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...
SIX Reasons to Train in Aesthetics

SIX Reasons to Train in Aesthetics

Interested in taking the plunge and delving into the arena of Aesthetics? Need a little bit more convincing? We get it! That’s why we’ve put together SIX irresistible reasons to give you that nudge we know you’re looking for!   1) Global medical aesthetics is expected to reach USD 26.53 billion by 2024 from USD 10.12 billion in 2016. In other words you would be investing in a future within an industry that is ultimately – booming. 2) The opportunities just keep on coming. Once you finish and pass your course, you’re immediately certified in the use of Anti-Wrinkle Toxin and Dermal Filler. With adequate insurance, you are set! You could start up your own private clinic or partner with a local salon, whatever you think is best. Heck you might even want to consider a ‘mobile business’ bringing your services to people in the comfort of their own home! 3) Mannequin heads only go so far. At Visage Academy we offer simulated clinics with REAL patients as part of our courses. The opportunity to practise all treatments (Anti-Wrinkle Toxin and Dermal Filler) on real patients is second to none and will put you in good stead for the future. 4) Lucrative profit margins. The amount commonly charged by practitioners for treatments is more than double the cost necessary to purchase Dermal Filler and Anti-Wrinkle Toxin. 5) You can count on us. It’s not as if once you complete your training we say our goodbyes and you become nothing but a name on our archive records. No no no, we recognise the need for on-going support and guidance, this...

Large Swelling Immediately After Dermal Filler Treatment

Imagine that you have just injected a patient’s lips or cheek. Suddenly, the area swells up like nothing you have ever seen before. It’s an unfamiliar sight… you panic… you vaguely remember about some of the rare but catastrophic complications of dermal filler. You reach for your emergency filler pack. Should you do that? Are you sure? Skin ischaemia is now a complication of dermal filler treatment that most practitioners are aware of but thankfully, few have experienced it first hand. With an estimated incidence of 1 in 1 million, in an industry still experiencing record growth rates, the occurrence of dermal filler related skin ischaemia and many other complications are bound to increase. Haematoma formation (a large, swollen bruise) is another, more common and less severe complication of dermal filler; one that differs from skin ischaemia is almost every possible way, is frequently being misidentified as skin ischaemia by aesthetic practitioners from various medical and non-medical disciplines. Whilst it is vitally important that aesthetic practitioners identify skin ischaemia and take action if they suspect this, it is also important that misdiagnosis is avoided so that perceived rates of skin ischaemia are not inflated and that unnecessary stress is not brought upon these practitioners and their patients. So, what’s the difference? Ischaemia would be white and painful and not associated with swelling. If you see swelling develop before your eyes, you may have hit a blood vessel, causing a haematoma / large bruise. It may not look discoloured like a bruise *YET*, but this may just be because the bruising is so deep that you can’t see it through...

Lipstick Lines (Smoker’s lines): A Quick Guide for Practitioners

Lipstick or ‘smoker’s’ lines can be tricky to treat. They are relatively difficult to access because the nose gets in the way, and it’s difficult to get yourself and the patient into a comfortable position so that you can concentrate on the treatment itself AND when you’re finished, initially, the lines may look worse than when you started! So how do you do it? Lipstick line filler gives ok results if done well. It’s tricky. I recommend using strong anaesthetic gel as it’s a tender area. It can also bruise; remember that each time you insert the needle, you cause more trauma. If the lines are below the nose, approach from below if the lines are lateral to the nose, approach from above. Use a max of 0.4 ml for top lip lipstick lines. If you try a treating a line twice and it still hasn’t lifted, it’s probably better to leave it rather than risk giving them a thickened top lip. Avoid injecting into the lip (i.e. Below the vermilion border), to save on causing unnecessary swelling. Mould the area afterwards to limit the lumps that you leave behind. Be aware, and advise the patient before you start, that initially the lines may look WORSE as they will be highlighted by pink / redness, from the injections themselves. Reassure the patient that on covering with their regular makeup regimen the following day, the true effect of treatment will be seen. I use Dermal Revolution (DERM) now for lipstick lines, but again, remember that no-matter what product you use, apply a strong anaesthetic gel liberally before...
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.  ...