Medical Spa MD {4} Mr. Adrian Richards MBBS, MSc, FRCS (Plast.) - Cosmetic Medicine In The UK

A real eye-opener for physicians in the US... In this episode of the Medical Spa MD Podcast we discuss cosmetic medicine in the UK with plastic surgeon Mr. Adrian Richards.

Listen to this episide here.

Mr. Richards qualified as a Doctor in 1988 and for the last 12 years has specialised in plastic surgery. He has full registration with the General Medical Council No. 3286812 and is a Member of both the British Association of Plastic and Reconsructive Surgeons (BAPRAS) and the British Association of Aesthetic Plastic Surgeons (BAAPS), the leading British professional bodies for plastic surgery and reconstructive surgery. He is an author and has written a best-selling textbook ‘Keynotes on Plastic Surgery’. He is founder of Cosmetic Courses, a company accredited by the Royal College of Physicians, which provides training to medical practitioners entering the aesthetic market and was the lead investigator in recent clinical research into the use of Botulinum Toxin A (Botox) for cosmetic purposes.

In this episode we're discussing cosmetic medicine in the UK with Adrian Richards. It will probably come as something of an eye-opener for physicians in the US to learn that; most cosmetic surgeons in the UK don't really worry too much about informed consent, being sued by a patient is a rarity, filler injections are unregulated, and that physicians are routinely employed by non-physicians. I found the differences to be striking.

We also discuss how Adrian markets his services through social media, videos, and podcasts of his own as we delve into cosmetic surgery across the pond.

Some of what we talked about in this episode.

Our New Facebook Group: Physicians + Facebook Marketing - How to do it correctly!

Join our Facebook group: Physicians + Facebook Marketing - How to do it correctly!

Facebook now has more than 500 million accounts.... and if you're not using it to promote your services and build a community around your medical spa or clinic, you're missing the point.

Rather than just discuss Facebook marketing here on this site, we've decide to actually show you how to do it by using Facebook.

The new group that we just started, Physicians + Facebook Marketing is only a few days old. So far, we've got 30 people to join and we're going to grow this group while showing you exactly how we're doing it... on Facebook.

We'll have a number of our staff who are responsible for our social network marketing on Facebook, LinkedIn and Twitter in this group to answer any questions you may have, or just learn from the case studies and articles.

You'll also want to listen to some of our new podasts since we've been discussing social marketing on there.

As always, if you like the content that you find here on Medical Spa MD, please give us a small pat on the back by clicking the new 'like' button that you'll find at the bottom of each post.  ; )

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Medical Spa MD Members get a Podium patient review marketing account and save $1,257

Protect your reputation. Get new patients. Medical Spa MD Members receive a special, full service Podium account that includes: no setup fee (save $300), a 10% discount forever (save $330/year) and on-demand patient review marketing training for your entire staff ($597 value).  This offer is not available anywhere else.

Medical Spa Advertising: Keeping it Legal - PART 2


State and federal regulations centering on medical spa advertising can often be daunting to navigate through.  How can you make sure your ads are within the “legal” realm?   Read on through Part 2 of Medical Spa Advertising - Keeping it Legal. 

Read: Medical Spa Advertising: Keeping it legal Part 1

The ever increasing number of State and Federal laws that can pertain to the use of photographs of patients has triggered a lot of questions from the medical community.  Below are some frequently asked questions and answers from Michael Sacopulos, General Counsel for Medical Justice Services.  Note these are general answers and are not State specific.  You should consult local licensed counsel to address laws, regulations and prohibitions specific to the State in which you practice.

Question #5: What concerns should I have if I want to implement an e-campaign to my database?

Answer: You will not be surprised to learn that there are specific Federal laws related to the use of e-mail campaigns for commercial purposes.  Specifically, the CAN-Spam Act sets forth the Federal requirements for those wishing to promote goods and services by e-mail.   Before you start to send those e-mails, check out the Federal Trade Commission’s website on this act:  http://www.ftc.gov/bcp/edu/tubs/business/ecommerce/bus61.shtm  

Question #6: What should I know before I start a Facebook account?

Answer: From the legal perspective, information that you place on Facebook is treated exactly the same as information that you would place on your practice’s website.  However, some have found Facebook to have a more intimate feel.  People tend to make statements and do things on Facebook that they might not otherwise do on a typical web page.  We have all read the accounts of individuals losing a job because of some posting on Facebook.  I recommend that you keep two separate Facebook accounts.  You may have one for your practice and one for personal use.  I believe it to be a mistake to mix your personal and professional activities in one Facebook account. 

Question #7: Can I give a referral patient a gift card to use towards services?

Answer: Yes.  Few problems arise from giving a gift card or a discount to a patient that has been referred to your practice.  It is more difficult to compensate patients for the promotion of your practice.  As we discussed above, should you wish to compensate a patient for the use of his or her before and after photographs on your website, this fact must be disclosed. 

Question #8: If all these are legal requirements, why don’t more doctors get prosecuted?

Answer: This sounds like a practical question from a risk taker.  The answer to this question rests in the limited resources for enforcement.  Most people driving above the speed limit don’t receive a ticket, but it is clearly a possibility every time someone exceeds the speed limit.  One more word of caution: The penalties for violating some of the rules and regulations described above can be quite harsh.  Your smartest move is to try to comply with all rules and regulations regarding online advertising.                 

One final word of caution about online advertising and the use of patient images…Many professional societies have ethical guidelines that members are to follow when advertising.  These guidelines may be stricter than State or Federal laws.  The AAFPRS has some well reasoned guidelines that should be known by members prior to initiating an advertising campaign.  Members of the ACS should consult that society’s Code of Professional Conduct which can be found at http://www.facs.org/fellows_info/statements/stoprin.html. The AMA has an extensive document entitled “Principles Governing Advertising in Publications of the American Medical Association” which provides guidance.  This document can be found at http:/pubs.ama-assn.org/misc/adprinciples.pdf .

Mr. Sacopulos is a practicing attorney in Indiana.  This article reflects his opinions and perspectives on advertising and legal issues set forth in this article. 

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The New Medical Spa MD Podcast

Medical Spa MD now has its own podcast for physicians and medical spas and the first couple of episodes are now live.

I've been looking to start a podcast for Medical Spa MD for a while now, and we've finally launched.

With each new episode, we'll talk about cosmetic medicine, plastic surgery, cosmetic lasers, clinic operations, management, marketing, sales, treaments, cost controls and everything else you'll want to know. We'll be asking (and hopefully answering) the tough questions. How do different cosmetic lasers compare? Which IPL company provides the best service? How should you compensate and motivate your staff? How to market your clinic? Where to spend your advertising budget? How to get started. How to grow. How to compete. Finally, what does that mean for your business and lifestyle?

To start, we're interviewing physicians who discuss their own concept of personal brand and how they've managed their careers outside of clinical medicine. 

In the first episode we talk to Dr. Greg Bledsoe about the Medical Fusion Conference and his desire to help physicians control more of their career. Greg's speaking from experience here. He's a leader in expedition medicine and organizes his other businesses to facilitate the lifestyle and income that he wants.

In episode 2 we're talking with Dr. Elliot Justin of Swift MD about telemedicine and the efficient delivery of medical services remotely. Elliot talks candidly about Swift MD and how company got started and functions operationally. He's also got some views on the state of US healthcare that resonate with almost every other physician I know.

We've already got another few episodes being edited and a long list of physicians and others who are scheduled to appear. My goal is to get out at least one every other week for the foreseeable future.

This new podcast will focus on providing relevant information for physicians, with a special emphasis on cosmetic practices, techniques, marketing, operations and just about everything you'll want to be aware of the field of nonsurgical cosmetic medicine. While we'll have plenty of physician interviews, we'll also be talking to technology companies, marketing gurus, and others about what it takes to run a successful medical practice, and exactly how to use these tactics and operations inside your own clinic. We'll be providing broad overviews as well as delving down into specific treatments and 'how tos'.

The Medical Spa MD Podcast is a permenant addition. You can find it by clicking on the link in the main navigation at the top the page. You'll also be able to subscribe to the RSS feed directly or subscribe via iTunes as soon as they index the feed.

Please leave a comment and let me know what you think. What topics would you like us to cover in the future? What guests would you like us to interview?

Medical Spa Photographs & Testimonials: Keeping it Legal

Medical Spa ads are often peppered with photos (highlighting “real” patients and models) and glowing testimonials.   

Images of more than ideal treatment results from Botox, laser hair removal, fillers, chemical peels, photofacials grace local rags to targeted online ad placements…okay, you get the picture. 

A recent article stated that there are now more medical spas in the US than Starbucks!  Now, that makes for a very competitive market. 

As you strategically, aggressively advertise your Medical Spa – are you aware of the legal guidelines & do you know how to keep your advertising legal? 

The ever increasing number of State and Federal laws that can pertain to the use of photographs of patients has triggered a lot of questions from the medical community.  Below are some frequently asked questions and answers from Michael Sacopulos, General Counsel for Medical Justice Services.  Note these are general answers and are not State specific.  You should consult local licensed counsel to address laws, regulations and prohibitions specific to the State in which you practice.

Question #1:

When do I need to use the label “MODEL” on a photograph?

Answer:

The term “model” should be used when the photograph is displaying the results of a procedure or procedures not performed by the physician or practice (displaying the photograph).  Here the term “model” is being used in a general representative fashion and is not being used to display a specific practice or physician’s professional services/results. 

Physicians should secure a written release from any individual, patient, or model before using a photograph of that individual, patient, or model in any way.  The release should be specific to the photographs being used.   The release should also specify the way or ways that the photographs may be used.  For example, a release “for educational purposes”, will not cover internet marketing.  Do not attempt to get a release signed that covers “any and all future images, photographs or depictions…”  Courts have ruled that releases can go stale.  Finally, it is best for the release to specify the conditions and manner by which an individual may revoke the release at a later date.  

Question #2:

I hear the use of testimonials has regulations. Please explain.

Answer:

There are several sources of regulations over the use of patient testimonials.  Some state licensing boards greatly restrict or prohibit testimonials.  Each state has different standards; some flexible, some very restrictive.  The Federal Trade Commission also has rules that apply to the posting of testimonials.  In general, a physician should make sure that the testimonial is accurate (what the patient really said and not paraphrased).

Question #3:

What does HIPAA have to say in its marketing regulations about the use of “before and after” photographs and testimonials?

Answer:

HIPAA in general protects patient privacy.  Although the act does many things, it would prohibit the use of before/after photographs without a patient’s permission.  However there is nothing in the act that would prevent the use of accurate before and after photographs with a patient’s prior approval.  As always, this approval should be documented.  Finally, it should be made clear that a patient can withdraw his or her approval to use the photographs at a later date and that the physician must comply with this subsequent withdrawal of approval.

Question #4:

What is this I am hearing about The Federal Trade Commission in regards to “results not typical” and endorsements?

Answer:

Earlier this year, The Federal Trade Commission set forth new guidelines for the use of testimonials and advertising that apply to many areas including healthcare.  In the past, The Federal Trade Commission has taken action against certain weight loss products when these products were advertised by an individual claiming extreme weight loss.  The FTC’s position was that it is a deceptive trade practice to show an individual has lost 100 lbs. when this result is not at all representative of a typical patient’s outcome.  In this situation, the term “results not typical,” would need to be used.  Under the new regulations, we should expect that the FTC will take a similar approach.  My discussions with FTC officials have led me to believe that the Commission acknowledges that health care results vary.  The Commission’s goal is to see that potential consumers are not misled by advertising.  It is not advisable to select a statistical outlier to be representative and then try to protect it by adding the term” results may vary.”  Under the new FTC rules, you must also disclose the fact if an individual has received compensation (of any amount) or discounted services in exchange for providing a testimonial or endorsement. 

Mr. Sacopulos is a practicing attorney in Indiana.  This article reflects his opinions and perspectives on advertising and legal issues set forth in this article. 

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Your Medical Spa & Laser Clinic Advertising Sucks

I hate to tell you this, but your advertising sucks.

That's alright. Your competitors advertising sucks too.

In the last ten years that I've been around medical spas, laser clincs, dermatologist practices and plastic surgery centers, I've seen a lot of sucky advertising.

In the kingdom of the blind, the one-eyed man is king. It's more than just a little appropriate if you apply it to the marketing and advertisng of cosmetic practices. After all, the're generally small businesses in which the owner is in there working all day making the payments. It's no wonder that with; no training, no resources, no access, and no working knowlegde of how to really market and advertise... the typical medspa or plastic surgeon relies mostly on the 'vendors' to try to get some littel bit of name recognition.

And the vendors love to help you (if you're producing for them) by giving you a hundred brochures or postcards that tout 'their' product.

And docs are tripping all over themselves to try to get this stuff.

So, we're going to be doing something about that. We're going to to offer some actual advertising and marketing umph that a few of the smarter docs on the site will be able to take advantage of.

We're going to be launching a marketing and advertising portal for plastic surgeons, dermatologists, medical spa and laser clinics.

We've been working on it for the last six months already.

It's still about a month away but I've been pretty excited about it and thought it about time to show a little leg.

This new portal will be designed specifically around providing the highest quality marketing and advertising for cosmetic medical practices. The idea will be to provide entire, integrated campaigns that will give you the ability to have the same look and feel across your entire presence; business cards, postcards, brochures, flyers, posters, emails... all of it.

Sure, there might be another clinic somewhere that's using the same theme, but what will you care? You'll be paying pennies on the dollar for what you'd pay to have this work done exclusively for you and you'll be able to look a lot bigger than you are.

I may be jumping the gun just a little in this but, damn, I've seen the stuff and it rocks!

Oh, and by the way, this stuff wasn't put together by some teenagers or housewives with photoshop. We've scored some fantastic talent, from art directors to writers who have worked on huge accounts.

So, there are a few things left to do, but it's all coming together. Stay tuned.


Medical Spa MD Members get a Podium patient review marketing account and save $1,257

Protect your reputation. Get new patients. Medical Spa MD Members receive a special, full service Podium account that includes: no setup fee (save $300), a 10% discount forever (save $330/year) and on-demand patient review marketing training for your entire staff ($597 value).  This offer is not available anywhere else.

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.

Hey Jay Calvert MD, What Kind Of Website SEO & SEM Is Best For Your Medical Spa?

SEO is fast becoming a necessity in the plastic surgeon - dermatologist - medical spa - laser clinic space.

The need to get your clinic's site ranked on the search engines (most importantly Google, Yahoo and Bing), has led to a proliferation of vendors, many of which engage in nefarious SEO and SEM tactics that cause a lot of irritation and can actually hurt you in the eyes of the search engines.

A case in point is the 'comment spam' that I regularly have to deal with and remove from Medical Spa MD a couple of times a day. These spam comments used to be the familiar junk websites but there's been an increasing trend towards comment spam from more legitimate physicians and medical spas.

This kind of spam is increasingly an irritation as the amount increases and can cost you dearly as websites start banning the IP address that the comment originates from, removes the comment, and reports your IP address to services that monitor and take action against spammers.

Here's an example of comment spamming that someone represending a cosmetic surgeon in LA, Jay Calvert MD FACS, left on a Medical Spa MD forum thread on marketing and advertising about Solta Medical Thermage and Fraxel.

Jay Calvert MD, FACS

The new name of the company sounds good and much better than before. I've heard of this before and been looking for it. I was planning to have a consultation from them for this anti aging services. I heard they're good on it.

Name = Cosmetic surgeon Los Angeles
Email = Dr.Calvert09@gmail.com
URL = http://www.jaycalvertmd.com

doctors actual email address = info@jaycalvertmd.com and cerissa@roxburysurgery.com

Dr. Thomas McHugh

Liposuction and Smart lipo procedures in Houston, Texas is offered at the plastic surgery practice of Dr. Thomas McHugh.
Ambreen Tariq
<a href="http://www.tpmchugh.com/liposuction.asp"> smart lipo Houston </a>

peter thomas
ambreen_directory@yahoo.com
http://www.tpmchugh.com/liposuction.asp

Dr. Shelton for Botox in NYC

Being in a profession where appearance and first impressions are important, I decided to have some “work" done. I never thought I would undergo such a procedure but in today's competitive world and being in my early 40s, I decided to take a proactive approach to aging, my skin and my overall appearance, and consulted Dr. Shelton for Botox in NYC, http://www.thenyac.com/botox-dysport/index.html. My life has never been the same since the procedure. http://www.thenyac.com/

You can see from the comment above that it's clearly spam. The grammer is poor, the comment is totally irrelevant, and there's a link and fake email address. This is clearly just an attempt to get a link from Medical Spa MD.

These spamming services typically use low wage Third World labor oversees to try to spam sites that already rank highly in the search engines in an attempt to build backlinks and increase their own rankings. It's crass, it wastes everyones time and lowers the quality of the sites that are spammed, and it doesn't even work that well. Since the quality is so low the majority of these links are removed anyway. Worse, if anyone reads this crap they think you're an idiot that can't write or spell. Who would want to be treated by a cosmetic surgeon or medical spa that can't spell or form complete sentences?

If you're going to insult me (and every other Medical Spa MD Member) by wasting my time employing this kind of BS, you can bet that it's not going end in the result you're hoping for.

So what should you do?

If you actually want to get high-quality website SEO and SEM services as either a do-it-yourself user that employs your front desk staff to do it five minutes a day, or you want to outsource your medical spas search engine marketing SEO experts that speak English and know what they're doing, contact Frontdesk SEO after you run a free SEO report on your site.

Groupon & Medical Spa Offers

Groupon is gaining traction in a number of cities and doing a fair amount of business if their testimonials are a real indication of what's going on.

I received an offer last week from one of the local medical spas in the area for 50% off of some general day spa treatments (facials and massage).

I can see that you might generate some real traffic by offering high demand services like laser hair removal, but they might end up loosing you money since Groupon also takes half of all sales generated by the offer.

Is ayone having real luck generating traffic with services like groupon? Has anyone tried it?


Medical Spa MD Members get a Podium patient review marketing account and save $1,257

Protect your reputation. Get new patients. Medical Spa MD Members receive a special, full service Podium account that includes: no setup fee (save $300), a 10% discount forever (save $330/year) and on-demand patient review marketing training for your entire staff ($597 value).  This offer is not available anywhere else.

Writing For Your Medical Spa Site or Facebook Page

There's a pretty common concept in advertising copywriting (and phychology), I forget what the technical name is, but the main point is that as you're writing copy, you're constantly opening and closing loops in your readers' minds to encourage them to read further.

Let me give you an example of what openeing a loop might look like:

"Frontdesk SEO also gives you access to several automated marketing tools that really drive traffic - but I'll share those with you in a few minutes. Right now, I want to tell you about the personalized attention you'll get from the Frontdesk support staff."

See how that works?

I said I'm going to tell you about something in a minute, so it's kinda like a little "tease". It opens a loop, a question, in the readers mind that they want answered. They'll continue reading to aleviate that psychological need and close the loop.

It's the kind of thing that you should keep in mind when you're writing for your medical spa on your facebook page or social media sites (if you're not oursourcing that to Frontdesk or Freelance MD already.)

Your Medical Spa Frontdesk & Website SEO

Damn! That was a lot of work but we now have a special website SEO reporting tool installed directly in Medical Spa MD.

Frontdesk SEO is a Select Partner and the uber-cool Frontdesk SEO reporting tool is now available directly from this site.

For those of you who have not yet run one of Frontdesk's website report on your site, you'll want to ASAP. It's somthing akin to a credit check for your website and gives you a look at your Page Rank, links, SEO, competion, trends, and lets yo knowwhat Google, Yahoo, and Bing think of your website.

The report is free of course, but you'll undoubtedly receive an email at some time in the future about Frontdesk's do-it-yourself SEO software or outsourcing services (Which are fantasitc by the way and we use them ourselves). That's the trade of course, which is fine. After all, we're all capitalists here.

Medical Spa MD: website seo - RenassanceClinique.com

Dr. Scott Shearer of Renaissance Clinique in Sweden was among the first to take me up on a website critique around SEO, content, structure and design.

Since we get a lot of inquires around online marketing and conversion, I'm planning to do these as something of a regular series that breaks down common mistakes and how to implement some simple tactics that will improve your search engine rankings and visibility, and your site's conversions.

If you've got any questions after watching the video, please post a comment and I'll try to answer it there, and address it in future videos. The goal is that these will start out fairly broadly, but get much more specific. After watching just a few you should be much better equiped to make better decisions that could really impact your business.

If you'd like your own site reviewed, please contact us and let us know. Include any specific questions you're looking to have answered and we'll address them.

Ah, almost forgot. I'm thinking of starting either a pocast, or a combination podcast/video series that might include live interviews and interaction in real time. This would be a first for sure. If you're a interested in that be sure to let us know as well. Also, I'm going to include all the links that we discuss in these videos as 'show notes' so that you'll be able to find anything we discuss.

Read More

Effective Link Building Strategies to Increase Your Medical Spa's SEO

If you are new to "link building", it really isn't as hard as it seems.

Basically, link building is just a link from another website back to your own medical spa or laser clinic. The more back links your site has, the higher it will rank on the major search engines.

Link building can be very time consuming, but the FrontDesk SEO tool can really help you go out there and find the sites you should be listed on. This saves you a tremendous amount of time.

Because you will be resubmitting the same text over and over again, make yourself a document that you can keep all of your submission text on. This should include your Page Title, your website's URL address, a brief description of your practice, and important keywords. Website submissions also ask for a name of the submitter and email address. I would suggest setting up a email address with Google or Yahoo, one that you only use for submissions, this way your personal email won't become inundated with confirmation and/or spam emails as a result of your submissions.

View: 5 minute video introduction to linkbuilding and SEO

There are several types of link building methods you can do. Some are just basic data submissions, and some are blog and article submissions. I will describe the differences amongst the major link building methods:

Article Submission

There are directories on the web designed just for submitting articles and some for writing blogs. When you submit something you wrote about your practice or even a particular therapy you offer, you can attach hyperlinks to keywords in your article that direct the reader back to your website. Some quality sites are Squidoo, Hubpages, Blogger, and Wordpress.com. Let me show you how this works with just one line taken from a blog I wrote on my own blogpost:

"It's your body and you do have to be careful of who you choose to perform your laser lipo procedure. While no physician can have a 100% satisfaction rate, don't be afraid to ask questions about how long a physician has been performing these procedures, who they trained with, how many procedures do they perform a month, and also if they have any satisfied patients you can chat with. Also, it's important to ask to see a before and after photo book with their patients, and not someone else's."

By choosing a keyword you think your reader would be interested in, you can immediately direct them right to that page on your website with the hyperlinks.

Google considers a "Yahoo Directory" link as a quality back link. Unfortunately, they charge an annual fee of $300. It may be worth submitting to; however, there is no guarantee from Yahoo Directory that your site will be accepted.

Directory Submission

DMOZ is a directory worth submitting your site to. DMOZ is an Open Directory Project (ODP) mainly known as DMOZ which stands for "directory.mozilla.org" and is owned by Netscape. While DMOZ can substantially increase your SEO ranking, it's tough to receive their approval and the entire process could take months. If you are fortunate enough to receive their approval, many smaller directories use the DMOZ directory categories so if you can become listed with DMOZ this would mean you would also become listed on many other web directories as well.
There are other major directories you can submit to such as the BOTW (Best Of The Web) directory ($99/year or $299/permanent).

Social Bookmarking

Social bookmarking is changing in it's effectiveness all the time. In social bookmarking websites, users save links publicly (not personally on their own computers) to web pages that they want to store and/or share with others. Usually, these bookmarks are shared within an individual "group" someone may subscribe to (such as "Laser Hair Removal"). You can add descriptions to your bookmarks in the form of metadata, or meta tags, so that other users can understand what the content is of your bookmark without having to download it beforehand. Different types of "descriptions" can include comments or even reader's votes (favorable or not - like on YouTube or Digg). Again, FrontDesk SEO makes this process relatively easy.

Blog Commenting

MedicalSpaMD is a blog and, like most blogs, it is highly susceptible to spammers like we have all seen and Jeff so diligently tries to eliminate on a daily basis as it can be a true nuisance for people like us who use this site as a valuable tool for your practices.

If you want to find blogs to participate in and comment on, try to find quality blogs that are related to what you do as a profession. Again, FrontDesk SEO can help with this. And when you add your comments, try to make them content-relative because not only do your comments add value to the blogpost in general, they also have greater chance of staying on the blogpost with a link back to your website.

Press Releases

Press Releases have worked well for me, and I'm not too proud to say that I didn't write the ones that really worked. There are a lot of good and bad example press releases out there and I am no exception. Writing a quality press release is an art and, frankly, I don't have the talent for them and pay someone else to do it. Let me give you an example of my own good and bad press release experiences.

While this press release still continues to give my website hits, all it is is words: Paula's Bad Example

Now look at the one I paid Fran Acunzo from Acara Partners to do for us. It includes a photo, links and even video: Paula's Good Example

If writing a good press release including videos and back links is not your forte, then it's worth it to farm it out. Just writing a good press release is half the battle. Submitting it to the right press release agencies that will index it effectively for you is the other half.

Social Media Sites

Social Media sites such as Facebook, Twitter, Flickr and YouTube work very well by providing quality and relevant back links to your site that all the major search engines love.

So, this is back linking in a nutshell and we can really go deeper into the categories, but I fear you will become bored or even glassy-eyed if you're not a geek like me. So if you don't have someone out there performing these activities for you and you really are serious about your web presence, you really might want to take a look at FrontDesk SEO and see what it can do for you. Just remember, building links doesn't increase your website's internet presence overnight. It does take some time, like my good friend Jeff keeps reminding me! In a world of available "instant results", it's hard to be patient sometimes! 

Author: Paula D. Young RN runs internal operations and training at Young Medical Spa and is the author of the Medical Spa Aesthetics Course, Study Guide, and Advanced IPL & Laser Training course for medical estheticians and laser technicians.

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FDA Warns 6 Medical Spas About Lipodissolve Marketing

Lipodissolve (or liposolve or mesotherapy) is a staple in any number of medical spas, but the FDA has just issued a warning letter to 6 clinics that they've crossed the line in marketing lipodisolve to patients.

My own experience with lipodissolve mesotherapy is something of a mixed bag. Clinics that I've been associated with have offered liposolve in the past and I'm aware of one really scary incident where a woman had been treated in Park City over a large area (thights and stomach as I remember) and then went golfing. She colapsed at the golf course and was rushed to the ER at the University of Utah.

She recovered but the administering physician faced some pointed questions from the ER docs about what he'd injected and why.

(The lipodissolve treatment causes fluid accumulation and swelling temporarly. That fluid comes from the blood stream and when there's a large treatment area, that can be a lot of fluid. This can affect the patient's blood pressure and volume, in some cases dramatically. This patient's recent treatment combined with golfing in the sun, walking, and dehydration was enough that she tipped over and (I think) lost conciousness for a few moments.)

If you're offering lipodissolve, leave a comment below and detail your experiences, results and thoughts... especially if you're from one of the 6 medial spas named below.

Anyway, here's the FDA story via USNews.com

FDA Issues Warning on 'Fat-Melting' Spa Injections

There's no proof the procedures work and serious side effects can occur, agency says

Claims by spas that "lipodissolve" injections can melt away fat are unsubstantiated and the procedures' safety also remains in question, according to warning letters issued Wednesday by the U.S. Food and Drug Administration.

The FDA warned six U.S. based medical spas and a Brazilian company to stop making false claims about the drugs used in these procedures.

Sold on the Internet and used by some spas, lipodissolve is a procedure that its proponents claim will eliminate fat. U.S. companies claim that the drugs used in the procedure are safe and effective, but these products have never been approved by the FDA, the agency said.

"We are concerned that these companies are misleading consumers," Dr. Janet Woodcock, director of the FDA's Center for Drug Evaluation and Research, said in a prepared statement. "It is important for anyone who is considering this voluntary procedure to understand that the products used to perform lipodissolve procedures are not approved by the FDA for fat removal."

Lipodissolve involves several injections that supposedly dissolve and remove small pockets of fat from areas of the body.

Lipodissolve is also known as mesotherapy, lipozap, lipotherapy, or injection lipolysis. The drugs most often used are combinations of phosphatidylcholine and deoxycholate.

Sometimes other ingredients such as vitamins, minerals and herbal extracts are added into the mix, the agency said.

However, there is no "credible scientific evidence that supports the effectiveness of any of these substances for fat elimination, and their safety when used alone or in combination is unknown," the FDA said.

The FDA has asked for a written response from the U.S. companies within 15 days outlining how they plan to correct the violations and prevent future violations. Failure to correct the violations could result in legal action, the agency said.

Each company has been cited for a variety of violations, including making "unsupported claims that the products have an outstanding safety record and are superior to other fat loss procedures, including liposuction," the FDA said.

Also, some of these companies have claimed that lipodissolve can treat certain medical conditions, such as male breast enlargement, benign fatty growths called lipomas, excess fat deposits and surgical deformities.

"The FDA is not aware of clinical evidence to support any of these claims," the agency said.

FDA officials have received reports of negative side effects from people who have tried the procedure, including permanent scarring, skin deformation, and deep painful knots under the skin in areas where lipodissolve drugs were injected.

Warning letters were sent to: Monarch Medspa, King of Prussia, Penn.; Spa 35, Boise, Idaho; Medical Cosmetic Enhancements, Chevy Chase, Md.; Innovative Directions in Health, Edina, Minn.; PURE Med Spa, Boca Raton, Fla.; and All About You Med Spa, Madison, Ind.

The Brazilian company receiving the warning letter sells lipodissolve products on two Web Sites: zipmed.net and mesoone.com, the FDA said.

The FDA also has issued an import alert against these Internet sites to prevent the drugs from being imported and distributed in the United States.

Well, the zipmed and mesoone sites are both down and have this simple statement.

Due to the current facts, Mesoone.com and Zipmed.net do not sell Lipodissolve vials anymore. Thank you. For more information access www.fda.gov

Leave a comment below.

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