Cosmetic Surgery and Beauty Magazine #66

RRP $14.95 (incl. GST) (NZ $15.95 incl. GST)
ISSUE 66 • NOV-JAN 2015
BREAST
RESHAPING
IMPLANTS, LIFT
& REDUCTION
DIY
PERFECT PARTY
MAKEUP
6ways to
get younger
looking skin
10 SUREFIRE
ENERGY
BOOSTERS
TRIED &
TESTED
BEST BODY
SMOOTHING
PRODUCTS
9 771833 383011
ISSN 1834-383X
02
FIRMATIVE
ACTION!
SURGICAL VS NON-SURGICAL
FAT REDUCTION

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

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

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1
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9:40 AM Page 1
9:40 AM Page 1
DESIGNING 9:40 AM Page 1
DESIGNING FACES
FACES IS
IS
OUR
OUR BUSINESS
BUSINESS
COSMETIC TATTOO AUSTRALIA
VAL GLOVER-HOVAN
For AESTHETIC PURPOSES, tattoos
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RTHER
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INFORMATION
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Brookvale,
THE
NSW
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2100
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MANLY ñ HOVANíS TATTOO
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SUITE NSW 12, 2100THE FLOOR,
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ROAD,
AT COSMETIC
MANLY
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2ND FLOOR, 22 DARLEY ROAD, MANLY NSW 2095
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77 6655 FAX 02 77 LF: 02 6655 (02) 9977 FAX 9938 SUITE
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INTRODUCING A NEW
ERA OF INTENSE PULSED
LIGHT IN AUSTRALIA
FOR MEDICAL AND AESTHETIC SKINCARE
French space industry technology concentrated
in one device: introducing the EFB ANTHÉLIA
LCD system 2015 model.
This new generation of IPL is manufactured in
France by a worldwide leader in the IPL industry.
For the past 10 years, EFB ANTHÉLIA has
been surprising the industry with its effi cacy
and effi ciency. It now goes further with the
introduction of RAFALE technology.
What is RAFALE technology?
• Permanent hair reduction on all skin types
for black, blonde, white, red, and grey hair
(patented and proven technology since 2008)
• No constraint with sun exposure
• Painless
• No secondary effect
• Integrated client management software
FRENCH
TECHNOLOGY,
17 PATENTS
ISO 9001:2008
ISO 13485-SGS
Contact Insight Aesthetics
Ph: 1300 737 393
info@insightaesthetics.com.au
www.efbaustralia.com.au
EFB Beauté ® is distributed in
Australia by Insight Aesthetics

contents
regulars
18 Editor’s letter
20 Contributors
22 Newsfront
34 Column: Quacks of the
18th century
93 How to subscribe
138 Directory
features
42 10 steps to reclaiming energy
Conquer fatigue once and for all
72 Complexion perfection
Learn how to outsmart the clock
and discover a radiant complexion
90 Nanoparticles: No small matter
Their use in cosmetics has divided
the medical world
98 Breast reshaping
We cover implants, lift and reduction
108 Fat reduction
Surgical and non-surgical options
face
46 Is 50 the new 40, or even
the new 30?
Facelifting is more popular
than ever before
48 The modern-day facelift
Avoid the “tightened” look
52 Your options in facial
rejuvenation
Invigorate your look and waylay
those pesky signs of ageing
56 Eyelid surgery
60 Harmonising the
consultation process
Achieve the best results in
injectable treatments
62 Small changes, big results
Facial rejuvenation
without surgery
teeth
64 Transform your smile
A dental “facelift” in just
one visit
nose
66 Reinventing rhinoplasty
Planning is key to creating a
beautiful result
68 Male rhinoplasty
Now a mainstream procedure
cosmetic tattoo
69 Australia’s leading lady of
cosmetic tattoo
The art of permanent makeup
70 Lasting beauty
Cosmetic tattooing can rejuvenate
the face for long-term results
skin
76 Treatment for melasma
Combat pigmentation with this
revolutionary laser treatment
78 Tighten skin
Non-invasive treatment for tighter
skin on the face and body
82 Tried and true results
Use light therapy to reverse the
visible signs of ageing
84 Reinventing the facial
86 The latest in skin renewal
New technology boosts collagen
production in the skin
88 Common skin theories...
BUSTED!
Separate fact from fiction
in skincare
hair removal
94 The French woman’s
beauty secret
Permanent hair reduction for
all hair colour and skin types

contents
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102 The perfect fit for you
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130 Your most powerful
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132 2015 Beauty update
136 Editor’s Faves
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Read the FREE online version at
www.cosbeauty.com.au

LETTER
FROM THE EDITOR
Welcome to the Summer issue of Cosmetic Surgery
& Beauty Magazine, fi lled from cover to cover with
great information on all the most popular cosmetic
procedures to enhance the body and face.
Since CSBM has been available online for free, we have
been blown away by your response to the digital versions – the
last issue has reached more than 100,000 readers already! At
current visitor traffi c levels, CSBM online editions are expected
to reach 400,000 visitors this year.
Never has it been more important to combine print and
online in order to engage with and satisfy a limitless audience. We want to thank you for
making the digital editions such a success and look forward to bringing you more videos,
behind the scenes content, easy navigation and links to doctor websites. Jump online
to www.CosBeauty.com.au where you’ll fi nd a link to our magazines on the homepage.
In terms of overall traffi c to www.CosBeauty.com.au, unique visitors has increased
by 40% month on month since June, and social media referral to the site has grown a
whopping 400% since the beginning of the year.
Whether you’re a hard copy or online fan – or a bit of both – you’ll love what’s in store
for you in this issue. We cover the essential procedures for reshaping the breasts (p98),
give you the update on surgical and non-surgical ways to remove fat and contour the
body (p108), and share the six ingredients that are truly skin-transforming (p72). Plus,
discover our favourite body smoothing products (p124) and makeup must-haves in our
bumper Beauty & Spa section.
The team at Bella Media wishes all of our readers and friends an enjoyable and relaxing
holiday season and a peaceful, prosperous and beautiful New Year.
Michelle Kearney
Editor-in-Chief
michelle@bellamedia.com.au
Michelle Kearney is sole director of The Bella Media Group and no other parties or individuals have any fi nancial interest in the
company or in Australian Cosmetic Surgery & Beauty Magazine (ACSBM). Reproduction in whole or in part is not permitted without
the written authorisation of the publisher. All reasonable efforts have been made to trace copyright holders. All manuscripts and
articles submitted for publication remain the property of The Bella Media Group. This magazine contains general information only and
does not purport to be a substitute for medical advice. All readers are advised to seek medical advice from a doctor if considering
cosmetic surgery. The publisher and the authors do not accept any liability whatsoever in respect of an action taken by readers in
reliance on the recommendations set out in this magazine. Except where specifi ed in captions, photographs depict models who have
not necessarily received treatments described in this magazine.
Advertising Policy ACSBM follows and upholds the Australian Competition and Consumer Commission (ACCC) Guidelines to
Advertising Medical Services, the Therapeutic Goods Administration (TGA) advertising regulations for therapeutic goods and services,
and individual state Medical Board guidelines. All reasonable effort is made by ACSBM to ensure that all advertisements accepted
for publication follow these guidelines. Copies of these guidelines are available from the individual agencies and boards. ACSBM
reserves the right to reject advertising that is in breach of these guidelines. All ACSBM advertisers assume sole responsibility and
liability for statements contained in their advertising copy, and hold harmless and indemnify ACSBM, Bella Media, and offi cers,
directors and employees from and against all liability, loss, claim, damages, costs or expenses arising out of matter contained in the
advertising. Advertisers accept these terms and responsibilities when signing an advertising contract with ACSBM.
Read the online edition at
www.cosbeauty.com.au
Issue 66
NOV - JAN 2015
Editor-in-Chief
Michelle Kearney
Editorial Director
Aimée Surtenich
Production Coordinator
Camila Kawashita
Art Director
Debbie Pilarinos
Writers
Caitlin Bishop, Tara Casey,
Aimée Surtenich
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Debbie Pilarinos, ShutterStock
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18

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Cosmetic Plastic Surgeon
www.cosmeticsurgeryoz.com
The definitive website for all your cosmetic surgical queries. More than 50
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Contributors
Ricky Allen Dr Buddy Beaini Dr John Flood Dr John Flynn Dr
Paul Gerarchi Val Glover-Hovan Dr Darryl Hodgkinson Dr Peter Laniewski Dr
Jim Leavesley Dr Steven Liew Dr Vlad Milovic Dr William Mooney
Dr Sarkis Nalbandian Dr Oseka Onuma Rita Porreca Terri Vinson
20 www.cosbeauty.com.au

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and most up-to-date approach
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P 02 6260 4882

newsfront
NEWSFRONT
CATCH UP WITH WHAT’S BEEN HAPPENING IN THE INDUSTRY...
THE RISE OF THE SELFIE & COSMETIC SURGERY
Latest online issue of
Cosmetic Surgery & Beauty
Magazine reaches
100,000+ views!
The online version of Cosmetic Surgery & Beauty Magazine issue 65 has
well and truly blitzed the milestone of 100,000 readers.
The issue was launched on www.CosBeauty.com.au this August and is
seeing more than 12,000 unique visitors each week.
At current visitor traffi c levels, Cosmetic Surgery & Beauty Magazine
online editions are expected to reach in excess of 400,000 this year.
Jump onto www.CosBeauty.com.au to read the magazine for yourself,
view before and after galleries, enter our competitions or keep up-to-date
with the latest in the cosmetic surgery and beauty arena.
2014 has been dubbed the “year of the selfi e”, and with
the rise of digital imagery comes an increased awareness
of self-image and the way we look on-camera.
Several studies suggest this sudden amplifi ed interest
in self-exposure has triggered an increased desire
to improve our appearance – using everything from
Instagram fi lters to cosmetic surgery.
According to the American Academy of Facial Plastic
and Reconstructive Surgery (AAFPRS), there has been a
signifi cant growth in cosmetic surgery procedures in the
under 30’s category.
It’s suggested that the advent of the selfi e is a large
driver of this increase, as a high proportion of these
cosmetic procedures were facial surgeries. There was a
10 percent rise in rhinoplasty in 2013, a seven percent
rise in hair transplants and six percent increase in
eyelid surgery.
While cosmetic surgery should not be looked to as a
solution to restore confi dence and self-image, the sharing
of images via social media has made us more aware of
our appearance and more willing to explore potential
ways to enhance our best assets.
22 www.cosbeauty.com.au

newsfront
22ND BIANNUAL MEETING OF ISAPS
by Dr Darryl Hodgkinson
The 22nd biannual meeting of the International Society of Aesthetic Plastic
Surgery met in September in Rio de Janeiro in Brazil for four days of intensive
education on the latest trends in cosmetic plastic surgery. I was fortunate
to be chosen to deliver two papers on the face and neck lift, being one
of only two Australians on the international faculty representing 76 countries.
My paper was enthusiastically received and it is gratifying to know that our
dedication to the best surgical results is recognised by international peers.
Interesting, the emphasis on facelifts is different between Europe, the USA
and Australia. The Americans want a more dramatic, exaggerated result, the
Europeans don’t focus much on the neck, whereas my Australian patients
want a natural-looking result with very good improvement on their neck.
Other pearls included a review of the safety of cosmetic surgical procedures.
The consensus was that the safest settings with the lowest complication and
infection rates reported were in specialised day surgery facilities rather than
as an inpatient at a hospital or at a generalised outpatient facility.
As usual, there was considerable debate on breast implants and whether
the greatest satisfaction was gained by saline over silicone. Polyurethane
implants are not available in the USA but elsewhere where there is a concern
that the polyurethane of the implant will be completely dissolved in 15 years
yielding a silicone implant. There was consensus, however, that all silicone
implants should be evaluated for a change at 10 years post-operatively.
Dr Hodgkinson at ISAPS Congress in Rio
Dr Hodgkinson and colleagues attend a sculpture course on
Rhinoplasty at ISAPS Congress in Rio
“WE MADE $7000
WITH ONE EMAIL”
– ANNA FIELD, THE PADDINGTON BEAUTY ROOM
FIND OUT HOW ANNA
ACHIEVED THIS RESULT
WITH SHORTCUTS
SHORTCUTS.COM.AU/PADDINGTON
1300 667 374
www.cosbeauty.com.au 23

newsfront
iNova Media Launch
On September 10, media were invited
to learn more about the latest additions
to iNova Aesthetics’ rapidly expanding
suite of energy-based medical devices:
Fraxel, Thermage, Liposonix, Isolaz and
Clear+Brilliant. These fi ve new brands
see iNova delivering a complete range of
aesthetic solutions tailored to improving skin
health, skin resurfacing and rejuvenation,
body contouring and tightening. The
portfolio also includes world-renowned
topical skincare Obagi Medical.
Held at Aqua Dining with beautiful views
across Sydney Harbour and Luna Park,
Perth plastic surgeon Dr Anh Nguyen
shared her extensive experience using the
suite of iNova Aesthetics products in her
busy clinic.
‘With Australian women spending $600
million on non-surgical treatments each
year, it’s clear these types of procedures
are in high demand,’ she said.
xxx
SHAPE
OF THE
FUTURE
New to Australian shores, Viora is a leading provider of medical aesthetic
solutions in more than 65 countries. It’s recently launched ‘Reaction’ in
Australia, using the latest in multifrequency RF technology with vacuum
therapy to reduce the appearance of cellulite and reduce fat volume – all
within a single system. With a following of plastic surgeons from around
the world, Reaction offers an all-in-one approach to body and facial
contouring, cellulite reduction and skin tightening. For more information
visit www.viora.com.au
Bali Hospital Earns Top Australian
Health Care Accreditation
BALI, Indonesia, October 9, 2014 – BIMC (Bali International Medika
Citra) Hospital Nusa Dua, one of two BIMC care centres on the island,
has become the fi rst hospital in Indonesia to be awarded international
accreditation by the Australian Council on Healthcare Standards (ACHS).
BIMC Nusa Dua, a part of Siloam International Hospitals, was
cited by ACHS assessor Professor Bruce Waxman for its ‘commitment
to patient care and service delivery and its recognition of continuing
quality development’.
Located in the centre of the Bali Tourism Development Corporation
complex, BIMC Hospital Nusa Dua is considered Indonesia’s fi rst medical
tourism hospital and destination. The facility is located within walking
distance of luxury hotels and villas, the Bali Golf and Country Club, Nusa
Dua Convention Center and Bali Collection shopping, food esplanade
and secluded beaches. Nusa Dua is Bali’s integrated beach resort, a
luxury tourism enclave known for its privacy and solitude as well as
conferences and conventions, golf and relaxation on its many beaches.
From left to right: BIMC Nusa Dua general
manager, Cathy Bolwell; Australian ambassador
to Indonesia, Greg Moriarty; Advisor
to Ministry of Tourism and Creative
Economy, Mr. Syamsul Lussa; BIMC Siloam
Hospital Group Bali Executive Chairman
Craig Beveridge; BIMC Siloam Hospital
Group Bali CEO, Dr. Donna Moniaga; Executive
Director of International Business
ACHS, Desmond Yen; Director of Business
Development for BIMC Siloam Hospital
Group Bali, Nurhadi Yudiyantho.
24
www.cosbeauty.com.au

newsfront
New study shows plastic surgery helps
keep the weight off after bariatric surgery
Patients who have body contouring surgery after
bariatric procedures maintain “signifi cantly greater”
weight loss than those who do not have plastic surgery,
new research reveals.
The study, conducted at Henry Ford Hospital in
the US, followed 94 patients who underwent bariatric
surgery between 2003 and 2013.
Of these, 47 participants had plastic surgeries
such as abdominoplasty, brachioplasty and thigh and
buttocks lifts to remove inelastic excess skin and tissue
after substantial weight loss and to reshape or recontour
their bodies.
The researchers examined each patient’s Body Mass
Index (BMI) both before the bariatric surgery and 2.5
years following the operation.
‘Of the patients who underwent contouring
surgery, the average decrease in BMI was
18.24 at 2.5 years, compared to a statistically
signifi cant 12.45 at 2.5 years for those who did not
have further surgery,’ says Dr Donna Tepper, plastic
surgeon at Henry Ford plastic surgeon and senior
author of the study.
The fi ndings were presented at the annual conference
of the American Society of Plastic Surgeons in October.
1ST AMAC & AESTHETICS
ASIA MEETING
Aesthetics Asia and Aesthetic & anti-aging Medicine
Asian Congress (AMAC) joined hands to host the fi rst
AMAC and Aesthetic Asia meeting. The 3-day event
was at the world-renowned Sands Expo & Convention
Center, Marina Bay Sands, Singapore, in September.
The joint meeting, attended by more than 700
delegates, continued in the footsteps of Aesthetics
Asia to maintain its position as the landmark aesthetics
event in Southeast Asia, showcasing the latest
technologies and techniques in the ever-expanding
and changing aesthetics market.
MEDICAL HOLIDAYS IN MALAYSIA
Take a break
& feel fabulous
Fabulous Flying Birds is owned and operated by an
Australian living in Malaysia. We take care of all your
cosmetic surgery needs while you indulge in a fabulous
holiday in Malaysia.
We assist with all your appointments, transfers and
reservations throughout your procedures and holiday,
offering you the best quality service and results.
• World-class medical practitioners and consultants
• State of the art equipment and technology
• Attractive prices
• Heavenly hideaways and spectacular sights
For more information visit www.fabulousflyingbirds.com
or email info@fabulousflyingbirds.com
www.cosbeauty.com.au 25

newsfront
International Sydney
Spa & Beauty Expo
This year’s Sydney International Spa and Beauty Expo delivered two days of nonstop
education and product showcase. Held on 23-24 August at the new Sydney
Exhibition Centre, Glebe Island, the Expo brought together more than 250 brands
from the beauty, rejuvenation, cosmeceuticals and wellbeing industries. Australian
celebrities Kerri-Anne Kennerley and Jennifer Hawkins also shared their beauty
secrets on-stage and at the True Solutions and Jbronze stands.
The educational component of the Expo was extensive and diverse, enabling
attendees to learn new techniques, discover the latest technologies and fi ne-tune
their business acumen.
The fun-fi lled weekend was rounded up by the second annual Beaty Gala
Awards, held at the Star Room at the Star in Daring Harbour. Congratulations to
the 2014 Salon Team of the Year – Skin Deep Medi-Spa, Perth.
The Expo will be back August 2015... with a brand new look and feel!
Visit www.beautyexpoaustralia.com.au
New anti-wrinkle injectable launches in Australia
On September 2, XEOMIN was offi cially launched to
the Australian market. XEOMIN, developed by Merz
Pharmaceuticals in Germany, is designed to combat
glabella (frown) lines by relaxing brow muscles to create a
refreshed, more youthful complexion.
XEOMIN (pronounced ‘ZEE-oh-min’) is a purifi ed
neurotoxin that temporarily blocks the transmission of
signals from nerves to the muscles, allowing the muscles
in the glabella to relax. Unlike other anti-wrinkle injections,
XEOMIN is free from complexing proteins to afford effective
results with minimal risk of complication.
‘In order to develop XEOMIN, an innovative manufacturing
and purifi cation process was used to separate the
complexing proteins from the purifi ed neurotoxin,’ says
XEOMIN creator, and head of Botulinum Toxin research
at Merz in Germany, Dr Jurgen Frevert. ‘XEOMIN was
examined for safety and effectiveness in adults.’
With Australians spending more than ever before on
their appearance – up to $1 billion each year – anti-wrinkle
injections have become one of the most popular aesthetic
procedures. Sydney cosmetic practitioner Dr Van Park
predicts this demand will continue to rise. She explains a
youthful, refreshed appearance can be advantageous in
the workplace, and muscle relaxants are commonly sought
out to provide a competitive, professional edge.
‘Deep wrinkles and skin folds can create an angry,
upset or sad appearance,’ Dr Park says. ‘These negative
expressions can lead to disadvantages and discrimination
both socially and in the work place.’
26

newsfront
AAFPS Masters’
Symposium 2014
September 2014: Experts in blepharoplasty and periorbital
rejuvenation from around the world met in Sydney to
discuss advancements, innovations and challenges in the
fi eld of facial plastic surgery.
The Australian Academy of Facial Plastic Surgery
(AAFPS) welcomed more than 200 of the world’s leading
surgeons in the fi eld of facial plastic surgery for its triennial
multidisciplinary Masters’ Symposium, held over two days
at the National Maritime Museum in Darling Harbour.
The focus this year was predominantly on blepharoplasty
and upper facial rejuvenation. Eminent keynote speakers
included Australian-born Professor Julian Pribaz, who
leads a team that performs full facial transplants in the
US; Dr Robert Goldberg, chief of orbital and ophthalmic
plastic surgery and director of the aesthetic reconstructive
surgery service at UCLA’s Jules Stein Eye Institute; Dr
Michael Groth, a renowned expert in aesthetic eyelid
surgery; Dr Brian Leatherbarrow, current President of
the British Oculoplastic Surgery Society; Dr Guy Massry,
who specialises in complex aesthetic procedures, volume
preservation blepharoplasty, and advances in the use of
eyelid and periorbital fi llers; and Dr Mario Pelle-Ceravolo,
current President of the International Medical Academy
and renowned European Plastic Surgeon from Rome.
According to AAFPS President and co-convenor of the
Symposium Dr George Marcells, the Masters Symposium
is a key opportunity for experts to meet, network and share
their experiences.
‘The Symposium is critical for continued excellence and
education in the fi eld of facial plastic surgery,’ he says.
‘It is through events such as the Masters’ Symposium
that we are able to improve our techniques and evolve
our approach, benefi tting patient safety and aesthetic
outcomes,’ he says.
‘There is a defi nite link between the way a person
looks and how they feel. With the infi ltration of the media,
and most recently social media, we have an even more
highly cultivated sense of self-image. This presents more
challenges for facial plastic surgeons, highlighting the
need for ongoing education and careful patient selection,’
Dr Marcells concludes.
www.cosbeauty.com.au 27

industry
37th
Annual ASAPS Conference
Leading plastic surgeons from around the world descended
on historic Hobart for the Australasian Society of Aesthetic
Plastic Surgery meeting. AimÉe Surtenich reports.
The Hotel Grand Chancellor in Hobart played host to
the 37th ASAPS Conference, a five-day meeting of
presentations and workshops focused on aesthetic
breast surgery and the “business” of plastic surgery by some
of the world’s leading plastic surgeons and marketing experts.
Among the stellar list of keynote speakers were LA-based
Dr Grant Stevens, who shared his insight into not only the
surgical techniques he has honed but also his advice for
creating a thriving practice and first-class patient experience.
Indeed, his Marina Del Rey practice is one of the largest in the
US, complete with a separate “Man Land” clinic just for male
clientele. He says cosmetic surgery for men is a booming field.
‘Men wear resumes on their face,’ he says. ‘So it’s no surprise
I’ve seen a steady growth each year of male procedures.’
In just one of Dr Stevens’ many presentations and workshops,
he detailed his experience using CoolSculpting, a non-surgical
body contouring system that uses freezing temperatures to
permanently destroy pockets of fat with no downtime. ‘This
machine has transformed my practice. I’m seeing results as
good as liposuction in the right patient,’ he says.
World-renowned Israeli plastic surgeon Dr Michael Scheflan
spoke on the composite breast and complex breast surgery,
which he says requires a unique technique for each patient.
He shared his extensive and varied case studies on improving
the breast aesthetic in complex cases using a composite of
implant, fat grafting and Acellular Dermal Matrix (ADM).
Dr Patrick Mallucci from the UK gave a very illustrated
presentation on concepts in aesthetic breast dimensions and
what makes an attractive breast. From his population study
in the UK, he found that the lower pole of the breast is more
important than the upper pole – which somewhat defies what
has traditionally been practiced and thought in breast surgery.
Indeed, the exact ratio of upper pole to lower pole fullness
for the “perfect” breast, he says, is 45:55 with the nipple at a 20
degree skyward projection.
‘Obsession with upper pole fullness has become misplaced,’
says Dr Mallucci. ‘It is a beautiful lower pole that defines
beauty, and this has become an important paradox in aesthetic
breast surgery.’
Photos courtesy of Woodrow Wilson
28 www.cosbeauty.com.au

industry
‘Essentially, we found that the “natural” look was
overwhelmingly the most popular breast aesthetic. Breasts
that were deemed most attractive and natural all had the 45:55
upper vs lower pole ratio, regardless of ethnicity and age,’ he
says. ‘The 45:55 proportion is the most universally appealing
and one which surgeons should be mindful of to achieve the
most natural-looking results in every patient.’
In addition to a strong focus on the breast and general
aesthetics, this year the program also delved extensively in
the business side of plastic surgery – which even included a
“before and after” photography masterclass.
What has to be a highlight for all was financial expert and
resident Today show commentator Ross Greenwood’s oration
on the changing landscape of the business of cosmetic surgery.
His talk, “First Clothing, Textiles and Footwear… Next Cars and
Manufacturers. Are Plastic Surgeons the Next Victims of Asia
and How to Fight It” was enthusiastically delivered, replete
with audience participation and a very interesting and candid
insider’s look at the current state of Australia’s fiscal policy and
economics in general.
Expert US-based marketers Tracy Drumm and Karen Zupko
rounded out the “business” side of the program, focusing on
marketing and staff management topics specific to the unique
needs of cosmetic surgery practices. This included adding a
non-surgical arm to a practice and utilising social media for
education and promotion.
The program was an interesting, dynamic and relevant
mix of surgical technique and practice management. The
social program was also a resounding success. Conference
attendees delighted in an evening of local cheese and wine at
Frogmore Creek Winery ‘Taste of Tasmania Experience’ with
local provedores, and the gala dinner was held at the famed
MONA, where guests had a chance to spend time enjoying
the eclectic museum during ASAPS’ exclusive viewing time
before being officially welcomed by the owner himself, the everentertaining
David Walsh.
The 38th Annual Conference will be held in Sydney on 22-
25 October – so save the date for what is shaping up to be
another world-class meeting. csbm
www.cosbeauty.com.au 29

industry
New frontiers in
regenerative medicine
Last month, world leaders in regenerative medicine descended upon
the ITALIAn city of Venice for the annual International BioBridge
Foundation Conference. Caitlin Bishop repoRTS.
Each year a collection of the world’s best minds in
regenerative medicine unite in the Italian city of
Venice for the International BioBridge Foundation
conference. Set amidst the canals and history of one of
the most beautiful cities built by man, the two-day meeting
delves into the latest innovations and future possibilities in
regenerative medicine.
Regen Lab, known in Australia as the manufacturers and
distributors of Regen Platelet-Rich Plasma (PRP), supports
the annual conference. This year, several Australian doctors
specialising in PRP attended the conference to keep
Australia at the forefront of using PRP and stem cells in
regenerative and aesthetic medicine.
‘BioBridge is a unique conference experience. Papers
are presented solely in the field of platelet rich plasma and
stem cell regeneration by medical professionals all over the
world from nearly all disciplines,’ explains Sydney cosmetic
doctor Dr Ronald Feiner. ‘This creates an opportunity for
delegates to learn from each other and exchange ideas in a
truly international forum.’
Although a relatively new field, regenerative medicine has
fast been gaining traction across the globe. Researchers are
exploring the possibilities in using the body’s own natural
processes – calling upon platelets and stem cells – to help
repair and replace human tissue and organs.
‘Many of the BioBridge presentations were at the cutting
edge of regenerative medicine, discussing innovative
uses such as combining PRP and bone marrow-derived
stem cells to treat orthopaedic fractures, and using PRP
in conjunction with hyaluronics in sports medicine and
rheumatology,’ Dr Feiner says. ‘We also heard about using
PRP alongside fat transfer grafting in improving facial
30 www.cosbeauty.com.au

industry
aesthetics; and with stem cell enhancement in treating
tissue defects.’
There were also discussions about improving the
accessibility of regenerative medicine to consumers. New
technologies have seen refinements and advancement
in regenerative technologies, and this has led to a more
streamlined and affordable delivery to patients.
‘PRP and stem cell procedures are now spanning into
fertility and sexual medicine which are truly exciting fields,’
explains Adelaide cosmetic surgeon Dr Robin Chok.
‘Regen Lab PRP kits have allowed stem cell-like treatment
to be delivered at a fraction of the cost and easily prepared
on a daily basis in any clinical environment.’
Autologous Platelet-Rich-Plasma
Autologous platelet-rich plasma is a concentration of human
platelets in a small volume of plasma. These platelets are
taken from a sample of the patient’s own blood and act
as vehicles to deliver growth factors and promote healing
in hard and soft tissue. Simply put, the growth factors in
PRP communicate with the body’s own stem cells and
fibroblasts to kick-start the natural regeneration process –
boosting healing time and optimising tissue recovery.
PRP has a history of use in orthopaedics, sports
medicine, wound healing, neurosurgery, dentistry and
ophthalmology, as well as more recently in cosmetic,
plastic, maxillofacial and cardiothoracic surgery.
Companies like Regen Lab have helped introduce PRP
to the cosmetic enhancement arena. By harnessing the
healing properties of platelets, and reinjecting PRP in areas
of the body and face, it’s possible to achieve an organic yet
effective aesthetic enhancement.
‘As a purely cosmetic clinic we are mainly focused on
treating skin texture and condition with PRP,’ explains
cosmetic practitioner Dr Catherine Stone from Auckland,
New Zealand. ‘Fine crepey skin seems to respond the best
to PRP, resulting in thickening, smoothing and increased
luminosity of the skin. PRP is our treatment of choice for
the fine fragile skin around the eyes, and is one of the few
treatments that we can use to improve the skin of the upper
eyelid without resorting to surgery.
‘Finely wrinkled skin on the neck, chest, hands and
underarms also responds well to PRP treatments, while
almost any skin will respond by becoming thicker, healthier
and more luminous.’
Because of it’s healing capabilities, PRP can also be
used in conjunction with cosmetic surgery to optimise
recovery following the procedure.
‘PRP infuses healing tissue with a powerful haemostatic
and growth factor cascade,’ Dr Feiner explains. ‘So any
surgery region where a tissue has been cut, lasered or
dissected will heal more expediently, with less bruising and
pain. PRP also exerts an antibiotic effect so infection risk
is diminished.’
What’s new in PRP?
The use of PRP, and the ways it can be applied, is ever
evolving with the emergence of new research and
technologies. This year’s BioBridge conference revealed
some new ideas to increase the longevity of PRP results.
‘Until recently, platelet activators were used to “activate”
PRP during injection, stimulating the release of more growth
factors to “increase the platelet signal” to stem cells and
fibroblasts to repair the treated area,’ Dr Stone explains. ‘At
BioBridge 2013, we learned that whilst the activators trigger
massive growth factor release in the short term, they stress
the platelets to the degree that they die very quickly in the
first few days. Studies show that not activating the platelets
results in a slower, longer release of growth factors, which
give a better long-term result.’
Growth factors in PRP
communicate with the body’s
own stem cells to kick-start the
natural regeneration process
As well as ways to extend and improve PRP results,
the BioBridge conference also explored the use of PRP
alongside fat transfers in aesthetic procedures. ‘PRP is the
perfect nourishing environment for fat cell transfer,’ says Dr
Chok. ‘It’s also an ideal maintenance procedure after fat
transfer or facelift surgery to the face and neck.’
As doctors, scientists and researchers departed from
Italy with a fresh perspective and deeper insight into the
workings of regenerative medicine, we can look forward
to another year of advancements and new possibilities in
harnessing the body’s own incredible healing powers.
‘Like any good conference, a symposium such as
BioBridge creates an environment of knowledge-sharing
that combines groundbreaking academic research that
can change an industry, with the practical application of
how to utilise the technology in the real world,’ Dr Stone
explains. This pushes the whole industry and medical
community forward to achieving better and safer results for
our patients.’ csbm
www.cosbeauty.com.au 31

industry
Taking stock
The Stock management software from Shortcuts can help
keep track of stock levels and make stocktake easier than
ever before. Caitlin Bishop reports.
The holiday season is well and truly upon us once more so it’s extra important
to keep shelves stocked and brace for the Christmas and New Year’s
rush. Beauty and anti-ageing treatments are in high demand throughout
summer, and retail products will be falling off shelves and onto the gift list.
With a system designed to manage stock levels and help place
and receive orders, Shortcuts can help boost clinic efficiency and help
keep stocktake on track. The Stock Management feature is built into the Shortcuts
software system, with complete automation and integration. It affords complete
control over stock movement, and instantly updates product information across
all franchises.
32 www.cosbeauty.com.au

industry
Tracking stock
Shortcuts has an in-built system to help manage and track stock usage, both in retail and professional
environments. ‘When using products in-clinic – for example, cleansers or serums in facial treatments
– you scan it with the Shortcuts system as business usage,’ explains Shortcuts educator Brooke
Morkham-Calvert. ‘The system then keeps track of stock levels, and can compare usage between staff
members, or different times of the year.’
The system also tracks the stock sold through retail. Importantly, operators can run reports on all
stock at any time. These reports are generated immediately, and can outline stock usage, the amount
of stock on hand, the top selling retail products and the latest trading summary – that is, the income
ratio between retail and services.
Placing orders
Quite simply, Shortcuts will automatically produce clinic orders, accurately
calculating the amount of stock required based on the time of year and the
amount of stock already in-store.
When setting up Stock Management, the operator designates a maximum
and minimum level for each stock product – and this level might change
depending on the time of year. The software then keeps track of the amount
of stock sold, or used professionally, and can automatically create an order to
bring stock back to maximum levels, at the same time taking into account the
amount of time it will take to be delivered.
Morkham-Calvert says Shortcuts’ stock system can help prepare the clinic
for a busy period. ‘If you’re expecting business to take off – perhaps over
Christmas or the new financial year – you can use the system to retrieve the
level of stock movement for the same period the previous year and build the
order from there,’ she explains. ‘This order can then be tailored to include new
products, add extra quantities, or compensate for an extra staff member.’
Receiving orders
The Shortcuts Stock Management system is designed to make receiving stock
simple. When the delivered stock is entered into the system, it can also be
customised to suit the way stock is used in-clinic.
‘When stock is received, the operator can bundle and unbundle the items to
make it easy to accurately track stock usage,’ Morkham-Calvert explains. ‘You
can unbundle boxes of stock into separate units for in-clinic use – for example,
unbundling five boxes of dermal filler into 5,000 individual units. Alternatively, you
might want to bundle individual products into a Christmas or travel pack.’
Stocktake
If Stock Management is used in its entirety throughout the year, Morkham-Calvert
says there should be no discrepancies when it comes to stocktake time.
‘Stocktake should be easy if you have all the right systems in place; the amount
of stock on the shelf should simply be a mirror image of what’s in the system,’
she explains. ‘If the point-of-sale stock scanning has been conducted properly,
if receiving and entering orders has been successful, and if you’ve been tracking
professional stock usage, the stocktake should be an exact representation of
what’s on the system.’ csbm
www.cosbeauty.com.au 33

column
Quacks
of the
Eighteenth
Century
In his regular column
Dr Jim Leavesley examines
the history and origins of
different medical topics.
The golden age for medical quacks was the 18th
century, an era full of soothsayers, ladies bountiful,
seventh sons of seventh sons and peddlers of potion
and nostrums. Three of these latter gained immortality by
being depicted in William Hogarth’s famous 1736 etching,
The Company of Undertakers. Shown at the top of the
page opposite, it depicts a number of doctors, most shown
inhaling fragrance from the top of their trademark goldtopped
canes to ward of the stench from patients.
Surmounting all is a row of three of the best known
charlatans of the times. In the middle is Sarah Mapp, or
Crazy Sal, as she was affectionately known. Her rumpled
hat is set at a rakish angle above a defiant face dominated
by crossed eyes. She was a bone setter, as had been her
father before her; her sister, Polly Peecham, became the
Duchess of Bolton. Mrs Mapp settled in Epsom just out of
London and such was her fame the town actually paid her
100 guineas to stay there for a year to attract gullible and
well-heeled visitors. Twice weekly she drove into London in
a magnificent carriage to consult at the fashionable Grecian
Coffee House. She became the most acclaimed bone
setter of the day, though famed contemporary orthopaedic
surgeon Percival Pott did not hold back and called her ‘an
ignorant, illiterate, drunken female savage’. She gradually
lost favour and died in obscurity.
On Crazy Sal’s left in the etching is Joshua ‘Spot’ Ward.
He was known as Spot on account of a large birthmark
clearly seen on his face. He started life as a footman to
landed gentry, but left and went into business selling salt.
It failed so he turned his hand to faith healing, no training
needed, and manufacturing questionable pills. Nonetheless,
he developed a great reputation and following, including the
naval establishment to which he supplied his nostrums.
With his substantial earnings he eventually turned into a
respected philanthropist, helping to endow four London
Hospitals for the poor.
His greatest triumph was replacing George II’s dislocated
thumb after his regular doctors had diagnosed gout. This
gained him entry to the Royal Court and being congratulated
for his success by the newspapers of the day. More to the
point, it also gave him personal exemption from the College
of Physicians inspecting his medications.
The third quack in the picture on Mrs Mapp’s right is John
‘Chevalier’ Taylor who had a more formal medical education.
Son of a Norwich surgeon, he first became an apothecary’s
James Graham had taken
London by storm with his
“Temple of Hymen”, which he
set up in Pall Mall
assistant and then trained at the famous St Thomas’s
Hospital in London, later the training hospital for Florence
Nightingale. On leaving he travelled from fair to fair as an
itinerant ‘oculist’, then went to the Continent to gain proper
medical degrees at Basel and Cologne, returning in 1736
to England as eye specialist to George II. Never a modest
man, he dubbed himself ‘Ophthalmiater Pontifical Imperial
Royal’ (whatever that means) and included composers J. S.
Bach and George Handal among his patients. Both were
blind and neither regained their sight under Taylor’s care. He
34 www.cosbeauty.com.au

column
did not hoodwink the sage Dr Samuel Johnson who called
him ‘the most ignorant man I have ever met’.
But perhaps the most blatant quack of those times who
led a bizarre life and festered such crack pot ideas, was
Dr James Graham, medical entrepreneur, self-styled sex
therapist and general layabout.
James Graham was born in Edinburgh in 1745. Son
of a saddler, he entered Edinburgh Medical School at the
age of 16 in 1761 but there is doubt whether it managed
to educate Graham to the required standard and he left
unqualified in 1764. Untroubled by such trifles, he set up
as an apothecary, got married and five years later sailed
alone to America ‘to better himself’. He later returned to
England, a master of self- promotion craving for the limelight
and determined to achieve celebrity status as a ‘sexual
reformer’. Within seven years he had taken London by
storm with his so called Temple of Hymen, after the Greek
God of Marriage, which he set up in Pall Mall in the heart of
the capital’s clubland and where the Lords and Ladies were
and, above all, the money circulated.
James Graham’s original plan was to treat all kinds of
ailments, not just sexual problems. Borrowing heavily and
planning to utilise the newfangled science of electricity, he
fitted out the place with machines for, as he put it, ‘throwing
by force of electricity ethereal essences, vivifying air and
magnetic effluvium through the whole body, and which
could draw visible sparks from any designated part of the
body’. He set up ‘electrical baths’ on glass legs to insulate
them and which were wired to a prime conductor which
was cranked by hand thereby producing a mild shock and
crawling sensation over the skin.
There were a number of other stimulants including
young female assistants who made themselves attractive by
wafting about in loosely fitting white robes. The face of one
of these women was to become famous countrywide later.
This was Emma Lyons, later to become Emma Hamilton,
wife of the British Ambassador in Naples and later still the
lusty mistress of Admiral Nelson As a further come-on,
Graham placed discarded splints, crutches and bandages
at the entrance in a perceived attempt to emphasise the
medical success of the place.
But the entrepreneur had more ambitious plans and
his electrical conceit became dedicated to marriage and
fertility, famously featuring a piece of prurient furniture quite
new to the sexually charged citizens of the Age of Scandal:
the Celestial Bed.
Assuming you could afford it at 50 pounds a night, a
huge amount for the times, it was aimed at the sexually
flagging man about town and disinterested lady desiring a
child. The bed was 3.6m long and 2.7m wide supported by
40 pillars of glass of exquisite workmanship in variegated
colours interspersed with brass pillars wrapped in purple
satin. The overarching dome was covered with panes of
brilliant mirrors and containers filled with ‘odoriferous balmy
and ethereal spices which were exhaled by the breath of the
music and the exhilarating force of electrical fire’. Or at least
this is what Graham claimed. Rhapsodic music and a pair
of turtle doves fluttered up there, too. Beneath the bed were
magnets poring forth their power.
Chiselled into the bed head were the words ‘Be Fruitful,
Multiple and Replenish the Earth’. I think a man with his
hyperbola could have done better than that, but we get the
drift. The bed came in for much lampooning and satire, but
was very popular and the cartoons provided Graham with
much gratuitous publicity. But it only lasted two years, mainly
because the doctor had overstretched himself financially,
partly because despite the doves, electrical pyrotechnics
and upmarket clientele, if your sperm count is low or your
fallopian tubes blocked no pregnancy is likely to follow. You
really had to wait 200 years and for IVF before you could
attempt to replenish the earth. csbm
www.cosbeauty.com.au 35

profile
Sydney’s
newest
plastic
surgery
clinic
We take a look at
Dr Vlad Milovic’s new
Sydney surgery, and
explore his approach
to achieving optimum
aesthetic results in
plastic surgery. Caitlin
Bishop repoRTS.
Plastic surgery can help boost confidence, improve self-image and combat
those main anti-ageing concerns. Sought out by men and women of all
ages and different backgrounds, cosmetic surgery has become a popular
way to return youthfulness and vitality to the face and body.
Indeed, with the results made possible with new technologies and endless
surgical advancements, cosmetic surgery has decidedly lodged itself into the
modern-day beauty regimen. Results, popularity and accessibility aside, the
decision to undergo cosmetic surgery should not be taken lightly.
Patient education, surgeon experience and an extensive consultation process
should be steadfast pillars in undergoing cosmetic surgery. Canberra and Sydney
plastic surgeon Dr Vlad Milovic understands his patients’ needs and has built
his practice on surgical expertise, as well as patient reassurance and support.
‘The decision to have plastic surgery can be a daunting one, and this is why
I tell my patients I will be with them through every step of this journey – from
the first consultation until the last postoperative appointment,’ Dr Milovic says.
‘I make sure to keep abreast of all the latest techniques available, and offer my
patients the most up to date and innovative surgical procedures in all areas of
plastic and cosmetic surgery.’
36 www.cosbeauty.com.au

feature profile
New
New
Sydney
Practice
Dr Milovic has expanded his
practice from the bounds of
Canberra to the hub of Sydney’s
Eastern Suburbs. His new clinic
is located in Woollahra and he
is now working from both the
Canberra and Sydney surgeries.
Set within an elegant
terraced building, his rooms
afford the privacy and tranquillity
desired when undergoing a
cosmetic procedure.
The terrace’s tasteful interior
incorporates a touch of luxury
– boasting designer finishes
in an exclusive yet discreet
environment. It typifies Dr Milovic’s
standard of care with a team of
friendly, personal staff contributing
to a comfortable, caring and
professional environment.
The leafy street is located just
a few metres from the boutique
Edgecliff Road shopping strip,
and the Queen Street café hub.
Patients have access to security
parking and public transport is
close by.
Dr Vlad Milovic, Plastic
& Cosmetic Surgeon
Phone 02 9389 9065
10 Junction Street,
Woollahra, NSW 2025
www.drmilovic.com.au
About Dr Milovic
Dr Milovic is a fully qualified specialist plastic and cosmetic surgeon with more
than 20 years of training and experience in Australia and across the globe. He
is a Fellow of the Royal Australasian Society of Plastic Surgeons (FRACS) and a
member of the Australian Society of Plastic Surgeons (ASPS).
His professional journey into plastic surgery was kick-started during his
surgical training, when he was called to assist a plastic surgeon in the reattachment
of an amputated hand.
‘The surgery was a 14-hour microsurgical procedure, and to say that I was
impressed with the surgeon’s level of skill, ability, knowledge and creativity is an
understatement,’ says Dr Milovic. ‘I remember thinking, plastic surgery is what I
want to do, and this is where I will specialise.’
Years on, Dr Milovic still experiences the same level of inspiration when
working with his plastic surgery patients. ‘I am passionate about what I do – the
joy I get when watching my patients’ faces following a life-changing surgical
procedure makes my job as a plastic surgeon incredibly rewarding,’ he explains.
With a philosophy built on patient education, Dr Milovic encourages his
patients to do their homework before deciding to undergo plastic surgery. He
recommends looking into the procedure – and the possible risks and downtime
involved – as well as qualifications and experience of the surgeon.
‘I cannot stress enough the importance of education,’ Dr Milovic says. ‘Myself
and my team are committed to educating our patients, and providing them with
the highest quality surgical procedures in the most agreeable, comfortable and
relaxed environment.’ csbm
www.cosbeauty.com.au 37

feature company profile
Spotlight on
Cynosure
With a comprehensive collection of light-based technologies,
Cynosure provides aesthetic business owners with leading laser
therapies to boost practice productivity and enhance customer
experience. Caitlin Bishop reports.
Cynosure has
developed a wide
range of industryleading
light-based
devices and holds
37 US patents
With a promise to “help people discover their version of beautiful”,
Cynosure has been developing and manufacturing light-based
aesthetic systems since 1991. With systems designed for hair removal,
skin revitalisation and scar reduction, as well as the treatment of vascular lesions
and removal of tattoos, Cynosure has helped clinics and patients around the
world make the most of light and laser therapies.
With new Australian headquarters in Sydney, the US company has rapidly
made its mark on Australian shores. Indeed, with an arsenal of 14 light-based
systems, with 37 US patents, Cynosure supports aesthetic and medical
professionals in 60 different countries across the globe.
‘Cynosure is the world’s number one laser aesthetic company,’ says Managing
Director of Cynosure Dennis Cronje. ‘It has developed a wide range of unique,
industry-leading devices, including PicoSure, the first and only picosecond
laser used for the removal of tattoo pigment and now approved for wrinkles
and acne scarring.’
PicoSure uses cutting-edge technology, where laser light is delivered in
picosecond pulses, to shatter tattoo pigment in the skin without damaging the
surrounding tissue. These micro particles of pigment are then removed from
the body via its natural immune processes.
As well as PicoSure, Cynosure has a suite of body contouring and cellulite
combating systems; skin rejuvenation and wrinkle reduction machines; as well
as axillary gland ablation and scar treatment devices.
‘The technology is the best in its class,’ Cronje explains. ‘Years and years of
research and development go into each product – that’s why we’re number one.’
38 www.cosbeauty.com.au

company profile
Cynosure
treatments
Body contouring
Cellulite treatment
Hair removal
Treating nail fungus
Reducing pigmentation
Skin revitalisation
Treating surgical
& acne scars
Axillary gland ablation
Tattoo removal
Vascular treatment
Benefits of partnering with Cynosure
With the rise in popularity of non-surgical procedures, light-based therapies
have become a valuable addition to plastic and cosmetic surgery clinics. Laser
treatments can extend clinic services and be used in conjunction with surgical
procedures to boost income and enhance client loyalty.
Cynosure prides itself on helping practitioners and aesthetic business owners
to capitalise on opportunities in the laser market. Cronje explains this involves
forming a mutually beneficial partnership with clinics. ‘The Cynosure focus is on
the clinics themselves – we form partnerships with our clients to ensure they get
the most from the product,’ he says. ‘We maintain a strong value proposition
and present our clients with the products they really need to boost business and
improve clinic turnover.’
‘To put it simply, if the clinic is not successful, neither are we,’ Cronje adds.
‘We always match the technology to the clinic.’
The Cynosure “partnership” does not just extend to providing the product
but also incorporates marketing the device, training for its use and servicing
the machine. ‘We provide clinical education and marketing assistance to help
clinics market the product and get clients through the door,’ Cronje explains.
‘We use social media and consumer websites to help drive consumers to lightbased
treatments. We direct consumers who have searched for our technology
to the clinics of our clients, and we have 24-hour technical support for all
our devices.’
With a dedication to several distinct but interconnected arms – business,
marketing and technology – Cynosure helps its clients boost clinic success,
refresh their marketing approach and make the most of the product.
‘Our clients invest in Cynosure, and we ensure this investment is made reliably.
We match the technology to the clinic, and provide our clients with everything
they need to get the most out of their new device,’ Cronje concludes. csbm
www.cosbeauty.com.au 39

picosuretattooremoval
PicoSure
just got better...
FDA APPROVED
for the removal
of tattoos AND
for the treatment
of wrinkles and
acne scars
Now FDA approved for the removal
of tattoos AND the treatment of
wrinkles and acne scars!
PicoSure, the world’s first picosecond aesthetic laser has
received FDA approval for the treatment of wrinkles and
acne scars. So... not only is PicoSure the fastest and most
effective laser for the removal of unwanted tattoos, but with
the FOCUS Lens Array, it now offers ​unprecedented results
in the treatment of wrinkles and acne scars.
picosure.com.au
cynosureaustralia.com
© 2014 Cynosure, Inc. Cynosure is a registered trademark and
PicoSure is a trademark of Cynosure, Inc. ALL RIGHTS RESERVED.

Before & After 3 treatments
Photo courtesy of K. Arndt, MD & J. Dover, MD
Before & After 3 treatments
Photo courtesy of R. G. Geronemus, MD
Before & After 4 treatments
Photo courtesy of R. Weiss, MD
Before & After 6 treatments
Photo courtesy of R. G. Geronemus, MD
Visit picosure.com.au
to find your nearest provider

feature
10
steps to
reclaiming
energy
Eating healthily and still feeling
tired? Getting adequate sleep
but can’t function without your
morning coffee fix or afternoon
sugar hit? You need to read this.
Tara Casey reports.
42 www.cosbeauty.com.au

feature
Feeling continually exhausted should not be accepted as part and parcel
of modern-day living. Unfortunately it’s a common problem for many
Australians and additional reliance on caffeine and sugar is a dangerous
blanket solution and further aggravates the downward spiral of exhaustion, says
Sydney-based naturopath Victoria O’Sullivan.
‘If you eat healthily and feel tired, you may find you suffer from associated
symptoms such as bloating, constipation, diarrhoea and bad breath. A major
cause of these symptoms is a poorly functioning digestive system. Poor digestion
and absorption of nutrients can leave you lacking energy as your body becomes
deficient in energy-producing B vitamins and minerals such as magnesium
and iron.’
O’Sullivan is passionate about sourcing the root of the problem of tiredness
and treating it accordingly. If there’s a problem there’s a solution, and the
healthiest option involves natural treatment, she says.
10 steps to reclaim lost energy
1. GET TESTED
How long is it since you’ve had a check-up with your doctor? A standard blood
test may reveal deficiencies in key vitamins and minerals such as iron and B12.
Symptoms of these include exhaustion, cold hands and feet, dizziness and
shortness of breath. ‘These deficiencies can have a negative spiralling effect:
when we are tired we crave more sugar and don’t feel like exercising, making us
even more tired – and the pattern continues,’ O’Sullivan says.
2. DO YOU HAVE ALLERGIES?
Often allergies will make you feel tired without you even knowing it. Allergic
reactions are brought on by a variety of factors – environmental, food and drink
– but mostly they are brought on by an overactive immune system. Identify the
triggers of the allergies, and limit contact.
3. RESTORE YOUR DIGESTIVE SYSTEM
Our digestive system is like an ecosystem – if there is a build-up of bad microorganisms
we’re unlikely to be absorbing the full nutrients and energy from
our meals. One simple way to restore balance is to chew food properly to
ensure break down and maximum absorption. Eat foods rich in good bacteria
like natural yoghurt, miso, sauerkraut and kim chee; take probiotics, digestive
enzyme supplements or apple cider vinegar in water in the mornings.
4. REHYDRATE
When we are dehydrated our blood becomes sticky and thick, which affects the
transportation of oxygen around our bodies, in turn impacting the vital oxygen
transport to our brains and affecting our mental alertness. ‘Sticky blood also puts
greater stress on our heart, making it work harder. We will likely crave more sugar
and stimulants to give us the energy we lack,’ says O’Sullivan. ‘We need roughly
0.33ml of water per 1kg of body weight. That’s around 2.15 litres per day for a
65kg person.’
www.cosbeauty.com.au 43

feature
5. AVOID FLAT BATTERIES
Adrenal exhaustion may occur as a result of chronic stress. We often associate
stress with things like loss, moving house and financial pressure. In reality, stress
comes from all areas of our lives. Dragging ourselves out of bed in the morning
and lacking stamina are classic symptoms of stress, but more subtle symptoms
can include difficulty in completing tasks and craving sugar or salt. The limbic
system in our brain is responsible for telling us if we are we under threat or
if we need a stress response. The good news is that it can be trained. Often
our perception of events can greatly affect our stress response. By developing
positive attitudes we can go a long way to reduce stress and gain more energy.
6. GET ADEQUATE SLEEP
Have the lights out by 10pm and get eight hours of undisturbed sleep. ‘Disturbed
sleep results in tiredness, and while we may be able to push through, the more
tired we get the more we will crave caffeine, starchy and sugary foods – from
here it is almost inevitable that weight will creep on,’ O’Sullivan says.
7. DECREASE SUGAR AND STARCHY FOODS
Do you find yourself falling asleep at your desk in the afternoon or unable to
concentrate? You may have unstable blood sugar levels. ‘Take a look at what
you’ve eaten during the morning and chances are you haven’t had enough to
eat or have relied on too much sugar. Although sugar can easily satisfy cravings
and re-energise, it diminishes quickly, leaving you stuck on a blood-sugar
rollercoaster,’ she says.
Our digestive
system is like an
ecosystem: if
there is a build-up
of bad microorganisms,
we’re
unlikely to be
absorbing the full
nutrients and
energy from our
meals
8. GET MOVING
If you don’t exercise, start. Getting the blood pumping around the body will get
the oxygen moving. This can be difficult when we have digestive issues, but
exercise helps digestion – even if it’s a gentle walk. Our muscles are packed
with mitochondria, which are the energy powerhouses of our cells. Building lean
muscle will help with energy production – and will also keep us younger.
9. PRACTISE CALMNESS
Often we are in a state of stress without being aware of it. ‘Adrenalin – one of
our stress hormones – can put us in a state of constant hyper-stimulation and
can trigger feelings of anxiety and panic, making it difficult to maintain a relaxed
composure,’ says O’Sullivan. Calming practices such as meditation, yoga and
breathing exercises calm the stress response, in turn helping the flow of energy.
10. SUPPLEMENT YOUR DIET
Many of us eat on the go and miss key vitamins and minerals. Supplements, in
particular B-vitamins and minerals such as zinc, iron, and magnesium, help to
replace the missing nutrients and sources of energy that many of us lack in our
diets. If you are struggling with low energy on a daily basis your body may be
giving you a clue that it’s time to assess your health and lifestyle. csbm
44 www.cosbeauty.com.au

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face
Is 50
the new
40
or even 30?
Sydney plastic surgeon Dr Darryl
Hodgkinson says the number of younger
people seeking a facelift is rising –
and for good reason.
The trend in the past five to 10 years has been for
women to have facelifting surgery at a younger age.
Now the majority of patients seeking a facelift are in
their early 50s. There are many positives to this trend.
For one, patients in their 50s are generally in better health
than those in their 60s and 70s. Patients (both women and
men) will also have more years in which to enjoy their result.
Another important positive is that the result will not be
as drastic – instead of transforming from an old-looking
face to a significantly younger face, performing a facelift at
a younger age results in a more refreshed and rejuvenated
appearance. Sagging facial tissues will still be lifted and
repositioned but the result won’t be as stark as seen in an
older person after a facelift.
What is less obvious but perhaps even more important
is that a facelift and/or necklift performed at the first signs
of ageing allows the person to continue to interact, dress
and live as they have been accustomed to, without first
having been perceived as old not only by others but by
themselves. We all know that feeling of waking up and
feeling good about the way we look and how that shapes
our day and our interactions. Conversely, once we start to
shy away from the mirror as we start to look older and tired,
it can also negatively shape the way we project ourselves
and interact with others.
I have been performing face and neck lifting procedures
for more than 30 years and in that time have developed
techniques which I now publish in the world’s plastic
surgical journals on how to restore the normal youthful
contours of the face and neck without creating a tight or
operated on look.
What is most important is to address all the aesthetic
areas of the face at the same time, what is called “panfacial
rejuvenation” to ensure that the face and neck have a
uniformity in their appearance.
The number one predictor of
the final result is the expertise
and experience of the surgeon
Today, the stigma formerly attached to facelift surgery
is no more – if the surgery is performed properly. Gone
are the days when it was acceptable to have a tight face
and a sagging neck. This is only true, however, in the hands
of a surgeon who is highly experienced in face and neck
lifting surgery. The number one predictor of the quality of
your result will be the expertise and experience of your
surgeon. csbm
46 www.cosbeauty.com.au

face
BEFORE
AFTER facelift, upper blepharoplasty and
rhinoplasty by Dr Hodgkinson
BEFORE
AFTER facelift, upper blepharoplasty and
rhinoplasty by Dr Hodgkinson
BEFORE
AFTER facelift by Dr Hodgkinson
BEFORE
AFTER facelift by Dr Hodgkinson
www.cosbeauty.com.au 47

feature face
Actual breast augmentation patient of Dr Milovic
48 www.cosbeauty.com.au

face
The modern-day
facelift
we speak with canberra and sydney plastic
surgeon Dr Vlad Milovic about the new age of
facelifting surgery. caitlin bishop reports.
Over time, the effects of gravity, sun damage and the stresses of everyday life
appear on the face, altering the way people appear to the outside world.
Deep lines may appear around the eyes and mouth, sagging skin may fall
from the cheek, jawline and neck, and fat deposits that were once full and firm
deplete, leaving hollow and sunken areas of the face. As people are living increasingly
lengthy lives, a facelift can help men and women look as young as they feel inside.
Canberra and Sydney plastic surgeon Dr Vlad Milovic explains the goal of facelift
surgery is to achieve a more youthful, natural-looking and rejuvenated appearance,
not one where the surgery is evident, or where the skin has a ‘pulled’ appearance.
‘The modern approach to facelifting involves repositioning the skin, as well as the
layer of muscle and tissue beneath (known as the superficial musculoaponeurotic
system, or SMAS),’ he explains. ‘This restores facial elements to create a younger
looking appearance while avoiding the telltale signs of surgery.’
Which facelift is right for me?
Dr Milovic draws on a variety of advanced techniques to achieve a natural, more
youthful look. ‘My surgical approach depends on the patient – their circumstances,
goals and the condition of their skin,’ Dr Milovic says.
One such technique is the composite facelift, a procedure designed to reshape
the entire face including the upper and lower eyelids, as well as the brow and neck. It
differs from traditional facelifting surgery by addressing the face as a single dynamic
unit, rather than a series of separate, static parts. ‘The composite technique lifts
facial tissues, fat, muscle and skin in one continuous section,’ Dr Milovic explains.
‘By tightening the underlying structures of the face, rather than just addressing the
skin, I can restore the neck, jawline and mid face with more natural-looking results.’
‘By smoothing and tightening skin in the lower eyelids, a composite facelift can
also help reduce the appearance of bags under the eyes,’ he adds. ‘Also, by elevating
the fat pad in the cheek, a more alert, youthful appearance can be created.’
Dr Milovic also draws on the S-Lift technique. This is a type of facelift named
after the S-shaped incision made in the hairline at the temple and in front of the ear.
During the procedure, the SMAS and attaching skin is usually elevated as one unit
and only excess skin is removed. The surgery is not as extensive as a composite
facelift, and the best candidates are those who do not have significant skin laxity of
the neck and jowls. ‘The S-lift is most suited to patients beginning to show signs of
facial ageing and who want some tightening of the lower face,’ he says.
Dr Milovic will discuss each of the techniques in detail during consultation,
outlining the advantages and risks of each, before devising the best surgical plan for
each individual patient.
www.cosbeauty.com.au 49

face
Facelifting
restores more
youthful facial
contours and
reduces the most
noticeable signs
of ageing
1
‘Post-surgery, most patients can expect to experience some pain, bruising and
swelling, most of which will subside within a few weeks,’ Dr Milovic explains. ‘By
properly preparing the patient for recovery, we can help reduce the downtime and
optimise the final result.’
Most patients can usually return to everyday activities after between two and
three weeks. Though patients will be able to see an immediate difference following
facelift surgery, the final results may not be evident until several months after the
operation – once the swelling has completed settled.
While the modern approach to facelifting predominantly addresses volume
replacement and vectors of lift, the procedure also helps smooth deep lines and
folds. When patients approach me complaining that they are unhappy with the
way their face has aged, facelifting is almost always a good option to restore
more youthful facial contours and reduce the most noticeable signs of ageing,’ he
concludes. csbm
BEFORE
7 months AFTER face surgery by Dr Milovic
Dr Milovic performed a deep plane composite S Lift rhytidectomy (facelift), lower
pinch blepharoplasty (lower eyelid), neck liposuction and microfat grafts to the lip
and cheek area on this 54-year-old patient.
2
BEFORE
4 weeks AFTER face and neck surgery by Dr Milovic
This 67-year-old male patient wanted a natural, refreshed look. Dr Milovic performed
a deep plane lower rhytidectomy (facelift) and neck lift.
50 www.cosbeauty.com.au

www.cosbeauty.com.au
feature
cosmetic surgery & beauty online
Want more beauty and cosmetic surgery news, views and reviews?
Jump online to stay at the cutting edge!
does skipping breakfast aid in weight loss??
‘To skip or not to skip?’ It‘s an ever lasting
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latest research has found skipping breakfast
may be the answer to Australia’s obesity
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opposed to counting the calories, can assist in
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Read on at www.cosbeauty.com.au/blog/
skipping-breakfast-aid-weight-loss/
ARE YOU READY FOR SURGERY?
Maximise your cosmetic surgery results and
recovery by following five key steps. First,
choose a skilled and experienced surgeon
– this is one of the most important decisions
in cosmetic surgery, and one of the first to be
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prospective patients should...
Read on at www.cosbeauty.com.au/cosmetic
-surgery/5-steps-successful-surgery/
www.cosbeauty.com.au 51

face
Actual patients of Dr Gerarchi
Facial rejuvenation:
your options
WANT TO REINVIGORATE YOUR LOOK?
SYDNEY FACIAL PLASTIC SURGEON
DR PAUL GERARCHI OFFERS A HOST OF
FACIAL REJUVENATION TREATMENTS TO TURN
BACK THE CLOCK. CAITLIN BISHOP REPORTS.
Sometimes a comprehensive approach to facial
rejuvenation, combining both surgical and nonsurgical
treatments, is the most effective way to
achieve the best, most natural-looking anti-ageing results.
The same way facial ageing involves volume loss,
sagging skin and textural changes, a rejuvenation regimen
often includes a program of complementary and targeted
treatments. In this way, the face is treated holistically, not
one just one isolated area.
Sydney facial plastic surgeon Dr Paul Gerarchi has
dedicated his practice to aesthetic and reconstructive
surgery of the face. With a full range of rejuvenation
procedures to choose from, Dr Gerarchi uses both surgical
and non-surgical methods to address the multiple hallmarks
of ageing in his patients.
Facelifting, eyelid surgery and laser skin resurfacing are
popular treatments that can achieve signifi cant results either
as a standalone treatment or in conjunction. Dr Gerarchi
tailors each treatment to the individual patient.
Facelifting
Advancements in technology, and a deeper understanding
of the ageing process, have led to a more all-encopassing
approach to facelifting surgery. According to Dr Gerarchi,
facelifting now addresses a range of elements – from skin
laxity to volume loss – and natural-looking results are more
achievable than ever before.
‘Today, facelifting surgery manipulates the supportive
soft tissue underneath the skin to reverse the effect of
ageing,’ Dr Gerarchi explains. ‘This should be achieved
without putting unnatural tension on the skin itself, to avoid
that over-tightened look.’
Dr Gerarchi offers a wide spectrum of face “lifting”
procedures. Volumisation and short scar treatments are an
effective option for those patients who aren’t able to commit
to the downtime involved in traditional facelifting surgery.
Alternatively, more extensive surgical lifts can achieve
signifi cant and long-lasting anti-ageing results. Dr Gerarchi
will always tailor his approach according to the patient’s
desires, expectations and existing anatomy.
‘It is a myth that there is a “right” age to have a facelift,’
he says. ‘Facelifts are suitable for most patients, man
or woman, younger or older. If you feel that your facial
features are heavy or sagging, particularly in the jaw line
or around the eyes, a face lifting procedure can help turn
back the hands of time and achieve a fresher, brighter, more
attractive appearance.’
52 www.cosbeauty.com.au

face
1
BEFORE
AFTER upper and lower blepharoplasty by Dr Gerarchi
2
BEFORE
AFTER facelift and CO 2
laser facial resurfacing by Dr Gerarchi
3
BEFORE
AFTER facelift by Dr Gerarchi
www.cosbeauty.com.au 53

face
During traditional facelifting surgery, the superficial
muscular aponeurotic system (SMAS), which is the
underlying musculature of the face, is lifted and re-tightened.
This effectively remodels the facial soft tissue before the
skin is re-draped over the newly enhanced contours.
‘The traditional facelift can be very effective for elevating
more advanced facial drooping and sagging,’ Dr Gerarchi
explains. ‘Like other kinds of facelifts, they can be combined
with complementary procedures such as a necklift, browlift
or eyelid surgery for optimum results.’
Eyelid surgery
Dubbed the “windows to the soul”, the eyes play a huge
role in expressing our emotions and greatly impact the way
we are perceived by the world. With age, the upper and
lower eyelids can become heavy and wrinkled, contributing
to a tired, aged or even angry expression. Dr Gerarchi
performs eyelid surgery – or blepharoplasty – to restore
the eye area and give back to his patients a more rested,
youthful appearance.
Upper eyelid blepharoplasty helps address the excess
skin and fat in the upper eyelids. This is performed via an
incision that is hidden in the upper eyelid crease. ‘Upper
eyelid surgery can help improve vision and expose the
eyelashes,’ Dr Gerarchi explains. ‘This helps brighten the
eyes and refresh the appearance. It can be performed
alone, or in conjunction with lower eyelid blepharoplasty for
more holistic results.’
It’s a myth that there is a
“right” age to have a facelift.
Facelifts are suitable for most
patients, man or woman,
younger or older
Lower eyelid surgery involves excising or redistributing
fat in the lower eyelid to counter puffiness below the eyes.
The skin is often tightened to smooth out the under-eye
area, helping reduce the appearance of “bags” under the
eyes and revitalising the appearance.
Dr Gerarchi and the team at The Face Institute devise an
after-surgery care plan for each patient, including a topical
cream to help reduce bruising. Most patients experience
only mild pain or discomfort following eyelid surgery, and
recovery usually takes between one and two weeks.
Results are long lasting.
CO 2
laser resurfacing
Laser skin resurfacing is a non-surgical way to improve
the skin’s texture and help reduce pigmentation, combat
wrinkles and improve textural irregularities. Laser
resurfacing is still regarded by many as the gold standard in
rejuvenating the skin.
‘The Face Institute was the first practice in NSW to offer
Ultra-Pulse Total FX laser system,’ says Dr Gerarchi. ‘This
system uses the latest technology in laser skin resurfacing
to tighten and resurface skin for long-term results with
minimal downtime.’
Treatment is tailored to each
patient and their individual
concerns, motivations
and desires
With age, the dermis weakens and facial volume
descends. This can be accompanied by changes in the skin’s
textural surface, for example enlarged pores, pigmentation
and textural and vascular irregularities. Treatment with
laser can help boost dermal integrity, kick-start collagen
synthesis and reduce the appearance of wrinkles, folds
and pigmentation.
During treatment, narrow beams of laser light penetrate
the skin and cause columns of thermal damage that
descend to the dermis. This triggers the body’s natural
healing response and increases blood flow to the site. The
area is flooded with oxygen and nutrients, and the skin’s
natural renewal processes are refuelled.
‘Treatment with CO 2
laser takes around 30 minutes
and patients usually describe feeling a “warm sensation”
during the procedure,’ Dr Gerarchi explains. ‘Immediately
following treatment, patients will experience some redness
and over the next few days some skin flaking. We prescribe
a skin regime to help optimise recovery.’
In most cases, results can be seen after just one treatment
with CO 2
laser. Collagen regeneration is heightened for up
to six months post-treatment, and skin texture, tone and
luminosity are noticeably improved.
Whether you’re looking for a major surgical rejuvenation,
or something less invasive with more subtle results, Dr
Gerarchi and the team at The Face Institute provide a range
of treatments tailored to each patient and their unique
concerns, motivations and desires. ‘Our philosophy focuses
on safety, satisfaction and quality,’ he says. ‘Our goal is
to achieve impeccable results tailored to each patient’s
concerns and reasons for seeking treatment.’ csbm
54 www.cosbeauty.com.au

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

face
Combat ageing
with eyelid surgery
Sydney plastic
surgeon Dr Peter
Laniewski says eyelid
surgery can return
youthfulness and
vibrancy to the
entire face. Caitlin
Bishop reports.
These days, facial rejuvenation spans both surgical and non-surgical
techniques and is commonly sought out to improve the appearance of
problem facial features and combat the signs of ageing.
‘With the advancement in technologies, techniques and modalities, facial
rejuvenation caters to each and every individual patient,’ explains Sydney
plastic surgeon Dr Peter Laniewski at My Face Clinic. ‘It allows us, as
surgeons, to offer a level of non-surgical and surgical options any patient can fit
comfortably with.’
One such procedure is eyelid surgery, or blepharoplasty, which is designed
to open the eyes and add vibrancy and youthfulness to the appearance. By
removing excess skin and fat from the upper and/or lower eyelids, the procedure
helps reduce bags under the eyes and counter the heavy, tired appearance
sometimes associated with ageing.
The incision for an upper lid blepharoplasty is in the lid crease and is made
with either a scalpel or CO 2
laser that seals the blood vessels as it incises. ‘We
remove skin, muscle and fat to reduce hooding in the upper eyelid,’ says Dr
Laniewski. ‘For the lower eyelids the incisions can be made either inside the
eyelid or just below the lower lash line. Excess skin in the lower eyelids is removed
to correct under-eye bags or sagging.’
Dr Laniewski commonly combines blepharoplasty with other surgical and
non-surgical procedures to gain the best results for his patients. ‘Treatment –
whether it’s surgical, non-surgical or a combination of both – is dependent on
the patient’s needs, desires and expectations,’ he says. ‘Some patients opt
to combine eyelid surgery with a facelift or brow lift to maximise the
rejuvenating results.’
Before treatment, each patient undergoes a thorough consultation process
with Dr Laniewski and a cosmetic consultant at My Face Clinic. This helps
establish the most appropriate treatment plan and adequately prepare the
patient for the procedure and recovery period.
‘Each individual patient has their own dedicated cosmetic consultant,’ Dr
Laniewski explains. ‘No matter what the procedure – from blepharoplasty to
breast reduction – the cosmetic consultant walks the patient through the whole
56 www.cosbeauty.com.au

face
process. This forms a lasting relationship built on trust, professionalism and
dedicated care.’
The downtime following blepharoplasty is relatively minimal, with some
swelling and bruising to be expected in the weeks following surgery.
Importantly, Dr Laniewski and the team at My Face Clinic believe in optimising
the recovery process to improve the quality and longevity of the final result.
‘Cosmetic treatment is an investment in yourself, so how are you going to
maintain your investment?’ Dr Laniewski asks. ‘The team at My Face Clinic helps
patients maintain and optimise results, offering advice about exercise and diet,
skincare and light treatments to keep the patient looking their best for longer.’
Results following blepharoplasty typically last around seven to 10 years, and
the level of rejuvenation achieved by just addressing the eye area can achieve a
significant anti-ageing result. By countering the heavy and sagging skin around
the eye area, the face can be granted a more youthful, alert and refreshed
appearance with blepharoplasty surgery. csbm
1
BEFORE
Treatment –
surgical, nonsurgical
or a
combination – is
dependent on the
patient’s needs,
desires and
expectations
2
AFTER lower blepharoplasty by Dr Laniewski
BEFORE
AFTER upper and lower blepharoplasty by Dr Laniewski
www.cosbeauty.com.au 57

SYDNEY
THE CENTRAL COAST
SKIN CANCER SPECIALISTS APPEARANCE & WELLNESS MEDICINE COSMETIC SURGERY
Anti wrinkle injections Dermal filler treatments
Facials Microdermabrasion Hydrodermabrasion
Laser/IPL treatments Photodynamic therapy
Dermapen Liquid Facelift Omnilux light therapy
Skin consultations 3D imaging
Call us now on
1300 322 337
Or book online at
myfaceclinic.com.au
Our clinics are located in Sydney and The Central Coast
facebook.com/myfaceclinic

A NON-SURGICAL
COSMETIC TREATMENT
PROGRAM DESIGNED
WITH YOU TO HELP
ACHIEVE FACIAL
HARMONY
The Harmony Program is a personalised treatment program, developed by you
and your Cosmetic Practitioner, that uses the latest techniques and scientifically
proven products to enhance your appearance in a subtle but impactful way.
There is now more choice in non-surgical cosmetic treatments than ever before. The Harmony Program
incorporates a structured and scientific process that better enables your practitioner to decide which
products are right for you, to restore the natural symmetry and balance of your appearance.
Harmony is holistic and uses a customised selection of products that may include:
ANTI-WRINKLE INJECTIONS + DERMAL FILLERS + SKINBOOSTERS & CLINICAL SKINCARE
to restore and enhance overall facial balance, tailored to your treatment goals and your budget.
Please visit www.wrinkleclinicfinder.com.au to locate a Harmony Program accredited clinic.
Galderma Australia, 13B Narabang Way, Belrose 2085, Australia.
June 2014 RES-1406-01

face
Harmonise
the consultation
process
Unsure of what treatment is right for you?
The harmony program from Galderma
takes the guesswork out of non-surgical
rejuvenation. Caitlin Bishop reports.
The Harmony Program from Galderma helps simplify the consultation
process and outlines the most suitable non-surgical treatment for each
patient. It helps patients decide upon the best treatment plan for nonsurgical
rejuvenation with their doctor.
The program was developed to take the guesswork out of the growing
number of non-surgical cosmetic options on the market in a bid to boost patient
satisfaction. It uses a structured and scientific process to make the choice of
treatments easier, outlining the most suitable treatment method to return youthful
volume and balance to the face.
Encompassing anti-wrinkle injections, dermal fillers and clinical skincare, the
Harmony Program is best suited to those patients looking to achieve naturallooking
results with minimal downtime.
The consultation
Research has shown that a myriad of social, emotional and psychological
factors can contribute to unrealistic expectations going into cosmetic treatment
and lead to negative outcomes following the procedure. The Harmony Program
is designed to more accurately and effectively assess patients during the
consultation process, and to help establish the best treatment plan – calling
upon a selection of non-surgical therapies – for each patient.
Perth cosmetic surgeon Dr Glenn Murray explains a typical consultation
process often doesn’t leave enough time for the doctor to properly understand
the patient’s goals and motivations going into treatment.
‘As doctors, we have 15 to 30 minutes on average to assess new patients
physically and psychologically, and this is very difficult,’ he says. ‘Whatever helps
us to understand patients psychosocially is very important, as we want to make
patients happy for multiple reasons.’
Patients of the Harmony Program are given a questionnaire, where the
questions have been formulated according to extensive research. The survey
60 www.cosbeauty.com.au

face
examines the patient’s main cosmetic concerns as well as their mental wellbeing
– taking note of any recent stress, imminent life events and the type of results
expected following treatment. ‘The Harmony Program affords a holistic approach
to treatment that includes an assessment of the patient’s main cosmetic
concerns, as well as their motivations,’ says Dr Murray.
According to Dr Murray, the Harmony Program also helps discern those
patients who may not be suitable for intervention or who require further education
before the procedure.
‘The Harmony Program divides patients into the three groups,’ he says. ‘The
patient with realistic expectations who is suitable for treatment; the patient who
needs to be educated, as their expectations are unrealistic; and the patient who
is not suitable for treatment, as they will never be happy with the result due to an
underlying problem, for example, body dysmorphic disorder.’
Treating those patients with unrealistic expectations can often lead to a
poor outcome, despite a technically good result, and this can create problems
for both the practitioner and the patient. The Harmony Program is one of the
first screening protocols to help identify patients with social, emotional or
psychological difficulties and establish the level of education needed before
going into treatment.
‘For the practitioner, the program helps deliver a more precise treatment plan
for the first group of patients and counter unrealistic expectations from the latter
two groups,’ Dr Murray adds.
For those patients venturing into the world of cosmetic injectables for the first
time, the Harmony Program can help determine the best method for preparation
and treatment. ‘The Harmony Program generates better overall results due
to the doctor having a better understanding of the patient’s personality and
psychosocial profile,’ says Dr Murray.
Cost effective
Because the program is built on a philosophy of creating natural-looking results
with treatment tailored specifically to the patient, the Harmony Program offers a
cost-effective approach to non-surgical rejuvenation.
By incorporating the latest techniques and scientifically proven products, the
program clarifies the best treatment options to enhance the appearance in a
subtle but impactful way. It is designed to optimise cosmetic treatment based on
the patient’s cosmetic concerns, motivations and budget. csbm
BEFORE
AFTER Harmony treatment by Dr Murray
www.cosbeauty.com.au 61

face
Small changes,
big results
Sydney cosmetic physician Dr Buddy Beaini says facial rejuvenation
can be achieved without major surgery. Tara Casey reports.
Minimally invasive procedures are key to rejuvenating
the appearance and reversing the signs of
ageing, believes Sydney cosmetic physician Dr
Buddy Beaini. ‘When selected appropriately and used in
combination, minimally invasive procedures can make the
patient look five to 10 years younger,’ he says.
Non-surgical options to refresh the ageing face has
become one of the most popular areas of cosmetic
enhancement. And for good reason – minimally invasive
options can help reverse the outward signs of ageing and
waylay the need for surgery.
With a range of light therapies, thread lifting procedures
and injectables at his clinic, Dr Beaini works with a range
of modalities to tailor results to each individual patient.
‘Patients of all ages have been treated with excellent
results,’ he says. ‘With the current advanced technology
and techniques, facial rejuvenation has developed
dramatically, giving patients the options to look and feel
younger without the need for major surgery. In particular,
thread lifting, blepharoplasty and bat ear correction
(otoplasty) are minimally invasive procedures that can
achieve significant results.
‘During consultation, I ask my patients to describe
their main concerns and I will outline the advantages,
disadvantages, success rates, downtime and budget
involved with a number of relevant treatment options,’ Dr
Beaini adds. ‘For those patients who are less specific,
and are hoping to look younger, fresher, rejuvenated or
“happier”, I make an assessment of how we can improve
the patient’s overall image and appearance.’
Thread lifting
This is a minimally invasive way to lift the skin on the face
to achieve younger and more contoured appearance and
counter the inevitable effects of gravity. Threads can be
used to lift the brow, face and neck, as well as reposition
the cheeks, reduce the jowl and enhance the lips.
The procedure involves inserting dissolvable threads
into the skin’s dermis, or support structure, to trigger the
62 www.cosbeauty.com.au

face
synthesis of collagen and elastin at the site. The threads act
as scaffolding for the production of these new connective
fibres, lifting and bolstering the tissue for an anti-ageing and
rejuvenating effect.
‘I have been performing mini-facelifts and neck lifts with
threads over the past two years,’ Dr Beaini explains. ‘We
have seen exceptional face lifting and rejuvenation results in
more than 95 percent of our patients.’
Thread lifting is suitable for those patients hoping to
reverse the descent of facial soft tissue associated with
ageing, or to waylay the need for a surgical facelift. It is
performed under local anaesthetic, and incurs some mild
swelling and possible bruising post-procedure.
‘Thread lifting is commonly used to address mid-face
drooping, deep cheek wrinkles, deep nasolabial lines,
excessive jowling and neck laxity,’ Dr Beaini explains.
‘Other concerns include brow droop, facial asymmetry and
loss of cheek positioning.’
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
Eyelid hooding surgery
‘When we look at an individual’s face, our attention first
focuses on the eyes, and any abnormality or asymmetry,’
Dr Beaini explains. For this reason, blepharoplasty – or
eyelid hooding surgery – can achieve significant results in
rejuvenating the entire face.
The procedure involves excising excess fat and skin from
the upper and/or lower eyelids to open the eyes for a fresher,
more alert appearance. The day surgery is performed under
local anaesthesia, and can be used in conjunction with
other treatments such as brow thread lifting, non-invasive
skin tightening and laser skin rejuvenation.
‘If an individual has droopy, tired and ageing eyes, the
first impression is that is individual is sad, tired or unwell,’
says Dr Beaini. ‘Eyelid surgery is a very effective and longterm
solution for such individuals, and automatically has the
effect of revitalising the entire face.’
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
Bat ear correction
Dr Beaini offers a permanent non-surgical treatment to
correct and reshape protruding ears (bat ear correction).
He performs the procedure with a mild sedative and local
anaesthesia; no hospitalisation, general anaesthetic or
surgical incisions are required.
‘Any abnormality and asymmetry in facial appearance will
attract attention, which is particularly relevant to individuals
with bat ears,’ Dr Beaini explains.
‘These patients were born with this problem and, in
most cases, are burdened with underlying emotional issues
relating to the appearance of their ears. The joy and relief
they experience once their ears are corrected makes this
treatment extremely desirable.’ csbm
BEFORE
BEFORE
AFTER Astarte Thread Lift by Dr Beaini
AFTER blepharoplasty by Dr Beaini
www.cosbeauty.com.au 63

teeth
Transform your
Smile
Sydney aesthetic
reconstructive dentist
Dr Sarkis Nalbandian
explains how a deNTAL
facelift can transform your
appearance in just one visit.
Caitlin Bishop reports.
A
beautiful smile signifies one of the most noticeable
hallmarks of youthfulness and attractiveness. A
bright, even, symmetrical smile can take years off
your appearance and boost your confidence when it comes
to making first impressions.
Sydney aesthetic reconstructive dentist Dr Sarkis
Nalbandian believes a youthful smile can transform the
entire face. And, despite the damage that can occur
to our smiles over time, Dr Nalbandian says significant
improvements can be seen in just one visit to the dentist.
‘Teeth wear can occur at any age,’ he says. ‘It’s known
as tooth surface loss, or TSL, and is generally caused by a
combination of abrasion, erosion and attrition, or ageing.’
Notably, tooth erosion can also be caused by the acidic
nature of our diet. Dr Nalbandian takes a holistic approach
to smile transformation, helping his patients make some
lifestyle and dietary adjustments to prolong the results of
dental rejuvenation.
‘The increase in carbonated beverages has resulted in
an excessive amount of tooth loss in people as young as
15. This compromises the structural integrity of their teeth,’
he says.
‘Approximately 30 percent of the population “brux”, or
grind their teeth,’ Dr Nalbandian continues. ‘The cause is
unknown but has been attributed to stresses of life and
sleep disorders.’
When teeth become worn, patients are exposed not
only to potential health and functional problems but also
to an ageing smile. According to Dr Nalbandian, this has
a knock-on effect, dragging down the appearance of the
face as a whole.
‘The aim in all reconstructive dentistry is to develop a
treatment plan to help solve both the patient’s functional
needs and aesthetic desires,’ he says.
‘I believe the best strategy is to firstly identify the cause
and then prevent further tooth and gum damage. Thorough
diagnosis is required to assess the cause because if it is
not treated underlying tooth loss will continue to undermine
any type of restoration performed on the tooth,’ Dr
Nalbandian explains.
64 www.cosbeauty.com.au

teeth
The ‘One visit dental facelift’
On suitable candidates, Dr Nalbandian performs what he
calls ‘The One-Visit Dental Facelift’.
‘As an example, one young patient wanted to improve
the colour of her teeth and their overall appearance,’ he
says. ‘She had become very self-conscious about them
because the top teeth were spatially shorter and had a
worn appearance due to bruxism, or grinding.’
According to Dr Nalbandian, the appearance of the top
six teeth was particularly compromised, especially during
speech and smiling. ‘The worn, short teeth had created a
flat smile line,’ he adds.
After discussing a number of options, the patient chose
to have non-invasive composite veneers. ‘We used
minimally invasive techniques to transform her smile in
only one visit. There was no drilling or injections and the
structure of her teeth remained intact,’ says Dr Nalbandian.
‘Her top 10 teeth were treated with composite veneers and
her bite was also improved for an optimal outcome.’
By using minimally invasive, time-efficient procedures,
Dr Nalbandian was able to improve the appearance of the
smile significantly whilst lifting the look of her whole face.
‘She is thrilled with the whiteness and symmetry of her
new smile, and that it also looks very natural,’ Dr Nalbandian
concludes. csbm
CASE STUDY
This patient had become selfconscious
about the shape and
colour of her teeth. The top teeth
were spatially shorter and had a
worn appearance. The patient
opted to undergo a non-invasive
procedure, using composite veneers
to improve the appearance of her
smile. The top 10 teeth were treated
with composite veneers, and her
bite was also improved.
The patient has reported that she
loves the colour and symmetry of
her new smile. The improvement in
this patient’s smile was achieved in
just one visit by Dr Nalbandian.
BEFORE
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
AFTER cosmetic dentistry by Dr Nalbandian
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
BEFORE
AFTER cosmetic dentistry by Dr Nalbandian
www.cosbeauty.com.au 65

nose
Reinventing
Rhinoplasty
Sydney ENT and facial cosmetic
surgeon Dr William Mooney
says a beautiful rhinoplasty
result is all in the planning.
Caitlin Bishop reports.
Alongside advancements in surgical techniques and
pre and post-operative care, rhinoplasty – or nose
surgery – has evolved to combine art and science
and address both the form and function of the nose. Sought
out by patients to reshape the nose or improve breathing
or sinus difficulties, rhinoplasty signifies one of the most
popular cosmetic surgery procedures.
Sydney ENT and facial cosmetic surgeon Dr William
Mooney says the modern-day approach to rhinoplasty
involves meticulous preparation, dedicated performance
and exacting aftercare, to help ensure optimal results and
minimise the risk of complication.
‘Rhinoplasty is no longer a single visit procedure. All
aspects of the procedure, from the preparation to the
aftercare, have evolved to improve recovery and the final
result,’ Dr Mooney explains.
66 www.cosbeauty.com.au

nose
In leading up to surgery, Dr Mooney advises his patients
of several measures to help reduce bleeding during surgery
and speed up the recovery process. ‘Before going into
surgery, I encourage my patients to stop smoking, improve
their diet and take certain medications to help accelerate
and optimise the healing process following the operation,’
he says.
During the procedure itself, Dr Mooney uses vasoconstrictors
to limit blood flow to the area, and hypotensive
anaesthesia to reduce blood pressure and limit the amount
of intra-operative bleeding.
‘Rhinoplasty as a surgery has changed; we use
articulated instruments to make changes to the bone as
precise as possible,’ Dr Mooney says. ‘In addressing the
cartilage, I focus on both function and form to achieve the
best, most all-encompassing result.’
Dr Mooney makes a point of never putting anything
permanent in the nose during his rhinoplasty surgeries.
When the nose needs to be
reconstructed or augmented, Dr
Mooney uses cartilage from the
patient’s own ears, rib or septum to
re-build the nose and reduce postoperative
infection rate.
Following the operation, Dr
Mooney undertakes a diligent
recovery process with his patients.
There are follow-up consultations
after one, two, four and six weeks,
and then after three months, six
months and one year.
‘The difference between a good
and excellent rhinoplasty result is
the follow-up process,’ Dr Mooney
says. ‘We employ both herbal
and Western medicine, as well as
BEFORE
lymphatic massage, to expedite
recovery. No nose looks great
immediately after rhinoplasty surgery,
so the first follow-up consultations
are about reassuring the patient
emotionally, as well as monitoring the
healing process.’
Dr Mooney takes a holistic and
all-encompassing approach with
all of his cosmetic patients. He
understands the importance of
individualising each treatment, to
achieve the most natural-looking and
long-lasting results.
‘No two patients are the same
and no two surgeries are either; I
always tailor rhinoplasty surgery to
the patient’s physical and emotional BEFORE
needs,’ Dr Mooney says. ‘Rhinoplasty is a complex
procedure and should be conducted by a dedicated
surgeon with experience in addressing both the form and
function of the nose.’
An aesthetic nose tip
Creating an aesthetic nose “tip” is regarded as one of the
greatest challenges to nose surgeons. Dr Mooney has
developed a specialised technique – termed the “Diamond
Tip” technique – to provide superior results, customised to
each patient.
‘The diamond tip approach uses a three-point pyramid
to create a beautifully looking tip that is stable and locked
into place for long-lasting peace of mind,’ Dr Mooney
explains. ‘This means there is less chance of the results
changing over time, as well as improved breathing for a
better quality of life.’ csbm
AFTER rhinoplasty by Dr Mooney
AFTER rhinoplasty by Dr Mooney
www.cosbeauty.com.au 67

nose
Male
rhinoplasty
now a
mainstream
operation
SYDNEY PLASTIC SURGEON DR DARRYL HODGKINSON SAYS MALE RHINOPLASTY IS
ON THE RISE. HERE HE EXPLAINS THE ESSENTIALS OF RESHAPING THE MALE NOSE.
Rhinoplasty (nose reshaping surgery) for men is now a
common procedure, representing 25 percent of the
500 cases or so I perform each year.
Often men have a history of nasal trauma from contact
sports or accidents in their childhood or young adult life
which not only affects the appearance of their nose but also
their breathing.
When I consult a patient with former nasal trauma, we
always test the breathing function as well as evaluate the
internal structures of the nose. To determine what is best
for the appearance or the outside of the nose, we use
computer imaging as a tool to communicate with the patient
what might be the best shape for the nose to complement
their overall facial features. Sometimes to further evaluate
the breathing we may need a CAT or MRI scan to aid in
the planning.
Once the patient and I agree on the possible shape of
the nose, we can proceed with the surgery. This is carried
out as an out-patient procedure at our on-site fully licensed
and accredited facility, The Double Bay Day Surgery. The
entire surgery, including correction of the breathing function,
usually takes about one and a half hours. A splint is worn on
the nose for one week and most patients go back to work
or their studies after seven to 10 days. Any discomfort can
be easily managed with mild analgesia.
It must be noted that if a patient has had an unacceptable
result from another surgeon and requires secondary
surgery, the results are less predictable.
Overall, the satisfaction rate for male rhinoplasty surgery
is very high, this being an operation that need only be done
once if done right the fi rst time. csbm
BEFORE
BEFORE
AFTER rhinoplasty by Dr Hodgkinson
AFTER rhinoplasty by Dr Hodgkinson
68 www.cosbeauty.com.au

cosmetic tattoo
Australia’s leading lady
of cosmetic tattoo
We chat with cosmetic tattoo pioneer Val Glover-Hovan about the art
of permanent makeup and her mark on the industry. TAra casey reports.
Val Glover-Hovan has been a name in the beauty
industry for some 35 years and has pioneered
cosmetic tattooing in Australia. In March 2015 Val
will celebrate 30 years of business. Along the way she has
earned a swag of accolades from organisations including
the American Association of Micropigmentation Lifetime
Achievement Award for her contribution to the cosmetic
tattoo industry, and another prestigious award from the
International Image Council.
Val’s lip work in particular is much sought after,
and she regularly presents her full lip technique at
numerous conferences throughout the world. Her work
is recommended by beauty professionals, medical
practitioners, and cosmetic, plastic and laser surgeons.
Val has carved a career out of making Australian
women look and feel fabulous. ‘When performed correctly,
cosmetic tattooing can enhance and beautify a woman’s
looks,’ she says. ‘This might include creating defined, wellgroomed
eyebrows, enhanced eye shape with eyeliner
and more youthful-looking lips with colour. The great
thing is that all of these treatments last for many years. It
makes me feel good to know I’ve made so many people
feel more beautiful and confident throughout my career.’
Her company, Cosmetic Tattoo Australia, is part of the
Hovan’s Group, a recognised name around town and regular
exhibitor at beauty, spa and medical expos internationally.
TRAINING COURSES
Learn from the master of
cosmetic tattooing!
Basic and Advanced Training Courses by Val Glover-
Hovan. Learn the art of full lip colour and blend,
body illustrations, camouflage, MCA scar relaxation,
repigmenting, needling, plus more.
For further information regarding Training Kit
options and costs, please call 02 9938 2111 or email
info@cosmetictattooaustralia.com
Learn more at www.cosmetictattooaustralia.com
Principals Leslie Hovan and Val Glover-Hovan are the driving
forces behind the company. They’ve grown and diversified
the business to an international enterprise, serving Australia,
New Zealand, Singapore, the Middle East, United States,
Canada and the Caribbean.
‘I have strived to set good standards for the industry
in cosmetic tattooing with continued education and high
quality products, promoting professionalism in treatments
and training,’ Val says. ‘It’s been very rewarding – the beauty
business is a great industry to be in.’ csbm
BEFORE
AFTER full lip tattoo treatment by Val Glover-Hovan
BEFORE
AFTER eyebrow tattooing – an “eye lift” without surgery
– by Val Glover-Hovan
www.cosbeauty.com.au 69

cosmetic tattoo
lasting
beauty
RITA PORRECA OF SYDNEY PERMANENT MAKEUP CENTRE EXPLAINS HOW
PERMANENT COSMETIC TATTOOING CAN REJUVENATE THE FACE FOR LONG-TERM
RESULTS. CAITLIN BISHOP REPORTS.
Cosmetic tattooing is a long-lasting way to create a
more beautiful you – enhancing the eyes, making
lips look more full and rejuvenating the overall
face the face without surgery. Sydney cosmetic tattoo
practitioner Rita Porreca says cosmetic tattooing is quickly
becoming known as the go-to procedure for a minimally
invasive anti-ageing boost.
‘The art of cosmetic tattooing is becoming cemented
in the beauty industry, with a range of treatments available
to suit a variety of client needs,’ she says. ‘With today’s
techniques, the beauty of your youth can be extended, and
even enhanced.’
Like any cosmetic procedure, the artistic skill and
experience of the practitioner is essential in achieving the
best results in permanent cosmetic tattooing. ‘No two
cosmetic tattooists are the same because it is very much
an art form,’ Porreca explains. ‘Results that enhance
the client’s natural beauty depend on the experience of
the practitioner in working with different skin tones and
facial features.’
Combining permanent eyeliner with eyebrow tattooing
can help restore vibrancy to the entire eye area and help
those who have plucked too much, or have scars or gaps
in their eyebrows. Similarly, lip tattooing can be ideal for
women lacking a defi nite lip shape, who have pale lips or
just want to enhance the appearance of their pout.
There is a rainbow of pigments to choose from, and
Porreca says clients should be aware that the colour
may seem stronger at fi rst, but will fade to a more naturallooking
tone in time. ‘Immediately after the treatment, the
cosmetic tattoo will appear brighter in colour. However, in
most cases clients lose approximately 20 to 40 percent
of intense colour throughout the healing process,’ she
explains. ‘Final results can be seen after around two weeks.’
70 www.cosbeauty.com.au

SPMUC FP(NEW) 30/4/07 1:30 PM Page 1
Cosmetic tattooing is more than just a beauty treatment
– it can also create hassle-free mornings for those with busy
lifestyles. Permanent makeup means sleeping, swimming
and exercise can be smudge-free.
Results are long lasting, from around two to six years.
Porreca timeless and
timeless
says clients are often concerned
and
the result will
effortless beauty
effortless beauty
appear fake or ‘done’ – something she avoids by using two
to three different colours in the one treatment for a more
realistic effect.
‘The most important thing to remember is “less is
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
tattooing can provide clients with a fresh, more youthfullooking
face and a sense of refined beauty – no touch-ups beauty experts’ solutions expert. With with more natural than and 24
Centre body, skin that and provided training, personalised we are the
required!’ she concludes. csbm
lasting years’ experience results – a world we have above developed
traditional an excellent beauty reputation salons.’ with doctors
– and Rita surgeons. Porreca, We Founder also work & MDclosely
timeless and effortless
with surgeons in post-operative
beauty
care.
When – Rita it Porreca, comes to Founder Eyes, Lips, & MDFace, Body, Skin and
NEW HEALTH & BEAUTY
Training
SPCP,
we
AAM,
are
AACT,
the experts'
APAA
expert. We also work closely
with surgeons on post-operative care.
SANCTUARY OPENS
Rita Porreca has recently been involved in a new ‘In 1984 my dream was to create a
SERVICES WE PROVIDE
project – opening Cosmedic Professionals, a cosmetic Centre that provided personalised
SERVICES clinic in Five WE Dock PROVIDE Sydney. The new clinic is a joint
beauty solutions Cosmetic with natural Tattooing
and
lasting results – a world above
Cosmetic venture between Tattooing Porreca and Jessica O’Brien from
traditional beauty Medical salons.’ Tattooing
Eyebrows the Sydney Hair Skin stroke and Laser to shaded Clinic. brows to give you more of a
– Rita Porreca, Founder Skin & Needling
natural Built appearance on the philosophy of enhancing the outward
MD
Eyeliner reflection Subtle of inner to Dramatic beauty, Cosmedic or to define Professionals
Dermal BEFORE Planning Peels
your eye shape
aims to bridge the gap between medical, cosmetics When it comes
Lips From lip liner to full lips & blends we make your lips look good with Non to Laser Eyes, Lips, Tattoo Face, Removal
Body, Skin and
and alternative therapies.
Training we are the experts' expert. We also work closely
an ideal shape and colour all the time.
with surgeons Cosmetic on post-operative Tattooing care. Courses
‘Self-confidence comes from how we feel inside
Medical and permeates Tattooing outwards,’ Porreca explains. ‘Since I
Areola started re-pigmentation Sydney Permanent Is Makeup the final Centre, stage of I’ve breast had reconstruction and is AFTER FULL LIP TATTOOING
also a dream considered to create by a those centre with that provides areola colour personalised loss.
SERVICES WE PROVIDE
Corrective treatments Camouflage with a focus on Can natural bring beauty a natural and lasting skin colour back to scars
Cosmetic and cosmetic burns Tattooing results. This is where alternative therapies
Eyebrows Hair stroke to shaded brows to give you more of a BEFORE FULL LIP COLOUR
AFTER FULL LIP COSMETIC TATTOOING
and cosmetic treatments meet.’
natural Skin Offering Needling appearance everything from weight loss assistance
Eyeliner Needling to skin Subtle treatment rejuvenation to Dramatic for wrinkles, and or injectables, to acne define scars your Cosmedic & eye scar shape relaxation
BEFORE
BEFORE
Lips Professionals
Skin From Rejuvenation lip liner affords to full a holistic lips & and blends all-encompassing
we make your lips look good with
an Is
approach ideal for shape to
the
beauty
rebuilding and colour and wellbeing.
of all new the collagen time. and lightening pigmentation.
BEFORE EYE LINER TOP AND BOTTOM
AFTER EYE LINER TOP AND BOTTOM
‘Cosmedic Professionals is a unique venture where
Medical IPL clients Hair can Tattooing Removal find answers to a variety of concerns,’
Areola Enables re-pigmentation hair removal from Is nearly the final every stage part of of breast the body reconstruction quickly and is AFTER FULL LIP TATTOOING
Porreca says. ‘Detoxing with our infrared sauna,
also AFTER EYEBROW TATTOOING
and and efficiently considered assisting with by weight those with loss areola methods colour will address loss.
Corrective health and Camouflage lifestyle concerns. Can When bring these a natural measures skin colour back to scars
and
Medical
burns
Skin Peels/Microdermabrasion
BEFORE EYEBROW TATTOOING
AFTER EYEBROW TATTOOING
are partnered with skin peels and light therapies for
Skin treatments ranging from Green Peel, CosMedix Peels
skin rejuvenation, a holistic, effective and long-term
Skin & Microdermabrasion Needling to give you a natural healthy glow.
change in the skin and body can be achieved.’
Needling treatment for wrinkles, acne scars & scar relaxation02 9569 7799
Cosmetic ‘By optimising Dermal inner Fillers health, & Mesotherapy
and using a holistic and
BEFORE
follow us on
Skin multimodal Rejuvenation treatment regime, we will bring out the Bella Building, Shop 4/239
Cosmetic Tattooing Courses
Is beauty ideal for in all the our rebuilding clients,’ Porreca of new concludes. collagen and lightening pigmentation. Great North Rd, Five Dock
Learn, up-skill and expand with professional cosmetic tattooing training.
AFTER AEROLA TATTOOING
located in Cosmedic Professionals
IPL Hair Removal
Email: info@spmuc.com.au
Enables hair removal from nearly every part of the body quickly
www.cosbeauty.com.au
Web: www.spmuc.com.au
AFTER EYEBROW TATTOOING
and efficiently

feature
Complexion
perfection
72 www.cosbeauty.com.au

feature
Throughout our
lives, forces can
conspire against us
to result in ageing
skin. Learn how to
outsmart the
clock and discover
a radiant complexion
at any age. By
Caitlin Bishop.
Affected by the lifestyle we lead, the foods we eat, the products we use and
the vitamins we consume, our skin, and the way it ages, is an amazingly
complex phenomenon. External factors work alongside genetics, ethnicity
and other intrinsic processes to map our path to skin ageing. And whilst there is
little we can do to halt the hands of time from leaving their mark on our skin, there
is plenty we can do to limit the damage being done by the choices we make on
a day-to-day basis.
Spanning from the active cells of the dermis to the dead cells of the stratum
corneum (the outermost layer of the epidermis), the skin serves to protect the
body and acts as an exchange system for water and waste. Skin cells are
produced by stem cells in the dermis and, from here, move up through the
layers of the epidermis before they are shed from the stratum corneum. As we
age this process of skin cell renewal slows down, meaning the skin’s integrity,
texture and resilience is slowly impaired. Also in the dermis lie interlinked
collagen and elastin fibres, the skin’s support structure and the key to a youthful
facial contour. Again, these fibres lose strength with age, causing wrinkles to
form, elasticity to deteriorate and firmness to fade.
While these ageing processes are somewhat inevitable, a number of external
factors contribute to their onset and development. Sun exposure, diet and
lifestyle all impact the speed of skin cell renewal and the integrity of support
structures in the dermis.
UV damage
In a country as sun-drenched as Australia, the skin is unavoidably battered by
some degree of ultraviolet (UV) radiation. With profound effects on skin health,
sun damage has been deemed responsible for up to 90 percent of visible signs
of skin ageing and impacts the entire spectrum of skin processes. It is difficult
to tell just how much damage is occurring during sun exposure, as the radiation
responsible for photoageing is different to that which causes sunburn. While
excessive UVB exposure induces burning, blisters and discomfort, uva radiation
penetrates the skin unnoticed, reaping havoc on the cells, vessels and support
structures of the dermis.
Working to compound, accelerate and trigger intrinsic signs of ageing, UV
damage alters molecular processes to gradually transform fine lines into deep
wrinkles, a smooth complexion into a think, leathery texture and mild pigmentation
into harsh, irregular sun spots. According to Siddharth Mukherjee et al. in a study
published in the journal of Clinical Interventions in Aging, severe photodamage
morphs the dermis into a “massive quantity of thickened, tangled and degraded
elastic fibres.” This phenomenon causes blood vessels to widen and show on
the skin’s surface, atrophying the skin and collapsing its support structures.
While prevention is always preferable, reversing some signs of UV damage
is achievable. An antioxidant-fuelled skincare regime can slow the process of
pigmentation arising, certain skincare products can prohibit melanin generation
and some treatments can lighten the skin, reducing the appearance of existing
pigmentation on the surface. Zinc fortified cosmetics provide enhanced protection
against the sun’s harmful rays, preventing further damage from occurring.
Diet
The way we nourish our bodies, satisfy our cravings and sate our taste buds
manifests itself on the skin in a surprisingly direct fashion. Though we often
adjust our diet to slim the waist or flatten the stomach, we don’t always think of
www.cosbeauty.com.au 73

feature
the impact such dietary decisions are having on our skin. For example, skin cell
membranes, which are comprised of fatty molecules, or lipids, are responsible
for protecting the cell, absorbing nutrients and eliminating wastes. The integrity
of this lipid membrane is dependant on the availability of essential fatty
acids, which the body cannot produce independently. Because of this, those
following extremely low fat diets will often exhibit compromised skin barriers,
due to a lack of essential fatty acids and a weakening of cell membranes.
Alternatively, a diet high in Omega 3 and 6 will work to refine and strengthen
epidermal skin cells, enhancing the skin’s protective barrier and increasing
water and nutrient retention.
Omegas aside, not all fats benefit the skin. An excess of unhealthy fats will
induce a heightened sebum production and disrupt the skin’s acid mantel – or
the water/oil barrier across the skin’s surface. Similarly, highly acidic diets will
cause your body to excrete excess acid via the epidermis, sometimes triggering
conditions such as psoriasis, eczema or adult acne.
Finally, bad news for those with a sweet tooth; excess blood sugar molecules
bombard the collagen and elastin fibres in the skin, causing the proteins to
become hard and brittle. Too much sweet indulgence will deteriorate the skin’s
elasticity and resilience, resulting in a ‘criss-crossed’ wrinkle formation around
the chin and eye area – a condition known as glycation. Anti-glycation agents
can be found in certain cosmetics, while balancing your diet with nutrient-rich
vegetables and red meat will soften the glucose effect.
6 ways to get younger looking skin
Modern skincare products are formulated with potent
active ingredients to work magic on your complexion. While
selecting the products to include in your beauty arsenal,
there are many important ingredients to look for.
The following are the critical and most vital ingredients to
any anti-ageing product.
Sunscreens
Sunscreens are an integral part of any anti-ageing regime.
They are, first and foremost, products to help prevent
extrinsic ageing of the skin. Ensure any sunscreen has
physical and chemical blockers plus antioxidants. While not
perfect, these sun care products are the best we have at
the moment.
Antioxidants can break the chain reactions triggered by
the production of free radicals. The good news is that they
are freely available because most beneficial antioxidants
occur in foods we eat. These include Vitamins A, C and E,
carotenoids such as betacarotene, some minerals, phenolic
compounds and other naturally occurring chemicals with
antioxidant properties.
Antioxidants help prevent tissue damage that could
potentially lead to ageing and disease. They are important
in photo-damage repair and protection.
Antioxidants are increasingly being included in skincare
products, but there are a number of factors that influence
their effectiveness in topical form. These include the
chemical makeup of the antioxidant, what it is combined
with and how it is delivered in the product formulation.
Antioxidants
Antioxidants are nature’s magic bullets, protecting our
bodies against the chemical reaction responsible for the
free radicals that are one of the key mechanisms in ageing.
Free radicals are by-products of normal cell activity but they
also occur as a result of exposure to pollutants and sunlight.
They are extremely destructive, damaging cell structures
and contributing to degenerative illnesses such as heart
and liver disease and cancer.
Vitamin A
Most skin health professionals will agree that Vitamin A is
the single-most important ingredient to prevent, restore,
normalise and help repair damaged skin. Since our body
does not make Vitamin A, our skin becomes deficient
over time. For that reason, Vitamin A is a very important
and necessary ingredient in all quality anti-ageing product
lines. However, in its acid form it may cause redness and
irritation. It can also cause a thinning of the skin, which is
74 www.cosbeauty.com.au

feature
Stress, sleep, smoking and exercise
Triggering the release of the hormone cortisol, stress takes a toll upon every
aspect of the body, skin included. Maintained levels of stress, whether it’s induced
mentally or physically– for example difficulty sleeping – will result in an overload
of cortisol in the system. Produced by the adrenal glands, cortisol breaks down
collagen in the skin leading to increased skin laxity, fine lines and dark circles
under the eyes.
Ensuring the standard six to eight hours of sleep each night will keep those
cortisol levels at bay, while regular exercise will induce an increased blood supply
to the dermis, delivering adequate nutrients and removing excess waste for a
healthier looking complexion.
There is significant research to suggest smoking increases the appearance of
fine lines and wrinkles in the skin. By reducing the capillary and arteriolar blood
flow to the skin, smoking leaves the skin starved of oxygen and nutrients, while
also damaging the connective tissue fibres in the dermis.
Our lifestyle can directly manifest itself upon our complexion. By moderating
external ageing factors in filling your diet with nutrients, exercising regularly and
using sun protection, those inevitable intrinsic ageing factors will be slower
to appear. Whether used alongside cosmetic interventions or not, a holistic
approach to anti-ageing will leave your skin healthier, firmer and more youthful
for longer. csbm
not a good thing. There are now effective forms of Vitamin
A that are less damaging. Look for retinal palmitate, acetate
and retinol.
The sun depletes the skin of Vitamin A and this is one
of the reasons those who super-expose their skin to sun
damage age faster than those who do not.
Vitamin C
Vitamin C repairs and rejuvenates the skin. It helps to
prevent hyperpigmentation by slowing down the production
of melanin. Vitamin C is a normal component in the skin
but is utilised first for other bodily functions, so the skin is
vulnerable for deficiency. We should include it in our diet, in
supplements and in topical products.
The problem is that the long-proven, most effective form
is ascorbic acid, which quickly degenerates with exposure
to air and light. Ascorbic acid is recommended for maximum
delivery of fresh, high-potent Vitamin C. To do so, the
delivery and storage of the product is all-important; a ‘mixbefore-use’
product is typically preferred. Vitamin C is also
now available in effective fat-soluble forms (eg, Magnesium
Ascorbyl Phosphate and Ascorbyl Tetraisopalmltate), which
work well and remain stable and efficacious for longer.
Exfoliants
Exfoliants are believed by many to be a necessary
component to maintain the health of the skin. The outer
layer of the skin must be thick and compact, an important
protection against the environment, and it best exfoliates
naturally. On the other hand, not exfoliating prevents
maximum penetration of ingredients and can create a skin
that is dull with poor texture and older in appearance. The
best policy is a compromise of mild resurfacing. Remember,
as with most things in life, less is more to remove excess
dead cells.
Peptides
Peptides are one of the newer ingredient groups to hit the
anti-ageing skincare scene, and many studies have shown
significant results, but for many skin scientists the jury is still
out on just how effective they are as an anti-ageing product.
That being said, peptides are highly respected for their
ability to penetrate the skin and activate their target –
increasing the production of collagen and elastin. Peptides
have been shown to ‘turn on’ the fibroblasts, which are
essential for building and repairing the skin and a basic
requirement for anti-ageing success. Results are cumulative
and it can take three to four months of twice-daily use for a
good skincare product to show results.
The anti-ageing attack is focused on a brigade of
reliable and stable formulations of established and trusted
ingredients. The ones mentioned above are synergistic
troops in the battle, and their effectiveness has a long history
of studies and proof that they do assist in the maintenance
of healthy and beautiful skin.
www.cosbeauty.com.au 75

skin
New
treatment
for
Melasma
Melasma patients look no further!
The FDA has just approved revlite
from cynosure for the treATMent of
melasma. Caitlin Bishop rePORTs.
Sometimes dubbed the “mask of pregnancy”, and often seen
in pre-menopausal women or those who take oral or patch
contraceptives, melasma is a type of pigmentation that causes
discolouration across the forehead and face. Those women who’ve
suffered from the persistent pigmentation will understand its fickle
nature and imperviousness to treatment.
But now, with the latest technology from Cynosure, hope can be
rekindled. RevLite is a new-generation Q-Switched laser, recently
approved by the Food and Drug Administration (FDA) in America for
the treatment of melasma.
The laser, which is also registered for use in Australia by the TGA, is
designed to shed pigmentation from the skin’s surface and lighten the
melasma lesions. This is achieved without damaging the surrounding
skin’s texture. ‘Treating melasma can be so difficult, I used to want
to hide under my desk when melasma patients walked in because
I didn’t know what to say to them,’ Victorian Associate Professor in
dermatology Greg Goodman explains. ‘With RevLite it is so much
easier, it’s changed the paradigm for treating melasma.’
Originally, RevLite was created as a solution for tattoo removal. It
incorporates a selection of hand pieces, at a variety of wavelengths,
to combat the full spectrum of coloured inks. This same versatility
has been applied to targeting natural skin pigmentation, and the
RevLite is effective in addressing pigmentation that resides deep in
the epidermal layers.
‘RevLite’s 1064 nanometre wavelength is used for facial rejuvenation
and treating melasma,’ Assoc Prof Goodman explains. ‘This penetrates
the skin quite deeply, and is absorbed up to 5 to 6mm into the dermis.
It targets vascularity and deep pigment. ’
This can be combined with the 532 wavelength, which targets more
superficial freckles and pigment.
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skin
One of the most frustrating traits of melasma is its recurrence, or the fact that it
can never be fully conquered. The skin can definitely be lightened, and melasma can
be faded from the skin’s surface, but the pattern of pigmentation often still resides in
the skin’s deeper layers.
According to US researcher in bio-laser science and dermatology Dr Abnoeal
Bakus, results with the RevLite can be maintained with proper use of skincare
and sunscreen after treatment. ‘In my experience, patients can see significant
lightening of their melasma with the RevLite and, when they continue to use
sunscreen after the last treatment, they have been able to maintain these results
over several years,’ he says. ‘Sunscreen is very important in order to maintain results
and control melasma.’
Treatment with RevLite in melasma patients typically involves no downtime.
The parameters are kept relatively light, so as not to incur Post-Inflammatory
Hyperpigmentation (PIH) in the skin.
‘We use low fluencies and multiple passes of the hand piece,’ Dr Bakus explains.
‘There is no downtime, making it a very accommodating treatment for patients
with busy lifestyles.’
The skill and experience of the practitioner is key to achieving the best results.
‘The operator must be sure what they’re treating,’ Assoc Prof Goodman says. ‘They
need to be able to diagnose every pigment spot on the face before treatment, and
understand the patient’s risk of PIH or hypopigmentation following treatment.’
In most cases, a series of RevLite treatments is advised to achieve the best
results. Assoc Prof Goodman often performs up to 10 treatments, between two and
four weeks apart, in the initial treatment, followed by a maintenance programme.
‘I use the RevLite as one of three pillars in a melasma bleaching regime,’ he
explains. ‘We perform a series of RevLite treatments, and use tranexamic acid
and skin bleaching skincare to create a persistent and proactive treatment
for melasma.’
RevLite can be used in general skin rejuvenation as well. It delivers columns of
controlled thermal damage to the skin during treatment. This kick-starts regeneration
in the skin’s deeper layers, increasing cellular turnover and rebuilding the skin
from within.
‘The beauty of RevLite is multi-fold; it rejuvenates and regenerates skin, and has
revolutionised the treatment for melasma. Its versatility means it can be used on any
skin type for a full facial rejuvenation,’ Assoc Prof Goodman concludes. csbm
BEFORE
AFTER Revlite treatment. Photos courtesy of Dr Bakus.
BEFORE
AFTER Revlite treatment. Photos courtesy of Dr Bakus.
www.cosbeauty.com.au 77

feature skin
Tighten
skin
on the
face
& body
Thermage is a popular
non-surgical way to restore
youthful contours and tone the
skin. Caitlin Bishop reports.
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skin
Thermage is great
for people who
don’t have time, or
the inclination, for
multiple treatments
and visits
Where once your jawline was firm and defined, it may be now jowly and
heavy, your eyelids may have started to droop, and your stomach
mightn’t be as toned and tight as it used to be. While these are all signs
that the process of ageing is beginning to take hold, they do not necessarily call
for major surgical intervention. Thermage from iNova Aesthetics is a non-surgical
and effective way to treat these problem areas and return youthfulness to both
the face and body.
‘Thermage treatments are most commonly performed for firming the jawline,
smoothing skin around the eyes and treating loose or crepey skin at the front
of the neck,’ explains Melbourne plastic surgeon Dr Chris Moss, co-founder of
Liberty Belle Skin Centre. ‘Thermage can also treat poor skin tone in many other
areas, including the stomach after pregnancy and loose skin on the arms or legs.’
The different Thermage handpieces can be used to address areas that are
traditionally very difficult to treat – for example, rejuvenating the eyelids without
surgery, or reducing the appearance of cellulite.
‘By far the most popular area to treat is the face,’ explains Danielle Ellett, a
dermal clinician at the Melbourne Institute of Plastic Surgery. ‘Eyelids can be
targeted for reduction of laxity and increased eyelid show. As well, skin tightening
can be achieved on the legs, buttocks, arms and abdomen, with some degree
of improvement with cellulite.’
The Thermage system uses radiofrequency (RF) energy to stimulate the
production of new connective tissue in the dermis. This helps reduce the
appearance of wrinkles, smooth the skin’s surface and – quite literally – rebuild
the skin from within.
‘One advantage of using RF to reduce wrinkles and tighten skin is that it is
non-invasive, so doesn’t require needles like those used in injectable treatments;
there isn’t the downtime that can occur with laser resurfacing; and it is great for
people who don’t have time, or the inclination, for multiple treatments and visits,’
explains Perth plastic surgeon Dr Anh Nguyen. ‘There are minimal risks, and the
results are gradual, natural-looking and subtle so others cannot pinpoint that
treatment has been performed – a factor important to many patients.’
The system works by delivering RF energy to the skin’s deeper layers. This
causes a thermal effect and triggers the process of coagulation – or tissue
tightening – in the dermis.
The heat also kick-starts the body’s natural healing processes, increasing
blood flow and collagenases (the production of new collagen) at the site.
Importantly, the heat energy is focused at a precise depth within the skin and
cooling technology is used to protect the upper epidermal layers.
‘Thermage skin firming treatment is scientifically proven to work by heating
the deeper layers of the skin to tighten and stimulate collagen,’ says Dr Moss.
‘Thermage effectively stimulates collagen and elastin levels in the skin to improve
skin tone and elasticity without surgery, needles or downtime. It can deliver highly
pleasing and lasting results.’
A key benefit of RF energy is that it can be used on all skin types without the
risk of post-inflammatory pigmentation, which sometimes occurs in darker skin
types following collagen-inducing treatments.
‘All skin colours can be treated with RF as Thermage is essentially
“colourblind”,’ explains Ellett. ‘Because RF follows the path of least resistance,
which is collagen and collagen-based structures, the whole dermis is heated.
This triggers an inward pull to reduce areas of bulk, such as the jowl area. The
only patients that cannot receive Thermage treatment are those with internal
cardiac devices (ICDs) and we don’t treat pregnant patients.’
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skin
Indeed Thermage is suitable for both genders and a wide spectrum of ages.
‘Our typical client is male or female between the ages of 30 and 60, in good
health, a non-smoker, and interested in a preventative approach to combating
the normal ageing process,’ says Suzie Hoitink, registered nurse and founder of
Clear Complexions Clinics.
A thorough consultation is critical in ensuring the best result for each patient.
‘We conduct a thorough skin consultation prior to treatment, which involves
looking 2mm beneath the skin to determine the health of the skin,’ she explains.
‘We look at any current medications and lifestyle habits and, after determining
the client’s concerns, we establish realistic expectations of the treatment. We
also individualise the treatment to address the client’s specific concerns.’
Thermage
stimulates collagen
and elastin to
improve skin tone
and elasticity without
surgery, needles or
downtime
what’s involved?
During treatment, patients usually experience some mild discomfort due to
the thermal response in the skin. The newest evolution of Thermage includes
a patented Comfort Pulse Technology, which uses gentle vibrations and
interspersed cooling to increase the comfort of treatment.
‘When patients have the procedure in my clinic, we remove any makeup;
take photos (for a baseline comparison); administer a mild pain reliever for extra
comfort and relaxation; and a pad is applied to their back which enables the
radiofrequency energy to be delivered safely to the treatment area,’ explains
Dr Nguyen. ‘A grid is marked on the area to be treated, a gel fluid is applied
repeatedly to the treatment area and the treatment is then performed. A full
treatment can take 45-90 minutes, depending on the area.’
Following the procedure, patients will typically experience some redness and
mild swelling. The pattern of swelling often mirrors the final result, as the collagen
will rebuild where the thermal damage has occurred. Typically, the redness will
fade within 24 hours and the swelling will improve within a couple of days.
‘After treatment, the grid and pad are removed, photos are taken and patients
are given instructions on what to expect – possible transient redness, swelling,
a tight feeling, occasional tingling and minor discomfort,’ Dr Nguyen says.
‘Patients always book in for follow-up appointments at three and six months to
review the results.’
Results
Results following Thermage treatment arise gradually, and continue to improve
for up to six months following the procedure. This is because neocollagenesis,
or the production of new collagen, typically takes around 12 weeks to occur.
‘Results can vary from immediate skin firmness to gradual tightening over six
months,’ says Tasmanian cosmetic practitioner Dr Asha Ram. ‘There seems to
be tightening in spurts at times, and some patients continue to see improved
results past the six month period. The results are long lasting but we counsel
our patients on the most appropriate time to re-treat, based on their age and
skin condition.’
Thermage can be used as a stand-alone treatment or in conjunction with
other modalities to optimise results. ‘Thermage works brilliantly when combined
with light therapies, anti-wrinkle toxins and dermal fillers, as well as a good
cosmeceutical home skincare plan,’ Dr Ram explains.
‘It produces a natural, slowly evolving rejuvenation process that suits most
patients in a broad range of age groups. Typically, patients are very excited with
the degree of skin tightening and improved texture following treatment with
Thermage,’ she concludes. csbm
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skin
BEFORE
AFTER Thermage treatment by Dr Ram
BEFORE
AFTER Thermage treatment. Photos supplied by iNova Aesthetics.
BEFORE
AFTER Thermage treatment. Photos supplied by iNova Aesthetics.
www.cosbeauty.com.au 81

skin
&
Tried
true
results
Omnilux light
therapy is backed
by years of clinical
research, reversing
the visible signs of
skin ageing from
within. cAitlin
Bishop reports.
There’s a myriad of light therapies available for those looking to rejuvenate
the skin and counter the visible signs of ageing. With so many different
technologies available, determining the best skin treatment can sometimes
be a difficult decision.
This decision can be made easier, however, when there is a history of
predictable, consistent and effective results and clinical research backing a
certain therapy or device. Omnilux, distributed in Australia by True Solutions, is
one such device.
Omnilux is a light therapy that kick-starts the body’s natural processes to
reverse the signs of skin ageing and treat common skin conditions. Not only
is it backed by many years of medical research, it is used by more than 3,300
dermatologists and plastic surgeons worldwide and is documented in over 60
peer-reviewed publications. Simply put, Omnilux has a history of clinical success
that exceeds any other light therapy device.
By using Light Emitting Diodes (LEDs) to deliver specific wavelengths into the
skin, Omnilux triggers certain reactions in the epidermis and deeper dermis. This
is effective in achieving significant results – that are well documented – in skin
rejuvenation, acne treatment and anti-ageing.
Sydney cosmetic physician Dr Saras Sundrum has been using Omnilux in
her clinics for the past 10 years. ‘Omnilux is the only proven TGA-approved LED
device with years of research and written papers behind it,’ she says. ‘Our clients
love the non-invasive nature of it and the immediate results – it is very relaxing.’
The Omnilux system includes three different wavelengths: Omnilux Plus –
near infrared 833nm; Omnilux Revive – 633nm; and Omnilux Blue – 415nm.
The wavelength is selected depending on the concern being treated, and each
wavelength excites particular cellular activity in the dermis and epidermis to
promote healthy skin function.
Changing skin
Unlike other light systems, Omnilux delivers one precise wavelength per treatment
– compared to using multiple wavelengths in a single treatment. This means the
skin cells are stimulated in the same way throughout treatment, preventing any
cell confusion or counter-activity and delivering direct, consistent results.
This being the case, some practitioners do choose to alternate Omnilux
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skin
Acne & rosacea
The Omnilux Blue is designed to
prevent the spread of acnecausing
bacterium. It works by
penetrating the skin and stimulating
the production of bacteriadestroying
chemicals.
Omnilux Blue and Omnilux
Revive are often partnered in
treating acne patients. The
Revive wavelength lends an antiinflammatory
effect alongside the
Blue’s anti-bacterial properties.
When used in acne treatment,
the Omnilux system soothes painful
inflammation and reduces the
amount of bacterium to reduce the
severity of acne. At the same time,
the Omnilux system accelerates
healing and strengthens the
natural function of the skin to
prevent against future recurrence
of acne irritation.
Similarly, the anti-inflammatory
benefits of Omnilux Revive are often
used alongside the healing benefits
of Omnilux Plus to help treat
rosacea. Facial flushing, persistent
redness, thickened skin, visible
capillaries and painful inflammation
constitute the symptoms of
rosacea, and treatment with the
Omnilux system can boost
immune function, clear damaged
tissue and promote the production
of new, healthy cells to clear
the complexion.
Plus and Omnilux Revive to achieve a more well-rounded rejuvenation. ‘The
combination of Omnilux Plus and Omnilux Revive treatments results in a
noticeable softening of fine lines and a reduction in pore size,’ explains founder
of Clear Complexions Clinics and registered nurse Suzie Hoitink. ‘It also returns
an overall, more youthful appearance to the skin.’
Hoitink recommends the Omnilux system for patients wanting to revitalise
their skin. ‘Light therapy can be effective in countering environmental damage
and reinforcing the skin’s integrity,’ she says. ‘As we age, the structural integrity of
the skin is compromised, resulting in thinner skin, wrinkles and capillary damage.
Omnilux Plus and Omnilux Revive work to “kick” the skin back five years or so,
to increase strength, elasticity and overall health.’
How it works
Omnilux Revive targets fibroblasts in the skin’s dermis, which are the cells
responsible for producing collagen and elastin. The red wavelength also acts
as an anti-inflammatory, helping promote efficient, healthy and regular cellular
activity in the skin.
Omnilux Plus works at a different level. It promotes the activity of
myofibroblasts, which are the cells that work to tighten collagen bundles and
create a neat, even and resilient structure of collagen fibres in the skin.
‘If your skin is feeling tired and the effects of environmental damage are
beginning to show, the Omnilux system is incredibly effective at rejuvenating
your skin,’ says Hoitink.
Treatment with Omnilux Plus has also been found to assist in healing and
reduce the level of toxins in the skin. It is often used before and after surgery
to accelerate and improve the healing process. The near infrared wavelength
penetrates the skin by eight to 12mm to trigger the wound healing response,
reduce healing time and help prevent scar formation.
‘For anyone considering surgery, the Omnilux Plus is an absolute must,’ says
Hoitink. ‘It can be used before surgery, to prepare the skin, and after surgery, to
promote rapid wound healing and assist in scar reduction.’
Treatment with Omnilux
According to clinical research, it is recommended patients undergo 10 treatments
with Omnilux to achieve optimum results in rejuvenation. Hoitink typically
performs two treatments, twice a week, over a five-week period. ‘Each treatment
is pain-free and lasts around 20 minutes,’ she explains. ‘Before treatment, we
apply a preparatory solution to the skin to further enhance the light penetration.’
Importantly, Omnilux can be used both as a stand-alone treatment and in
conjunction with other modalities, such as IPL and skin needling.
It is now well documented that treatment with Omnilux light therapy can
achieve a very real and significant change in the appearance, texture and colour
of the skin. csbm
www.cosbeauty.com.au 83

skin
Reinventing
the
facial
THE HYDRAFACIAL
IS THE NEXT
GENERATION FACIAL,
DEEPLY CLEANSING,
DECONGESTING AND
NOURISHING THE SKIN
FOR A MORE BEAUTIFUL
COMPLEXION. CAITLIN
BISHOP REPORTS.
There’s something indescribably refreshing about cleansing the skin. The
same way congested pores and an oily surface can leave the skin looking
dull and lacklustre, a deeply cleansing facial can fuel the complexion with
vibrancy, luminosity and youthfulness.
HydraFacial from High Tech Laser is a non-invasive resurfacing procedure
that combines exfoliation, acid peels, pore extractions and antioxidant infusions
to cleanse, nourish and brighten the skin.
‘The HydraFacial is great for skin maintenance, or skin “fi tness”,’ explains
Sydney cosmetic doctor Dr Bruce Williamson. ‘It noticeably decongests and
shrinks pores, and then plumps skin with antioxidant and hyaluronic acid
infusions. The skin is left healthier and glowing after a HydraFacial treatment.’
The HydraFacial works best as a series of treatments. Cleansing and
exfoliation removes dead skin cells, an acid peel dislodges grime from the pores
and a vortex suction extraction system unclogs the pores completely. This
cleansing is followed by the infusion of a highly active hydrating serum to nourish
and protect the skin.
‘The HydraFacial system uses the benefi ts of glycolic acid, salicylic acid and
peptides to soften the bonds that bind our dead cells together and to decongest
the blockages within our pores,’ explains Queensland cosmetic physician
Dr Linda Williams. ‘It utilises a vortex-fusing method to provide cleansing,
exfoliation, extraction and hydration using antioxidants, peptides, and hyaluronic
acid. From the patient’s perspective, it’s a quick 30-minute treatment with
immediate results and no downtime.’
The non-invasive nature of HydraFacial means anyone is suitable for treatment.
However the process can be tailored to accommodate the needs and skin types
of individual patients. ‘The fi ve-step process can be adjusted depending on the
needs and concerns of the individual patient,’ Dr Williamson explains.
‘First we cleanse and exfoliate the skin. Then we perform an acid peel where
the level of peel is chosen according to the patient’s skin type. The vortex
suction comes next, which vacuums out the plugs in congested pores. Again,
the strength of the vortex system can be tailored to the patient’s skin sensitivity.’
The facial system has been touted to improve the appearance of congested,
acne-prone, aged, dulled or dehydrated skin. The process can be used in
84 www.cosbeauty.com.au

skin
I liken the
HydraFacial to
vacuuming the
floor; you’re not
making major
changes in the
skin, but you can
see the difference
straight away
conjunction with other therapies – for example, light-based treatments – to
achieve more holistic and long-lasting results.
A pre-treatment consultation is always necessary to ensure the treatment
is suited to the patient, and to explore the options in optimising the outcome.
‘Consultation is always important to discuss the potential for minor bruising or
grazing on finer skins, and whether it is suitable for clients with a lot of fragile
capillaries,’ Dr Linda Williams says. ‘In some situations, removal and decongestion
of blocked pores may be the main focus whereas, at other times, the treatment
may be modified to give an overall skin revision with a focus on refreshing texture
and improving hydration.’
Dr Williamson recommends patients undergo treatment with HydraFacial
every two to four weeks, and says the results can be seen and felt immediately
following treatment.
‘I liken the HydraFacial to vacuuming the floor; you are not making
major changes in the skin but you can see the difference straight away,’ he
says. ‘At the end of treatment patients can see the cloudiness in the vortex
solution; this is the blackhead plugs and congestion that was initially in the
skin. The results from such a deep cleansing, combined with antioxidant
nourishment, can be seen for months after treatment.’
To extend the results and retain the skin’s lustre and brightness between
treatments, the final step in the HydraFacial is the introduction of the
‘daily essentials’ skincare. Tailored to certain skin complaints, the range
incorporates topical moisturisers, refining eye gels and daily sun protection.
Each product is infused with select concentrations of the same active ingredients
found in the salon treatment, providing detoxification, rejuvenation and protection
in between visits.
‘The easy monthly maintenance programme is convenient for the patient and
easy to maintain and is also great for ongoing continuity of care for the therapist
and clinic,’ says Dr Williams.
‘Every patient should see the benefits from their very first HydraFacial. It
instantly leaves the skin with a plump, well-hydrated healthy glow, visibly clear
pores and irresistibly “soft to the touch” refined skin. The procedure is soothing,
moisturising, non-irritating and immediately effective,’ she concludes. csbm
The 5 steps
Step 1
Step 2
Cleansing and Exfoliation
Dead skin calls are removed to reveal healthy new skin
Acid Peel
This gentle peel helps loosen dirt and debris from pores without irritation
Step 3
Extractions
Automated extractions use vortex suction to clean out pores
Step 4
Hydration
Antioxidants and hyaluronic acid are vortex-fused to nourish and protect the skin
Step 5
Protection
The HydraFacial Daily Essentials skincare helps maintain and protect results
www.cosbeauty.com.au 85

skin
The latest in
Skin
Renewal
INFINI, A new technology clinically proven
to increase collagen production in
the skin, is now available at Skin Renu.
Caitlin Bishop reports.
Skin Renu laser and skin clinic in Balmain, Sydney has an all-encompassing
approach to anti-ageing treatments. It provides patients with an
individualised program of non-surgical facial rejuvenation treatments and,
in keeping with its commitment to effective, minimally invasive therapies, has
recently introduced the Infini system.
The Infini system, produced by Lutronic, has been touted to achieve ‘3D
volumisation’. It combines micro-needling and radiofrequency (RF) energy to
promote collagen production, tighten skin and reduce the appearance of wrinkles
and scars. The team at Skin Renu have been impressed with the results: patients
are seeing a noticeable change in their skin with very little downtime.
‘Only one week after the treatment, I started noticing a difference in my skin,’
explains Sylvia, a member of the Skin Renu team who has personally undergone
treatment with Infini. ‘I wasn’t expecting any change so soon, as I know Infini
works by stimulating your body’s own collagen, which takes a while to kick in,
and yet my skin looked and felt better sooner than anticipated.’
‘I love wearing foundation, but since my treatment I haven’t needed it as my
skin looks even and has a real radiance to it all on its own. I’m really happy with
the results – all this with really minimal downtime as the mild redness is easily
covered with regular makeup,’ she adds.
The Infini harnesses the body’s natural healing processes to cause a
change in the skin. It uses gold-plated micro-needles to deliver RF energy to
specific layers in the dermis. This creates fractionated columns of coagulation –
controlled thermal damage – generating a tightening effect. The thermal columns
also trigger a healing response in the dermis to boost collagen production and
vascularity. This regeneration is a gradual process that leaves the skin healthier,
tighter and more resilient in the weeks following treatment.
The treatment is performed layer by layer, targeted at different points in the
dermis. The practitioner controls the needle depth and energy levels depending
on the patient’s needs and skin condition.
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skin
Infi ni treatment
at Skin Renu
The team of cosmetic doctors
and nurses at Skin Renu use
Infi ni to help treat the following
patient concerns:
Reduce the appearance
of fi ne lines and wrinkles
Tighten skin
Minimise the appearance
of enlarged pores
Improve scarring, including
acne scarring
Restore skin tone
Repair sun-damaged skin
Lift the eye area for a
rejuvenating effect
The micro-needling element of Infi ni causes a fractionated regeneration in
the epidermis, again prompting a healing response and improving the tone and
texture of the skin’s external layers. Importantly, there is no heat damage to the
epidermis during treatment with Infi ni. The in-built cooling system protects the
skin’s superfi cial layers and reduces the risk of hyperpigmentation.
The level of discomfort during the procedure, as well as the downtime
following treatment, varies between patients. Swelling, redness and sensitivity
is usually experienced in the days after treatment and, in some cases, Infi ni will
induce mild bruising, particularly under the eyes.
To achieve the best results, a series of Infi ni treatments are usually performed
with four to six weeks between sessions. Since introducing it to the clinic, the
doctors and nurses at Skin Renu have received a very positive response from
patients, who are rebooking and noticing real results.
Results usually start to appear in the week following treatment, with improved
texture and skin tone. The collagen production and improved skin integrity take
a little longer to generate, and results will continue to improve for up to three
months following treatment.
For those looking to boost collagen production, revitalise skin health and
improve tone and texture, an Infi ni treatment at Skin Renu could be just the
ticket. Patients can be assured of an individualised approach at Skin Renu,
where Infi ni can be used as a stand-alone treatment or in conjunction with other
modalities to achieve long-term anti-ageing results with minimal downtime and
without the need for surgery. csbm

skin
Common
skincare
theories…
BUSTED!
TERRI VINSON,
COSMETIC CHEMIST
AND OWNER OF
SYNERGIE SKINCARE,
SEPARATES SKINCARE
FACT FROM FICTION.
Innovation in skincare technology has catapulted in the past few years. As a
scientist and cosmetic chemist, I am truly fortunate to be working in the
appearance medicine industry during these dynamic times. Each week I meet
with raw ingredient suppliers and manufacturers to discuss the latest developments
in cosmetic science and discuss how these ingredients can be harnessed to create
novel and effective products.
There are still many myths regarding ingredients and products that need to be
addressed. Here are eight of the most common I hear.
1. You must exfoliate daily – FALSE
Not all skin types require daily exfoliation. Individuals with thickened, sun-damaged
skin or acne sufferers may require daily exfoliation until their skin improves.
However, excess exfoliation with home care AHAs and clinical peels can lead to
dryness, skin irritation and even premature ageing.
Most women over the age of 35 should only need to use a lactic acid-based
exfoliant twice weekly. Glycolic acid is a smaller molecule and may be more irritating
than lactic acid.
2. Look for cleansers with active ingredients for different skin types – FALSE
Cleansers are simply designed to remove surface grime and pollutants and
maintain a pH on the skin of around 5.5, without stripping the natural acid mantle
on the skin.
Since a cleanser is a wash-off product and only in contact with the skin surface for
less than thirty seconds, adding active ingredients is not logical. Save your precious
actives for products that remain on the skin and not in the drain!
88 www.cosbeauty.com.au

skin
3. Collagen in skincare products is great for the skin – FALSE
Collagen is a large complex protein and is far too large to penetrate the surface
stratum corneum. It’s like trying to fi t a tennis ball through a keyhole!
Collagen is effective when it is in the deep dermis of the skin and effective actives
(retinol, niacinamide, L-ascorbic acid, certain peptides) are designed to stimulate
the skin’s own collagen production or prevent its breakdown. Products containing
collagen molecules are a total waste of money.
4. All Vitamin C serums are effective on the skin – FALSE
Not all Vitamin C serums are created equal. According to leading US dermatologist
Dr Sheldon Pinnell, the most effective form of Vitamin C is L-ascorbic acid. Vitamin
C derivatives such as magnesium ascorbyl phosphate or ascorbyl palmitate do
not have clinical White Paper data or skin penetration results to support effi cacy
comparable to L-ascorbic acid.
Furthermore, L-ascorbic acid is highly unstable in a water-based solution and
begins to lose potency within hours of formulating. Ideally, L-ascorbic acid powder
should be mixed with a water-based serum at the time of application. Alternatively,
new stabilised (anhydrous) L-ascorbic acid is now available in a light oil base. This
water-free form is highly stable for two years and is better suited to dry and more
sensitive skin.
5. Niacinamide can be mixed with Vitamin C crystals or AHAs – FALSE
Niacinamide (Vitamin B3) hydrolyses in acidic solutions containing ingredients such
as L-ascorbic acid or chemical exfoliants (AHAs and BHAs). It is not advisable to
apply Niacinamide serums at the same time as L-ascorbic acid, lactic, glycolic or
salicylic-based products.
6. AHAs such as lactic and glycolic acid can be formulated with retinol – FALSE
World-renowned dermatologist Professor Leslie Baumann states that the topical
vitamin A derivative, Retinol, should not be mixed with acids. Mixing acids, particularly
chemical exfoliants, results in the chemical breakdown and resulting ineffectiveness
of retinol. It is therefore recommended to use Retinol at the same time of day as
Niacinamide and neither should be applied with acidic solutions.
7. Nanoparticles are dangerous! – TRUE & FALSE
A nanoparticle is merely term describing a particle that is less than 100 nanometers
in diameter. A nanoparticle can be made of toxic arsenic or a life-saving drug. It’s
not the nanoparticle that’s dangerous, but what the nanoparticle is actually made
of. Incidentally, there is no conclusive evidence that zinc oxide nanoparticles
in sunscreens are dangerous. So, if you are asked, ‘”does this product contain
nanoparticles”, you should reply with, ‘What nanoparticle are you referring to?’.
8. A moisturiser is the most important skincare product – FALSE
The most important skincare product is sunscreen! Ultra violet protection prevents
both the potential to develop skin cancer as well as the acceleration of premature
ageing. Sunscreen is your primary insurance policy against environmental ageing.
It is our responsibility as skin professionals to dispel the common skin care myths.
My advice is to refer reputable information sources such as dermatological journals
and texts written by industry professionals. The truth is out there. You just need to
fi nd it! For more information visit www.synergieskin.com csbm
www.cosbeauty.com.au 89

feature
Nanoparticles:
No
small
matter
Nanoparticles are
increasingly found
in cosmetics and
sunscreens, yet their
use has divided
the health arena.
Caitlin Bishop reports.
Slip, slop, slap is a phrase most Australians are familiar with and,
in a country with the highest rate of skin cancer in the world, it’s
for good reason. However, in the hype surrounding sunscreen
and its capacity to protect the skin against both cancers and premature
ageing, an underlying debate has emerged. With concerns escalating
over the potentially carcinogenic nanoparticles being used in sunscreen,
some non-government organisations are warning certain cosmetics and
sunscreens could be doing more harm than good.
In recent years, technological advances have resulted in a change in the
way certain sunscreens and other cosmetics are made, with an increase
in the use of titanium dioxide and zinc oxide mineral sunscreens. Some
companies are using smaller particles of these minerals (nanoparticles)
as they are thought to be more cosmetically appealing to consumers
as they appear invisible on the skin. The inclusion of nanoparticles
in sunscreens has spawned a fierce debate – with some arguing the
microscopic particles could be putting our health at risk rather than
protecting us from the dangers of the sun. Others, however, believe any
evidence linking nanoparticles with adverse events is lacking, and the
aesthetic benefits of nanoparticles of zinc oxide and/or titanium dioxide
clearly outweigh any suggested risk.
90 www.cosbeauty.com.au

feature
The case against
In 2006, eight non-government organisations in the US filed a petition
with the US Food and Drug Administration (FDA). The paper called for
action, urging the agency to ‘declare all current available sunscreen drug
products containing engineered nanoparticles of zinc oxide and titanium
dioxide as an imminent hazard to public health.’
In Australia, a similar movement followed, with non-profit and nongovernment
groups such as Friends of the Earth leading the way. Concern
was fuelled when, in 2008, certain titanium dioxide particles were found
to destroy the paint coating in Bluescope steel and Colourbond roofing.
This was followed by research in 2010, which deemed titanium dioxide
capable of destroying virtually any organic matter. Understandably, these
findings led scientists to ponder the effects such destructive properties
could have if the sunscreen particles were to breach the skin’s outer
layers and impact live dermal cells.
A study by Dai Tran and Robert Salmon, published in the Australasian
Journal of Dermatology, explains that, while larger particles of titanium
dioxide and zinc oxide work to reflect UV radiation in sunscreens,
nanoparticles have the opposite effect. By absorbing UV radiation, as
opposed to reflecting it, nanoparticles release ‘reactive oxygen species’
into the skin, or free radicals with the capacity to alter the DNA in
live cells.
‘If we want to introduce new technology into sunblocks, the
people that are attempting to do that, or the manufacturers, need to
prove that they don’t cause problems,’ co-author Robert Salmon told
the ABC. ‘I would want the labelling such that the people
knew whether there were nanoparticles in these preparations or not
so that the consumers could make some sort of informed choice
by themselves.’
Similarly, a paper by Friends of the Earth Australia and endorsed
by the Public Health Association Australia, cites peer-reviewed articles
in stating some nanoparticles in Australian sunscreens ‘aggressively
produce free radicals that can damage DNA and skin cells.’
Claiming the penetration of reactive nanoparticles into the skin could
worsen the effect of sun damage, the paper criticises the lack of research
into topical sunscreen penetration to the dermis, particularly in people
with damaged skin, for example with eczema or acne. Finally, it calls
upon the Australia Register of Therapeutic Goods (ARTG) to subject
nanoparticle sunscreens to further scrutiny and assessment.
www.cosbeauty.com.au 91

feature
The current weight
of evidence suggests
nanoparticles such
as titanium dioxide
or zinc dioxide pose
no risk to human
health
The case for
Scientists on the other side of the nanoparticle debate continue to maintain
sunscreen is essential in protecting the skin from UV damage and consider the
SPF rating the most effective indication of sunscreen quality.
An amalgamation of researchers from the German Center of Experimental
and Applied Cutaneous Physiology, various L’Oreal Research and Development
branches and the Department of Medicine at the University of Queensland
simply state there is insufficient evidence to support the idea that nanoparticles
in sunscreen are harmful to the skin and argue that most studies showing
nanoparticle penetration are not based on human skin.
‘Most available theoretical and experimental evidence suggests that insoluble
nanoparticles do not penetrate into or through normal or compromised human
skin,’ the report states. ‘Overall, the current weight of evidence suggests that
nanomaterials such as titanium dioxide or zinc oxide nanoparticles pose no risk
to human skin or human health.’
A study by Cross, Innes, Roberts, Tsuzuki, Robertson and McCormick at the
University of Queensland found less than 0.03% of the topically applied zinc
nanoparticles penetrate the epidermis, while an article published in the Journal
of Nanoparticle Research relentlessly addresses and refutes a smorgasbord of
claims by those parties against nanoparticles in sunscreen.
In tackling the claim that titanium dioxide is a possible carcinogen for humans,
Prof David Berube at North Carolina State University has a body of research
that shows both orally and topically applied titanium dioxide does not induce
any significant increase in tumour frequency. He also contests the notion
that skin-damaging free radical formation is ‘propelled’ by titanium dioxide
nanoparticles in sunscreens. While he concedes there is evidence to suggest
certain nanoparticles can induce free radical formation in the presence of light,
he claims this would only damage human DNA if the nanoparticles penetrated
live skin cells. He says the evidence overwhelmingly suggests this penetration
simply does not occur.
The European Commission Scientific Committee on Consumer Safety (SCCS)
study on nanoparticles of zinc oxide concluded: ‘In summary, it is concluded
on the basis of available evidence that the use of ZnO nanoparticles with the
characteristics as indicated below, at a concentration up to 25 percent as a UVfilter
in sunscreens, can be considered not to pose a risk of adverse effects in
humans after dermal application.’
Consensus is clearly a way off and, until a definitive answer has been found
as to the safety of nanoparticles, with no clear labelling currently demanded
it seems awareness is key. It is also important to note that a nanoparticle is
merely the diameter measurement of any particle (less than 100 nanometers).
It is important to specify the type of nanoparticle as the evidence against one
type of nanoparticle (eg titanium dioxide) may be totally different to the evidence
regarding another (eg zinc oxide).
In the short term, consumers will have to make up their own minds as to the
benefit versus risk of nanoparticles. Yet as the height of summer approaches,
sun protection – nanoparticles or no – should remain at the forefront of every
Australian’s consciousness. csbm
92 www.cosbeauty.com.au

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hair removal
The
French
woman's
beauty
secret
EFB's french technology
delivers a breakthough in hair
removal, providing permanent
hair reduction for all hair
colour and on all skin types.
tara casey repoRTs.
Four years ago, EFB introduced its first IPL devices
to the Australian market, delighting thousands of
aestheticians and clients alike with quality, innovation
and results. Since then, EFB has sought to satisfy and build
a special relationship with their Australian clients.
Customer satisfaction, safety and measurable results
are what drives EFB, and the France-based company
strives to constantly provide Australian clients with the
latest technology. To this end, it has specifically adapted its
IPL devices for the Australian market.
The latest EFB innovation is the Rafale technology, which
enables efficient and painless permanent hair reduction on
all skin types, even darker skin and tanned skin.
Thanks to years of extensive research to develop
the Rafale technology and to determine the appropriate
parameters, EFB has achieved a significant breakthrough
in offering long-lasting hair removal treatment for everyone.
Based on the continuous accumulation of energy, the
Rafale technology provides a solution for clients formerly
excluded from IPL treatments, and aestheticians can now
treat clients with a suntan. Easy to use, rapid and with
noticeable results, the Rafale technology is set to become
the hair removal treatment of choice in Australia.
94 www.cosbeauty.com.au

hair removal
Distributed in Australia by Insight Aesthetics, the
EFB Rafale technology is made and manufactured in
France. In addition to working on all skin colours and hair
colours, it can also treat different hair thickness – while
ideal for medium to thick hair, it can also treat and remove
very thin hair.
BEFORE
BEFORE
BEFORE
BEFORE
AFTER EFB IPL hair removal
AFTER EFB IPL skin tightening treatment
AFTER EFP IPL hair removal
AFTER EFB IPL acne treatment
The EFB difference
EFB IPL systems use unique technology developed
specifically for blonde, white, red and grey hair removal – to
be used on all skin colours. The IPL systems are unique in
that they do not rely only on the hair pigment to absorb the
light energy, meaning it can effectively target hair shades
not so rich in melanin.
During traditional dark hair photoepilation procedures, an
applicator head that emits high intensity flashes of filtered
light is placed on the treatment area. The energy from this
light is absorbed by the chromophore melanin, which is
responsible for hair pigment or colour. Dark hair, which is
rich in melanin, readily absorbs this light and transfers it as
heat into the surrounding capillaries, which supply blood to
the papilla of growing hairs. When the papillae are destroyed
in high temperatures, additional hair growth is prohibited.
What makes the EFB IPL systems different is that the
machines target the blood vessels at the bottom of the
follicle directly, preventing the growth of blonde, grey, white
and red hairs.
EFB has now become synonymous around the world
with blonde, red and white hair removal on the whole
spectrum of skin colour, offering a much-needed solution
to treating these traditionally difficult to remove hair colours
and skin types. It can also safely and effectively treat darker
complexions without risk of burning or hypopigmentation.
Now with the latest Rafale technology, permanent hair
reduction just became even more accessible to all. csbm
Rafale technology: the specs
The new Rafale Technology from EFB delivers a smooth
and continuous light with an energy ranging from 4J/cm²
to 6J/cm² at a much higher pace. Ideal for long-lasting
photoepilation of sensitive skin, the light is delivered on
a zone with a back, forth and back motion (three moves)
to progressively increase the temperature of the hair
bulbs and destroy them.
As opposed to traditional IPL technology and lasers
which typically warn against sun exposure four weeks
before the treatment, with the Rafale technology sun
exposure is no longer a contraindication and a treatment
can be performed 48 hours after sun exposure.
www.cosbeauty.com.au 95

tattoo removal
a
CLEAN
slate
WE REPORT ON THE SPECTRA XT
LASER, A NEW TATTOO REMOVAL
TREATMENT THAT CLEARS INK WITHOUT
DAMAGING THE SURROUNDING TISSUE.
CAITLIN BISHOP REPORTS.
Around 35 percent of ink-bearing Australians regret
their decision to get a tattoo, according to CHOICE,
the consumer watchdog in Australia. Thankfully, due
to the rise and refi nement of tattoo removal technology, it is
now possible to undo those decisions to help secure that
promotion, start a new relationship or change the way you
present to the world.
Spectra XT Laser from Lutronic, distributed in Australia
by Advanced Cosmeceuticals, is a permanent solution to
tattoo removal. It uses laser energy to signifi cantly lighten
or completely remove tattoo ink from the skin. Notably, this
is achieved without any damage to the surrounding tissue.
HOW IT WORKS
The Spectra XT Laser delivers short laser pulses to cause a
thermal reaction in the skin. This energy is targeted at tattoo
pigment, leaving the surrounding dermis and epidermis
untouched. The heat from the laser light shatters the tattoo
pigment into micro particles, which are eventually fl ushed
from the site via the body’s natural processes.
To help protect the surrounding skin, the Spectra XT
Laser uses ultra short pulse widths, with a high peak power,
to effi ciently remove ink pigments without causing thermal
damage. The remaining healthy tissue helps boost recovery
and improve skin condition following treatment.
96 www.cosbeauty.com.au

tattoo removal
COLOURED INKS
The Spectra XT Laser has a range of wavelengths – 1064
nanometers (nm), 532nm and 650nm – so different ink
colours can be targeted with the laser.
Traditionally, green and blue ink pigments have been
very diffi cult to treat. However, according to a paper by
laser specialist and president of the European Society
of Aesthetic Plastic Surgery Dr Mario A. Trelles, Spectra
XT’s 532nm wavelength can achieve signifi cant results in
reducing red, green and brownish pigment.
TREATMENT WITH SPECTRA XT
The number of Spectra XT Laser treatments required to
achieve optimum results usually ranges between one and
10, depending on the size, positioning, depth and colour of
each tattoo.
Following a treatment, the body needs around four to
eight weeks to fl ush the fragmented ink particles from the
site, and patients should wait at least four weeks before
undergoing the second treatment.
Dr Trelles found the best results were achieved in the fi rst
session, and recommended using higher energy doses in
the initial treatment – particularly in dense areas of multiple
colours – to achieve optimum results.
Spectra XT uses laser energy
to remove tattoo ink from the
skin – without any damage to
the surrounding tissue
Each session usually takes 10 to 30 minutes, depending
on the size of the tattoo. Some patients say they feel a
stinging like sensation on the skin during treatment, and
opt to use a topical anaesthetic to increase comfort.
Directly after treatment, the skin will display a whitish
colour change in the treated area. Due to Spectra XT’s heat
confi nement system – seen in the short pulses and high
peak powers – there is minimal downtime and a low risk of
complications with the Spectra XT Laser.
Treatment is always individualised, and the different
laser wavelengths are used to achieve the optimal result for
each patient.
For those looking to erase their tattoo to make room for a
new tattoo or simply want to move on from a past decision,
Spectra XT Laser can effectively and effi ciently clear tattoo
ink without causing further damage. It uses high energies,
in short pulses, to shatter tattoo pigment and leave the skin
clear, undamaged and ink-free. csbm
BEFORE
BEFORE
BEFORE
BEFORE
BEFORE
AFTER Spectra XT Laser tattoo removal
AFTER Spectra XT Laser tattoo removal
AFTER Spectra XT Laser tattoo removal
AFTER Spectra XT Laser tattoo removal
AFTER Spectra XT Laser tattoo removal
www.cosbeauty.com.au 97

feature
Breast
reshaping
Whether it’s an augmentation, lift
or reduction, breast surgery can
create beautiful-looking breasts in
any patient. Caitlin Bishop reports.
98 www.cosbeauty.com.au

feature
Breast surgery is about creating a beautiful shape and balancing the figure.
No matter the patient’s age, body type, existing breast tissue and desired
result, breast surgery – be it augmentation, a breast lift or reduction – is
aimed at bringing the body more effectively into proportion and harmonising the
interplay between breast volume, shape and contour.
In every case, breast surgery is tailored to the individual patient, depending
on their body type, expectations, concerns and existing breast anatomy. Here,
we outline the three most popular surgical procedures to create beautiful-looking
breasts in any type of patient.
Breast augmentation
Breast augmentation is one of the most popular cosmetic procedures across
the globe. It uses implants to add volume to the breast and enhance the body’s
contours. There is no ‘best’ breast implant type, size, shape, texture, location
placement and incision site, and a thorough consultation is essential in tailoring
the procedure to suit each patient’s natural body shape and expectations going
into surgery.
Breast implants are either filled with silicone gel (most common in Australia)
or saline solution, and are typically produced in round and teardrop (anatomical)
shapes. The texture of breast implants can be smooth, textured or covered in a
polyurethane foam surface.
Saline implants have a silicone outer shell that is filled with a medical-grade
saltwater solution, which is completely biocompatible. Saline implants generally
feel quite firm and can experience deflation or leakage problems. In comparison,
silicone gel filled implants generally feel softer and more like natural breasts
tissue. The silicone gel is cohesive, meaning it is pre-shaped and holds a lesser
risk of leakage.
The shape of implant can noticeably affect the final result in breast
augmentation surgery. Round implants, depending on their fill, can give a defined
round shape or assume more of a teardrop form when the patient is upright.
They tend to provide more upper pole fullness than anatomical implants, which
are fuller in the lower pole.
Anatomical implants demand a greater degree of accuracy in positioning and
if they shift after surgery, the shape of the breast may be distorted. They normally
have a textured surface to avoid rotation. Teardrop implants can provide greater
projection in proportion to the size of the base, making them particularly suitable
for women with little natural breast tissue.
The patient’s body shape and individual preferences are the main
determinants of implant size. A thorough consultation process, where the patient
is given implants to “try on” and shown several before and after photographs, is
necessary in determining the most suitable implant volume.
During the surgery, an incision is made either in the inframammary crease
(below the breast), around the areolar or in the transaxillary position (under the
arm pit). The incision location is usually dependant on the surgeon’s preference
and the patient’s expectations regarding scarring. The implant is then placed
either above (subglandular) or below (submuscular) the pectoralis muscle.
www.cosbeauty.com.au 99

feature
Implants placed above the muscle afford greater projection, but sufficient
breast tissue is required to camouflage the implant edges. Implants placed
in the submuscular pocket generally create a more natural-looking aesthetic
result, however recovery can sometimes be longer and involve greater
postoperative discomfort.
In the days following breast surgery, the chest might feel tight and
uncomfortable while the breasts are likely to be high, swollen and firm to touch.
The dressings are generally removed a few days after surgery and wearing a
compression surgical bra is often recommended during the healing period.
Bruising should fade within a week or so, and the stitches are also removed
in this period. Usually, women can return to an office-based after three to five
days, though it is best to wait one or two weeks for more physical activities.
The breasts will usually remain sensitive for a few weeks after the operation.
Scars should begin to fade significantly after a few months. In this period, the
swelling should gradually subside and the breasts will typically become lower,
look smaller and feel softer.
A natural part of
the female ageing
process is sagging
of the breasts.
Women who have
breastfed or lost
significant weight
can also experience
breast droop
Breast lift
A natural part of the female ageing process is sagging of the breasts. Women
who have breast fed or experienced extreme weight loss can also experience
breast droop. If it causes concern, mastopexy – commonly known as a breast
lift – restores height, volume and shape to the breast. Implants may also be used
in conjunction with this procedure to achieve the desired result.
Mastopexy is designed to lift the breasts by removing excess skin, creating
a more youthful contour. The appropriate technique and incision pattern is
determined according to the size, shape and degree of sagging of the breast,
as well as the position and size of the areola (outer nipple). The incision is most
commonly made either around the areola; around the areola and then vertically
down the breast; or around the areola, vertically down the breast and horizontally
along the breast crease.
Once the incision has been made, the excess skin is removed and the nipple
and areola are repositioned to create a more pert and youthful-looking shape.
During a breast lift, the nipple will be lifted and reshaped to appear smaller,
rounder and more in proportion with the new breast. The skin that surrounds the
areola is brought together to contour and reshape the breast.
The procedure generally takes two to three hours under general anaesthetic
or intravenous sedation and is usually performed on an outpatient basis.
A surgical support bra or elastic bandage is worn post-surgery to minimise
swelling and stabilise the new breast shape during the healing period. It is
common for some patients to lose sensation and some feeling in the nipple or
breast for a period of time. Most patients are advised to take a week off work and
not engage in strenuous activities for three to four weeks.
Over time, post-surgical swelling will resolve and scars will fade. Some of the
incision lines are concealed in the natural breast contours; however, others are
visible on the breast surface. Incision lines are permanent, but in most cases will
fade and significantly improve over time.
100 www.cosbeauty.com.au

feature
Breast reduction
Breast reduction (or reduction mammoplasty) is a surgical procedure to reduce, lift
and reshape the breast. The procedure is aimed at removing excessive breast and
fatty tissue, leaving an overall smaller and better-shaped breast. It relieves symptoms
caused by very large breasts, including back and neck pain, breast tenderness,
shoulder grooving (from bra straps), intertrigo (rash between folds of skin) and
discomfort in everyday activities.
Many breast reduction procedures call for just one vertical incision around the
areola down to the breast crease and, in some cases, along the crease as well. A
portion of fat and excess tissue is then removed. The nipple and areola are then
repositioned and the skin under the breast is re-sculpted. This results in smaller
breasts that have a more aesthetically pleasing shape and improved support, lift and
overall fullness.
Breast reduction surgery is performed under a general anaesthetic, lasting around
two to four hours, with a normal hospital stay of one to three nights.
The breasts will be bandaged for support for a few days post procedure. A
surgical bra will then need to be worn for at least one to two weeks after surgery
while the swelling and bruising subside.
Most patients can expect to be off work one to two weeks, and strenuous activity
should be avoided for four to six weeks. The resulting scar can be seen from around
the nipple down to the breast crease in a vertical line, and gradually fades over 12
to 18 months. This scar generally takes longer than other types to settle. The final
breast shape is evident after around three months as the breasts relax into their new
shape and any residual swelling has resolved. csbm
www.cosbeauty.com.au 101

easts
The perfect
fit for you
SYDNEY PLASTIC SURGEON
DR STEVEN LIEW SHARES HIS
EXPERTISE IN CREATING BEAUTIFUL,
NATURAL-LOOKING CURVES.
One of the critical decisions to be made when
considering breast augmentation is not just the cup
size but also the degree of fullness in the upper part
of the breast.
Plastic surgeon Dr Steven Liew (FRACS) says as
surgical procedures and implant types have become
more advanced over the past decade, a good surgeon
can effectively customise a breast shape to match the
requirements of patients.
Dr Liew says patients, too, are more sophisticated in
their approach to breast augmentation. Where previously
they were focussed almost entirely on breast size, most
patients are now more aware of the fi ner aesthetics involved
– such as the degree of perkiness and breast fullness in the
upper chest – in producing their perfect breast shape.
The three types of upper breast fullness include:
• A gentle slope from the chest to the nipple – almost a
straight line
• A gentle curve with moderate degree of fullness
• A very full convex curve – the so-called Wonderbra look.
‘Breast augmentation is such a personal decision,’
says Dr Liew, ‘and surgeons need to take time and care to
work with each patient – including family members where
requested – to ensure they understand the physical and
emotional impacts involved.’
‘Different body types, personality and the kind of
clothes you like to wear are all factors to be considered to
ensure your new breast shape is the perfect fi t for you,’ Dr
Liew concludes. csbm
Actual patient of Dr Liew
102 www.cosbeauty.com.au

easts
Natural-looking breasts of different sizes, with a gentle slope from the chest
to the nipple – almost a straight line – to fit the patients’ requirements
1
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
2
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
3
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
www.cosbeauty.com.au 103

easts
Natural-looking breasts of different sizes with a gentle curve to the upper pole
and moderate degree of fullness to fit the patients’ requirements
1
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
2
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
3
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
104 www.cosbeauty.com.au

easts
Natural-looking breasts of different sizes with significant convex curve to the upper
pole, the so-called ‘pushup bra’ look to fit the patients’ requirements
1
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
2
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
3
BEFORE AFTER breast augmentation by Dr Liew AFTER breast augmentation by Dr Liew
www.cosbeauty.com.au 105

easts
Treating
tuberous
breasts
Dr John Flynn from
queensland says
the appearance of
tuberous breast
defoRmity can be
improved with breast
augmentation. Caitlin
Bishop reports.
Breast augmentation enhances natural curves and aesthetically reshapes
the breast, but implants can also be used to correct abnormalities in
breast tissue and counter irregularities in breast development.
Dr John Flynn from Queensland sees a number of patients with tuberous
breasts, otherwise called constricted breasts, which is a medical condition that
causes the breasts to appear tight and widely spaced. With the right surgical
technique, breast augmentation can improve the appearance of tuberous
breasts and restore balance to the body’s contours.
Dr Flynn explains tuberous breasts are caused by stymied development and a
high degree of fibrous tissue in the breast. This means the natural breast is small
and constricted with tight, fibrous tissue.
‘Tuberous breasts affect the anatomy of the breasts and calls for a different
surgical approach in breast augmentation,’ Dr Flynn explains. ‘In less severe
cases, patients approach me seeking breast augmentation and can be unaware
that they even have the condition. A thorough consultation is necessary to
diagnose the condition and establish the best surgical plan.’
A common side effect of tuberous breasts is low volume, and for this reason
an implant is always needed. Dr Flynn creates an artificial pocket in the breast
tissue, and selects the implant volume according to the patient’s existing tissue,
as well as their concerns and expectations.
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easts
Case study
‘In order to insert an implant, the fibrous pocked needs to be opened and
an artificial pocket in the breast tissue needs to be created,’ Dr Flynn explains.
‘A number of incisions are made on the outside of the fibrous bundle to create
“pleats” and expand the space.’
In its most severe form, the tuberous abnormality is seen in all the quadrants
of the breast but there can be different varieties of the condition. For example,
constriction can occur only in the lower portion of the breast, while the top is fully
developed. Similarly, there can be differences between the two breasts – one
breast may be fully constricted, and the other normally developed.
‘The surgery is a balancing act, especially when there is unevenness between
the breasts, or within one breast,’ Dr Flynn explains. ‘For example, when the
constriction is only in the lower segment, the surgeon must create an even
balance between the upper and lower poles of the breasts. If the condition is
different between both breasts then it becomes about balancing the two.’
Dr Flynn often sees revision patients with tuberous breasts. If the previous
surgeon has been unaware of the condition, and fails to address the extra fibrous
tissue, the end results will be unbalanced and the implants won’t settle in their
intended position.
The final result of breast augmentation in patients with tuberous breasts can
be quite different than in those patients with naturally formed breast tissue.
‘Because tuberous breasts are tighter and more fibrous, there is often not a huge
capacity for great volume,’ Dr Flynn explains. ‘Directly after the augmentation,
the breasts might appear quite tight and straight, however this will improve
with time.’
Because the surgery involves disrupting glandular breast tissue – as opposed
to operating beneath this in regular augmentation surgeries, the recovery period
can be slightly longer for augmentation patients who have tuberous breasts.
There can also be more bruising and tenderness post-procedure.
‘It is important to remember that tuberous breasts is a medical condition,’
says Dr Flynn. ‘It is essential that patients with tuberous breasts consult a
skilled surgeon with experience in treating the condition. A unique technique
is required to open the fibrous breast tissue, create an implant pocket and
produce a balanced, aesthetically-pleasing result. While more complex than a
straightforward augmentation, it can achieve very satisfactory results.’ csbm
BEFORE
AFTER breast augmentation by Dr Flynn
BEFORE
AFTER breast augmentation by Dr Flynn
Severe tuberous breast deformity. Note the tubular “torpedo” like appearance and a very restricted base. This presents significant challenges in creating enough space to place the implant and to
expand the breast tissue and skin envelope to adequately accept the larger volume.
www.cosbeauty.com.au 107

ody
Fat
reduction
surgical &
non-surgical
we investigate the
latest options for
removing fat and
beautifying the body.
Caitlin Bishop reports.
Body contouring remains one of the
most popular fields in cosmetic
surgery. There are several surgical
and non-surgical options for reducing fat
volume, removing stubborn pockets of
fatty tissue and streamlining your overall
body shape.
Over time, tried and tested procedures
such as liposuction have become more
refined and new, minimally invasive
devices have been introduced to the
market. Here, we guide you through the
essentials in body contouring and outline
the most popular procedures to create a
slimmer, more balanced silhouette.
108 www.cosbeauty.com.au

ody
Surgical
Liposuction
Nearly 40 years since it was first performed, liposuction remains the gold
standard for fat removal for those looking to rid themselves of localised pockets
of fat. Liposuction is the best cosmetic option to remove large volumes of fat,
using one of three surgical techniques: suction-assisted liposuction, the syringe
technique and energy-assisted liposuction.
Suction assisted liposuction is where the surgeon removes the target fat
using a small, hollow tube (cannula) connected to a vacuum pressure unit. The
surgeon directs the cannula through tiny incisions into areas to be suctioned,
moving the cannula backwards and forwards to break up the fat as it is removed.
Because the surgeon has to manually dislodge the fat, this technique can be
time-consuming and typically requires the patient to be under general anaesthetic
during the operation.
Alternatively, the syringe method uses a syringe instead of a machine to
aspirate the fat. This technique is typically employed if the patient has opted
for fat to be reinjected into another area, such as the face, for volumisation
purposes. Many doctors believe the syringe technique is more precise than
machine-assisted suction and helps prevent extracting too much fat. However, it
is not as suitable as other techniques for large-scale fat removal.
Recent advancements in liposuction surgery have seen the advent of different
energy sources being used to assist in dissolving and removing fat. These
techniques include ultrasound-assisted liposuction, radiofrequency-assisted
liposuction and laser-assisted liposuction and water-assisted liposuction.
The role of the energy is to dislodge and break up the fat so it can be removed
easily in an almost liquefied form. Reports of additional benefits such as a degree
of skin tightening and reduced recovery time have been associated with different
energy-based devices, however each technology can produce effective results
in the hands of a skilled surgeon.
Doctors are increasingly using energy-assisted liposuction techniques for the
reduced recovery time and, in some cases, their ability to target more superficial
fat layers underneath the skin. Even though the recovery period is typically
less than with traditional liposuction methods, patients should still expect to
experience bruising, swelling and in some cases residual bleeding from the
incision points post-procedure.
Liposuction in any form should not be considered an alternative to losing
weight through diet and exercise. However, it may be a viable option for men and
women who want to reduce bulges of fat that have resisted dieting and exercise.
The ideal liposuction candidate is at or near their ideal weight, exhibits healthy
skin elasticity and is seeking reduction of diet-resistant localised pockets of fat.
Common sites include the hips, outer and inner thighs, abdomen, lower back,
knees and neck.
In some more extreme cases, a body lift procedure may be performed in
conjunction with liposuction to remove excess skin and help the skin conform
to the body’s new contours. It should also be noted that liposuction does not
improve the appearance of cellulite or stretch marks, as these concerns are not
related to fat accumulation beneath the skin.
Depending on the size and number of areas being treated, as well as
the technique employed by the doctor, the procedure usually lasts around one
to three hours. After surgery, patients commonly experience swelling and
bruising, with most patients reporting mild soreness and numbness in the days
following treatment.
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ody
NON-SURGICAL
While liposuction surgery offers a predictable method of removing fat deposits,
non-surgical body contouring provides an option for those who don’t want
invasive surgery and its associated risks and recovery time.
Although non-surgical body contouring devices offer an effective means for
achieving a more streamlined body shape – commonly targeting treatment areas
such as the abdomen and thighs – it’s worth remembering that no non-surgical
device can achieve the level of fat removal possible with liposuction.
A key difference between liposuction and non-surgical body contouring
devices is the number of procedures required. Most non-surgical devices require
a minimum of three treatments in order to achieve optimal results, and often it
can take longer before those results are seen, as the fat cells take time to be
flushed out through the body’s usual metabolic processes.
Usually, anaesthesia isn’t required for non-surgical body contouring and
treatments are performed in an in-office setting. There is normally no downtime,
minimal patient discomfort, and complications are rare. In conjunction with a
healthy diet and exercise regime, results should be long lasting because, just as
with liposuction, when fat cells are permanently destroyed they will not return.
As developments in non-surgical body contouring continue, it’s easy to
become confused by the wide range of devices and technologies on offer.
Most devices harness some form of energy – be it radiofrequency, ultrasound
or freezing temperatures – to penetrate the skin and break down underlying fat.
Here, we summarise the main technologies that underpin the most popular nonsurgical
body contouring devices available in Australia.
Radiofrequency body contouring
This non-surgical treatment uses radiofrequency (RF) energy to reduce pockets
of fat. The energy is emitted via an applicator through the skin without damaging
the outer layers, only targeting the underlying fat and tissues.
Treatment typically takes about one hour and patients generally experience
a warm to hot sensation around the target area during the procedure. The heat
generated from the RF energy causes microscopic changes to tissues and
collagen fibres, with further collagen remodelling occurring over the subsequent
months following the procedure. The broken down fat cells are drained via the
lymphatic system and then excreted as urine.
Localised fatty deposits such as on the abdomen, hips and thighs are most
suited to RF body contouring treatments, with patients also noting a reduction
in the appearance of cellulite. Temporary side effects may include temporary
swelling, redness or bruising around the treated area, which normally disappear
after a week or so.
Depending on the device being used, results can be observed after a
single treatment, although a series of treatments is usually recommended
for significant results. The patient will gradually notice changes such as
circumferential reduction of the treated area, a reduction in cellulite and a more
streamlined body shape.
110 www.cosbeauty.com.au

ody
Most non-surgical body contouring
treatments harness some form of
energy – be it radiofrequency or
ultrasound – to penetrate the skin
and break down underlying fat
Ultrasonic body contouring
Ultrasonic body contouring treatments use targeted ultrasound frequencies to
break down fat, particularly on the abdomen, hips, thighs and ‘love handles’.
The best candidates are close to their ideal weight but have stubborn areas of
localised fatty deposits that do not respond to changes in diet and exercise.
The focused ultrasound waves are delivered in short bursts of energy, or
pulses, to destroy fat cells while leaving surrounding tissue, nerves and blood
vessels unaffected. The ultrasound waves create a cavitation effect in the
target fat cells – a process where the fat cell membranes are damaged with
each pulse of energy so that the contents of the fat cells (triglycerides) are
dispersed and processed by the body. The fat cell contents are then flushed
out by the body’s lymphatic system.
Generally, a series of treatments per area achieves noticeable, measurable
results, although some patients note a circumferential reduction in the area
after the first treatment. It can take around four weeks for final results to be
visible as the body gradually eliminates the fatty debris.
Cryolipolysis
Cryolipolysis uses almost-freezing temperatures to kill fat cells without
traumatising the surrounding tissues or harming the skin. The treatment is
most suited to patients of average weight with pockets of fat which don’t
respond to diet or exercise.
A gel drape is placed onto the target area to protect the skin before
the applicator head is placed onto the fat pocket, where it remains for
approximately one hour. The applicator acts like a vacuum to suck the area
into position and direct the cold temperature to the target fat cells under
the skin.
Patients experience a gradual cooling sensation, similar to placing the
area in iced water, but this subsides as the body gets used to the change.
The initial suction may be uncomfortable depending on the laxity of the skin,
but any discomfort usually subsides about 10 minutes into treatment. Post
treatment, the target area feels stiff and cold, appearing squarish as if still
moulded to the inside of the applicator. This can look strange immediately
after the treatment, but it subsides after about 30 minutes as the skin and
underlying tissues soften back to room temperature.
Generally, at least two to three treatments are recommended. The results
of cryolipolysis take at least a couple of months to appear, depending on the
size of the area treated. csbm
www.cosbeauty.com.au 111

genital
It’s time
to talk
Adelaide pelvic reconstructive
surgeon Dr Oseka Onuma
explains how genital surgery
helps ease discomfort and restore
self-esteem in his patients.
Caitlin Bishop reports.
Genital surgery – whether it’s sought for rejuvenation
purposes or to counter discomfort – can go a long way
in boosting a woman’s self-esteem and enhancing her
inner confidence.
Sexual health holds a massive influence over mental health
and psychological wellbeing. Even though it is not so openly
discussed in mainstream media or even between friends,
genital surgery can help alleviate pain and improve quality of
life for many women.
Adelaide pelvic reconstructive surgeon Dr Oseka Onuma
believes vaginal rejuvenation has been misrepresented in
mainstream media and, because of this, women receive
little support in making a decision that is necessary to ease
discomfort or improve self-confidence.
‘The number of women patronised by mainstream media
and even by some members of the medical community when
seeking help is disappointing,’ Dr Onuma explains. ‘The majority
of my patients seeking vaginal rejuvenation are not motivated
by the aesthetic, but a growing dislike of pain during intercourse
or discomfort when participating in everyday activities.’
Unfortunately, when it comes to genital and sexual health,
the differences between women and any potential concerns
can be shrouded in a blanket of taboo. For this reason, some
women aren’t aware of the options available and there is often
a limited understanding of what is “normal” and what is not.
‘Some women live with the discomfort of oversized labia
for many years and, often, when they come to see me for a
labiaplasty, they have only recently become aware they can
have something done to improve the situation,’ Dr Onuma
112 www.cosbeauty.com.au

explains. ‘The only comment that can be made with any
certainty about the size and shape of the labia is that they
are all very different.’
As well as affecting vaginal aesthetics, oversized,
enlarged or asymmetrical labia minora can cause
discomfort during sex and activities such as bike riding.
It can also cause irritation and discomfort when wearing
certain clothes, for example swimwear, tights or jeans.
‘Each patient will have different motivations, concerns
and expectations in seeking genital surgery,’ Dr Onuma
explains. ‘It is important to listen to the concerns of
the individual patient, assess them with appropriate
examinations and offer a series of potential solutions.’
The growing public awareness around genital surgery
has caused an increased demand for vaginal rejuvenation
surgeries. Dr Onuma hopes that alongside this growing
acceptance there will be an adjustment in how genital
surgery is perceived. ‘Genital surgery can increase a
woman’s confidence in herself and her relationships,’
he says. ‘Women may not find it easy to talk to stranger,
doctors or friends about a loose vagina, labial discomfort or
lack of vaginal sensation but these issues need to be raised
and explored in order to provide the options for improving
quality of life.’ csbm
feature
Laser Vaginal
Rejuvenation TM
SPECIALISING IN
• Aesthetic and functional
labial surgery
• Curing urinary incontinence
• Restoring pelvic support
• Enhancing sexual gratification
• Resolving menstrual dysfunction
OUR MISSION
To empower women
with knowledge, choice
and alternatives
Treating urinary
incontinence
Female stress urinary incontinence is usually caused
by an improperly functioning urethra. The surrounding
muscles and pelvic tissue are generally weakened,
meaning the urethra doesn’t maintain a tight seal
during exercise or other movements such as coughing
or laughing, and urine invariably escapes.
The tensionless vaginal tape, or TVT sling, is a
minimally invasive procedure during which a Prolene
tape sling is inserted to correct stress urinary
incontinence.
The mesh is inserted through the vagina and
positioned underneath the urethra, creating a
supportive sling. Notably, this is held in place by
surrounding tissues rather than sutured into position.
During movement or exercise, the mesh supports the
urethra, allowing it to maintain its seal and prevent
urine loss.
‘Today, women are less willing to accept changes
in genital anatomy resulting from pregnancy childbirth
and ageing,’ Dr Onuma explains. ‘With various
surgical and non-surgical techniques, there is a
range of options available to address, and hopefully
resolve, these problems. Taking action and seeking
intervention can help restore self-image, enhance
self-esteem and improve quality of life.’
Dr Oseka Onuma
BSc MJur MBBS FRCOG
FRANZCOG
Gynaecologist &
Pelvic Reconstructive Surgeon
Laser Vaginal Rejuvenation
Institute of Adelaide
Robe Terrace Specialist Centre Suite
4 Robe Terrace, Medindie
South Australia 5081
Phone 08 8344 6085
Facsimile 08 8344 6087
Email rooms@dronuma.com
www.dronuma.com
www.cosbeauty.com.au 113

genital
Vaginal
tightening
without
surgery
114 www.cosbeauty.com.au

genital
MonaLisa Touch looks set to become the new standard of care in
treating gynaecological concerns and restoring vaginal tissue –
no surgery required. Caitlin Bishop reports.
MonaLisa Touch, distributed in Australia by
High Tech Laser, is a new non-surgical way to
treat vaginal atrophy – a condition that causes
symptoms including incontinence, poor lubrication, itching,
dryness and pain during intercourse. MonaLisa Touch can
also be used for aesthetic purposes, to counter the effects
of ageing and achieve a rejuvenating effect by restoring
vaginal tissue.
‘MonaLisa Touch has been developed to help patients
suffering from symptoms such as urinary incontinence,
painful intercourse, dryness, itchiness, burning, vulval and
vaginal pain, prolapse and laxity or looseness,’ explains
Dr Fariba Behnia-Willison, a gynaecologist from South
Australia. ‘These symptoms are part of a common condition
known as vaginal atrophy. Additionally, because of how the
treatment works, it can be used for vaginal rejuvenation.’
The versatility of MonaLisa Touch stems from the
technology it uses to improve the genital mucosa and
restore proper function in the treatment area. Using
fractional laser light, the MonaLisa Touch probe – which is
inserted into the vagina – delivers thermal energy into the
deeper layers of the vaginal tissue.
This kick-starts the body’s natural processes to increase
blood flow and stimulate the formation of collagen, which
improves the integrity and elasticity of the genital mucosa.
This can be effective in alleviating vaginal pain in those
patients experiencing gynaecological problems or vaginal
atrophy, or in simply tightening the vaginal walls for a
rejuvenating effect.
‘To put it in simple terms, the MonaLisa Touch procedure
stimulates the body’s natural processes,’ Dr Behnia-Willison
explains. ‘It creates more hydrated and healthy cells which
help to increase vascularisation, hydration and acidity,
which are important components of vaginal health.’
According to Dr Behnia-Willison, a treatment to
improve vaginal function is sought by a significant number
of patients, of many different ages. ‘Although many of
my patients are going through menopause or are postmenopausal,
there are also many younger women suffering
from similar symptoms,’ she says. ‘I have found the
treatment particularly effective for women who find it painful
to have sexual intercourse.’
MonaLisa Touch delivers thermal heating at
specific depths in the tissue to achieve an optimum,
targeted result. Also, the fractionated effect means there
are areas of untouched tissue left between laser columns.
This healthy tissue helps promote healing and reduce
downtime after treatment.
‘The advantage of the MonaLisa Touch procedure, for
both results and safety, is that it uses a fractionated CO 2
laser, which means the heat is deposited at the ideal
depth in the tissue,’ Dr Behnia-Willison explains. ‘And
because it is a fractional laser treatment it leaves most of
the superficial layer untouched, which is important from a
safety perspective.’
My patients have noticed a
significant improvement following
MonaLisa Touch – some even
describing it as life changing
The treatment is non-invasive and no anaesthesia is
required. Often a series of treatments is recommended
for best results. ‘MonaLisa Touch is a straightforward and
simple procedure. It involves a probe being placed inside
the vagina and the fractionated CO 2
energy being delivered
to the vaginal tissue,’ says Dr Behnia-Willison.
‘The published research has shown that the best results
are obtained from three MonaLisa Touch treatments,
performed a month apart. Most patients notice a significant
improvement after the first procedure. I also recommend to
patients they may need a follow-up procedure every year or
so, after the initial course of treatments.’
As with any medical procedure, there are some potential
risks with the MonaLisa Touch treatment. ‘In my experience,
which is similar to that of overseas practitioners, the
likelihood of post-treatment complications following a
MonaLisa Touch treatment is minimal,’ she says. ‘The worst
side effect I have seen has been some mild discomfort for
12 to 24 hours following the procedure, but this is in only
a handful of patients and I have now performed more than
2,500 MonaLisa Touch treatments.’
Whether you’re looking to relieve the symptoms of vaginal
atrophy, or seeking a rejuvenating effect, MonaLisa Touch is
a viable option, backed by clinical research and a history of
success in a gynaecological setting.
‘Almost all of my patients have noticed a significant
improvement following the MonaLisa Touch procedure –
some have even described the treatment as life-changing,’
says Dr Behnia-Willison. ‘I hope it becomes the new
standard of care for the many women suffering from these
often painful symptoms that affect their everyday life. It
certainly has in my practice.’ csbm
www.cosbeauty.com.au 115

eauty & spa
Summer
nights
Power up your party face
with our tried and tested
makeup tips and tricks.
AimÉe Surtenich reports.
SHIMMER
& SHINE
Adding some subtle shimmer will truly make you shine,
keeping your look natural and highlighting your own
beauty. Adding a little shimmer always adds a quick hint
of glam when you need it. Try a subtle shimmer stick onto
cheekbones as a highlight. We love BeneFit Watt’s Up
for creating a gorgeous pearlescent glow and flawlessly
reflecting light from all the right places on your face.
Dusting a shimmer powder on your décolletage is also a
surefire way to get the party started.
QUICK TIP: Try using a metallic bronze as a soft liner
under your lower lash line. You can also lightly sweep a
dusting of shimmery shadow on upper lids – but try not
to go above the crease line with highly metallic shades.
L’Oreal Colour Riche Eyeshadow in Mauvie Star
$19.95 ELES Colour Balm in Celebrate $39.50, Inika
Light Reflecting Highlighting Crème $39, Covergirl
Bombshell Shineshadow in Ooh La Lilac $8.99
116 www.cosbeauty.com.au

eauty & spa
BE A HIGHLIGHT
One of the best tips to go from average to amazing is the strategic use of a highlighter. Dab small amounts on top of
your cheekbone – from the apple of the cheek and up through to the hairline. This adds light, looks fresh, makes skin
look hydrated and decreases the look of fi ne lines. You can even use small amounts on the inner corner of the eye to add
freshness and under the brow bone to “lift” the eye.
Softly highlighted cheeks are always a winning look. Dust on a powder bronzer with a fan brush fi rst, then go over it with
either a shimmery cream blush or another powder blush in a bright shade. It’s fi ne to mix textures – creams can work in
tandem with powders if the application is light.
Dab a bit of shimmer on the top of your cheeks to instantly brighten and illuminate your face. Be sure to choose just one
feature to accentuate so your highlighting stays subtle.
Estée Lauder Double Wear Brush-on Glow BB Highlighter in Soft Pink $38, Dior Diorskin Star Studio Makeup
Spectacular Brightening Weightless Perfection Foundation $77, shu uemura Tsuya Skin Youthful Radiance Generator
$80, Colorescience Pressed Mineral Bronzer $72.60, L’Oreal Lumi Magique Touch of Light Highlighting Pen $27.95
FINE
& DEFINED
Use brow powder or pencil to defi ne strong eyebrows
and to frame the eye. We love Amy Jean Eye Couture
Brow Powder and L’Oreal Brow Artist Plumper.
Use your blush to identify the apples of the cheeks, and
then accentuate your cheekbones by applying a bronzer
under them, to create a more sculpted look.
QUICK TIP: Dab a band of highlighter under the eyes –
starting from the mid face and taking it up towards the
temples. The lighter colour will help lift the eyes and make
your face pop.
L’Oreal Brow Artist $18.95, Amy Jean Brow Velvet $55,
Elizabeth Arden Pure Finish Summer Escape Bronzing
Powder $45
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eauty & spa
PRIME TIME
Perfect party makeup application requires a smooth canvas.
Airbrush fi ne lines and pores with a quality primer. It leaves skin
with a soft, velvety fi nish, allowing foundation to glide across
the skin for an even, radiant fi nish. In addition to instantly
smoothing fi ne lines, pores and wrinkles, it also increases
the longevity of your foundation. Speaking of foundation, opt
for long-lasting dewy fi nishes for a glowing look and ultimate
staying power.
Bobbi Brown Skin Weightless Powder Foundation $68,
Dermalogica Skinperfect Primer SPF 30 $67, Lancome
La Base Pro Hydra Glow Illuminating Makeup Primer $55,
Lancome Perfecting Fluid Matte Glow Creator with Air &
Blur Technology SPF 15 $55, Sisley Phyto Teint Expert
All-day Long Flawless Skincare Foundation $150, Estée
Lauder Double Wear Sat-in-Place Makeup SPF 10 $50,
Revlon PhotoReady BB Cream Skin Protector SPF 30
$24.95
EYES ON THE
PRIZE
An easy way to glam up a bare eye is to intensify your
look with eyeliner. If a smouldering look is what you’re
after, use an eyeliner pencil around the entire eye and
on the inner rim. For a quick smokey look, smudge it off
using a crease/smudge brush. For more of a clean, strong
line, create a winged liner using a gel or liquid eyeliner.
This, combined with generous lashings of mascara, will
instantly glam up your look and get you party ready!
QUICK TIP: A really great makeup trick is to use eyeliner
to fi ll in the tiny spaces between upper eyelashes. This
helps eyes look fuller and more alive and lends an
amazing frame to the eyes.
Revlon ColorStay Skinny Liquid Liner $25.95, L’Oreal
So Couture Super Liner $24.95, Laura Mercier
Caviar Stick Eye Colour in Smoke $39, Bobbi Brown
Cream Smudge Ultra Fine Brush (for smoky eyes) $60,
ELES SuperWear Mascara $39.50, CoverGirl 2-in-1
Bombshell Volume by LashBlast $11.99, Bobbi Brown
Long-wear Gel Sparkle Shadow + Liner I Thunderstorm
and Smokey Topaz $42, Revlon ColorStay Eyeliner
Crayon Contour in Sapphire $23.95, Elizabeth Arden
Beautiful Colour Defi ne & Highlight Eyeliner Duo in
Midnight Sail $29
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eauty & spa
COLOURING IN
One of the easiest ways to rock your party look is to add a punch of colour.
Instead of heavy eyeshadows, try adding a vibrant lip shade – gloss or
matte – for an injection of POP! Pump your cheek colour up using a brighter
shade and you’re good to go! Our fave colours this season are beachy
and bold – think fushias and corals.
Laura Mercier Crème Smooth Lip Colour in Crème Coral $35, L’Oreal
Colour Riche Lips Extraordinaire in Fuchsia Drama $21.95, L’Oreal Glam
Matte Intense Matte Gloss in Cherry Crop $21.95, ELES Color Balm in
Party $39.50, Revlon ColorBurst Matte Balm in Audacious $17.95, YSL
Glossy Stain in Encre Rose $50, Revlon ColorStain Moisture Stain in LA
Exclusive $25.95, Sisley Paris Phyto Lip Twist Tinted Balm in #4 $50,
Elizabeth Arden Color Gloss Stick in Coral Reef $14, BeneFit Majorette
Cream to Powder Booster Blush $51
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eauty & spa
FAKE IT
WITH FLAIR
Since Coco Chanel set a new style for looking wealthy and
relaxed in the 1920s, the desire for beautifully bronzed skin
was born. But these days, we all know too much about sun
damage so faking it is the only way to go. There’s nothing
wrong with a little cheating so if you’re going to fake it, fake
it with flair.
Sunless tanning products are more popular than ever.
In fact, around the globe, it’s been said that a bottle of St
Tropez fake tan sells every 10 seconds. Try Michael Kors
Liquitan Self Tanner for a “just got back from the islands
glow”, or customise your tan to your sun-kissed needs with
Xen-Tan Perfect Blend Custom Self-Tan. If it’s one night
only you’re after, Pure Tan make a great Wash-off Instant
Bronzer. Our new crush is LDN: Skins, which has an athome
line as well as professional spray tan range for the
most natural-looking tan specifically toned for your skin.
LDN: Skins Self-tanning Mousse, $29.95, Xen-Tan
Perfect Blend Custom Self-Tan, $57, Pure Tan Wash-off
instant Bronzer $25.95, Michael Kors Liquitan Self
Tanner $55
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eauty & spa
LASH OUT
Party up with fake lashes. They’re fl irty and
playful and no amount of mascara can create
the same drama. The best we’ve tried is
Helen Dowsley Ethically Sourced Hand-Made
Lashes. Trust us, if you don’t have an occasion
to wear them, make one!
Helen Dowsley Hand-made Lashes in Fab
Lash $12
NAIL IT
Complete your party-ready look with a slick of
colour on your nails. From classic red to festive
glittery glosses, it’s an easy way to jazz up any
outfi t or look.
Orly Nail Lacquer in Bling $18.95, L’Oreal
ColorRiche Nail Gloss in Royal Orchid (this
year’s “it” colour) $6.95, L’Oreal Paris Nail
Polish and Gloss 2-in-1 in Infallible Red
$12.95, Elizabeth Arden Beautiful Colour
High Gloss Nail Lacquer in Ahoy! $20
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eauty & spa
The Mother of All
Mineral Makeup
All Jane Iredale mineral
makeup products go through
extensive product testing
to get it just right, offering
unparalleled quality, longevity
and skin health benefits.
AimÉe Surtenich reports.
There’s a lot to be said for longevity in the uber-fickle
cosmetics market. Unlike many other beauty brands,
jane iredale mineral makeup has stood the test of
time – 20 years to be precise. Over this time, it has become
the go-to, trusted mineral makeup brand, recommended
by dermatologists, plastic surgeons and skin therapists all
across the world.
What makes jane iredale stand out from a crowded
marketplace is its integration of makeup and skincare. The
brand pioneered a new type of cosmetic: one that combines
beauty with skin health.
One of the jane iredale philosophies is to include soothing
ingredients that help contribute to skin health. All jane iredale
foundations form a protective barrier on the skin that allows
it to breathe and function normally, and all vitamins and
antioxidants used are pharmaceutical grade and certified
organic where available.
A key differentiator of jane iredale mineral makeup is in its
formulation, using only quality cosmeceutical ingredients and
pure micronised minerals – no wonder it remains a market
leader. csbm
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eauty & spa
Product testing:
getting
it right
SUNSCREEN
jane iredale conducts extensive testing of its sunscreen
products to determine their effi cacy in terms of UVA and
UVB protection in compliance with both US FDA and
international requirements and testing methodologies.
HPLC
This is an in vitro test conducted with light rays to determine
the percentage of active ingredients. It is required by some
countries to register products claiming an SPF. The light rays
measure the absorption and refl ection of light to confi rm
the percentage of actives, in this case titanium dioxide and
zinc oxide.
STABILITY TEST
This measures shelf life. The product can be tested in real
time, provided the product has been in the line long enough,
or it can be measured through an incubation process where
the product is subjected to intense heat and cold for a
period of one month. This acceleration is equal to one year.
REPEAT INSULT PATCH TEST
This is a sensitivity test conducted on 50 people per
product. This is a two-phase test which tests irritancy
and sensitivity. During the fi rst phase, the test is repeated
three times on the same subject within a week.
There is a 10 to 14 day break and then the subject is
patch-tested for three consecutive days. There is a 24-hour
evaluation and 48-hour evaluation.
In every case, the results of being tested with jane iredale
products were negative. No sensitivity was recorded to
any of the products. The legitimate claims jane iredale can
now make are: Dermatologist Tested. Non-irritating. Safety
Tested. Allergy Tested. Clinically Tested. Hypoallergenic.
PET (CHALLENGE TEST)
This test proves the effi cacy of the preservative system. jane
iredale is particularly interested in the results because of its
insistence on using systems that don’t rely on parabens
and phenoxyethanol but rely on more natural methods. In
a laboratory, bacteria, yeast and mold were introduced into
the product.
Staphylococcus epidermidis, Pseudomoas aeruginosa
and Escerichia coli (E. coli) were introduced a second and
third time after allowing seven days of incubation. The test
allows the evaluation of the real capacity of the preservative
system of not only preventing microbial contamination but
also reducing it to a level that is safe for human health. In
other words, the preservative system has to be able to kill
the organisms. When the test was fi nished (after 21 days),
no microbial activity was detectable.
COMEDOGENICITY
jane iredale has completed comedogenicity tests on all
products. All products showed no comedogenicity.
HEAVY METALS
jane iredale has conducted heavy metal tests on all
products. There is no measurable amount of heavy metals
in any product including lead and nickel. jane iredale
conducts tests on each of its products not because it’s
required but because the company fi rmly believes in offering
the consumer the highest quality product line possible.
To fi nd your local jane iredale stockist jump online to
www.janeiredale.com.au or call 1300 850 008
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eauty & spa
BODY
smoothing
products
SUMMER BEACHWEAR LEAVES
LITTLE TO THE IMAGINATION,
SO HERE’S OUR GUIDE TO
PREPARING YOUR BODY FOR
SOME SERIOUS EXPOSURE.
TARA CASEY REPORTS.
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eauty & spa
Jurlique Citrus Body Care Lotion $44, Dermalogica Body Hydrating Cream $67, Laura Mercier Verbena Infusion Dry
Oil Body Mist $55, Pevonia Botanica Ligne Tropicale $94, The Jojoba Company Silken Melon Body Lotion $29.95,
L’occitane Zesty Lime Ultra Soft Cream $34, Sisley Floral Spray Mist $110, You by Sia Dermafade $59, Sisley Lotion
Au Pamplemousse Botanical Grapefruit Toning Lotion $105, Sisley Cellulinov $225, Kiehl’s Orange Flower & Lychee Skin-
Softening Body Cleanser $32, MOR Emporium Classics Hand & Body Wash in Belladonna $29.95, Synergie CelluTite
Body, $79
A
girl needs to be prepared and put a few warm
weather routines in place to last the distance over the
hotter months. Here are a few tips and products tried
and tested by the Bella beauty team to give the appearance
of smoother, fi rmer and more toned skin.
SLATHER UP
Ease into the warm weather routine by getting your skin
soft and silky smooth with a good cleanser and moisturiser.
Body cleansers are perfect for priming your skin for the
follow-up moisturiser. After every shower get into the habit
of dousing yourself with moisturiser – from top to tail to toe.
Pretty soon your skin will be ready to bare all. Lastly, spritz
with your favourite fragrance to energise you and keep you
smelling delicious and feeling fresh for longer.
BRUSH OFF
Exfoliating is an essential step before any fake tan
application. Slough off the dead layers with a loofah, brush,
gloves, scrub or an exfoliating body wash. Exfoliating
products contain tiny granules to gently lift the dead cell
layer from the skin’s surface, stimulating the layer beneath
it. Don’t forget your tootsies too, which bear the brunt of
summer wear and tear – a full exfoliating or peel treatment
to banish rough and fl aky skin is in order.
TONE UP
Circulation is key to battling cellulite. First, ditch toxins such
as alcohol, cigarettes and coffee which restrict blood fl ow
and avoid saturated fats in junk food, which can cause
cholesterol build-up in the blood vessels. Cutting out salt
and eating fi bre such as oats encourages digestive function
and can help prevent water retention which can accentuate
the appearance of cellulite. Drinking plenty of water helps
this, too.
Cellulite creams and tonics are applied topically,
massaged directly on to your skin to help improve the
appearance of lumps and bumps and achieve smoother,
more supple skin. csbm
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eauty & spa
Sun
smart…
seriously
It’s high time to rethink your sun
exposure. Ricky Allen reports.
Skin cancers are still on the increase, particularly in
Australia where we have the highest rate of skin cancers
per capita in the world. And if you needed another
reason to slip, slop, slap, sun exposure is the number-one
cause of premature skin ageing.
There’s been growing publicity about Vitamin D deficiency
caused by lack of sun exposure and as a result many people
have stopped applying sunblock when they go into the sun.
Unfortunately the publicity only told half of the story about
Vitamin D. You only need 10 minutes’ worth of sun exposure
on any part of the body to get the Vitamin D you need from the
sun. The rest must come from your diet, which really can be
the bigger problem.
Always use a broad spectrum sunblock which blocks out
UVB, UVA and the lesser talked about UVC. The TGA has
now approved the selling of sunblocks containing an SPF
50+, which means that around 98 percent of the sun’s rays
are blocked out when you use products with SPF 50+. In
Australia we have more UVC, which binds with UVA and UVB
and intensifies their effect.
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eauty & spa
Are you
getting
enough?
Most of us don’t apply nearly enough
sunblock. You should cover the skin liberally and
reapply regularly after swimming or prolonged
sun exposure.
Moisturisers and makeup containing
sunscreens such as Elizabeth Arden Prevage
Anti-Aging Moisture Lotion with Sunscreens,
$170, and Elizabeth Arden Anti-Aging Moisture
Cream with Sunscreens, $170, also help further
protect you from the nasty effects of the sun –
which includes premature photoageing and skin
cancer. These products should not be confused
with sunblocks however, and a sunblock still
needs to be used to be more fully protected. The
cosmetic houses never designed these products
to be sun blocks; they were designed to give
extra protection against the sun and to work with
the sunblock you apply.
If you’re still visiting tanning beds, stop! They
are already banned in some states because of
their use being linked to melanomas. Instead
opt for self-tanners or spray tans to give you a
summer glow. Very good ones are LDN: Skins
Self Tan Mousse, $29.95, Garnier Ambre Solaire
Natural Bronzer, $9.95, and St. Tropez Gradual
Tan, $39.95.
Some of the
best sunblocks
we’ve trialled
Invisible Zinc Face + Body Sunscreen
SPF 30+, $19.95, La Roche-Posay
50+ Melt-in Cream, $27.95 and Stick for
Sensitive Areas, $22.95, True Solutions
All Day Moisture SPF 30+ and All Day
Moisture Tinted SPF 30+, $60 each,
Ultraceuticals Mineral Defence Face &
Body Lotion 50+, $49 and Clear Body
Spray RRP $59, Dermalogica Pure
Light SPF 50, $92.50, which provides
sun protection as well as improving
hypermpigmentation.
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eauty & spa
shrink wrap
THEY SAY THERE’S NO SUCH THING AS A
QUICK FIX BUT IF YOU WANT TO LOSE CENTIMETRES
FROM YOUR WAISTLINE IN AN HOUR, THE
INTERNATIONAL BODY WRAP MAY BE JUST THE
TICKET. TARA CASEY REPORTS.
The
power
of clay
As the clay particles become
hydrated, they expand and are
able to absorb many times their
own weight in body toxins. The
solution acts as a magnet for many
toxic elements present in the body
such as free radicals, and draws
out toxins and impurities from the
body while cleansing your skin.
This body detoxifi cation wrap hydrates and slims your body, eliminating
toxins and revealing radiant, glowing skin. It’s ideal as a one-off treatment
to fi t into that special occasion dress or as a course to gain optimum
results. The beauty of this treatment is that if you don’t lose a minimum of 15cm
off your total body circumference, it’s free.
The treatment involves fi rst measuring and marking your body so that
centimetre loss can be calculated after the treatment.
Next comes the fun part as you’re wrapped head to toe with special contour
bandages soaked in natural Dead Sea clay to cleanse and detoxify your body
of impurities such as toxins and free radicals. The bandages are wound around
your body (a relaxing, cooling “mud bath” type of sensation) and a vinyl suit
is worn for warmth and comfort while the power of clay gets to work over the
next hour.
The dead sea clay solution acts like a giant poultice and draws out toxins
and impurities from your body while cleansing your skin and leaving it feeling
softer, smoother and more toned. The clay leaves the skin tissue compressed
and the soft fatty tissues compacted, which results in the measurable centimetre
reduction. In this hydrated form, each clay particle expands, enabling it to pick up
many times its own weight in various body toxins. Clay has amazing detoxifying
properties; it’s a magnet for many toxic elements present in the body such as
free radicals.
After an hour the wraps are removed to reveal skin that is more toned with an
overall improved appearance. Your body ends up smaller and trimmer without
any weight loss. Importantly, the centimetres lost are not a result of water loss
and therefore results should last at least 30 days – and up to 12 months if you
have a healthy lifestyle and don’t put on any weight. The loss of centimetres isn’t
the only star of the show – the wrap improves your circulation and helps to put a
real spring back in your step.
Head to Nicole’s Beauty Salon, Double Bay, Sydney for the International Body
Wrap and other rejuvenating and anti-ageing treatments. Phone 0410 627 767
or visit www.nicolesbeautysalon.com.au csbm
128 www.cosbeauty.com.au

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

feature beauty & spa
Your
most powerful
accessory
HAIR EXTENSIONS ARE
THE PERFECT SUMMER
ACCESSORY, ADDING
VOLUME, LENGTH AND
SOME EXTRA VA-VA-VOOM
JUST IN TIME FOR THE
PARTY SEASON. TARA
CASEY REPORTS.
The confi dence that comes
from a long, thick and glossy
mane is almost unbeatable.
Long, fl owing, voluminous locks ooze glamour
and style. Luckily, thanks to hair extensions, we no
longer have to wait years and years for hair to grow out,
or apply serums in the vain hope it will miraculously thicken
our locks. Hair extensions have become one of the most coveted
and powerful accessories in the modern-day beauty regime.
Hair colour maestro and extensions expert Joseph Mourad, from Joseph
Mourad’s Hair & Beauty in Sydney’s Double Bay, uses extensions to instantly
transform his clients’ hair. Taking a unique and individualised approach, he adds
volume, length and luxuriousness to anyone’s ‘do in a matter of hours.
Mourad prides himself on using only the highest quality human hair extensions. He has
also adopted an innovative method – using the ultrasonic cold fusion technique – that makes the
extensions barely detectable when applied. ‘Hair extensions are about giving people beautiful and strong
hair,’ says Mourad. ‘They provide volume, length and manageability – and extra glamour all day, every day. ’
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eauty feature & spa
An innovative
approach
Mourad is skilled and experienced in all hair extension techniques, but his
preferred method is the innovative ultrasonic cold fusion method. This process
uses ultrasound energy to attach the hair extensions to the client’s natural roots.
The result is natural-looking hair extensions that are virtually non-detectable.
‘The technology is so advanced and the bonding so seamless,’ says
Mourad. ‘It achieves impeccable results and the extensions can be completely
undetectable to the eye. And, because there is no use of heat, glue or clips to
bond the extensions, your natural hair is not damaged.’
When applying the extensions, emphasis is placed on properly blending colour
and thickness with the natural hair. Attached strand by strand, the extensions
can be attached to long, short, straight or wavy hair as long as the natural length
is more than 2cm. Each strand has about 20 hairs in it and a full head can take
from 100 to 300 strands, depending on the required thickness. In just a few
hours, hair is transformed from short, thin strands to thick, long locks.
‘The latest advances provide long and voluminous hair without the need to
wait for your natural hair to grow out,’ says Mourad. ‘It can completely transform
your look.’
Extensions can last anywhere between six and 12 months. Once attached,
the extensions can be treated as normal. ‘Care for your extensions the way you
would your natural hair,’ Mourad advises. ‘It’s important to be particularly careful
when combing and blow-drying your hair. However, hair extensions can be cut
and coloured just like your natural hair.’
When applied by a hair extension specialist, hair extensions can provide a full
head of thick, fl owing hair – and a brand new look to last all through the summer
party season. csbm
Behind
the scenes
Sydney hair extension specialist
Joseph Mourad with Mya and Mel B
For more information visit www.josephmourad.com.au
Featureflash / Shutterstock.com
Featureflash / Shutterstock.com
s_bukley / Shutterstock.com
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eauty & spa
2015
beauty REPORTS.
UPDATE
RING IN THE NEW
YEAR WITH THESE
BEAUTIES!
RICKY ALLEN
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eauty & spa
For the eyes
Designer Brands CC Concealer Pen, $12.99. This brush applicator
concealer instantly illuminates and refreshes the skin’s appearance.
It contains caffeine which helps reduce puffi ness and dark circles.
L’Oreal Paris Volume Million Lashes, $27.95. Pump up the volume
with the latest mascara from L’Oreal, which creates a fan-like effect
with no clumping. YSL Couture Palette 5 Colour Ready to Wear, $98.
This palette of eyeshadows is made up of variants of the same colour
so they can be used in conjunction for supreme contouring and
defi nition or on their own.
Magical
Makeup
L’Oreal Paris Infallible 24-hr Stay Fresh
Foundation, $31.95. This foundation gives
excellent coverage and great staying power.
It comes in enough shades to match all skin
colours. Pretty Naked 100% Pure Fruit
Pigmented Palette, $44.95. This palette
includes luminescent powder, blush and eye
shadow, all of which can be used on sensitive
skin. Elizabeth Arden Pure Finish Summer
Escape Bronzing Powder, $45. A silky smooth
baked mineral bronzing powder which delivers
colour and radiance to the skin.
For the lips
L’Oreal 2. Paris Colour Riche Extraordinaire,
$21.95 in Fuscia Drama. Add some drama
with this high gloss liquid lipstick. Lanolips
Fruities 101 Ointment, $13.95. This tried
and tested lip treatment comes in three
different fruit fl avours to hydrate even the
driest of lips. Rimmel London Lasting
Finish Colour Rush Intense Colour Balm in
Drive Me Nude, $12.95, for an everyday
favourite. Maybelline 14 Hour Lipstick in
Flash of Fuscia, $18.95, the perfect colour for
summer days.
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eauty & spa
Face & Body
Garnier Body Beauty Oil Scrub, $11.95. This scrub is also oil infused so it nourishes as well as exfoliates. It
contains Argan, Macadamia, Almond and Rose oils. Innoxa Renew Anti-Aging Exfoliator, $17.95. This exfoliator
purifi es and boosts the skin’s radiance as well as helping to promote and fi rmer and smoother skin, Jurlique
Nourishing Cleansing Oil, $50. This cleansing oil contains a potent blend of botanical seed oils rich in hydrating and
anti-ageing ingredients so it improves skin smoothness while gently cleansing. Nuxe Paris Merveillance Expert
Lifting Serum, $64.95. Offering a unique blend of fl oral-based actives, this serum treats as well as hydrates even
the most sensitive skins. Sukin Purely Ageless Intensive Firming Serum, $23.95. Combining argan oil, acai and
goji fruit extract with cocoa butter, this serum helps fi rm the skin without any irritation. Neostrata Facial Cleanser,
$35.99. This soap-free cleanser can be used on even the most sensitive skins. Sanctuary Spa 30 Day Thermal
Transformation, $34.99. A Peptide Serum and a Rose Clay Mask make up this treatment pack of very effective
skincare products which when used in combination for 30 days are totally transforming.
For him
L’Oreal Men Expert Pure Power Daily Charcoal
Wash, $11.95, A daily cleanser just for him
which cleanses and treats all those little skin
imperfections such as blackheads, acne and
roughness as well as excess oiliness, Just
Cavalli for Him Just Gold eau de parfum, $110
for 50ml. This fragrance is utterly irresistible.
Sexy and intensely provocative it is the perfect
fragrance for every man. Crabtree & Evelyn
Indian Sandalwood Cologne, $60 for 100ml.
Housed in a beautiful cut-glass bottle, this
cologne is a masculine blend of sandalwood
infused with the spiciness of cypress.
1.
2.
6.
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eauty & spa
Christmas cheer
Arlesienne eau de Toilette by L’Occitane en Provence, $72 for 75ml. In a beautiful cut-glass bottle, this floral
fragrance takes you to Provence and the allure of the Arlesienne woman who has been the muse for all the
perfumers of Provence. Jurlique Glow Rose Body Oil, $79. Deeply nourishing and skin softening with a hint of
hand-grown roses, this body oil makes your skin just glow. Megan Hess for Glasshouse Fragrances Christmas
Collection Miniature Candle Collection, $44.95. Three beautiful fragrances – Night Before Christmas, White
Christmas and Winter Wonderland – in a beautifully decorated box by Megan Hess, one of the world’s most
acclaimed illustrators. Circa Home Jasmine & Magnolia Christmas Gift Set, $39.90. A candle and hand wash
are included in this beautifully boxed Christmas gift. Crabtree & Evelyn Big Top Twelve Hand Therapy Musical
Tin, $79. This beautifully decorated musical tin contains 12 travel size hand lotions. Kosmea Australia Indulge
Pack, $29.95. This handy travel bag contains a Purifying Cream Cleanser, Replenishing Moisture Cream,
Certified Organic Rose Hip Oil Rescue Balm and Hydrating Rose Water Mist.
For
the
nails
Rimmel London 60 Seconds Nail
Polish in Do Not Disturb, $7.95,
Essie Nail Polish in Hide and Go
Chic, $16.95.
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eauty & spa
L’Oreal Paris Kérastase
Discipline Maskeratine $60
L’Oreal Paris
Colour Riche Le
Vernis – The Whites
Collection in Ocean
Porcelain $6.95
Tangle Teezer
Compact Styler
$34.94
DKNY My NY
Eau de Parfum
50ml $85
Clarisonic
Cleansing
System
Mia2 $150
Faves
Editor’s
WE SHARE THE PRODUCTS WE CAN’T LIVE WITHOUT,
STRAIGHT FROM THE BELLA BEAUTY DESK.
Dior Dior
Addict EDT
$125
Philips Pro Straightener
$199.95, Philips ProCare
Airstyler $79.95
ASAP, Super Serums
AM Pack $125
136 www.cosbeauty.com.au

eauty & spa
Giorgio Armani Luminous Silk
Foundation $92
Molton Brown
Pink Pepperpod
Body Wash $39
Molton Brown
Pink Pepperpod
Nourishing
Body $45
Estée Lauder
Advanced
Night Repair
Synchronized
Recovery
Complex II
30ml $95
Skeyndor
Power
Hyaluronic
Moisture
Booster $85
Wrinkles
Schminkles
Wrinkle
Relieving
Silicone Pads
$35.95
St.Tropez
Self Tan Luxe
$49.99
Dior Dior
Addict Fluid
Stick $50
Sin-Care Line
Rewind $80
Jing Qi Shen Diamond Eyes
Eye, Lip And Nasogenian Fold
Elixir $200, Jing Qi Shen
Spirited Blue Lotus Diamond
Illuminating Elixir $300
ELES Age
Defying BB
Cream 30
$49.50
Elizabeth
Arden Pro
Triple Action
Protector $99
Indola, Kera Restore
Shampoo Treatment
and Spray Serum, Kera
Restore Shampoo and
Kera Restore Treatment
$19.95 each
Mesoestetic
Post-Peel
1% Retinol
Concentrate
$198
www.cosbeauty.com.au 137

Directory
Dr Buddy Beaini
MD Cosmedical Solutions
Phone 1300 885 808
info@mdcosmedicalsolutions.com.au
www.mdcosmedicalsolutions.com.au
Bella Media
Phone +61 2 9398 2755
info@bellamedia.com.au
www.bellamedia.com.au
Cynosure Pty Ltd
Phone: +61 2 9484 4546
After hours: +61 2 8579 0637
infoaustralia@cynosure.com
EFB Beauté
contact@efbbeaute.com
www.efbbeaute.com
Elizabeth Arden Pro
True Solutions International
Phone 1800 808 993
www.true-solutions.com.au
Dr John Flood
Phone +61 2 9476 8066
info@drjohnflood.com.au
www.drjohnflood.com.au
Dr John Flynn
Cosmedic & Skin Clinic
Phone 1300 881 388
info@cosmedic.com.au
www.cosmedic.com.au
Galderma
Phone 1800 144 944
info.au@galderma.com
www.galderma.com.au
Dr Paul Gerarchi
The Face Institute
Phone +61 2 9412 4599
www.thefaceinstitute.com.au
Val Glover-Hovan
Cosmetic Tattoo Australia
Phone +61 2 9938 2111
www.cosmetictattooaustralia.com
Dr Darryl J Hodgkinson
Cosmetic & Restorative Surgery Clinic
Phone +61 2 9362 7400
info@cosmeticsurgeryoz.com
www.cosmeticsurgeryoz.com
Jane Iredale
Phone 1300 850 008
www.janeiredale.com.au
Joseph Mourad Hair & Beauty
Phone +61 2 9328 2277
contact@josephmourad.com.au
www.josephmourad.com.au
Dr Peter Laniewski
Phone 1300 322 337
www.myfaceclinic.com.au
www.drpeterlaniewski.com.au
Dr Steven Liew
Shape Clinic
Phone +61 2 8356 2888
nola@shapeclinic.com.au
www.shapeclinic.com.au
www.breastshape.com.au
Like Your Look
High Tech Laser Australia
Phone 1300 309 233
www.likeyourlook.com.au
Dr Vlad Milovic
Phone +61 2 6260 4882 Canberra
Phone +61 2 9389 9065 Sydney
www.drmilovic.com.au
Dr William Mooney
Phone 1300 DR WILL (1300 379 455)
www.rhinoplastysydney.com.au
Dr Sarkis Nalbandian
Designer Smiles
Phone +61 2 9953 4189
www.designersmiles.com.au
Nicole’s Beauty
Phone +61 2 9327 7728
Phone 0410 627 767
www.nicolesbeautysalon.com.au
Dr Oseka Onuma
Laser Vaginal Rejuvenation
Institute of Adelaide
Phone +61 8 8344 6085
rooms@dronuma.com
www.dronuma.com
PicoSure
Cynosure
Phone: +61 2 9484 4546
www.picosure.com.au
Regen PRP
Australasian Medical & Scientific
Phone 1800 201 760
www.regenlab.com
www.amsl.com.au
Shortcuts
Phone 1300 66 73 74
www.shortcuts.com.au
Skin Renu Laser & Rejuvenation Clinic
Phone +61 2 9555 9506
www.skinrenu.com.au
Spectra XT Laser Tattoo Removal
by Lutronic
Advanced Cosmeceuticals
Phone 1800 242 011
www.advancedcosmeceuticals.com.au
Sydney Permanent Makeup Centre
Rita Porreca
Phone +61 2 9569 7799
info@spmuc.com.au
www.spmuc.com.au
Synergie Minerals
Terri Vinson
Phone 1300 689 619
info@synergieminerals.com
www.synergieskin.com
Thermage
iNova Aesthetics
+61 2 8918 6322
1800 251 150
customerservice@inovapharma.com
www.inovapharma.com
GrayClay
Phone +61 7 5531 3738
www.grayclay.com.au
138 www.cosbeauty.com.au

ACTUAL PATIENT OF DR STEVEN LIEW
At the
Heart of
Aesthetics
Face Breast Body
Suite 109, 19A Boundary St, Darlinghurst NSW
T 02 8356 2888 | info@shapeclinic.com.au
shapeclinic.com.au

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