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Tuesday
Aug032010

Reach Local Offers Free Webinar on Internet Marketing

ReachLocal, one of our Select Partners, is one of Google's biggest advertisers, spending more than $1 million each day for local businesses who need online advertising to drive sales.

Attend this free webinar and ask any question you want! We'll answer every question around internet marketing and PPC advertising, from complete novice to experts. Find out how PPC works... and how much it costs!

Learn How To Attract New Patients To Your Practice Today! Learn about how starting an effective online marketing campaign will continue to attract new clients each and every month.  Internet Marketing expert Alan Moore, from ReachLocal Baltimore, will be hosting a free one hour Webinar on 3 dates in August.  At the FREE Webinar, you will learn about proven methods to optimize your advertising dollars and be found locally online. Topics to be covered include paid search (PPC), digital display advertising, retargeting clients AFTER they leave your site and Facebook Social Media advertising.

Webinar dates are as follows, all at 7 pm EST:

  • Tuesday, August 2nd
  • Monday, August 16th 

Register here

If you have more specific needs to be addressed, Alan is available for one-on-one custom webinars that will speak to your individual goals.  Simply fill out the sign up or contact form and select the "Please contact me now to discuss PPC for my business" option.
 
For the group webinars, we ask that you register for the date that works for you as slots are limited. Instructions for the webinar will be sent via email the morning of the Webinar.

Friday
Jul302010

Medical Spa Horror Stories: Woman Dies From Silicone Butt Injections

Illegal medical spas and filler injection services are up and running, and actually killing people.

If it weren't bad enough that there are websites marketing "do it yourself Botox injections" and "filler injection kits" for home use, there are still people out there who are willing to go to a motel room and have non-physicians inject them will industrial silicon.

Two sisters who were selling Botox, filler injections, and butt augmentation in motel rooms are now on the run. Police say they performed illegal cosmetic surgery from inside their residential home and are the cause of one woman’s death.

Some of their patients (victims) went to police after experiencing infections and hardened body parts after receiving silicon injections. One woman, 22-year-old Mayra Lissette Contreras, would die from respiratory failure a day after getting some silicone shots in her buttocks. The sisters were arrested and charged with practicing medicine without a license but were released on bond and have probably fled to Mexico (see below). 

There's always plenty of  smartass advice to give to anyone who may ever contemplate injecting themselves with fake botox or getting cosmetic surgery while bent over someone’s kitchen counter, but I just couldn’t do better than the advice given by by Deputy Chief Kirk Albanese. “If you are receiving an injection at a home in a residential area, that should be the first warning sign that you shouldn’t be there.” But I will add that whether or not a facility is residential or not,  it’s normally not a good idea to receive cosmetic treatment from a 50-year-old woman who looks like a creature commonly seen in movies being chased around by villagers with pitchforks.

Sisters sought after woman dies from silicone butt injections


Sisters Guadalupe Viveros, left, and Alejandra Viveros, above, allegedly ran an illegal cosmetic filler injection service and squirted silicon into anyone with a check book.

Guadalupe Viveros, 53, and Alejandra Viveros, 50, may have fled the country after Mayra Lissette Contreras, 22, of Pacoima died Friday after receiving the injection, police said. An autopsy was pending Wednesday, said Ed Winter of the Los Angeles County coroner's office. Initial reports indicated that Contreras died from respiratory distress.

The Viveros sisters were investigated last month by the Los Angeles Police Department after other patients complained that the fillers, typically injected in the face or the buttocks, made them ill. The sisters were taken into custody June 21 for practicing medicine without a license, police said. They were held on $20,000 bail before being released.

They were supposed to be arraigned on Monday, but they skipped their arraignment. Police realized that they are probably on the run, and since the two women have connections in Mexico, authorities suspect they have fled south.

Police say the Viveros sisters are not doctors. Neither is licensed to perform medical procedures in the United States.

They have been allegedly operating an illegal cosmetic surgery business and performing expensive procedures in their home rather than in a licensed operating room, cosmetic clinic or doctor`s office. Patients told police they developed infections and said the silicone used by the sisters turned to hard plastic once inside their body.

LA police are searching for these two women and believe they could be in Mexico. People with information on their whereabouts as well as victims are asked to come forward and contact the Los Angeles Police Department.

LA Times article

And if you thought this was a one-of-a-kind event...

San Diego transgender woman dies after illegal silicone injections.

A 45-year-old transgender woman who received illegal silicone injections at a party in a private home in San Diego has died after nearly a month on life support, the county medical examiner said on Monday.

Patricio Gonzalez, who police said received silicone injections to her hips, buttocks, cheeks and lips, died on Sunday. Gonzalez and at least nine other people were injected at a so-called "pumping party" on June 19, police said.

"Pumping parties," where people seeking a more feminine appearance have silicone injected into their bodies, have been on the upswing in the last few years, experts say. The silicone used at the parties is often industrial-grade material like floor sealant.

The Food and Drug Administration banned direct injections of silicone in 1992 and the substance has been known to migrate within the body and cause chronic, degenerative illnesses.

Gonzalez and another transgender woman received more silicone than the other party guests and suffered immediate respiratory problems, prompting the Los Angeles-area woman who was administering the silicone to flee, police said.

Police have issued an arrest warrant for Sammia "Angelica" Gonzalez, 39, who was injecting the party guests with silicone, is believed to have fled to Mexico.

Transgender women often have humiliating experiences with traditional surgery clinics, and surgeons often require a psychological exam before they will consider treatment.

Article

Thursday
Jul222010

Frontdesk SEO: Medical Spa Marketing & Keyword Selection

Frontdesk has a growing number of full-service website SEO accounts from Medical Spa MD Members and additional do-it-yourself accounts popping in all the time.

Read this review of our SEO software by a Medical Spa MD Member.

Since we've had so many Medical Spa MD Members sign up and begin using our SEO software or outsourcing their SEO to us, I though I'd comment on one of the most common questions that we get from plastic surgeons and medical spas that are just starting; keyword selection.

What are keywords?

Keywords (or key phrases) are what someone who is looking for your clinic types in to the search engine. For many, selecting the right keywords can be of the utmost importance. If you select the right keywords your marketing efforts should see some pretty significant results after just a short time, but select the wrong keywords and you're going to be banging your head against the wall with little to show for it. So, let's talk keywords that are going to be most useful for Medical Spa MD Members.

Most Medspa MD Members are individual physicians who have a single clinic location. As such, you're targeting potential clients based on geographical location; a certain 'radius' around your practice that you typically pull new patients from.

This one single piece of info gives you the ability to be especially effective by using your geography in your SEO efforts. And since 85%+ of your potential clients are now using the web to find local businesses it's more than just a 'nice to have', it's imperative for success if you're looking to grow.

Selecting Your Medical Spas Best Keywords

There's some good news here. If you're offering Botox, Dysport, laser hair removal, or photofacials, or you're using technology that clients might be searching for like Fraxel, Thermage, or IPL treatments, you can just stick your area code or location on the end (which is how people commonly search) and you're set; so 'Fraxel' now becomes 'Fraxel Manhattan', 'Thermage' becomes 'Thermage NYC', and 'laser hair removal' is now 'laser hair removal 90210'.

Of course there's a hitch. Just because you're being ranked for 'Fraxel NYC' doesn't mean that you'll rank for anything else. So, you'll need to keep up your marketing efforts on all the keywords that you're targeting at the same time. (This can be pretty difficult if you don't have a system in place.)

If you've got any website SEO efforts in place, you'll do better with just adding your local city or zip code to your normal process.

Where to start

OK, here's the plug; you should run a free SEO website report on your domain name. We offer this service (and it's a valuable one) so that you can see exactly how your site's performing at any given time.

Wednesday
Jul212010

Twilight Craze Brings The 'Vampire Facelift'; Selphyl

A new cosmetic procedure may just "eclipse" its competition. They're calling it the "Vampire Facelift", and it's increasingly available at medical spas.

It's not really a facelift, though, it's an injectable filler called Selphyl (get it? Sounds like cell-fill). It's generating lots of buzz.

It works by temporarily plumping up lines, much like its older cousins Juvederm and Restylane. But unlike the competition, Selphyl uses the patient's own blood to do the plumping.

Twilight enough for ya?

First, an amount of the patient's blood is extracted. Then, according to the maker, the platelets are separated from the red blood cells. The platelets are blended with a proprietary synthetic mixture and injected into your frown line.

This happens to coincide with all this fascination people have right now with blood - the whole vampire craze," says Dr. Tabasum Mir, who specializes in cosmetic dermatology and cosmetic laser surgery in Manhattan. Her patients are not requesting it, she ads, but inquiring out of curiosity. "I don't think my patients are interested in a two-step procedure when there are a lot of other fillers around that have been tried and tested."

Besides, one can't help but thinking that a real vampire wouldn't need Sephyl or any other wrinkle filler, because the undead stay out of the sun and never age. Anyway, is it safe for humans?

We certainly looked into it, but I think there probably isn't much of a problem when it comes to safety," says Dr. David Bank, President of the New York State Society for Dermatology and Dermatologic Surgery. "And by now, if any of our members were coming in with problems or complaints they would be reported to the society and those reports would be then shuttled to me. I haven't heard anything bad. But that's not a guarantee. The jury is still out."

Monday
Jul192010

Is Suing Your Medical Spas Patients Ever A Good Business Strategy?

Your medical spa or laser clinic is going to be the target of negative reviews at some point. How are you going to deal with unhappy patients who have a forum?

In the aesthetic medicine business, reputation management is a big deal. First, of course, you want to do good work for your patients. You want them to be happy with the results, and then you want them to tell all of their friends how happy they are. Good reputations take time to build, but bad ones can be made very quickly. A California plastic surgeon is now dealing with the fallout of some bad online reviews by taking legal action against the people who posted them.

Unhappy patients aren't anything new, but the Internet, with it's assortment of social media and consumer review sites give grudge-holding patients a significant amount of power. A few of those patients recently vented their opinions of Greenbrae, CA, plastic surgeon Kimberly Henry, MD, on consumer rating sites Yelp.com and DoctorScorecard.com. The doctor, in return, sued the patients.

What may have begun as a consumer rant--the sort that goes on every day about restaurants, car dealerships and plumbers-just got serious. According to an article in the Contra Costa Times, Dr. Henry is currently seeking injunctions against 12 reviewers, allegedly former patients, for libel, defamation, invasion of privacy and interference with prospective economic advantage. The doctor is seeking $2 million in damages plus other unspecified costs.

Earl Thurston, the proprietor of DoctorScorecard, confirmed that he provided Nordskog e-mail and IP addresses of Henry critics in January, but has not done so since. Nordskog's subpoena was the first he had ever received.

"I was inexperienced with the law and the way the court system works," Thurston said. "I assumed that if a judge ordered that I provide the information, that I was required to do so by law."

Since then, another lawyer sent him a subpoena for user information for a similar lawsuit in Texas. Thurston said he is fighting the subpoena with the help of Public Citizen, a nonprofit consumer advocacy organization in Washington D.C.

"I spent many hours reading online about the legal process and came to the conclusion that I could fight to keep our users anonymous, even if a judge orders us to reveal their identities," Thurston said.

Stephanie Ichinose, a spokeswoman for www.Yelp.com, a site that posts user reviews on numerous subjects, noted that a similar case played out last year in San Francisco. In that case, dentist Gelareh Rahbar filed a defamation suit against Jennifer Batoon, a patient who wrote a negative review about the dentist on Yelp.com.

"The judge threw out the defamation counts and ordered Rahbar to pay $43,000 for Batoon's legal fees," Ichinose said.

The claim was dismissed because of California's law against so-called SLAPPs - strategic lawsuits against public participation - which are lawsuits aimed to squelch free speech. Batoon was represented by the California Anti-SLAPP Project, a public interest law firm in Berkeley.

John Diamond, a professor at University of California, Hastings College of the Law, in San Francisco, said forum providers such as Yelp.com are immune from defamation suits, and that anti-SLAPP laws provide some protection for online commentators.

But Diamond, who has no knowledge of Henry's case, said reviewers can be held liable if they assert "false facts, not just opinions."

"They actually have to commit defamations, and that is something that is false and damaging to reputation," said Diamond, a Tiburon resident. "I think what's happened is many more people have a forum now to make comments and have a impact. Previously there haven't been that many opportunities."

This guest post is written by Grant Clauser, Editor of Healthy Aging Magazine. Read Grant's post: Plastic Surgeon Strikes Back At Online Reviews on the Healthy Aging blog.

Submit a guest post and be heard.

Saturday
Jul172010

Botox Effects Beyond the Obvious

US researchers suggest that people who have undergone Botox treatments not only change their appearance but may also have a weakened ability to experience emotions.

Joshua Davis from Columbia University in New York wrote about their findings in a paper published online in the journal Emotions this month.  Although it has been over a century since William James, an American pioneer of psychology proposed a theory of emotion that stated unless it can be expressed physically in the body it doesn't really exist, nowadays referred to as the facial feedback hypothesis (FFH), attempts to test it have been inconclusive.

That is until Botox (and presumably Dysport) came along, because it paralyzes face muscles used to express emotion (thus reducing wrinkles) and so you can use it to test FFH by comparing its effect with that of a cosmetic filler that does not affect facial muscles: this is essentially what the researchers did.

With the advent of Botox, it is now possible to work with people who have a temporary, reversible paralysis in muscles that are involved in facial expressions," Davis reports. 

A person who has received treatment with Botox can respond to an emotional event, for instance a sad scene in a movie, but their facial muscles will be less active, and this sends less feedback to the brain about what the face is expressing.

It thus allows for a test of whether facial expressions and the sensory feedback from them to the brain can influence our emotions," explained Davis who said Botox enabled them to design a study where they could "isolate the effects of facial expression and the subsequent sensory feedback to the brain that would follow from other factors, such as intentions relating to one's expressions and motor commands to make an expression".

For the study, Davis examined two groups of participants: one received Botox treatment and the other, the control group, received Restylane, a cosmetic filler that does not paralyze facial muscles.The participants filled in questionnaires about their emotional experiences to watching positive and negative video clips before and after treatment.

The researchers wrote that results from the Botox group showed no changes between the pre- and post-treatment emotional responses to the most positive and negative video clips, but when they compared the two groups they found that the Botox group showed an overall "significant decrease" in the strength of emotional experience.

This seems like pretty bogus info to me but you never know. It always makes me leary when there's press around terms like 'significant decrease'.

Of course, there's also this; 

A new study by the US Association for Psychological Science has found that the anti-wrinkle treatment, which works to smooth fine lines by paralyzing muscles in the face, actually has an effect on the brain as well, reports London’s Telegraph.

40 volunteers in the study, done by researchers from the University of Wisconsin, were evaluated both before and after having Botox injections. Their response time was recorded as they read a series of statements out loud, with content ranging from "angry" to "sad" to "happy."

The study found that the subjects took longer to read the more "negative" passages after the injections than before. Researcher David Havas told the Telegraph this delay was small but critical because it implies that the brain was processing the negative emotion more slowly after the drug's injection.

"Normally, the brain would be sending signals to the periphery to frown, and the extent of the frown would be sent back to the brain," explained research leader Professor Arthur Glenberg. "But here, that loop is disrupted, and the intensity of the emotion and of our ability to understand it when embodied in language is disrupted."

In other words, when your face stops frowning, your brain gets the message that you've decided there's less to frown about.

"There is a long-standing idea in psychology called the facial feedback hypothesis," Havas told the Telegraph, who believes the new study shows that, "When you're not frowning, the world seems less angry and less sad."

So does this mean that those getting Botox not only have smoother faces than their Botox-free friends but are happier too?

Not necessarily. A study published earlier this year in the Journal of Cosmetic Dermatology found that when injections of Botox are used to paralyze some facial muscles, other nearby muscles have to work overtime to compensate, creating even more lines in the face.

Thursday
Jul152010

Medical Spa MD: Botox & Laser Clinic Spam Comments

If you're Medical Spa MD Member you'll probably already know we have a hoard of spammers who regularly target the site with garbage comments about fake Botox, discount purses or skincare, laser hair removal and the rest.

Paula says it clearly:

Jeff,
When I first joined Medical Spa MD, I signed up to have recent posts sent to my email account so I wouldn't miss important clinical discussions. There is SO much spam now (i.e., Jaquily and others) on a daily basis that I have to unsubscribe from the feeds. Can you please find some way for this to stop so I can once again enjoy the discussions?

Belive me, I feel your pain. The spam is something that I have to deal with every day.

So, effecive immediately, we're going to run a test to see if we can keep a lid on the fake Botox comments. All comments will have to be approved by a Medical Spa MD editor or myself before they go live. I don't expect to be able to stop all spammers but perhaps we can make a dent by trying to catch those that are clearly just posting spam.

Medical Spa MD Member comments will not have to be approved before being published so you can just login to your account to aviod the wait.

Note: Comments will only be rejected for violating our terms of use. We will not be verifying anything about the truth or accuracy of a comment or claim.

Thursday
Jul152010

Women's Body Shape & Memory Loss

According to a new study released this week from research performed at Northwestern Medicine at Northwestern University, hints that a woman's body shape may play a role in how good her memory is as she grows older.

It seems that memory loss is more pronounced in women who carry excess weight around their hips and thighs (referred to as 'pear shapes') than those women who carry it around their waists and belly ('apples').

(Hey, I know it's not PC. Those are the terms they use.)

According to the researchers, the reason pear-shaped women experienced more memory and brain function deterioration than apple-shaped women is most probably related to the type of fat deposited around the hips versus the waist.

Scientists know that different kinds of fat release different cytokines — hormones that can cause inflammation and affect cognition (the 'process of thought') and memory.

"We need to find out if one kind of fat is more detrimental than the other, and how it affects brain function," said Dr. Diana Kerwin, the lead author of the study and an assistant professor of medicine and a physician at Northwestern Medicine. "The fat may contribute to the formation of plaques associated with Alzheimer's disease or a restricted blood flow to the brain."

The study published in the Journal of the American Geriatric Society said, on average, there is a one-point drop in the memory score for every one-point increase in body-mass index -- a ratio of a person's height and weight. The study included 8,745 cognitively normal, post-menopausal women ages 65 to 79.

"Obesity is bad, but its effects are worse depending on where the fat is located," Kerwin said.

"The study tells us if we have a woman in our office, and we know from her waist-to-hip ratio that she's carrying excess fat on her hips, we might be more aggressive with weight loss," Kerwin said. "We can't change where your fat is located, but having less of it is better."

Wednesday
Jul142010

Sciton Launches New Site For Japan Market

Sciton reaches out to their Japanese customers via a new Japanese-language site.

Sciton recently offered our members a great deal on their BBLs IPL and they just sent over a bit of news I thought I would share with our international physicians and med spas.

Sciton is making a committed effort to support the Japanese aesthetic market (the second largest in the world) and has launched a new site for their Japanese-speaking customers.  Their hope is that Japanese customers will get better, more accurate info, in their native-language.

We’re excited to have the ability to provide information about our lasers in the Japanese language,” said Mr. Hiroyuki Takase, General Manager of Sciton Japan. “Since the establishment of Sciton Japan in April 2010, inquiries about Sciton laser systems have been coming in every day.  Now, with the translated website, we can serve our customers in a convenient and real-time fashion to provide the materials and references that they need.

For our Japanese doctors, you can check out their new website at: www.Sciton.jp

Thursday
Jul082010

Is The Recession A Boon For Laser Tatoo Removal?

The recession may actually be a benefit for medical spas and laser clinics that offer laser tatoo removal.

Playing it safe is not usually associated with great success. It’s that whole, nothing ventured, nothing gained, and the risk is worth the reward sort of thing. And in this business, you’re surrounded by risk-takers. Of course by the time they get to us, the risk resulted in regret.

In the midst of a recession, we launched a laser tattoo removal business in Houston, Texas. There were already over 100,000 people unemployed in our little part of the world, so needless to say entrepreneurial ventures were looking particularly intimidating.

In spite of the clear obstacles to starting a business, we had a strong sense that there would be a market for our services. And while some people feel it’s better to cast a wide net, we kind of took the opposite approach. We decided to bypass several other popular kinds of laser treatments and to focus specifically on laser tattoo removal. We knew that it was a risk, but it felt right to stick to one service that we were passionate about, and good at. I feel like a lot of people fail because they spread themselves too thin and lose sight of their true passion.

Dominos Falling

It wasn’t long before we realized that, our gut feeling was dead on. Despite providing a scary backdrop for our new company, the recession also provided the perfect landscape for our services. Remember that astronomical unemployment rate? It turned out, oddly enough, that it actually worked in our favor.

See, it was a matter of dominos falling in a way. The recession impacts businesses of all sizes and kinds, forcing them to lay people off. We saw first hand that when business downsize, it creates a massive pool of job seekers all vying for the same limited number of positions. The competition for work had people doing everything in their power to even the job-search playing field. And that’s where we came in

The Waning Job Market

In the increasingly competitive job environment, with larger pools of candidates to choose from, employers could be as selective as they wanted to be. Suddenly, little things like visible tattoos became deal breakers. W began to see the impact of that reality on our phones and in our lobby. While women have commonly gotten tattoos removed after becoming moms, the main reason a man comes to us, is because his tattoo is limiting his job prospects. In fact, we found that almost a quarter of our new appointments listed employment opportunities as their reason for wanting a tattoo removed. At that point our hunch, felt a lot more like ESP.

Sure, in some industries tats have always been an issue, but it’s actually amazing how many jobs have a “no visible tattoo policy”, it’s really not just bankers anymore. Companies from Toys R Us to Calvin Klein have prohibited visible tattoos. Even the local police forces in Houston and Dallas have a “no ink showing” rule. I mean, these are cops. These are tough guys, guys who are supposed to be able to brave the needle and use bad ass tattoos to strike fear in the hearts of criminals.  Now even they need to wear long sleeves, patches or makeup. Speaking of weapon-yielding folks that have to “cover it”; tattoos are also an issue in the military. And for many people in the throes of unemployment, military ink policies pose an issue.  We’ve heard plenty of stories from people whose slim prospects for work, have them looking to the military as a “Plan B”. Of course by the time they come to us, Plan A is often a distant memory.

When someone has to come in to remove a tattoo, whether it’s to improve their chances of finding work, or to meet military enlistment standards it is always bittersweet. Sure, the focus is on the future, but it’s hard to say good bye to something meaningful. So while the laser treatment may be painless, the parting is not. In some cases parting with payment is difficult too. In a tough economic climate, having to spend over $1000 for several sessions is a brutal investment in the future. I guess the old saying, you have to spend money to make money, applies here.  Especially if you have neck tattoos from your teen years.

Learning Our Place

All of those combining social and economic forces happened to be a sort of perfect storm for a little laser tattoo removal venture. It would be nice to say we predicted how all this would play out from the very beginning. But I don’t think we could have. We only knew that this technology would become more important to society, and that it was already important to us. It was early on though that we recognized how our country’s circumstances would impact our future. When we identified that niche of people who needed our services, not simply out of regret but out of necessity; it helped us feel like we were really changing lives for the better.

If there were 2 pieces of advice anyone should take from our story it would be; focus on doing one thing to the best of your ability and always try to look past the surface of your deliverables. Find what you are really giving people. In our case, it made all the difference in the world when we began to think ourselves as a piece of a much larger puzzle, and we considered the role we really wanted to play.  I mean, on the surface, yeah, we remove tattoos. But when we looked deeper, we discovered that what we’re really doing is giving people a new beginning.

This guest post is written by Janet Peterson, a writer for “New Look” a Houston laser tattoo removal business. Janet has extensive experience writing about tattoos and tattoo culture.

Submit a guest post and be heard.