ‘The truth is we can make a 50-year-old look a few
years younger, but they will still have 50-year-old skin. What
all my patients really want is to look their best at any stage
of their life – to be more handsome, more beautiful. That is
just as true whether you are a 23 or 63.’
Dr Liew is renowned for staying abreast of the very latest
non-surgical and surgical cosmetic treatments. These include
treatments that he says can totally transform the face, be
it to achieve a slimmer jawline, a more sculpted cheek, or
reshaping and beautifying the eyes, nose and mouth.
Contemporary cosmetic surgery techniques have also
become more refined, allowing surgeons to deliver the
most natural-looking results.
Dr Liew says that, despite the folklore, there really is
nothing graceful about ageing. ‘Good genes and a healthy
lifestyle certainly help,’ he says. ‘But maintaining our
appearance as we pass into each decade requires some
careful science and aesthetic skill.’
It was with this philosophy in mind that Dr Liew devised
his Beauty Through The Ages TM program, which he offers
at his clinic in Sydney. ‘Under the program each patient
is given a treatment plan that sets the most effective nonsurgical
and/or surgical treatments – that can be staged
over several years,’ he explains.
Here, Dr Liew showcases some of the more popular
procedures involved in the Beauty Through The Ages TM
Age 20s and 30s
AFTER lip enhancement with dermal filler
AFTER lip enhancement with dermal filler
28-year-old patient. Soft, beautifying lip enhancement with dermal filler by Dr Liew
AFTER non-surgical facial rejuvenation
AFTER non-surgical facial rejuvenation
Non-surgical Total Facial Beautification with anti-wrinkle injections and dermal fillers by Dr Liew
AFTER breast augmentation
AFTER breast augmentation
31-year-old patient. Beautiful, proportioned and natural-looking breast enlargement with silicone breast implants by Dr Liew
BEFORE AFTER non-surgical facial rejuvenation AFTER non-surgical facial rejuvenation
Non-surgical Total Facial Beautification. A refreshed and more beautiful appearance with the use of dermal fillers and anti-wrinkle injections by Dr Liew
BEFORE AFTER upper blepharoplasty AFTER upper blepharoplasty
Surgical upper eyelift, giving the eyes a refreshed appearance and creating natural beautification of the upper face by Dr Liew
BEFORE AFTER a ‘Mummy Makeover’ AFTER a ‘Mummy Makeover’
43-year-old patient. ‘Mummy Makeover’ including a breast augmentation and lift combined with liposuction and tummy tuck by Dr Liew
BEFORE AFTER non-surgical facial rejuvenation AFTER non-surgical facial rejuvenation
59-year-old patient. Total Non-surgical Facial Beautification resulting in a softer, more beautiful and feminine facial appearance by Dr Liew
AFTER surgical upper blepharoplasty and non-surgical
lower eye lift
56-year-old patient. Surgical upper eyelift and non-surgical lower eyelift with dermal filler by Dr Liew. Creates a soft and beautiful facial appearance
AFTER surgical upper blepharoplasty and non-surgical
lower eye lift
BEFORE AFTER facelift, neck lift and micro fat transfer AFTER facelift, neck lift and micro fat transfer
55-year-old patient. Face-, neck lift and micro-fat grafting by Dr Liew. Creates a natural looking, beautiful face
A SINGLE PROCEDURE IS RARELY THE ANSWER TO FACIAL AGEING. HERE,
DR JOHN FLYNN FROM QUEENSLAND EXPLAINS WHY THE BEST RESULTS
OCCUR WHEN FORCES ARE COMBINED. LIZZY FOWLER REPORTS.
When it comes to shopping, people often set out
knowing what it is they want – a new pair of
shoes to match the dress they bought last week,
for example. Yet, when it comes to cosmetic enhancement,
Dr John Flynn from Queensland urges women to have a
more open mind.
‘Patients often come to see me wanting more information
about the latest procedure they’ve heard about,’ he says.
‘However, that procedure may not be suited to the actual
concerns that patient has. Rather than focusing on a single
procedure, I believe it’s better to focus on what the actual
problem is that needs addressing and, in most cases, a
combination of procedures is likely the best route to success.’
Just as ageing is a multi-faceted process, Dr Flynn
believes multiple procedures are needed to address its
telltale characteristics. ‘Ageing affects us all in three broad
areas,’ he explains. ‘However, the extent to which each
affects us varies from person to person. Different people will
therefore benefit from different combinations and degrees
of treatments depending on their unique concerns.’
Firstly, with age tissues begin to sag as gravity sinks
in. Whilst facelift procedures can effectively reposition
the underlying structures of the face and remove excess,
sagging skin, performed alone, it will do little to address
the second and third stages of ageing: volume loss and
deterioration of the skin itself.
‘A facelift can lift, tighten and redistribute, but it won’t add
volume to the face where collagen, elastin and eventually
fat have depleted,’ says Dr Flynn. ‘Nor will dermal fillers,
when performed alone, do anything to improve the texture
or tone of the skin, or reposition sagging brows or jowls.’
The answer, therefore, is to join forces, combining
a number of procedures depending on the extent of
rejuvenation required, to address each of the concerns
exhibited by the patient.
‘Today there is a lot we can do to address each of the stages
of ageing, and it doesn’t have to involve surgery,’ says Dr Flynn.
‘A modern-day facelift is no longer a surgical procedure alone:
it might also involve less-aggressive procedures to replace lost
volume and improve the texture of the skin.’
When it comes to replacing lost volume, Dr Flynn says
bio-stimulant and volumising dermal fillers are not the only
option. Stem-cell enriched fat transfer can also effectively
shape and contour the face whilst also resulting in an
increase in fat, collagen and elastin.
Similarly, there is a wide range of procedures that can
improve the tone and texture of the skin. ‘Laser and light
based therapies, collagen induction therapy, chemical peels
and platelet-rich plasma, for example, can all improve the
appearance of the skin, whilst home skincare and lifestyle
choices will also make a difference,’ says Dr Flynn.
With such a wide array of options, Dr Flynn says
it’s not just a case of selecting the right combination of
treatments for each patient, but also selecting the optimal
modality. ‘Will the patient benefit more from fractional laser
resurfacing than they would from collagen induction laser?
Would their volume loss be better addressed with a fat
transfer procedures than it would from dermal fillers?’ Dr
Flynn poses as examples.
Combining procedures doesn’t necessarily mean a longer
wait to see results. Frequently, complementary procedures
can be performed at the same time. ‘It’s not uncommon for
laser procedures to be performed at the same time as dermal
fillers,’ says Dr Flynn, who reiterates that it depends on the
procedure, the individual and to some extent their budget
as to what can be performed at once, rather than in stages.
Of course, in fighting the common signs of ageing Dr
Flynn says there is no combination of treatments that can
do more than taking steps to stop smoking and protect
against the harmful rays of the sun.
‘Smoking is a complexion killer,’ he says. ‘If more people
realised the damage smoking can have on the skin I believe
far fewer people would smoke.’ And as for exposure to the
sun, Dr Flynn says you should just take a look outside. ‘If
you look at timber furniture that’s been left in the sun as
opposed to that in your dining room you get some idea of
the damage being done by exposure to the sun.’
Ultimately, Dr Flynn’s message is that no two people are
the same, and that something as multi-faceted as ageing
demands an equally sophisticated approach. ‘Fortunately,
today we’re blessed with a diverse array of treatments –
from minimally invasive to surgical procedures – which
can be combined in order to address ageing properly,’ he
AFTER facelift and laser resurfacing by Dr Flynn
AFTER thread lifts by Dr Flynn
Sydney coSmeTic pHySician
DR TONY TAN BELIEVES AGEING IS A
cHoice, and one THaT can be 100%
PREVENTED. LIZZY FOWLER REPORTS.
There’s no denying that ageing takes place. As we
blow another candle out on the cake each year,
changes are taking place in the underlying structures
of our faces. Yet, according to Sydney cosmetic physician
Dr Tony Tan, ageing, just like anything else, is a choice. Best
of all, Dr Tan believes ageing is 100 per cent preventable
and, perhaps better still, reversible.
‘I believe you can choose to grow old, but not to look
old,’ says the dynamic founder of Beauty Logic in Sydney’s
Fairfield Heights. ‘The only limiting factor is your budget.’
Dr Tan is already well known for his advocacy of the
Golden Ratio in facial aesthetics. Studied by the Ancient
Greeks and apparent throughout nature, the ‘golden
ratio’ refers to a geometric relationship – which has been
applied to mathematics and the arts for hundreds of years
– universally acknowledged as attractive. Countless famous
faces, from Angelina Jolie to Tom Cruise adhere to this ratio,
displaying a balanced proportion between their nose, cheek
and chin, and it’s therefore considered by many, including
Dr Tan, to provide a framework against which to enhance
‘A lot of cosmetic injectors who do not understand the
golden ratio fail to see there is an end point, at which point
the beauty of the face has been maximised,’ he explains. ‘By
applying the golden ratio to my clients’ faces I can work towards
an end goal, at which point the client will be as beautiful as
possible.’ According to Dr Tan, going beyond this end-point
will only only deplete from a person’s beauty potential.
Core to Dr Tan’s approach to reversing the signs of
ageing and enhancing his client’s beauty is his belief that
the face should be treated as a whole, rather than as
individual elements – something he refers to as the ‘TAN-
The TAN-Facial Approach
‘Treating the face as a whole, rather than as a set of
individual features is very important,’ says Dr Tan. ‘This is
because ageing occurs in all layers of the face – it is a three
dimensional, not two dimensional process.’
Dr Tan refers to the ‘four Ds’ of ageing – each of which
can be addressed in order to both stop ageing in its tracks
and enhance a patient’s underlying beauty. ‘With time, a
person’s face will deflate as they lose volume; the texture
and quality of the skin will deteriorate; because of a loss of
structure, the features of the face will descend; and the face
might appear disproportional,’ explains Dr Tan.
According to Dr Tan, addressing each of these elements
as a whole using the TAN-Facial approach will result in the
restoration of natural-looking youth.
Taking its name from the better known ‘Pan-facial’
approach to facial rejuvenation, there are four fundamental
steps in Dr Tan’s TAN-facial technique: relax, refill, resurface
‘This combination is designed to release a patient’s
natural beauty potential, addressing each of the signs of
ageing whilst creating the best version of you, rather than a
different you,’ explains Dr Tan.
Relax, Refill, Resurface, Resuspend
Whilst botulinum toxin injections
can be used to ‘relax’ certain areas
of the face, Dr Tan uses dermal fillers
to ‘refill’ those areas that have lost
volume thanks to ageing.
‘I use dermal fillers to restore
volume loss in different tissue
layers and combine this with other
therapies,’ he continues. ‘In effect, I
rebuild the facial structures starting
from the deepest layer to the
superficial zone – that is, I address
volume loss in bony regions first.
This creates structural support and
contour enhancement associated
with a youthful and beautiful face.’
Dr Tan begins any TAN-facial
rejuvenation by measuring a patient’s
face with a phi caliper to help him
determine which treatments they will
benefit from. Based on the golden
ratio, Dr Tan believes using these
calipers help him achieve naturallypleasing
‘These measurements help me
determine the optimal dimensions
of a person’s face, and also ensure
I don’t over-correct certain areas,’
Dr Tan may use a combination of
hyaluronic acid (HA) and bio-stimulant fillers to restore the
desired volume to various areas of the face. ‘Different types
of filler complement each other in my facial beautification
process,’ he says.
‘Volumising fillers with high viscosity and elasticity can be
used to volumise and lift, helping to create structural support.
They are best suited to the mid and lower face where there is
continuous muscle activity and skin laxity.’
Towards the outer layers of the face, however, Dr Tan
uses a different type of filler to create smooth contours. ‘I
will use a bio-stimulant filler if I have to correct both volume
depletion and skin laxity. Also, I only use HA in the forehead,
glabellar region and lips,’ he adds.
In order to maximise each patient’s beauty potential, Dr
Tan will combine dermal fillers with other procedures as part
of the TAN-Facial procedure.
If sagging is pronounced Dr Tan may recommend thread
lifts to gently lift the brow and contour the lower face,
thereby reducing jowls and laser or IPL procedures may be
used to improve the texture and tone of the skin, as well as
reduce lines and wrinkles.
Ultimately, Dr Tan believes that by combining these
procedures, patients can look forward to gorwing old,
without looking old. csbm
AFTER TAN-facial rejuvenation by Dr Tan
AFTER TAN-facial rejuvenation Dr Tan
ADD DEFINITION TO YOUR NECK LINE
WITH THE IGUIDE NECK LIFT, THE LATEST
MINIMALLY INVASIVE NECK REJUVENATION
PROCEDURE. LIZZY FOWLER REPORTS.
Excess loose skin, poor definition and pockets of fat
around the neck and jawline can not only leave you
looking older than your years, they can also add the
illusion of extra kilos to your true weight. And whilst neck lift
surgery may be suitable for some older patients with significant
laxity, younger patients lacking definition around the jaw may
not be prepared – or suitable – for invasive surgery.
Until recently, the only solution to rid yourself of this excess
skin was to opt for neck lift surgery. However, today, a less
invasive solution exists. A minimally invasive procedure known
medically as the ‘trampoline platysmaplasty’ (TPP), the betterknown
iGuide Neck Lift effectively tightens loose and sagging
skin around the jaw and neck without the need for surgery.
‘The iGuide involves a suture, which is woven under the
skin in a shoelace pattern,’ explains Sydney cosmetic surgeon
Dr Joseph Ajaka, who has been successfully treating patients
with iGuide for the last two years. ‘Anchored to the jawline, the
sutures pull the neck tight, and also stimulate the area’s healing
response to further tighten the skin.’
Developed in America by US plastic surgeon Dr Gregory
Mueller, the iGuide has been approved for use in the US since
2007 and was introduced to Australia by Device Technologies
in 2011. Dr Ajaka himself was taught to use the device by Dr
Mueller, and believes it offers a number of advantages over
‘Traditionally, a neck lift involved cutting the skin and muscle
to create a defined jawline. This meant a large risk of damage to
internal structures in the delicate area around the neck as well
as visible scarring. The iGuide has neither of these potential
complications,’ he says.
The iGuide device itself facilitates positive outcomes thanks
to its in-built ‘guiding light’.
‘The device emits a light source to tell you you’re in the right
plane,’ explains Dr Ajaka. ‘The LED light in the hand piece helps
guide the placement of the sutures so they are positioned above
the muscle, as you don’t want to pull through the muscle.’
Although it’s not as invasive as a neck lift procedure,
Dr Ajaka believes the results the iGuide can achieve are
comparable. ‘The results are immediate and patients will be
able to see a visible improvement as soon as compression
garments are removed three days after the procedure.’
During the procedure, Dr Ajaka explains that tiny, discreet
punctures are made along the jawline to allow the suture to
be passed under the skin. ‘These tiny marks heal quickly
and don’t leave any visible scarring,’ he says.
The suture is then woven back and forth in a ‘shoelace’
pattern across the neck before being tightened.
‘This tightening effect elevates the skin, muscle and soft
tissue of the neck as a whole unit, giving beautiful definition
to the neck and jawline contours,’ says Dr Ajaka. ‘Because
the sutures are permanent, the natural healing process
keeps the neck elevated in the higher position.’
Since it was first developed in 2007, the iGuide Neck Lift
technique has already been developed to add an additional
stage to the traditional TPP. ‘We now include what’s called
a Neck Defining Suture (NDS) in the procedure to afford
further tightening,’ says Dr Ajaka. ‘This second stage
provides more definition – for example around the Adam’s
Apple area – than can be achieved with TPP alone.’
According to Dr Ajaka, the procedure has proven popular
with both men and women, with men particularly drawn
to the technique thanks to its promise of leaving no scars.
However, Dr Ajaka says it’s not for everyone. ‘For those with
an excessive amount of fat and loose skin, a surgical neck
lift may still be the best solution,’ he says. ‘An iGuide Neck
Lift is suitable for most healthy people who are concerned
with the appearance of their moderately saggy, turkey neck
and simply want to redefine their neck and jawline.’
A consultation ahead of treatment will help determine
if you’re the right candidate for an iGuide Neck Lift, and
whether or not you’d benefit from any adjunct procedures.
Whilst it’s an effective procedure in its own right, Dr Ajaka
says the iGuide is also excellent when combined as part of
a wider treatment protocol. ‘We commonly incorporate the
iGuide as part of a wider rejuvenation program that might
include laser treatment, liposuction and the iGuide,’ he says.
Performed on its own and the iGuide is a two hour
procedure, during which the patient is under light sedation,
conscious and talking to the surgeon. ‘There will be
some discomfort afterwards and patients need to wear a
compression band for three days,’ says Dr Ajaka. ‘They
will need to stick to soft food for one week and also may
experience a tight sensation for the first few weeks.’
With minimal discomfort and immediately visible results,
however, Dr Ajaka concludes that the iGuide is ideal for
those wanting a cost-effective and fast solution to their
troublesome neck region. csbm
AFTER iGuide neck lift by Dr Ajaka
AFTER iGuide neck lift by Dr Ajaka
is the best approach
DYSPORT TEMPORARILY REDUCES MUSCLE ACTIVITY TO SOFTEN AND DIMINISH
THE APPEARANCE OF WRINKLES. CAITLIN BISHOP REPORTS.
While a stringent skincare regime may enhance
skin health, brighten the complexion and help
fi ght fi ne lines and shallow wrinkles, often these
topical creams and serums are not enough to counter the
strength and severity of our facial muscles.
Frowning, talking and squinting contract muscles all over
the face, particularly the muscles above and between the
eyebrows. This consistent contraction breaks the collagen
fi bres 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 age. Left
to their own devices, and these early wrinkles can develop
over time, forging deep furrows in an otherwise smooth and
First introduced to Australia in the 1990s, wrinkle
relaxants have fast become a staple of the modern woman’s
beauty regime, providing a fast and effective solution to
the appearance of these dynamic lines and wrinkles, and
helping to prevent the worsening of frown lines.
A form of botulinum toxin, Dysport is used by hundreds
of women to solve one of the most lamented hallmarks of
the ageing process: wrinkles.
‘I commonly see females or males in their mid 20s to
mid 30s who are just starting to develop wrinkles and are
wanting to stop them in their tracks,’ says Sydney ENT and
facial plastic surgeon, Dr Michael Zacharia. ‘Dysport is the
ideal solution for these patients.’
It’s not just younger patients who will benefit from muscle
relaxants such as Dysport, however. ‘Older patients will
also see excellent results but often require more treatments
more regularly. I am also seeing many more men in my
practice who want to soften their lines using less-obvious
treatments,’ says Dr Zacharia.
A type of botulinum toxin, 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
Dysport is one of the two anti wrinkle treatments
currently approved for use in Australia and they both work
in the same way. ‘For Dysport, a key benefit is that it works
very quickly and patients will usually begin to notice the
effect within just two to three days,’ says Sydney cosmetic
physician Dr Joseph Hkeik.
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.
‘During the initial consultation I usually discuss with
patients their particular needs and desires.
Those who have used botulinum toxin
before might know exactly what they want,
however, new patients may need guidance
as to what areas should be treated to
achieve the best result,’ says Dr Zacharia.
‘Before treatment, Dysport is mixed
with preserved saline to decrease the mild
sting of the injection. I will apply ice to the
area immediately before treatment and
the injections are usually over within 15
minutes or less.’
Results typically last between three and
six months, and there should be at least
a 90-day period between treatments. Dr
Zacharia encourages patients to return
after two weeks, to ensure the injections
are working, and also after three months,
to determine if further treatment is needed.
While Dysport is effective in combating wrinkles as a
stand-alone treatment, it can be used in conjunction with
other modalities to achieve an improved result in general
‘Dysport is an effective treatment to reduce lines and
wrinkles caused by repetitive muscle movements, however
this is only one of the causes of ageing,’ says Dr Hkeik.
‘Dysport works well in conjunction with other treatments,
such as dermal fillers – to treat deeper lines, folds and
general volume loss – and also lasers, to improve skin
quality. I routinely use Dysport in combination with a variety
of treatments in my clinic, which ensures a holistic approach
to addressing the needs of my patients.’
Following treatment with Dysport, patients may
experience swelling, occasional bruising and small spotting
at the site of injection. While the risks are relatively low,
adverse reactions are possible and Dr Zacharia insists
any cosmetic injectable should be administered by an
‘The most common side effect after Dysport is immediate
swelling and occasional bruising,’ Dr Zacaharia explains. ‘If
the botulinum toxin is injected in the incorrect position, the
patient may experience a brow or eyelid droop and this is
why it is so important to have an experienced injector give
Whether seeking comprehensive facial rejuvenation,
or looking to combat those persistent wrinkles, Dysport
affords an effective and time efficient approach to wrinkle
prevention. As with anything in anti-ageing, prevention
is key and, using Dysport, the first, dynamic signs of
ageing can be waylaid, leaving the complexion smoothed,
refreshed and more youthful. csbm
AFTER treatment with Dysport
THE ANGEL LIFT PROMISES TO ENHANCE THE STRUCTURE,
HEIGHTEN THE INTEGRITY AND SMOOTH THE SURFACE OF YOUR SKIN.
CAITLIN BISHOP REPORTS.
Fuelling the skin with platelets, stem cells and growth
factors, the Angel Lift is the latest procedure to draw
on the body’s own resources in order to rejuvenate,
brighten and smooth the complexion.
Extracted from a patients’ own blood, platelet rich
plasma (PRP) contains high concentrations of growth
factors, which are bioactive stimulators known to accelerate
the natural healing process. Injected into areas such as the
face, décolletage and upper arms, PRP can spur the skin’s
stem cells into action, enhancing the formation of new
collagen at the site. The result is a natural rejuvenation that
continues to improve over time.
The Angel Whole Blood Separation System is used
to concentrate the platelets ready for reinjection into the
treatment area. Suitable for full-face rejuvenation, treating
fine lines and wrinkles and improving skin tone and texture,
the ‘Angel Lift’ will strengthen the skin and lend a youthful,
radiant and revitalised appearance.
Although there are a number of devices capable of
extracting and concentrating PRP, Dr Alison Jamieson from
Queensland prefers the Angel system for the control it gives
her when defining platelet concentration.
‘We need to ensure our patients receive the best results
and have discovered Angel delivers a highly effective
regeneration of connective tissue,’ she says.
‘As a result of Angel’s rich platelet count, patient’s are
seeing restored volume in their skin, greatly improved skin
texture and improved contours.’
In order to be effective in activating stem cells, the
injected PRP concentration must be four to six times the
patient’s whole blood platelet count. While Angel achieves
this benchmark using a double spin centrifuge system, it
also affords an individualised approach to skin rejuvenation.
‘PRP is a true science and cannot be guessed,’ Dr
Jamieson says. ‘Angel will separate the red blood cells,
white blood cells, plasma and platelets into separate
compartments enabling the clinician to design the exact
recipe required for the condition of the skin presented.’
The fragile nature of platelets means injections must
be performed with care and precision. The injections
themselves are necessary because, in order to function,
the growth factors in PRP must connect to cell membrane
receptors below the skin. The method of injection can also
be suited according to patient concerns; injections into the
subcutaneous tissue can be effective in restoring volume,
while shallow injections can improve the appearance of
lines and degenerated skin texture.
The procedure itself takes under an hour and some
patient preparation is required. ‘It is important to be hydrated
on the day of the procedure, as this makes it easier to take
blood from the arm,’ says Dr Jamieson. ‘We will review
a patient’s medical history before proceeding with the
treatment and apply topical anaesthetic or local anaesthetic
if required. A face rejuvenation will take approximately 45
minutes, however larger areas such as the upper arms may
Results are typically seen after just on treatment, and
will continue to improve over time. After this, maintenance
treatments are usually recommended annually, although,
depending on the patient’s skin complaint, a series of
treatments closer together may be recommended.
According to Dr Jamieson, patients should expect
some swelling to last for a day or two after their procedure.
‘This swelling is essential to the regeneration of the skin
tissue,’ she says. ‘Bruising is rare and can be minimised by
excluding green tea and blood thinners from your diet a few
days before the procedure.’
The Angel Lift draws on the
body’s own resources to
rejuvenate, brighten and smooth
Using technology that affords an individual approach in
facial rejuvenation, Angel’s system is designed to be timeefficient
and effective, flexible in treating different conditions
and precise in tailoring each treatment to the patient. The
blood volume separation can be adjusted according to
patient concerns, and the double centrifuge system ensures
a high concentration of platelets will induce effective results
with minimal down time.
‘With Angel, patients are seeing more significant results
that are visible sooner,’ Dr Jamieson explains. ‘This is
because Angel produces very rich PRP concentrations
- up to six times the body’s blood platelet count - which
stimulates stem cells in the skin. We are also noticing
patients require fewer treatments to see improvement in
their collagen and elastin.’
The Angel Lift triggers a natural rejuvenation from
within the skin, to brighten the complexion, improve the
appearance of fine lines and wrinkles and boost the skin’s
support structure, ‘Anyone looking to maintain their skin
integrity or regenerate an ageing complexion is suitable for
treatment with Angel PRP,’ concludes Dr Jamieson. ‘And,
once patients see the results in their face they often request
further treatment of the neck, abdomen, chest, arms and
FOR THOSE WITH LACKLUSTRE SKIN, SYDNEY COSMETIC SURGEON
DR JOSEPH GEORGHY SAYS THE ‘ANGEL LIFT’ COULD BE THE ANSWER.
LIZZY FOWLER REPORTS.
Having spent his career pioneering laser, light and
heat based therapies for improved skin health,
Sydney cosmetic surgeon Dr Joseph Georghy
understands better than most the impact common skin
complaints can have both on a person’s appearance and
their self esteem. Ageing skin and the early emergence of
wrinkles, the conspicuous presence of acne scarring and
an overall lack of tone and texture can all take their toll. Yet
today there are a number of convenient treatments that can
result in spectacular change.
Dr Georghy has been using platelet-rich-plasma (PRP) for
medical and aesthetic purposes since 2004. ‘The revitalising
properties of platelets are well known and have been used
since the 1970s. Being an autologous product – from your
own blood – tolerance is excellent and no serious adverse
effects have been observed to date,’ he says. ‘Once injected
into the dermal layer, the platelets are activated, they inflate
and signalling proteins and growth factors are released.’
To complement his already comprehensive range of
devices designed to help those struggling with aesthetic
skin concerns, Dr Georghy has recently welcomed the
latest PRP device to his clinic – the Angel Whole Blood
Separation System. A fully automated and closed loop
platelet purification system, the Angel system gives Dr
Georghy the ability to tailor each treatment according to
each patient’s needs.
Whilst it’s possible to use a range of devices to extract
and concentrate PRP, a growing body of research suggests
that the actual concentration of platelets in the PRP is
critical to achieving good results.
‘Extensive studies show, in comparison to other PRP
purification devices, Angel renders the highest platelet counts
and biologically active growth factors,’ says Dr Georghy.
He therefore embraced the Angel Whole Blood
Separation System, which not only extracts concentrations
of platelets four to five times that of other devices, but
also affords control over the concentration of platelets
depending on the patient, and the concern being treated.
‘You need a specific concentration of platelets in order
to actually generate a reaction in the tissue and see results
in the patient,’ explains Dr Georghy. ‘Depending on the
patient and their unique concerns, you might need a higher
or lower concentration of platelets – with Angel you can
extract exactly what you need for optimal results.’
Having most recently hit headlines when US reality TV
star, Kim Kardashian, allowed her film crew to record her
procedure, the ‘Angel Lift’ is designed to reduce wrinkles,
improve the skin’s glow and reduce blemishes such as
acne scars. Indeed, when integrated as part of an ongoing
beauty regime, Dr Georghy believes the ‘Angel Lift’ can
result in a long lasting improvement in the overall condition
of the skin, improving both tone and texture and reversing
the age of the skin.
During the procedure, Dr Georghy first extracts a small
sample of blood from the patient before processing in the
Angel System. The concentrated plasma is then re-injected
into the treatment area, which may be localised areas of the
face, neck, décolletage, hands or arms.
‘Patients suitable for the Angel Lift are typically starting to
show mild to moderate sagging of the skin around the orbital
region and cheeks, which might be exacerbating the nasolabial
fold and marionette lines,’ says Dr Georghy. ‘By injecting the
platelets into the treatment area we can restore natural-looking
contours, making the face look remarkably radiant and fresh.’
Whilst the treatment is relatively quick, typically lasting
one hour, Dr Georghy recommends a series of treatments
in order to enjoy the best results. ‘In my experience the
effects are longer lasting if someone has a series of three
treatments,’ he says. ‘Although it will take a few weeks or
months before the improvements in skin tone and texture
become obvious, the results typically last between one
and two years. With additional treatments, the results will
continue to improve.’
To further enhance results, Dr Georghy recommends
combining the Angel Lift with his proprietary treatment,
PhotoDynamic HelioTherm. According to Dr Georghy,
this combination of PRP followed by PhotoDynamic
HelioTherm is one of the most natural means of improving
the condition of the skin. ‘This is a unique combination
of treatments only available at North Shore Cosmetic,’ he
says. ‘Combining the body’s own unique growth factors
(PRP) with the power of heat and light (HelioTherm), the
skin is enhanced, new blood vessels are developed and
stem cells are reactivated.’
According to Dr Georghy, the end result is skin that is
thicker, more elastic and tighter, with a smoother texture
and a reduction in fine lines and wrinkles. ‘This is achieved
because the underlying foundation of supportive collagen,
elastin and retinaculum fibres in the skin’s dermis is
increased,’ he explains.
Indeed, Dr Georghy believes that, in the future, PRP
combined with PhotoDynamic HelioTherm may become
the first line of treatment for a number of common skin
concerns, as well as for more debilitating conditions such
as osteoarthritis and rheumatoid arthritis. ‘The potential is
enormous,’ he concludes. ‘The sky really is the limit.’ csbm
5 years AFTER combined facial rejuvenation by Dr Georghy
This 65-year-old patient was left with poor results after an unsuccessful surgical facelift and laser resurfacing procedure. Over the course of five years her
appearance was rejuvenated with a combination of liposcraping, PRP, Nd:YAG laser, dermal fillers and PhotoDynamic HelioTherm
8 years AFTER combined facial rejuvenation by Dr Georghy
This patient complained of ‘bad skin’ and suffered from a lack of tone and nodular acne. After treatment with PRP, dermal fillers and PhotoDynamic
HelioTherm the skin texture has improved and the overall shape of the face is more balanced
11 years AFTER combined facial rejuvenation by Dr Georghy
This 21-year-old patient suffered frequent outbursts of acne and facial freckles. After treatment with PRP, dermal fillers and PhotoDynamic HelioTherm the
freckles and acne were both greatly improved
12 years AFTER combined rejuvenation by Dr Georghy
This 55-year-old patient had a long history of sun damage and solar keratosis. After a combination of treatments including Nd:YAG laser, dermal fillers, PRP
and PhotoDynamic HelioTherm over several years the decolletage is much improved.
10 years AFTER combined rejuvenation by Dr Georghy
This 53-year-old woman had a long history of sun damage and frequent skin cancers. The sun-damaged skin was improved after a combination of treatments
including liposcraping, PRP, Nd:YAG laser, dermal fillers, gold threads and PhotoDynamic HelioTherm over several years.
11 years AFTER combined rejuvenation by Dr Georghy
This 55-year-old patient presented with sun damaged skin, common to Australian women. After a combination of treatments including Nd:YAG laser, PRP and
PhotoDynamic HelioTherm the skin has been visibly improved.
AGE PROOF SKIN
MELBOURNE PLASTIC SURGEON DR DOUGLAS MCMANAMNY BELIEVES MOST
PeoPle cAn Fight the eARly SignS oF Ageing with the SELPHYL SYSTEM.
lizzy FowleR RePoRtS.
Once faced with the prospect of either growing
old gracefully or opting for facelift surgery, today
Australian women – and men – are turning to
cosmetic injectables in record numbers in order to waylay
and even prevent some of the most common signs of
ageing. Anti-wrinkle injections, dermal fillers and skin
resurfacing treatments are all commonly included as part of
a woman’s regular beauty regime and, now, an increasing
number are following in the footsteps of celebrities such
as Angelina Jolie and Kim Kardashian and adding plateletrich-plasma
(PRP) treatments into the mix.
Melbourne plastic surgeon Dr Douglas McManamny
believes most people who display signs of ageing can
benefit from the use of an activated platelet treatment.
‘Activated platelets release a multitude of growth factors
and cell stimulating proteins. They promote collagen
formation and stem cell transformation among other
things,’ he explains. ‘In practical terms this means there is
an increase in volume in the area where the PRP is injected
and a rejuvenating effect on the skin.’
The Selphyl system is one of the tools used by doctors
and surgeons to harness a patient’s blood platelets
and prepare them for reinjection into the treatment area,
where the growth factors contained in PRP stimulate the
production of collagen and keratin.
Although Dr McManamny says anyone displaying the
early signs of ageing will benefit from treatment with Selphyl,
he says the procedure is particularly effective when used to
address ageing around the eyes. ‘The hollows beneath the
lower eyelids respond very well to PRP treatment,’ he says.
‘However, it can be used elsewhere on the face to improve
skin tone and texture and fill out volume loss and fine lines
around the corners of the mouth, the nasolabial folds and
the forehead area.’
Unlike some other PRP solutions, the Selphyl system
prepares the plasma as a ‘fibrin matrix’ – known as PRFM
– rather than as straightforward plasma. ‘The combination
of platelets in a fibrin matrix offers a couple of theoretical
advantages,’ says Dr McManamny. ‘The formation of
a fibrin matrix means that there will be a greater volume
at the injection site and hence there should be a greater
improvement. Also, platelet activation is enhanced in the
presence of fibrin.’
Selphyl is proving popular for a number of reasons – not
only is it a fast procedure (the entire process takes between
30 and 45 minutes), there is no risk of allergy or adverse
outcomes given it’s the patient’s own tis sue involved in
the procedure. Whilst Dr McManamny says patients should
expect some swelling and possible bruising and redness,
he says this typically only lasts two to three days.
For the best results, Dr McManamny believes three
treatments should be scheduled, spaced six weeks apart.
‘Sometimes a satisfactory result will be obtained with just
two treatments and rarely more than three treatments will
be required,’ he says.
As for the results, Dr McManamny says most patients
can look forward to a subtle but lasting improvement that
remains for up to 12 months. csbm
A touch of
PErth fACiAL PLAstiC surgEON Dr JAysON OAtEs
usEs thE iNNOvAtivE fiLLEr ELLANSÉ TO RESTORE
yOuthfuL vOLumE tO his PAtiENts’ fACEs.
Lizzy fOwLEr rEPOrts.
One of the greatest advances in facial aesthetics
came with the understanding that ageing, once
thought of as a two-dimensional process, resulted
in volume-loss as well as the sagging of skin. Replacing this
lost volume via dermal fillers and fat transfer procedures
helps restore the plump cheeks and fuller face that are
characteristic of youth.
Ellansé, a recent addition to the Australian market, is a
unique and innovative dermal filler with dual benefits. Not
only does it result in the immediate correction of wrinkles
and folds, but it also stimulates the production of collagen,
leading to longer-lasting benefits. Better still, patients can
choose from one of four different formulas, depending on
their unique concerns, and on how long they want their
results to last.
Perth facial plastic surgeon Dr Jayson Oates has been
using Ellansé to address some of the most common
characteristics of ageing in his patients.
‘Ellansé is ideal for correcting deep volume loss such
as submalar hollowing, malar augmentation, temporal
recession, chin augmentation,’ he says.
Indeed, most of Dr Oates’ patients present in their 40s,
when they are beginning to see the result of the loss of
fat in their face. ‘Many would not generally consider an
injectable filler as they want something that lasts longer,’ he
says. ‘Some of the patients may otherwise have considered
a surgical implant like a cheek implant for permanent
correction - but now there is a nonsurgical option – Ellansé.’
According to Dr Oates, one of the main benefits of
Ellansé is having flexibility when it comes to the duration of
results. ‘Having products that last two, three or four years
is very attractive to many clients,’ he says. ‘Unlike some
stimulatory fillers that have nothing to show the next day,
Ellansé results in an immediate 1:1 volume replacement.
What you see is what you get, for years.’
Found naturally in skin, collagen helps maintain tightness,
elasticity and suppleness. In ageing, the skin gradually loses
its natural collagen, leading to facial laxity and the formation
of wrinkles and folds.
Replacing lost volume via
dermal fillers and fat transfer
procedures helps restore the
fullness characteristic of youth
‘Ellansé is comprised of perfectly smooth, spherical balls
of polycaprolactone (PCL) – a very similar material to that
used for other medical purposes for decades,’ says Dr
Oates. ‘Because of the size and shape of this well known
and studied material, the body produces a very predictable
collagen response from the skin’s fibroblasts.’
According to Dr Oates, Ellansé is the only product that
will give a long-lasting replenishment of collagen and, best
of all, it’s the patient’s own body that produces the collagen,
which he says many patients feel comfortable with.
The procedure itself is relatively simple, convenient and
takes approximately 30 minutes and, if selecting Ellansé-L
or Ellansé-E, Dr Oates says patients can look forward to
three or four years of volume replacement without the need
for retreatment. csbm
SYDNEY AESTHETIC RECONSTRUCTIVE
DENTIST DR SARKIS NALBANDIAN
EXPLAINS HOW A MINIMALLY INVASIVE
APPROACH IS OFTEN THE BEST OPTION
IN RESTORING A BEAUTIFUL SMILE.
CAITLIN BISHOP REPORTS.
Sincerity, self confi dence and vivacity are all qualities
conveyed by a strong, white, striking smile. And
while diligent brushing and fl ossing can help keep
teeth clean and bright between dental visits, sometimes a
more direct approach is needed to give a smile that extra
level of beauty.
Sydney aesthetic reconstructive dentist Dr Sarkis
Nalbandian describes a smile as a dynamic interplay of the
teeth and the lips and believes a smile can be transformed
in just one visit to the dentist.
‘While orthodontic alignment is often the ideal way
to correct crowded or worn upper and lower teeth, for
some patients this approach is just not an option,’ he
says. ‘There are many ways we can use non-invasive
methods to improve a patient’s smile, restoring their
confidence and allowing them to continue with their
day to day activities after just one visit.’
According to Dr Nalbandian, a combination
of wear and tear, diet and teeth grinding can
cause tooth erosion and detract from a youthful,
beautiful face. ‘The increase in consumption of
carbonated beverages has resulted in an excessive
amount of tooth loss in people as young as 15. This
compromises the structural integrity of the teeth,’ Dr
‘Damage can also occur on account of “bruxism”,
or teeth grinding, which is a habit that can impact
both the canine and front teeth, wearing them down
and leading to asymmetry.’
Addressing the gaps, chips, discolouring and
misalignment caused by several of these factors,
Dr Nalbandian’s ‘one visit dental facelift’ focuses on
the speech area and aesthetic zone of the mouth,
primarily the six front teeth.
Though he is experienced in using a variety of
methods for smile rejuvenation, Dr Nalbandian often
recommends non-invasive composite veneers,
which can be sculpted to fit each individual patient
and afford flexible options for future revision.
‘The beauty of this treatment is that we can
improve the patient’s smile while still keeping their
options open for future orthodontic realignment,’ Dr
Nalbandian says. ‘If a patient returns for orthodontics
I can remove the composite veneers but, in many
cases, this is not needed. Composite veneers will
last three to five years and, following that, they just
need resurfacing, which can be performed in a halfan-hour
While a minimally invasive approach signifies the
faster route to aesthetic rejuvenation, it requires
careful planning prior to the procedure. Dr Nalbandian
says the preparation process should involve a
thorough consultation where the patient’s concerns
and expectations are established.
‘Patients of all ages can undergo this treatment,
providing there is correct diagnosis and extensive
planning prior to the procedure,’ Dr Nalbandian
explains. ‘Today’s patients have very high aesthetic
expectations and while we try to meet those
expectations, we also need to preserve their teeth
for the best possible outcome for the future.’ csbm
‘One Visit Dental Facelift’
This 22-year-old patient approached Dr Nalbandian concerned
that the appearance of her smile was detracting from an otherwise