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Anne-Marie van Geloven
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In 2012 I've launched an innovative medical grade eye lift strip called . It's the first and only product developed for Lily Leading Instant Eye Lift, botulinum toxin related ptosis (droopy eyelid) which became increasingly popular to use for create a temporary eye lift by makeup artists and customers with aging or hanging upper eyelids. Lily Leading Instant Eye Lift is sold in my online shop. Ever since, I started blogging more often about cosmetic related topics and of course injectables like botulinum toxin and dermal fillers. Here is the link to my new blog. I hope you'll visit me there to read my latest online articles.
Or follow me on Twitter or LinkedIn and stay in touch. Anne-Marie van Geloven
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The liquid eyelift is a rejuvenating and minimally invasive procedure that is an alternative to blepharoplasty (eyelid) surgery for many patients using a combination of facial fillers and if necessary botulinum toxin. A dermal filler is injected deep around the orbital bone to lift the tissue while a “thinner” facial filler, is injected just under the fine lines of the lid to strengthen the skin to give it more structure and lift. The result is a softer contour to the brow, a lifted upper lid, and a much more youthful appearance.
Pro’s: - non invasive procedure with no downtime - almost immediate results - less expensive than surgery - completely reversible (when only HA fillers are used) if not satisfied Con’s: - results are temporary (approximately 6 month – 1 year depending on which fillers are used) while the results of a blepharoplasty are lasting. Sometimes only a blepharoplasty can give better or the desired results. Ask your experienced and skilled injector about your individual & tailor made possibilities. The Leading Injectable Centers of the World® Quality in Beauty Non surgical procedures like Botulinum Toxin and dermal filler injections show significant growth in popularity due to high efficacy, safety and satisfaction.
An alarming fact is that currently botulinum toxins and facial fillers are offered via the internet, sometimes with very attractive discounts. There are even do-it-yourselve kits available. If you are considering getting botulinum toxin injections or facial filler treatments always seek a skilled, trained and trusted injector, don't do it yourself and never order your own injectables: fillers or botulinum toxins. Your injector can provide you with safe, tested, approved, regulated, proper transported and stored products. Since there are many different products on the market it is very important that your injector has experience with the specific products he or she is injecting and therefor never a great idea to bring your own. What you need to know about ordering product online: 1. Does to syringe or vial contain the promised product? There are many fake and dangerous products available via internet, sometimes even using trusted brand names confusing customers. Only approved products supplied by manufacturers or official distributers themselves should be trusted. Warning signs of counterfeit or illegal product include: ª Misspelled brand names, unknown or unfamiliar names, and catchy marketing names like “Freeze” ª Generic packaging that does not include serial and lot numbers for injectables that correspond to serial and lot number on actual vials and syringes ª Foreign language writing on packaging, a lack of trademarks and identifying holograms ª Logos and type and packaging that are inconsistent with those of approved injectables Logos, packaging, brand names and other identifiers for genuine, approved product are all available, at-a-glance, at www.injectablesafety.org. In addition, the complete list of legal distributors for all currently FDA approved brands is also available at www.injectablesafety.org. 2. Did the supplier / transportation meet the required storage conditions of the product? Some products, for example Botox have guidelines for storage and transportation in order to prevent denaturation and maintain maximum efficacy. Only approved products transported by manufacturers or official distributers themselves should be trusted. 3. Importation of Cosmetic Injectables can be a felony One year in prison and up to $100,000 in fines; it’s a potential steep penalty to pay for importing cosmetic injectables. As recently as August 2009, five physicians, one nurse and a practice manager all from the same New York medical practice pled guilty to charges stemming from the purchase of non-FDA approved cosmetic injectables from on-line pharmacies. Each faces monetary penalties and jail time. Since 2004 the U.S. Food and Drug Administration’s (FDA) Office of Criminal Investigations (OCI) entered into more than 210 investigations that led to arrests and convictions. “Physicians fax machines and email accounts are filled with offers to buy off-shore, or unbranded cheaper injectables,” said coalition leader Mark L. Jewell, MD of Eugene, OR. “Buying from such sources is not a naïve or innocuous act simply for cost savings on the product. It’s a dangerous act that can cause unexpected adverse events, and ultimately land the physician in prison.” “Genuine approved cosmetic injectables have a safe and predictable record of outcomes. There is simply no excuse to cut corners, import or buy cheaper unbranded and illegal substances,” said coalition leader Robert Weiss, MD of Baltimore. “Illegal injectables can be readily distinguished from the real thing (see listing of tips below),” said coalition leader Ira Papel, MD of Baltimore. “The Coalition urges anyone, physician or consumer, who suspects the criminal act of soliciting non-approved, off-shore, counterfeit or illicit injectables in the U.S. to anonymously report the suspected crime to the FDA.” Information on reporting a suspected crime to the FDA can be found at http://www.fda.gov/consumer/updates/oci072307.html About The Physicians Coalition The Physicians Coalition for Injectable Safety is an alliance of specialty physician organizations including the American Society for Aesthetic Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Society of Plastic Surgeons, the International Society for Aesthetic Plastic Surgery, the International Federation of Facial Plastic and Reconstructive Surgeons, and the Canadian Society for Aesthetic Plastic Surgery. The mission of the Coalition is to provide the public with unbiased and necessary information on injectable cosmetic treatments, appropriate injectors and where to safely access cosmetic medical procedures. Our goal is to promote treatment supervised by properly qualified and trained, board-certified doctors and to promote only the use of U.S. FDA-approved, appropriately administered product. The Physicians Coalition www.injectablesafety.org Source: The Physicians Coalition Increase injectable satisfaction: Click here 9 things to consider before botulinum toxin injections: Click here The Leading Injectable Centers of the World® Quality in Beauty The European standards committee CEN / TC 'Aesthetic Surgery Services' is a standard for the services related to cosmetic surgery. The draft prEN 16372 is available. Until March 31, 2012, the draft standard may be interested to see and comment on it.
European standard for cosmetic surgery services The market for aesthetic surgery is a growing commercial market. Consumers are increasingly looking across borders for a suitable treatment at private clinics. Different professions and specialties are involved in these treatments. It is therefore important that all stakeholders participate in the standardization process to work to good agreements. The purpose of the standard is to establish agreements on the quality, safety and reliability of services offered by private clinics.The agreements include other levels of training of personnel, facilities and equipment, quality and patient contact. There are also agreements about ethics in relation to, inter alia conduct and marketing. The European standard will not be able to harmonize existing national legislation, but complement it with a need and no standards or legislation. Preliminary In 2010 at the European level started to develop a European standard in the field of aesthetic surgery service around. Netherlands is the beginning and at the table has a national committee set up mirror. In this mirror committee to interested parties together in order to find a widely accepted standard to come. Draft standard view and comment On 30 December, the European standardization organization (CEN) published the draft standard prEN 16372 http://esearch.cen.eu/esearch/ Netherlands www.normontwerpen.nen.nl After registration you can easily see the draft standard and provide commentary on the text. All contributions will be collated and discussed with the parties who have made substantive comments. Once you have submitted your contribution, you will receive an invitation to a meeting where all submitted comments are discussed. This takes place probably in April 2012. The result is a Dutch joint comments filed with the European standards committee. More info For more information about this program or if you want to join the Dutch mirror committee, please contact Dennis Schutijser, Healthcare Consultant, (015) 2690279 or e-mail [email protected] Original Source: http://www.nen.nl/web/Normshop/Norm/Europees-normontwerp-esthetische-chirurgie-services-gepubliceerd.htm The Leading Injectable Centers of the World® Currently there is an important discussion ongoing about the potential health risk for consumers regarding the use of medical devices like breast implants or facial fillers. Some even suggest that facial fillers could be the next cosmetic surgery scandal.
Implants and facial fillers are both medical devices, meaning there are different rules and regulations that apply than for prescription drug like botulinum toxins. Read more - click here The biggest difference between implants, like the PIP implants and facial fillers, is that the current facial fillers do not contain silicones, but most often Hyaluronic Acid sometimes combined with Lidocaine.. The effect of Hyaluronic Acid can be completely reversed with Hyaluronidase Fillers containing collagen are no longer available. Read more. Other fillers more common used contain Poly L Lactic Acid, Calcium Hydroxylapatite and a different technology called Autologous Cell Therapy . The most important similarity between the use implants and facial fillers is that they only should be used by well trained and skilled professionals. Facial fillers currently are not only provided by educated and trained physicians and world wide there is a demand to regulate this much better to be able to ensure all consumers safety, comfort and desired results in a professional environment done by a well trained physician, who is also able to provide good information, advice, follow up and eventually is able to handle complications and complaints. If you want to look your best, make sure to go to the best, and facial fillers will not be the next cosmetic surgery scandal. How to prepare yourself for your appointment More information about injectables, specifically botulinum toxins: 9 things to consider before you make the appointment The Leading Injectable Centers of the World® Quality in Beauty Nonanimal, stabilized hyaluronic acid (NASHA) gels have become a very popular dermal filler material. In the past, if an error was made in filler quantity or placement, the solution was to wait for the material to reabsorb over several months. Hyaluronidase may have the potential to speed resorption by breaking up the gel. To evaluate hyaluronidase's effects on previously implanted NASHA gel, these researchers performed a two-part, prospective, randomized, sequential study.
In the first part, 12 healthy volunteers had 0.2 mL of NASHA gel injected into two sites, approximately 10 cm apart, on one forearm. One to 3 days after implantation, a blinded evaluator graded the cutaneous augmentation at both sites, and 75 units of hyaluronidase with thimerosal preservative were injected into one site and control saline into the other. Within 4 to 7 days of hyaluronidase injection, 80% of the NASHA gel had clinically disappeared at the hyaluronidase site, while 90% of the gel persisted at the control site. Fourteen days later, the median skin score at the hyaluronidase sites was 0 -- no clinically detectable gel. The second part of the study was designed to measure the dose-dependent effects of hyaluronidase. Eight new volunteers received three 0.2-mL injections of NASHA gel, 3 cm apart, on one forearm. Three to 5 days later, a different concentration of preservative-free hyaluronidase (10, 20, or 30 units) was injected into each of the three implantation sites in each subject. Four to 7 days later, the 30-U sites had no palpable gel, and the 20-U and 10-U sites demonstrated dose-dependent reductions. By 14 days, the 20-U sites became clinically imperceptible, and by 4 weeks, the 10-U sites became imperceptible as well. About 25% of subjects in both parts of the study developed localized allergic reactions in the hyaluronidase-injected sites; the reaction was more pronounced with injections containing thimerosal. Comment: Hyaluronidase injections were useful in reducing NASHA gel overcorrection. The desired level of flattening can be achieved by carefully titrating the dose, and larger doses completely eliminate NASHA gel effect from the implantation site. The injection can be done several days after implantation, when the procedure-associated edema has mostly resolved. Localized allergic reactions to hyaluronidase were frequent at the doses used. Patients with a history of allergy to bee venom or to the preservative should not be injected. George J. Hruza, MD Published in Journal Watch Dermatology August 9, 2005 References: Vartanian AJ et al. Injected hyaluronidase reduces restylane-mediated cutaneous augmentation. Arch Facial Plast Surg 2005 Jul/Aug; 7:231-7. Original article (Subscription may be required) Medline abstract (Free) The Leading Injectable Centers of the World® Quality in Beauty Non surgical procedures like Botulinum Toxin and dermal filler injections show significant growth in popularity. Done with approved products, in a medical facility by a well trained injector side effects or complications still occur, but are relatively rare.
The rejuvenation and aesthetic industry is a very profitable and interesting market with great appeal not only for licensed medical professionals and producers who can guarantee your safety, comfort, satisfaction and proper follow up. Some alarming facts: - Bad injectors, some with no medical background offering treatments - Treatments offered outside a proper medical practice - Dangerous fake products and even “do it yourself” kits are offered with high discounts or at very competitive rates This contributes to a significant increased risk of unwanted results and side effects., that can ONLY be treated in a well equipped medical facility by a trained and experienced professional for several reasons: - injected with (unknown) substance can only be detected, traced and removed with special equipment only available in a medical facility - a proper diagnose of the problem and possible solution and correction treatment can only be offered by a skilled, trained and experienced professional - experienced and trained physicians most often received a special training how to deal with (rare) side effects / complications and have standard operational procedures (treatment guidelines) in place how to solve the problems that may occur. Some even are specialized in treating complications and can offer additional services. The best advice is to avoid all the mentioned alarming facts to prevent problems and to ensure your safety, comfort, satisfaction and desired results. In case you are a “bargain” victim suffering from complications or you are not just not satisfied with the results, you will most certainly will find the best solution offered by an experienced injector working in a well equipped medical facility with special treatment guidelines for complications. Read more about related topics in my other blogs: Increase injectable satisfaction: Click here 9 things to consider before botulinum toxin injections: Click here The Leading Injectable Centers of the World® Quality in Beauty Not only do women start to age earlier than man, they also start to lose their facial femininity. The volume loss through changes in the skin and facial bone structure can result in (for example) wrinkles, sagging skin, hollow cheeks, hollow eye sockets giving women a more male appearance. These undesired aging effects can be treated safe and effective with injectables, like botulinum toxin and facial fillers. Botulinum toxin relaxes the muscles and reduces wrinkles. Facial fillers decrease fine lines and deeper creases, filling them up and/or provide volume and support where wanted. Injectables can even be used for a (liquid) non surgical facelift with reversible results, since most often no permanent products are used. Many excellent and approved treatments options are currently available, some with lidocaine (to reduce pain) or even antioxidants (to protect your cells against the effects of free radicals).
For more information about precautions, aging, botulinum toxin or facial fillers please check our other blog posts and always make sure you book your treatments with an experienced, well referenced and skilled professional to ensure the best quality, advice and results. The Leading Injectable Centers of the World® Quality in Beauty References and more reading: Aging facial bones cause wrinkles: Click here Dermal fillers effective in sun damaged skin: Click here Botox: Click here Increase injectable satisfaction: Click here 9 things to consider before botulinum toxin injections:Click here Martin Johannes Koehler, Karsten König, Peter Elsner, Rainer Bückle, and Martin Kaatz Optics Letters, Vol. 31, Issue 19, pp. 2879-2881 (2006) http://dx.doi.org/10.1364/OL.31.002879 The Leading Injectable Centers of the World® Quality in Beauty advise all injectors and customers to use an injectable passport to document the use of Botox® and facial fillers.
The passport can be very helpful for both injectors and their customers. Not only is the passport useful for "traveling" customers, but also to increase the loyalty of your customers. The passport provides necessary customer history increasing their safety, since not all products can be combined. Side effects can occur in case of not reported earlier injectable use. The passport can also provide your customers with advise when they best could come back for a Botox® or filler "touch up" for maximum and long lasting results and evaluate what product, dose and dilution provides the most satisfying results. The passport should contain at least the following information: 1. Name and address customer and insurance specifics 2. Name and address injector with emergency telephone number 3. Date use product (and expected duration (for example in case of Botox® 4-5 months) 4. Reconstitution / dilution information product used 5. Areas treated and units used 6. Other materials or products used 7. Allergies or sensitivities customer - or relevant history You can even add pictures, a customer loyalty program or pre planned appointments for follow up or "touch ups". For safety, advise, satisfaction and loyalty use an injectable passport. The Leading Injectable Centers of the World® Quality in Beauty For more information about us send your request to [email protected] MD Skin Solutions Introduces Versatile Solution For Wrinkles And Volumizing Ilya Petrou, M.D. Pluryal® from MD Skin Solutions (Luxembourg), a new hyaluronic acid dermal filler offering a one-two punch, has entered the aesthetic market. This next-generation product not only addresses all types of age-related wrinkles, but is also useful for deeper lines where significant volumetric corrections are needed.
Based on P.R.E.M.I.U.M. (Pure, Reticulated, Elastic, Monophasic, Isotonic, Ultimate Ergonomics and Maximum Remanence) technology, this novel dermal filler fulfills all the required European standards, guaranteeing safety, durability and efficacy. Pluryal is not only ideal for wrinkles, but also for deep volumizing and augmentation treatments such as in the cheek, chin and/or lip areas. According to Thomas Rappl, M.D., a plastic surgeon in Graz, Austria, “This is a unique dermal filler that has an optimal concentration of hyaluronic acid (23 mg/ mL) and a distinct structure, which explains the durability of the aesthetic results seen in my patients. Moreover, the product is packaged in a user-friendly ergonomic syringe for maximum comfort and control during the injection.” Composed of a non-animal, pure hyaluronic acid, Pluryal is cross-linked with BDDE, a well-established and safe crosslinking agent. Its unique manufacturing method eliminates all residuals and compounds(i. e. proteins, endotoxins and BDDE) after the cross-linking process. Available in two strengths, Pluryal and Pluryal Volume have proven effective for most aesthetic indications, adding a simplistic approach to dermal filler treatments. “Today’s aesthetic market is inundated with various dermal filler products that can be optimally used for specifi c target areas,” said Dr. Rappl. “The beauty of Pluryal is that the two strengths can address most of the indications encountered in your practice.It is much easier to work with two products for your aesthetic indications than a range of several different products.” Dr. Rappl noted that the results achieved with Pluryal typically last from 6 to 12 months depending on the treated area and the individuals, which is comparable to the leading hyaluronic acid dermal fillers currently available on the market. “The significance of Pluryal products is that they possess very high viscoelastic properties making the results more natural and more durable than other hyaluronic acid dermal fi llers that do not have this high viscoelasticity,” he explained. Adverse events associated with Pluryal are the same as any other dermal fi ller on the market and can include bruising, edema, erythema and swelling after injection, all of which typically dissipate 24 to 72 hours after treatment. However, according to Dr. Rappl, many of these adverse events can be kept to a minimum if the injector has an in depth knowledge of the facial anatomy and makes a proper analysis and evaluation of the treatment area. “In my experience, the rate of injection and the use of topical anesthetics or regional blocks can help minimize bruising and hematomas at the injection site. Also, gently massaging and cooling the target area right after treatment may help to avoid swelling and edema,” Dr. Rappl shared. These useful pearls are especially true in treatments where a replenishment of volume is the aesthetic goal. Dr. Rappl recommends the use of soft cannulas to considerably minimize typical adverse events and increase the patient’s comfort during treatment. “Having one versatile dermal fi ller product (Pluryal) and one product for volumetric corrections (Pluryal Volume) makes it easier for physicians to manage their inventory – two products for all indications. In my opinion, Pluryal offers a simple, transparent and effective solution for aesthetic physicians and their patients,” Dr. Rappl concluded. More information: http://www.pluryal.com/ |