Medical Spa MD Advertising

A quick answer to a question I received via email.

Hey jeff, I have a question for you. The ads that appear on the right side of MedicalSpaMD in the "Ads by Google" space, did you subscribe to Ad Sense to get them there? Are they Google Ad Words ads, or are they from a PPC company like Yodle or Reach Local?

We have a number of advertisers on Medical Spa MD, some of whom use Google and others who want specific placement and visibility who place their medical spa ads directly.

These direct ppc ads are used for a couple of purposes; to pay our hosting and bandwidth costs so we don't have to charge readers, and to pay the fees for other services we use to communicate with Members and fulfill orders. On the other end the advertisers gain access to more than a million and a half page views from a pretty select member community. It seems to be working out pretty well since we're getting an increasing number of businesses who want to become a Medical Spa MD Partner.

Advanced Aesthetics Course: Understanding Injectables

Injectable products are an important contributing factor to your clinic's financial success. With new products entering the market like Dysport and Evolence, and other exiting like ArteFill, it is important that your staff be knowledgeable of the products used in injectable procedures.

Although this chapter from the Advanced Medical Aesthetics Training Manual wasn’t actually requested in the training manual I wrote for the academy students, I felt it was extremely important for , especially for medical estheticians, to know the difference amongst the various treatments used to alleviate the appearance of wrinkles and folds, and the difference between dynamic and static lines.

Medical estheticians have the most “face time” with clients, examining it with magnifying lenses, treating it with exfolliants, moisturizers, galvanic current, high frequency, various acids, etc. They understand the realm of fine lines and wrinkles and know what can be alleviated with topical treatments such as facials, peels, microdermabrasion and laser resurfacing, and what cannot.

I cannot tell you how many patients call or come into our office with no knowledge of the difference between paralyzing agents such as Botox and Dysport, and dermal fillers. We take it for granted that we know the difference, but injectable products can be very confusing to the lay person. Because the aesthetician works with the client’s skin, they should be well versed in the differences in the two categories of injectables and the products that lie within. Estheticians become your most powerful education source for your clients which ultimately leads to an upsell for them (with possible commission).

Many people think all fillers products are the same, nor do they care to understand the difference between hyaluronic acid or calcium hydroxylapetite. All they truly care about is “how long will it last” and will the “results look fake”. Only with proper education can the medical esthetician effectively and intelligently discuss the differences in the filler products, educate the patient about the effects and lasting results, and help lead the patient to the right product, or combination of products, for their expected outcome.

This information in this chapter is very important for your front desk/phone people as well!

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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IPL & Lasers from China

I've certainly been getting a lot of IPL & cosmetic laser companies from China contacting me lately trying to get on the site.

I haven't seen one yet that claims FDA approval for their lasers. Does anyone with a laser clinic or medical spa outside the US have experience using lasers or IPLs from China? Are lasers or IPLs a workable solution for clinics in Europe or Asia?

Im guessing that a very large majority of the componants that are used by Palomar, Cutera, or Thermage are manufactured in China already.

PermaTox: Botox results that are permanent?

PermaTox? I was sent a link to this page by a patient who was asking my opinion about this treatment.

Has anyone heard of this Permatox proceedure? The last line of this pitch discloses that it was developed by prominent cosmetic surgeon named Guillermo Blugerman. In looking up Guillermo Blugerman on Google it seems that he's a surgeon from Argentina.

Any plastic surgeons on the boards here heard of PermaTox or have an opinion on it?

Here's the pitch for PermaTox from a medical spa web site:

PermaTox – A Brand New Procedure That Promises Botox-Like Results That Are Permanent

Tired of frequent Botox injection visits? PermaTox might be the long-term wrinkle solution for you! A new procedure that promises to give you longer lasting results without the needles!

PermaTox - has been tipped as a possible future anti-wrinkle remedy that uses a thin surgical thread to sever the specific nerves that cause frowning, which results in less movement and fewer lines.

While PermaTox patients might still receive periodic Botox® injections in other forehead areas, sometimes keeping the glabella (frowning nerves between the eyes that makes that annoying furrow between the brows) relaxed can, over time, soften wrinkles in other forehead areas, as well.

An observed effect of this treatment has been that eyebrows gradually tend to become more elevated and horizontal forehead lines reduced, potentially eliminating the need for elective surgery or Botox injections entirely for some patients.

PermaTox , is safe and quick, taking only 30 minutes in the office to perform.

Dr. B_____ is the only one performing this procedure and trained by the prominent cosmetic surgeon Guillermo Blugerman, who developed this technique.

Interestingly, all of the Google search results for PermaTox are for pest control.

Medical Spa Newsletters & Strategic Marketing

I'm guessing that about 40% of medical spas, laser clinics and skin clinics do some form of email marketing or newsletter. Perhaps I'm wrong but that number seems about right to me.

Of course I'd say that about 1% are really using newsletters or email effectively since there's something of a learning cure, it takes a while to create the content, and there's some dilligence involved to actualy take the time to send a consistant strategic marketing message and accelerate sales.

At Medical Spa MD we're about to start publishing something that looks and feels pretty much like a 'medical spa marketing newsletter', but behaves much differently. We'll be using the Sendside Platform to create and distribute what amounts to an interactive, multi-dimensional message.

If you're a Medical Spa MD Member you'll be receiving one of these in the next few days and you'll see immediately what I mean. If you haven't yet joined Medical Spa MD you can do that now. It's free, and there are some really nice downloads in the members only area of the site that you'll have access to. Not convinced? See what Medical Spa MD Members say about us.

As we increase our offerings to Members we'll also be posting about how we're doing, and how we're doing it. We'll be writing about our successes in communication for our partners and advertisers, and when we're not doing so hot. The benefit for Medical Spa MD is that we'll be using our existing Members as well as new visitors as something of an ongoing focus group. (Usually I retch at the use of focus groups to define what you should do, but this one's actually going to work since it will be anonymous, live, and we'll have real numbers to show.)

If you're a Member you'll be able to both see what we're doing, and we'll be showing you how we're doing it. If you wish, you'll be able to replicate it. For our members who are vendors this is particularly interesting since there are a few things that are of particular interest. We'll be posting all of these in the Medical Spa Marketing & Advertising category so you'll be able to read all of the posts there.

We'll all be able to see where this goes.


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 Training Manuals Launched!

We've successfully launched the Medical Spa Training Manuals... finally.

It was something of a struggle for the last few weeks trying to get everything edited and designed but the result is extrordinary. I'd like to congratulate Paula for excellent work and Melissa for the final editing and the very long days getting everything together. We couldn't be happier being given the opportunity to publish them.

If you haven't yet taken a look you can download the tables of content for both the Advanced IPL & Laser Training for Non-Physicians and the Advanced Medical Spa Aesthetics Training Manual & Study Guide.

If there are cudos, and there are certainly going to be, the're most correcty directed at Paula, who has done a fantastic job on the content, from differences in technology to a fantastic sense of what's the needed amount of information in each areas.

Of note: a number of our first orders have been made by medical spa consultants and trainers who know how important training your laser clinc or med spa staff actually is.

Medical Spa MD Training Courses

Finally available! The Medical Spa  MD Training Courses for Laser Clinics, Medical Spas, Plastic Surgery Centers and Cosmetic Dermatology Practices.

Your medical spa staff's knowledge and expertise is a critical componant to your medical spa or cosmetic clinic's success.

From IPL training to skin typing, Botox, Restylane, and Juvederm filler injections, the Medical Esthetician Training Manual & Study Guide, and the Advanced IPL & Laser Training for Non-physicians is required material for smart medial spas, plastic surgeons and cosmetic dermatologists.

Now it's easy to train every new hire on what non-surgical cosmetic proceedures you offer, how they work, and what alternatives there are. Ensure that your front desk, estheticians and laser technicians have the information that they need to answer patient questions with confidence.

For the first time, your laser clinic or medspa staff has the latest information on the newest nonsurgical medical treatments. From Botox, Restylane, and the newest filler injections, to fractional CO2 laser resurfacing, skin tightening and IPL treatments, now you have a uniform and tested training system. This is a must have for any serious cosmetic clinic.

Download Advanced IPL & Laser Training TOC
Download Medical Spa Aesthetics Training Course TOC

 

Advanced IPL & Laser Training Manual

 

The Advanced IPL & Laser Training Manual for Non-Physicians is required training material for every new hire working in a medical spa.

From IPL to fractional laser treatments, this manual covers the non-surgical IPL & Laser treatments your staff should know. Give your staff the information that will make you successful.

Advanced IPL & Laser Training - $227


 

 

 

Medical Estheticain Training Manual & Study Guide

 
The Advanced Medical Spa Esthetics Training Course & Study Guide is a two part learning cirriculum for non-physicians.

With 165 pages of quality content, this course is delivered in two parts that include a text book and a study guide. Already being used by leading medical spas and esthetician schools.

Medical Spa Aesthetics Training Manual & Study Guide - $247

 

 


Get all three and save: The Medical Spa Aesthetics Training Manual & Study Guide AND The Advanced IPL & Laser Training Manual

Buy the Medical Spa Aesthetics Training Course & Study Guide AND the IPL & Laser Training course and save almost $200!

 
Medical Spa Aesthetics Training, Study Guide, and Advanced IPL & Laser Training - $297

 

 

These training manuals are a critical component to the success of any Laser Center, Med Spa, Plastic Surgery or Cosmetic Dermatology practice. Use them to train every new medical spa staff member on what cosmetic proceedures are available, how they work, and what alternatives there are.

Written for non-physicians, both of these advanced training courses are already being used in leading medical spas and laser clinics to provide every new medical estheticians, laser techs, and front desk staff with current information about cosmetic information, and test their knowledge before they're hired.

Written by Paula D. Young, RN, these training manuals are designed to meet the real-world needs of cosmetic practices by those who know how to run a succesful cosmetic practice and how important it is that your staff is trained and has the information they need to become trusted avisors to your patients.

Everyone who has owned or run a med spa or cosmetic practice knows how long it takes to train new staff, and how much damage can be done with the wrong information. These new manuals and study course from Medical Spa MD make it easy to provide consistant, quality information to staff and ensure that everyone is on the same page from day one. Your entire staff now knows what your education expectations are and have the materials to meet them.

From Thermage to IPL to fillers and chemical peels, how they work, who they're for and when to use them. These courses give your laser techs, medical estheticians and front desk staff a deep understanding of the landscape of nonsurgical cosmetic medicine and save you endless hours of repetitive individual trainging. It's the single best investment you'll make in your medspa.

Give your staff the benefits of insider knowledge and make sure they're making the right decisions.

Is Botox & Restylane carrying your Medical Spa?

More studies on Medical Spas, Botox & Restylane seem to be pointing to the steady climb of filler injections, even when other cosmetic medical treatments might be less steady.

Are Botox, Restylane and Juvederm appointments steady for you?

From the  article:

During times of economic uncertainty, economists have noted that American women load up on affordable luxuries as a substitute for more expensive items such as clothes and jewellery.

Dubbed the “Lipstick Indicator”, it was charted first during the Great Depression, when industrial production in the US was cut in half, but sales of lipstick climbed 25 per cent. In more recent periods of belt-tightening, including the Second World War and the 1973 oil embargo, general spending declined, but cosmetics sales held strong. Most recently, lipstick sales jumped 11 per cent in the months after the September 11 attacks on New York and the Pentagon.

But this time around, that is not happening. In 2008 annual lipstick sales actually dropped five per cent, according to Inside Cosmeceuticals, which tracks cosmetics purchases in the US and UK.

Now, it seems, Americans – both men and women – are splurging on a more modern luxury: cosmetic injections like Botox, Restylane, Juvederm and Sculptra.

The American Society of Plastic Surgeons reports that surgical cosmetic procedures like nose jobs and tummy tucks dropped off nine per cent from 2007 to 2008. However minimally invasive procedures such as Botox, which eases wrinkles, and Restylane, which puffs up sagging skin, are up more than five per cent.

“Botox and filler have carried us through this recession,” said Dr Herbert Parris, at the Ageless Remedies Clinic in Denver, which does laser treatments, facials and microderm abrasions.

He credits the rise in part to the fact that Botox patients have a 97 per cent satisfaction rate, on average, with Restylane and other fillers causing satisfaction about 60 per cent to 70 per cent of the time.

“It’s a quick hitter,” he said. “An easy pick me up.”

Clients at Ageless Remedies have sharply cut back their spending on other treatments such as facials, chemical peels and microderm treatments, according to clinic director Donna Reichert. But women – and increasingly men – keep walking through the door for injections.
“I think in part it is the instant gratification,” said Ms Reichert, noting that one often needs three months of treatment to see results from laser or chemical peels.
“With injections, they see the results right there right now. It is not as pricey as a facelift, which can cost as much as $12,000 [Dh44,000]. They can come in and spend $300 and see results.”

In America’s youth- and beauty-obsessed culture, some analysts believe there may be a larger factor at play.

“There have been a number of studies showing that there is both a ‘beauty premium’ and an ‘ugliness penalty’, in the labour market,” said Dr Nancy Etcoff, a Harvard Medical School psychologist and author of Survival of the Prettiest.

“Better looking women and men earn more than average looking people and unattractive people earn significantly less.”

At a time when joblessness is rising and, and companies are laying off workers, Dr Etcoff and others believe some may be rationalising expenditures on cosmetic dermatology to stay competitive in the job market and reduce visible signs of stress, like forehead wrinkles.

“Some may be downsizing from surgery to cosmetic dermatology. Others may be considering both and end up deciding that they can get a comparable benefit from dermatology with a lot lower cost,” said Dr Etcoff.

Read More

The U.T. Zerona low level laser Study... A Pig is NOT Just a Pig!

I'd like to issue a rebuttal critique, if I may, regarding the University of Texas study on the ZERONA low level laser entitled the "Effect of Low-Level Laser Therapy on Abdominal Adipocytes before Lipoplasty Procedures".

I know there has been a tremendous amount of skepticism regarding this technology and I just want to share with you my thoughts, as fellow colleagues. If anything, it is continuing the valuable discussions we have here in our group that compels me to write this.

If you are not familiar with this study, it involved the use of a swine model. This is an area I am most proficient with. I was a veterinary technician before I became a nurse. I used to run the "pig labs" for clinical research and physician training for a major medical device company and have much experience in 510K clinical trials and was well regarded as a swine expert. I tell you my background only to hope you find validity in my critique.

My biggest problem is with the 300 lb.Yucatan pigs they used in the study. There are many categories of swine for use in experimental procedures and research with some being favored for one reason or another. The more proper Yucatan pig to use for any transdermal study is a Yucatan micro-pig (about 30 pounds) which has a skin thickness similar to that of human skin, and they are relatively hairless. This breed of pig was specifically bred in the swine labs at the Colorado State University in 1978.

I'm not certain as to why these researchers decided to use 300 pound Yucatan pigs with their incredibly thick skin and coarse hair. Perhaps they thought a pig was a pig. Perhaps they wanted to see if the Erchonia laser could penetrate steel... perhaps they know something about research pigs I don't My point is, there is more to this study than what seems to be "obvious" to some.

Here are two famous references I can direct you to to validate my statement that they used an inappropriate swine model:

1. Comparisons of in Vitro Nitroglycerine (TNG) Flux Across Yucatan Pig, Hairless Mouse, and Human Skins. Journal of Pharmaceutical Research. Springer Netherlands, publisher. ISSN: 0724-8741, Vol 7, Number 6. June 1990.

2. Fujii M, Yamanouchi S, Hori N, Iwanaga N, Kawaguchi N, Matsumoto M. Evaluation of Yucatan micropig skin for use as an in vitro model for skin permeation study. Biol Pharm Bull 1997 Mar; 20(3):249-54.

My other problems with the study include:

1. The pig underwent one ZERONA session, not the standard protocol of 6 (3 a week for 2 weeks).
2. No flushing niacin or any substantial vasodilator was used to facilitate fat transferral out of the interstitial space.
3. The Erchonia lasers were positioned 12 inches above the skin when they shouldn't be any further away than 6 inches.
4. The pig was immediately euthanized on the operating table after the single treatment. How are the adipocytes supposed to render any changes in morphology if the host is dead?
Clinical studies are always under scrutiny and this study is no exception. I'd bet a guess that you will start seeing more positive reviews of the ZERONA low level laser in the months to come. And, I base this on the sheer science of the technology. Only time and true trials of the device will tell.

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

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Medical Spa MD: It's the Cook's Fault... Not the Stove!

Throughout Medical Spa MD you can read posts from dissatisfied patients on their procedures and disgruntled employees on their previous place of employment.

The most recent post I read tonight was from "Warning Others", a former employee of American Laser Centers, and there seems to be quite a few on that chain of medspas! These types of reviews can be found anywhere on the web including the most notorious site, RealSelf, who banishes all practitioners not deemed worthy of performing aesthetic procedures (i.e., non plastics and non derms), and  Plasmetic Forums, to mention a few.

In the American Laser Clinc employee's post, they made one statement that really should be expanded upon and that was the comment that "VelaShape does not work".  They went on to say that "all (of) the customers were very unhappy with their results - even after the recommended 6 treatments". In the same paragraph, W.O. stated they "didn't see any customers who were completely hair free either. Yes, some did see hair reduction, but no complete hair loss. I also saw my co-worker burn a lot of customers (and the clinic manager wouldn't report it!)".

This really concerns me and it should you too if you are a practice owner or director.

Equipment in the hands of a practitioner is only as good as the practitioner is trained to be. It doesn't matter if it's a laser lipo unit or microdermabrasion machine. I know, for a fact (as it has happened in my own practice) that the VelaShape does work. Really well, actually. I've seen it with the technicians who studied the technology and worked hard at obtaining positive results for their patients. We had to fire an employee who didn't take the treatment seriously and didn't strive to be the best at what she did. Not only does your technician need to be trained and enthusiastic, they also need to be monitored by YOU (the owner or director). Patient results need to be sampled and individual charts reviewed to assess the technician's skill and clinical outcomes.

Take, for example, our VelaShape technician. She is a massage therapist knowledgeable of musculature anatomy, and possesses strong hand techniques required to perform an optimal treatment. She is responsible for maintenance on the unit giving her a sense of ownership of what she does. She is also the liaison between the company, the rep, and our medical spa. Everything goes through her (with me being cc'd of course). On top of all that, I review her patients from time to time even treating them myself to make sure her techniques are where I feel they should be and patient satisfaction is high. Ownership and teamwork make VelaShape successful in our practice.

The same philosophy is even more true with laser hair reduction/removal. Many estheticians are afraid of burns, so they step back on laser settings sometimes not even following the skin typing requirements and standard parameters. While they may feel "safe" from a burn, they aren't treating the patient at the therapeutic level for optimal results. In the end the patient won't be happy either way, whether they were burned, or whether they obtained poor results. Bottom line is, it looks bad for you.

If you're not doing so already, any technician handling any device should be constantly monitored and retrained to ensure they are operating the devices as safely and efficaciously as possible. They should attend company sponsored courses or the rep should be brought back in to ensure policies and procedures have not changed, or treatment modalities wavered.

If your technicians can't comprehend the fundamentals and technology of the procedures they perform and the repercussions that could arise should they operate equipment improperly, perhaps they would benefit from the materials soon to be offered here on MedicalSpaMD, The Medical Spa Aesthetics Training Course and Study Guide or an advanced aesthetics course offered in a beauty academy.

One final comment, any technician who feels they are not being properly trained and that their clients are being cheated out of a good result for their procedure should walk like W.O. did. 

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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The Medical Spa Aesthics Training Course & Study Guide for medspas & laser clinics.

The Medical Spa Aesthetics Training Course & Study Guide for Medspas, Laser Clinics & Cosmetic Medical Practices.

NOW AVAILABLE!

Written by Paula D. Young, RN, the Advanced Medical Spa Esthetics Training Course & Study Guide is a two part learning cirriculum for non-physicians. The course is delivered in two parts that include a text book and a study guide.


This is an invaluable tool for any Laser Center, Med Spa, Plastic Surgery or Cosmetic Dermatology practice to train every new medical spa staff member on what cosmetic proceedures you offer, how they work, and what alternatives there are.

This study course is being used in medical esthetic schools and leading medical spas and laser clinics to provide every new esthetician and laser tech with a study course, and test their knowledge before they're hired.

For the first time, your laser clinic or medspa staff has the latest information on the newest nonsurgical medical treatments, from Botox, Restylane, and the newest filler injections, to fractional CO2 laser resurfacing and IPL treatments.

Your medical spa staffs knowledge and expertise is a critical componant to your success. Now you can be confident that your front desk, estheticians and laser technicians have the information that they need, and can answer patient questions with confidence.

Memberswill only be available to existing Medical Spa MD Members so be sure that you've signed up for your free membership.

Care Credit - No Longer Practicing Medicine

 

I was included in an email from a fellow MAPA member yesterday with some urgency regarding Care Credit ceasing to do service with their medical spa.

This physician was to the understanding that Care Credit is suspending its services to any practitioner who is not a plastic surgeon, dermatologist, cosmetic dentist or veterinarian.

Immediately my stomach got tied up in knots as I thought “here we go again... another RealSelf debacle!”. I decided to get that facts for myself being that our practice is a non-plastic, non-derm facility.

During the call I found out that this rumor is partially true in the fact that Care Credit is suspending services to facilities that:

  1. Do not have a physician on site approximately 60-70% of the time.

  2. To physicians who are primarily medical directors that mostly travel between facilities.

  3. To practices that do not have at least 60-70% of their services being cosmetic in nature.

  4. Practices that perform medical care, critical care, fertility services, long term care, pain management and weight loss services that occupy the majority of services in their practice.

  5. To physicians who do not perform at least 60-70% of those cosmetic procedures themselves.

In talking with the customer service rep, she said they have made this decision to "consolidate their strategic image" and they are not “singling out” any specific specialty. She said their main decision to decline some accounts is because they don't want to stand in the way of a medical patient receiving experimental care, or a procedure that an insurance company won’t pay for that is considered medical in nature. Although not deemed “medical” in nature, per se, fertility clinics are also being denied services. In discussing the board certification requirements, I could not get a clear and decisive answer other than physicians need to be board certified. Period.

She also told me that she could tell by our account number (the 4 digits in the center) that our account with them was initially set up as a cosmetic practice and not internal medicine. Those identifying numbers is what triggered letters to go out to certain practices and not others.

She went on to say that if anyone feels they do 60% or more cosmetic services, and the doctor is on site and performs at least 60 % of those services, they can call to dispute.

So, to clear things up for those of you who are uncertain as to your status, I asked for a copy of the letter that went out and I think it’s pretty self-explanatory. Here’s the crucial part of the letter:

“GE Money Bank continuously reviews our portfolio and lending criteria to anticipate and respond to market conditions, consumer needs, and strategic fit.

Upon review of our portfolio, we have determined that we will be limiting our lending partnerships in the cosmetic market to Board Certified Plastic Surgeons, Facial Plastic Surgeons, Dermatologists, and a small number of other Board Certified specialties performing cosmetic surgery.”

I have also heard rumors that Chase Health Advance is, or will be, taking similar action. My closing thought is, if you didn’t get a letter, then chances are you have not been rejected.

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.

Submit a guest post and be heard.

10% excise tax on medical spa treatments?

For those of you that have not yet heard, there is talk of a 10% federal excise tax on all cosmetic medical procedures, from Botox and fillers to lasers, surgery, and cosmetic dentistry. This provision is being considered in one version of the house health care bill, and would be ruinous to cosmetic medicine as we know it.

Please voice your opposition by directly and personally contacting your elected representatives! For more information, and to sign an online petition, visit www.stopbotax.org

from Mike Nayak, MD

MedSpa Reality TV... Unbelievable!

Hard to believe, but we should’ve seen it coming... a reality show about a medical spa has hit the airwaves. Last night, the Oxygen channel debuted a new reality series called “Addicted to Beauty”. It follows the daily antics of “Changes Plastic Surgery and Spa” in La Jolla, CA.

All I have to say is, after watching this ridiculous show you’ll never complain about your staff again! And, if this is what medical spas are like in La Jolla, am I ever glad I’m on the East Coast!

The show centers around Dianne in the midst of a divorce who joined forces with Dr. Gilbert Lee, plastic surgeon. Reminiscent of the Cat Woman, Dianne thinks her staff is her family, which explains the total lack of control, disrespect and dysfunctionality.

Her Spa Director, Shannyn, is equally as disfigured from excessive aesthetic procedures. I didn’t see much management of the staff or spa during the show, but hey, just watching her try to portray an executive with some management experience was entertainment enough.

Gary and Ronnie’s responsibilities have yet to be determined. Between crying fits and backstabbing I never quite got the gist of what their job descriptions actually were. Only Natasha, Dianne’s assistant, actually did some work as she is aspiring one day to own her own medical spa. I actually never did see any "medical spa" procedures or staff members other than Dr. Lee's nurse.

Poor Dr. Lee. He seems like such a talented plastic surgeon with a wonderful personality to boot, to be hooked up with such drama and incompetence with the circus staff of the medical spa.

Showing the worst possible side of a medical spa, I’m not sure if a show like this will help or hurt the our industry, but I can honestly say, it definitely was entertaining!

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.

Submit a guest post and be heard.

Sunbeds & Skin Cancer

Via CNN: Study: Sunbeds as harmful as cigarettes

The International Agency for Research on Cancer (IARC) had previously classified sunbeds as being a "probable" cause of cancer.

However, the agency is now recommending that tanning machines should be moved to "the highest cancer risk category" and be labeled as "carcinogenic to humans".

It followed a review of research that concluded that the risk of melanoma -- the most deadly form of skin cancer -- was increased by 75 percent in people who started using sunbeds regularly before the age of 30.

The IARC also says there is evidence of a link between melanoma of the eye and the use of sunbeds.

In an article in medical journal The Lancet, WHO oncology expert Dr Fatiha El Ghissassi said: "The use of UV-emitting tanning devices is widespread in many developed countries, especially among young women.

"Analysis concluded that the risk of skin melanoma is increased by 75 percent when use of tanning devices starts before 30 years of age.

"Studies provide consistent evidence of a positive association between the use of UV-emitting tanning devices and ocular melanoma -- skin cancer of the eyelid.

If you have any holiday complaints then speak to Holiday Claims today and find out what your next move should be.