fbpx
Can my Client on Immunosuppressants get Botox or Filler?!

Can my Client on Immunosuppressants get Botox or Filler?!

We have the general day-to-day Q&A’s as practitioners, prime example being “I’m pregnant, is it safe for me to have botox treatment?” but then every so often we stumble upon clients in slightly more rare circumstances than the usual and it’s why we have a thriving practitioners group on Facebook where expert opinions, advice and knowledge is shared from practitioner to fellow practitioners. Recently someone posted the following question: Can a patient on immunosuppresants for a kidney transplant, receive botox and / or filler? We think this answer to this case, although rare, is something that is worth sharing outside of the group, so here it is! The issue with this clients situation is that they are on immunosuppressants to stop their body rejecting the transplanted kidney. From the outset we know Botox isn’t an issue – we don’t think many practitioners would disagree with that. However, Dermal Filler treatment is potentially an issue as it remains in the body for 6-18 months, depending on the product and the area injected. If an infection develops with filler, it can be tricky to treat, requiring several strong antibiotics for a long period. Filler infection is fairly rare, but I  have seen it twice and it can be difficult for the patient to cope with because of the side effects to the antibiotics and due to the fact that the face gets inflamed which can’t be covered up. Being on an immunosuppressant makes it more likely that they could get an infection. So in summary, we say – yes to botox and maybe to filler. As a practitioner it’s essential to...
The Nefertiti Facelift & Working with Platysmal Bands

The Nefertiti Facelift & Working with Platysmal Bands

Did you know that you have four Platysmal Bands? You have two on each side. What are Platysmal bands? Wikipedia describes Platysmal muscle this way – “The platysma is a superficial muscle that overlaps the sternocleidomastoid”… The platysmal muscle covers the upper part of the chest and shoulders rising to the sides of the neck. So now that we’ve cleared that up… we can imagine the process of aging in this area which is situated below the jawline and along the neck area. Usually we picture the aging process as the skin ‘drooping’ and loosing elasticity. However the same is not to be said about the Platysmal Bands – these bands actually tighten over time which forms prominent lines at the front of our necks. Enter the Nefertiti Facelift. It is most common for only one or a couple of the bands to become more prominent, causing the tenting out at the neck which affects the cervico-mandibular angle (the angle of your chin to neck). So how do we treat this problem area for so many? We hear from Dr Michael Aicken, founder of as well as trainer and practitioner at Visage Aesthetics U.K. – First up:  “Ask your patient to tense up and relax from the sides and identify which one(s) are causing the issue…” Next:  “Inject Botox down the muscle band, directly into it by grabbing it like a rope between your finger and thumb. No anaesthetic cream is best as then it isn’t slippy,  (this area is not usually tender anyway). 4 units Botulinum Toxin (Allergan) or 5 graduations of a 1ml insulin syringe if you trained with Visage Academy / Dr Aicken...
Visage Stories #FindYourGlow

Visage Stories #FindYourGlow

Find Your Glow With Visage Aesthetics UK We are looking for training patients to receive low-price Botox and Dermal Filler treatments on our courses in Central London which will be held on the 15th, 16th, 18th and 19th of May. Founded by Dr. Michael Aicken, Visage Aesthetics offer training in Aesthetic Injectables administration to professionals via the ‘Visage Academy’ Supervision and teaching on the course is with Dr Michael Aicken who has 10 years experience in the use of Botox and Fillers. Dr Aicken has been training other professionals for 8 years in London and Belfast. The Visage Academy Diploma offers a chance to receive treatment at discounted prices.. As the syllabus calls for a ‘stimulated clinic’ with real patients, we are looking for those interested in receiving low-cost treatment as part of our training course. We also offer a referral system – if you refer a colleague/friend to us, you will both receive a £20 M&S Voucher. Price difference: £40/area Botox £80/ml filler For comparison a private appointment with Dr Aicken in east Belfast would be £190 for 1 or 2 areas Botox, £285 for 3 areas botox. Filler: £300 for 1st ml, £200 / ml thereafter in same consultation. Interested? BOOK HERE Gerardine’s Story “Ruth and Mike are amazing, kind, caring and very approachable. They have always made me feel welcome and from the very start they reduced any anxiety I had about having the procedures. Now I have complete faith and trust in Visage – their professionalism, their vision and the services they provide. I with them every success.” Gina’s Story “Dr Aicken and his wife...

Dermal Filler Doses – Article in Aesthetics by Dr Michael Aicken

Dr Michael Aicken, founder and course director of Visage Academy has this month written a detailed article published in Aesthetics Journal. This article touches on what doses of Dermal Filler should ideally be used in different situations. We have made this article free for our Visage Academy blog readers and can be viewed below with the permission of Aesthetics Journal who we recommend strongly for your CPD requirements.  ...

Biofilms

The concept of hygiene and infection risk is something we cover during our training and we try and develop good aesthetic hygiene practices for our trainees. In Aesthetics this month there’s a CPD module on the concept of biofilms and what that means for you as an Aesthetic clinician. The author of the article has laid out in detail what a biofilm is and worryingly the role that research is suggesting that biofilms play in the development of post treatment complications with dermal fillers. This effect is more prevalent in repeat customers who have had many treatments before. Simple hygiene and good aseptic techniques are all that you need to hopefully prevent biofilm complications. Here is a brief extract from the article from Aesthetics, written by Dr Samizadeh: https://aestheticsjournal.com/cpd/module/biofilms ” The increase in demand and popularity of injectable dermal fillers for aesthetic enhancement has increased the incidence of complications. Improper or inadequate disinfection of the skin, poor injection technique, presence of potential pathogens, (e.g. the patients’ own microflora such as Propionibacterium acnes, Staphylococcus epidermidis, and mycobacteria), injection in presence of previous permanent implants and reduced immunity increase the risk of bacterial infections. Biofilms form when bacteria adhere on the surface of the temporary or permanent implants and aggregate into communities that are physically joined together and become resistant to antimicrobial therapies and the immune system. Diagnosis and developing effective treatment of the biofilm is crucial in aesthetic practice. Even when experienced clinicians inject dermal fillers, they can cause various inadvertent reactions, ranging from minor and self-limited responses to severe complications. As such, there is an essential need for prompt...

In this month’s Aesthetics journal, former Visage Academy trainee Dr Rupert Critchley has written a very detailed and informative piece on smile enhancement. Definitely worth a read in your professional development time. See pages 32-33 Link Here to article Gareth Visage...