Cosmetic Surgery and Beauty Magazine #66

Cosmetic Surgery and Beauty is the must-read for anyone considering a cosmetic procedure or treatment. With hundreds of before and after photo, and cosmetic and plastic surgery experts featured, tis educational resource will allow you to confidently decide the best course of action. This issue includes features on: Breast reshaping Six ways to get younger looking skin Surgical vs non-surgical fat reduction Body soothing products Energy boosters DIY perfect makeup As well as regular features on breast augmentation, facelifting, rhinoplasty and liposculpture/liposuction.

Cosmetic Surgery and Beauty is the must-read for anyone considering a cosmetic procedure or treatment. With hundreds of before and after photo, and cosmetic and plastic surgery experts featured, tis educational resource will allow you to confidently decide the best course of action.
This issue includes features on:
Breast reshaping
Six ways to get younger looking skin
Surgical vs non-surgical fat reduction
Body soothing products
Energy boosters
DIY perfect makeup
As well as regular features on breast augmentation, facelifting, rhinoplasty and liposculpture/liposuction.


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ISSUE 66 • NOV-JAN 2015<br />

BREAST<br />




DIY<br />


MAKEUP<br />

6ways to<br />

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10 SUREFIRE<br />

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contents<br />

regulars<br />

18 Editor’s letter<br />

20 Contributors<br />

22 Newsfront<br />

34 Column: Quacks of the<br />

18th century<br />

93 How to subscribe<br />

138 Directory<br />

features<br />

42 10 steps to reclaiming energy<br />

Conquer fatigue once <strong>and</strong> for all<br />

72 Complexion perfection<br />

Learn how to outsmart the clock<br />

<strong>and</strong> discover a radiant complexion<br />

90 Nanoparticles: No small matter<br />

Their use in cosmetics has divided<br />

the medical world<br />

98 Breast reshaping<br />

We cover implants, lift <strong>and</strong> reduction<br />

108 Fat reduction<br />

Surgical <strong>and</strong> non-surgical options<br />

face<br />

46 Is 50 the new 40, or even<br />

the new 30?<br />

Facelifting is more popular<br />

than ever before<br />

48 The modern-day facelift<br />

Avoid the “tightened” look<br />

52 Your options in facial<br />

rejuvenation<br />

Invigorate your look <strong>and</strong> waylay<br />

those pesky signs of ageing<br />

56 Eyelid surgery<br />

60 Harmonising the<br />

consultation process<br />

Achieve the best results in<br />

injectable treatments<br />

62 Small changes, big results<br />

Facial rejuvenation<br />

without surgery<br />

teeth<br />

64 Transform your smile<br />

A dental “facelift” in just<br />

one visit<br />

nose<br />

66 Reinventing rhinoplasty<br />

Planning is key to creating a<br />

beautiful result<br />

68 Male rhinoplasty<br />

Now a mainstream procedure<br />

cosmetic tattoo<br />

69 Australia’s leading lady of<br />

cosmetic tattoo<br />

The art of permanent makeup<br />

70 Lasting beauty<br />

<strong>Cosmetic</strong> tattooing can rejuvenate<br />

the face for long-term results<br />

skin<br />

76 Treatment for melasma<br />

Combat pigmentation with this<br />

revolutionary laser treatment<br />

78 Tighten skin<br />

Non-invasive treatment for tighter<br />

skin on the face <strong>and</strong> body<br />

82 Tried <strong>and</strong> true results<br />

Use light therapy to reverse the<br />

visible signs of ageing<br />

84 Reinventing the facial<br />

86 The latest in skin renewal<br />

New technology boosts collagen<br />

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88 Common skin theories...<br />

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Separate fact from fiction<br />

in skincare<br />

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94 The French woman’s<br />

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Permanent hair reduction for<br />

all hair colour <strong>and</strong> skin types

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tattoo removal<br />

96 A clean slate<br />

Clear ink, without damaging the<br />

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breasts<br />

102 The perfect fit for you<br />

Breast augmentation for<br />

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106 Treating tuberous breasts<br />

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108 Fat reduction, surgical <strong>and</strong><br />

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The latest options for removing<br />

fat <strong>and</strong> beautifying the body<br />

intimate surgery<br />

112 It’s time to talk<br />

Genital surgery can help<br />

ease discomfort <strong>and</strong> restore<br />

self-esteem<br />

114 Vaginal tightening<br />

without surgery<br />

New laser technology to treat<br />

vaginal atrophy<br />

beauty & spa<br />

116 Summer nights<br />

Power up your party face<br />

with our tried <strong>and</strong> tested<br />

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122 The mother of all<br />

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124 Body smoothing products<br />

Summer’s here, prepare your<br />

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126 Sun-smart... Seriously<br />

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128 Shrink wrap<br />

Shed centimetres in under an<br />

hour with a clay body wrap<br />

130 Your most powerful<br />

accessory<br />

Hair extensions are the perfect<br />

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132 2015 <strong>Beauty</strong> update<br />

136 Editor’s Faves<br />

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90 Nanoparticles: No<br />

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98 Breast reshaping<br />

108 Fat reduction: surgical<br />

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Read the FREE online version at<br />


LETTER<br />


Welcome to the Summer issue of <strong>Cosmetic</strong> <strong>Surgery</strong><br />

& <strong>Beauty</strong> <strong>Magazine</strong>, fi lled from cover to cover with<br />

great information on all the most popular cosmetic<br />

procedures to enhance the body <strong>and</strong> face.<br />

Since CSBM has been available online for free, we have<br />

been blown away by your response to the digital versions – the<br />

last issue has reached more than 100,000 readers already! At<br />

current visitor traffi c levels, CSBM online editions are expected<br />

to reach 400,000 visitors this year.<br />

Never has it been more important to combine print <strong>and</strong><br />

online in order to engage with <strong>and</strong> satisfy a limitless audience. We want to thank you for<br />

making the digital editions such a success <strong>and</strong> look forward to bringing you more videos,<br />

behind the scenes content, easy navigation <strong>and</strong> links to doctor websites. Jump online<br />

to www.Cos<strong>Beauty</strong>.com.au where you’ll fi nd a link to our magazines on the homepage.<br />

In terms of overall traffi c to www.Cos<strong>Beauty</strong>.com.au, unique visitors has increased<br />

by 40% month on month since June, <strong>and</strong> social media referral to the site has grown a<br />

whopping 400% since the beginning of the year.<br />

Whether you’re a hard copy or online fan – or a bit of both – you’ll love what’s in store<br />

for you in this issue. We cover the essential procedures for reshaping the breasts (p98),<br />

give you the update on surgical <strong>and</strong> non-surgical ways to remove fat <strong>and</strong> contour the<br />

body (p108), <strong>and</strong> share the six ingredients that are truly skin-transforming (p72). Plus,<br />

discover our favourite body smoothing products (p124) <strong>and</strong> makeup must-haves in our<br />

bumper <strong>Beauty</strong> & Spa section.<br />

The team at Bella Media wishes all of our readers <strong>and</strong> friends an enjoyable <strong>and</strong> relaxing<br />

holiday season <strong>and</strong> a peaceful, prosperous <strong>and</strong> beautiful New Year.<br />

Michelle Kearney<br />

Editor-in-Chief<br />

michelle@bellamedia.com.au<br />

Michelle Kearney is sole director of The Bella Media Group <strong>and</strong> no other parties or individuals have any fi nancial interest in the<br />

company or in Australian <strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong> (ACSBM). Reproduction in whole or in part is not permitted without<br />

the written authorisation of the publisher. All reasonable efforts have been made to trace copyright holders. All manuscripts <strong>and</strong><br />

articles submitted for publication remain the property of The Bella Media Group. This magazine contains general information only <strong>and</strong><br />

does not purport to be a substitute for medical advice. All readers are advised to seek medical advice from a doctor if considering<br />

cosmetic surgery. The publisher <strong>and</strong> the authors do not accept any liability whatsoever in respect of an action taken by readers in<br />

reliance on the recommendations set out in this magazine. Except where specifi ed in captions, photographs depict models who have<br />

not necessarily received treatments described in this magazine.<br />

Advertising Policy ACSBM follows <strong>and</strong> upholds the Australian Competition <strong>and</strong> Consumer Commission (ACCC) Guidelines to<br />

Advertising Medical Services, the Therapeutic Goods Administration (TGA) advertising regulations for therapeutic goods <strong>and</strong> services,<br />

<strong>and</strong> individual state Medical Board guidelines. All reasonable effort is made by ACSBM to ensure that all advertisements accepted<br />

for publication follow these guidelines. Copies of these guidelines are available from the individual agencies <strong>and</strong> boards. ACSBM<br />

reserves the right to reject advertising that is in breach of these guidelines. All ACSBM advertisers assume sole responsibility <strong>and</strong><br />

liability for statements contained in their advertising copy, <strong>and</strong> hold harmless <strong>and</strong> indemnify ACSBM, Bella Media, <strong>and</strong> offi cers,<br />

directors <strong>and</strong> employees from <strong>and</strong> against all liability, loss, claim, damages, costs or expenses arising out of matter contained in the<br />

advertising. Advertisers accept these terms <strong>and</strong> responsibilities when signing an advertising contract with ACSBM.<br />

Read the online edition at<br />

www.cosbeauty.com.au<br />

Issue 66<br />

NOV - JAN 2015<br />

Editor-in-Chief<br />

Michelle Kearney<br />

Editorial Director<br />

Aimée Surtenich<br />

Production Coordinator<br />

Camila Kawashita<br />

Art Director<br />

Debbie Pilarinos<br />

Writers<br />

Caitlin Bishop, Tara Casey,<br />

Aimée Surtenich<br />

Photographers<br />

Debbie Pilarinos, ShutterStock<br />

Distribution &<br />

Subscription Enquiries<br />

Bill Dunk<br />

Phone 02 9398 2755 Fax 02 9398 2855<br />

Email acsmag@bellamedia.com.au<br />

Advertising Enquiries<br />

Michelle Kearney<br />

Phone 02 9398 2755 Mob 0419 624 246<br />

Email michelle@bellamedia.com.au<br />

Editorial Enquiries<br />

Michelle Kearney, Aimée Surtenich<br />

Phone 02 9398 2755 Fax 02 9398 2855<br />

Email acsmag@bellamedia.com.au<br />

Produced & Published by Bella Media<br />

ABN 86 082 157 695<br />

Managing Director<br />

Michelle Kearney<br />

Chief Operating Officer<br />

Bill Dunk<br />

Public Relations, Marketing<br />

& Event Organisation<br />

Phone 02 9398 2755 Fax 02 9398 2855<br />

find us on<br />

Facebook<br />

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follow us<br />

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Cos<strong>Beauty</strong><br />

Office address<br />

Level 1, 42a Frenchmans Road<br />

R<strong>and</strong>wick, NSW, 2031<br />

Phone +61 2 9398 2755 Fax +61 2 9398 2855<br />

www.bellamedia.com.au<br />

All ‘before <strong>and</strong> after’ photographs in<br />

<strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong><br />

articles are of genuine patients. It is<br />

important to underst<strong>and</strong> that they represent<br />

one person’s experience <strong>and</strong> there is<br />

no guarantee that any other patient will<br />

experience similar results.<br />


Expertise is Everything<br />

More than 30 Years Experience in <strong>Cosmetic</strong> Plastic <strong>Surgery</strong><br />

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20 Manning Road,<br />

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02 9362 7400<br />

Fax: 02 9328 6036<br />

Email: info@cosmeticsurgeryoz.com<br />

Dr Darryl J Hodgkinson<br />

MB, BS (Hons), FRCS (C), FACS, FACCS<br />

American Board of Plastic <strong>Surgery</strong><br />

<strong>Cosmetic</strong> Plastic Surgeon<br />

www.cosmeticsurgeryoz.com<br />

The definitive website for all your cosmetic surgical queries. More than 50<br />

megabytes of information <strong>and</strong> hundreds of Dr Hodgkinson’s outst<strong>and</strong>ing results.

Contributors<br />

Ricky Allen Dr Buddy Beaini Dr John Flood Dr John Flynn Dr<br />

Paul Gerarchi Val Glover-Hovan Dr Darryl Hodgkinson Dr Peter Laniewski Dr<br />

Jim Leavesley Dr Steven Liew Dr Vlad Milovic Dr William Mooney<br />

Dr Sarkis Nalb<strong>and</strong>ian Dr Oseka Onuma Rita Porreca Terri Vinson<br />

20 www.cosbeauty.com.au


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newsfront<br />




Latest online issue of<br />

<strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong><br />

<strong>Magazine</strong> reaches<br />

100,000+ views!<br />

The online version of <strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong> issue 65 has<br />

well <strong>and</strong> truly blitzed the milestone of 100,000 readers.<br />

The issue was launched on www.Cos<strong>Beauty</strong>.com.au this August <strong>and</strong> is<br />

seeing more than 12,000 unique visitors each week.<br />

At current visitor traffi c levels, <strong>Cosmetic</strong> <strong>Surgery</strong> & <strong>Beauty</strong> <strong>Magazine</strong><br />

online editions are expected to reach in excess of 400,000 this year.<br />

Jump onto www.Cos<strong>Beauty</strong>.com.au to read the magazine for yourself,<br />

view before <strong>and</strong> after galleries, enter our competitions or keep up-to-date<br />

with the latest in the cosmetic surgery <strong>and</strong> beauty arena.<br />

2014 has been dubbed the “year of the selfi e”, <strong>and</strong> with<br />

the rise of digital imagery comes an increased awareness<br />

of self-image <strong>and</strong> the way we look on-camera.<br />

Several studies suggest this sudden amplifi ed interest<br />

in self-exposure has triggered an increased desire<br />

to improve our appearance – using everything from<br />

Instagram fi lters to cosmetic surgery.<br />

According to the American Academy of Facial Plastic<br />

<strong>and</strong> Reconstructive <strong>Surgery</strong> (AAFPRS), there has been a<br />

signifi cant growth in cosmetic surgery procedures in the<br />

under 30’s category.<br />

It’s suggested that the advent of the selfi e is a large<br />

driver of this increase, as a high proportion of these<br />

cosmetic procedures were facial surgeries. There was a<br />

10 percent rise in rhinoplasty in 2013, a seven percent<br />

rise in hair transplants <strong>and</strong> six percent increase in<br />

eyelid surgery.<br />

While cosmetic surgery should not be looked to as a<br />

solution to restore confi dence <strong>and</strong> self-image, the sharing<br />

of images via social media has made us more aware of<br />

our appearance <strong>and</strong> more willing to explore potential<br />

ways to enhance our best assets.<br />

22 www.cosbeauty.com.au

newsfront<br />


by Dr Darryl Hodgkinson<br />

The 22nd biannual meeting of the International Society of Aesthetic Plastic<br />

<strong>Surgery</strong> met in September in Rio de Janeiro in Brazil for four days of intensive<br />

education on the latest trends in cosmetic plastic surgery. I was fortunate<br />

to be chosen to deliver two papers on the face <strong>and</strong> neck lift, being one<br />

of only two Australians on the international faculty representing 76 countries.<br />

My paper was enthusiastically received <strong>and</strong> it is gratifying to know that our<br />

dedication to the best surgical results is recognised by international peers.<br />

Interesting, the emphasis on facelifts is different between Europe, the USA<br />

<strong>and</strong> Australia. The Americans want a more dramatic, exaggerated result, the<br />

Europeans don’t focus much on the neck, whereas my Australian patients<br />

want a natural-looking result with very good improvement on their neck.<br />

Other pearls included a review of the safety of cosmetic surgical procedures.<br />

The consensus was that the safest settings with the lowest complication <strong>and</strong><br />

infection rates reported were in specialised day surgery facilities rather than<br />

as an inpatient at a hospital or at a generalised outpatient facility.<br />

As usual, there was considerable debate on breast implants <strong>and</strong> whether<br />

the greatest satisfaction was gained by saline over silicone. Polyurethane<br />

implants are not available in the USA but elsewhere where there is a concern<br />

that the polyurethane of the implant will be completely dissolved in 15 years<br />

yielding a silicone implant. There was consensus, however, that all silicone<br />

implants should be evaluated for a change at 10 years post-operatively.<br />

Dr Hodgkinson at ISAPS Congress in Rio<br />

Dr Hodgkinson <strong>and</strong> colleagues attend a sculpture course on<br />

Rhinoplasty at ISAPS Congress in Rio<br />

“WE MADE $7000<br />







1300 667 374<br />

www.cosbeauty.com.au 23

newsfront<br />

iNova Media Launch<br />

On September 10, media were invited<br />

to learn more about the latest additions<br />

to iNova Aesthetics’ rapidly exp<strong>and</strong>ing<br />

suite of energy-based medical devices:<br />

Fraxel, Thermage, Liposonix, Isolaz <strong>and</strong><br />

Clear+Brilliant. These fi ve new br<strong>and</strong>s<br />

see iNova delivering a complete range of<br />

aesthetic solutions tailored to improving skin<br />

health, skin resurfacing <strong>and</strong> rejuvenation,<br />

body contouring <strong>and</strong> tightening. The<br />

portfolio also includes world-renowned<br />

topical skincare Obagi Medical.<br />

Held at Aqua Dining with beautiful views<br />

across Sydney Harbour <strong>and</strong> Luna Park,<br />

Perth plastic surgeon Dr Anh Nguyen<br />

shared her extensive experience using the<br />

suite of iNova Aesthetics products in her<br />

busy clinic.<br />

‘With Australian women spending $600<br />

million on non-surgical treatments each<br />

year, it’s clear these types of procedures<br />

are in high dem<strong>and</strong>,’ she said.<br />

xxx<br />

SHAPE<br />

OF THE<br />

FUTURE<br />

New to Australian shores, Viora is a leading provider of medical aesthetic<br />

solutions in more than 65 countries. It’s recently launched ‘Reaction’ in<br />

Australia, using the latest in multifrequency RF technology with vacuum<br />

therapy to reduce the appearance of cellulite <strong>and</strong> reduce fat volume – all<br />

within a single system. With a following of plastic surgeons from around<br />

the world, Reaction offers an all-in-one approach to body <strong>and</strong> facial<br />

contouring, cellulite reduction <strong>and</strong> skin tightening. For more information<br />

visit www.viora.com.au<br />

Bali Hospital Earns Top Australian<br />

Health Care Accreditation<br />

BALI, Indonesia, October 9, 2014 – BIMC (Bali International Medika<br />

Citra) Hospital Nusa Dua, one of two BIMC care centres on the isl<strong>and</strong>,<br />

has become the fi rst hospital in Indonesia to be awarded international<br />

accreditation by the Australian Council on Healthcare St<strong>and</strong>ards (ACHS).<br />

BIMC Nusa Dua, a part of Siloam International Hospitals, was<br />

cited by ACHS assessor Professor Bruce Waxman for its ‘commitment<br />

to patient care <strong>and</strong> service delivery <strong>and</strong> its recognition of continuing<br />

quality development’.<br />

Located in the centre of the Bali Tourism Development Corporation<br />

complex, BIMC Hospital Nusa Dua is considered Indonesia’s fi rst medical<br />

tourism hospital <strong>and</strong> destination. The facility is located within walking<br />

distance of luxury hotels <strong>and</strong> villas, the Bali Golf <strong>and</strong> Country Club, Nusa<br />

Dua Convention Center <strong>and</strong> Bali Collection shopping, food esplanade<br />

<strong>and</strong> secluded beaches. Nusa Dua is Bali’s integrated beach resort, a<br />

luxury tourism enclave known for its privacy <strong>and</strong> solitude as well as<br />

conferences <strong>and</strong> conventions, golf <strong>and</strong> relaxation on its many beaches.<br />

From left to right: BIMC Nusa Dua general<br />

manager, Cathy Bolwell; Australian ambassador<br />

to Indonesia, Greg Moriarty; Advisor<br />

to Ministry of Tourism <strong>and</strong> Creative<br />

Economy, Mr. Syamsul Lussa; BIMC Siloam<br />

Hospital Group Bali Executive Chairman<br />

Craig Beveridge; BIMC Siloam Hospital<br />

Group Bali CEO, Dr. Donna Moniaga; Executive<br />

Director of International Business<br />

ACHS, Desmond Yen; Director of Business<br />

Development for BIMC Siloam Hospital<br />

Group Bali, Nurhadi Yudiyantho.<br />

24<br />


newsfront<br />

New study shows plastic surgery helps<br />

keep the weight off after bariatric surgery<br />

Patients who have body contouring surgery after<br />

bariatric procedures maintain “signifi cantly greater”<br />

weight loss than those who do not have plastic surgery,<br />

new research reveals.<br />

The study, conducted at Henry Ford Hospital in<br />

the US, followed 94 patients who underwent bariatric<br />

surgery between 2003 <strong>and</strong> 2013.<br />

Of these, 47 participants had plastic surgeries<br />

such as abdominoplasty, brachioplasty <strong>and</strong> thigh <strong>and</strong><br />

buttocks lifts to remove inelastic excess skin <strong>and</strong> tissue<br />

after substantial weight loss <strong>and</strong> to reshape or recontour<br />

their bodies.<br />

The researchers examined each patient’s Body Mass<br />

Index (BMI) both before the bariatric surgery <strong>and</strong> 2.5<br />

years following the operation.<br />

‘Of the patients who underwent contouring<br />

surgery, the average decrease in BMI was<br />

18.24 at 2.5 years, compared to a statistically<br />

signifi cant 12.45 at 2.5 years for those who did not<br />

have further surgery,’ says Dr Donna Tepper, plastic<br />

surgeon at Henry Ford plastic surgeon <strong>and</strong> senior<br />

author of the study.<br />

The fi ndings were presented at the annual conference<br />

of the American Society of Plastic Surgeons in October.<br />



Aesthetics Asia <strong>and</strong> Aesthetic & anti-aging Medicine<br />

Asian Congress (AMAC) joined h<strong>and</strong>s to host the fi rst<br />

AMAC <strong>and</strong> Aesthetic Asia meeting. The 3-day event<br />

was at the world-renowned S<strong>and</strong>s Expo & Convention<br />

Center, Marina Bay S<strong>and</strong>s, Singapore, in September.<br />

The joint meeting, attended by more than 700<br />

delegates, continued in the footsteps of Aesthetics<br />

Asia to maintain its position as the l<strong>and</strong>mark aesthetics<br />

event in Southeast Asia, showcasing the latest<br />

technologies <strong>and</strong> techniques in the ever-exp<strong>and</strong>ing<br />

<strong>and</strong> changing aesthetics market.<br />


Take a break<br />

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Australian living in Malaysia. We take care of all your<br />

cosmetic surgery needs while you indulge in a fabulous<br />

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We assist with all your appointments, transfers <strong>and</strong><br />

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offering you the best quality service <strong>and</strong> results.<br />

• World-class medical practitioners <strong>and</strong> consultants<br />

• State of the art equipment <strong>and</strong> technology<br />

• Attractive prices<br />

• Heavenly hideaways <strong>and</strong> spectacular sights<br />

For more information visit www.fabulousflyingbirds.com<br />

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www.cosbeauty.com.au 25

newsfront<br />

International Sydney<br />

Spa & <strong>Beauty</strong> Expo<br />

This year’s Sydney International Spa <strong>and</strong> <strong>Beauty</strong> Expo delivered two days of nonstop<br />

education <strong>and</strong> product showcase. Held on 23-24 August at the new Sydney<br />

Exhibition Centre, Glebe Isl<strong>and</strong>, the Expo brought together more than 250 br<strong>and</strong>s<br />

from the beauty, rejuvenation, cosmeceuticals <strong>and</strong> wellbeing industries. Australian<br />

celebrities Kerri-Anne Kennerley <strong>and</strong> Jennifer Hawkins also shared their beauty<br />

secrets on-stage <strong>and</strong> at the True Solutions <strong>and</strong> Jbronze st<strong>and</strong>s.<br />

The educational component of the Expo was extensive <strong>and</strong> diverse, enabling<br />

attendees to learn new techniques, discover the latest technologies <strong>and</strong> fi ne-tune<br />

their business acumen.<br />

The fun-fi lled weekend was rounded up by the second annual Beaty Gala<br />

Awards, held at the Star Room at the Star in Daring Harbour. Congratulations to<br />

the 2014 Salon Team of the Year – Skin Deep Medi-Spa, Perth.<br />

The Expo will be back August 2015... with a br<strong>and</strong> new look <strong>and</strong> feel!<br />

Visit www.beautyexpoaustralia.com.au<br />

New anti-wrinkle injectable launches in Australia<br />

On September 2, XEOMIN was offi cially launched to<br />

the Australian market. XEOMIN, developed by Merz<br />

Pharmaceuticals in Germany, is designed to combat<br />

glabella (frown) lines by relaxing brow muscles to create a<br />

refreshed, more youthful complexion.<br />

XEOMIN (pronounced ‘ZEE-oh-min’) is a purifi ed<br />

neurotoxin that temporarily blocks the transmission of<br />

signals from nerves to the muscles, allowing the muscles<br />

in the glabella to relax. Unlike other anti-wrinkle injections,<br />

XEOMIN is free from complexing proteins to afford effective<br />

results with minimal risk of complication.<br />

‘In order to develop XEOMIN, an innovative manufacturing<br />

<strong>and</strong> purifi cation process was used to separate the<br />

complexing proteins from the purifi ed neurotoxin,’ says<br />

XEOMIN creator, <strong>and</strong> head of Botulinum Toxin research<br />

at Merz in Germany, Dr Jurgen Frevert. ‘XEOMIN was<br />

examined for safety <strong>and</strong> effectiveness in adults.’<br />

With Australians spending more than ever before on<br />

their appearance – up to $1 billion each year – anti-wrinkle<br />

injections have become one of the most popular aesthetic<br />

procedures. Sydney cosmetic practitioner Dr Van Park<br />

predicts this dem<strong>and</strong> will continue to rise. She explains a<br />

youthful, refreshed appearance can be advantageous in<br />

the workplace, <strong>and</strong> muscle relaxants are commonly sought<br />

out to provide a competitive, professional edge.<br />

‘Deep wrinkles <strong>and</strong> skin folds can create an angry,<br />

upset or sad appearance,’ Dr Park says. ‘These negative<br />

expressions can lead to disadvantages <strong>and</strong> discrimination<br />

both socially <strong>and</strong> in the work place.’<br />


newsfront<br />

AAFPS Masters’<br />

Symposium 2014<br />

September 2014: Experts in blepharoplasty <strong>and</strong> periorbital<br />

rejuvenation from around the world met in Sydney to<br />

discuss advancements, innovations <strong>and</strong> challenges in the<br />

fi eld of facial plastic surgery.<br />

The Australian Academy of Facial Plastic <strong>Surgery</strong><br />

(AAFPS) welcomed more than 200 of the world’s leading<br />

surgeons in the fi eld of facial plastic surgery for its triennial<br />

multidisciplinary Masters’ Symposium, held over two days<br />

at the National Maritime Museum in Darling Harbour.<br />

The focus this year was predominantly on blepharoplasty<br />

<strong>and</strong> upper facial rejuvenation. Eminent keynote speakers<br />

included Australian-born Professor Julian Pribaz, who<br />

leads a team that performs full facial transplants in the<br />

US; Dr Robert Goldberg, chief of orbital <strong>and</strong> ophthalmic<br />

plastic surgery <strong>and</strong> director of the aesthetic reconstructive<br />

surgery service at UCLA’s Jules Stein Eye Institute; Dr<br />

Michael Groth, a renowned expert in aesthetic eyelid<br />

surgery; Dr Brian Leatherbarrow, current President of<br />

the British Oculoplastic <strong>Surgery</strong> Society; Dr Guy Massry,<br />

who specialises in complex aesthetic procedures, volume<br />

preservation blepharoplasty, <strong>and</strong> advances in the use of<br />

eyelid <strong>and</strong> periorbital fi llers; <strong>and</strong> Dr Mario Pelle-Ceravolo,<br />

current President of the International Medical Academy<br />

<strong>and</strong> renowned European Plastic Surgeon from Rome.<br />

According to AAFPS President <strong>and</strong> co-convenor of the<br />

Symposium Dr George Marcells, the Masters Symposium<br />

is a key opportunity for experts to meet, network <strong>and</strong> share<br />

their experiences.<br />

‘The Symposium is critical for continued excellence <strong>and</strong><br />

education in the fi eld of facial plastic surgery,’ he says.<br />

‘It is through events such as the Masters’ Symposium<br />

that we are able to improve our techniques <strong>and</strong> evolve<br />

our approach, benefi tting patient safety <strong>and</strong> aesthetic<br />

outcomes,’ he says.<br />

‘There is a defi nite link between the way a person<br />

looks <strong>and</strong> how they feel. With the infi ltration of the media,<br />

<strong>and</strong> most recently social media, we have an even more<br />

highly cultivated sense of self-image. This presents more<br />

challenges for facial plastic surgeons, highlighting the<br />

need for ongoing education <strong>and</strong> careful patient selection,’<br />

Dr Marcells concludes.<br />

www.cosbeauty.com.au 27

industry<br />

37th<br />

Annual ASAPS Conference<br />

Leading plastic surgeons from around the world descended<br />

on historic Hobart for the Australasian Society of Aesthetic<br />

Plastic <strong>Surgery</strong> meeting. AimÉe Surtenich reports.<br />

The Hotel Gr<strong>and</strong> Chancellor in Hobart played host to<br />

the 37th ASAPS Conference, a five-day meeting of<br />

presentations <strong>and</strong> workshops focused on aesthetic<br />

breast surgery <strong>and</strong> the “business” of plastic surgery by some<br />

of the world’s leading plastic surgeons <strong>and</strong> marketing experts.<br />

Among the stellar list of keynote speakers were LA-based<br />

Dr Grant Stevens, who shared his insight into not only the<br />

surgical techniques he has honed but also his advice for<br />

creating a thriving practice <strong>and</strong> first-class patient experience.<br />

Indeed, his Marina Del Rey practice is one of the largest in the<br />

US, complete with a separate “Man L<strong>and</strong>” clinic just for male<br />

clientele. He says cosmetic surgery for men is a booming field.<br />

‘Men wear resumes on their face,’ he says. ‘So it’s no surprise<br />

I’ve seen a steady growth each year of male procedures.’<br />

In just one of Dr Stevens’ many presentations <strong>and</strong> workshops,<br />

he detailed his experience using CoolSculpting, a non-surgical<br />

body contouring system that uses freezing temperatures to<br />

permanently destroy pockets of fat with no downtime. ‘This<br />

machine has transformed my practice. I’m seeing results as<br />

good as liposuction in the right patient,’ he says.<br />

World-renowned Israeli plastic surgeon Dr Michael Scheflan<br />

spoke on the composite breast <strong>and</strong> complex breast surgery,<br />

which he says requires a unique technique for each patient.<br />

He shared his extensive <strong>and</strong> varied case studies on improving<br />

the breast aesthetic in complex cases using a composite of<br />

implant, fat grafting <strong>and</strong> Acellular Dermal Matrix (ADM).<br />

Dr Patrick Mallucci from the UK gave a very illustrated<br />

presentation on concepts in aesthetic breast dimensions <strong>and</strong><br />

what makes an attractive breast. From his population study<br />

in the UK, he found that the lower pole of the breast is more<br />

important than the upper pole – which somewhat defies what<br />

has traditionally been practiced <strong>and</strong> thought in breast surgery.<br />

Indeed, the exact ratio of upper pole to lower pole fullness<br />

for the “perfect” breast, he says, is 45:55 with the nipple at a 20<br />

degree skyward projection.<br />

‘Obsession with upper pole fullness has become misplaced,’<br />

says Dr Mallucci. ‘It is a beautiful lower pole that defines<br />

beauty, <strong>and</strong> this has become an important paradox in aesthetic<br />

breast surgery.’<br />

Photos courtesy of Woodrow Wilson<br />

28 www.cosbeauty.com.au

industry<br />

‘Essentially, we found that the “natural” look was<br />

overwhelmingly the most popular breast aesthetic. Breasts<br />

that were deemed most attractive <strong>and</strong> natural all had the 45:55<br />

upper vs lower pole ratio, regardless of ethnicity <strong>and</strong> age,’ he<br />

says. ‘The 45:55 proportion is the most universally appealing<br />

<strong>and</strong> one which surgeons should be mindful of to achieve the<br />

most natural-looking results in every patient.’<br />

In addition to a strong focus on the breast <strong>and</strong> general<br />

aesthetics, this year the program also delved extensively in<br />

the business side of plastic surgery – which even included a<br />

“before <strong>and</strong> after” photography masterclass.<br />

What has to be a highlight for all was financial expert <strong>and</strong><br />

resident Today show commentator Ross Greenwood’s oration<br />

on the changing l<strong>and</strong>scape of the business of cosmetic surgery.<br />

His talk, “First Clothing, Textiles <strong>and</strong> Footwear… Next Cars <strong>and</strong><br />

Manufacturers. Are Plastic Surgeons the Next Victims of Asia<br />

<strong>and</strong> How to Fight It” was enthusiastically delivered, replete<br />

with audience participation <strong>and</strong> a very interesting <strong>and</strong> c<strong>and</strong>id<br />

insider’s look at the current state of Australia’s fiscal policy <strong>and</strong><br />

economics in general.<br />

Expert US-based marketers Tracy Drumm <strong>and</strong> Karen Zupko<br />

rounded out the “business” side of the program, focusing on<br />

marketing <strong>and</strong> staff management topics specific to the unique<br />

needs of cosmetic surgery practices. This included adding a<br />

non-surgical arm to a practice <strong>and</strong> utilising social media for<br />

education <strong>and</strong> promotion.<br />

The program was an interesting, dynamic <strong>and</strong> relevant<br />

mix of surgical technique <strong>and</strong> practice management. The<br />

social program was also a resounding success. Conference<br />

attendees delighted in an evening of local cheese <strong>and</strong> wine at<br />

Frogmore Creek Winery ‘Taste of Tasmania Experience’ with<br />

local provedores, <strong>and</strong> the gala dinner was held at the famed<br />

MONA, where guests had a chance to spend time enjoying<br />

the eclectic museum during ASAPS’ exclusive viewing time<br />

before being officially welcomed by the owner himself, the everentertaining<br />

David Walsh.<br />

The 38th Annual Conference will be held in Sydney on 22-<br />

25 October – so save the date for what is shaping up to be<br />

another world-class meeting. csbm<br />

www.cosbeauty.com.au 29

industry<br />

New frontiers in<br />

regenerative medicine<br />

Last month, world leaders in regenerative medicine descended upon<br />

the ITALIAn city of Venice for the annual International BioBridge<br />

Foundation Conference. Caitlin Bishop repoRTS.<br />

Each year a collection of the world’s best minds in<br />

regenerative medicine unite in the Italian city of<br />

Venice for the International BioBridge Foundation<br />

conference. Set amidst the canals <strong>and</strong> history of one of<br />

the most beautiful cities built by man, the two-day meeting<br />

delves into the latest innovations <strong>and</strong> future possibilities in<br />

regenerative medicine.<br />

Regen Lab, known in Australia as the manufacturers <strong>and</strong><br />

distributors of Regen Platelet-Rich Plasma (PRP), supports<br />

the annual conference. This year, several Australian doctors<br />

specialising in PRP attended the conference to keep<br />

Australia at the forefront of using PRP <strong>and</strong> stem cells in<br />

regenerative <strong>and</strong> aesthetic medicine.<br />

‘BioBridge is a unique conference experience. Papers<br />

are presented solely in the field of platelet rich plasma <strong>and</strong><br />

stem cell regeneration by medical professionals all over the<br />

world from nearly all disciplines,’ explains Sydney cosmetic<br />

doctor Dr Ronald Feiner. ‘This creates an opportunity for<br />

delegates to learn from each other <strong>and</strong> exchange ideas in a<br />

truly international forum.’<br />

Although a relatively new field, regenerative medicine has<br />

fast been gaining traction across the globe. Researchers are<br />

exploring the possibilities in using the body’s own natural<br />

processes – calling upon platelets <strong>and</strong> stem cells – to help<br />

repair <strong>and</strong> replace human tissue <strong>and</strong> organs.<br />

‘Many of the BioBridge presentations were at the cutting<br />

edge of regenerative medicine, discussing innovative<br />

uses such as combining PRP <strong>and</strong> bone marrow-derived<br />

stem cells to treat orthopaedic fractures, <strong>and</strong> using PRP<br />

in conjunction with hyaluronics in sports medicine <strong>and</strong><br />

rheumatology,’ Dr Feiner says. ‘We also heard about using<br />

PRP alongside fat transfer grafting in improving facial<br />

30 www.cosbeauty.com.au

industry<br />

aesthetics; <strong>and</strong> with stem cell enhancement in treating<br />

tissue defects.’<br />

There were also discussions about improving the<br />

accessibility of regenerative medicine to consumers. New<br />

technologies have seen refinements <strong>and</strong> advancement<br />

in regenerative technologies, <strong>and</strong> this has led to a more<br />

streamlined <strong>and</strong> affordable delivery to patients.<br />

‘PRP <strong>and</strong> stem cell procedures are now spanning into<br />

fertility <strong>and</strong> sexual medicine which are truly exciting fields,’<br />

explains Adelaide cosmetic surgeon Dr Robin Chok.<br />

‘Regen Lab PRP kits have allowed stem cell-like treatment<br />

to be delivered at a fraction of the cost <strong>and</strong> easily prepared<br />

on a daily basis in any clinical environment.’<br />

Autologous Platelet-Rich-Plasma<br />

Autologous platelet-rich plasma is a concentration of human<br />

platelets in a small volume of plasma. These platelets are<br />

taken from a sample of the patient’s own blood <strong>and</strong> act<br />

as vehicles to deliver growth factors <strong>and</strong> promote healing<br />

in hard <strong>and</strong> soft tissue. Simply put, the growth factors in<br />

PRP communicate with the body’s own stem cells <strong>and</strong><br />

fibroblasts to kick-start the natural regeneration process –<br />

boosting healing time <strong>and</strong> optimising tissue recovery.<br />

PRP has a history of use in orthopaedics, sports<br />

medicine, wound healing, neurosurgery, dentistry <strong>and</strong><br />

ophthalmology, as well as more recently in cosmetic,<br />

plastic, maxillofacial <strong>and</strong> cardiothoracic surgery.<br />

Companies like Regen Lab have helped introduce PRP<br />

to the cosmetic enhancement arena. By harnessing the<br />

healing properties of platelets, <strong>and</strong> reinjecting PRP in areas<br />

of the body <strong>and</strong> face, it’s possible to achieve an organic yet<br />

effective aesthetic enhancement.<br />

‘As a purely cosmetic clinic we are mainly focused on<br />

treating skin texture <strong>and</strong> condition with PRP,’ explains<br />

cosmetic practitioner Dr Catherine Stone from Auckl<strong>and</strong>,<br />

New Zeal<strong>and</strong>. ‘Fine crepey skin seems to respond the best<br />

to PRP, resulting in thickening, smoothing <strong>and</strong> increased<br />

luminosity of the skin. PRP is our treatment of choice for<br />

the fine fragile skin around the eyes, <strong>and</strong> is one of the few<br />

treatments that we can use to improve the skin of the upper<br />

eyelid without resorting to surgery.<br />

‘Finely wrinkled skin on the neck, chest, h<strong>and</strong>s <strong>and</strong><br />

underarms also responds well to PRP treatments, while<br />

almost any skin will respond by becoming thicker, healthier<br />

<strong>and</strong> more luminous.’<br />

Because of it’s healing capabilities, PRP can also be<br />

used in conjunction with cosmetic surgery to optimise<br />

recovery following the procedure.<br />

‘PRP infuses healing tissue with a powerful haemostatic<br />

<strong>and</strong> growth factor cascade,’ Dr Feiner explains. ‘So any<br />

surgery region where a tissue has been cut, lasered or<br />

dissected will heal more expediently, with less bruising <strong>and</strong><br />

pain. PRP also exerts an antibiotic effect so infection risk<br />

is diminished.’<br />

What’s new in PRP?<br />

The use of PRP, <strong>and</strong> the ways it can be applied, is ever<br />

evolving with the emergence of new research <strong>and</strong><br />

technologies. This year’s BioBridge conference revealed<br />

some new ideas to increase the longevity of PRP results.<br />

‘Until recently, platelet activators were used to “activate”<br />

PRP during injection, stimulating the release of more growth<br />

factors to “increase the platelet signal” to stem cells <strong>and</strong><br />

fibroblasts to repair the treated area,’ Dr Stone explains. ‘At<br />

BioBridge 2013, we learned that whilst the activators trigger<br />

massive growth factor release in the short term, they stress<br />

the platelets to the degree that they die very quickly in the<br />

first few days. Studies show that not activating the platelets<br />

results in a slower, longer release of growth factors, which<br />

give a better long-term result.’<br />

Growth factors in PRP<br />

communicate with the body’s<br />

own stem cells to kick-start the<br />

natural regeneration process<br />

As well as ways to extend <strong>and</strong> improve PRP results,<br />

the BioBridge conference also explored the use of PRP<br />

alongside fat transfers in aesthetic procedures. ‘PRP is the<br />

perfect nourishing environment for fat cell transfer,’ says Dr<br />

Chok. ‘It’s also an ideal maintenance procedure after fat<br />

transfer or facelift surgery to the face <strong>and</strong> neck.’<br />

As doctors, scientists <strong>and</strong> researchers departed from<br />

Italy with a fresh perspective <strong>and</strong> deeper insight into the<br />

workings of regenerative medicine, we can look forward<br />

to another year of advancements <strong>and</strong> new possibilities in<br />

harnessing the body’s own incredible healing powers.<br />

‘Like any good conference, a symposium such as<br />

BioBridge creates an environment of knowledge-sharing<br />

that combines groundbreaking academic research that<br />

can change an industry, with the practical application of<br />

how to utilise the technology in the real world,’ Dr Stone<br />

explains. This pushes the whole industry <strong>and</strong> medical<br />

community forward to achieving better <strong>and</strong> safer results for<br />

our patients.’ csbm<br />

www.cosbeauty.com.au 31

industry<br />

Taking stock<br />

The Stock management software from Shortcuts can help<br />

keep track of stock levels <strong>and</strong> make stocktake easier than<br />

ever before. Caitlin Bishop reports.<br />

The holiday season is well <strong>and</strong> truly upon us once more so it’s extra important<br />

to keep shelves stocked <strong>and</strong> brace for the Christmas <strong>and</strong> New Year’s<br />

rush. <strong>Beauty</strong> <strong>and</strong> anti-ageing treatments are in high dem<strong>and</strong> throughout<br />

summer, <strong>and</strong> retail products will be falling off shelves <strong>and</strong> onto the gift list.<br />

With a system designed to manage stock levels <strong>and</strong> help place<br />

<strong>and</strong> receive orders, Shortcuts can help boost clinic efficiency <strong>and</strong> help<br />

keep stocktake on track. The Stock Management feature is built into the Shortcuts<br />

software system, with complete automation <strong>and</strong> integration. It affords complete<br />

control over stock movement, <strong>and</strong> instantly updates product information across<br />

all franchises.<br />

32 www.cosbeauty.com.au

industry<br />

Tracking stock<br />

Shortcuts has an in-built system to help manage <strong>and</strong> track stock usage, both in retail <strong>and</strong> professional<br />

environments. ‘When using products in-clinic – for example, cleansers or serums in facial treatments<br />

– you scan it with the Shortcuts system as business usage,’ explains Shortcuts educator Brooke<br />

Morkham-Calvert. ‘The system then keeps track of stock levels, <strong>and</strong> can compare usage between staff<br />

members, or different times of the year.’<br />

The system also tracks the stock sold through retail. Importantly, operators can run reports on all<br />

stock at any time. These reports are generated immediately, <strong>and</strong> can outline stock usage, the amount<br />

of stock on h<strong>and</strong>, the top selling retail products <strong>and</strong> the latest trading summary – that is, the income<br />

ratio between retail <strong>and</strong> services.<br />

Placing orders<br />

Quite simply, Shortcuts will automatically produce clinic orders, accurately<br />

calculating the amount of stock required based on the time of year <strong>and</strong> the<br />

amount of stock already in-store.<br />

When setting up Stock Management, the operator designates a maximum<br />

<strong>and</strong> minimum level for each stock product – <strong>and</strong> this level might change<br />

depending on the time of year. The software then keeps track of the amount<br />

of stock sold, or used professionally, <strong>and</strong> can automatically create an order to<br />

bring stock back to maximum levels, at the same time taking into account the<br />

amount of time it will take to be delivered.<br />

Morkham-Calvert says Shortcuts’ stock system can help prepare the clinic<br />

for a busy period. ‘If you’re expecting business to take off – perhaps over<br />

Christmas or the new financial year – you can use the system to retrieve the<br />

level of stock movement for the same period the previous year <strong>and</strong> build the<br />

order from there,’ she explains. ‘This order can then be tailored to include new<br />

products, add extra quantities, or compensate for an extra staff member.’<br />

Receiving orders<br />

The Shortcuts Stock Management system is designed to make receiving stock<br />

simple. When the delivered stock is entered into the system, it can also be<br />

customised to suit the way stock is used in-clinic.<br />

‘When stock is received, the operator can bundle <strong>and</strong> unbundle the items to<br />

make it easy to accurately track stock usage,’ Morkham-Calvert explains. ‘You<br />

can unbundle boxes of stock into separate units for in-clinic use – for example,<br />

unbundling five boxes of dermal filler into 5,000 individual units. Alternatively, you<br />

might want to bundle individual products into a Christmas or travel pack.’<br />

Stocktake<br />

If Stock Management is used in its entirety throughout the year, Morkham-Calvert<br />

says there should be no discrepancies when it comes to stocktake time.<br />

‘Stocktake should be easy if you have all the right systems in place; the amount<br />

of stock on the shelf should simply be a mirror image of what’s in the system,’<br />

she explains. ‘If the point-of-sale stock scanning has been conducted properly,<br />

if receiving <strong>and</strong> entering orders has been successful, <strong>and</strong> if you’ve been tracking<br />

professional stock usage, the stocktake should be an exact representation of<br />

what’s on the system.’ csbm<br />

www.cosbeauty.com.au 33

column<br />

Quacks<br />

of the<br />

Eighteenth<br />

Century<br />

In his regular column<br />

Dr Jim Leavesley examines<br />

the history <strong>and</strong> origins of<br />

different medical topics.<br />

The golden age for medical quacks was the 18th<br />

century, an era full of soothsayers, ladies bountiful,<br />

seventh sons of seventh sons <strong>and</strong> peddlers of potion<br />

<strong>and</strong> nostrums. Three of these latter gained immortality by<br />

being depicted in William Hogarth’s famous 1736 etching,<br />

The Company of Undertakers. Shown at the top of the<br />

page opposite, it depicts a number of doctors, most shown<br />

inhaling fragrance from the top of their trademark goldtopped<br />

canes to ward of the stench from patients.<br />

Surmounting all is a row of three of the best known<br />

charlatans of the times. In the middle is Sarah Mapp, or<br />

Crazy Sal, as she was affectionately known. Her rumpled<br />

hat is set at a rakish angle above a defiant face dominated<br />

by crossed eyes. She was a bone setter, as had been her<br />

father before her; her sister, Polly Peecham, became the<br />

Duchess of Bolton. Mrs Mapp settled in Epsom just out of<br />

London <strong>and</strong> such was her fame the town actually paid her<br />

100 guineas to stay there for a year to attract gullible <strong>and</strong><br />

well-heeled visitors. Twice weekly she drove into London in<br />

a magnificent carriage to consult at the fashionable Grecian<br />

Coffee House. She became the most acclaimed bone<br />

setter of the day, though famed contemporary orthopaedic<br />

surgeon Percival Pott did not hold back <strong>and</strong> called her ‘an<br />

ignorant, illiterate, drunken female savage’. She gradually<br />

lost favour <strong>and</strong> died in obscurity.<br />

On Crazy Sal’s left in the etching is Joshua ‘Spot’ Ward.<br />

He was known as Spot on account of a large birthmark<br />

clearly seen on his face. He started life as a footman to<br />

l<strong>and</strong>ed gentry, but left <strong>and</strong> went into business selling salt.<br />

It failed so he turned his h<strong>and</strong> to faith healing, no training<br />

needed, <strong>and</strong> manufacturing questionable pills. Nonetheless,<br />

he developed a great reputation <strong>and</strong> following, including the<br />

naval establishment to which he supplied his nostrums.<br />

With his substantial earnings he eventually turned into a<br />

respected philanthropist, helping to endow four London<br />

Hospitals for the poor.<br />

His greatest triumph was replacing George II’s dislocated<br />

thumb after his regular doctors had diagnosed gout. This<br />

gained him entry to the Royal Court <strong>and</strong> being congratulated<br />

for his success by the newspapers of the day. More to the<br />

point, it also gave him personal exemption from the College<br />

of Physicians inspecting his medications.<br />

The third quack in the picture on Mrs Mapp’s right is John<br />

‘Chevalier’ Taylor who had a more formal medical education.<br />

Son of a Norwich surgeon, he first became an apothecary’s<br />

James Graham had taken<br />

London by storm with his<br />

“Temple of Hymen”, which he<br />

set up in Pall Mall<br />

assistant <strong>and</strong> then trained at the famous St Thomas’s<br />

Hospital in London, later the training hospital for Florence<br />

Nightingale. On leaving he travelled from fair to fair as an<br />

itinerant ‘oculist’, then went to the Continent to gain proper<br />

medical degrees at Basel <strong>and</strong> Cologne, returning in 1736<br />

to Engl<strong>and</strong> as eye specialist to George II. Never a modest<br />

man, he dubbed himself ‘Ophthalmiater Pontifical Imperial<br />

Royal’ (whatever that means) <strong>and</strong> included composers J. S.<br />

Bach <strong>and</strong> George H<strong>and</strong>al among his patients. Both were<br />

blind <strong>and</strong> neither regained their sight under Taylor’s care. He<br />

34 www.cosbeauty.com.au

column<br />

did not hoodwink the sage Dr Samuel Johnson who called<br />

him ‘the most ignorant man I have ever met’.<br />

But perhaps the most blatant quack of those times who<br />

led a bizarre life <strong>and</strong> festered such crack pot ideas, was<br />

Dr James Graham, medical entrepreneur, self-styled sex<br />

therapist <strong>and</strong> general layabout.<br />

James Graham was born in Edinburgh in 1745. Son<br />

of a saddler, he entered Edinburgh Medical School at the<br />

age of 16 in 1761 but there is doubt whether it managed<br />

to educate Graham to the required st<strong>and</strong>ard <strong>and</strong> he left<br />

unqualified in 1764. Untroubled by such trifles, he set up<br />

as an apothecary, got married <strong>and</strong> five years later sailed<br />

alone to America ‘to better himself’. He later returned to<br />

Engl<strong>and</strong>, a master of self- promotion craving for the limelight<br />

<strong>and</strong> determined to achieve celebrity status as a ‘sexual<br />

reformer’. Within seven years he had taken London by<br />

storm with his so called Temple of Hymen, after the Greek<br />

God of Marriage, which he set up in Pall Mall in the heart of<br />

the capital’s clubl<strong>and</strong> <strong>and</strong> where the Lords <strong>and</strong> Ladies were<br />

<strong>and</strong>, above all, the money circulated.<br />

James Graham’s original plan was to treat all kinds of<br />

ailments, not just sexual problems. Borrowing heavily <strong>and</strong><br />

planning to utilise the newfangled science of electricity, he<br />

fitted out the place with machines for, as he put it, ‘throwing<br />

by force of electricity ethereal essences, vivifying air <strong>and</strong><br />

magnetic effluvium through the whole body, <strong>and</strong> which<br />

could draw visible sparks from any designated part of the<br />

body’. He set up ‘electrical baths’ on glass legs to insulate<br />

them <strong>and</strong> which were wired to a prime conductor which<br />

was cranked by h<strong>and</strong> thereby producing a mild shock <strong>and</strong><br />

crawling sensation over the skin.<br />

There were a number of other stimulants including<br />

young female assistants who made themselves attractive by<br />

wafting about in loosely fitting white robes. The face of one<br />

of these women was to become famous countrywide later.<br />

This was Emma Lyons, later to become Emma Hamilton,<br />

wife of the British Ambassador in Naples <strong>and</strong> later still the<br />

lusty mistress of Admiral Nelson As a further come-on,<br />

Graham placed discarded splints, crutches <strong>and</strong> b<strong>and</strong>ages<br />

at the entrance in a perceived attempt to emphasise the<br />

medical success of the place.<br />

But the entrepreneur had more ambitious plans <strong>and</strong><br />

his electrical conceit became dedicated to marriage <strong>and</strong><br />

fertility, famously featuring a piece of prurient furniture quite<br />

new to the sexually charged citizens of the Age of Sc<strong>and</strong>al:<br />

the Celestial Bed.<br />

Assuming you could afford it at 50 pounds a night, a<br />

huge amount for the times, it was aimed at the sexually<br />

flagging man about town <strong>and</strong> disinterested lady desiring a<br />

child. The bed was 3.6m long <strong>and</strong> 2.7m wide supported by<br />

40 pillars of glass of exquisite workmanship in variegated<br />

colours interspersed with brass pillars wrapped in purple<br />

satin. The overarching dome was covered with panes of<br />

brilliant mirrors <strong>and</strong> containers filled with ‘odoriferous balmy<br />

<strong>and</strong> ethereal spices which were exhaled by the breath of the<br />

music <strong>and</strong> the exhilarating force of electrical fire’. Or at least<br />

this is what Graham claimed. Rhapsodic music <strong>and</strong> a pair<br />

of turtle doves fluttered up there, too. Beneath the bed were<br />

magnets poring forth their power.<br />

Chiselled into the bed head were the words ‘Be Fruitful,<br />

Multiple <strong>and</strong> Replenish the Earth’. I think a man with his<br />

hyperbola could have done better than that, but we get the<br />

drift. The bed came in for much lampooning <strong>and</strong> satire, but<br />

was very popular <strong>and</strong> the cartoons provided Graham with<br />

much gratuitous publicity. But it only lasted two years, mainly<br />

because the doctor had overstretched himself financially,<br />

partly because despite the doves, electrical pyrotechnics<br />

<strong>and</strong> upmarket clientele, if your sperm count is low or your<br />

fallopian tubes blocked no pregnancy is likely to follow. You<br />

really had to wait 200 years <strong>and</strong> for IVF before you could<br />

attempt to replenish the earth. csbm<br />

www.cosbeauty.com.au 35

profile<br />

Sydney’s<br />

newest<br />

plastic<br />

surgery<br />

clinic<br />

We take a look at<br />

Dr Vlad Milovic’s new<br />

Sydney surgery, <strong>and</strong><br />

explore his approach<br />

to achieving optimum<br />

aesthetic results in<br />

plastic surgery. Caitlin<br />

Bishop repoRTS.<br />

Plastic surgery can help boost confidence, improve self-image <strong>and</strong> combat<br />

those main anti-ageing concerns. Sought out by men <strong>and</strong> women of all<br />

ages <strong>and</strong> different backgrounds, cosmetic surgery has become a popular<br />

way to return youthfulness <strong>and</strong> vitality to the face <strong>and</strong> body.<br />

Indeed, with the results made possible with new technologies <strong>and</strong> endless<br />

surgical advancements, cosmetic surgery has decidedly lodged itself into the<br />

modern-day beauty regimen. Results, popularity <strong>and</strong> accessibility aside, the<br />

decision to undergo cosmetic surgery should not be taken lightly.<br />

Patient education, surgeon experience <strong>and</strong> an extensive consultation process<br />

should be steadfast pillars in undergoing cosmetic surgery. Canberra <strong>and</strong> Sydney<br />

plastic surgeon Dr Vlad Milovic underst<strong>and</strong>s his patients’ needs <strong>and</strong> has built<br />

his practice on surgical expertise, as well as patient reassurance <strong>and</strong> support.<br />

‘The decision to have plastic surgery can be a daunting one, <strong>and</strong> this is why<br />

I tell my patients I will be with them through every step of this journey – from<br />

the first consultation until the last postoperative appointment,’ Dr Milovic says.<br />

‘I make sure to keep abreast of all the latest techniques available, <strong>and</strong> offer my<br />

patients the most up to date <strong>and</strong> innovative surgical procedures in all areas of<br />

plastic <strong>and</strong> cosmetic surgery.’<br />

36 www.cosbeauty.com.au

feature profile<br />

New<br />

New<br />

Sydney<br />

Practice<br />

Dr Milovic has exp<strong>and</strong>ed his<br />

practice from the bounds of<br />

Canberra to the hub of Sydney’s<br />

Eastern Suburbs. His new clinic<br />

is located in Woollahra <strong>and</strong> he<br />

is now working from both the<br />

Canberra <strong>and</strong> Sydney surgeries.<br />

Set within an elegant<br />

terraced building, his rooms<br />

afford the privacy <strong>and</strong> tranquillity<br />

desired when undergoing a<br />

cosmetic procedure.<br />

The terrace’s tasteful interior<br />

incorporates a touch of luxury<br />

– boasting designer finishes<br />

in an exclusive yet discreet<br />

environment. It typifies Dr Milovic’s<br />

st<strong>and</strong>ard of care with a team of<br />

friendly, personal staff contributing<br />

to a comfortable, caring <strong>and</strong><br />

professional environment.<br />

The leafy street is located just<br />

a few metres from the boutique<br />

Edgecliff Road shopping strip,<br />

<strong>and</strong> the Queen Street café hub.<br />

Patients have access to security<br />

parking <strong>and</strong> public transport is<br />

close by.<br />

Dr Vlad Milovic, Plastic<br />

& <strong>Cosmetic</strong> Surgeon<br />

Phone 02 9389 9065<br />

10 Junction Street,<br />

Woollahra, NSW 2025<br />

www.drmilovic.com.au<br />

About Dr Milovic<br />

Dr Milovic is a fully qualified specialist plastic <strong>and</strong> cosmetic surgeon with more<br />

than 20 years of training <strong>and</strong> experience in Australia <strong>and</strong> across the globe. He<br />

is a Fellow of the Royal Australasian Society of Plastic Surgeons (FRACS) <strong>and</strong> a<br />

member of the Australian Society of Plastic Surgeons (ASPS).<br />

His professional journey into plastic surgery was kick-started during his<br />

surgical training, when he was called to assist a plastic surgeon in the reattachment<br />

of an amputated h<strong>and</strong>.<br />

‘The surgery was a 14-hour microsurgical procedure, <strong>and</strong> to say that I was<br />

impressed with the surgeon’s level of skill, ability, knowledge <strong>and</strong> creativity is an<br />

understatement,’ says Dr Milovic. ‘I remember thinking, plastic surgery is what I<br />

want to do, <strong>and</strong> this is where I will specialise.’<br />

Years on, Dr Milovic still experiences the same level of inspiration when<br />

working with his plastic surgery patients. ‘I am passionate about what I do – the<br />

joy I get when watching my patients’ faces following a life-changing surgical<br />

procedure makes my job as a plastic surgeon incredibly rewarding,’ he explains.<br />

With a philosophy built on patient education, Dr Milovic encourages his<br />

patients to do their homework before deciding to undergo plastic surgery. He<br />

recommends looking into the procedure – <strong>and</strong> the possible risks <strong>and</strong> downtime<br />

involved – as well as qualifications <strong>and</strong> experience of the surgeon.<br />

‘I cannot stress enough the importance of education,’ Dr Milovic says. ‘Myself<br />

<strong>and</strong> my team are committed to educating our patients, <strong>and</strong> providing them with<br />

the highest quality surgical procedures in the most agreeable, comfortable <strong>and</strong><br />

relaxed environment.’ csbm<br />

www.cosbeauty.com.au 37

feature company profile<br />

Spotlight on<br />

Cynosure<br />

With a comprehensive collection of light-based technologies,<br />

Cynosure provides aesthetic business owners with leading laser<br />

therapies to boost practice productivity <strong>and</strong> enhance customer<br />

experience. Caitlin Bishop reports.<br />

Cynosure has<br />

developed a wide<br />

range of industryleading<br />

light-based<br />

devices <strong>and</strong> holds<br />

37 US patents<br />

With a promise to “help people discover their version of beautiful”,<br />

Cynosure has been developing <strong>and</strong> manufacturing light-based<br />

aesthetic systems since 1991. With systems designed for hair removal,<br />

skin revitalisation <strong>and</strong> scar reduction, as well as the treatment of vascular lesions<br />

<strong>and</strong> removal of tattoos, Cynosure has helped clinics <strong>and</strong> patients around the<br />

world make the most of light <strong>and</strong> laser therapies.<br />

With new Australian headquarters in Sydney, the US company has rapidly<br />

made its mark on Australian shores. Indeed, with an arsenal of 14 light-based<br />

systems, with 37 US patents, Cynosure supports aesthetic <strong>and</strong> medical<br />

professionals in 60 different countries across the globe.<br />

‘Cynosure is the world’s number one laser aesthetic company,’ says Managing<br />

Director of Cynosure Dennis Cronje. ‘It has developed a wide range of unique,<br />

industry-leading devices, including PicoSure, the first <strong>and</strong> only picosecond<br />

laser used for the removal of tattoo pigment <strong>and</strong> now approved for wrinkles<br />

<strong>and</strong> acne scarring.’<br />

PicoSure uses cutting-edge technology, where laser light is delivered in<br />

picosecond pulses, to shatter tattoo pigment in the skin without damaging the<br />

surrounding tissue. These micro particles of pigment are then removed from<br />

the body via its natural immune processes.<br />

As well as PicoSure, Cynosure has a suite of body contouring <strong>and</strong> cellulite<br />

combating systems; skin rejuvenation <strong>and</strong> wrinkle reduction machines; as well<br />

as axillary gl<strong>and</strong> ablation <strong>and</strong> scar treatment devices.<br />

‘The technology is the best in its class,’ Cronje explains. ‘Years <strong>and</strong> years of<br />

research <strong>and</strong> development go into each product – that’s why we’re number one.’<br />

38 www.cosbeauty.com.au

company profile<br />

Cynosure<br />

treatments<br />

Body contouring<br />

Cellulite treatment<br />

Hair removal<br />

Treating nail fungus<br />

Reducing pigmentation<br />

Skin revitalisation<br />

Treating surgical<br />

& acne scars<br />

Axillary gl<strong>and</strong> ablation<br />

Tattoo removal<br />

Vascular treatment<br />

Benefits of partnering with Cynosure<br />

With the rise in popularity of non-surgical procedures, light-based therapies<br />

have become a valuable addition to plastic <strong>and</strong> cosmetic surgery clinics. Laser<br />

treatments can extend clinic services <strong>and</strong> be used in conjunction with surgical<br />

procedures to boost income <strong>and</strong> enhance client loyalty.<br />

Cynosure prides itself on helping practitioners <strong>and</strong> aesthetic business owners<br />

to capitalise on opportunities in the laser market. Cronje explains this involves<br />

forming a mutually beneficial partnership with clinics. ‘The Cynosure focus is on<br />

the clinics themselves – we form partnerships with our clients to ensure they get<br />

the most from the product,’ he says. ‘We maintain a strong value proposition<br />

<strong>and</strong> present our clients with the products they really need to boost business <strong>and</strong><br />

improve clinic turnover.’<br />

‘To put it simply, if the clinic is not successful, neither are we,’ Cronje adds.<br />

‘We always match the technology to the clinic.’<br />

The Cynosure “partnership” does not just extend to providing the product<br />

but also incorporates marketing the device, training for its use <strong>and</strong> servicing<br />

the machine. ‘We provide clinical education <strong>and</strong> marketing assistance to help<br />

clinics market the product <strong>and</strong> get clients through the door,’ Cronje explains.<br />

‘We use social media <strong>and</strong> consumer websites to help drive consumers to lightbased<br />

treatments. We direct consumers who have searched for our technology<br />

to the clinics of our clients, <strong>and</strong> we have 24-hour technical support for all<br />

our devices.’<br />

With a dedication to several distinct but interconnected arms – business,<br />

marketing <strong>and</strong> technology – Cynosure helps its clients boost clinic success,<br />

refresh their marketing approach <strong>and</strong> make the most of the product.<br />

‘Our clients invest in Cynosure, <strong>and</strong> we ensure this investment is made reliably.<br />

We match the technology to the clinic, <strong>and</strong> provide our clients with everything<br />

they need to get the most out of their new device,’ Cronje concludes. csbm<br />

www.cosbeauty.com.au 39

picosuretattooremoval<br />

PicoSure <br />

just got better...<br />


for the removal<br />

of tattoos AND<br />

for the treatment<br />

of wrinkles <strong>and</strong><br />

acne scars<br />

Now FDA approved for the removal<br />

of tattoos AND the treatment of<br />

wrinkles <strong>and</strong> acne scars!<br />

PicoSure, the world’s first picosecond aesthetic laser has<br />

received FDA approval for the treatment of wrinkles <strong>and</strong><br />

acne scars. So... not only is PicoSure the fastest <strong>and</strong> most<br />

effective laser for the removal of unwanted tattoos, but with<br />

the FOCUS Lens Array, it now offers ​unprecedented results<br />

in the treatment of wrinkles <strong>and</strong> acne scars.<br />

picosure.com.au<br />

cynosureaustralia.com<br />

© 2014 Cynosure, Inc. Cynosure is a registered trademark <strong>and</strong><br />

PicoSure is a trademark of Cynosure, Inc. ALL RIGHTS RESERVED.

Before & After 3 treatments<br />

Photo courtesy of K. Arndt, MD & J. Dover, MD<br />

Before & After 3 treatments<br />

Photo courtesy of R. G. Geronemus, MD<br />

Before & After 4 treatments<br />

Photo courtesy of R. Weiss, MD<br />

Before & After 6 treatments<br />

Photo courtesy of R. G. Geronemus, MD<br />

Visit picosure.com.au<br />

to find your nearest provider

feature<br />

10<br />

steps to<br />

reclaiming<br />

energy<br />

Eating healthily <strong>and</strong> still feeling<br />

tired? Getting adequate sleep<br />

but can’t function without your<br />

morning coffee fix or afternoon<br />

sugar hit? You need to read this.<br />

Tara Casey reports.<br />

42 www.cosbeauty.com.au

feature<br />

Feeling continually exhausted should not be accepted as part <strong>and</strong> parcel<br />

of modern-day living. Unfortunately it’s a common problem for many<br />

Australians <strong>and</strong> additional reliance on caffeine <strong>and</strong> sugar is a dangerous<br />

blanket solution <strong>and</strong> further aggravates the downward spiral of exhaustion, says<br />

Sydney-based naturopath Victoria O’Sullivan.<br />

‘If you eat healthily <strong>and</strong> feel tired, you may find you suffer from associated<br />

symptoms such as bloating, constipation, diarrhoea <strong>and</strong> bad breath. A major<br />

cause of these symptoms is a poorly functioning digestive system. Poor digestion<br />

<strong>and</strong> absorption of nutrients can leave you lacking energy as your body becomes<br />

deficient in energy-producing B vitamins <strong>and</strong> minerals such as magnesium<br />

<strong>and</strong> iron.’<br />

O’Sullivan is passionate about sourcing the root of the problem of tiredness<br />

<strong>and</strong> treating it accordingly. If there’s a problem there’s a solution, <strong>and</strong> the<br />

healthiest option involves natural treatment, she says.<br />

10 steps to reclaim lost energy<br />

1. GET TESTED<br />

How long is it since you’ve had a check-up with your doctor? A st<strong>and</strong>ard blood<br />

test may reveal deficiencies in key vitamins <strong>and</strong> minerals such as iron <strong>and</strong> B12.<br />

Symptoms of these include exhaustion, cold h<strong>and</strong>s <strong>and</strong> feet, dizziness <strong>and</strong><br />

shortness of breath. ‘These deficiencies can have a negative spiralling effect:<br />

when we are tired we crave more sugar <strong>and</strong> don’t feel like exercising, making us<br />

even more tired – <strong>and</strong> the pattern continues,’ O’Sullivan says.<br />


Often allergies will make you feel tired without you even knowing it. Allergic<br />

reactions are brought on by a variety of factors – environmental, food <strong>and</strong> drink<br />

– but mostly they are brought on by an overactive immune system. Identify the<br />

triggers of the allergies, <strong>and</strong> limit contact.<br />


Our digestive system is like an ecosystem – if there is a build-up of bad microorganisms<br />

we’re unlikely to be absorbing the full nutrients <strong>and</strong> energy from<br />

our meals. One simple way to restore balance is to chew food properly to<br />

ensure break down <strong>and</strong> maximum absorption. Eat foods rich in good bacteria<br />

like natural yoghurt, miso, sauerkraut <strong>and</strong> kim chee; take probiotics, digestive<br />

enzyme supplements or apple cider vinegar in water in the mornings.<br />

4. REHYDRATE<br />

When we are dehydrated our blood becomes sticky <strong>and</strong> thick, which affects the<br />

transportation of oxygen around our bodies, in turn impacting the vital oxygen<br />

transport to our brains <strong>and</strong> affecting our mental alertness. ‘Sticky blood also puts<br />

greater stress on our heart, making it work harder. We will likely crave more sugar<br />

<strong>and</strong> stimulants to give us the energy we lack,’ says O’Sullivan. ‘We need roughly<br />

0.33ml of water per 1kg of body weight. That’s around 2.15 litres per day for a<br />

65kg person.’<br />

www.cosbeauty.com.au 43

feature<br />


Adrenal exhaustion may occur as a result of chronic stress. We often associate<br />

stress with things like loss, moving house <strong>and</strong> financial pressure. In reality, stress<br />

comes from all areas of our lives. Dragging ourselves out of bed in the morning<br />

<strong>and</strong> lacking stamina are classic symptoms of stress, but more subtle symptoms<br />

can include difficulty in completing tasks <strong>and</strong> craving sugar or salt. The limbic<br />

system in our brain is responsible for telling us if we are we under threat or<br />

if we need a stress response. The good news is that it can be trained. Often<br />

our perception of events can greatly affect our stress response. By developing<br />

positive attitudes we can go a long way to reduce stress <strong>and</strong> gain more energy.<br />


Have the lights out by 10pm <strong>and</strong> get eight hours of undisturbed sleep. ‘Disturbed<br />

sleep results in tiredness, <strong>and</strong> while we may be able to push through, the more<br />

tired we get the more we will crave caffeine, starchy <strong>and</strong> sugary foods – from<br />

here it is almost inevitable that weight will creep on,’ O’Sullivan says.<br />


Do you find yourself falling asleep at your desk in the afternoon or unable to<br />

concentrate? You may have unstable blood sugar levels. ‘Take a look at what<br />

you’ve eaten during the morning <strong>and</strong> chances are you haven’t had enough to<br />

eat or have relied on too much sugar. Although sugar can easily satisfy cravings<br />

<strong>and</strong> re-energise, it diminishes quickly, leaving you stuck on a blood-sugar<br />

rollercoaster,’ she says.<br />

Our digestive<br />

system is like an<br />

ecosystem: if<br />

there is a build-up<br />

of bad microorganisms,<br />

we’re<br />

unlikely to be<br />

absorbing the full<br />

nutrients <strong>and</strong><br />

energy from our<br />

meals<br />

8. GET MOVING<br />

If you don’t exercise, start. Getting the blood pumping around the body will get<br />

the oxygen moving. This can be difficult when we have digestive issues, but<br />

exercise helps digestion – even if it’s a gentle walk. Our muscles are packed<br />

with mitochondria, which are the energy powerhouses of our cells. Building lean<br />

muscle will help with energy production – <strong>and</strong> will also keep us younger.<br />


Often we are in a state of stress without being aware of it. ‘Adrenalin – one of<br />

our stress hormones – can put us in a state of constant hyper-stimulation <strong>and</strong><br />

can trigger feelings of anxiety <strong>and</strong> panic, making it difficult to maintain a relaxed<br />

composure,’ says O’Sullivan. Calming practices such as meditation, yoga <strong>and</strong><br />

breathing exercises calm the stress response, in turn helping the flow of energy.<br />


Many of us eat on the go <strong>and</strong> miss key vitamins <strong>and</strong> minerals. Supplements, in<br />

particular B-vitamins <strong>and</strong> minerals such as zinc, iron, <strong>and</strong> magnesium, help to<br />

replace the missing nutrients <strong>and</strong> sources of energy that many of us lack in our<br />

diets. If you are struggling with low energy on a daily basis your body may be<br />

giving you a clue that it’s time to assess your health <strong>and</strong> lifestyle. csbm<br />

44 www.cosbeauty.com.au

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face<br />

Is 50<br />

the new<br />

40<br />

or even 30?<br />

Sydney plastic surgeon Dr Darryl<br />

Hodgkinson says the number of younger<br />

people seeking a facelift is rising –<br />

<strong>and</strong> for good reason.<br />

The trend in the past five to 10 years has been for<br />

women to have facelifting surgery at a younger age.<br />

Now the majority of patients seeking a facelift are in<br />

their early 50s. There are many positives to this trend.<br />

For one, patients in their 50s are generally in better health<br />

than those in their 60s <strong>and</strong> 70s. Patients (both women <strong>and</strong><br />

men) will also have more years in which to enjoy their result.<br />

Another important positive is that the result will not be<br />

as drastic – instead of transforming from an old-looking<br />

face to a significantly younger face, performing a facelift at<br />

a younger age results in a more refreshed <strong>and</strong> rejuvenated<br />

appearance. Sagging facial tissues will still be lifted <strong>and</strong><br />

repositioned but the result won’t be as stark as seen in an<br />

older person after a facelift.<br />

What is less obvious but perhaps even more important<br />

is that a facelift <strong>and</strong>/or necklift performed at the first signs<br />

of ageing allows the person to continue to interact, dress<br />

<strong>and</strong> live as they have been accustomed to, without first<br />

having been perceived as old not only by others but by<br />

themselves. We all know that feeling of waking up <strong>and</strong><br />

feeling good about the way we look <strong>and</strong> how that shapes<br />

our day <strong>and</strong> our interactions. Conversely, once we start to<br />

shy away from the mirror as we start to look older <strong>and</strong> tired,<br />

it can also negatively shape the way we project ourselves<br />

<strong>and</strong> interact with others.<br />

I have been performing face <strong>and</strong> neck lifting procedures<br />

for more than 30 years <strong>and</strong> in that time have developed<br />

techniques which I now publish in the world’s plastic<br />

surgical journals on how to restore the normal youthful<br />

contours of the face <strong>and</strong> neck without creating a tight or<br />

operated on look.<br />

What is most important is to address all the aesthetic<br />

areas of the face at the same time, what is called “panfacial<br />

rejuvenation” to ensure that the face <strong>and</strong> neck have a<br />

uniformity in their appearance.<br />

The number one predictor of<br />

the final result is the expertise<br />

<strong>and</strong> experience of the surgeon<br />

Today, the stigma formerly attached to facelift surgery<br />

is no more – if the surgery is performed properly. Gone<br />

are the days when it was acceptable to have a tight face<br />

<strong>and</strong> a sagging neck. This is only true, however, in the h<strong>and</strong>s<br />

of a surgeon who is highly experienced in face <strong>and</strong> neck<br />

lifting surgery. The number one predictor of the quality of<br />

your result will be the expertise <strong>and</strong> experience of your<br />

surgeon. csbm<br />

46 www.cosbeauty.com.au

face<br />

BEFORE<br />

AFTER facelift, upper blepharoplasty <strong>and</strong><br />

rhinoplasty by Dr Hodgkinson<br />

BEFORE<br />

AFTER facelift, upper blepharoplasty <strong>and</strong><br />

rhinoplasty by Dr Hodgkinson<br />

BEFORE<br />

AFTER facelift by Dr Hodgkinson<br />

BEFORE<br />

AFTER facelift by Dr Hodgkinson<br />

www.cosbeauty.com.au 47

feature face<br />

Actual breast augmentation patient of Dr Milovic<br />

48 www.cosbeauty.com.au

face<br />

The modern-day<br />

facelift<br />

we speak with canberra <strong>and</strong> sydney plastic<br />

surgeon Dr Vlad Milovic about the new age of<br />

facelifting surgery. caitlin bishop reports.<br />

Over time, the effects of gravity, sun damage <strong>and</strong> the stresses of everyday life<br />

appear on the face, altering the way people appear to the outside world.<br />

Deep lines may appear around the eyes <strong>and</strong> mouth, sagging skin may fall<br />

from the cheek, jawline <strong>and</strong> neck, <strong>and</strong> fat deposits that were once full <strong>and</strong> firm<br />

deplete, leaving hollow <strong>and</strong> sunken areas of the face. As people are living increasingly<br />

lengthy lives, a facelift can help men <strong>and</strong> women look as young as they feel inside.<br />

Canberra <strong>and</strong> Sydney plastic surgeon Dr Vlad Milovic explains the goal of facelift<br />

surgery is to achieve a more youthful, natural-looking <strong>and</strong> rejuvenated appearance,<br />

not one where the surgery is evident, or where the skin has a ‘pulled’ appearance.<br />

‘The modern approach to facelifting involves repositioning the skin, as well as the<br />

layer of muscle <strong>and</strong> tissue beneath (known as the superficial musculoaponeurotic<br />

system, or SMAS),’ he explains. ‘This restores facial elements to create a younger<br />

looking appearance while avoiding the telltale signs of surgery.’<br />

Which facelift is right for me?<br />

Dr Milovic draws on a variety of advanced techniques to achieve a natural, more<br />

youthful look. ‘My surgical approach depends on the patient – their circumstances,<br />

goals <strong>and</strong> the condition of their skin,’ Dr Milovic says.<br />

One such technique is the composite facelift, a procedure designed to reshape<br />

the entire face including the upper <strong>and</strong> lower eyelids, as well as the brow <strong>and</strong> neck. It<br />

differs from traditional facelifting surgery by addressing the face as a single dynamic<br />

unit, rather than a series of separate, static parts. ‘The composite technique lifts<br />

facial tissues, fat, muscle <strong>and</strong> skin in one continuous section,’ Dr Milovic explains.<br />

‘By tightening the underlying structures of the face, rather than just addressing the<br />

skin, I can restore the neck, jawline <strong>and</strong> mid face with more natural-looking results.’<br />

‘By smoothing <strong>and</strong> tightening skin in the lower eyelids, a composite facelift can<br />

also help reduce the appearance of bags under the eyes,’ he adds. ‘Also, by elevating<br />

the fat pad in the cheek, a more alert, youthful appearance can be created.’<br />

Dr Milovic also draws on the S-Lift technique. This is a type of facelift named<br />

after the S-shaped incision made in the hairline at the temple <strong>and</strong> in front of the ear.<br />

During the procedure, the SMAS <strong>and</strong> attaching skin is usually elevated as one unit<br />

<strong>and</strong> only excess skin is removed. The surgery is not as extensive as a composite<br />

facelift, <strong>and</strong> the best c<strong>and</strong>idates are those who do not have significant skin laxity of<br />

the neck <strong>and</strong> jowls. ‘The S-lift is most suited to patients beginning to show signs of<br />

facial ageing <strong>and</strong> who want some tightening of the lower face,’ he says.<br />

Dr Milovic will discuss each of the techniques in detail during consultation,<br />

outlining the advantages <strong>and</strong> risks of each, before devising the best surgical plan for<br />

each individual patient.<br />

www.cosbeauty.com.au 49

face<br />

Facelifting<br />

restores more<br />

youthful facial<br />

contours <strong>and</strong><br />

reduces the most<br />

noticeable signs<br />

of ageing<br />

1<br />

‘Post-surgery, most patients can expect to experience some pain, bruising <strong>and</strong><br />

swelling, most of which will subside within a few weeks,’ Dr Milovic explains. ‘By<br />

properly preparing the patient for recovery, we can help reduce the downtime <strong>and</strong><br />

optimise the final result.’<br />

Most patients can usually return to everyday activities after between two <strong>and</strong><br />

three weeks. Though patients will be able to see an immediate difference following<br />

facelift surgery, the final results may not be evident until several months after the<br />

operation – once the swelling has completed settled.<br />

While the modern approach to facelifting predominantly addresses volume<br />

replacement <strong>and</strong> vectors of lift, the procedure also helps smooth deep lines <strong>and</strong><br />

folds. When patients approach me complaining that they are unhappy with the<br />

way their face has aged, facelifting is almost always a good option to restore<br />

more youthful facial contours <strong>and</strong> reduce the most noticeable signs of ageing,’ he<br />

concludes. csbm<br />

BEFORE<br />

7 months AFTER face surgery by Dr Milovic<br />

Dr Milovic performed a deep plane composite S Lift rhytidectomy (facelift), lower<br />

pinch blepharoplasty (lower eyelid), neck liposuction <strong>and</strong> microfat grafts to the lip<br />

<strong>and</strong> cheek area on this 54-year-old patient.<br />

2<br />

BEFORE<br />

4 weeks AFTER face <strong>and</strong> neck surgery by Dr Milovic<br />

This 67-year-old male patient wanted a natural, refreshed look. Dr Milovic performed<br />

a deep plane lower rhytidectomy (facelift) <strong>and</strong> neck lift.<br />

50 www.cosbeauty.com.au

www.cosbeauty.com.au<br />

feature<br />

cosmetic surgery & beauty online<br />

Want more beauty <strong>and</strong> cosmetic surgery news, views <strong>and</strong> reviews?<br />

Jump online to stay at the cutting edge!<br />

does skipping breakfast aid in weight loss??<br />

‘To skip or not to skip?’ It‘s an ever lasting<br />

question, with ever changing answers. The<br />

latest research has found skipping breakfast<br />

may be the answer to Australia’s obesity<br />

epidemic. It seems watching the clock, as<br />

opposed to counting the calories, can assist in<br />

shedding weight...<br />

Read on at www.cosbeauty.com.au/blog/<br />

skipping-breakfast-aid-weight-loss/<br />


Maximise your cosmetic surgery results <strong>and</strong><br />

recovery by following five key steps. First,<br />

choose a skilled <strong>and</strong> experienced surgeon<br />

– this is one of the most important decisions<br />

in cosmetic surgery, <strong>and</strong> one of the first to be<br />

faced. When it comes to selecting a doctor,<br />

prospective patients should...<br />

Read on at www.cosbeauty.com.au/cosmetic<br />

-surgery/5-steps-successful-surgery/<br />

www.cosbeauty.com.au 51

face<br />

Actual patients of Dr Gerarchi<br />

Facial rejuvenation:<br />

your options<br />






Sometimes a comprehensive approach to facial<br />

rejuvenation, combining both surgical <strong>and</strong> nonsurgical<br />

treatments, is the most effective way to<br />

achieve the best, most natural-looking anti-ageing results.<br />

The same way facial ageing involves volume loss,<br />

sagging skin <strong>and</strong> textural changes, a rejuvenation regimen<br />

often includes a program of complementary <strong>and</strong> targeted<br />

treatments. In this way, the face is treated holistically, not<br />

one just one isolated area.<br />

Sydney facial plastic surgeon Dr Paul Gerarchi has<br />

dedicated his practice to aesthetic <strong>and</strong> reconstructive<br />

surgery of the face. With a full range of rejuvenation<br />

procedures to choose from, Dr Gerarchi uses both surgical<br />

<strong>and</strong> non-surgical methods to address the multiple hallmarks<br />

of ageing in his patients.<br />

Facelifting, eyelid surgery <strong>and</strong> laser skin resurfacing are<br />

popular treatments that can achieve signifi cant results either<br />

as a st<strong>and</strong>alone treatment or in conjunction. Dr Gerarchi<br />

tailors each treatment to the individual patient.<br />

Facelifting<br />

Advancements in technology, <strong>and</strong> a deeper underst<strong>and</strong>ing<br />

of the ageing process, have led to a more all-encopassing<br />

approach to facelifting surgery. According to Dr Gerarchi,<br />

facelifting now addresses a range of elements – from skin<br />

laxity to volume loss – <strong>and</strong> natural-looking results are more<br />

achievable than ever before.<br />

‘Today, facelifting surgery manipulates the supportive<br />

soft tissue underneath the skin to reverse the effect of<br />

ageing,’ Dr Gerarchi explains. ‘This should be achieved<br />

without putting unnatural tension on the skin itself, to avoid<br />

that over-tightened look.’<br />

Dr Gerarchi offers a wide spectrum of face “lifting”<br />

procedures. Volumisation <strong>and</strong> short scar treatments are an<br />

effective option for those patients who aren’t able to commit<br />

to the downtime involved in traditional facelifting surgery.<br />

Alternatively, more extensive surgical lifts can achieve<br />

signifi cant <strong>and</strong> long-lasting anti-ageing results. Dr Gerarchi<br />

will always tailor his approach according to the patient’s<br />

desires, expectations <strong>and</strong> existing anatomy.<br />

‘It is a myth that there is a “right” age to have a facelift,’<br />

he says. ‘Facelifts are suitable for most patients, man<br />

or woman, younger or older. If you feel that your facial<br />

features are heavy or sagging, particularly in the jaw line<br />

or around the eyes, a face lifting procedure can help turn<br />

back the h<strong>and</strong>s of time <strong>and</strong> achieve a fresher, brighter, more<br />

attractive appearance.’<br />

52 www.cosbeauty.com.au

face<br />

1<br />

BEFORE<br />

AFTER upper <strong>and</strong> lower blepharoplasty by Dr Gerarchi<br />

2<br />

BEFORE<br />

AFTER facelift <strong>and</strong> CO 2<br />

laser facial resurfacing by Dr Gerarchi<br />

3<br />

BEFORE<br />

AFTER facelift by Dr Gerarchi<br />

www.cosbeauty.com.au 53

face<br />

During traditional facelifting surgery, the superficial<br />

muscular aponeurotic system (SMAS), which is the<br />

underlying musculature of the face, is lifted <strong>and</strong> re-tightened.<br />

This effectively remodels the facial soft tissue before the<br />

skin is re-draped over the newly enhanced contours.<br />

‘The traditional facelift can be very effective for elevating<br />

more advanced facial drooping <strong>and</strong> sagging,’ Dr Gerarchi<br />

explains. ‘Like other kinds of facelifts, they can be combined<br />

with complementary procedures such as a necklift, browlift<br />

or eyelid surgery for optimum results.’<br />

Eyelid surgery<br />

Dubbed the “windows to the soul”, the eyes play a huge<br />

role in expressing our emotions <strong>and</strong> greatly impact the way<br />

we are perceived by the world. With age, the upper <strong>and</strong><br />

lower eyelids can become heavy <strong>and</strong> wrinkled, contributing<br />

to a tired, aged or even angry expression. Dr Gerarchi<br />

performs eyelid surgery – or blepharoplasty – to restore<br />

the eye area <strong>and</strong> give back to his patients a more rested,<br />

youthful appearance.<br />

Upper eyelid blepharoplasty helps address the excess<br />

skin <strong>and</strong> fat in the upper eyelids. This is performed via an<br />

incision that is hidden in the upper eyelid crease. ‘Upper<br />

eyelid surgery can help improve vision <strong>and</strong> expose the<br />

eyelashes,’ Dr Gerarchi explains. ‘This helps brighten the<br />

eyes <strong>and</strong> refresh the appearance. It can be performed<br />

alone, or in conjunction with lower eyelid blepharoplasty for<br />

more holistic results.’<br />

It’s a myth that there is a<br />

“right” age to have a facelift.<br />

Facelifts are suitable for most<br />

patients, man or woman,<br />

younger or older<br />

Lower eyelid surgery involves excising or redistributing<br />

fat in the lower eyelid to counter puffiness below the eyes.<br />

The skin is often tightened to smooth out the under-eye<br />

area, helping reduce the appearance of “bags” under the<br />

eyes <strong>and</strong> revitalising the appearance.<br />

Dr Gerarchi <strong>and</strong> the team at The Face Institute devise an<br />

after-surgery care plan for each patient, including a topical<br />

cream to help reduce bruising. Most patients experience<br />

only mild pain or discomfort following eyelid surgery, <strong>and</strong><br />

recovery usually takes between one <strong>and</strong> two weeks.<br />

Results are long lasting.<br />

CO 2<br />

laser resurfacing<br />

Laser skin resurfacing is a non-surgical way to improve<br />

the skin’s texture <strong>and</strong> help reduce pigmentation, combat<br />

wrinkles <strong>and</strong> improve textural irregularities. Laser<br />

resurfacing is still regarded by many as the gold st<strong>and</strong>ard in<br />

rejuvenating the skin.<br />

‘The Face Institute was the first practice in NSW to offer<br />

Ultra-Pulse Total FX laser system,’ says Dr Gerarchi. ‘This<br />

system uses the latest technology in laser skin resurfacing<br />

to tighten <strong>and</strong> resurface skin for long-term results with<br />

minimal downtime.’<br />

Treatment is tailored to each<br />

patient <strong>and</strong> their individual<br />

concerns, motivations<br />

<strong>and</strong> desires<br />

With age, the dermis weakens <strong>and</strong> facial volume<br />

descends. This can be accompanied by changes in the skin’s<br />

textural surface, for example enlarged pores, pigmentation<br />

<strong>and</strong> textural <strong>and</strong> vascular irregularities. Treatment with<br />

laser can help boost dermal integrity, kick-start collagen<br />

synthesis <strong>and</strong> reduce the appearance of wrinkles, folds<br />

<strong>and</strong> pigmentation.<br />

During treatment, narrow beams of laser light penetrate<br />

the skin <strong>and</strong> cause columns of thermal damage that<br />

descend to the dermis. This triggers the body’s natural<br />

healing response <strong>and</strong> increases blood flow to the site. The<br />

area is flooded with oxygen <strong>and</strong> nutrients, <strong>and</strong> the skin’s<br />

natural renewal processes are refuelled.<br />

‘Treatment with CO 2<br />

laser takes around 30 minutes<br />

<strong>and</strong> patients usually describe feeling a “warm sensation”<br />

during the procedure,’ Dr Gerarchi explains. ‘Immediately<br />

following treatment, patients will experience some redness<br />

<strong>and</strong> over the next few days some skin flaking. We prescribe<br />

a skin regime to help optimise recovery.’<br />

In most cases, results can be seen after just one treatment<br />

with CO 2<br />

laser. Collagen regeneration is heightened for up<br />

to six months post-treatment, <strong>and</strong> skin texture, tone <strong>and</strong><br />

luminosity are noticeably improved.<br />

Whether you’re looking for a major surgical rejuvenation,<br />

or something less invasive with more subtle results, Dr<br />

Gerarchi <strong>and</strong> the team at The Face Institute provide a range<br />

of treatments tailored to each patient <strong>and</strong> their unique<br />

concerns, motivations <strong>and</strong> desires. ‘Our philosophy focuses<br />

on safety, satisfaction <strong>and</strong> quality,’ he says. ‘Our goal is<br />

to achieve impeccable results tailored to each patient’s<br />

concerns <strong>and</strong> reasons for seeking treatment.’ csbm<br />

54 www.cosbeauty.com.au


Rhinoplasty <strong>and</strong> Facelift Specialist<br />


Rhinoplasty <strong>and</strong> Facelift Specialist<br />

Model<br />

Model<br />

expert expert surgical & non-surgical facial facial rejuvenation<br />

The The Face Face Institute <strong>and</strong> <strong>and</strong> Dr Dr Paul Gerarchi, Suite 4, 12-14 Malvern Avenue, Chatswood, NSW. NSW.<br />

For For more more information, visit www.thefaceinstitute.com.au or or call call (02) (02) 9412 9412 4599. 4599.

face<br />

Combat ageing<br />

with eyelid surgery<br />

Sydney plastic<br />

surgeon Dr Peter<br />

Laniewski says eyelid<br />

surgery can return<br />

youthfulness <strong>and</strong><br />

vibrancy to the<br />

entire face. Caitlin<br />

Bishop reports.<br />

These days, facial rejuvenation spans both surgical <strong>and</strong> non-surgical<br />

techniques <strong>and</strong> is commonly sought out to improve the appearance of<br />

problem facial features <strong>and</strong> combat the signs of ageing.<br />

‘With the advancement in technologies, techniques <strong>and</strong> modalities, facial<br />

rejuvenation caters to each <strong>and</strong> every individual patient,’ explains Sydney<br />

plastic surgeon Dr Peter Laniewski at My Face Clinic. ‘It allows us, as<br />

surgeons, to offer a level of non-surgical <strong>and</strong> surgical options any patient can fit<br />

comfortably with.’<br />

One such procedure is eyelid surgery, or blepharoplasty, which is designed<br />

to open the eyes <strong>and</strong> add vibrancy <strong>and</strong> youthfulness to the appearance. By<br />

removing excess skin <strong>and</strong> fat from the upper <strong>and</strong>/or lower eyelids, the procedure<br />

helps reduce bags under the eyes <strong>and</strong> counter the heavy, tired appearance<br />

sometimes associated with ageing.<br />

The incision for an upper lid blepharoplasty is in the lid crease <strong>and</strong> is made<br />

with either a scalpel or CO 2<br />

laser that seals the blood vessels as it incises. ‘We<br />

remove skin, muscle <strong>and</strong> fat to reduce hooding in the upper eyelid,’ says Dr<br />

Laniewski. ‘For the lower eyelids the incisions can be made either inside the<br />

eyelid or just below the lower lash line. Excess skin in the lower eyelids is removed<br />

to correct under-eye bags or sagging.’<br />

Dr Laniewski commonly combines blepharoplasty with other surgical <strong>and</strong><br />

non-surgical procedures to gain the best results for his patients. ‘Treatment –<br />

whether it’s surgical, non-surgical or a combination of both – is dependent on<br />

the patient’s needs, desires <strong>and</strong> expectations,’ he says. ‘Some patients opt<br />

to combine eyelid surgery with a facelift or brow lift to maximise the<br />

rejuvenating results.’<br />

Before treatment, each patient undergoes a thorough consultation process<br />

with Dr Laniewski <strong>and</strong> a cosmetic consultant at My Face Clinic. This helps<br />

establish the most appropriate treatment plan <strong>and</strong> adequately prepare the<br />

patient for the procedure <strong>and</strong> recovery period.<br />

‘Each individual patient has their own dedicated cosmetic consultant,’ Dr<br />

Laniewski explains. ‘No matter what the procedure – from blepharoplasty to<br />

breast reduction – the cosmetic consultant walks the patient through the whole<br />

56 www.cosbeauty.com.au

face<br />

process. This forms a lasting relationship built on trust, professionalism <strong>and</strong><br />

dedicated care.’<br />

The downtime following blepharoplasty is relatively minimal, with some<br />

swelling <strong>and</strong> bruising to be expected in the weeks following surgery.<br />

Importantly, Dr Laniewski <strong>and</strong> the team at My Face Clinic believe in optimising<br />

the recovery process to improve the quality <strong>and</strong> longevity of the final result.<br />

‘<strong>Cosmetic</strong> treatment is an investment in yourself, so how are you going to<br />

maintain your investment?’ Dr Laniewski asks. ‘The team at My Face Clinic helps<br />

patients maintain <strong>and</strong> optimise results, offering advice about exercise <strong>and</strong> diet,<br />

skincare <strong>and</strong> light treatments to keep the patient looking their best for longer.’<br />

Results following blepharoplasty typically last around seven to 10 years, <strong>and</strong><br />

the level of rejuvenation achieved by just addressing the eye area can achieve a<br />

significant anti-ageing result. By countering the heavy <strong>and</strong> sagging skin around<br />

the eye area, the face can be granted a more youthful, alert <strong>and</strong> refreshed<br />

appearance with blepharoplasty surgery. csbm<br />

1<br />

BEFORE<br />

Treatment –<br />

surgical, nonsurgical<br />

or a<br />

combination – is<br />

dependent on the<br />

patient’s needs,<br />

desires <strong>and</strong><br />

expectations<br />

2<br />

AFTER lower blepharoplasty by Dr Laniewski<br />

BEFORE<br />

AFTER upper <strong>and</strong> lower blepharoplasty by Dr Laniewski<br />

www.cosbeauty.com.au 57

SYDNEY<br />



Anti wrinkle injections Dermal filler treatments<br />

Facials Microdermabrasion Hydrodermabrasion<br />

Laser/IPL treatments Photodynamic therapy<br />

Dermapen Liquid Facelift Omnilux light therapy<br />

Skin consultations 3D imaging<br />

Call us now on<br />

1300 322 337<br />

Or book online at<br />

myfaceclinic.com.au<br />

Our clinics are located in Sydney <strong>and</strong> The Central Coast<br />








The Harmony Program is a personalised treatment program, developed by you<br />

<strong>and</strong> your <strong>Cosmetic</strong> Practitioner, that uses the latest techniques <strong>and</strong> scientifically<br />

proven products to enhance your appearance in a subtle but impactful way.<br />

There is now more choice in non-surgical cosmetic treatments than ever before. The Harmony Program<br />

incorporates a structured <strong>and</strong> scientific process that better enables your practitioner to decide which<br />

products are right for you, to restore the natural symmetry <strong>and</strong> balance of your appearance.<br />

Harmony is holistic <strong>and</strong> uses a customised selection of products that may include:<br />


to restore <strong>and</strong> enhance overall facial balance, tailored to your treatment goals <strong>and</strong> your budget.<br />

Please visit www.wrinkleclinicfinder.com.au to locate a Harmony Program accredited clinic.<br />

Galderma Australia, 13B Narabang Way, Belrose 2085, Australia.<br />

June 2014 RES-1406-01

face<br />

Harmonise<br />

the consultation<br />

process<br />

Unsure of what treatment is right for you?<br />

The harmony program from Galderma<br />

takes the guesswork out of non-surgical<br />

rejuvenation. Caitlin Bishop reports.<br />

The Harmony Program from Galderma helps simplify the consultation<br />

process <strong>and</strong> outlines the most suitable non-surgical treatment for each<br />

patient. It helps patients decide upon the best treatment plan for nonsurgical<br />

rejuvenation with their doctor.<br />

The program was developed to take the guesswork out of the growing<br />

number of non-surgical cosmetic options on the market in a bid to boost patient<br />

satisfaction. It uses a structured <strong>and</strong> scientific process to make the choice of<br />

treatments easier, outlining the most suitable treatment method to return youthful<br />

volume <strong>and</strong> balance to the face.<br />

Encompassing anti-wrinkle injections, dermal fillers <strong>and</strong> clinical skincare, the<br />

Harmony Program is best suited to those patients looking to achieve naturallooking<br />

results with minimal downtime.<br />

The consultation<br />

Research has shown that a myriad of social, emotional <strong>and</strong> psychological<br />

factors can contribute to unrealistic expectations going into cosmetic treatment<br />

<strong>and</strong> lead to negative outcomes following the procedure. The Harmony Program<br />

is designed to more accurately <strong>and</strong> effectively assess patients during the<br />

consultation process, <strong>and</strong> to help establish the best treatment plan – calling<br />

upon a selection of non-surgical therapies – for each patient.<br />

Perth cosmetic surgeon Dr Glenn Murray explains a typical consultation<br />

process often doesn’t leave enough time for the doctor to properly underst<strong>and</strong><br />

the patient’s goals <strong>and</strong> motivations going into treatment.<br />

‘As doctors, we have 15 to 30 minutes on average to assess new patients<br />

physically <strong>and</strong> psychologically, <strong>and</strong> this is very difficult,’ he says. ‘Whatever helps<br />

us to underst<strong>and</strong> patients psychosocially is very important, as we want to make<br />

patients happy for multiple reasons.’<br />

Patients of the Harmony Program are given a questionnaire, where the<br />

questions have been formulated according to extensive research. The survey<br />

60 www.cosbeauty.com.au

face<br />

examines the patient’s main cosmetic concerns as well as their mental wellbeing<br />

– taking note of any recent stress, imminent life events <strong>and</strong> the type of results<br />

expected following treatment. ‘The Harmony Program affords a holistic approach<br />

to treatment that includes an assessment of the patient’s main cosmetic<br />

concerns, as well as their motivations,’ says Dr Murray.<br />

According to Dr Murray, the Harmony Program also helps discern those<br />

patients who may not be suitable for intervention or who require further education<br />

before the procedure.<br />

‘The Harmony Program divides patients into the three groups,’ he says. ‘The<br />

patient with realistic expectations who is suitable for treatment; the patient who<br />

needs to be educated, as their expectations are unrealistic; <strong>and</strong> the patient who<br />

is not suitable for treatment, as they will never be happy with the result due to an<br />

underlying problem, for example, body dysmorphic disorder.’<br />

Treating those patients with unrealistic expectations can often lead to a<br />

poor outcome, despite a technically good result, <strong>and</strong> this can create problems<br />

for both the practitioner <strong>and</strong> the patient. The Harmony Program is one of the<br />

first screening protocols to help identify patients with social, emotional or<br />

psychological difficulties <strong>and</strong> establish the level of education needed before<br />

going into treatment.<br />

‘For the practitioner, the program helps deliver a more precise treatment plan<br />

for the first group of patients <strong>and</strong> counter unrealistic expectations from the latter<br />

two groups,’ Dr Murray adds.<br />

For those patients venturing into the world of cosmetic injectables for the first<br />

time, the Harmony Program can help determine the best method for preparation<br />

<strong>and</strong> treatment. ‘The Harmony Program generates better overall results due<br />

to the doctor having a better underst<strong>and</strong>ing of the patient’s personality <strong>and</strong><br />

psychosocial profile,’ says Dr Murray.<br />

Cost effective<br />

Because the program is built on a philosophy of creating natural-looking results<br />

with treatment tailored specifically to the patient, the Harmony Program offers a<br />

cost-effective approach to non-surgical rejuvenation.<br />

By incorporating the latest techniques <strong>and</strong> scientifically proven products, the<br />

program clarifies the best treatment options to enhance the appearance in a<br />

subtle but impactful way. It is designed to optimise cosmetic treatment based on<br />

the patient’s cosmetic concerns, motivations <strong>and</strong> budget. csbm<br />

BEFORE<br />

AFTER Harmony treatment by Dr Murray<br />

www.cosbeauty.com.au 61

face<br />

Small changes,<br />

big results<br />

Sydney cosmetic physician Dr Buddy Beaini says facial rejuvenation<br />

can be achieved without major surgery. Tara Casey reports.<br />

Minimally invasive procedures are key to rejuvenating<br />

the appearance <strong>and</strong> reversing the signs of<br />

ageing, believes Sydney cosmetic physician Dr<br />

Buddy Beaini. ‘When selected appropriately <strong>and</strong> used in<br />

combination, minimally invasive procedures can make the<br />

patient look five to 10 years younger,’ he says.<br />

Non-surgical options to refresh the ageing face has<br />

become one of the most popular areas of cosmetic<br />

enhancement. And for good reason – minimally invasive<br />

options can help reverse the outward signs of ageing <strong>and</strong><br />

waylay the need for surgery.<br />

With a range of light therapies, thread lifting procedures<br />

<strong>and</strong> injectables at his clinic, Dr Beaini works with a range<br />

of modalities to tailor results to each individual patient.<br />

‘Patients of all ages have been treated with excellent<br />

results,’ he says. ‘With the current advanced technology<br />

<strong>and</strong> techniques, facial rejuvenation has developed<br />

dramatically, giving patients the options to look <strong>and</strong> feel<br />

younger without the need for major surgery. In particular,<br />

thread lifting, blepharoplasty <strong>and</strong> bat ear correction<br />

(otoplasty) are minimally invasive procedures that can<br />

achieve significant results.<br />

‘During consultation, I ask my patients to describe<br />

their main concerns <strong>and</strong> I will outline the advantages,<br />

disadvantages, success rates, downtime <strong>and</strong> budget<br />

involved with a number of relevant treatment options,’ Dr<br />

Beaini adds. ‘For those patients who are less specific,<br />

<strong>and</strong> are hoping to look younger, fresher, rejuvenated or<br />

“happier”, I make an assessment of how we can improve<br />

the patient’s overall image <strong>and</strong> appearance.’<br />

Thread lifting<br />

This is a minimally invasive way to lift the skin on the face<br />

to achieve younger <strong>and</strong> more contoured appearance <strong>and</strong><br />

counter the inevitable effects of gravity. Threads can be<br />

used to lift the brow, face <strong>and</strong> neck, as well as reposition<br />

the cheeks, reduce the jowl <strong>and</strong> enhance the lips.<br />

The procedure involves inserting dissolvable threads<br />

into the skin’s dermis, or support structure, to trigger the<br />

62 www.cosbeauty.com.au

face<br />

synthesis of collagen <strong>and</strong> elastin at the site. The threads act<br />

as scaffolding for the production of these new connective<br />

fibres, lifting <strong>and</strong> bolstering the tissue for an anti-ageing <strong>and</strong><br />

rejuvenating effect.<br />

‘I have been performing mini-facelifts <strong>and</strong> neck lifts with<br />

threads over the past two years,’ Dr Beaini explains. ‘We<br />

have seen exceptional face lifting <strong>and</strong> rejuvenation results in<br />

more than 95 percent of our patients.’<br />

Thread lifting is suitable for those patients hoping to<br />

reverse the descent of facial soft tissue associated with<br />

ageing, or to waylay the need for a surgical facelift. It is<br />

performed under local anaesthetic, <strong>and</strong> incurs some mild<br />

swelling <strong>and</strong> possible bruising post-procedure.<br />

‘Thread lifting is commonly used to address mid-face<br />

drooping, deep cheek wrinkles, deep nasolabial lines,<br />

excessive jowling <strong>and</strong> neck laxity,’ Dr Beaini explains.<br />

‘Other concerns include brow droop, facial asymmetry <strong>and</strong><br />

loss of cheek positioning.’<br />

BEFORE<br />

AFTER Astarte Thread Lift by Dr Beaini<br />

Eyelid hooding surgery<br />

‘When we look at an individual’s face, our attention first<br />

focuses on the eyes, <strong>and</strong> any abnormality or asymmetry,’<br />

Dr Beaini explains. For this reason, blepharoplasty – or<br />

eyelid hooding surgery – can achieve significant results in<br />

rejuvenating the entire face.<br />

The procedure involves excising excess fat <strong>and</strong> skin from<br />

the upper <strong>and</strong>/or lower eyelids to open the eyes for a fresher,<br />

more alert appearance. The day surgery is performed under<br />

local anaesthesia, <strong>and</strong> can be used in conjunction with<br />

other treatments such as brow thread lifting, non-invasive<br />

skin tightening <strong>and</strong> laser skin rejuvenation.<br />

‘If an individual has droopy, tired <strong>and</strong> ageing eyes, the<br />

first impression is that is individual is sad, tired or unwell,’<br />

says Dr Beaini. ‘Eyelid surgery is a very effective <strong>and</strong> longterm<br />

solution for such individuals, <strong>and</strong> automatically has the<br />

effect of revitalising the entire face.’<br />

BEFORE<br />

AFTER Astarte Thread Lift by Dr Beaini<br />

Bat ear correction<br />

Dr Beaini offers a permanent non-surgical treatment to<br />

correct <strong>and</strong> reshape protruding ears (bat ear correction).<br />

He performs the procedure with a mild sedative <strong>and</strong> local<br />

anaesthesia; no hospitalisation, general anaesthetic or<br />

surgical incisions are required.<br />

‘Any abnormality <strong>and</strong> asymmetry in facial appearance will<br />

attract attention, which is particularly relevant to individuals<br />

with bat ears,’ Dr Beaini explains.<br />

‘These patients were born with this problem <strong>and</strong>, in<br />

most cases, are burdened with underlying emotional issues<br />

relating to the appearance of their ears. The joy <strong>and</strong> relief<br />

they experience once their ears are corrected makes this<br />

treatment extremely desirable.’ csbm<br />

BEFORE<br />

BEFORE<br />

AFTER Astarte Thread Lift by Dr Beaini<br />

AFTER blepharoplasty by Dr Beaini<br />

www.cosbeauty.com.au 63

teeth<br />

Transform your<br />

Smile<br />

Sydney aesthetic<br />

reconstructive dentist<br />

Dr Sarkis Nalb<strong>and</strong>ian<br />

explains how a deNTAL<br />

facelift can transform your<br />

appearance in just one visit.<br />

Caitlin Bishop reports.<br />

A<br />

beautiful smile signifies one of the most noticeable<br />

hallmarks of youthfulness <strong>and</strong> attractiveness. A<br />

bright, even, symmetrical smile can take years off<br />

your appearance <strong>and</strong> boost your confidence when it comes<br />

to making first impressions.<br />

Sydney aesthetic reconstructive dentist Dr Sarkis<br />

Nalb<strong>and</strong>ian believes a youthful smile can transform the<br />

entire face. And, despite the damage that can occur<br />

to our smiles over time, Dr Nalb<strong>and</strong>ian says significant<br />

improvements can be seen in just one visit to the dentist.<br />

‘Teeth wear can occur at any age,’ he says. ‘It’s known<br />

as tooth surface loss, or TSL, <strong>and</strong> is generally caused by a<br />

combination of abrasion, erosion <strong>and</strong> attrition, or ageing.’<br />

Notably, tooth erosion can also be caused by the acidic<br />

nature of our diet. Dr Nalb<strong>and</strong>ian takes a holistic approach<br />

to smile transformation, helping his patients make some<br />

lifestyle <strong>and</strong> dietary adjustments to prolong the results of<br />

dental rejuvenation.<br />

‘The increase in carbonated beverages has resulted in<br />

an excessive amount of tooth loss in people as young as<br />

15. This compromises the structural integrity of their teeth,’<br />

he says.<br />

‘Approximately 30 percent of the population “brux”, or<br />

grind their teeth,’ Dr Nalb<strong>and</strong>ian continues. ‘The cause is<br />

unknown but has been attributed to stresses of life <strong>and</strong><br />

sleep disorders.’<br />

When teeth become worn, patients are exposed not<br />

only to potential health <strong>and</strong> functional problems but also<br />

to an ageing smile. According to Dr Nalb<strong>and</strong>ian, this has<br />

a knock-on effect, dragging down the appearance of the<br />

face as a whole.<br />

‘The aim in all reconstructive dentistry is to develop a<br />

treatment plan to help solve both the patient’s functional<br />

needs <strong>and</strong> aesthetic desires,’ he says.<br />

‘I believe the best strategy is to firstly identify the cause<br />

<strong>and</strong> then prevent further tooth <strong>and</strong> gum damage. Thorough<br />

diagnosis is required to assess the cause because if it is<br />

not treated underlying tooth loss will continue to undermine<br />

any type of restoration performed on the tooth,’ Dr<br />

Nalb<strong>and</strong>ian explains.<br />

64 www.cosbeauty.com.au

teeth<br />

The ‘One visit dental facelift’<br />

On suitable c<strong>and</strong>idates, Dr Nalb<strong>and</strong>ian performs what he<br />

calls ‘The One-Visit Dental Facelift’.<br />

‘As an example, one young patient wanted to improve<br />

the colour of her teeth <strong>and</strong> their overall appearance,’ he<br />

says. ‘She had become very self-conscious about them<br />

because the top teeth were spatially shorter <strong>and</strong> had a<br />

worn appearance due to bruxism, or grinding.’<br />

According to Dr Nalb<strong>and</strong>ian, the appearance of the top<br />

six teeth was particularly compromised, especially during<br />

speech <strong>and</strong> smiling. ‘The worn, short teeth had created a<br />

flat smile line,’ he adds.<br />

After discussing a number of options, the patient chose<br />

to have non-invasive composite veneers. ‘We used<br />

minimally invasive techniques to transform her smile in<br />

only one visit. There was no drilling or injections <strong>and</strong> the<br />

structure of her teeth remained intact,’ says Dr Nalb<strong>and</strong>ian.<br />

‘Her top 10 teeth were treated with composite veneers <strong>and</strong><br />

her bite was also improved for an optimal outcome.’<br />

By using minimally invasive, time-efficient procedures,<br />

Dr Nalb<strong>and</strong>ian was able to improve the appearance of the<br />

smile significantly whilst lifting the look of her whole face.<br />

‘She is thrilled with the whiteness <strong>and</strong> symmetry of her<br />

new smile, <strong>and</strong> that it also looks very natural,’ Dr Nalb<strong>and</strong>ian<br />

concludes. csbm<br />


This patient had become selfconscious<br />

about the shape <strong>and</strong><br />

colour of her teeth. The top teeth<br />

were spatially shorter <strong>and</strong> had a<br />

worn appearance. The patient<br />

opted to undergo a non-invasive<br />

procedure, using composite veneers<br />

to improve the appearance of her<br />

smile. The top 10 teeth were treated<br />

with composite veneers, <strong>and</strong> her<br />

bite was also improved.<br />

The patient has reported that she<br />

loves the colour <strong>and</strong> symmetry of<br />

her new smile. The improvement in<br />

this patient’s smile was achieved in<br />

just one visit by Dr Nalb<strong>and</strong>ian.<br />

BEFORE<br />

BEFORE<br />

AFTER cosmetic dentistry by Dr Nalb<strong>and</strong>ian<br />

AFTER cosmetic dentistry by Dr Nalb<strong>and</strong>ian<br />

BEFORE<br />

AFTER cosmetic dentistry by Dr Nalb<strong>and</strong>ian<br />

BEFORE<br />

AFTER cosmetic dentistry by Dr Nalb<strong>and</strong>ian<br />

www.cosbeauty.com.au 65

nose<br />

Reinventing<br />

Rhinoplasty<br />

Sydney ENT <strong>and</strong> facial cosmetic<br />

surgeon Dr William Mooney<br />

says a beautiful rhinoplasty<br />

result is all in the planning.<br />

Caitlin Bishop reports.<br />

Alongside advancements in surgical techniques <strong>and</strong><br />

pre <strong>and</strong> post-operative care, rhinoplasty – or nose<br />

surgery – has evolved to combine art <strong>and</strong> science<br />

<strong>and</strong> address both the form <strong>and</strong> function of the nose. Sought<br />

out by patients to reshape the nose or improve breathing<br />

or sinus difficulties, rhinoplasty signifies one of the most<br />

popular cosmetic surgery procedures.<br />

Sydney ENT <strong>and</strong> facial cosmetic surgeon Dr William<br />

Mooney says the modern-day approach to rhinoplasty<br />

involves meticulous preparation, dedicated performance<br />

<strong>and</strong> exacting aftercare, to help ensure optimal results <strong>and</strong><br />

minimise the risk of complication.<br />

‘Rhinoplasty is no longer a single visit procedure. All<br />

aspects of the procedure, from the preparation to the<br />

aftercare, have evolved to improve recovery <strong>and</strong> the final<br />

result,’ Dr Mooney explains.<br />

66 www.cosbeauty.com.au

nose<br />

In leading up to surgery, Dr Mooney advises his patients<br />

of several measures to help reduce bleeding during surgery<br />

<strong>and</strong> speed up the recovery process. ‘Before going into<br />

surgery, I encourage my patients to stop smoking, improve<br />

their diet <strong>and</strong> take certain medications to help accelerate<br />

<strong>and</strong> optimise the healing process following the operation,’<br />

he says.<br />

During the procedure itself, Dr Mooney uses vasoconstrictors<br />

to limit blood flow to the area, <strong>and</strong> hypotensive<br />

anaesthesia to reduce blood pressure <strong>and</strong> limit the amount<br />

of intra-operative bleeding.<br />

‘Rhinoplasty as a surgery has changed; we use<br />

articulated instruments to make changes to the bone as<br />

precise as possible,’ Dr Mooney says. ‘In addressing the<br />

cartilage, I focus on both function <strong>and</strong> form to achieve the<br />

best, most all-encompassing result.’<br />

Dr Mooney makes a point of never putting anything<br />

permanent in the nose during his rhinoplasty surgeries.<br />

When the nose needs to be<br />

reconstructed or augmented, Dr<br />

Mooney uses cartilage from the<br />

patient’s own ears, rib or septum to<br />

re-build the nose <strong>and</strong> reduce postoperative<br />

infection rate.<br />

Following the operation, Dr<br />

Mooney undertakes a diligent<br />

recovery process with his patients.<br />

There are follow-up consultations<br />

after one, two, four <strong>and</strong> six weeks,<br />

<strong>and</strong> then after three months, six<br />

months <strong>and</strong> one year.<br />

‘The difference between a good<br />

<strong>and</strong> excellent rhinoplasty result is<br />

the follow-up process,’ Dr Mooney<br />

says. ‘We employ both herbal<br />

<strong>and</strong> Western medicine, as well as<br />

BEFORE<br />

lymphatic massage, to expedite<br />

recovery. No nose looks great<br />

immediately after rhinoplasty surgery,<br />

so the first follow-up consultations<br />

are about reassuring the patient<br />

emotionally, as well as monitoring the<br />

healing process.’<br />

Dr Mooney takes a holistic <strong>and</strong><br />

all-encompassing approach with<br />

all of his cosmetic patients. He<br />

underst<strong>and</strong>s the importance of<br />

individualising each treatment, to<br />

achieve the most natural-looking <strong>and</strong><br />

long-lasting results.<br />

‘No two patients are the same<br />

<strong>and</strong> no two surgeries are either; I<br />

always tailor rhinoplasty surgery to<br />

the patient’s physical <strong>and</strong> emotional BEFORE<br />

needs,’ Dr Mooney says. ‘Rhinoplasty is a complex<br />

procedure <strong>and</strong> should be conducted by a dedicated<br />

surgeon with experience in addressing both the form <strong>and</strong><br />

function of the nose.’<br />

An aesthetic nose tip<br />

Creating an aesthetic nose “tip” is regarded as one of the<br />

greatest challenges to nose surgeons. Dr Mooney has<br />

developed a specialised technique – termed the “Diamond<br />

Tip” technique – to provide superior results, customised to<br />

each patient.<br />

‘The diamond tip approach uses a three-point pyramid<br />

to create a beautifully looking tip that is stable <strong>and</strong> locked<br />

into place for long-lasting peace of mind,’ Dr Mooney<br />

explains. ‘This means there is less chance of the results<br />

changing over time, as well as improved breathing for a<br />

better quality of life.’ csbm<br />

AFTER rhinoplasty by Dr Mooney<br />

AFTER rhinoplasty by Dr Mooney<br />

www.cosbeauty.com.au 67

nose<br />

Male<br />

rhinoplasty<br />

now a<br />

mainstream<br />

operation<br />



Rhinoplasty (nose reshaping surgery) for men is now a<br />

common procedure, representing 25 percent of the<br />

500 cases or so I perform each year.<br />

Often men have a history of nasal trauma from contact<br />

sports or accidents in their childhood or young adult life<br />

which not only affects the appearance of their nose but also<br />

their breathing.<br />

When I consult a patient with former nasal trauma, we<br />

always test the breathing function as well as evaluate the<br />

internal structures of the nose. To determine what is best<br />

for the appearance or the outside of the nose, we use<br />

computer imaging as a tool to communicate with the patient<br />

what might be the best shape for the nose to complement<br />

their overall facial features. Sometimes to further evaluate<br />

the breathing we may need a CAT or MRI scan to aid in<br />

the planning.<br />

Once the patient <strong>and</strong> I agree on the possible shape of<br />

the nose, we can proceed with the surgery. This is carried<br />

out as an out-patient procedure at our on-site fully licensed<br />

<strong>and</strong> accredited facility, The Double Bay Day <strong>Surgery</strong>. The<br />

entire surgery, including correction of the breathing function,<br />

usually takes about one <strong>and</strong> a half hours. A splint is worn on<br />

the nose for one week <strong>and</strong> most patients go back to work<br />

or their studies after seven to 10 days. Any discomfort can<br />

be easily managed with mild analgesia.<br />

It must be noted that if a patient has had an unacceptable<br />

result from another surgeon <strong>and</strong> requires secondary<br />

surgery, the results are less predictable.<br />

Overall, the satisfaction rate for male rhinoplasty surgery<br />

is very high, this being an operation that need only be done<br />

once if done right the fi rst time. csbm<br />

BEFORE<br />

BEFORE<br />

AFTER rhinoplasty by Dr Hodgkinson<br />

AFTER rhinoplasty by Dr Hodgkinson<br />

68 www.cosbeauty.com.au

cosmetic tattoo<br />

Australia’s leading lady<br />

of cosmetic tattoo<br />

We chat with cosmetic tattoo pioneer Val Glover-Hovan about the art<br />

of permanent makeup <strong>and</strong> her mark on the industry. TAra casey reports.<br />

Val Glover-Hovan has been a name in the beauty<br />

industry for some 35 years <strong>and</strong> has pioneered<br />

cosmetic tattooing in Australia. In March 2015 Val<br />

will celebrate 30 years of business. Along the way she has<br />

earned a swag of accolades from organisations including<br />

the American Association of Micropigmentation Lifetime<br />

Achievement Award for her contribution to the cosmetic<br />

tattoo industry, <strong>and</strong> another prestigious award from the<br />

International Image Council.<br />

Val’s lip work in particular is much sought after,<br />

<strong>and</strong> she regularly presents her full lip technique at<br />

numerous conferences throughout the world. Her work<br />

is recommended by beauty professionals, medical<br />

practitioners, <strong>and</strong> cosmetic, plastic <strong>and</strong> laser surgeons.<br />

Val has carved a career out of making Australian<br />

women look <strong>and</strong> feel fabulous. ‘When performed correctly,<br />

cosmetic tattooing can enhance <strong>and</strong> beautify a woman’s<br />

looks,’ she says. ‘This might include creating defined, wellgroomed<br />

eyebrows, enhanced eye shape with eyeliner<br />

<strong>and</strong> more youthful-looking lips with colour. The great<br />

thing is that all of these treatments last for many years. It<br />

makes me feel good to know I’ve made so many people<br />

feel more beautiful <strong>and</strong> confident throughout my career.’<br />

Her company, <strong>Cosmetic</strong> Tattoo Australia, is part of the<br />

Hovan’s Group, a recognised name around town <strong>and</strong> regular<br />

exhibitor at beauty, spa <strong>and</strong> medical expos internationally.<br />


Learn from the master of<br />

cosmetic tattooing!<br />

Basic <strong>and</strong> Advanced Training Courses by Val Glover-<br />

Hovan. Learn the art of full lip colour <strong>and</strong> blend,<br />

body illustrations, camouflage, MCA scar relaxation,<br />

repigmenting, needling, plus more.<br />

For further information regarding Training Kit<br />

options <strong>and</strong> costs, please call 02 9938 2111 or email<br />

info@cosmetictattooaustralia.com<br />

Learn more at www.cosmetictattooaustralia.com<br />

Principals Leslie Hovan <strong>and</strong> Val Glover-Hovan are the driving<br />

forces behind the company. They’ve grown <strong>and</strong> diversified<br />

the business to an international enterprise, serving Australia,<br />

New Zeal<strong>and</strong>, Singapore, the Middle East, United States,<br />

Canada <strong>and</strong> the Caribbean.<br />

‘I have strived to set good st<strong>and</strong>ards for the industry<br />

in cosmetic tattooing with continued education <strong>and</strong> high<br />

quality products, promoting professionalism in treatments<br />

<strong>and</strong> training,’ Val says. ‘It’s been very rewarding – the beauty<br />

business is a great industry to be in.’ csbm<br />

BEFORE<br />

AFTER full lip tattoo treatment by Val Glover-Hovan<br />

BEFORE<br />

AFTER eyebrow tattooing – an “eye lift” without surgery<br />

– by Val Glover-Hovan<br />

www.cosbeauty.com.au 69

cosmetic tattoo<br />

lasting<br />

beauty<br />




<strong>Cosmetic</strong> tattooing is a long-lasting way to create a<br />

more beautiful you – enhancing the eyes, making<br />

lips look more full <strong>and</strong> rejuvenating the overall<br />

face the face without surgery. Sydney cosmetic tattoo<br />

practitioner Rita Porreca says cosmetic tattooing is quickly<br />

becoming known as the go-to procedure for a minimally<br />

invasive anti-ageing boost.<br />

‘The art of cosmetic tattooing is becoming cemented<br />

in the beauty industry, with a range of treatments available<br />

to suit a variety of client needs,’ she says. ‘With today’s<br />

techniques, the beauty of your youth can be extended, <strong>and</strong><br />

even enhanced.’<br />

Like any cosmetic procedure, the artistic skill <strong>and</strong><br />

experience of the practitioner is essential in achieving the<br />

best results in permanent cosmetic tattooing. ‘No two<br />

cosmetic tattooists are the same because it is very much<br />

an art form,’ Porreca explains. ‘Results that enhance<br />

the client’s natural beauty depend on the experience of<br />

the practitioner in working with different skin tones <strong>and</strong><br />

facial features.’<br />

Combining permanent eyeliner with eyebrow tattooing<br />

can help restore vibrancy to the entire eye area <strong>and</strong> help<br />

those who have plucked too much, or have scars or gaps<br />

in their eyebrows. Similarly, lip tattooing can be ideal for<br />

women lacking a defi nite lip shape, who have pale lips or<br />

just want to enhance the appearance of their pout.<br />

There is a rainbow of pigments to choose from, <strong>and</strong><br />

Porreca says clients should be aware that the colour<br />

may seem stronger at fi rst, but will fade to a more naturallooking<br />

tone in time. ‘Immediately after the treatment, the<br />

cosmetic tattoo will appear brighter in colour. However, in<br />

most cases clients lose approximately 20 to 40 percent<br />

of intense colour throughout the healing process,’ she<br />

explains. ‘Final results can be seen after around two weeks.’<br />

70 www.cosbeauty.com.au

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

<strong>Cosmetic</strong> tattooing is more than just a beauty treatment<br />

– it can also create hassle-free mornings for those with busy<br />

lifestyles. Permanent makeup means sleeping, swimming<br />

<strong>and</strong> exercise can be smudge-free.<br />

Results are long lasting, from around two to six years.<br />

Porreca timeless <strong>and</strong><br />

timeless<br />

says clients are often concerned<br />

<strong>and</strong><br />

the result will<br />

effortless beauty<br />

effortless beauty<br />

appear fake or ‘done’ – something she avoids by using two<br />

to three different colours in the one treatment for a more<br />

realistic effect.<br />

‘The most important thing to remember is “less is<br />

SPMUC more”. FP(NEW) When 30/4/07 performed 1:30 by an PM experienced Page 1 artist, cosmetic ‘In When 1984 it my comes dream to eyes, was to lips, create face, a<br />

tattooing can provide clients with a fresh, more youthfullooking<br />

face <strong>and</strong> a sense of refined beauty – no touch-ups beauty experts’ solutions expert. With with more natural than <strong>and</strong> 24<br />

Centre body, skin that <strong>and</strong> provided training, personalised we are the<br />

required!’ she concludes. csbm<br />

lasting years’ experience results – a world we have above developed<br />

traditional an excellent beauty reputation salons.’ with doctors<br />

– <strong>and</strong> Rita surgeons. Porreca, We Founder also work & MDclosely<br />

timeless <strong>and</strong> effortless<br />

with surgeons in post-operative<br />

beauty<br />

care.<br />

When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin <strong>and</strong><br />


Training<br />

SPCP,<br />

we<br />

AAM,<br />

are<br />

AACT,<br />

the experts'<br />

APAA<br />

expert. We also work closely<br />

with surgeons on post-operative care.<br />


Rita Porreca has recently been involved in a new ‘In 1984 my dream was to create a<br />


project – opening Cosmedic Professionals, a cosmetic Centre that provided personalised<br />

SERVICES clinic in Five WE Dock PROVIDE Sydney. The new clinic is a joint<br />

beauty solutions <strong>Cosmetic</strong> with natural Tattooing<br />

<strong>and</strong><br />

lasting results – a world above<br />

<strong>Cosmetic</strong> venture between Tattooing Porreca <strong>and</strong> Jessica O’Brien from<br />

traditional beauty Medical salons.’ Tattooing<br />

Eyebrows the Sydney Hair Skin stroke <strong>and</strong> Laser to shaded Clinic. brows to give you more of a<br />

– Rita Porreca, Founder Skin & Needling<br />

natural Built appearance on the philosophy of enhancing the outward<br />

MD<br />

Eyeliner reflection Subtle of inner to Dramatic beauty, Cosmedic or to define Professionals<br />

Dermal BEFORE Planning Peels<br />

your eye shape<br />

aims to bridge the gap between medical, cosmetics When it comes<br />

Lips From lip liner to full lips & blends we make your lips look good with Non to Laser Eyes, Lips, Tattoo Face, Removal<br />

Body, Skin <strong>and</strong><br />

<strong>and</strong> alternative therapies.<br />

Training we are the experts' expert. We also work closely<br />

an ideal shape <strong>and</strong> colour all the time.<br />

with surgeons <strong>Cosmetic</strong> on post-operative Tattooing care. Courses<br />

‘Self-confidence comes from how we feel inside<br />

Medical <strong>and</strong> permeates Tattooing outwards,’ Porreca explains. ‘Since I<br />

Areola started re-pigmentation Sydney Permanent Is Makeup the final Centre, stage of I’ve breast had reconstruction <strong>and</strong> is AFTER FULL LIP TATTOOING<br />

also a dream considered to create by a those centre with that provides areola colour personalised loss.<br />


Corrective treatments Camouflage with a focus on Can natural bring beauty a natural <strong>and</strong> lasting skin colour back to scars<br />

<strong>Cosmetic</strong> <strong>and</strong> cosmetic burns Tattooing results. This is where alternative therapies<br />

Eyebrows Hair stroke to shaded brows to give you more of a BEFORE FULL LIP COLOUR<br />


<strong>and</strong> cosmetic treatments meet.’<br />

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Eyeliner Needling to skin Subtle treatment rejuvenation to Dramatic for wrinkles, <strong>and</strong> or injectables, to acne define scars your Cosmedic & eye scar shape relaxation<br />

BEFORE<br />

BEFORE<br />

Lips Professionals<br />

Skin From Rejuvenation lip liner affords to full a holistic lips & <strong>and</strong> blends all-encompassing<br />

we make your lips look good with<br />

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the<br />

beauty<br />

rebuilding <strong>and</strong> colour <strong>and</strong> wellbeing.<br />

of all new the collagen time. <strong>and</strong> lightening pigmentation.<br />



‘Cosmedic Professionals is a unique venture where<br />

Medical IPL clients Hair can Tattooing Removal find answers to a variety of concerns,’<br />

Areola Enables re-pigmentation hair removal from Is nearly the final every stage part of of breast the body reconstruction quickly <strong>and</strong> is AFTER FULL LIP TATTOOING<br />

Porreca says. ‘Detoxing with our infrared sauna,<br />


<strong>and</strong> <strong>and</strong> efficiently considered assisting with by weight those with loss areola methods colour will address loss.<br />

Corrective health <strong>and</strong> Camouflage lifestyle concerns. Can When bring these a natural measures skin colour back to scars<br />

<strong>and</strong><br />

Medical<br />

burns<br />

Skin Peels/Microdermabrasion<br />



are partnered with skin peels <strong>and</strong> light therapies for<br />

Skin treatments ranging from Green Peel, CosMedix Peels<br />

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Skin multimodal Rejuvenation treatment regime, we will bring out the Bella Building, Shop 4/239<br />

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Is beauty ideal for in all the our rebuilding clients,’ Porreca of new concludes. collagen <strong>and</strong> lightening pigmentation. Great North Rd, Five Dock<br />

Learn, up-skill <strong>and</strong> exp<strong>and</strong> with professional cosmetic tattooing training.<br />


located in Cosmedic Professionals<br />

IPL Hair Removal<br />

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<strong>and</strong> efficiently

feature<br />

Complexion<br />

perfection<br />

72 www.cosbeauty.com.au

feature<br />

Throughout our<br />

lives, forces can<br />

conspire against us<br />

to result in ageing<br />

skin. Learn how to<br />

outsmart the<br />

clock <strong>and</strong> discover<br />

a radiant complexion<br />

at any age. By<br />

Caitlin Bishop.<br />

Affected by the lifestyle we lead, the foods we eat, the products we use <strong>and</strong><br />

the vitamins we consume, our skin, <strong>and</strong> the way it ages, is an amazingly<br />

complex phenomenon. External factors work alongside genetics, ethnicity<br />

<strong>and</strong> other intrinsic processes to map our path to skin ageing. And whilst there is<br />

little we can do to halt the h<strong>and</strong>s of time from leaving their mark on our skin, there<br />

is plenty we can do to limit the damage being done by the choices we make on<br />

a day-to-day basis.<br />

Spanning from the active cells of the dermis to the dead cells of the stratum<br />

corneum (the outermost layer of the epidermis), the skin serves to protect the<br />

body <strong>and</strong> acts as an exchange system for water <strong>and</strong> waste. Skin cells are<br />

produced by stem cells in the dermis <strong>and</strong>, from here, move up through the<br />

layers of the epidermis before they are shed from the stratum corneum. As we<br />

age this process of skin cell renewal slows down, meaning the skin’s integrity,<br />

texture <strong>and</strong> resilience is slowly impaired. Also in the dermis lie interlinked<br />

collagen <strong>and</strong> elastin fibres, the skin’s support structure <strong>and</strong> the key to a youthful<br />

facial contour. Again, these fibres lose strength with age, causing wrinkles to<br />

form, elasticity to deteriorate <strong>and</strong> firmness to fade.<br />

While these ageing processes are somewhat inevitable, a number of external<br />

factors contribute to their onset <strong>and</strong> development. Sun exposure, diet <strong>and</strong><br />

lifestyle all impact the speed of skin cell renewal <strong>and</strong> the integrity of support<br />

structures in the dermis.<br />

UV damage<br />

In a country as sun-drenched as Australia, the skin is unavoidably battered by<br />

some degree of ultraviolet (UV) radiation. With profound effects on skin health,<br />

sun damage has been deemed responsible for up to 90 percent of visible signs<br />

of skin ageing <strong>and</strong> impacts the entire spectrum of skin processes. It is difficult<br />

to tell just how much damage is occurring during sun exposure, as the radiation<br />

responsible for photoageing is different to that which causes sunburn. While<br />

excessive UVB exposure induces burning, blisters <strong>and</strong> discomfort, uva radiation<br />

penetrates the skin unnoticed, reaping havoc on the cells, vessels <strong>and</strong> support<br />

structures of the dermis.<br />

Working to compound, accelerate <strong>and</strong> trigger intrinsic signs of ageing, UV<br />

damage alters molecular processes to gradually transform fine lines into deep<br />

wrinkles, a smooth complexion into a think, leathery texture <strong>and</strong> mild pigmentation<br />

into harsh, irregular sun spots. According to Siddharth Mukherjee et al. in a study<br />

published in the journal of Clinical Interventions in Aging, severe photodamage<br />

morphs the dermis into a “massive quantity of thickened, tangled <strong>and</strong> degraded<br />

elastic fibres.” This phenomenon causes blood vessels to widen <strong>and</strong> show on<br />

the skin’s surface, atrophying the skin <strong>and</strong> collapsing its support structures.<br />

While prevention is always preferable, reversing some signs of UV damage<br />

is achievable. An antioxidant-fuelled skincare regime can slow the process of<br />

pigmentation arising, certain skincare products can prohibit melanin generation<br />

<strong>and</strong> some treatments can lighten the skin, reducing the appearance of existing<br />

pigmentation on the surface. Zinc fortified cosmetics provide enhanced protection<br />

against the sun’s harmful rays, preventing further damage from occurring.<br />

Diet<br />

The way we nourish our bodies, satisfy our cravings <strong>and</strong> sate our taste buds<br />

manifests itself on the skin in a surprisingly direct fashion. Though we often<br />

adjust our diet to slim the waist or flatten the stomach, we don’t always think of<br />

www.cosbeauty.com.au 73

feature<br />

the impact such dietary decisions are having on our skin. For example, skin cell<br />

membranes, which are comprised of fatty molecules, or lipids, are responsible<br />

for protecting the cell, absorbing nutrients <strong>and</strong> eliminating wastes. The integrity<br />

of this lipid membrane is dependant on the availability of essential fatty<br />

acids, which the body cannot produce independently. Because of this, those<br />

following extremely low fat diets will often exhibit compromised skin barriers,<br />

due to a lack of essential fatty acids <strong>and</strong> a weakening of cell membranes.<br />

Alternatively, a diet high in Omega 3 <strong>and</strong> 6 will work to refine <strong>and</strong> strengthen<br />

epidermal skin cells, enhancing the skin’s protective barrier <strong>and</strong> increasing<br />

water <strong>and</strong> nutrient retention.<br />

Omegas aside, not all fats benefit the skin. An excess of unhealthy fats will<br />

induce a heightened sebum production <strong>and</strong> disrupt the skin’s acid mantel – or<br />

the water/oil barrier across the skin’s surface. Similarly, highly acidic diets will<br />

cause your body to excrete excess acid via the epidermis, sometimes triggering<br />

conditions such as psoriasis, eczema or adult acne.<br />

Finally, bad news for those with a sweet tooth; excess blood sugar molecules<br />

bombard the collagen <strong>and</strong> elastin fibres in the skin, causing the proteins to<br />

become hard <strong>and</strong> brittle. Too much sweet indulgence will deteriorate the skin’s<br />

elasticity <strong>and</strong> resilience, resulting in a ‘criss-crossed’ wrinkle formation around<br />

the chin <strong>and</strong> eye area – a condition known as glycation. Anti-glycation agents<br />

can be found in certain cosmetics, while balancing your diet with nutrient-rich<br />

vegetables <strong>and</strong> red meat will soften the glucose effect.<br />

6 ways to get younger looking skin<br />

Modern skincare products are formulated with potent<br />

active ingredients to work magic on your complexion. While<br />

selecting the products to include in your beauty arsenal,<br />

there are many important ingredients to look for.<br />

The following are the critical <strong>and</strong> most vital ingredients to<br />

any anti-ageing product.<br />

Sunscreens<br />

Sunscreens are an integral part of any anti-ageing regime.<br />

They are, first <strong>and</strong> foremost, products to help prevent<br />

extrinsic ageing of the skin. Ensure any sunscreen has<br />

physical <strong>and</strong> chemical blockers plus antioxidants. While not<br />

perfect, these sun care products are the best we have at<br />

the moment.<br />

Antioxidants can break the chain reactions triggered by<br />

the production of free radicals. The good news is that they<br />

are freely available because most beneficial antioxidants<br />

occur in foods we eat. These include Vitamins A, C <strong>and</strong> E,<br />

carotenoids such as betacarotene, some minerals, phenolic<br />

compounds <strong>and</strong> other naturally occurring chemicals with<br />

antioxidant properties.<br />

Antioxidants help prevent tissue damage that could<br />

potentially lead to ageing <strong>and</strong> disease. They are important<br />

in photo-damage repair <strong>and</strong> protection.<br />

Antioxidants are increasingly being included in skincare<br />

products, but there are a number of factors that influence<br />

their effectiveness in topical form. These include the<br />

chemical makeup of the antioxidant, what it is combined<br />

with <strong>and</strong> how it is delivered in the product formulation.<br />

Antioxidants<br />

Antioxidants are nature’s magic bullets, protecting our<br />

bodies against the chemical reaction responsible for the<br />

free radicals that are one of the key mechanisms in ageing.<br />

Free radicals are by-products of normal cell activity but they<br />

also occur as a result of exposure to pollutants <strong>and</strong> sunlight.<br />

They are extremely destructive, damaging cell structures<br />

<strong>and</strong> contributing to degenerative illnesses such as heart<br />

<strong>and</strong> liver disease <strong>and</strong> cancer.<br />

Vitamin A<br />

Most skin health professionals will agree that Vitamin A is<br />

the single-most important ingredient to prevent, restore,<br />

normalise <strong>and</strong> help repair damaged skin. Since our body<br />

does not make Vitamin A, our skin becomes deficient<br />

over time. For that reason, Vitamin A is a very important<br />

<strong>and</strong> necessary ingredient in all quality anti-ageing product<br />

lines. However, in its acid form it may cause redness <strong>and</strong><br />

irritation. It can also cause a thinning of the skin, which is<br />

74 www.cosbeauty.com.au

feature<br />

Stress, sleep, smoking <strong>and</strong> exercise<br />

Triggering the release of the hormone cortisol, stress takes a toll upon every<br />

aspect of the body, skin included. Maintained levels of stress, whether it’s induced<br />

mentally or physically– for example difficulty sleeping – will result in an overload<br />

of cortisol in the system. Produced by the adrenal gl<strong>and</strong>s, cortisol breaks down<br />

collagen in the skin leading to increased skin laxity, fine lines <strong>and</strong> dark circles<br />

under the eyes.<br />

Ensuring the st<strong>and</strong>ard six to eight hours of sleep each night will keep those<br />

cortisol levels at bay, while regular exercise will induce an increased blood supply<br />

to the dermis, delivering adequate nutrients <strong>and</strong> removing excess waste for a<br />

healthier looking complexion.<br />

There is significant research to suggest smoking increases the appearance of<br />

fine lines <strong>and</strong> wrinkles in the skin. By reducing the capillary <strong>and</strong> arteriolar blood<br />

flow to the skin, smoking leaves the skin starved of oxygen <strong>and</strong> nutrients, while<br />

also damaging the connective tissue fibres in the dermis.<br />

Our lifestyle can directly manifest itself upon our complexion. By moderating<br />

external ageing factors in filling your diet with nutrients, exercising regularly <strong>and</strong><br />

using sun protection, those inevitable intrinsic ageing factors will be slower<br />

to appear. Whether used alongside cosmetic interventions or not, a holistic<br />

approach to anti-ageing will leave your skin healthier, firmer <strong>and</strong> more youthful<br />

for longer. csbm<br />

not a good thing. There are now effective forms of Vitamin<br />

A that are less damaging. Look for retinal palmitate, acetate<br />

<strong>and</strong> retinol.<br />

The sun depletes the skin of Vitamin A <strong>and</strong> this is one<br />

of the reasons those who super-expose their skin to sun<br />

damage age faster than those who do not.<br />

Vitamin C<br />

Vitamin C repairs <strong>and</strong> rejuvenates the skin. It helps to<br />

prevent hyperpigmentation by slowing down the production<br />

of melanin. Vitamin C is a normal component in the skin<br />

but is utilised first for other bodily functions, so the skin is<br />

vulnerable for deficiency. We should include it in our diet, in<br />

supplements <strong>and</strong> in topical products.<br />

The problem is that the long-proven, most effective form<br />

is ascorbic acid, which quickly degenerates with exposure<br />

to air <strong>and</strong> light. Ascorbic acid is recommended for maximum<br />

delivery of fresh, high-potent Vitamin C. To do so, the<br />

delivery <strong>and</strong> storage of the product is all-important; a ‘mixbefore-use’<br />

product is typically preferred. Vitamin C is also<br />

now available in effective fat-soluble forms (eg, Magnesium<br />

Ascorbyl Phosphate <strong>and</strong> Ascorbyl Tetraisopalmltate), which<br />

work well <strong>and</strong> remain stable <strong>and</strong> efficacious for longer.<br />

Exfoliants<br />

Exfoliants are believed by many to be a necessary<br />

component to maintain the health of the skin. The outer<br />

layer of the skin must be thick <strong>and</strong> compact, an important<br />

protection against the environment, <strong>and</strong> it best exfoliates<br />

naturally. On the other h<strong>and</strong>, not exfoliating prevents<br />

maximum penetration of ingredients <strong>and</strong> can create a skin<br />

that is dull with poor texture <strong>and</strong> older in appearance. The<br />

best policy is a compromise of mild resurfacing. Remember,<br />

as with most things in life, less is more to remove excess<br />

dead cells.<br />

Peptides<br />

Peptides are one of the newer ingredient groups to hit the<br />

anti-ageing skincare scene, <strong>and</strong> many studies have shown<br />

significant results, but for many skin scientists the jury is still<br />

out on just how effective they are as an anti-ageing product.<br />

That being said, peptides are highly respected for their<br />

ability to penetrate the skin <strong>and</strong> activate their target –<br />

increasing the production of collagen <strong>and</strong> elastin. Peptides<br />

have been shown to ‘turn on’ the fibroblasts, which are<br />

essential for building <strong>and</strong> repairing the skin <strong>and</strong> a basic<br />

requirement for anti-ageing success. Results are cumulative<br />

<strong>and</strong> it can take three to four months of twice-daily use for a<br />

good skincare product to show results.<br />

The anti-ageing attack is focused on a brigade of<br />

reliable <strong>and</strong> stable formulations of established <strong>and</strong> trusted<br />

ingredients. The ones mentioned above are synergistic<br />

troops in the battle, <strong>and</strong> their effectiveness has a long history<br />

of studies <strong>and</strong> proof that they do assist in the maintenance<br />

of healthy <strong>and</strong> beautiful skin.<br />

www.cosbeauty.com.au 75

skin<br />

New<br />

treatment<br />

for<br />

Melasma<br />

Melasma patients look no further!<br />

The FDA has just approved revlite<br />

from cynosure for the treATMent of<br />

melasma. Caitlin Bishop rePORTs.<br />

Sometimes dubbed the “mask of pregnancy”, <strong>and</strong> often seen<br />

in pre-menopausal women or those who take oral or patch<br />

contraceptives, melasma is a type of pigmentation that causes<br />

discolouration across the forehead <strong>and</strong> face. Those women who’ve<br />

suffered from the persistent pigmentation will underst<strong>and</strong> its fickle<br />

nature <strong>and</strong> imperviousness to treatment.<br />

But now, with the latest technology from Cynosure, hope can be<br />

rekindled. RevLite is a new-generation Q-Switched laser, recently<br />

approved by the Food <strong>and</strong> Drug Administration (FDA) in America for<br />

the treatment of melasma.<br />

The laser, which is also registered for use in Australia by the TGA, is<br />

designed to shed pigmentation from the skin’s surface <strong>and</strong> lighten the<br />

melasma lesions. This is achieved without damaging the surrounding<br />

skin’s texture. ‘Treating melasma can be so difficult, I used to want<br />

to hide under my desk when melasma patients walked in because<br />

I didn’t know what to say to them,’ Victorian Associate Professor in<br />

dermatology Greg Goodman explains. ‘With RevLite it is so much<br />

easier, it’s changed the paradigm for treating melasma.’<br />

Originally, RevLite was created as a solution for tattoo removal. It<br />

incorporates a selection of h<strong>and</strong> pieces, at a variety of wavelengths,<br />

to combat the full spectrum of coloured inks. This same versatility<br />

has been applied to targeting natural skin pigmentation, <strong>and</strong> the<br />

RevLite is effective in addressing pigmentation that resides deep in<br />

the epidermal layers.<br />

‘RevLite’s 1064 nanometre wavelength is used for facial rejuvenation<br />

<strong>and</strong> treating melasma,’ Assoc Prof Goodman explains. ‘This penetrates<br />

the skin quite deeply, <strong>and</strong> is absorbed up to 5 to 6mm into the dermis.<br />

It targets vascularity <strong>and</strong> deep pigment. ’<br />

This can be combined with the 532 wavelength, which targets more<br />

superficial freckles <strong>and</strong> pigment.<br />

76 www.cosbeauty.com.au

skin<br />

One of the most frustrating traits of melasma is its recurrence, or the fact that it<br />

can never be fully conquered. The skin can definitely be lightened, <strong>and</strong> melasma can<br />

be faded from the skin’s surface, but the pattern of pigmentation often still resides in<br />

the skin’s deeper layers.<br />

According to US researcher in bio-laser science <strong>and</strong> dermatology Dr Abnoeal<br />

Bakus, results with the RevLite can be maintained with proper use of skincare<br />

<strong>and</strong> sunscreen after treatment. ‘In my experience, patients can see significant<br />

lightening of their melasma with the RevLite <strong>and</strong>, when they continue to use<br />

sunscreen after the last treatment, they have been able to maintain these results<br />

over several years,’ he says. ‘Sunscreen is very important in order to maintain results<br />

<strong>and</strong> control melasma.’<br />

Treatment with RevLite in melasma patients typically involves no downtime.<br />

The parameters are kept relatively light, so as not to incur Post-Inflammatory<br />

Hyperpigmentation (PIH) in the skin.<br />

‘We use low fluencies <strong>and</strong> multiple passes of the h<strong>and</strong> piece,’ Dr Bakus explains.<br />

‘There is no downtime, making it a very accommodating treatment for patients<br />

with busy lifestyles.’<br />

The skill <strong>and</strong> experience of the practitioner is key to achieving the best results.<br />

‘The operator must be sure what they’re treating,’ Assoc Prof Goodman says. ‘They<br />

need to be able to diagnose every pigment spot on the face before treatment, <strong>and</strong><br />

underst<strong>and</strong> the patient’s risk of PIH or hypopigmentation following treatment.’<br />

In most cases, a series of RevLite treatments is advised to achieve the best<br />

results. Assoc Prof Goodman often performs up to 10 treatments, between two <strong>and</strong><br />

four weeks apart, in the initial treatment, followed by a maintenance programme.<br />

‘I use the RevLite as one of three pillars in a melasma bleaching regime,’ he<br />

explains. ‘We perform a series of RevLite treatments, <strong>and</strong> use tranexamic acid<br />

<strong>and</strong> skin bleaching skincare to create a persistent <strong>and</strong> proactive treatment<br />

for melasma.’<br />

RevLite can be used in general skin rejuvenation as well. It delivers columns of<br />

controlled thermal damage to the skin during treatment. This kick-starts regeneration<br />

in the skin’s deeper layers, increasing cellular turnover <strong>and</strong> rebuilding the skin<br />

from within.<br />

‘The beauty of RevLite is multi-fold; it rejuvenates <strong>and</strong> regenerates skin, <strong>and</strong> has<br />

revolutionised the treatment for melasma. Its versatility means it can be used on any<br />

skin type for a full facial rejuvenation,’ Assoc Prof Goodman concludes. csbm<br />

BEFORE<br />

AFTER Revlite treatment. Photos courtesy of Dr Bakus.<br />

BEFORE<br />

AFTER Revlite treatment. Photos courtesy of Dr Bakus.<br />

www.cosbeauty.com.au 77

feature skin<br />

Tighten<br />

skin<br />

on the<br />

face<br />

& body<br />

Thermage is a popular<br />

non-surgical way to restore<br />

youthful contours <strong>and</strong> tone the<br />

skin. Caitlin Bishop reports.<br />

78 www.cosbeauty.com.au

skin<br />

Thermage is great<br />

for people who<br />

don’t have time, or<br />

the inclination, for<br />

multiple treatments<br />

<strong>and</strong> visits<br />

Where once your jawline was firm <strong>and</strong> defined, it may be now jowly <strong>and</strong><br />

heavy, your eyelids may have started to droop, <strong>and</strong> your stomach<br />

mightn’t be as toned <strong>and</strong> tight as it used to be. While these are all signs<br />

that the process of ageing is beginning to take hold, they do not necessarily call<br />

for major surgical intervention. Thermage from iNova Aesthetics is a non-surgical<br />

<strong>and</strong> effective way to treat these problem areas <strong>and</strong> return youthfulness to both<br />

the face <strong>and</strong> body.<br />

‘Thermage treatments are most commonly performed for firming the jawline,<br />

smoothing skin around the eyes <strong>and</strong> treating loose or crepey skin at the front<br />

of the neck,’ explains Melbourne plastic surgeon Dr Chris Moss, co-founder of<br />

Liberty Belle Skin Centre. ‘Thermage can also treat poor skin tone in many other<br />

areas, including the stomach after pregnancy <strong>and</strong> loose skin on the arms or legs.’<br />

The different Thermage h<strong>and</strong>pieces can be used to address areas that are<br />

traditionally very difficult to treat – for example, rejuvenating the eyelids without<br />

surgery, or reducing the appearance of cellulite.<br />

‘By far the most popular area to treat is the face,’ explains Danielle Ellett, a<br />

dermal clinician at the Melbourne Institute of Plastic <strong>Surgery</strong>. ‘Eyelids can be<br />

targeted for reduction of laxity <strong>and</strong> increased eyelid show. As well, skin tightening<br />

can be achieved on the legs, buttocks, arms <strong>and</strong> abdomen, with some degree<br />

of improvement with cellulite.’<br />

The Thermage system uses radiofrequency (RF) energy to stimulate the<br />

production of new connective tissue in the dermis. This helps reduce the<br />

appearance of wrinkles, smooth the skin’s surface <strong>and</strong> – quite literally – rebuild<br />

the skin from within.<br />

‘One advantage of using RF to reduce wrinkles <strong>and</strong> tighten skin is that it is<br />

non-invasive, so doesn’t require needles like those used in injectable treatments;<br />

there isn’t the downtime that can occur with laser resurfacing; <strong>and</strong> it is great for<br />

people who don’t have time, or the inclination, for multiple treatments <strong>and</strong> visits,’<br />

explains Perth plastic surgeon Dr Anh Nguyen. ‘There are minimal risks, <strong>and</strong> the<br />

results are gradual, natural-looking <strong>and</strong> subtle so others cannot pinpoint that<br />

treatment has been performed – a factor important to many patients.’<br />

The system works by delivering RF energy to the skin’s deeper layers. This<br />

causes a thermal effect <strong>and</strong> triggers the process of coagulation – or tissue<br />

tightening – in the dermis.<br />

The heat also kick-starts the body’s natural healing processes, increasing<br />

blood flow <strong>and</strong> collagenases (the production of new collagen) at the site.<br />

Importantly, the heat energy is focused at a precise depth within the skin <strong>and</strong><br />

cooling technology is used to protect the upper epidermal layers.<br />

‘Thermage skin firming treatment is scientifically proven to work by heating<br />

the deeper layers of the skin to tighten <strong>and</strong> stimulate collagen,’ says Dr Moss.<br />

‘Thermage effectively stimulates collagen <strong>and</strong> elastin levels in the skin to improve<br />

skin tone <strong>and</strong> elasticity without surgery, needles or downtime. It can deliver highly<br />

pleasing <strong>and</strong> lasting results.’<br />

A key benefit of RF energy is that it can be used on all skin types without the<br />

risk of post-inflammatory pigmentation, which sometimes occurs in darker skin<br />

types following collagen-inducing treatments.<br />

‘All skin colours can be treated with RF as Thermage is essentially<br />

“colourblind”,’ explains Ellett. ‘Because RF follows the path of least resistance,<br />

which is collagen <strong>and</strong> collagen-based structures, the whole dermis is heated.<br />

This triggers an inward pull to reduce areas of bulk, such as the jowl area. The<br />

only patients that cannot receive Thermage treatment are those with internal<br />

cardiac devices (ICDs) <strong>and</strong> we don’t treat pregnant patients.’<br />

www.cosbeauty.com.au 79

skin<br />

Indeed Thermage is suitable for both genders <strong>and</strong> a wide spectrum of ages.<br />

‘Our typical client is male or female between the ages of 30 <strong>and</strong> 60, in good<br />

health, a non-smoker, <strong>and</strong> interested in a preventative approach to combating<br />

the normal ageing process,’ says Suzie Hoitink, registered nurse <strong>and</strong> founder of<br />

Clear Complexions Clinics.<br />

A thorough consultation is critical in ensuring the best result for each patient.<br />

‘We conduct a thorough skin consultation prior to treatment, which involves<br />

looking 2mm beneath the skin to determine the health of the skin,’ she explains.<br />

‘We look at any current medications <strong>and</strong> lifestyle habits <strong>and</strong>, after determining<br />

the client’s concerns, we establish realistic expectations of the treatment. We<br />

also individualise the treatment to address the client’s specific concerns.’<br />

Thermage<br />

stimulates collagen<br />

<strong>and</strong> elastin to<br />

improve skin tone<br />

<strong>and</strong> elasticity without<br />

surgery, needles or<br />

downtime<br />

what’s involved?<br />

During treatment, patients usually experience some mild discomfort due to<br />

the thermal response in the skin. The newest evolution of Thermage includes<br />

a patented Comfort Pulse Technology, which uses gentle vibrations <strong>and</strong><br />

interspersed cooling to increase the comfort of treatment.<br />

‘When patients have the procedure in my clinic, we remove any makeup;<br />

take photos (for a baseline comparison); administer a mild pain reliever for extra<br />

comfort <strong>and</strong> relaxation; <strong>and</strong> a pad is applied to their back which enables the<br />

radiofrequency energy to be delivered safely to the treatment area,’ explains<br />

Dr Nguyen. ‘A grid is marked on the area to be treated, a gel fluid is applied<br />

repeatedly to the treatment area <strong>and</strong> the treatment is then performed. A full<br />

treatment can take 45-90 minutes, depending on the area.’<br />

Following the procedure, patients will typically experience some redness <strong>and</strong><br />

mild swelling. The pattern of swelling often mirrors the final result, as the collagen<br />

will rebuild where the thermal damage has occurred. Typically, the redness will<br />

fade within 24 hours <strong>and</strong> the swelling will improve within a couple of days.<br />

‘After treatment, the grid <strong>and</strong> pad are removed, photos are taken <strong>and</strong> patients<br />

are given instructions on what to expect – possible transient redness, swelling,<br />

a tight feeling, occasional tingling <strong>and</strong> minor discomfort,’ Dr Nguyen says.<br />

‘Patients always book in for follow-up appointments at three <strong>and</strong> six months to<br />

review the results.’<br />

Results<br />

Results following Thermage treatment arise gradually, <strong>and</strong> continue to improve<br />

for up to six months following the procedure. This is because neocollagenesis,<br />

or the production of new collagen, typically takes around 12 weeks to occur.<br />

‘Results can vary from immediate skin firmness to gradual tightening over six<br />

months,’ says Tasmanian cosmetic practitioner Dr Asha Ram. ‘There seems to<br />

be tightening in spurts at times, <strong>and</strong> some patients continue to see improved<br />

results past the six month period. The results are long lasting but we counsel<br />

our patients on the most appropriate time to re-treat, based on their age <strong>and</strong><br />

skin condition.’<br />

Thermage can be used as a st<strong>and</strong>-alone treatment or in conjunction with<br />

other modalities to optimise results. ‘Thermage works brilliantly when combined<br />

with light therapies, anti-wrinkle toxins <strong>and</strong> dermal fillers, as well as a good<br />

cosmeceutical home skincare plan,’ Dr Ram explains.<br />

‘It produces a natural, slowly evolving rejuvenation process that suits most<br />

patients in a broad range of age groups. Typically, patients are very excited with<br />

the degree of skin tightening <strong>and</strong> improved texture following treatment with<br />

Thermage,’ she concludes. csbm<br />

80 www.cosbeauty.com.au

skin<br />

BEFORE<br />

AFTER Thermage treatment by Dr Ram<br />

BEFORE<br />

AFTER Thermage treatment. Photos supplied by iNova Aesthetics.<br />

BEFORE<br />

AFTER Thermage treatment. Photos supplied by iNova Aesthetics.<br />

www.cosbeauty.com.au 81

skin<br />

&<br />

Tried<br />

true<br />

results<br />

Omnilux light<br />

therapy is backed<br />

by years of clinical<br />

research, reversing<br />

the visible signs of<br />

skin ageing from<br />

within. cAitlin<br />

Bishop reports.<br />

There’s a myriad of light therapies available for those looking to rejuvenate<br />

the skin <strong>and</strong> counter the visible signs of ageing. With so many different<br />

technologies available, determining the best skin treatment can sometimes<br />

be a difficult decision.<br />

This decision can be made easier, however, when there is a history of<br />

predictable, consistent <strong>and</strong> effective results <strong>and</strong> clinical research backing a<br />

certain therapy or device. Omnilux, distributed in Australia by True Solutions, is<br />

one such device.<br />

Omnilux is a light therapy that kick-starts the body’s natural processes to<br />

reverse the signs of skin ageing <strong>and</strong> treat common skin conditions. Not only<br />

is it backed by many years of medical research, it is used by more than 3,300<br />

dermatologists <strong>and</strong> plastic surgeons worldwide <strong>and</strong> is documented in over 60<br />

peer-reviewed publications. Simply put, Omnilux has a history of clinical success<br />

that exceeds any other light therapy device.<br />

By using Light Emitting Diodes (LEDs) to deliver specific wavelengths into the<br />

skin, Omnilux triggers certain reactions in the epidermis <strong>and</strong> deeper dermis. This<br />

is effective in achieving significant results – that are well documented – in skin<br />

rejuvenation, acne treatment <strong>and</strong> anti-ageing.<br />

Sydney cosmetic physician Dr Saras Sundrum has been using Omnilux in<br />

her clinics for the past 10 years. ‘Omnilux is the only proven TGA-approved LED<br />

device with years of research <strong>and</strong> written papers behind it,’ she says. ‘Our clients<br />

love the non-invasive nature of it <strong>and</strong> the immediate results – it is very relaxing.’<br />

The Omnilux system includes three different wavelengths: Omnilux Plus –<br />

near infrared 833nm; Omnilux Revive – 633nm; <strong>and</strong> Omnilux Blue – 415nm.<br />

The wavelength is selected depending on the concern being treated, <strong>and</strong> each<br />

wavelength excites particular cellular activity in the dermis <strong>and</strong> epidermis to<br />

promote healthy skin function.<br />

Changing skin<br />

Unlike other light systems, Omnilux delivers one precise wavelength per treatment<br />

– compared to using multiple wavelengths in a single treatment. This means the<br />

skin cells are stimulated in the same way throughout treatment, preventing any<br />

cell confusion or counter-activity <strong>and</strong> delivering direct, consistent results.<br />

This being the case, some practitioners do choose to alternate Omnilux<br />

82 www.cosbeauty.com.au

skin<br />

Acne & rosacea<br />

The Omnilux Blue is designed to<br />

prevent the spread of acnecausing<br />

bacterium. It works by<br />

penetrating the skin <strong>and</strong> stimulating<br />

the production of bacteriadestroying<br />

chemicals.<br />

Omnilux Blue <strong>and</strong> Omnilux<br />

Revive are often partnered in<br />

treating acne patients. The<br />

Revive wavelength lends an antiinflammatory<br />

effect alongside the<br />

Blue’s anti-bacterial properties.<br />

When used in acne treatment,<br />

the Omnilux system soothes painful<br />

inflammation <strong>and</strong> reduces the<br />

amount of bacterium to reduce the<br />

severity of acne. At the same time,<br />

the Omnilux system accelerates<br />

healing <strong>and</strong> strengthens the<br />

natural function of the skin to<br />

prevent against future recurrence<br />

of acne irritation.<br />

Similarly, the anti-inflammatory<br />

benefits of Omnilux Revive are often<br />

used alongside the healing benefits<br />

of Omnilux Plus to help treat<br />

rosacea. Facial flushing, persistent<br />

redness, thickened skin, visible<br />

capillaries <strong>and</strong> painful inflammation<br />

constitute the symptoms of<br />

rosacea, <strong>and</strong> treatment with the<br />

Omnilux system can boost<br />

immune function, clear damaged<br />

tissue <strong>and</strong> promote the production<br />

of new, healthy cells to clear<br />

the complexion.<br />

Plus <strong>and</strong> Omnilux Revive to achieve a more well-rounded rejuvenation. ‘The<br />

combination of Omnilux Plus <strong>and</strong> Omnilux Revive treatments results in a<br />

noticeable softening of fine lines <strong>and</strong> a reduction in pore size,’ explains founder<br />

of Clear Complexions Clinics <strong>and</strong> registered nurse Suzie Hoitink. ‘It also returns<br />

an overall, more youthful appearance to the skin.’<br />

Hoitink recommends the Omnilux system for patients wanting to revitalise<br />

their skin. ‘Light therapy can be effective in countering environmental damage<br />

<strong>and</strong> reinforcing the skin’s integrity,’ she says. ‘As we age, the structural integrity of<br />

the skin is compromised, resulting in thinner skin, wrinkles <strong>and</strong> capillary damage.<br />

Omnilux Plus <strong>and</strong> Omnilux Revive work to “kick” the skin back five years or so,<br />

to increase strength, elasticity <strong>and</strong> overall health.’<br />

How it works<br />

Omnilux Revive targets fibroblasts in the skin’s dermis, which are the cells<br />

responsible for producing collagen <strong>and</strong> elastin. The red wavelength also acts<br />

as an anti-inflammatory, helping promote efficient, healthy <strong>and</strong> regular cellular<br />

activity in the skin.<br />

Omnilux Plus works at a different level. It promotes the activity of<br />

myofibroblasts, which are the cells that work to tighten collagen bundles <strong>and</strong><br />

create a neat, even <strong>and</strong> resilient structure of collagen fibres in the skin.<br />

‘If your skin is feeling tired <strong>and</strong> the effects of environmental damage are<br />

beginning to show, the Omnilux system is incredibly effective at rejuvenating<br />

your skin,’ says Hoitink.<br />

Treatment with Omnilux Plus has also been found to assist in healing <strong>and</strong><br />

reduce the level of toxins in the skin. It is often used before <strong>and</strong> after surgery<br />

to accelerate <strong>and</strong> improve the healing process. The near infrared wavelength<br />

penetrates the skin by eight to 12mm to trigger the wound healing response,<br />

reduce healing time <strong>and</strong> help prevent scar formation.<br />

‘For anyone considering surgery, the Omnilux Plus is an absolute must,’ says<br />

Hoitink. ‘It can be used before surgery, to prepare the skin, <strong>and</strong> after surgery, to<br />

promote rapid wound healing <strong>and</strong> assist in scar reduction.’<br />

Treatment with Omnilux<br />

According to clinical research, it is recommended patients undergo 10 treatments<br />

with Omnilux to achieve optimum results in rejuvenation. Hoitink typically<br />

performs two treatments, twice a week, over a five-week period. ‘Each treatment<br />

is pain-free <strong>and</strong> lasts around 20 minutes,’ she explains. ‘Before treatment, we<br />

apply a preparatory solution to the skin to further enhance the light penetration.’<br />

Importantly, Omnilux can be used both as a st<strong>and</strong>-alone treatment <strong>and</strong> in<br />

conjunction with other modalities, such as IPL <strong>and</strong> skin needling.<br />

It is now well documented that treatment with Omnilux light therapy can<br />

achieve a very real <strong>and</strong> significant change in the appearance, texture <strong>and</strong> colour<br />

of the skin. csbm<br />

www.cosbeauty.com.au 83

skin<br />

Reinventing<br />

the<br />

facial<br />










There’s something indescribably refreshing about cleansing the skin. The<br />

same way congested pores <strong>and</strong> an oily surface can leave the skin looking<br />

dull <strong>and</strong> lacklustre, a deeply cleansing facial can fuel the complexion with<br />

vibrancy, luminosity <strong>and</strong> youthfulness.<br />

HydraFacial from High Tech Laser is a non-invasive resurfacing procedure<br />

that combines exfoliation, acid peels, pore extractions <strong>and</strong> antioxidant infusions<br />

to cleanse, nourish <strong>and</strong> brighten the skin.<br />

‘The HydraFacial is great for skin maintenance, or skin “fi tness”,’ explains<br />

Sydney cosmetic doctor Dr Bruce Williamson. ‘It noticeably decongests <strong>and</strong><br />

shrinks pores, <strong>and</strong> then plumps skin with antioxidant <strong>and</strong> hyaluronic acid<br />

infusions. The skin is left healthier <strong>and</strong> glowing after a HydraFacial treatment.’<br />

The HydraFacial works best as a series of treatments. Cleansing <strong>and</strong><br />

exfoliation removes dead skin cells, an acid peel dislodges grime from the pores<br />

<strong>and</strong> a vortex suction extraction system unclogs the pores completely. This<br />

cleansing is followed by the infusion of a highly active hydrating serum to nourish<br />

<strong>and</strong> protect the skin.<br />

‘The HydraFacial system uses the benefi ts of glycolic acid, salicylic acid <strong>and</strong><br />

peptides to soften the bonds that bind our dead cells together <strong>and</strong> to decongest<br />

the blockages within our pores,’ explains Queensl<strong>and</strong> cosmetic physician<br />

Dr Linda Williams. ‘It utilises a vortex-fusing method to provide cleansing,<br />

exfoliation, extraction <strong>and</strong> hydration using antioxidants, peptides, <strong>and</strong> hyaluronic<br />

acid. From the patient’s perspective, it’s a quick 30-minute treatment with<br />

immediate results <strong>and</strong> no downtime.’<br />

The non-invasive nature of HydraFacial means anyone is suitable for treatment.<br />

However the process can be tailored to accommodate the needs <strong>and</strong> skin types<br />

of individual patients. ‘The fi ve-step process can be adjusted depending on the<br />

needs <strong>and</strong> concerns of the individual patient,’ Dr Williamson explains.<br />

‘First we cleanse <strong>and</strong> exfoliate the skin. Then we perform an acid peel where<br />

the level of peel is chosen according to the patient’s skin type. The vortex<br />

suction comes next, which vacuums out the plugs in congested pores. Again,<br />

the strength of the vortex system can be tailored to the patient’s skin sensitivity.’<br />

The facial system has been touted to improve the appearance of congested,<br />

acne-prone, aged, dulled or dehydrated skin. The process can be used in<br />

84 www.cosbeauty.com.au

skin<br />

I liken the<br />

HydraFacial to<br />

vacuuming the<br />

floor; you’re not<br />

making major<br />

changes in the<br />

skin, but you can<br />

see the difference<br />

straight away<br />

conjunction with other therapies – for example, light-based treatments – to<br />

achieve more holistic <strong>and</strong> long-lasting results.<br />

A pre-treatment consultation is always necessary to ensure the treatment<br />

is suited to the patient, <strong>and</strong> to explore the options in optimising the outcome.<br />

‘Consultation is always important to discuss the potential for minor bruising or<br />

grazing on finer skins, <strong>and</strong> whether it is suitable for clients with a lot of fragile<br />

capillaries,’ Dr Linda Williams says. ‘In some situations, removal <strong>and</strong> decongestion<br />

of blocked pores may be the main focus whereas, at other times, the treatment<br />

may be modified to give an overall skin revision with a focus on refreshing texture<br />

<strong>and</strong> improving hydration.’<br />

Dr Williamson recommends patients undergo treatment with HydraFacial<br />

every two to four weeks, <strong>and</strong> says the results can be seen <strong>and</strong> felt immediately<br />

following treatment.<br />

‘I liken the HydraFacial to vacuuming the floor; you are not making<br />

major changes in the skin but you can see the difference straight away,’ he<br />

says. ‘At the end of treatment patients can see the cloudiness in the vortex<br />

solution; this is the blackhead plugs <strong>and</strong> congestion that was initially in the<br />

skin. The results from such a deep cleansing, combined with antioxidant<br />

nourishment, can be seen for months after treatment.’<br />

To extend the results <strong>and</strong> retain the skin’s lustre <strong>and</strong> brightness between<br />

treatments, the final step in the HydraFacial is the introduction of the<br />

‘daily essentials’ skincare. Tailored to certain skin complaints, the range<br />

incorporates topical moisturisers, refining eye gels <strong>and</strong> daily sun protection.<br />

Each product is infused with select concentrations of the same active ingredients<br />

found in the salon treatment, providing detoxification, rejuvenation <strong>and</strong> protection<br />

in between visits.<br />

‘The easy monthly maintenance programme is convenient for the patient <strong>and</strong><br />

easy to maintain <strong>and</strong> is also great for ongoing continuity of care for the therapist<br />

<strong>and</strong> clinic,’ says Dr Williams.<br />

‘Every patient should see the benefits from their very first HydraFacial. It<br />

instantly leaves the skin with a plump, well-hydrated healthy glow, visibly clear<br />

pores <strong>and</strong> irresistibly “soft to the touch” refined skin. The procedure is soothing,<br />

moisturising, non-irritating <strong>and</strong> immediately effective,’ she concludes. csbm<br />

The 5 steps<br />

Step 1<br />

Step 2<br />

Cleansing <strong>and</strong> Exfoliation<br />

Dead skin calls are removed to reveal healthy new skin<br />

Acid Peel<br />

This gentle peel helps loosen dirt <strong>and</strong> debris from pores without irritation<br />

Step 3<br />

Extractions<br />

Automated extractions use vortex suction to clean out pores<br />

Step 4<br />

Hydration<br />

Antioxidants <strong>and</strong> hyaluronic acid are vortex-fused to nourish <strong>and</strong> protect the skin<br />

Step 5<br />

Protection<br />

The HydraFacial Daily Essentials skincare helps maintain <strong>and</strong> protect results<br />

www.cosbeauty.com.au 85

skin<br />

The latest in<br />

Skin<br />

Renewal<br />

INFINI, A new technology clinically proven<br />

to increase collagen production in<br />

the skin, is now available at Skin Renu.<br />

Caitlin Bishop reports.<br />

Skin Renu laser <strong>and</strong> skin clinic in Balmain, Sydney has an all-encompassing<br />

approach to anti-ageing treatments. It provides patients with an<br />

individualised program of non-surgical facial rejuvenation treatments <strong>and</strong>,<br />

in keeping with its commitment to effective, minimally invasive therapies, has<br />

recently introduced the Infini system.<br />

The Infini system, produced by Lutronic, has been touted to achieve ‘3D<br />

volumisation’. It combines micro-needling <strong>and</strong> radiofrequency (RF) energy to<br />

promote collagen production, tighten skin <strong>and</strong> reduce the appearance of wrinkles<br />

<strong>and</strong> scars. The team at Skin Renu have been impressed with the results: patients<br />

are seeing a noticeable change in their skin with very little downtime.<br />

‘Only one week after the treatment, I started noticing a difference in my skin,’<br />

explains Sylvia, a member of the Skin Renu team who has personally undergone<br />

treatment with Infini. ‘I wasn’t expecting any change so soon, as I know Infini<br />

works by stimulating your body’s own collagen, which takes a while to kick in,<br />

<strong>and</strong> yet my skin looked <strong>and</strong> felt better sooner than anticipated.’<br />

‘I love wearing foundation, but since my treatment I haven’t needed it as my<br />

skin looks even <strong>and</strong> has a real radiance to it all on its own. I’m really happy with<br />

the results – all this with really minimal downtime as the mild redness is easily<br />

covered with regular makeup,’ she adds.<br />

The Infini harnesses the body’s natural healing processes to cause a<br />

change in the skin. It uses gold-plated micro-needles to deliver RF energy to<br />

specific layers in the dermis. This creates fractionated columns of coagulation –<br />

controlled thermal damage – generating a tightening effect. The thermal columns<br />

also trigger a healing response in the dermis to boost collagen production <strong>and</strong><br />

vascularity. This regeneration is a gradual process that leaves the skin healthier,<br />

tighter <strong>and</strong> more resilient in the weeks following treatment.<br />

The treatment is performed layer by layer, targeted at different points in the<br />

dermis. The practitioner controls the needle depth <strong>and</strong> energy levels depending<br />

on the patient’s needs <strong>and</strong> skin condition.<br />

86 www.cosbeauty.com.au

skin<br />

Infi ni treatment<br />

at Skin Renu<br />

The team of cosmetic doctors<br />

<strong>and</strong> nurses at Skin Renu use<br />

Infi ni to help treat the following<br />

patient concerns:<br />

Reduce the appearance<br />

of fi ne lines <strong>and</strong> wrinkles<br />

Tighten skin<br />

Minimise the appearance<br />

of enlarged pores<br />

Improve scarring, including<br />

acne scarring<br />

Restore skin tone<br />

Repair sun-damaged skin<br />

Lift the eye area for a<br />

rejuvenating effect<br />

The micro-needling element of Infi ni causes a fractionated regeneration in<br />

the epidermis, again prompting a healing response <strong>and</strong> improving the tone <strong>and</strong><br />

texture of the skin’s external layers. Importantly, there is no heat damage to the<br />

epidermis during treatment with Infi ni. The in-built cooling system protects the<br />

skin’s superfi cial layers <strong>and</strong> reduces the risk of hyperpigmentation.<br />

The level of discomfort during the procedure, as well as the downtime<br />

following treatment, varies between patients. Swelling, redness <strong>and</strong> sensitivity<br />

is usually experienced in the days after treatment <strong>and</strong>, in some cases, Infi ni will<br />

induce mild bruising, particularly under the eyes.<br />

To achieve the best results, a series of Infi ni treatments are usually performed<br />

with four to six weeks between sessions. Since introducing it to the clinic, the<br />

doctors <strong>and</strong> nurses at Skin Renu have received a very positive response from<br />

patients, who are rebooking <strong>and</strong> noticing real results.<br />

Results usually start to appear in the week following treatment, with improved<br />

texture <strong>and</strong> skin tone. The collagen production <strong>and</strong> improved skin integrity take<br />

a little longer to generate, <strong>and</strong> results will continue to improve for up to three<br />

months following treatment.<br />

For those looking to boost collagen production, revitalise skin health <strong>and</strong><br />

improve tone <strong>and</strong> texture, an Infi ni treatment at Skin Renu could be just the<br />

ticket. Patients can be assured of an individualised approach at Skin Renu,<br />

where Infi ni can be used as a st<strong>and</strong>-alone treatment or in conjunction with other<br />

modalities to achieve long-term anti-ageing results with minimal downtime <strong>and</strong><br />

without the need for surgery. csbm

skin<br />

Common<br />

skincare<br />

theories…<br />

BUSTED!<br />







Innovation in skincare technology has catapulted in the past few years. As a<br />

scientist <strong>and</strong> cosmetic chemist, I am truly fortunate to be working in the<br />

appearance medicine industry during these dynamic times. Each week I meet<br />

with raw ingredient suppliers <strong>and</strong> manufacturers to discuss the latest developments<br />

in cosmetic science <strong>and</strong> discuss how these ingredients can be harnessed to create<br />

novel <strong>and</strong> effective products.<br />

There are still many myths regarding ingredients <strong>and</strong> products that need to be<br />

addressed. Here are eight of the most common I hear.<br />

1. You must exfoliate daily – FALSE<br />

Not all skin types require daily exfoliation. Individuals with thickened, sun-damaged<br />

skin or acne sufferers may require daily exfoliation until their skin improves.<br />

However, excess exfoliation with home care AHAs <strong>and</strong> clinical peels can lead to<br />

dryness, skin irritation <strong>and</strong> even premature ageing.<br />

Most women over the age of 35 should only need to use a lactic acid-based<br />

exfoliant twice weekly. Glycolic acid is a smaller molecule <strong>and</strong> may be more irritating<br />

than lactic acid.<br />

2. Look for cleansers with active ingredients for different skin types – FALSE<br />

Cleansers are simply designed to remove surface grime <strong>and</strong> pollutants <strong>and</strong><br />

maintain a pH on the skin of around 5.5, without stripping the natural acid mantle<br />

on the skin.<br />

Since a cleanser is a wash-off product <strong>and</strong> only in contact with the skin surface for<br />

less than thirty seconds, adding active ingredients is not logical. Save your precious<br />

actives for products that remain on the skin <strong>and</strong> not in the drain!<br />

88 www.cosbeauty.com.au

skin<br />

3. Collagen in skincare products is great for the skin – FALSE<br />

Collagen is a large complex protein <strong>and</strong> is far too large to penetrate the surface<br />

stratum corneum. It’s like trying to fi t a tennis ball through a keyhole!<br />

Collagen is effective when it is in the deep dermis of the skin <strong>and</strong> effective actives<br />

(retinol, niacinamide, L-ascorbic acid, certain peptides) are designed to stimulate<br />

the skin’s own collagen production or prevent its breakdown. Products containing<br />

collagen molecules are a total waste of money.<br />

4. All Vitamin C serums are effective on the skin – FALSE<br />

Not all Vitamin C serums are created equal. According to leading US dermatologist<br />

Dr Sheldon Pinnell, the most effective form of Vitamin C is L-ascorbic acid. Vitamin<br />

C derivatives such as magnesium ascorbyl phosphate or ascorbyl palmitate do<br />

not have clinical White Paper data or skin penetration results to support effi cacy<br />

comparable to L-ascorbic acid.<br />

Furthermore, L-ascorbic acid is highly unstable in a water-based solution <strong>and</strong><br />

begins to lose potency within hours of formulating. Ideally, L-ascorbic acid powder<br />

should be mixed with a water-based serum at the time of application. Alternatively,<br />

new stabilised (anhydrous) L-ascorbic acid is now available in a light oil base. This<br />

water-free form is highly stable for two years <strong>and</strong> is better suited to dry <strong>and</strong> more<br />

sensitive skin.<br />

5. Niacinamide can be mixed with Vitamin C crystals or AHAs – FALSE<br />

Niacinamide (Vitamin B3) hydrolyses in acidic solutions containing ingredients such<br />

as L-ascorbic acid or chemical exfoliants (AHAs <strong>and</strong> BHAs). It is not advisable to<br />

apply Niacinamide serums at the same time as L-ascorbic acid, lactic, glycolic or<br />

salicylic-based products.<br />

6. AHAs such as lactic <strong>and</strong> glycolic acid can be formulated with retinol – FALSE<br />

World-renowned dermatologist Professor Leslie Baumann states that the topical<br />

vitamin A derivative, Retinol, should not be mixed with acids. Mixing acids, particularly<br />

chemical exfoliants, results in the chemical breakdown <strong>and</strong> resulting ineffectiveness<br />

of retinol. It is therefore recommended to use Retinol at the same time of day as<br />

Niacinamide <strong>and</strong> neither should be applied with acidic solutions.<br />

7. Nanoparticles are dangerous! – TRUE & FALSE<br />

A nanoparticle is merely term describing a particle that is less than 100 nanometers<br />

in diameter. A nanoparticle can be made of toxic arsenic or a life-saving drug. It’s<br />

not the nanoparticle that’s dangerous, but what the nanoparticle is actually made<br />

of. Incidentally, there is no conclusive evidence that zinc oxide nanoparticles<br />

in sunscreens are dangerous. So, if you are asked, ‘”does this product contain<br />

nanoparticles”, you should reply with, ‘What nanoparticle are you referring to?’.<br />

8. A moisturiser is the most important skincare product – FALSE<br />

The most important skincare product is sunscreen! Ultra violet protection prevents<br />

both the potential to develop skin cancer as well as the acceleration of premature<br />

ageing. Sunscreen is your primary insurance policy against environmental ageing.<br />

It is our responsibility as skin professionals to dispel the common skin care myths.<br />

My advice is to refer reputable information sources such as dermatological journals<br />

<strong>and</strong> texts written by industry professionals. The truth is out there. You just need to<br />

fi nd it! For more information visit www.synergieskin.com csbm<br />

www.cosbeauty.com.au 89

feature<br />

Nanoparticles:<br />

No<br />

small<br />

matter<br />

Nanoparticles are<br />

increasingly found<br />

in cosmetics <strong>and</strong><br />

sunscreens, yet their<br />

use has divided<br />

the health arena.<br />

Caitlin Bishop reports.<br />

Slip, slop, slap is a phrase most Australians are familiar with <strong>and</strong>,<br />

in a country with the highest rate of skin cancer in the world, it’s<br />

for good reason. However, in the hype surrounding sunscreen<br />

<strong>and</strong> its capacity to protect the skin against both cancers <strong>and</strong> premature<br />

ageing, an underlying debate has emerged. With concerns escalating<br />

over the potentially carcinogenic nanoparticles being used in sunscreen,<br />

some non-government organisations are warning certain cosmetics <strong>and</strong><br />

sunscreens could be doing more harm than good.<br />

In recent years, technological advances have resulted in a change in the<br />

way certain sunscreens <strong>and</strong> other cosmetics are made, with an increase<br />

in the use of titanium dioxide <strong>and</strong> zinc oxide mineral sunscreens. Some<br />

companies are using smaller particles of these minerals (nanoparticles)<br />

as they are thought to be more cosmetically appealing to consumers<br />

as they appear invisible on the skin. The inclusion of nanoparticles<br />

in sunscreens has spawned a fierce debate – with some arguing the<br />

microscopic particles could be putting our health at risk rather than<br />

protecting us from the dangers of the sun. Others, however, believe any<br />

evidence linking nanoparticles with adverse events is lacking, <strong>and</strong> the<br />

aesthetic benefits of nanoparticles of zinc oxide <strong>and</strong>/or titanium dioxide<br />

clearly outweigh any suggested risk.<br />

90 www.cosbeauty.com.au

feature<br />

The case against<br />

In 2006, eight non-government organisations in the US filed a petition<br />

with the US Food <strong>and</strong> Drug Administration (FDA). The paper called for<br />

action, urging the agency to ‘declare all current available sunscreen drug<br />

products containing engineered nanoparticles of zinc oxide <strong>and</strong> titanium<br />

dioxide as an imminent hazard to public health.’<br />

In Australia, a similar movement followed, with non-profit <strong>and</strong> nongovernment<br />

groups such as Friends of the Earth leading the way. Concern<br />

was fuelled when, in 2008, certain titanium dioxide particles were found<br />

to destroy the paint coating in Bluescope steel <strong>and</strong> Colourbond roofing.<br />

This was followed by research in 2010, which deemed titanium dioxide<br />

capable of destroying virtually any organic matter. Underst<strong>and</strong>ably, these<br />

findings led scientists to ponder the effects such destructive properties<br />

could have if the sunscreen particles were to breach the skin’s outer<br />

layers <strong>and</strong> impact live dermal cells.<br />

A study by Dai Tran <strong>and</strong> Robert Salmon, published in the Australasian<br />

Journal of Dermatology, explains that, while larger particles of titanium<br />

dioxide <strong>and</strong> zinc oxide work to reflect UV radiation in sunscreens,<br />

nanoparticles have the opposite effect. By absorbing UV radiation, as<br />

opposed to reflecting it, nanoparticles release ‘reactive oxygen species’<br />

into the skin, or free radicals with the capacity to alter the DNA in<br />

live cells.<br />

‘If we want to introduce new technology into sunblocks, the<br />

people that are attempting to do that, or the manufacturers, need to<br />

prove that they don’t cause problems,’ co-author Robert Salmon told<br />

the ABC. ‘I would want the labelling such that the people<br />

knew whether there were nanoparticles in these preparations or not<br />

so that the consumers could make some sort of informed choice<br />

by themselves.’<br />

Similarly, a paper by Friends of the Earth Australia <strong>and</strong> endorsed<br />

by the Public Health Association Australia, cites peer-reviewed articles<br />

in stating some nanoparticles in Australian sunscreens ‘aggressively<br />

produce free radicals that can damage DNA <strong>and</strong> skin cells.’<br />

Claiming the penetration of reactive nanoparticles into the skin could<br />

worsen the effect of sun damage, the paper criticises the lack of research<br />

into topical sunscreen penetration to the dermis, particularly in people<br />

with damaged skin, for example with eczema or acne. Finally, it calls<br />

upon the Australia Register of Therapeutic Goods (ARTG) to subject<br />

nanoparticle sunscreens to further scrutiny <strong>and</strong> assessment.<br />

www.cosbeauty.com.au 91

feature<br />

The current weight<br />

of evidence suggests<br />

nanoparticles such<br />

as titanium dioxide<br />

or zinc dioxide pose<br />

no risk to human<br />

health<br />

The case for<br />

Scientists on the other side of the nanoparticle debate continue to maintain<br />

sunscreen is essential in protecting the skin from UV damage <strong>and</strong> consider the<br />

SPF rating the most effective indication of sunscreen quality.<br />

An amalgamation of researchers from the German Center of Experimental<br />

<strong>and</strong> Applied Cutaneous Physiology, various L’Oreal Research <strong>and</strong> Development<br />

branches <strong>and</strong> the Department of Medicine at the University of Queensl<strong>and</strong><br />

simply state there is insufficient evidence to support the idea that nanoparticles<br />

in sunscreen are harmful to the skin <strong>and</strong> argue that most studies showing<br />

nanoparticle penetration are not based on human skin.<br />

‘Most available theoretical <strong>and</strong> experimental evidence suggests that insoluble<br />

nanoparticles do not penetrate into or through normal or compromised human<br />

skin,’ the report states. ‘Overall, the current weight of evidence suggests that<br />

nanomaterials such as titanium dioxide or zinc oxide nanoparticles pose no risk<br />

to human skin or human health.’<br />

A study by Cross, Innes, Roberts, Tsuzuki, Robertson <strong>and</strong> McCormick at the<br />

University of Queensl<strong>and</strong> found less than 0.03% of the topically applied zinc<br />

nanoparticles penetrate the epidermis, while an article published in the Journal<br />

of Nanoparticle Research relentlessly addresses <strong>and</strong> refutes a smorgasbord of<br />

claims by those parties against nanoparticles in sunscreen.<br />

In tackling the claim that titanium dioxide is a possible carcinogen for humans,<br />

Prof David Berube at North Carolina State University has a body of research<br />

that shows both orally <strong>and</strong> topically applied titanium dioxide does not induce<br />

any significant increase in tumour frequency. He also contests the notion<br />

that skin-damaging free radical formation is ‘propelled’ by titanium dioxide<br />

nanoparticles in sunscreens. While he concedes there is evidence to suggest<br />

certain nanoparticles can induce free radical formation in the presence of light,<br />

he claims this would only damage human DNA if the nanoparticles penetrated<br />

live skin cells. He says the evidence overwhelmingly suggests this penetration<br />

simply does not occur.<br />

The European Commission Scientific Committee on Consumer Safety (SCCS)<br />

study on nanoparticles of zinc oxide concluded: ‘In summary, it is concluded<br />

on the basis of available evidence that the use of ZnO nanoparticles with the<br />

characteristics as indicated below, at a concentration up to 25 percent as a UVfilter<br />

in sunscreens, can be considered not to pose a risk of adverse effects in<br />

humans after dermal application.’<br />

Consensus is clearly a way off <strong>and</strong>, until a definitive answer has been found<br />

as to the safety of nanoparticles, with no clear labelling currently dem<strong>and</strong>ed<br />

it seems awareness is key. It is also important to note that a nanoparticle is<br />

merely the diameter measurement of any particle (less than 100 nanometers).<br />

It is important to specify the type of nanoparticle as the evidence against one<br />

type of nanoparticle (eg titanium dioxide) may be totally different to the evidence<br />

regarding another (eg zinc oxide).<br />

In the short term, consumers will have to make up their own minds as to the<br />

benefit versus risk of nanoparticles. Yet as the height of summer approaches,<br />

sun protection – nanoparticles or no – should remain at the forefront of every<br />

Australian’s consciousness. csbm<br />

92 www.cosbeauty.com.au

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hair removal<br />

The<br />

French<br />

woman's<br />

beauty<br />

secret<br />

EFB's french technology<br />

delivers a breakthough in hair<br />

removal, providing permanent<br />

hair reduction for all hair<br />

colour <strong>and</strong> on all skin types.<br />

tara casey repoRTs.<br />

Four years ago, EFB introduced its first IPL devices<br />

to the Australian market, delighting thous<strong>and</strong>s of<br />

aestheticians <strong>and</strong> clients alike with quality, innovation<br />

<strong>and</strong> results. Since then, EFB has sought to satisfy <strong>and</strong> build<br />

a special relationship with their Australian clients.<br />

Customer satisfaction, safety <strong>and</strong> measurable results<br />

are what drives EFB, <strong>and</strong> the France-based company<br />

strives to constantly provide Australian clients with the<br />

latest technology. To this end, it has specifically adapted its<br />

IPL devices for the Australian market.<br />

The latest EFB innovation is the Rafale technology, which<br />

enables efficient <strong>and</strong> painless permanent hair reduction on<br />

all skin types, even darker skin <strong>and</strong> tanned skin.<br />

Thanks to years of extensive research to develop<br />

the Rafale technology <strong>and</strong> to determine the appropriate<br />

parameters, EFB has achieved a significant breakthrough<br />

in offering long-lasting hair removal treatment for everyone.<br />

Based on the continuous accumulation of energy, the<br />

Rafale technology provides a solution for clients formerly<br />

excluded from IPL treatments, <strong>and</strong> aestheticians can now<br />

treat clients with a suntan. Easy to use, rapid <strong>and</strong> with<br />

noticeable results, the Rafale technology is set to become<br />

the hair removal treatment of choice in Australia.<br />

94 www.cosbeauty.com.au

hair removal<br />

Distributed in Australia by Insight Aesthetics, the<br />

EFB Rafale technology is made <strong>and</strong> manufactured in<br />

France. In addition to working on all skin colours <strong>and</strong> hair<br />

colours, it can also treat different hair thickness – while<br />

ideal for medium to thick hair, it can also treat <strong>and</strong> remove<br />

very thin hair.<br />

BEFORE<br />

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AFTER EFB IPL hair removal<br />

AFTER EFB IPL skin tightening treatment<br />

AFTER EFP IPL hair removal<br />

AFTER EFB IPL acne treatment<br />

The EFB difference<br />

EFB IPL systems use unique technology developed<br />

specifically for blonde, white, red <strong>and</strong> grey hair removal – to<br />

be used on all skin colours. The IPL systems are unique in<br />

that they do not rely only on the hair pigment to absorb the<br />

light energy, meaning it can effectively target hair shades<br />

not so rich in melanin.<br />

During traditional dark hair photoepilation procedures, an<br />

applicator head that emits high intensity flashes of filtered<br />

light is placed on the treatment area. The energy from this<br />

light is absorbed by the chromophore melanin, which is<br />

responsible for hair pigment or colour. Dark hair, which is<br />

rich in melanin, readily absorbs this light <strong>and</strong> transfers it as<br />

heat into the surrounding capillaries, which supply blood to<br />

the papilla of growing hairs. When the papillae are destroyed<br />

in high temperatures, additional hair growth is prohibited.<br />

What makes the EFB IPL systems different is that the<br />

machines target the blood vessels at the bottom of the<br />

follicle directly, preventing the growth of blonde, grey, white<br />

<strong>and</strong> red hairs.<br />

EFB has now become synonymous around the world<br />

with blonde, red <strong>and</strong> white hair removal on the whole<br />

spectrum of skin colour, offering a much-needed solution<br />

to treating these traditionally difficult to remove hair colours<br />

<strong>and</strong> skin types. It can also safely <strong>and</strong> effectively treat darker<br />

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Rafale technology: the specs<br />

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photoepilation of sensitive skin, the light is delivered on<br />

a zone with a back, forth <strong>and</strong> back motion (three moves)<br />

to progressively increase the temperature of the hair<br />

bulbs <strong>and</strong> destroy them.<br />

As opposed to traditional IPL technology <strong>and</strong> lasers<br />

which typically warn against sun exposure four weeks<br />

before the treatment, with the Rafale technology sun<br />

exposure is no longer a contraindication <strong>and</strong> a treatment<br />

can be performed 48 hours after sun exposure.<br />

www.cosbeauty.com.au 95

tattoo removal<br />

a<br />

CLEAN<br />

slate<br />






Around 35 percent of ink-bearing Australians regret<br />

their decision to get a tattoo, according to CHOICE,<br />

the consumer watchdog in Australia. Thankfully, due<br />

to the rise <strong>and</strong> refi nement of tattoo removal technology, it is<br />

now possible to undo those decisions to help secure that<br />

promotion, start a new relationship or change the way you<br />

present to the world.<br />

Spectra XT Laser from Lutronic, distributed in Australia<br />

by Advanced Cosmeceuticals, is a permanent solution to<br />

tattoo removal. It uses laser energy to signifi cantly lighten<br />

or completely remove tattoo ink from the skin. Notably, this<br />

is achieved without any damage to the surrounding tissue.<br />


The Spectra XT Laser delivers short laser pulses to cause a<br />

thermal reaction in the skin. This energy is targeted at tattoo<br />

pigment, leaving the surrounding dermis <strong>and</strong> epidermis<br />

untouched. The heat from the laser light shatters the tattoo<br />

pigment into micro particles, which are eventually fl ushed<br />

from the site via the body’s natural processes.<br />

To help protect the surrounding skin, the Spectra XT<br />

Laser uses ultra short pulse widths, with a high peak power,<br />

to effi ciently remove ink pigments without causing thermal<br />

damage. The remaining healthy tissue helps boost recovery<br />

<strong>and</strong> improve skin condition following treatment.<br />

96 www.cosbeauty.com.au

tattoo removal<br />


The Spectra XT Laser has a range of wavelengths – 1064<br />

nanometers (nm), 532nm <strong>and</strong> 650nm – so different ink<br />

colours can be targeted with the laser.<br />

Traditionally, green <strong>and</strong> blue ink pigments have been<br />

very diffi cult to treat. However, according to a paper by<br />

laser specialist <strong>and</strong> president of the European Society<br />

of Aesthetic Plastic <strong>Surgery</strong> Dr Mario A. Trelles, Spectra<br />

XT’s 532nm wavelength can achieve signifi cant results in<br />

reducing red, green <strong>and</strong> brownish pigment.<br />


The number of Spectra XT Laser treatments required to<br />

achieve optimum results usually ranges between one <strong>and</strong><br />

10, depending on the size, positioning, depth <strong>and</strong> colour of<br />

each tattoo.<br />

Following a treatment, the body needs around four to<br />

eight weeks to fl ush the fragmented ink particles from the<br />

site, <strong>and</strong> patients should wait at least four weeks before<br />

undergoing the second treatment.<br />

Dr Trelles found the best results were achieved in the fi rst<br />

session, <strong>and</strong> recommended using higher energy doses in<br />

the initial treatment – particularly in dense areas of multiple<br />

colours – to achieve optimum results.<br />

Spectra XT uses laser energy<br />

to remove tattoo ink from the<br />

skin – without any damage to<br />

the surrounding tissue<br />

Each session usually takes 10 to 30 minutes, depending<br />

on the size of the tattoo. Some patients say they feel a<br />

stinging like sensation on the skin during treatment, <strong>and</strong><br />

opt to use a topical anaesthetic to increase comfort.<br />

Directly after treatment, the skin will display a whitish<br />

colour change in the treated area. Due to Spectra XT’s heat<br />

confi nement system – seen in the short pulses <strong>and</strong> high<br />

peak powers – there is minimal downtime <strong>and</strong> a low risk of<br />

complications with the Spectra XT Laser.<br />

Treatment is always individualised, <strong>and</strong> the different<br />

laser wavelengths are used to achieve the optimal result for<br />

each patient.<br />

For those looking to erase their tattoo to make room for a<br />

new tattoo or simply want to move on from a past decision,<br />

Spectra XT Laser can effectively <strong>and</strong> effi ciently clear tattoo<br />

ink without causing further damage. It uses high energies,<br />

in short pulses, to shatter tattoo pigment <strong>and</strong> leave the skin<br />

clear, undamaged <strong>and</strong> ink-free. csbm<br />

BEFORE<br />

BEFORE<br />

BEFORE<br />

BEFORE<br />

BEFORE<br />

AFTER Spectra XT Laser tattoo removal<br />

AFTER Spectra XT Laser tattoo removal<br />

AFTER Spectra XT Laser tattoo removal<br />

AFTER Spectra XT Laser tattoo removal<br />

AFTER Spectra XT Laser tattoo removal<br />

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feature<br />

Breast<br />

reshaping<br />

Whether it’s an augmentation, lift<br />

or reduction, breast surgery can<br />

create beautiful-looking breasts in<br />

any patient. Caitlin Bishop reports.<br />

98 www.cosbeauty.com.au

feature<br />

Breast surgery is about creating a beautiful shape <strong>and</strong> balancing the figure.<br />

No matter the patient’s age, body type, existing breast tissue <strong>and</strong> desired<br />

result, breast surgery – be it augmentation, a breast lift or reduction – is<br />

aimed at bringing the body more effectively into proportion <strong>and</strong> harmonising the<br />

interplay between breast volume, shape <strong>and</strong> contour.<br />

In every case, breast surgery is tailored to the individual patient, depending<br />

on their body type, expectations, concerns <strong>and</strong> existing breast anatomy. Here,<br />

we outline the three most popular surgical procedures to create beautiful-looking<br />

breasts in any type of patient.<br />

Breast augmentation<br />

Breast augmentation is one of the most popular cosmetic procedures across<br />

the globe. It uses implants to add volume to the breast <strong>and</strong> enhance the body’s<br />

contours. There is no ‘best’ breast implant type, size, shape, texture, location<br />

placement <strong>and</strong> incision site, <strong>and</strong> a thorough consultation is essential in tailoring<br />

the procedure to suit each patient’s natural body shape <strong>and</strong> expectations going<br />

into surgery.<br />

Breast implants are either filled with silicone gel (most common in Australia)<br />

or saline solution, <strong>and</strong> are typically produced in round <strong>and</strong> teardrop (anatomical)<br />

shapes. The texture of breast implants can be smooth, textured or covered in a<br />

polyurethane foam surface.<br />

Saline implants have a silicone outer shell that is filled with a medical-grade<br />

saltwater solution, which is completely biocompatible. Saline implants generally<br />

feel quite firm <strong>and</strong> can experience deflation or leakage problems. In comparison,<br />

silicone gel filled implants generally feel softer <strong>and</strong> more like natural breasts<br />

tissue. The silicone gel is cohesive, meaning it is pre-shaped <strong>and</strong> holds a lesser<br />

risk of leakage.<br />

The shape of implant can noticeably affect the final result in breast<br />

augmentation surgery. Round implants, depending on their fill, can give a defined<br />

round shape or assume more of a teardrop form when the patient is upright.<br />

They tend to provide more upper pole fullness than anatomical implants, which<br />

are fuller in the lower pole.<br />

Anatomical implants dem<strong>and</strong> a greater degree of accuracy in positioning <strong>and</strong><br />

if they shift after surgery, the shape of the breast may be distorted. They normally<br />

have a textured surface to avoid rotation. Teardrop implants can provide greater<br />

projection in proportion to the size of the base, making them particularly suitable<br />

for women with little natural breast tissue.<br />

The patient’s body shape <strong>and</strong> individual preferences are the main<br />

determinants of implant size. A thorough consultation process, where the patient<br />

is given implants to “try on” <strong>and</strong> shown several before <strong>and</strong> after photographs, is<br />

necessary in determining the most suitable implant volume.<br />

During the surgery, an incision is made either in the inframammary crease<br />

(below the breast), around the areolar or in the transaxillary position (under the<br />

arm pit). The incision location is usually dependant on the surgeon’s preference<br />

<strong>and</strong> the patient’s expectations regarding scarring. The implant is then placed<br />

either above (subgl<strong>and</strong>ular) or below (submuscular) the pectoralis muscle.<br />

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feature<br />

Implants placed above the muscle afford greater projection, but sufficient<br />

breast tissue is required to camouflage the implant edges. Implants placed<br />

in the submuscular pocket generally create a more natural-looking aesthetic<br />

result, however recovery can sometimes be longer <strong>and</strong> involve greater<br />

postoperative discomfort.<br />

In the days following breast surgery, the chest might feel tight <strong>and</strong><br />

uncomfortable while the breasts are likely to be high, swollen <strong>and</strong> firm to touch.<br />

The dressings are generally removed a few days after surgery <strong>and</strong> wearing a<br />

compression surgical bra is often recommended during the healing period.<br />

Bruising should fade within a week or so, <strong>and</strong> the stitches are also removed<br />

in this period. Usually, women can return to an office-based after three to five<br />

days, though it is best to wait one or two weeks for more physical activities.<br />

The breasts will usually remain sensitive for a few weeks after the operation.<br />

Scars should begin to fade significantly after a few months. In this period, the<br />

swelling should gradually subside <strong>and</strong> the breasts will typically become lower,<br />

look smaller <strong>and</strong> feel softer.<br />

A natural part of<br />

the female ageing<br />

process is sagging<br />

of the breasts.<br />

Women who have<br />

breastfed or lost<br />

significant weight<br />

can also experience<br />

breast droop<br />

Breast lift<br />

A natural part of the female ageing process is sagging of the breasts. Women<br />

who have breast fed or experienced extreme weight loss can also experience<br />

breast droop. If it causes concern, mastopexy – commonly known as a breast<br />

lift – restores height, volume <strong>and</strong> shape to the breast. Implants may also be used<br />

in conjunction with this procedure to achieve the desired result.<br />

Mastopexy is designed to lift the breasts by removing excess skin, creating<br />

a more youthful contour. The appropriate technique <strong>and</strong> incision pattern is<br />

determined according to the size, shape <strong>and</strong> degree of sagging of the breast,<br />

as well as the position <strong>and</strong> size of the areola (outer nipple). The incision is most<br />

commonly made either around the areola; around the areola <strong>and</strong> then vertically<br />

down the breast; or around the areola, vertically down the breast <strong>and</strong> horizontally<br />

along the breast crease.<br />

Once the incision has been made, the excess skin is removed <strong>and</strong> the nipple<br />

<strong>and</strong> areola are repositioned to create a more pert <strong>and</strong> youthful-looking shape.<br />

During a breast lift, the nipple will be lifted <strong>and</strong> reshaped to appear smaller,<br />

rounder <strong>and</strong> more in proportion with the new breast. The skin that surrounds the<br />

areola is brought together to contour <strong>and</strong> reshape the breast.<br />

The procedure generally takes two to three hours under general anaesthetic<br />

or intravenous sedation <strong>and</strong> is usually performed on an outpatient basis.<br />

A surgical support bra or elastic b<strong>and</strong>age is worn post-surgery to minimise<br />

swelling <strong>and</strong> stabilise the new breast shape during the healing period. It is<br />

common for some patients to lose sensation <strong>and</strong> some feeling in the nipple or<br />

breast for a period of time. Most patients are advised to take a week off work <strong>and</strong><br />

not engage in strenuous activities for three to four weeks.<br />

Over time, post-surgical swelling will resolve <strong>and</strong> scars will fade. Some of the<br />

incision lines are concealed in the natural breast contours; however, others are<br />

visible on the breast surface. Incision lines are permanent, but in most cases will<br />

fade <strong>and</strong> significantly improve over time.<br />

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feature<br />

Breast reduction<br />

Breast reduction (or reduction mammoplasty) is a surgical procedure to reduce, lift<br />

<strong>and</strong> reshape the breast. The procedure is aimed at removing excessive breast <strong>and</strong><br />

fatty tissue, leaving an overall smaller <strong>and</strong> better-shaped breast. It relieves symptoms<br />

caused by very large breasts, including back <strong>and</strong> neck pain, breast tenderness,<br />

shoulder grooving (from bra straps), intertrigo (rash between folds of skin) <strong>and</strong><br />

discomfort in everyday activities.<br />

Many breast reduction procedures call for just one vertical incision around the<br />

areola down to the breast crease <strong>and</strong>, in some cases, along the crease as well. A<br />

portion of fat <strong>and</strong> excess tissue is then removed. The nipple <strong>and</strong> areola are then<br />

repositioned <strong>and</strong> the skin under the breast is re-sculpted. This results in smaller<br />

breasts that have a more aesthetically pleasing shape <strong>and</strong> improved support, lift <strong>and</strong><br />

overall fullness.<br />

Breast reduction surgery is performed under a general anaesthetic, lasting around<br />

two to four hours, with a normal hospital stay of one to three nights.<br />

The breasts will be b<strong>and</strong>aged for support for a few days post procedure. A<br />

surgical bra will then need to be worn for at least one to two weeks after surgery<br />

while the swelling <strong>and</strong> bruising subside.<br />

Most patients can expect to be off work one to two weeks, <strong>and</strong> strenuous activity<br />

should be avoided for four to six weeks. The resulting scar can be seen from around<br />

the nipple down to the breast crease in a vertical line, <strong>and</strong> gradually fades over 12<br />

to 18 months. This scar generally takes longer than other types to settle. The final<br />

breast shape is evident after around three months as the breasts relax into their new<br />

shape <strong>and</strong> any residual swelling has resolved. csbm<br />

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easts<br />

The perfect<br />

fit for you<br />





One of the critical decisions to be made when<br />

considering breast augmentation is not just the cup<br />

size but also the degree of fullness in the upper part<br />

of the breast.<br />

Plastic surgeon Dr Steven Liew (FRACS) says as<br />

surgical procedures <strong>and</strong> implant types have become<br />

more advanced over the past decade, a good surgeon<br />

can effectively customise a breast shape to match the<br />

requirements of patients.<br />

Dr Liew says patients, too, are more sophisticated in<br />

their approach to breast augmentation. Where previously<br />

they were focussed almost entirely on breast size, most<br />

patients are now more aware of the fi ner aesthetics involved<br />

– such as the degree of perkiness <strong>and</strong> breast fullness in the<br />

upper chest – in producing their perfect breast shape.<br />

The three types of upper breast fullness include:<br />

• A gentle slope from the chest to the nipple – almost a<br />

straight line<br />

• A gentle curve with moderate degree of fullness<br />

• A very full convex curve – the so-called Wonderbra look.<br />

‘Breast augmentation is such a personal decision,’<br />

says Dr Liew, ‘<strong>and</strong> surgeons need to take time <strong>and</strong> care to<br />

work with each patient – including family members where<br />

requested – to ensure they underst<strong>and</strong> the physical <strong>and</strong><br />

emotional impacts involved.’<br />

‘Different body types, personality <strong>and</strong> the kind of<br />

clothes you like to wear are all factors to be considered to<br />

ensure your new breast shape is the perfect fi t for you,’ Dr<br />

Liew concludes. csbm<br />

Actual patient of Dr Liew<br />

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easts<br />

Natural-looking breasts of different sizes, with a gentle slope from the chest<br />

to the nipple – almost a straight line – to fit the patients’ requirements<br />

1<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

2<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

3<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

www.cosbeauty.com.au 103

easts<br />

Natural-looking breasts of different sizes with a gentle curve to the upper pole<br />

<strong>and</strong> moderate degree of fullness to fit the patients’ requirements<br />

1<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

2<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

3<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

104 www.cosbeauty.com.au

easts<br />

Natural-looking breasts of different sizes with significant convex curve to the upper<br />

pole, the so-called ‘pushup bra’ look to fit the patients’ requirements<br />

1<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

2<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

3<br />

BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew<br />

www.cosbeauty.com.au 105

easts<br />

Treating<br />

tuberous<br />

breasts<br />

Dr John Flynn from<br />

queensl<strong>and</strong> says<br />

the appearance of<br />

tuberous breast<br />

defoRmity can be<br />

improved with breast<br />

augmentation. Caitlin<br />

Bishop reports.<br />

Breast augmentation enhances natural curves <strong>and</strong> aesthetically reshapes<br />

the breast, but implants can also be used to correct abnormalities in<br />

breast tissue <strong>and</strong> counter irregularities in breast development.<br />

Dr John Flynn from Queensl<strong>and</strong> sees a number of patients with tuberous<br />

breasts, otherwise called constricted breasts, which is a medical condition that<br />

causes the breasts to appear tight <strong>and</strong> widely spaced. With the right surgical<br />

technique, breast augmentation can improve the appearance of tuberous<br />

breasts <strong>and</strong> restore balance to the body’s contours.<br />

Dr Flynn explains tuberous breasts are caused by stymied development <strong>and</strong> a<br />

high degree of fibrous tissue in the breast. This means the natural breast is small<br />

<strong>and</strong> constricted with tight, fibrous tissue.<br />

‘Tuberous breasts affect the anatomy of the breasts <strong>and</strong> calls for a different<br />

surgical approach in breast augmentation,’ Dr Flynn explains. ‘In less severe<br />

cases, patients approach me seeking breast augmentation <strong>and</strong> can be unaware<br />

that they even have the condition. A thorough consultation is necessary to<br />

diagnose the condition <strong>and</strong> establish the best surgical plan.’<br />

A common side effect of tuberous breasts is low volume, <strong>and</strong> for this reason<br />

an implant is always needed. Dr Flynn creates an artificial pocket in the breast<br />

tissue, <strong>and</strong> selects the implant volume according to the patient’s existing tissue,<br />

as well as their concerns <strong>and</strong> expectations.<br />

106 www.cosbeauty.com.au

easts<br />

Case study<br />

‘In order to insert an implant, the fibrous pocked needs to be opened <strong>and</strong><br />

an artificial pocket in the breast tissue needs to be created,’ Dr Flynn explains.<br />

‘A number of incisions are made on the outside of the fibrous bundle to create<br />

“pleats” <strong>and</strong> exp<strong>and</strong> the space.’<br />

In its most severe form, the tuberous abnormality is seen in all the quadrants<br />

of the breast but there can be different varieties of the condition. For example,<br />

constriction can occur only in the lower portion of the breast, while the top is fully<br />

developed. Similarly, there can be differences between the two breasts – one<br />

breast may be fully constricted, <strong>and</strong> the other normally developed.<br />

‘The surgery is a balancing act, especially when there is unevenness between<br />

the breasts, or within one breast,’ Dr Flynn explains. ‘For example, when the<br />

constriction is only in the lower segment, the surgeon must create an even<br />

balance between the upper <strong>and</strong> lower poles of the breasts. If the condition is<br />

different between both breasts then it becomes about balancing the two.’<br />

Dr Flynn often sees revision patients with tuberous breasts. If the previous<br />

surgeon has been unaware of the condition, <strong>and</strong> fails to address the extra fibrous<br />

tissue, the end results will be unbalanced <strong>and</strong> the implants won’t settle in their<br />

intended position.<br />

The final result of breast augmentation in patients with tuberous breasts can<br />

be quite different than in those patients with naturally formed breast tissue.<br />

‘Because tuberous breasts are tighter <strong>and</strong> more fibrous, there is often not a huge<br />

capacity for great volume,’ Dr Flynn explains. ‘Directly after the augmentation,<br />

the breasts might appear quite tight <strong>and</strong> straight, however this will improve<br />

with time.’<br />

Because the surgery involves disrupting gl<strong>and</strong>ular breast tissue – as opposed<br />

to operating beneath this in regular augmentation surgeries, the recovery period<br />

can be slightly longer for augmentation patients who have tuberous breasts.<br />

There can also be more bruising <strong>and</strong> tenderness post-procedure.<br />

‘It is important to remember that tuberous breasts is a medical condition,’<br />

says Dr Flynn. ‘It is essential that patients with tuberous breasts consult a<br />

skilled surgeon with experience in treating the condition. A unique technique<br />

is required to open the fibrous breast tissue, create an implant pocket <strong>and</strong><br />

produce a balanced, aesthetically-pleasing result. While more complex than a<br />

straightforward augmentation, it can achieve very satisfactory results.’ csbm<br />

BEFORE<br />

AFTER breast augmentation by Dr Flynn<br />

BEFORE<br />

AFTER breast augmentation by Dr Flynn<br />

Severe tuberous breast deformity. Note the tubular “torpedo” like appearance <strong>and</strong> a very restricted base. This presents significant challenges in creating enough space to place the implant <strong>and</strong> to<br />

exp<strong>and</strong> the breast tissue <strong>and</strong> skin envelope to adequately accept the larger volume.<br />

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ody<br />

Fat<br />

reduction<br />

surgical &<br />

non-surgical<br />

we investigate the<br />

latest options for<br />

removing fat <strong>and</strong><br />

beautifying the body.<br />

Caitlin Bishop reports.<br />

Body contouring remains one of the<br />

most popular fields in cosmetic<br />

surgery. There are several surgical<br />

<strong>and</strong> non-surgical options for reducing fat<br />

volume, removing stubborn pockets of<br />

fatty tissue <strong>and</strong> streamlining your overall<br />

body shape.<br />

Over time, tried <strong>and</strong> tested procedures<br />

such as liposuction have become more<br />

refined <strong>and</strong> new, minimally invasive<br />

devices have been introduced to the<br />

market. Here, we guide you through the<br />

essentials in body contouring <strong>and</strong> outline<br />

the most popular procedures to create a<br />

slimmer, more balanced silhouette.<br />

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ody<br />

Surgical<br />

Liposuction<br />

Nearly 40 years since it was first performed, liposuction remains the gold<br />

st<strong>and</strong>ard for fat removal for those looking to rid themselves of localised pockets<br />

of fat. Liposuction is the best cosmetic option to remove large volumes of fat,<br />

using one of three surgical techniques: suction-assisted liposuction, the syringe<br />

technique <strong>and</strong> energy-assisted liposuction.<br />

Suction assisted liposuction is where the surgeon removes the target fat<br />

using a small, hollow tube (cannula) connected to a vacuum pressure unit. The<br />

surgeon directs the cannula through tiny incisions into areas to be suctioned,<br />

moving the cannula backwards <strong>and</strong> forwards to break up the fat as it is removed.<br />

Because the surgeon has to manually dislodge the fat, this technique can be<br />

time-consuming <strong>and</strong> typically requires the patient to be under general anaesthetic<br />

during the operation.<br />

Alternatively, the syringe method uses a syringe instead of a machine to<br />

aspirate the fat. This technique is typically employed if the patient has opted<br />

for fat to be reinjected into another area, such as the face, for volumisation<br />

purposes. Many doctors believe the syringe technique is more precise than<br />

machine-assisted suction <strong>and</strong> helps prevent extracting too much fat. However, it<br />

is not as suitable as other techniques for large-scale fat removal.<br />

Recent advancements in liposuction surgery have seen the advent of different<br />

energy sources being used to assist in dissolving <strong>and</strong> removing fat. These<br />

techniques include ultrasound-assisted liposuction, radiofrequency-assisted<br />

liposuction <strong>and</strong> laser-assisted liposuction <strong>and</strong> water-assisted liposuction.<br />

The role of the energy is to dislodge <strong>and</strong> break up the fat so it can be removed<br />

easily in an almost liquefied form. Reports of additional benefits such as a degree<br />

of skin tightening <strong>and</strong> reduced recovery time have been associated with different<br />

energy-based devices, however each technology can produce effective results<br />

in the h<strong>and</strong>s of a skilled surgeon.<br />

Doctors are increasingly using energy-assisted liposuction techniques for the<br />

reduced recovery time <strong>and</strong>, in some cases, their ability to target more superficial<br />

fat layers underneath the skin. Even though the recovery period is typically<br />

less than with traditional liposuction methods, patients should still expect to<br />

experience bruising, swelling <strong>and</strong> in some cases residual bleeding from the<br />

incision points post-procedure.<br />

Liposuction in any form should not be considered an alternative to losing<br />

weight through diet <strong>and</strong> exercise. However, it may be a viable option for men <strong>and</strong><br />

women who want to reduce bulges of fat that have resisted dieting <strong>and</strong> exercise.<br />

The ideal liposuction c<strong>and</strong>idate is at or near their ideal weight, exhibits healthy<br />

skin elasticity <strong>and</strong> is seeking reduction of diet-resistant localised pockets of fat.<br />

Common sites include the hips, outer <strong>and</strong> inner thighs, abdomen, lower back,<br />

knees <strong>and</strong> neck.<br />

In some more extreme cases, a body lift procedure may be performed in<br />

conjunction with liposuction to remove excess skin <strong>and</strong> help the skin conform<br />

to the body’s new contours. It should also be noted that liposuction does not<br />

improve the appearance of cellulite or stretch marks, as these concerns are not<br />

related to fat accumulation beneath the skin.<br />

Depending on the size <strong>and</strong> number of areas being treated, as well as<br />

the technique employed by the doctor, the procedure usually lasts around one<br />

to three hours. After surgery, patients commonly experience swelling <strong>and</strong><br />

bruising, with most patients reporting mild soreness <strong>and</strong> numbness in the days<br />

following treatment.<br />

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ody<br />


While liposuction surgery offers a predictable method of removing fat deposits,<br />

non-surgical body contouring provides an option for those who don’t want<br />

invasive surgery <strong>and</strong> its associated risks <strong>and</strong> recovery time.<br />

Although non-surgical body contouring devices offer an effective means for<br />

achieving a more streamlined body shape – commonly targeting treatment areas<br />

such as the abdomen <strong>and</strong> thighs – it’s worth remembering that no non-surgical<br />

device can achieve the level of fat removal possible with liposuction.<br />

A key difference between liposuction <strong>and</strong> non-surgical body contouring<br />

devices is the number of procedures required. Most non-surgical devices require<br />

a minimum of three treatments in order to achieve optimal results, <strong>and</strong> often it<br />

can take longer before those results are seen, as the fat cells take time to be<br />

flushed out through the body’s usual metabolic processes.<br />

Usually, anaesthesia isn’t required for non-surgical body contouring <strong>and</strong><br />

treatments are performed in an in-office setting. There is normally no downtime,<br />

minimal patient discomfort, <strong>and</strong> complications are rare. In conjunction with a<br />

healthy diet <strong>and</strong> exercise regime, results should be long lasting because, just as<br />

with liposuction, when fat cells are permanently destroyed they will not return.<br />

As developments in non-surgical body contouring continue, it’s easy to<br />

become confused by the wide range of devices <strong>and</strong> technologies on offer.<br />

Most devices harness some form of energy – be it radiofrequency, ultrasound<br />

or freezing temperatures – to penetrate the skin <strong>and</strong> break down underlying fat.<br />

Here, we summarise the main technologies that underpin the most popular nonsurgical<br />

body contouring devices available in Australia.<br />

Radiofrequency body contouring<br />

This non-surgical treatment uses radiofrequency (RF) energy to reduce pockets<br />

of fat. The energy is emitted via an applicator through the skin without damaging<br />

the outer layers, only targeting the underlying fat <strong>and</strong> tissues.<br />

Treatment typically takes about one hour <strong>and</strong> patients generally experience<br />

a warm to hot sensation around the target area during the procedure. The heat<br />

generated from the RF energy causes microscopic changes to tissues <strong>and</strong><br />

collagen fibres, with further collagen remodelling occurring over the subsequent<br />

months following the procedure. The broken down fat cells are drained via the<br />

lymphatic system <strong>and</strong> then excreted as urine.<br />

Localised fatty deposits such as on the abdomen, hips <strong>and</strong> thighs are most<br />

suited to RF body contouring treatments, with patients also noting a reduction<br />

in the appearance of cellulite. Temporary side effects may include temporary<br />

swelling, redness or bruising around the treated area, which normally disappear<br />

after a week or so.<br />

Depending on the device being used, results can be observed after a<br />

single treatment, although a series of treatments is usually recommended<br />

for significant results. The patient will gradually notice changes such as<br />

circumferential reduction of the treated area, a reduction in cellulite <strong>and</strong> a more<br />

streamlined body shape.<br />

110 www.cosbeauty.com.au

ody<br />

Most non-surgical body contouring<br />

treatments harness some form of<br />

energy – be it radiofrequency or<br />

ultrasound – to penetrate the skin<br />

<strong>and</strong> break down underlying fat<br />

Ultrasonic body contouring<br />

Ultrasonic body contouring treatments use targeted ultrasound frequencies to<br />

break down fat, particularly on the abdomen, hips, thighs <strong>and</strong> ‘love h<strong>and</strong>les’.<br />

The best c<strong>and</strong>idates are close to their ideal weight but have stubborn areas of<br />

localised fatty deposits that do not respond to changes in diet <strong>and</strong> exercise.<br />

The focused ultrasound waves are delivered in short bursts of energy, or<br />

pulses, to destroy fat cells while leaving surrounding tissue, nerves <strong>and</strong> blood<br />

vessels unaffected. The ultrasound waves create a cavitation effect in the<br />

target fat cells – a process where the fat cell membranes are damaged with<br />

each pulse of energy so that the contents of the fat cells (triglycerides) are<br />

dispersed <strong>and</strong> processed by the body. The fat cell contents are then flushed<br />

out by the body’s lymphatic system.<br />

Generally, a series of treatments per area achieves noticeable, measurable<br />

results, although some patients note a circumferential reduction in the area<br />

after the first treatment. It can take around four weeks for final results to be<br />

visible as the body gradually eliminates the fatty debris.<br />

Cryolipolysis<br />

Cryolipolysis uses almost-freezing temperatures to kill fat cells without<br />

traumatising the surrounding tissues or harming the skin. The treatment is<br />

most suited to patients of average weight with pockets of fat which don’t<br />

respond to diet or exercise.<br />

A gel drape is placed onto the target area to protect the skin before<br />

the applicator head is placed onto the fat pocket, where it remains for<br />

approximately one hour. The applicator acts like a vacuum to suck the area<br />

into position <strong>and</strong> direct the cold temperature to the target fat cells under<br />

the skin.<br />

Patients experience a gradual cooling sensation, similar to placing the<br />

area in iced water, but this subsides as the body gets used to the change.<br />

The initial suction may be uncomfortable depending on the laxity of the skin,<br />

but any discomfort usually subsides about 10 minutes into treatment. Post<br />

treatment, the target area feels stiff <strong>and</strong> cold, appearing squarish as if still<br />

moulded to the inside of the applicator. This can look strange immediately<br />

after the treatment, but it subsides after about 30 minutes as the skin <strong>and</strong><br />

underlying tissues soften back to room temperature.<br />

Generally, at least two to three treatments are recommended. The results<br />

of cryolipolysis take at least a couple of months to appear, depending on the<br />

size of the area treated. csbm<br />

www.cosbeauty.com.au 111

genital<br />

It’s time<br />

to talk<br />

Adelaide pelvic reconstructive<br />

surgeon Dr Oseka Onuma<br />

explains how genital surgery<br />

helps ease discomfort <strong>and</strong> restore<br />

self-esteem in his patients.<br />

Caitlin Bishop reports.<br />

Genital surgery – whether it’s sought for rejuvenation<br />

purposes or to counter discomfort – can go a long way<br />

in boosting a woman’s self-esteem <strong>and</strong> enhancing her<br />

inner confidence.<br />

Sexual health holds a massive influence over mental health<br />

<strong>and</strong> psychological wellbeing. Even though it is not so openly<br />

discussed in mainstream media or even between friends,<br />

genital surgery can help alleviate pain <strong>and</strong> improve quality of<br />

life for many women.<br />

Adelaide pelvic reconstructive surgeon Dr Oseka Onuma<br />

believes vaginal rejuvenation has been misrepresented in<br />

mainstream media <strong>and</strong>, because of this, women receive<br />

little support in making a decision that is necessary to ease<br />

discomfort or improve self-confidence.<br />

‘The number of women patronised by mainstream media<br />

<strong>and</strong> even by some members of the medical community when<br />

seeking help is disappointing,’ Dr Onuma explains. ‘The majority<br />

of my patients seeking vaginal rejuvenation are not motivated<br />

by the aesthetic, but a growing dislike of pain during intercourse<br />

or discomfort when participating in everyday activities.’<br />

Unfortunately, when it comes to genital <strong>and</strong> sexual health,<br />

the differences between women <strong>and</strong> any potential concerns<br />

can be shrouded in a blanket of taboo. For this reason, some<br />

women aren’t aware of the options available <strong>and</strong> there is often<br />

a limited underst<strong>and</strong>ing of what is “normal” <strong>and</strong> what is not.<br />

‘Some women live with the discomfort of oversized labia<br />

for many years <strong>and</strong>, often, when they come to see me for a<br />

labiaplasty, they have only recently become aware they can<br />

have something done to improve the situation,’ Dr Onuma<br />

112 www.cosbeauty.com.au

explains. ‘The only comment that can be made with any<br />

certainty about the size <strong>and</strong> shape of the labia is that they<br />

are all very different.’<br />

As well as affecting vaginal aesthetics, oversized,<br />

enlarged or asymmetrical labia minora can cause<br />

discomfort during sex <strong>and</strong> activities such as bike riding.<br />

It can also cause irritation <strong>and</strong> discomfort when wearing<br />

certain clothes, for example swimwear, tights or jeans.<br />

‘Each patient will have different motivations, concerns<br />

<strong>and</strong> expectations in seeking genital surgery,’ Dr Onuma<br />

explains. ‘It is important to listen to the concerns of<br />

the individual patient, assess them with appropriate<br />

examinations <strong>and</strong> offer a series of potential solutions.’<br />

The growing public awareness around genital surgery<br />

has caused an increased dem<strong>and</strong> for vaginal rejuvenation<br />

surgeries. Dr Onuma hopes that alongside this growing<br />

acceptance there will be an adjustment in how genital<br />

surgery is perceived. ‘Genital surgery can increase a<br />

woman’s confidence in herself <strong>and</strong> her relationships,’<br />

he says. ‘Women may not find it easy to talk to stranger,<br />

doctors or friends about a loose vagina, labial discomfort or<br />

lack of vaginal sensation but these issues need to be raised<br />

<strong>and</strong> explored in order to provide the options for improving<br />

quality of life.’ csbm<br />

feature<br />

Laser Vaginal<br />

Rejuvenation TM<br />


• Aesthetic <strong>and</strong> functional<br />

labial surgery<br />

• Curing urinary incontinence<br />

• Restoring pelvic support<br />

• Enhancing sexual gratification<br />

• Resolving menstrual dysfunction<br />


To empower women<br />

with knowledge, choice<br />

<strong>and</strong> alternatives<br />

Treating urinary<br />

incontinence<br />

Female stress urinary incontinence is usually caused<br />

by an improperly functioning urethra. The surrounding<br />

muscles <strong>and</strong> pelvic tissue are generally weakened,<br />

meaning the urethra doesn’t maintain a tight seal<br />

during exercise or other movements such as coughing<br />

or laughing, <strong>and</strong> urine invariably escapes.<br />

The tensionless vaginal tape, or TVT sling, is a<br />

minimally invasive procedure during which a Prolene<br />

tape sling is inserted to correct stress urinary<br />

incontinence.<br />

The mesh is inserted through the vagina <strong>and</strong><br />

positioned underneath the urethra, creating a<br />

supportive sling. Notably, this is held in place by<br />

surrounding tissues rather than sutured into position.<br />

During movement or exercise, the mesh supports the<br />

urethra, allowing it to maintain its seal <strong>and</strong> prevent<br />

urine loss.<br />

‘Today, women are less willing to accept changes<br />

in genital anatomy resulting from pregnancy childbirth<br />

<strong>and</strong> ageing,’ Dr Onuma explains. ‘With various<br />

surgical <strong>and</strong> non-surgical techniques, there is a<br />

range of options available to address, <strong>and</strong> hopefully<br />

resolve, these problems. Taking action <strong>and</strong> seeking<br />

intervention can help restore self-image, enhance<br />

self-esteem <strong>and</strong> improve quality of life.’<br />

Dr Oseka Onuma<br />



Gynaecologist &<br />

Pelvic Reconstructive Surgeon<br />

Laser Vaginal Rejuvenation<br />

Institute of Adelaide<br />

Robe Terrace Specialist Centre Suite<br />

4 Robe Terrace, Medindie<br />

South Australia 5081<br />

Phone 08 8344 6085<br />

Facsimile 08 8344 6087<br />

Email rooms@dronuma.com<br />

www.dronuma.com<br />

www.cosbeauty.com.au 113

genital<br />

Vaginal<br />

tightening<br />

without<br />

surgery<br />

114 www.cosbeauty.com.au

genital<br />

MonaLisa Touch looks set to become the new st<strong>and</strong>ard of care in<br />

treating gynaecological concerns <strong>and</strong> restoring vaginal tissue –<br />

no surgery required. Caitlin Bishop reports.<br />

MonaLisa Touch, distributed in Australia by<br />

High Tech Laser, is a new non-surgical way to<br />

treat vaginal atrophy – a condition that causes<br />

symptoms including incontinence, poor lubrication, itching,<br />

dryness <strong>and</strong> pain during intercourse. MonaLisa Touch can<br />

also be used for aesthetic purposes, to counter the effects<br />

of ageing <strong>and</strong> achieve a rejuvenating effect by restoring<br />

vaginal tissue.<br />

‘MonaLisa Touch has been developed to help patients<br />

suffering from symptoms such as urinary incontinence,<br />

painful intercourse, dryness, itchiness, burning, vulval <strong>and</strong><br />

vaginal pain, prolapse <strong>and</strong> laxity or looseness,’ explains<br />

Dr Fariba Behnia-Willison, a gynaecologist from South<br />

Australia. ‘These symptoms are part of a common condition<br />

known as vaginal atrophy. Additionally, because of how the<br />

treatment works, it can be used for vaginal rejuvenation.’<br />

The versatility of MonaLisa Touch stems from the<br />

technology it uses to improve the genital mucosa <strong>and</strong><br />

restore proper function in the treatment area. Using<br />

fractional laser light, the MonaLisa Touch probe – which is<br />

inserted into the vagina – delivers thermal energy into the<br />

deeper layers of the vaginal tissue.<br />

This kick-starts the body’s natural processes to increase<br />

blood flow <strong>and</strong> stimulate the formation of collagen, which<br />

improves the integrity <strong>and</strong> elasticity of the genital mucosa.<br />

This can be effective in alleviating vaginal pain in those<br />

patients experiencing gynaecological problems or vaginal<br />

atrophy, or in simply tightening the vaginal walls for a<br />

rejuvenating effect.<br />

‘To put it in simple terms, the MonaLisa Touch procedure<br />

stimulates the body’s natural processes,’ Dr Behnia-Willison<br />

explains. ‘It creates more hydrated <strong>and</strong> healthy cells which<br />

help to increase vascularisation, hydration <strong>and</strong> acidity,<br />

which are important components of vaginal health.’<br />

According to Dr Behnia-Willison, a treatment to<br />

improve vaginal function is sought by a significant number<br />

of patients, of many different ages. ‘Although many of<br />

my patients are going through menopause or are postmenopausal,<br />

there are also many younger women suffering<br />

from similar symptoms,’ she says. ‘I have found the<br />

treatment particularly effective for women who find it painful<br />

to have sexual intercourse.’<br />

MonaLisa Touch delivers thermal heating at<br />

specific depths in the tissue to achieve an optimum,<br />

targeted result. Also, the fractionated effect means there<br />

are areas of untouched tissue left between laser columns.<br />

This healthy tissue helps promote healing <strong>and</strong> reduce<br />

downtime after treatment.<br />

‘The advantage of the MonaLisa Touch procedure, for<br />

both results <strong>and</strong> safety, is that it uses a fractionated CO 2<br />

laser, which means the heat is deposited at the ideal<br />

depth in the tissue,’ Dr Behnia-Willison explains. ‘And<br />

because it is a fractional laser treatment it leaves most of<br />

the superficial layer untouched, which is important from a<br />

safety perspective.’<br />

My patients have noticed a<br />

significant improvement following<br />

MonaLisa Touch – some even<br />

describing it as life changing<br />

The treatment is non-invasive <strong>and</strong> no anaesthesia is<br />

required. Often a series of treatments is recommended<br />

for best results. ‘MonaLisa Touch is a straightforward <strong>and</strong><br />

simple procedure. It involves a probe being placed inside<br />

the vagina <strong>and</strong> the fractionated CO 2<br />

energy being delivered<br />

to the vaginal tissue,’ says Dr Behnia-Willison.<br />

‘The published research has shown that the best results<br />

are obtained from three MonaLisa Touch treatments,<br />

performed a month apart. Most patients notice a significant<br />

improvement after the first procedure. I also recommend to<br />

patients they may need a follow-up procedure every year or<br />

so, after the initial course of treatments.’<br />

As with any medical procedure, there are some potential<br />

risks with the MonaLisa Touch treatment. ‘In my experience,<br />

which is similar to that of overseas practitioners, the<br />

likelihood of post-treatment complications following a<br />

MonaLisa Touch treatment is minimal,’ she says. ‘The worst<br />

side effect I have seen has been some mild discomfort for<br />

12 to 24 hours following the procedure, but this is in only<br />

a h<strong>and</strong>ful of patients <strong>and</strong> I have now performed more than<br />

2,500 MonaLisa Touch treatments.’<br />

Whether you’re looking to relieve the symptoms of vaginal<br />

atrophy, or seeking a rejuvenating effect, MonaLisa Touch is<br />

a viable option, backed by clinical research <strong>and</strong> a history of<br />

success in a gynaecological setting.<br />

‘Almost all of my patients have noticed a significant<br />

improvement following the MonaLisa Touch procedure –<br />

some have even described the treatment as life-changing,’<br />

says Dr Behnia-Willison. ‘I hope it becomes the new<br />

st<strong>and</strong>ard of care for the many women suffering from these<br />

often painful symptoms that affect their everyday life. It<br />

certainly has in my practice.’ csbm<br />

www.cosbeauty.com.au 115

eauty & spa<br />

Summer<br />

nights<br />

Power up your party face<br />

with our tried <strong>and</strong> tested<br />

makeup tips <strong>and</strong> tricks.<br />

AimÉe Surtenich reports.<br />


& SHINE<br />

Adding some subtle shimmer will truly make you shine,<br />

keeping your look natural <strong>and</strong> highlighting your own<br />

beauty. Adding a little shimmer always adds a quick hint<br />

of glam when you need it. Try a subtle shimmer stick onto<br />

cheekbones as a highlight. We love BeneFit Watt’s Up<br />

for creating a gorgeous pearlescent glow <strong>and</strong> flawlessly<br />

reflecting light from all the right places on your face.<br />

Dusting a shimmer powder on your décolletage is also a<br />

surefire way to get the party started.<br />

QUICK TIP: Try using a metallic bronze as a soft liner<br />

under your lower lash line. You can also lightly sweep a<br />

dusting of shimmery shadow on upper lids – but try not<br />

to go above the crease line with highly metallic shades.<br />

L’Oreal Colour Riche Eyeshadow in Mauvie Star<br />

$19.95 ELES Colour Balm in Celebrate $39.50, Inika<br />

Light Reflecting Highlighting Crème $39, Covergirl<br />

Bombshell Shineshadow in Ooh La Lilac $8.99<br />

116 www.cosbeauty.com.au

eauty & spa<br />


One of the best tips to go from average to amazing is the strategic use of a highlighter. Dab small amounts on top of<br />

your cheekbone – from the apple of the cheek <strong>and</strong> up through to the hairline. This adds light, looks fresh, makes skin<br />

look hydrated <strong>and</strong> decreases the look of fi ne lines. You can even use small amounts on the inner corner of the eye to add<br />

freshness <strong>and</strong> under the brow bone to “lift” the eye.<br />

Softly highlighted cheeks are always a winning look. Dust on a powder bronzer with a fan brush fi rst, then go over it with<br />

either a shimmery cream blush or another powder blush in a bright shade. It’s fi ne to mix textures – creams can work in<br />

t<strong>and</strong>em with powders if the application is light.<br />

Dab a bit of shimmer on the top of your cheeks to instantly brighten <strong>and</strong> illuminate your face. Be sure to choose just one<br />

feature to accentuate so your highlighting stays subtle.<br />

Estée Lauder Double Wear Brush-on Glow BB Highlighter in Soft Pink $38, Dior Diorskin Star Studio Makeup<br />

Spectacular Brightening Weightless Perfection Foundation $77, shu uemura Tsuya Skin Youthful Radiance Generator<br />

$80, Colorescience Pressed Mineral Bronzer $72.60, L’Oreal Lumi Magique Touch of Light Highlighting Pen $27.95<br />

FINE<br />

& DEFINED<br />

Use brow powder or pencil to defi ne strong eyebrows<br />

<strong>and</strong> to frame the eye. We love Amy Jean Eye Couture<br />

Brow Powder <strong>and</strong> L’Oreal Brow Artist Plumper.<br />

Use your blush to identify the apples of the cheeks, <strong>and</strong><br />

then accentuate your cheekbones by applying a bronzer<br />

under them, to create a more sculpted look.<br />

QUICK TIP: Dab a b<strong>and</strong> of highlighter under the eyes –<br />

starting from the mid face <strong>and</strong> taking it up towards the<br />

temples. The lighter colour will help lift the eyes <strong>and</strong> make<br />

your face pop.<br />

L’Oreal Brow Artist $18.95, Amy Jean Brow Velvet $55,<br />

Elizabeth Arden Pure Finish Summer Escape Bronzing<br />

Powder $45<br />

www.cosbeauty.com.au 117

eauty & spa<br />


Perfect party makeup application requires a smooth canvas.<br />

Airbrush fi ne lines <strong>and</strong> pores with a quality primer. It leaves skin<br />

with a soft, velvety fi nish, allowing foundation to glide across<br />

the skin for an even, radiant fi nish. In addition to instantly<br />

smoothing fi ne lines, pores <strong>and</strong> wrinkles, it also increases<br />

the longevity of your foundation. Speaking of foundation, opt<br />

for long-lasting dewy fi nishes for a glowing look <strong>and</strong> ultimate<br />

staying power.<br />

Bobbi Brown Skin Weightless Powder Foundation $68,<br />

Dermalogica Skinperfect Primer SPF 30 $67, Lancome<br />

La Base Pro Hydra Glow Illuminating Makeup Primer $55,<br />

Lancome Perfecting Fluid Matte Glow Creator with Air &<br />

Blur Technology SPF 15 $55, Sisley Phyto Teint Expert<br />

All-day Long Flawless Skincare Foundation $150, Estée<br />

Lauder Double Wear Sat-in-Place Makeup SPF 10 $50,<br />

Revlon PhotoReady BB Cream Skin Protector SPF 30<br />

$24.95<br />


PRIZE<br />

An easy way to glam up a bare eye is to intensify your<br />

look with eyeliner. If a smouldering look is what you’re<br />

after, use an eyeliner pencil around the entire eye <strong>and</strong><br />

on the inner rim. For a quick smokey look, smudge it off<br />

using a crease/smudge brush. For more of a clean, strong<br />

line, create a winged liner using a gel or liquid eyeliner.<br />

This, combined with generous lashings of mascara, will<br />

instantly glam up your look <strong>and</strong> get you party ready!<br />

QUICK TIP: A really great makeup trick is to use eyeliner<br />

to fi ll in the tiny spaces between upper eyelashes. This<br />

helps eyes look fuller <strong>and</strong> more alive <strong>and</strong> lends an<br />

amazing frame to the eyes.<br />

Revlon ColorStay Skinny Liquid Liner $25.95, L’Oreal<br />

So Couture Super Liner $24.95, Laura Mercier<br />

Caviar Stick Eye Colour in Smoke $39, Bobbi Brown<br />

Cream Smudge Ultra Fine Brush (for smoky eyes) $60,<br />

ELES SuperWear Mascara $39.50, CoverGirl 2-in-1<br />

Bombshell Volume by LashBlast $11.99, Bobbi Brown<br />

Long-wear Gel Sparkle Shadow + Liner I Thunderstorm<br />

<strong>and</strong> Smokey Topaz $42, Revlon ColorStay Eyeliner<br />

Crayon Contour in Sapphire $23.95, Elizabeth Arden<br />

Beautiful Colour Defi ne & Highlight Eyeliner Duo in<br />

Midnight Sail $29<br />

118 www.cosbeauty.com.au

eauty & spa<br />


One of the easiest ways to rock your party look is to add a punch of colour.<br />

Instead of heavy eyeshadows, try adding a vibrant lip shade – gloss or<br />

matte – for an injection of POP! Pump your cheek colour up using a brighter<br />

shade <strong>and</strong> you’re good to go! Our fave colours this season are beachy<br />

<strong>and</strong> bold – think fushias <strong>and</strong> corals.<br />

Laura Mercier Crème Smooth Lip Colour in Crème Coral $35, L’Oreal<br />

Colour Riche Lips Extraordinaire in Fuchsia Drama $21.95, L’Oreal Glam<br />

Matte Intense Matte Gloss in Cherry Crop $21.95, ELES Color Balm in<br />

Party $39.50, Revlon ColorBurst Matte Balm in Audacious $17.95, YSL<br />

Glossy Stain in Encre Rose $50, Revlon ColorStain Moisture Stain in LA<br />

Exclusive $25.95, Sisley Paris Phyto Lip Twist Tinted Balm in #4 $50,<br />

Elizabeth Arden Color Gloss Stick in Coral Reef $14, BeneFit Majorette<br />

Cream to Powder Booster Blush $51<br />

w ww.cosbeauty.com.au 119

eauty & spa<br />

FAKE IT<br />


Since Coco Chanel set a new style for looking wealthy <strong>and</strong><br />

relaxed in the 1920s, the desire for beautifully bronzed skin<br />

was born. But these days, we all know too much about sun<br />

damage so faking it is the only way to go. There’s nothing<br />

wrong with a little cheating so if you’re going to fake it, fake<br />

it with flair.<br />

Sunless tanning products are more popular than ever.<br />

In fact, around the globe, it’s been said that a bottle of St<br />

Tropez fake tan sells every 10 seconds. Try Michael Kors<br />

Liquitan Self Tanner for a “just got back from the isl<strong>and</strong>s<br />

glow”, or customise your tan to your sun-kissed needs with<br />

Xen-Tan Perfect Blend Custom Self-Tan. If it’s one night<br />

only you’re after, Pure Tan make a great Wash-off Instant<br />

Bronzer. Our new crush is LDN: Skins, which has an athome<br />

line as well as professional spray tan range for the<br />

most natural-looking tan specifically toned for your skin.<br />

LDN: Skins Self-tanning Mousse, $29.95, Xen-Tan<br />

Perfect Blend Custom Self-Tan, $57, Pure Tan Wash-off<br />

instant Bronzer $25.95, Michael Kors Liquitan Self<br />

Tanner $55<br />

120 www.cosbeauty.com.au

eauty & spa<br />

LASH OUT<br />

Party up with fake lashes. They’re fl irty <strong>and</strong><br />

playful <strong>and</strong> no amount of mascara can create<br />

the same drama. The best we’ve tried is<br />

Helen Dowsley Ethically Sourced H<strong>and</strong>-Made<br />

Lashes. Trust us, if you don’t have an occasion<br />

to wear them, make one!<br />

Helen Dowsley H<strong>and</strong>-made Lashes in Fab<br />

Lash $12<br />

NAIL IT<br />

Complete your party-ready look with a slick of<br />

colour on your nails. From classic red to festive<br />

glittery glosses, it’s an easy way to jazz up any<br />

outfi t or look.<br />

Orly Nail Lacquer in Bling $18.95, L’Oreal<br />

ColorRiche Nail Gloss in Royal Orchid (this<br />

year’s “it” colour) $6.95, L’Oreal Paris Nail<br />

Polish <strong>and</strong> Gloss 2-in-1 in Infallible Red<br />

$12.95, Elizabeth Arden Beautiful Colour<br />

High Gloss Nail Lacquer in Ahoy! $20<br />

www.cosbeauty.com.au 121

eauty & spa<br />

The Mother of All<br />

Mineral Makeup<br />

All Jane Iredale mineral<br />

makeup products go through<br />

extensive product testing<br />

to get it just right, offering<br />

unparalleled quality, longevity<br />

<strong>and</strong> skin health benefits.<br />

AimÉe Surtenich reports.<br />

There’s a lot to be said for longevity in the uber-fickle<br />

cosmetics market. Unlike many other beauty br<strong>and</strong>s,<br />

jane iredale mineral makeup has stood the test of<br />

time – 20 years to be precise. Over this time, it has become<br />

the go-to, trusted mineral makeup br<strong>and</strong>, recommended<br />

by dermatologists, plastic surgeons <strong>and</strong> skin therapists all<br />

across the world.<br />

What makes jane iredale st<strong>and</strong> out from a crowded<br />

marketplace is its integration of makeup <strong>and</strong> skincare. The<br />

br<strong>and</strong> pioneered a new type of cosmetic: one that combines<br />

beauty with skin health.<br />

One of the jane iredale philosophies is to include soothing<br />

ingredients that help contribute to skin health. All jane iredale<br />

foundations form a protective barrier on the skin that allows<br />

it to breathe <strong>and</strong> function normally, <strong>and</strong> all vitamins <strong>and</strong><br />

antioxidants used are pharmaceutical grade <strong>and</strong> certified<br />

organic where available.<br />

A key differentiator of jane iredale mineral makeup is in its<br />

formulation, using only quality cosmeceutical ingredients <strong>and</strong><br />

pure micronised minerals – no wonder it remains a market<br />

leader. csbm<br />

122 www.cosbeauty.com.au

eauty & spa<br />

Product testing:<br />

getting<br />

it right<br />


jane iredale conducts extensive testing of its sunscreen<br />

products to determine their effi cacy in terms of UVA <strong>and</strong><br />

UVB protection in compliance with both US FDA <strong>and</strong><br />

international requirements <strong>and</strong> testing methodologies.<br />

HPLC<br />

This is an in vitro test conducted with light rays to determine<br />

the percentage of active ingredients. It is required by some<br />

countries to register products claiming an SPF. The light rays<br />

measure the absorption <strong>and</strong> refl ection of light to confi rm<br />

the percentage of actives, in this case titanium dioxide <strong>and</strong><br />

zinc oxide.<br />


This measures shelf life. The product can be tested in real<br />

time, provided the product has been in the line long enough,<br />

or it can be measured through an incubation process where<br />

the product is subjected to intense heat <strong>and</strong> cold for a<br />

period of one month. This acceleration is equal to one year.<br />


This is a sensitivity test conducted on 50 people per<br />

product. This is a two-phase test which tests irritancy<br />

<strong>and</strong> sensitivity. During the fi rst phase, the test is repeated<br />

three times on the same subject within a week.<br />

There is a 10 to 14 day break <strong>and</strong> then the subject is<br />

patch-tested for three consecutive days. There is a 24-hour<br />

evaluation <strong>and</strong> 48-hour evaluation.<br />

In every case, the results of being tested with jane iredale<br />

products were negative. No sensitivity was recorded to<br />

any of the products. The legitimate claims jane iredale can<br />

now make are: Dermatologist Tested. Non-irritating. Safety<br />

Tested. Allergy Tested. Clinically Tested. Hypoallergenic.<br />


This test proves the effi cacy of the preservative system. jane<br />

iredale is particularly interested in the results because of its<br />

insistence on using systems that don’t rely on parabens<br />

<strong>and</strong> phenoxyethanol but rely on more natural methods. In<br />

a laboratory, bacteria, yeast <strong>and</strong> mold were introduced into<br />

the product.<br />

Staphylococcus epidermidis, Pseudomoas aeruginosa<br />

<strong>and</strong> Escerichia coli (E. coli) were introduced a second <strong>and</strong><br />

third time after allowing seven days of incubation. The test<br />

allows the evaluation of the real capacity of the preservative<br />

system of not only preventing microbial contamination but<br />

also reducing it to a level that is safe for human health. In<br />

other words, the preservative system has to be able to kill<br />

the organisms. When the test was fi nished (after 21 days),<br />

no microbial activity was detectable.<br />


jane iredale has completed comedogenicity tests on all<br />

products. All products showed no comedogenicity.<br />


jane iredale has conducted heavy metal tests on all<br />

products. There is no measurable amount of heavy metals<br />

in any product including lead <strong>and</strong> nickel. jane iredale<br />

conducts tests on each of its products not because it’s<br />

required but because the company fi rmly believes in offering<br />

the consumer the highest quality product line possible.<br />

To fi nd your local jane iredale stockist jump online to<br />

www.janeiredale.com.au or call 1300 850 008<br />

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BODY<br />

smoothing<br />

products<br />







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eauty & spa<br />

Jurlique Citrus Body Care Lotion $44, Dermalogica Body Hydrating Cream $67, Laura Mercier Verbena Infusion Dry<br />

Oil Body Mist $55, Pevonia Botanica Ligne Tropicale $94, The Jojoba Company Silken Melon Body Lotion $29.95,<br />

L’occitane Zesty Lime Ultra Soft Cream $34, Sisley Floral Spray Mist $110, You by Sia Dermafade $59, Sisley Lotion<br />

Au Pamplemousse Botanical Grapefruit Toning Lotion $105, Sisley Cellulinov $225, Kiehl’s Orange Flower & Lychee Skin-<br />

Softening Body Cleanser $32, MOR Emporium Classics H<strong>and</strong> & Body Wash in Belladonna $29.95, Synergie CelluTite<br />

Body, $79<br />

A<br />

girl needs to be prepared <strong>and</strong> put a few warm<br />

weather routines in place to last the distance over the<br />

hotter months. Here are a few tips <strong>and</strong> products tried<br />

<strong>and</strong> tested by the Bella beauty team to give the appearance<br />

of smoother, fi rmer <strong>and</strong> more toned skin.<br />


Ease into the warm weather routine by getting your skin<br />

soft <strong>and</strong> silky smooth with a good cleanser <strong>and</strong> moisturiser.<br />

Body cleansers are perfect for priming your skin for the<br />

follow-up moisturiser. After every shower get into the habit<br />

of dousing yourself with moisturiser – from top to tail to toe.<br />

Pretty soon your skin will be ready to bare all. Lastly, spritz<br />

with your favourite fragrance to energise you <strong>and</strong> keep you<br />

smelling delicious <strong>and</strong> feeling fresh for longer.<br />


Exfoliating is an essential step before any fake tan<br />

application. Slough off the dead layers with a loofah, brush,<br />

gloves, scrub or an exfoliating body wash. Exfoliating<br />

products contain tiny granules to gently lift the dead cell<br />

layer from the skin’s surface, stimulating the layer beneath<br />

it. Don’t forget your tootsies too, which bear the brunt of<br />

summer wear <strong>and</strong> tear – a full exfoliating or peel treatment<br />

to banish rough <strong>and</strong> fl aky skin is in order.<br />

TONE UP<br />

Circulation is key to battling cellulite. First, ditch toxins such<br />

as alcohol, cigarettes <strong>and</strong> coffee which restrict blood fl ow<br />

<strong>and</strong> avoid saturated fats in junk food, which can cause<br />

cholesterol build-up in the blood vessels. Cutting out salt<br />

<strong>and</strong> eating fi bre such as oats encourages digestive function<br />

<strong>and</strong> can help prevent water retention which can accentuate<br />

the appearance of cellulite. Drinking plenty of water helps<br />

this, too.<br />

Cellulite creams <strong>and</strong> tonics are applied topically,<br />

massaged directly on to your skin to help improve the<br />

appearance of lumps <strong>and</strong> bumps <strong>and</strong> achieve smoother,<br />

more supple skin. csbm<br />

www.cosbeauty.com.au 125

eauty & spa<br />

Sun<br />

smart…<br />

seriously<br />

It’s high time to rethink your sun<br />

exposure. Ricky Allen reports.<br />

Skin cancers are still on the increase, particularly in<br />

Australia where we have the highest rate of skin cancers<br />

per capita in the world. And if you needed another<br />

reason to slip, slop, slap, sun exposure is the number-one<br />

cause of premature skin ageing.<br />

There’s been growing publicity about Vitamin D deficiency<br />

caused by lack of sun exposure <strong>and</strong> as a result many people<br />

have stopped applying sunblock when they go into the sun.<br />

Unfortunately the publicity only told half of the story about<br />

Vitamin D. You only need 10 minutes’ worth of sun exposure<br />

on any part of the body to get the Vitamin D you need from the<br />

sun. The rest must come from your diet, which really can be<br />

the bigger problem.<br />

Always use a broad spectrum sunblock which blocks out<br />

UVB, UVA <strong>and</strong> the lesser talked about UVC. The TGA has<br />

now approved the selling of sunblocks containing an SPF<br />

50+, which means that around 98 percent of the sun’s rays<br />

are blocked out when you use products with SPF 50+. In<br />

Australia we have more UVC, which binds with UVA <strong>and</strong> UVB<br />

<strong>and</strong> intensifies their effect.<br />

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eauty & spa<br />

Are you<br />

getting<br />

enough?<br />

Most of us don’t apply nearly enough<br />

sunblock. You should cover the skin liberally <strong>and</strong><br />

reapply regularly after swimming or prolonged<br />

sun exposure.<br />

Moisturisers <strong>and</strong> makeup containing<br />

sunscreens such as Elizabeth Arden Prevage<br />

Anti-Aging Moisture Lotion with Sunscreens,<br />

$170, <strong>and</strong> Elizabeth Arden Anti-Aging Moisture<br />

Cream with Sunscreens, $170, also help further<br />

protect you from the nasty effects of the sun –<br />

which includes premature photoageing <strong>and</strong> skin<br />

cancer. These products should not be confused<br />

with sunblocks however, <strong>and</strong> a sunblock still<br />

needs to be used to be more fully protected. The<br />

cosmetic houses never designed these products<br />

to be sun blocks; they were designed to give<br />

extra protection against the sun <strong>and</strong> to work with<br />

the sunblock you apply.<br />

If you’re still visiting tanning beds, stop! They<br />

are already banned in some states because of<br />

their use being linked to melanomas. Instead<br />

opt for self-tanners or spray tans to give you a<br />

summer glow. Very good ones are LDN: Skins<br />

Self Tan Mousse, $29.95, Garnier Ambre Solaire<br />

Natural Bronzer, $9.95, <strong>and</strong> St. Tropez Gradual<br />

Tan, $39.95.<br />

Some of the<br />

best sunblocks<br />

we’ve trialled<br />

Invisible Zinc Face + Body Sunscreen<br />

SPF 30+, $19.95, La Roche-Posay<br />

50+ Melt-in Cream, $27.95 <strong>and</strong> Stick for<br />

Sensitive Areas, $22.95, True Solutions<br />

All Day Moisture SPF 30+ <strong>and</strong> All Day<br />

Moisture Tinted SPF 30+, $60 each,<br />

Ultraceuticals Mineral Defence Face &<br />

Body Lotion 50+, $49 <strong>and</strong> Clear Body<br />

Spray RRP $59, Dermalogica Pure<br />

Light SPF 50, $92.50, which provides<br />

sun protection as well as improving<br />

hypermpigmentation.<br />

www.cosbeauty.com.au 127

eauty & spa<br />

shrink wrap<br />






The<br />

power<br />

of clay<br />

As the clay particles become<br />

hydrated, they exp<strong>and</strong> <strong>and</strong> are<br />

able to absorb many times their<br />

own weight in body toxins. The<br />

solution acts as a magnet for many<br />

toxic elements present in the body<br />

such as free radicals, <strong>and</strong> draws<br />

out toxins <strong>and</strong> impurities from the<br />

body while cleansing your skin.<br />

This body detoxifi cation wrap hydrates <strong>and</strong> slims your body, eliminating<br />

toxins <strong>and</strong> revealing radiant, glowing skin. It’s ideal as a one-off treatment<br />

to fi t into that special occasion dress or as a course to gain optimum<br />

results. The beauty of this treatment is that if you don’t lose a minimum of 15cm<br />

off your total body circumference, it’s free.<br />

The treatment involves fi rst measuring <strong>and</strong> marking your body so that<br />

centimetre loss can be calculated after the treatment.<br />

Next comes the fun part as you’re wrapped head to toe with special contour<br />

b<strong>and</strong>ages soaked in natural Dead Sea clay to cleanse <strong>and</strong> detoxify your body<br />

of impurities such as toxins <strong>and</strong> free radicals. The b<strong>and</strong>ages are wound around<br />

your body (a relaxing, cooling “mud bath” type of sensation) <strong>and</strong> a vinyl suit<br />

is worn for warmth <strong>and</strong> comfort while the power of clay gets to work over the<br />

next hour.<br />

The dead sea clay solution acts like a giant poultice <strong>and</strong> draws out toxins<br />

<strong>and</strong> impurities from your body while cleansing your skin <strong>and</strong> leaving it feeling<br />

softer, smoother <strong>and</strong> more toned. The clay leaves the skin tissue compressed<br />

<strong>and</strong> the soft fatty tissues compacted, which results in the measurable centimetre<br />

reduction. In this hydrated form, each clay particle exp<strong>and</strong>s, enabling it to pick up<br />

many times its own weight in various body toxins. Clay has amazing detoxifying<br />

properties; it’s a magnet for many toxic elements present in the body such as<br />

free radicals.<br />

After an hour the wraps are removed to reveal skin that is more toned with an<br />

overall improved appearance. Your body ends up smaller <strong>and</strong> trimmer without<br />

any weight loss. Importantly, the centimetres lost are not a result of water loss<br />

<strong>and</strong> therefore results should last at least 30 days – <strong>and</strong> up to 12 months if you<br />

have a healthy lifestyle <strong>and</strong> don’t put on any weight. The loss of centimetres isn’t<br />

the only star of the show – the wrap improves your circulation <strong>and</strong> helps to put a<br />

real spring back in your step.<br />

Head to Nicole’s <strong>Beauty</strong> Salon, Double Bay, Sydney for the International Body<br />

Wrap <strong>and</strong> other rejuvenating <strong>and</strong> anti-ageing treatments. Phone 0410 627 767<br />

or visit www.nicolesbeautysalon.com.au csbm<br />

128 www.cosbeauty.com.au


Nicole’s <strong>Beauty</strong> Salon offers only the very best treatments available,<br />

including the International Body Wrap which improves the appearance<br />

of cellulite, stretch marks <strong>and</strong> scar tissue <strong>and</strong> is guaranteed to take 15<br />

centimetres off your entire body size - or your money back!<br />

With highly trained aestheticians <strong>and</strong> stunning surroundings, any<br />

treatment you have at Nicole’s <strong>Beauty</strong> Salon will be a luxurious<br />

experience you’ll long for time <strong>and</strong> time again.<br />

02 9327 7728<br />

mobile 0410 627 767<br />

nicole@nicolesbeautysalon.com.au<br />

Shop 8, 401 - 407 New South Head Rd,<br />

Double Bay NSW 2028<br />


feature beauty & spa<br />

Your<br />

most powerful<br />

accessory<br />









The confi dence that comes<br />

from a long, thick <strong>and</strong> glossy<br />

mane is almost unbeatable.<br />

Long, fl owing, voluminous locks ooze glamour<br />

<strong>and</strong> style. Luckily, thanks to hair extensions, we no<br />

longer have to wait years <strong>and</strong> years for hair to grow out,<br />

or apply serums in the vain hope it will miraculously thicken<br />

our locks. Hair extensions have become one of the most coveted<br />

<strong>and</strong> powerful accessories in the modern-day beauty regime.<br />

Hair colour maestro <strong>and</strong> extensions expert Joseph Mourad, from Joseph<br />

Mourad’s Hair & <strong>Beauty</strong> in Sydney’s Double Bay, uses extensions to instantly<br />

transform his clients’ hair. Taking a unique <strong>and</strong> individualised approach, he adds<br />

volume, length <strong>and</strong> luxuriousness to anyone’s ‘do in a matter of hours.<br />

Mourad prides himself on using only the highest quality human hair extensions. He has<br />

also adopted an innovative method – using the ultrasonic cold fusion technique – that makes the<br />

extensions barely detectable when applied. ‘Hair extensions are about giving people beautiful <strong>and</strong> strong<br />

hair,’ says Mourad. ‘They provide volume, length <strong>and</strong> manageability – <strong>and</strong> extra glamour all day, every day. ’<br />

130 www.cosbeauty.com.au

eauty feature & spa<br />

An innovative<br />

approach<br />

Mourad is skilled <strong>and</strong> experienced in all hair extension techniques, but his<br />

preferred method is the innovative ultrasonic cold fusion method. This process<br />

uses ultrasound energy to attach the hair extensions to the client’s natural roots.<br />

The result is natural-looking hair extensions that are virtually non-detectable.<br />

‘The technology is so advanced <strong>and</strong> the bonding so seamless,’ says<br />

Mourad. ‘It achieves impeccable results <strong>and</strong> the extensions can be completely<br />

undetectable to the eye. And, because there is no use of heat, glue or clips to<br />

bond the extensions, your natural hair is not damaged.’<br />

When applying the extensions, emphasis is placed on properly blending colour<br />

<strong>and</strong> thickness with the natural hair. Attached str<strong>and</strong> by str<strong>and</strong>, the extensions<br />

can be attached to long, short, straight or wavy hair as long as the natural length<br />

is more than 2cm. Each str<strong>and</strong> has about 20 hairs in it <strong>and</strong> a full head can take<br />

from 100 to 300 str<strong>and</strong>s, depending on the required thickness. In just a few<br />

hours, hair is transformed from short, thin str<strong>and</strong>s to thick, long locks.<br />

‘The latest advances provide long <strong>and</strong> voluminous hair without the need to<br />

wait for your natural hair to grow out,’ says Mourad. ‘It can completely transform<br />

your look.’<br />

Extensions can last anywhere between six <strong>and</strong> 12 months. Once attached,<br />

the extensions can be treated as normal. ‘Care for your extensions the way you<br />

would your natural hair,’ Mourad advises. ‘It’s important to be particularly careful<br />

when combing <strong>and</strong> blow-drying your hair. However, hair extensions can be cut<br />

<strong>and</strong> coloured just like your natural hair.’<br />

When applied by a hair extension specialist, hair extensions can provide a full<br />

head of thick, fl owing hair – <strong>and</strong> a br<strong>and</strong> new look to last all through the summer<br />

party season. csbm<br />

Behind<br />

the scenes<br />

Sydney hair extension specialist<br />

Joseph Mourad with Mya <strong>and</strong> Mel B<br />

For more information visit www.josephmourad.com.au<br />

Featureflash / Shutterstock.com<br />

Featureflash / Shutterstock.com<br />

s_bukley / Shutterstock.com<br />

www.cosbeauty.com.au 131

eauty & spa<br />

2015<br />

beauty REPORTS.<br />

UPDATE<br />





132 www.cosbeauty.com.au

eauty & spa<br />

For the eyes<br />

Designer Br<strong>and</strong>s CC Concealer Pen, $12.99. This brush applicator<br />

concealer instantly illuminates <strong>and</strong> refreshes the skin’s appearance.<br />

It contains caffeine which helps reduce puffi ness <strong>and</strong> dark circles.<br />

L’Oreal Paris Volume Million Lashes, $27.95. Pump up the volume<br />

with the latest mascara from L’Oreal, which creates a fan-like effect<br />

with no clumping. YSL Couture Palette 5 Colour Ready to Wear, $98.<br />

This palette of eyeshadows is made up of variants of the same colour<br />

so they can be used in conjunction for supreme contouring <strong>and</strong><br />

defi nition or on their own.<br />

Magical<br />

Makeup<br />

L’Oreal Paris Infallible 24-hr Stay Fresh<br />

Foundation, $31.95. This foundation gives<br />

excellent coverage <strong>and</strong> great staying power.<br />

It comes in enough shades to match all skin<br />

colours. Pretty Naked 100% Pure Fruit<br />

Pigmented Palette, $44.95. This palette<br />

includes luminescent powder, blush <strong>and</strong> eye<br />

shadow, all of which can be used on sensitive<br />

skin. Elizabeth Arden Pure Finish Summer<br />

Escape Bronzing Powder, $45. A silky smooth<br />

baked mineral bronzing powder which delivers<br />

colour <strong>and</strong> radiance to the skin.<br />

For the lips<br />

L’Oreal 2. Paris Colour Riche Extraordinaire,<br />

$21.95 in Fuscia Drama. Add some drama<br />

with this high gloss liquid lipstick. Lanolips<br />

Fruities 101 Ointment, $13.95. This tried<br />

<strong>and</strong> tested lip treatment comes in three<br />

different fruit fl avours to hydrate even the<br />

driest of lips. Rimmel London Lasting<br />

Finish Colour Rush Intense Colour Balm in<br />

Drive Me Nude, $12.95, for an everyday<br />

favourite. Maybelline 14 Hour Lipstick in<br />

Flash of Fuscia, $18.95, the perfect colour for<br />

summer days.<br />

www.cosbeauty.com.au 133

eauty & spa<br />

Face & Body<br />

Garnier Body <strong>Beauty</strong> Oil Scrub, $11.95. This scrub is also oil infused so it nourishes as well as exfoliates. It<br />

contains Argan, Macadamia, Almond <strong>and</strong> Rose oils. Innoxa Renew Anti-Aging Exfoliator, $17.95. This exfoliator<br />

purifi es <strong>and</strong> boosts the skin’s radiance as well as helping to promote <strong>and</strong> fi rmer <strong>and</strong> smoother skin, Jurlique<br />

Nourishing Cleansing Oil, $50. This cleansing oil contains a potent blend of botanical seed oils rich in hydrating <strong>and</strong><br />

anti-ageing ingredients so it improves skin smoothness while gently cleansing. Nuxe Paris Merveillance Expert<br />

Lifting Serum, $64.95. Offering a unique blend of fl oral-based actives, this serum treats as well as hydrates even<br />

the most sensitive skins. Sukin Purely Ageless Intensive Firming Serum, $23.95. Combining argan oil, acai <strong>and</strong><br />

goji fruit extract with cocoa butter, this serum helps fi rm the skin without any irritation. Neostrata Facial Cleanser,<br />

$35.99. This soap-free cleanser can be used on even the most sensitive skins. Sanctuary Spa 30 Day Thermal<br />

Transformation, $34.99. A Peptide Serum <strong>and</strong> a Rose Clay Mask make up this treatment pack of very effective<br />

skincare products which when used in combination for 30 days are totally transforming.<br />

For him<br />

L’Oreal Men Expert Pure Power Daily Charcoal<br />

Wash, $11.95, A daily cleanser just for him<br />

which cleanses <strong>and</strong> treats all those little skin<br />

imperfections such as blackheads, acne <strong>and</strong><br />

roughness as well as excess oiliness, Just<br />

Cavalli for Him Just Gold eau de parfum, $110<br />

for 50ml. This fragrance is utterly irresistible.<br />

Sexy <strong>and</strong> intensely provocative it is the perfect<br />

fragrance for every man. Crabtree & Evelyn<br />

Indian S<strong>and</strong>alwood Cologne, $60 for 100ml.<br />

Housed in a beautiful cut-glass bottle, this<br />

cologne is a masculine blend of s<strong>and</strong>alwood<br />

infused with the spiciness of cypress.<br />

1.<br />

2.<br />

6.<br />

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eauty & spa<br />

Christmas cheer<br />

Arlesienne eau de Toilette by L’Occitane en Provence, $72 for 75ml. In a beautiful cut-glass bottle, this floral<br />

fragrance takes you to Provence <strong>and</strong> the allure of the Arlesienne woman who has been the muse for all the<br />

perfumers of Provence. Jurlique Glow Rose Body Oil, $79. Deeply nourishing <strong>and</strong> skin softening with a hint of<br />

h<strong>and</strong>-grown roses, this body oil makes your skin just glow. Megan Hess for Glasshouse Fragrances Christmas<br />

Collection Miniature C<strong>and</strong>le Collection, $44.95. Three beautiful fragrances – Night Before Christmas, White<br />

Christmas <strong>and</strong> Winter Wonderl<strong>and</strong> – in a beautifully decorated box by Megan Hess, one of the world’s most<br />

acclaimed illustrators. Circa Home Jasmine & Magnolia Christmas Gift Set, $39.90. A c<strong>and</strong>le <strong>and</strong> h<strong>and</strong> wash<br />

are included in this beautifully boxed Christmas gift. Crabtree & Evelyn Big Top Twelve H<strong>and</strong> Therapy Musical<br />

Tin, $79. This beautifully decorated musical tin contains 12 travel size h<strong>and</strong> lotions. Kosmea Australia Indulge<br />

Pack, $29.95. This h<strong>and</strong>y travel bag contains a Purifying Cream Cleanser, Replenishing Moisture Cream,<br />

Certified Organic Rose Hip Oil Rescue Balm <strong>and</strong> Hydrating Rose Water Mist.<br />

For<br />

the<br />

nails<br />

Rimmel London 60 Seconds Nail<br />

Polish in Do Not Disturb, $7.95,<br />

Essie Nail Polish in Hide <strong>and</strong> Go<br />

Chic, $16.95.<br />

www.cosbeauty.com.au 135

eauty & spa<br />

L’Oreal Paris Kérastase<br />

Discipline Maskeratine $60<br />

L’Oreal Paris<br />

Colour Riche Le<br />

Vernis – The Whites<br />

Collection in Ocean<br />

Porcelain $6.95<br />

Tangle Teezer<br />

Compact Styler<br />

$34.94<br />

DKNY My NY<br />

Eau de Parfum<br />

50ml $85<br />

Clarisonic<br />

Cleansing<br />

System<br />

Mia2 $150<br />

Faves<br />

Editor’s<br />



Dior Dior<br />

Addict EDT<br />

$125<br />

Philips Pro Straightener<br />

$199.95, Philips ProCare<br />

Airstyler $79.95<br />

ASAP, Super Serums<br />

AM Pack $125<br />

136 www.cosbeauty.com.au

eauty & spa<br />

Giorgio Armani Luminous Silk<br />

Foundation $92<br />

Molton Brown<br />

Pink Pepperpod<br />

Body Wash $39<br />

Molton Brown<br />

Pink Pepperpod<br />

Nourishing<br />

Body $45<br />

Estée Lauder<br />

Advanced<br />

Night Repair<br />

Synchronized<br />

Recovery<br />

Complex II<br />

30ml $95<br />

Skeyndor<br />

Power<br />

Hyaluronic<br />

Moisture<br />

Booster $85<br />

Wrinkles<br />

Schminkles<br />

Wrinkle<br />

Relieving<br />

Silicone Pads<br />

$35.95<br />

St.Tropez<br />

Self Tan Luxe<br />

$49.99<br />

Dior Dior<br />

Addict Fluid<br />

Stick $50<br />

Sin-Care Line<br />

Rewind $80<br />

Jing Qi Shen Diamond Eyes<br />

Eye, Lip And Nasogenian Fold<br />

Elixir $200, Jing Qi Shen<br />

Spirited Blue Lotus Diamond<br />

Illuminating Elixir $300<br />

ELES Age<br />

Defying BB<br />

Cream 30<br />

$49.50<br />

Elizabeth<br />

Arden Pro<br />

Triple Action<br />

Protector $99<br />

Indola, Kera Restore<br />

Shampoo Treatment<br />

<strong>and</strong> Spray Serum, Kera<br />

Restore Shampoo <strong>and</strong><br />

Kera Restore Treatment<br />

$19.95 each<br />

Mesoestetic<br />

Post-Peel<br />

1% Retinol<br />

Concentrate<br />

$198<br />

www.cosbeauty.com.au 137

Directory<br />

Dr Buddy Beaini<br />

MD Cosmedical Solutions<br />

Phone 1300 885 808<br />

info@mdcosmedicalsolutions.com.au<br />

www.mdcosmedicalsolutions.com.au<br />

Bella Media<br />

Phone +61 2 9398 2755<br />

info@bellamedia.com.au<br />

www.bellamedia.com.au<br />

Cynosure Pty Ltd<br />

Phone: +61 2 9484 4546<br />

After hours: +61 2 8579 0637<br />

infoaustralia@cynosure.com<br />

EFB Beauté<br />

contact@efbbeaute.com<br />

www.efbbeaute.com<br />

Elizabeth Arden Pro<br />

True Solutions International<br />

Phone 1800 808 993<br />

www.true-solutions.com.au<br />

Dr John Flood<br />

Phone +61 2 9476 8066<br />

info@drjohnflood.com.au<br />

www.drjohnflood.com.au<br />

Dr John Flynn<br />

Cosmedic & Skin Clinic<br />

Phone 1300 881 388<br />

info@cosmedic.com.au<br />

www.cosmedic.com.au<br />

Galderma<br />

Phone 1800 144 944<br />

info.au@galderma.com<br />

www.galderma.com.au<br />

Dr Paul Gerarchi<br />

The Face Institute<br />

Phone +61 2 9412 4599<br />

www.thefaceinstitute.com.au<br />

Val Glover-Hovan<br />

<strong>Cosmetic</strong> Tattoo Australia<br />

Phone +61 2 9938 2111<br />

www.cosmetictattooaustralia.com<br />

Dr Darryl J Hodgkinson<br />

<strong>Cosmetic</strong> & Restorative <strong>Surgery</strong> Clinic<br />

Phone +61 2 9362 7400<br />

info@cosmeticsurgeryoz.com<br />

www.cosmeticsurgeryoz.com<br />

Jane Iredale<br />

Phone 1300 850 008<br />

www.janeiredale.com.au<br />

Joseph Mourad Hair & <strong>Beauty</strong><br />

Phone +61 2 9328 2277<br />

contact@josephmourad.com.au<br />

www.josephmourad.com.au<br />

Dr Peter Laniewski<br />

Phone 1300 322 337<br />

www.myfaceclinic.com.au<br />

www.drpeterlaniewski.com.au<br />

Dr Steven Liew<br />

Shape Clinic<br />

Phone +61 2 8356 2888<br />

nola@shapeclinic.com.au<br />

www.shapeclinic.com.au<br />

www.breastshape.com.au<br />

Like Your Look<br />

High Tech Laser Australia<br />

Phone 1300 309 233<br />

www.likeyourlook.com.au<br />

Dr Vlad Milovic<br />

Phone +61 2 6260 4882 Canberra<br />

Phone +61 2 9389 9065 Sydney<br />

www.drmilovic.com.au<br />

Dr William Mooney<br />

Phone 1300 DR WILL (1300 379 455)<br />

www.rhinoplastysydney.com.au<br />

Dr Sarkis Nalb<strong>and</strong>ian<br />

Designer Smiles<br />

Phone +61 2 9953 4189<br />

www.designersmiles.com.au<br />

Nicole’s <strong>Beauty</strong><br />

Phone +61 2 9327 7728<br />

Phone 0410 627 767<br />

www.nicolesbeautysalon.com.au<br />

Dr Oseka Onuma<br />

Laser Vaginal Rejuvenation<br />

Institute of Adelaide<br />

Phone +61 8 8344 6085<br />

rooms@dronuma.com<br />

www.dronuma.com<br />

PicoSure<br />

Cynosure<br />

Phone: +61 2 9484 4546<br />

www.picosure.com.au<br />

Regen PRP<br />

Australasian Medical & Scientific<br />

Phone 1800 201 760<br />

www.regenlab.com<br />

www.amsl.com.au<br />

Shortcuts<br />

Phone 1300 66 73 74<br />

www.shortcuts.com.au<br />

Skin Renu Laser & Rejuvenation Clinic<br />

Phone +61 2 9555 9506<br />

www.skinrenu.com.au<br />

Spectra XT Laser Tattoo Removal<br />

by Lutronic<br />

Advanced Cosmeceuticals<br />

Phone 1800 242 011<br />

www.advancedcosmeceuticals.com.au<br />

Sydney Permanent Makeup Centre<br />

Rita Porreca<br />

Phone +61 2 9569 7799<br />

info@spmuc.com.au<br />

www.spmuc.com.au<br />

Synergie Minerals<br />

Terri Vinson<br />

Phone 1300 689 619<br />

info@synergieminerals.com<br />

www.synergieskin.com<br />

Thermage<br />

iNova Aesthetics<br />

+61 2 8918 6322<br />

1800 251 150<br />

customerservice@inovapharma.com<br />

www.inovapharma.com<br />

GrayClay<br />

Phone +61 7 5531 3738<br />

www.grayclay.com.au<br />

138 www.cosbeauty.com.au


At the<br />

Heart of<br />

Aesthetics<br />

Face Breast Body<br />

Suite 109, 19A Boundary St, Darlinghurst NSW<br />

T 02 8356 2888 | info@shapeclinic.com.au<br />




Plastic <strong>Surgery</strong><br />

by<br />

Dr John Flood<br />

Look <strong>and</strong> feel younger<br />

Dr John Flood is a fully<br />

qualified plastic <strong>and</strong><br />

reconstructive surgeon<br />

with more that 15 years’<br />

experience in cosmetic<br />

plastic surgery of the<br />

face, breast <strong>and</strong> body,<br />

specialising in eyelid<br />

surgery <strong>and</strong> liposuction.<br />

He trained in Sydney<br />

<strong>and</strong> Texas, USA <strong>and</strong> also<br />

has a special interest in<br />

stem cell therapy for<br />

regenerative medicine.<br />

Mona Vale, Hornsby & Greenwich<br />

Ph: 9476 8066<br />


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