Acne Imposters

LNE & Spathe magazine for skin care and spa professionals February 2011 $7.
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ENVI RONMENTALLY RESPONSI BLE
PROVI DER OF PREMI UM SKI N CARE
Toll-Free 1-888-747-6342
info@eminenceorganics.com
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VEGAN
CASI NG
ORGANI C
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PI LL I N
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MOI STURE
DEFENSE SYSTEM
VI TAMI N SOL UT I ONS
f or We l l ne s s & Be a ut y
How you care for your inner health can be reected
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bring you a synergistic approach to skin care with
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a l s o ava i l a bl e :
Calm Skin for rosacea prone skin
Clear Skin for acne prone skin
THE ORIGINAL
SINCE 1958
GREENSPA

M
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Industry Leaders in
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minence offers products with the highest organic standards
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minence cares about the planet from harvest to production, packaging to delivery. We are committed to being
the Greenest Company in Town with the following initiatives: Wind and Solar Powered Manufacturing,
Sustainable Farming Practices, Handmade Products, Recyclable Packaging, Vegetable Inks in Printing,
Recycled Paper in Outer Packaging, Biodegradable Corn-Based Packing Materials, Green Warehouse Practices,
Hybrid and Biodiesel Car Deliveries, Green Transportation Support for our Staff, Green Community
Supporter, Tree Re-planting Initiatives, Green Spa Program, ISO 90001/2001 Certied Manufacturing.
Boldijarre Koronczay
President and Master Trainer
86% of users reported an improvement in skin elasticity in just
14 days and 100% of users reported an improvement in skin
elasticity and rmness in only 28 days with the Firm Skin Solution*!
* CLI NI CALLY TESTED BY AN I NDEPENDENT FDA CERTI FI ED LABORATORY
VSFirmSkin DP Ad LNE.indd 1 8/24/10 4:05 PM
ENVI RONMENTALLY RESPONSI BLE
PROVI DER OF PREMI UM SKI N CARE
Toll-Free 1-888-747-6342
info@eminenceorganics.com
www.eminencevitaskin.com
VEGAN
CASI NG
ORGANI C
I NGREDI ENTS
PI LL I N
PI LL
MOI STURE
DEFENSE SYSTEM
VI TAMI N SOL UT I ONS
f or We l l ne s s & Be a ut y
How you care for your inner health can be reected
on your skin so this season minence is excited to
bring you a synergistic approach to skin care with
targeted supplements designed to address common
skin concerns. By combining oral supplements
made from naturally potent ingredients with the
topical application of minence treatments, your
skin will be noticeably clearer, smoother and
soothed in no time.
a l s o ava i l a bl e :
Calm Skin for rosacea prone skin
Clear Skin for acne prone skin
THE ORIGINAL
SINCE 1958
GREENSPA

M
I
NEN
C
E
O
R
G
A
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I
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SK
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N

C
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M
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NEN
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Industry Leaders in
Keeping the Planet Green.
minence offers products with the highest organic standards
worldwide including USDA Certied Organic, ingredients
certied by Demeter International the only global certier
of Biodynamic
products, and Biokontroll Hungaria.

minence cares about the planet from harvest to production, packaging to delivery. We are committed to being
the Greenest Company in Town with the following initiatives: Wind and Solar Powered Manufacturing,
Sustainable Farming Practices, Handmade Products, Recyclable Packaging, Vegetable Inks in Printing,
Recycled Paper in Outer Packaging, Biodegradable Corn-Based Packing Materials, Green Warehouse Practices,
Hybrid and Biodiesel Car Deliveries, Green Transportation Support for our Staff, Green Community
Supporter, Tree Re-planting Initiatives, Green Spa Program, ISO 90001/2001 Certied Manufacturing.
Boldijarre Koronczay
President and Master Trainer
86% of users reported an improvement in skin elasticity in just
14 days and 100% of users reported an improvement in skin
elasticity and rmness in only 28 days with the Firm Skin Solution*!
* CLI NI CALLY TESTED BY AN I NDEPENDENT FDA CERTI FI ED LABORATORY
VSFirmSkin DP Ad LNE.indd 1 8/24/10 4:05 PM
Say you saw it in LNE & Spa and circle #157 on reader service card
extras
From the Editor 6
Spa of the Month: Twenty Three Trees
Medical & Wellness Spa, Fort Collins, CO 10
Preview: The International
Congress of Esthetics
& Spa, Dallas 2011 23
LNE & Spas Best 2011 68
Calendar of Events 124
Advertisers Index 130
Page 4 www.LNEONLINE.com Les Nouvelles Esthtiques & Spa February 2011
spa
Suction-Assisted
Lipoectomy/Liposuction 67
Suffering in Silence:
Lymphedema in America 75
Owners Column: LArte Della
Bellezza, the Art of Science and Beauty 78
Seeing the Light 82
Cool Lipo: For Love Handles 85
Spa News 87
skin
Surgery and the Cancer Patient 31
Intelligent Organ 34
Pigment Problems:
Treatments for Vitiligo 37
Manual Dermal Sanding 42
Acne Imposters: The Real
Cause of Those Red Bumps 47
Injectables 50
The Art and Science
of Chemical Peels 54
Post-Procedure Care 59
Skin News 61
Injectables
what the esthetician
needs to know
page 50
Seeing the Light
breakthrough
laser procedure
page 82
green spa
Japanese 5S Philosophy 103
Body del Sol Medical Spa 104
Skin, Heal Thyself!
With Natural Remedies 109
Green Spa News 111
business
I Made it to the Top! Now What? 89
Preparing to Work With a Physician 90
FDA Device Classification: Regulation Update 93
Biz Smart: Marketing Exfoliation 96
No Patience for Marketing?
Have Your Patients
Market for You! 99
Biz News 101
Preparing to Work
With a Physician
employment in a
medical center
page 90
Body del Sol
Medical Spa
Central Valley, CA
page 104
spa
&
CONTENTS
FEBRUARY 2011 VOLUME 26 NUMBER 2
Les Nouvelles Esthtiques & Spa, American Edition, (USPS 003-687) (ISSN 1043-9641) is published monthly, 12 times per year and is sold exclusively by subscription. Publishers Name: Jean
Jacques Legrand, M.D., 3929 Ponce De Leon Blvd., Coral Gables, FL, 33134. Periodical postage paid at Miami, Florida, with additional mailing offices. Postmaster: Send address changes to:
Les Nouvelles Esthtiques & Spa, American Edition, 3929 Ponce De Leon Blvd., Coral Gables, Florida 33134, United States Subscription: Annual Rate $45.00 Canada Subscription: $55.00
(American) 1st Class Postage Overseas Subscription: Two years for $140.00 (U.S.) Air Mail Postage
Cover
photography
by Helena Palazzi
image
Camouflage
and Coverage 113
Lady in Red 114
Micropigmentation 116
February Forecast 2011 119
Image News 121
Lady in Red
this time calls
for a couture look
page 114
L
NE & SPAS 2011 FEBRUARY EDITION IS THE
magazines first annual medical issue. It cov-
ers the topics of science, medicine and wellness,
all blended together to create a fascinating and
informative guide to expand your knowledge. As
licensed professionals, clients recognize that we
are the skin care experts, and they want us to have
a thorough understanding of everything! From
skin physiology, the latest products on the mar-
ket and the best treatments, our expertise must
be expanded into many fields, especially when it
comes to the medical side of the industry. We must
have a thorough understanding of injectables, and
know what the best service is that we can provide
to our demanding clients. This edition includes
an in-depth article on fillers by Sherry Taylor and
Linda Rae. Dr. Jennifer Wild addresses the issue
of post-procedure carekey to a clients skin care
successwith a detailed explanation on the best
protocol to follow for any treatment.
Four months ago, hundreds of top spa and
skin care companies submitted entries for their
products and equipment to be considered for the
coveted distinction of being named Les Nouvelles
Esthtiques & Spas BEST for 2011. It was interest-
ing to see the figures from the incoming votes
there were several that earned the distinction by
just one or two votes! It is always a pleasure to see
our readers getting involved in online surveys and
questionnaires. I want to hear from you. Feedback
is always a positive step toward creating change.
Many of the new features that have been developed
this year were made primarily due to the feedback
we received from you! I thoroughly believe in the
power of partnership, networking and listening to
each other to create a stronger industry.
I look forward to meeting you at The International
Congress of Esthetics and Spa in Dallas from March 13-
14! Please visit www.LNEONLINE.com to register. n
Denise R. Fuller, denise@lneonline.com
from the
editor
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800.471.0229 (USA)
305.443.2322 Worldwide fax 305.443.1664
www.lneonline.com
e-mail: tradeshows@lneonline.com
subscriptions@lneonline.com
Publisher Dr. Jean Jacques Legrand
Chief Executive Officer Rodolphe Legrand
rodolphe@lneonline.com
Editor in Chief Denise R. Fuller
denise@lneonline.com
Art Director Sacha Smith
sacha@lneonline.com
Assistant Editor Amanda Clinton
amanda@lneonline.com
Director of Sales Danni Boucher
danni@lneonline.com
Marketing Director Christle de La Haye
christele@lneonline.com
Conference Coordinator Laura G. Bazo
laura@lneonline.com
Exhibitor Operations Assistant Mayli Bueno
mayli@lneonline.com
International Editor Michele de Lattre-Pierantoni
7 Avenue Stephane-Mallarme, 75017
Paris, France - 43 80 06 47
ADVISORY BOARD
Mark Lees, Ph.D. Lydia Sarfati Rob Trow
Lake Louise Nina Curtis Diane Buccola
Contributors
Printed with 100% soy-based ink.
This magazine is recyclable.
Please recycle where facilities exist.
Jim Bain
Katrina Bodrato
Maria Calabresa-Echelard
Caroline V. Caperton, M.D.
Laura Cooksey
Morag Currin
Michelle DAllaird
Tracy L. Drumm
Erica Edmond
Gena Flores
Denise R. Fuller
James E. Fulton, Jr., Ph.D.
J. David Holcomb, M.D.
Michelle LaBrosse
Mick Marlier
Mariamar Masso
Janet McCormick
Gabriel I. Noda
Linda Rae
Janet Robbins
Lyn Ross
Melanie Sachs
Jonathan Selzer, Ph.D.
Louis Silberman
David Suzuki
Sherry Taylor
Eva Tomeu
Lisa Travis
Susanne S. Warfield
Jennifer Wild, D.O.
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I
N 2007, THE VICE PRESIDENT OF STRATE-
gic planning and marketing at Poudre Valley
Health System in Fort Collins, CO, had a vi-
sion. Pam Brock was searching for new revenue
streams for the healthcare system and she was
thinking about a fresh take on retail medicine.
She knew that it would be something very differ-
ent for a hospital to take on but felt like it could
be accomplished. After enlisting the assistance
of retail expert Marilyn Owen, the two began
to form a concept with the goal and intent to
provide a retail experience in conjunction with
medical spa services. They believed it would
be good to have new revenue cash streams
to offset reimbursement costs from Medicare
and Medicaid. Capturing business that would
normally go elsewhere for a trusted healthcare
staff would be of benefit. They continued to
by Lisa Travis
MERGING MEDICINE AND HEALTH
TWENTY THREE TREES MEDICAL
& WELLNESS SPA, FORT COLLINS, CO SPA
OF THE
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This advanced technology is set to redefine and create a new
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spa of the month|??????
work on a design and idea to fit the culture of
PVHS and, in the end, won approval from the
board of directors.
Wellness road
This newly formed medical and wellness spa
would be located on the main floor of the
largest womens clinic in the city. With services
offered by 55 multi-specialty physicians in the
Westbridge Medical Suitesand just across the
bridge or walkway from the Poudre Valley
Hospitalthe location offered a steady flow
of traffic. As the team at PVHS was immersed
in the planning of the spa, builders and archi-
tects realized that a precious resource would
need to be removed to make space for this new
building. Instead of destroying the beautiful,
mature trees on the property, they moved them
to employees homes (selected in a lottery). In
celebration, they named the new medical spa
Twenty Three Trees Medical & Wellness Spa.
In full swing
Two years after the initial concept, Twenty
Three Trees Medical & Wellness Spa opened
in June 2009 as the first medical esthetic retail
center of its kind to be under the umbrella of
a healthcare system. The facility opened in full
swing, with all spa and medical esthetic proce-
dures in place and a full built-out retail space.
Today that dream continues to be realized as
the spa offers the expertise of medical esthet-
ics in a luxurious spa atmosphere that offers an
upscale shopping experience. It has been so
well received that a second location is being
planned for the spring of 2011.
As director of retail strategy and services,
Marilyn Owen oversees the retail operations
and new store set-ups. She travels to several
trade shows each year to select merchandise
specifically for the spas clients. She also seeks
The staff takes a high interest in
personalized servicenot only in
the back of the house where
clients receive services, but also in
the front of the house retail area.
Clients are recognized and offered
a unique shopping experience.
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continues
local and statewide vendors that offer unique
and one-of-a-kind creations. The merchandise
mixture rivals that of any specialty boutique
or resort with clothing, jewelry, home dcor,
fragrance, candles and gifts.
Special touches
Since the spa is located in the womens clinic
building, the team also added Twig, a mom
and baby boutique. Birthing products, along
with thoughtful gifts, add convenience to the
process of selecting gifts for the new moms
in the hospital. The unique Design Your Own
Spa Day program allows guests to receive a
ten percent discount on four or more services
provided on the same day. Groups may also
enjoy a Twenty Three Trees spa party, which
can work for any type of group, from a bridal
party to a book club gathering. The shop-
ping boutique, conference center and full line
of services offer plenty of ways to make any
event special.
Proven results
The spa is medically directed by Michelle
Tollefson, M.D. Dr. Tollefson is an obstetrician/
gynecologist who administers all of the laser
and injectable treatments in addition to over-
seeing all the medical procedures, policies and
the selection of the skin care lines. She is a cer-
tified wellness coach who writes for Harvards
Institute of Lifestyle Medicine.
According to Dr. Tollefson, Most of the pa-
tients are women from 18 to 90 years of age.
Many patients are staff members, but a large
number of patients are from the community. A
significant number of referrals are received from
happy patients who tell their friends about us.
The response to the spa has been wonder-
ful, she says. The community has really ap-
preciated having a medical spa that is owned
The response to the spa has
been wonderful, says Dr.
Tollefson. The community has
really appreciated having a
medical spa that is owned and
operated by the health system.
Dr. Tollefson
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LNE_AD_12-10.indd 1 12/9/10 1:25 PM
continues
and operated by the health system. The focus
is on providing evidence-based procedures
and services that address particular concerns.
Patients feel very comfortable and safe in our
care, knowing that it is a PVHS facility, due to
PVHS great reputation in the community.
All of the skin care and esthetic technolo-
gies have been researched to ensure they are
evidence-based, with white papers to support
their purported uses. One of the most popu-
lar medical procedures is the SmartSkin CO2
Laser Skin Renewal. Other procedures include
Botox
, Dysport
, dermal fillers and photofa-

cial skin rejuvenation, and prescription Latisse
.
Dr. Tollefson also performs laser hair removal,
sclerotherapy and laser vein treatments. Skin
Transformation packages are customized to
incorporate treatments and skin care that ac-
comodate each clients needs. The spa fea-
tures various skin care lines as well as its own
signature line, which has been exclusively cre-
ated for the spa and is available in treatments
as well as retail.
Multiple modalities
Robert Langius, the manager of medical spa
operations, oversees the day-to-day business.
Additional staff includes two estheticians, two
medical massage therapists, three retail con-
cierges and a reservationist. Langius extensive
background in laser clinics was instrumental
in growing the medical esthetic segment and
marketing the services. Realizing that multiple
modalities provide better results, Langius cre-
ated the Skin Transformation packages that
combine products:
SmartSkin CO2 Laser Skin Renewal
Laser facials
Microdermabrasion
Injectables
He also added financing for patients and in-
creased discounts to hospital staff to encourage
them to book appointments.
Facials, microdermabrasion and peels are of-
fered in the spa by estheticians. The Microderm
All of the skin care and esthetic
technologies offered at
the medical spa have been
researched to ensure they are
evidence-based with white papers
to support their purported uses.
Marilyn Owens
and Pam Brock
continues
Laser Facial is one of clients favorite treatments,
and integrates services from both the estheti-
cian and the physician. The client first receives
an enzyme exfoliation, followed by microderm-
abrasion from the esthetician. Dr. Tollefson then
administers a laser treatment that stimulates
collagen production. The laser treatment is
followed by a facial with products specifically
designed to enhance the results of the laser
treatment. A home care program is created for
all esthetic treatments.
Medical massage therapists offer services
that include Swedish, relaxation, prenatal, neu-
romuscular, deep tissue and craniosacral mas-
sage. A popular service is the Twenty Three
Trees Massage, where mixtures of eclectic mas-
sage techniques are customized for the client
to ensure complete relaxation.
The boutique
Services are often followed by a visit to the
spas boutique, where clients are educated by
the staff on home care programs. Many of the
items, such as the sheets on the medical spa
tables, robes, slippers, towels, candles, music
CDs and skin care products that clients experi-
ence during treatments are available and offer
consistency from treatment room to retail area.
The client can purchase components of the spa
experience for the home and as gifts.
Clients are offered a unique shopping experi-
ence that is customized for them by the staff, who
are familiar with the clients preferences based on
their purchases and requests from previous visits.
The retail concierge staff has the opportunity to
educate walk-ins, not only on merchandise but
also on services in the spa and esthetics center.
The retail concierge staff will sometimes com-
plete the home care program and recommend
other items. Clients often make numerous pur-
chases from the store, and they usually rebook
services as well.
The Microderm Laser Facial
is one of clients favorite
treatments, and integrates
services from both the
esthetician and the physician.
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Satised staff
The staff at Twenty Three Trees Medical & Wellness Spa is extremely satisfied,
passionate and proud of what they do and the differences they make for clients.
The team is rewarded with a healthy benefits package, and they are all pleased
to be working with such a highly regarded healthcare provider. PVHS employs
staff with no contractors. In addition, generous discounts encourage employees
to indulge in the services and purchase retail products.
Standing out
Twenty Three Trees Medical & Wellness Spa differs from other spa or medi-
cal esthetic facilities because of its complete retail center that offers not only
products and merchandise to support the spa and medical esthetic services,
but also a complete array of gifts for clients, staff, patients and the community.
The facility is reviewed by The Joint Commission, which reviews hospitals for
patient quality and safety compliance; this requires a few extra forms and pa-
tient charting. Patients appreciate the extra measures and feel safe with a high
level of care. PVHS is committed to excellence and is a recipient of the Malcolm
Baldrige National Quality Award. It is all about patient service and a very high
level of commitment.
Plans for the future include inpatient services. PVHS is also considering add-
ing lifestyle medicine, which may include acupuncture, nutrition and exercise
programs. Already in place is the new 16,000-square-foot Poudre Valley Medical
Fitness, which opened in December 2010. PVHS has more than 20 clinics in the
region and will continue to seek ways to integrate medicine and lifestyle as it
grows its excellent reputation throughout the entire region. n
Lisa Travis is the founder and president of SpaMedix, a
consulting firm that focuses on bridging the gap between
the medical, spa and wellness industries. After years of
working with day spas and resorts, she began setting up
medical spas in dermatology and plastic surgery offices
nationwide. Today Travis is a respected author, speaker
and consultant who works with many different physician
specialties, hospitals, day spas and resorts.
INTRODUCING
Say you saw it in LNE & Spa and circle #243
p
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o
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b
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P
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spa of the month
REGISTRATION
ALL-INCLUSIVE
CONTACT US TODAY FOR YOUR FREE SHOW PROGRAM:
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Arlington, TX 76011
THE INTERNATIONAL CONGRESS
OF ESTHETICS AND SPA
$
60
2 - DAY ADMISSION
SAVE WHEN YOU REGISTER BY 02/18/11
2 - day admission is $75 after 02/18/11
5
WAYS TO REGISTER:
PHONE: 1.800.471.0229
1.305.443.2322
ONLINE: www.LNEONLINE.com
E-MAIL: Registration@LNEONLINE.com
FAX: 1.305.443.1664
MAIL: Aesthetic Expo
3929 Ponce De Leon Blvd.
Coral Gables, FL 33134
Presented by:
Endorsed by:
Exhibit Hall
Natural & Organic Pavilion NEW
General Session Lectures and Live Demos
Green Summit NEW
In-Depth Makeup Class
Advanced Salon/Spa Business Seminar
Salon/Spa Management
Business Seminar NEW
Medical Esthetic Seminar
Networking Spa Buzz Event NEW
All Manufacturers Workshops
Sponsored by:
The International Congress of Esthetics and Spa / Dallas 2011
HOTEL & TRAVEL INFORMATION
AIRLINE RESERVATIONS & CAR RENTAL
To make your airline reservations at the best possible airfare or to rent a car you may contact Lourdes Maurer toll-free at 1.800.544.1222 ext. 228 or
e-mail your request to: Lmaurer@expresstravelus.com.
TAXI SERVICE
FROM DALLAS/FT. WORTH AIRPORT:
Taxi service is available on the upper level of each terminal. The fare to Arlington is approximately $37.00.
FROM LOVE FIELD AIRPORT:
Taxi service is available on the upper level across the street from the baggage claim wing of the main terminal building. The fare to Arlington is approximately $45.00.
AIRPORT SHUTTLE SERVICES

Shuttle Transportation from Dallas/Ft.Worth airport to:
SHERATON ARLINGTON: Complimentary shuttle available from 6:30 a.m. to 10:00 p.m. Upon arrival at DFW Airport call 817.261.8200.
HILTON ARLINGTON: Complimentary shuttle available from 7:00 a.m. to 10:30 p.m. Upon arrival at DFW Airport call 817.640.3322.
HYATT PLACE ARLINGTON: Complimentary shuttle available from 7:30 a.m. to 10:00 p.m. Upon arrival at DFW Airport call 817.633.2434.
Shuttle transportation from the airport to your hotel is available via SUPERSHUTTLE
Reserve your transportation online at supershuttle.com and save! Use group code BET2Q
when reserving online. For fares, reservations and more information, please call 1.800.258.3826.
RESERVE YOUR HOTEL
Visit our website: www.LNEONLINE.com
E-mail : registration@LNEONLINE.com
Tel : 1.800.471.0229 Fax : 1.305.443.1664
All rates are PER NIGHT Plus 15% room tax. Congress rates are subject to availability.
CANCELLATION PENALTIES:
$50 cancellation fee if reservations are cancelled after 2/25/11. Full one night deposit if cancelled after 3/4/11.
Cancellation penalties are STRICLY ENFORCED
$135 $135 $145 $155
Located adjacent to Convention Center
$125 $125 $125 $125
Rate includes continental breakfast
1 mile from Convention Center
$113 $113 N/A N/A
King Bed King Bed
N/A $124 $124 $124
2 DBL Beds 2 DBL Beds 2 DBL Beds
50% of bufet breakfast for congress participants

$99 $99 $99 $99
Rate includes bufet breakfast

$72 $72 $72 $72
Rate includes continental breakfast
1.5 miles from Convention Center
Single Double Triple Quad
ComplimentaryshuttletoandfromtheConventionCenter
Sheraton Arlington
Superior First Class
Hyatt Place Arlington
First Class
Hilton Arlington
First Class
Hawthorn Suites
Arlington
Moderate First Class
Fairfeld Inn
Moderate First Class
HOTEL RATES PER NIGHT
GENERAL SESSION & SEMINARS
Sunday, March 13
GENERAL SESSION
9:30 a.m. Ocial Opening Ceremony by Nina Curtis
9:45 a.m. You ARE What you Eat LECTURE by Michelle DAllaird
10:15 a.m. Essential Extractions: How to do it Right! DEMO by Mark Lees, Ph.D.
11:00 a.m. LNE & SPA Award Ceremony by Denise R. Fuller
11:25 a.m. Inhibiting Ingrown Hairs: The Waxers Guide to Good Techniques and Prevention DEMO by Tina Zillmann
12:10 p.m. Customer Service: Elevating and Exceeding Expectations LECTURE by Laura Kain
12:40 p.m. Cold Stone Therapy for Migraine Headaches DEMO by Kelly Lott
GREEN SUMMIT Located at the Sheraton-Hall of Fame Ballroom
2:00 p.m. to 2:30 p.m. Green Spa - Growing Consumer Awareness by Kathy Angiolet
2:30 p.m. to 3:00 p.m. Greening Your Spa Using the Ayurvedic Model by Robert Sachs
3:00 p.m. to 3:30 p.m. Nutraceutical Cosmeceutical . . . Modern Words for Ancient Concepts by Donna Tokugawa
MEDICAL ESTHETICS SEMINAR Located in the General Session area
The COA has approved these classes for 1CE each
2:00 p.m. to 3:00 p.m. Medical Esthetics: What it Takes by Susanne Warfeld
3:00 p.m. to 4:00 p.m. Laser Light Technologies and youthe Esthetician! by Susanne Warfeld
SALON/SPA MANAGEMENT BUSINESS SEMINAR Located in the General Session area
4:15 p.m. to 5:15 p.m. Risky Business: Take Simple Precautions to Keep Your Business Safe by Sarah Brandow
AIA-AESTHETICS INTERNATIONAL ASSOCIATION Located at the Sheraton-Hall of Fame Ballroom
4:00 p.m. to 5:30 p.m. Successful Career Tools by William Strunk
NETWORKING EVENT Located at the Sheraton-Yacht Club
Monday, March 14
GENERAL SESSION
9:30 a.m. Wellness Trends: How Spas are Changing Their Models to Meet the Needs of the Wellness Consumer LECTURE by Camille Hoheb
10:00 a.m. Balinese Boreh Scrub and Wrap DEMO by Linda Beach
10:45 a.m. When Retail Sales go BAD! LECTURE by Keith West-Harrison
11:15 a.m. Massage With Intension DEMO by Barbara Schumann
12:00 p.m. The Wisdom of Your Face: See Chinese Face Reading in Action! LECTURE by Jean Haner
1:30 p.m. to 2:30 p.m. Mindful Living by Maria Villarreal
3:00 p.m. to 7:00 p.m. Lymph Drainage and Compression Therapy by Dr. Reinhard R. Bergel
ADVANCED SALON/SPA BUSINESS SEMINAR Located in the General Session area
2:00 p.m. to 2:40 p.m. Join the Social Media Party: The Beginning by Lake Louise
2:40 p.m. to 3:20 p.m. Growing Your Business Using Social Media: The Next Level by Lake Louise
3:30 p.m. to 4:15 p.m. How to Make Money With a Salon Website by Heather Smith
IN-DEPTH MAKEUP CLASS Located at the Sheraton-Champion Ballroom 1
3:30 p.m. to 4:30 p.m. Bridal Makeup: A to Z by Kristin Colaneri
ROUND TABLE SESSIONS Located at the Sheraton-Yacht Club
1:30 p.m. to 2:30 p.m. Future of Spa | Trends
2:30 p.m. to 3:30 p.m. Best Practices
3:30 p.m. to 4:30 p.m. Retail Solutions
Limited seating. Please e-mail kristi@thespabuzz.com to reserve your seat.
Presented by:
Presented by:
1
st
Annual
NEW
NEW
NEW
Presented by: NEW
INCLUDED
WITH
ADMISSION
INCLUDED
WITH
ADMISSION
GENERAL SESSION & SEMINARS
Sunday, March 13
GENERAL SESSION
9:30 a.m. Ocial Opening Ceremony by Nina Curtis
9:45 a.m. You ARE What you Eat LECTURE by Michelle DAllaird
10:15 a.m. Essential Extractions: How to do it Right! DEMO by Mark Lees, Ph.D.
11:00 a.m. LNE & SPA Award Ceremony by Denise R. Fuller
11:25 a.m. Inhibiting Ingrown Hairs: The Waxers Guide to Good Techniques and Prevention DEMO by Tina Zillmann
12:10 p.m. Customer Service: Elevating and Exceeding Expectations LECTURE by Laura Kain
12:40 p.m. Cold Stone Therapy for Migraine Headaches DEMO by Kelly Lott
GREEN SUMMIT Located at the Sheraton-Hall of Fame Ballroom
2:00 p.m. to 2:30 p.m. Green Spa - Growing Consumer Awareness by Kathy Angiolet
2:30 p.m. to 3:00 p.m. Greening Your Spa Using the Ayurvedic Model by Robert Sachs
3:00 p.m. to 3:30 p.m. Nutraceutical Cosmeceutical . . . Modern Words for Ancient Concepts by Donna Tokugawa
MEDICAL ESTHETICS SEMINAR Located in the General Session area
The COA has approved these classes for 1CE each
2:00 p.m. to 3:00 p.m. Medical Esthetics: What it Takes by Susanne Warfeld
3:00 p.m. to 4:00 p.m. Laser Light Technologies and youthe Esthetician! by Susanne Warfeld
SALON/SPA MANAGEMENT BUSINESS SEMINAR Located in the General Session area
4:15 p.m. to 5:15 p.m. Risky Business: Take Simple Precautions to Keep Your Business Safe by Sarah Brandow
4:00 p.m. to 5:30 p.m. Successful Career Tools by William Strunk
NETWORKING EVENT Located at the Sheraton-Yacht Club
Monday, March 14
GENERAL SESSION
9:30 a.m. Wellness Trends: How Spas are Changing Their Models to Meet the Needs of the Wellness Consumer LECTURE by Camille Hoheb
10:00 a.m. Balinese Boreh Scrub and Wrap DEMO by Linda Beach
10:45 a.m. When Retail Sales go BAD! LECTURE by Keith West-Harrison
11:15 a.m. Massage With Intension DEMO by Barbara Schumann
12:00 p.m. The Wisdom of Your Face: See Chinese Face Reading in Action! LECTURE by Jean Haner
1:30 p.m. to 2:30 p.m. Mindful Living by Maria Villarreal
3:00 p.m. to 7:00 p.m. Lymph Drainage and Compression Therapy by Dr. Reinhard R. Bergel
ADVANCED SALON/SPA BUSINESS SEMINAR Located in the General Session area
2:00 p.m. to 2:40 p.m. Join the Social Media Party: The Beginning by Lake Louise
2:40 p.m. to 3:20 p.m. Growing Your Business Using Social Media: The Next Level by Lake Louise
3:30 p.m. to 4:15 p.m. How to Make Money With a Salon Website by Heather Smith
IN-DEPTH MAKEUP CLASS Located at the Sheraton-Champion Ballroom 1
3:30 p.m. to 4:30 p.m. Bridal Makeup: A to Z by Kristin Colaneri
ROUND TABLE SESSIONS Located at the Sheraton-Yacht Club
1:30 p.m. to 2:30 p.m. Future of Spa | Trends
2:30 p.m. to 3:30 p.m. Best Practices
3:30 p.m. to 4:30 p.m. Retail Solutions
Limited seating. Please e-mail kristi@thespabuzz.com to reserve your seat.
Presented by:
Presented by:
1
st
Annual
NEW
NEW
NEW
Presented by: NEW
INCLUDED
WITH
ADMISSION
INCLUDED
WITH
ADMISSION
WORKSHOPS
S u n d a y
MARCH 13
2:00 p.m. to 3:30 p.m.
ROOM M 1-2 SAIAN Non-surgical Facelift, Neck Lift and Collagen Infusion Therapy Achieved Through Galvanic/Micro
current /Infrared Technology and Natural Clinical Products by Margarita Saian
ROOM M 3-4 RHONDA ALLISON Body Peeling by Rhonda Allison
ROOM M 5 A NATURAL DIFFERENCE Taking Techniques to New Heights With Oxygen...the Breath of Life by Irene Stuckey
ROOM M 6 EVAS ESTHETICS Speed Wax With the Wax Queen by Lori Nestore
ROOM M 7 IREDALE MINERAL COSMETICS Just For Me, For You: Spring Tips and Tricks by Tricia Campbell
ROOM M 8 MINENCE ORGANIC SKIN CARE Master the Hungarian Massage Techniques for the Instant Facelift
by Boldijarre Koronczay
ROOM M 9-10 PCA SKIN A Deeper Look at Chemical Peeling by Erin Holder, L.E.
ROOM M 11-12 OSMOSIS PR MEDICAL SKINCARE DNA Repair for Acne and Rosacea by Ben Johnson, M.D.
ROOM WORLD SERIES 1 BIO JOUVANCE Instant Lifting, Anti-aging Treatment With Micro Needling, Peptides, Pure Diamonds,
Gold and Caviar by Sonia Boghosian
ROOM WORLD SERIES 2 BON VITAL, INC. Anti-Cellulite With Hot & Cold Stones by Bruce Baltz
ROOM TRIPLE CROWN EVE TAYLOR NORTH AMERICA Optimize Your Medispa Treatments by Adding a Targeted
Refexology Mini Treatment by Trish Green
ROOM SUPER BOWL 1 CIRCADIA BY DR. PUGLIESE Treating Pigmentation Disorders and Working With Ethnic Skin
by Michael Q. Pugliese
ROOM SUPER BOWL 2 EDGE SYSTEMS CORPORATION Revitalize Your Esthetic Business With Proven, Hands-on Marketing Tactics
by Greg Stickley
ROOM WIMBLEDON THE WAX CONNECTION / PILLYSS (ESTHTIQUES SANS FRONTIERES, INC.) The Smooth Man
by Becky Stodder Price
4:00 p.m. to 5:30 p.m.
ROOM M 1-2 REMY LAUREEUROPEAN BEAUT, INC. Remy Laure Skin Care and Needle-Free Esthetic Acupuncture
by Patty Leung
ROOM M 3-4 RHONDA ALLISON How to Create Your Own Peel Party and Increase Your Client Base by Rhonda Allison
ROOM M 5 MARTINNI BEAUTY, INC. Learn How to Earn Big $$$ Removing All Types of Skin Growths by Lana Yu
ROOM M 6 EVAS ESTHETICS Colorblind Skin Analysis by Lori Nestore
ROOM M 7 HAKEN PROFESSIONAL Value Added Treatments by Mindy Biggar
ROOM M 8 PHYSIODERMIE (METHODE)/EUROPELAB, INC. Rosacea/Acne Rosacea & Sensitive Skin: Causes & Treatments
by Michael Ibbott
ROOM M 9-10 NELLY DE VUYST Aging of the Skin: Solutions Using the Nelly De Vuyst Method by Karina R. Geofrey
ROOM M 11-12 HYDROPEPTIDE Peptides, Stem Cells, Growth Factors - Dont be Left Behind! by April Zangl
ROOM WORLD SERIES 1 GLYMED PLUS The Secret Revealed! by Christine Heathman and Monica Villar
ROOM WORLD SERIES 2 SKIN BLENDS, LLC. Lemons Into Lemonade: Proftable Waxing Made Fast and Easy by Kelly Grimesey
ROOM TRIPLE CROWN DERMAWARE BIOTARGETED SKIN CARE Corrective Peeling: Face Lift Jessner Peel & Science
by Robert M. Zone, Ph.D. and Gl . Zone,
ROOM SUPER BOWL 1 MLIS Easy and Efective Holistic Slimming by Ginny Naylor
INCLUDED
W
ITH
ADM
ISSIO
N
WORKSHOPS
S u n d a y
MARCH 13
2:00 p.m. to 3:30 p.m.
ROOM M 1-2 SAIAN Non-surgical Facelift, Neck Lift and Collagen Infusion Therapy Achieved Through Galvanic/Micro
current /Infrared Technology and Natural Clinical Products by Margarita Saian
ROOM M 3-4 RHONDA ALLISON Body Peeling by Rhonda Allison
ROOM M 5 A NATURAL DIFFERENCE Taking Techniques to New Heights With Oxygen...the Breath of Life by Irene Stuckey
ROOM M 6 EVAS ESTHETICS Speed Wax With the Wax Queen by Lori Nestore
ROOM M 7 IREDALE MINERAL COSMETICS Just For Me, For You: Spring Tips and Tricks by Tricia Campbell
ROOM M 8 MINENCE ORGANIC SKIN CARE Master the Hungarian Massage Techniques for the Instant Facelift
ROOM M 9-10 PCA SKIN A Deeper Look at Chemical Peeling by Erin Holder, L.E.
ROOM M 11-12 OSMOSIS PR MEDICAL SKINCARE DNA Repair for Acne and Rosacea by Ben Johnson, M.D.
ROOM WORLD SERIES 1 BIO JOUVANCE Instant Lifting, Anti-aging Treatment With Micro Needling, Peptides, Pure Diamonds,
Gold and Caviar by Sonia Boghosian
ROOM TRIPLE CROWN EVE TAYLOR NORTH AMERICA Optimize Your Medispa Treatments by Adding a Targeted
Refexology Mini Treatment by Trish Green
ROOM SUPER BOWL 1 CIRCADIA BY DR. PUGLIESE Treating Pigmentation Disorders and Working With Ethnic Skin
by Michael Q. Pugliese
ROOM SUPER BOWL 2 EDGE SYSTEMS CORPORATION Revitalize Your Esthetic Business With Proven, Hands-on Marketing Tactics
by Greg Stickley
ROOM WIMBLEDON THE WAX CONNECTION / PILLYSS (ESTHTIQUES SANS FRONTIERES, INC.) The Smooth Man
by Becky Stodder Price
4:00 p.m. to 5:30 p.m.
ROOM M 1-2 REMY LAUREEUROPEAN BEAUT, INC. Remy Laure Skin Care and Needle-Free Esthetic Acupuncture
by Patty Leung
ROOM M 3-4 RHONDA ALLISON How to Create Your Own Peel Party and Increase Your Client Base by Rhonda Allison
ROOM M 6 EVAS ESTHETICS Colorblind Skin Analysis by Lori Nestore
ROOM M 7 HAKEN PROFESSIONAL Value Added Treatments by Mindy Biggar
ROOM M 8 PHYSIODERMIE (METHODE)/EUROPELAB, INC. Rosacea/Acne Rosacea & Sensitive Skin: Causes & Treatments
by Michael Ibbott
ROOM M 9-10 NELLY DE VUYST Aging of the Skin: Solutions Using the Nelly De Vuyst Method by Karina R. Geofrey
ROOM M 11-12 HYDROPEPTIDE Peptides, Stem Cells, Growth Factors - Dont be Left Behind! by April Zangl
ROOM WORLD SERIES 1 GLYMED PLUS The Secret Revealed! by Christine Heathman and Monica Villar
ROOM WORLD SERIES 2 SKIN BLENDS, LLC. Lemons Into Lemonade: Proftable Waxing Made Fast and Easy by Kelly Grimesey
ROOM TRIPLE CROWN DERMAWARE BIOTARGETED SKIN CARE Corrective Peeling: Face Lift Jessner Peel & Science
by Robert M. Zone, Ph.D. and Gl . Zone,
ROOM SUPER BOWL 1 MLIS Easy and Efective Holistic Slimming by Ginny Naylor
INCLUDED
W
ITH
ADM
ISSIO
N
WORKSHOPS
ROOM M 1-2 SAIAN Non-surgical Facelift, Neck Lift and Collagen Infusion Therapy Achieved Through
Galvanic/Microcurrent /Infrared Technology and Natural Clinical Products by Margarita Saian
ROOM M 3-4 DERMASWISS Gessotherapy: Innovative, Efective and Proftable Inch-Loss Treatment
With Lipo-Reducer Wraps by Ximena Borrero
ROOM M 6 EVAS ESTHETICS Brazilian Bikini Waxing by Lori Nestore
ROOM M 7 IREDALE MINERAL COSMETICS Tantasia: A New Approach to Self-Tanning by Tricia Campbell
ROOM M 8 MINENCE ORGANIC SKIN CARE Newest Trends in Natural Skin CareDont be Left Behind!
ROOM M 9-10 PCA SKIN Treating Ethnic Skin With Confdence by Erin Holder, L.E.
ROOM M 11-12 HYDROPEPTIDE Maximize and Grow Your Retail Sales by Steve Peck
ROOM CHAMPIONS BALL 2 OSMOSIS PR MEDICAL SKINCARE Scientifc Breakthroughs for Melasma and Aging
by Ben Johnson, M.D.
ROOM CHAMPIONS BALL 3 PHYSIODERMIE (METHODE)/EUROPELAB, INC. Lets Go Botanical by Michael Ibbott
ROOM WORLD SERIES 1 NELLY DE VUYST Rosacea and Acne Rosacea: Solutions to This Growing Skin Disorder
in North America by Karina R. Geofrey
ROOM TRIPLE CROWN COATS ALOE INTERNATIONAL, INC. What Is It & Why Should Your Client Buy It?
by Fauzia Basharat
ROOM SUPER BOWL 1 BIO JOUVANCE The Efective New All-Natural Skin Lightening Treatment With Micro Needles,
Peptides and Enzymes by Sonia Boghosian
ROOM SUPER BOWL 2 RAW MENS SKIN CARE How to Capture the Male Market: Why RAW? by Rhonda Allison
ROOM WIMBLEDON TIKKUN PRODUCTS....A MEDICALLY BASED SKINCARE LINE Divinely Inspired, Scientifcally
Formulated, Organically Infused by Dr. Clayton Moliver, M.D.

M O N D A Y
MARCH 14
2:00 p.m. to 3:30 p.m.
Visit www.LNEONLINE.com for all workshops Details.
Show hours:
Sunday, March 13 from 9:00 a.m. to 6:00 p.m.
Monday, March 14 from 9:00 a.m. to 5:00 p.m.
INCLUDED
W
ITH
ADM
ISSIO
N
302 Professional Skincare
5 Star Formulators
A Natural Difference
Advanced Rejuvenating Concepts
AIA- Aesthetics International Association
Alex Cosmetic Herbal A-peel
Allegra M. France
Associated Skin Care Professionals
Athena Beauty, Inc.
B & S Beauty Supply (CA), Inc.
Balnea Aromatherapy Products
Beauties City Supplies, Inc.
Beauty Attica, Inc.
Beauty Image
Beauty Wellness & Spa
Bellaire Industry
Bielle Cosmetics
Bio Jouvance, Inc.
Biodroga
Biokosmetik of Texas, Inc.
blinc, Inc.
Bon Vital, Inc.
Bronze Biologic Spray On Tanning
Bubalina
CBI Laboratories, Inc.
Chado-En
Christina / 5 Star Formulators
Circadia By Pugliese
Coats Aloe International, Inc.
Cosmeceuticals International
Cosmetiques France Laure
Crown Brush Co.
Dadashie Acne System
Dectro
Dermalogica
Dermascope Magazine
DermaSwiss
Dermavista
DermaWare Biotargeted Skin Care
Diamond Way Ayurveda
DMK - Danne Montague King
DPC Intl, Inc.
Dr. Grandel USA
Dr. Jeff Skin Care
Dr. Schrammek
Edge Systems Corporation
minence Organic Skin Care
Enspri Skin Care
Epillyss (Esthtiques Sans Frontires, Inc.)
Equipro
Eropean Beaute, Inc.
Europelab
Evas Esthetics
Eve Taylor North America
Extend Your Lashes
Eye Kandy Cosmetics
Fake Bake Tanning Products
Falcon International Group, Inc.
Fallene Ltd.
Farm House Fresh
Five Star Formulators
Gehwol Foot Care
Genesis Biosystems
GlyMed Plus
Haken Professional
Hanna Isul Skin Therapy, Inc.
Helix Biomedix
Hollywood Face Towels & Wraps
HydroPeptide
Innosearch
Instantly Ageless
Iredale Mineral Cosmetics
Jaco Wholesale Day Spa Supplies
Janssen Cosmeceutical
JMT Group
Klapp USA
La Marquise, Inc.
Lady Burd
Lashes and Cosmetics
Le Belle International
Le Mieux Cosmetics
Leo Unlimited, Inc.
LePa Cosmetics
LePa Systems
Les Nouvelles Esthtiques & Spa
Lotus Moon
Mlis
Mark Lees Skin Care, Inc.
Martinni Beauty, Inc.
Michael Marcus Cosmetics
Mineralogie Mineral Makeup
National Laser Institute
Nelly de Vuyst (Europelab)
New Beginnings
Osmosis Pr Medical Skincare
P. A. B.
PCA Skin
Permanent Make up Center
Pevonia
PFB Vanish
Physiodermie (Methode)
PINO Natural Spa Therapy
Pourelle
Prima Diva Lashes
PrismaDerm
Quintessence Skin Science
Rapid Lash
Raw Mens Skin Care
Remy Laure
Revitalash
Rhonda Allison
Rica Nans
Rosa Graf Cosmetics
Saian
Silhouet-Tone USA
Skin Blends, LLC.
Skin Care Consultants
Skin Fitness Therapy
Solarex MD
Spa Manufacture Direct
Spa Source USA MD Corrective Care
Spaware Software
SunFX
Tea Docents
The Unique Edge
The Wax Connection
Tikkun
Touch Beauty, LLC
truLASH, Inc.
Vitamix
Zion Cleanse Detox Foot Baths
EXHIBITOR LIST
as of January 1, 2011
DALLAS
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IECSC New York, March 6-8, Booth #323
Face & Body Midwest, March 12-14, Booth #6200
Peptides! Scientifc Breakthroughs For Wrinkles, Hyperpigmentation, Acne & More!
Sunday, March 13th, 10 am - 11:30 AM, Room W179A
International Congress of Esthetics Dallas, March 13-14, Booth #717
Peptides, Stem Cells, Growth Factors - Dont Be Left Behind!
Sunday, March 13th, 4 - 5:30 PM, Room M11
Maximize and Grow Your Retail Sales
Monday, March 14th, 2 - 3:30 PM, Room M11
Come
See
Us!!
$50
Savings
C
M
Y
CM
MY
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CMY
K
100410_Ormedic_ImageSkincare.pdf 1 10/4/10 1:06 PM
Wound management: Patients with
malnutrition undergoing surgery usu-
ally take longer to heal. This is further
exacerbated with habitual drinking of
alcohol and smoking, and/or for those
who have had radiation treatments, as
well as those who have other existing co-
morbidities such as diabetes or obesity.
Bruising: Bruising after surgery is
common and the skin beneath the area
of surgery is usually tender and delicate.
Post-operative care is extremely impor-
tant for skin healing and to ensure the de-
sired results of the surgery are achieved.
Lymphedema: This can occur from
surgery for cancer, cancer treatment or
an injury. The basic symptoms of lymph-
edema include visual signs of swelling
or puffiness. It usually occurs in an arm
or leg, but can happen in other areas
such as the head and neck area. It affects
areas where lymph nodes have been
damaged or removed. There is a 40 per-
cent risk of lymphedema from damaged
or removed nodes. Once lymphedema
has occurred, it cannot be gotten rid of
completely. However, if caught early it
can be controlled very well.
Body image disturbance: Our cul-
ture today places a large emphasis on
personal appearance, so it is under-
standable that patients who have had
surgery in visible areas, such as with
head and neck cancer, are initially devas-
tated when facing an ablative resection
of the face or neck. After cancer surgery,
patients may face a long treatment pe-
riod with many inconveniences and ad-
justments. Body image issues can result
from surgery and scarring in the area.
Pain control: Pain can now usual-
ly be very well controlled after surgery.
February 2011 Les Nouvelles Esthtiques & Spa www.LNEONLINE.com Page 31
by Morag Currin
skin
surgery and
the cancer patient
S
URGERY IS ONE OF THE OLD-
est treatments for cancer. Many
spa clients or patients have en-
dured some sort of surgerywhether it
is facial surgery to improve appearance
or surgery for cancer. Spa clients can
receive great benefits from post-oper-
ative care, especially when it comes to
spa treatments.
Possible problems
There are usually some issues that oc-
cur after surgery which include wound
infection, blood clots and fluid collec-
tion around the wound.
Getting up and moving as soon as
possible after the operation helps pre-
vent chest infections and blood clots.
Exercises and elastic stockings as well
as medications to control blood clotting
may help prevent blood clots.
Antibiotics may be given to prevent
infection, and they may result in skin-
related side effects, especially with the
body experiencing trauma. Exanthems
are commonly found on the upper arms
and face and often stem from the ad-
ministration of antibiotics.
Immediately after surgery, drainage
tubes near the wound stop fluid from
collecting around the operation site. This
is important because, as well as being
uncomfortable or painful, fluid that does
not drain away can become infected.
Side effects
Pyscho-social effects: Once a person
has received a diagnosis of cancer, they
are often told that they need to have
surgery, but have to wait a few weeks
for the operation. This can be a difficult
time emotionally.
Medical professionals provide medi-
cations. Pain usually goes away a few
weeks after surgery, but some people
need to take painkillers longer. Some
people have long-term pain for some
months after the removal of a breast
(mastectomy). The use of pain medi-
cations such as opiates can also bring
about skin reactions.
Urticaria (with or without angio-
edema): This can occur anywhere on
the body and develops abruptly after
exposure to medications such as aspirin,
NSAIDS (Nonsteroidal anti-inflammatory
drugs), antibiotics, and pain medications
including codeine and opiates.
The skin can heal faster from sur-
gery when a pre- and post-operative
skin care program is applied. It should
involve the use of products that help
speed recovery, promote wound healing
and reduce the appearance of symp-
toms such as bruising discolorations,
hyperpigmentation, erythema, itching,
and tight and dry skin. Using gentle,
non-irritating, soothing, hydrating and
clean products is recommended for
skin that is recovering from surgery. n
Mrag Currin, LE, CMLT, is the found-
er and international director of Touch
for Cancer, the only Clinical Oncology
Esthetics (COE) certification currently
available, which she established when she
recognized the lack of specialized training
and skin care available for people under-
going cancer therapies. She is the presi-
dent of Touch for Cancer Online (www.
touchforcanceronline.com). Currin has
also developed TecNiche Therapies
skin care and authored Oncology
Esthetics: A Practitioners Guide.
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LNE 0111.pdf 1 07.01.11 11:53
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LNE 0111.pdf 1 07.01.11 11:53
BY MICHELLE DALLAIRD
INTELLIGENT
ORGAN
PHYSIOLOGY OF THE SKIN
THE SKIN IS THE LARGEST ORGAN OF THE HUMAN
body, yet the least cared for. Think about the millions of people
who exercise daily in order to maintain a strong, healthy heart
and physical condition; or those who take vitamins every day
to prevent illness and disease and maintain internal tissue
strength; or even the millions who take regular medications
to monitor and control blood pressure, breathing, heart pal-
pitations and weight. Yet how many millions of people wash
their face with soap, go to bed with makeup and never apply
sunscreen? If our clients could simply read the content of this
article, I guarantee all of that would change.
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skin
SKIN COLOR IS CLASSIFIED AS EITHER CONSTITUTIVE
or facultative. Constitutive skin color is pigment that is obtained
without ultraviolet exposure, inflammation or hormone influ-
ence. Genetic makeup determines this natural hereditary
skin color. Facultative refers to color obtained by external in-
fluences such as ultraviolet rays, inflammation and hormones.
Ultraviolet rays: Ultraviolet UVA and UVB rays trigger
melanin formation in an attempt to protect keratinocytes
from structural damage. Ultraviolet rays affect cells within
the epidermis as well as the dermis. The medical term
used to describe the long-term effects of ultraviolet ex-
posure on the skin is called dermatoheliosis. This term
encompasses everything from hyperpigmentation and
DNA damage to structural changes caused by the cross
linking of collagen and elastin fibers, resulting in elastosis
and wrinkles.
Hormones: Hormones trigger melanin production. Altered
hormone levels are the result of stress, menstruation,
pregnancy, birth control pills, medical conditions and
some medications.
Inflammation: Any inflammatory response in the skin gen-
erates free radicals, which in turn trigger melanocytes. This
inflammation may be the result of harsh products; chemi-
cal peels; microdermabrasion; laser resurfacing; surgical
procedures; and any trauma to the skin, such as excoria-
tions, cuts, abrasions and even improper extractions.
The following is a review for each of you. I know, you learned,
read and know it but do you practice it? Do you practice
using the knowledge of skin physiology on a daily basis? Well
here is a little review, and hopefully a tidbit or two of new
information, or enough of a spark to re-ignite your passion
for the workings such an intelligent organ.
The skin is divided into three primary layers, the epider-
mis, dermis and sub-dermis, or subcutaneous layer. Each layer
contains specialized cells that provide a particular service to
the functions and roles that the individual layers play.
Functions
The skin serves many functions; without it none of the other
organs of the body would exist. Its primary role is to protect
every one of the bodys organs and systems. In addition to
protection, it also aids in assisting the functioning of the hu-
man body by regulating body heat, excreting toxins, secreting
lipids and triglycerides, and providing the entire human body
with the capability of sensation.
Each of these functions is a direct result of the inner work-
ings and components of each of the skins layers.
The epidermis
This is the skins top layer. It is composed of five sub-layers
that serve important roles. It is made up primarily of protein
cells called keratinocytes and is the layer in which profes-
sional skin care treatments deliver direct results to improv-
ing and affecting the skin.
To best understand the process of cell division and cre-
ation and development of each layer within, let us review
from the bottom layer up:
The stratum germinativum, or the basal layer, is the bottom
layer of the epidermis. It lies directly above the dermis. This
layer sets the standards for the physiological makeup of the
rest of the epidermis. The stratum germinativum is composed
of basal cells that are constantly undergoing mitosis, cell divi-
true shades
sion. Each basal cell divides into two identical daughter cells:
one remains in the lower level where it will continue to divide,
while the other begins its journey upward where it ends as a
hardened, cornified skin cell called a corneocyte.
There are two critical specialized cells found within this
layer, the melanocyte and the hemidesmosome.
Melanocytes are pigment-producing cells located within
the skins basal layer. They provide the skin with natural skin
pigment, as well as act as a soldier of the cells and protect our
skin cells from damage. They produce melanin and deposit
it into the cells in specialized capsules called melanosomes.
Melanosomes are then transferred into the keratinocyte, pri-
marily in the stratum granulosum layer of the epidermis.
There are several key steps that must take place in order
for melanin to actually be produced and transferred to the
keratinocytes within the stratum granulosum.
Step 1: The keratinocyte is compromised by ultraviolet
rays, hormones, inflammation or even genetic factors.
Step 2: The keratinocyte then sends messages to the me-
lanocyte that it is in need of protection. Such messages are sig-
naled by specific cells, such as cytokines. The body has many
different types of immune cells that take care of unwanted infec-
tions and altered cells. Cytokines are the chemicals produced
by these cells in order to communicate and plan a defense.
Step 3: Once the melanocyte receives the message from
the keratinocyte, it triggers the activation of tyrosinase, an
enzyme responsible for the production of melanin.
Step 4: Upon the activation of tyrosinase, actual melanin
is produced: eumelanin (brown-black melanin) or pheomela-
nin (red-yellow melanin). Genetic factors play a role in the
ratio of eumelanin or pheomelanin production.
Step 5: Once produced, the melanin is transferred to
the keratinocyte, via the melanosome.
Also located within basal layer are protein substances called
hemidesmosomes, complex proteins that anchor the basal
cells to the bottom layer and the dermis, which lies below. 4
The fibroblasts are quite unique. They are one of the
earliest embryonic cells to differentiate and play a key roll
in the formation of the skeletal system, muscle cells and the
distribution of nerve fibers. Interestingly enough, as adult
cells, fibroblasts function only under the direction of white
blood cells or other immune cells. This means that the for-
mation of collagen and elastin as we age is often the result
of protective mechanisms in action in the skin.
The dermis and its regenerative components are affected
by a multitude of esthetics treatments that are performed on
the epidermis. Chemical peels, microcurrent, microdermabra-
sion, laser, LED, IPL and the use of high-functioning active
skin care ingredients all have an impact and influence on the
health and functioning of the dermal layer of the skin, which
in turn affects the health and functioning of the epidermis
and what we see with the naked eye.
Subcutaneous layer
The subcutaneous layer lies directly below the dermis and
provides the body with cushion, support and contour. This
is the layer most of us females choose to not talk about! It
contains fat cells called adipocytes. These fat cells are also
responsible for the formation of cellulite.
Wrap up
I am quite sure you have all heard of this before. But what
is truly critical to your success as a professional esthetician
is your ability to incorporate this knowledge into your ev-
eryday practice. It is virtually impossible to choose proper
treatment protocols, products and home care regimens for
your clients if you do not completely understand the physi-
ological functioning of the skin, and how those treatments
and products will affect that functioning. Your knowledge and
expertise is the solution to your clients wants and needs.
Harness that knowledge, use it and do not let a day go by
when your professional skills and abilities are not a part of
what makes you you! n
Michelle DAllaird is a successful en-
trepreneur. She owns and operates
the Aesthetic Science Institutes, two
esthetics schools in New York. She is
a licensed esthetician and cosmetolo-
gist as well as a CIDESCO Diplomat,
the most advanced certification in
the field of esthetics. DAllaird is a
contributing writer for Les Nouvelles
Esthtiques & Spa and Dermascope magazines, and has
co-authored the Salon Fundamentals Aesthetics textbook.
She speaks at conferences across the United States and
acts as a consultant for an international cosmetics com-
pany, providing educational services across Europe and
Asia. DAllaird is also vice president of education for the
Aesthetics International Association.
skin|intelligent organ
Desmosomes are complex intercellular proteins that link
cells to other cells. These are located in various amounts
throughout the layers of the epidermis.
Stratum spinosum, or spiny layer, lies directly above the
stratum germinativum. The cells within this layer are in the
process of undergoing continual cellular differentiation, or
change. As the cells undergo differentiation, the nucleus be-
gins to break apart. The degradation of the nucleus lends to
a spiny appearance when observed beneath a microscope.
The stratum spinosum contains specialized immune cells
called Langerhans cells. These cells serve to identify foreign
substances, called antigens, and trigger an immune response
within the skin by signaling white blood cells, T-cells and
B-cells to respond and take action.
Stratum granulosum, or grainy layer lies directly above the
stratum spinosum. Within this layer, keratin synthesis, or kerati-
nization, is complete. Epidermal cells are no longer referred to
as keratinocytes; instead, they are referred to as corneocytes.
These cells no longer contain an intact nucleus and are com-
pletely broken down. The breakdown of the cells triggers the
development of a group of lipids that serve as a barrier as well
as a cohesive substance to keep corneocytes adhered to each
other and to the surface of the skin. The lipids produced include
phospholipids, sphingolipids, triglycerides and fatty acids.
The barrier that is produced by these cellular components
and lipid by-products is referred to as the acid mantle, a protec-
tive barrier that lies just above the stratum granulosum. Its lipid
infrastructure creates an acid pH to prevent bacterial growth
and the passage of external foreign substances into the skin.
Stratum lucidum, or clear layer, is a layer of clear cells
that serves as a primary source of protection. It is found in
abundance on the palms of the hands and the soles of the
feet, and is as minimal as one-cell thick on other areas of
the body. It is this layer that provides our hands with finger-
prints, and protects the lower layers when work or activity
creates friction on particular areas of the hands and feet.
The stratum corneum is also referred to as the horny
layer. When observed beneath a microscope, these hard,
flat, keratinized cells appear as tiny horns, waiting to be
sloughed from the skins surface.
The dermis
The dermis lies beneath the epidermis and serves to nour-
ish, feed, support and create the upper layers of the skin.
The primary repair mechanisms of the skin are located within
this layer. It is a major support layer of the skin and is thick-
est on the back and thinnest on the eyelids.
Papillary dermis is the uppermost layer of the dermis that
is rich and packed with blood vessels and capillaries, which
feed and nourish the epidermal layers above it.
The reticular dermis is the lower layer of the dermis
composed of three forms of connective tissuecollagen,
elastin and reticulumas well as the fibroblast cells that are
responsible for the development of the connective tissues.
P
UBLIC FIGURES SUCH AS
Thomas Lennon, Lee Thomas
and the late music icon Michael
Jackson all suffered from vitiligo, which
brought more awareness to this devas-
tating disorder that affects between one
and two million people in the United
States alone. However, this kind of at-
tention also brings the inevitable surge
of self-diagnoses, which may be caus-
ing more harm than good.
Vitiligo is a non-contagious skin dis-
order that is characterized by a loss of
pigmentation, resulting in white patches
on the skin. Vitiligo can occur anywhere
on the body but is typically first seen on
exposed areas such as the hands, face,
upper neck and chest. While some peo-
ple only have small white spots, many
lose pigmentation in more than 50 per-
cent of their body and, in rare cases, can
experience complete hypopigmentation.
Dispelling myths
Myths about the treatment of vitiligo
prevail in the medical profession. The
first myth is that treatment of vitiligo is
impossible. The second myth is that
oral psoralens, which form the basis for
some vitiligo treatments, are toxic to
the liver. Oral psoralens are not toxic to
the liver. The third myth is that psoralen
and UVA (PUVA) treatments for vitiligo
cause cancer of the skin. When used
to treat vitiligo, PUVA therapy requires
only a limited number of treatments.
Usually, up to 150 PUVA treatments have
not been shown to cause skin cancer.
Treatment options
Sunscreens: The two goals of sunscreen
treatments are to protect un-pigment-
ed, involved skin from sunburn reac-
tion and to limit the tanning of normal
pigmented skin.
Cover-up: The goal of cover-up with
dyes or makeup is to hide the white
macules so that the vitiligo is less visible.
Self-tanning lotions and camouflage are
quite helpful for some patients.
Restoring normal skin color: The
restoration of normal skin color can take
the form of spot treatments or whole
body treatments.
Spot treatments
Topical corticosteroid creams: Initial
treatment with certain topical corti-
costeroid creams is practical, simple
and safe. If there is no response in two
months, this treatment is unlikely to be
effective. Physician monitoring every
two months for signs of early steroid at-
rophy (thinning of the skin) is required.
Topical Oxsoralen (8-MOP): Ox-
soralen is highly phototoxic and the
photo-toxicity lasts for three days or
more. This should be performed as an
in-office procedure, solely for small
spots and only by experienced phy-
sicians on well-informed patients. As
with oral psoralens, 15 or more treat-
ments may be required to initiate a
response, and 100 or more may be
needed to finish.
Mini-grafting: Mini-grafting, which
involves transplanting the patients nor-
mal skin to vitiligo-affected areas, may
be a useful technique for refractory
segmental vitiligo macules. PUVA may
be required following the procedure to
unify the color between the graft sites.
Whole body treatment
PUVA photochemotherapy (oral pso-
ralens and UVA irradiation): For more
widespread vitiligo, treatment with oral
psoralen and UVA (PUVA) is practical.
This may be done with sunlight and
trimethylpsoralen (Trisoralen), or with
artificial UVA (in the doctors office or
For many, vitiligo is not just a cosmetic problem
it is a major social disorder that seriously curtails ones
abilities to lead a normal work, social or married life.
by Gena Flores
treatments for vitiligo
skin|
pigment problems
continues
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rosy. The late prime minister Jawaharlal
Nehru ranked vitiligo as one of three
major medical problems in India, along-
side malaria and leprosy. It is said that
a woman in India cannot marry if she
has even one spot of vitiligo, and if a
woman develops vitiligo after marriage,
it is considered grounds for divorce.
For many, vitiligo is not just a cos-
metic problemit is a major social
disorder that seriously curtails ones
abilities to lead a normal work, social
or married life. Reversal of the white
spots and restoration of normal skin
color is therefore the primary hope for
all vitiligo patients.
Be knowledgeable
Estheticians come into contact with a
variety of skin conditions daily. It is vi-
tally important not to fall into the trap of
diagnosing a clients skin disorder, since
other skin conditions can cause hy-
popigmentation, such as tinea versicol-
or. Tinea versicolor is a fungus caused
by an overgrowth of yeast on the skin
that, once treated, normally does not
cause permanent pigment loss.
As professionals, be extremely sen-
sitive to a clients skin disorder that
can result in a loss of pigment. It takes
courage for a client to seek treatment,
and it is your responsibility to steer
them toward medical help in a safe
and non-judgmental environment. The
key to successful treatments is the rec-
ommendation of a good SPF 30 sun-
screen. For clients who wish to know
more, the American Vitiligo Research
Foundation offers information regard-
ing vitiligo. n
Gena Flores is a
licensed estheti-
cian and instruc-
tor. She is the di-
rector of NASN
for the Midwest
and the director
of marketing for a
professional skin
care company.
skin|pigment problems
at an approved phototherapy facility)
and Trisoralen or Oxsoralen-Ultra.
Topical creams to remove normal
skin pigment and unify skin color: The
goal of depigmentation is to unify skin
color virtually all over the body in patients
with vitiligo, those who have failed PUVA,
those who cannot use PUVA or those
who reject the PUVA option. Bleaching
with monobenzylether of 20-percent hy-
droquinone cream (Benoquin) is a per-
manent, irreversible process.
Patients who undergo bleaching
are at risk for sunburn. They should
avoid midday sun exposure and use a
high-SPF sunscreen.
Social effects
In India, vitiligo, or leucoderma as it is
called there, is regarded as white lep-
Your body deserves special attention. Skin on the body is more compact,
thicker, drier and generally more prone to dermatitis, eczema and keratosis
pilaris than facial skin. For these reasons, we developed Body Therapy, a
revolutionary 12% lactic acid treatment that drenches your body with moisture,
while smoothing rough surface texture and evening skin tone. Body Therapy
provides the benets of a highly technical formulation that builds the skins
natural moisturizing factor (NMF) with the cosmetically elegant feel of a luxury
body moisturizer. Treat your body to healthy, hydrated skin.
To learn more contact a highly trained member of our Practice
Development Group or visit www.pcaskin.com/bodytherapy.
pcaskin.com | 877.PCA.SKIN [722.7546]
science meets sophistication.
MANUAL
DERMAL
SANDING
FOR SURFACE SKIN IMPERFECTIONS
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February 2011 Les Nouvelles Esthtiques & Spa
MANUAL DERMAL SANDING IS A CON-
trolled surgical scraping of the skin that aids
in improving its surface texture by promoting
dermal remodeling. This technique is often
employed to treat skin surface irregularities
following acne or other types of scarring that
have left the skin rough or uneven in texture.
Indications
The indications for manual dermal sanding in-
clude acne, post-surgery or traumatic scarring;
actinic keratoses; cosmetic improvement of fine
lines; rhinophyma; dyschromias; or pigmenta-
tion issues such as melasma or photodamage.
The contraindications to dermabrasion include
active inflammation, infection, open wounds,
uncontrolled diabetes or pregnancy. Patients
must have at least a two-week wash-out period
free from irritating skin care products like treti-
noin (Retin-A
) and cigarette smoking, both of

which hinder wound healing. Anticoagulants
such as aspirin, ibuprofen, warfarin, or nutri-
tional supplements such as St. Johns wort,
fish oil, vitamins D or E or ginkgo biloba must
be discontinued 10 days before the proce-
dure to avoid excess bleeding. Patients who
are coming off isotretinoin (Accutane
) must
wait at least six months to clear the body of
the retinoid effects that delay wound healing.
Patients with a history of developing keloids or
hypertrophic scars are advised against dermal
sanding of keloid-prone areas like the chest,
shoulders or chin.
Method
At the initial evaluation, photographs with
direct and side lighting are taken in order to
assess changes in skin topography pre- and
post-procedure (figure 1). The patient reads,
understands and signs an informed consent
that outlines the benefits and risks of the pro-
cedure. A complete history and physical is
skin
done to screen for systemic diseases such as
uncontrolled diabetes.
The treatment area is prepared with either
alcohol, povidone-iodine or chlorhexidine. The
skin is anesthetized with a topical anesthetic
gel preparation or infiltrated with local lido-
caine 2-percent with epinephrine (1:100,000).
For the exceptionally apprehensive patient,
diazepam (Valium
) 10 mg is given sublingually
at the time of the local anesthesia injection
to quell anxiety. For small treatment areas,
a diamond-tipped sanding wheel (fraise) is
utilized. For larger areas, such as the entire
cheek, a manual technique of dermal sand-
ing described in several independent medi-
cal articles can be utilized with great efficacy.
The area of skin to be treated is held taut,
either with manual pressure for full-cheek derm-
abrasion or pinched up for smaller areas. The
procedure for the cheeks, forehead or chin is
done with 120-grit drywall sanding screen that
has been washed with mild detergent and a
brush to remove any loose grit. After allowing
the screen to dry, it is cut into two-inch sections
and sterilized in an autoclave.
The sterile screen is placed into a basin
of sterile water along with a 4-inch by 4-inch
gauze. After the sandscreen is rolled around
the wet gauze, the roll is applied with slight
pressure in a back-and-forth or circular motion
in multiple directions on one side of the face;
then, the other side is sanded, allowing time
for edema to develop on the previous area
(figure 2). The procedure goes back and forth,
from cheek to cheek, until pinpoint bleeding
is visualized and the scars begin to disappear.
This altering back and forth of the sides allows
the operator to assess and control the depth of
the treatment. When the sandscreen becomes
saturated with debris, a new screen is utilized.
It usually takes 15 to 20 minutes per treatment
area to smooth out the dermis (figure 3). 4
Figure 2
Figure 1
Figure 1. This patient had se-
vere cystic acne as a teenager
and young adult. No treat-
ments really helped and she
was left with residual scarring.
Figure 2. Larger skin areas
are planed with wet Norton
sandscreen (120-grit). The
large surface area of the sand-
screen reduces the possibility
of gouging that may follow
electric wheel sanding.
BY JAMES E. FULTON, JR., PH.D.,
AND CAROLINE V. CAPERTON, M.D., M.S.P.H.
my choice
BY MARIAMAR MASSO
MY SEVERELY ACNE-PRONE ADOLESCENT LIFE REVOLVED AROUND
fighting the urge to pick my face and getting made fun of at school. The
condition took a toll on me emotionally, physically and mentally, inhibit-
ing me from participating in my favorite activities and affecting my life
choices. I was left with scars as a constant reminder of my battle with
acne. Being an esthetician and skin care educator, I was ashamed of my
scars, and made it a goal to get rid of them.
Although I did see improvement in my years of antibiotics, micro-
dermabrasion treatments and chemical peels, my scars were deep, and
therefore led me to the Manual Dermal Sanding procedure. During my
two-hour journey on the table, I was overwhelmed by a therapeutic wave
of emotion resulting in the release of 30 plus years of anguish. As an
esthetician, I was fascinated by the experience as I witnessed my scars
Post-treatment procedure
When the treatment is complete, the skin is rinsed with sterile saline and the
porous dressing (Flexan
) is applied (figure 4). Dry 4-inch by 4-inch gauze

and a pressure dressing of tube netting is applied over the dressing prior
to discharging the patient. These dressings are worn overnight. The gauze
and netting are removed the following day.
The Flexan dressing is worn until it falls off, which is usually within five
days (figure 5). New healing areas are kept moist with a petrolatum-based
ointment. The patient is instructed to avoid sun exposure after the procedure
until the erythema resolves, usually within 6 to 12 weeks.
If the patient is darker-skinned (Fitzpatrick skin types III to V) and the possi-
bility of developing reactive hyperpigmentation exists, the patient should begin
applying a hydroquinone bleaching cream around day 8 to 10 even though the
darkening may not be seen until days 17 to 20. This is a preventive measure.
Results
The improvement of the cutaneous defects is usually between 50 to 75 per-
cent. Certain areas may require a repeat procedure. This following case his-
tory will illustrate typical results.
Case history, female, 39-years-old. This patient suffered from severe cys-
tic acne as a teenager and young adult. No treatments worked. As the acne
traveled across her face, scars developed (figure 1). After a consultation, she
opted for the procedure. She preconditioned her skin with a vitamin A-based
skin care regimen. After reviewing the informed consent and taking docu-
mentary photographs, the sanding began with Norton 120-grit sandscreen.
After several passes, the dermal irregularities were improved and the skin
was dressed in Flexan. This dressing stayed in place until the new skin devel-
oped after four to five days. Then, recovery ointment was applied until the
sensitivity and erythema abated. She was excited to see the improvement
(figure 6) and is awaiting a touch-up procedure, if needed.
continues
continues
Figure 3. Note the smooth der-
mis after the surface scarring
is eliminated with the sand-
screen. Usually three or four
passes are adequate to remove
imperfections.
Figure 4. Application of the
Flexan
allows the skin to heal

without crust formation. This
dressing is held in place with
tube-gauze.
Figure 4
Figure 3
skin|manual dermal sanding
Patients with
a history of
developing keloids
or hypertrophic scars
are advised against
dermal sanding
of keloid-prone
areas like the chest,
shoulders or chin.
Possible complications
Manual dermabrasion may be as effective as conventional, electric-powered
dermabrasion in improving the appearance of facial scars and dermal imper-
fections. However, it is a lot more operator-friendly and has much less chance
of complications.
However, complications can occur, such as greater than expected in-
traprocedural bleeding, edema, infection, or rarely, outbreaks of herpes
simplex virus (HSV) in predisposed individuals. Intraprocedural hemostasis
can be achieved by using a diluted 3-percent hydrogen peroxide solution
in the abrading solution. Patients predisposed to HSV infections may be
prescribed prophylactic acyclovir or Famvir.
Reactive hyperpigmentation may develop around post-procedure day
19 or 20. To avoid this, the patient may begin daytime use of sunscreen
and nighttime use of bleaching cream (if they are Fitzpatrick types III, IV or
V) beginning on post-procedure day 10.
Conclusion
Manual dermal sanding is quite useful for the improvement of acne scarring,
traumatic scars and surgery scars. Improvement is usually 50 to 70 percent.
If necessary, repeat procedures can be performed. This technique is less
traumatic than wire-brush abrasion and more cost-effective than the use
of ablative CO2 or Erbium lasers. The sanding also avoids the additional
trauma of the heat-induction by the lasers. n
James E. Fulton, Ph.D., is the medical director for
Vivant Pharmaceuticals, LLC. His other accomplish-
ments include the development of the patented Benzoyl
Peroxide gel delivery system and the co-development
of Retin A
. Dr. Fulton was the first to use and patent

vitamin A propionate in skin care products.
Caroline Caperton, M.D., M.S.P.H., holds a Master of
Science degree in Public Health. She graduated with
Research Distinction from the Miller School of Medicine
at the University of Miami. Dr. Caperton has published
extensively in the field of dermatology and is currently
working as a Clinical Research Fellow in the Department
of Dermatology and Cutaneous Surgery.
my choice (continued)
Figure 5. As the Flexan
loos-
ened and was trimmed, the
new tissue was moisturized
with an aloe vera-petrolatum
ointment.
Figure 6. Note the results.
There is a 50 to 70 percent
improvement. A repeat sand-
ing may be done in three to
four months, if needed.
Figure 6
Figure 5
being sanded away. However, I had no idea how intense the procedure
would be. Dr. Fulton concentrated on my cheeks, where the majority of the
scars occurred, periodically popping out and stitching up calcified cysts.
The healing process involved occasional dripping and leaking. It was
painful to drink, eat, smile, laugh and talk, but an over-the-counter pain
reliever kept discomfort at bay. Each day revealed beautiful new skin.
I am the acne patient who found a resolution, the esthetician who
found an alternative for my clients and a mother of two acne-prone chil-
dren who sees the light at the end of the tunnel. I am grateful for this
journey and now have a greater understanding of skin, acne, scarring and
the treatments that are available. Estheticians and physicians can work
together in a partnership to create beautiful and healthy skin.
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skin|manual dermal sanding
Manual dermal
sanding is often
employed to
treat skin surface
irregularities
following acne
or other types of
scarring that have
left the skin rough or
uneven in texture.
www.LNEONLINE.com Page 47
M
ANY ESTHETICIANS WENT
to school and became li-
censed to work with acne
clients. Personally, this was a huge fac-
tor when I became a licensed estheti-
cian. But during several occurrences,
even though I achieve great results with
my acne clients, there were a few cases
that confounded me. No matter what,
I was unable to get some clients skin
to respond.
After some research I found out that
what I was dealing with in these cases
was not acne ... it was an acne imposter
that was fooling me. The following are
the most common cases.
Pityrosporum folliculitis
(aka malassezia folliculitis)
This is a very common fungal (or some-
times bacterial) condition of the skin.
It can look just like acne, but does not
respond to typical acne products like
salicylic or benzoyl peroxide. The main
clue is in extracting it. It extracts, but
has no core like acne has.
Another clue in its identification is to
ask the client if the bumps come and
go. If they say yes, then it is probably
folliculitis, because acne does not typi-
cally behave like this. An effective ingre-
dient for this is a mandelic cleanser and/
or serum, or a ketoconazole shampoo,
both of which have antifungal properties.
Steatocystoma multiplex
This is caused by excessive oil secreted
in the pores; whereas, acne is caused
by too many dead skin cells being shed
inside the pore. These lesions also do
not have a core like acne does. It will
sometimes extract a gelatinous fluid,
but there is no need to extract this as
it will just come right back. There is no
known treatment or cure at this time.
Staph infection
Staph on the face or body can look
much like acne, but it is more severe. If
you suspect that someone has a staph
infection, direct them to a physician
immediately to be tested and treated.
Do not try any extractions on this cli-
ent. Sterilize anything that comes into
contact with this condition because you
can contact staph yourself and transmit
it to others.
Keratosis pilaris
Keratosis pilaris is a skin condition com-
monly seen on the upper arms, buttocks
and thighs and sometimes on the back.
The skin cells that normally flake off as a
fine dust instead form plugs in the hair
follicles. These appear as small pimples
that have a dry sandpaper feeling.
They are usually white but sometimes
rather red. They usually do not itch or
by Laura Cooksey
the real cause of those red bumps
skin|
acne imposters
continues
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Steatocystoma multiplex
Pityrosporum
folliculitis
Staph infection
Keratosis
pilaris
hurt. A good scrub and exfoliant serum or lotion with gly-
colic, mandelic and/or vitamin A propionate can be benefi-
cial for keratosis pilaris.
Pyoderma faciale (aka Rosacea fulminans)
This is typically seen in women in their 20s and 30s who
have never had acne before. They suddenly have a hor-
rible breakout, mostly down the middle of the forehead,
cheeks and chin. It is almost always preceded by severe
emotional trauma and a period of extreme oiliness. These
women have a specific enzyme deficiency that can sup-
press the adrenal gland. Instead of hydrocortisone, the
gland dumps out excessive testosterone instead. Send this
client to the doctor to get a blood test and be treated for
this hormonal imbalance. n
Laura Cooksey is an acne specialist and educator. She is
also the owner of the Face Reality Acne Clinic near San
Francisco, CA. She became an acne specialist because of
her own struggle with acne and has 21 years of experience
as a licensed esthetician. Contact her at 866.477.3077 or
info@facerealityacneclinic.com.
skin|acne imposters
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This is typically seen in women
in their 20s and 30s who have
never had acne before. They
suddenly have a horrible breakout
mostly down the middle of the
forehead, cheeks and chin. It
is almost always preceded by
severe emotional trauma and a
period of extreme oiliness.
Pyoderma
faciale
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FL_LNE_American_feb_2011:Layout 1 11-01-10 14:54 Page 1
BY LINDA RAE AND SHERRY TAYLOR
INJECTABLES
WHAT THE ESTHETICIAN NEEDS TO KNOW
THE DEMAND TO RESTORE A YOUTHFUL APPEARANCE
to the face has been an obsession of many since ancient
times, but never more so than in todays society. Up until a
few years ago, the ultimate in facial rejuvenation was plastic
surgery, but today there are many more options available to
those who do not wish to go under the knife.
In addition, todays economic stress has created a de-
mand for less expensive ways to achieve facial rejuvenation
without the cost or the downtime of surgery. According to
a recent survey by the American Academy of Facial Plastic
and Reconstructive Surgery, approximately 80 percent of
board-certified facial plastic surgeons reported an increase
in non-invasive cosmetic procedures within the past year
among consumers looking to delay the effects of aging.
There are so many possibilities for facial rejuvenation
that often the available products and names are confusing.
While injectables do not replace cosmetic surgeries, espe-
cially when it comes to severe loss of elasticity (sagging) or
deep folds, they can drastically improve the appearance of
an aging face or even slow down the process. There are two
broad categories of injectables. They are botulinum toxin
paralyzing agents and fillers. It is extremely important that
estheticians become not only familiar with what they do, but
what they cannot do as well.
Botulinum toxins
Botox
and Dysport
: When you look at yourself in a mir-

ror with a straight face, any wrinkles or folds you see are
referred to as static. When you smile, frown or grimace,
the additional wrinkles that appear are called dynamic.
Botulinum toxins help dynamic wrinkles and folds. It does
this by immobilizing and relaxing the areas injected, work-
ing to paralyze the muscles so they cannot contract. When
muscles cannot contract, the skin over the muscles also be-
comes relaxed, smooth and youthful in appearance. Results
are not immediate. In general, it may take up to a week to
start seeing improvement.
Dysport is very similar to Botox since they both contain
the same main ingredient, made from the same neurotoxin,
botulinum toxin A. According to plastic surgeon Roberto
Palma, M.D., of Sunrise Intracoastal Plastic Surgery Center,
Ft. Lauderdale, FL, Dysport seems to have a faster onset.
Botox starts working within 24 to 48 hours, reaching maxi-
mum effect within 9 to 12 days. Dysport starts working within
24 hours, reaching maximum effect within 5 to 7 days. There
is no difference in longevity, which is approximately three
to five months.
Although Botox and Dysport are only FDA-approved for
frown lines between the brows, physicians use them off la-
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bel in other areas. Off label means that the physician may
inject into areas not yet FDA-approved. The FDA does, how-
ever, require patients to be informed of any off label use.
According to Murray Smith, M.D., of Las Olas Derma-
tology, Ft. Lauderdale, FL, resistance to treatment and for-
mation of antibodies to Botox and other FDA-approved
botulinum toxins are extremely rare. Very low doses are
used. Side effects are infrequent and usually resolve spon-
taneously in a week or so.
Dr. Palma states that paralyzing the wrong muscles
can lead to very visible abnormalities such as droopy upper
eyelids, eyebrow deformity and asymmetries (different on
each side). If the entire forehead is treated, the eyebrows
can fall, making the patient look tired and sleepy. The pa-
tient may lose normal facial expression. I do not believe
in injecting lips with these products, Dr. Palma continues,
because of the high risk of causing smile abnormalities
and asymmetries.
Fillers
While botulinum toxins help dynamic wrinkles, fillers help
the static wrinkles by filling in the grooves, folds and hol-
lows. The products do this by bulking or raising them up,
which then smoothes the skin, giving the face a more youth-
ful appearance. Fillers lift sunken and depressed areas, fill
in wrinkles, fine lines, creases, hollows in cheeks and under
the eyes, as well as enhance lip fullness. The longevity of
fillers varies with the product, the sites injected and the skill
and experience of the injector, says Dr. Palmer.
While it may seem like there are already many options
available, many more filler products are currently awaiting
FDA approval. Do not be surprised to see several changes
before the end of 2011.
According to Dr. Palmer, There is no such thing as one
product being better than another. They all have different
indications and the well-trained, experienced injector usu-
ally will use most of them depending on the specific needs
of each individual patient and the areas to be corrected.
Selection of filler is an important part of the process, as dif-
ferent fillers work best on deeper wrinkles, whereas others
are needed for fine lines and creases.
Hyaluronic acid
Hyaluronic fillers have the best safety profile of all the fillers
currently on the market. Since hyaluronic acid is naturally
present in all living beings and a component of connective
tissue, chemically identical in all species, no skin testing is
required. Dr. Palma feels that only these synthetic fillers are
safe to use on the lips. When talking about the longevity of
the products, he states that in the nasolabial creases, the
average is six to nine months and in the lips I have seen up
to one-and-a-half years in my patients.
Juvederm
XC, Perlane
-L and Restylane
-L are all sec-

ond-generation hyaluronic-based dermal fillers that work just
like the original formulas (Juvederm, Perlane and Restylane)
but they contain a small percentage of lidocaine, which
numbs the treated area so that the injections become more
comfortable for the patient. Hyaluronic fillers can easily be
removed by dissolving with an enzyme if the patient is un-
happy with the results.
Radiesse
Radiesse
is considered a volumizer filler. It is composed

of CaHa (calcium hydroxylapatite) similar to tooth material.
Radiesse instantly restores volume to the face and also keeps
working to stimulate the production of the bodys own col-
lagen. This results in increased volume that may last a year
or more. It is used in the correction of facial folds and mod-
erate to severe wrinkles and is often used to lift the cheeks.
Sculptra
Sculptra
, poly-L-lactic acid, works by stimulating the patients

own collagen until the area is volumized. The procedure con-
sists of a one-time treatment regimen of up to four injection
sessions that are scheduled about three weeks apart. Full
results may not be seen for several months. It can last for
years and is suitable for larger areas such as mid-cheek hol-
lows, states Dr. Palma who refers to Sculptra as a volumizer,
rather than a filler. Unlike hyaluronic fillers, both Radiesse
and Sculptra must wear off and cannot be removed.
Artell
Artefill
PMMA (polymethylmethacrylate) microspheres, with

bovine collagen as the carrier, is relatively new to the U.S.
market. Since it is non-absorbable by the body, it is con-
sidered a permanent filler. Because the bovine collagen is
not identical to human collagen, skin testing is mandatory
per the FDA. A four-week waiting period, before the first
injection, is required. If the testing is positive, the product
cannot be used. Complications, although rare, include hard,
red, swollen bumps, which must be surgically removed.
Longer is not necessarily better as some side effects
are known to be associated with longer-lasting products,
adds Dr. Smith.
Collagen
Collagen fillers have been used for more than 20 years and
are meant to replace the lost collagen in the dermis. There
are two types of collagen-based injectable fillers: purified
bovine (cow) collagen (Zyderm
and Zyplast
), which requires
allergy testing; and human-derived collagen (CosmoPlast

and Cosmoderm
), which does not require allergy testing.

Both of these collagen fillers last from three to six months.
continues
skin|injectables
Botulinum toxins Manufacturer Distributor
Botox Allergan Allergan
Dysport Q-Med Medicis
Xeomin Merz Merz
MyoBloc Solstice Neurosciences Solstice Neurosciences
Hyaluronic fillers Manufacturer Distributor
Restylane Q-Med Medicis
Restylane L - w/ lidocaine Q-Med Medicis
Perlane Q-Med Medicis
Perlane L- w/ lidocaine Q-Med Medicis
Juvederm Allergan Allergan
Juvederm XC w/ lidocaine Allergan Allergan
Prevelle Silk w/ lidocaine
(numbing agent)
Genzyme Mentor
Human collagen fillers Manufacturer Distributor
CosmoDerm Allergan Allergan
CosmoPlast Allergan Allergan
HydraFill Allergan Allergan
Bovine fillers Manufacturer Distributor
Zyderm Allergan Allergan
Zyplast Allergan Allergan
Misc. Fillers Manufacturer Distributor
Artefill -a dermal filler consisting
of synthetic microspheres called
Polymethylmethacrylate (PMMA)
in bovine-based collagen
Suneva Medical Suneva Medical
Selphyl - a dermal filler
technology using blood collected
from the patient
Trademark of sthetic Factors Trademark of sthetic Factors
Sculptra - a dermal volumizer -
Synthetic Poly-L-Lactic Acid
Sanofi-Aventis Sanofi-Aventis
Radiesse - a dermal filler- Calcium
Hydroxylapatite (CaHa)
Merz Merz
Fat Transfer- extracts fat cells from
a discreet area of body & transfers
them through an injection to
appropriate sites
Performed by physician N/A
On the Horizon Manufacturer Distributor
Aquamid - consists of 97.5% water
& 2.5% polyacrylamide
Contura International No USA distributor
Belotero Balance - hyaluronic
acid, in combination with cohesive
polydensified matrix technology
Merz Merz
Restylane Vital - used for areas such
as the dcollet & back of the hands. It
is 80% hydrating and 20% volumizing.
QMed Medicis
continues
should not advise clients as to what type of fillers are appro-
priate. This is the medical practitioners responsibility. The
estheticians goal is one of education, referral and support.
According to Dr. Ciraldo, It is best not to do other pro-
cedures on the day of a filler treatment. I like to stress to
my filler patients that if they are going through filler treat-
ment, they want to be sure to maintain their entire face in
the most effective way.
Recommend treatments and home care to keep your cli-
ents skin in the best possible shape to enhance their new
look. Schedule a series of peels, microdermabrasion or other
types of exfoliation. Send them home with collagen-boost-
ing and hydrating products as part of their daily regimen.
While there are no proven modalities to actually enhance or
prolong Botox or fillers, keeping the skin in optimum shape
will certainly enhance your clients youthful appearance. n
Sherry Taylor currently serves as
paramedical skin care instructor at
Florida College of Natural Health,
Fort Lauderdale, FL. She has previ-
ously served as director of estheti-
cian training and development for a
national chain of medical spas, and
is also the owner of a successful skin
care and image consulting business.
Linda Rae is the owner of Linda Rae
Skin Care and the creator of a results-
oriented pre/post facial plastic sur-
gery program. She was formerly an
international educator for a major
skin care line. They may be reached
at info@TaylorRae.net.
skin|injectables
Autologous fat/fat grafting
Fat is usually extracted from the abdomen or thighs. The fat
is then processed through a centrifuge and injected into the
areas of the face where volume is needed. It is long lasting,
even sometimes permanent. It may take more than one series
to get the desired result. This procedure requires greater sur-
gical expertise by the physician and a few days of down time.
Selphyl System
The Selphyl
System, referred to as the vampire facelift, is a

new filler that uses the patients own blood, which is injected
into skin depressions, wrinkles and creases. Upon injection,
the platelets release growth factors that trigger the cells to
multiply, which increases volume to create a more youthful
appearance. Results are immediate but do not reach its op-
timum capacity for 3 weeks and can last 12 to 18 months.
Estheticians role
Often the role of educating the patient about injectables falls
to the esthetician. According to Loretta Ciraldo, M.D., a lead-
ing South Florida dermatologist, It is so often the esthetician
who is the first person truly consulting with the potential filler
patient. If someone complains of any problem relating to vol-
ume loss (nasolabial creases, marionette lines, tear troughs)
fillers are often a wonderful modality to consider. Estheticians
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On the Horizon Manufacturer Distributor
Restylane SubQ - is intended for
injections where large volumes are
required, such as the shaping of facial
contours of the cheeks and chin
QMed Medicis
Juvederm Hydrate -
Hyaluronic and mannitol
Allergan Allergan
Juvederm Voluma -
Hyaluronic volumizer
Allergan Allergan
Zfill - from Germany, a hyaluronic
dermal filler said to last up to 18
months
Zimmer Zimmer
Puregen - hyaluronic, for deep to
moderate lines and highly mobile
facial areas
Genzyme Mentor
skin
By dividing peels into three catego-
riesdeep, medium and superficial
the esthetician or physician can better
advise clients on the correct peel and
who should perform it, based on the
depth of penetration, injury and recov-
ery time, if any.
Superficial peels by definition use
a class of solutions that produce a mild
exfoliation and refresh the skin. These
peels are ideally suited for a licensed
skin care clinic. The effects of superfi-
cial peels are not profound, and many
estheticians maximize results with a
series of six to eight weekly peels,
particularly for clients who cannot af-
ford downtime. Superficial peels must
be repeated several times; the effects
are gradual and accumulative. The
number of light peels a patient can
have is endless and often preferred
by those with busy careers.
Medium-depth peels target early
photo-aging and are better for patients
who, for medical reasons, are not good
candidates for deeper peels or do not
want the long post-recovery period re-
quired with deep peels. Medium peels
first evolved as physicians became more
knowledgeable about the histology of
the various peels solutions and their ef-
fects on skin reactions. Trichloroacetic
acid (TCA) has keratolytic and protein-
precipitating properties. It is usually ap-
plied to the skin in a solution that contains
35 to 50 percent TCA and is adminis-
tered only by a licensed physician. The
approximate depth of a TCA is papillary
to upper reticular dermis.
W
ITH MORE PATIENTS
even famous Hollywood
starsturning away from
traditional plastic or cosmetic surgery
in favor of less radical procedures, the
chemical peel is becoming a mainstay
in doctors offices and licensed skin care
clinics alike.
In the span of my career as an es-
thetician, I have learned that chemical
peeling is both an art and a science:
the art aspect comes from listening to
your clients and investing in careful
patient education, while the science
stems from a thorough knowledge of
the epidermis, how it works, and what
effect it has on the dermis.
Brief history
From the Egyptians use of sour milk,
fermented grapes, alabaster salts and
oils 3,500 years ago, chemical peels
had progressed by the 1800s to include
combinations of sulfur, croton oils, hy-
drochloric and nitrate acids. By 1871,
dermatologist William Tilbury Fox, M.D.,
F.R.C.P., was the first to use a 20-per-
cent phenol solution to lighten the skin.
The early 20th century saw phenol
solution again in vogue as a treatment
for acne scarring, and by 1952 the first
attempt to correlate the histology of
peeling with clinical results was pub-
lished. But it was not until 1960, with
the work of Miamis Thomas Baker,
M.D., F.A.C.S., that the medical pro-
fession began to accept the value of
peeling to treat aging skin.
Within the last 10 years, the advent
and advertising of topical solutions has
resulted in an increasingly sophisticat-
ed, more knowledgeable consumer
base. The demand for chemical peels,
often in combination with other esthetic
procedures, has increased dramatically.
Peel procedures
Obviously, there is no single type of
chemical peel that works for everyone.
Today, the range of peel solutions var-
ies widely and offers choices that take
into account patients goals, the degree
of penetration needed, skin type and
possible adverse reactions.
Deep peels use phenol as the pri-
mary ingredient in varying concentra-
tions of 45 percent to 50 percent. This
peel is indicated for the eradication of
fine lines and also aids in the treatment
of lentigines, pigmentation and kerato-
sis. Patient selection is important, with
the ideal patient being fair-haired, with
dry, thin skin and deep wrinkling. The
depth of this peel is mid-reticular der-
mis and should be performed only by
a licensed physician.
Cell life cycle
Imagine the skin cell as a factory that
produces three products--glycosamino-
glycans, collagen and elastin. These are
the products sought after by every one
of your clients in todays almost univer-
sal quest for younger-looking skin. To
deliver these products, every organelle
within the cells environment must work at
peak performance to maintain healthier,
younger-acting skin and, just like in a fac-
tory, each department must perform at its
peak to produce the needed products.
Also like a factory, the production
process starts with preparation. The ef-
fect of chemical peeling is enhanced and
maximized by proper skin preparation.
Home care, both pre- and post-treat-
ment, is a major factor in achieving the
best results from treatments. As a gen-
eral rule, the darker the skin, the longer
the preparation needed to create a safer
environment for most peel solutions.
The advantage of chemical peels
is that healing is fast while still achiev-
ing cellular turnover. With the correct
choice of peeling solution, including
percentage of acid, level of pH, length
of exposure, number of layers to be
penetrated, and the correct amount of
pressure to apply, the peel will cause a
controlled wound that can be superficial
in the stratum corneum or deeper in the
lower of the layers, depending on your
desired result. With a series of peels al-
ternating or layering with glycolic, lactic,
five berry peel and TCA, the disorders
associated with aging (photo damage,
wrinkles, pigmentation, elastosis and
uneven texture) can all be improved.
continues
Today, the range of
peel solutions varies
widely and offers
choices that take into
account patients
goals, the degree of
penetration needed,
skin type and possible
adverse reactions.
BY JANET ROBBINS
THE ART AND SCIENCE OF
chemical peels
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cylic, retinoic acid, trichloroacetic (TCA)
and phenol acids. There is no hydra-
tion or cell turnover associated with
these acids.
Because so many people have de-
veloped an interest in organic versus
non-organic substances, both estheti-
cians and physicians should be pre-
pared to fully discuss these acids and
their effects with clients and patients.
Todays informed consumer will expect
a list of pros and cons, along with real-
istic expectations of results.
Patient trust
In my practice, I have found that the
more knowledgeable and forthright
you are, the more confidence you will
instill in clients and the more likely they
will be to select the options you recom-
mend. In the area of chemical peels, be
sure your knowledge base in all aspects
of peels is strong.
As my mentor, Christine Heathman
of the GlyMed Plus Institute of Skin
Science always says, Education is a
journey, not a destination. Continuing
education in chemical peels is essential.
Know the chemicals and procedures and
be prepared to discuss them impartially.
Be frank about realistic results, recovery
time, discomfort and longevity of results.
By doing so, your reputation and client
loyalty will only increase. n
As a licensed
esthetician and
massage ther-
apist, certified
medical elec-
trol ogi st and
a certified skin
care instructor
for the GlyMed
Plus Institute of Skin Science, Janet
Robbins is not a typical esthetician.
Practicing in this field for more than
18 years, she opened Reflections of
the Palm Beaches, a medical esthetics
practice, and GlyMedPlus Florida train-
ing facility, which teaches a scientific
approach to skin rejuvenation.
Chemicals
Chemical peels are separated into two
groups: aromatic and organic acids.
Organic acids are derived from
food or plant sources and include gly-
colic, lactic, citric, malic and tartaric.
These acids, also known as alpha hy-
droxy acids (AHA), work from the in-
side out when used in low pH values
to cause cellular turnover. Research in-
dicates that a pH level as low as three
will produce a 34-percent increase in
skin|the art and science of chemical peels
cell renewal. Organic acids also pro-
vide nutrition and hydration to the
skin and aid in metabolic function.
AHAs have been shown to increase
glycosaminoglycans and fibroblast ac-
tivity, producing collagen and elastin
to strengthen and firm the skin for a
more youthful appearance.
Aromatic acids are foreign to the
body. Also known as keratolytics, they
work to dissolve the stratum corneum
layer by layer and include Jessner, sali-
The majority of active ingredients used
in skincare today are too large to
penetrate the skins outer layer. Instead,
antioxidants and benecial nutirents
merely sit on top of the stratum corneum
and have....a minimal effect on the
overall health of your skin.
SESHA SKIN THERAPY utilizes PET
,
a revolutionary and FDA accredited
delivery system, to deliver pharmaceuti-
cal grade antioxidants, botanicals
and vitamins where they are needed
mostbelow the skins surface.
Scientific studies
show that PET:
delivers 30% more Vitamin A
and 100% more Vitamin E into
the epidermis
helps active ingredients thicken
the epidermis by up to 50%
within 180 days
regenerates the basket weave
of the stratum corneum seen
only in younger skin
d
a
t
a
D
O YOU KNOW EXACTLY
what your patients use on
their skin after receiving a
treatment? If you have not implement-
ed a strict post-procedure protocol for
your patients, you could be missing a
crucial step in the services provided in
your practice. Post-procedure care is
almost as important as the treatment
itself. It ensures your patient is using
pH-balanced products that are gentle
and effective. Post-procedure products
keep the skin clean and hydrated, while
calming irritation and protecting from ul-
traviolet exposure. It can be a balancing
act, but with the right ingredients, any
procedures outcome can be enhanced.
Care for clinical
esthetic procedures
Many of the treatments we provide in-
tentionally induce inflammation and
disrupt the integrity of the epidermis,
altering the skins pH. Any procedure
that removes, exfoliates or ablates the
skin has the ability to temporarily raise
its pH closer to blood levelaround a
7 rather than 5.5. When the normal pH
of skin is increased, many products are
no longer compatible and can cause
discomfort upon application until re-epi-
thelialization (typically three to five days,
depending on the level of treatment).
Chemical peels, microdermabrasion,
non-ablative laser treatments and pho-
tofacials are examples of treatments that
require post-procedure care to ensure
the skin heals quickly. By implementing
post-procedure protocols with the cor-
rect products, you have more control
over your patients treatment outcome.
A comprehensive post-treatment system
should consist of the following:
A pH-balanced cleanser with low
levels of gentle alpha hydroxy ac-
ids (AHA), such as lactic, malic or
citric acid, should be used for three
to seven days post-treatment, de-
pending on the individuals healing
time. A wash with a pH at or near
5.5 is necessary to reduce the oc-
currence of discomfort while cleans-
ing. The low-level AHA will help
boost hydration, assist with exfolia-
tion and inhibit the melanogenesis,
or pigment-producing, process.
A calming moisturizer should be ap-
plied to the treated area following
cleansing and as needed through-
out the day. Choosing a product
that is appropriate for multiple skin
types will keep your expenses and
your patients costs down. Look for
anti-inflammatory ingredients like
borage seed oil, evening primrose
seed oil, bisabolol (from chamomile)
or panthenol (pro-vitamin B-5). Use
of a soothing moisturizer will help
control mild flaking, calm irritation
and reduce the chances of compli-
cations post-procedure.
Your patient may find a moisturizer
that contains a low percentage of hydro-
cortisone helpful after their procedure.
Hydrocortisone is beneficial because it is
a topical histamine blocker that can calm
itchy, irritated skin. Since hydrocortisone is
not meant for daily use, remind your pa-
tient to discontinue use after seven days.
It is also wise to include an occlu-
sive moisturizer for areas that may
need a few days to return to base-
line. This type of product should be
thick in consistency and will add a
layer of protection while the area
heals. If any part of the skin is over-
treated, intentional or not, the pH
level raises to that of blood until re-
epithelialization. In this instance, an
occlusive moisturizer is recommend-
ed. Ingredients like hydrolyzed silk
will strengthen the skin, and antioxi-
dants, such as vitamin E, olive fruit oil
and soy isoflavones, will neutralize
free radicals while the skin heals.
Always send your patient home with
a broad-spectrum UVA/UVB sun-
screen. This will make certain their
skin is protected from further sun
damage, allowing results to continue
to progress. Advanced sunscreen
formulas will have added benefits
such as pigment control and anti-
inflammatory ingredients. Zinc ox-
ide, a physical sunscreen, will protect
against UVA and UVB damage, plus
it has the ability to significantly de-
crease inflammation and erythema.
Be sure to express the importance of
using a broad-spectrum sunscreen
daily, even if the direct exposure to
ultraviolet rays is minimal.
It is important to mention that phy-
sicians, as well as product and equip-
ment manufacturers, may have a spe-
cific protocol to follow post-treatment;
in which case, it is best to follow their
directions until the skin re-epithelializes.
Taking the time to explain why your
patient is using different products after
a procedure can help ensure compli-
ance and set the patients mind at ease.
by Jennifer Wild, D.O.
skin|
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post-
procedure care
MORE NEWS
skin care products and treatments
skin
|
news
What seems like common sense to the clinician may be foreign
to the patient, who will appreciate the time set aside to ex-
plain the purpose and usage of each post-procedure product.
Discouraging inappropriate product use
Keep in mind that patients may be using higher percentages
of alpha hydroxy acids (AHA), such as lactic or glycolic acid in
their everyday skin care routine. In some cases, your patient
may be using prescription-strength retinoids such as Retin-A
,
Differin

or Tazorac
. I recommend that patients get approval

from the dispensing physician to discontinue use five days
pre- and post-procedure. This will allow the skin to normalize,
discouraging overly aggressive exfoliation.
Pre-packaged post-procedure kits are available and this makes
implementing a new set of products easy to use and less threat-
ening for the patient. Create a protocol card for your patient to
use at home if one is not provided by the manufacturerthe key
to compliance is making the process easy and user-friendly. n
Jennifer Wild, D.O., serves as a national educator for PCA
SKIN and regularly speaks at trade shows. An osteopathic
physician and surgeon, Dr. Wild is also board-certified in
family practice and has served as a medical director for suc-
cessful medical spas throughout Arizona.
skin|post-procedure care
POST-PROCEDURE DOs AND DONTs
With most superficial resurfacing treatments, there are cer-
tain steps that should be followed to ensure proper healing.
Remember that there has been an upset in the acid
mantle and the patients skin will be more susceptible to
ultraviolet, free radical and other environmental damage.
Make sure your patients know not to pull or pick any
loose skin, as this could also lead to hyperpigmentation,
or even scarring.
Ask your patient to avoid using any products or objects
that could further exfoliate the skin, including washcloths.
Remind patients to stay cool. Any form of heat should
be avoided for 24 to 48 hours post-procedure to avoid
blistering and hyperpigmentation. Since each patients
idea of heat will vary, you may want to take a moment to
review what should be avoided (e.g. exercise, showering
or standing over a stove, etc.).
ENSURE PROPER CARE
Post-procedure care often has an enormous impact on treat-
ment outcomes. Educating your patients about the correct
products to use post-procedure and which products to dis-
continue while healing will ensure a positive end result. When
you arm your patients with knowledge, you leave less room
for complications to occur. Remind them to stay cool and
to allow the skin to exfoliate at a natural pace. By providing
your patients with the correct post-procedure products, you
will gain their trust and, in the end, encourage repeat visits.
MORE NEWS
skin care products and treatments
skin
|
news
LATEST TECHNOLOGY
Bio-Therapeutic raises the bar on its
bt-GEAR handheld technology with
the bt-zoom. The latest introduction
to the bt-GEAR series provides a
compact, 20x magnification system with
bright white LEDs for a quick, portable
and accurate way to analyze the skin.
www.bio-therapeutic.com
SEA SENSATION The Dr. Jeff

Algae Mask with Silk Protein is a fragrance-
free, freeze-dried algae-derivative biomatrix
massage treatment mask. It is formulated
with the outstanding hydrophilic properties
of hydrolyzed silk and squalene, and protects
skin against trans-epidermal water loss,
reduces roughness, diminishes fine lines and
increases skins resilience and suppleness,
says the company. www.dr-jeff.com
BRIGHT EYES Enspri introduces a
synergistic blend of bioactive peptides that
targets the whole eye area. Total Eye Boost is
a lift, lighten and line-erase eye therapy that
delivers a powerful boost of anti-aging ingredients
to stimulate collagen and elastin production and
reduce puffiness and dark circles for a firmer,
brighter, more rejuvenated appearance, says
the company. www.enspriskincare.com
SMOOTH SOOTHER
The Pure Hyaluronic Acid Serum
from SAIAN is a great hydrator
for any skin type, including acne
prone and dehydrated/aging skin.
A powerful anti-inflammatory,
it stops itching and burning to
deliver softer, smoother skin.
In addition to being a topical
wrinkle filler, it is the strongest
non-comedogenic hydrator
available on the market, says
the company. www.saian.net
FOR THE FACE A new procedure
called Platelet Rich Plasma Therapy
(PRP) utilizes the healing power of
isolated platelets from an individuals
blood to aid in the rejuvenation of the
bodys soft tissues and bones. The
therapy is part of an emerging medical
niche called Orthobiologics, which
studies ways that the body is able to
heal itself. PRP therapy has also proven
effective in face and neck rejuvenation,
according to the May 2010 issue of the
Journal of Drugs in Dermatology,
which recounted a three-month study
in which patients who were given
monthly injections showed significant
improvement in skin texture, evening tone
and reduction of the amount of wrinkles
around the eyes. www.jddonline.com
skin|news
TERRIFIC TOUCH-UP
AccuLift is a new procedure in
which a fiberoptic laser contours the
midface, jowls and neck in one hour.
It is an option for previous facelift
patients who have re-formed jowls
or accumulated fat in the middle
and/or lower face. Results should be
evident immediately and then again within a week after
swelling subsides. AccuLift is designed to provide surgeons
with a new tool that enables them to easily and safely
remove fat deposits for more precise three-dimensional
contouring in the face. www.acculiftnow.com
SOOTHING SERENITY
The Delicate Skin Cream by
Dermaquest is formulated with the
revolutionary new Skinasensyl Peptide,
a soothing cosmeceutical peptide that
increases the skins natural tolerance
to active ingredients. It is perfect for
individuals with sensitive and troubled
skin, delivering the benefits of active
anti-aging ingredients without causing
irritation or inflammation, says the
company. www.dermaquestinc.com
CORRECT
TO PERFECT
The Peel Booster
Kit
from DermAware

contains three
different products
to address various
skin problems. Each Peel Booster is specifically
formulated with active plant acids and soothing aloe,
chamomile, cucumber and comfrey. Each can be used
individually in your facial treatments or added onto a
peel to correct acne, wrinkles or hyperpigmentation.
The three products in the Peel Booster Kit are the
Acne Peel Booster, Mature Peel Booster and the
Hyperpigmented Peel Booster. www.dermaware.com
COURTESY OF J. DAVIDHOLCOMB, M.D.
BEFORE
AFTER 4 MONTHS
. Perform full body detoxication and lymphatic
drainage
. Tackle cellulite without physical exertion
. Sell programs and increase your protability
. Increase your clients satisfaction and your
repeat business
. Affordable to you and your clients with great
results!
Distributed by 5 Star Formulators
Toll Free: 888.200.3977
www.5starformulators.com
BALLANCER

Full Body Compression Therapy
& Lymphatic Drainage System
Aestheticians, offer head to toe treatments
with our Ballancer system and turn any room
into a spa with the touch of a button!
www.phrconline.com or 800-961-3777
All hair removal professionals welcome!
Registration Includes:
Professional Hair Removal Conference General Assembly
Two-Day Ticket to the
International Congress of Esthetics & Spa - Miami
Learn and Network
Earn CEU Credits (SCMHR)
The Latest information on:
Laser Hair Removal
Best Business Practices
Marketing Strategies
Electrology Updates
Client Care
Interactive Round Table Discussion
and much more...
Certication exam available (SCMHR)
2011
PHRC
April 2 - 4
Miami Beach
Florida
Pre-Registration Recommended
9th Annual
Professional Hair Removal Conference 2011
Produced by:
Sponsored by:
$
325
3-Day all-inclusive admission
$350 when you register after 3/14/2011
www.phrconline.com or 800-961-3777
All hair removal professionals welcome!
Registration Includes:
Professional Hair Removal Conference General Assembly
Two-Day Ticket to the
International Congress of Esthetics & Spa - Miami
Learn and Network
Earn CEU Credits (SCMHR)
The Latest information on:
Laser Hair Removal
Best Business Practices
Marketing Strategies
Electrology Updates
Client Care
Interactive Round Table Discussion
and much more...
Certication exam available (SCMHR)
2011
PHRC
April 2 - 4
Miami Beach
Florida
Pre-Registration Recommended
9th Annual
Professional Hair Removal Conference 2011
Produced by:
Sponsored by:
$
325
3-Day all-inclusive admission
$350 when you register after 3/14/2011
Before surgery
The pre-op treatment phase is primar-
ily about exfoliating to stimulate and
rejuvenate the skinpreparing the
skins tissue to be in an optimal state
prior to liposuction surgery plays a
major factor in minimizing bruising
and reducing uneven contour prob-
lems that can occur as a result of sur-
gery. Recommended pre-op treat-
ments may include: glycolic peels, LPG
Endermologie
and body polishing

products, as well as topical antioxidant
moisturizers applied on a daily basis.
Antioxidants are known to penetrate
the skin and protect cells against free
radical damage, while at the same
time heightening the metabolic rate
of healing.
Post-operative care
Manual lymphatic drainage (MLD) and/
or LPG Endermologie are often incor-
porated into post-liposuction care. MLD
and LPG Endermologie help balance
stagnated fluid and distribute immune
cells throughout the body to accelerate
healing and reduce complications. The
lymphatic system also rids tissues of ex-
cess proteins and toxins and helps to
repair damage in injured tissues. MLD
also reduces the degree of pain, swell-
ing, bruising and convalescence time
associated with liposuction surgery.
Many doctors recommend LPG
Endermologie treatments pre- and post-
liposuction as the best way to eliminate
edema and uneven contours or irregu-
larities. LPG Endermologie, unlike li-
posuction, does not involve breaking
through the skin in any way, so there-
fore it may be used as an alternative to
surgery. Some of the most well-known
by Lyn Ross
spa
suction-assisted
lipectomy/liposuction
L
IPOSUCTION CANDIDATES
are of normal weight with elastic
skin and localized collections of
excessive fat on the arms, calves, knees
and above the waist, also known as
love handles. The patients skin must
be somewhat elastic so that after the
fat is removed, the skin is able to re-
contour to the new shape. People who
have undergone very large fluctuations
in body weight are poor candidates
for liposuction, as their skin has poor
elasticity.
Procedure
A tubular instrument with a suction unit
attached is passed through a small inci-
sion into the fatty area under the skin.
The surgeon manipulates the instru-
ment while suctioning off the fat. A
snug elastic garment will be placed
over the suctioned areas after the sur-
gery is completed to help control swell-
ing and bleeding, and mold the skin to
the new contour. The garment is worn
continuously for two to three weeks and
then worn only during the day for an
additional two to three weeks.
After the surgery there is usually some
bruising and numbness that can persist
for a week or more. The majority of the
swelling is gone in a matter of weeks.
Liposuction removes fat cells that will
not come back, since it is thought that
no new fat cells are produced after pu-
berty. Waviness or contour problems can
be corrected easily with a minor revision
under local anesthesia. Excess fat can be
suctioned if present. If a depression in
the skin has occurred, fat can be inject-
ed into the area to correct the problem.
Liposuction will not improve cellulite and
is not a substitute for weight reduction.
liposuction practitioners in the world
have studied LPG Endermologie. They
concur that it helps reduce swelling and
any bruising that occurred due to sur-
gery, and can enhance the results. n
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Lyn Ross is a licensed master esthet-
ics educator, a recognized leader in
the professional skin care industry and
the founder of Institut DERMed. With
more than 25 years of in-clinic esthet-
ic experience, Ross is dedicated to
sharing her knowledge with licensed
esthetics professionals. A true medi-
cal spa pioneer, Ross has written nu-
merous articles, authored chapters in
textbooks and appeared on radio and
television shows highlighting profes-
sional skin care.
Many doctors recommend LPG Endermologie
treatments pre- and post-liposuction as the best way to
eliminate edema and uneven contours or irregularities.
acne
treatment
PCA SKIN ACNE GEL
PCA Skins Acne Gel is
a gentle solution for the
treatment and prevention
of acne breakouts.
The effective solution
controls oil production
and promotes clear skin.
equipment
HYDRAFACIAL MD
The multi-modality Hydra

Facial MD
machine from
Edge Systems is used
for a resurfacing facial
treatment that provides
cleansing, exfoliation,
extraction and hydrating
while Vortex-Fusing
antioxidants, peptides
and hyaluronic acid.
eye cream
G.M. COLLIN PHYTO
STEM CELL EYE
CONTOUR CREAM
G.M. Collins eye contour
cream from the new
Phyto Stem Cell + line is
an advanced anti-aging
eye contour cream that
moisturizes, soothes
and visibly improves
firmness of the skin and
reduces the appearance
of dark circles, puffiness,
wrinkles and fine lines.
Clinical results achieved
a reduction as high
as 96 percent of the
total wrinkle surface
of the eye contour.
body lotion
MINENCE LYCHEE &
CHESTNUT FIRMING
LEG TREATMENT
The Lychee and Chestnut Firming
Leg Treatment by minence
Organics is perfect for swollen,
tired legs and improving the
appearance of varicose veins. Horse
chestnut and butchers broom
work together in this immuno
boosting leg cream to improve
circulation and stimulate the skin
while effectively reducing the
visible signs of varicose veins. The
delicate lychee fruit helps relieve
the pain of sore and swollen legs.
FOUR MONTHS AGO, hundreds of top spa and skin care
companies submitted entries for their products and equipment
to be considered for the coveted distinction of being named
Les Nouvelles Esthtiques & Spas BEST for 2011. After LNE
& Spas educational committee and editor-in-chief Denise R.
Fuller selected the five finalists for each of the 20 categories,
we asked youour valued readersto tell us which of the
items in each category deserved to win the LNE & Spa BEST
title by voting for your favorites. You did, and the winners have
been selected. Here they areLNE & Spas BEST for 2011! 4
BEST
LNE
& SPAS
BEST
LNE
& SPAS
BEST
LNE
& SPAS
BEST
LNE
& SPAS
LNE & SPAS BEST
lash enhancer
RAPIDLASH
RapidLash is an innovative
eyelash renewal serum
that helps promote
healthy, natural lashes
and brows and improves
their overall appearance
and condition. It delivers
essential proteins, vitamins
and other moisturizing and
rejuvenating ingredients
to replenish the structure
of lashes while adding
shine and elasticity.
male product
MURAD RAZOR
BURN RESCUE
Murads Razor Burn

Rescue
takes the sting out

of shaving with a formula
of soothing, moisturizing
and nourishing ingredients
including tea tree
oil, neem, vitamin E
and panthenol. The
unique blend of healing
antioxidants and anti-
inflammatories reduces
redness, razor burn,
irritation, razor bumps and
ingrown hairs. Glycolic
acid clears irritating
dead skin and debris
from hair follicles.
green product
ILIKE ORGANIC SKIN
CARE FROM SZP ELET
ROSE PETAL GEL MASK
The Rose Petal Gel Mask
from Ilike Organic is
beneficial to any skin type.
The formula of rose petals,
honey, rose oil, vitamins B,
C and other minerals deliver
a multitude of benefits to
the skin. The masque tones,
regenerates, nourishes,
hydrates, boosts elasticity
and smoothes the skin.
cleanser
SKIN 2 SKIN
WHITE TEA ANTI-
AGING FACE WASH
The White Tea Anti-
Aging Face Wash by
Skin 2 Skin Care
promotes healthy
skin cell growth while
providing an effective
deep clean and fighting
harmful photoaging
processes. White tea and
other quality ingredients
work together to fight
sun damage, increase
circulation and boost
the skins healing
process and elasticity.
BEST
LNE
& SPAS
BEST
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& SPAS
BEST
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& SPAS
BEST
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& SPAS
body exfoliant
AVEDA SMOOTHING
BODY POLISH
Avedas Smoothing Body
Polish is a creamy, skin
refining foam that eliminates
superficial impurities to reveal
smoother skin and revitalize
the senses with a refreshing,
plant based aroma. Natural
ingredients include walnut
shell, refined coconut,
sugar, herbal extracts,
kelp, aloe and lavender.
mask
A NATURAL
DIFFERNCE
SOOTHING MASQUE
The Soothing Masque
by A Natural Difference
cools down sensitive or
irritated skin, providing a
calm, refreshed feeling.
It has anti-inflammatory
properties to relax
sensitive skin, and is
great to use after sun
exposure, peels or
oxygen treatments.
moisturizer
KLAPP REPAGEN
NOIRE RICHE
KLAPPs deluxe anti-aging
Repagen
noire RICHE is made

up of a special ingredient complex
composed of an active ingredient
trio made up of caviar extract,
the grape stem cell PhytoCellTex
Solar Vitis and HmaTite
. The
revitalizing formula intensifies
the regenerative process of dry,
demanding skin. It stimulates
collagen synthesis, strengthens
skin, reactivates vital functions
and provides protection against
UV-induced skin aging.
makeup brush
JANE IREDALE
KABUKI BRUSH
The ultra soft Kabuki
brush by Jane Iredale
is a round brush that is
designed to be as gentle
on the skin as possible.
It is ideal for applying
mineral foundations and
base, providing just the
right amount of coverage.
BEST
LNE
& SPAS
BEST
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& SPAS
BEST
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& SPAS
BEST
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& SPAS
LNE & SPAS BEST
peel
PCA SKIN

SENSI PEEL
The gentle Sensi Peel
by
PCA SKIN
is formulated
for all sensitivity levels. It
strengthens and brightens
skin while helping to
treat sun damage and
hyperpigmentation
with anti-inflammatory,
anti-acne and
antibacterial action.
spa table
SILHOUET-TONE
ELITE PLATINUM
The multi-use Elite
Platinum from Silhouet-
Tone is designed for
facial, laser, IPL, medical
spa, body treatment and
depilation. An electric
top allows easy access
and comfort during face
treatments, as well as
electric height, leg, back
and seat tilt adjustments,
remote control, rotating
armrests and a multi-
position headrest.
serum
OSSETRA
SEAWEED SERUM
Ossetras Seaweed
Serum delivers an
intensive lifting and
firming effect to skin.
It boosts the skins
respiratory potential
to improve the oxygen
consumption used
by cells, making the
complexion bright
and radiant. It is 100
percent organic.
spa wear
SPA UNIFORMS
BELLA JACKET
The Bella Jacket
by Spa Uniforms is
elegantly feminine,
with a tailored fit and
delicate sheer ruffle
detail. Generous side
slits and a two-way
zipper allow for easy
movement. The
fabric is breathable,
stretchable and wrinkle
and stain resistant.
BEST
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& SPAS
BEST
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& SPAS
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& SPAS
BEST
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& SPAS
body wrap
MINENCE BLUEBERRY
SOY SLIMMING
BODY WRAP
The Blueberry Soy
Slimming Body Wrap
from minence Organics
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U
NLESS YOU SUFFER FROM
lymphedema or a person close
to you is diagnosed with the
condition, then chances are you have
never heard of the affliction.
Lymphedema is a chronic and in-
curable malady that currently impacts
nearly three to four million Americans.
It is characterized by a voluminous ac-
cumulation of fluid, most typically in
the appendages and other areas of the
body. The lack of awareness is surpris-
ing given that an estimated 20 to 40
percent of Americans diagnosed with
cancer will develop lymphedema as
a result of their cancer treatments. In
2010, the American Cancer Society re-
ported 1,529, 560 new cases of cancer,
which means approximately 300,000
cancer diagnoses will also lead to the
development of lymphedema. Due to
the limited knowledge of lymphedema
among the general population and
healthcare providers, it is sometimes
called a silent epidemic.
Silent epidemic
The symptoms of lymphedema include
swollen appendages, a disruption of
the metabolism, alterations in fibrotic
and fatty tissue, inflammation, and pe-
riodic cases of cellulitis and infection.
There are two types of lymphedema:
primary and secondary. Hereditary and
rarer than a case of secondary lymph-
edema, primary lymphedema most fre-
quently occurs in women and emerges
at various stages of growth and devel-
opment: from birth to childhood and
puberty, with some cases emerging
during the 20s and 30s, and the most
rare instances emerging after age 35.
Medical procedures that remove or im-
pact the lymph nodes and lymph ves-
sels, along with other forms of physical
trauma, are frequent causes of second-
ary lymphedema. This helps explain the
onset of lymphedema among cancer
patients undergoing treatment, using
radiation and the removal of cancerous
lymph nodes.
The dramatic swelling common-
place with lymphedema results from an
excess accumulation of lymph, which is
a clear fluid prevalent throughout bodily
tissue and organs that is transported via
lymphatic vessels. The lymphatic sys-
tem is an intricate tracery of vessels as
vital to the body as a citys public works
network. It helps maintain circulatory
and immune systems while removing
toxins and impurities. When the deli-
cate network of lymph nodes and lymph
vessels are damaged, blockages occur,
which prevent the cycling and flushing
of lymphatic fluid and results in the ac-
cumulation of lymph.
According to Guenter Klose, M.D.,
a pioneer in the treatment of lymph-
edema, the illness is frequently mis-
diagnosed and mistreated as edema.
Further complicating matters for pa-
tients in America, the treatment and
education of healthcare professionals
in the United States lags behind their
European counterparts by about five
years, stated Dr. Klose during a presen-
tation at the Symposium for Advanced
Wound Care in 2010.
Proper treatment
Trained professionals know the lym-
phatic fluid in patients with lymphede-
ma is protein-rich whereas edema is low
in protein. Lymphedema also causes
deep-lasting pitting when swelling is
compressed as opposed to edema,
which rebounds relatively quickly. A
therapist or physician certified to treat
lymphedema understands the nuances
and can diagnose one from the other
with a battery of tests.
Amongst caregivers, the most wide-
ly-accepted method of treatment is
called complete decongestive therapy
(CDT), which combines massage, com-
pression therapy, exercise and impec-
cable hygiene to activate, maintain and
protect the lymphatic system.
The use of special low-compression,
short-stretch bandages provide a con-
sistent resting and active pressure upon
a wrapped appendage. The balanced
pressure reduces the volume of lym-
phatic fluid between the cells and blood
capillaries, and helps prevent fluid from
accumulating again. Traditional elastic
by Mick Marlier
lymphedema in America
spa|
suffering in silence
continues
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spa|suffering in silence
bandages exert too much pressure on
the appendages of a resting patient
and can misallocate lymphatic fluid into
lobules and pockets. If left untreated,
the accumulation of fluid will lead to
fibrosis and possibly inflammation or
infection. The short-stretch bandages
are imperative to an effective lymph-
edema treatment program.
In addition to short-stretch bandag-
ing, the massage portion of lymph-
edema treatment, known as manual
lymphatic drainage (MLD), helps main-
tain the lymphatic system and reduce
fluid accumulation. Developed by Emil
Vodder, Ph.D., in the 1930s, MLD is
a gentle form of massage that helps
stimulate the lymphatic vessels and
circulate lymphatic fluid throughout the
body. To assist a damaged lymphatic
system, MLD uses measured pressure
and precise concentric movements to
propel lymph away from the swelling
and toward the undamaged nodes,
which enables the body to drain the
lymphatic fluid.
Dramatic strides
Since the mid-1990s, lymphedema
therapy in the United States has made
dramatic strides. According to Sheila
Webber, her early treatment options
consisted of an ineffective protocol
of compression stockings and diuret-
ics. She was diagnosed with primary
lymphedema at birth.
In 2001, I moved to Minnesota and
found out from my physician that there
was a lymphedema clinic, says Webber.
Up until that point, she had to travel
great distances to see therapists, and the
inconvenience of commuting forced her
to forgo or limit the therapy necessary
to improve her quality of life. Over the
course of two months, she visited the
Mayo Clinic twice daily and four times
a week to receive the CDT regimen of
massage, followed by the wrapping of
her limbs with short-stretch bandages.
Specialists encouraged deep breathing
and walking while wrapped to wake up
the lymph nodes. Other forms of mild
exercise, such as swimming or cycling
on a stationary bike, are also prescribed
to manage lymphedema. Webber also
learned how to apply the short-stretch
bandages herself and maintain her
treatment protocol between visits to
the Mayo Clinic. But upon moving to
Rockford, IL, she encountered a lack
of caregivers for lymphedema, which
caused a set-back to the treatment gains
she experienced in Minnesota.
The doctors here dont know what
to do with me. There is one certified
lymphedema therapist in the area and
she is impossible to get because every-
one in the area with lymphedema goes
to her, Webber states.
Making progress
While the demand for caregivers out-
strips the current supply of profession-
als providing lymphedema care, more
individuals are learning about lymph-
edema and becoming certified in treat-
ment protocols.
I learned about lymphedema when
I joined the Lincoln Medical Center
in 2002, said Jill Jones, an occupa-
tional therapist and certified lymph-
edema therapist (CLT) with Carolinas
Healthcare System in Denver, NC. She
was working with an occupational ther-
apy assistant who had been trained in
lymphedema treatment, but the hospi-
tal system needed a licensed occupa-
tional therapist to work with her. Jones
took it upon herself to attend a Casley-
Smith training course at Cedar Haven
Rehabilitation in West Bend, WI, to be-
come a certified lymphedema therapist.
Most lymphedema therapists are
OTs, PTs (physical therapists), or mas-
sage therapists. The gentle and intuitive
touch employed by occupational, physi-
cal and massage therapists makes them
ideal candidates for treating lymph-
edema with complete decongestive
Therapy, says Jones.
Resources
Nurses, physicians and therapists seek-
ing to learn more about lymphedema
have a readily available network of
information sources regarding cer-
tification and education. Individuals
interested in learning more about lymph-
edema should contact the National
Lymphedema Network (Lymphnet.org)
and Lymphology Association of North
America (Clt-lana.org) to view frequently
asked questions and identify certification
opportunities. Not only will awareness
grow as more professionals become
certified in treating lymphedema, but
healthcare professionals and massage
therapists can add a valuable and scarce
skill set to their curriculum vitae.
As more physicians, nurses and
therapists learn about lymphedema,
they can help prevent misdiagnoses
and encourage proper treatment pro-
tocols. But until awareness grows, many
Americans shall continue to suffer from
the silent epidemic. n
Mick Marlier is
a freelance writ-
er and medical
supply repre-
sentative from
Charlotte, NC.
He has wri t-
ten features for
the Burlington
Times-News and Elon Pendulum, and
was awarded first place in the 2001
Philip L. Carret Thomas Jefferson Essay
Competition. Marlier is an avid reader,
self-defense instructor, backyard farmer,
and a happy father and husband. He can
be reached at mick@ambraleroy.com.
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L
ARTE DELLA BELLEZZA IS THE
brain child of a husband and wife
team of highly successful health
professionals with more than 20 years
of experience in the medical field.
This outstanding medical spa is lo-
cated in the prestigious city of Coral
Gables, FL. Its prime location serves well
to the nature of this outstanding new
establishment. The South Florida area
is known for its allure, diversity and
sophistication converge and clientele.
Mission
The spa offers a full range of noninva-
sive, nonsurgical, safe, effective, up-to-
date and proven skin care treatments
and body contouring procedures to help
clients look and feel more youthful and
vibrant. LArte Della Bellezza is a medical
spa committed to providing the most
advanced procedures available that re-
store youth, while preserving beauty and
the functional health of skin.
Business strategy
Start with a plan that is based on market
research and analysis, keeping in mind
that this is a business. If you want to
open a spa, you must identify a gen-
eral geographic area in which to estab-
lish the business. Then you must use
demographic analysis to determine
which area of the market will provide
the best opportunity for the business
to succeed.
Use up to date Internet technol-
ogy such as Facebook to reach your
target market.
Facility
LArte Della Bellezza is located in a
charming Spanish-style building that
matches the traditional European archi-
tectural style, which accents the city of
Coral Gables, with ample private, cov-
ered parking. It provides a convenient
and safe facility for its clients.
Visiting
Visitors are awed by the finesse and
harmony that the spas ambiance pro-
vides. Clients are greeted by its per-
sonable and professional staff. Owner
Eva Tomeu, an Adult Registered Nurse
Practitioner, teams with her husband
Hector Lalama, M.D., on this enterprise.
Eva is a lifetime devotee of beau-
ty, health and fitness. Raised in Las
Vegas, NV, she was exposed to glam-
our and beauty at a very early age,
which carried on through her college
years as an athletic swimmer of na-
tional stature. During her early teen
years, Eva moved to Miami Beach, FL,
where she continued her higher educa-
tion in the healthcare field, obtaining
her degree from Florida International
University. Through her innumerable
amount of peers and clients, she was
encouraged to pursue her certifica-
tions in beauty enhancement as re-
quired by the state of Florida.
Her husband and business partner,
Dr. Hector Lalama, was raised in South
Florida, where he received extensive
training in Neurology at the University
of Miami, Jackson Memorial Hospital.
While in training there, he had his first
by Eva Tomeu
LArte Della Bellezza,
the art and science of beauty
spa|
owners column
continues
spa
exposure to Botox technology. It was
then that Dr. Lalama pursued further
knowledge of Botox application, lead-
ing him to the world of esthetics. To
contribute to the success and growth of
their spa, the husband-and-wife team
have traveled extensively throughout
Europe and the Pacific Rim to further
enhance their knowledge of the latest
trends in beauty care.
Treatments
The owners assess each clients needs
during a face-to-face consultation.
They then work with clients in order
to develop a skin and body care regi-
men tailored to the clients needs. The
high-end medical spa features an ar-
ray of treatments ranging from Botox
injections to fillers. Fillers are used to
restore volume and diminished lines to
the face by creating a more youthful
appearance. Different types of fillers
are discussed with clients to ensure
their needs are met.
Sclerotherapy is a safe procedure
with very little risk that involves the in-
jection of a solution into small spider
veins, which causes it to collapse and
reabsorb, leaving the surface veins no
longer visible. This procedure does
not require any sedation or anesthesia.
High-tech
The medical spa also offers chemical
peels, microdermabrasion, laser treat-
ment and body contouring using the
Lumicell Wave 4 Cellulite System from
Silhouet-Tone. The suite that hosts
the spa is composed of seven spa-
cious quarters that are furnished with
an array of high-end equipment. The
Lumicell Wave 4 uses a unique com-
bination of four noninvasive technolo-
gies working in synergy to target ma-
jor problems associated with cellulite,
such as edema, also known as heavy
legs; orange peel appearance, the dim-
pling of the skin mostly prevalent in the
thigh/buttock regions; localized fat de-
posits; and skin contour irregularities.
This system consecutively treats both
the subcutaneous and adipose layers
in one session by infrared photopneu-
matic massage, which will improve cir-
culation and loosen the fibrous bands
of connective tissue that surrounds fat
deposits, enhancing lymphatic drain-
age. The transdermal meso delivery
is a product rich in fat-burning ingre-
dients and encourages the breakup of
adipose tissue. The collagen remodel-
ing ultrasound accelerates the lipoly-
sis process, spreading the heat from
molecule to molecule and restoring
tissue elasticity.
The Dermapod used in the medi-
cal spa is a multi-treatment device that
combines microdermabrasion, photo
bio-stimulation and microcurrent tech-
LArte Della Bellezzas goal is for clients
to be pleased with the results from the
latest high-tech treatments.
cal peels and skin care products to fit
almost anyones skin care needs.
LArte Della Bellezzas goal is for cli-
ents to be pleased with the results from
the latest high-tech treatments. The spa
owners believe it is just as important
to develop a friendship and trust with
their clients. n
Eva Tomeu is an Adult Registered
Nurse Practitioner with a strong back-
ground in es-
thetics and skin
care. She is the
f ounder and
owner of LArte
Della Bellezza,
a full service
medical spa in
Coral Gables,
FL, where she offers a combination of
injectable treatments, body contouring
and skin rejuvenation procedures using
the latest laser technology available.
spa|owners column
nology. Through satellite options, the
Dermapod can also perform multi-
layer skin rejuvenation such as Kinelift,
which is designed to stimulate the epi-
dermis and its underlying structures.
This is accomplished through LED
light therapy, which controls the ag-
ing process; the Dermalift, which in-
cludes neck and neckline lifting; mi-
crocurrent technology, pulsated and
modulated in a precise pattern to
strengthen muscle groups and tighten
and lift the face; and the Purelight
treatment targets the acne with a ma-
genta light. This procedure is favored
for its antibacterial properties and is
used to clear blemishes.
The laser suite at LArte Della Belle-
zza offers a safe, convenient way to
remove unwanted hair. The advantage
of this treatment regimen is that there
is no skin penetration, and it requires
fewer treatments, achieves greater
accuracy and covers large areas. The
medical spa offers a variety of chemi- p
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KEY COMPONENTS
TO BLEND MEDICINE
AND THE SPA INDUSTRY
THERE IS A NEW WAY TO LOOK
at medicine today. With the majority
of health care costs on the rise due to
illnesses such as diabetes, hypertension,
heart disease and stroke, the current
health care system is unsustainable and
places a heavy burden on our economy.
In order for our economy to survive, we
will need to focus primarily on preventive
medicine and wellness in the coming years.
When we take into consideration
nutrition, fitness, natural medicine, spas
and hospitality aspects of wellness, it is
a $1.1 trillion dollar industry. As of today,
spa wellness health care is completely
consumer driven, and there are many
skills that the spa industry can gain from
the medical industry.
SINCE THE BEGINNING OF RECORDED HISTORY, PEOPLE
have obsessed over the instinctual desire to look younger
and more attractive. From the enriching almond facials used
by early Egyptians to the relaxing spas frequented by an-
cient Romans, the business of beauty is one of the oldest
in the world. Time has not changed the desire for beauty. If
anything, it has only become stronger as new technologies
change the way people approach looking good.
One of the biggest roadblocks esthetics professionals
faced in the past was the limitations of the treatment meth-
ods available to them. Facials and sugar scrubs, while re-
laxing and rejuvenating, have little effect on hard-to-treat
conditions like scars and wrinkles. This usually left clients
with only one option plastic surgery. Unfortunately, most
people do not have an extra $15,000 lying around or the
time to take months out of their lives for a painful recovery.
Thanks to breakthroughs in the realm of cosmetic lasers
and intense pulse light devices, the ability to correct more
difficult skin concerns is no longer the sole domain of the
surgeon. With greater financial benefits and results for cli-
ents, the transition into medical esthetics is becoming one
of the fastest-growing trends among estheticians.
The business of esthetics
Once considered attainable only by the rich and famous,
cosmetic laser procedures are now a part of pop culture and
enjoyed by millions. In the last decade, the demand for non-
surgical cosmetic procedures increased by an unheard of 773
percent. These procedures now make up more than 85 percent
of the market, reducing plastic surgery to a mere 15 percent.
Unlike their predecessors, todays esthetic clients de-
mand results-oriented cosmetic procedures in addition
BY LOUIS SILBERMAN
SEEING
THE LIGHT
BREAKTHROUGH LASER PROCEDURES
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to relaxing spa treatments. Instead of waxing, spa-goers are
now turning to laser hair removal to provide a more perma-
nent solution. People who once avidly received facials to keep
skin youthful are now turning to photofacials for the added
benefits of age spot and sun damage removal. For clients
looking to reduce wrinkles, fractional laser wrinkle reduction
now provides estheticians with a tool that is safer than surgery
and a natural alternative to Botox.
With a higher price point and shorter treatment time
than traditional spa offerings, cosmetic laser treatments of-
fer huge revenue potential. While a typical facial can cost
around $75 and take up to an hour, a photofacial has an
average retail price tag of $400 and takes only 30 minutes.
This means that an esthetic professional working only one
eight-hour day per week with a 15-percent commission
would make around $50,000 per year.
The breakdown
Lasers work thanks to the absorption and reflection prin-
ciples of light. When seen through a prism, the eye is able
to see that the white light from the sun is actually made of
a collection of individual colors or wavelengths.
The reason anything in the world has a color is that its
material makeup absorbs certain colors of light and reflects
others. For example, an apple is red because it absorbs most
of the light spectrum, reflecting only the red wavelengths of
light back to the human eye. Cosmetic lasers treat various
skin concerns through this same principle.
Laser technicians treat skin conditions by using a high-
powered laser beam made up of a focused wavelength of
light that is only absorbed by the color of the problem area,
leaving the surrounding area unharmed. Treatments are most
effective when a larger color difference exists between the
skin and the condition. By varying the wavelength of light,
lasers can target a wide range of skin conditions including
unwanted hair, blemishes, wrinkles or hyperpigmentation.
Getting started
Making the transition into cosmetic lasers is a simpler pro-
cess than some believe. In most states, a comprehensive
two-week course that provides a combination of class-
room and hands-on clinical education is all the training
required. The most important part of this process is pick-
ing the right school. Here are some criteria to consider
during your research process.
Technology: One of the top course features a school
should have is a curriculum that includes training on multiple
1. Only medical professionals can perform laser proce-
dures. Fiction. While training regulations vary depending on
location, laws allow estheticians to perform cosmetic laser
procedures in almost every state.
2. Medical professionals are more qualified to perform
laser procedures. Fiction. Surprisingly, no medical degree
program in the United States includes cosmetic laser train-
ing. This means that after completing the proper training,
esthetics professionals are just as qualified as medical pro-
fessionals are to safely perform laser treatments.
3. Laser procedures have to be performed in a doctors
office. Fiction. Cosmetic laser technicians can work and
provide treatments in a variety of professional settings.
These include day spas, gyms, salons and skin care facili-
ties, to name a few.
4. One type of laser can be used to perform every proce-
dure. Fiction. Lasers are not one-size-fits-all. Avoid buying
from manufacturers who claim their lasers can treat every-
thing with one machine. Each procedure works differently
and one machine will not be able to effectively perform
every treatment. However, there are certain types of equip-
ment with multiple uses. For example, some IPL devices
work for providing both photofacials and hair removal.
laser fact or fiction
Teachers should have real-world
experience in providing cosmetic laser
treatments. Having this inside knowledge
allows them to better prepare students for
the situations they will face in the workplace.
Avoiding the burn
Burns resulting from cosmetic laser treatments are prevent-
able with proper training and knowledge. A quick consul-
tation with clients before treatment provides the chance to
discuss preventive measures.
1. Tell every client to avoid extended sun exposure for
two weeks prior to treatments. Tanning increases pigment
in the skin, which causes it to absorb higher levels of laser
heat. Clients should also discontinue the use of sunless tan-
ners and bronzers for the same period.
2. If a client comes in for an appointment with a tan, rec-
ommend non-chromophore (pigment) targeting treatments,
such as radiofrequency skin tightening or infrared cellulite
reduction, rather than losing a sale.
3. Use the Fitzpatrick scale to determine a clients skin
type. Ranging from a one (light-skinned Caucasian) to a six
(dark-skinned African American), this number determines
their eligibility for various treatment types. For example,
skin types one through six may receive laser hair removal.
However, only skin types one and two may safely receive a
photofacial. Similar to a tan, certain laser treatments target
pigments and can burn darker skin types.
4. Be aware of any medication clients are currently tak-
ing. Some antibiotics and acne medications increase the
photosensitivity of the skin. This makes it more susceptible
to burning when targeted by a laser. Clients must discon-
tinue their use two to four weeks before receiving a laser
treatment. Instruct clients to consult their physician before
making any changes in their medication. n
Louis The Laser Guy Silberman
is president of the National Laser
Institute, which specializes in ad-
vanced cosmetic laser and medical
esthetics training. He is an expert in
laser esthetics education, a medi-
cal spa owner, a nationally recog-
nized author, a marketing speaker
and a business consultant. Contact
Silberman at 800.982.6817.
brands and types of lasers. Not all employers use the same
exact laser. Do not be caught off guard in the workplace and
limit your marketability by attending a program that only
teaches the use of one or two laser systems.
Unbiased education: It is interesting to note that some
schools also sell their own laser equipment. Be wary of this,
as it can lead to a biased education, focusing on the equip-
ment they want to sell rather than the equipment that is
best for clients.
Experienced staff: Teachers should have real-world ex-
perience in providing cosmetic laser treatments. Having this
inside knowledge allows them to better prepare students
for the situations they will face in the workplace.
Learning from a variety of instructors, such as doctors,
nurses, certified laser technicians and business coaches
is also important. Receiving instruction and feedback from
professionals in a range of industry roles provides an extra
edge over competition.
Real-world training: The courses themselves should cov-
er all the necessary basics for operating a laser and include
a combination of classroom learning and hands-on clinical
training that provide students with an easy-to-understand
approach to how lasers work, skin biology and laser safety.
Be sure to ask any prospective school if they provide
the treatment models you will work on during the clinical
training portion of the program. Some schools require that
students bring their own treatment models, while others only
allow students to perform treatments on fellow students in
a closed environment.
Laws and guidelines
The laws governing the length of cosmetic laser training vary
in each state and can change, so it is up to the esthetician
to research the rules in their area. Often, a states medi-
cal board or radiation agency, as well as medical esthetics
schools, can provide you with this information.
THESE STATES ARE EXPERIENCING some of the largest
cosmetic laser growth and job availability in the country.
In addition, their regulations allow esthetics profession-
als to provide laser treatments.
top 10 laser-
friendly states
1. Arizona
2. Texas
3. Pennsylvania
4. Illinois
5. Nevada
6. Virginia
7. Colorado
8. New Mexico
9. Louisiana
10. Missouri
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A
S AN INTERNATIONALLY
recognized facial plastic sur-
geon, I feel it is imperative to
seek the newest and best treatments
for patients to look their best at every
age. My practice aims to offer the finest
surgical and non-surgical approaches
available, including the latest inject-
ables. However, myself and the medical
team wanted to expand into more non-
invasive technology for body shaping.
Recent client requests revolved around
losing love handles and this caused us
to do some research. There are many
options available without the pain and
discomfort of surgery.
We wanted to keep our patients
cool during liposuction procedures
wi th the recentl y FDA-approved
ZELTIQ CoolSculpting device, which
seemed to be a key fit for our facility.
We also wanted to offer a procedure
that required no needles, surgery or
downtime for patients who wanted
to reduce stubborn fat on the thighs,
hips, buttocks and other areas where
diet and exercise does not work. It is a
safe procedure cleared by the FDA that
gently cools unwanted fat cells in the
body to induce a natural, controlled
elimination of fat cells. This reduces
bulges in treated areas of the body
without harming surrounding tissue.
Overview
Unlike liposuction, CoolSculpting is a
comparatively comfortable procedure.
During the treatment, patients can sit
or lay down, read, use their laptop or
even take a nap. The procedure typi-
cally lasts about one to two hours and
patients can expect an average 20-per-
cent fat reduction in the treated area
as soon as three weeks after surgery.
The device delivers precise cooling ef-
fects that only target fat cells, leaving
adjacent tissue unharmed and intact.
Clinical studies involving hundreds
of patients show that, for properly se-
lected patients, this procedure is an
effective way to reduce fat without the
pain, risk and recovery time of surgi-
cal procedures. The result is notice-
able, natural-looking fat reduction in
the treated areas. CoolSculpting is not
intended as a weight-reduction pro-
gram. The best candidates are those
people near their ideal body weight
who eat a well-balanced diet and ex-
ercise regularly.
Precautions
Immediately after the procedure the
patient can go about their regular dai-
ly activity. Of course, like all medical
procedures, doctors recommend that
patients do not immediately engage
in any extreme athletic activity after
this treatment.
There are some pre- and post-op-
erative suggestions to pass on to cli-
ents to ensure optimal results. Ensure
they make a few lifestyle changes as
they start their CoolSculpting regimen.
Daily exercise, even just walking for
30 minutes, has tremendous benefits.
The best candidates are those people
near their ideal body weight who eat a
well-balanced diet and exercise regularly.
by J. David Holcomb, M.D.
for love handles
spa|
cool lipo
continues
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Yoga and other methods for stress re-
duction are also very useful to lower
stress chemicals and to help maintain
optimum body weight.
Last but not least, a few simple
changes in dietary habits, such as less
soda, skim milk instead of whole and
a lower carbohydrate intake will help.
In addition, the client would benefit
from weekly lymphatic massage, be-
ginning one week after the first treat-
ment. Lymphatic massage will help
the treated area, making it feel less
congested, reducing any tenderness,
and assisting with overall quickness of
recovery. n

J. David Holcomb, M.D., is a double
board certified facial plastic surgeon
with a private practice in Sarasota,
FL. He previously was president of
the Florida Society of Facial Plastic
Surgeons and the Sarasota County
Medical Society. Dr. Holcomb com-
pleted his fellowship through the
American Academy of Facial Plastic
and Reconstructive Surgery. For more
information, visit www.srqfps.com.
Lymphatic
massage will help
the treated area,
making it feel
less congested,
reducing any
tenderness, and
assisting with
overall quickness
of recovery.
MORE NEWS
spa
|
news
body, equipment and supply products
FLEXIBLE COMFORT
Oakworks new procedure table design bridges
the gap between medical and spa requirements.
It features the comfort of Oakworks spa tables
with three inches of padding and luxurious
fabric color choices. Designed for either supine
or prone positioning, the table combines
features required by medical facilities, such
as Trendelenberg and reverse Trendelenberg, a powered backrest, wheelchair
accessibility, low height and the ability to be used as a chair or table. The
procedure table gives doctors the flexibility they need to conduct procedures
while providing their clients with exceptional relaxation. www.oakworks.com
CRUCIAL PROTECTION Asepta Laboratories
Monaco introduces the Akildia Diabetic Foot Cream. The cutting
edge cream protects skin from harsh external factors, prevents
dehydration, limits the risk of hyperkeratosis, preserves the skins
barrier function and enhances tissue regeneration, says the
company. More than a third of Americans suffering from diabetes
develop foot problems related to the disease, making it critical
for diabetics to take care of their feet. www.h-e-a-t.com
PREDICT TO PREVENT
Molecular dermatology research and development
innovator DermaGenoma Inc. released the CelluliteDX
Genetic Test for moderate to severe cellulite. A genetic
sample is taken to help predict the risk level a patient
has for developing excessive cellulite, information
that can allow a doctor to develop a plan to help the
patient reduce that risk through lifestyle changes and/
or certain therapies. www.DermaGenoma.com
FABULOUS FLAVORS
The delicious Antioxidant
Fruit Extracts from Pure
Inventions are enticing drink
enhancers to keep on your
retail shelves. The formula is
free of sugar, calories, artificial
sweeteners, caffeine and
gluten. It is sweetened with
Lohan fruit (diabetic friendly)
and delivers a therapeutic
dosage of antioxidants in
each serving. It can be added
to food or fluids. The four
varieties are Blueberry and
White Tea, Cranberry and
Elderberry, Pomegranate
and Acai Berry and Wild
Cherry Apple + Resveratrol.
www.pureinventions.com
spa|news
FINE TUNING The VASER Lipo
System
is a minimally invasive ultrasonic body contouring
technology. The versatility of the procedure
makes it possible to perform a wide range of
applications on all areas of the body. VASER
enables the removal of small or large volumes
of fat, involves fast patient recovery and is
clinically proven to enhance skin retraction and
reduce blood loss. VASER targets the following
emerging markets: awake in-office procedures,
high definition sculpting, fat transfer to enhance
body contouring, post-baby body treatments
and the male market. www.vaser.com
POSITIVE PRESSURE The Presso Dren Digit from Pibbs has been developed
by extensive research on pressure therapy treatments, which are indicated to help
prevent and take care of circulation problems, cellulitis and venous stasis, says
the company. The Presso Dren Digit can be used for treatments on people who
suffer from leg and ankle swelling, water retention and lymphatic stasis. It features
anatomical and adjustable leggings made of a special strong material dictated by
the latest physiological techniques: the compression chambers overlap to produce
a regular and progressive flow of the entire circulatory system. www.pibbs.com
SMOOTH
AND SCULPTED
Help your clients enhance
their fitness with the
Huile Sous-Ombilicale by
Biologique-Recherche. The
multi-tasking oil stimulates
the elimination of toxins and
excess water in the stomach
area to reduce plumpness
and leave the area toned,
softened and visibly defined.
www.biologique-recherche.com
by Jim Bain
business
I made it to the
top! now what?
Will Rogers once said that if you
are riding ahead of the herd, take a look
back every now and then and make sure
its still there. Here are some tips to find
a little more peace in your workplace.
1. Recognize that no one works
for you. They may work for them-
selves, their family, or for your custom-
ers, but they do not work for you.
They work with you. Developing a
sense of team, shared responsibility for
success and shared accountability for
non-success will go a long way to make
you a trusted part of the team again.
2. Develop a culture of caring. Make
friends at work. It does not matter
what your position is in your compa-
ny. People do not care how much you
know until they know how much you
care. Ask them about them. Then shut
up and listen to the answers.
3. Create a controlled sense of ur-
gency. Athletes understand this concept
beautifully. Football players respond to
the snap of the ball with a controlled
sense of urgency. This will energize both
you and your team.
4. Persist. In his book, Halftime:
Changing Your Game Plan from Success
to Significance, Bob Buford says that
there is nothing in life less important
than the score at halftime. No matter
what your age, position, success or lack
thereof, you have the opportunity to
do new and exciting things with your
life in the second half. Re-evaluate, re-
invent, re-position and go for it.
5. Have fun. Join the Compli ment
of the Day Club. Find somebody doing
something right every day and celebrate
it, publicly. It is easy to find people do-
ing things wrong. Change the lenses
A
CCORDING TO A RECENT
Gallup Management Journal
(GMJ) survey of U.S. workers,
there are three types of employees:
engaged, not-engaged and actively
disengaged. The survey reported that
29 percent of the respondents were en-
gaged, working with a passion and feel-
ing a profound connection to their com-
pany. The not-engaged group, those
who have mentally checked out of
their jobs, made up 56 percent of the
respondents. The remaining 15 per-
cent are actively disengaged, not only
unhappy at work but acting out their
unhappiness and undermining what
their more engaged co-workers are
trying to accomplish.
Maybe even more surprising, the
study found that the actively disengaged
group includes as much as 10 percent
of management level employees. The
GMJ study showed that engaged em-
ployees are both more productive and
profitable. They tend to stay with their
companies longer, are safer and develop
better relationships with the companys
customers. It follows then, that actively
disengaged employees are the one
bad apple effectively spoiling the whole
bunch. And, the effects are even more
devastating if that bad apple is the per-
son sitting in the executive suite.
Why are so many employees in lead-
ership roles unhappy at work? Experience
with unhappy people tells us that, very
often, unhappiness is a result of feeling
as if something in their lives is out of
control. While each individual case will
vary, finding the part of your life that is
not in control will help you to become
more comfortable with your entire life.
through which you view your company.
Look for the good, not the bad.
For anyone who has been there, the
top spot in a company can be a lonely
place. Both personally and profession-
ally, managers, directors, owners and
industry leaders need to repeatedly
take stock of where they are.
Re-engage yourself in your life, both
at work and at home. Remember that
your purpose lies in your service to oth-
ers, families, employees and to custom-
ers. You must care. Do that and it will
not be so lonely at the top. n
James Bain, M.B.A., is an author,
speaker, consultant and coach. He is
the founder of Focus on the 5, a divi-
sion of Falcon Performance Institute, a
consulting and corporate training firm
focused on productive performance.
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BY JANET MCCORMICK
PREPARING TO
WORK WITH
A PHYSICIAN
MANY ESTHETICIANS WORK IN A
medical environment and have devel-
oped a specialty that has many labels:
medical esthetician, paramedical es-
thetician, medical esthetic specialist
and more. What does this title mean?
Whether medical esthetician or oth-
er, it may or may not indicate that the
esthetician has had further specialty
training, and, if so, the amount of the
training is of varying non-regulated
levels and quality. It may also merely
mean that an esthetician is working in
a medical practice or it may be a title
used by an esthetician who has taken
a specialized course, titled medical
esthetics, and is working in a salon
or spa. The clear truth here is that any
esthetician can call herself a medical
esthetician because, sadly, there are no
regulations or requirements in the use
of this title. This person can, while us-
ing this title, falsely represent specialty
training, with little or no repercussions.
Despite the loose definition of this
specialty, however, the estheticians
working in a medical esthetics practice
have usually obtained specialized train-
ing for treatment of aging and acne.
The training may be obtained from a
structured course or merely hands-on
by the practice physician or nurse.
So who is a medical esthetician
(M/E)? This is the experienced estheti-
cian who performs higher level skin care
and works (or desires to work) among
practicing medical professionals to per-
form their skin care skills. Generally,
medical esthetics is not for the starting
esthetician. They are skin care profes-
sionals, specially trained or not, who
work for medical esthetics clinics, and
medical spa and esthetic skin care cen-
ters that have doctors on staff.
Working in a medical ofce
Some estheticians may not be happy
working in the traditional skin care set-
ting and want to work in a medical en-
vironment. So, what is the best prep-
aration for getting an M/E position?
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important ingredients needed for spe-
cific treatments including hydroqui-
none, topical retinoids, salicylic acid,
alpha hydroxy/beta hydroxyl acids and
L-ascorbic acid. New ingredients such
as peptides are being developed all the
time, and this esthetician must research
their benefits, precautions and the ben-
eficial use of products they are in.
Equipment training. Micro derma-
brasion is an important skill in medical
esthetics, as well as a knowledge of
light emitting diodes. Some states al-
low estheticians to perform laser hair
removal and, if so, the laser safety
certification is required.
Medical esthetics training. These
courses are sometimes expensive, but
they are an important foundation for
future success working in a medical
environment. They are of varying qual-
ity, length and costs. Check into them
closely for training techniques (are they
hands-on?) and the expertise of the
trainer. It is advisable to know the ba-
sics of alpha-hydroxy acid treatments
Physicians choose an esthetician based
on skills, educational background and
clinical experience. The following is
the suggested preparatory track for
an esthetician wishing to work in a
medical setting.
College biology and anatomy
courses. The biology and anatomy es-
theticians learn that their pre-license
courses are not in-depth enough for
estheticians who work in a medical prac-
tice. Basic college biology is a good
start, followed by general anatomy, then,
optimally a head-and neck anatomy
course. Estheticians who take these
advanced courses are always surprised
at how valuable these studies are to
their knowledge base.
Junior colleges with dental hy-
giene and nursing programs are good
resources for these courses. Biology
is usually the prerequisite for a general
anatomy course, which is usually the
prerequisite for a head and neck anat-
omy course. Nursing schools usually
do not have head and neck anatomy
courses. Universities often offer them,
and many can be taken online.
Advanced skin care courses. These
courses vary in topics but the esthetician
who wishes to focus on medical esthetics
needs to search for courses on advanced
analysis, acne care, anti-aging, mineral
and camouflage makeup, home care
sales, client relations and more. The best
courses are non-product aligned and
trained by a respected expert. Although
many product lines offer excellent pro-
fessional training if they focus more on
the topic than their product line.
Product training. The above com-
ment does not mean that good product
training is not important ... it is. Suitable
products are medical level lines that
focus on treatment techniques instead
of features and benefits. Take as many
classes as you can from several medical
level lines if they will allow a non-medi-
cally employed esthetician into the class.
Product ingredients. The esthe-
tician must be knowledgeable about
and have experience in their use prior
to taking these programs. Also, experi-
ence prior to the courses on basic skin
care is important.
Product line-based M/E training is
usually unilateral in its information, so
check them out closely before paying
for and going to them. If you are work-
ing with that line, however, it is impor-
tant you attend the course. Also, take
more than one course so that you can
see varying opinions and techniques.
Some courses are very narrow in their
perspective.
What do M/Es do?
Medical estheticians are valuable skill
support in the medical office. The fol-
lowing are some of the procedures es-
theticians perform in medical offices
and, other than the basic esthetic care,
all require further training.
Esthetic education. Smart physi-
cians do not surgically or laser correct
skin and then just simply send the pa-
tient on their way. Medical estheticians
provide important education to the
patients on their post treatment care
and products for their specific treat-
ment, skin type and condition; essen-
tial sunscreen; makeup use; and even
tips on properly camouflaging bruises.
Pre-operative care. Preparing the
patients skin for physician-level care is
usually performed by the medical es-
continues
Medical esthetics is
for the precise and
caring esthetician who
realizes that study and
safety are important.
ESTHETICIAN VERSUS
MEDICAL ESTHETICIAN
WORKING IN A MEDICAL OFFICE IS different than
working in a spa environment and requires more
training and a higher level of anatomical and medi-
cal knowledge. Generally, it is not for the starting
esthetician. Also, the medical environment is more
demanding and even more safety- and results-
oriented. Estheticians who look forward to these
high demands and are prepared for them can ex-
perience great success.
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the estheticians who provide this care.
These professionals can answer ques-
tions the patient may have concerning
further medical esthetic care and make
recommendations.
Medical esthetician treatments.
Estheticians in these offices offer light
to moderate peels, microdermabra-
sion, esthetic facials, acne care and
anti-aging treatments. The physician
may recommend these treatments to
prep the skin for medical-level care or
to achieve the clients desired results
without aggressive treatments or sur-
gery. The nurse or physician performs
more aggressive peels, laser treat-
ments, dermabrasion, fillers and other
invasive treatments.
In-service marketing. Medical es-
theticians are active marketers for medi-
cal practices as they inevitably have on-
going relationships with patients during
their monthly maintenance treatments.
If conditions call for a medical-level
treatment suggestions, they can be
suggested and scheduled immediately.
Medical esthetics is for the precise
and caring esthetician who realizes that
study and safety are important. The es-
thetic professional who sets out to gain
the knowledge and skills for attaining
this career will be more successful and
happier in the position they accept. n
Janet McCormick is a CIDESCO
Diplomat, certified medical nail tech-
nician, licensed
esthetician
and manicur-
ist, trainer and
a former spa
di rect or and
sal on owner.
She has writ-
ten more than
400 articles for beauty industry mag-
azines and books. McCormick is
the co-owner of Medinail Learning
Center, a provider of modular online
and school courses to train nail tech-
nicians in safe techniques. She can be
reached at janetgmccormick@aol.com
or 863.273.9134.
business|preparing to work with a physician
thetician. Examples of pre-operative
care would be a series of AHA treat-
ments, microdermabrasion and other
prep services.
Post-treatment follow-up. Phys-
icians make initial post-treatment rec-
ommendations then refer the patient to
the esthetician for the follow-up care.
Physicians simply do not have the time
or often the ability to perform this care.
Client relations. The esthetician
has the time and the training to deal
personally with the patient before and
after the treatment and during the fol-
low-up services. Patients develop a trust
for the esthetician and will confide in
and ask questions of the esthetician
that they would not with other medi-
cal professionals.
Consultations. Often patients are
not quite ready for cosmetic surgery
but are interested in a more serious
skin care treatment or program. These
patients come into the practice to see
T
HE U.S. FOOD AND DRUG
Admin istrations Center for De-
vices and Radiological Health
(CDRH) is responsible for regulating
firms who manufacture, repackage, re-
label and/or import medical devices
sold in the United States.
Medical devices are classified into
Class I, II or III. The device classifica-
tion regulation defines the regulatory
requirements for a general device type.
Most Class I devices are exempt from
Premarket Notification 510(k); most
Class II devices require Premarket
Notification 510(k); and most Class III
devices require Premarket Approval.
The Food and Drug Administration,
Department of Health and Human
Services, oversees the regulation of
devices for safety and effectiveness,
as well as many other responsibilities,
which are not covered here.
State regulatory
board oversight
It is up to each state regulatory board
that oversees licensed estheticians to
determine who can use devices that
come to market, including laser and
light therapy devices. Some states have
limited use of laser and light therapy
devices to physicians only.
Some proposed regulations are
considering a medical supervision
clause. The intent is to allow estheti-
cians to use these devices, but with
physician oversight. In more than 30
states, an esthetician cannot hire a phy-
sician to provide medical supervison
or oversight due to the existence of
corporate practice of medicine regu-
lations that would prohibit an estheti-
cian or non-medical entity from hiring
a physician. This could be interpreted
to mean that estheticians must work
for a physician in order to satisfy the
medical supervision requirement. To
further complicate this stipulation, most
states have not even defined their stat-
utes/rules/regulations on what medi-
cal supervision is, or what would be
required of the physician in providing
it to an esthetician who does laser/
light services.
Everyone that is a stakeholder in this
debate agrees that anyone operating
a laser or light therapy device should
be thoroughly educated, trained and/
or certified and understand the phys-
ics and biological effects. The NCEA
has already developed a 42-hour cur-
riculum on laser and light therapy that
encompasses the above. An additional
teaching tool offered by the organiza-
tion is the ReCertification Section on
laser and light therapy, which includes
study objectives, self-assessments and
knowledge reviews. All of the above is
available from the website www.ncea.tv.
Here are some examples of FDA-
approved devices currently used by
licensed estheticians for cosmetic
purposes:
Example 1: Microdermabrasion de-
vices fall into the FDA Class 1 Device
category with a Prescription Use des-
ignation; that simply means that ad-
equate directions for use are required.
Example 2: Of the 5 laser/light de-
vices currently FDA-approved for con-
sumer use, some are marked on their
510k (510ks are manufacturer provid-
ed) as over-the-counter, and 2 are
marked Prescription Use.
Example 3: In a recent case where
I gave expert testimony on the use of
medical devices, I included many ex-
amples of medical devices that we cur-
rently use. An example is ultrasound,
which has medical indications such
as viewing a fetus, but also cosmet-
ic indications, to penetrate products
for example. Ultrasound is a Class II
Prescription Use device.
It is up to each state regulatory board that
oversees licensed estheticians to determine
who can use laser and light therapy devices.
by Susanne S. Warfield
regulation update
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FDA device
classification
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As indicated above, all classes of devices are subject to
General Controls. General Controls are the baseline require-
ments of the Food, Drug and Cosmetic (FD&C) Act that ap-
ply to all medical devices, Class I, II and III.

Laser hazard classes
The FDA also recognizes four major hazard classes (I to IV) of
lasers, including three subclasses (IIa, IIIa, and IIIb). The classes
are based upon a scheme of graded risk. They are based upon
the ability of a beam to cause biological damage to the eye
or skin. The higher the class, the more hazardous the laser.
The labeling for Classes II to IV must include a warning sym-
bol that states the class and the output power of the product.

Conclusion
The FDA does not determine who can use or buy a laser, i.e.
what type of practitioner can purchase it. It is up to each
individual state to determine who a prescription user of
a device is and what practitioner can purchase the device.
Many medical devices with over-the-counter or prescrip-
tion use have medical and cosmetic indications for use.
It is up to the practitioner, in this case the licensed
esthetician to make the determination if the devices
use is for cosmetic reasons and within their
scope of practice.
Now that the skin care industry has a Code of Ethics
(reference page 25 Miladys Standard Esthetics
Fundamentals), we now have the legal documentation
that estheticians follow a code and can make that
determination as professionals.
As estheticians we need to be able to show that we know
our scope of practice ... we now have a Code of Ethics to
back it up. n
Susanne S. Warfield is NCEA certi-
fied and holds CIDESCO and ITEC
diplomas. She has more than 29
years of experience and is a leading
expert on business, legal and liabil-
ity issues that affect physician and
esthetician relationships. Warfield
has authored more than 400 arti-
cles and 15 books for the consumer,
medical and skin care sectors.
CLIENT RELATIONSHIPS
Estheticians* will serve the best interests of their
clients at all times and will provide the highest
quality service possible.
Estheticians will maintain client confidentiality,
keep treatment and documentation records, and
provide clear, honest communication.
Estheticians will provide clients with clear and re-
alistic goals and outcomes and will not make false
claims regarding the potential benefits of the tech-
niques rendered or products recommended.
Estheticians will adhere to the scope of practice of
their profession and refer clients to the appropriate
qualified health practitioner when indicated.
SCOPE OF PRACTICE
Estheticians will offer services only within the
scope of practice as defined by the state within
which they operate, if required, and in adherence
with appropriate federal laws and regulations.
Estheticians will not utilize any technique/
procedure for which they have not had adequate
training and shall represent their education,
training, qualifications and abilities honestly.
Estheticians will strictly adhere to all usage
instructions and guidelines provided by product
and equipment manufacturers, provided those
guidelines and instructions are within the scope
of practice as defined by the state, if required.
Estheticians will follow, at minimum, infection
control practices as defined by their state
regulatory agency, Centers for Disease Control
& Prevention (CDC) and Occupational Safety &
Health Administration (OSHA).

PROFESSIONALISM
Estheticians will commit themselves to ongoing
education and to provide clients and the public
with the most accurate information possible.
Estheticians will dress in attire consistent with
professional practice and adhere to the Code of
Conduct of their governing board.
*For the purpose of the NCEA Code of Ethics, the use
of the term esthetician applies to all licensed skin care
professionals as defined by their state law.
Reference: 2009 Miladys Standard
Esthetics Fundamentals, page 25
NCEA code of ethics
Anyone operating a laser or
light therapy device should be
thoroughly educated, trained and/
or certified and understand the
physics and biological effects.
business|fda device classification
E
VERYTHING IN LIFE, FROM
the construction of a new build-
ing, a blossoming career, to
your personal health and fitness is
reliant on, and must be built upon, a
strong foundation if your intention is to
succeed. Successful technology based
skin care is no different, in that it must
also be built upon a strong foundation
that we refer to as exfoliation.
Mechanical exfoliation
Although there are many forms of ex-
foliation, when it comes to technolo-
gy-based skin care services, we rely
exclusively on mechanical exfoliation
as it poses no chemical risk with other
technology services. Beginning with
a perfectly exfoliated and prepared
foundation ensures that the skin will
allow for optimal conductivity during
microcurrent services. The skin will ac-
cept maximum light energy when per-
forming LED services, maximum cellu-
lar respiration during oxygen services,
and maximum product penetration can
be achieved.
Ultrasound/
ultrasonic exfoliation
Mechanical exfoliation is most com-
monly performed by one of three
types of technology; ultrasound, mi-
crodermabrasion or hydrodermabra-
sion. Ultrasound technology, although
extremely thorough, is the mildest form
of mechanical exfoliation. It works by
sending ultrasound waves through a
flat metal peeling probe, creating ultra-
sonic vibrations that measure between
24,000 and 26,000 hertz. Via cavita-
tion, these rapid oscillations help to
further loosen the stratum corneum
that is already in the process of natu-
rally sloughing away. It is commonly
used with a papaya-based exfoliation
gel, and is mild enough to be used
two to three times per week. It is ex-
tremely expeditious, taking only three
to four minutes to thoroughly service
the entire face and neck. Ultrasound
exfoliation devices are available in
many shapes and sizes, with the most
popular being the hand-held, battery-
powered, cordless designs that also
combine microcurrent options in the
device. The microcurrent option allows
for thorough product penetration im-
mediately after the freshly exfoliated
skin is prepared.
Microdermabrasion
Traditional microdermabrasion with co-
rundum crystals remains a very popular
and standard tool in the skin thera-
pists arsenal for mechanical exfoliation.
Unlike ultrasound, microdermabrasion
can usually only be tolerated once ev-
ery 14 to 21 days as it is a much more
assertive peel. In addition, there are
some skin types that remain a bit too
sensitive for microdermabrasion, or are
too sensitive to have other technology
services performed immediately after
microdermabrasion.
by David Suzuki
marketing exfoliation
business|
biz smart
continues
business
As microdermabrasion is a more
assertive service, it offers an imme-
diate and psychologically satisfying
result in that the skin is left quite col-
orful from the stimulation, along with
a tightening sensation. This sensation
reminds the client that something has
now changed with their skin. This psy-
chological effect, in tandem with the
proven results, is the reason that the
demand for microdermabrasion con-
tinues to soar even after being in the
marketplace for nearly two decades.

Hydrodermabrasion
Hydrodermabrasion is the latest trend
in the world of skin care, and has taken
microdermabrasion to the next level.
Similar to microdermabrasion, it works
with suction and a closed-loop vacuum
system. Rather than using corundum
crystals on the skin, it gently lifts the
skin into the mouth of the hand piece,
placing it in contact with a diamond-
encrusted abrasive tip. Most manu-
facturers offer multiple different tips
that allow for heavy abrasion to light
polishing. While the skin is being physi-
cally exfoliated, there are multiple high-
pressured jet streams of chilled aqua-
based fluids that assist in the exfoliation
process, as well as rehydrate the skin
simultaneously. As like microdermabra-
sion, the spent fluid and exfoliated skin
tissue is deposited into a used fluid jar.
The results of this new technology
are extremely impressive, as there is
a very finite control of the exfoliation
level chosen. The process can be quite
intense, quite mild or somewhere in be-
tween, which allows the service to be
performed weekly to a much broader
array of skin types. As the aqua fluids are
chilled, the effect on the skin is a cool-
ing sensation, which perfectly prepares
the skin for the next technology service.
Stand-alone services
Mechanical exfoliation is the starting
point of technology-based skin care,
as it is the foundation of all layered
technology services. It is also, however,
a very impressive and lucrative stand-
alone service. Microdermabrasion and
hydrodermabrasion services for the face
and neck can be performed in 5 to 7
minutes, allowing for a 20 to 30 minute
mini service that can be quickly com-
bined with a consultation, cleanse, ex-
tractions and product penetration. Both
microdermabrasion and hydroderm-
abrasion technologies gain optimal
results when performed in a consistent
regimented series. Microdermabrasion
is usually performed once every 14 to
21 days, with a series consisting of 4
to 6 total services.
Hydrodermabrasion services are
usually performed weekly, with a se-
ries consisting of four to eight total
services. Once the desired results are
achieved, monthly maintenance ser-
vices are suggested.
The wow effect
Both technologies succeed with gain-
ing the wow reaction from the clients,
and greatly enhance the performance
of key products when these are ap-
plied after the service in conjunction
with microcurrent iontophoresis. Having
said this, technology-based mechanical
exfoliation serves as a very impressive
first-time service and conduit to ad-
ditional high-tech services down the
road. Hydrodermabrasion results are
extremely consistent, even and predict-
able ... so much so that this service can
be safely performed in close proximity
of special events, whereas microderm-
abrasion is not recommended within
a 14-day window of a special event.
Hydrodermabrasion is also incredibly
clean compared to microdermabra-
sion, as the client will not leave with co-
rundum crystals in their hair, ears, etc.,
which can be a deterrent to this service.
The COGs
The cost of goods for mechanical ex-
foliation is very reasonable, with ultra-
sound having the lowest cost, as it is
usually performed with an exfoliation
gel or foaming cleanser that the skin
therapist would have likely been us-
ing anyway. Hydrodermabrasion uses
a form of aqua solution that usually
As microdermabrasion is a more assertive service,
it offers an immediate and psychologically satisfying
result in that the skin is left quite colorful from the
stimulation along with a tightening sensation.
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Exfoliation device options
As the latest and greatest ultrasound exfoliation devices are
hand-held and battery-operated, they are extremely con-
venient and can really be used in any environment. They
are also attainable with a price point that usually does not
exceed $250.
Microdermabrasion devices have become smaller during
the years, however they still do not meet the criterion of be-
ing mobile or easily movable, with the lighter models still
weighing an upward of 40 pounds. Microdermabrasion pricing
has come down over the years with most manufacturers offer-
ing devices in the $5,000 range. Hydrodermabrasion, like all
new technology, has quite a spread of sizes and prices, with
each manufacturer having a slightly different philosophy of
use and mechanism of action. While some devices are quite
substantial in size, forward-thinking manufacturers are design-
ing compact, light and agile designs that in some cases weigh
less than 10 pounds, and are as small 12-inches by 12-inches.
Because this is less than half of the size of most microderm-
abrasion devices, it makes hydrodermabrasion agile and mo-
bile, allowing it to be used in or out of the treatment room.
While some of the larger hydrodermabrasion devices are still
flying high at $10,000 plus, the newer breed of compact hy-
drodermabrasion devices are available in the $4,000 range.
The efficacy, mechanisms of action and purpose for
technology-based mechanical exfoliation are clear; it creates
the perfect pallet for the skin therapist to build upon. When
combined with other technology, the results are nothing
short of astounding. Regardless of what form of mechanical
exfoliation you choose, make sure that your foundation is
strong and the clients skin is perfectly prepared to ensure
maximum technology-based benefits. n
David Suzuki, president of Bio-
Therapeutic, Inc., has been an ac-
tive licensed member of the esthetics
industry for more than 18 years. He is
an authority on technology and regu-
latory issues, including FDA submis-
sion and acquisition. Suzuki serves as
an advisor to institutions and state
boards, writes for numerous industry
publications and journals and conducts educational semi-
nars and classes. E-mail him at dsuzuki@bio-therapeutic.
com or visit www.bio-therapeutic.com.
runs in the range of $1 to $2 per service, while microderm-
abrasion uses corundum crystals and disposable canisters
for clean and spent crystals that equate to a cost of goods
between $2 to $4 per service.
Marketability of exfoliation
While ultrasound is considered more of an enhancement
of a basic facial, microdermabrasion and hydrodermabra-
sion are really the facial itself. Having said this, the going
price for both services ranges between $70 to $90 for a mini
service and as much as double when the service includes
additional technology and time. Because of the relationship,
confidence and client satisfaction that is achieved during
a service series, both services are highly recommended to
keep in the forefront of your marketing efforts, as they are
true business builders.
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Hydrodermabrasion is also
incredibly clean compared to
microdermabrasion, as the client
will not leave with corundum
crystals in their hair, ears, etc.
continues
D
URING A TIME WHEN MEDI-
cal spas across the country are
working harder than ever to
keep their waiting rooms full, many ser-
vice providers are seeking inexpensive
ways to reach new clients. Peer refer-
rals are 60-percent more likely to con-
vert than any other source. Now many
medical spas are making referring easy
and keeping their schedule booked
with innovative marketing techniques
that simply involve getting their current
patients to talk.
Patient passport
Perhaps one of the most effective refer-
ral tactics is a small, wallet-sized card
known within the industry as a patient
passport. This card features a before-
and-after photo of the patient and is
designed to fit easily into a patients
wallet or purse. The card contains the
medical spas contact information and
also features a quote from the esthe-
tician or provider that furthers their
brand, such as It is all about you! or
Feeling great is the only side effect!
These cards can be adjusted to pro-
mote the services your medical spa
offers and work best at showcasing
treatments with results that are easy
to see in a photograph. Several medi-
cal spas effectively use these cards for
spider vein and brown spot removal,
acne treatments, laser skin rejuvena-
tion, eyelash extensions and perma-
nent makeup.
The card is personalized with each
patients before-and-after photo and
given to them at a follow-up appoint-
ment or sent in the mail. Now, rather
than a patient simply telling a friend
or family member about their treat-
ment, they are actually empowered to
show off their before-and-after pictures.
Medical spas utilizing this tool report
that patients who have been given a
passport will frequently call requesting
a new one, as they have given theirs
away to someone interested in what
they had done. Additionally, new pa-
tients will report seeing someones card
as their introduction to the practice. The
cards are printed on photo paper and
laminated, which gives them longevity
and more value to the patient.
Tip: The patient passports also
serve as an effective tool for reminding
patients of how they used to look. We
have all seen the patient who quickly
forgets just how severe their acne once
was or how visible their brown spots
were. Having the passport allows them
to be reminded of their transformation
and how far they have come.
Show me the results
Whether your spa offers medical treat-
ments or not, patients know their first
appointment typically consists of filling
out pages of standard, black-and-white
intake forms. Most medical spas use this
time to try and gauge other treatments
the patient might be interested in and
many use what is known as a cosmet-
ic intake questionnaire. This form is
typically given to a patient when they
check in, and asks standard questions
such as Would you be interested in
learning more about crows-feet reduc-
tion, dermaplaning or chemical peels?
This process, however, typically results
in a lost opportunity to educate new
patients on everything you offer and
fails to effectively gauge the patients
esthetic goals.
The solution is to simply ditch the
standard questionnaire and, instead,
opt for what has been playfully coined
an esthetic sushi menu. This menu
is a visual snapshot of past patients,
highlighting their before-and-after pho-
tos. Rather than using words to get pa-
tients familiar with all you can offer, this
tall and narrow menu uses compelling
photographs in an interactive format to
ensure each patient knows about all the
great treatments you offer.
Following suit with the sushi menu
feel, the lengthy descriptions are re-
moved and instead replaced with quick
snapshots of your services. At the top
of the menu, the patient is instructed
to check off any treatment they are in-
terested in learning more about. The
menu then lists the name of the various
treatments with a set of before-and-
after pictures next to it. It is important
to have the medical spas phone num-
ber and website on the menu, as these
have your patients market for you!
business|
by Tracy L. Drumm
no patience
for marketing?
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In addition to the financial gain
from the treatments and the new cli-
ent gained from referral, the good you
will create by remembering your pa-
tients on their birthday will help keep
you current in their minds, calendar
and budget.
You can have custom birthday cards
and gift cards created by a printer to
match the look and feel of your medi-
cal spa or simply purchase bulk quan-
tities of generic birthday cards online.
Whenever possible sign the card and
write a personal note to the client wish-
ing them well. A personal note goes
a long way and is an effective tech-
nique to separate yourself from the
competition.
Tip: Remember to include an ex-
piration date on the gift card to en-
courage the recipient to take action.
If there is no expiration date or time
limit, the card is valid for too long, you
are likely to fall to the bottom of the
recipients to-do list. Also, make sure
to clearly explain that the gift card is
only redeemable for services and can-
not be used toward products or this will
negatively impact your bottom line.
Spread the word
Reaching new patients is becoming an
increasingly challenging and expensive
task. However, you can further the im-
pact of your efforts and dollar by reach-
ing out to your current patients and
getting them to speak up. By simply
providing tools that make it easy for
patients to tell their friends and family
about your services, you can help your
medical spa continue to grow and thrive
despite any economy. n

A passion for marketing drives Tracy
L. Drumm to manage If Marketing, a
firm specializing in cosmetic medicine
marketing. Drumm has spent the past
four years as its vice president and has
consulted with more than 600 esthetic
physicians nationwide. Drumm has re-
cently co-authored two books, THRIVE:
Pearls to Prosper in Any Economy and
Keys to Success: Marketing & Practice
Management.
have pass-along value, meaning that
patients often take these with them
and pass them along to their friends.
Visualizing it
In skin care and cosmetic medicine, it
can be easy to forget that we speak a
different language than a new patient.
The terminology we use every day
when we talk about products, ingre-
dients, different lasers or even drugs
is often foreign and intimidating to a
new patient. By showing off pictures
of your past patients on a sushi-style
menu, you can effectively promote and
gain awareness for all your services in
a unique, memorable way. This tool
also provides the patients with a way
to visually communicate their goals
to the provider.
Birthday surprise
Do you regularly mail your clients birth-
day cards? If not, this is a small invest-
ment that makes a huge impact and can
lead to an even larger financial return.
Most people like to be remembered on
their birthday and this can be a power-
ful patient retention tool.
Many spas will include a gift card
with the birthday card that can be used
toward a treatment; gift cards typically
range from $20 to $100, depending
on the treatments it can be used for.
Not only does this encourage your cli-
ents to be loyal and continue to seek
treatments from you, it also keeps you
competitive with the 15-percent-off
coupons running in the paper without
cheapening your brand.
Now double the return of your ef-
forts and investment of this card by
simply adding a gift card for a friend
with the recipients gift card. By invit-
ing your patient to share their present
with a friend, you are essentially turn-
ing them into a referral source. What
works especially well is to invite them to
schedule a joint friend appointment
where they can receive services at the
same time. This is an inexpensive way
to reach a qualified market and turn
your current patients into ambassadors
for your services.
business|no patience for marketing
TOUCHE BEAUTY LLC
MORE NEWS
spa
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biz
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news
TROUBLING TREND
The Physicians Coalition for
Injectable Safety (PCIS) recently
released a cautionary announcement
about an increase in illegal injections
with dangerous substances by
unlicensed or unqualified cosmetic
injectors. There is an unsafe
climate for patients looking to
enhance their appearance with non-invasive procedures
in the current economy, says Coalition Chair and plastic
surgeon John E. Gross, M.D., We are responding to a
growing need for physicians to be properly trained to
respond to adverse events. www.injectablesafety.org
NEW DISTRIBUTOR Eve Taylor North America is pleased
to announce the appointment of their newest stocking distributor.
Morningstar Trading Company is located in Austin, TX. The
owner of the company is Melissa Gonazales, a licensed esthetician
who has served the massage therapy industry for many years.
She has taken on the complete Eve Taylor Skin Care product line
of pure essential oils, aromatherapy blends and massage oils.
www.eve-taylor.com www.morningstarcompany.com
HEALING
SCENTS
Miami Aromatherapy
announces that its
Health Care Consulting
Division 2011 is now
available to assist
hospitals, nursing
homes, assisted
living facilities, hospices and medical
and dental spas. The organization studies
the science of aromatherapy, and exists to
provide an optimal healing environment
for both staff and patients. It is a system-
wide vendor of a recognized hospital
system, providing essential oils for a natural
birthing suite as well as a preoperative
and postoperative surgical ward. Miami
Aromatherapy also formulates essential oil
synergies for specialized massages in spas.
The Health Care Consulting Division of
Miami Aromatherapy is focused on helping
with stress prevention and job performance.
www.miamiaromatherapy.org
GREEN GREATNESS This past December,
the Lakewood Ranch Plastic Surgery & Skin Care
and Lakewood Ranch Family Medicine have earned
the LEED Certification, a recognition that indicates
that a facility reduces greenhouse gas emissions and
contributes to an overall healthier environment. It is the
first medical spa and private physicians office in the state
of Florida to be LEED certified. www.usgbc.org
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business|news
LOOKING AHEAD
The American Society for Aesthetic Plastic Surgery
(ASAPS) offers its predictions for cosmetic surgery in
2011. Predictions are based on interviews with leading
plastic surgeons around the country who are actively
involved in cutting edge surgical and nonsurgical
esthetic/cosmetic technology. The predictions can
be viewed at www.surgery.org. www.surgery.org
CELEBRITY SIGHTINGS
In the world of plastic surgery,
surgeons get requests from patients
to make their features resemble
those of certain celebrities. Daniel
Slaughter, M.D., a member of
the American Academy of Facial
Plastic and Reconstructive Surgery
in Austin, TX, shares the celebrity
feature requests he often hears. The most popular celebrity
requests for the following features are: Lips-Angelina Jolie;
Eyes-Megan Fox; Nose-Jessica Alba; Cheeks-Nicole
Kidman; Chin-Gwen Stefani. www.renuaustin.com
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LEARNING BY DOING
Medical Aesthetics FACE Facial Aesthetics Cosmetic
Education offers 1:1 Clinical Skin Care Education for
Nurses and Estheticians at Metroplex Womens Center
in Killeen, TX. Licensed estheticians are able to get the
hands-on experience and knowledge they need to stay
current in this education-based profession by working
side-by-side with a physician and nurse, ensuring they
are able to deliver the most effective pre and post-op
aftercare available to todays patients. www.mplex.org
CONGRATULATIONS!
Ada Polla, the co-creator
of Swiss skin care line
Alchimie-Forever, wed
Edwin Neill III, CEO of Neill
Corporation, on January 1,
2011 in New Orleans, LA.
www.alchimie-forever.com
Straighten or
set in order (Seiton)
This involves placing objects to promote
better work-flow. Think of this as having
your own personal recycling center in
your house. This is especially useful for
the morning rush of staff and clients.
Place a paper-recycling bin beside
the magazine rack so you can im-
mediately get rid of junk mail.
Pull paper from that bin, when pos-
sible, and reuse it to write notes.
Shine (Seiso)
This is the act of keeping things neat and
clean and in like new condition. When
items are well taken care of, they exude
a positive feeling, unlike things that are
broken or damaged. If you cannot im-
mediately fix something, consider do-
nating and disposing of it.
Other items may have potential for
a second life. For example, clothing can
be repurposed for crafts and projects.
Sheets and blankets can be reused for
cleaning rags. An old bathtub can be
made into a planter.
by Michelle LaBrosse and Erica Edmond
green spa
green corner
H
AVE YOU NOTICED THAT
being outside has such a calm-
ing effect and that nature has its
own way of organizing? When getting
your spa in tip-top shape, think about
how you can put a little green into your
clean and befriend Mother Nature.
Combine an eco-friendly strategy
with the Japanese 5S philosophy for
cleaning clutter and organizing. The
Japanese 5S is the name of a workplace
organization methodology that uses five
Japanese words: seiri, seiton, seiso, seik-
etsu and shitsuke.
Sort (Seiri)
Go from room to room and group things
that belong together.
Re-use boxes or shopping bags to
collect items and transport them
from room to room. Store them
for future sorting projects.
Use eco-friendly, reusable
bags to reduce the plastic
bags that go into landfills.
Bring out the recycling bins.
If items do not fall under a
category like plastic or paper,
start a separate pile so you can
find the appropriate place to
dispose of those items.
Things like old electronics and
cell phones can be donated to
shelters while items like plant
containers can be returned to
the gardening center. Also, many
recycling centers have special
days for donations of bulk items
like TVs, refrigerators, etc.
Make note of waste: things that
you buy and are not using.
Create a not to do list of
things you will no longer buy.
Use vinegar, lemon and baking
soda to create natural cleaning prod-
ucts that are safe for the environment
and good for your budget too.
Standardizing (Seiketsu)
Labels, color coding and organization
supplies can all outline where things be-
long. This preserves your sanity, especially
if you are managing a busy social calendar
or a dozen schedules for many people.
Sustain (Shitsuke)
Once you have your own personal re-
cycling center set up, you simply have
to maintain everything. One way to stay
on track is to practice something called
creative visualization. Pick a time where
your mind is completely your own and
you have peace and quiet to practice.
Every single day, imagine yourself go-
ing through the same actions and then
reaching your desired results. By visual-
izing it, you will find that your mind and
body will follow suit, and with practice,
this will come naturally.
Order from chaos
Getting greener does not really require
any more effort. It just requires giving
order to the chaos in our lives and mak-
ing decisions that help the planet at the
same time. n
Michelle LaBrosse, P.M.P., is founder of
Cheetah Learning and author of Cheetah
Negotiations and Cheetah Project Man-
agement. Cheetah Learning is a virtual
company with 100 employees, contractors
and licensees worldwide. Erica Edmond is
a marketing intern for Cheetah Learning
and Cheetah Power, where she is Cheetahs
go-to resource for all things green.
japanese
5S philosophy
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AYDE MENDIBLES IS LIVING PROOF OF
what you can do when you pursue education and
then take passion and persistence into the busi-
ness arena. Once she had completed her bach-
elors and masters degree from the University
of Phoenix, she finished the spa management
program at the University of California, Irvine.
After earning her esthetician license, she started
her business while continuing to educate herself
in the medical esthetics field.
She spent 2009 unsuccessfully applying to
banks for a loan in the middle of the recession
in a very tight credit market. After finally secur-
ing a loan, she was able to make her dream of
having the first green spa in the Central Valley
of California come true. Within months her busi-
ness, Body Del Sol Medical Spa, which is in a for-
mer plastic surgeons office, was up and running.
Eco-friendly roots
Mendibles started down the green path right from
the beginning. Her business plan was written on
recycled paper and presented in recycled binders.
The Central Valley of California is very hot climate
wise, and her original idea was to use the sun to
provide all the power for her business. When she
started researching solar power, she kept coming
across green ways to do business. Mendibles
was intrigued by the ideas she encountered and
soon found she wanted to do her part.
We all unknowingly contributed to the state
the environment is in right now. I may not be B
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CENTRAL VALLEY, CA
body del sol MEDICAL SPA
continues
able to change it on my own but I feel better
doing something about it. I may be the first
green spa in the Central Valley but hopefully
not the last. I am hoping to influence other
spas and other companies in the area to be-
come green as well, says Mendibles, director
of spa operations.
One-stop shop
Advertised as the first green spa in the Central
Valley, Body Del Sol Medical Spa joined the
Green Spa Network and community green fo-
rums in the area. Fresno is in a traditional farm-
ing area, yet the city is rapidly growing. It is
the second largest metropolitan area in the
Central Valley after Sacramento. Clients have
been amazed by simple things like disposable
drinking cups made from corn.
Clients also love that this spa is a one-stop
shop for many different services so they do
not have to drive around in the heat. They can
spend a day, a morning or just an hour or two
receiving multiple services all in one place. This
makes it very convenient for clients, saves them
gas, keeps the environment just a little cleaner
and boosts sales. Mendibles and her daughter
Veronica would spend one day out of every
month getting their nails done, hair trimmed and
facials. Now they and their clients can receive
everything from eyelash extensions, spray tan-
ning, airbrush makeup, chemical peels, medi-
Ayde Mendibles
accepting Mayors
Business Recyling
Award presented
to Body del Sol
Medical Spa
MENDIBLES EXTENSIVE RESEARCH INTO SERVICES, TECHNIQUES
AND INGREDIENTS HAS HELPED HER BRING TOGETHER NATURE
AND SCIENCE TO PROVIDE THE MOST ADVANCED RESULTS IN
REJUVENATION IN A SUSTAINABLE AND LUXURIOUS ENVIRONMENT.
green spa|body del sol medical spa
NATURAL HEALING
For Mendibles and her spa, every little bit helps. The spa and staff
have moved toward the nature-friendly direction with these steps:
The spa uses organic products:
skin care, nail care and hair care.
Medical product lines use recycled packaging.
Staff recycle all product containers and use paper and plas-
tic products made from recycled materials: menus, business
cards, flyers, envelopes, file folders, paper towels, toilet pa-
per, paper plates, plastic cups and trash receptacle liners.
The spa uses zero VOC (volatile organic chemicals) paint in
every room and in the lobby mural.
Lighting was replaced with energy-efficient
ballasts and fluorescent tubes.
All appliances are high-efficient Energy Star rated.
Linens, wraps and robes are either
organic or recycled cotton.
Bath and shower towels are all energy-saving
Quick-Dri towels, which reduce the dry time by
33 percent compared to cotton towels.
Spa slippers are made from recycled rubber.
Staff cleans with cleaning products and
detergents that are eco-friendly.
Most of the carpeting was removed and the concrete ex-
posed, allowing the floors to breathe, which greatly re-
duces mold growth and trapped allergens. Concrete is a
healthier choice for allergy sufferers.
cal grade microdermabrasions, facials, sports massages, steam
showers, tub soaks, hair removal, injectables, fillers, and hair
and nail services under one green roof.
Teamwork
Being a self-described spa lover before she was a spa business
owner, Mendibles loved exploring day spas and medical spas
in California, Nevada, Arizona, Hawaii and Mexico to derive
the best of the best and bring it to Body del Sol Medical Spa.
Turning this extensive and thoroughly pleasurable research into
services, techniques and ingredients has helped her bring to-
gether nature and science to provide the most advanced results
in rejuvenation in a sustainable and luxurious environment. She
took time to handpick her staff, who she says are truly masters
of their craft. Being green was part of the interview process,
and she says they all wanted to be part of the solution.
Her plans moved forward and she used eco-friendly paint
throughout the spa, swapped out all electronic ballasts and flu-
orescent lights for environmental-friendly lighting, and printed
business cards on recycled cardstock. Things continue to change
as staff constantly comes up with new ideas.
Bit by bit
The spas biggest challenge was finding a bank
that was willing to lend money. Mendibles had
hoped to literally build her spa from the ground
up. She ended up leasing an existing building.
Her initial vision was to use all recycled and en-
vironmentally friendly building supplies, install
solar panels and so on, to be a truly 100-per-
cent green spa. The building she leased, al-
though it was older, had sufficient insulation, tile
roofing, sound proofing and mostly tile floors.
Although she did not get to be as green as she
initially wanted, her spa and staff are still very
nature-friendly.
When asked if it was realistic to be green,
Mendibles says it is not that difficult because
with just little research you can find many eco-
friendly everyday products. She says that you
must realize that they do cost a little bit more,
but it is better for the environment. Like many
members of the Green Spa Network, she en-
courages everyone to start small and work your
way up to expand to other green practices and
products. She strongly feels that as long as you
are doing something, every little bit helps. n
Melanie Sachs, a certi-
fied Ayurvedic life coun-
selor, healer and teacher,
is sought after by some of
the worlds leading spas
and beauty schools. She
has published Ayurvedic
Beauty Care, and is rec-
ognized internationally
for the application of Ayurveda to the beau-
ty world. Call her toll-free at 866.303.3321 or
phone/fax at 805.543.9291. Visit Sachs website at
www.diamondwayayurveda.com.
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www.congres-esthetique-spa.com www.nouvelles-esthetiques.com
41
me
CONGRS INTERNATIONAL
DESTHTIQUE APPLIQUE
26-27-28 MARS 2011, PARIS - PORTE DE VERSAILLES - HALL 5
Tl. 01 43 80 06 47
ORGANISATION
spa
CONGRES-41-OK.indd 1 15/10/10 10:35:16
TWO OR THREE HUNDRED YEARS
from now, a robotic (or holographic)
doctor will point a fancy tool at your
gashing wound, which will magical-
ly grow together and heal right be-
fore your eyes. No scar will be visible,
or any evidence whatsoever that you
ever had an injury. Well, technology has
not granted us this power of healing
yet, and we still have a long way to go.
However, we do understand the process
of healing well enough for the early 21st
century, and this knowledge is the foun-
dation for future robotic technology.
For practical purposes, this article
is limited to healing in the skin, since
most of us do not necessarily need to
know what a scar inside the body looks
like. Also, for matters of simplification,
the healing process is dermarcated into
four basic parts: hemostasis, inflam-
mation, proliferation and remodeling.
Although mostly directed at cuts, in-
cisions and wounds, the processes for
other injuries, such as burns (including
sunburn) are similar.
First stage: hemostasis
Hemostasis, the initial response to a
wound is the process that stops the
bleeding. Within seconds of injury, the
substances thromboxane and prostaglan-
din are released by neighboring cells,
causing a constriction of the blood ves-
sels. This slows the flow. Simultaneously,
platelets, special cells in the blood, ad-
here to the skin proteins, stopping the
bleeding and building a matrix on which
wound healing can proceed.
Second
stage: inammation
The second stage in healing is inflam-
mation. A battery of immune system
cells and molecules cause swelling by
dilating the blood vessels and increas-
ing the permeability of the nearby
capillaries. Specialized neutrophil cells
start cleaning out the wound, prevent-
ing bacterial infection. Macrophage
cells appear on the scene, swallowing
debris and secreting growth factors,
which set the scene for the next stage.
Although inflammation is an integral
part of wound healing, it can be over-
stimulated and lead to chronic inflam-
mation and other negative health ef-
fects. It must be kept in balance. We
have now passed days three to five.
Third stage: proliferation
Proliferation, a process that can take up
to two weeks, is characterized by the
migration of epithelial skin cells into the
wound from healthy tissues that surround
it. New capillaries grow into the healing
area to provide nutrients and oxygen to
the soon-to-be formed new skin.
Final stage: remodeling
Remodeling, the final stage, can last a
year or more and is the period marked by
increased collagen synthesis. Collagen
fibroblasts, responsible for collagen syn-
thesis and formation of the skin matrix,
become organized and the skin devel-
ops strength and regains function. Scars
are the result of dermal fibrosis, or the
development of fibroblasts in the heal-
ing process. After one week of healing,
the skin has regained only three percent
of its original strength. This increases to
30 percent after 3 weeks and 80 percent
after 3 months.
After a general understanding of
the steps involved with healing, we
can intuitively influence its overall
progression by targeting each stage.
The process of healing can be stimu-
lated or inhibited by nutrients, behav-
ior and medical treatments. We will
start with factors that make healing
more difficult:
Things to avoid
Radiation and chemotherapy in-
hibit fibroblasts, decrease growth
factor levels and slow the devel-
opment of epithelial cells.
Diabetes tends to decrease inflam-
mation during this critical stage and
slow the development of epithelial
cells. This is one reason why people
by Jonathan Selzer, Ph.D.
with natural remedies
green spa|
continues
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skin,heal
thyself!
cells. Dry skin will heal more slowly
than skin that is healthy and moist.
Collagen (internal and external use)
can be taken internally in the form
of a dietary supplement. It is ab-
sorbed into the body and helps
support the increased collagen re-
quirement during the latter stages
of healing.
Aloe vera (internal and external
use) is widely used to treat burns.
It stimulates collagen synthesis, cell
proliferation and migration, and
promotes the growth of dermal
fibroblasts.
Calendula (external use) also stimu-
lates proliferation and the migration
of fibroblasts to the injured area.
Indian gooseberry (internal and ex-
ternal), also known as Amla, stimu-
lates the production of collagen and
inhibits its degradation.
When the 25th century arrives, we
will be ready. Until then, we can use na-
tures riches to help heal. Everyone can
benefit from a little herbal help to speed
up the process. We can do this by tar-
geting the individual steps of healing,
which we are beginning to understand.
The best strategy is to combine
topical balms with dietary supplements
for a truly synergistic effect. By actively
addressing these processes, you can
make the healing machine more ef-
ficient and quicker. n
Jonathan Selzer, Ph.D., is technical
director at HerbaSway Spa & Beauty.
He has worked
in Germany and
France for many
years, develop-
ing and manufac-
turing all-natural
paints, cosmet-
ics and dietary
supplements. In
2001, Dr. Selzer returned to the U.S.
to devote himself to the development
and manufacture of supplements at
HerbaSway Laboratories.
with diabetes tend to heal more
slowly than others.
Steroids inhibit the macrophage
cells, fibroblasts and other key play-
ers in the healing process. They
also decrease inflammation, re-
sulting in impaired collagen syn-
thesis and development of new
blood vessels. Stress stimulates
the bodys production of cortico-
steroids, which slow healing.
Herbs, which thin the blood, should
not be taken during the hemostasis
stage of wound healing, in order to
avoid bleeding to death. For this
reason, people anticipating surgical
procedures are recommended not
to take green tea, pomegranate or
other botanical extracts for 48 hours
prior to and after their surgery.
Resveratrol, one of the most im-
portant anti-aging herbs, should be
avoided during the initial stages be-
cause of its anti-inflammatory and
anti-proliferative properties. By all
means, though, it should be taken
at later stages.
Things to welcome
There are many ways to stimulate
wound healing with the use of dietary
supplements. Anything that supports
the healing stages will help the wound
healing process. Here are a few of the
most common examples:
green spa|skin, heal thyself!
Green tea polyphenols, EGCG in
particular, have been shown to
both stimulate the production of
collagen and inhibit enzymes that
break down collagen in the nor-
mal process of skin regeneration.
EGCG also stabilizes collagen and
improves the maturity of collagen
fibers. Because green tea has anti-
inflammatory properties, it should
not be taken within the first few
days of injury. Thereafter, however,
it is particularly valuable.
EGCG also has an inhibitory effect
on dermal fibrosis, reducing the
development of scar tissue. It can
be used internally and externally.
Pomegranate extract, rich in poly-
phenols and ellagic acids, stimu-
late wound healing by inducing the
production of collagen in the skin,
while at the same time inhibiting
the enzymes, which break it down.
It also promotes proliferation of
epithelial cells and blood vessels.
Pomegranate may have an inhib-
itory effect on platelets, making
them counter-indicative for the early
stages of wound healing, when the
platelets are making their assault on
bleeding. Once the flow of blood
has been controlled, pomegran-
ate makes an excellent drink and a
source of healing compounds. It can
be used internally and externally.
Omega-3 and -6 fatty acids play
an important role in healing. Not
only are these essential fatty acids
important components of our skin,
they are also precursor molecules
to critical substances in our immune
systems. They support healing at
many stages of the process. The
omega-3s are found in leafy veg-
etables, flaxseed, nuts and the oils
of coldwater fish. The omega-6s are
common in vegetable oils, such as
safflower, sunflower, wheat germ
and soy. These fatty acids both have
internal and external uses.
Hyaluronic acid (internal and external
use) helps support moisture in skin
Omega-3 and -6 fatty
acids support
healing at many stages
of the process.
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MORE NEWS
spa
|
news
makeup, tools and trends
image
|
news
MORE NEWS MORE NEWS
ecofriendly skin and spa products and therapies
green spa
|
news
CLEAN AND CLEAR Rejuvenate and clarify
skin with the Detoxifying Mud Masque from Nature
Pure. Anti-inflammatory green tea, ginkgo biloba and
chamomile soothe and rid the skin of free radicals, and
volcanic bentonite and kaolin white clay absorb excess
oil and impurities to deeply cleanse skin and reveal a
fresh, clear and nourished complexion. Moisturizing
hyaluronic acid helps retain maximum moisture
levels. The masque is great for normal, combination
and problem skin types. www.naturepure.com
THERAPEUTIC BLENDS
Natural Patches of Vermont
introduces a fresh approach to mind
and body wellness, combining
modern medical technology and
ancient healing traditions in the form
of essential oil body patches. The
sweet scent of the patches is not
overpowering, and they do not leave
behind an oily residue. The eight
different blends, each designed to
address individual common physical
complaints, are Arnica, Bergamot,
Eucalyptus, Lemongrass, Lavender, Tea
Tree, Citrus Fusion and Rose Geranium.
www.naturalpatchesofvermont.com
RELAXING REFRESHMENT
The new Cleansing Milk by Kohana Skin
is a 90 percent organic non-foaming cleanser.
The soothing agents of aloe, milk, green tea extract
and distillate of chamomile and lavender make the
cleanser mild and refreshing. Natural exfoliating
agents of organic multi-fruit acids found in the
cleanser leave skin feeling clean but not stripped.
The Cleansing Milk is a recent addition to Kohona
Skins Palaau Spa Collection. www.kohanaskin.com
A SWEETER SCRUB
minence Organics introduces
the Pear & Poppy Seed
Microderm Polisher, a gently
exfoliating masque for all skin
types. Pear and apple pulp infuse
skin with bioflavonoids and antioxidants as the polisher smoothes
away all signs of roughness and dryness, leaving behind a smooth
and glowing complexion. www.eminenceorganics.com
C
M
Y
CM
MY
CY
CMY
K
Us_Men_Advert_2_p.ai 1 9/30/10 2:06 PM
BURN BRIGHTER Create a relaxing
space with Aromatherapy Associates
Relax Candle with Myrrh and West Indian
Bay. It is perfect to use on peaceful nights
or as part of a calming bath ritual. The
stunning candle is encased in frosted glass
and burns for approximately 30 hours.
www.aromatherapyassociates.com
GREEN GEM The Acu-Pearl Facial
Kit by Natural Magic Eco-Herbal Products
is made up of a collection of the latest
green skin care available. It includes organic
herbal based products, instructions for the
facial treatment and a diagram card showing
acupoints known to enhance the wellness
and beauty of the skin. It is vegan friendly
and cruelty free. www.nmecoherbal.com
OIL OBLITERATOR Take full advantage of
the effects of glycolic acid with the Glycolic Cleanser
from Peace Spa Products. The moderate foam gel
cleanser is formulated with glycolic, lactic, citric, malic
and tartaric acids, and infused with the antioxidant
power of Japanese green tea and ascorbic acid. A
low pH of .5% glycolic acid makes it safe for all skin
types, and particularly effective for combination and
oily skin types. www.peacespaproducts.org
CELL SAVER Give your clients a cutting-
edge remedy for wrinkles and lines with the
StemFactor by Osmosis. The liposomal growth
factor serum enhances the repair of damaged
cells and encourages the formation of new cells to
make collagen and elastin. The patented liposomal
delivery also drives active ingredients to the
dermis for remarkable improvements in elasticity
and moisture. www.osmosisskincare.com
The colors that can help these cli-
ents include:
Yellow: Yellow and purple are com-
plimentary on the color wheel, so one
will cancel out the other, which makes it
a great choice for dark circles or bruising.
Green: Using a green concealer is
suitable for acne or any redness such
as birthmarks. Choose a good liquid
green concealer for places like cheeks
and forehead. For acne, a stick or a
cream product is heavier and will pro-
vide better coverage.
Lavender: This is used for yellow-
toned skin.
Orange: This concealer is good for
blue tones found on under-eye circles
or bruises on darker skin.
Pink: This color brightens darkened
areas. It is also good for combating un-
der-eye circles and great for the brow
bone and inner corner of the eye. It is
recommended for raised skin such as
a burn or keloid scar.
Colored concealer is a useful prod-
uct to have in any makeup collection.
Always apply concealer before liquid or
powder foundation, but after primer and
moisturizer. Try not to use colored con-
cealers over foundation, as they can be
hard to blend. For skin-toned conceal-
ers, test the shade on the area of the
neck below the ear. The color should
be slightly lighter than the foundation.
C
LIENTS WHO HAVE SKIN
demarcations such as scars,
birthmarks, hyperpigmenta-
tion, melasma, age spots, rosacea and
acne look for effective, all-day-long
coverage that does not fade and looks
natural. Understanding the colors and
tools to blend or camouflage is greatly
beneficial for the patient.
Injury to skin may also have hap-
pened for various reasons:
Stretched scars can occur after
surgical procedures. The original
scar is present, but over the
course of a few weeks, it gradually
widens to become a pale, soft
scar with a similar appearance
to stretch marks.
Keloids are large, bulky, raised
scars. Unlike other scars, they
gradually grow bigger.
Other raised scars (not all raised
scars are keloids) can occur after
burns or surgery, but unlike
keloids, they do not keep growing.
Chickenpox and acne scars are
flat, small and slightly sunken.
Shrunken scars are common after
burns and can cause problems
if they lie across joints. The
medical term for these scars is
contractures.
Powder and foundation can easily
be chosen when you match the color
of the clients skin. Multi-colored con-
cealers can lead to confusion and make
the injured skin look worse.
Concealers are used to match skin
tone and assist with hiding blemishes.
However, clients who have bruising due
to a surgical procedure and want to
mask it with makeup need corrective
shades. Specific concealer colors will
fix some of these issues.
It is recommended that the client
apply sunscreen daily, paying special at-
tention to the scarring site. Improper sun
protection can cause the scar to become
more prominent and discolored as the
suns ultraviolet rays penetrate the skin
and tissue. Also, keep in mind that as a
professional, it is important to listen to
how the client tells them they want to
look. They must feel comfortable with
the makeover to feel confident about
their appearance. n
Denise R. Fuller is the editor-in-chief of
Les Nouvelles Esthtiques & Spa. She
is a licensed esthetician, nail techni-
cian, body wrapping instructor for the
state of Florida and a certified beauty
therapist in Australia. She has trained
spa professionals around the world, and
has been recognized by Cambridge
Whos Who, a selective publisher of ex-
ecutive, professional and entrepreneur
biographies. Fuller is passionate about
building relationships, creating partner-
ships, mentoring and networking to
strengthen the skin care and spa indus-
try. She is the founder of the National
Aesthetic Spa Network.
by Denise R. Fuller
image
camouflage
and coverage
Clients who have
bruising due to a surgical
procedure and want to
mask it with makeup
need corrective shades.
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A NEW COMBINATION OF SMOKEY EYES
and striking lips breaks the rule of intense eyes
and lips for this haute couture look.
1. Start with a concealer before applying
foundation. This evens out skin tone around
the eyes, makes eye shadows adhere better
and maintains moisture.
2. Applying a medium to 100 percent cov-
erage foundation is the essential first step.
3. A mineral finishing powder sets the make-
up for a long lasting creation and a slightly
more matte finish.
4. For intense eyes that still look polished,
start applying a black eye liner at the outer
corner and upper lid. Add eye shadow over it
for a sealing effect.
5. Choosing the right eye shadow color is
key to creating a striking and glamorous look.
Try to stay away from colors that create dark
circles. Some appealing colors are plum brown,
terracotta and chocolate browns.
6. Layer the lid to create smokey eyes, with
the darkest shadow at the center from the bot-
tom, up into the crease and outer corner. A
blending brush delivers the best application.
7. Add a skin tone highlighter at the inner
corner of the eyes and under the browbone.
THIS TIME
CALLS FOR A
COUTURE LOOK
BY GABRIEL I. NODA
LADY
IN RED
8. Add a soft golden white shade under the
peak of the brows to create more of an arch.
For the best application of light colors, use a
sponge tip applicator.
9. Apply black mascara by rubbing the ap-
plicator from side to side, then outward, and
finally separate the lashes with a lash comb.
10. Add a black liner to the upper and
lower inner rims of the eyes from corner to
corner to create more definition.
11. Lip liner and a richly pigmented sea
coral lipstick complements and finishes our
couture look. n
Gabriel I. Noda is president of Gab riel Productions
Inter nation al and a licensed esthe tician. Voted
The Best Makeup Artist
of South Florida by
Miami Metro magazine,
Noda is an award win-
ning beauty expert with
30 years of experience
in television, film and
theater. He has worked
with companies such as
Stagelight, Este Lauder, Cover Girl, Clinique,
Sisley, Professional and more. To see Nodas work
go to www.gabrielproductionsinternational.com.
image
MODEL : ALISA B. FROM 301
MODEL MANAGEMENT MIAMI, FL
PHOTOGRAPHER: JORGE
PARRA MAKEUP ARTIST:
DANIEL AVALOS FROM GABRIEL
PRODUCTIONS MAKEUP LINE:
GABRIEL PRODUCTIONS NAILS:
SORAYA BAPTISTA STYLING
& HAIR: GABRIEL I. NODA
ACCESSORIES: FLOWER CLUTCH
& ACCESSORIES BY VICTORIAS
DESIGN, CORAL GABLES
BY KATRINA BODRATO
OFFERING REWARDING SERVICES SUCH AS PERMANENT
cosmetics and paramedical dermapigmentation can bring a
business unlimited earning potential. The dedicated work-
ing professional can earn between $250 and $1,250 for a
single procedure.
Technicians can charge the minimum rate and yield more
than $100,000 per year with as few as two procedures a
day, five days a week. The demand for permanent cosmet-
ics and qualified technicians has rapidly increased during
the last five years.
Wallet-friendly solution
With the ever-struggling economy, customers can save pre-
cious time and thousands of dollars by limiting the cost of
buying cosmetics. Women and men can always look polished
and put-together without the time and hassle of applying cos-
metics every day. Smudge-proof eyeliner; well-defined brows;
a youthful, fuller-looking lip line and color ... imagine looking
your best at the end of a morning run, lounging at the pool
and when you are just waking up. Staying forever flawless even
in the most tropical of climates and most active of lifestyles all
make this a sought-after service.
Women and men of all ages now ask for this procedure,
which was once considered to be a service for baby boom-
ers. Although the cosmetic reconstruction of eyeliner, brows
and lips is used widely for esthetic purposes, permanent
cosmetics can play a tremendous role in the medical com-
munity. Patients who suffer from failing vision, Parkinsons
disease or trembles; burn victims; cancer survivors; those
with alopecia, arthritis, limb loss, and allergies, etc., can
largely benefit from these services.
Proper skill set
Paramedical dermapigmentation can be the final chapter
for patients in putting an emotionally traumatic experience
behind them. Unfortunately, due to the shortage of qualified
paramedical micropigmentologists, these sensitive clients are
forced to accept less-than-quality work. With the proper train-
ing, a skilled permanent makeup technician can become a
certified paramedical micropigmentologist. With the suitable
skill set, professionals can closely restore a clients natural look.
Offering these much-needed services provides conve-
nience to your patients. However, locating qualified profes-
sionals can usually leave prospective clients feeling frustrated
and desperate.
Combination treatments
Paramedical cosmetic pigmentation can work in combination
with certain medical procedures. This can be very beneficial
when offered in conjunction with various physicians such as
dermatologists, ophthalmologists, reconstructive surgeons,
SCAR REVISION
TO AEROLA
REPIGMENTATION
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Les Nouvelles Esthtiques & Spa February 2011
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oncologists and hair replacement centers. Forming a strong
alliance or referral program between certified paramedical
micropigmentologists and physicians or medical practices
that deal front-end with certain diseases, disabilities and
conditions can be extremely beneficial to patients.
Combination services can include corrective color, im-
proving the esthetic appearance of patients with cleft pal-
ates, areola repigmentation, and scar revision/collagen in-
duction therapy (CIT).
Areola repigmentation
Areola repigmentation is a much-needed service for both
men and women. An estimated one in eight women in the
United States (between 12 and 13 percent) will develop in-
vasive breast cancer during the course of their lifetime. In
2010, an estimated 207,090 new cases of invasive breast
cancer were expected to be diagnosed in women.
Areola repigmentation is now covered in part or completely
by most major insurance plans as part of the reconstruction pro-
cess. Medical micropigmentation can be used to reconstruct
areolas and nipples for breast cancer survivors. The choosing
of the areolas shape, size and color is the final chapter of mak-
ing a patient feel complete and whole again. This service can
also be used to re-pigment areolas too close to the skin tone.
Collagen induction therapy
Scar revision/needling/collagen induction therapy (CIT) can be
used in the treatment of wrinkles, stretch marks, acne scars, scars,
hair loss (in conjunction with topical applications) and cellulite.
CIT is a fabulous natural technique that is preformed without
the use of pigments. A single needle penetration causes one
tiny wound in the skin, which in most cases cannot be seen or
felt. During this service, the technician introduces hundreds,
if not thousands, of needle penetrations, which break up old
collagen strands in scars and wrinkles. The body reacts by
naturally healing itself from the inside out and begins produc-
ing new formations of collagen and melanin (natural pigment).
This gives wrinkles a smoother appearance; flattens scars; di-
minishes the appearance of stretch marks; and improves skin
texture, tone and color.
continues
CREDIBLE TRAINING
PERMANENT COSMETICS TRAINING IS BETWEEN $4500-
$7500. Be aware, the laws have been changing continuously as
its popularity within the industry grows. Permanent Cosmetics
still falls under the local tattooing laws in most states. It is im-
portant that you contact the board of health in each state/
county you wish to practice in to ensure you understand where
you can and cannot practice. Postsecondary Boards have
stepped into many states where permanent cosmetics has
boomed to help regulate the issuing of credentials.
The Department of Education aids in protecting the
health, education and welfare of persons (students) who
receive educational services from institutions in these states.
Even if your state is not governed by post secondary
laws, it is imperative that someone interested in obtain-
ing the proper training does not choose a school based on
distance but rather the credentials of the academy for their
own protection.
The primary focus of a training institution should be edu-
cation, not retail, and it should not be brand specific. Rather
it should educate individuals on multiple product lines, ingre-
dients and equipment so a practitioner can make educated
decisions in their future. Make sure to check if the institution
you are considering is a supply company or manufacturer,
which could mean a hidden agenda to sell products or equip-
ment rather than educating.
Organizations and/or private independent instructors DO
NOT regulate permanent cosmetics. More importantly, they do
not have a right to issue a certification or diploma in the states
of California, Arizona, Texas or Florida without a school license.
Having a license to issue credentials in these states is le-
gally required, but you need to research further. Permanent
makeup is far too important to not be the main program of a
licensed academy.
You should also request to speak to multiple graduates
before choosing an academy.
COLOR
CORRECTION
COLOR CORRECTION
is offered to clients who
had previous perma-
nent makeup servic-
es, and their pigments
have changed to a blue
or pink undertone. Some
of this can be neutralized with corrective color therapy.
For clients who cannot benefit from this service, per-
manent makeup/tattoo removal is a solution. There are
now courses on non-laser options. Applied just like
conventional permanent makeup and tattoos, there is
no need for costly laser equipment, there is less trauma
to the clients skin and scarring is reduced.
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Be aware, the laws have changed and continue to change
as popularity within the industry grows. Permanent cosmet-
icsin most statesstill falls under the local tattooing laws.
It is important that you contact the board of health in each
state/county you wish to practice in to ensure you under-
stand where you can and cannot practice. Postsecondary
boards have stepped into a large amount of states where
permanent cosmetics have boomed to help regulate the
issuing of credentials.
The department of education aids in protecting the
health, education and welfare of persons (students) who
receive educational services from learning institutions in
several states. Employers depend upon people whose
educational credentials are from independent postsec-
ondary educational institutions. Even if your state is not
governed by postsecondary laws, it is imperative that you
do not choose a school based on convenience but on the
academys credentials.
Things to look out for
The primary focus of a training institution should be educa-
tion, not retail, and they should not be brand-specific. Make
sure to check if the institution you are considering is a sup-
ply company or manufacturer, which could mean a hidden
agenda to sell products or equipment rather than educating.
Organizations and/or private independent instructors do
not regulate permanent cosmetics. More importantly, they
do not have a right to issue a certification or diploma in the
states of California, Arizona, Texas and Florida (Chapter 1005
FL Statutes) without a school license.
A diploma is a credential recognized from the Department
of Education for permanent makeup training and can only
be issued by a licensed school, not an organization, nor a
private instructor. A certificate of completion is nothing
more than proof of attendance. It is not an official document.
Having a license to issue credentials in these states is the
law, but you need to research further. Permanent makeup is far
too serious to not be the main program of a licensed academy.
Licensed institutions are required to report annual data
to the Department of Education regarding total enrollments,
graduates and placement ratios. You should also request to
speak to multiple graduates before choosing an academy.
For your protection, please research your options with the
Department of Health and the Department of Education in
your respective state. n
Katrina Bodrato is the president and founder of the
Academy of Cosmetic Arts and Sciences (ACAS), License
#3954. ACAS Academy is a top national cosmetic en-
hancement institution that continues to raise the bar in
education. This unique institution specializes in the arts
and sciences in all avenues of cosmetic training. Bodrato
can be contacted at mskatrina@acasacademy.com.
image|micropigmentation
Needling can improve the results and effectiveness of
any gel, liquid or cream by several hundred percent. When it
comes to applying a moisturizer, hair loss treatment, or cel-
lulite treatment, needling enables topical applications to be
absorbed easily. The nutrients or active ingredients are able
to rapidly reach the lower levels of the skin. Proper training
is required despite its noninvasive nature. Skin needling is
not for patients suffering from chronic skin disorders, active
acne, healing disorders or keloid scarring, just to name a few.
Ensuring credible training
Permanent cosmetics training can run between $4,500 to
$7,500. The typical cost per service ranges from $250 to
$1,000 and up (an average of $625 per procedure). Earning
back your investment on training and supplies, based on the
average rates, can take between 7 and 12 procedures. This
return on investment (ROI) is much quicker compared to a
traditional graduate.
KEY POINTS TO REMEMBER
Check with your states department of education and
make sure your institution is a licensed school.
Does the school you are considering
offer a certificate or diploma?
Request a copy of your schools curriculum.
Find out what is being covered during each
hour you are in class.
Will you be trained in universal
precautions for infection control?
Are there clinical hours provided (hands-on) with
live models? If so, how many services will you be
performing? Are you required to bring your models or
does the academy provide them?
Does your class offer refreshers and continuing
education? Do they charge alumni if they need
refresher courses?
Ask for a list of graduates, from recently to several
years ago, so you can compare the job market and see
how students are doing.
How is the institutions support system? Is there a
hotline? What if you need assistance after hours?
Do they have an instructor insurance policy?
What type of equipment are you trained on?
Paramedical dermapigmentation
can be the final chapter for patients
in putting an emotionally traumatic
experience behind them.
continues
M
AKEUP FANS REJOICE ...
2011 is the year for you.
Though current makeup
trends vary from minimal to bold, they
all look absolutely fabulous and allow
women with different preferences to
find a style that suits their individuality.
There is something for everyone. So
far it is a wave of contradictions, from
bolder styles and colors (from eyeliner
and smoky eyes to darker shades on
lips and nails) to timeless looks with
nude makeup used to enhance natural
beauty. For an accurate prediction of
the diverse trends in makeup and skin,
several industry all-stars who are kin-
dred spirits in beauty have offered their
insight for a fabulous 2011 forecast.

Face forward
Eugenia Weston, founder and creative
director of Senna Cosmetics, is an Emmy-
nominated celebrity makeup artist, edu-
cator and pioneer in the cosmetics indus-
try for more than three decades.
Runway to retail: Expect more color
for eye makeup. Vivid eyeshadows are
the new accent for the neutral that ev-
ery customer loves and feels comfort-
able using.
Hot new products: Matte lipsticks-
-dabbed on, they mimic real lip color
and texture.
Top 10 product
must-haves for 2011:
1. Invisible setting powder: Gives
skin a candlelit effect, reflecting light
away from lines and wrinkles.
2. Bronzer: Perfect for bringing life
to a nude makeup palette.
3. Lip plumper: Look for products
that fuse collagen-stimulating pep-
tides, which plump lips, with anti-aging
peptides, which smooth and soften lip
lines and wrinkles.
4. Eyeshadow primer: This helps
firm and smooth the eyelid and pre-
pares the eye for shadow application.
It is a must for anyone older than 30
and key for a flawless application of
vivid colors.
5. High-definition concealer: High-
tech, light-as-air formulas that use light
reflection instead of opacity to dimin-
ish flaws as they brighten skin, fill in
wrinkles and boost skin renewal.
6. High-definition foundation
7. Eyelash curler: The first step to
voluptuous lashes.
8. Foundation primer
9. Nude lipstick: A finishing touch
to creating a natural look.
10. Powder pencil eyeliner: A must-
have companion for both of the major
eye looks for 2011 ... the smoky eye
and bold eyeshadows.
Luminous skin
Pamela Hackeman, owner of Behind
The SeenSkincare & Make Up Studio,
Los Angeles, CA, is a California-licensed
esthetician and makeup instructor. She
is a certified shiatsu therapist and has
taught makeup and skin care interna-
tionally for the past 12 years.
She reports that the West Coast con-
tinues to celebrate the many new hori-
zons for non-invasive, youth revealing skin
care products and techniques. Hackeman
is targeting the following trends for cre-
ating luminous skin in 2011:
Cosmeceuticals that embrace
nature and science
with stem cell therapy.
Hyperbaric oxygen infusion
of hyaluronic acids that
plump the skin.
Organic plant-based oils
that are readily absorbed.
Skin care products rich in vitamins
and antioxidants, which border
on nutrition for the skin.
Holistic treatments integrating
technologies such as microderm-
abrasion, LED lights with shiatsu,
and chromotherapy (color thera-
py with various lights and crystals
for balancing chakras, acupunc-
ture points and meridians for a
whole body-mind treatment).
Salons and spas continue to be an
oasis for the stressed individual.
Treatments focus on the whole in-
dividual, not just their skin.
Teas and Chinese and organic
herbal supplements communicate
a healthy, stress-free lifestyle.
Color trends
Monifa Mortis, freelance makeup artist,
has worked in the celebrity, editorial,
fashion, film and television industries for
more than 10 years. An educator and
guest lecturer throughout the country,
she is also considered an industry spe-
cialist on beauty for women of color.
Mortis trend report from the East
Coast is all about color. She credits the
inspiration for the hot new colors seen all
over the runway in part to celebrities such
as Lady Gaga, Rihanna and Nicki Minaj.
image|
by Maria Calabresa-Echelard
february
forecast 2011
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image|february forecast 2011
Think graphic pop. A single
swatch of vivid, dramatic color
across the eye ... that is it. Canary
yellow, bright orange, coral, hot
pink, greens and blues: color in-
tensity ranges from fluorescent
to pastel. Translate the look for
everyday by keeping the color to
a thin line or sheering it out to a
wash of color.
A strong intense color on the
lips: red, orange, coral, peony
and pomegranate. Think hydrat-
ing stains and moisturizing satin
creams, not the chalky matte
lips of the 1960s. Translate the
look for everyday by pairing col-
ored lips with a neutral eyelid.
Sheerness also helps make bold
color and texture more wearable.
Overall look: These trends tend
to look more modern with a fresh
face, but more retro and old-Hol-
lywood with a matte face.
Luminous skin
What are my favorite trends of 2011?
Lit from within skin: a modern
luminous skin finish; light, build-
able coverage foundation with
lighter-feeling natural ingredients
that provide a dewy, yet polished
all-about-the-skin look. Look for
luminizing moisturizers and prim-
ers with light-reflecting pigments
to add the much-desired radiant
flush to the skin.
Natural makeup: Use foundation
to create flawless-looking skin.
Add a touch of blush, mascara
and natural-looking lipstick or
clear lip gloss to highlight the
best facial features.
Bold, bright lips in every shade:
orange, red and pink. Try out
a matte version of any of these
shades. Finish with a clean out-
line using a lip pencil.
Rainbow shadows, vivid color on
the eyes: orange, red, pink, pur-
ple, green, blue and yellow. Think
bright tropical shades. Make this
trend more wearable by pairing
shimmery nudes and pale grays
along with brighter colors to tone
down the impact.
Iridescent smoky eyes
with hints of green.
Fat lashes: the bigger, the bolder,
the better. Go for eyelash en-
hancers, gels and serums to
make lashes grow faster and
longer. Semi-permanent mascara
and lash extensions give that in-
stant flutter. Place individual or
strip lashes on the outer edge of
eyes to add that wow factor for
a special event.
Must have metallic
for 2011: gold.
New year, new start
Hopefully, these insights will boost
your makeup and skin care businesses
in 2011... well, at least through sum-
mer and early fall. One thing remains
constant in the beauty biz: makeup
trends change proportionally with fash-
ion trends, as makeup helps complete
the look of any outfit.
Keeping up with the latest makeup
trends is equally as important as staying
up-to-date with fashion ... especially if
you have any fashionistas for clients.
Have fun, experiment, and go ahead
and open Pandoras Box. This season is
like opening a brand new box of cray-
ons: which do you pick first? Remember,
the beauty is in your chair. Know who
your clients are and select what makes
them look best. n
Maria Calabresa-Echelard is a makeup
artist, licensed esthetician and owner
of Gamine Productions. She special-
izes in modern
beauty makeup
and has experi-
ence in runway,
retai l , tel evi -
sion and print.
Echelard teach-
es courses in
makeup and
esthetics for both seasoned and future
professionals. Contact her at maria.
echelard@me.com or 954.461.1226.
INTRODUCING
TOUCHE BEAUTY LLC
MORE NEWS
spa
|
news
makeup, tools and trends
image
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news
EYE ENHANCEMENT
Ladyburd makes it easy to beautify the
eyes with the Complete Eye Kit. The on-
the-go kits each come with everything
necessary to create fashionable eyesfour
eye shadows, shadow base and brow wax.
All of the Complete Eye Kits are perfectly
color coordinated. www.ladyburd.com
COLOR-CODED
Make it easy for your clients to
select the right eyeshadow colors
with the innovative Eye Steppes
from Jane Iredale, which consist
of three compacts, five shades
and one simple task: selecting the
compact designed to match the
users eye color. The goBrown,
goGreen and goBlue are each
specifically developed to enhance
brown, green or blue eyes.
Each of the five shades in every
compact is different, so any look
can be achieved. Each compact
features a magnetic closing
system, and interchangeable
shelves of color allow the user
to travel with as many or as
few shades as they wish.
www.janeiredale.com
BEAUTY WITH BENEFITS
Introduce your clients to a long-lasting
concealer made up of a lightweight
formula with twice the coverage of
a classic foundation. The Smooth
Indulgence Foundation SPF 20 by
Dermablend Professional evens
the complexion and does not enhance
fine lines or surface imperfections.
The soft-touch foundation contains
SPF 20 sunscreen and provides
hydration all day long. It is suitable for
sensitive skin types, and is available
in a broad variety of nine different
shades to flatter any skin tone.
www.dermablend.com
image|news
LOVELY LASHES LashDip is the first revolutionary
semi-permanent professional lash coat performed exclusively
in spas and salons. LashDip is a safe and effective treat-
ment that lasts up to six weeks and allows women to have
great looking lashes 24/7, even as they swim, shower and
sweat. LashDip adds volume, length, lift, curve and sepa-
rationjust like mascaraand does not smudge or wash
off for weeks, says the company. www.lashdip.com
BLUE HUE Encourage
your clients to add some
elegance and mystery to their
makeup wardrobe with the
Midnight Azurite Eye Shadow
Compact Colour from La
Bella Donna. Classic cocoa
and straw are balanced by
midnight navy and aubergine.
www.labelladonna.com
PLUMP AND PRETTY
Help your clients get full, pouty lips with
LipVolumizer Colored Glosses by Senegence
International. Based on the most advanced
lip plumping technologies, the non-irritating
formula plumps lips from the inside out,
increasing lip volume by up to 20 percent
and increasing lip moisture by up to 54
percent within one month of daily use, says
the company. www.senegence.com
BEFORE
AFTER
PRODUCTS
Refectocil Tint
Pure Black, Blue-Black, Natural Brown, Light Brown, Deep
Blue, Graphite, Chestnut, Red and Blonde Bleaching Paste.
1.877.547.5463 www.dermagraphicsinc.com
A Gift is Waiting for You at www.stonejourney.com
Receive your Complimentary Gift of the month from Stone
Journey/Esthetic Alternatives. Visit our website at www.
stonejourney.com and Click on Free Gift.
EDUCATION / TRAINING
ONLINE Medical Aesthetics Education! Learn the basics of
microdermabrasion, laser hair removal, Botox and much more!
Visit www.cosmedical-training.com for more information!
AIRBRUSH MEDIA MAKEUP ONE WEEK CLASS For Ads,
HDTV, Film, Fashion, Weddings. Portfolio included. While
spa clients decline in weak economy, high paid, exciting,
Media Airbrush work remains strong.
AwardMakeupSchool.com 310-364-0665
MISCELLANEOUS
Feeling Left Out? Place your classified ad with Les Nouvelles
Esthtiques & Spa and get national exposure for a fraction
of the cost. Its just $2 a word, with a $30 minimum. Sign
up online, and preview your ad before it is published in
the magazine. For more information, please contact Maria
Gil at 800.471.0229; e-mail maria@LNEONLINE.com;
or visit www.LNEONLINE.com.
products distributors services training new/used equipment employment
classified ads
To place an ad, please call 800.471.0229 ext. 103, e-mail maria@lneonline.com or visit www.lneonline.com.
West
Central
East
International
Skin Biology
& Chemical Peel
Seminar (students)
by PCA Skin.
Seattle, WA.
877.PCA.SKIN.
FEBRUARY 7
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Santa Barbara, CA.
877.PCA.SKIN.
FEBRUARY 9
STREAM Webinar
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
FEBRUARY 13
Advanced Peeling Techniques
for Complex Skin Conditions
by PCA Skin.
Los Angeles, CA.
877.PCA.SKIN.
Advanced Peeling
Techniques for
Complex Skin Conditions
by PCA Skin.
San Francisco, CA.
877.PCA.SKIN.
Seasonal Peels
and Unusual Actives
by A Natural Difference.
Encinitas, CA.
888.568.3150.
Seasonal Peels and
Unusual Actives
Long Beach, CA.
888.568.3150.
Seasonal Peels and
Unusual Actives
Seattle, WA.
888.568.3150.
FEBRUARY 6
Skin Biology &
Chemical Peel Seminar
(students)
by PCA Skin.
Los Angeles, CA.
877.PCA.SKIN.
Skin Biology &
Chemical Peel Seminar (students)
by PCA Skin.
San Francisco, CA.
877.PCA.SKIN.
Skin Biology &
Chemical Peel Seminar (students)
by PCA Skin.
Scottsdale, AZ.
877.PCA.SKIN.
West
FEBRUARY (ONGOING)
Advanced
Chemical Peels
with Skin Assessment
Encinitas, CA.
888.568.3150.
Advanced Chemical Peels
Long Beach, CA.
888.568.3150.
Advanced
Chemical Peels
Seattle, WA. 888.568.3150.
Antiqua Prima
Level I Introductory Classes
by Laura L. Root.
Webinars held every Monday and
Friday. 866.358.1694 Ext. 4.
Distance learning available.
Full-Spectrum Reiki for Beauty
Professionals: Integrated
Reiki Spa Treatments
by Linda Bertaut at Bertaut Beauty.
Pasadena and San Francisco, CA.
626.405.0424.
WEST
|
CENTRAL
|
EAST
CALENDAR OF EVENTS
West
Central
East
International
FEBRUARY 28
Advanced Treatment
Technologies Seminar
by PCA Skin.
Scottsdale, AZ.
877.PCA.SKIN.
MARCH 6
Skin Biology &
by PCA Skin.
Albuquerque, NM.
877.PCA.SKIN.
Skin Biology &
by PCA Skin.
Long Beach, CA.
877.PCA.SKIN.
MARCH 7
Peel Fundamentals
by PCA Skin.
Albuquerque, NM.
877.PCA.SKIN.
Peel Fundamentals
by PCA Skin. Long Beach, CA.
877.PCA.SKIN.
MARCH 13
Skin Biology & Chemical
Peel Seminar (students)
by PCA Skin. Las Vegas, NV.
877.PCA.SKIN.
FEBRUARY 18
Bio-Brasion
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
FEBRUARY 21
Skin Biology
& Chemical
Peel Seminar
(students)
by PCA Skin.
Salt Lake City, UT.
877.PCA.SKIN.
STREAM Webinar
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
FEBRUARY 21-27
Airbrush
Media Makeup
by Award Makeup Studio.
Burbank, CA.
www.AwardMakeupSchool.com.
FEBRUARY 27
Advanced
Peeling Techniques
by PCA Skin.
Scottsdale, AZ.
877.PCA.SKIN.
FEBRUARY 14
Advanced Treatment
by PCA Skin.
San Francisco, CA.
877.PCA.SKIN.
Bio-Ultimate Platinum
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Los Angeles, CA.
877.PCA.SKIN.
FEBRUARY 15
Bio-Synthesis
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
FEBRUARY 16
Bt-GEAR
by Bio-Therapeutic.
Seattle, WA.
800.976.2544.
FEBRUARY 17
Bio-Oxygen
by Bio-Therapeutic.
Seattle, WA. 800.976.2544.
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Antiqua Prima
Level I Introductory Classes
by Laura L. Root.
Webinars held every
Monday and Friday.
866.358.1694 Ext. 4.
Seasonal Peels
and Unusual Actives
Dallas, TX.
888.568.3150.
FEBRUARY 11
Advanced Treatment
by PCA Skin.
Chicago, IL.
877.PCA.SKIN.
FEBRUARY 12
Advanced
Peeling Techniques
for Complex
Skin Conditions
by PCA Skin. Chicago, IL.
877.PCA.SKIN.
FEBRUARY 13
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Houston, TX.
877.PCA.SKIN.
Skin Biology
& Chemical
Peel Seminar
(students)
by PCA Skin.
Skokie, IL.
877.PCA.SKIN.
Skin Biology
& Chemical Peel Seminar
by PCA Skin.
San Diego, CA.
877.PCA.SKIN.
MARCH 22
Peel Fundamentals
by PCA Skin.
San Diego, CA.
877.PCA.SKIN.
MARCH 27
Skin Biology &
by PCA Skin. Denver, CO.
877.PCA.SKIN.
Skin Biology &
by PCA Skin.
Scottsdale, AZ.
877.PCA.SKIN.
MARCH 28
Peel Fundamentals
by PCA Skin. Denver, CO.
877.PCA.SKIN.
Peel Fundamentals
by PCA Skin. Scottsdale, AZ.
877.PCA.SKIN.
Central
FEBRUARY (ONGOING)
Advanced Chemical Peels
Dallas, TX. 888.568.3150.
by PCA Skin.
Newport Beach, CA.
877.PCA.SKIN.
MARCH 14
Skin Biology &
by PCA Skin.
Las Vegas, NV.
877.PCA.SKIN.
Skin Biology &
(professionals and students)
by PCA Skin.
Reno, NV.
877.PCA.SKIN.
MARCH 15
Peel Fundamentals
by PCA Skin.
Las Vegas, NV.
877.PCA.SKIN.
MARCH 20
Skin Biology &
by PCA Skin.
Reno, NV.
877.PCA.SKIN.
by PCA Skin. San Diego, CA.
877.PCA.SKIN.
MARCH 21
Peel Fundamentals
by PCA Skin. Reno, NV.
877.PCA.SKIN.
calendar|west|central
CALENDAR OF EVENTS
Advanced
Chemical Peels
Ft. Lauderdale, FL.
888.568.3150.
Advanced
Chemical Peels
by A Natural
Difference.
Philadelphia, PA.
888.568.3150.
Advanced
Chemical Peels
by A Natural
Difference.
Wilmington, DE.
888.568.3150.
Antiqua Prima
Level I
Introductory Classes
by Laura L. Root.
Webinars held
every Monday
and Friday.
866.358.1694 Ext. 4.
Designing
Your Face:
Corrective Makeup
Techniques for Daytime
by Gabriel Productions.
Coral Gables, FL.
305.444.1999.
Evening
and Glamour
Makeup Program
by Gabriel Productions.
Coral Gables, FL.
305.444.1999.
MARCH 13-14
The International Congress
of Esthetics and Spa
by Les Nouvelles Esthtiques
& Spa and Dermascope.
Arlington, TX. 800.471.0229
www.LNEONLINE.com
MARCH 27
Skin Biology
& Chemical
by PCA Skin.
San Antonio, TX.
877.PCA.SKIN.
East
FEBRUARY
(ONGOING)
Advanced
Chemical Peels
by A Natural
Difference.
Atlanta, GA.
888.568.3150.
Advanced
Chemical Peels
by A Natural
Difference.
Columbus, OH.
888.568.3150.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
St. Louis, MO.
877.PCA.SKIN.
FEBRUARY 14
Peel
Fundamentals
by PCA Skin.
Houston, TX.
877.PCA.SKIN.
Peel
Fundamentals
by PCA Skin.
St. Louis, MO.
877.PCA.SKIN.
FEBRUARY 26
Advanced Peeling
Techniques
for Complex
Skin Conditions
by PCA Skin.
Baton Rouge, LA.
877.PCA.SKIN.
FEBRUARY 27
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Baton Rouge, LA.
877.PCA.SKIN.
FEBRUARY 28
Peel Fundamentals
by PCA Skin.
St. Louis, MO.
877.PCA.SKIN.
calendar|central|east
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Ft. Lauderdale, FL.
877.PCA.SKIN.
FEBRUARY 28
Understanding Ingredients
and Delivery Technology
by SESHA Skin Therapy.
Philadelphia, PA.
888.977.3742.
MARCH 6
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Atlanta, GA.
877.PCA.SKIN.
MARCH 7
Peel Fundamentals
by PCA Skin. Atlanta, GA.
877.PCA.SKIN.
MARCH 12
Ingredient & Daily
Care Knowledge Seminar
by PCA Skin.
Charlotte, NC.
877.PCA.SKIN.
MARCH 13
Peel Seminar (professionals
and students)
by PCA Skin. Charleston, SC.
877.PCA.SKIN.
Ingredient &
Daily Care Product
Knowledge Seminar
(professionals
and students)
by PCA Skin.
New York, NY.
877.PCA.SKIN.
FEBRUARY 7
Advanced
Peeling Techniques
for Complex
Skin Conditions
by PCA Skin.
New York, NY.
877.PCA.SKIN.
FEBRUARY 13
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Orlando, FL.
877.PCA.SKIN.
FEBRUARY 26
Advanced Peeling
Techniques for
Complex Skin Conditions
by PCA Skin.
Baton Rouge, LA.
877.PCA.SKIN.
FEBRUARY 27
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Baton Rouge, LA.
877.PCA.SKIN.
Knowledge Is
Power Series
by A Natural
Difference Skincare.
Cooper City, FL.
888.568.3150.
Seasonal Peels
& Unusual Actives
by A Natural
Difference.
Atlanta, GA.
888.568.3150.
Seasonal Peels
& Unusual Actives
Columbus, OH.
888.568.3150.
Seasonal Peels
& Unusual Actives
by A Natural
Difference.
Ft. Lauderdale, FL.
888.568.3150.
Seasonal Peels
& Unusual Actives
Philadelphia, PA.
888.568.3150.
Seasonal Peels
& Unusual Actives
Wilmington, DE.
888.568.3150.
FEBRUARY 6
Advanced
Peeling Techniques
by PCA Skin.
Miami, FL.
877.PCA.SKIN.
calendar|east
CALENDAR OF EVENTS
Peel Fundamentals
by PCA Skin.
New York, NY.
877.PCA.SKIN.
Understanding
Ingredients and
Delivery Technology
by SESHA
Skin Therapy.
Philadelphia, PA.
888.977.3742.
Peel Fundamentals
by PCA Skin.
Indianapolis, IN.
877.PCA.SKIN.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Charlotte, NC.
877.PCA.SKIN.
MARCH 14
Peel Fundamentals
by PCA Skin.
Charlotte, NC.
877.PCA.SKIN.
MARCH 20
Advanced
Treatment
by PCA Skin.
Indianapolis, IN.
877.PCA.SKIN.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Jacksonville, FL.
877.PCA.SKIN.
MARCH 21
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Philadelphia, PA.
877.PCA.SKIN.
MARCH 26
Peel Seminar
by PCA Skin.
Virginia Beach, VA.
877.PCA.SKIN.
MARCH 27
Advanced
Treatment Technologies
Seminar
by PCA Skin.
Orlando, FL.
877.PCA.SKIN.
Peel Fundamentals
by PCA Skin.
Virginia Beach, VA.
877.PCA.SKIN.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
Nashville, TN.
877.PCA.SKIN.
Skin Biology
& Chemical
Peel Seminar
by PCA Skin.
New York, NY.
877.PCA.SKIN.
Peel Seminar
(professionals)
by PCA Skin.
Indianapolis, IN.
877.PCA.SKIN.
Peel Seminar
(students)
by PCA Skin.
Indianapolis, IN.
877.PCA.SKIN.
MARCH 28
Peel Fundamentals
by PCA Skin.
Nashville, TN.
877.PCA.SKIN.
calendar|east
TRADE SHOWS
Sponsored by Les Nouvelles
Esthtiques & Spa and Dermascope
The International Congress of
Esthetics and Spa, Dallas 2011
March 13-14 Arlington, TX
1.800.471.0229
Esthetics and Spa, Miami Beach 2011
April 3-4 Miami Beach, FL
1.800.471.0229
Esthetics and Spa, Long Beach 2011
September 11-12 Long Beach, CA
1.800.471.0229
Esthetics and Spa, Philadelphia 2011
October 23-24 Philadelphia, PA
1.800.471.0229
*Les Nouvelles Esthtiques & Spa/American Edition has all publishing rights reserved. Reproduction in part or in whole without written permission by the publisher is prohibited. *Les
Nouvelles Esthtiques & Spa/American Edition is protected through Trademark registration in the United States and in foreign countries where Les Nouvelles Esthtiques & Spa/American Edition
circulates. The publishers cannot accept responsibility for unsolicited manuscripts. Articles appearing in this journal may not previously have been published elsewhere either inside or out-
side the United States of America. Exceptions to this rule will be made only by agreement in writing between the author and the editors. The editors reserve the right to edit letters and
other submitted materials or omit letters that are considered outside the laws of libel, slander and good taste. Claims and other statements by written and/or advertisement do not neces-
sarily reflect the opinions of the Publisher/Editor of Les Nouvelles Esthtiques & Spa. Les Nouvelles Esthtiques & Spas Publisher/Editor assume no responsibility for any and all claims.
Publisher is not responsible for any mailing delays beyond our control. *Direct all advertising rate inquiries to: Les Nouvelles Esthtiques & Spa/American Edition, Advertising Department,
3929 Ponce De Leon Blvd., Coral Gables, Florida 33134.
advertisers index
Reader
Service No.
Page
Number
62 .............. 5 Star Formulators .................................................. www.5starformulators.com ............................................ 180
5 ................ A Natural Difference ................................................ www.anaturaldifference.com ......................................... 232
102 ............ A1A Facial and Salon Equipment ............................. www.a1afacial.com ........................................................ 299
48 .............. Advanced Rejuvenating Concepts ........................... www.arcskincare.com .................................................... 120
77 .............. Alex Cosmetic ......................................................... www.alexcosmeticusa.com ............................................ 161
95 .............. Athena .................................................................... www.athenabeauty.com ................................................ 162
92 .............. Beautiful Image ...................................................... www.beautifulimagellc.com .......................................... 183
88 .............. Bio Jouvance .......................................................... www.biojouvance.com .................................................. 140
8,11 ........... Bio-Therapeutic ..................................................... www.bio-therapeutic.com ............................................. 139
49 .............. Cosmtiques France Laure..................................... www.francelaure.com .................................................... 199
9 ............... DermaQuest .......................................................... www.dermaquestinc.com .............................................. 261
58 ............. DermaSwiss ............................................................ www.dermaswiss.com ................................................... 245
63 ............. DermAware ............................................................ www.dermaware.com .................................................... 256
81 ............. DPC International ................................................... www.DPC2000.com ...................................................... 146
7 ................ Dr. Grandel ............................................................. www.grandel-usa.com ................................................... 109
102 ............ Dr. Jeff .................................................................... www.dr-jeff.com ............................................................ 248
107 ............ Dr. med. Christine Schrammek ............................... www.schrammek.de/greenpeelusa.html ....................... 166
123 ............ Echo2 Plus .............................................................. www.echo2plus.com ..................................................... 213
2-3 ..............minence Organic Skin Care ................................. www.eminenceorganics.com ........................................... 157
38 ...............Enspri ..................................................................... www.enspriskincare.com ................................................. 318
66 .............. Equipro .................................................................. www.equipro-bty.com ..................................................... 242
112 ............ Eve Taylor ............................................................... www.eve-taylor.com ........................................................ 228
132 ............ G.M. Collin ............................................................. www.gmcollin.com ......................................................... 115
98 .............. Hale Cosmeceuticals .............................................. www.halecosmeceuticals.com ......................................... 133
29 .............. Hydropeptide ......................................................... www.hydropeptide.com .................................................. 278
30 .............. Image Skincare ....................................................... www.imageskincare.com ................................................. 178
40-41 ........ International Congress of Esthetics and Spa, The. ...... miami.skincareshows.com ....................................................
131 ............ Jojoba Company ..........................................................www.jojobacompany.com ............................................. 108
32-33 ........ Klapp ............................................................................www.klapp-usa-shop.com ............................................. 147
13 .............. Lady Burd .....................................................................www.ladyburd.com........................................................ 119
108 ............ Les Nouvelles Esthtiques-France ............................www.nouvelles-esthetiques.com ........................................
73 .............. LNE & Spa Award 2011 ..............................................www.LNEONLINE.com .......................................................
86 .............. Lucrece Physicians Aesthetic Research ...................www.lucrece.com .......................................................... 263
14-15 ........ Murad ...........................................................................www.murad.com ........................................................... 184
74 .............. Onyx Medical Inc ........................................................www.onyxmedical.com .................................................. 235
39 .............. PCA Skin ......................................................................www.pcaskin.com .......................................................... 110
60 .............. PFB Vanish ...................................................................www.pfbvanish.com ...................................................... 229
64-65 ........ Professional Hair Removal Conference .........................www.phrconline.com ..........................................................
21 .............. Rapidlash .....................................................................www.tryrapidlash.com ................................................... 224
80 .............. Rejuvi Laboratory ..........................................................www.rejuvilab.com ........................................................ 149
122 ............ Saian ..............................................................................www.saian.net ............................................................... 165
56 .............. Sesha Skin Therapy .......................................................www.seshaskin.com ....................................................... 271
19 .............. Shira ..............................................................................www.shirausa.com ......................................................... 249
57 .............. Silhouet Tone ................................................................www.silhouettone.com .................................................. 192
6 ................ Skin Blends ....................................................................www.skinblends.com ..................................................... 283
45 .............. Terraderma/Pibbs ................................................... www.pibbs.com ............................................................. 129
22,100,120 .. Touch Beauty ....................................................... www.touchebeauty.com ................................................ 243
17 .............. Wilma Schumann European Skin Care ................... www.wilmaschumann.com ............................................ 106
Since 1994
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e-mail: hobacare@jojobacompany.com
no animal testing / cruelty-free
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LNE & Spathe magazine for skin care and spa professionals February 2011 $7.

products, and Biokontroll Hungaria.

products, and Biokontroll Hungaria.

, dermal fillers and photofa-

) and cigarette smoking, both of

) is applied (figure 4). Dry 4-inch by 4-inch gauze

allows the skin to heal

. Dr. Fulton was the first to use and patent

Selling your product and making a proft can be diffcult

: When you look at yourself in a mir-

-L are all sec-

is considered a volumizer filler. It is composed

, poly-L-lactic acid, works by stimulating the patients

PMMA (polymethylmethacrylate) microspheres, with

), which does not require allergy testing.

System, referred to as the vampire facelift, is a

. I recommend that patients get approval

and body polishing

The multi-modality Hydra

Murads Razor Burn

takes the sting out

noire RICHE is made

The gentle Sensi Peel

is 100% Pure, Unrefined, First-Press Golden Jojoba.

is 100% Pure, Unrefined, First-Press Golden Jojoba.

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