Would patches really replace injectables and laser or light based devices?

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Microneedle patches seem to have beneficial implications based on the current studies presented by researchers. It could then give another alternative for patients, for those who would need short term solutions or quick fixes maybe. Since the patches were made for the studies, it may be too early to say if it would be produced for the public. 

A few months ago, a microneedling patch to reduce fat was tested on mice, having good effects after the application of patches. In another study, a patch was also developed to brighten the skin, additionally there was another study which examined the use of hyaluronic acid on the microneedle patch. In this new study, a microneedle patch was used to reduce the appearance of wrinkles.

The question then is, would patches be the future of cosmetic medicine?

The latest study in microneedle patches was conducted by Hong and colleagues. The researchers divided the 84 participants into groups of 3, group 1 had the patch applied solely, group 2 had the wrinkle cream and patch, while group 3 had the wrinkle cream only.

Findings:

  • The researchers examined skin conditions before patch application, and 4, 8, and 12 weeks after application, with group 2 having improvement by 8 weeks, whereas groups 1 and 3 had eventual improve by the 12th week.
  • There were no adverse effects reported in the study.
  • Microneedle patch coupled with wrinkled cream was more effective as standalone patch or cream.

Would these patches have better efficacy than the current treatment options?

Based on the studies presented by the researchers, it would be good to examine the long term effects of using the patch. In the current studies about microneedling patches, there are no signs of adverse effects or symptoms on the subjects. It may be difficult to say regarding the use of patches as the literature is scant regarding it as these are nascent in the field. It does have its benefits, but a long term solution and efficacy are of utmost importance regarding treatments. So far, patches do offer short term solutions according to the studies.

Many things remain unclear regarding the use of patches, such as the long-term efficacy rate, number of treatments done to alleviate wrinkles or brighten skin, but the future of cosmetic medicine holds many possibilities, and patches could help advance the field for many providers and patients to come, considering it holds promise in the field to understand medical aesthetic in microneedling.

Neuromodulators Introduced in 2017

Neuromodulators or botulinum toxins continue to gain popularity considering its effects on patients. Botox remains one of the most trusted brands in the market, and it does not seem to slow down along with the other two brands, Xeomin and Dysport. Of course, not everyone approves of having the botulinum toxins injected on them because of the effects that it has brought.

Revance Aesthetics is currently testing its RT002, and has had studies published regarding the efficacy of their neuromodulator, meanwhile EB-001 is fairly new but according to the company, their botulinum toxin seems to take effect much quicker than the current ones in the market. In that light, will the big neuromodulators brands be replaced by those still in testing phase?

In a previous article we published, we also wrote about Nabota, which has already been in use by some countries. Revance’s RT002 and Bonti’s EB-001 are currently undergoing trials, but both show potential.

According to Bonti, around 32% of patients show interest in having EB-001 injected on them. In a press release, the company mentioned they have conducted a clinical study, and it supports their claims about the product’s safety and efficacy. The product aims to be an introductory neuromodulator for those who have not tried and for time sensitive events.

As of December 2017, RT002 has reached Phase 3, which is showing better results than Botox. According to press releases, RT002 will have a six month duration period. If approved by the FDA, it’s the only neuromodulator that could ever receive that approval. Like the other neuromodulators, it has adverse effects like ptosis and headaches. Phase 3 will end its testing by February 2018.

These new brands will definitely shake the aesthetic market, since providers will have different options to choose. However, would these brands be able to replace the current ones?

These products will continue to compete regarding which one botulinum toxin would be enough to treat glabellar lines and crow’s feet, it is still unknown which among these treat these concern areas better. It is highly unlikely that the current three neuromodulators will be replaced, but possibly their market might change as there are other patients. Currently, patients can enjoy the present neuromodulators provided in your medical spa or practice.

Improving Your Systems Will Increase Your Clinic's Revenue?

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Yes, improving your operations will increase the total revenue of your medical practice.

One of the best ways you can do is make it more efficient. Efficiency is key in any business, so your medical spa should make sure to be it for your patients and to get good reviews. Make your medical spa or aesthetic practice more efficient with software, staff training, and an operations and management overhaul for 2018. 

Software

There are different software applications you can use for your medical spa, which could make any procedures or processes faster and more efficiently. Which software applications would you need for your medical spa?

A practice management software should cover all scheduling and EHR. It should be something that will keep your records secure, and many experts suggest you should have an all-in-one type of EMR software; there are some EMR software that also includes marketing, which you should consider as well.

A cloud computing service would definitely help you store all the files you will need to protect, as an unprotected computer is vulnerable to viruses and hacking. While some EMRs have a cloud software, it would be better to have a backup from your EMR as well. You can use your Google Drive and even sign up for Dropbox.

A reputation management software seems necessary considering its impact on companies; some medical practices are even purchasing a software that would definitely help them. If you are looking for one you can check out Podium where that application would help attract more patients and get you more reviews.

Training

There are different training programs available for non-medical staff. HIPAA and customer service are the two most important things you should consider when it comes to staff training. 

You must have your staff trained with HIPAA periodically. Aside from HIPAA, find them training with marketing or management. If staff is trained with marketing, they could help with selling your products and services. When it comes to staff training, you will need to train them with customer service as well, most especially considering you are dealing with patients almost daily.

Customer service play a huge impact on reviews as well, and if in some reviews some patients have noted your bedside manner, you may need to improve on it as well.

Management

Managing staff and operations could be a lot of work. To manage your medical spa staff and your operations, you will have to identify factors that are currently causing your productivity. Learn to motivate your staff, as part of your management efforts. 

As the physician and their leader, you will need to juggle these two roles well. Always communicate with them and make sure you engage with your employees regularly. You need to find strategies to retain your employees and monitor their performance often as you can.

How 2017 Data Will Help Your Medical Spa 2018

Reviews will remain a paramount factor in Google rankings, and that holds true thanks to a study conducted by different SEO websites, Moz and Local SEO Guide. It should remain as your priority in gaining a new audience, since reputation management is also important for any business, and Google My Business is one of the methods that will help put you on the map. Your medical spa will greatly benefit from reviews, if you and your staff know how to utilize reviews well for ranking and visibility.

Google My Business

Google My Business (GMB) holds a huge weight in the ranking of you medical spa. Original, authentic, and legitimate content, such as reviews could help raise your ranking better and would give you better visibility. Google is the most used search engine, and while you have many competitors, it still is your best chance of being discovered by potential patients.

What if you do not have a Google My Business

In ‘claiming’ your GMB, you need to remember these things, one you must update all the relevant information regarding your medical spa or aesthetic practice. These include: times and days open, a link to your website and your appointment page, the exact location of your medical spa or practice based on Google maps, and photos.

Reputation management should be a necessity for all medical practices if physicians aim to be searchable and seen by prospective patients in their area. It will take time to rank in Google, especially in the first year. This is why alongside a reputation management strategy, you need a consistent SEO strategy for your medical spa or aesthetic practice, to ensure that you will remain on Google’s rankings.

It is much better to rank in Google organically, because apparently according to experts choosing to go for paid will not help as much. This is why you will need to ask for reviews from patients regularly. You can give them a piece of paper or card, you may email them (making sure that no PHI is in the email), or you may send them a text.

What if it’s a multi-practice or a part of it?

If you are in or part of a multi-practice, create pages for all locations. Make sure it’s not duplicate content, as such, indicate the different locations for other pages. For example, Aesthetic Practice New York, Aesthetic Practice Los Angeles. Make sure to have complete information across all locations.

Should I have a personal Google My Business page?

What you are referring to is a Google+. Your medical spa or aesthetic practice could have your own Google+ also, but your individual Google+ should only be meant for social media. You will need the Location Page for your Google My Business, so that it would help you be recognized when patients search your area. A Brand Page of a Google My Business acts more as a page for patients to follow and like posts for.

It is important to discover the importance of having a Google My Business. In this sense, you will be more known by patients. As part of your Local SEO strategy, be listed. Experts recommend you start ranking or focusing locally, so it could be easier for you to be recognized by new patients. Always have a consistent strategy all throughout.

Here's Why Podium Should Be Your Reputation Management Software

Getting positive patient reviews that give an accurate representation of your medical spa's reputation used to be hard. Now it's easy.

Receiving negative patient reviews is a bummer, especially when one of your unhappy patients - perhaps with unrealistic expectations - looks to wreck your reputation online. And it's the angry, unhappy patients who can really damage your reputation because their voice or 'comment' is abnormally enlarged since your happy, satisfied patents are not the ones who most often leave you reviews.

It seems that patient reviews fall in to two camps; friends and family who you beg to give you reviews, and unhappy patients who seem bent on destroying your reputation.

No more.

Podium gives you a super simple way to to gather patient reviews from almost all of your patients and build your reputation on Google, Facebook and other review and reputation sites. (Watch the video above to see how easy it is to request a review.)

There are a myriad of benefits for a continual stream of reviews including:

  1. Increasing your SEO rankings and visibility of your clinic for more patient traffic.
  2. Increasing the number of inbound contacts you're front desk is fielding.
  3. Outbound contacts to your existing patients via text message (a 99% open rate)
  4. Control of your online reputation by gaining a massive influx of patient reviews that more accurately show your actual reputation and lessen the effect of a few unhappy patients.

Check out the Podium special offer for Medical Spa MD Members.

Facebook, Google, word-of-mouth all expand your reach - note that Podium handles this use case as well - but reviews can make or break your reputation and either lead to long term success, or abbreviate your opportunities.

You'll notice on this chart that online reputation is critical for  "Medical / Healthcare" businesses. The reviews that you now have are setting the tone for your new patients since a whopping 87% of consumers - including consumers of cosmetic medicine - now search for even local businesses before they contact them. 

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It's often the case that successful clinics are competing in ways that the rank and file don't appreciate, or don't have access to (Asymmetrical Competition), using tools and spending smart money in areas that actually benefit them in the long term rather than just saying yest to the salespeople who walk through the door.

Take a look at the special offer and free setup that Podium is offering to Members.

Sentient Lasers Joins Medical Spa MD As A Certified Partner

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Sentient Lasers is joining Medical Spa MD as a Certified Partner - providing Members access to the highest quality used aesthetic lasers and promising to keep our Certified Partner 7 Point Guarantee.

The highly prohibitive costs of new aesthetic lasers can make the profitability of your clinic or practice challenging. Fortunately, the advancements in medical laser technology over the last few years, as well as changes in the economy, now offer you the ability to buy medical lasers of almost any type at a significant savings – often up to 75% off of manufacturer prices.

Every cosmetic laser Sentient lists on Medical Spa MD is inspected, tested and refurbished to manufacturer’s specifications at our warehouse before it is ever available for resale. This ensures that our certified pre-owned lasers are the best on the secondary market.

"We're excited to join Medical Spa MD's Certified Partner Program", says Chris Cella, CEO of Sentient Lasers. "It's fits with our own Blue Dot Certification and gives Member of access to the very best quality lasers while providing the best, ethical service in the industry - and let's them save 70% off of buying a new aesthetic laser."

You can always see Sentient Laser's current offer to Members here.

(At the time of this posting it's a free upgrade from a standard 30 day warranty to a "Gold" 90 day warranty on any used aesthetic aser, IPL or RF device for free if you mention Medical Spa MD - a $2,500 value.)

To get this deal from any Certified Partner, just mention that you're a Medical Spa MD Member. No need to do anything else, just mention Medical Spa MD for ANY purchase and Sentient Lasers will take care of you.

Sentient is the third used aesthetic seller to join our Certified Partner Program and not the last. Our program gives our Members access to our 7 Point Guarantee and provides the largest single marketplace of used cosmetic lasers where you're guaranteed to get the lowest possible price and additional benefits.


Remote Patient Monitoring Research

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Remote Patient Monitoring via Smartphone

Telehealth is finally beginning to show real adoption with the move to outcome based care.

Any number of virtual care platforms have now thrown their hat in the ring to attempt to make patient communications as easy as regular calls. 

Smartphone monitoring seems like a good option for physicians and patients alike. The literature on smartphone monitoring is limited, but it shows potential for clinical use.

In a recent study by Dalla Pozza et al. (2017), the researchers explored patient monitoring after treatment, which asked their patients to take photos of post-op procedure as they were instructed by their surgeons. Patients were asked to send photos of the front and side views of their face to send to the surgeons.

Out of the original 57 in the sample, only fifty followed-up with post-operative photos.

The following procedures performed were:

  • (32) Facelifts, platysmaplasty, submental lipectomy;
  • (14) Upper and lower blerophaplasty;
  • (11) Fat injections

After treatment, three patients experienced complications early on. The patient in the study still preferred the usual face to face consultation, but the researchers mention that most of their sample were older patients, and were not able to adapt to some applications used for the study.

A similar study also examined the use of patient monitoring via smartphone. Chee et al. (2016) focused more on laser resurfacing on the dermatological aspect of it. Their study provided insight on the patient’s use of smartphone monitoring. There were 123 patients in the study, and having done the procedure around 12% had adverse events after it. Due to the complications, the dermatologist treated them the day after. Numbers dwindled as only a few answered the follow-up survey leaving only a few to report the smartphone review had good effects on them.

According to the authors, 95% out of the 24 who completed their survey felt at ease with the teledermatology process.

There is the risk of violating HIPAA and HITECH. In the first study, the researchers mention that limitation as patients may not have a HIPAA-compliant smartphone to send images or details of their condition. In this case, physicians have the responsibility to make sure their images are secure. In the second study, patients were wary with sharing their photos as well.

To learn more you might take a look at the scores from the KLAS 2017 Virtual Care Platform Report in which a dozen or so telehealth platforms (TruClinic, American Wellness, InTouch, etc.) were scored across a number of criteria.

Dr. Harryono Judodihardjo - Cellite Clinic in London

Dr. Harryono Judodihardjo - Cellite Clinic in London

Name: Dr Harryono Judodihardjo
Website: www.belgraviadermatology.co.uk, www.cellite.co.uk
Location: London, England

Brief Bio: 

Dr Judodihardjo is the current President Elect Designate for the Royal Society of Medicine Aesthetic Medicine Conference. He was the past Vice President of the British Association of Cosmetic Doctors and was a board director of the British College of Aesthetic Medicine. Dr Judodihardjo frequently chairs and lectures in both national and international Aesthetic Medical conferences. He is also one of the Key Opinion Leaders for several major pharmaceuticals and device manufacturers. 

Dr Judodihardjo is a graduate from the Queen’s University of Belfast with medical degree MB BCH BAO. He further obtained postgraduate qualifications, Master of Science in Dermatology (MSc) and Doctor of Philosophy (PhD), from The University of Wales in Cardiff, where he also used to work as a clinical lecturer. His affiliations include The Royal Society of Medicine, International Society of Hair Restoration Surgery, American Academy of Cosmetic Surgery, International Academy of Cosmetic Dermatology, British Association of Dermatologist and European Society of Cosmetic and Aesthetic Dermatology. 

What sparked you to pursue aesthetic medicine?

I started getting interested in Aesthetic Medicine in 1995. Aesthetic Medicine was still a very new concept then and only very few clinics were established in the United Kingdom at that time. For a number of years I attended the American Academy of Dermatology conferences and aesthetic medicine formed a

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Medical Spa MD Certified Partners

Buy your next cosmetic laser or IPL from a Medical Spa MD Certified Partner with confidence that they will meet our 7 point guarantee.

When you buy your next laser or IPL from a Medical Spa MD Certified Partner, you know that you're dealing with an organization who has agreed to meet our high standards, and that their continued inclusion in our program relies on treating Members with transparency and honesty. All Medical Spa MD Certified Partners have agreed to our 7 point guarantee.

As a Member, If you purchase from a Medical Spa MD Certified Partner who does not meet our standards and our 7 Point Member Guarantee, you can contact us directly and we will intercede on your behalf. If we determine that a Member has been treated unfairly or that there has been a violation of our values, we will revoke that companies privileges and access to the program, and we will list publicly list that company as a business that we will no longer work with. 

If you are a Medical Spa MD Member who have purchased from a Certified Partner and want us to investigate an issue or complaint on your behalf, you may contact us here.

Our 7 Point Member Guarantee

Every Medical Spa MD Certified Partner has agreeded to:

  1. Follow our Terms & Conditions and our Code Of Ethics
    You can read them here.
  2. Transparent Listing Prices
    Any product listed on our site will be immediatly available at that price. There will never be any "bait and switch" tactics of listing of products that are not under the direct control of the listing company.
  3. Lowest Price
    Certified Businesses agree that the price you see on Medical Spa MD is the lowest price for that item on their own site or anywhere else.
  4. Awesome Service
    Certified Businesses agree that they will provide Medical Spa MD Members with their highest level of service at all times.
  5. Public Reviews
    Certified Businesses agree that after every purchase they will use a verified Podium account to send you a request for a public review of their service.
  6. Member Only Benefits

    Certified Partners agree to provide free, special benefits, upgrades, price reductions, and/or perks to every identified Medical Spa MD Member purchasing a laser or service.

    You must identify yourself as a Medical Spa MD Member before purchasing to recieve these benefits.

While this program can't guarantee that nothing bad will ever happen, it does go a long way to cleaning up the industry and gives you (if you're a current Member) much more serious remedies and security when you're buying a used laser or IPL. It also begins to clean up the marketplace since we will actively be looking to publicize and identify cosmetic laser resellers who are not ethical or have unhappy customers.

Here's a short FAQ about this new program for Members.

Which used laser companies are currently Certified Partners?

There are currently two used laser resellers in the program; Sentient Lasers and Rock Bottom Lasers

Want to become a Certified Partner? Apply here: https://medicalspamd.com/partner

Why is this program needed?

If you've purchased a used aesthetic laser or IPL from an unethical reseller you already know why this is needed. If you haven't had a bad experience yet, we're here to make sure you don't. This program looks to hold laser sellers more accountable since we will actively be looking to publicize and identify cosmetic laser resellers who do not act ethically including.

We aim to make every purchase transparent and ethical for our Members.

Why do laser sellers want to be a Certified Partner?

They want the increased sales from our Members, and they're also concerned about the damage that unethical vendors do to their own reputations and the entire industry.

What types of businesses can be a Certified Partner?

Any business that sells cosmetic lasers, IPLs and medical devices to our target market - physicians practicing nonsurgical cosmetic medicine worldwide - can apply to be come a Certified Partner if they agree to abide by our terms, our 7 point guarantee, and what special benefits they will provide to Members. Applicants are then vetted by us to determine if they should be added as a Certified Partner and can display the Medical Spa MD Certified Partner Seal.

We will only work with vendors who have both the intent and the resources to provide high quality services to our Members. We're currently focused on the used aesthetic laser market but if this program is successful, we may extend it to other areas.

Note: Other businesses may apply to be a Select Partner but only cosmetic laser and IPL vendors may be "Certified" and list their inventory on our site. 

What should I do if I feel like a Certified Partner is treating me unfairly or violating the Certified Guarantee?

First, contact the vendor about the issue. All of our Select Partners are very aware of identifying Medical Spa MD Members and will usually bend over backwards to try and remedy the situation.

If you're still not satisfied, you can contact us directly using the form at the top of this page. We will collect your information and contact the vendor directly to investigate what happened. You may be contacted for additional information. If we determine that the vendor has acted dishonestly, unethically, or violated our Certified Partner Agreement we will take any number of actions up to and including publicly disclosing the issue and banning the vendor from the program and site.

What happens after I file an issue?

The first thing we'll do is collect some additional information from you by email or phone to try and determine the order of events and what happened. You may be asked to forward emails or detail phone conversations. We will then contact the Certified Partner on your behalf to tell them that we're involved and to get their side of the story. (Note: They should already be aware of the issue since you should have contacted them first.)

We will essentially conduct our own investigation to determine if there was a violation of our terms or 7 point guarantee, or if the vendor acted unethically. If we determine that the vendor is at fault we will work with all parties to attempt to resolve the issue to the Members satisfaction.

If we determine that the vendor acted intentionally to violate their agreement with us as a Certified Partner we will take additional actions that may include publicly disclosing the issue or incident, notifying our Members, and removing the vendor from our Certified Program. 

Do you guarantee that I'll be happy with the outcome?

No. You may be a jerk who will never be happy. However, if you're somewhat reasonable we will work hard to come to the best resolution we can for you.

Not a Member yet? You must be a Member to realize these benefits.

3 Types of Content for Your Own Medical Spa MD Academy Course

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When we launched the Medical Spa MD Training Academy we intended it to fill the training needs that are not being addressed by typical training systems, and to do it at scale, making the latest training available to every clinician and clinic.

Most clinicians think of training in very specific methodologies, most often the terms "hand's-on" is applied. It's common for cosmetic physicians to fly around the country, or to other countries, to receive training in 'hot' or trending techniques that are in demand and which may bring in extra revenue.

But "hands-on" training has any number of drawbacks, most notably the fact of very limited scale. The reason that most technical courses demand that you be at a specific location is not because it's the most effective way to deliver training, it's that in the past there have been technical limitations that have prevented the easy dissemination of information.

But those limitations have been removed to a large extent. Now, there are college courses by MIT, Stanford, Harvard and others that educate thousands or tens of thousands of students at a time. The benefits are staggering and it's only old-school thinking that limits the application of these technologies in new spaces.

Here at Medical Spa MD, we help physicians set-up their own courses and want to give you the opportunity to reach other audiences.

Our goal is to provide quality training, not just clinical "how to", but other training as well. Operations, social media, leadership, software, and everything else that goes in to building a successful clinic.

We also look to help clinicians who have valuable skills and training to find an audience, which is the single largest issue that stops the sharing of information; is it worth it?

Courses do not need to be long or involved. I've taken plenty of courses that are free or took 20 minutes. There are no real restrictions about what you can do as long as it makes sense. How do I close a sale? How do I schedule a team better? How can I manage my money? Which technology should I buy? How to negotiate? How do I run a Facebook campaign? What can you use to start your own course?

All information is already know, but the value of a course is that it's curated and provided as a guide, not just a jumble of information.

Re-purpose a presentation as a course.

You may have given a presentation or talked at a conference. Most of these types of presentations are easily re-workable to create a short (or long) course and get in front of a much bigger audience. It's actually quite easy and we're happy to help.

Share a Technique

 It does not have necessarily to be your own copyrighted technique. There are plenty of clinicians around the world who have never been exposed to what you take for granted.

Use Your Existing Course

Even if you have this course posted over another site, you may not be reaching the audience you are expecting. Our community encompasses thousands of physician members on the site, and we assure you there are physicians still willing to train more.

Aside from reaching a wider audience, we have tools for you that could help you easily set-up your new course. Have questions? Contact us here and tell us about your new course.

How are Nasal Function after Rhinoplasty and Mental Health Connected?

Recent studies link mental health and cosmetic surgery. The literature on both subjects have flourished, and that those undergoing cosmetic surgery could also have or are diagnosed with Body Dysmorphic Disorder (BDD).

It is alarming to note that there could be undiagnosed cases of BDD and physicians may need to take necessary measures. As such, it appears many researchers have taken notice of the mental health perspective for those undergoing cosmetic procedures.

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Dr Narmada Matang - Neo Skin and Cosmetic Clinic in India

Dr Narmada Matang - Neo Skin and Cosmetic Clinic in India

Author and Founder of Neo Skin and Cosmetic Clinic, Dr. Narmada Matang, shares with us her experience as a Consultant Dermatologist and how she runs her clinic in this interview.

Name: Dr Narmada Matang Consultant Dermatologist
Location: Mumbai, India
Website: www.drnarmada.com and www.neoskinandcosmeticclinic.com

Brief Bio: I completed my undergraduate medical and post graduate dermatology training  from M P Shah Medical college in a small town called Jamnagar, Gujarat in India in 1998. I then pursued my interest in cosmetic dermatology and underwent training in the US and Europe for various minimally invasive facial rejuvenation techniques and follicular hair transplant. After relocating to Mumbai in my ten years of association with a corporate major skin care clinic, a chain of more than hundred clinics across India, I served as medical head for operations and later training head for medical and technical training across India and Middle East. During this period I was also the key member working towards accreditation from The National Accreditation Board for hospitals and health care. I have been certified trainer for  minimally invasive techniques for facial rejuvenation for Allergan and Q-med earlier. I have contributed to many cosmetic dermatology text books and have co authored the book, “ How to look like a million bucks” I started as founder of Neo Skin and Cosmetic Clinic in 2013 and continue to enjoy my work.

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Microneedle Patch May Replace Lasers & Injections for Fat Removal

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Researchers created a skin patch to deliver a drug that can convert white fat to calorie-burning brown fat.

Liposuction is still one of the top procedures performed by surgeons worldwide. It is consistently in the top five in the ISAPS Global Statistics, and it may continue to rise.

On the other hand, fat freezing, lasers, radio-frequency, and ultrasound technology are the common treatment modes of treatment for fat removal. These devices have different effects on each individual, some may work, some may not.

What if patients do not need to go to a clinic and could eventually stick a patch on themselves to remove the fat?

A patch is currently being developed to burn the fat in your “love handles”, and it is being tested in mice. A study by Zhang et al. (2017) They use brown fat by using nanoparticles and Rosiglitazone on the patch. The researchers used brown fat because of its properties. They used the in vivo method in their study. Their patch seemed effective on the mice and it could serve as therapeutic use for patients with obesity. In their study, the researchers found an increase in the following factors: energy, oxidation, and body weight control (Zhang et al., 2017, p. E).

Zhang et al., ACS Nano

Zhang et al., ACS Nano

The research team designed a skin patch with 121 cone-shaped polymer needles that can be filled with a drug encapsulated by nanoparticles. The tiny needles penetrate the skin and the ends collapse. The nanoparticles then slowly release the browning drug into the fat cells. By delivering the drug directly to fat cells, the drug’s side effects in other parts of the body might be prevented or minimized.

The researchers tested the skin patch, which was a little larger than a pencil eraser, on the abdominal fat pads of three groups of normal mice. The first group received a skin patch without any drug; the second group received a patch containing rosiglitazone (a diabetes drug that’s also known as Rosi or by its trade name Avandia); and the third group received a patch containing a compound called CL 316243. In mice treated with either drug, the white fat cells shrunk and beige fat cells appeared. A genetic analysis and other tests confirmed that both drugs induced fat browning and improved metabolism in the mice.

The research team then treated obese mice with skin patches for 4 weeks. The drugs increased browning, as evidenced by smaller fat cells and increased expression of brown fat cell genes. They also reduced the size of the fat pad and improved metabolic signs.

It's possible, even likely, that patches may eventually replace surgical and non-surgical means of losing fat in the love handles? For now, patients would still need to undergo either a surgical or non-surgical procedure.

How poor systems are killing your clinics long term growth, profitability and value.

Stop micro-managing. Stop flailing. Stop losing patients. And stop losing revenue.

A few days ago, I sent a survey to 472 physicians asking about efficiency and productivity in their clinic or practice. Perhaps you're not surprised by some of the results. You might even recognize your own clinic here.

  • Over 9/10 of physicians said that their clinic operated at less than 80% efficiency, and 4 out of 10 said that their clinic efficiency was below 60%!
  • Physicians reported this "productivity gap" costs their clinic between $5k and $40k in lost revenue every month.
  • When I asked them what doesn't work, the most common responses: "lack of systems" (44%), "wasted time and effort" (50%), and "micro-management" (40%).

There is a better way that can pull you out of the micro-managing, hair-on-fire, unproductive daily grind and put you in a position where you're working ON your business, not IN your business. Take a look at the Ultimate Clinic Operations Blueprint.