In the aesthetic industry it is rare for a leading, world-renowned dermatologist to go in search of a new skin care brand. However, Natalie Curcio, MD, MPH, who practices cosmetic, surgical, and medical dermatology at Curcio Dermatology, P.C. in Nashville, TN did just that. Dr. Curcio, who is Board Certified by the American Academy of Dermatology, and who lectures nationally and internationally on a broad array of skin issues, had heard about DefenAge skin care from other physicians who had seen impressive results with their three step system of 24/7 Barrier Balance Cream, 8-in-1 BioSerum and 2-Minute Reveal Masque and wanted to speak with the company to learn more.  She met with Nikolay Turovets, PhD, the CEO and Head Scientist/co-Founder of DefenAge and was so impressed with the technology, that she read all of the pertinent publications on defensins and took a deep look into the technology to completely understand its benefits.  Once she became comfortable with the products and their technology she was able to compare and contrast other products with growth factors, micropeptides, and defensins. Not only does she now recommend DefenAge to patients interested in a multi-faceted approach to skin rejuvenation, but she is a true believer and uses the product herself. In this exclusive interview with Aesthetic Insider™  Dr. Curcio discusses how the DefenAge skin care line fits into her “magic box” of beauty techniques.  To learn more about DefenAge, visit www.defenage.com. To learn more about Dr. Natalie Curcio, visit www.curciodermatology.com.

Dr. Natalie Curcio, Dermatologist

According to GCI (Global Cosmetic Industry®) it is estimated that the US skin care market will reach close to $11 billion in sales by 2018. With so many brands available, how did the DefenAge skin care line catch your attention?
DefenAge was a relatively new skin care line when I first heard about them. What really caught my attention though was the fact that it contains defensins which is brand new. Several of my dermatology colleagues, for whom I hold a very high level of respect, were discussing the DefenAge technology and so when I realized it was possibly revolutionizing skin care I decided to investigate more to learn exactly how the science worked.

What exactly are defensins?
Defensins are antimicrobial peptides that are released by one of our immune cells called neutrophils. They actually message a specific type of stem-cell in our body (one of the skin’s dormant master stem cells within the hair follicle next to the basal cell layer of the skin) and they cause the production of new basal cell layers in the epidermis to produce new fresh keratinocyte. These are the skin cells that comprise the majority of the epidermis. So when I heard that there was something that could revolutionize or change the entire epidermis and stimulate the production of  a completely new skin layer using dormant resources from our own body I knew I had to learn more about it.

Would you say that defensins are natural peptides?
Yes, defensins are a natural micro peptide in the skin. Alpha and Beta defensins naturally occur in the body, but as we age the body produces less and less defensins. In the DefenAge product they have developed synthetic copies of the natural human Alpha and Beta defensins and have been able to scientifically create a topical skin care technology that is able to awaken the dormant cells, so that the skin can naturally turn back the clock on itself so to speak.

How are defensins different than growth factors?
Defensins are peptides, although they are not growth factors. Growth factors are a separate entity. Products that contain growth factors are often human-derived but they can be from other organisms. Many of the skin care products on the market that contain micro peptides are all synthetic. The defensins that are in DefenAge are synthetic but are identical copies of human defensins.

What does “natural” mean in terms of the defensins target specific mechanism in DefenAge?
In this case a natural mechanism would refer to a signaling pathway since the defensins target a specific master stem cell that signals the body to create a new stem cell which then creates new skin cells, as it heals wounds naturally in the skin (i.e. sun damage, age spots, fine lines, wrinkles, etc.) The target specific mechanism is important because it leads to a highly specific activation of a specific target stem cell type to do a specific job. Basically, the defensins in DefenAge are creating a specific new basal stem cell in the epidermis to activate and repopulate the epidermis with fresh skin cells.

Do defensins have any known side effects?There are currently no known side effects to defensins.

How does the defensin technology in the DefenAge skin care line stand against other available skin care products and technologies in the aesthetic market?
Compared to products that contain growth factors, the defensins are smaller, they penetrate faster, are more readily absorbed and more specific. They can actually slide through the skin pore on the hair follicle to reach their target, so they don’t have to penetrate the stratum corneum or the epidermis to do their job. DefenAge uses an innovative carrier molecule to stabilize the defensins and ensure that the peptides are still active when they’re applied to the skin. It is one of those products that is a true standout. The real beauty is that it can be safely and easily combined with other products. Some of my patients still like their growth factor products and their micro peptide products, and in the right patient these products can be used simultaneously.

Do you use the DefenAge products yourself?
I always try the products that I sell in my office before I offer them to patients to first make sure they’re not irritating or comedogenic. I have extremely sensitive and acne-prone skin so I’m a good test person. When I first began using the products I saw improvement after one week. My staff and medical colleagues started asking me what was I doing different. They asked me if I was using a new moisturizer? Or a new makeup or sunscreen? People just couldn’t put their finger on it. Then after the second week, people who see me regularly would comment on the texture of my cheeks, and my patients wanted to touch my face because they thought my skin looked as soft as a baby’s cheeks. I now use the products every day, as do many of my patients. It’s been an amazing difference for me personally and for my patients that are looking for improvements in texture, wrinkles, redness, dryness, etc., which is pretty much most of them.

What common skin issues does DefenAge address?
The amazing thing about DefenAge is that it addresses a global scale of skin aging. It’s very hydrating, but lightweight, so it’s great for dryness. For those that have texture issues in their skin, it creates a more youthful texture and increases the smoothness of the skin. If you’re worried about wrinkles, it minimizes fine lines, wrinkles and even pore size. It’s been found to decrease brown spots and brighten skin tone, increase clarity, helps with pigment issues and has other ingredients that calm inflammation, redness, and sensitivity. It’s really very helpful for a lot of my patients, as it restores the firmness and elasticity of youthful skin and provides some tissue tightening too.

Do you feel that the DefenAge product is priced right?
It’s not a cheap product by any means, but I do feel that the products are of very high quality and are priced correctly. For the price you get the two Flagship products the 24/7 Barrier Balance Cream and the 8-in-1 Bio-Serum+, plus their 2 Minute Reveal Masque, and you get all of that for under $300. Many growth factor serums and micro peptide serums are priced from $200 to $280 for just one product, so many of my patients actually feel they are getting a good deal with the DefenAge line. Plus the synthetic defensins that are the key ingredient in the product are insanely expensive to produce, and the packaging and bottles is top notch and noticeable on the shelf so patients can’t wait to learn more. I would say that between the high grade quality of the product, the actual packaging of DefenAge and the proven results, DefenAge is actually very affordable.

What would you say is the one skin care product a person can never be without?
I’d like to say DefenAge but if I can choose only one it would have to be a sun screen. Hands down, everyone must use a daily sunscreen as the rates of skin cancer have skyrocketed in recent years.

DefenAge is now in over 200 dermatology and plastic surgery practices, is a newcomer to the industry and has a small sales force. What would you say is the secret to its success?
I really believe that the success is primarily due to the product performance and the uniqueness of the innovative technology. They really distinguish themselves from any other technologies on the market, and because it is creating new fresh skin cells in the skin and using a dormant resource from one’s own body, it’s really doing things that no other product on the market is doing. Such innovative technologies really only come to market every ten years or so and I believe DefenAge is that product and it is here to stay for a long time.

To learn more about DefenAge, visit www.defenage.com. To learn more about Dr. Natalie Curcio, www.curciodermatology.com.

Dr. Natalie Curcio is a Nashville-based dermatologist and dermatologic surgeon who specializes in cosmetic dermatology, laser surgery, and Mohs micrographic surgery for the treatment of skin cancers. Dr. Curcio is the President and Founder of Curcio Dermatology, a state-of-the-art facility for surgical and cosmetic skin treatments. Dr. Curcio graduated Summa cum laude from Vanderbilt University with a Bachelor of Arts in Spanish Literature and earned a Doctor of Medicine and Master of Public Health from Vanderbilt University School of Medicine. She completed a residency in Dermatology at Vanderbilt University Medical Center. In addition, Dr. Curcio completed two prestigious fellowships – one in Dermatologic Cosmetic & Laser Surgery at UCSF, in San Francisco, CA with Richard Glogau, MD and Roy Grekin, MD and the other in Procedural Dermatology/Mohs Micrographic Surgery in Birmingham, AL with Gary Monheit, MD. She is certified by the American Board of Dermatology and she is a Fellow of the American Academy of Dermatology, the American Society of Dermatologic Surgery and the American Society for Laser Medicine & Surgery.

To listen to Dr. Natalie Curcio’s interview on Aesthetic Insider™ Radio, CLICK HERE!

The post Dr. Natalie Curcio Discusses The Skin Care Revolution That Is DefenAge! appeared first on Aesthetic Insider.

Male interest in anti-aging and hormone rebalancing and replacement therapy has risen dramatically in recent years. In this exclusive interview Antonio Sabato, Jr., a soap opera star, actor and international model, talks about his personal struggles with hormone depletion and how Dr. Christopher Asandra, Medical Director of NuMale Medical Centers, has changed his attitude, his vitality and his life with the help of growth hormones and other anti-aging secrets revealed to Aesthetic Insider™. To learn more about Dr. Christoper Asandra and NuMale Medical Centers, visit www.numale.com. To learn more about Antonio Sabato, Jr., visit www.antoniosabatojr.com.

Dr. Christoper Asandra and Antonio Sabato, Jr. in Beverly Hills, CA.

Antonio, what symptoms led you to seek help from Dr. Christopher Asandra and NuMale Medical Centers?
In my mid-thirties and as I was getting into my forties I really began to feel that there was something missing. I love to play sports but after a challenging activity my body didn’t recuperate as fast as it used to. My muscles ached for longer and I would find that I would injure myself easier. Also, my stress level began to increase I was feeling more tired than usual and I just was not on top of my game.

Had you ever felt like this before?
Not at all, I have always been extremely energetic and able to manage many projects, TV shows, movies, guest appearances you name it, with complete ease and ambition. When I felt like I was beginning to slow down, I became very concerned as I really enjoy my work and my lifestyle and I didn’t want anything to hold me back. At 45 I feel like I am at the prime of my life and I should have the energy to keep up with everything that is coming my way. I also have three beautiful children to keep up with, so figuring out what was slowing me down became increasingly important.

Before going to NuMale Medical Centers did you try to manage this yourself?
Yes. I tried changing my diet, adding extra vitamins and supplements to my nutrition program, exercising more and trying to find ways to boost my mental clarity but nothing was able to give me back the energy and vitality I am known to have.

Dr. Asandra, were Antonio’s symptoms typical of men in his age group?
Antonio is a classic example of what happens to many men as they age. Generally, their hormone levels go down, stress levels go up and this imbalance begins to affect every area of their life. Weight gain, decreased muscle mass, fatigue, mental fog, premature aging and even loss of libido are among the symptoms both men and women experience as they get older. It takes a toll on them, not just physically, but mentally as well. Every person that we treat at NuMale Medical Center and its sister center clinic, NuFemme, have different medical issues and different imbalances, but overall they experience many of the same symptoms.

Is this natural aging, or are there also environmental triggers?
Natural aging does include many, if not all, of the symptoms discussed. However, many men and women now live a very active, stressful and demanding lifestyle that brings with it added pressure and the constant bombardment of emails, texts, etc., all have adverse effects on stress. It seems as though people are never detached from the world and as the body is aging and hormone levels are depleting, it is harder for it to process these types of environmental triggers. Other environmental triggers would of course be pollution, heavy traffic, congested cities, etc. All of these things do take a toll on the body and if the body is out of balance hormonally, it just cannot keep up efficiently.

What was your first impression of Antonio when he came to see you as a patient?
Antonio is a guy who is hugely inspirational to people, he’s physically active, he motivates a lot of people, he is an example of what the average man of his age aspires to be. He looked youthful and vital. However, that was not how he felt. Inside he was tired, felt beat down, had a harder time getting out of bed in the morning and simply didn’t feel as sharp as he thought he should. In Antonio’s case, the outward appearance did not reflect what was going on inside. He had consulted several other doctors who said what he was experiencing at mid-life was normal, others thought anti-depressants might give him the mood lift he needed. But that was not OK with Antonio so he pushed forward looking for an answer and found one at NuMale.

How did you go about diagnosing Antonio?
Antonio has a very demanding career and lifestyle. He’s an actor and a model, and is very active physically. He also has a family and business needs to attend to as well so it would be easy to assume that he was overdoing it and needed to cut back. I have helped thousands of men struggling with similar issues and know that the answer lies in an comprehensive series of blood tests and therapeutic treatments. It was obvious when reviewing the blood work that he was perfectly healthy overall but did have Low-T (low testosterone). His growth hormone levels were somewhat low as well. Rather than telling him to just slow down and rest more, we were able to get his whole body and system back to a level where he could easily meet the many challenges he puts on himself.

Antonio, how did you feel hearing that your testosterone level was low?
I was actually so grateful to have an answer that all I could say was “OK, now how do we improve it?”

Dr. Asandra, please explain Antonio’s course of treatment.
After diagnosis, we started Antonio on testosterone replacement therapy. At NuMale we use bioidentical testosterone pellets. The pellets are about the size of a tic-tac and are placed under the skin during a quick in-office procedure. These pellets give a physiologic release of testosterone over 4 -5 months. Patients prefer the implanted pellets versus the creams, gels, and shots which are administered frequently and create a “roller coaster” effect on the body. Each testosterone replacement therapy is completely customized to the patient. In Antonio’s case I also have estrogen blockers built in as we also want to control the estrogen levels too. At the same time we use a growth hormone therapy called Sermorelin. Sermorelin helps him sleep better, recover from physical exercise faster, improves skin quality, and increases lean muscle mass. He already eats a highly nutritious clean diet so we did not have to change anything there, and his daily exercise regimen far exceeds daily recommendations.

Antonio, how do you feel your overall quality of life has improved?
My sleeping is better. My recuperation is better. My Jiu Jitsu classes are better because after a grueling work-out, I rest more easily and don’t feel quite so beat up the next day! I am also memorizing my lines when I have to learn new scripts like I could in my twenties. It’s truly fantastic. My whole life has changed even down to the relationship that I have with my children. Because I’m more active and my stress levels are lower I can actually keep up with my kids. I love it!  Even my body fat percentage is lower. I feel as though I’m healthier than ever. I wake up full of energy and I’m ready to seize the day, every day.

How long did it take before you began to feel the full benefit of the growth hormone treatment?
Within a matter of days I began to feel my energy levels increasing. As my sleep improved, my body became more flexible and the brain fog lifted. It was really very quick, maybe a few weeks in all and now I feel like my old self again – full of life energy and feeling vital.

What advice would you give to other men who find themselves in the same situation as you?
Seek help immediately. I wish I had not waited so long to find a solution. Obviously my life has been changed thanks to Dr. Asandra and NuMale Medical Centers and I would advise others to seek a doctor that is familiar with the aging process, hormone imbalances and growth hormone therapy. I would also advise men to not feel embarrassed about what is happening to them, and to not accept that it is OK to feel unfulfilled health-wise. It is normal but it can be corrected in a safe and effective way with growth hormone and testosterone therapy. I went to a lot of doctors who did not know how to help me and that wasted a lot of time and it is my belief that you have to make every day count.

Dr. Asandra, what advice do you offer to men experiencing these types of health issues?
It is a growing problem and is something we need to address rather than being ashamed to talk about. It’s not the perception of being on steroids or any type of negative connotations derived from past forms of treatment. My patients do not turn into body builders overnight! This is a medically managed hormone replacement therapy, optimizing a patient’s own hormones in a very safe and effective manner under medical supervision.  Once we determine the patient’s levels, the pellet therapy is a quick 3 to 5 minute procedure where we place the bioidentical testosterone under the skin. The pellet has a slow-release capacity that keeps the body regulated and it lasts for about 4 to 5 months. It is far more convenient than hormone creams and gels that are smeared on the body several times a day, or injections. Nobody likes needles, so it’s really a revolutionary and safer way to turn back the clock. My advice to men is to seek help sooner rather than later. The longer hormones are left unregulated, the higher the imbalance and increase in health problems. Frankly, they will spend more time not enjoying life as much as they could with treatment.

To learn more about Antonio Sabato, Jr., visit www.antoniosabatojr.com. To learn more about Dr. Christoper Asandra and Numale/NuFemme Medical Centers, visit www.numale.com.

To listen to Antonio Sabato, Jr. and Dr. Christoper Asandra discuss growth hormone replacement therapy for men, CLICK HERE!

The post Antonio Sabato, Jr., Discusses How NuMale Medical Centers Help Keep Him Youthful appeared first on Aesthetic Insider.

For many of us stress relief is as elusive as the fountain of youth, but thanks to Elyse Briggs, Nationally Certified in Therapeutic Massage and Bodywork, her latest Stretch in Time DVD series (The Basics: 5 Simple Exercises to Get You Started and Balance: Build Strength – Gain Confidence) is based on the idea that the simplest of exercises are often the ones that do the most good.  Many doctors are constantly on the run, and in this interview with Aesthetic Insider™ Elyse explains how taking a few minutes each day to do some basic yoga style stretching may make a big difference in overall general health, flexibility and energy levels. To learn more, visit www.stretchintime.com.

At five o’clock in the evening most of us are racing somewhere and the demands of everyday life turns many of us into long distance runners, moving from one task to the next is a seemingly never ending race. That nagging feeling of always being behind schedule can lead to dangerous stress levels that jeopardize your work and threaten physical and mental wellbeing. The list of physical complaints from time-stressed individuals is growing longer by the year: anxiety, depression, high blood pressure, body aches and sleepless nights. Add in irritability and low energy levels and you have a perfect storm of symptoms that will take their toll on you if not addressed daily.

The real challenge, however, is finding quick and easy ways to relieve stress, because unless you decide to quit your day job and settle on an exotic island somewhere, your daily schedule and increased levels of stress is going to be with you. So when every minute counts, how do you find enough time in the day to stop and heal yourself?

The answer is simpler and more enjoyable than you think: Yoga-like poses – on the go: exercises that will help bring a strong sense of balance into your body, giving not only Seniors but everyone, physical and mental wellness, stability and confidence in motion for the rest of their lives.

“My motto is to keep exercise simple so you are more likely to continue it. And it works,” says Briggs, herself a bundle of yoga-induced energy. “If your work schedule doesn’t allow for a trip to the gym, just grab a chair and do these easy exercises at your desk. You’ll be refreshed and invigorated within minutes.”

Briggs developed the following five exercises and stretches to relieve the physical and mental stress many of us experience on the job. You can feel better in as little as five minutes – and all without rolling out your yoga mat.

Downward Facing Dog with chair – Relieves tight shoulders, hamstrings and lower back pain. Position a stationery chair against a wall. Stand and hold onto front edges of seat. Inhale, and on an exhale step back, knees bent and hips lifted. Chest presses toward thighs, spine lengthens as you try to straighten your legs. Breathe for 30-60 seconds.

Backbend with chair – A reverse spine stretch for lower back fatigue. Sit near the edge of the chair with hands on the side edges. Walk your feet forward, lifting your hips and coming into reverse plank. Shoulders are over wrists, arms and legs are straight. On the inhale with feet planted, lift your hips toward the ceiling. On an exhale arch your back. Breathe. Hold for 30-60 seconds.

Twist – Relieves back pain, lower back tension and aids digestion. Sit in the chair with shoulders and hips aligned. Inhale, and then on an exhale, leading with your navel, slowly turn to the right, placing your hands onto the arms or back of the chair. Inhale and move back to the center for a few breaths. Inhale again and repeat to the left side. Hold each side 30-60 seconds.

Forward Fold – Release neck tension, lower back and spine tension and pain. Sit near the edge of the chair, feet more than shoulder-width apart. Inhale and raise arms overhead, palms facing each other. On an exhale and with a long spine, hinge at the hips and slowly lower your body and let hands reach the floor. Breathe. Hold for 30-60 seconds. For more of a stretch, grab the two front legs of the chair and with feet planted, straighten your arms, lengthen your spine and lift up. Hold for 30-60 seconds. Breathe. Then relax back into the forward fold. Come up carefully, hands on knees, pushing back up to your original seated position.

Relax with legs up the wall – A restorative pose for aching legs and lower back pain. Lie with your back on the floor, bottom and hips as close to the wall as possible. Straighten legs up the wall. Lie with arms outstretched and palms facing up. Breathe and relax for five minutes or longer.

Simply put, five minutes of stress relieving yoga like poses daily will change life for the better as it is possible to limit the negative effects of high stress levels through incorporating these easy exercises into your day. Working just one exercise an hour into your schedule means one less minute of stress, and many more minutes of good health. We are all aging and since we are, why not do it gracefully.

Sources: Watch the trailer for Stretch In Time DVDs The BASICS: 5 Simple Exercises to Get You Started and BALANCE” Build Strength – Gain Confidence available at www.stretchintime.com.

Disclaimer: Consult your physician before engaging in any form of exercise.

The post 5 Yoga Moves That Dissolve Daily Stress! appeared first on Aesthetic Insider.

Over the last ten years or more, aesthetic surgery procedures have increased over 500%. In addition to this unprecedented increase in patient volume, it is also notable that patients are taking more time to educate themselves about plastic surgery.  All surgeons know that a successfully performed procedure can be dramatically and negatively impacted by poorly managed post-operative care and patients are frequently asking important surgical and non-surgical questions about post-operative recovery options.  This interview at Aesthetic Insider™ with Amanda Richey, RN, co-founder of oveRNight RN, a leading post-operative healing company based in San Francisco, CA., and Clinical Coordinator Madeleine Salada, discusses the importance of hiring qualified professional nurses with specific experience caring for plastic surgery patients, as well as patient expectations and frequent problems that may occur during the first 24 hours following any cosmetic surgical procedure. To learn more, visit www.overnightrn.com. 

Amanda Richey RN of oveRNight RN

Amanda, what is oveRNight RN?
oveRNight RN is a company that focuses on pre-operative and post-operative care.  We have a large experienced nursing team that works directly with aesthetic surgeons to provide additional nursing care and recovery to their patients. I found during my time working as a recovery nurse that a lot goes into preparing a patient for surgery, as well as after surgery, and that includes staying with a patient while they recover in the comfort of their own home if necessary. It’s generally easy for a plastic surgery patient to have someone drive them home after their procedure, but they do not always realize how difficult their recovery might be, so sending in an oveRNight RN nurse to care for them during the first 24 hours following a procedure is very beneficial to both the doctor and the patient.

What is the ideal length of time for an oveRNight RN nurse to stay with a patient after surgery?
It all depends upon the extent of the procedure or surgery. Our nurses are available for short stays of four hours for less invasive procedures, all the way up to twenty-four hours or more for facelifts and multiple body procedures.

Amanda and Madeleine, what qualities do you look for when hiring a great RN?
Amanda; It’s important that nurses applying to oveRNight RN have peri-operative experience, by that I meant that they are experienced being around the whole surgical journey including pre-operative and post-operative care. We look for career nurses that are well-rounded in their experience, have critical thinking skills and have dedicated themselves to total patient care.

Madeleine; It’s vital for the nurses that work for oveRNight to have a comprehensive skill set. We have a vetting process based on a high level of expert care, qualifications, experience and integrity. It is also important that they are team players, have experience recovering elective surgery patients and can think on their feet so to speak.

Madeleine, are there any particular or more specific qualities required of an oveRNight RN nurse?
Yes. Most aesthetic surgery procedures are performed in an outpatient setting and the plastic surgery patient is choosing to have surgery. They are not patients that are ill so that makes a big difference because this type of patient does not always realize that there is pain and/or bruising involved and more often than not, are not prepared for any discomfort. Our nurses have to understand the expectations of this type of patient and how best to manage them in order for them to have a safe recovery. Pain levels are especially important to address. It has been our experience that as long as we can set a realistic scope of what’s going to happen, then the patient will have a great understanding of what to expect during their recovery and have a great experience and surgical result. Therefore, patient education is key and we expect our nurses to be able to properly educate and care for the patient both pre-and post-operatively, as well as be equipped to handle an emergency should one arise.

Amanda, do you feel patients are naive when it comes to plastic surgery?
I wouldn’t say naive, more uninformed.  Plastic surgery is not considered as threatening as other necessary surgeries such as brain surgery or heart surgery, therefore many patients don’t really think about pain or potential danger when they book a cosmetic procedure. They just think about looking better. Then, when there is a complication, or infection and pain, they are often upset and surprised.  At oveRNight RN we make sure that all the patients we recover have a good understanding of what to expect before and after surgery. This makes for a much happier and safer recovery.

Is it the doctor’s responsibility to educate a cosmetic surgery patient?
I really believe it is the responsibility of both the doctor and the patient to be as informed as possible when it comes to plastic surgery. As mentioned, cosmetic surgery patients are choosing surgery so it’s up to them to know as much as possible about the possible consequences and concerns prior to undergoing surgery.  Most of the aesthetic surgeons I know do a great job of providing the patient with a variety of educational tools. Also, many of the aesthetic organizations such as the American Society of Plastic Surgery (ASPS), the American Society of Aesthetic Plastic Surgery (ASAPS) and the American Academy of Facial Plastic Surgery (AAFPRS), to name a few, have developed comprehensive educational tools for patients such as what is available on their websites and in brochure form.

Madeleine, do you see any gaps when it comes to patient education?
I wouldn’t necessarily say there are gaps, however, when a patient consults with a doctor for any reason they often get overwhelmed with all the information the doctor provides. This can create a real disconnect as they only hear a portion of the instructions given, then they go home and forget about much of it. This is where a qualified nurse from oveRNight RN can step in and follow up. We make sure that the patient is given the right documentation about their procedure of choice, as well as instructions pre- and post- surgery which includes everything from making sure they have transportation home following surgery, all the way to the necessary ice-packs, pain medication, etc.

How often do you encounter an unprepared patient?
Unfortunately, too often.

What is the number one area that the patient is most unprepared?
Due to the nature of plastic surgery mostly being elective, many patients view it as being easy when in reality surgery is surgery. So they are often inadequately prepared for their post-surgical care and that sometimes includes having someone drive them home, and stay with them for the first 24 hours.

Amanda, what happens when a patient does not have an adult to drive them home following surgery?
In all good conscience, as the recovering nurse, I cannot allow surgery to go forward. This, of course, has huge consequences to both the doctor and the patient. For the doctor, it could cost upwards of $5000 in out-of-pocket surgical facility fees, anesthesia and nursing care fees, etc. For the patient, it can mean loss of time from work, etc.

Potentially, what can go wrong if a patient recovers alone?
Well, anything really. The worst, of course, being incidents of death due to patients being left alone. From time to time, the media reports stories about patients who have had a psychotic reaction to medication and committed suicide, or had other major reactions such as cardiac arrests. Although these events are not the norm, they can happen and this is of course absolutely the time when you want an experienced RN.  There are also many small incidents that can impact and reverse a patient’s recovery such as the patient not following instructions to refrain from strenuous movement and as a result ripping sutures that will then require an urgent, unscheduled visit to the doctor’s practice, even occasionally requiring an additional expensive return to surgery to repair the damage. From my perspective prevention is an important part of recovery.

Does it make sense for a doctor to hire an on-staff recovery nurse that can home with a patient following surgery?
No. Nurses are paid high hourly rates and the doctor would need one on-staff nurse for every patient that they perform surgery on. It is much more cost-effective for them to use the services of oveRNight RN as our per nurse/per patient fees are low in comparison and many of the patients we work with are happy to add this additional cost to their surgical plan as they understand that the continuum of care is important to their overall result.

To learn more about oveRNight RN, visit www.overnightrn.com.

To listen to the oveRNight RN interview at Aesthetic Insider™ Radio, CLICK HERE!

The post Why Aesthetic Surgeons Need To Hire The Best Recovery Nurses appeared first on Aesthetic Insider.

You may have a beautiful and advanced medical practice with a dedicated and highly qualified team who all want the practice to be successful, yet you have a sense that your patient volume is low. Sometimes training the most important member of the practice, your receptionist, may be the answer. In this interview with Aesthetic Insider™, Angela O’Mara a practice marketing expert and President of The Professional Image, Inc., a national PR & Marketing Agency explains the importance of this key role to the success of a modern medical practice. According to Ms. O’Mara, the majority of prospective patients that call a doctor’s office are generally well educated, they most likely have already done a great deal of Internet research, have shopped around for information and pricing from other doctors (your competitors), have a good understanding of their procedure of choice and are looking for answers and solutions to their problem now, not next week or next year. But right NOW while they are on the telephone with your receptionist. To learn more, visit www.theprofessionalimage.com.

Do doctors realize they may never meet a patient if a call is not answered correctly, literally costing them thousands of dollars in lost revenue?
Prospective patients that call a doctors’ office can become cash-paying customers who will not only be loyal, but will also refer their friends and family for surgery if they are greeted by a caring, knowledgeable receptionist who is able to book them in for a consultation. It is ultimately their responsibility to bring that patient in for a consultation, but if they end the call without booking that consult, or even worse, don’t obtain contact information or source of the caller, then they are seriously hurting the practice and losing money.

Do doctors usually have the right person answering the telephone or working at the front desk?
It has been my experience that the receptionist is generally the least paid and the least trained person in a medical office. However, she/he is the “gate keeper” and plays the most important and pivotal role to the success of a practice. The receptionist is not just answering the phone. They are the immediate connection with the world outside. This person holds the power to turn that caller into a paying patient, or lose them allowing them to seek the services of the competition for a procedure that their doctor could have performed. Also, that patient may have been interested in more than just one procedure, or as mentioned earlier, referred their friends and family for future surgery.

 Is it true that a prospective patient will never have the chance to consult with a doctor if they have a bad experience with your receptionist?
I have been in practices where the receptionist complains that the telephone is a nuisance. They complain that it is a distraction, an interruption and never stops “ringing off the hook.” The telephone is the gateway to success and a good receptionist should understand what their role as “gate keeper” truly means. It is the entry to the practice and the doorway to new patients and future practice sales and growth. It is also the welcome mat for past patients to return when they are seeking more procedures.

Do you have a protocol for patient tracking?
There are many great software programs for patient tracking such as ACT, and companies such as Aesthetic Link and Nextech, for example, offer great practice software solutions. Keeping it simple, I suggest they should at least obtain the following information:

1. Name and address
2. Telephone and email contact information
3. Areas of interest (type of surgery or procedure discussed)
4. Timeline for treatment (How soon do they want to do this?)
5. Referral source (newspaper, magazine, TV, Internet, friend, etc.)
6. Consultation date
7. Notes on interesting points made during conversation

While your receptionist should be able to answer basic practice and treatment information, they should not try to play doctor on the phone. Booking the consult is the best thing they can do for a medical practice.

The receptionist should not:
1. Refer a caller to a competitor if their doctor does not offer the procedure they are requesting. They should understand how to handle this type of caller
2. Sound anxious to get off the phone
3. Give medical advice. e.g. determine the length of recovery time if a caller is planning to have surgery before a big event
4. Put the caller off the procedure by thinking they are offering good advice
5. Forget to take down name and contact info
6. Hang up without booking a consult
7. Put them on hold. If it is necessary to place a new patient call on hold, make sure it is for a few brief seconds only

The receptionist should:
1. Greet the caller with a smile
2. Ask how they can help them
3. Ask how they heard of the practice
4. Offer basic information and then suggest a consult with the doctor
5. Obtain contact information and put it on a Tracking Sheet
6. Book a consult
7. If the caller is not ready to book a consult, ask if they can send any information via e-mail or literature in the mail. Then schedule to call that patient back in one week’s time

Are there any special points a receptionist should make when talking to a patient?
It is always good that your receptionist frequently refers to the expertise and credentials of the doctor wherever possible during the conversation. They can discuss the state-of-the-art medical office, cutting edge procedures, highly qualified staff, etc. as long as the conversation allows it. Many receptionists get off track with personal and idle chatter that they often forget their true role. That role is to be an ambassador of the practice and to help caller choose their practice over any others

When should a call become a consultation?
As quickly as possible. The whole goal of the receptionist is to answer the phone and if it is a new patient calling, to turn that call into a consult. It is a learned skill so long as the receptionist wants to learn it. An experienced receptionist should know this, but even a “newbie” can learn this skill fast. The more excited they are about the practice, the easier it will be for them to make this happen. Sometimes, the receptionist may have to ask several times if the caller wants to book a consult. Asking how “soon” they want to have surgery is a great way for the receptionist to understand what time frame they are working with.

Angela O’Mara is President of The Professional Image, Inc. and has worked with aesthetic surgeons and medical manufacturing companies for over 28 years.  She is a frequent lecturer, contributor and has been a featured guest and commentator on E! Entertainment TV, CBS News and other media outlets and has worked with thousands of aesthetic surgeons over the years. The Professional Image, Inc. is a full-service national PR & Marketing Agency and Consulting Firm, with offices in the USA, United Kingdom and Mexico.  They partner with clients to deliver solutions that help solve their most complicated needs. Services are designed specifically to help aesthetic medical practices compete and grow. With over 28+ years of industry experience and hands-on expertise, TPI’s Practice Consulting goes beyond the norm to develop new insights, drive results, and help grow an aesthetic practice. To learn more, visit www.theprofessionalimage.com. 949.768.1522.

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Aesthetic Insider™ recently asked Giles Raine, Vice President of The Professional Image, Inc. a medical specialty PR and Marketing firm that has been in business for over 30 years helping aesthetic surgeons build their practices, for his top five business tips.  Surprisingly Giles told Aesthetic Insider™ that he has learned some of the best business tips from surgeons. To learn more, visit www.theprofessionalimage.com.

Tip 1. Don’t Ignore That “Gut” Feeling
A plastic surgeon with an excellent reputation told me that part of his success was due to intuition. Even though over the years most doctors encounter problem patients, this particular surgeon commented that his gut feeling usually gave him advance warning before a problem occurred. Unfortunately, most of us have been conditioned to override and ignore this important sense and base all of our decisions on logic.  Listening to your gut feeling is important as it may help you identify a problem patient before they become a problem patient.

Tip 2. Am I In Love, Or Not?
Many of TPI’s clients have multiple locations and one doctor with a chain of practices told me that after evaluating all of the clinical and scientific data about a new technology or device, she always takes a step back to ask herself one important question, ‘do I like it or do I love it’?  If she ‘loved’ it after she had reviewed all the data and its efficacy for her patients, she would buy it. What was her final reasoning? She knew that if she was excited about the technology it would be easy to share the excitement with the rest of the practice staff who in turn would want to incorporate it into all patient treatments.

Tip 3. Presentation Is Everything
A surgeon who is also an accomplished chef once told me that ‘people eat with their eyes’.  He went on to say that this powerful thought should translate into excellent presentation of all aspects of a practice.  Regardless of a doctor’s  advanced skills and results, if they do not present their work and everything connected to the practice in a visually appealing manner, their patients (customers) will not see the full value of them and their practice and are much less likely to choose them for their surgical procedure or treatment.

Tip 4. Do what you say, say what you do
At a UK medical meeting a surgeon told me that a traditional British saying and concept is ‘your word is your bond’, and his contemporary interpretation was that even when you do not believe anybody is watching, act as if they are.

Tip 5. Get to the point
A very tech savvy surgeon told me that in our digital age, patients want quick simple answers to almost all questions.  It is always more effective to first communicate complex technical or scientific clinical ideas with an initial brief summary and then if and when appropriate, a detailed one.

In Summary:

1. Listen to your gut feeling
2. If you only like it don’t buy it
3. People eat with their eyes
4. Your results are judged not evaluated
5. Simplify complex ideas

The Professional Image, Inc., a full-service PR and Marketing firm, has been representing its clients to the media since 1988. Headed by agency President, Angela O’Mara, and V.P. Giles Raine, TPI has flourished to become one of the leading PR firms in the medical aesthetic surgery industries. TPI prides itself on its commitment and dedication to its clients, as well as its unique and focused approach to PR and Branding. TPI’s success over the years and its longevity in the field of PR, is attributed to its fresh ideas, innovative approach, creative style, media contacts, top notch service, and a proven track record for obtaining excellent results. www.theprofessionalimage.com.

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Many agree that recovering from a cosmetic plastic surgery procedure is not always easy, but is the current trend of doctors turning to overnight nursing care to help their patients recover, also ultimately benefitting the surgeon as well as the patient?  The answer is Yes! San Francisco Cosmetic Plastic Surgeon, Michelle M. Eagan, MD, says that for many of her patients sending them home with a 24 hour round-the-clock RN is often necessary. Dr. Eagan says it can dramatically reduce many of the minor problems that could rapidly snowball into a significant medical crisis, and ultimately impact the patient’s surgical result. Dr. Eagan, a highly-qualified aesthetic plastic surgeon, is the developer of the 3-D Mommy Makeover and the Secret Makeover which includes feminine rejuvenation.  In this interview with Aesthetic Insider™ Dr. Eagan discusses top tips to faster recovery from surgery, and how to determine when it’s necessary to send a qualified nurse home with a patient. To learn more, visit www.eaganplasticsurgery.com.

Dr. Michelle Eagan

In what surgical instance do you feel it is imperative that a patient recover overnight with a qualified caregiver or Registered Nurse?
There are so many different types of cosmetic procedures and the ones that are more complex tend to have the larger transformation For those type of surgeries, such as the 3-D Mommy Makeover or Brazilian butt lifts and even facelifts, how you take care of the body after surgery can really improve the patient results and their experience. For my Mommy Makeovers, tummy tucks, facelifts or surgeries that include multiple procedures, I often have patients go home with a Registered Nurse or qualified caregiver, rather than a friend or family member.

When it comes to post-operative care, what can an RN or qualified caregiver do do that a friend or family member cannot?
It’s not that friends or family can’t recover a patient; it’s just that qualified experts know how to help a patient have a better recovery. A qualified expert is not only equipped to handle any possible emergencies, but also understands how to best comfort the patient through this stage of their recovery. The goal is to have the patient recover in as healthy a way as possible while decreasing any potential risks including blood clots to the legs or the lungs which are the number one risk that we prevent in major operations. Experienced caregivers make it easier for the patient to get around, including going to the bathroom, helping them get their meals prepared, and taking their medications at the correct times. The patients don’t have to worry about doing any of these things on their own, teaching someone how to help them or troubling their friends or family. A qualified caregiver really can enhance the surgical experience and the amazing transformation that the patient has decided to undergo.

Do you prefer that your plastic surgery patients recover at home or in more of a hospital setting?
It really depends on the patient. I would say that the majority of my cosmetic surgery patients are very healthy and recovering at home is more pleasant, in the sense that they know their surroundings, they have everything they need and they don’t have to pack a lot of things. Also it is often more cost-effective too, which matters to everyone. Every opportunity we can cut costs we try to do that as long as it’s safe. Compared to a hospital, there are other reasons I prefer them staying at home: they don’t have to be concerned with parking, waiting for discharge, etc. The way my patients recover at home with expert care is a more personalized experience especially since these are post-operative caregivers that help me. Sometimes the hospital experience can feel cold and impersonal, whereas for overnight RN nurses it is their job to ensure a safe, enjoyable and completely private recovery for my patients, one at a time.

Is it your preference to use a Registered Nurse for at home recovery?
Yes. It’s really important that the person taking care of my patients has specific experience with surgical procedures.  I want the person taking care of my patient to know the nature of the surgical case involved, how to customize care for the patient based on their procedure, what to look for to keep the patient safe , and to know when to call me if something does not seem right. A non-qualified person really does not understand what is normal with our more invasive surgeries. Rather than take the risk, I think it’s safer for all involved to have an expert RN or caregiver with the patient for the first 24 hours following a major invasive procedure.   Plus patients are used to complying when a nurse tells them they have to get out of bed to walk so they can increase circulation and reduce blood clots. So yes, my preference is to have a qualified nurse or someone who’s very experienced with surgical patients and knows how to take vital signs, check surgical sites, wound care, as well as safely and comfortably assist the patient to the bathroom or walk around without causing strain to the patient. These experts are used to working long hours, are scheduled to check vital signs, make sure the patient has settled in and are taking their pain medications as directed. Having such care does make a big difference in a patient’s post-op recovery experience. I can also worry less knowing that the patient is in good hands.

Which cosmetic surgery procedures require the most post-operative care?
Every patient is different. Sometimes it’s based on the length of the surgery, extent of procedures performed, or even a patient’s age and current health condition. Mommy Makeovers, which may include several procedures during one operation, are good examples where the patient needs expert after-care for two or three days following surgery. Other procedures such as certain Brazilian Butt procedures, tummy tucks and facelifts may require extra post-op care too. My general rule of thumb is that we have post-op care for a minimum of 24 hours following any major cosmetic surgery procedure. Plus for my patients that go home with post-operative care, the nurse or assistant will come and pick them up from the surgery center, bring them to where they’re staying, help them get in and out of the car, help them get situated at home or at the hotel, then call me to ensure everything is OK and ask for further directives if any. They also send me vital signs every few hours, take care of the patient through the night and bring them back to see me the following day for their post-op appointment.

Is privacy also a consideration for your patients?
Privacy is definitely a consideration for many of my patients. San Francisco is a highly conservative city, and being so close to the elite Silicon Valley entrepreneurs’ who want to keep their youthful looks, makes privacy a big concern. Some of them want to recover in the privacy of their own home with round the clock care, while others prefer to stay in a hotel and hire a nurse for a week to take absolute care of them. They are able to still work from their laptops, and recover in luxury at the same time. Many of the hotels allow our patients to use back entrances too so you never see who’s coming or going.

What is the 3-D Mommy Makeover and the Secret Makeover?
The 3-D Mommy Makeover is actually a new twist on an existing procedure that focuses on both the internal and external features of a woman that often change due to or after pregnancy. Many of the changes to a woman’s body that are accelerated by having children affect the breasts,  abdomen and buttocks and those areas can be rejuvenated with external cosmetic surgery procedures. Another area that is not talked about as often is the vagina which can begin to experience urinary leaking (incontinence), looseness of the vaginal wall and loss of lubrication (dryness). Therefore, the 3-D Mommy Makeover is a comprehensive approach to helping women transform themselves back to being more rejuvenated, more lifted. It helps them to feel like themselves again. Also, as these changes begin to happen to the body, many women feel a loss of confidence and feel uncomfortable in a bathing suit, or even in the bedroom. With the 3-D Mommy Makeover we can now help them reshape their bodies, both inside and out, restoring their confidence and enhancing their quality of life.

What about non-Moms?
Funny you should say that. In San Francisco not everyone is a mom and, as a matter of fact in San Francisco, the majority of people don’t have a large family, but they still want to be rejuvenated and keep up their appearances. So, I created the Secret Makeover as a way for them to rejuvenate their body in a very secret way with no large visible scarring and we can tighten and tone different areas including the breast, abdomen, vaginal area, thighs and arms, and all without leaving hardly any visible scars. Even the face and neck can be lifted and tightened without having a facelift in some patients so I try to look at person’s aging condition and offer surgical solutions that best suit their lifestyle.

What other post-recovery tips do you suggest?

1. Drink lots of water
2. Walk around at least four times a day, including the night of your surgery
3. Take deep breaths multiple times each hour to help increase oxygen to your lungs and reexpand them after a long surgery
4. Taking vitamins, eating high fiber high protein diets help improve healing. Do not eat lots of salty, high carb foods to reduce swelling and bloating
5. Consider taking good probiotics for a healthy colon
6. Review pain medications and be prepared before surgery as some of the pain medications can cause constipation which can lead to discomfort. Therefore, stool softeners might be applicable. Wean off narcotic medications as soon as possible
7. Proper wound care is vital to recovery. Know what to look for when changing dressings. No stress is to be put on the surgical site. Always call the doctor if there is any question of what is normal
8. Ask when you can and cannot shower, wash hair, etc.
9. Have everything at your bedside ready in advance –iPod, phone and charger, books, reading glasses, water, medications, easy to digest foods, ice packs, gauze, disposable padded liners to protect your furniture and car, loose fitting clothe that can get dirty
10. Support garments – order in advance if required

Do you use a particular service when it comes to sending a nurse home with the patient?
Here in San Francisco we have oveRNightRN which is a great service. The person who created it, Amanda Richey, is a Registered Nurse herself and has handpicked their nursing team and as she is a very experienced OR nurse. I completely trust her company. What is also great about oveRNightRN is that their nurses are all unique, as are my patients, so we can often match up personalities that really click and the patients end up really bonding with their nurse which is of course great for recovery.

Is the use of RNs for at-home recovery a new trend? If so, do you see it as being a long-lasting trend?
For me it is mandatory, so it will always be my trend. For others it’s hard to say. Outside of Beverly Hills and Hollywood, plastic surgery is still such a secretive and private decision. In San Francisco many people do admit to having botox and fillers. If you have the luxury of recovering at home or in a hotel, this offers the additional luxury, safety-first type of recovery. So I do see it becoming a popular trend in the SF Bay Area. With this option offering a personalized experience and expert care while costing less than a hospital stay, it just makes sense that a patient would choose an oveRNightRN or hired caregivers over anything else to give them the best post-surgery recovery they can have in the luxury of their own home or hotel.

Michelle Eagan, MD, is a Board Certified Plastic Surgeon with offices in Santa Rosa and San Francisco, CA. She can be reached at www.eaganplasticsurgery.com.  To learn more about post-operative RN care, visit www.overnightrn.com.

To listen to Dr. Eagan’s interview at Aesthetic Insider™ Radio, CLICK HERE!

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Dr. Amy Forman Taub, a cosmetic dermatologist and principal investigator of a rigorous multi-center placebo-controlled clinical trial on Age Repair Defensins®, revealed the results of this important study to aesthetic physicians from across the USA at the recent Vegas Cosmetic Surgery symposium. The histology and high-resolution skin ultrasound data was announced by Dr. Taub, and other clinical investigators Dr. Vivian Bucay and Dr. Gregory Keller, along with presentations demonstrating significant improvement in the minimization of visible pores and wrinkles, as well as the improvement in the wide-range of parameters affecting skin conditions including evenness, brightness and hydration. In this interview with Aesthetic Insider™, Dr. Taub discusses the multiple advanced methods of evaluation of skin conditions used in the study, and the confirmed results. Dr. Taub is a Board Certified Dermatologist and founder of Advanced Dermatology and skinfo® Specialty Skincare Boutique in Lincolnshire, Illinois.  Advanced Dermatology is a state of the art cosmetic dermatology practice nationally recognized for excellence in dermatologic care. To learn more about Dr. Taub, visit www.advdermatology.com. To learn more about DefenAge™, visit www.defenage.com.

Dr. Amy Taub

How did you first come across the DefenAge™ line?
I was introduced to DefenAge by the Vice President of Sales Wayne Laura, who I’ve known for many years. He was excited about the product as he felt it was groundbreaking science.  I respected his opinion and asked to meet with the founder and inventor of DefenAge, Nikolay Turovets, PhD. I spent some time with him and he explained the science behind why he chose to create this product and I was very taken with the science. The story to me was compelling in that it addressed some of the drawbacks of growth factors of which I have been a big proponent.  I decided to try it on myself; within a few days I saw that there was an improvement of my skin. I used it on my arms first as I take care of the skin on my face and neck and didn’t expect it to improve those areas. The skin on my arms had fine wrinkling and photo damage since I don’t take care of them as well as my face. Within three to four days my arms looked better. After that, I used DefenAge on my face and neck and saw improvement there too. I then began to offer DefenAge to my patients many of whom love it. When the idea of a full clinical trial and study was presented, I was eager to further investigate the mechanisms of the Age-Repair Defensins® in DefenAge and to participate in the study.

Please explain the study of Age Repair Defensins®
The study  took place in three different medical centers. Dermatologist Dr. Vivian Bucay of San Antonio, TX is well known for her work and her expertise in topical therapies was an investigator, as was facial plastic surgeon Dr. Gregory Keller of Santa Barbara, CA. Dr. Keller is also an expert at stem cells among many other things related to skin aging and aesthetics. The study involved a total of 45 patients that were divided into groups of 15 at each site. There are three products in the DefenAge line, a lotion, a serum and a masque. The lotions are used twice a day and the masque is used one to two times per week depending on how well a person can tolerate it. The masque is an exfoliant but it is quite gentle. The Age-Repair Defensins are in both the serum and the cream. The serum has a higher level of defensins, the cream has much higher levels of antioxidants. I have what I call a “core four” of ingredients that I like to see in skin care products and with DefenAge for example, the defensins stimulate new growth, the antioxidants are there for protection and defense, and the exfoliation function is performed by the masque. The last of my “core four” skin care requirements is sunscreen, which DefenAge does not have because they believe there are many good sunscreens on the market already that complement the DefenAge regimen.

How many people in the study used the DefenAge product over a placebo?
Two-thirds of the study group used product with the actual ingredients, and one-third used the placebo.  The great thing about this study is that no-one, not even the clinical investigators (Dr. Bucay, Dr. Keller, or myself), knew which patients had the real product or the placebo. The placebo product looked and felt like DefenAge and was packaged identically in the same as the bottles that contained the actual Age-Repair Defensins. It was a true double blind study. Sometimes people will do a double-blind study where they are using the product, and then on the other side of the study they use nothing. Well, obviously, if you’re going to be taking care of your skin and putting moisturizer on twice a day and using a sunscreen, you’re bound to see improvement. But what we really wanted to prove was whether it was the actual ingredients creating the improvement. They each also received a mild cleanser and a sunscreen, mainly because we wanted everybody to have the same exact skincare routine. We didn’t want anyone to have skin care that was different, so it was a pretty rigorous study.

How did the study patients use the products given to them?
They were instructed to apply the 24/7 Barrier Balance Cream and the 8-in-1 BioSerum twice each day, and to use the 2-Minute Reveal Masque once to twice per week. They washed twice daily with the cleanser and applied the sunscreen after they had applied the 8-in-1 BioSerum. We also instructed each of them to use the products behind their ears because there was a subset that were going to have a biopsy performed, some of them at six weeks, and then again at twelve weeks. Everybody that had a biopsy performed had it before at baseline as well as on the opposite ear.

How often were the patients monitored?
Each patient was consulted and tested at baseline, at six weeks and at twelve weeks. Some patients had a baseline biopsy performed behind the right ear as the skin in that area is similar to that of the face (and we wouldn’t want to leave a scar on the face) and had a second biopsy at six weeks, and some at twelve weeks.

Did you also use any special equipment to further monitor the results?
Yes. We also took photographs and used the Griffiths scale which was the scale that was worked out by Dr. Griffiths that grades many factors of aging separately.  Each of the investigators actually looked at each patient at baseline six weeks and twelve weeks, graded them on each parameter as well as globally. At Dr. Keller’s office, they had some very advanced diagnostic tools including QuantifiCare (a French company that can quantitate skin changes), as well as a technology called Cortex. Cortex is a high-resolution skin ultrasound with features that can be colored so you can see them better, and has measuring tools to evaluate parameters of skin quality. We also performed immunohistochemistry on all biopsies. The purpose of all of this different testing was to show, by using a variety of different methods, some objective measurements to see if we could corroborate our findings in more than one way.

What are Defensins?
Defensins are molecules that we already have in our skin. When cut, scraped or wounded, the skin’s immune cells release defensins. Our bodies make them and release them as necessary. There are also particular stem cells called Lgr6+ and the sole function of this stem cell is to make new keratinocytes which are the cells there in the epidermis when there’s been damage to the skin. When there is damage to the skin, the body’s immune system comes to form cells called neutrophils that release these defensins, the defensins then turn on the stem cell locus in the hair follicle and the hair follicle produces brand new skin cells to populate and fix the tear or the cut or whatever has traumatized the tissue.

How do defensins actually work?
The idea behind this is to create a biomimetic which means a similar copy of the peptide. We’ve heard a lot about that lately. For instance, Kybella is a biomimetic protein that mimics the function of what the gallbladder creates to break down fat, so this idea of creating something that the body already makes is a great one because it’s a natural process. With the DefenAge product, we are using a natural function to do something else, and the defensins are turning on these cells to make new cells that usually are dormant. They lay dormant because their only function is to come out when your skin is burned, scraped, cut or injured in some way. They are completely brand new cells when they’re formed. The stem cell makes a brand-new cell which then repopulates the skin. So, we’re talking about a cell that’s much fresher, it hasn’t had a chance to deteriorate or acquire any mutations and, therefore, the skin that is replaced looks brighter, smoother, more youthful and with less obvious lines and wrinkles.

How would you compare defensins with retinols?
Retinols do thicken the skin but they also tend to inflame the skin. The study showed that defensins also thicken the skin, but they do not cause inflammation which is very significant. Retinols are phenomenal molecules that do a lot of things for the skin, but many people can’t tolerate them and the study showed that defensins can do many of the functions of a retinol without some of the deleterious aspects, such as dryness and inflammation.

What testing was used to reach this conclusion?
The biopsies of the study patients were reviewed and microscopically measured by well-known pathologist Dr. Darius Mehregan. He reviewed the biopsies before product use, at six weeks and at twelve weeks. One of the results that was incredibly exciting for us to see was that the epidermis, which is the top layer of skin, was thickened by the DefenAge product. Generally speaking, when you thicken the epidermis it’s going to be less transparent, so you’re going to have a brighter reflection on it. It’s also going to retain more water. Those study patients who had the product had on average one hundred microns more thickness of the epidermis and those with the placebo product did not have that, and that was found to be statistically significant.  The research had shown that defensins do not increase inflammation corroborating the theory that it was due to the LGR6+ stem cell activation.

How would you compare defensins with growth factors in skin care?
I’m very pro-growth factor, but one of the concerns that we dermatologists have with growth factors is that they turn on everything. In other words, the growth factors that we have mainly in the skincare industry can perform different functions and there is an unspoken fear that they might stimulate bad cells. For instance, if there a basal cell or a squamous cell or something that has a mutation in the skin where the growth factor is being applied, will the growth factor stimulate that bad cell to grow more? There is no evidence of that, but it is a  concern. Dr. Mehregan performed immunohistochemistry on the biopsy specimens looking for a marker called Ki-67 it has been shown that in basal cell and squamous cell carcinoma and also breast cancer , that it’s very elevated in cells that have cancer. None of the patients that received either the placebo version or the actual version of the DefenAge product had an increased concentration of this Ki-67 staining in their cells. This doesn’t prove that we’re not causing skin cancer but it’s certainly very reassuring that we’re not increasing the marker that is associated with skin cancer, and that does set defensins apart from growth factors.

Please explain in detail the final results of the study
One of the many salient results for me was that unlike retinols (remember I like retinols so I’m not trying to bash them here) defensins do not remove the stratum corneum by exfoliating the skin. When the stratum corneum is removed the skin becomes even more sensitized to the sun and the need for sun screen and protection is greater than ever. The study showed that the basket weave matrix of the stratum corneum was not damaged and that the epidermal thickness increased, and the cells appeared more organized. The other results we found was a statistically significant improvement in the appearance of pores, including pore size. This was shown clinically to the Griffith scale, but it was even more pronounced by the objective imaging of both the 3-dimensional imaging and by the actual measurement of the pores by the QuantifiCare technology. We did see wrinkle improvement, both fine wrinkles and coarse wrinkles, again using the QuantifiCare 3-dimensional imaging and analysis, and by each investigator’s clinical evaluation based on the Griffiths scale. We were also able to reduce excess pigmentation that was also quantified by the Cortex system. We’re not calling it a lightening agent but we do think the effect was possibly due to the improvement of the epidermis.

What was the general age of the patients in the study?
The age range was 41-70. They were all women and the average age was 60. They varied in skin types too. Also, the women in the study were brand new to quality skin care which was important to each of the investigators as we did not want to study patients who had already been on a good skin care routine for several years. We needed to study people with little to no past history of good skin care.

What was the satisfaction level of the patients in the study?
We saw a very high level of satisfaction, over 90% satisfaction. The highest satisfaction was seen in the patients that had the real product. But I have to be fair in saying that even the patients using the placebo liked how their skin looked even though we did not see as much improvement.

What has the feeback been from other doctors that have seen the results of this study?
The feedback from other doctors has actually been incredible. They were very excited about seeing a study that was so rigorous. One of the problems with skincare products that are not prescription is that many of them do not do clinical trials of this nature. The FDA is strict about claims skin care companies can make. For DefenAge to break that mold of behavior and put its brand on the line with such a rigorous study has impressed a lot of doctors.

Would you say that the DefenAge skin care line is a real game changer in terms of the future of skin care?
Yes. I think it really is. I’ve come to the conclusion based on the study, that the science matches up to what we were expecting from the mechanism of action which makes it a real game changer. It’s also consistent with some game changing that’s going on in other areas of our fields such as how we’re understanding the molecular mechanism for eczema and for psoriasis, and as I mentioned previously about biomimetic proteins. Age-Repair Defensins found in the DefenAge products have proven that they stimulate a specific pathway to create new skin and I think that this is the new generation of skin care.

To learn more about Dr. Amy Forman-Taub, visit www.advdermatology.com. To learn more about DefenAge, visit www.defenage.com.

To learn more about Quantificare, visit www.quantificare.com.

To listen to Dr. Taub on Aesthetic Insider™ Radio, CLICK HERE!

Other articles related to DefenAge™

Dr. Vivian Bucay Discusses Dormant Skin Cells.

Dr. Natalie Curcio: The Skin Care Revolution That Is DefenAge™.

The post Dr. Amy Taub: New Study On Age-Repair Defensins Reveals Significant Results In Reversing Skin Aging appeared first on Aesthetic Insider.

A pioneering integrated approach that systematically combines facial rejuvenation techniques using PDO Threads, Microcannulas for filler injection and Platelet-Rich Fibrin injected with a needle, cannula or used with a microneedling pen, has been developed by Kian Karimi, MD, FACS. Dr. Karimi, who practices at Rejuva Medical Aesthetics in Los Angeles, CA, is a double board certified facial plastic/head and neck surgeon and head faculty of the American Institute of Aesthetic Medicine (AIAM) which is the only aesthetic organization currently training and teaching this integrated approach to facial aesthetics. In this interview with Aesthetic Insider™ Dr. Karimi, who has an impressive record of academic and scientific achievement, discusses how this new integrated and systemized aesthetic approach to facial rejuvenation is being rapidly adopted throughout the aesthetic medical community. To learn more about Dr. Karimi and Rejuva Medical Aesthetics, visit www.rejuvamedical.org. To learn more about the American Institute of Aesthetic Medicine, visit www.handsontrainings.com.

What inspired you to develop this integration of PDO Threads, Microcannulas and PRF?
I’m always looking for the cutting edge in aesthetics. Platelet-Rich Plasma or PRP has become a common and known entity in aesthetics and has been incorporated by lot of practices. I also utilized PRP for many years for my procedures. One of the limitations of PRP I found was that it didn’t last when I was injecting it into the soft tissues of the face or the body. Also upon looking at the scientific data on PRP I noticed that other than platelets, there weren’t a lot of other cells in the PRP, it was mostly just plasma. So when I heard about Platelet-Rich Fibrin (PRF), I decided to work on protocols to see how it could be utilized in aesthetics and I have been incredibly impressed.

Is the Fibrin in PRF similar to that found in Fibrin Glue?
Fibrin glues are synthetic, whereas PRF is naturally occurring in the patient’s blood. One of the biggest advantages of Platelet-Rich Fibrin is that you do get all the benefits of PRP, meaning that we can obtain a very high concentration of platelets, including fibrin. We are also able to derive white blood cells which are important as an anti-inflammatory effect and they also contain many growth factors. The most exciting thing about PRF, which we’re not sure of the clinical significance just yet, is that there are a small percentage of mesenchymal stem cells in PRF, that are not in PRP.

How do you administer the PRF?
PRF can be used in many different ways similar to PRP. Specifically when I utilize a PDO Threads and PRF procedure, I will usually perform the PDO thread lift first to lift the tissues, let’s say of the mid-face or in the lower third of the face then I’ll use PRF as an injectable. Usually I will inject it through a blunt microcannula to fill for example, tear troughs or to add volume to the cheeks, to fill lips, and to fill the marionette lines of the face. One of the other things we’ve been doing recently is to combine PRF with commercially available Hyaluronic Acid (HA) fillers for the ultimate smooth fill.

Where do you see the most benefit of this technique?
The area that I’ve been most excited about is treating under eye circles. Under eye circles are treated very effectively with HA fillers, but if one gets too close to the muscle or too close to the skin it can give a very characteristic puffy look and sometimes even appear bluish in color. When using the HA filler and diluting it with PRF we are able to inject a little bit more superficially without these consequences mentioned.

Does this combination of PRF and HA fillers create a more natural look for the patient?
Absolutely, and it is really a great booster when using HA fillers. Many doctors will dilute HA fillers with saline or lidocaine to minimize the chance of it looking blue or being visible through thin, fair skin. With this technique, we can dilute it with the patient’s own fibrin and platelets, and all these wonderful cells that are in the blood. The results really speak for themselves.

How often do you perform this type of combination therapy?
It is unique to combine these, and some practitioners prefer to perform them as standalone techniques. In my practice we have found that combination therapy yields the highest patient satisfaction and the most amazing and natural outcomes. In many instances, I will perform PDO Threads, microcannula injections with fillers or PRF and even micro needling at the same time. It is the ultimate combination office-based rejuvenation procedure that has little to no downtime for the patient and provides maximum results.

What type of anesthesia is used?
If we are only injecting PRF we don’t utilize any type of anesthesia except when injecting to the lips. The lips are very sensitive so we will use a topical numbing cream first. For PRF injection as a standalone through a blunt microcannula we don’t utilize any type of topical or injectable anesthetic (the same is true of most of our filler injections) as our patients find it quite comfortable and tolerable.

How long do the results last?
PRF as a standalone when not mixed with any fillers will remain effective for about six weeks but then it’s broken down by the body. What you do actually see with PRF, which I don’t think you see as much with PRP, is noticeable improvement of the skin tissue. There is more tightness of the skin, which actually has been proven in German studies. Usually when we perform PRF by itself, we will perform a series of treatments spaced 6 weeks apart to get that effect and create a longer lasting treatment overall. To make the immediate effect last longer, we will mix it with the fillers so that they are going to actually have the hyaluronic acid (HA) particles there to hold that fill. Therefore, we have a couple of different protocols where we can use the PRF depending on the patient’s needs and desires.

Are you teaching other doctors this combined PDO Thread, blunt Microcannula, PRF technique?
Yes. Partnering with the American Institute of Aesthetic Medicine (AIAM) www.handsontrainings.com, we recently conducted a live demonstration workshop in Las Vegas. We had an incredible turnout with over 150 doctors to watch and learn the integration of these techniques. We performed the techniques live and had a tremendous response. One of our model patients was actually an aesthetic physician herself. Just yesterday she sent me a glowing text and photograph on how impressed she is with the results of the combination therapies that we performed on her.

How long does it take AIAM to train a physician on this technique?
Technique is always key and more and more doctors are starting to use blunt microcannulas for fillers and the DermaSculpt Microcannula is the most widely used cannula in the United States. We estimate that approximately 25% of doctors are using these in their practices, whereas several years ago it was only about 5%. I consider this the most advanced and safe way to inject fillers, so any doctor or injector utilizing fillers can use PRF. The training takes about one day. The only nuance with PRF is that there is no additive. In other words, there is no anticoagulant in the tube, so there is a time limit to how soon it must be injected before it will form a gel. The gel can be used if the procedure requires a volumizing effect, but there is a little bit of a time limitation with PRF so learning proper technique and application is important. In terms of the NovaThreads PDO Threads there definitely is a learning curve to successfully utilize these products. After a physician or injector has successfully completed one of the AIAM courses or other thread course, it generally takes an additional 10 patient learning curve to become comfortable with the use of threads. So, once the injector is comfortable in each of these different procedures, they can then be safely integrated with each other to provide a combination therapy.

What is the American Institute of Aesthetic Medicine (AIAM)?
AIAM is a national training organization. They have trainings setup in many major cities.  I train in Los Angeles, CA and Miami, FL, where I am also licensed. AIAM also has top trainers in other cities as well. AIAM was initially training on PDO Threads and the microcannula injections, but are now offering a more integrated and advanced course to teach combination techniques using all the things that we’ve talked about (PDO Threads, Microcannula filler injections and Platelet-Rich Fibrin (PRF).

What is your position with AIAM?
I’m the head faculty physician trainer and I initially trained all the other trainers. I also complete the review process for other potential trainers to assure that they have the standards and skills to ensure successful future trainings across the country.

Given your busy private practice, do you enjoy the trainings?
I actually do. It is a wonderful opportunity and most of us that are involved with education realize what a humbling field this is. I consider myself a lifelong student and at every single one of my trainings I always learn from one or more of the participants there. So being part of AIAM and other trainings actually enriches my own knowledge and gives me a spirit of collegiality and sharing of the latest techniques in the aesthetic industry, ultimate benefiting all of our patients.

How often are the AIAM training classes held?
The AIAM classes that I teach are held every month in Los Angeles and also every month in Miami.  Other faculty trainers are teaching every 4 – 6 weeks in most major cities. The demand for trainings has steadily increased and so AIAM is implementing more training in more cities to meet the demand. I believe the trainings are in over 15 different cities now. Also, after a physician or an injector performs the training they will then have access to all of AIAM’s webinars. Plus we hold new webinars every one to two months where we go over the latest techniques, trends and uses of all these integrated techniques.

There are several PDO threads companies. Do you have a preference, if so why?
When I first started in this arena I was really impressed with CosmoFrance’s history. They are a 20-year old company and they’ve always been on the cutting edge of devices and so our visions really aligned and that’s how we began working together.  I have also been very impressed with their adherence to strict quality control, to looking at data and evidence when reporting or when promoting any device and I have found that they continue to help me deliver state-of-the-art minimally invasive procedures to my patients. CosmoFrance were the first company to introduce the blunt microcannula (Dermasculpt) into the United States, and it’s impressive that they also partnered with NovaThreads to bring the first PDO threads to the United States. So my excitement and enthusiasm for them and their products really stems from all of that. I believe in them wholeheartedly.

To learn more about Dr. Kian Karimi, visit www.rejuvamedical.org.

To learn more about AIAM trainings, visit www.handsontrainings.com.

To listen to Dr. Kian Karimi’s interview of Aesthetic Insider Radio, CLICK HERE!

The post New Advanced Integrated Use of PDO (Polydioxanone) Threads and PRF (Platelet- Rich Fibrin) For Facial Rejuvenation appeared first on Aesthetic Insider.

An all-time favorite of the aesthetic industry, Oxygenetix breathable make-up just received more star powered approval with the recent acknowledgement by Kourtney Kardashian that it is her favorite make-up of choice! She even has it in a variety of colors so that the skin on her face remains even toned and matching after tanning.

The beauty of Oygenetix is more than skin deep as it is the only oxygen permeable makeup on the market and provides flawless coverage for specific skin tones, as well as soothing properties that promote healing and rejuvenation in post-surgical skin.  Oxygenetix’s breathable, oxygen-enriched formula speeds up the body’s cell production of collagen and elastin which, according to industry experts, causes a quicker healing process for post-surgical patients. Oxygenetix’s key ingredient Ceravitae is a super charged oxygen complex that attracts high amounts of oxygen into the skin which stimulates cell growth and keeps the skin strong and healthy.

Since it can be used safely on a variety of post-procedural skin treatments such as Laser Hair Removal, Laser and Chemical Peels, Rhinoplasty, Acne/Rosacea treatments, burns, facial surgeries and more, Oxygenetix has taken the aesthetic industry by storm. Furthermore, it is transfer and water resistant, which allows it to stay on for hours even in humid environments, and its SPF-25 formula keeps harmful UV rays from affecting already damaged skin. Its oxygen-enriched and natural components make it virtually a second skin.

At Aesthetic Insider™ we’re happy to see this product receive another Hollywood endorsement. A BIG thank you to Kourtney Kardashian!

To learn more, visit www.oxygenetix.com.

The post Oxygenetix: A Clear Skin Favorite For Kourtney Kardashian appeared first on Aesthetic Insider.

Gregory S. Keller, MD, FACS, an internationally known facial plastic surgeon, was recently presented with a Lifetime Service Award for founding the Division of Facial Plastic Surgery at UCLA School of Medicine. In a celebration dinner at the Beverly Hilton Hotel, in Beverly Hills, California, Dr. Keller was joined by many of the doctors that passed through that division as residents in training, some who now have their own divisions at leading teaching institutions. In addition to his UCLA affiliation, Dr. Keller has maintained private practices in facial plastic surgery, rhinoplasty, and hair transplantation in Santa Barbara, Beverly Hills, and Los Angeles, CA for more than 25 years. In this exclusive interview with Aesthetic Insider™, Dr. Keller discusses his tenure as a leading innovator in the field of aesthetics, what led to his founding of the UCLA Division of Facial Plastic Surgery, many of the unique approaches to facial aging that he has developed and what he sees for the future of aesthetic medicine.  To learn more about Dr. Gregory Keller, visit www.gregorykeller.com.

Congratulations on receiving the UCLA Lifetime Service Award. How did the UCLA Division of Facial Plastic Surgery come into being, and how did it feel to receive such a prestigious award?
The UCLA Lifetime Service Award was wonderful to receive. UCLA is a phenomenal institution and it has really been my pleasure to serve it over the years. Together, with many of the others in the department including Keith Blackwell, MD and Jeff Rawnsley, MD, we’ve really worked hard to advance teaching, techniques, technologies and everything in the field of facial plastic surgery. The UCLA Head and Neck Surgery Division primarily managed cancer. One of the fellows, for instance, did the first full face transplant. It’s a very serious place and the department really needed something to fill out its residency program and I was elected. It was purely happenstance at the time. Dr. Keith Blackwell was there and I decided to do a fellowship based on both reconstructive and aesthetic surgery. It really was just being in the right place at the right time in a period when advancements and knowledge were happening all around us.

How many Fellows have gone through the program, and where are they now?
We have had 24 fellows go through the program and countless residents. I am really proud to say that they are all incredibly capable human beings who have gone on into both academia and private practice in a variety of regions and many have divisions of their own in facial plastic surgery, and are publishing and doing great work teaching others.

Were you surprised to be given this award?
Yes. I was very surprised. We were having a residency graduation dinner at the Beverly Hilton Hotel and after the graduation speeches I was called up to receive this prestigious award which was completely unexpected. I was very humbled by the entire experience.

Dr. Keller and UCLA residents celebrate his Lifetime Achievement Award in Beverly HIlls, CA.

What was your first aesthetic patent?
My early work with the use of endoscopes in facial plastic surgery, particularly endoscopic forehead and brow lifting, led me to develop my first patent. It was so exciting to go from doing surgical techniques to having the ability to enhance our work and increase results through the use of scopes and lasers and it led to my giving over 91 presentations around the world in just one year! I’m not sure how I was able to practice, but it was a lot of fun and very gratifying.

Where did your practice and career take you from there?
I began consulting to a company called Laser Scope (and then many other similar companies came into the industry) and we began to do research into skin resurfacing. I worked for a long time with lasers for skin tightening, scalpel free surgery, etc. I was involved with much of the early work with the CO2 Laser, Erbium Laser, and all the way up to the PhotoFacial. Now, I am working with radio frequency devices and other fractional devices to actually tighten the skin without ever having to lay a knife or chemical to the tissue. It is pretty amazing because we had not been able to achieve that before and working with all the different energy devices has been very satisfying. In the mid-90s we even raised money to start a non-profit which serviced all of the hospitals in the Santa Barbara area with laser work for years. One of the areas that I found particularly enjoyable was working with children with port-wine stains. At that time there were no treatments for port-wine stains, and for some reason there were numerous children affected by them. It took many treatments to remove the stain, but that was probably one of the most gratifying things that I did then and it still is, although we now use some of the newer machines which give even better results.

What areas are you currently researching?
My current passion is working with biologicals. Our own body makes things that I think are our future. We’ve worked in stem cells now for over 22 years and I think that these advances are finally taking shape, literally. In addition to advancements in surgical technique, we are now able to enhance aesthetic results with combinations of biologicals and devices. For instance, in a facelift we might use PRP for healing, a modality such as FaceTite by InMode or one of the other devices to tighten the skin. This type of combination actually gives better results to a facelift procedure. But there’s no question that stem cells are coming. Right now they are primarily used in wound healing and burns and other areas, but I think that we’ll see more advances in that area in addition to PRP. I have more recently been involved with a company called Medicell Technologies, LLC that makes a cosmeceutical skin care line called DefenAge™ which contains Defensins® which trigger our lgr6 stem cells. Defensins naturally occur in the body to defend it against infection or trauma. For instance, if we cut ourselves the defensins are secreted and cause the lgr6 stem cells to make new basal cells which then propagate to make new skin. Turning that into a cosmeceutical has been a major advancement and one that I feel very fortunate to be part of.

Do you see stem cells as the new frontier in aesthetic medicine?
Yes. I think the biologicals are interesting and that they are the new frontier. Of course the new technologies for face lifting, face tightening, body enhancement and other things that are coming out and creating instant lifts are all good and helping patients see immediate improvement with little if any downtime. However, I’m a believer that if we can get the human body to perform better using its own natural biology, well that is groundbreaking. Most of what we do in developing these things isn’t an all of a sudden inspiration, but a natural extension of our (my) work this far in my career. How do we tighten skin more? How do we improve the appearance of the skin? You have to ask the questions to get the answers.

You recently were part of a multi-center placebo controlled study on Defensins, can you explain further?
I was a clinical investigator, along with very well respected dermatalogists Dr. Vivian Bucay and Dr. Amy Taub. We each studied 15 patients over a 90 day period. Half the group used products containing Defensins, half did not. The results speak for themselves. There was significant improvement in fine lines and wrinkle reduction, pore size, skin texture and smoothness. The most significant improvement we saw, and which was validated by QuanitifiCare which is a company that uses sophisticated microscopic evaluation and 3-D measuring techniques, was that Defenins were able to obtain skin tightening results similar to what we see with retinols, but without any of the inflammation associated with a retinol. That was very encouraging. It was really exciting to see that a cosmeceutical could actually stimulate the same stem cells that defend the body naturally, rather than using growth factors. The QuantifiCare technology was a big help as it is a device that can actually measure a wrinkle, as well as measure the oiliness of the skin, the pore size and the water loss in the skin, all of which saw significant improvement from using the products containing Defensins.

How do you balance your private practice, with your research and development projects?
I’m a busy man, and always have been. I wouldn’t have it any other way. My main practice has been located in Santa Barbara, CA for several decades, but I also have the UCLA Los Angeles practice and a Beverly Hills location too. I’m primarily known for surgery of the aging face, hair transplantation and rhinoplasty. I am good at taking advice, however, and over the years I have met and had the good fortune to work with a number of good practice marketing and management specialists that have helped me develop a great team. My team and my wife of course help keep me balanced by doing a great job at marketing and managing the practice(s) not just for me, but with me.

Have you seen a change over the years in the number of surgeries vs. lesser invasive treatments?
Absolutely. According to various journals non-invasive treatments have gone up over 5000% in the last decade or so, while the number of surgeries has stayed pretty much the same. So while I do a lot of surgeries. It’s exciting to be a part of the rise of the non-invasive, minimally invasive procedures available today. In fact, in the 1980s, my Santa Barbara practice was one of the first medi-spa type practices in aesthetics. This was considered a very foreign idea at the time and was not very profitable but nowadays non-invasive work is almost surpassing the invasive work even for those of us who are very busy surgically.

Are patients undergoing aesthetic procedures at a younger age?
Yes. The younger patients we call pre-juvenation, and there are certainly a number of those patients that are trying to prevent aging from happening. The aesthetic engineers are also becoming more progressive and are making better, longer lasting fillers, as well as improved tightening devices. Treatments usually go by age group, although not entirely as some people age very well. A patient in their 20’s- 30’s might start to use cosmeceuticals, Botox or Dysport and possibly fillers. As they get into their 40’s, where we used to perform mini-facelifts, or lower-facelifts at 42 – 45, there are now some very good non-invasive options available to them.  The 50’s and 60’s is the pre-post-menopausal period of time, and those patients are opting to combine surgery with non-invasive technology such as RF treatments for the face and jawline, Kybella, etc. Overall, patients are starting younger and studies show that.

What do you see on the horizon for aesthetic medicine in general?
Well, I think the technologies are always going to improve, and as I said earlier I think the future is in biologicals, things our own body makes such as stem cells. Undoubtedly there are some genetic sequencing things that are going on, but I think we are also going to see some pharmaceuticals and other age resistant developments made available in the not too distant future. There are literally billions of dollars being invested by billionaires to try and find a cure for aging at every level and of course that’s where everything is going – just trying to find the cure for aging. I hope that happens in my lifetime.

Gregory S. Keller, MD, FACS is an internationally known facial plastic surgeon, who specializes in naturally restoring a youthful facial appearance. A board certified facial plastic surgeon, Dr. Keller limits his practice to facial plastic surgery, rhinoplasty and hair transplantation. He has invented and published natural facial rejuvenation techniques that are used internationally by a majority of facial plastic, oculoplastic, general plastic and cosmetic surgeons, who perform facial aesthetic surgery. In addition to his UCLA affiliation, Dr. Keller has maintained private practices in facial plastic surgery, rhinoplasty, and hair transplantation in Santa Barbara, Beverly Hills, and Los Angeles California over the last 25 years. To learn more about Dr. Keller, visit www.gregorykeller.com.

Other resources mentioned:

www.defenage.com

www.inmodemd.com

www.quantificare.com

www.allergan.com

The post Dr. Gregory Keller Receives Lifetime Service Award From UCLA appeared first on Aesthetic Insider.

Join us for our 4th Annual Facial Paralysis Awareness Walk on Sunday, Oct. 15th, in Long Beach, CA! Bring your family members and friends, along with your walking shoes, bikes and even pets, for an afternoon of fun!

We will begin at 1:00 p.m. with registration/welcome, and then depart at 1:30 p.m. for our walk. There will be two route options this year – a one-mile fun walk around the lighthouse, along with a two-mile walk/jog/bike around scenic Shoreline Village. We will then regroup at the park for ice cream from Long Beach Creamery, along with face painting, entertainment, speakers, a silent auction, and door prizes!

Special Guests: We have a variety of speakers who will share about facial paralysis issues, including Dr. Babak Azizzadeh, facial plastic surgeon; Jackie Diels, facial retraining expert; Dr. Faye Wachs, researcher on the social impact of facial paralysis; comedian Brian Apprille, Mary Jo Buttafuoco, and more!

Registration: There is a suggested donation of $25 per person or $45 per couple/family for the awareness walk (t-shirt and ice cream included). We will pre-order t-shirts in your requested size, if you indicate this on the registration form. Please visit our website to find out more details and to register www.facialparalysisfoundation.org/awareness-walk-registration.  Please visit our website for more details: www.facialparalysisfoundation.org

Come join us for a fun afternoon and raise awareness for facial paralysis!

To watch a recent interview on KTLA TV Los Angeles with Dr. Babak Azizzadeh and facial paralysis patient MaryJo Buttafuoco, CLICK HERE! 

MaryJo made the headlines several years ago after being shot in the face. Dr. Azizzadeh helped repair MaryJo’s face with multiple surgeries at his practice in Beverly Hills.

To read the story of beautiful Gracie Doran a young facial paralysis patient of Dr. Azizzadeh that was featured on Aesethetic Insider, CLICK HERE! 

The post 4th Annual Facial Paralysis Awareness Walk! appeared first on Aesthetic Insider.

The 4th Ultimate Aesthetic Training Workshop will be held at the Luxe Rodeo Hotel located on world-famous Rodeo Drive in Beverly Hills. Registration will open at 7.30am on Saturday, November 18, 2017 and a continental breakfast will be served. Scientific sessions will run from 8.00am to 5.00pm with lunch and breaks in between. Course Chairman, A. John Vartanian, MD, will be joined by speakers John Hilinski, MD, Timothy Neavin, MD and Alexander Rivkin, MD. Exhibitors & Sponsors include Allergan, Syneron-Candela, Crystal Clear Marketing, Nia 24, The Professional Image, Inc. and more.  Register now at www.ultimateaesthetictraining.com.

The post Ultimate Aesthetic Training Workshop November 18th in Beverly Hills, CA appeared first on Aesthetic Insider.

Registration is NOW OPEN for the 19th Annual Meeting of CACS  – California Academy of Cosmetic Surgery. Join us at the Island Hotel in Newport Beach, CA on the weekend of November 3 – 5, 2017.  Registration is open online at www.calcosmeticsurgery.org.

The post 19th Annual CACS Meeting Starts November 3, 2017 in Newport Beach, CA. appeared first on Aesthetic Insider.

Doctors are surrounded by an incredible choice of advanced medical technology and products that enable them to deliver exceptional patient results. The critically important and often unnoticed foundation stone that is an integral part of any patient treatment or in-office procedure is the humble patient examination chair. In this interview with Aesthetic Insider™, Board-Certified Facial Plastic Surgeon Dr. Steven Constantine of Constantine Cosmetic Surgery in Salt Lake City, Utah, discusses why he selected the MTI 450 Exam Chair, and how the right choice of patient examination chair has a direct impact on his patient results. To learn more about MTI (Medical Technology Industries, Inc.), visit www.mti.net. To learn more about Dr. Steven T. Constantine, visit www.constantinecosmeticsurgery.com.

Dr. Steven Constantine

Why do you feel an exam chair is so important to the success of your practice?
Patient-centered care is important to me. Our facility covers over 6,000 square feet, and in addition to the overall aesthetics of the building itself, I wanted the entire process from start to finish to be second-to-none. That includes the experience the patients have. Of course, the procedures and surgical outcomes are of utmost importance, but I also feel that an improved image and experience is vital. All of our office and surgical equipment has been updated, including safety monitors, touch screen monitors to improve patient education, and more.

In addition, I’ve replaced all of my examination chairs and operating tables with superior capabilities that work better to position patients for the specific type of procedure they are having. This results in being able to bring them the best outcome possible. I have found that I deliver better results to my patients when I am in a comfortable position and when the patient is also in a comfortable position. These new chairs enable that.

Purchasing OR equipment can be expensive because much of it is built to last the lifetime of a practice. What prompted you to invest in new chairs when perhaps the your older ones were likely adequate?
I’m serious about delivering my best to patients, and I believe that the environment with which I surround myself and my staff plays a large part in that delivery. I’m just not okay with adequate, and even though the chairs we had were sturdy, durable and long lasting, they didn’t offer all the features and comfort that I needed for my practice and my patients. After doing a great deal of research, I decided that the MTI examination chairs and OR tables offered everything I wanted for my practice.

How do the MTI procedure tables and chairs compare to others on the market?
The new tables are versatile enough for many different medical professionals and their needs, but for the plastic surgery industry, they had all the features I both wanted and needed. When I perform delicate and detailed facial aesthetic procedures, it is important for me to be able to get very close to the face and neck and without constantly moving the patient’s head side to side. The upper back of the table tapers towards the head and neck area so that I can work on both sides of the patient at a very close angle without disturbing them in any way.  It also has an articulating headrest, so that I can place the patient’s head in the most ideal position when necessary for a broad variety of procedures.

One of the great features of the chair is that the back can go upright into a 90-degree position. This is ideal when I perform breast procedures; augmentation, lifts, reductions, etc., because I can position the patient into an almost standing position and get an accurate view of how the final result will look. Also, the table is 24 inches wide (it comes as wide as 30 inches) which is about four inches wider than a typical operating room table that you’ll see in a lot of hospitals. What that means is that we can accommodate a larger-sized patient, and as we offer solutions to many post-bariatric surgery patients and post-weight loss patients, that extra table width really makes a big difference.  Plus, the chair has a 650 lb weighted-lift function capacity so we can perform these procedures with total ease for patients of almost any size.

While these features are great for patients, they also help me and my staff on many levels. Most of all, we no longer need to put extra strain on our own bodies trying to move, lift or even angle ourselves in positions that are unnatural. This, again, helps us deliver superior results to patients.

Are you able to easily heighten the chair, lower the chair depending upon the procedures?
Yes, the table has a variety of different settings. You can put the table into the trendelenburg position, set it in a beach chair position, etc. For my tummy tuck patients, I will often put the patient in a beach chair position during the procedure so that I can more accurately perform surgery, and I feel that we get a better outcome this way. When I did my initial research on OR equipment, it was difficult to find anything that compared to the MTI products in which I eventually invested.

What is your favorite design feature of the MTI chair?
Some think a chair is a chair, but to me this chair makes all the difference in helping me and my staff deliver exceptional results in a way that is comfortable. I feel it is more than just another piece of equipment or office accessory. Overall, it is the cornerstone of every procedure we do, and its smooth functionality and flexibility also help save time during the procedure, which is important to the overall outcome.

It is also very stable, sturdy, and reliable, and it has been a wonderful addition in my practice. My favorite feature is the programmable foot control combined with a 90-degree upright back position so I can easily move the chair myself, versus relying on nursing staff or an anesthesiologist to provide this function while I am operating on the patient. It saves time, and gives me more control in the OR, which I feel is important on many levels.

Is there any procedure where this chair really helps make a difference?
For my needs in particular, it’s just perfect because it accommodates both the facial aesthetic patient as well as the patient that wants other types of procedures on the body. I can easily perform tummy tucks, liposuction, breast augmentation and other breast procedures, labiaplasty procedures, full body lifts, arm lifts, thigh lifts, and more without having to move patients around. I would say the tapered back does make a difference, as it allows me to get very close to the patient’s head and neck when doing meticulous and intricate facial plastic procedures, as well as fillers and other close-up facial procedures.

Dr. Steven Constantine of Salt Lake City, Utah standing in the OR with the MTI Patient Chair

You mentioned that the hydraulic lift on the chair is very quiet. Why is this feature important?
When a patient comes in for a procedure, especially when it’s around their face, they already have a certain amount of anxiety, and if you place then in a chair that’s uncomfortable, rickety and loud, it just doesn’t add to the experience in a positive way. But when you sit them in a chair that’s stable, comfortable and operates smoothly and without noise, it helps them relax and actually enjoy the process.

Aesthetic surgery following extreme weight loss is an area of growth. How is the MTI 540 Exam Chair perfect for this type of patient?
As mentioned earlier, my chair has four inches more width than standard hospital chairs. But it’s not just the extra width that is ideal; it’s also the weight limit capacity. It provides a platform that is secure for heavier, larger patients. Even when they have lost a tremendous amount of weight, they generally still have a lot of loose skin that is heavy and often hangs over the edges. The wider chair with an easily maneuverable hydraulic system that accommodates up to 650 lbs is essential for this patient population.

How many treatment rooms do you have, and do you have an onsite OR?
My facility is a state-licensed office-based surgical center where we are able to perform all cosmetic surgery procedures. We also have five different examination rooms, two operative suites and an overnight care facility with 24-hour nursing.  Additionally, we offer two large medical spa rooms for our laser, skin care and aesthetic treatments. We also created a CoolSculpting Suite™ with all the amenities and a private bathroom. It’s a great facility, which offers comfort, privacy and convenience.

What would you say to another physician who was considering the MTI chair to update their current examination chairs?
Should people have questions for me, I’m happy to answer any of them and I am happy to welcome other physicians to my practice so that can try them out for themselves. I believe it’s one of those purchases that you just don’t have to think too much about, in the end. It literally has been one of the best purchases I’ve ever made during this entire project, and I have no reservations in recommending MTI to other physicians.

To listen to Dr. Steven Constantine’s interview at Aesthetic Insider™ Radio, CLICK HERE!

To learn more about Dr. Constantine, visit www.constantinecosmeticsurgery.com or call 801-261-3637.

To learn more about MTI, visit www.mti.net. Or call 1-800-924-4655.

The post Does Your Patient Examination Chair Help or Hinder Patient Results? appeared first on Aesthetic Insider.

Dr. Kian Karimi

To support the continuing need by aesthetic providers to increase their expertise, up their game, train their staff, and meet the high expectations of an ever growing patient population, Dr. Kian Karimi, an LA based Facial Plastic Surgeon and internationally known aesthetic educator, has teamed up with a highly qualified group of expert aesthetic surgeons to host the LA-MCA 2018 Meeting. The LA-MCA (Los Angeles Multi-Specialty Cosmetic Academy) Meeting will be held at the Four Seasons Hotel on Doheny Drive in Los Angeles over the weekend of March 22 – 25, 2018.  In this interview with Aesthetic Insider, Dr. Karimi discusses the LA-MCA educational goals, the vital need for extra training and the highly academic level of talks, workshops, live training and hands-on cadaver dissection courses that LA-MCA will provide to help aesthetic providers increase their expertise and skill. In addition to its scientific educational goals, LA-MCA 2018 has partnered with many industry business leaders to bring practice strategy talks and training to help doctors build a bigger and better practice, and has partnered with the University of Southern California (USC) to offer an exclusive Cadaver Dissection workshop. To register visit  www.cosmeticacademymeeting.org. To learn more about Dr. Karimi, visit www.rejuvamedical.org.

What is your vision for the LA-MCA 2018 Aesthetic Meeting?
My main vision is for the different aesthetic medical specialties to collaborate under one roof, working closely together with our industry partners to showcase the latest techniques and technologies, discuss the best ways of providing for our patients, and continue to advance and keep up with this rapidly advancing field of medical aesthetics.

Why did you choose the city of Los Angeles to host LA-MCA 2018?
Los Angeles and Beverly Hills is considered the worldwide epicenter of aesthetic surgery both in terms of number and expertise of surgeons, as well as patient demands and trends.  Los Angeles is also a very diverse city in terms of its populace, people, ideals and lifestyle which is revered around the world. I felt that Los Angeles provided a good backdrop for the type of meeting that LA-MCA is, combined with the quality and level of expert teachers we have in LA and its diversity of medical experts enhances our vison.

What makes LA-MCA 2018 different?
One of the main differences of LA-MCA is its terrific faculty. We have over 40 speakers representing every specialty in aesthetics. Each faculty member is on the cutting edge of medical aesthetics and they are really pushing the envelope when it comes to research and results. Their level of expertise and technique is unsurpassed, whether through surgical techniques or non-surgical techniques, or the use of technology such as lasers or threads, or whatever it may be, this is really the central crux of this meeting which I believe is of utmost importance to all that will attend.

Tell us more about the Multi-Specialty speakers at LA-MCA 2018
The aesthetic industry is made up of a range of medical specialties.  Over the years aesthetics in general, both surgical and non-surgical, have been influenced by medical specialties such as plastic and facial plastics surgery, dermatology, oral maxillofacial surgery, urogynecological surgery, ophthalmic surgery, and cosmetic surgery. The LA-MCA speakers have joined together with a common understanding of teaching and educating. As aesthetic procedures continue to grow among our patient population, LA-MCA will continue to educate best practices to its attendees that will benefit the patient and the industry as a whole. We have a truly great team spirit and our speakers are very excited about this opportunity. We have seen a paradigm shift over the last several years and the market trend towards non-surgical procedures and minimally invasive procedures has grown. While it is important to understand and I advocate that surgical procedures should be done by trained specialists and people that are within their own scope of practice, for instance, I feel that abdominoplasty and breast surgery should be performed by a board certified plastic surgeon. However, the real demand and the types of innovation we’ve seen over the last several years is the emerging technology with state-of-the-art lasers and techniques that allow patients to achieve significant and impressive results without undergoing the knife. This provides for a more equal cross-over among the various aesthetic specialties that LA-MCA 2018 is excited to advance.

How difficult was it to get everyone to agree to speak on the weekend of March 22 – 25, 2018?
It was a bit challenging to say the least. Everybody is busy. These speakers are very busy and successful in their own practices, and so it was somewhat daunting, kind of almost like creating and completing a jigsaw puzzle to be able to complete the program but, fortunately, we were able to accommodate most of the invited faculty with a cohesive program.

Dr. Peter Adamson

Peter Adamson, MD is the Keynote Speaker. What is your connection?
Dr. Peter Adamson was my fellowship director in facial plastic and reconstructive surgery, but more than that he really became my personal and professional mentor. The main thing that inspired me the most about Dr. Adamson was the fact that he was an advocate for a multi-disciplinary approach to different problems and concerns in the aesthetic and reconstructive world, and part of his fellowship training was actually for the fellow to spend time with physicians of other specialties which was really unheard of within many academies.  He is very progressive, has had over 30 fellows train with him over the past 30 years and has always been a visionary in this regard and saw the importance in unity of working with other specialties in order to advance our field collectively. I am honored that he accepted my invitation to be the LA-MCA 2018 Keynote Speaker.

Tell us about the industry partners that have helped you pull this meeting together so smoothly.
In the real world aesthetic practice it is just so much more than the doctor or the aesthetic specialist.  Furthermore, these meetings simply would not be possible without the generous support of our industry partners.   We are dependent upon our industry partners to provide state-of-the-art technology and instruments so that we can really deliver cutting edge treatments to our patients. One industry partner in particular, Cynosure, has been extremely helpful and shares our vision in terms of creating this multi-specialty meeting by allowing us to utilize their lasers for a live onsite demonstration performed by an expert teacher. We have also seen tremendous support from many other companies who are also bringing their technology to the meeting including Sciton, InMode, Syneron-Candela, Restoration Robotics and NeoGraft. For them to collaborate with us and in some cases bring these very expensive machines in the spirit of being able to demonstrate how these procedures can be performed safely and effectively at the meeting, I think is really key. We are also very grateful to Allergan, Galderma and Revanesse who have been kind enough to provide products for live demonstration and for utilization during the Cadaver Dissection workshop which enables attendees to experience first-hand how to properly inject fillers and neurotoxins. Working with all of these different partners is really important for the meeting.

What can attendees expect from attending this meeting?
Attendees are going to see a very comprehensive program that will hit every aspect of aesthetic medicine and aesthetic surgery, including the face, breast, body and skin, as well as hair restoration and feminine rejuvenation. They can also expect to see the latest in technology including radiofrequency microneedling, subcutaneous radiofrequency, and state of the art lasers that have literally just been developed over the past few years. What’s more though is the location of LA-MCA 2018. The meeting will be held at the Four Seasons Hotel on Doheny Drive in Beverly Hills. Because of the intimate setting of this hotel, attendees will actually be able to have the chance to interact one-on-one with the expert faculty either before or after the talks, or during the breaks. This is a really important part of the meeting, and one of the things that I have found very useful in previous meetings I’ve been involved with.  Also, on Sunday, March 25, 2018, there will be a lot of different activities going on with live demonstrations in both injectables and lasers, as well as legal talks and practice marketing talks so attendees will have access to knowledge and expert training on just about every aspect of the aesthetic practice. Plus a small group will have access to the off-site Cadaver Dissection workshop which is filling up rapidly.

How did it come about that you are working with USC for the Cadaver Dissection workshop?
I’ve been involved with the USC’s Oculofacial Cadaver Course over the last several years and it has been a great experience. It is headed by one of our speakers, Dr. Sandy Zhang-Nuñes, and I was just so impressed with the course and the area is absolutely perfect for LA-MCA’s Cadaver Dissection workshop. We’re planning on having two tracks – a surgical and a non-surgical tract – and it will accommodate those surgeons already board certified in a corresponding discipline that want to increase their skill level, as well as a non-surgical tract for those physicians that want to increase their skill level in injectables including fillers and neuromodulators. The course is limited so that participants can have plenty of time with our expert faculty.

Is this a program just for doctors, or for nurses and staff?
This course is intended as a total practice builder. As many of us know our physician extenders such as physician’s assistants, nurse practitioners and registered nurses are our allies in the aesthetic practice so LA-MCA welcomes doctors, PAs, NPs, RNs and staff to join us and to learn from expert faculty, further strengthen their skills, and help their MD practice owner build a better practice. Bringing staff to a meeting like this is a great way to build a team spirit that will last the lifetime of the practice.

Four Seasons Hotel

Why did you choose the Four Seasons on Doheny as the location for LA-MCA 2018?
To begin with it is a stunning property and very impressive down to every last detail. It is also very comfortable, friendly, is easily accessible and close to Rodeo Drive, Beverly Hills, as well as Sunset Blvd. and Hollywood. It is only a short drive from Santa Monica and Malibu, so it has a little bit of something for everybody. It is a celebrity hotel, so for those that are star struck, it is a great place to see somebody famous but most of all, the area where the LA-MCA 2018 meeting will be held offers us a private place away from the madding crowd where we can host a stellar educational CME event, in a beautiful, intimate and relaxing atmosphere that offers an indoor/outdoor space that is unsurpassed anywhere else in the area. I am looking forward to seeing everyone there!

To learn more and to register for the LA-MCA 2018 meeting, visit www.cosmeticacademymeeting.org.

To listen to Dr. Karimi’s interview at Aesthetic Insider Radio, CLICK HERE!

LA-MCA 2018 ESTEEMED FACULTY AND SPEAKERS INCLUDES:

Dr. Peter Adamson
Dr. Daniel Barrett
Dr. Daniel Behroozan
Dr. Andre Berger
Dr. Jennifer Berman
Dr. Patrick Bitter, Jr.
Dr. Jason Bloom
Dr. Michael Burnstine
Dr. Marc Dauer
Dr. Jason Emer
Dr. Rebecca Fitzgerald
Dr. Peter Fodor
Dr. Richard Gentile
Dr. Ashkan Ghavami
Dr. Nima Gharavi
Dr. David Ghozland
Dr. Robert Goldberg
Dr. Chester Griffiths
Dr. Gregory Keller
Spencer Kobren
Dr. Howard Krauss
Sharon Levin
Dr. Alexandra Mora
Dr. Sheila Nazarian
Dr. Reza Navabian
Dr. James Newman
Dr. Michael Newman
Dr. Joseph Niamtu, III
Angela O’Mara
Dr. Otto Placik
Suzanne Raina Natbony, Esq.
Dr. Anil Rajani
Dr. Laurence Rifkin
Dr. Alexander Rivkin
Dr. Leif Rogers
Dr. Jason Roostaeian
Nayson Roohipour
Dr. Kevin Sadati
Dr. David Samimi
Tim Sawyer
Dr. Nima Shemirani
Dr. Sarmela Sunder
Dr. Ray Taban
Dr. Ben Talai
Jason Tuschman
Dr. John Vartanian
Dr. Steven Weiner
Dr. Steven Yoelin
Dr. Sandy Zhang Nunes
Dr. Craig Ziering
Dr. Christopher Zoumalan
Dr. Richard Zoumalan

The post Dr. Kian Karimi Brings World Class Aesthetic Meeting To Los Angeles March, 2018 appeared first on Aesthetic Insider.

Each year aesthetic practitioners spend thousands of dollars on marketing to attract new patients. However, tracking marketing efforts is not always easy. In this interview with Miami, FL based plastic surgeon, Adam J. Rubinstein, MD, he discusses with Aesthetic Insider how he has built a successful plastic surgery practice in a highly competitive market, and how keeping track of ROI is the key to his success. One of the integral components of Dr. Rubinstein’s management efforts is the partnership he has developed with Red Spot Interactive, a software solution and marketing company whose platform is based on accurate ROI reporting, patient scheduling, patient retention, and overall practice marketing. Dr. Rubinstein explains how Red Spot Interactive takes care of his practice marketing and ROI, so he can take better care of his patients. To learn more about Dr. Rubinstein, visit www.dr-rubinstein.com. To learn more about Red Spot Interactive, visit www.redspotinteractive.com.

Dr. Adam Rubinstein, Miami, FL.

Why do you measure ROI in your practice?
I feel you should measure ROI in everything, not just in medicine. If you are doing any kind of marketing, and you are not tracking your return on investment, then you are most likely wasting money. Many of the aesthetic physicians I know spend a lot of money on marketing through many different channels, and if they don’t follow and analyze what it’s doing for them, then they have no idea what is going on and no idea how they can further maximize performance, or improve their practice. I measure ROI to ensure my money is being spent on avenues that yield a return, as well as to learn how we can continue to improve a patient’s experience with our practice. Measuring ROI is critical to my success as a business owner. The cosmetic surgery industry has become extremely competitive in the past decade and the market has been commoditized. To keep up, stay ahead of the competition, and grow an elective healthcare practice, you have to be actively marketing your practice. ROI is an essential metric in gauging the effectiveness of not just marketing activities, but the overall efficiency of the patient acquisition process. If something is not working, I need to know so we can re-allocate our marketing investments or internal resources.

How do you measure your marketing return-on-investment?
For starters, you need the right technology and software for automated tracking. It’s possible to calculate ROI manually for your practice, but with too many competing priorities as is, you are much better off using automated technology for this task. Your patient and marketing data need to be integrated, using third party platforms and software. My plastic surgery practice uses Red Spot Interactive’s patient acquisition and retention platform, which allows us to integrate the data from our practice management system (patient information, scheduled and attended appointments, and purchases associated with the patient) and the marketing data we collect. This integration allows us to track the ROI for our entire marketing program. I think looking at the reports, just getting numbers, is good, but having a thorough and precise understanding of those numbers is crucial. Whether you are using a marketing firm or you have someone in house that’s tracking ROI, it should be a really simple business process to be able to review reports that show you the actual performance of your website, print ads, social media campaigns, etc. It is important to me to know how many consults we get from each area of marketing, and we are able to do that with our tracking system.

How did you choose Red Spot Interactive?
Red Spot Interactive has been instrumental in the growth of my practice.  I vetted them for a long time. I think they will tell you probably too long, but I looked at them, I spoke to their other clients and I was really slow to commit because there were so many other competing business decisions I needed to make. I finally took the leap and I’m really glad I did because it has changed the way I look at my practice. If I ever want to evaluate something, or we are starting something new, we can obtain real, accurate data that comes from the management software Red Spot Interactive provides.

Are marketing efforts segmented, or do you measure marketing ROI as a whole?
Using Red Spot Interactive’s platform, we are able to measure the ROI for each individual marketing channel. This allows us to determine which channels are most effective and which channels to discontinue. All of your practice marketing efforts must include some type of tracking method and response generator. For example, your website should have a unique tracking phone number on it, as well as a lead form whereby a prospective patient submits their first name, last name, phone number, email address and procedure of interest. Similarly, any email campaigns, print ads, digital ads, etc., should contain their own unique tracking phone number. I’ve increased my revenues significantly while decreasing my marketing costs at the same level. Utilizing this approach over the last 3 years, I have ultimately grown my profits. At my practice, our marketing is segmented in many different ways. We segment by electronic versus digital versus analog. So using print, radio and TV as a traditional analog medium, and website and social media as our digital medium, we can easily measure dollar for dollar how each one is performing. In recent years our social platform has seen a huge increase in ROI and we can easily track Instagram, Snapchat and Facebook, as well as our website response, etc.

Are there other important metrics that a plastic surgery practice should be measuring?
Yes, you need to measure KPIs (key performance indicators) for the entire patient acquisition process. I understand, in detail, the key performance indicators associated with my marketing, lead management, patient scheduling, and patient retention. Similarly, your website visitor-to-lead rate is an essential metric for a plastic surgery practice. It measures your website’s performance and lead generation level, but this metric just scratches the surface. In order to understand the ROI from your website, you need to be able to take it a few steps further (i.e. which of those leads scheduled appointments, which of those appointments were attended, and which of those attended appointments converted into purchased treatments). From there, you can determine the revenue generated from that lead and the overall ROI for your website. KPIs are difficult to assess without proper management software. Prior to Red Spot Interactive, I tried to do it myself but it was difficult and the information I get now is far more accurate.

In what other ways has Red Spot Interactive helped your practice?
Red Spot Interactive does more than just ROI calculations. They help with marketing and design, and most importantly lead management and call in-take. They take a lot of pressure off my front desk staff  who get far less phone calls thanks to their call center services which is one of the ways they track ROI more accurately. The Red Spot Interactive team can determine based on the numbers where the calls are coming from and which campaign  prompted the patient to call. They can then track those phone numbers to identity where that patient heard about the practice. The information integrates into their system and that data is easily available to me for review when needed.

Which of your practice’s marketing channels is the biggest revenue driver?
Aside from marketing to existing patients and acquiring their referrals, my website is where we see our biggest return-on-investment, especially for new patients. However, my social media has definitely risen in importance to my overall marketing strategy in the last year, and I expect it to compete with my website in the coming years.

What types of business decisions are you able to make by measuring your marketing ROI?
It allows me to allocate my budgets as effectively as possible, across my entire practice. Being able to properly track and record the ROI for my practice’s marketing efforts allows me to know what is working and what is not. If my website’s visitor to lead rate is high, but the ROI is low, that alerts me that there is a breakdown in the patient acquisition process. More specifically, if I’m getting a lot of leads from my website but only a few are converting into purchasing patients, then we are losing them somewhere in between. And in the event that I were allocating a lot of money to a new ad source, but not seeing a positive ROI, I would be able to make an informed decision to discontinue that marketing channel, saving the money or putting it into a more effective media buy. It’s a real game changer as in the past I might have known generally what was happening, but without really looking and measuring in the way that Red Spot Interactive now allows me to, your decisions can only be based on assumptions. Now I can really make better spending decisions based on facts. It is just a far more sophisticated way of running my practice.

To listen to Dr. Rubinstein’s interview at Aesthetic Insider Radio, CLICK HERE!

Dr. Adam Rubinstein is an award winning plastic surgeon who practices in Miami, FL. He is Chief of Plastic Surgery and Vice Chief of the Department of Surgery for Jackson North Medical Center, a 382-bed acute care hospital in the Jackson Healthcare System. Dr. Rubinstein is a clinical assistant professor in the Department of Surgery at NOVA Southeastern University, clinical faculty for the Department of Plastic Surgery at Florida International University (FIU) School of Medicine, and clinical faculty for the Cleveland Clinic Plastic Surgery Residency Program in Florida. He can be reached at (305) 792-7575 or www.dr-rubinstein.com.

Red Spot Interactive was founded on the principal that doctors should be able to grow their businesses profitably by understanding their return on investment down to the penny across the entire patient acquisition spectrum. Technology, creative and professional services, along with domain knowledge traditionally only afforded to Fortune 500 companies should be readily available to practices at an affordable price and provide them a strategic advantage against their competition. In addition, these advancements in technology should bring scale and transparency to the key performance indicators of the practice and patient acquisition spectrum. To learn more, visit www.redspotinteractive.com.

The post Measuring Your Practice Marketing and ROI appeared first on Aesthetic Insider.

Current Emerging Practices in Clinical and Experimental Dermatology will take place at Macau, Hong Kong on June 21 – 22, 2018 and will focus on “Current Emerging Practices in Clinical and Experimental Dermatology”. This conference welcomes Dermatologists, Cosmetologists and other health professionals from various backgrounds in aesthetic dermatology, as well as skin specialists. Professionals, research scholars and student are welcome. To learn more visit www.dermatologists.conferenceseries.com.

The post Hong Kong Dermatology Meeting Announced For June, 2018 appeared first on Aesthetic Insider.

As the demand for cosmetic procedures grows each year, so does the number of patients searching for the right surgeon. While there are several practice management software programs available to the aesthetic physician, learning how to leverage new technologies to attract and consult with patients can lead to a more successful practice. In this interview with Aesthetic Insider, Atlanta-based plastic surgeon Dr. Christopher Killingsworth discusses how he has successfully integrated leading technologies and strategies designed by Red Spot Interactive into his plastic surgery practice. To learn more about Dr. Killingsworth, visit www.atlantaaesthetics.com. To learn more about Red Spot Interactive, visit www.redspotinteractive.com.

Dr. Christopher Killingsworth

How do you track new leads to your practice?
We utilize Red Spot Interactive’s cloud-based marketing and patient acquisition platform to track all of our leads. We have unique phone numbers on all of our marketing channels as well as a trackable lead form on our website — both filter into our reporting environment, allowing us to measure the ROI for all of our marketing efforts. Measuring in this way helps me make better, more informed decisions about future marketing and patient acquisition outreach.

Is there an example of any changes you have made as a result of better tracking?
Yes. Early on in my practice, I did a lot of local print advertising. Once we got started with Red Spot Interactive, we were able to start tracking what leads actually came from print and quickly realized it wasn’t a good return on investment. The marketing buy was very expensive, and the results were not that favorable. Now, we essentially do zero print marketing and have invested more of our resources into digital marketing.

How do you manage leads effectively?
Since becoming involved with Red Spot Interactive, we have been able to use their platform to track our leads, and we are able to see reports on the entire acquisition process from the lead to schedule rate,  through to the purchase rate, and we can see certain key performance indicators and measure them continually just by reading the dashboard. Therefore, we are able to make decisions about what could be going wrong in the process (or is going wrong) just by consistently monitoring these key performance indicators. The technology really allows us to measure and review these metrics efficiently which, in turn, allows us to manage leads effectively.

What is the biggest challenge you find in the practice in regards to obtaining new patients?
In the past, one of the biggest challenges in the patient acquisition process was efficiency and consistency. There is data to suggest that new leads should be followed up with immediately and more than once. However, when my staff is focused on patients (as they should be), it can be difficult for them to really follow up with new leads consistently.

How have you resolved that issue?
The technology we’ve discussed allows us to follow up with the leads more consistently and oftentimes immediately. Doing so has also increased our conversion rates and given us a better understanding of our conversion rates. The Red Spot Interactive marketing automation and 24/7 reporting has helped us streamline our processes and also grow the bottom line. Most importantly,  my staff can stay focused on the most important thing, our patients. They aren’t distracted with sending out emails; instead, we use an automated platform that helps us follow up with lead inquiries and also send targeted marketing email campaigns consistently.

When your team schedules consultations, what’s the next step?
We have a follow-up process once a patient is scheduled. This process includes automated appointment reminders (via email) that alert the patients of their upcoming appointment. We try to remind the patient multiple times leading up to the day of the appointment. This definitely helps in the patient acquisition process; it is an important step and has improved attendance. This also helps free up time so that the office can have time to call patients and touch base on a more personal level, and this platform allows us time for more human interaction as well.

How do you turn a consultation into an actual purchase?
Patient education is important to me and my staff. We use the consultation to further educate the patient and provide a very thorough evaluation. We’re not a high-volume practice; I would say we’re a high-margin practice, and so that allows us to spend a lot of time during the initial consultation outlining our plan of treatment, and of course everything is individualized to the patient. My staff makes sure that the patient has all the information they need once we give them the consultation, and from there, we do use the automated system with Red Spot Interactive to continue to follow up with the patient after they leave, sending reminders as well as emails. We also use email marketing automation to continually retarget patients once they’ve purchased or completed a treatment plan.

Is there any one thing about the Red Spot Interactive technology that is most important to you?
I would say that the data retrieval aspects of the platform is the most important to me because the data allows me to measure all of our activity and make better decisions about the future of my practice that  not only benefits me, but also benefits my patients and staff. Being able to look at the data and know what’s going on at all times brings a level of confidence and professionalism into everything we do at the practice. Plus, those resources help me derive the best ROI possible.

To learn more about Dr. Killingsworth, visit www.atlantaaesthetics.com. 

To learn more about Red Spot Interactive, visit www.redspotinteractive.com.

To listen to Dr. Killingsworth’s full interview at Aesthetic Insider Radio CLICK HERE!

The post Leveraging Technology For Patient Acquisition and Lead Management appeared first on Aesthetic Insider.

The patient examination chair has hardly changed over the last two hundred years. However, with the current trend of advanced in-office aesthetic procedures requiring increasingly high levels of precision, as well as new mandatory government ADA  (Americans With Disabilities Act) regulations, the traditional examination chair has taken on a whole new look and experience. In this interview with Aesthetic Insider, Jeff Baker, CEO and founder of Medical Technology Industries Inc., (MTI) and a medical pioneer with over 46 years of experience manufacturing patient examination chairs, discusses how he and his team have literally revolutionized the patient exam chair as we know it today. To learn more about MTI, visit www.mti.net.

Jeff Baker, MTI

What inspired you to start MTI and how long have you been involved in the manufacturing of patient examination chairs?
Without giving my age away, I have been in this industry for over forty-six years and I started MTI just over twenty years ago. I began in the dental and medical corporate world but it wasn’t until I left that company and took a year out elsewhere that I realized the real need by both the doctor and patient for a more sophisticated and customized type of patient examination chair. After talking with many industry leaders and asking their opinions of what would be a better option, I began MTI in the wound care and podiatry fields of medicine. Today, MTI is now one of the largest podiatry and wound care chair manufacturers in the world, and we have branched out into many medical specialties, including  aesthetics.

How were you able to bring the chair to market in the early days of MTI?
Part of my initial outreach was to some of the larger chair distribution companies. I told them my ideas for a new type of chair design that would meet the needs of a variety of medical specialties and they actually encouraged me to build the chair with the commitment that they would buy it and distribute it for us, which is what they did. They kept true to their promise.

What do you feel set MTI apart in the early days of design?
As well as consulting with doctors and manufacturers, I took a good look around at other industries such as automotive, aerospace and the computer industry wondering how MTI could incorporate some of the many advances being made in those fields. Rather than hire only people with patient chair design experience, I hired design engineers from other fields that could help MTI create something more diverse. Some of our newer product lines were designed by an engineer who was responsible for the Chevy Colorado Truck by General Motors (GM) which won truck of the year at the time, and other features were developed by engineering people from aerospace, medical device fields, and even engineers that worked on fire doors. This mix of minds is what has helped us take the chair design to a whole different level, and has set MTI apart as a world leader in its field.

Have advances made in 3-D Modeling and 3-D Printing helped your design process be more efficient?
Absolutely. 3-D Modeling and Printing gives us the ability to literally see inside the product before we build it so we employ these advances in just about every new design. By creating a prototype of a new chair design via 3-D Printing we are able to work out any interferences or possible problem areas before the chair is manufactured. This is very advantageous to MTI and definitely helps both our design department and our company be more efficient overall.

How does the MTI chair actually work and what are its benefits to the aesthetic provider?
Typically, the chairs that are used in aesthetic plastic surgery are four-power function chairs. They have a power foot, power tilt, power back and power elevation up and down, and the combination of all those power functions places the patient in a position that’s comfortable for them, and also for the physician or the caregiver/provider. The MTI chair is automated and can be positioned manually or with pre-programed positioning. The pre-programmed positioning has become the preferred method of bringing patients to position as the entire process is coordinated resulting in a very smooth transition for the patient, and requires less adjustment by the doctor.  This way there is no stress on the lower lumbar as is typical when the back of a chair is lowered, and the patient doesn’t experience what we call movement fright as often happens with a non-programmable chair.

Why is the MTI patient chair becoming the chair of choice in many aesthetic practices?
Our entrance into the plastic surgery and aesthetic field started almost immediately after our launch into other fields of medicine, and has become an area where the MTI chair really stands out. We have designed products, not only for plastic surgery, but for all of the areas of the aesthetic disciplines including ENT, dermatology, etc. The MTI chair is suited for them because physicians find that they can do things with our product that they can’t do with the other general type products. For instance, the tapered back that we employ on our chair is really pretty simple as far as we’re concerned, but few manufacturers actually employ that kind of a back. The importance of the tapered back is it allows the doctor to get closer to the patient’s face, neck and upper torso when performing fillers and neurotoxin injections, or any other close up aesthetic work on the face. The back of the chair is wide enough for the patient to be comfortable and supported, but narrow enough for the doctor to have unrestricted access to their head and neck area. There are many other benefits to this chair, but the tapered head rest is definitely one of its primary attributes.  MTI has also has designed a variety of head rests specifically for all kinds of disciplines including ophthalmic cataract surgery, blepharoplasty in cosmetic surgery, ENT and general dermatology and those head rests really facilitate these kinds of procedures and examinations. It is also not a huge chair and can easily fit into smaller treatment rooms as is sometimes necessary in an out-patient surgery setting.

How is the MTI chair beneficial to the general health of the doctor?
When we talk with experienced doctors they almost universally say that they suffer from back pain, due to the physical stress of operating on very wide tables (up to 28 or 30 inches wide). Because these wide tables put the physician so far away from the patient they often have to pull the patient from one side of the table to the other, or lean over the table to access the patient. The MTI chair is designed so that the physician or caregiver can easily get closer to the patient in a more natural ergomatic position, which is a real plus as it helps reduce future back pain and back injury  of the doctor.

Tell us about the new patient procedure chair – the MTI 830 model.
The MTI 830 is a unique product. There is no product like it that I’m aware of in the entire world. Much of healthcare has moved to make things more accessible to those with disabilities as a result of the passage of new regulations promulgated by the United States Access Board and advised by the Medical Diagnostic Equipment Advisory Committee, of which MTI was a member, as well as a number of industry manufacturers, government and disability groups.  Following these new ADA regulations MTI worked to develop a patient chair that was ADA compliant, as well as easier to use by people with mobility disability issues. One of the issues was that current patient chairs were as high as 24 and 25 inches in minimum height from the ground which is higher than the average wheel chair. A patient would have to be lifted into the chair. When we met with the Access Board in Washington, DC to go over issues facing those with disabilities in the medical exam room the chair height was an important issue, as well as many other features that made a standard chair difficult for both patient with mobility disabilities and doctors. The new MTI 830 comes in a standard fixed base version, a swivel base model, or a mobile version which can be rolled around as needed meeting the 17 to 19 inches minimum height requirement which is one of the major criteria that the ADA Access Board finally decided on as of January, 2017.  It allows a disabled person to enter the chair from either the right or the left-hand side and use a mandated transfer support to steady and bring themselves onto the seat.

The 830 has a collection of both safety and high tech features to position the patient in the most rapid and comfortable manner. It also has an extension on the foot rest that is automatic and independent to accommodate taller patients when they are placed in upright and supine positions. The chair also has an industry leading lifting capacity of 725 pounds which allows dignity for all patients to be positioned and avoid any potential physical injury to a doctor, nurse or caregiver. The MTI 830 chair is ADA compliant and is a game changer in terms of better patient care.

Is the MTI 830 beneficial to those aesthetic surgeons that perform bariatric surgery?
Yes, and we are currently working on the new bariatric model which will be available soon. Bariatric surgery is a difficult physical surgery to perform due to the size and weight of the patient. One of the advances on the bariatric chair is that the seating surface will be extended in both seating width and patient capacity rating.  These new products in the larger bariatric versions will also be ADA compliant and allow the patient more dignity in positioning themselves.

How will MTI continue to lead in this field?
MTI has always been at the forefront of advances in this field and will continue to lead because we have a strong commitment to our customers and their patients. Additionally, we are continually refining the various accessories that can be applied to the chair, in the area of head rests and types of arm rests, IV poles that can be taken on and off, stirrups that can be added for both OB/GYN practices and even aesthetic practices that offer the newer feminine rejuvenation procedures. We have a team of expert and multi-faceted engineers that are constantly improving upon what we have and our focus on patient comfort and physician effectiveness will continue to lead us into the future. To learn more about MTI – Medical Technology Industries Inc., visit www.mti.net

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