Cosmetic Surgery and Beauty Magazine #65

RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 65 • AUG-OCT 2014
BEAUTY
ALERT
MAKEUP
MARVELS
WHAT TO
EAT FOR
AMAZING
SKIN
5THINGS
YOU NEED TO
KNOW ABOUT
BREAST
AUGMENTATION
plus
THE BEST IMPLANTS
FOR YOUR BODY
The
biggest loser
syndrome
SURGERY AFTER
MASSIVE WEIGHT LOSS

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

EXc E llENc E
sydNEy ’ s rhiN oplasT y spE cialisT
suite 1902 Level 19, Westfield Tower 2, 101 Grafton st bondi junction sydney nsW 2022

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

FACIAL REJUVENATION &
RHINOPLASTY SPECIALIST
HARMONY,
BALANCE,
Reduce the signs of ageing with
natural-looking results for a
refreshed and youthful appearance
ARTISTRY

Dr amira Sanki
Plastic Surgeon
MBBS Hons (UNSW)
FRACS (Plastics)
PhD (USyd)
HARMONY,
BALANCE,
ARTISTRY

CMYK
TM
TM
CMYK

JOHN FLOOD
PLASTIC SURGEON
Plastic Surgery
by
Dr John Flood
Look and feel younger
Dr John Flood is a fully
qualified plastic and
reconstructive surgeon
with more that 15 years’
experience in cosmetic
plastic surgery of the
face, breast and body,
specialising in eyelid
surgery and liposuction.
He trained in Sydney
and Texas, USA and also
has a special interest in
stem cell therapy for
regenerative medicine.
Mona Vale, Hornsby & Greenwich
Ph: 9476 8066
www.drjohnflood.com.au

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

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.

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 for skin cell renewal
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.
www.amsl.com.au • www.regenlab.com • 1800 201 760

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

®
Proven results created to protect, change and nurture
Proudly formulated and manufactured in Australia
Available at selected clinics and salons
www.synergieskin.com

9:40 AM Page 1
9:40 AM Page 1
DESIGNING 9:40 AM Page 1
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RTHER
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Brookvale,
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NSW
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L 02 9977 22 DARLEY TATTOO ROAD, AUSTRALIA MANLY – HOVAN’S NSW GROUP 2095
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d, Email: 6655 sales@cosmetictattooaustralia.com FAX 02 Web: www.cosmetictattooaustralia.com
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12, 2ND
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SUITE NSW 12, 2100 THE
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2ND FLOOR, 22 DARLEY ROAD, MANLY NSW 2095
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2ND
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contents
regulars
26 Editor’s letter
28 Contributors
30 Newsfront
54 Column: A medical history
of Queen Anne
121 How to subscribe
170 Directory
features
38 Change the way you age
Could stem cells signify the
elixir of youth?
48 Are you getting the best
treatment?
58 The biggest loser syndrome
Surgery after massive weight loss
61 8 ways to keep the weight off
76 5 essential factors
of breast augmentation
94 Feed your face
Welcome to the next generation
of superfoods
140 Why quality skincare works
Results-driven medical-grade
cosmeceuticals
148 Makeup marvels
Products to transform your face
body
62 Body contouring after
massive weight loss
Complete your weight
loss journey
68 A woman’s insight
Mummy makeover surgery
70 The “Western Society”
Syndrome
A new treatment approach to
metabolic syndrome
tattoo removal
72 The latest in laser
tattoo removal
Superior results in fewer
treatments
138 Rethink the ink
Do you have tattoo regret?
breasts
82 The saline solution for
breast enhancement
The benefits of saline implants
84 Breast surgery for men
and women
86 Natural-looking contours
Recreate more youthful breasts
intimate surgery
88 Take action and explore
your options
90 Vaginal tightening without
surgery
A new, surgery-free
laser treatment
92 Girl talk
Improve vaginal comfort,
function and aesthetics
face
98 Beauty through the ages
Look your best at every age
104 Facelifting
The science and expertise
behind natural-looking results
106 Lowering the hairline for
facial harmony
108 Options in facelifting
112 Minor surgeries,
major results
118 An educated approach
All about anti-wrinkle injections
122 Turn back the clock with PRP
nose
114 Nose for beauty
The art and science of rhinoplasty

contents
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Each pack LOVE life contains:
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116 A true smile
Aesthetic and functional
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124 The gold standard in skin
rejuvenation
A closer look at Fraxel laser
126 Revitalise your skin
Look younger and more
radiant for longer
128 Connecting the DOTS in
skin rejuvenation
Fractionated laser treatment
130 Deep hydration
Improve smoothness, elasticity
and radiance with injectable
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132 3-dimensional volume
Using light-based technology to
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134 Dependable results
Tried and tested: Omnilux
light treatment
144 Cosmeceuticals
hair reduction
136 Finally, hair removal
for blondes
Permanent hair reduction
for fair-haired people
beauty & spa
151 4 steps to beautiful skin
152 Rock legend
Makeup that’s good for
your skin
154 Beauty buzz
The latest and greatest
beauty products
158 Buff your body
Reclaim your radiance
160 Body work
Protect your skin from the
winter elements
162 Go with the faux
Keep your gold summer
glow all year long
166 Luscious locks
168 Editor’s favourites
cover stories
RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 65 • AUG-OCT 2014
5
BEAUTY
ALERT
THINGS
MAKEUP
YOU NEED TO
MARVELS
KNOW ABOUT
BREAST
WHAT TO AUGMENTATION
EAT FOR
AMAZING plus
SKIN
THE BEST IMPLANTS
FOR YOUR BODY
The
biggest loser
syndrome
SURGERY AFTER
MASSIVE WEIGHT LOSS
58 The biggest loser
syndrome – surgery after
massive weight loss
76 5 things you need
to know about breast
augmentation
94 What to eat for
amazing skin
148 Beauty alert!
Makeup marvels
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LETTER
FROM THE EDITOR
Welcome to the 65th issue of Cosmetic Surgery &
Beauty Magazine. Since the launch of this magazine
16 years ago we have maintained our position
as Australia’s most trusted resource for cosmetic medicine
and surgery.
We pride ourselves on our relationship with our readers, and
our knowledge of what you’re searching for. We will continue
to deliver you authoritative, comprehensive articles in all
formats – both paper and digital. To this end, in addition to
the print version, CSBM is now available for free online at
www.cosbeauty.com.au. In the online version you’ll also fi nd
loads of exciting extras, such as “behind the scenes” videos
of the making of the magazine with the Bella Media team plus interactive features
and links.
And it doesn’t stop there – on www.cosbeauty.com.au you’ll fi nd a whole lot of extra
content, including product and treatment road tests, blogs and beauty updates. The site
has had a huge increase in visitor traffi c since its redesign earlier this year, thanks to our
loyal readers. There are hundreds of unique articles online, a comprehensive before and
after photo gallery and a handy directory of practitioners and services – and it continues
to grow each day.
Whether you’re thumbing through this issue or reading one of our stories online, we
take great pride in bringing you independent, unbiased and informative articles. In this
issue of CSBM we examine the topics making headway both here and around the globe.
Turn to page 58 to read our in-depth article on a procedure growing in popularity: body
surgery after massive weight loss. We also highlight the fi ve essential considerations of
breast implants on page 76, and delve into the many benefi ts of medical-grade skincare
on page 140.
We also bring you the latest in beauty, body and hair care from page 148, as well as
the foods to eat for glowing skin that defi es your age on page 94.
Connect with us on Facebook and Instagram to get real-time updates and share your
feedback on www.cosbeauty.com.au. Happy reading!
Michelle Kearney
Editor-in-Chief
michelle@bellamedia.com.au
Michelle Kearney is sole director of The Bella Media Group and no other parties or individuals have any fi nancial interest in the
company or in Australian Cosmetic Surgery & Beauty Magazine (ACSBM). Reproduction in whole or in part is not permitted without
the written authorisation of the publisher. All reasonable efforts have been made to trace copyright holders. All manuscripts and
articles submitted for publication remain the property of The Bella Media Group. This magazine contains general information only and
does not purport to be a substitute for medical advice. All readers are advised to seek medical advice from a doctor if considering
cosmetic surgery. The publisher and the authors do not accept any liability whatsoever in respect of an action taken by readers in
reliance on the recommendations set out in this magazine. Except where specifi ed in captions, photographs depict models who have
not necessarily received treatments described in this magazine.
Advertising Policy ACSBM follows and upholds the Australian Competition and Consumer Commission (ACCC) Guidelines to
Advertising Medical Services, the Therapeutic Goods Administration (TGA) advertising regulations for therapeutic goods and services,
and individual state Medical Board guidelines. All reasonable effort is made by ACSBM to ensure that all advertisements accepted
for publication follow these guidelines. Copies of these guidelines are available from the individual agencies and boards. ACSBM
reserves the right to reject advertising that is in breach of these guidelines. All ACSBM advertisers assume sole responsibility and
liability for statements contained in their advertising copy, and hold harmless and indemnify ACSBM, Bella Media, and offi cers,
directors and employees from and against all liability, loss, claim, damages, costs or expenses arising out of matter contained in the
advertising. Advertisers accept these terms and responsibilities when signing an advertising contract with ACSBM.
Read the online edition at
www.cosbeauty.com.au
Issue 65
AUG - OCT 2014
Editor-in-Chief
Michelle Kearney
Editorial Director
Aimée Surtenich
Production Coordinator
Camila Kawashita
Art Director
Debbie Pilarinos
Writers
Caitlin Bishop, Tara Casey,
Camila Kawashita
Aimée Surtenich
Photographers
Debbie Pilarinos, ShutterStock
Distribution &
Subscription Enquiries
Bill Dunk
Phone 02 9398 2755 Fax 02 9398 2855
Email acsmag@bellamedia.com.au
Advertising Enquiries
Michelle Kearney
Phone 02 9398 2755 Mob 0419 624 246
Email michelle@bellamedia.com.au
Editorial Enquiries
Michelle Kearney, Aimée Surtenich
Phone 02 9398 2755 Fax 02 9398 2855
Email acsmag@bellamedia.com.au
Produced & Published by Bella Media
ABN 86 082 157 695
Managing Director
Michelle Kearney
Chief Operating Officer
Bill Dunk
Public Relations, Marketing
& Event Organisation
Phone 02 9398 2755 Fax 02 9398 2855
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Office address
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Phone +61 2 9398 2755 Fax +61 2 9398 2855
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All ‘before and after’ photographs in
Cosmetic Surgery & Beauty Magazine
articles are of genuine patients. It is
important to understand that they represent
one person’s experience and there is
no guarantee that any other patient will
experience similar results.
26

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

Contributors
Contributors
Contributors
Contributors
Contributors
Contributors
Ricky Allen Dr Buddy Beaini Dr John Flood
Dr John Flynn Dr Joseph Georghy Dr Paul Gerarchi Val Glover-Hovan
Dr Darryl Hodgkinson Dr Jim Leavesley Dr Steven Liew Dr Richard Maxwell
Dr William Mooney Dr Colin Moore Dr Sarkis Nalbandian Dr Warwick Nettle
Dr Oseka Onuma Rita Porreca Dr Amira Sanki Terri Vinson
28 www.cosbeauty.com.au

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newsfront
NEWSFRONT
CATCH UP WITH WHAT’S BEEN HAPPENING IN THE INDUSTRY...
The Facts of Light:
LASER SYMPOSIUM
Sponsored by Cynosure
The two-day event on 28-29 June attracted more than
100 cosmetic practitioners convened at Point Piper
Yacht Club in Sydney for the Facts of Light Advanced
Symposium. It featured renowned dermatologists and
doctors from across Australia who spoke on topics
including picosecond laser tattoo removal, fractional
laser for skin rejuvenation, a comparison of ablative and
non-ablative laser techniques, and a novel approach to
treating hair removal, acne scar removal and treatment
of gynaecomastia.
HAPPY 20TH
ANNIVERSARY AST!
On September 20, 2014, Advanced Skin Technology, a
distributor of clinical skincare products and treatments,
celebrates its 20th anniversary. Founder and managing
director Trish Winchester established AST in 1994. Trish’s
foresight on what trends were
evolving in the anti-ageing sector
in the USA saw her embark on a
journey to distribute Australia’s fi rst
medical grade glycolic acid range
in Australia. Trish then pioneered
and developed ‘Aspect’ and
‘Aspect Dr’, her own Australianowned
cosmeceutical range that
has become one of Australia’s
bestselling skincare brands within
the cosmeceutical market.
Look Good...Feel Better
Cancer fundraising & awareness
campaign – Dream Week
Dream Week: 7 Days of Hope, held on 31 August to
6 September, 2014 is a national campaign engaging
partners of the cosmetic, retail and publishing
industries to raise awareness and funds for the Look
Good…Feel Better program.
The week-long campaign is an opportunity for the
Australian public to help the 10,000 cancer patients
who will attend a Look Good…Feel Better workshop
this year. Here’s how you can get on board:
PURCHASE A LIPSTICK During Dream Week
$1 from every lipstick or lip gloss sold at David Jones
and Myer stores nationally will be donated to Look
Good…Feel Better.
PURCHASE MERCHANDISE Beautifully
designed carry bags, coin purses, makeup bags,
bracelets, pins and umbrellas will be available to
purchase via a pop-up outpost at Westfi eld Sydney
City. You can also purchase a pin at two information
posts in Westfi eld Bondi Junction and Chadstone in
Melbourne, as well as Terry White chemists around
the country.
SOCIAL MEDIA Supporters are encouraged
to show support of the 24-year strong program by
engaging followers and fans to get involved in planned
campaigns on Facebook, Twitter and Instagram.
Connect with @LGFBAustralia #dreamweek14
30 www.cosbeauty.com.au

ICAPS REPORT by Dr Darryl Hodgkinson
Twenty-fi ve of the world’s top
plastic surgeons convened
for the three-day International
Consortium of Aesthetic
Plastic Surgeons meeting in
Vienna, Austria on 11-17 May,
2014. Two surgeons from
Australia participated, myself
and my close associate Dr
Bryan Mendelson.
Some of the latest trends were re-evaluated. Dr W Wu
Dr Hodgkinson (right) with fellow ICAPS
members from Italy, Jordan and Austria
of Singapore presented the use of fat grafting around the
forehead and implants to advance the chin in Asian patients
while Dr Mendelson and Dr Martin from the United States
emphasised augmentation enhancement of the brow and
periorbital regions to improve rejuvenation of the upper face.
Various techniques for face and neck lifting by surgeons
from the US and Europe were discussed and it was reemphasised
that no single technique alone suffi ces. Both
assessment and performance of various techniques by
experienced surgeons (greater than 25 years) produce
gratifying results for patients and surgeons alike. The tight,
hard face look is now avoidable and no longer acceptable
for surgeons with adequate experience and expertise using
a variety of techniques.
Dr De La Pena of Mexico, who inspired me to embrace
the INFINI microneedling radiofrequency treatments,
updated his continuing success with this technology.
The major topic in rhinoplasty also highlighted the need
for experience and expertise in individualising the result.
In particular ethnic noses, especially Middle Eastern and
South American noses were discussed with the emphasis
on different aesthetic goals and anatomical variations
between different ethnic groups.
Other topics included fat grafting of the face as an
adjunct for surgical procedures and buttock implants,
which are becoming increasingly popular in Italy where the
quartz Silimed implant is preferred. Abdominoplasty (tummy
tucks) and total body lifts after massive weight loss are also
a growing area of plastic surgery.
By this collegiate contact and interaction with the leaders
in our fi eld and staying on the leading edge of plastic surgery
and non-surgical equipment, patients benefi t by being
offered the very latest surgical techniques in the industry.
“WE MADE $7000
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– ANNA FIELD, THE PADDINGTON BEAUTY ROOM
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newsfront
Australia India
Travel & Tourism
Council (AITTC)
Creates New Role
for Medical Tourism
Venus Concept
& The Global
Beauty Group
VLounge Event
Friday the 13th of June marked the
VLounge Event for aesthetic medical
practitioners, hosted by Venus Concept
and The Global Beauty Group. Held
at the Park Royal Darling Harbour in
Sydney, the exclusive event delved into
the science behind the Venus Freeze
and Venus Legacy, two non-invasive
body contouring systems.
Internationally recognised aesthetic
physician Dr Tami Meraglia from the
US gave an informative presentation on
integrating technology to optimise the
performance of aesthetic practices.
Dr Hemani Thukral, managing director of MyMedicalChoices, has been
named as Director of Medical Tourism for the AITTC, a newly created role
to help facilitate Australians considering India as a suitable destination for
medical treatment.
Since its establishment in 2012, the AITTC has been contributing to the
leisure and tourism sectors and now adds medical tourism which is a new
and growing segment of the industry.
‘My vision is to devlelop medical tourism in a systematic manner through
ongoing dialogue and collaboration between Australia and India to achieve
better outcomes for Australians seeking treatment in India and benefi t
the system overall,’ said Dr Thukral. ‘It is my view that this will in turn
raise the bar for the quality of care provided to patients internationally and
acoss the nation.’
UPCOMING EVENTS
Sydney International Spa & Beauty Expo
Held on 23-24 August at the Sydney Exhibition Centre, Glebe Island,
the Sydney International Spa & Beauty Expo is Australia’s largest
event for the spa and beauty industries. Spa and beauty professionals
have a unique opportunity to source and experience the latest beauty
products, treatments, ideas and equipment from Australia’s largest
gathering of leading brands and suppliers.
See www.internationalbeautyexpo.com.au for more information.
2014 Skin Symposium
Held across four Australian states from 25 August, the 2014 Skin
Symposium, run by Face Facts, is a one-day event delving into skin
analysis and health. Gay Wardle, a leading educator in the fi eld of
advanced skin analysis, will host the Symposium. The program is
designed to give attendees a holistic, comprehensive and proactive
insight into anti-ageing and optimising skin health.
For more information contact 02 8424 6625
3rd International Symposium
on Corneotherapy 2014
Held on 17-19 November, 2014 at the Ambassador Hotel, Kaohsiung,
Taiwan, the guiding theme for the symposium will be The Compromised
Skin & Corneotherapy. Keynote speakers include Prof Lars Norlen
(Sweden) and Dr Hiroshi Ikeno (Japan), as well as presentations by
chairperson of the International Association for Applied Corneotherapy
(IAC) Florence Barrett-Hill and other esteemed IAC members.
See www.corneotherapy.org/iac-news for more information.
32 www.cosbeauty.com.au

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

industry
2014
Non-Surgical Symposium
The 3rd Annual Non-Surgical Symposium, hosted
by ASAPS and the CPSA, descended upon Sydney this
May. Caitlin Bishop reports.
Advancements in technology, alongside a rise in
popularity of minimally invasive cosmetic treatments,
have fuelled the growth of non-surgical rejuvenation.
The Australasian Society of Aesthetic Plastic Surgery (ASAPS)
and the Cosmetic Physicians Society of Australasia (CPSA) cohosted
the third annual Non-Surgical Symposium at Sydney’s
Hilton Hotel this May.
Plastic surgeons, dermatologists and cosmetic doctors and
physicians from around the globe attended. Keynote speakers
included American dermatologists Dr Ashish Bhatia, Dr Vivian
Bucay, Dr Rebecca Fitzgerald, Dr Mitchel Goldman, Dr Hema
Sundaram and Dr Mark Nestor. As well as this, Chicago plastic
surgeon Dr Steven Dayan and Dutch cosmetic doctor Dr Tom
van Eijk shared their expertise in achieving optimum results in
minimally invasive cosmetic enhancement.
Both Dr Dayan and Dr Fitzgerald spoke on facial aesthetics,
specifically their approach to treating the ageing face, and
different methods for defining and establishing beauty
through treatment. Both speakers stressed the importance
of addressing the multiple elements of volume, texture and
support in facial rejuvenation.
‘The face is a 3D platform, and ageing affects all areas
interdependently,’ Dr Fitzgerald said. ‘In the past, fixing only the
most obvious signs of ageing was the norm, but this often left
incongruous and sometimes unnatural-looking results. Now we
look at more than just one contributing factor – sometimes bony
support is needed, rather than adding extra volume, or the empty
fat compartments need filling instead of the actual wrinkle.’
Similarly, Dr Dayan showcased his subtle approach to
aesthetic rejuvenation – emphasising the importance of striving
for natural-looking results. He demonstrated how minimal
changes can achieve significant and aesthetically pleasing
results in facial rejuvenation.
Dr van Eijk spoke about the importance of tailoring each
treatment to the patient’s aesthetic requirements. He also
demonstrated his revolutionary injectable method called
the Fern Pattern injectable technique, which is designed to
afford more movement post-procedure, and the Lip Tenting
Photos courtesy of Woodrow Wilson
34 www.cosbeauty.com.au

industry
technique, which helps establish natural-looking results in lip
augmentation with dermal fillers.
‘The Non-Surgical Symposium is a great opportunity to
explain the main principles of these techniques to newcomers,
as well as go over the latest approaches that I have worked on
since the last meeting,’ Dr van Eijk said.
A significant portion of the scientific program was dedicated
to laser and light therapies. Dr Bucay spoke extensively on using
radiofrequency and ultrasound energy to stimulate collagen
production, which helps lift and tighten skin. She showed how
light therapy can help firm the facial contours and give the
face a youthful lift, without the need for general anaesthesia,
incisions or extensive downtime.
Amongst the workshops, demonstrations and panel
discussions, the Non-Surgical Symposium hosted a range
of social activities to infuse the conference with a sense of
adventure, collaboration and, most of all, fun. The opening
Cocktail Reception, held at Sydney’s Ivy Bar, kicked the
conference off to a lively start, while the Gala Dinner, at Doltone
House in Darling Harbour, was an extravaganza that was the
perfect conclusion to a successful meeting. With a full program
of lectures, trade presentations and social events, the 2014
Non-Surgical Symposium helped shape the future of nonsurgical
innovations in cosmetic enhancement. csbm
www.cosbeauty.com.au 35

industry
Cosmetex
round-up
An international faculty of renowned doctors descended on the
Gold Coast to present advancements in cosmetic medicine at
Cosmetex 2014. AimÉe Surtenich reports.
The lush hinterland of the Gold Coast played host to
this year’s annual Cosmetex conference, attracting
cosmetic surgeons, dermatologists and cosmetic
practitioners from far and wide to attend the largest aesthetic
medicine conference in the Southern Hemisphere.
Cosmetex, run by the Australian College of Cosmetic
Surgery (ACCS), has a well-earned reputation for inviting
acclaimed speakers from around the world and this
year was no exception. With a strong faculty of keynote
speakers hailing from the US, UK, Canada, Germany and
Israel, delegates were enlightened with the many and varied
informative sessions and interactive workshops.
Held at the Royal Pines Resort, the meeting spanned
three days with a main focus on non-surgical facial
rejuvenation – specifically using fillers, neurotoxins and
light-based devices to create facial harmony and beauty.
Also on the agenda was the latest developments in
energy assisted body contouring and breast surgery, as well
as a comprehensive skin health and paramedical program.
The science behind beauty was investigated at length.
US facial plastic surgeon and author Dr Steven Dayan
explored the unifying theories of beauty – and how beauty
is the most primitive language we have had throughout
time and among different species. Merging ideas from
neuropsychiatry, evolutionary biology and cosmetic
medicine, he shared his thought-provoking views on how
the tools of aesthetic medicine can result in subtle changes
that make a significant difference in the symmetry, contours
and curves of the face. ‘Less is more – but in the right
places,’ he cautioned.
Another advocate of the “less is more” approach is
Canadian plastic surgeon Dr Arthur Swift, pioneer of the
BeautiPHIcation approach where the golden ratio, or Phi,
is used to establish the most attractive results in facial
rejuvenation – for every face. He specially addressed the
idea of creating harmony in the upper face, and specific
36 www.cosbeauty.com.au

industry
areas such as the nose and mouth, using injectables. He
stressed that ageing occurs at different rates across all
parts of the face and that each area should be looked
at individually for the most aesthetically pleasing results.
‘There are 25 or so pockets of fat in the face – and they are
all ageing at different rates,’ he said.
Treating areas of the face individually was also a
technique shared by keynote speaker Dr Mark Nestor, a
dermatologist from the US. ‘Treating areas as “zones”,
rather than wrinkles and lines will yield far more naturallooking
and beautiful results,’ he explained. Indeed, directly
injecting a wrinkle will not create optimal results – it’s more
about building the scaffolding framework from within to add
volume which, in turn, smooths away the wrinkle.
UK cosmetic dermatologist Dr Raj Acquilla agreed, and
believes just a few small artfully placed filler injections will
result in a more beautiful appearance than using more
product in more areas of the face. ‘Applying geometric
principles of facial beauty can restore symmetry and
proportion to the face,’ he said. The aim of the game is
not necessarily to look younger, but to look better and
more beautiful.
New cosmetic medicine and technology was also
presented at the meeting, with a large exhibition hall for
companies to showcase their cutting edge products
and services.
Any Cosmetex conference wouldn’t be complete
without a must-attend social calendar, culminating in the
Mad Men-themed Gala Dinner in a bespoke outdoor setting
held at the Royal Pines.
Cosmetex provides ACCS fellows, delegates and
sponsors a unique opportunity to learn new techniques
and technology on the cutting edge of aesthetic surgery
and medicine, to network and meet old friends again, and
most importantly to work together to promote the safety
and efficacy of cosmetic medical practice. csbm
www.cosbeauty.com.au 37

feature
Change
the way
you
age
Could stem cells represent the elixir of youth?
Dr John Flood is trail-blazing the use of stem cells in
aesthetic rejuvenation. Caitlin Bishop reports.
Stem cells signify the cutting edge in all corners of the medical world. The
ability of stem cells to regenerate and revitalise human tissue holds boundless
potential for the world of restorative and cosmetic medicine. Sydney plastic
surgeon Dr John Flood is at the forefront of these discoveries in Australia, and is
investigating the possibilities of using stem cells to alleviate pain, regenerate tissue
and rejuvenate the appearance.
He explains that an evolution in stem cell research has opened up a new realm
of opportunities. Where once the focus was on the differentiation paths of stem
cells – or which cell types they would give rise to – now the capabilities of stem cells,
regardless of their type, is being investigated.
‘Ten years ago, the research into stem cells revolved around adult stem cell
differentiation, or stem cell renewal – for example, adipose (fat) stem cells renew into
fat cells and dermal stem cells renew into dermal cells,’ Dr Flood explains.
‘Now, the thinking has evolved and we realise that adult stem cells – no matter
what their origin – will stimulate the activity of the surrounding stem cells, regardless
of their differentiation paths. The implications of this are profound. For example,
when stem cells – usually derived from the patient’s adipose tissue (fatty tissue)
38 www.cosbeauty.com.au

feature
Case study
– are injected into the skin, they release chemical factors to increase blood vessel
formation and boost nutrient and blood infusion into the area. As well as increasing
vascularity, the injected stem cells also stimulate the surrounding stem cells – in
this case, dermal stem cells – to regenerate and rejuvenate the tissue.
Dr Flood has been using this technique in his rehabilitative patients. He uses
autologous, adipose-derived stem cells, which are usually taken from the patient’s
love handles, to treat damaged tissue in injured athletes.
‘We harvest the stem cells while the patient is under local anaesthetic – usually
from the love handles, where most people have pockets of fat,’ he explains. ‘The
sample is centrifuged in a lab and the stem cells are purified. Importantly, we use a
regulated and certified lab, where there is no chance of bacterial contamination or
cross contamination. The stem cells are then inserted into syringes and returned for
use in the clinic.’
According to Dr Flood, the multiple actions of stem cells in the skin – from
increasing vascularity to stimulating existing stem cells – not only helps regenerate
injured tissue but can also act as an anti-ageing elixir.
‘Adipose stem cells could signify the holy grail of anti-ageing; they work to increase
blood flow, stimulate activity of the surrounding stem cells and, because they renew
into fat cells, they provide added plumping to the treated area,’ he explains. ‘They
act like a conductor of an orchestra – triggering and accelerating natural tissue
regeneration, to treat the skin from within.’
Notably, the potential of stem cells is not restricted to stand-alone anti-ageing
procedures. Dr Flood says stem cells could also assist in the use of implants and
grafts in aesthetic and reconstructive surgeries. ‘Their capacity to improve vascularity
can potentially aid in graft or implant adherence to the surrounding tissue,’ he says.
‘The whole process of ageing is related to wear, oxidation and inflammation –
stem cells release factors to counter this wear, reduce inflammation and fight free
radicals. Autologous adipose-derived stem cells work to regenerate the tissue,
improve vascularity, combat ageing and give rise to new fat cells to return lustre and
vibrancy to the treatment area,’ he concludes. csbm
Dr Flood works with stem cells to treat patients with
neuropathic facial pain, a condition of chronic pain that
has no detectable cause. It was one patient, who had
developed facial pain unexpectedly in her mid-20s, who
kick-started Dr Flood’s investigation into the cosmetic use
of stem cells.
She had tried a number of different therapies, including
muscular relaxant injections, to sooth her facial pain and
associated muscular contortion. However, no treatment
was successful and she developed right hemifacial
atrophy – where the tissue on one side of her face had
shrunk and degenerated.
‘We injected stem cells into her right temporal region,
from where she felt the pain originated,’ he says. ‘After
three months she could sleep better, she was taking less
pain medication and, surprisingly, her facial atrophy had
corrected and her brow spasm had resolved. We’d not
been expecting that when we started treatment.’
What’s more, the stem cell treatment also helped
rejuvenate her outward appearance. ‘The tissue appeared
fuller, and she was ecstatic,’ Dr Flood says. ‘As well as
correcting her distortion, the stem cell treatment filled
and refined her facial contours. She felt her appearance
had returned to what it was before she developed the
facial pain.’
Dr Flood and his colleagues have seen approximately
50 percent reduction in facial pain in patients after stem
cell treatment. Their work has been accepted for
publication in an international journal.
‘Many patients relied on medication because they
couldn’t bear the pain, but then they couldn’t handle
the side effects of medication,’ says Dr Flood. ‘The stem
cell injections stopped this reliance and greatly improved
quality of life. People went from not being able to sleep
and experiencing depression, to having their life back due
to pain relief.’
www.cosbeauty.com.au 39

feature
BREAST
CANCER
AWARENESS
40 www.cosbeauty.com.au

feature
Breast cancer is the number-one cancer for Australian women,
and with Breast Cancer Awareness month approaching, there’s no
better time to get educated. Aimée Surtenich reports.
Recent statistics show that one in eight women in Australia will be
diagnosed with breast cancer before the age of 85, and by 2020 the
number of new breast cancer cases among women is predicted to rise
by around 20 percent.
But with this omnipresence has come overwhelming support for breast cancer
awareness. The colour pink is now synonymous with breast cancer support, with
everything from supermarket products to iconic Australian landmarks taking on a
pink guise in support of breast cancer research.
Celebrities such as Kylie Minogue, Christina Applegate and Sheryl Crow who
have suffered publicly from breast cancer use their fame to become ambassadors
for the cause, putting their name to government initiatives and fundraising efforts.
what is
breast
cancer?
treatment
‘Breast cancer, like other cancers, occurs because of an interaction between the
environment and a defective gene,’ explains German anti-ageing specialist Dr
Michael Klentze. ‘Specifically, breast cancer occurs when a build up of genetic
mutations in critical genes – those that control cell growth and division, or the
repair of damaged DNA – allow cells to grow and divide uncontrollably to form
a tumour.’
‘Breast cancer, like prostate cancer, is a hormone-dependent cancer, which
can develop under oestrogen influence,’ he explains.
Although it is much more common in women, men can also develop
breast cancer.
There is a medical distinction made between early breast cancer and
secondary breast cancer. Early breast cancer is cancer that is contained within
the breast and may or may not have spread to the lymph nodes (located
under the armpit). Secondary breast cancer is cancer that has spread outside
the breast area. This distinction helps dictate the best treatment option.
‘Breast cancer is commonly treated by various combinations of surgery,
radiation therapy, chemotherapy and hormone therapy,’ says Dr Klentze. There
are a number of factors that influence the selection of breast cancer treatment.
According to Dr Klentze, these include the age and menopausal status of the
patient, the stage of the disease and whether the tumour is aggressive or likely
to spread.
Another influential factor is whether the tumour contains oestrogen receptors
(ER+) or progesterone receptors (PR+). These receptors indicate if hormones
are causing the cancer to grow bigger; there are specific hormone-blocking
medications for each that can be used during treatment.
www.cosbeauty.com.au 41

feature
reducing your risk
While there is no known way of preventing breast cancer, making
lifestyle changes such as quitting smoking, reducing alcohol intake,
reducing fat mass and increasing exercise can all help to reduce the risk
of breast cancer.
You may also wish to consider getting tested to find out if you are
susceptible to breast cancer, especially if there is a family history of the
disease. Having a first degree relative, such as your mother or sister,
with breast cancer puts you at higher risk for the disease. The risk is
even greater if they developed breast cancer before menopause, and in
both breasts.
Women with breast cancer usually undergo a lumpectomy (the surgical
removal of a cancerous nodule) or a mastectomy (removal of the entire breast/s)
to excise the cancer from the breast, which can be followed by radiation therapy
and/or chemotherapy to kill any remaining cancer cells.
the
angelina
jolie
effect
Recent genetic research has provided some valuable information that can help
identify whether a person is more susceptible to breast cancer in the first place,
therefore increasing the chance of early detection.
BRCA1 and BRCA2 are major genes related to hereditary breast cancer.
Women, and also men, who have inherited certain mutations in these genes
have a higher risk of developing breast cancer, ovarian cancer and several other
types of cancer during their lifetimes.
This breakthrough means that people can now be tested for these particular
genes – and those who carry them can be aware of their susceptibility and
closely monitor their breasts for any suspicious changes.
Perhaps the most famous carrier of the BRCA1 or BRCA2 gene mutation
is actress Angelina Jolie. The news that Jolie – one of the world’s most
glamorous women – had undergone a double mastectomy at the age of 37
stunned the world in 2013 and brought this very relevant debate to the forefront
of international media.
Faced with an 87 percent chance of developing breast cancer in the future,
Jolie underwent her procedure as a preventative measure – one that brought
her risk of developing the disease down to just five percent.
It’s thought around five percent of Australians – both men and women – carry
the BRCA1 and BRCA2 gene. The availability of genetic testing varies across
the country. Contact the Cancer Council Australia for more information.
42 www.cosbeauty.com.au

feature
check yourself
To ensure the best possible outcome, early detection is
all-important. As with all types of cancer, the risk of breast
cancer spreading from the breasts to other parts of the body
increases dramatically if it is not detected early on. The good
news is that the knowledge, technology and medical expertise
is all readily available here in Australia to help women take
charge of their breast health.
It is critical every woman knows how to do breast selfexamination.
As of age 20, self-checking using the points
below should be a monthly routine:
• Most doctors recommend lying down with one arm behind
your head. With the other hand, feel each breast with
your middle three fingers for any irregular lumps, cyst-like
formations, thickening or unusual dimpling. Be sure to feel
the entire breast area – from the top of the chest, under
each arm, around the breast mound and down towards
the rib cage.
• You can also look at your breasts in the mirror, both with
your hands on your hips and in the air. Check for changes
in colour, shape, nipple location, dimpling or anything that
is irregular.
• Use your thumb and forefinger to gently press the nipple
and check for any irregular discharge.
• It is not a cause for panic if you do come across an
anomaly – 80 percent of lumps turn out to be benign –
but you should consult with your doctor as soon as
possible to be sure.
• For pre-menopausal women especially, aim to perform the
self-exam at the same time each month, ideally after your
period. As your breasts change as you go through your
menstrual cycle, by examining them at the same point in
your cycle, you can make a more accurate comparison.
Some changes to look for:
• A new lump, or lumpiness, especially if it is in one breast.
• Nipple discharge.
• Change in the size or shape of the breast or nipple.
• Change in the skin over the breast, such as redness
or dimpling.
• Unusual persistent pain, especially if it is one breast
• If you’re concerned by a family history of breast cancer, or
by any changes to your breasts, speak to a doctor as soon
as possible.
www.cosbeauty.com.au 43

feature industry
The ACCS mark
of distinction
The Australasian College of Cosmetic Surgery continues to champion
patient safety in the cosmetic industry. Caitlin Bishop reports.
Cosmetic medical and surgical enhancement – or Cosmetic Medical
Practice – is a popular option for many Australians looking to reverse
or waylay the visible signs of ageing. With the rise of people seeking
cosmetic medical procedures, it has never been more essential to ensure
patients are receiving suitable, effective treatments with minimal risk.
The Australasian College of Cosmetic Surgery (ACCS) plays a vital role in
regulating the provision of Cosmetic Medical Practice, and upholding the
standards of practice that patients in Australia have come to expect. ACCS
members are held to an international Code of Practice, which acts as a stamp
of distinction for patients considering their options in cosmetic enhancement.
‘The Code covers, among other things, advertising and promotional conduct,
and has an extensive governance regime including independent compliance
audits and reports to the ACCS,’ says Dr John Flynn, the College’s Censorin-Chief.
‘Additionally, our Patient Information Brochure, found on the AACS
website, outlines the things that patients should be asking their doctor, and the
information they should expect to receive before proceeding with treatment.’
The Code was formulated to ensure the safe delivery of both surgical and nonsurgical
procedures to the Australian community. ‘The ACCS is the only college
that incorporates medical, surgical and non-surgical approaches for aesthetic
enhancement,’ says cosmetic physician and College Dean Dr Ron Feiner. ‘It
encompasses the whole spectrum – invasive surgery is no longer the only option for
aesthetic improvement.’
The ACCS is dedicated to the ongoing education of its members. This helps
ensure cosmetic doctors and nurses who are members of the College remain at
the forefront of the latest technologies and techniques in cosmetic medicine and
surgery. ‘The ACCS holds training programs and exams to ensure its doctors
can perform a broad spectrum of procedures according to the Code of Practice,’
says cosmetic physician Dr Eddie Roos. ‘This education is ongoing, and means
continuous improvement in ACCS members.’
A major part of the ACCS education program is Cosmetex, an annual
international conference on the latest innovations in cosmetic surgery. Each
44 www.cosbeauty.com.au

industry
The ACCS
Code of Practice
encompasses the
whole spectrum
of cosmetic
enhancement
– both surgical
and non-surgical
year, the Cosmetex meeting brings together leading practitioners in the world
of cosmetic medicine and surgery and hosts a program of scientifi c discussions
and workshops.
‘The ACCS provides a collaborative forum, and conferences such as
Cosmetex are an opportunity to hear from the best cosmetic medical practitioners
from overseas and locally,’ Dr Roos explains. ‘The peer-to-peer discussions are
great for learning and advancing new techniques and ideas.’
Not just anyone can become an ACCS member. Since its inception in 1999,
the aim of the college has been unequivocally based upon patient protection
and safety in cosmetic surgery. In order to act as a mark of distinction for those
patients thinking about a cosmetic procedure, the College has maintained a
diligent screening process before granting membership.
‘Before I was granted a Fellowship with the College, they visited my practice
and assessed various aspects such as our record keeping systems, sterility
systems and general set up,’ Dr Roos says. ‘I also had to sit an exam. For a
doctor, this means a obtaining a Fellowship certainly gives you recognition for
what you do.’
‘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. We also ensure our Fellows are
participating in continuing education and, where needed, recertifi cation,’ says
Dr Flynn.
The ACCS is dedicated to offering Australian patients assurance and peace
of mind in undergoing cosmetic procedures. Its commitment to upholding
standards and accountability, as well as the ongoing education of its members,
means the level of treatment and care received at the hands of ACCS members
is the best it can be. csbm
FAST FACTS ABOUT THE ACCS
• Established in 1999, the Australasian College of Cosmetic Surgery
(ACCS) is a not-for-profi t, multi-disciplinary fellowship-based body of
general surgeons, cosmetic surgeons, plastic surgeons, maxillofacial
surgeons, cosmetic physicians, dermatologists, ear nose and throat
surgeons, opthalmologists, general practitioners and other doctors who
practice in cosmetic medicine and surgery – Cosmetic Medical Practice.
• The primary goal of the ACCS is to ensure the safe provision of cosmetic
medicine and cosmetic surgical procedures to the Australian general
community through the supply of appropriately trained and certifi ed
health care practitioners.
• The ACCS is the only medical college to provide education and training
leading to fellowship specifi cally in cosmetic medicine and surgery.
Fellows of the College are medical doctors who have completed
post-graduate education and training and demonstrated competency
specifi cally in cosmetic medicine and surgery. To become an ACCS
Fellow, doctors must typically complete a minimum of 12 years of
medical and surgical education and training.
www.cosbeauty.com.au 45

industry
It’s all
in the
details
Shortcuts business
management
Software takes the
stress, guesswork
and time out of
managing your
clinic. Caitlin
Bishop reports.
Shortcuts software optimises the performance of beauty salons and
medical clinics across the globe. With more than 14,000 clients worldwide,
and with the largest research and development team in the industry,
Shortcuts is on the cutting edge of business efficiency and success.
Standard features of the software include tools that have been designed
especially with clinics in mind, including visual treatment records and photo
history. Shortcuts also speeds up the checkout process, prompting you to rebook
clients and track petty cash or clinic promotions. There are also several add-ons
to Shortcuts software, for example automated marketing, online bookings and a
loyalty program, which will help you grow your business.
Importantly, with pre-determined protocols and benchmarks, these programs
hold all staff accountable for day-to-day successful business practice, whether
they are the business owner or not.
Point of sale
Point of sale is the hub of any clinic business, and Shortcuts includes a range
of features that help process transactions while automatically compiling client
history and performance statistics. Something as simple as ensuring you have
the correct amount of float at the start of the day can save a lot of time and
energy for staff.
‘The point of sale wizard is a handy feature that makes balancing your till
easy,’ explains Shortcuts educator Brooke Morkham-Calvert. ‘When cashing
up at the end of the day, a simple wizard guides you through the process and
ensures you are accountable for balancing the till. It counts the amount of money
in the till, and compares this to the amount the till should hold, based on the
day’s sales. This helps you ensure no cash is missing, and that you have the right
amount of float for the following day.’
46 www.cosbeauty.com.au

industry
Following this process, the wizard generates a balance report – which is a
recorded snapshot of what was just done, including how many attempts it took
the operator to balance, the duration of time to do this, and a summary of the
balance itself. This statement cannot be changed and can be presented to the
business owner or manager to ensure accountability.
‘For a business owner who has passed cashing-up responsibilities onto staff,
this balance report is gold,’ says Morkham-Calvert. ‘Also, this program can be
run multiple times throughout the day. For example, the till could be counted and
balanced as managers change shifts on a long business day.’
If the till cannot be balanced, no matter how many times it is attempted, the
operator must enter a reason before shutting the system down. This reason is
then recorded on the balance statement, and can be used to follow matters up
or for future reference.
Petty cash
As the point of sale system keeps tabs on the money flowing into the till, the
petty cash feature can help track money that’s flowing out.
‘It can be hard for business owners to keep track of petty cash – they might
take $20 out of the till, and then it won’t balance at the end of the day,’ Morkham-
Calvert explains. ‘With two clicks, you can tell the system how much money is
being taken out for petty cash. You can then register how much of that money
you spent, and it will calculate the amount that needs to be returned to the till.’
Importantly, all these calculations are taken into account during the endof-day
balancing. By recording petty cash in the system, Shortcuts not only
optimises end-of-day efficiency but also provides additional reporting around
expenses for future analytics.
Discounts
Promotions are a valuable way to attract business and keep existing clients
happy. However, keeping track of the success and reach of your promotions can
be time-consuming and arduous. The discount feature built into Shortcuts helps
track how and when client discounts are being used.
Using the discounts feature, you can create specific discounts such as
‘birthday’, which can be applied to a transaction. This is the perfect way to
accurately monitor who is giving out discounts, who is receiving them, and why
– ensuring your staff are not discounting too frequently. The discounts feature
also allows business owners to track the success of promotions and specials,
and see at a glance how many new and existing clients are responding to your
marketing campaigns.
‘The discount monitoring software can record how successful a promotional
campaign has been,’ says Morkham-Calvert. ‘As well as this, the discount
feature is important for clinic owners entrusting day-to-day business to their staff
or managers – if you’re giving money away, you need to know why.’
The feature records the reason for discount, the client who is receiving it,
and the staff member who is approving it. This can help in market research –
determining which clientele are most responsive to promotional marketing – and
also tracking employee diligence.
The intricate, easy to use features of Shortcuts take care of all those details that
constitute a successful, efficient and friendly business. For example, Shortcuts
point of sale prompts employees to set up the client’s next appointment as they
check out of their current one. It’s small details like this that help business owners
rest easy, knowing their clinic is being run with accountability, responsibility and
proactivity maximised through everyday operating systems. csbm
www.cosbeauty.com.au 47

feature
Are you getting the
best treatment?
Quality education
is vital in
understanding,
prescribing and
delivering dermal
therapy treatments.
Caitlin Bishop
reports.
The beauty world is no longer just the arena of facials and waxing – it now
encompasses more invasive skin therapies and highly active, topical
ingredients. Quality training is vital in prescribing and delivering treatments,
and an understanding of the skin’s anatomy, and comprehensive knowledge of
the various processes that occur within the dermis and epidermis, is essential in
performing treatments to tighten, rejuvenate or brighten the complexion.
This is where quality, professional training is essential, ensuring skin therapists
understand, and are experienced in using, a range of up-to-date modalities to
reap the best results for their clients.
‘From a patient’s perspective, you want to know that your therapist or nurse
is not only going to provide a safe treatment but also an effective treatment,’
says April Jorgensen, Director of the Australasian Academy of Cosmetic Dermal
Science. ‘Some patients report that their treatment did not work or had minimal
effect. This is often caused by untrained therapists using very conservative
parameters out of fear of causing a complication, or a lack of knowledge about
how best to use their equipment.’
48 www.cosbeauty.com.au

feature
The results of laser and light therapies, as well as the benefits of medicalgrade
skincare, have gained these therapies traction in the beauty industry.
But these modalities call for a heightened level of knowledge and experience
in delivering treatment. Alongside increased effectiveness, there may also be an
increased rate of downtime, irritation and possible complications.
‘Dermal therapists should not only be trained in performing treatment in the
standardised time slot but also in understanding the product, treatment and the
way active ingredients work in the skin,’ explains Jacqueline Clayton of Grayclay
Medical Aesthetics Education.
Dermal therapists should understand the
product, treatment and the way active
ingredients work in the skin
This not only benefits the consumer, but also the clinic or salon. By building
a relationship with the client – one that is based upon effective results and
educational engagement – this will help increase customer loyalty and generate
a long-term rapport.
Gay Wardle, Director of Masters Dermal Academy, explains investing in quality
training at a recognised institution will reap continuous rewards for both the
therapist and the consumer. ‘Dedicating yourself to ongoing education is the
basis for achieving the most successful and rewarding career in the aesthetic
www.cosbeauty.com.au 49

feature
The term “dermal
therapist” is used
quite loosely, and
consumers should
look for a
qualifi cation in
dermal therapies
that is nationally
accredited
industry,’ says Wardle. ‘The therapist’s job will be much more rewarding when
they are delivering meaningful results for their clients. The business will continue
to grow on the strength of these loyal and satisfi ed clients.’
Considering most dermal therapies are unregulated in Australia – with the
exception of high-grade lasers in some states – a stamp of qualifi cation acts as a
distinguishing factor when consumers are deciding to undergo treatment.
Jorgensen encourages patients to evaluate the level and quality of training of
a dermal therapist before undertaking treatment. She explains the same goes for
clinic employers and budding therapists.
‘The term “dermal therapist” is used quite loosely, and consumers, employers,
therapists and nurses should be advised to seek a qualifi cation in dermal therapies
that is nationally accredited and recognised as part of the Australian Qualifi cation
Framework,’ she explains. ‘This qualifi cation should also be recognised by the
cosmetic medical profession, as well as being nationally attributed.’
With the rise and rise of non-invasive cosmetic procedures, dermal therapists
have become increasingly sought after. Younger patients are seeking intervention
earlier, and facial rejuvenation is now a long-term venture, spanning decades.
Communication, people skills and an understanding of individual skin needs
are essential attributes in the modern-day dermal therapist. These help build
long-standing relationships with clients, and in delivering effective, results-driven
treatments. Quality education, and experience with up-to-date parameters, is
vital in boosting and maintaining the standards and credibility of dermal therapy
in Australia. csbm
Advanced skin analysis training for aesthetic professionals
How much importance do you give to professional
skin assessments conducted in your clinics?
MDA courses will give you the power to grow your business through
knowledge. These short post-graduate courses are designed to take
away the conventional methods of skin analysis, with a focus on:
Understanding the functions and anatomy of skin, cells and systems
Relating skin disorders to malfunction of cells and systems
Functions of wound healing and the effects if the body is not healthy
Learning the importance of your most valuable skin treatment
How to build your business, increase your income and your
reputation just by providing a thorough skin evaluation
Take your education and business to the next level.
For bookings, call 0418 708 455
www.mastersdermalacademy.com.au
Masters Dermal Academy
Masters
Dermal
Academy
50 www.cosbeauty.com.au
AD_gaywardleHP.indd 1
28/07/14 5:01 PM

RTO Provider No. 51373
Train for
a career,
not a piece
of paper.
When considering your qualification in dermal therapies,
consider your return on investment:
• Become a qualified Dermal
Therapist in 6 to 12 months;
• Curriculum developed by the
cosmetic medical profession,
NOT a beauty college;
• Most recognised qualifications
amongst the cosmetic medical
profession;
• Excellent return on investment;
• 10-year history of placing
graduates in rewarding
careers through the AACDS
recruitment division;
• Available online, with
practical training available
in Perth, Sydney, Melbourne
and Gold Coast;
• Available on-campus in Perth
and Gold Coast.
Find out more on 08 9328 6760, enquiries@aacds.edu.au or visit aacds.edu.au
Curriculum available online, with practical training available
in Perth, Sydney, Melbourne and Gold Coast.

feature profile
Welcome to
The Face Institute
THE FACE INSTITUTE IN SYDNEY PROVIDES A COMPREHENSIVE ARRAY OF FACIAL
REJUVENATION TECHNIQUES, OFFERING TAILORED AND NATURAL-LOOKING
RESULTS. CAITLIN BISHOP REPORTS.
We understand
the desire for a
youthful face that
refl ects how vibrant
and healthy you feel
on the inside
The team at The Face Institute have a long history of delivering natural-looking
and long-lasting results in facial rejuvenation, and are experts in the shape,
structure, function and aesthetics of the face. With a philosophy based
on reliability, satisfaction and quality, The Face Institute offers a comprehensive
array of surgical and non-surgical services to return youthfulness and vibrancy
to the face.
At the helm of The Face Institute is facial aesthetic and reconstructive
surgeon Dr Paul Gerarchi. He is an Australian-trained surgeon with experience
and expertise in the functional, reconstructive and aesthetic surgery of the nose,
face and eyes. He has instilled within his team the importance of exacting and
professional care, while taking an individualised approach with each patient.
‘Our staff adhere to professional and ethical standards, which ensure the
patient is presented with realistic options, according to their needs,’ says Dr
Gerarchi. ‘We strive to meet the patient’s need in a manner which combines
professionalism and personalised care and attention.’
Rhinoplasty, face and neck lifting surgery, eyelid and brow surgery, as well
as otoplasty (ear surgery) constitute a number of the popular procedures
performed at The Face Institute. These can be combined with non-surgical
therapies, such as anti-wrinkle injections and dermal fi llers, to achieve a holistic
and comprehensive anti-ageing result.
‘We want to deliver patients an enhanced facial appearance while still
looking like themselves,’ Dr Gerarchi explains. ‘Whatever the reason for seeking
treatment, because of ageing or other factors, we are here to help. We understand
the desire for a youthful face that refl ects how vibrant and healthy you feel on the
52 www.cosbeauty.com.au

feature profile
Meet the
face doctor
Dr Paul Gerarchi is a trained head
and neck surgeon and Fellow of
the Royal Australasian College of
Surgeons (FRACS).
He has participated in several
international training posts with
leading head and neck surgeons;
facial plastic surgeons; and plastic
and reconstructive surgeons. His
subspecialties include:
- Face lifting
- Neck lifting
- Rhinoplasty
- Brow lifting
- Eyelid surgery
Dr Gerarchi’s extensive clinical
experience in both facial plastic
and head and neck surgery has
led to a unique and specialised
understanding of the nose, face
and eyes.
The Face Institute
Phone 02 9412 4599
Suite 4, 12 -14 Malvern Avenue
Chatswood NSW 2067
www.thefaceinstitute.com.au
inside. Patients who undergo aesthetic surgery or the associated non-surgical
treatments can look forward to gaining greater self-confi dence and a sense of
well-being from looking, feeling and functioning at their best.’
The reconstructive arm of The Face Institute encompasses correcting facial
deformity, in hard or soft tissue, that may be a result of facial trauma, growth
disorders, disease or facial palsy. As well as this, Dr Gerarchi also performs
revision surgeries in cosmetic surgery patients.
‘Being a specialist centre for all issues related to the face, we fi nd that
correction of cosmetic surgery complications performed elsewhere signifi es
a signifi cant part of what we do,’ Dr Gerarchi explains. ‘We work closely with
patients to achieve the best possible outcome given their particular situation.’
Before undergoing any procedure at The Face Institute, patients are given
an opportunity to discuss their goals and concerns with Dr Gerarchi in an initial
consultation. In this session, Dr Gerarchi will undertake a thorough examination to
decide if surgery is appropriate and establish the best treatment plan, according
to the patient’s desires.
‘The success and safety of the surgery relies very much on an honest and
open consultation process,’ he explains. ‘Patients should be prepared to discuss
the reasons for seeking surgery, their expectations in undergoing treatment and
details of their medical history.’
Patients can consult with Dr Gerarchi as many times as they like before
surgery, to ensure all questions have been answered and the patient is prepared
for the recovery period.
To assist in this, Dr Gerarchi provides detailed instructions outlining what
to expect, and the measures that need to be taken, to improve the downtime
following surgery.
‘A smooth recovery period is an essential part of successful surgery,’ he
explains. ‘It is essential that patients attend follow-up appointments, and they
can contact our rooms at any time if any concerns arise.’
In taking a holistic and multi-faceted approach to anti-ageing, Dr Gerarchi
advises his patients to optimise their health before going ahead with surgery.
‘Healthy patients recover more quickly, have fewer complications and achieve a
more effective result,’ he says. ‘Lifestyle factors such as regular exercise and a
sensible diet, smoking or alcohol intake, and health conditions and associated
medications can all affect cosmetic surgery outcomes and the downtime
involved.’ csbm
www.cosbeauty.com.au 53

column
The
Medical History
of
Queen Anne
IN HIS REGULAR COLUMN
DR JIM LEAVESLEY
EXAMINES THE HISTORY
AND ORIGINS OF
DIFFERENT MEDICAL
TOPICS.
This month, August 2014, sees the 300th anniversary of the death of Queen
Anne, the last Stuart monarch of England. Her reign from 1702 to 1714
was described 240 years later by the great Sir Winston Churchill as one of
the greatest in English history. What Sir Winston did not know, or at least did not
mention, was Anne’s terrible medical history.
She was the second daughter of the Catholic king James II by his fi rst wife
Anne Hyde and when he was Duke of York. Protestantism was the offi cial
religion of England at the time and, despite their father’s acclaimed religion,
both daughters were brought up as good little Protestants. Some years later
James had a boy by his second wife, Mary of Modena, who, being male and
thus by succession, would have inherited the throne. The population could not
contemplate the possibility of another Catholic on the throne so initiated the socalled
Glorious Revolution and invited the Protestants William of Orange and his
wife, James’ elder daughter Mary, to take the throne. James with his new son
fl ed to France. William and Mary never did have any children. Mary died in 1694
and William in 1702 whereupon, you will be at last glad to know, Anne assumed
the throne.
In 1653 Anne had married Prince George of Denmark, a man remarkable
for the poverty of his infl uence on history. He was stout, dull, slow witted and
colourless. Anne’s uncle, Charles II, alleged he had tried George drunk and
tried him sober, but sober or drunk there was nothing in him. A contemporary
remarked that the Prince was forced to breath hard lest he be taken for dead.
But Anne liked him and in 25 years of marriage she conceived on 17
occasions, so at least he took some of royal duties seriously. Incredibly, none of
the pregnancies survived into adulthood which meant the Stuart dynasty ended
with Queen Anne’s death on 1 August, 1714.
54 www.cosbeauty.com.au

column
In 25 years of
marriage, Queen
Anne conceived on
17 occasions.
Incredibly, none of
the pregancies
survived into
adulthood
With only two exceptions there was either a stillbirth or miscarriage or death in
infancy every year from marriage until 1700, including two deaths in 1686, 1687
and 1697. In fact, in one disastrous week in February 1697 two infants died.
The first conception was a daughter and stillborn, an outcome attributed
to Anne falling from a horse near term. The live second and third babies died
during that terrible week, each from an acute infection, probably smallpox, then
endemic in the country. Both were buried at Westminster Abby, one in the tomb
of Mary Queen of Scots. Pregnancy four ended in miscarriage and Anne blamed
it on a very lively French dance called a Rigadon which she has injudiciously
joined in early in pregnancy.
In July 1689 Anne’s seventh conception was delivered live and well and
was to become her most successful. It was a boy and named William, Duke of
Gloucester; he lived for 11 years. He was recorded as being weakly at birth, but
William defied the odds despite having fits. A change of wet nurse was deemed
to be prudent and on word of this recently delivered women flocked to Hampton
Court for a piece of the action.
Husband George in one of his few appearances in the footnotes of history
is said to have slowly passed down the line of candidates with their bare milksuffused
breasts thrust forward and eventually selected Mrs Pack of Kingston
Wick as the successful applicant. The dear lady had the child at the nipple within
the hour and William is reported to have brightened up that night, as doubtless
did a perspiring and smirking Prince George.
But William developed into a weedy child and was only 100cm tall at the age
of five, which nowadays would put him in the last five percent of the population
for his age. On his eleventh birthday he contracted scarlet fever and died a few
days later. The same year, 1700, the queen had her last pregnancy; it came to its
almost inevitable end in yet another stillbirth.
What caused all these tragic disasters? Anne’s brooding with thoughts of spells,
witches and black cats and the like hinted at divine retribution for abandoning
her father’s Catholicism. Well, maybe. Syphilis has been mooted via the dreary
George. Frankly, he does not seem to have been the type to contract such a
social disease and was probably the diagnosis of the diagnostically destitute. The
usual story with maternal syphilis infection is that the early pregnancies miscarry,
then one or two are born alive but congenitally infected and later children appear
normal. Anne had enough pregnancies to play out that little scenario and it did
not fit. So the fault must have been in the development of the child.
Rhesus incompatibility between the man and wife’s blood is a reasonable
differential diagnosis. But death from that works in the reverse way to syphilis,
in other words the first child is normal and healthy, but affected conceptions get
worse the more pregnancies there are. In the monarch’s case, William was the
seventh child and lived, so Rhesus is probably not the issue.
Most likely, it is thought, the many deaths were due to placental insufficiency
causing intra-uterine growth and retardation. We will never know for sure;
diagnosing causes of death 300 and more years on is fraught with difficulties.
As regards Anne herself, as she got older she became very obese, either from
alcohol coupled with gluttony to perhaps to try and forget her many disappoints
in life, or it may have been due to kidney failure causing fluid retention and
accumulation. Her legs became so swollen she had difficulty in walking and at her
coronation in 1702 she was carried into the chamber in a wheelchair. Towards the
end of her life she suffered from convulsions, eventually dying of a stroke aged 49.
She was buried in an almost square coffin such was her grossness.
Having had no children the throne passed to her nearest relative, a distant
cousin – the Elector of Hanover, George I. From Germany, he never learnt English
through the whole of his 13-year reign, but at least he produced an heir, George
II, a great supporter of the Arts. csbm
www.cosbeauty.com.au 55

feature
www.cosbeauty.com.au
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& beauty
online
Want more beauty
and cosmetic
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Make love, look younger
I don’t know about you but we’re
always keen to read the latest tips on
what will help us look younger and
combat those common, early signs of
ageing. From changing our skincare to
revising our diet and road testing the
latest cosmetic procedures, it seems
we’ve done it all.
The smarter way to work out
When it comes to weight loss scientists
believe it’s possible to exercise less, yet
lose more weight.
Imagine a world where losing
weight didn’t involve hours spent
sweating in the gym, and excess kilos
simply fell off. Where in 20 minutes
you could burn more calories and lose
New research, however, suggests
it could take two to turn back the
clock, as a study suggests regular sex
could have you ...
Read on at www.cosbeauty.com.
au/antiageing-wellbeing/
make-love-look-younger/
more fat than you could after a week
packed with time-consuming jogs.
Believe it or not, this idea isn’t farfetched.
This is the reality of ...
Read on at www.cosbeauty.com.
au/antiageing-wellbeing/
work-out-smarter/
Face lifting: a plastic surgeon’s perspective
Sydney plastic surgeon Dr Warwick
Nettle from Silkwood Medical in Bondi
Junction says facelift surgery can
achieve natural-looking, long-lasting
results to reverse the signs of facial
ageing and enhance natural beauty.
By correcting skin issues and
addressing the visible signs of ageing,
facelift surgery can achieve effective,
reliable and long-lasting results in facial
rejuvenation. While many patients can
sometimes balk at the idea of surgery
– fearful of appearing ‘overdone’ and
wary of those standout photographs
of over-tightened celebrities – Dr
Nettle believes...
Read on at www.cosbeauty.com.
au/cosmetic-surgery/face-liftingplastic-surgeons-perspective/
56 www.cosbeauty.com.au

feature
RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 65 • AUG-OCT 2014
BEAUTY
ALERT
MAKEUP
MARVELS
WHAT TO
EAT FOR
AMAZING
SKIN
5
THINGS
YOU NEED TO
KNOW ABOUT
plus
BREAST
AUGMENTATION
THE BEST IMPLANTS
FOR YOUR BODY
The
biggest loser
syndrome
SURGERY AFTER
MASSIVE WEIGHT LOSS
Read the free
online version of
Cosmetic Surgery
& Beauty
Magazine at
cosbeauty.com.au
SMOOTHIES: HEALTH OR HYPE?
Acclaimed to assist in weight loss,
optimise digestion and fuel your body
with high concentrations of nutrients,
juices and smoothies seem like the
ideal solution to a quick and healthy
breakfast. They are used as detox,
TOP 10 BEAUTY BOOSTERS
as meal replacements and as snacks
between mealtimes. But are they as
healthy as they’re touted to be, or are
they merely another hype in the world
of wellness, diets and weight loss?
Like almost any food at the centre
of public attention, there are several
opposing views...
Read on at www.cosbeauty.
com.au/antiageing-wellbeing/
smoothies-health-or-hype
The making
of CSBM
WE TAKE YOU BEHIND
THE SCENES OF SOME
OF OUR FAVOURITE
ARTICLES.
We love our products just as much (if
not more) than the next girl. But we’ve
put together 10 ways to be more
beautiful that you won’t fi nd at the
beauty counter.
1. Exercise
We all yearn for skin with a luminous
complexion, and no product compares
with that produced by a little slice of
hard work it takes to gain an exerciseinduced
glow.
The only workout you need for your
skin to glow is...
2. Diet
Foods that are good for your health
are good for your skin, allowing your
body to function better and prevent a
build-up of toxins. A good diet is like
using good fuel for your car, making
your skin look fresh and glowing.
Opt for a diet rich in nutrients and
vitamins with lots of colourful fresh fruit
and veg.
A strict halo diet needn’t prevent
you from indulging – many studies
have shown that a glass of red wine a
day may help you...
Read on at www.cosbeauty.com.
au/beauty/top-10-beauty-boosters/
PLUS
check
out heaps
of other
cool stuff
BEFORE
AND
AFTER
GALLERIES
www.cosbeauty.com.au 57

feature
Surgery
after
massive
weightloss
58 www.cosbeauty.com.au

feature
Surgery after
massive weight loss
is an emerging field
in plastic surgery.
There are a number
of procedures
designed to improve
the body’s contours
following dramatic
weight loss. Caitlin
Bishop reports.
The process of losing extraordinarily large amounts of weight, whether it’s
through diet, exercise or bariatric surgery, can be a harrowing and seemingly
endless venture for the individual. This is because once the weight is off
the journey is still not over. Loose skin folds, fatty pockets and sagging tissue are
often the result of massive weight loss, and these areas – which are frustratingly
difficult to treat without surgery – can detract from an otherwise healthy figure.
Surgery to correct this, and assist in skin contraction following weight loss, has
become a major topic in the plastic surgery arena. Indeed the latest conferences,
including the Advanced Aesthetic Plastic Surgery Workshop (AAPSW) in
Melbourne earlier this year, have seen huge discussion on the possibilities in
body contouring following massive weight loss.
Body contouring surgery
Circumferential abdominoplasty is considered the most effective solution for
individuals who have experienced massive weight loss. Similar to a standard
abdominoplasty, but extending around the entire circumference, it is a surgical
procedure designed to remove excess skin, cellulite and fat from the abdomen,
buttocks, chest, back thighs and breasts.
US plastic surgeon Dr Simeon Wall Jr. spoke at AAPSW in Melbourne
and outlined his approach to circumferential truncal contouring. It involves
abdominoplasty, circumferential liposuction, fat resection and targeted fat grafting.
During the procedure, a horizontal incision – that extends the whole way
around the body – is made above the thighs and buttocks. Through this incision,
excess fat and tissue are removed, sometimes with the aid of liposuction, and
the stomach muscles are surgically tightened. Excess skin is then excised for
a tighter, toned look and the remaining skin is re-draped over the body’s newly
defined contours.
In some cases, a corset trunkplasty, which involves a different incision method,
is more suitable for certain patients. US plastic surgeon Dr Alex Moya explained
a corset trunkplasty can be very effective in highlighting the waistline.
‘A corset trunkplasty can create an aesthetically please body shape – similar
to that provided by a corset – and involves several carefully placed incisions
which interconnect to form the appearance of a sideways capital “H”,’ Dr Moya
explains. ‘The incisions are customised for each patient, and address excess
skin in both the upper and lower abdomen.’
To undergo either circumferential abdominoplasty or a corset trunkplasty,
patients should be as close to their ideal weight as possible or, if that is
unachievable, at a steady weight that they are likely to maintain. It is recommended
patients wait at least one year following bariatric surgery before undergoing
circumferential reduction surgery.
In some cases, liposuction can be sufficient in removing excess fat and causing
effective skin contraction in weight loss patients. Power-assisted liposuction,
using radiofrequency, ultrasound or laser technology alongside liposuction, can
help increase skin contracture and tone and tighten in the skin’s surface.
Dr Wall Jr. shared his experience using the S.A.F.E liposuction technique at
AAPSW in Melbourne. This acronym stands for Separation, Aspiration and Fat
Equalisation, and depicts a strategy for performing liposuction that results in
slimmer, smoother and more even body contours.
While Dr Wall Jr. avoids using power-assisted liposuction, he uses these three
steps – separation, aspiration and equalisation – to achieve the best results in
www.cosbeauty.com.au 59

feature
liposuction patients. The key element in this technique is fat equalisation where,
following fat removal via separation and aspiration, the layer of fat is manually
equalised to ensure an even coverage across the treated layer. This helps prevent
contour irregularities and optimise results following the procedure.
Australia’s
expanding
waistline
Figures by the National
Health Reporting Authority
for the Council of Australian
Governments show
Australia’s obesity rate
has ballooned. Sixty-three
percent of Australians are
now either overweight or
obese, up from 44 percent
in 1989. Of this figure, 28
percent were obese in 2012,
up from 11 percent in 1989.
According to the 2011/12
Australian Health Survey
by the Australian Bureau of
Statistics, more than half of
us (55.7 percent) are trying to
lose weight.
Body lifting
Body contouring surgery after massive weight loss is commonly accompanied by
a lifting procedure. This could be a lower body lift, a breast lift or a thigh lift.
‘Although losing weight is rewarding, it can result in sagging skin,’ says Dr Wall
Jnr. ‘Many people choose to have a lower body lift after weight loss. This removes
excess skin and pulls the remaining skin closer for a more toned, healthy look.’
A lower body lift is performed via an incision around the stomach and back, and
will help smooth and contour the lower body. It can also be effective in reducing
excess skin hanging from the legs and buttocks.
For those seeking a more direct approach, a thigh lift can help improve the
contour and appearance of the upper leg. During the procedure, an incision is
made in the upper inner thigh – in some cases this may extend to the groin line or
buttock fold – and excess fat and tissue is removed via this incision.
US plastic surgeon Dr Constantino Mendieta, who was a keynote speaker at the
AAPSW conference, is considered an international expert in contouring the gluteal
region. He spoke on using an individualised approach in buttock enhancement,
and discussed his buttock lifting technique that can be performed following a
circumferential tummy tuck without the need for further scarring.
For the upper body, breast augmentation can sometimes be sufficient to
counter the heaviness and sagginess resulting from massive weight loss.
Oftentimes it is used to return shape to a flattened, sagging breast, but if it is
combined with mastopexy (breast lift surgery) it can raise the breasts to a more
aesthetically pleasing position. In other patients, breast reduction may be more
suitable following weight loss, and again this can be combined with a mastopexy
to achieve the best results.
Notably, a mastopexy can help reduce the appearance of back rolls, or sagging
skin on the sides and back of a weight loss patient. By pulling the tissue upwards,
and excising a significant amount of skin in the process, breast lifting can also
smooth, lift and tighten the skin around the patient’s rib cage.
Brachioplasty is a procedure to improve the appearance of the upper arm.
During the procedure, an incision is made on the inner surface of the upper arm,
from armpit to the elbow. Liposuction is used to aid in the removal of fatty tissue,
and sutures are placed on the muscle to smooth and define the shape of the
upper arm. As in other surgeries, excess skin is cut away before stitches are used
to close the incision.
In some patients, sometimes on account of weight gain, the mons pubis – the
fatty tissue over the pubic bone – can become bulky or saggy. It is an area that
is very difficult to reduce with diet and exercise, and cosmetic surgery is often
required to make a noticeable difference.
In some cases, liposuction alone can be sufficient in achieving effective results.
Sometimes, however, particularly where there has been excessive weight loss,
excision of tissue is also required. In this, an incision is made – generally along the
pubic hairline – and the excess skin and tissue is removed. The result is a flatter,
tighter and lifted pubic area. The mons pubis area is usually always addressed
during abdominoplasty, however can be treated as a separate procedure.
Body contouring surgery can significantly improve the look of skin folds and
laxity following massive weight loss – helping to boost body confidence and
maximise weight loss results. csbm
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feature
8WAYS TO KEEP
THE WEIGHT OFF
1. Less is more
It’s not uncommon to put on weight during winter – more food, heavier meals –
so it’s time to make healthier choices. By eating smaller meals more often, you
will boost your metabolism and help clean up your diet.
FORGO HIGH-FAT
TEMPTATIONS AND TURN
TO NUTRITIOUS OPTIONS
INSTEAD. YOU’LL NOT
ONLY FEEL HEALTHIER
BUT IT WILL GIVE YOU
MORE ENERGY TO
GET MOVING! AIMÉE
SURTENICH REPORTS.
2. Healthy colour
One of the best ways to lighten your diet is to add fresh fruits and veggies in a
wide variety of colours. Choosing berries, melons and leafy greens to mix into your
balanced meal will increase your intake of essential vitamins and antioxidants,
helps prevent disease and will also increase energy levels.
3. Keep snacking
A successful diet is not about cutting back on food, it’s about eating sensibly
throughout the day so you’re not starving at the end of it. Eat fi ve small meals
every day including some healthy snacks such as nuts and fruit.
4. Fresh is best
The secret to a fl avourful and healing diet is to emphasise foods that are as fresh
as possible. Autumn’s offerings include new-season apples, rhubarbs, pears,
quince, Asian greens, spinach, pumpkin and nuts.
5. Detoxify
Antioxidant-rich vegetables and adequate protein are needed for the removal of
toxins from the system and enhance the liver’s natural detox process. They’ll also
help your immune system to ward off colds and fl us.
6. Keep meals simple
Enjoy the merit of simplicity. By using just a few fresh or seasonal foods and no
processed foods, easy, uncomplicated dishes take on the taste of gourmet.
7. Water yourself
Make a concentrated effort to drink purifi ed water often throughout the day,
especially between meals. We need even more water when the body is fl ushing
out excess toxins. Alcohol, hot drinks and juices don’t satisfy the body’s need for
water: instead, they stress blood sugar and liver function and lead to weight gain.
8. Get motivated to exercise
If you fi nd you’re slow on giving up some of your dietary indulgences, try making
your way to the gym a couple more times a week. It will motivate you to eat
healthier so you’re not working out for nothing. csbm
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ody
BODY CONTOURING
after massive weight loss
MELBOURNE PLASTIC SURGEON DR RICHARD MAXWELL SHARES HIS EXTENSIVE
EXPERIENCE RESHAPING THE BODY AFTER MASSIVE WEIGHT LOSS.
BEFORE AFTER
Body-contouring procedures after massive weight
loss (MWL) can bring about truly life-changing
results. You may have experienced weight loss
through your own efforts or with the help of bariatric
surgery, and want to complete your weight loss journey
with a body-contouring procedure; you may have struggled
with stubborn fat deposits resistant to diet and exercise,
and want to tackle this issue head-on with the help of
liposuction; or you may simply want to change the shape
and size of certain areas of your body, helping to produce a
more cosmetically appealing fi gure.
Prior to losing a large amount of weight people are
naturally focused on their weight loss goal and do not give
much consideration to what shape their bodies will be in
after their desired weight loss has been achieved.
As a result, whilst the outcome on the scales is gratifying,
the presence of signifi cant amounts of loose skin both look
unsightly and can cause painful rashes (intertrigo) and
considerable discomfort when wearing clothes and walking.
For these men and women, body contouring surgery
provides them with a more shapely body to complement
their reduced weight. There is a saying that ‘the bariatric
surgery makes a patient healthy, but the body contouring
surgery makes them happy’.
Some weight loss patients only need to target one
specifi c area of the body to achieve their body-contouring
goals. Others may need to deal with a number of problem
areas, with the surgery spread over a number of operations.
A signifi cant proportion of patients undergo all of the major
body contouring procedures in a number of operations
spread out over 12 to 18 months. This requires a huge
commitment from the patient, but the results can be amazing.
The best results of body lifting/body contouring by
far are achieved in patients who have reached or nearly
reached their ideal weight, with a Body Mass Index (BMI)
of 20 to 30. But very dramatic improvements can be made
62 www.cosbeauty.com.au

ody
1
BEFORE
AFTER body contouring by Dr Maxwell
2
BEFORE
AFTER body contouring by Dr Maxwell
3
BEFORE
AFTER body contouring by Dr Maxwell
www.cosbeauty.com.au 63

ody
in patients whose BMI is higher than 30. Body Mass Index
is calculated by dividing your weight in kilograms by your
height in metres squared:
Normal: 20 – 25
Overweight: 25 – 30
Obese: 30 – 35
Morbidly Obese: >35
Patients who intend to lose more weight are advised to
wait until they reach their target weight before treatment.
Smoking is a contra-indication to MWL body contouring.
ABDOMINOPLASTY
Whilst the abdominoplasty procedure is most commonly
performed on women following pregnancy, it is also
often performed in the massive weight loss setting,
both as an independent procedure and as the front half
of a circumferential lower body lift. This is due in part to
any previous pregnancies and in part to stretching of the
abdominal wall by the large volume of fat deposited around
the abdominal organs in the obese individual.
Not infrequently, the weight loss (‘bariatric’) surgery
requires an open rather than a keyhole procedure, which
involves splitting the vertical tummy muscles (‘rectus
muscles’). Due to these patients’ very large size, the repair
of the separated muscles may come apart post-operatively,
resulting in a ‘ventral’ (incisional) hernia in which some of
the abdominal contents bulge out through the muscle gap.
If the lower trunk skin/fat excess is confined mainly to the
front, then an abdominoplasty suffices and a circumferential
procedure is not required.
The procedure
A transverse wedge of skin and fat extending just above the
umbilicus is excised, followed by suture repair of the rectus
muscles with or without reinforcement with synthetic mesh or
‘artificial dermal matrix’ (ADM). Sometimes a vertical wedge
is also removed, producing an inverted T-scar pattern. This
is called a ‘trefoil’ or ‘fleur-de-lys’ pattern abdominoplasty.
Once the muscles have been repaired, the remaining
abdominal skin is pulled down and sutured to the lower
incision. Lastly, the umbilicus (‘belly button’) is brought back
out to the surface through a new incision.
Drains are not routinely used. A compression garment is
typically worn for four to six weeks. The patient is usually
discharged on the second to fourth post-operative day
and walking is encouraged. Heavy lifting and gym work
can be resumed after about eight weeks. Driving may be
resumed after 10 days, and three to four weeks off work
are usually required.
LOWER BODY LIFT
The introduction of the circumferential ‘lower body lift’ (also
known as a belt lipectomy) in the early 1990s revolutionised
the surgical treatment of the massive weight loss patient.
The Lower Body Lift is a circumferential procedure
consisting of an abdominoplasty in the front, and lifting of
the buttocks and the outer and back part of the thighs.
Liposuction is often performed in conjunction.
The buttocks in particular can be dramatically improved.
The buttocks in these patients tend to be very flat in addition
to drooping, and fat liposuctioned from other areas can be
transferred (grafted) to the buttocks to produce a more
rounded and pleasing shape.
Not infrequently an additional vertical wedge of skin/
fat is removed from the middle of the abdomen to deal
with the laxity in the horizontal direction (fleur-de-lys
abdominoplasty). The Lower Body Lift can be combined
with other contouring procedures.
The procedure
A Lower Body Lift takes around four to six hours on a
thinner patient and longer on a larger patient where
liposuction has to be performed before the excess skin can
be excised.
All the wound closures are performed with buried
dissolvable sutures. Drains are not routinely used which
makes the post-operative recovery much easier.
At the end of the procedure a compression garment is
worn. Patients are encouraged to sit out of bed and walk a
little on the first post-operative morning. A blood transfusion
may be required to optimise recovery, especially where
the body lift has been combined with another contouring
procedure. Discharge from hospital is around the fifth postoperative
day.
UPPER BODY LIFT
This term includes breast rejuvenation surgery (reduction/
lift/enlargement/gynaecomastia treatment in males) and
tightening of the sides of the chest and back if required.
Some practitioners include arm reduction surgery
(brachioplasty) in this grouping.
BRACHIOPLASTY
Arm reduction surgery is an excellent procedure for
individuals who are self-conscious about the appearance
of excess tissue below their arms (so-called ‘tuck-shop
arms’). The brachioplasty procedure restores more youthful,
toned contours to the arms and gives patients greater selfconfidence
in their appearance.
Interestingly, many massive weight loss patients, in spite
of the fact that they have extensive rolls of loose skin and
fat around the lower trunk, which one would think would
be the top priority for treatment, request brachioplasty as
the initial procedure. This is because they desire to wear
short-sleeved tops which expose their arms and find it very
hard to find clothes that fit, whereas the lower body/thighs
can be easily hidden by clothes and so can be dealt with
at a later date.
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4
BEFORE
AFTER body contouring by Dr Maxwell
5
BEFORE
AFTER body contouring by Dr Maxwell
6
BEFORE
AFTER body contouring by Dr Maxwell
7
BEFORE
AFTER body contouring by Dr Maxwell
www.cosbeauty.com.au 65

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The procedure
Patients presenting for brachioplasty understandably would
like the incision to be placed in the armpit and the skin
pulled up to that site and the excess removed, leaving a
small hidden scar. Unfortunately the reality is that only the
smallest amount of skin can be removed this way and that
skin has to be located close to the armpit.
Candidates for brachioplasty have skin/fat excess at
least half-way down the arm and in many it extends as far
as the elbow, and the only effective way to treat this is by
making the incision and therefore the scar down the inner
aspect of the arm, often all the way to the elbow.
Body contouring surgery
creates a more shapely body
after significant weight loss
If the skin excess extends past the armpit and onto the
chest wall then the excision is extended to incorporate this.
If the patient has excess fat in the arms – usually on the
back of the arm up towards the shoulder – liposuction will
be also be performed. Suction drains may be used.
Compression sleeves are fitted at the end of the
procedure and are worn for four weeks. The patient is
typically discharged on the second post-operative day.
After the surgery, moving the arms as pain permits is
encouraged. Fluid may collect, especially just above the
elbow, due to the interruption of lymphatic channels. This is
called a ‘lymphocoele’. The fluid is drained painlessly in the
rooms, usually on two or three occasions before it resolves.
Unlike the scar in the tummy tuck procedure, the
brachioplasty scar is not in a favourable anatomical location
and often six to 12 months are required for the scars to
fade. Occasionally the scar becomes tight, producing
discomfort on stretching the arm above the head. In this
case a scar revision is performed. The arm reduction
procedure may need to be revised after a number of years
due to recurrence of skin laxity due to ageing.
INNER THIGH LIFT (REDUCTION)
Excess tissue between the thighs rubs together, causing
discomfort when walking. The inner thigh lift, in most cases
assisted by liposuction, produces smoother, shapelier and
much younger looking thighs which no longer cause friction.
The procedure
The general conception amongst patients is that the inner
thigh lift is a simple, quick procedure, but in fact for the
surgeon it is technically demanding due to the awkward
site and the difficulty of access. The inner thigh lift for many
years was performed through an incision from the groin
through to the buttock fold.
As in brachioplasty, patients understandably expected
the lift to be done though this incision alone, but the reality
was that this was suitable only for a few patients, and
the incision was invariably extended down the inner
aspect of the thigh, often as far as the knee, producing a
T-shaped scar.
The horizontal resection represents a true lift, but gravity
gradually drags the scar down so that the scar, initially
hidden within the underpant line, becomes visible below
this. More recently a vertical resection alone has become
the procedure of choice, with the excision extended up
alongside the pubic area when required. The three big
advantages of the vertical excision are: 1. Much of the
excess is located down the inner thigh; 2. The tightening
is across gravity, rather than opposing it; 3. There is no
T-junction in the groin region where tissue breakdown with
delayed healing was very common with the older technique.
Suction drains may be used, and the patient is encouraged
to mobilise on the first post-operative day and is ready for
discharge home the following day. A compression garment is
worn for about four weeks (six weeks if a significant amount
of liposuction has been performed).
After an inner thigh lift, patients are encouraged to walk
following discharge home. Jogging may be resumed after
six weeks but upper body gym work can be resumed after
about three weeks. Fluid may collect, especially just above
the knee, due to the interruption of lymphatic channels,
which is drained in the clinic until it resolves.
The vertical scar down the thigh is not in a ‘favourable’
skin line and therefore may remain pink and visible for some
months but then settles down into a pale scar which is
hard to see.
GYNAECOMASTIA
Gynaecomastia refers to a condition in which men have
enlarged breasts, also known rather unkindly as ‘man
boobs’. Men who have developed enlarged breasts may
feel embarrassed and may be hesitant to be seen in T-shirts
or to take their shirts off in public such as at the beach.
In the massive weight loss setting, the breast
enlargement is due to an accumulation of fat and there may
be little or no actual breast tissue. This is called ‘pseudogynaecomastia’
and may respond to liposuction alone.
The skin excess usually necessitates skin resection with
transposition of the nipple or removal of the nipple at the
start of the procedure and replacement of it as a graft at the
end of the procedure. Removal of skin necessarily means
scars on the male chest, which are avoided wherever
possible. Suction drains are used in this procedure. A
compression garment is then applied for four weeks.
The patient is discharged on the second post-operative
day. Arm motion is encouraged. As mentioned in relation
to other body-contouring procedures, some fluid may
collect in the subcutaneous space (a ‘seroma’), requiring
aspiration in the clinic.
66 www.cosbeauty.com.au

MR RICHARD MAXWELL
MELBOURNE PLASTIC SURGEON FRACS (Plast)
High quality
care,
beautiful
results
Mr Richard Maxwell is a widely
respected plastic surgeon in the
Melbourne, Victoria area.
For 20 years, Dr Maxwell has used
his plastic surgery skills to help patients
enhance their appearance and improve
their self-confi dence. He and his staff
ensure safe and effective treatments for
cosmetic enhancement and rejuvenation,
with a particular interest in body
contouring after massive weight loss.
PLASTIC SURGEON SPECIALISING IN:
Body surgery – contouring after massive
weight loss, liposuction, tummy tuck,
body lift, gynaecomastia
Breast surgery – augmentation,
lift, reduction
Face surgery – facelift, blepharoplasty,
rhinoplasty, otoplasty
Non-surgical – anti-wrinkle injections,
fi llers, fat transfer
CABRINI MEDICAL CENTRE MITCHAM PRIVATE CONSULTING SUITES WILLIAMSTOWN DERMATOLOGY
info@maxwellplasticsurgery.com.au
www.maxwellplasticsurgery.com.au 03 9509 9699

ody
insight
a woman’s
Sydney Plastic Surgeon
Dr Amira Sanki understands firsthand
the motivations, concerns
and desires of her female PATIents.
Caitlin Bishop reports.
The decision to undergo cosmetic surgery should be
a personal, positive and educated one. A good
rapport with your surgeon is key in optimising surgical
outcomes and, in some cases, a woman’s understanding
can help establish the best plan for your body and your
expectations and motivations.
Sydney plastic surgeon Dr Amira Sanki is one of a
handful of female plastic surgeons in NSW. She has a
personal insight into the needs, concerns and desires of her
female patients, and is not afraid to bring her experiences
into her consultations with female patients.
‘A female plastic surgeon has experienced first-hand a
lot of the concerns that her patients are going through,’
Dr Sanki explains. ‘At university, I wanted flawless skin;
when I was training as a plastic surgeon, I did everything I
could to look less tired and run down; when I had children,
I wanted my body to bounce back to where it used to be. I
understand the different stages a woman might go through
in her life.’
The same way she can relate to those concerns that
are driving women to seek cosmetic surgery, Dr Sanki
also understands the feelings of apprehension that might
surround the surgery itself and the recovery period.
‘Women are often the backbones of our homes and
workplaces, and want to get through our surgery as safely
and predictably as possible,’ she says. ‘Women want to go
on being a mother, a wife and a professional.’
Further demonstrating her commitment to making her
patients as comfortable as possible, Dr Sanki sometimes
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works with an all-women surgical team, depending on her
patient’s preferences.
‘Surgery is quite a daunting thing to consider, and I will
do all that I can for my patients so they feel comfortable and
secure,’ she says. ‘My anaesthetists, nurses and surgical
assistants have all been working with me for years. They
are part of my team, not just because they are women, but
because I know they are the best in their professions. Also,
they have all had some type of surgery at some point in
their lives – I think this gives them unique insight into what it
feels like to be a patient in an operating room.’
Mummy makeover
For many women, changes to the body that occur during
childbearing can be difficult to reverse with diet and
exercise endeavours. A “mummy makeover” is a surgical
procedure that combines abdominoplasty and breast
surgery – augmentation, reduction and/or lift (mastopexy)
– to achieve an all-over transformation.
‘There are two distinct groups of patients who commonly
seek “mummy makeover” surgery,’ Dr Sanki explains.
‘There are women who want to restore their bodies to how
they looked before having children – this group tends to
want more natural-looking, modest results. The other group
includes those who wish to seize the opportunity to create
the body they’ve always wanted. These women usually
have kids who are finishing or have finished school and they
finally have time to make themselves more of a priority and
invest in how they look.’
Before any surgery, patients undertake multiple
consultations with Dr Sanki. This allows the patient to
properly understand all that is involved in the procedure
and recovery period, and gives Dr Sanki an opportunity
to accurately gauge the patient’s motivations, concerns
before
and expectations. ‘All of our patients have at least two
consultations, so I can understand who they are as people
and what motivates them for undertaking the surgery, as
well as educating them about all aspects of the operation,’
she says. ‘After taking a list of my patient’s concerns and
health issues, we then decide together on their implant
choice, and whether they need a combination procedure
like a breast augmentation and a mastopexy (lift). In the
second consultation, my patients have an opportunity to
ask additional questions about their surgery. We then take
them through all the expectations of their surgical process
– who will drive them home after the surgery, their comfort
plan, when they can resume work, etc.’
Because it combines several procedures, a ‘mummy
makeover’ can be quite an extensive operation. Dr Sanki
usually performs the surgery in one session, however can
tailor her surgical approach depending on the patient.
‘In most patients, a mummy makeover can be achieved
in one surgical session,’ she says. ‘In more complex
makeovers, where there are multiple reconstructive and
cosmetic issues, it is generally preferable to stage the
surgery. I always take into account the wishes of my
patients and their lifestyle requirements.’
The recovery period following surgery is crucial in
securing the best result possible. Combination procedures
typically involve a couple of nights in hospital, followed by
one or two weeks rest at home. Dr Sanki is on call for her
patients at any time of the day during their recovery, and
undertakes a minimum of three follow-up sessions with
each patient to monitor their recovery and progress.
‘It’s an amazing moment when my patients come in for
their final follow-up, wearing a new outfit and feeling like
a new person,’ Dr Sanki says. ‘I am always overwhelmed
by that moment. That’s what plastic surgery is all about:
improving self-confidence and transforming lives.’ csbm
after
BEFORE
AFTER breast augmentation by Dr Sanki
www.cosbeauty.com.au 69

ody
The
‘Western
Society’
Syndrome
SYDNEY COSMETIC SURGEON, ANTI-AGEING AND REGENERATIVE
PRACTITIONER DR JOSEPH GEORGHY HAS DEVELOPED A NEW TREATMENT
APPROACH FOR METABOLIC SYNDROME, A COMPLEX MEDICAL CONDITION
ALSO KNOWN AS THE ‘WESTERN SOCIETY’ SYNDROME.
Metabolic syndrome is a medical condition that
usually affects middle-aged men, but it can start
at any time. It is characterised with central
abdominal adiposity, or a growing waistline, occasionally
forming an apron-like fold over the abdomen.
Abdominal adiposity is also called visceral fat, which
lies deep within the abdominal cavity and pads, the
internal abdominal walls, and the attachments of the
organs (particularly the small and large bowel).
This internal fat, also known as white fat, is considered to
be mainly responsible for the metabolic effects on
insulin resistance (IR), cardio-metabolic syndrome, type 2
diabetes, hypertension, depression, Vitamin D defi ciency,
partial androgen defi ciency in males (PADM), dyslipidaemia,
osteoporosis, cognitive decline, erectile dysfunction,
sleep apnoea, general cancer risk (breast, colon,
prostate), kidney disease and kidney failure, and probably
much more.
Unfortunately, many young men are not recognised
with metabolic syndrome and some are misdiagnosed and
treated for depression instead.
What is insulin resistance?
Insulin resistance (IR) is usually defi ned as a state
characterised by the reduced glucose-lowering activity of
insulin, but it can also be used as a shorthand label for a
clinical syndrome encompassing signifi cant pathologies of
metabolic syndrome. Insulin is a gene expression modulator
involved in many biochemical processes in the body.
Failure to diagnose IR in the younger population has
a possible association with abdominal obesity (cardio
metabolic syndrome is present in 6.7 percent of people
aged 20 to 29 years and is increasing every year).
How does metabolic syndrome
develop?
I believe low testosterone, low Vitamin D, low serotonin
levels, lack of exercise, increased food intake (particularly
carbohydrates and phytoestrogens) and family propensity
to consume excess calories may trigger a cascade of
effects leading to metabolic syndrome. It can start at any
70 www.cosbeauty.com.au

ody
time, even in teenagers, but the risk factor increases with
age and it is more prevalent in the ageing population.
Metabolic syndrome can be treated. An experienced
medical practitioner can diagnose and treat the condition
early with an integrative medical approach, including:
• Lifestyle interventions (low GI Mediterranean diet,
exercise, socialising, stress management)
• Macro- and micro-nutritional management (green
tea, cinnamon, fenugreek, Banaba, fish oil, Boswelia,
Curcumin, Ubiquinol)
• Supplementation (Vitamin D, Q-10 (in the form of
Ubiquinol), Alpha Lipoic Acid)
• 5-hydroxytryptophan (5-HTP) therapy. Researchers have
found 5-HTP make people feel more full after eating, so
they ate less. Since serotonin helps regulate mood and
behaviour, 5-HTP may have a positive effect on sleep,
mood, anxiety, appetite and pain sensation.
• Lipostructure of fat deposits
• PhotoDynamic HelioTherm to treat internal white fat
deposits (thermogenic effect) and probably much more.
The combination of lifestyle modification, lipostructure
and PhotoDynamic HelioTherm therapy is a new
advancement in the treatment of metabolic syndrome. In
my experience, it is painless, there is no downtime (literally
walk in, walk out), provides an excellent skin retraction
(particularly if combined with MicroPen microneedling and
platelet-rich plasma (PRP) therapy).
The results can be permanent, provided the patient eats
sensibly, exercises regularly and takes supplements and
prescribed medications. Most patients are very satisfied
with the results. They feel more comfortable in a wide
variety of clothes and more at ease with their bodies.
As long as a patient’s expectations are realistic, they
should be happy with their new shape.
What is the future?
BioRestorative Therapies Inc, a stem cell biotechnology
company, is advancing its ThermoStem Program,
designed to develop treatments using brown fat stem cells
for metabolic disorders and obesity, focusing on potentially
preventing the onset of type 2 diabetes.
The ThermoStem Program is based on pre-clinical
research that increased amounts of brown fat in the body
may be responsible for additional caloric burning and
reduced glucose and lipid levels. Potential use may include
inducing weight loss (a ‘biologic diet’) and the reduction of
glucose and lipids – perhaps even leading to delaying or
preventing the onset of type 2 diabetes.
I believe that lifestyle modification, lipostructure (to
selected fat deposits), PhotoDynamic HelioTherm (lipolysis
and skin tightening) and adopting the ThermoStem
Program (using brown fat stem cells) is the future treatment
in managing metabolic syndrome. csbm
Declaration of interest: The author is a designer and investor of
PhotoDynamic HelioTherm Therapy and investor in BioRestorative
Therapies - ThermoStem Program (Brown Fat Stem Cells).
Case study
This 80-year-old patient requested liposuction. He was told
that he was an unsuitable candidate as liposuction can
remove external fat but not internal (visceral) fat.
The patient is very happy with the result after
Photodynamic HelioTherm, lifestyle modification, hormonal
and supplements therapy. In total he has lost more than
16cm of his circumference.
He says his energy level and work productivity has
increased dramatically and is planning to stay in the
workforce for another 10 years and retire at the age of 90!
BEFORE
Six months AFTER BioRestorative ThermoStem Program by
Dr Georghy
12 months AFTER BioRestorative ThermoStem Program by
Dr Georghy
www.cosbeauty.com.au 71

tattoo removal
The latest in
tattoo
removal
PicoSure signifies a breakthrough in laser
tattoo removal, affording superior results in
fewer treatments. Caitlin Bishop reports.
Once upon a time, tattoos were a lifetime commitment and, regrettable
or not, the design was there to stay. Now, thanks to advancements
in tattoo removal technology, those decisions don’t have to be so
permanent. The new PicoSure laser from Cynosure is the first and only
picosecond laser, delivering ultra-short pulses of energy to shatter tattoo pigment
in the skin.
‘The PicoSure delivers laser energy 100 times faster than traditional
Q-Switched lasers, making laser tattoo removal safer and more effective than
ever before,’ explains Dr John Relic, a dermatologist in Lake Macquarie, NSW.
‘Traditional tattoo removal can take between five and 15 sessions, while the
PicoSure can completely remove tattoos in as little as five sessions.’
It is the extra short pulses – at a trillionth of a second – that distinguish PicoSure
from traditional tattoo removal lasers. The system uses patented Pressure
Wave technology to target and shatter the ink particles, meaning tattoos can
be cleared in fewer treatments.
‘The PicoSure delivers a lot more energy, in a shorter period of time, compared
with traditional tattoo removal lasers,’ explains cosmetic dermatologist from
Neutral Bay Dr Terence Poon, who specialises in laser treatments. ‘It is more
effective in breaking up the tattoo particles – like breaking boulders into sand
grains. This helps the body’s immune system remove the particles more rapidly.’
Because of the intensity created by the wave, lower fluencies (the energy
72 www.cosbeauty.com.au

tattoo removal
PicoSure is the
treatment of
choice for our
tattoo removal
clients, and we
have seen some
amazing results
Because of the intensity created by the Pressure Wave, lower fluencies (the energy
delivered per unit area) can be utilised to achieve ink particle fragmentation.
‘The PicoSure causes a photomechanical action in the skin – which is the
shattering of ink particles – as opposed to a photothermal action delivered by
traditional lasers,’ Dr Relic says. ‘This means there is lesser risk to the surrounding
tissue, and helps create those smaller particles that are easier for the body to clear.’
PicoSure is equipped with an Alexandrite wavelength (755nm), which has the
ability to target green, blue, purple, black and brown inks – colours that have been
typically difficult to move. ‘Green inks are particularly difficult to remove, and the
PicoSure is effective in targeting these,’ Dr Poon explains. ‘In some cases, the
PicoSure might be used in conjunction with a traditional Q-Switched laser to combat
some of the more stubborn colours, for example to help remove red ink.’
The specified wavelength also reduces the risk of pigmentation or textural
irregularities following treatment. The wavelength targets tattoo ink without affecting
the surrounding melanin – the skin’s natural pigment. ‘The 755nm wavelength
means there is very little, if any, absorption of melanin,’ Dr Relic explains. ‘This means
the PicoSure can specifically target the tattoo ink, leaving the surrounding skin
untouched. Some people may experience minor textural or pigmentation changes
to the treatment site, but these are usually short-term.’
The treatment itself is relatively comfortable, and does not require anaesthetic.
Patients may experience some blistering and redness immediately post-laser, but
this should subside over the next day or two.
‘The sensation during treatment is similar to the snap of a hot rubber band on the
skin, and the process is usually very well tolerated,’ Dr Relic says. ‘We use a cooling
system to cool the skin before and during treatment, to reduce any discomfort.’
‘Immediately following treatment, the tattoo will turn a frosty white colour. This
lasts approximately 30 minutes before the colour returns to normal,’ Dr Relic adds.
‘Clients need to ice the treatment area, on and off, for up to four hours following
PicoSure and, if the treatment area is on the legs or feet, we encourage our clients
to keep the area elevated.’
There are some potential risks associated with PicoSure treatment, and Dr
Poon explains patients should consult an experienced operator before undergoing
treatment. ‘There are risks involved with any laser treatment, and it is the experience
of the operator that makes the difference,’ he says.
Changes to the tattoo can usually be seen within the first week following
treatment with PicoSure. These changes – particularly after the initial treatment –
usually involve fading and “fuzzing” of the ink around the edges of the tattoo, before
the ink completely disappears.
‘We see a vast array of tattoos, and clients want them removed for a multitude
of reasons,’ Dr Relic explains. ‘Some clients need to have their tattoos removed so
they can start a career or, in some cases, so they can move on from a painful past.’
‘PicoSure is the treatment of choice for our tattoo removal clients, and we have
seen some amazing results. It can help clear stubborn tattoos, and the treatment
period is significantly reduced. With PicoSure, our clients can have their tattoos
completely removed much sooner,’ Dr Relic concludes. csbm
BEFORE
AFTER three treatments with PicoSure laser. Photos courtesy of Dr Relic at
Newcastle Tattoo Removal.
www.cosbeauty.com.au 73

picosuretattooremoval
No more
tattoo regrets...
PicoSure for fast and
effective tattoo removal
Erase unwanted tattoos with PicoSure, the world’s first picosecond
aesthetic laser treatment available for fast and effective tattoo removal.
PicoSure targets unwanted ink more effectively than ever before,
successfully removing difficult ink colors, such as blues and greens,
as well as previously treated tattoos. Fewer treatments, faster recovery
time, and greater results are achievable with PicoSure’s ground-breaking
picosecond technology.
picosure.com.au
cynosureaustralia.com
© 2013 Cynosure, Inc. Cynosure is a registered trademark and
PicoSure is a trademark of Cynosure, Inc. ALL RIGHTS RESERVED.

Before
After 20 treatments
Q-Switched Nd:YAG
Photo courtesy of Cynosure, Inc.
After 6 treatments
PicoSure
Before & After 3 treatments
Photo courtesy of K. Arndt, MD & J. Dover, MD
Before & After 3 treatments
Photo courtesy of Cynosure, Inc.
Before & After 3 treatments
Photo courtesy of R G. Geronemus, MD
Visit picosure.com.au
to find your nearest provider

feature
BREAST
5IMPLANTS:
ESSENTIAL
FACTORS
76 www.cosbeauty.com.au

feature
Thinking about a breast enlargement? Here
are the 5 most crucial aspects of breast
implant surgery you need to know.
Aimée Surtenich reports.
Implant
shape
Choosing the right shape of breast implants is vital to the success of your surgery.
Indeed, your choice of round, teardrop or conical will help determine your final
breast shape after surgery.
Choosing the right implant for you is dependent on your existing breast size,
shape, symmetry and projection, body type, and your personal preferences.
There is no one breast implant shape that is best for everyone. Your surgeon
is the best resource for determining what breast implant is best for you and your
body type.
Round and teardrop implants are most commonly used, however conical
implants are becoming more popular to help fill an ‘empty’ chest in certain cases.
Round implants
Round implants are circular with an even projection of volume. They are a good
choice for those who want more fullness in the upper part of the breast and tend
to give greater cleavage. Many surgeons agree round implants are typically the
best choice for those patients with well-shaped natural breasts who desire a
straightforward breast enhancement.
Teardrop implants
Teardrop, or anatomical, implants more closely resemble the natural shape of a
breast, gradually sloping downwards to produce an attractive straight line from
the collarbone to the nipple. Teardrop implants tend not to be as full as round
implants but because they are fuller in the lower half they can also provide greater
projection in proportion to the size of the base, making them particularly suitable
for women with little natural breast tissue. Mild elevation of the breast and the
nipple can also be achieved, making them particularly suitable for women who
have mild droopy or tuberous breasts.
Conical implants
While not as well-known as round and teardrop shapes, the conical implant is
gaining popularity for its ability to add volume to both the upper and lower poles
of the breast while also creating a good elevation of the breast and nipple to
counter ptosis or droopiness.
It is essential that the right amount of volume, or fill, is selected – otherwise
there is a risk the breasts will end up with a pointy appearance. They are available
in polyurethane surface only.
www.cosbeauty.com.au 77

feature
Implant size
Breast implant sizes are designated by their volume, which in Australia ranges from 90 to 900 cubic
centimetres or millimetres (cc or mm), or by their weight. One gram of silicone is equivalent to slightly
less than 1ml (1cc). The higher the number, the larger the implant.
They are also made with different diameter bases to suit different widths of chest wall and with
low to high profiles (amount of forward projection). For this reason, each manufacturer produces a
number of ‘styles’.
It’s important to take your natural breast width into consideration. Your surgeon will measure the
base diameter of your chest to determine the ideal width of implant. If the implant is too wide for
your chest, you may get ‘webbing’ between your breasts (symmastia) or too much ‘side boob’. If the
implant is too narrow, it will not fill the chest appropriately and be difficult to create a shapely cleavage.
The choice of implant projection is to a large extent a personal one. A woman with adequate breast
tissue and a shape she is happy with may opt for a low-profile implant that will simply increase the
size of her breasts. Another patient seeking to create cleavage, or a patient with some degree of sag,
may prefer a high-profile implant that can help achieve these results.
During your consultation, your surgeon will take into consideration the width of your chest and
breast tissue and advise you on the most suitable implant size and style for your individual anatomy.
Implant material
This next crucial factor looks at the type of fill (saline or
silicone) as well as the shell of the implant wall (smooth or
textured).
Silicone vs saline
Saline and silicone breast implants both have an outer
silicone shell, however they differ in material, consistency
and techniques used for placement. Both types of implants
have their own advantages and risks.
Silicone gel-filled implants are used more commonly in
Australia. Silicone implants contain a cohesive gel, designed
to mimic real breast tissue. It has a slightly firm, non-runny
consistency, which can give a more natural feel. As the gel
is not liquid, the risk of dispersal if the implant ruptures is
minimised. It also typically maintains its shape better than
a saline implant, especially in the upper part of the implant.
Saline-filled implants use a medical grade saltwater
solution, which makes the implant feel like a water-bed. This
can be controlled to an extent by the volume of fill in the
implant. If implant rupture occurs, the saline is absorbed by
the body. However, saline implants feel firmer than silicone
implants and have a higher risk of visible folds and ripples.
Unlike silicone gel implants, saline implants can be filled
through a valve during surgery. Because of this, the insertion
of the implants generally requires a smaller incision than that
associated with silicone gel implants. The amount of fill can
also be adjusted after surgery, which is not possible with
fixed silicone gel implants.
Smooth vs textured
Implant shells can be smooth or textured. Smooth-shelled
implants are easy to insert and make the breast move and
feel more natural than a textured shell. However, they have
increased risk of capsular contracture (hardening of the
breast), which is a common reason for re-operation.
Textured implants have a thicker shell and the very nature
of their surface means they can grab onto and adhere to
the surrounding tissue, causing less friction between the
implant and breast pocket and therefore helping to reduce
the risk of capsular contracture. Many surgeons also believe
it offers them greater control over the ultimate shape of
the breast.
Round implants come in smooth and textured shells, but
anatomical implants have textured surfaces only to allow for
better integration with the surrounding breast tissue. The
implant may still flip or move and distort the appearance of
the breast, so the surgeon must be experienced with this
type of implant.
The polyurethane foam coated breast implant gained
approval for use in Australia in 2008. Used in South America
and Europe since the 1970s, it was designed to significantly
reduce rates of capsular contracture. With the foam coating,
the collagen fibres that surround the implant are not lined
up, but sit in a circular pattern around the foam structure.
This means they are less likely to slide over one another and
contract. There are differences in technique with this type
of implant, such as the pocket size used to accommodate
the breast implant needs to be typically bigger than usual.
Regardless of the type of implant women choose, the
shape, texture and size can be customised to reflect her
individual body type and aesthetic goals.
78 www.cosbeauty.com.au

feature
Incision site
There are four incision options: the inframammary crease (under the breast
where it meets the chest), periareolar (around the nipple), transaxillary (inside the
armpit) and transumbilical (through the navel).
Inframammary
The inframammary incision is the most common breast augmentation incision
used today, made in the crease under the breast close to the inframammary fold.
The surgeon creates a pocket for the breast implant, which is slid up through the
incision, then positioned behind the nipple.
This incision offers the best exposure for visualisation and allows the implant
to be placed over, partially under or completely under the chest wall muscle. The
scar is hidden in the crease under the breast and is not normally visible when
wearing a bikini top.
Periareolar
The periareolar incision is another widely used method for placing breast
implants, particularly for those . An incision is made just beyond the areola, which
is the darker area of skin surrounding the nipple. The incision should be made at
the very edge of the areola where the dark tissue meets the lighter breast tissue,
which makes the scar least visible.
Similar to the inframammary incision, the periareolar incision allows the
surgeon to work close to the breast. It is possible for the surgeon to easily and
precisely place the breast implants in various positions in relation to the chest
muscle. However, this is the only incision that involves cutting through breast
tissue and ducts, and sensitivity in the nipple may be reduced.
Transaxillary
The transaxillary incision is made in the natural crease of the armpit and a channel
is created down to the breast. This may be performed with an endoscope (a
small tube with a surgical light and camera in the end) to provide visibility. The
www.cosbeauty.com.au 79

feature
implant is inserted and moved through the channel into a prepared pocket.
The greatest advantage of an underarm breast augmentation incision is that
no scar is left on the breasts. The scar is virtually invisible in the armpit fold and
lack of tension generally makes for straightforward healing.
The transaxillary site is relatively far from the breast, where the surgeon needs
to create a pocket for the implant, so visibility is limited. There is also a higher
incidence of the implant being positioned too high and a greater risk of breast
asymmetry after surgery.
Transumbilical or navel (TUBA)
The TUBA incision is made on the rim of the navel. An endoscope can be used to
create a tunnel and to provide visibility to the surgeon. After a pocket is created
in the breast, the implant is inserted through the incision and moved up into the
breast area and positioned in the pocket.
The resulting scar from the TUBA incision is typically virtually undetectable
and does not appear on the breasts. Inserting breast implants through the navel
requires only one incision (and scar) for both breasts, while other incision sites
require separate incisions.
However, this incision can only be used for saline implants as the filling is
added after the implants are placed. Also, the distance of the incision from the
breast can reduce the surgeon’s ability to control bleeding and to position the
implant correctly.
80 www.cosbeauty.com.au

feature
The placement of breast implants can have a significant impact on the final
outcome of breast augmentation and therefore it requires individual consideration.
Experienced surgeons base their implant placement decisions on factors
such as the individual patient’s quantity of breast tissue, natural breast size
and symmetry, the dimension and shape of the chest wall, the amount of
subcutaneous fat and the quality of breast skin.
Generally, there are three placement options: subglandular (in front of the
muscle), submuscular (behind the muscle) and dual plane (partially under the
muscle). There are pros and cons for each position.
Implant
placement
Subglandular
The subglandular pocket is created between the breast tissue and the pectoral
muscle. This position resembles the plane of normal breast tissue and the
implant is placed in front of the muscle. Sometimes the implant is covered
by a thin membrane, the fascia, which lies on top of the muscle. This is called
subfascial placement.
This position is suited to patients who have sufficient breast tissue to cover
the top of the implant. This procedure is typically faster and may be more
comfortable for the patient than submuscular placement. There is generally less
post-operative pain and a shorter recovery period because the chest muscles
have not been disturbed during surgery. The implant also tends to move more
naturally in this position.
However, subglandular breast implants may be more visible, especially if the
patient has little breast tissue, little body fat and thin skin. With subglandular
implants, there tends to be more of a pronounced ‘roundness’ to the breasts,
which may look less natural than those placed under the muscle, but this is a
matter of personal preference.
Submuscular
The implant is placed under the pectoralis major muscle after some release
of the inferior muscular attachments. Most of the implant is positioned under
the muscle. This position can create a natural-looking contour at the top of the
breast in thin patients and those with very little breast tissue. The implant is fully
covered, which helps to camouflage the edges of the implant, as well as rippling.
With this placement, there is less chance of capsular contracture occurring.
There may be more post-operative discomfort and a longer recovery period.
The implants may appear high at first and take longer to ‘drop’.
Dual plane
The implant is placed partially beneath the pectoral muscle in the upper pole,
where the implant edges tend to be most visible, while the lower half of the
implant is in the subglandular plane. This placement is best suited to patients
who have insufficient tissue to cover the implant at the top of the breast but who
need the bottom of the implant to fully expand the lower half of the breast due to
sag or a tight crease under the breast.
This position minimises the rippling and edge effect in thin patients while
avoiding abnormal contours in the lower half of the breast. Generally, this
placement is able to achieve a more natural shape to the upper portion of
the breast instead of the ‘upper roundness’ that can be more common with
subglandular implants. However, it involves more complex surgery, which if not
performed correctly may result in visible deformities when the pectoral muscles
are contracted. csbm
www.cosbeauty.com.au 81

easts
The
saline
solution
for breast
enhancement
Sydney plastic surgeon
Dr Darryl Hodgkinson
explains the benefits of
saline breast implants.
After performing breast augmentation surgery for more
than 30 years and having used every reputable type
of breast implant through every incision possible, I
have realised the benefits of breast augmentation but also
the limitations of the procedure.
Over the years the implant which has given me the least
amount of problems and the most satisfied patients with
the least amount of worry and angst has been the saline
implant. While the saline implant is not necessarily good
for everybody, I believe it holds numerous advantages over
silicone implants.
The main advantage of the saline implant is that there is
very little reaction to the implant – you cannot have any fill
in an implant less reactive than saline. Another advantage is
that the saline implant has never been taken off the market;
there has never been a saline scare and that is of great
solace to patients having breast implant surgery.
The third most significant advantage of the saline implant
is that because it comes uninflated it can be inserted through
small distant incisions, which means it can be used in the
TUBA (transumbilical breast augmentation) incision and
through the axillary incisions in the armpits. It is particularly
Asian patients (most commonly due to a higher incidence
of keloid scarring on the breast) and models (who do not
wish to have any telltale marks on their breasts) who like
the incision hidden and therefore request the axillary and
sometimes TUBA approach. Only the saline implant can be
used this way.
There are also some particular aesthetic advantages to
the saline implant. The implant, as one patient said, has
“the jelly factor”, so that when the patient moves the implant
adds a slight shimmy to the movement of the breast that
is very much like natural breast tissue. Gel implants, on the
other hand, have very little, if any, movement.
82 www.cosbeauty.com.au

easts
The saline implant remains much more popular in the
United States than in Australia and I think that is basically
because many of the surgeons in the US had to become
familiar with the saline implant after the silicone implant was
removed from the market in 1992. Once they became familiar
with the implant, the surgeons were happy with the results.
The rate of capsular contraction or hardness with the
saline implants is also particularly low and therefore a further
significant advantage to patients, meaning they are unlikely
to develop a hardness around the implant and a deformity
to the shape of the implant.
The saline implant comes in exactly the same sizes
and shapes as the silicone implant. The saline implant
has exactly the same rate of rupture as the gel implant.
The difference with the saline implant is, however, that the
implant deflates so that the patient knows a rupture has
occurred and can have the implant replaced as opposed
to having it leak slowly over a period of time. The further
advantage again is that the patient has a material in her
body which is naturally occurring – sterile saltwater – as
opposed to a foreign substance – silicone gel.
We all know that having breast implants at an early age
does not mean that it is a once in a lifetime procedure and
the suggestions are now that, especially with gel implants,
the implants be monitored regularly with a view to having
them changed on a regular basis every 10 years. There is
not a suggestion to change without cause, such as deflation
with the saline implant.
Although there is no perfect implant, for patients who
are realistic, do not want too big a result, and are not
too thin, the saline implant is an ideal solution to breast
enhancement. csbm
BEFORE
AFTER saline breast implant surgery by Dr Hodgkinson
BEFORE
AFTER saline breast implant surgery by Dr Hodgkinson
www.cosbeauty.com.au 83

easts
BREAST
SURGERY
for both
men
&
women
DR JOHN FLYNN
FROM QUEENSLAND
SAYS BREAST
SURGERY CAN
HELP RESTORE
CONFIDENCE AND
IMPROVE BODY IMAGE
IN BOTH MALE AND
FEMALE PATIENTS.
CAITLIN BISHOP
REPORTS.
Breast surgery is sought out by both men and women to help reverse the signs
of ageing, or bring the body more into proportion. For men, gynaecomastia,
or “man boobs”, can occur due to weight gain, supplement abuse or with
hormonal changes during puberty. For women, breast augmentation can help
counter the changes that occur with age and child bearing or, in younger patients,
add volume and create a more balanced silhouette.
No matter what the reasons for seeking breast surgery, both men and women
experience similar concerns going into the consultation. ‘It may come as a
surprise, but many of the same elements pertain to men as they do to women in
breast surgery,’ says Dr John Flynn from Queensland. ‘As we age, the glandular
component in the breast decreases and is commonly replaced with fat. This can
lead to loss of volume and sagging breasts in women, as well as gynaecomastia
in some men, particularly those who are overweight. By balancing the fi gure,
and establishing more youthful contours, breast surgery can make a signifi cant
difference in both male and female patients.’
Breast surgery in women can involve both breast augmentation and a breast
lift. Depending on the patient’s concerns and existing anatomy, Dr Flynn will tailor
his surgical approach to achieve the most suitable result.
For younger patients, where the breast anatomy is still fi rm and glandular, a
stand-alone augmentation can achieve optimal results. But, in older women,
where collagen depletion in the skin has left the breasts drooping or sagging, a
lift and augmentation may be needed to create the same effect.
‘In the initial consultation, I take several measurements to help guide the
implant shape and size selection. However, I fi nd the most effective approach
is to let the patient simply try on different implants, to establish the size they are
most comfortable with,’ Dr Flynn explains. ‘The shape (teardrop or round) and
positioning (above or below the muscle) of the implant is always decided based
on the expectations, desires and existing anatomy of the individual patient.’
The surgical approach for male patients also depends heavily on the
composition of the existing tissue. In older patients, where the breast tissue is
predominately fat, liposuction may be suffi cient in correcting gynaecomastia. If
this is not suitable, Dr Flynn will use a surgical reduction, or a combination of
both surgery and liposuction, to achieve the desired result.
84 www.cosbeauty.com.au

easts
By balancing the
figure and creating
more youthful
contours, breast
surgery can make a
significant difference
in both male and
female patients
1
‘In younger patients, the tissue is more glandular and gynaecomastia can
occur due to the overuse of steroids and peptides or the onset of puberty,’ he
says. ‘Older males will sometimes experience gynaecomastia with weight gain,
however not all overweight males will suffer from it – it’s very selective.’
‘After surgery there is sometimes a hollowness where there used to be
swelling, and the skin is loose or lax,’ Dr Flynn explains. ‘We can use skintightening
laser or radiofrequency treatments to improve this, but it is a possible
outcome of which patients must be aware. Also, males are often less accepting
of scars on their breasts than females. The surgeon’s experience is essential in
managing all these components to achieve the best result for each patient.’
To help reduce the appearance of scarring in female patients, Dr Flynn usually
creates the incision in the inframammary crease, at the base of the breast in the
breast fold. ‘The inframammary crease allows good surgical access but it is also
is where the scar is best hidden,’ he says.
The surgical outcomes in both male and female patients depends greatly
on the recovery period. A well-planned recovery, involving a diligent follow-up
process, is imperative in securing the optimum results following breast surgery.
Because of the number of elements involved in breast surgery, and the
different techniques required for male and female patients, Dr Flynn explains
the surgeon’s experience is paramount in creating natural-looking results, with
minimum risk of complications.
‘It is essential the surgeon is aware of all aspects involved; fatty vs glandular
tissue; the change to the skin’s collagen with age; and the differences between
male and female patients,’ Dr Flynn explains. ‘In taking these elements into
account, the surgeon can create optimum results in breast surgery and help
restore or improve each patient’s body confidence and self-esteem.’ csbm
BEFORE
2
AFTER female breast surgery (breast augmentation) by Dr Flynn
BEFORE
AFTER male breast surgery (gynaecomastia) by Dr Flynn
www.cosbeauty.com.au 85

easts
Natural-looking
contours
Sydney cosmetic
surgeon Dr Colin
Moore explains
breast implant
surgery can
recreate more
youthful breasts
and contours. Tara
Casey reports.
In some cases, breast surgery acts as an anti-ageing procedure to return
fullness to the breast and create more youthful contours. Following childbirth
and with age, many women want to recapture how their breasts looked
before having children, as breastfeeding commonly causes slight breast atrophy
or ptosis.
‘Rather than seeking a bust that is significantly larger than their own, many
women simply want to balance their figure and create a more shapely silhouette,’
says Sydney cosmetic surgeon Dr Colin Moore. ‘In such cases, it may be more
beneficial to perform a breast lift (mastopexy) and, depending on the patient, this
can then be combined with a small breast implant to restore lost volume.’
A common concern in women considering breast augmentation is whether
or not the results will look natural. Dr Moore explains that preparation and a
thorough consultation process can help ensure the results are consistent with
the patient’s existing anatomy and surgical expectations.
‘Creating a natural-looking result comes down to accurately measuring the
proportions of each patient, but I also believe that advances in breast implants
mean that it is easier than ever to achieve natural-looking curves,’ Dr Moore
explains. ‘By measuring the proportions of the body, as well as skin thickness
and breast tissue composition, together the surgeon and patient can determine
the best breast size for the patient.’
During the initial consultation, Dr Moore takes several measurements to
accurately gauge the best implant size and position.
‘The basic dimensions of the breast are taken into account, including the
breast base, height and overall width,’ he explains. ‘The distance from the
nipple to the inframammary crease (underneath the breast) is influential in the
appearance of a perky breast. Also, by measuring the relevant proportions of
the body, it’s possible to determine the best breast size to enhance the patient’s
overall figure.’
Dr Moore prefers to use polyurethane-coated P-URE implants in breast
augmentation surgery, as he believes they carry an excellent safety profile and
afford natural-looking results. ‘In my experience, polyurethane-coated breast
implants produce very natural-looking results while minimising the risk of the
most common complications associated with breast augmentation,’ he
86 www.cosbeauty.com.au

easts
says. ‘I believe polyurethane-coated P-URE implants have provided a significant
breakthrough in breast implant surgery.’
All types of breast implant comes with a risk of skin rippling, movement after
insertion and capsular contracture – where the scar tissue that forms around the
implant begins to contract, causing the implant to painfully distort and harden.
Polyurethane-coated implants help reduce the rate of capsular contracture, as the
textured implant surface forces the body’s collagen to surround the implant in a crisscross
pattern, preventing contraction and lessening the chance of implant alteration.
‘A number of studies have shown there is only a one percent risk of capsular
contracture with polyurethane-coated implants, which is a significant improvement
on the 10 percent risk associated with saline and silicone implants,’ says Dr Moore.
With so many choices in terms of implant size, shape, projection and material,
an experienced surgeon can help guide women on the best breast to enhance their
body. ‘It comes down to the proportions of the figure and the desired result of each
patient,’ concludes Dr Moore. ‘These days patients are much more educated about
their options and are seeking an approach that will give them the most desirable
results, no matter what their chosen aesthetic. Breast augmentation has one of the
highest patient satisfaction rates, offering more natural-looking results than ever
before.’ csbm
1
BEFORE
2
AFTER breast augmentation by Dr Moore
BEFORE
3
AFTER breast augmentation by Dr Moore
BEFORE (exisiting scar on left breast)
AFTER breast augmentation by Dr Moore
www.cosbeauty.com.au 87

genital
Take
action
and explore
your options
Adelaide pelvic reconstructive surgeon Dr Oseka Onuma
says genital surgery can restore confidence, self-image and quality
of life in patients with aesthetic or functional concerns.
Caitlin Bishop reports.
Sexual and reproductive health is integral to a
woman’s mental and physical wellbeing. Questions
surrounding the appearance and function of the
vagina and urinary system can plague women of all ages,
yet talking openly about these concerns can be challenging
for some women. A blanket of taboo means there is a lack
of open and honest public dialogue that makes it difficult for
some women to seek successful treatment – or even know
there are treatment options available.
Dr Oseka Onuma is a gynaecologist and pelvic
reconstructive surgeon based in Adelaide. He explains
that there is a widespread misunderstanding of what
is classified as ‘normal’ in both vaginal anatomy and
urogynaecological health.
‘I never make assumptions, as there is such a wide
spectrum of what is “normal”,’ he says. ‘The real problem
may be more subtle than the patient’s main concern, so
I need to know not only the symptoms but the length of
time they’ve been endured and the way they have impeded
upon the patient’s way of life.’
According to Dr Onuma, this wide spectrum of normality
means a thorough examination, with an experienced
doctor, is paramount in achieving an accurate diagnosis
and establishing the best treatment plan.
‘A thorough examination is required to correlate the
clinical findings with the symptoms, this results in high
success rates – both in terms of the surgery and patient
satisfaction,’ he explains.
Treating urinary incontinence
In cases of stress urinary incontinence, urethra
function is usually compromised and the
surrounding muscles and pelvic tissue are generally
weakened. This means urine can escape during
exercise or other movements such as coughing
or laughing.
There is a minimally invasive procedure to help
correct stress urinary incontinence. The treatment
uses tensionless vaginal tape (TVT), which is
inserted through the vagina and positioned
underneath the urethra to create a supportive sling.
This is held in place by surrounding tissue – no
stitches are needed – and, during movement or
exercise, the mesh supports the urethra and helps
maintain its seal.
Functional and cosmetic rejuvenation
In some cases, functional and cosmetic concerns go
hand-in-hand in genital surgery. The shape and anatomy of
genitalia is unique to every woman and the effects of child
bearing and age can take their toll on some women more
than others.
Many women suffer problems with their genitalia
after childbirth that can contribute to feelings of self-
88 www.cosbeauty.com.au

consciousness and affect their relationship with sexual
partners. ‘With childbirth, the shape and tone of vaginal
tissue changes, sometimes results in embarrassment or
loss of sexual satisfaction,’ Dr Onuma says. ‘After childbirth,
there can sometimes be a reduced ability to contract
the vaginal walls and a feeling of “looseness” or reduced
sensation during intercourse.’
Oversized, elongated or asymmetrical labia minora can
also lead to aesthetic concerns and self-consciousness.
It can cause discomfort during sex and hinder certain
activities such as bike riding and horse riding, and often
makes wearing certain clothes such as swimwear, jeans or
tights uncomfortable.
‘Genital surgery can increase a woman’s confidence in
herself and her relationships,’ Dr Onuma explains. ‘Women
may not find it easy to talk to strangers, doctors or friends
about a loose vagina, labial discomfort or lack of vaginal
sensation but these issues need to be raised and explored
in order to provide the options for improving quality of life. ‘
Surgery can improve the appearance of the labia minora,
and is a viable option in treating protrusions or lumps within
the vagina, removing scar tissue, countering discomfort or
sagging at the vagina’s entrance and enhancing the tone of
loose or weak vaginal muscles.
While there is a range of surgical options, the approach
must be tailored to the individual patient. The consultation
process must address the specific concerns, anatomy and
expectations of each individual.
‘Each patient will have different motivations, concerns
and expectations in seeking genital surgery,’ he says. ‘It is
important to listen to the concerns of the individual patient,
assess them with appropriate examinations and offer a
series of potential solutions.’
Laser reduction labiaplasty can sculpt the labial minora
to reduce size and asymmetry. ‘Labiaplasty techniques
can reconstruct conditions that are a result of the ageing
process, childbirth trauma or injury,’ he says.
The procedure addresses the entire vulva – including
the labia minora, labia majora, mons pubis, perineum
and entrance to the vagina. These can all be surgically
enhanced, both functionally and aesthetically. The hymen
can be reconstructed in culturally sensitive cases or
refashioned when causing discomfort or protruding from
the vagina.
Laser vaginal rejuvenation can effectively enhance
muscle tone, strength and control. The laser technique
typically affords greater accuracy and results in rapid
healing, less pain and a faster recovery.
‘Women today are less willing to accept changes in
genital anatomy resulting from pregnancy, childbirth and
ageing,’ Dr Onuma explains. ‘There are a number of options
available, both surgical and non-surgical, to address and
hopefully resolve these problems. Taking action, and
exploring the options, can help restore self-confidence,
boost self-image and improve quality of life.’ csbm
feature
Laser Vaginal
Rejuvenation TM
SPECIALISING IN
• Aesthetic and functional
labial surgery
• Curing urinary incontinence
• Restoring pelvic support
• Enhancing sexual gratification
• Resolving menstrual dysfunction
OUR MISSION
To empower women
with knowledge, choice
and alternatives
Dr Oseka Onuma
BSc MJur MBBS FRCOG
FRANZCOG
Gynaecologist &
Pelvic Reconstructive Surgeon
Laser Vaginal Rejuvenation
Institute of Adelaide
Robe Terrace Specialist Centre Suite
4 Robe Terrace, Medindie
South Australia 5081
Phone 08 8344 6085
Facsimile 08 8344 6087
Email rooms@dronuma.com
www.dronuma.com
www.cosbeauty.com.au 89

Vaginal tightening
MonaLisa Touch is a surgery-free laser treatment that helps
treat gynaecological concerns and restore vaginal tissue for an
anti-ageing effect. Caitlin Bishop reports.
The continuing developments in laser technology
have seen major advancements in skin enhancement,
body contouring and now gynaecology and vaginal
rejuvenation and tightening.
MonaLisa Touch, distributed in Australia by High Tech
Laser, is a new non-surgical way to treat vaginal atrophy –
a condition that causes symptoms including incontinence,
poor lubrication, itching, dryness and pain during
intercourse. MonaLisa Touch can also be used for aesthetic
purposes, to counter the effects of ageing and achieve a
rejuvenating effect by restoring vaginal tissue.
‘MonaLisa Touch has been developed to help patients
suffering from symptoms such as urinary incontinence,
painful intercourse, dryness, itchiness, burning, vulval and
vaginal pain, prolapse and laxity or looseness,’ explains
Dr Fariba Behnia-Willison, a gynaecologist from South
Australia. ‘These symptoms are part of a common condition
known as vaginal atrophy. Additionally, because of how the
treatment works, it can be used for vaginal rejuvenation.’
The versatility of MonaLisa Touch stems from the
technology it uses to improve the genital mucosa and restore
proper function in the treatment area. Using laser light, the
MonaLisa Touch probe – which is inserted into the vagina –
delivers thermal energy into the deeper layers of the vaginal
tissue. This kick-starts the body’s natural processes to
increase blood flow and stimulate the formation of collagen,
which improves the integrity and elasticity of the genital
mucosa. This can be effective in alleviating vaginal pain in
those patients experiencing gynaecological problems or
vaginal atrophy, or in simply tightening the vaginal walls for
a rejuvenating effect.
‘To put it in simple terms, the MonaLisa Touch procedure
stimulates the body’s natural processes,’ Dr Behnia-Willison
explains. ‘It creates more hydrated and healthy cells which
help to increase vascularisation, hydration and acidity,
which are important components of vaginal health.’
According to Dr Behnia-Willison, a treatment to
improve vaginal function is sought by a significant number
of patients, of many different ages. ‘Although many of
my patients are going through menopause or are postmenopausal,
there are also many younger women suffering
from similar symptoms,’ she says. ‘I have found the
treatment particularly effective for women who find it painful
to have sexual intercourse.’
90 www.cosbeauty.com.au

genital
without surgery
MonaLisa Touch delivers thermal heating at
specific depths in the tissue to achieve an optimum,
targeted result. Also, the fractionated effect means there
are areas of untouched tissue left between laser columns.
This healthy tissue helps promote healing and reduce
downtime after treatment.
MonaLisa Touch is a new
non-surgical way to treat vaginal
atrophy, as well as achieving
a rejuvenating effect by restoring
vaginal tissue
‘The advantage of the MonaLisa Touch procedure,
for both results and safety, is that it uses a fractionated
CO2 laser, which means the heat is deposited at the ideal
depth in the tissue,’ Dr Behnia-Willison explains. ‘And
because it is a fractional laser treatment it leaves most of
the superficial layer untouched, which is important from a
safety perspective.’
The treatment itself is non-invasive and requires no
anaesthesia. Often, a series of treatments is recommended
to achieve the best results. ‘MonaLisa Touch is a
straightforward and simple procedure. It involves a probe
being placed inside the vagina and the fractionated CO2
energy being delivered to the vaginal tissue,’ says Dr
Behnia-Willison.
‘The published research has shown that the best results
are obtained from three MonaLisa Touch treatments,
performed a month apart. Most patients notice a significant
improvement after the first procedure. I also recommend to
patients they may need a follow-up procedure every year or
so, after the initial course of treatments.’
As with any medical procedure, there are some
potential risks with the MonaLisa Touch treatment. ‘In my
experience, which is similar to that of overseas practitioners,
the likelihood of post-treatment complications following a
MonaLisa Touch treatment is minimal,’ she says. ‘The worst
side effect I have seen has been some mild discomfort for
12 to 24 hours following the procedure, but this is in only
a handful of patients and I have now performed more than
1,000 MonaLisa Touch treatments.’
Whether you’re looking to relieve the symptoms of
vaginal atrophy, or seeking a rejuvenating effect, MonaLisa
Touch is a viable option, backed by clinical research and a
history of success in a gynaecological setting.
‘Almost all of my patients notice a significant improvement
following the MonaLisa Touch procedure – some have
even described the treatment as life-changing,’ says Dr
Behnia-Willison. ‘I hope it becomes the new standard of
care for the many women suffering from these often painful
symptoms that can effect their everyday life. It certainly has
in my practice.’ csbm
www.cosbeauty.com.au 91

genital
Girl talk
Genital surgery is a popular option for Australian women hoping to
improve vaginal comfort, function or aesthetics, says sydney cosmetic
surgeon dr colin moore. Tara Casey reports.
S
Page 1
GEMENT
idening
ds
tomy Reversal
ry
(Lyn)
.com
OORE
Genital surgery can help treat physical concerns
or alleviate vaginal discomfort. In most cases,
these results are seen alongside a return of selfconfidence
and improve sexual satisfaction. Indeed, genital
surgery is growing in popularity and there are a number of
options to help rejuvenate vaginal aesthetics and counter
the physical changes that can arise with age or childbearing.
‘Women who seek vaginal surgery have often noticed
changes to their vagina after giving birth or as a result of
ageing,’ says Sydney cosmetic surgeon Dr Colin Moore.
‘Depending on the patient’s concerns, I work with them to
decide the most appropriate treatment option.’
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• Penis Enlargement – permanent
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• Breast Enlargement/Reduction • Tummy Tuck
• Face/Eye Lift • Vaginal Cosmetic/Surgical Repairs
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Stretched muscles and skin laxity often occurs after
childbirth, and can significantly change the shape of the
vagina both internally and externally. In such cases, Dr
Moore takes a holistic approach to vaginal rejuvenation,
addressing the loosened labial folds with a labiaplasty, and
the internal sling muscles through a vaginaplasty.
Dr Moore says the surgeon’s experience is imperative
to achieving the best results. ‘A vaginaplasty is a day
procedure which involves tightening the sling muscles in
the vagina by lifting the muscles, removing excess vaginal
lining and reattaching the muscles,’ he explains. ‘However,
it’s important that the patient knows that surgery will
not make them 20 years younger, as over-tightening
stretched vaginal muscles can cause cramps and spasms
during intercourse. This is where a senior surgeon’s
experience is essential.’
A labiaplasty involves excising excess skin to return
symmetry and improve aesthetics in the labia folds.
According to Dr Moore, this is a popular procedure for
younger patients and can be used as a stand-alone
treatment, or in conjunction with other surgeries.
‘Younger patients usually opt for labiaplasty alone to
correct an uneven appearance of the labial folds,’ says Dr
Moore. ‘Essentially, if a roughened edge is the issue, this
needs to be removed. If not, we slightly reduce the edges of
the labia minora back to the same level as the labia majora,
and often reduce excess skin covering the clitoral hood.’
In some cases, labiaplasty serves as a necessity in
improving vaginal hygiene for some women.
‘With large labia, urine can be trapped, allowing bacteria
from the bowel to migrate and colonise in the urethra,’
Dr Moore explains. ‘This can result in chronic urethral
contamination or even cause infection to be flushed back
into the bladder, causing bladder infections. For many
women, labiaplasty can rectify this.’
Typically, vaginal rejuvenation surgery is carried out as
a day procedure under general anaesthetic. Like any
medical procedure, there are potential complications
associated with genital surgery and the surgeon’s skill and
specialised experience is imperative in ensuring the best
results. csbm
92 www.cosbeauty.com.au

ellafitness
fitness
5 workout myths
keeping up appearances
want to flaunt a toned and terrific bod this summer? here are some
exercise essentials to help get you started. words by Jarrat wood
Some people train for health, some people train for
performance and some people train for appearance.
Vanity aside, training for appearance is a realistic
option. Everyone has a body part that they wish was bigger
or smaller.
If you plan to train for appearance then remember some
important health and safety guidelines:
• Training opposing muscle groups unevenly can lead to
postural and functional deficiencies.
If you’re looking to get your body beach-ready for summer
• Health should be the number-one priority with an
(which is only just around the corner...), now is the time
exercise program and all exercise has an element of risk.
to start. But before you hit the training circuit, pay some
• There is a limit to how much you can vary your appearance.
attention to those pesky ever-present locker room rumours
Genetics will always be an overriding determinant of
that can hamper your fitness progress.
your appearance.
Lifting weights will make women
The following are some ‘cosmetic fitness’ suggestions for
look bulky
training outdoors as the summer months approach. Break
Fact:
down your
This
program
myth couldn’t
into body
be any
parts:
further
legs,
from
back,
the
chest
truth.
and
Naturally,
abdominals.
women don’t produce enough testosterone to
gain huge amounts of muscle. In fact, strength training can
assist
Legs:
in helping
stair
to
running
reduce your overall body fat percentage.
Incorporating
By running
strength
stairs you
training
will
into
pace
your
a higher
exercise
load
routine
on
will
the
help
hamstring,
maintain
gluteal
muscle
muscles
mass, which
and calves.
is something
Making
that
your
can
way
be
lost
back
when
downhill
you only
slowly
participate
will load
in
the
cardio.
quadriceps ensuring an
all-round leg workout. Try doing normal running or walking
intervals with Doing some crunches variations as and you ab advance. workouts will
get rid of belly fat
Back: reverse flyes
Fact: It’s difficult The unfortunate to train your truth back is without that spot heading training to the doesn’t gym,
work but to when add it some comes definition to losing to specific your trapezius fat pockets. and rhomboids You can’t
control (the major the places muscles of between fat reduction your when shoulder you blades) work out. try If a
you reverse already fly and have extension. a high percentage of body fat covering
your Lie abs, face you down will on need a bench, to raise reduce your your arms overall out to your body sides, fat
percentage then move your before arms your in an abs arc are above revealed. your head. Ab Reverse exercises the
don’t movement help you back lose to the belly starting fat – position. they simply For a help more define advanced the
underlying workout use musculature. some dumbbells for extra resistance.
Chest: push-ups
There is really no better all-round exercise than the push-up
when training outdoors. Place your hands shoulder width
or slightly wider with your wrists slightly above the nipple
line but below your shoulders. If you wish to focus more on
your chest muscles, place your hands a little wider and move
your elbows away from the body as you lower yourself.
To focus more on the triceps bring your hands a little
closer to your body and keep your elbows close to your body
Cardio burns the most calories
as you lower yourself to the ground. Beginners should try
push-ups from the knees. If this is too difficult try push ups
Fact: It’s true that you will burn calories while doing
on a raised bench with feet on the floor or against a wall
cardio, but with strength training, even after you finish
(the more upright you are the easier the push up will be.
lifting weights, your body continues to burn calories for
Advanced trainers should try a full length push up raising
hours afterwards. The most important thing to remember
is
one
controlling
leg in the air
your
to increase
calorie intake,
the load
as
on the
weight
upper
loss
body.
only
occurs when you are burning more calories than you
are
Abdominals
consuming.
While defined abdominals is appealing to many people,
the most
Stretching
significant effect
is best
that
before
abdominals
working
have on
out
our
appearance is in regards to posture. Try the following sit-up
Fact: variation
Despite
to assist
what
you
we’ve
with walking
been led
and
to
sitting
believe,
tall.
stretching
before
Lie flat
a workout
on the floor,
while
sit
your
up and
muscles
raise
are
one
cold
knee
is
to
ineffective.
your chest,
A
meeting
much more
as your
effective
torso
method
and thigh
to
are
precondition
both almost
your
vertical.
body
before
Focus on
exercise
staying
is
as
to
tall
warm
as possible
up with
without
some light
crumbling
cardio and
your
range
posture.
of
Raise
movement
your straight
drills specific
leg at the
to
same
the
time
activity
so that
you
your
are
about
heel is
to
just
undertake.
off the ground.
This will
Lower
get
to
your
the
blood
ground
flowing
and repeat.
and
warm
Try 8-10
up
repetitions
your muscles
on
to
each
help
leg.
prevent
For advanced
injuries.
trainers, try 2
legs at a time. Beginners should complete the leg movements
as above without More exercise the sit up. is always better
You should always seek the advice of a registered fitness
Fact: professional The number before undertaking of calories any you program. burn depends Visit your on local the
intensity gym for the of your personalised training. guidance When it you comes require. to working bella out,
it’s all about quality over quantity. In fact, high intensity
interval Jarrat Wood training is a personal can burn trainer more and calories the gym in manager a short at amount Regenesis of
time. Fitness A in few Edgecliff, days of Sydney. quality For exercise more information each week call will 02 9363 typically 0376
achieve or visit www.regenesisfitness.com.au
better results than every day light training. csbm
Russell Cox from Regenesis Fitness debunks some workout myths
that could be slowing down your weight loss journey.
112 // bellaBEAUTY
Re-energise with
Regenesis Fitness, an
exclusive, friendly and
professional club, without
the crowds. Flexible
membership options
available.
Cnr New South Head Rd & Ocean Ave, Edgecliff
02 9363 0376 info@regenesisfitness.com.au
www.regenesisfitness.com.au

feature
Feed
your
face
Welcome to the next
generation of superfoods.
AimÉe Surtenich reports.
Not all foods are created equal. Certain foods have
been given the title ‘super’ for their ability to fight
disease, immune disorders and the signs of skin
ageing. Here are some of the new kids on the superfood
block – plus the foods that have earned cult health status.
94 www.cosbeauty.com.au

feature
Chia seeds
These tiny but mighty edible seeds, which date back to Mayan and Aztec
cultures, are an excellent source of fibre (three times more than oatmeal), protein,
calcium, antioxidants and omega-3s. In fact, chia is the richest plant source of
omega-3 oil, which is said to help lower cholesterol, reduce high blood pressure
and fight against inflammation in the body.
Chia can also help stabilise blood sugar levels and even help target pesky
belly fat! The seeds can be soaked in liquid or sprinkled onto just about every
meal to add a nutritious mildly nutty taste.
Kale
This nutritional powerhouse has become a household name over the past
few years – and it’s no wonder. With more iron than beef per calorie, kale
contains nine essential amino acids, as well as high levels of magnesium and
oxygen-rich chlorophyll.
It’s the ultimate detox food as it’s also rich in fibre and sulphur, lowers
cholesterol and is rich in antioxidant and anti-inflammatory properties to help
ward off several types of cancer. Rich in Vitamins A, C and K, kale also does
wonders for glowing, clear skin.
Pistachios
Move over walnuts, there’s a new nut rising up the nutrition leaderboard.
So why are pistachios said to be superior to their nutty counterparts? To
start, they contain fewer calories and more potassium and Vitamin K per serving
than other nuts. Pistachios contain two carotenoids not found in most nuts
– lutein and zeaxanthin – which are essential for eye health and defending
tissues from free radicals. They are also a great source of Vitamins A, B6 and E,
essential for healthy, smooth and beautiful skin, and are rich in phytoserols and
soluble fibre, two plant compounds that can lower cholesterol and reduce the
risk of heart disease.
Cacao
Consumed raw, with all enzymes and goodness left in its unheated glory, cacao
has more antioxidants than chocolate, red wine and blueberries combined! It is
choc-full with nutrients and incredibly high in iron. It also helps to raise endorphins
and boost our serotonin levels. Add it in powdered form to a smoothie or sprinkle
some over oats to add a delicious (and nutritious) chocolate flavour to your
morning porridge.
Acai
Pronounced ah-sigh-EE, studies have shown this Amazonian berry is one of the
most nutritious foods in the world. Resplendent in amino acids, antioxidants,
fibre, phytosterols and omega-3 fatty acids, it also has powerful cancer-fighting
properties, is a stem cell producer and assists with weight loss.
www.cosbeauty.com.au 95

feature
Kelp
Essentially mineral-rich seaweed and packed with high levels of demulcent fibre,
kelp can actually help heal the digestive tract and is one of the best natural
sources of iodine, which promotes thyroid and endocrine function. It also helps
boost the immunity system and even improve memory.
Pomegranate
These Middle Eastern jewel-like seeds have earned their place as a superfood
due to their high levels of polyphenols, powerful cancer-fighting and hearthealthy
antioxidants.
It is said that pomegranate seeds have more antioxidant power than cranberry
juice or green tea. Pomegranate is rich in Vitamins A, C and E, and in iron, which
helps the blood maintain an effective supply of oxygen to the body.
Quinoa
This supergrain, pronounced KEEN-wah, contains more protein than any other
grain and is super-charged with iron, potassium and all nine essential amino
acids while being naturally gluten-free.
A cup of quinoa delivers five grams of fibre and aids in improving digestion,
lowering cholesterol and promoting healthy blood sugar levels. Oh, and it’s great
at keeping excess kilos at bay.
These days, you’ll find it adorning many a cafe and restaurant menu, but you
can easily create a delicious quinoa-inspired meal at home, too. Add to salads,
soups or try it as an alternative to rice.
96 www.cosbeauty.com.au

feature
CULT STATUS
These superfoods may not be the new kids on the block, but they’ve stood the
test of time in promoting inner health and external radiance.
Oily fish
Sardines, herring, trout and salmon are all rich sources of omega-3 fatty acids,
which help prevent heart disease. They’re also good news for osteoporosis
prevention and can improve the texture of the skin and hair.
Oily fi sh is a good source of Vitamins A and D. Vegetarians can boost their
intake of omega-3 by taking supplementary capsules daily.
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.
Dark leafy greens
Leafy green vegetables are packed full of goodness, and spinach is the best of
the bunch. It contains Vitamins A and C and folic acid, as well as magnesium,
which is thought to help fi ght cancer and lower the risk of heart disease and
stroke. It also blocks free radicals, which cause signs of ageing on the skin, and
may even help prevent osteoporosis.
Green tea
Most types of tea contain fl avonoids called polyphenols, however green tea
contains less caffeine than black tea and is also thought to aid digestion and
may stimulate the metabolism. Many green tea drinkers also report that drinking
a couple of cups a day helps to maintain clear skin.
Cranberries & blueberries
Cranberries have long been used to ward off urinary tract infections and are
packed with antioxidants. More recently, it has been discovered that cranberries
also contain anti-carcinogenic compounds, which can prevent or delay the
development of cancer.
Blueberries deliver high levels of antioxidants called anthocyanins, which have
been shown to lower cholesterol, prevent blood clotting and protect body cells.
They also contain Vitamins C and E, in addition to fi bre and folic acid, which is of
benefi t to women who wish to fall pregnant.
Avocados
Up until a couple of decades ago, avocados had a relatively bad name, thanks
to their higher levels of fat than most fruits and vegetables. However, word is
defi nitely spreading that this fat is good fat: healthy monounsaturated fatty acids
actually appear to lower ‘bad’ cholesterol levels and raise the ‘good’ levels.
Avocados are also rich in antioxidants, which are thought to slow the body’s
ageing process by destroying free radicals and slowing oxidation. Antioxidants
also reduce allergies and the risk of heart disease and cancer. csbm
www.cosbeauty.com.au 97

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

face
Non surgical 20s to 30s
1
BEFORE
A beautifully tailored, sensuous and juicy lip with Juvederm filler
AFTER lip enhancement with dermal filler by Dr Liew
2
BEFORE
Non-surgical lower eyelift with dermal filler to remove the tired dark circles
AFTER non-surgical enhancement by Dr Liew
3
BEFORE
AFTER non-surgical enhancement by Dr Liew
Non-surgical eyebrow and eye lift with Botox to lift the eyebrows and reduce heaviness of the upper eyelid to create
brighter, more attractive eyes
4
BEFORE
AFTER non-surgical enhancement by Dr Liew
Total facial beautification to narrow and define the jawline with Botox and to define the cheek definition with dermal filler
www.cosbeauty.com.au 99

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

face
1
Non Surgical
40s, 50s, 60s
BEFORE
AFTER non-surgical enhancement by Dr Liew
Sunken and hollow cheeks created a sad and tired look. Dermal fillers were used to
transform her facial contour to a beautiful and healthy appearance
2
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial rejuvenation creating a refreshed and aesthetically pleasing appearance
3
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial beautification with strategic use of laser for skin capillaries, Botox and
dermal fillers
4
BEFORE
AFTER facial rejuvenation by Dr Liew
Total facial beautification with strategic use of dermal fillers, transforming the facial
structures and profile of the eyebrow, eyelid, nose, cheek and chin
www.cosbeauty.com.au 101

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

COSMETIC SURGERY & BEAUTY
magazine
Now you can read every editorial and view every before and after photo from your
trusted cosmetic surgery source for free online at www.cosbeauty.com.au. Look out for
bonus content plus exclusive behind-the-scenes videos of the current issue!
BEAUTY
ALERT
MAKEUP
MARVELS
WHAT TO
EAT FOR
AMAZING
SKIN
5
THINGS
YOU NEED TO
KNOW ABOUT
BREAST
AUGMENTATION
plus
THE BEST IMPLANTS
FOR YOUR BODY
biggest The
loser
syndrome
SURGERY AFTER
MASSIVE WEIGHT LOSS
www.cosbeauty.com.au

face
Facelifting:
The Science & Expertise
Behind Natural-looking Results
for outstanding, natural-looking facelift results, Sydney
plastic surgeon Dr Darryl Hodgkinson says surgical expertise
and experience are paramount.
No one wants a tight facelift or to face the public
derision that so many celebrities face, especially
men, when they have a tight, stretched and
unnatural-looking face after facelift surgery. Why is it that so
many people have this ‘operated on’, tight look which is a
giveaway they have been ‘under the knife’?
The answer could be twofold: they have opted for lesser
procedures such as S-lifts or skin lifts, or the surgeon lacks
the experience and expertise in facelifting necessary to
create a result that is both visible and natural in appearance.
In the case of the lesser procedure, the skin lifts which
are marketed under many different names, use the skin
No two faces age exactly alike;
some age around the brow or
eyes, some in the mid face, and
others around the jowls.
like cling wrap to pull back the tissues. These cases seem
attractive at first as they take less time, less expertise, have
potentially less downtime for the patient in healing and
therefore cost less.
The problem arises in that when using the skin like a
corset to hold back the sagging tissues underneath, these
lax structures and fat pads which needed to be secured are
still underneath, ready to bulge out like when you squeeze
yourself into too-tight jeans and create a ‘muffin top’.
Another problem is that this pulling back on the skin
under tension places stress on the suture lines, which can
cause scars to migrate and be more visible.
Finally, to create this tension, more skin needs to be
removed than is natural and if a secondary or corrective
procedure is considered at a later date, it will be more
difficult as there may not be enough skin and there may be
wider scars to contend with.
The second case is, of course, the experience and
expertise of the surgeon. As in all cosmetic plastic surgical
procedures, the number-one factor in defining the quality of
the result is the skill of the surgeon. Face lifting and neck
lifting surgery is an area of expertise unto itself.
The surgeon must have a highly detailed knowledge of
the intricate facial anatomy to work in the deep plane to
secure these tissues without damaging tissues or, worse,
nerves which could lead to a facial palsy.
Also, there are many techniques which can be deployed
in conjunction with one another to create an overall more
natural look as no two faces age exactly alike. Some faces
age around the brow, with drooping and sagging or furling
of the brow; some around the eyes with drooping, bulging
and wrinkling; others through the mid face with hollowness
created as the fat pads resorb from the cheeks; while
others show ageing mostly around the jowls and neckline.
Some people have a little of each of these aspects and
to adopt one approach to all faces will lead to the classic
maligned facelift: a tight face with pulled earlobes and the
tell-tale droopy neck.
With a skilled surgeon, a natural-looking result can be
achieved for each patient, addressing their unique signs of
ageing and taking 10 years off the clock. csbm
For more detailed information on the types of facelifts
Dr Hodgkinson performs, visit www.cosmeticsurgeryoz.
com.au/face-lifting-just-the-facts/
104 www.cosbeauty.com.au

face
1
2BEFORE
AFTER face and neck lift and upper and lower blepharoplasty by Dr Hodgkinson
BEFORE
AFTER face and neck lift and upper and lower blepharoplasty by Dr Hodgkinson
www.cosbeauty.com.au 105

face
lowering the hairline
for facial harmony
Sydney plastic surgeon Dr Warwick Nettle explains lowering
the hairline to reduce an overly large forehead can make a significant
improvement to facial beauty. Caitlin Bishop reports.
A
high hairline or elongated forehead can detract
from facial balance and add to the appearance of
an ageing face, particularly in women. According
to Sydney plastic surgeon Dr Warwick Nettle, a hairline
lowering procedure can help restore facial harmony,
bringing the hairline and brow to more aesthetically
pleasing proportions.
‘Typically, the hairline should start at around the
transition point between the vertical forehead and the point
where the forehead starts to slope backwards towards the
106 www.cosbeauty.com.au

face
scalp – usually between 5 and 6cm above the eyebrows,’
he explains. ‘It can look relatively unattractive if the hairline
starts well above this transition point.’
According to Dr Nettle, a higher hairline is usually of
greatest concern in younger patients. Patients most suitable
for surgery usually have flexible skin on their forehead, while
hair density, the presence of any hair whorls or cowlicks,
and hereditary hair loss must be taken into
account before undergoing the procedure.
‘If a patient has a relatively flexible
scalp — in other words if they can wriggle
it backwards and forwards quite freely —
we can achieve a good lowering of the
hairline and forehead reduction,’ he says.
‘If the scalp is not flexible, however, it can
be more difficult to advance the scalp to
reduce the forehead and sometimes twostage
surgery is needed.’
Hairline lowering surgery is commonly
performed at the same time as brow
lifting surgery. It’s important for patients
to understand that hairline lowering does
not necessarily elevate the brows, and
sometimes the surgeries need to be BEFORE
performed in conjunction to achieve the
best aesthetic result.
During the hairline lowering surgery,
an incision is made along the existing
hairline and the hair-bearing scalp is lifted
and moved forwards. The type of incision
is essential in ensuring the best results
– as the hair needs to grow through the
incision during the recovery phase to help
camouflage any scarring.
‘The technique used in hair lowering
surgery is called a trichophytic incision, and
allows hair to grow along the scar during
recovery,’ he says. ‘It’s also important for
the surgeon to understand the direction
of hair growth and preservation of scalp BEFORE
blood supply. These are all technical
details which help ensure optimal results.’
The surgery is performed as a day
surgery procedure, either under general
anaesthesia or with intravenous sedation.
Before the patient leaves the operating
theatre, a light dressing is applied to assist
in healing. The sutures are usually removed
three to seven days post-operation.
‘In my experience, the procedure is
typically very well tolerated,’ says Dr
Nettle. ‘The vast majority of my patients
are able to return to work within three to
seven days of the surgery. I always tell
patients they need to be prepared to wear
their hair in bangs to cover the incision line
BEFORE
for the first year. However my personal experience is that
it is very unusual for anyone to need to keep their hairline
covered beyond three months. In fact, many patients are
able to wear their hair pulled back within weeks of the
surgery.’
‘Hairline lowering surgery can make a real difference in
harmonising and feminising the face,’ he concludes. csbm
AFTER hairline lowering surgery by Dr Nettle
AFTER hairline lowering surgery by Dr Nettle
AFTER hairline lowering surgery by Dr Nettle
www.cosbeauty.com.au 107

face
Options in facelifting
Sydney facial surgeon Dr Paul Gerarchi explains the most
popular types of facelifts – both surgical and non-surgical.
Caitlin Bishop reports.
The development and refinement of face lifting surgery
has stemmed from a growing understanding of
the ageing process. Sydney facial surgeon Dr Paul
Gerarchi has built his practice upon the modern day facelift
and addressing all elements – from skin laxity to volume
loss – that contribute to an aged appearance.
‘Today, face lifting surgery manipulates the supportive
soft tissue underneath the skin to reverse the effect of
ageing,’ Dr Gerarchi explains. ‘This should be achieved
without putting unnatural tension on the skin itself, to avoid
that “over-tightened” look.’
A facelift is often touted to be the gold standard in
improving a tired or aged facial appearance. It helps smooth
the skin, removing folds and wrinkles, and re-establish
more youthful-looking facial contours and definition along
the neck and jaw line.
‘It is a myth that there is a “right” age to have a facelift,’
Dr Gerarchi explains. ‘Facelifts are suitable for most
patients, men or women, young or old. If you feel that your
facial features are heavy or sagging, particularly in the jaw
line, a face lifting procedure will help refresh and brighten
the appearance.’
Dr Gerarchi offers a wide spectrum of face lifting
procedures, from minimally invasive options to surgical
intervention. Volumisation and short scar procedures afford
an effective option for those who aren’t able to commit to
the downtime involved in surgery.
Alternatively, more extensive surgical lifts can achieve
significant and long-lasting anti-ageing results. Dr Gerarchi
will always tailor his approach according to the patient’s
desires, expectations, anatomy and degree of ageing.
Comprehensive facelift
A traditional facelift procedure lifts and remodels the
underlying facial soft tissue, before re-draping the skin over
these newly defined contours. The superficial muscular
aponeurotic system (SMAS), which is the underlying
musculature of the face, is lifted and re-tightened during
facelift surgery.
In addition to the SMAS technique, other types of
comprehensive face lifting procedures include the sub
SMAS and Deep Plane procedures. They all involve an
incision that runs from the hairline above the ear, around
and behind the ear, and into the hair behind the ear. The
length of incision allows the surgeon to operate more
comprehensively on the muscles and ligaments beneath the
skin, affording greater visibility. It also assists in addressing
and reshaping the neck skin and soft-tissue.
Face lifting surgery typically requires an overnight stay
in hospital, and a minimum of two weeks off work. During
recovery, a facial compression garment is worn, and pain
medication is sometimes required in the days following
the procedure.
‘The traditional facelift can be very effective for elevating
more advanced facial drooping and sagging,’ Dr Gerarchi
explains. ‘Like other kinds of facelifts, they can be combined
with complementary procedures such as a neck lift, brow
lift or eyelid surgery.’
Short-Scar Facelifts
A short-scar facelift is best for those patients who notice that
their face is beginning to droop, or their jowls are sagging,
but who are not yet ready for the more comprehensive
facelift procedure.
During a short-scar facelift, an incision is made in the
crease in front of the ear. This enables the surgeon to
manipulate the underlying soft tissue to reverse moderate
heaviness in the jowl and lower face. Because the incision
and tissue adjustment is relatively minimal, patients can
usually go home the same day of surgery, and one to two
weeks of recovery time is required.
‘I often combine short-scar facelifts with liposuction
below the chin. This helps enhance the jaw line and
contributes to a more harmonious result,’ Dr Gerarchi
108 www.cosbeauty.com.au

face
explains. ‘Sometimes patients will need more volume in
their upper cheeks and mid-face to accompany the lift. For
these patients, I use a fat transfer procedure to improve the
final rejuvenation result.’
Volumetric Facelift
Volume loss is one of the most noticeable hallmarks of
ageing. As the face ages, and gravity takes its toll, volume
drops from the cheeks and mid-face. This contributes to
a thin, gaunt and hollow appearance, and often leads to
heaviness in the jowl area.
A volumetric facelift solely addresses volume loss. It
rejuvenates the face, restores fullness and recreates more
youthful facial contours and angles.
During this procedure, fat is taken from the abdomen
or the inside of the knees and reinjected into the cheeks,
chin, temples and mid-face. Although synthetic fillers are
sometimes used to achieve a similar result, Dr Gerarchi
believes the patient’s own fat delivers a long-term
rejuvenation with minimal complications.
‘Using your own fatty tissue minimises the complications
associated with the insertion of foreign materials into the
body,’ he explains. ‘Any excess oil or fluid is extracted from
the fat before insertion, and the purified fat is reinjected
into the face. This replaces lost facial volume for a longterm
result, though sometimes “top up” treatments are
necessary to achieve maximum effect.’
The fat transfer procedure has a good safety profile and
involves minimal down time. It is an attractive option for
patients who do not want or need a surgical facelift, but
who are looking to reverse or waylay the most noticeable
signs of ageing.
If you feel that your facial
features are heavy or sagging, a
face lifting procedure will help
freshen the appearance
‘Volumetric face lifting is an effective procedure
which can achieve significant anti-ageing results,’ says
Dr Gerarchi. ‘However, the procedure is not suitable for
patients with excessive loose skin and jowling. In these
cases, volume addition should be combined with a
surgical facelift to achieve the desired result. Optimal facial
rejuvenation results are achieved when the face is both
lifted and filled.’ csbm
1
BEFORE
AFTER face, mid-face and neck lift by Dr Gerarchi
www.cosbeauty.com.au 109

face
2
BEFORE
AFTER facelift and volumetric fat transfer by Dr Gerarchi
3
BEFORE
AFTER facelift, neck lift and rhinoplasty by Dr Gerarchi
4
BEFORE
AFTER facelift, neck lift, blepharoplasty and rhinoplasty
by Dr Gerarchi
110 www.cosbeauty.com.au

DR PAUL GERARCHI
Rhinoplasty and Facelift Specialist
DR PAUL GERARCHI
Rhinoplasty and Facelift Specialist
Model
Model
expert expert surgical & non-surgical facial facial rejuvenation
The The Face Face Institute and and Dr Dr Paul Gerarchi, Suite 4, 12-14 Malvern Avenue, Chatswood, NSW. NSW.
For For more more information, visit www.thefaceinstitute.com.au or or call call (02) (02) 9412 9412 4599. 4599.

face
Minor surgeries,
major results
Sydney cosmetic physician Dr Buddy Beaini says less can definitely
be more when it comes to cosmetic enhancement surgery.
Caitlin Bishop reports.
Minimally invasive options for facial rejuvenation can
help reverse the signs of ageing and waylay the
need for surgery. Sydney cosmetic physician Dr
Buddy Beaini is experienced in delivering a comprehensive
range of cutting-edge minor surgical treatments for his
patients. In particular, thread lifting, blepharoplasty and bat
ear correction (otoplasty) are minimally invasive procedures
that can achieve significant results.
‘Minimally invasive procedures are key to rejuvenating the
appearance and reversing the signs of age for individuals of
all ages,’ says Dr Beaini. ‘When selected appropriately and
used in combination, minimally invasive procedures can
make the patient look five to 10 years younger.’
With a range of light therapies, minor surgeries and
injectables at his clinic, Dr Beaini takes a personalised
approach with every patient. He will work with a range of
modalities to ensure the best result for each individual.
‘Patients of all age ranges have been consulted and
treated with excellent results,’ he says. ‘With the current
advanced technology and techniques, facial rejuvenation
has developed dramatically, giving patients the options to
look and feel younger without the need for major surgery.’
‘During consultation, I ask my patients to describe
their main concerns and I will outline the advantages,
disadvantages, success rates, downtime and budget
involved with a number of relevant treatment options,’ Dr
Beaini adds. ‘For those patients who are less specific,
and are hoping to look younger, fresher, rejuvenated or
“happier”, I make an assessment of how we can improve
the patient’s overall image and appearance.’
Thread lifting
Signifying a minimally invasive way to lift the skin, threads
can be used to lift the brow, face and neck, as well as
reposition the cheeks, reduce the jowl and enhance the lips.
The procedure involves inserting dissolvable threads
into the skin’s dermis, or support structure, to trigger the
112 www.cosbeauty.com.au

face
synthesis of collagen and elastin at the site. The threads act
as scaffolding for the production of these new connective
fibres, lifting and bolstering the tissue for an anti-ageing
and rejuvenating effect.
‘I have been performing mini-facelifts and neck lifts with
threads over the past two years,’ Dr Beaini explains. ‘We
have seen exceptional face lifting and rejuvenation results in
more than 95 percent of our patients.’
Thread lifting is suitable for those patients hoping to
reverse the descent of facial soft tissue associated with
ageing, or to waylay the need for a surgical facelift. It is
performed under local anaesthetic, and incurs some mild
swelling and possible bruising post-procedure.
‘Thread lifting is commonly used to address mid-face
drooping, deep cheek wrinkles, deep nasolabial lines,
excessive jowling and neck laxity,’ Dr Beaini explains.
‘Other concerns include brow droop, facial asymmetry and
loss of cheek positioning.’
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
Eyelid hooding surgery
‘When we look at an individual’s face, our attention first
focuses on the eyes, and any abnormality or asymmetry,’
Dr Beaini explains. For this reason, blepharoplasty – or
eyelid hooding surgery – can achieve significant results in
rejuvenating the entire face.
The procedure involves excising excess fat and skin from
the upper and/or lower eyelids to open the eyes for a fresher,
more alert appearance. The day surgery is performed under
local anaesthesia, and can be used in conjunction with
other treatments such as brow thread lifting, non-invasive
skin tightening and laser skin rejuvenation.
‘If an individual has droopy, tired and ageing eyes, the
first impression is that is individual is sad, tired or unwell,’
says Dr Beaini. ‘Eyelid surgery is a very effective and longterm
solution for such individuals, and automatically has the
effect of revitalising the entire face.’
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
Bat ear correction
Dr Beaini offers a permanent non-surgical treatment to
correct and reshape protruding ears (bat ear correction).
He performs the procedure with a mild sedative and local
anaesthesia; no hospitalisation, general anaesthetic or
surgical incisions are required.
‘Any abnormality and asymmetry in facial appearance will
attract attention, which is particularly relevant to individuals
with bat ears,’ Dr Beaini explains. ‘These patients were
born with this problem and, in most cases, are burdened
with underlying emotional issues relating to the appearance
of their ears. The joy and relief they experience once
their ears are corrected makes this treatment extremely
desirable.’ csbm
BEFORE
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
AFTER blepharoplasty by Dr Beaini
www.cosbeauty.com.au 113

nose
Nose for
beauty
Sydney ENT and facial cosmetic surgeon Dr William Mooney explains
the art and science of rhinoplasty. Caitlin bishop reports.
The nose is the anchor of the face. The length, width
and symmetry of the nose contribute to facial balance
and harmony, and have a significant impact upon
facial aesthetics. Rhinoplasty, or nose surgery, is one of the
most popular cosmetic procedures – designed to reduce,
augment, narrow, widen, straighten or reshape the nose –
but it is also one of the most complex.
Rhinoplasty involves remodelling the bones and cartilage
to optimise both aesthetics and functionality. Sydney ENT
and facial cosmetic surgeon Dr William Mooney says that
rhinoplasty combines the central pillars of cosmetic surgery:
art and science.
‘The nose is a vital, complicated organ. It’s a gateway to
the upper respiratory tract, the egress to the nasal sinuses
and, unfortunately, there are a lot of problems that can
affect its functioning,’ he says. ‘When patients come to me
because they’re unhappy with the shape of their nose, we
also address the underlying functional problems. They often
leave just as happy with their new improved nasal airways
as they are with their appearance.’
Because the anatomy is so intricate, and affects
both aesthetics and functionality, rhinoplasty calls for a
specialised and experienced eye. Dr Mooney favours the
“open” surgical technique, which involves a small incision
between the nostrils to afford maximum surgical access.
Dr Mooney says that functional problems can contribute
to an aged appearance and, by addressing nasal
functionality, quality of life and aesthetics can be improved,
114 www.cosbeauty.com.au

nose
too. ‘Problems such as difficulty breathing, allergies,
snoring and sleep apnea – not to mention post-traumatic
obstructions – often occur alongside cosmetic concerns,’
he explains. ‘Although these might seem like little things on
their own, when combined they can really impinge upon
quality of life. For example, if you don’t breath properly,
particularly at night, this can lead to a tired and drawn
appearance, and also affect your mood.’
Before rhinoplasty, Dr Mooney will always assess each
patient’s face as a whole, rather than focusing on the nose
alone. This allows him to not only determine the ideal shape
and size of the nose, depending on overall facial aesthetics,
but also identify if the patient would benefit from additional
procedures as well.
‘It’s important to look at the patient’s face as a whole
picture, rather than an isolated feature,’ he says. ‘We
conduct a formal skin and cosmetic assessment to see if
the patient has any problems with
their skin and what we can do to
1
treat those problems.’
For those patients concerned with
ageing, Dr Mooney explains nose
surgery can often help revitalise a
heavy, aged or tired appearance.
‘As we age, noses become bigger
and more irregular,’ Dr Mooney says.
‘Deviations in noses are like the
leaning tower of Pisa – they often
progress as time goes by. As well as
this, the skin becomes thinner during
ageing so any irregularities become
more pronounced.’
Dr Mooney says these signs
of ageing can occur alongside tip
ptosis – when the tip of the nose
BEFORE
droops downward and the angle
2
of the nose is affected. ‘Everything
starts to go south as the years go
by, and the nose is no exception,’ he
explains. ‘So returning the tip to its
lovely youthful position and reducing
the size of the nose is a fantastic antiageing
procedure.’
Creating an aesthetic nose tip
is regarded as one of the greatest
challenges to nose surgeons. Dr
Mooney has developed a specialised
technique – termed the “Diamond
Tip” technique – to provide superior
results, customised to each patient.
According to Dr Mooney, nose
surgery is just one element in
improving quality of life and overall BEFORE
health. He encourages patients to make some easy lifestyle
adjustments to improve the results of surgery.
‘The first piece of advice I give all my patients is to get
some sleep, stop smoking, get out of the sun, booze less
and get happy,’ he says. ‘These are quick, cheap and easy
steps every patient can take to maximise the results of their
surgery, and which have wider impacts on their health and
wellbeing.’
This holistic and all-encompassing approach is at
the centre of Dr Mooney’s philosophy and extends to all
aspects of his practice. Indeed, Dr Mooney might draw
upon Chinese herbs, anti-swelling medication, cosmetic
injectables, prescribed skincare, pressure treatments
and scar management in optimising aftercare following
surgery. ‘This attention to detail is what makes the
difference between a good rhinoplasty, and a great one,’ he
concludes. csbm
AFTER rhinoplasty by Dr Mooney
AFTER rhinoplasty by Dr Mooney
www.cosbeauty.com.au 115

teeth
A
TRUE
SYDNEY AESTHETIC RECONSTRUCTIVE DENTIST DR SARKIS NALBANDIAN
BELIEVES A BEAUTIFUL SMILE SHOULD IMITATE NATURE. CAITLIN BISHOP REPORTS.
A
strong, white, striking smile can convey confi dence,
sincerity and youthfulness, while boosting self-image
and confi dence in one’s own skin. Good dental
hygiene is certainly key in maintaining smile aesthetics,
however sometimes a more direct approach is necessary
to grant your smile that extra lift.
Sydney aesthetic reconstructive dentist Dr Sarkis
Nalbandian has built his clinic upon creating natural-looking
results in smile rejuvenation. He believes a beautiful smile
should imitate nature, involving a dynamic interplay of the
teeth, lips and face.
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 Nalbandian says. ‘Damage can also occur on
account of “bruxing”, or teeth grinding, which is a habit that
can impact both the canine and front teeth, wearing them
down and leading to asymmetry.’
While there are many options for smile rejuvenation – from
orthodontics to reconstruction – Dr Nalbandian believes a
smile can be aesthetically and functionally 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 confi dence and
Actual Patient
allowing them to continue with their lives after just one visit.’
A One-Visit Dental Facelift focuses on the speech
area and aesthetic zone of the mouth. It calls upon noninvasive
ultra-thin composite veneers, which can be
sculpted to fi t each individual patient and require no
injections, no drilling and no downtime. Importantly,
composite veneers afford fl exible options for future revision,
as Dr Nalbandian explains.
‘The beauty of this treatment is we can improve the
patient’s smile while still keeping their options open for
future orthodontic realignment,’ he says. ‘If a patient returns
for orthodontics I can remove the composite veneers, but in
many cases this isn’ needed. Composite veneers last three
to fi ve years and, following that, they just need resurfacing,
which can be performed in a 30 minute check-up.’
Before treatment, Dr Nalbandian photographs the
patient from three angles – front, oblique and profi le – to
capture the most important aspects of their smile. Dr
Nalbandian uses this information to prepare the most
suitable treatment plan, helping to shape the veneers and
select the appropriate shade of colour.
Unlike other cosmetic dentists, Dr Nalbandian does not
rely on digital smile design software, but instead works
within the mouth to accurately diagnose smile aesthetics.
‘Smile design is an art form and I work within the mouth
directly to diagnose and plan the best treatments for my
patients,’ Dr Nalbandian says. ‘The challenge is to create
natural smiles that complement the patient’s beauty and
facial aesthetic. This demands an individualised approach,
and cannot be digitalised.’ csbm
116 www.cosbeauty.com.au

CASE STUDY
Severe tooth discolouration caused by the antibiotic
tetracycline results in yellow tooth discolouration, which can
turn brown over a number of years.
This patient initially presented for aesthetic improvement,
due to severe tetracycline discolouration, affecting both
upper and lower arches since childhood. As well as the
discolouration, this patient had neglected her dental health,
and many attempts of tooth whitening has resulted in
minimal or no change to the whiteness of her teeth.
Dr Nalbandian discussed with her the options in tooth
whitening over an extended period. However, due to her
circumstances, this patient preferred a quicker option, that
would also restore the tooth surface loss caused by bruxing
(tooth grinding).
teeth
Following oral hygiene measures, plus a diagnostic
assessment, Dr Nalbandian formulated a correct treatment
plan for this patient. Both arches were restored using
ultrathin porcelain veneers developed by Dr Nalbandian and
his technical team.
This procedure requires minimal intervention, no local
anaesthetic, and importantly the enamel integrity of the
tooth is maintained. The procedure helped improve lip
outline, thickness and symmetry, as well as tooth colour,
shape and display.
‘Biology drives the aesthetics and treatment outcome,
and pictures tell the story. We have improved dentofacial
aesthetics, and have a very happy and more confident
patient,’ Dr Nalbandian concludes.
BEFORE
AFTER ultrathin porcelain veneers by Dr Nalbandian
BEFORE
AFTER ultrathin porcelain veneers by Dr Nalbandian
BEFORE
AFTER ultrathin porcelain veneers by Dr Nalbandian
www.cosbeauty.com.au 117

face
An
educated
approach
118 www.cosbeauty.com.au

face
thinking about anti-wrinkle injectables? before undertaking
treatment, there are certain questions you should be asking.
Caitlin Bishop reports.
Injectables have become a modern day staple in the anti-ageing regimes of
both men and women. Used as both a preventative and restorative measure,
anti-wrinkle injections and dermal fillers are often the first port-of call for those
considering cosmetic enhancement. According to Sydney cosmetic surgeon
Dr Joseph Ajaka, anti-wrinkle injections in particular address the cause of one of
the most lamented hallmarks of ageing.
‘Anti-wrinkle injections target one of the major causes of ageing. They
treat overactive muscles and prevent dynamic wrinkles from forming,’ Dr
Ajaka explains. ‘I consider anti-wrinkle injections to be an integral part of any
person’s anti-ageing regime, and they often signify the patient’s first venture into
cosmetic enhancement.’
Dynamic wrinkles are caused by facial muscle movement, not intrinsic skin
ageing. As the muscles move, the skin contracts and the collagen fibres in
the dermis break. The ability for the body to restore these fibres and generate
new collagen depletes as we age, and the wrinkles stay in place, even when
the muscles are relaxed. Anti-wrinkle injections are used to freeze this muscle
movement, and prevent dynamic wrinkles from arising or worsening.
A lot of patients seeking anti-wrinkle
injections don’t ask questions before deciding
to go ahead with treatment. But knowledge is
power, and patients must understand what
measures need to be taken
‘Anti-wrinkle injections are the most popular injectable in our clinic; they are
extremely effective with minimal risk,’ Dr Ajaka says. ‘They have a very high level
of satisfaction, and can make a huge difference in a single treatment.’
However, alongside the popularity and effectiveness of anti-wrinkle injections
– and because injectables have become so entrenched in contemporary beauty
regimes – there is a danger that consumers will adopt a carefree attitude in
undertaking treatment.
Dr Ajaka finds many patients approaching him for an initial consultation do
not consider, or ask about, the potential risks involved or the type of injectable
product used.
‘A lot of patients seeking anti-wrinkle injections don’t ask questions before
deciding to go ahead with treatment,’ he says. ‘But knowledge is power, and
patients must understand what measures need to be taken if the treatment does
not go according to plan. They need to know this before going in.’
According to Dr Ajaka, the consultation process is vital in establishing this
rapport between patient and doctor. He encourages patients to ask to be shown
www.cosbeauty.com.au 119

face
1
Informed Beauty
InformedBeauty.com.au is an online platform designed
to educate patients and raise awareness around one
essential fact – cosmetic injectables should not be
taken lightly.
The site was launched in March 2014 after a survey
commissioned by Allergan found the majority of Australian
women using anti-wrinkle injections are inadequately
informed. It found more than 85 percent of anti-wrinkle
injection users claimed they were careful in receiving
treatment but 71 percent did not know that there were
different kinds of anti-wrinkle injectables available.
InformedBeauty.com.au is dedicated to setting “the
facts straight on wrinkles”, and has fact sheets on
wrinkles and ageing, a timeline of anti-ageing tips for
every age group, and expert advice from plastic and
cosmetic surgeons..
before and after photographs of other patients, as this will
help form an idea of what to expect. But most importantly,
2
Dr Ajaka recommends patients ensure the brand of
injectable is tested, researched and registered for use.
‘The consultation is very important. The patient must
know the type of product being used, why that product
is being used and the background research behind that
product – most importantly, it must be registered,’ he says.
‘As well as this, patients should ask how long the results
will last, the different side effects of the product, the type
3
of result to expect (with before and after photographs) and
what will happen if things go wrong.’
With anti-injectables being such an effective and popular
treatment for cosmetic rejuvenation, it is imperative patients
consider the procedure with a responsible amount of
caution. Certainly, when administered effectively, injectables
can reap significant and long-lasting results. But, before
going ahead with treatment, the patient must take the time
4
to ask questions, ensure the product is registered and build
confidence in their practitioner.
‘These days, anti-wrinkle injections are sought out by
anyone and everyone,’ Dr Ajaka says. ‘The treatment can
be applied to men, women, young, old from all walks of life.
In order to maintain patient satisfaction, all patients must be
educated and informed going into treatment.’ csbm
BEFORE
BEFORE
BEFORE
BEFORE
AFTER injectable wrinkle treatment by Dr Ajaka
AFTER injectable wrinkle treatment by Dr Ajaka
AFTER injectable wrinkle treatment by Dr Ajaka
AFTER injectable wrinkle treatment by Dr Ajaka
120 www.cosbeauty.com.au

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face
Turn back
the clock
with PRP
PLATELET RICH PLASMA
THERAPY, FROM
REGEN PRP, TRIGGERS
REJUVENATION WITHIN THE
SKIN TO HELP COUNTER
THE SIGNS OF AGEING.
CAITLIN BISHOP REPORTS.
Platelet Rich Plasma (PRP) therapy helps kick-start
the body’s natural processes that increase healing,
repair and tissue strengthening, effectively reversing
signs of ageing from within.
With a history spanning decades in the medical industry,
PRP is a regenerative and rejuvenating procedure with
countless options for application. It has been used to
combat autoimmune diseases such as Sjogren’s syndrome;
in sports medicine for treating injured joints and muscles;
and, now – thanks to companies such as Regen Lab – PRP
has entered the cosmetic anti-ageing arena.
Sydney cosmetic practitioner Dr Stephen Lowe works
at Face Today Medi Clinic, where Regen PRP was fi rst
launched in 2008. Since then, he says the results seen
with Regen PRP demonstrate exciting potential for the
world of cosmetic medicine. ‘The team at Face Today
wanted to better understand the applications for Regen
PRP in cosmetic medicine, so they commenced a series of
monthly skin treatments and assessed patient response,’
Dr Lowe explains. ‘The results were beyond expectation.
With correct patient selection and treatment parameters,
patients were “growing themselves younger” before their
very eyes.’
The procedure involves extracting a sample of the
patient’s blood, centrifuging this sample to concentrate
the blood’s platelets and then re-injecting the concentrated
solution into the treatment area.
Stacey Power, an aesthetic nurse in New Zealand,
has been using Regen PRP since 2009 and says it can
be used to treat a number of different concerns, including
pigmentation, sagging skin, enlarged pores, fi ne lines,
scarring and uneven skin tone. ‘I’ve found PRP to be
amazing for scar healing, and I often inject it before and
after cosmetic surgery to optimise healing. I also use it in
the backs of hands, to treat loose skin at the top of the
arms, as well as the face and neck.’
Once PRP is injected into the body, the blood
platelets release proteins called growth factors, which
communicate with the body to trigger the natural healing
process. This helps kick-start skin cell turnover, stimulate
collagen production at the site and invigorate the area with
heightened cellular activity.
‘Regen PRP can play a role to improve damaged skin
by stimulating collagen growth and skin blood supply and
help improve skin texture and elasticity,’ Dr Lowe explains.
‘This can be a great option for younger patients seeking
to reduce the early signs of skin ageing, but it is also ideal
for older patients to incorporate Regen PRP with other
treatment modalities to achieve even greater results. We
think this is also a great treatment for men who want results
that are subtle and discreet.’
‘Regen PRP have refi ned the technology providing the
optimal concentration from each blood sample,’ Dr Lowe
explains. ‘Patients appreciate that they are harnessing their
body’s own repair mechanisms, rather than injecting foreign
materials into their body. As we are using patient’s own
blood for the procedure, the risk of a reaction or infection
is extremely low.’
With PRP working within the skin to harness a natural
rejuvenation, other treatments such as wrinkle relaxants
can be used in conjunction to achieve an overall, synergistic
rejuvenation. ‘I like to use dermal needling over the top of
the skin to get a double effect,’ Power explains. ‘With some
clients I also mix PRP with fi llers. This helps create a cross-
122 www.cosbeauty.com.au

face
mesh scaffolding to maximise collagen growth. We are
finding this achieves even faster results than PRP alone.’
PRP treatment can be tailored to each individual patient.
Commonly, a series of three treatments, four to six weeks
apart, are performed to achieve the best result.
A thorough consultation process is required to establish
the best treatment plan with Regen PRP. ‘We always have a
thorough consultation with our patients to fully understand
their concerns and expectations going into treatment,’ Dr
Lowe explains. ‘We take this opportunity to explain the
importance of a healthy lifestyle and UV skin protection to
reduce future skin damage. We formulate a treatment plan,
which may involve a single treatment with Regen PRP or a
series over a few months, and decide if Regen PRP should
be used in combination with other cosmetic treatments.
After the treatment, we typically allow two to three days for
any redness and swelling to settle; the occasional bruise
may take a few days to fade but is usually easily covered
with makeup.’
The treatment itself is performed under topical
anaesthesia, and takes about 30 to 45 minutes, depending
on the area being treated. An improvement in skin tone
and texture is expected in the weeks following treatment,
with these initial results continuing to improve for six to nine
months post-procedure, as new collagen is laid down in
the dermis.
Whether you’re looking to improve scar healing after
surgery, treat an ageing neck or simply rejuvenate and
brighten the complexion, Regen PRP offers effective,
natural-looking and long-lasting results.
‘I have a client who has had regular PRP treatment for
five years now. Her fine lines have resolved and her pores
have disappeared, leaving a porcelain-like smoothness to
her now glowing skin,’ says Power. ‘She decided to have a
blepharoplasty, and I injected her with PRP before and after
her surgery. Three months post-surgery, on inspection by
the operating doctor, he stated that her healing was almost
“embryonic”, with barely any scarring at all. A combination
of an excellent plastic surgeon’s stitches, with regular PRP
treatments, produces fantastic results for scarring.’ csbm
1
BEFORE
2
BEFORE
3
BEFORE
4
BEFORE
AFTER 3 x Regen PRP treatment by
Stacey Power
AFTER 3 x Regen PRP treatment and 3 x
Exilis RF treatment by Face Today Medi Clinic
AFTER 3 x Regen PRP treatment by
Stacey Power
AFTER 3 x Regen PRP treatment by
Face Today Medi Clinic
Treating hair loss with PRP
Hair loss in both men and women can be an embarrassing
and traumatising experience. The regenerative properties of
Regen PRP, and the way it works to accelerate and optimise
the body’s natural processes, has led to the use of PRP to
prevent – and even reverse – baldness.
‘We are seeing some very effective results with hair
growth from PRP,’ Power explains. ‘One client who
shaves his head because of baldness, found his grey hair
changing back to black, and experienced hair growth
in places where he hadn’t had any growth in years. This
was all as a result of injecting his face with PRP, a positive
side-effect.’
Similarly, Dr Lowe explains that Regen PRP can be
used in conjunction with traditional methods to treat a
balding head. ‘Hair loss is best treated with a combination
approach of oral medication and topical medication on the
scalp,’ he says.
‘Adding Regen PRP to these treatments helps improve
blood supply to the skin and can be a useful adjunct to hair
loss treatment,’ he concludes.
www.cosbeauty.com.au 123

skin
the
gold
standard
in skin
rejuvenation
Fraxel laser can achieve outstanding results in smoothing, plumping
and rejuvenating the skin. Caitlin Bishop reports.
A
decade ago, the Fraxel laser system pioneered the
use of fractional laser technology in skin rejuvenation.
Since then, more than 800,000 patients have been
treated around the world with Fraxel to address cosmetic
and anti-ageing concerns.
Suitable for reducing the appearance of wrinkles,
sun spots, melasma and scarring, Fraxel – distributed in
Australia by iNova Aesthetics – is a system designed to
improve skin tone, texture, elasticity and overall skin health.
‘Fraxel can help diffuse pigmentation such as sunspots
and brown pigmentation on the face, décolletage, neck
and hands,’ Victorian cosmetic physician Dr Sean Arendse
explains. ‘Another common concern is textural issues such
as wrinkles on the face, neck and chest. We also have a
large group of patients with acne scarring who have been
successfully treated with the Fraxel system.’
Fraxel uses cutting-edge technology to deliver results in
a simple, though very effective fashion. It uses laser light
to penetrate the top skin layers and cause micro columns
of thermal damage to the dermis. This triggers the body’s
healing response and stimulates the production of new
collagen at the treatment site.
The ‘fractionated’ effect means only a fraction of the skin
is treated, as there are areas of healthy, untouched tissue
between each column of damage.
‘The Fraxel system has a very high safety profile, which
is partly due to the fact that the majority of the skin is left
untreated,’ Dr Arendse explains. ‘The research that has
gone into Fraxel, and the support and ongoing training
offered by iNova, is another huge benefit of the system.’
Fraxel treatment can be tailored to the individual patient,
according to their concerns and current skin condition.
There are two main wavelengths for Fraxel laser: 1550nm
and 1927nm. Queensland cosmetic practitioner Dr Eddie
Roos, who has been using fractionated laser in his clinic
for five years, believes Fraxel affords a wide range of skin
treatment options.
‘The 1550nm wavelength is used for rejuvenation and
scar remodelling. It penetrates deep into the dermis to
achieve really significant results,’ Dr Roos explains. ‘The
1927nm wavelength does not penetrate as deeply, and is
used to treat pigment in the skin. It is ideal for improving
sun-damaged skin that we see in Queensland and, indeed,
the rest of Australia.’
Typically, a full-face treatment will take around one
hour and topical anaesthetic cream will be applied to
make the patient as comfortable as possible. The number
of treatments required varies between patients, and is
dependant on their skin condition and what they are aiming
to achieve.
124 www.cosbeauty.com.au

skin
1
‘During treatment the laser is rolled across your skin
several times and, depending on the size and complexity of
the treatment area, the actual procedure will take anywhere
between 20 minutes and an hour,’ Dr Arendse explains.
‘For pigmentation we would usually recommend one to two
treatments, and for acne scarring and wrinkles three to five
treatments are typically required.’
Notably, the Fraxel system has an inbuilt cooling system
to help keep the skin’s surface cool and comfortable during
treatment. This allows higher levels of heat energy to be
delivered deep into the skin’s layers, without compromising
the upper epidermis.
‘The Fraxel system delivers an even treatment combined
with cold air blown onto the skin, making the procedure
tolerable to patients,’ Dr Roos explains.
‘The effect of laser treatments on the skin will vary from
person to person,’ he continues. ‘The body’s response to
fractionated trauma is explained in detail to patients before
they go ahead, and we do emphasise that rejuvenation
results will continue to improve for months following
treatment – as the new collagen is created.’
Some redness and swelling should be expected
post-procedure, particularly with the 1927nm laser. Dr
Arendse says there are several phases the skin will go
through following treatment with Fraxel. ‘Immediately after
treatment, the skin feels like it has mild sunburn and we
provide ice packs and a specialised skincare pack for home
use,’ he explains.
‘The face may be red and a little swollen for the next two
to three days, after which the skin will bronze. Following
this, the bronzing will flake and exfoliate off, revealing the
fresh new rejuvenated skin underneath. The redness can
persist for one to three weeks, but with the use of a good
mineral makeup this can be easily camouflaged.’
The results of Fraxel treatment start to appear as the
skin exfoliates, but continue to improve for the three to six
months following the procedure. During this time, the new
collagen synthesised in response to treatment is building
and regenerating in the skin. As this occurs, the complexion
becomes firmer and more resilient, with improved contours
and texture.
‘We have seen fantastic results using Fraxel laser,’ says
Dr Arendse. ‘Once the redness and bronzing has settled
down, you can see vast improvements in pigmentation
and skin quality. Another advantage of the treatment is that
results are cumulative, with the best results often seen six
months after the treatment.’
‘My patients often describe their skin as fresher and
more radiant following completion of their treatments, and
are amazed by the results they experience,’ Dr Arendse
concludes. csbm
BEFORE
2
BEFORE
3
BEFORE
4
BEFORE
5
BEFORE
AFTER Fraxel treatment by Dr Arenndse
AFTER Fraxel treatment by Dr Arenndse
AFTER Fraxel treatment by Dr Roos
AFTER Fraxel treatment by Dr Roos
AFTER Fraxel treatment by Dr Roos
www.cosbeauty.com.au 125

skin
Revitalise
your
skin
Laser skin resurfacing
can help you stay
looking younger and
more radiant for
longer. The team at
Skin Renu in Sydney
tells us how. AimÉe
Surtenich reports.
Ageing is a multifaceted process, and can result in a number of changes
to our appearance, including the emergence of fine lines and wrinkles,
discolouration, uneven texture, surface veins and lax skin.
A growing number of people are seeking more dramatic results than can
be achieved with skincare products, peels or facials alone. One of the most
popular ways of treating sun-damaged and ageing skin is fractionated laser skin
resurfacing, to reveal smoother, more even and radiant skin, no matter the age
of the patient. The skin professionals at Skin Renu laser and skin clinic in Sydney
share their experience with two of the most popular laser procedures.
Fraxel laser
For skin needing a little more intensive care, Fraxel laser skin resurfacing can
improve a wide range of skin concerns, such as lines and wrinkles, loose skin,
pigmentation, acne scarring and moderate to severe sun damage.
Rather than removing the top layer of skin (with significant downtime) like
traditional ablative laser resurfacing of the past, Fraxel laser treats a fraction of
skin at a time, creating thousands of tiny microscopic sites of thermal impact,
known as microthermal zones.
These microscopic laser columns penetrate deep into the dermis to create
tiny wounds, triggering the body’s natural response system to heal those
wounds. This process expedites the body’s remodelling of collagen and elastin,
resulting in tighter, fresher, more youthful-looking skin. It operates on the concept
of damaging small amounts of tissue to stimulate collagen and elastin, activating
new cells.
There are three kinds of Fraxel laser treatments, depending on each patient’s
needs and requirements. These vary in strength, downtime, the amount
of procedures needed and the final results. A less aggressive treatment is
Fraxel re:store, which can achieve impressive results for mild to moderately
126 www.cosbeauty.com.au

skin
damaged skin over the course of three to six treatments. There is typically no
post-treatment wound care and downtime is minimal in most cases, with some
swelling to be expected. It is particularly effective for treating pigmentation
and scarring on the face and affected skin on other parts of the body, as well
as sun damage, acne and acne scars, and broken capillaries. With each
treatment, a signifi cant improvement is usually evident.
Clear+Brilliant skin resurfacing
For those not ready for more aggressive treatments, Clear+Brilliant offers an
effective solution. Based on Fraxel technology, Clear+Brilliant is ideally suited for
those in their 20s and 30s wanting to take control of their skincare and manage
the appearance of ageing.
This more gentle laser treatment is used to improve skin tone, texture and
radiance, as well as to act as a preventative measure for treating sun damage
and premature ageing. It’s perfect for those with a good skincare system already
in place who are looking for a level up in their beauty regime.
Clear+Brilliant offers two different treatment heads: 1550nm to target
premature ageing; and 1527nm to target pigmentation. Each treatment takes
about 20 minutes, and there is typically no downtime, just some temporary
pinkness or redness. Generally a short series of treatments will yield the most
impressive results, but even after one treatment there should be a noticeable
fading of light pigmentation and freckling, a more homogenised skin tone and
texture, as well a more luminous look to the skin.
Initial results should appear within a few days as damaged skin is slowly
replaced with healthy, younger looking tissue. Clear+Brilliant offers younger
patients an ideal introduction to maintaining youthful-looking skin. csbm

Connecting
the dots
in skin
rejuvenation
DOT THERAPY FROM HIGH TECH LASER AFFORDS THE BENEFITS
OF FRACTIONATED LASER TREATMENT, WITH MINIMAL DOWNTIME AND
RECOVERY. CAITLIN BISHOP REPORTS.
Want to turn back time to reveal younger, more
healthy looking skin without surgery or lengthy
downtime? DOT Therapy is designed to deliver
just that.
Dermal Optical Thermolysis (DOT) Therapy is a fractional
laser system designed to deliver the benefi ts of laser skin
resurfacing while signifi cantly reducing the recovery time.
Distributed by High Tech Laser, the SmartXide DOT
fractionated laser can help reduce the appearance of
wrinkles and acne scarring, while improving skin tone
and texture. It calls upon the same technology used by
traditional skin resurfacing lasers, but delivers the light
energy in fractionated “dots” to help optimise healing and
reduce recovery time.
‘DOT Therapy is really effective in treating irregularities
on the skin’s surface such as dilated pores, discolouration
and uneven contours from scarring,’ says Queensland
cosmetic physician Dr Heather Jenkins. ‘It can work very
well in tightening up crepeiness around the eyes in patients
who aren’t quite ready for eyelid surgery. We also treat a lot
of patients with acne scarring, with very pleasing results, as
well as birthmarks, stretch marks and scars.’
By creating precise microscopic columns of thermal
damage in the skin, DOT Therapy triggers the body’s
healing response to tighten skin and stimulate new collagen
growth. Importantly, between each column of damage
there are “islands” of healthy tissue, which help improve the
healing process for a more rapid recovery.
‘The areas of untouched tissue improve healing time
and reduce rates of complication,’ says Dr John Flynn from
Queensland. ‘Also, the areas of untreated skin between the
“dots” means more aggressive and effective parameters
can be used during treatment, as these are bolstered and
comforted by the adjacent healthy tissue.’
Patients will typically see an improvement in skin tone
and texture in the days following treatment. However the
results are cumulative and will continue to improve in the
three to six months post-procedure, as the new collagen is
laid down in the skin’s dermis.
‘The procedure has an immediate effect because it acts
like a controlled laser peel, which freshens and brightens the
skin,’ Dr Jenkins explains. ‘There is also some tightening at
the outset, and this continues to improve as new collagen
forms over the subsequent three months or so.’
Importantly, treatment with DOT Therapy can be tailored
to individual patients, depending on their concerns and
current skin condition. ‘The treatment can be tailored to
suit the patient’s needs by altering the depth of the dots,
and distance between the dots and the amount of power
delivered,’ Dr Jenkins explains.
There are two main patient groups suitable for treatment
with DOT Therapy: those looking for general facial
128 www.cosbeauty.com.au

skin
rejuvenation – an improvement in tone, texture and skin
quality – and those with deeper lines, sun spots or scarring,
who require deeper treatment parameters.
‘The DOT Therapy system can be used as a fractionated
laser peel for boosting skin health and granting a glow and
slight lift,’ Dr Flynn explains. ‘The heavier setting, which we
DOT Therapy is effective in
improving irregularities on the
skin’s surface such as dilated
pores, discolouration and
uneven contours from scarring
call Hot DOT Therapy, is used to treat deeper lines, improve
pigmentation and reduce problem scarring from acne,
trauma or skin cancers.’
As well as tailoring the treatment to each patient,
DOT Therapy can also be used in conjunction with other
modalities to achieve a universal rejuvenation result.
‘DOT Therapy can be used
alongside Intense Pulsed Light
1
(IPL), botulinum toxin treatments
and dermal fillers,’ Dr Jenkins
explains. ‘Before treatment,
I always undertake an initial
consultation with my patients
to better understand their main
concerns and what they’re hoping
to achieve.’
The treatment itself is performed
with topical anaesthetic, which
is left on the skin for 45 minutes
before treatment begins. During the
procedure, the doctor can change
the shape of the ‘dot’ pattern to
more effectively accommodate
the area being treated. This is
particularly important when treating BEFORE
delicate areas such as the wrinkles
2
around the mouth or eyes.
‘Patients typically experience
a tingling feeling directly after
treatment, but this can be improved
with cold compression,’ says Dr
Flynn. ‘Patients should follow a
prescribed skincare protocol in the
first few days after the procedure,
to help optimise healing. Once the
BEFORE
old skin has exfoliated, some redness may persist, but
this can be covered with mineral makeup. The healing
and collagen rebuilding will continue for up to six months
post-procedure.’
In some cases, multiple treatments may be required
to achieve the best results. However, for general skin
rejuvenation, Dr Jenkins explains an annual DOT Therapy
session will usually suffice. ‘A light treatment may be
repeated once a year; a stronger treatment may only need
to be done once,’ she says.
Whether you’re looking for general skin improvement,
or to treat something more specific, DOT Therapy with the
SmartXide laser can be a viable option in improving the
complexion and restoring inner-confidence.
‘One of my stand-out patients was a young man in his
late 20s who had lived in a remote rural area during his
teens and had suffered from untreated cystic acne,’ Dr
Jenkins recalls. ‘He was left with considerable scarring
but fortunately was a great candidate for DOT Therapy.
He had two treatments and did very well. He sent me a
photo of himself six months later with a beaming, confident
smile and his skin looking so much better. Improvement in
confidence is the best outcome of all.’ csbm
AFTER Dot Therapy using the SmartXide DOT laser. Photos
courtesy of High Tech Laser.
AFTER Dot Therapy using the SmartXide DOT laser. Photos
courtesy of High Tech Laser.
www.cosbeauty.com.au 129

skin
Deep
hydration
Caitlin Bishop investigates how restylane
skinboosters deeply hydrate skin to improve
smoothness, elasticity and radiance.
Restylane Skinboosters are an effective treatment designed to
deeply hydrate the skin for an improved look and feel. Made with
a hyaluronic acid gel, which closely resembles the hyaluronic acid
found naturally in the body, the fillers offers long-lasting improvements in
skin quality and textural condition.
‘Myself, and most importantly my patients, have been consistently
impressed with Skinboosters,’ says Victorian cosmetic practitioner
Dr Dennis McCurdy. ‘We have found it to be a wonderful anti-ageing
product, not only in improving skin health but also in slowing down the
visible signs of the ageing process. Clients return almost yearly, asking for
their “internal hydrator”.’
Skinboosters do not act as a dermal filler, but a skin hydrator or ‘internal
moisturiser’. The hyaluronic acid attracts and maintains hydration within
the skin to improve the quality and appearance of the skin.
‘Hydration is very important, and good skincare is essential to maintain
younger, healthier looking skin,’ Dr McCurdy explains. ‘Restylane
Skinboosters act to hold water in areas where it is most needed.’
The product is usually injected across the face, and into the neck
and décolletage area, to improve the quality and resilience of the skin. As
well as this, Dr McCurdy uses Skinboosters on areas that clearly show
ageing, such as the hands, elbows and knees.
‘Skinboosters primary function is to provide hydration to the deeper
skin layers. Due to this hydration the skin is able to function more effectively
and efficiently,’ he says. ‘Skin appears healthier looking and more flexible,
and collagen production is stronger. In my experience, Skinboosters can
130 www.cosbeauty.com.au

skin
achieve effective results in the face, neck and décolletage as well as the backs
of hands, elbows and knees.’
For best results, Skinboosters is injected into the deep dermis and
subcutaneous tissue. This affords deeper hydration, and helps optimise the
performance of the dermal-epidermal membrane, ensuring the complexion
remains hydrated and nourished.
‘Skinboosters works best when injected into the deep dermis upwards to
the subcutaneous layer. I personally prefer administering Skinboosters with a
cannula, as opposed to using needles,’ says Dr McCurdy. ‘Although it takes a
little longer, there is less discomfort and less bruising.’
Treatment with Skinboosters can be tailored to the individual patient. In most
cases, Dr McCurdy recommends using 3mm of Skinboosters initially on the
face, with extra product used for the neck area. The procedure itself takes
around 30 to 45 minutes, and some swelling should be expected in the days
following the procedure.
In some cases, Skinboosters can be used in conjunction with other treatments
to create a more comprehensive result. ‘Although Skinboosters can achieve
significant results, it doesn’t do the whole job,’ Dr McCurdy explains. ‘Using
muscle relaxant injections, laser treatment and filler products to enhance deficits
and improve features, is important for a full anti-ageing effect. Any rejuvenation
method should also be accompanied by good skincare.’
Results with Skinboosters are cumulative, and take around three to four
months to appear. This gives time for the collagen and elastin to remodel and
develop, due to the deep hydration. These results are expected to last for six to
nine months following treatment, however Dr McCurdy says it is often longer.
‘I feel the benefits are visible for more than 12 months,’ he says. ‘At our
clinic, we find Skinboosters results in decreased wrinkles, smaller pores, fewer
blemishes and generally younger, healthier looking skin.’
For those looking for a preventative or anti-ageing measure, that will achieve
subtle but effective rejuvenation results, Skinboosters is a viable option in helping
restore smoothness, vitality and hydration to the complexion.
‘Skin hydration is beneficial for everyone, both male and female,’ says Dr
McCurdy. ‘Because we live in air-conditioned and heated buildings, our skin
dries out very quickly, so deep hydration is a must. We have young and old
patients seeking treatment with Skinboosters, as more and more people become
aware of the need to look after their skin to maintain a healthier, more fresh
appearance.’ csbm
BEFORE
AFTER Skinboosters treatment
www.cosbeauty.com.au 131

skin
3-dimensional
volume
INFINI FROM ADVANCED
COSMECEUTICALS IS A CUTTING-
EDGE, NON-SURGICAL METHOD
FOR FACIAL REJUVENATION.
CAITLIN BISHOP REPORTS.
The
T
Infi ni is a minimally invasive solution to rejuvenate ageing skin, creating
three-dimensional volumisation while reducing the appearance of wrinkles,
scarring and sagging skin.
How it works
The Infi ni, distributed in Australia by Advanced Cosmeceuticals, uses cutting
edge technology to cause skin tightening and collagen production in the
dermis. The system uses both radiofrequency (RF) and skin needling to deliver
controlled thermal damage to the dermis, without heating the upper layer of skin
(the epidermis).
A key benefi t of the Infi ni treatment is its effectiveness in addressing both the
superfi cial and deeper layers of the skin. The technology combines microneedling
fractional radiofrequency (MFR) and superfi cial fractional radiofrequency (SFR) to
help fortify, tighten and rejuvenate the complexion.
The MFR energy is delivered to the skin’s deeper layers via insulated gold-
coated microneedles. This affords a double-fold effect, as both skin needling and
thermal heating can help boost collagen production and rejuvenate the skin from
within. The MFR causes controlled areas of coagulation – or tissue shrinkage –
leading to skin tightening and wrinkle reduction.
Meanwhile, the SFR technology delivers thermal energy via two channels to
both the epidermis and the dermis. This leads to a mild microablation of the skin’s
surface to illuminate the complexion and homogenise the skin’s texture. When the
microneedles and controlled thermal damage is applied, this triggers the skin’s
132 www.cosbeauty.com.au

skin
natural healing response and the treatment area is flooded with blood, oxygen
and nutrients. Fibroblast production is enhanced, triggering the formation of new
collagen, and the skin is volumised for a three-dimensional result.
Treatment
To achieve an all-over facial rejuvenation, treatment with Infini is usually applied
‘layer by layer’ at different depths in the skin’s dermis. The number of passes, and
different needle depths, are adjusted according to patient desires and current
skin condition. For example, more aggressive parameters are typically used
on areas of concern – to refine the jaw line or combat wrinkles on the forehead –
and lower parameters are applied on the skin’s superficial layers.
A thorough consultation process is required to establish the most effective
method for treatment with Infini. And, while the procedure is suitable for all skin
types, an individual approach is necessary in ensuring the best results.
Topical anaesthetic is applied to the skin and left on for 45 minutes
before treatment. This increases comfort during the procedure, and
enables the delivery of higher parameters for a more noticeable
result. The treatment itself is methodical, and the Infini headpiece is
moved across the face in designated sections.
Typically, patients can expect some swelling, redness and skin
sensitivity in the days following treatment and, in some cases, mild
bruising can arise under the eyes. Patients are encouraged to wash
their face gently the night after treatment and avoid aggressive
cleansers or any products with powerful scrubbing agents
for a couple of weeks.
BEFORE
BEFORE
BEFORE
BEFORE
AFTER acne treatment with Infini. Courtesy
of Lutronic.
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
Results
In most cases, multiple Infini treatments are required to achieve the
desired outcome, however changes in the skin can be seen after
a single session. The Infini protocol calls for two treatments, four
weeks apart, to generate optimal results, though some patients
opt for more.
Once the redness has faded – usually two days following
treatment – patients should begin to notice a renewed freshness in
their complexion. The release of growth factors and increased blood
flow, which occur due to thermal damage, fuels the face with oxygen
and nutrients as the skin starts to rebuild itself from within.
New collagen fibres begin to form in the dermis around four
weeks after treatment, and these results continue to improve for up
to 10 weeks post-procedure. Patients should see a tightening and
firming of the skin after two to three weeks, and a holistic, universal
rejuvenation should be evident after a series of Infini treatments has
been completed.
While it is effective in turning back the clock and revitalising the
complexion, Infini can also help combat certain conditions that are
usually extremely difficult to treat. Acne scars, stretch marks, traumarelated
scars and melasma (pigmentation) can all be noticeably
improved with Infini – not to mention the anti-ageing benefits integral
to treatment. Whether it’s for general rejuvenation, or to combat a
specific condition, treatment with Infini will leave your complexion
more volumised and revitalised. csbm
www.cosbeauty.com.au 133

skin
Dependable
results
Treating acne
Acne is one of the most common
and debilitating skin conditions.
It occurs when the sebaceous
glands in the skin produce too
much oil, creating a breeding
ground for bacteria and leading
to clogged pores, inflammation
and redness.
The Omnilux Blue is designed
to prevent the spread of
this bacteria, and works by
penetrating the skin’s deeper
layers and stimulating the
production of bacteria-destroying
chemicals. When used in acne
treatment, the Omnilux system
helps soothe painful inflammation
and reduce the amount of
bacterium to reduce the severity
of acne.
As well, Omnilux accelerates
healing and strengthens the
natural function of the skin to
help prevent against future
recurrence of acne irritation.
Omnilux light therapy is a trusted
solution in helping reverse the signs of
ageing and treating acne-prone skin.
Caitlin Bishop reports.
Omnilux has a history of effectiveness that surpasses any other light
therapy device on the market. It uses Light-Emitting Diodes (LEDs)
to achieve significant results in skin rejuvenation, acne treatment and
anti-ageing – results that are clearly supported by clinical research. Indeed,
the system was founded upon many years of research, is used by more than
3,300 dermatologists and plastic surgeons across the globe, and has been
documented in more than 60 peer-reviewed publications.
‘Omnilux is the only proven TGA-approved LED device with years of
research and written papers behind it,’ says Sydney cosmetic surgeon Dr Saras
Sundrum, who has been using Omnilux in her clinics for the past 10 years.
‘Our clients love the non-invasive nature of it and the immediate results. It’s also
very relaxing.’
The device, distributed by True Solutions in Australia, harnesses the body’s
natural processes to treat certain skin conditions and rejuvenate the skin from
within, causing an anti-ageing result. It calls upon light energy to trigger specific
reactions below the skin’s surface, helping to reduce the appearance of acne,
strengthen dermal integrity and reverse the signs of ageing.
The Omnilux system uses three different wavelengths: infrared (Omnilux
Plus), red (Omnilux Revive) and blue (Omnilux Blue). The various wavelengths
are suitable for treating different skin conditions, and trigger cellular activity in the
dermis and epidermis to promote healthy skin function.
Founder of Clear Complexions Clinics and registered nurse Suzie Hoitink
says she uses the Omnilux system to treat a number of different skin conditions
and anti-ageing concerns in her patients. ‘If your skin is feeling tired and the
effects of environmental damage are beginning to show, the Omnilux system is
incredibly effective at rejuvenating your skin,’ Hoitink says.
134 www.cosbeauty.com.au

skin
Point of difference
A key feature of Omnilux, that differentiates it from other systems, is the delivery
of one precise wavelength per treatment – as opposed to using multiple
wavelengths in a single treatment. This means the skin cells are stimulated in
the same way during the entire treatment, preventing cell confusion or counter
activity, and leading to more direct, consistent and effective results.
Even so, Omnilux Plus and Omnilux Revive can be used in conjunction to
achieve a more thorough rejuvenation. ‘The combination of Omnilux Plus
and Omnilux Revive results in a noticeable softening of fine lines and a reduction
in pore size,’ says Hoitink. ‘It also returns an overall, more youthful appearance
to the skin.’
Action within the skin
Omnilux Revive targets fibroblasts in the skin’s dermis, which are the cells
responsible for generating collagen and elastin – the antidotes to premature
wrinkles and textural irregularities. The red wavelength also reduces inflammation
in the skin, helping to promote regular, healthy and efficient cellular activity.
In comparison, Omnilux Plus helps reduce the levels of toxicity in the skin
and assists in healing. As well as this, the infrared wavelength targets the
activity of fibro-myoblasts, which are the cells that work to tighten collagen
bundles and create a neat, even and resilient structure of collagen fibres in
the skin.
‘As we age, the structural integrity of the skin is compromised, resulting in
thinner skin, wrinkles and capillary damage,’ Hoitink explains. ‘Omnilux Plus
and Omnilux Revive work to “kick” the skin back five years or so, to increase
strength, elasticity and overall health.’
Treatment protocol
Studies have found 10 treatments with Omnilux is optimum to achieve the best
rejuvenation results. In most cases, two treatments performed twice a week over
a five-week period is preferred to establish maximum effect in improving skin
health and seeing noticeable results.
‘Each treatment is pain-free and lasts around 20 minutes in duration,’ says
Hoitink. ‘Before treatment, we apply a preparatory solution to the skin to further
enhance the light penetration.’
Depending on patient concerns, other modalities might be used in conjunction
with Omnilux to further enhance results. ‘We use Omnilux following Ultherapy,
laser, IPL, skin needling and injectable treatments to reduce inflammation,’ Dr
Sundrum explains.
Because of its healing properties, Omnilux Plus is commonly used after
cosmetic surgery to help accelerate and improve the recovery process. The
infrared wavelength reaches 8 to 12mm under the skin to trigger the wound
healing response, reduce healing time and help prevent scar formation.
‘For anyone considering surgery, the Omnilux Plus is an absolute must,’ says
Hoitink. ‘It can be used before surgery to prepare the skin, and after surgery to
promote rapid wound healing and assist in scar reduction.’
These same healing benefits have achieved significant results in treating
rosacea, a skin condition that causes facial flushing, persistent redness, thickened
skin, visible capillaries and painful inflammation. Treatment with Omnilux can
boost immune function, clear damaged tissue and promote the production of
new, healthy cells. csbm
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hair removal
Finally,
hair removal
for blondes
Fair-haired people, rejoice!
French IPL specialists
EFB Beauté have brought their
unique blonde hair removal
technology to Australia.
AimÉe Surtenich reports.
By now we’ve pretty much all heard of the beauty benefits
of permanent hair reduction. But there’s always been a
catch – you need dark hair to absorb the light energy.
Oh, and you also need to be fair skinned to achieve the best
results. Until now.
Innovative IPL technology by EFB Beauté has finally made
it possible for blonde, red, grey and white hair (the notoriously
hard ones to remove) to be treated for long-term hair removal.
It’s also suitable for all skin types, making it the only hair
reduction solution for all hair colours and all skin colours.
The Adéna and Anthélia IPL systems by EFB Beauté are
the only machines on the market able to treat white and
blonde hair, and a worldwide patent was registered with the
World Intellectual Property Organization in 2005 and published
in 2007.
How does it work?
Designed and manufactured in France, the EFB Beauté IPL
systems use unique technology developed specifically for
blonde, white, red and grey hair removal. The IPL systems
are unique in that they do not rely only on the hair pigment to
absorb the light energy, meaning it can effectively target those
hair shades not so rich in melanin.
During traditional dark hair photoepilation procedures, an
applicator head that emits high intensity flashes of filtered light
is placed on the treatment area. The energy from this light is
absorbed by the chromophore melanin, which is responsible
for hair pigment or colour. Dark hair, which is rich in melanin,
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hair removal
Multiple benefits
The Adéna and Anthélia IPL systems can also be used
for facial rejuvenation, helping to improve the appearance
of ageing skin rosacea, acne, pigmentation and spider
veins, making it a versatile multi-programmed system
to address a wide range of cosmetic concerns. Both
machines offer effective results; the Adéna is a more
gentle treatment, while the Anthélia offers faster, more
effective results.
Both facial rejuvenation procedures and permanent
hair removal of the legs or back can be completed in just
a lunch break, with no work or social downtime.
1. Photoepilation
World-fi rst exclusive patent in permanent hair reduction
for all hair colours, including blonde, white, grey and red.
2. Skin tightening and anti-ageing
Stimulation of the dermis for a restructuring, lifting and
tightening effect of the skin.
3. Pigmentary treatment
Removal of dark patches on the skin caused by sun
damage and ageing.
4. Vascular treatment
Fast elimination of spider veins and broken capillaries by
selective photo-coagulation.
5. Acne treatment
Weakens production of the sebaceous glands and treats
infl ammatory and bacterial acne.
readily absorbs this light and transfers it as heat into the
surrounding capillaries, which supply blood to the papilla
of growing hairs. When the papillae are destroyed in high
temperatures, additional hair growth is prohibited.
What makes the EFB Beauté systems different is that
the Adéna and Anthélia machines target the blood vessels
at the bottom of the follicle directly, preventing the growth
of blonde, grey, white and red hairs.
An independent clinical trial by DERMSCAN, an
authorised clinical testing centre by the French Ministry
of Health, found that after one session of photodepilation
using Adéna an average decrease of 41 percent of white or
blonde hair was observed.
About the technology
After 10 years of research, in 2011 the Adéna IPL system
entered the market with its exclusive world-fi rst technology
for removal of fair hair, as well as for darker skin types.
EFB Beauté has now become synonymous around the
world with blonde, red and white hair removal, offering a
much-needed solution to treating these traditionally diffi cult
to remove hair colours. It can also safely and effectively
treat darker complexions without risk of burning or
hypopigmentation.
For practitioners, other EFB Beauté innovative benefi ts
include the stability of delivered energy during treatment
and a new absorption fi lter that won’t wear out during its
lifetime.
For fair-haired or dark-skinned people wishing to remove
unwanted body hair or treat a variety of skin concerns, EFB
Beauté offers a giant leap forward in IPL technology. csbm
BEFORE
AFTER pigmentation treatment
BEFORE
AFTER hair removal
BEFORE
AFTER skin tightening treatment
BEFORE
AFTER spider vein treatment
www.cosbeauty.com.au 137

tattoo removal
Rethink
the
Do you have tattoo regret? the SkinIal Non Laser Tattoo removal
system ALLOWS YOU to undo what was once a permanent decision, says
Sydney cosmetic tattooist Rita Porreca. tara casey reports.
The number of tattoos is on the rise, with around one
in four Australians under 30 sporting some form of
‘body art’. But alongside the increasing number
of inked bodies, there is also an ever-growing market for
tattoo removal. Indeed, more than 25 percent of people
with tattoos want them removed, according to consumer
group Choice.
The popularity of tattoos matched with the high
prevalence of ‘tattoo regret’ means tattoo removal has
become big business, with the industry rapidly refining
procedures to keep up with demand for tattoo removal. The
most popular methods in recent times include IPL (intense
pulsed light) and laser treatment.
While these are effective methods for tattoo removal, a
new procedure is offering comparable results with reduced
risk of complications.
The latest offering in the tattoo removal market is the
Skinial Non Laser Tattoo Removal System, an innovative
new reverse tattoo technology designed in Germany. ‘For
those who might have grown out of their tattoos, and no
longer want them, the Skinial Non Laser Tattoo Removal
System can leave the skin ink free, without the risks
associated with laser tattoo removal,’ says Rita Porreca
from Sydney Permanent Makeup Centre.
Invisible ink: how does it work?
The Skinial Non Laser Tattoo Removal System uses a
removal liquid based on lactic acid, a substance that is
naturally produced by the body, which is administered to
the skin by a micropigmentation device similar to a standard
tattoo machine.
138 www.cosbeauty.com.au

The body’s natural defence system recognises the ink
under the skin as a foreign substance and the solution
helps your body to reject the ink and push it to the surface
where it becomes part of a scab.
‘Skinial uses a micro pigmentation device with a lactic
acid solution to trigger the body’s natural immune system
to get rid of the foreign substance,’ Porreca explains. The
pigmentation
timeless
device targets clusters
and
of up to 20 small timeless and
spots in the tattoo at one time, releasing the solution into
each site. The lactic acid eliminates macrophages (defence effortless beauty
mechanism cells) from the large-volume colour particles,
which, up until this point, have encased the particles of
colour, shielding them from the body’s immune system.’
‘In When 1984 it my comes dream to eyes, was to lips, create face, a
With the macrophages removed, the body recognises Centre body, skin that and provided training, personalised we are the
the ink as foreign, prompting the immune system to ‘flush’ beauty experts’ solutions expert. With with more natural than and 24
the rejected skin cells and colour molecules to the skin’s lasting years’ experience results – a world we have above developed
surface, where they aggregate to form a scab and ultimately traditional an excellent beauty reputation salons.’ with doctors
fall off. Because the body naturally produces lactic acid to – and Rita surgeons. Porreca, We Founder also work & MDclosely
timeless and effortless
with surgeons in post-operative
beauty
maintain energy production during exercise, any residues
care.
left after treatment are easily metabolised.
When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin and
The individual spots targeted during treatment are Training
SPCP,
we
AAM,
are
AACT,
the experts'
APAA
expert. We also work closely
approximately 0.5 x 0.8 cm in size and around 1mm is with surgeons on post-operative care.
abraded from the top layer of skin. This means large tattoos
will need a number of treatments, spaced several months ‘In 1984 my dream was to create a
SERVICES WE PROVIDE
apart, in order to remove the entire tattoo. However, Centre that provided personalised
because SERVICES of the WE minimal PROVIDE abrasion, the level of discomfort
beauty solutions Cosmetic with natural Tattooing
and
lasting results – a world above
felt Cosmetic by patients Tattooing during the treatment is minimised, and the
traditional beauty Medical salons.’ Tattooing
risk Eyebrows of scarring Hair reduced. stroke to ‘This shaded procedure brows reduces to give the you risk more of a
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for natural scars appearance
enormously because small wounds usually heal
MD
without BEFORE
Eyeliner scars,’ Subtle Porreca to Dramatic explains.
Dermal Planning Peels
or to define your eye shape
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Lips From lip liner to full lips & blends we make your lips look
Training
good with Non Laser Tattoo Removal
can erase all kinds of shapes and colours of tattoos. Usually,
we are the experts' expert. We also work closely
an ideal shape and colour all the time.
with surgeons Cosmetic on post-operative Tattooing care. Courses
the treatment causes less discomfort than the tattooing
itself. Medical However, Tattooing the level of discomfort varies depending on
the Areola patient re-pigmentation and the treatment Is area,’ the final she says. stage of breast reconstruction and is AFTER FULL LIP TATTOOING
also The considered time it takes by those to heal with between areola treatments colour loss. varies
SERVICES WE PROVIDE
between Corrective individuals Camouflage and depends Can bring on the a client’s natural skin skin type colour back to scars
and Cosmetic the burns strength Tattooing of their immune system. Healing typically
Eyebrows Hair stroke to shaded brows to give you more of a BEFORE FULL LIP COLOUR
AFTER FULL LIP COSMETIC TATTOOING
takes between six and 10 weeks, with redness persisting
longer natural Skin Needling
appearance
some patients.
Eyeliner Needling Porreca Subtle treatment warns all to her Dramatic for patients wrinkles, or that to acne larger define scars tattoos your & eye present scar shape relaxation
BEFORE
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a Lips greater
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Rejuvenation lip of liner scarring to full and lips those & blends with deep we make or uneven your lips look good with
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leave
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of all new
on the the
collagen time. skin after
and
removal.
lightening pigmentation.
BEFORE EYE LINER TOP AND BOTTOM
AFTER EYE LINER TOP AND BOTTOM
‘Cases where previous laser treatments have been
unsuccessful Medical IPL Hair Tattooing Removal or have resulted in permanent scarring are
Areola Enables re-pigmentation hair removal from Is nearly the final every stage part of of breast the body reconstruction quickly and is AFTER FULL LIP TATTOOING
more difficult, and are assessed individually to establish if
also AFTER EYEBROW TATTOOING
Skinial and efficiently considered treatment is by worthwhile,’ those with she areola says. colour ‘The procedure loss.
is Corrective also not suitable Camouflage for those Can prone bring to a natural hypertrophic skin colour or back to scars
and
Medical
burns
Skin Peels/Microdermabrasion
BEFORE EYEBROW TATTOOING
AFTER EYEBROW TATTOOING
keloid scarring.’
Skin treatments ranging from Green Peel, CosMedix Peels
With a range of removal techniques available, including
Skin & Microdermabrasion Needling to give you a natural healthy glow.
the latest non-laser method, tattoos are no longer the
Needling treatment for wrinkles, acne scars & scar relaxation
lifetime-lasting
02 9569 7799
Cosmetic Dermal brands Fillers they & once Mesotherapy were. ‘The Skinial
BEFORE
follow us on
method Skin Rejuvenation
represents a real step forward for those looking Bella Building, Shop 4/239
Cosmetic Tattooing Courses
for Is ideal an effective for the means rebuilding of erasing of new past collagen mistakes,’ and Porreca lightening pigmentation. Great North Rd, Five Dock
Learn, up-skill and expand with professional cosmetic tattooing training.
AFTER AEROLA TATTOOING
concludes. csbm
located in Cosmedic Professionals
IPL Hair Removal
Email: info@spmuc.com.au
Enables hair removal from nearly every part of the body quickly
www.cosbeauty.com.au
Web: www.spmuc.com.au
AFTER EYEBROW TATTOOING
and efficiently
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1
SPMUC FP(NEW) 30/4/07 1:30 PM Page 1

feature
Why quality
skincare works
There are certain things surgery can’t help
with, and clear, healthy and uniform skin is
one of these. That’s where the benefits of a
quality medical-grade skincare regime can be
invaluable. AimÉe Surtenich reports.
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feature
Decoding
skincare
Retinol
Retinol is a Vitamin A (retinoic acid)
derivative that is a safe, effective
and widely used anti-ageing
solution. Retinoids encourage
better cell turnover in the upper
layers, normalising skin turnover.
Hyaluronic acid
Hyaluronic acid (HA) is used in
hundreds of anti-ageing products
due to its fast-working moisturising
properties. Leading dermatologists
recommend patients invest in a
good anti-ageing moisturiser with
HA, which is also found naturally
in skin.
Vitamin C
Famously linked to vitamin pills and
oranges, its goodness is now found
in beauty products, too. Vitamin
C is an antioxidant that works to
prevent free radical damage. These
are volatile molecules so look for a
stabilised Vitamin C product to help
reinforce the skin’s own defences
and prevent long-term damage.
Vitamin B
Vitamin B3 (Niacinamide) has really
come to the fore in the anti-ageing
war, taking its place alongside
skincare veterans Vitamins A, C
and E. Typically used in serum
form, Vitamin B3 can effectively
treat acne, fade hyperpigmentation
and improve the skin barrier
functions, as well as help reduce
fine lines and wrinkles. It provides
antioxidant properties for the skin
and it has also been shown to
have anti-inflammatory and healing
properties, as well as help reduce
skin sensitivity.
Arguably the most important aspect of beauty is clear and healthy skin.
Indeed, there is a new school of thought that a radiant, even complexion is
a greater signifier of youth and beauty than a wrinkle-free face. The reason?
Plump, healthy skin reflects light more uniformly (which the eye is attracted to),
resulting in a homogeneous, more even complexion that appears to glow.
So how do we significantly improve the appearance and function of our skin?
Step in medical-grade skincare, which is specifically formulated to improve
the quality and texture of skin, alleviating signs of ageing such as fine lines,
pigmentation, skin tone and texture.
Available in-salon and typically prescribed by a skincare professional, these
‘cosmeceuticals’ represent the marriage of cosmetics and pharmaceuticals.
What sets them apart is that they contain ingredients, at the right doses and in
the right delivery systems, to influence the biological function of the skin.
Cosmeceuticals have benefits beyond those of traditional products. They also
improve appearance, but they do so by delivering nutrients and typically claim to
improve skin tone, texture and radiance, while reducing wrinkling.
Cosmeceuticals can improve the function of the skin and may be helpful in
preventing premature ageing. Examples include hydroxy acids, retinoids and
antioxidants such as Vitamins A, B and C. Gone are the days when skincare
need only sit on the surface of your skin and not work at the cellular level.
These topical skincare formulations contain active ingredients which enable
them to act on the skin’s cellular structure. In some cases, such as exfoliants, this
action is limited to the surface of the skin, while other formulations can penetrate
to deeper levels and enhance or inhibit natural activities.
Many brands have poured millions of dollars into research and development,
employing highly skilled biochemists and scientists to create new products
delivered in formulations designed to enhance their capabilities and the
appearance of the skin at the same time.
What to look for in cosmeceutical products are antioxidants, exfoliants, cellcommunicating
and skin-lightening ingredients, and intercellular substances that
mimic skin structure. For the products to work, these need to be at sufficient
concentrations and synergies to allow them to retain their active properties.
Essential ingredients to look out for
Cosmeceutical products contain ingredients that induce healing and other
changes in skin cells. Research shows that benefits for the skin can also be
obtained from plant extracts and essential oils as well as vitamins, enzymes,
phytochemicals and more.
Antioxidants reduce free-radical damage and inflammation, counteracting
cellular damage, collagen destruction and immune suppression. Antioxidants in
combination, studies suggest, can exert a cumulative synergistic action on the
skin that is more effective than single-ingredient formulations.
Cell-communicating ingredients use receptor sites or cellular pathways to
interact with skin cells to signal them to function optimally. Retinoids, which
are derivatives of Vitamin A, are the best known. They act as antioxidants
and neutralise the free radicals that result from exposure to ultraviolet light. In
addition, they increase cellular turnover, stimulate a thickening of the epidermis
and promote the removal of excess pigment.
Other cell-communicating ingredients include peptides, which were developed
for use in skincare to either increase the production of collagen or to reduce
its breakdown.
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feature
Squalene
Squalene is an organic, oil-free
moisturiser that occurs naturally in
the body. It can be derived from
olives and is an excellent nongreasy
moisturiser that instantly
softens the skin and helps prevent
cell damage. It is also non-irritating
and non-comedogenic.
Antioxidants
Antioxidants help protect skin
by combating free radicals,
which attack healthy skin cells
and collagen. This attack of the
skin’s vital structures can cause
damage, mutations, cell death
and infl ammation, resulting in
lines, wrinkles, uneven skin tone,
sensitivity and even cancers.
Ceramides
Ceramides are a type of skin lipid
that sit in the top layer of the skin
and work to lock in essential oils
and moisture. They are essential in
maintaining both the structure and
strength of the lipid matrix.
Idebenone
Idebenone, respected for some
time as a pharmaceutical agent in
the form of a super antioxidant, is
now an ingredient in quality antiageing
skincare products to help
prevent wrinkles. Idebenone helps
protects the skin from the elements
and reduces the appearance of
fi ne lines, reduces dryness and
improves skin texture.
Peptides
‘Peptides’ has overtaken HAs as
the new buzzword in skincare.
But there’s substance behind the
hype. The science behind peptides
came from the discovery that when
collagen is damaged by sunlight it
is broken up into peptides. Certain
peptides formed were able to act
as a signal to skin cells to make
new collagen, meaning wrinkled
skin could be improved by fooling it
Another essential ingredient to look for is Niacinamide, a water-soluble
B-complex vitamin that has anti-infl ammatory properties and can assist with
conditions such as acne vulgaris.
Exfoliants encourage surface skin cells to shed, mimicking the function of
young skin and increasing collagen production. The primary reason for skin
cell build-up is sun damage. Exfoliant ingredients include alphahydroxy acids
(AHAs) such as glycolic and lactic acid, polyhydroxy acids (PHAs) such as
gluconolactone and lactobionic acid, and beta hydroxy acids (BHAs) such as
salicylic acid. Salicylic acid is also used as a skin conditioner and is especially
useful in patients with oily skin and acne.
Skin-lightening ingredients, including hydroquinone, arbutin, azelaic acid,
some forms of Vitamin C, rucinol and glycyrrhetinic acid, inhibit melanin formation
at a molecular level, reducing the appearance of brown discolouration.
Intercellular substances are ingredients that exist naturally in skin and can
be depleted by ill health, ageing and environmental factors. Ingredients such
as ceramides, cholesterol, fatty acids and glycosaminoglycans are key to skin
function and should be included in moisturisers if they are to be effective in
promoting skin functionality.
Hyaluronic acid is known to hydrate and moisturise the skin from the inside,
helping to smooth out wrinkles.
A 2008 study published in the Journal of Cosmetic Dermatology analysed
several cosmeceutical ingredients to see how successful they are in targeting
specifi c skin imperfections related to age. The study indicated, for example, that
skin surface irregularity can be improved through the topical application of niacin,
and that the appearance of fi ne lines can be diminished with the application of
moisturisers containing engineered peptides and retinoids.
While the Australian Therapeutic Goods Administration regulates ‘products at
the interface between cosmetic and therapeutic goods’ (that is, cosmeceuticals)
and most manufacturers belong to self-regulating industry bodies, it is always
safest to seek the advice of a dermatologist or skincare professional. csbm
Prepping skin for
surgery
Healthy skin heals faster after surgery,
and an essential factor for successful
surgery is a good skincare regimen
both before and after your surgery.
Quality skincare can help regulate
skin cell function and improve
circulation, enabling the skin to
renew, repair damage and act as an
effective barrier – promoting skin that
responds better to surgery or laser
skin rejuvenation and heals faster.
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feature
into thinking it had been damaged
by applying this peptide. Peptides
offer a way for the skin to repair
itself naturally and can potentially
trigger specifi c things in the skin, so
that they might improve wrinkles,
fi rmness or age spots.
Hexapeptide, in particular, is a
popular component of anti-ageing
products as it works to relax facial
muscles for a more plump, youthful
appearance.
Stem Cells
Skincare specialists are creating
specialised peptides and enzymes
that help stimulate the skin’s
storage of stem cells. It is
believed the skin contains a ratio
of approximately one in 10 to
one in 10,000 stem cells. These
specialised cells are dormant until
they receive signals from the body
to begin the repair mode.
The use of topical products
stimulate the stem cell to split into
two types of cells: a new, similar
stem cell and a ‘daughter’ cell. This
stem cell can receive the message
to create proteins, carbohydrates
and lipids to help repair fi ne lines
and wrinkles and restore and
maintain fi rmness and elasticity.
Coenzyme Q10
CoQ10 occurs naturally in the body,
however, factors such as stress,
ageing and some medications can
lower the levels. In most people
over 30, levels of CoQ10 in the skin
are below optimum, resulting in
lesser ability to produce collagen,
elastin and other important skin
molecules. CoQ10 penetrates
into skin cells to boost skin repair
and regeneration and reduce free
radical damage.
A new form of Q10 called
Ubiquinol is now available. In
essence, Ubiquinol is the reduced,
active antioxidant form of CoQ10
produced naturally by the body,
offering more effective uptake.
CREAM
OF THE CROP
There are some truly skin-transforming product
ranges available, and ingredients and delivery
systems continue to become more sophisticated.
Here are some of our favourite skincare brands
making headway for their ability to effect signifi cant
changes in the skin: HydroPeptide, Obagi,
Mesoestetic, Dr. Spiller Biocosmetics, Fyto
Cosmeceuticals and Synergie.
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skin
Why
does
clinical
skincare
stand
alone?
COSMETIC CHEMIST AND OWNER OF
SYNERGIE SKIN TERRI VINSON
EXPLAINS WHY THE SKIN BENEFITS
OF COSMECEUTICALS LEAVE THE HIGH
STREET BRANDS HIGH AND DRY.
Consumers are constantly bombarded by the
global corporate brands with marketing claims
and media hype promising much and delivering
little. Skin professionals and clinical therapists are highly
skilled in the area of skin analysis and recommending
clinical grade products containing active ingredients that
actually make a difference.
Of course, the condition of our skin is due to numerous
factors, including genetics, environmental stress, nutrition,
health status, topical skincare and clinical treatments. All
of these factors must be considered both independently
and in relation to each other.
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skin
What to look out for
Does the range cater to most individual skin
concerns: ageing, blemishes, uneven skin
tone, sensitivity?
Does the range offer key active ingredients
such as stable active forms of Vitamin A,
Vitamin B3 and Vitamin C along with broad
spectrum UV protection?
Does the manufacturer have a core
brand philosophy that resonates with you,
the consumer?
Does the range offer optimal levels of
cosmeceuticals supported by readily available
clinical data?
Are you offered guidance and information on
the products by qualifi ed skin professionals or
medical staff when making your choice?
Is the manufacturer of the range able
to readily adapt formulations to this
dynamic industry?
Is the manufacturer readily available for
interaction with the consumer via email, social
media or telephone should the consumer
have and queries?
There is one fi nal and fundamental factor
in selecting good skin care: TRUST. If the
customer trusts the advice of their skin
therapist and the ethos and quality of the
brand they have chosen, they will feel their
decision is valid and positively embrace their
new skin routine.
A trained therapist will advise clients not
only of the ideal products but also advice on
lifestyle, nutrition and treatments to address
their skin concerns. When a cosmeceutical
home routine is adopted in a positive way, the
very best results can be achieved.
In my opinion, clinical grade skincare
really does stand apart from the white noise
of department store brands. If the customer
is prepared to take the time to research the
best cosmeceutical brands and the right
skin therapist, great results – not seven day
miracles – are possible.
A cosmeceutical skin care regimen is an integral part of the
equation. Mass market department store brands are generally unable
to offer the high grade of skincare that clinical skin professionals can
offer for the following reasons:
Packaging vs product
High street brands often spend more money on marketing and
packaging than on the actual product inside the bottle. Cost and
economics is the driving factor for this sector and the level of active
ingredients may be insuffi cient to give results.
Skilled professionals
Skin professionals are trained in educating clients on managing skin
concerns. Sales assistants in multi-brand mass-purchase department
stores are not skilled therapists. They often lack detailed knowledge
of skin and are unable to address individual skin concerns.
Clinical grade skincare companies will pride themselves on
supporting their clinics, and therapists will have a high level of training
regarding key ingredients and benefi ts of cosmeceuticals.
Dosage of active ingredients
As a formulator, I have suppliers present ingredients to me on a regular
basis. Many of these raw ingredients are novel and new. However,
formulators supplying clinics must evaluate the ingredient in terms of
its effi cacy and safety profi le. This involves a thorough analysis of both
in vivo and in vitro clinical data.
Furthermore, the formulating chemist must use the optimal dosage
of active ingredients to ensure effi cacy. Many over-the-counter brands
add just a whiff of active ingredient simply to make marketing claims.
Synergy and stability of combined ingredients
Cosmetic scientists must also understand the interactions of
ingredients within the fi nal formula. Formulating is not simply a matter
of adding a number of ingredients together and mixing them up.
Ingredients must be compatible and must also work together
in synergy. For example, retinol and niacinamide should not be
formulated in an acidic environment. Additionally, adding acids
such as AHAs, BHAs or L-ascorbic acid to formulas with these
cosmeceuticals results in retinol being rendered ineffective and
niacinamide being hydrolysed.
Ability to adapt
Many non-clinical brands are unable to react to market needs rapidly.
The large corporates must create marketing campaigns well in
advance and a need to adapt to new technology may take years.
Smaller specialist companies can more readily react to dynamic
changes in the appearance medicine industry. csbm
www.cosbeauty.com.au 145

skin
Transform your skin
OBAGI SKINCARE, DISTRIBUTED BY INOVA PHARMACEUTICALS,
TARGETS SKIN AT A CELLULAR LEVEL TO ENHANCE THE COMPLEXION AND
IMPROVE SKIN HEALTH. AIMÉE SURTENICH REPORTS.
The capacity of Obagi to transform skin has created
a long-standing and highly regarded reputation in
the international skincare arena. Used by plastic
surgeons, dermatologists and skincare therapists across
the globe, Obagi has been shown to change skin at a
cellular level, boosting skin health and regeneration.
Its widespread professional use – from helping to optimise
skin health before surgery to pigmentation reduction – acts
as testimony to the effectiveness of Obagi skincare. ‘Obagi
has always been considered the gold standard, and its
international reputation was what led me to trial Obagi in
the fi rst place,’ says Michelle Field, registered nurse and
director of the Skin Institute in Victoria.
‘Obagi stimulates increased collagen production, and
better skin colour, tone and texture. It also helps improve
the appearance of fi ne lines and wrinkles, and reverse some
sagging and pigmentation.’
Obagi, distributed in Australia by iNova Aesthetics, holds
a full portfolio of skincare solutions to promote beautiful
complexions for all skin types.
The hero skincare system, NuDerm, is designed to
correct skin damage and reveal a healthier, more youthfullooking
complexion. ‘NuDerm is the most popular Obagi
program and is very effective in treating photo damage,’
says Perth medical aesthetician Anna Robinson from Assure
Medispa in Perth. ‘It helps repair the cellular structure of
the skin, and visible improvements typically occur in as little
as four to six weeks.’
This rapid response is due to the high-grade ingredients
used in Obagi skincare. These ingredients have been
clinically shown to deliver results.
‘Obagi stands out as a true “Dr Only” range,’ says Sydney
cosmetic physician Dr Saras Sundrum. ‘The products are
designed around prescription-strength retinoic acid, which
146 www.cosbeauty.com.au

skin
is one of the few substances clinically proven to improve
skin quality.’
Because the range uses such active and concentrated
ingredients, it is described as a “medical grade” skincare
line and some treatments must be prescribed by a qualifi ed
and experienced practitioner.
Obagi transforms the skin at
a cellular level by targeting skin
cells directly, restoring function
to effectively target some of the
most diffi cult skin conditions
‘Some cosmetic procedures need to be complemented
with prescription-based skincare for optimal results – and
in Australia these can only be prescribed by a medical
practitioner,’ says Dr Christopher Leat from Envisage
Clinic in Queensland. ‘Obagi relies on published third-party
research for their ingredients, and this is what distinguished
the range for me in the fi rst place.’
With different treatment “systems”, specifi cally targeted
to certain skin complaints such as acne, pigmentation and
anti-ageing, Obagi offers a range for all skin types. Each
specialised skincare line includes every skincare element –
from cleansers to serums – required to make noticeable
and long-lasting changes in the skin.
‘I am quite fi rm with my patients about needing to start
the programme as a complete system, which I believe is
required for obtaining the high level of results,’ says Dr
Linda Williams from Artisan Cosmetic & Rejuvenation
Clinic in Queensland. ‘Obagi therefore requires discussion,
commitment and enthusiasm but this has not proved
negative to any of my patients to date. If anything, the
systems are easy to follow and the improvements in skin
quality, pore size, tone and hydration are apparent within
the fi rst week or so.’
Adopting such a comprehensive skincare program,
with high concentrations of active ingredients, can mean
patients experience some irritation when fi rst starting use.
This should fade with continued use, and is considered an
indication that the line is working to cause changes within
the skin.
Obagi can also be used to boost skin health and improve
the results following cosmetic surgery or laser procedures.
‘Radiantly beautiful skin adds value to the outcome of any
cosmetic surgery or non-surgical procedure,’ explains Perth
plastic surgeon Dr Anh Nguyen. ‘Quality skincare systems
are needed to prepare the skin before treatment, expedite
wound healing after surgery, and protect the investment
long term by delaying the visible signs of ageing and need
for intervention.’
Whether contemplating surgery or not, Obagi skincare
can transform and beautify all skin types and help treat a
range of skin conditions. Quality skincare can help protect,
preserve and enhance the complexion and Obagi offers
an all-encompassing solution to optimising skin health for
the long term.
‘Obagi transforms the skin at a cellular level by targeting
skin cells directly to restore function,’ explains Perth plastic
surgeon Dr Brigid Corrigan from Assure Medispa. ‘The
fact that it is a prescription-only skincare line means it can
effectively target some of the most diffi cult skin conditions
to treat, such as pigmentation, sun damage, fi ne lines
and wrinkles.’
‘We all put “creams” on our skin on a daily basis, but it’s
important to choose products with ingredients that make a
difference and have the scientifi c pedigree to deliver what
they promise,’ says Dr Williams. ‘Start looking after your
skin as early as possible, using sun prevention, antioxidant
protection, hydration and collagen stimulation. It’s never
too early.’ csbm
BEFORE
BEFORE
BEFORE
8 weeks AFTER using Obagi NuDerm system
1 week AFTER using Obagi CLENZIderm system
4 weeks AFTER using Obagi-C Rx system
www.cosbeauty.com.au 147

feature
Makeup
marvels
Meet the star products changing faces and reinventing
beauty rituals. AimÉe Surtenich reports.
Makeup has the power to transform faces –
highlighting your best features and disguising
your worst. It can even give the illusion of more
prominent cheekbones, a narrower nose and more
defined jawline. It’s all about creating optical illusions so
that it looks like you are constantly under the best lighting
ever – and, to do this, light and shade will be your BFFs,
highlighting and contouring to create a glamour-girl look.
First, we need the right base, and where would we
all be without a good primer? It minimises the look of
pores, evens out skin colour and just feels so ridiculously
smooth on your skin. A good BB cream has also become
a staple in my daily beauty ritual; it mimics the texture of
perfect skin and creates a great base for your foundation
to glide right on.
Now for the magic: contouring your face. Generally,
the idea is to use an illuminator or lighter shade of
foundation to highlight the areas of your face where light
naturally hits – cheekbones, bridge of your nose, temple,
brow bone and along your jaw line. Conversely, to add
definition use a darker colour under your cheekbones (to
really make your cheekbones pop) and under your jawline
to add more definition to this oft-neglected area.
Finish with a dusting of powder, some extra concealer
under your eyes, a little shimmer or bronzer on your
cheekbones and a dab of blush on the apples of your
cheeks. csbm
148 www.cosbeauty.com.au

Conceal it!
I don’t believe there is a one-size-fits-all concealer. Instead, invest in a few good quality concealers
– one specifically for under the eyes, a highlighter concealer to add as a mini illuminator on the
run, and another to camouflage imperfections on the face. Remember, a little goes a long way!
Another trick is to add a dab of concealer to your eyelids to help make eyeshadow stick.
feature
1. Colorescience Mineral Corrector Palette, RRP $79.20, 2. Laura Mercier Secret Camouflage, RRP
$49, 3. Shiseido Pore Smoothing Corrector, RRP $40, 4. Calvin Klein CK One 3-in-1 Concealer, RRP
$28, 5. Maybelline Dream Lumi Touch Highlighting Concealer, RRP $17.95, 6. Shiseido Sheer Eye
Zone Corrector, RRP $42, 7. Glo-Minerals Luxe Liquid Foundation, RRP $72, 8. Shiseido Face Color
Enhacing Trio in Apple, RRP $58, 9. Laura Mercier High Coverage Concealer, RRP $39, 10. Curtis
Collection Mineral Photo Touch Concealer, RRP $33, 11. Shiseido Natural Finish Cream Concealer,
RRP $50.
4.
3.
7.
8.
2.
5.
6.
1.
9.
Primers
As Napoleon Perdis famously said: Not to prime is a
crime! While we’re not suggesting a jail sentence for
those who skip this essential step, primers do make
a big difference to your finished product. It smoothes
the look of pores away right before your very eyes,
evens out the complexion and primes your face for
foundation or finishing powder. You can also
multitask with it if it’s a fancy hybrid one and use it
as an illuminator.
2.
10.
3.
4.
11.
1. Dermalogica SkinPerfect Primer SPF30, RRP
$67, 2. Napoleon Perdis Auto Pilot Pre-Foundation
Skin Primer, RRP $59, 3. Laura Mercier Oil-Free
Foundation Primer, RRP $45, 4. Skindinavia The
Makeup Primer Spray, 20ml RRP $16.
1.
www.cosbeauty.com.au 149

feature
BRONZER
BRONZER
BLUSH
HIGHLIGHTER
MATTE
BRONZER
HIGHLIGHTER
HIGHLIGHTER
Highlighters
& illuminators
Contouring gives the illusion of more defi ned
contours, smaller nose and chin, higher
cheekbones. We’ve all seen the “in between”
makeup shots of Kim Kardashian with light and
dark stripes strategically placed all over her face
and neck. This clever makeup trick works wonders
to create a more chiseled, defi ned face that refl ects
light beautifully and gives an air brushed effect.
1. Benefit Watt’s Up, RRP $53, 2. Benefit High
Beam, RRP $45, 3. L’Oreal Lumi Magique
Primer, RRP $29.95, 4. Calvin Klein CK One
Skin Illuminator, RRP $35, 5. Lancôme Teint
Miracle Natural Light Creator SPF 15, RRP $68,
6. St. Tropez Skin Illuminator Gold, RRP $29.95
Skin fixers
Oh, BB Cream, in just a short period you have
become one of the staples in every beauty devotee’s
makeup kit. Used alone or under foundation, it
really does fake the look of moisturised and healthy
skin. And what’s not to love about that? Many also
have additional benefi ts, improving not only the
appearance of your skin but also skin health.
1. Lancôme Visionnaire [1 Minute Blur], RRP $62, 2. L’Oreal Nude
Magique Blur Cream, RRP $26.95, 3. L’Oreal Revitalift Magic
Blur, RRP $24.95, 4. Estée Lauder Double Wear All-Day Glow BB
Moisture Makeup, RRP $50, 5. L’Oreal Skin Perfection BB Cream
5-in-1 Instant Blemish Balm, RRP $24.95.
1. 2. 3. 4. 5.
1.
2.
3.
Mascaras
- fake it ‘til
you make it!
4.
Got short and sparse lashes? Not to
worry! We can make those babies
transform into beautiful lush lashes
as quickly as you can say the word
“mascara”. The technology that is
being pumped into mascaras these
days means we can rock a big fl utter
and create that false lash effect.
5. 6.
1. Maybelline The Falsies Vlum Express
Mascara, RRP $19.95, 2. Calvin Klein CK
One Volumizing Mascara, RRP $30.
1.
2.
150 www.cosbeauty.com.au

skin
4
steps to
beautiful skin
REINVIGORATE YOUR SKIN, BEAUTIFY YOUR COMPLEXION AND
HOLD OFF THE SIGNS OF AGEING WITH THE LOVE LIFE RANGE FROM
HOVAN’S GROUP. AIMÉE SURTENICH REPORTS.
Packed full of antioxidants and collagen-promoting
ingredients, Love Life skincare is formulated to deliver
smoother, healthier and younger looking skin in just
four easy-to-use products. While the steps involved may be
simple, the science behind the range is anything but.
Inspired by beauty industry maven Val Glover-Hovan,
and developed in conjunction with one of Australia’s
leading scientists, ingredients in the Love Life range have
been selected for their ability to help protect skin cells from
environmental damage, support skin metabolism, promote
rejuvenation and achieve a more beautiful complexion.
Designed to work in harmony with the skin, Love Life
skincare is a potent yet gentle range that combines the best
of science with the power of nature. csbm
1. Moisturise & protect
Perfect Day – Anti-Ageing Moisturiser
Moisturising is crucial when it comes to warding off fi ne
lines and keeping skin well hydrated. A potent herbal
formula, Perfect Day Moisturiser helps to reduce the
signs of ageing and enhance skin appearance. The
formula contains a complex of collagen-promoting
glucosaminoplycans and galactomannans; linoleic
acids, which assist rapid penetration while helping
to fi rm the skin; and stem cells of apple fruit to help
stimulate the renewal of skin cells.
3. Bright eyes
Eyes Best – Exotic Eye Gel
Eye creams are essential for helping to keep the thin,
delicate under-eye area hydrated and smooth. This
potent eye cream helps to reduce the dark areas
under the eyes and the appearance of crow’s feet.
The formula contains Tamanu oil, which is known for
its healing properties, and a mix of herbs to stimulate
collagen synthesis. It’s also fortifi ed with kiwifruit
enzymes, antioxidant grape seed, Vitamin E and
green tea.
2. Repair & renew
Perfect Night – Retinol Renewal Complex
Serums typically penetrate the skin deeper than creams,
and contain more active ingredients to target specifi c
beauty concerns. The Perfect Night Retinol Renewal
Complex is a soothing night serum that addresses
ageing concerns. The formula contains Vitamin A to
enhance collagen synthesis; linoleic acid to promote
and maintain skin health; Vitamin E and Tamanu oil to
help restore skin health; seabuckthorn seed oil as an
antioxidant; passionfl ower to soothe and calm; and
licorice to help reduce infl ammation and irritation.
4. Lighten up
Beauty Light Lightening Cream
Hyperpigmentation can develop due to a variety of
reasons – from sun damage and age to hormones during
pregnancy – and is a common beauty concern. Alpha
fruit acids and citrus extract in the Beauty Light Lightening
Cream target darker skin spots to help reduce their
appearance. The cream has a broad-spectrum sunscreen
to help prevent further pigmentation and UV damage, as
well as the triple action of urva-ursi (bearberry), arbutin
and zinc glycinate to help stop the browning action of
melanocyte production.
www.cosbeauty.com.au 151

eauty & spa
Rock Legend
TWO DECADES AGO, JANE IREDALE
PIONEERED A VISION – TO CREATE
MAKEUP THAT IS ACTUALLY GOOD FOR
YOUR SKIN. AIMÉE SURTENICH REPORTS.
Jane iredale mineral makeup, a proven and trusted
brand for 20 years, is recommended by thousands of
dermatologists, plastic surgeons and skin therapists
around the world. It blurs the line between skincare and
makeup; cosmetics become an integral part of the solution
to healthy skin, creating a more luminous, even and fl awless
complexion.
jane iredale was one of the fi rst brands to offer pure mineral
makeup. Indeed, it represents a refi nement of conventional
makeup and has revolutionised a new makeup industry that
combines beauty with skin health.
In an industry that’s constantly changing and being
bombarded by new products and ‘must-have’ ingredients,
the jane iredale mineral makeup range continues to stand
the test of time and shine out from the crowd with its quality
cosmeceutical ingredients and pure micronised minerals.
152 www.cosbeauty.com.au

eauty & spa
The
jane iredale
difference
MAKEUP WITH SKIN
BENEFITS
jane iredale uses the highest quality
ingredients available with the most
current technology to ensure optimal
performance, coverage, application
and texture. Products have broad
spectrum sun protection and all
vitamins and antioxidants used are
pharmaceutical grade and certifi ed
organic where available.
FOUR-IN-ONE
Multi-tasking products, including
the signature Amazing Base,
PurePressed Base, Glow Time and
Dream Tint, provide four functions in
one: foundation, concealer, sunscreen
and active skincare ingredients.
COVERAGE
Because only pure mineral pigment
is used in jane iredale products, with
no fi llers such as talc, the foundations
and concealers achieve exceptional
coverage and require minimal
touch-ups.
NON-COMEDOGENIC
All jane iredale foundations form a
protective barrier on the skin that
allows it to breathe and function
normally. Lab tests confi rm that
all products in the range are
non-comedogenic and do not
block pores.
SUN PROTECTION
Five jane iredale products
have earned the US Skin
Cancer Foundation’s Seal of
Recommendation. To earn this
seal, a manufacturer must provide
scientifi c data showing that its
products suffi ciently and safely aid
in the prevention of sun-induced
skin damage.
ADHERENCE
Minerals used in jane iredale products
bond together upon application so
they resist running, creasing and
smearing.
MINERAL ALLERGY RISK
All jane iredale products are safety
tested, allergy tested, clinically tested
and dermatologist tested to ensure
avoidance of any ingredients that may
be skin sensitisers.
SOOTHING
One of the jane iredale philosophies
is to include soothing ingredients
that help measurably contribute
to skin health. The range is gentle
enough to use on skin postprocedure,
even on compromised
skin after laser resurfacing.
NATURAL PRESERVATIVES
Where preservatives are needed, jane
iredale uses a combination of natural
preservatives, and always excludes
parabens and phenoxyethanol.
PARTICLE SIZE
All jane iredale minerals are tested
under laboratory conditions. Results
show that there are no nano-size
minerals in any of our products.
RANGE OF SHADES
There is a wide variety of foundation
shades available to satisfy the
needs of women’s skin in more
than 40 countries.
FINISHES
The nature of high quality minerals
is to interact with light. This is
what gives them their ‘soft-focus’
effect. jane iredale offers a variety of
foundations in a range of fi nishes –
from sheer to full and luminescent
to velvety.
www.cosbeauty.com.au 153

eauty & spa
Get prepped and pretty with this
collection of the latest and greatest
products. Ricky Allen reports.
Fragrant
concoctions
Daisy Dream by Marc Jacobs RRP
$90 for 50ml eau de toilette. Housed in
a collectable beautiful bottle, this new
Daisy fragrance delivers a distinctive
floral and fruity scent. It brings out
a sense of the youthful, spirited and
romantic side in all who wear it.
Skincare
Philosophy Miracle Worker Overnight RRP $80. This night cream contains
a blend of vitamin, peptides and algae to help treat and hydrate all skin
types overnight. Improvements start to appear almost overnight and
continue over time. (1)
Dermalogica Dynamic Skin Recovery SPF50 RRP $87.50. Containing
high-powered peptides, hyaluronic acid and algae extracts, this combo
moisturiser and sunscreen is a very effective anti-ageing tool. It works on
dryness, pigmentation and sun damage. (2)
La Prairie Cellular Mineral Face Exfoliator RRP $145. This exfoliator
tightens pores and increases radiance without any damage to the skin. The
rosa centifolia flower and glycerin ensure skin stays soft and supple after
each use. (3)
La Prairie Foam Cleanser RRP $85. This water-activated cleansing mousse
cleans and hydrates while not stripping the skin of nutrients. (4)
1.
2. 3. 4. 5.
154 www.cosbeauty.com.au

1.
Foundation
highlights
L’Oreal Paris Nude Magique Eau
de Teint in Pure Ivory RRP $24.95. (1)
Mirenesse Collagen Cushion
Compact Airbrush Liquid Powder
in Mocha RRP $79. (2)
Gatineau Serenite Soothing Concentrate RRP $104. This intensive
concentrate can be used on even the most sensitive of skins to help
normalise texture and appearance. (5)
Olay Regenerist Revitalising Night Cream Moisturiser RRP $32.49. This
helps to renew the skin’s surface layers and reduce fine lines and wrinkles.
Skin feels smoother, softer and much more hydrated. (6)
Kiehl’s Micro Blur Skin Perfector RRP $47. This skin perfector contains lipo
hydroxy acid and bark and lentil extracts to smooth the appearance of the
skin and minimise the appearance of pores. (7)
Jurlique Nutri-Define Superior Retexturising Facial Serum RRP $145. Made
from natural botanicals, this facial serum contains an innovative liposomal
technology which delivers deep hydration with no skin irritants. (8)
La Mav Organic BB Crème RRP $39.95. This delivers hydration, sun
protection and concealer, as well as mattifying the complexion. Suitable for
all skin types, even sensitive. (9)
2.
6. 7. 8. 9.
www.cosbeauty.com.au 155

eauty & spa
1.
2.
Hair with fl air
John Frieda Frizz Ease Extra
Strength 6 Effects Serum RRP
$16.99. A beautiful hair serum for
hydrating the hair and eliminating
frizz as well as smoothing and
taming hair. Apply on wet hair. (1)
L’Oreal Elvive Fibralogy
Thickening Shampoo RRP $5.95.
This shampoo is part of the
range of new thickening hair care
products which instantly make
even the thinnest hair look thicker
while helping treat the cause of
the thinness at the same time. (2)
Nail it!
DB Quick Colour Nail Polish in
Aubergine RRP $7.99 (1)
Rimmel Colour Rush 60 Second Nail
Polish in Midnight Rendezvous RRP $7.95 (2)
Giorgio Armani Nail Lacquer in
No. 300 Mandarine RRP $40 (3)
Kosmea Rose Hand Cream RRP $19.95 (4)
1.
2.
3.
4.
High brow
DB Extend A Brow
RRP $12.99 (1)
Inika Certifi ed
Organic Brow Pencil
RRP $29 (2)
1.
2.
2.
4.
3
Latest in lippie
Estee Lauder Pure Colour Envy Lipstick in Rebellious
Rose RRP $50 (1)
Giorgio Armani Rouge Sheer in Coral RRP $52 (2)
Giorgio Armani Rouge Sheer in 305 Coral RRP $52 (3)
Lanolips Banana Balm 3 in 1 RRP $15.95 (4)
Issada Mineral Lip Crayon RRP $48 (5)
Rimmel Lasting Finish Colour Rush Intense Colour Balm in
Drive Me Nude RRP $12.95 (6)
1.
5.
6.
156 www.cosbeauty.com.au

JOSEPH
MOURAD
Hair & Beauty
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WINNING
STYLIST & HAIR
EXTENSION
SPECIALIST
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styling, colour and
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singer and host
Mel B and Grammywinning
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COMPETITIVE
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02 9328 2277
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FEATURED ON THE TODAY SHOW!

eauty & spa
Buff your body
DOES DRY AND FLAKY SKIN SOUND ALL TOO FAMILIAR?
NICOLE’S BEAUTY SALON HAS THE ANSWER TO YOUR
WINTERTIME WOES. TARA CASEY REPORTS.
Winter has no doubt already left its mark – in the form of dry,
dehydrated skin in need of some tender loving care in time for
the body-bearing summer ahead. So how best to rehydrate and
reclaim your radiance?
According to beauty expert Nicole Gruodiene from Nicole’s Beauty Salon
in Sydney’s Double Bay, now is the optimal time to reclaim your radiance.
Gruodiene believes a pre-summer treatment to combat dullness and
skin dehydration will remove the signs of mid-winter hot showers and airconditioned
offi ces. ‘You may notice dry or fl aking skin, dull skin tone, and
more prominent wrinkles have appeared,’ she says.
Nicole recommends using the next few months to restore your body’s
moisture balance and treat it to some rejuvenating salon visits. ‘You should
have an exfoliating and moisturising routine in place at home but a salon
treatment can really boost your results,’ she says.
‘Using a sea salt scrub to exfoliate the whole body will brighten tone, while
stimulating blood fl ow and circulation,’ she adds. Indeed, exfoliation will help
your skin rid itself of dead or damaged cells and help it absorb moisture and
nutrients more effectively. Exfoliation of the top layer has also been shown to
stimulate the production of new collagen.
Massage is a great way to stimulate lymphatic drainage and circulation
in your body. ‘A Swedish massage uses a variety of techniques specifi cally
tailored to promote muscle relaxation and ease tension by applying pressure
against deeper muscles and bones,’ Gruodiene explains. ‘Even a simple,
relaxing back massage helps reduce stress and anxiety, relieves muscle
tension and increases circulation.’
If the festive season took its toll on you, it’s likely your body will also benefi t
from a little detox. ‘A full body wrap is an ideal treatment to detoxify, hydrate
and slim the body,’ Gruodiene says. ‘Body wraps are perfect either as a one
off treatment or as a course to gain optimum results.’ Gruodiene favours
the International Body Wrap, which not only hydrates the body but also
guarantees a circumference loss of at least 15cm. ‘People use it to squeeze
into a “special occasion” dress or to kick start a weight loss program,’
she says.
For a fi nal boost and a little extra TLC, Gruodiene recommends a hangover
rehab treatment, which uses medical-grade oxygen to stimulate red blood
cells and help the body eliminate waste products.
Whichever treatment you choose, for the best results ensure you visit a
highly trained, qualifi ed aesthetician and you can look forward to a speedy
return to radiance. csbm
158 www.cosbeauty.com.au

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

eauty & spa
Body
work
Protect your skin from the
winter elements with these
surefire ways to keep skin
soft, supple and flake-free.
Ricky Allen reports.
You may be more covered up in the winter months,
but that’s no excuse to neglect the skin on your
body. It’s actually imperative this time of year to
show your skin some extra loving care to ward off dry and
flaky skin. And this is no mean feat – especially when we
are in heated air conditioning most of the time and having
longer, hotter showers.
Feed your skin
In your quest for soft and dewy skin the whole
year round, you need to get back to basics. First,
check you’re not deficient in Vitamin A or B, which
can cause dry skin. Eat plenty of fruits to ramp
up your Vitamin C intake, and look for foods rich
in zinc such as seafood, lamb, pumpkin seeds,
wheatgerm and egg yolks. Vitamin C and zinc
work together to help to strengthen and hydrate
the skin.
Vitamin E is also good for hydrating skin and
can be found in sources such as olives, nuts and
avocados. Kelp, which is a form of seaweed, is
also very beneficial to improve dry skin.
An age-defying vegetable that is often
overlooked is the sweet potato. This contains the
most usable form of hyaluronic acid which the
skin stores naturally and needs in large quantities
for hydration.
Last but not least, drinking around eight
glasses of water a day is essential, not just for our
skin but also for our general wellbeing.
160 www.cosbeauty.com.au

eauty & spa
Prep work: scrubs & washes
Body scrubs will help to get rid of dry surface skin
which allow moisturisers to work more effectively.
Scrubs should be used before a shower or bath.
Great ones to try: Dermalogica Exfoliating Body
Scrub RRP $49.50, Kiehl’s Crème de Corps Soy
Milk & Honey Body Polish RRP $40, Premium Spa
SOS Wattle Seed, Walnut and Rice Bran Wonder
Scrub RRP $14.95 and Molton Brown Warming
Eucalyptus & Ginger Body Scrub RRP $70.
When showering or bathing, make sure the
water isn’t too hot as this is a surefire way to further
dehydrate the skin. Using a hydrating body wash is
therefore extra important in winter.
A new product which can be used in the shower and
leaves the skin feeling really soft and hydrated is the
Nivea In-Shower Body Lotion Skin Conditioner
RRP $7.99. Also try Philosophy Raspberry Sorbet
Shower Gel and Bubble Bath RRP $30 and Molton
Brown Pink Pepperpod Body Wash RRP $39.
Body brushing is another excellent skin smoothing
and exfoliating treatment, and is best performed on dry
skin. Aveda and Crabtree & Evelyn both make
excellent body brushes.
7.
Hydration, hydration, hydration!
Follow up with a hydrating body product to really maximise
results. A good one to try is Bottega Veneta Satin Body Oil
RRP $80 which deeply moisturises as well as veils the skin
in a beautiful fragrance. Other great body hydrators include
Lancôme Paris Nutrix Royal Body Intense Restoring
Lipid-Enriched Lotion RRP $102, Kosmea Skin Clinic
Rescue Body Cream RRP $29.95 and Dermalogica
Ultra Rich Body Cream RRP $68. If you want a double
duty moisturiser that also helps firm and tone, Premium
Spa Shea Butter, Jojoba and Goji Berry Ultra Firming
Body Balm RRP $9.95 and Nivea Body Contouring
Cream are both great RRP $9.92.
For a really special finish to your body care routine nothing
can beat a sprinkling of Bottega Veneta Shimmery Body
Powder RRP $90. It delivers just a delicious hint of shimmer
along with a beautiful fragrance.
With just a few steps and specialty body products, you can
bare your body with confidence no matter what the season.
www.cosbeauty.com.au 161

eauty & spa
GO
WITH
THE
FAUX
DESPITE THE MID-WINTER CHILLS, YOU CAN STILL HAVE A GOLDEN SUMMER
GLOW. HERE’S HOW TO GO FAUX LIKE A PRO. AIMÉE SURTENICH REPORTS.
The key to tanning is having a perfectly prepped
canvas on which to apply colour. Self-tanners
work by staining the top layer of your skin, so
by sloughing off dead skin cells you not only extend
your tan’s life but also prevent patchy results. Use a
buff, loofah or grainy body scrub to exfoliate, paying
extra attention to drier areas such as elbows, knees
and ankles that soak up colour more intensely.
Make sure your skin is cool and dry; moisture from
wet or perspiring skin interferes with the performance
of self-tanners. Pull your hair back from your
face and shoulders and apply moisturiser to your
elbows, knees, ankles and inside your belly button
to prevent staining.
With the surge in the self-tanner market, there’s
no doubt you’ll fi nd a product to suit you and that
you love working with – whether spray, lotion, gel or
mousse. Self-tanning products with a guide colour
make spotting pesky streaks and missed patches a
breeze, and using a pair of latex gloves to apply your
tan is a must to avoid the telltale orange palm effect.
1. 2. 3.
162 www.cosbeauty.com.au

1
2
3
COMMANDMENTS
OF SELF-TAN
If you’re a self-tanning novice, go for a tanning mousse, which is virtually foolproof.
Sprays are good for people who are experienced self-tanners.
If you don’t like tanning your face, bronzing makeup should do the trick.
4
beauty & spa
Avoid getting the self tanner blocked in your pores by exfoliating your body every
second day, twice a week on your face, with a very gentle scrub.
5
5
You still need sun protection when you’ve fake tanned – any time of the year! Choose
a sunscreen with broad-spectrum protection and an SPF of 30 or higher.
Less is more. It’s easier to add layers to a conservative tan than lighten a too-dark job
– be careful not to be overzealous with your tanner, especially in the cooler months.
1. Xen-Tan Face Tanner RRP $24, 2. Xen-Tan Perfect Blend Custom Self Tan
RRP $57, 3. Dermalogica Sheer Tint SPF20 RRP $77, 4. Sisley Self-Tanning
Hydrating Body Skincare RRP $120, 5. Sisley Tinted Body Sun Glow Gel RRP
$120, 6. Kiehls Sun-Free Self-Tanning Formula RRP $28, 7. Pure Tan Pure Bronze
Instant Tanning Foam RRP $34.95, 8. Pure Tan Pure Bronze Wash Off Instant
Bronzer RRP $25.95, 9. St. Tropez Self Tan Sensitive Brozing Lotion RRP $49.95,
10. Garnier Ambre Solaire Natural Bronz Up Self Tanning Milk RRP $13.95
4. 5. 6. 7. 8. 9. 10.
www.cosbeauty.com.au 163

eauty & spa
1.
3.
5.
2.
4.
Blushing
beauty
For the ultimate sun-kissed
glow and radiant bloom,
these bronze-hued beauty
products will be your go-to
no matter the season.
6.
If you’re working with a spray, hold it around 20cm away
from your body and distribute evenly. For lotions and gels,
dispense around a dollar coin-sized amount on your palm,
and for mousses use a small egg amount. Massage into your
skin in both horizontal and vertical motions from your toes to
your neck (and your face if you opt to include it).
Be sparing with your knees, elbows and ankles, and
extend your neck when applying, blending with moisturiser
around the jaw line so there’s no visible line.
After you’ve applied your self-tan, the fi rst thing to do is
wash your hands in warm soap and water. Use a nail brush
to scrub your nails, then dip a cotton tip in moisturiser to
remove any residue colour between your fi ngers and toes.
Use a tissue to blot any excess from your knees and elbows.
Even for the most conscientious tanners, missed patches
and streaks are a possibility. Many brands offer a tan
remover to remedy these little nasties, so purchasing the
complementing remover with your tanner is a good option.
To follow up, a bronzed shimmer lotion, body foundation
or bronzing powder both hides sins and enhances a tan,
which means masking those imperfections is a cinch.
Lastly, keeping your skin soft and hydrated by using an
all-over body moisturiser each day will prolong your tan and
promote even fading. Reapplication once or twice a week
will keep you looking tanned and terrifi c (just remember to
exfoliate before each subsequent application). csbm
1. Benefit Coralista Blush RRP $51, 2. Benefit
Sun Beam RRP $45, 3.Maybelline Dream Terra
Sun Bronzing Powder RRP $15.95, 4. L’Oreal
Glam Bronze La Terra RRP $29.45, 5. Estée
Lauder Bronze Goddess Powder Bronzer RRP
$58, 6. Éminence Mocha Berry Bronzer Mineral
Illuminator RRP $66, 7. Colorescience Face Primer
Skin Bronzing RRP $72.60, 8. Laura Mercier
Bronzing Gel RRP $50, 9. Shiseido Bronzer RRP
$60, 10. Sisley Phyto-Ombre Glow Amber RRP
$55, 11. Lancôme Star Bronze Intense RRP $79,
12. Napoleon Perdis Mosaic Powder Bronzing
RRP $60, 13. L’Oreal Le Blush in Rosewood
RRP $25.95
10.
11.
13.
12.
7. 8. 9.
164 www.cosbeauty.com.au

feature
STOP
THE
PRESS!
Did that get
your attention?
HERE’S WHY:
Print ads rank #1 for commanding
consumer attention*
Print magazines are the #1
preferred place to look at an ad*
Print magazines rank #1 for
advertising acceptance**
Magazines are #1 for reader
engagement**
Next-generation
marketing
Capture and engage your clients with
a personalised e-Book to showcase
your services. Having your own
bespoke eBook – either with or
without hardcopy – enhances your
profi le and turns your publication into
a viral marketing campaign!
P LAST I C &
COSMETIC S URG EON
REC ONSTRUC T I VE MIC ROS URG E R Y
* Source: Adobe Systems Click Here Study, October 2012
** Source: ORC Caravan, February 2013
Why integrate print and digital?
It’s never been more important to have an integrated print
and digital marketing strategy. International research has
proven that print media – notably magazines – drive online
search and purchases. The two mediums exist side by side
to capture and engage an optimum audience.
At Bella Media, we have embraced this next-generation
marketing by integrating print and digital marketing to
enhance the client and consumer experience.
Hair Restoration by
Dr Russell Knudsen
ACTUAL PATIENT OF DR VLAD MILOVIC
Cover.indd 1 12/05/14 4:02 PM
Call our expert team to fi nd out more about our bespoke
print and online services:
Tel: 02 9398 2755
Email: michelle@bellamedia.com.au
www.bellamedia.com.au
Plastic Surgery by
Dr Warwick Nettle

eauty & spa
Luscious
locks
GROWING OUT A SHORT HAIRCUT, OR JUST WANT HAIR WITH THAT CERTAIN
VA-VA-VOOM APPEAL? WITH HAIR EXTENSIONS, YOU CAN NOW HAVE LONG
AND THICK TRESSES IN NEXT TO NO TIME. AIMÉE SURTENICH REPORTS.
Hair extensions allow you to have long, thick, lustworthy
hair in a matter of hours. Hair maestro and
extensions expert Joseph Mourad from Joseph
Mourad’s Hair & Beauty in Sydney’s Double Bay, transforms
lank and listless hair to super sexy with his highly sought
after hair extension techniques.
Indeed, his hair extension methods are highly coveted
the world over – with celebrity clientele including entertainer
Mel B and Grammy award-winning recording artist Mya.
‘Hair extensions are about giving people beautiful and
strong hair,’ says Mourad. ‘Extensions provide volume,
length and manageability – and make getting ready for
a night out or special occasion so much easier. It’s also
surprisingly affordable.’
Mourad prides himself on using only the highest quality
human hair extensions. He is skilled in all hair extension
techniques but his preferred method is the innovative
ultrasonic cold fusion technique.
166 www.cosbeauty.com.au

BEHIND THE SCENES
Sydney hair extension specialist
Joseph Mourad with Mya and Mel B
The cold fusion method uses ultrasound technology to
attach the hair extension to the client’s natural roots. The
result is natural-looking hair extensions that are virtually
non-detectable.
IT’S ALL IN THE TECHNIQUE
The ultrasonic cold fusion technique allows for multistrand
bonding, making the whole process effi cient and,
importantly. Bonding clinical keratin with keratin found in
the hair shaft, the extensions are attached to the natural
hair very close to each other so there are no telltale signs.
‘The technology is so advanced and the bonding so
seamless,’ says Mourad. ‘It achieves impeccable results
and the extensions can be completely undetectable to the
eye. And, because there is no use of heat, glue or clips
to bond the extensions, the client’s natural hair is not
compromised or damaged.’
When applying the extensions, emphasis is placed on
properly blending colour and thickness with the natural hair.
Attached strand by strand, the extensions can be attached
to long, short, straight or wavy hair as long as the natural
length is more than 2cm.
Each strand has about 20 hairs in it and a full head can
take from 100 to 300 strands, depending on the required
thickness. In just a few hours, hair is transformed from
short, thin strands to thick, long locks. ‘The latest advances
provide long and voluminous hair without the need to wait
for natural hair to grow out,’ says Mourad. ‘It can completely
transform your look.’
Extensions can last anywhere between six and 12
months. Once attached, the extensions can be treated
as normal. ‘Care for your extensions the way you would
your natural hair,’ Mourad advises. ‘It’s important to be
particularly careful when combing and blow-drying your
hair. However, hair extensions can be cut and coloured just
like your natural hair.’
When applied by a hair extension specialist, you can
enjoy a full head of fl owing, thicker hair – and look forward
to a good hair day, every day. csbm
Visit www.josephmourad.com.au for details.
Featureflash / Shutterstock.com
s_bukley / Shutterstock.com
www.cosbeauty.com.au 167

eauty & spa
Benefit Bella Bamba
Blush, RRP $51.
Laced with shimmering
gold undertones, this
blush takes eyepopping
pretty to the
third dimension.
YSL Supreme Bouquet Eau
de Parfum 80ml, RRP $125. A
bouquet of white fl owers, a blend
of whimsical tuberose, exotic
ylang and enigmatic jasmine.
L’Occitane Néroli &
Orchidée Eau de Toilette,
75ml, RRP $82. Faceted with
fruity head notes, the fragrance
evolves into a warm base of
musk and iris.
Faves
Editor’s
WE SHARE THE PRODUCTS WE CAN’T LIVE WITHOUT,
STRAIGHT FROM THE BELLA BEAUTY DESK.
L’Occitane Fragrance
Beautifying Cream,
125g, RRP $60. This
beautifully fragrant body
cream moisturises while
imparting a long-lasting
subtle scent.
L’Oréal Paris La
Manicure Grow
Beautiful Serum,
RRP $8.95. This
new product
nourishes and
protects fragile or brittle
nails and promotes
healthy growth.
You By Sia Delicate
Clenz – Gentle
Foaming Wash, 200ml,
RRP $70. Formulated
with natural and effective
cleansing ingredients to
remove makeup and
dirt from the skin without
stripping the protective
epidermal barrier. One
of the best cleansers
we’ve used!
Nioxin
Diaboost,
100ml,
RRP $59.95.
Increases the
diameter of
each existing
hair strand.
Truly amazing!
Priori Cellular Recovery
Serum with DNA Enzyme
Complex, 50ml, RRP
$199. Leaves the skin with
a wonderful matte fi nish,
making it ideal for use as a
primer while boosting the
anti-ageing performance
and effectiveness of any
skincare regimen for faster,
more visible results.
168 www.cosbeauty.com.au

Pelactiv Facial Refiner Deep
Cleansing Scrub, 150ml,
RRP $49. A gentle dual action
facial scrub that combines the
softening and decongesting
benefi ts of lactic acid together
with perfectly rounded
exfoliating granules.
Glo Minerals Protective
Liquid Foundation –
Satin II, 40ml, RRP $52.
Enhanced with skin benefi ts
to treat and protect the skin,
this liquid foundation goes
on fl awlessly for a medium
yet featherlight coverage. Its
exclusive blend of antioxidants,
minerals and caviar extract
combined with two new
and innovative ingredients,
Malachite and Venuceane, help
improve skin health.
beauty & spa
Dermalogica Age Smart Dynamic
Skin Recovery SPF50, 50ml, RRP
$87.50. Contains a combination of
hyaluronic acid and algae extracts to
help fi ght fi ne lines associated with
dryness as well as a skin smoothing
complex to stimulate natural exfoliation.
DNA Defense Moisturiser with Sun
Protection 50ml, RRP $70. Fast absorbing,
non-greasy lotion protects skin against the
sun’s harmful UVA and UVB rays to counter
photoaeging and cellular skin damage.
Lonvitalites C4 Coconut Milk Mask,
RRP $36. This mask penetrates into the
deep layers of the skin to strengthen the
underlying layers.
Redken Blonde
Idol Custom Tone
Conditioner 196ml,
RRP $39.95. This
dual chamber
conditioner releases
a custom blend of
colour-depositing
and conditioning
formulas that help
refresh colour to
preserve cool or
platinum blonde hair.
Shiseido Automatic Fine
Eyeliner, RRP $60.
All day, smudge-proof
formula delivers intense,
lustrous defi nition. Creates
a strong beautiful line with
deep glossy colour.
Jurlique Rose
Moisture Plus
Daily Moisture
Balancing Serum
30ml, RRP $70.
An antioxidantrich,
replenishing
serum designed to
absorb easily and
provide the skin
with essential fatty
acids for a smoother
and more plumped
appearance.
Amy Jean Eye Couture Lash Elevate Mascara,
RRP $35. Perfect for creating a falsies-like effect, this
mascara helps lift and lengthen lashes while elegantly
coating each individual lash for a fan-like fi nish.
ROADTEST
Brow Shaping
& Lash Lift
Well-shaped, symmetrical eyebrows can
make you look younger, sexier and more
sophisticated. And there’s no better brow
guru to turn to than Amy Jean, aka The
Arch Angel.
With a long list of celebrity clients on the
books, including Naomi Campbell and Dannii
Minogue, Amy Jean Eye Couture takes brow
sculpting to new heights. Recently I was
lucky enough to experience Amy Jean’s
brow shaping and lash lifting techniques
fi rsthand at her exquisite Sydney salon.
Jump online to read my experience at
www.cosbeauty.com.au/category/blog/
roadtests or for more info visit Amy Jean’s
website at www.amyjean.com.au
www.cosbeauty.com.au 169

Directory
Allergan Australia
Phone +61 02 9498 0100
www.allergan.com.au
Australasian Academy of
Cosmetic Dermal Science (AACDS)
Phone +61 08 9328 6760
www.aacds.edu.au
Australasian College of
Cosmetic Surgery (ACCS)
Phone 1800 804 781
admin@accs.org.au
www.accs.org.au
Dr Buddy Beaini
MD Cosmedical Solutions
Phone 1300 885 808
info@mdcosmedicalsolutions.com.au
www.mdcosmedicalsolutions.com.au
Bella Media
Phone +61 02 9398 2755
info@bellamedia.com.au
www.bellamedia.com.au
EFB Beauté
Phone 1300 737 393
contact@efbbeaute.com
www.efbbeaute.com
Dr John Flood
Phone +61 02 9476 8066
info@drjohnflood.com.au
www.drjohnflood.com.au
Dr John Flynn
Cosmedic & Skin Clinic
Phone 1300 881 388
info@cosmedic.com.au
www.cosmedic.com.au
Fraxel
iNova Pharmaceuticals
Phone +61 02 9999 1081
www.inovapharma.com
Galderma
Phone 1800 144 944
info.au@galderma.com
www.galderma.com.au
Dr Joseph Georghy
North Shore Cosmetic Clinic
Phone +61 02 9956 7200
www.northshorecosmetic.com.au
Dr Paul Gerarchi
The Face Institute
Phone +61 02 9412 4599
www.thefaceinstitute.com.au
Val Glover-Hovan
Cosmetic Tattoo Australia
Phone +61 02 9938 2111
www.cosmetictattooaustralia.com
GrayClay
Phone +61 07 5531 3738
www.grayclay.com.au
Dr Darryl J Hodgkinson
Cosmetic & Restorative Surgery Clinic
Phone +61 02 9362 7400
info@cosmeticsurgeryoz.com
www.cosmeticsurgeryoz.com
Infini by Lutronic
Advanced Cosmeceuticals
Phone 1800 242 011
www.advancedcosmeceuticals.com.au
Jane Iredale
Phone 1300 850 008
www.janeiredale.com.au
Joseph Mourad Hair & Beauty
Phone +61 02 9328 2277
contact@josephmourad.com.au
www.josephmourad.com.au
Dr Steven Liew
Shape Clinic
Phone +61 02 8356 2888
nola@shapeclinic.com.au
www.shapeclinic.com.au
www.breastshape.com.au
Like Your Look
High Tech Laser Australia
Phone 1300 309 233
www.likeyourlook.com.au
Master Dermal Academy
Gay Wardle
Phone +61 0418 708 455
www.mastersdermalacademy.com.au
Dr Richard Maxwell
Maxwell Plastic Surgery
Phone +61 03 9509 9699
www.maxwellplasticsurgery.com.au
Dr William Mooney
Phone 1300 DR WILL (1300 379 455)
www.rhinoplastysydney.com.au
Dr Colin Moore
The Australian Centre of Cosmetic Surgery
Phone 0414 251 234
info@austcps.com
www.drcolinmoore.com
Dr Sarkis Nalbandian
Designer Smiles
Phone +61 02 9953 4189
www.designersmiles.com.au
Dr Warwick Nettle
Silkwood Medical
Phone 1300 SILKWOOD (1300 745 596)
www.silkwoodmedical.com.au
Nicole’s Beauty
Phone +61 02 9327 7728
Phone 0410 627 767
www.nicolesbeautysalon.com.au
Obagi
iNova Pharmaceuticals
Phone +61 02 8918 6322
www.inovapharma.com
Omnilux
True Solutions International
Phone 1800 808 993
www.omnilux.com.au
Dr Oseka Onuma
Laser Vaginal Rejuvenation Institute of Adelaide
Phone +61 08 8344 6085
rooms@dronuma.com
www.dronuma.com
Picosure
Cynosure
www.picosure.com.au
Regen PRP
Australasian Medical & Scientific
Phone 1800 201 760
www.regenlab.com
www.amsl.com.au
Regenesis Fitness
Phone +61 02 9363 0376
info@regenesisfitness.com.au
www.regenesisfitness.com.au
Dr Amira Sanki
Silkwood Medical
Phone 1300 SILKWOOD (1300 745 596)
www.silkwoodmedical.com.au
Shortcuts
Phone 1300 66 73 74
www.shortcuts.com.au
Silkwood Medical
Phone 1300 SILKWOOD (1300 745 596)
www.silkwoodmedical.com.au
Sydney Permanent
Makeup Centre
Rita Porreca
Phone +61 02 9569 7799
info@spmuc.com.au
www.spmuc.com.au
Synergie Minerals
Terri Vinson
Phone 1300 689 619
info@synergieminerals.com
www.synergieskin.com
170 www.cosbeauty.com.au

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