Top 5 Male vs Female Non-invasive Cosmetic Treatments
/
Are men getting more nonsurgical treatments?
With all the talk of men making up a growing percentage of cosmetic treatments, it's just not the case as the infographic above shows.
Medical Spa MD: Physician community of skin clinics, laser centers, plastic surgeons, dermatologists and aesthetic doctors practicing nonsurgical cosmetic medicine.

With all the talk of men making up a growing percentage of cosmetic treatments, it's just not the case as the infographic above shows.
The innovation of natural ingredients in skin care with Dr. Bryan Fuller, founder of DermaMedics.Name: Bryan B. Fuller Ph.D.
Company: DermaMedics Professional
Location: Oklahoma City, OK
Website: dermamedics.com
One area that is “over-hyped” is the development of skin care products that contain “growth factors”. It is well-known that growth factors are extremely unstable to room temperature and aqueous environments, and in fact, growth factors in water are only stable for 7 days at refrigeration temperatures. Thus, products that are sitting on a shelf at room temperature that are reported to contain growth factors almost certainly contain degraded, inactive growth factors. Further, there is no scientific evidence that growth factors can penetrate the stratum corneum and get to the dermis to produce “anti-aging benefits”. In fact, there is a lot of scientific evidence that no molecule larger in size than 500 mw can penetrate into the skin (see (Bos JD, Meinardi MMHM. The 500 Dalton rule for the skin penetration of chemical compounds and drugs. Exp Dermatol. 2000; 9:165–169.).
Dr. Hooi takes center stage as he discusses the prevailing structure of cosmetic medicine in Sydney, Australia.Name: Herbert Hooi MBBS (Syd) LLB (Hons) (UWA) FACEM
Location: New South Wales, Australia
Website: drhooi.com.au
That's interesting: Dr. Hooi completed an Honours Law degree at the University of Western Australia and obtained further real-world legal experience with a top tier Australian law firm. Dr. Hooi has been admitted to practice as a Solicitor and Barrister of the Supreme Court of Victoria. Although he is no longer practising law, Dr. Hooi maintains a keen interest in legal medicine.
Dr. Hooi is a member of the Australasian Society of Cosmetic Medicine and is an Associate Member of the American Society of Laser Surgery and Medicine. Dr. Hooi’s training and experience led to his award as a Foundation Fellow of the Australasian College of Aesthetic Medicine in 2009.
In 2010, Dr. Hooi was selected to become the national trainer in Australia for the Fibropen System, platelet rich plasma (PRP) and Radiesse.
Dr. Mark Mofid's plastic surgery practice includes the La Jolla, Del Mar, and Chula Vista areas of San Diego.Name: Mark Mofid, M.D., F.A.C.S.
Location: La Jolla, CA
Website: drmofid.com
Dr. Mark Mofid is a board-certified San Diego and La Jolla area plastic surgeon, certified by both the American Board of Plastic Surgery and the American Board of Facial Plastic and Reconstructive Surgery.
Can you tell us how your clinic's set up?
Our office is centrally located in La Jolla/UTC within San Diego County. We have a full time dermatologist (my wife) and plastic surgeon (me) and a nurse. We have a AAAASF/Medicare accredited surgery center attached to the clinic and also provide laser services. The practice has several thousand patient visits per year and we offer medical and cosmetic dermatologic services as well as cosmetic and reconstructive plastic surgery.

Name: Calvin Lee, MD
Location: Modesto, CA
Clinic: Surgical Artistry
Modesto Plastic Surgery
Websites: SurgeryToday.com, InjectionArtistry.com, BigVeins.com
Thats interesting: Dr. Calvin Lee is a regional speaker for Allergan. He has lectured about the Latisse product in Reno, Fresno, Modesto, Santa Rosa, and Napa.
The genesis of Dr. Calvin Lee as an aesthetic physician
I was a busy general surgeon with a heavy load of trauma surgery. Conflicts with my six member general surgery group landed me without a job. This allowed me to reflect upon how I wanted to prioritize my time and my life. I wanted to spend more time growing artistically with my violin. I also wanted to continue making web pages to share information. And most importantly I wanted to spend more time with my wife who is a plastic surgeon. During my phase of soul-searching, I enrolled in a year long Medical Acupuncture course affiliated with Stanford University and added acupuncture to the list of skills that I have.
In 2006, my wife and I started Surgical Artistry which is mainly a plastic surgery practice.

Name: Lisa Lynn Sowder MD FACS
Clinic: Seattle Plastic Surgery
Location: Seattle, WA
Website: sowdermd.com
That's interesting: Dr. Lissa Lynn Sowder is past president of the Northwest Society of Plastic Surgeons and the Washington Society of Plastic Surgeons, past chair of the King County Medical Society Grievance Committee and former Trustee of the King County Medical Society.
Your operating room is certified by the American Association for Accreditation of Ambulatory Surgical Facilities (AAAASF). How much benefit is there for a physician who owns their own surgical suite instead of using other facilities?
The headaches are staffing and supplying the operating room. Equipment needs to be maintained and replaced. Supplies need to be ordered. The floor needs to be mopped, etc. Employees need to be trained. There is a boat load of paperwork necessary for AAAASF certification. Just doing it all right isn’t enough – it all has to be documented and documented and documented. It’s expensive and
In our Canyon Lake Med Spa practice, we are always looking for ways to attract new patients, and to give existing patients a “value-added” service. We’ve been doing microdermabrasion and chemical peels for many years. April Turner, our medical aesthetic RN, discovered that the 2 procedures done together were mutually complimentary, and could be performed with a minimal amount of time and material cost. We charge $99 for a combination treatment of a microdermabrasion and a medical-grade chemical peel, and do fairly well at this price. But since it is quick and inexpensive to perform, we decided to also make this a “giveaway” at our seminars and marketing events.
This strategy has served us well. We give away this combo treatment to anyone who attends one of our events, or anyone who comes into our surgical or Medical Spa office for a consultation. Some people don’t take advantage of it, but most do. And most of the time they are so happy with the outcome that they follow up the complimentary treatment with regularly scheduled (and paid) future treatments.
We found that this is a great way to attract people to our Med Spa and surgical office events, and it creates an additional revenue source for our business. If you perform these procedures at your facility (and chances are that you do,) you might want to consider this approach for your business.

Dr. Sabine Zenker is a well know European dermatologist who has a passion for clinical research and teaching that we've been wanting to interview for some time. We finally got together to learn what this German dermatologist thinks.
Name: Sabine Zenker, MD
Clinic: Dr. Zenker Dermatology
Location: Munich, Germany
Website: dr-zenker.de
That's interesting: Dr. Sabine Zenker is the consultant dermatologist for L'Oreal Paris and an internationally recognized authority on micro-invasive techniques. She is well known for her clinical research into both established and innovative technologies and treatments, teaching, training, and continuing professional development both in Germany and internationally.
She contributes regularly to medical journals, public press, print, TV and multimedia. Sabine Zenker is a member of a large number of national and international societies including DDG, AAD, ASCDAS, AAAACS, EADV, ISDS, DASIL etc. She serves as executive board member of ESCAD. She is also a speaker and clinical trainer on almost any recognized national and international congress in the aesthetic medical field

Permanent makeup spans a gamut from cosmetic eyeliner to aesthteic treatments like areola repigmentation after mastectomies. While not a medical treatment, there's always some interest about adding aesthetic treatments that patients may be interested in. In this interview we wanted to find out more about what permantent makeups offer, and where (if anywhere) they may fit inside a clinic.
Name: Barbara Strafella, DAAM, CPCT, LMTA
Location: Staten Island, NY
Website: iwakeupwithmakeup.com

Physician: Dr. Thomas Lamperti
Clinic: Lamperti Facial Plastic Surgery
Location: Seattle and Bothell, WA
Website: drlamperti.com
That's interesting: Dr. Lamperti participates in "FACE TO FACE: The National Domestic Violence Project". Formed as a partnership between the American Academy of Facial Plastic and Reconstructive Surgery Foundation and the National Coalition Against Domestic Violence, FACE TO FACE surgeons offer consultation and surgery, pro-bono, to eligible victims of domestic violence.
Not all of the physicians practicing cosmetic medicine are completely outside of larger healthcare institutions. We got together with Dr. Taha Shipchandler to learn how he's juggles the cosmetic and reconstructive sides of this practice.
Name: Taha Z. Shipchandler, MD
Location: Indianapolis, IN
Website: iuhealth.org/shipchandler
That's interesting: Dr. Shipchandler has performed over 27 facial reanimation surgeries on patients with facial paralysis- this is a surgical procedure no one else in the Midwest is currently performing. He also participates yearly in medical mission trips. He recently traveled to Eldoret, Kenya leading a team of surgeons on a facial plastic surgery trip. He preformed over 27 surgeries in 5 days operating on children with cleft lips and palates and resected a large parotid gland tumor providing all the reconstruction. He also travels yearly to Guatemala with a team of surgeons from Johns Hopkins.


Birmingham Alabama is home to Seiler Skin, Cosmetic Laser Center & Medical Spa, a single-physician clinic run by Dr. Warren Seiler and his wife. We sat down with Dr. Seiler to find out what he thinks of the current crop of cosmetic lasers, how he runs his clinic, and hear what advice he has for other physcians.
Name: Dr. Warren B. Seiler III
Location: Homewood, AL
Website: seilerskin.com
That's interesting: Dr. Seiler is a Board Examiner and the Executive Director of the American Board of Laser Surgery and co-author of the ABLS examination text book and board certification exam.
As a single physician owner, how does your clinic operate?
My practice, Seiler Skin Cosmetic Laser Center, is a single physician driven cosmetic practice. I personally perform the laser and injectable procedures. I have a very good medical aesthetician working directly under me who helps patients with skincare programs, Hydrafacial, chemical peels, and laser hair removal. My wife is our marketing and website director and she is co-owner with me in the practice. We run the practice together, but we have an office manager that helps. I perform fractional CO2, Fraxel, Thermage, Laser Hair Removal, Laser Spider Vein treatments, IPL, and others. Botox and Juvederm are the only injectables, although I have tried many others, I feel they are the best. Our practice is really the only one in Birmingham in which the physician specializes entirely in cosmetic laser procedures and nothing else, which really helps to offer the experience that I provide.
From a start in internal medicine, Dr. Alex Denes has moved to an entirely cosmetic medical spa and practice.Dr. Denes worked as an assistant surgeon for 30 years before entering the cosmetic field in 2000. We sat down with Dr. Denes to find out what he's learned, and what lessons he has to pass on.
Name: Dr. Alex Denes
Location: Hemet, CA
Website: HiGorgeous.net
That's interesting: Dr. Denes is qualified as an expert witness for the US Department of Justice and the California Medical Board. He's appeared as an expert witness for the defense in hundreds of medical malpractice cases.
He is Medical Director and VP of Medical Affairs of Hemet Community Medical Group, a multispecialty group consisting of 155 physicians, and Corporate Medical Director for KM Strategic Management Group.
How did you transition from Internal Medicine to Cosmetic Medicine?

Name: Daniel Kaufman, MD
Location: New York, NY
Website: DiscreetPlasticSurgery.com
Thats interesting: He holds a Master of Science degree in Biomedical Engineering from the Polytechnic Institute of New York University. In fact, he helped create the program, just after completing his medical degree.
What is your professional approach to cosmetic medicine?
Training in plastic surgery, you learn about a wide variety of surgical procedures, cosmetic and reconstructive, that can be utilized in a multitude of medical situations. As a plastic surgeon facing difficult medical problems, I always
Whether you’re trying new medical spa marketing endeavors to promote your current services or contemplating new laser technologies to add to your armamentarium of non-invasive or minimally invasive procedures... the point is, you’re trying to increase your practice’s revenue during these challenged economic times.
Patients are feeling the economic struggle as well as they want to keep up their aesthetic needs while trying to cut costs. I’m sure that many of your patients are very loyal and offering them cost-effective treatments can be a plus for both of you!
In looking at my husband and business partner (the only physician in our practice), he’s pretty much strapped with what he can do in the course of his day. Fitting in injectables between laser lipo cases and laser cases can be tricky scheduling! Without having to hire additional personnel, or invest in expensive equipment (all that increase your overhead), one thought we have adapted is to use the staff we already have to help increase our revenue.
One of the ways we did this was to increase our variety of chemical peels we offer to our patients. Some patients decide to forego the Palomar Lux1540 or Lux2940 treatment plan we offer due to cost or even downtime of the Lux2940 (it’s really only a few days, but to some people they can’t afford to take off work that much).
Enter, the chemical peel!
The good, old-fashioned chemical peel has come a long way, but it’s still a tried and true facial resurfacing procedure that can tighten pores, remove dyschromias, and even smooth skin texture. They can be performed in a wide range of intensities and depth. Deeper peels can be performed in the office while others can be worn home to be removed by the patient several hours later. You can step up the peels to get faster results, or more gradually. Plus, it gets your client valuable face-time with the aesthetician who is experienced in your skin care product lines and upselling procedures the client may truly benefit from (i.e., Botox, fillers, IPL photo facials, etc).
Whether it be TCA Peels, AHA Peels, or even a Jessner Peel, peels are a wonderful service to offer in the springtime as your clients want to shed winter dry patches to reveal a more healthy looking glow!
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.
Physicians, plastic surgeons, and dermatologists practicing nonsurgical cosmetic medicine in medical spas, laser clinics and aesthetic practices.
Take advantage of these insider secrets about buying (and selling) used cosmetic lases to make more informed buying decisions. Enter your name and best email below to make sure you don’t get burned.
Use this guide to narrow your search for the system that best suits your needs, allowing you to eliminate platforms and winnow the number of systems you’re looking at. Includes; Palomar, Syneron, Alma, Cutera, and Sciton.
Have you ever paid a commission for Botox and laser treatments? Although it’s very common ... it’s also very illegal.During the past several years, a very troubling trend has developed in the medical spa industry. Nurses, nurse practitioners, physician assistants and laser technicians are being paid by commission in order to incentivize them to bring new business into the spa. This is very lucrative for both the spa and the individual, but unfortunately, in most states, it is illegal.
However, by accepting commissions for Botox treatments, she was engaging in illegal fee-splitting. Not only could she face significant monetary sanctions if she continued to do so, but both she and her supervising physician risked immediate suspension or revocation of their licenses if the state learned she was taking commissions.Fee-splitting refers to dividing or sharing fees from medical services between a physician and a nonphysician. In most states, all fees generated for medical treatments must be paid directly to a physician or physician-owned corporation. No one other than the physician—including nurses, physician assistants or any nonphysician medical practitioners—may receive any share of a medical fee.
Although the prohibition against fee-splitting has been on the books in most states for years, the practice of paying commissions has become quite prevalent in the medical spa community. This is probably because, in medical spas, most medical directors do not want to spend time firing lasers or injecting since other services can be more lucrative. As a result, injections and laser treatments are delegated to other medical professionals, who, in turn, develop a large client base. An easy way to compensate those professionals is to pay commission.But the consequences for fee-splitting are severe. In most states, the state licensing board has the power to revoke, suspend or refuse to renew licenses in response to fee-splitting allegations. Accordingly, regardless of the monetary incentives, it is always advised to avoid paying or receiving commissions. A safe alternative to fee-splitting is to use a pre-set bonus structure—the nonphysician can still be rewarded for performance, but the bonus is not related to the number of treatments performed.
Recently, a client called me with an urgent concern. This client, a registered nurse in Chicago, worked in a medical spa as an injector and laser technician. She was well-compensated: In addition to an hourly salary, she was also given a commission—a percentage of net revenue—for every Botox and laser treatment she performed. And boy did this nurse perform—during the past 12 months, she personally had generated more than $350,000 in revenue for the spa.
Her concern arose from a conference she had recently attended where she learned that most states have laws prohibiting fee-splitting. She was informed that taking commissions on Botox and laser treatments might land her in hot water with the state nursing board. She explained that this didn’t make sense, given that she had been receiving commissions for years, and that the physicians who paid her surely wouldn’t risk their licenses by doing something illegal.
It is imperative for any medical spa professional to seek legal counsel immediately if being paid a commission for medical treatments. The laws of each state vary and are often difficult to find, but as is often the case, ignorance of the law is never an excuse.
The 2 main types of breast implants available for decades have been the saline filled an silicone gel filled breast implants. Each has its pros and cons.
Silicone gel implants have a more natural feel and look. Unlike silicone gel, implants containing only saline do not blend well with surrounding tissues at the edges of the implants. This is due to the chemical properties of salt water which is chemically charged as positive and negative charges that attract each other as opposed to silicone gel which does not carry a charge. Thus saline is more cohesive than silicone. What this means in clinical terms is that saline implant margins are more visible than silicone gel implant margins, especially when the soft tissue (breast gland and fat) between the outside world and the implant is thinner. Thus, in those patients with smaller breasts (less glandular tissue and/or fat) it is preferable to place saline implants under the chest muscle.
Saline implants may look very good when lying flat on a table. However, when upright the upper portion of the implant collapses (wrinkles or ripples) as the cohesive saline falls
Guest post by Samuel Bledsoe MD
An interesting thing happened to me at work the other day. It was Friday afternoon, and I received a call from a primary care doctor. The phone call began with, “I’m really sorry about this, but I have a surgeon’s nightmare in my office.”
This is not a good way to begin a conversation.
He began to tell me about the patient. This particular woman had a Lap Band placed several years ago. For one reason or another, she decided that she would like this converted to a different procedure. She drove by my hospital to get to the airport, hopped on a plane and flew over hundreds of other well-qualified bariatric surgeons in order to reach a surgeon in Mexico where she had her Lap Band removed. She then returned 6 months later and had a sleeve gastrectomy. This is where things go bad.
Guest post by Craig Koniver MD
I know, I know, another social media platform is about all you need to read about these days. From Facebook to Twitter to Pinterest to Instagram to Foursquare, it always seems as if there is another "latest" and "greatest" social media platform to pay attention to. But, trust me when I say this, I think Google + is THE one to pay attention to. And here are some reasons why...
By Greg Bledsoe MD MPH
Over on Freelance MD, I've posted a couple of articles about taking responsibility for yourself and "building your own ship" , and we've also gone through a few common reasons why physicians aren't the best at career modification.
In this post, I'd like to spend a little time introducing you to the idea of "lifestyle design," something that has become a bit of a buzz-phrase in the business world but as far as I can tell hasn't penetrated the world of medicine just yet (for a lot of reasons).
I'll begin with a personal story...
When I jumped off the academic track in 2006, I wasn't exactly sure what I wanted to do as a career but I knew I wanted something unique. My idea was to design a career that was flexible, fun, adventurous, and meaningful, all the while paying my bills and being a responsible spouse and parent. Simple, huh?
I spent months thinking about how to do this as a physician. I searched websites and blogs. I spoke with mentors and colleagues. I read the literature, all to no avail. There seemed to be no conversation about a career like this in medicine. I mean, there were a few articles about volunteer opportunities or non-traditional careers, but nothing really like what I was trying to create.
By Craig Coniver, MD
Are you tweeting yet? Posting to your Facebook wall? How about connecting through LinkedIn? How big is your cirlce in Google+? With the onslaught of social media, there is mounting pressure to join each network, manage conections and monetize these various social media outlets. It seems as if social media has become the dominant measuring stick for how well you are doing as a business and how well you are connecting with others.
And while I think social media is something to be embraced, I do not think every outlet is for every person. Nor do I believe that social media serves as any type of barometer in your life (professional and personal). In fact, I think the more you are selective about where you garnish your social media energy and attention, the better you can use social media to your advantage.
Before I get to the specifics of the most popular social media outlets, I want you to come away from this article with one main point: social media presence does NOT equate to success. There is a lot of advice coming at us telling us to join all of the social media networks, trying to convince us that the only way to grow our business and connect with people is by creating these various outposts/hubs to connect with others.
The truth remains, however, that most of the time you can spend a lot of time and energy creating and maintaining these various social media outlets without actually realizing much results. And so while we embrace social media in medicine and beyond, we need to be cognizant as to the actual role of each social media outlet is providing for us. I think a better perspective is "what can I do for social media" not "what can social media do for me".
Let's review the major social media outlets. For each I will give you my personal experience and opinion:
A community of dermatologists, plastic surgeons, laser clinics, & skin clinics world wide.
Medical Spa MD is a community of physicians and clinicians practicing nonsurgical cosmetic medicine in laser clinics, medspas, dermatologist and plastic surgeon clinics worldwide.
Please read our Terms of Service, Advertising Terms and Privacy Policy.
Copyright © 2011. All rights reserved.
Protect your clinic and profits in 24 hours.
This Embezzlement & Employee Theft Scams training course gives you a practical roadmap to protect your clinic, your patients, your reputation, and your bank account.
Taking cash payments in the treatment room, stealing Botox and fillers to inject their own patients, ordering fraud, trading extra services for large tips, or stealing your client database to sell or use... This new course on beating embezzlement and employee theft schemes uncovers the hidden tactics behind how these scams work, and how to discover them before they kill your clinic.
Get This Free Training Academy Course