Cosmetic Surgery and Beauty Magazine #66

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

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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EXc E llENc E

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Prosthodontics

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Centre for cosmetic, reconstructive

and implant dentistry

Dr Sarkis Nalbandian completed his Bachelor of Dental Surgery with

Honours in 1983 and Diploma in Clinical Dentistry (Oral Implants) in

2000 at The University of Sydney. He also completed his Masters in

Prosthodontics in 2004 at the prestigious King’s College, University

of London with distinction. He is a fellow of the Royal Australasian

College of Dental Surgeons.

B.D.S. (Hons.) Uni.Syd.

FRACDS

Grad. Dip. Clin. Dent. (Oral Implants) Uni.Syd.

M.Clin.Dent (Prosthodontics) King’s College Uni. London

Dr Nalbandian specialises in Dental Implants and Prosthodontics

for treating simple to complex dental, functional and aesthetic

problems.

He lectures on topics including Dental Implantology, Prosthodontics

and Implant Surgery.

He maintains a specialised practice in Sydney limited to Aesthetics,

Prosthodontics & Implant Surgery.

Dr Sarkis Nalbandian

B.D.S. (Hons.) Dip. Clin. Dent. (Oral Implants) Uni.Syd. FRACDS

M.Clin.Dent (Prosthodontics) King’s College Uni.London

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Body Balance

Dr John Flynn

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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

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20/4/09 9:01:39 AM

AD Flynn.indd 1

For more information or to make an

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1300 88 13 88

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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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9:40 AM Page 1

9:40 AM Page 1

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L 02 9977 22 DARLEY TATTOO ROAD, AUSTRALIA MANLY – HOVAN’S NSW GROUP 2095

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INTRODUCING A NEW

ERA OF INTENSE PULSED

LIGHT IN AUSTRALIA

FOR MEDICAL AND AESTHETIC SKINCARE

French space industry technology concentrated

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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

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and effi ciency. It now goes further with the

introduction of RAFALE technology.

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• Permanent hair reduction on all skin types

for black, blonde, white, red, and grey hair

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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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96 A clean slate

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breasts

102 The perfect fit for you

Breast augmentation for

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106 Treating tuberous breasts

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108 Fat reduction, surgical and

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The latest options for removing

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intimate surgery

112 It’s time to talk

Genital surgery can help

ease discomfort and restore

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114 Vaginal tightening

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New laser technology to treat

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116 Summer nights

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122 The mother of all

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124 Body smoothing products

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126 Sun-smart... Seriously

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128 Shrink wrap

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130 Your most powerful

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Hair extensions are the perfect

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132 2015 Beauty update

136 Editor’s Faves

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72 Complexion perfection

90 Nanoparticles: No

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98 Breast reshaping

108 Fat reduction: surgical

and non-surgical

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

Photographers

Debbie Pilarinos, ShutterStock

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Email michelle@bellamedia.com.au

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All ‘before and after’ photographs in

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important to understand that they represent

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18


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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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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

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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

question, with ever changing answers. The

latest research has found skipping breakfast

may be the answer to Australia’s obesity

epidemic. It seems watching the clock, as

opposed to counting the calories, can assist in

shedding weight...

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

faced. When it comes to selecting a doctor,

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.

76 www.cosbeauty.com.au


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.

78 www.cosbeauty.com.au


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.’

www.cosbeauty.com.au 79


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

80 www.cosbeauty.com.au


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

82 www.cosbeauty.com.au


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.

86 www.cosbeauty.com.au


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.

106 www.cosbeauty.com.au


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.

www.cosbeauty.com.au 109


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

www.cosbeauty.com.au 117


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. ’

130 www.cosbeauty.com.au


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

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