Specialty SkinCare I I

Specialty
Official Publication of the
S O C I E T Y
O F
SkinCare
Pamela Hill, RN, Editor
P L A ST I C
S U RG I C A L
S K I N
C A R E
Winter 2016
S P E C I A L I STS
Cutaneous Immunomodulation:
A New Frontier in Cellular Regeneration
I
From the Editor’s Desk
I
Pamela Hill, RN
t is hard to believe that winter is
almost here. This newsletter has a
wealth of information for the aesthetician
and aesthetic nurse. I can’t really tell
you which one to read first, as they are
all terrific articles with a variety of
information.
In the main office, Missy and Janet
are working hard on the meeting in Las
Vegas. As well, your Board of Directors
have been contacting and arranging
some very informative speakers. The
dates are March 31–April 4, 2016 at
the Mandalay Bay Hotel in Las Vegas.
We are hoping for a big turnout, as
Las Vegas is easy to get to and a fun
town with outstanding restaurants and
shows to fill an evening with
excitement! If you haven’t been to a
Continued on page 14
Raising the Stakes
in Skin Care
LasVegas
Daniel M. Clary, L.E., C.O.E.
t has been well over 40
years since the aesthetic medicine
industry, as we know it today,
became a unified establishment
with a singular purpose: to make
the skin look, and hopefully
behave, like it’s younger self.
However, in our beautification
efforts, have we inadvertently ignored skin
structure and function, and created a model
of theoretical cellular regeneration that has
no long-term sustainability to the health of
our skin?
To fully understand the relevance of
this concept, it is essential we start at the
beginning of a movement whose ideology
has remained mired in an antiquated
understanding of skin physiology. The
general consensus on cellular senescence is
that aging, by definition, is a progressive
accumulation of damage at the molecular
and cellular level. Barring any chronological
and genetic factors, it is extrinsic aging that
the movement in question was founded.
When the integument is exposed to harsh
environmental aggressors, including but
not limited to, UV overexposure, chemical
toxins, carcinogens and pollutants—
a cascade of biological processes are
Continued on page 14
SPSSCS Board of Directors 2015–2016
Nina Spadaccino
Donna Erb
Shay Moinuddin, MHA, RN, CANS
Secretary/Treasurer
Member-At-Large
Lizabeth Clouse, RN, CPSN
Susan Eldridge
Karen Menard, RN
Cindy Steele, LA, NCEA
Pamela Hill, RN
Elena Reyes-Nelson, C-RMA, RST
President
Member-At-Large
President-Elect
Complete Program
Information Inside
activated that become the
catalyst to the acceleration of
the aging cell. The mechanism of
action pioneered in the late
1960s to rejuvenate classically
aged skin was based on the
premise that further injury of
this damaged tissue, and it’s
subsequent wound healing response, would
provide a method of cellular regeneration
that, in theory, was therapeutic enough to
reward a statistically significant change in
its appearance, while being seemingly
gentle enough as to not cause major harm.
What I propose is that the gold
standard mentioned above, actually does
more harm to cutaneous health than good,
as it completely disregards the skin’s most
basic function, to protect and defend. Since
the birth of this aesthetic medicine specialty,
our comprehension of skin physiology has
evolved at an exponential rate. Given this
fact, our approach at treating hallmark
photo aging symptoms has yet to catch up.
The disconnect between mainstream
modality and providing the skin with what
it needs to maintain homeostasis, has never
been more heightened.
Member-At-Large
Vice President
Parliamentarian
Craig W. Colville, MD
ASAPS Advisor
Renato Saltz, MD
ASAPS Advisor
Immediate Past President
SPSSCS Central Office • 11262 Monarch Street, Garden Grove, CA 92841 • www.spsscs.org
562-799-0466 or 800-486-0611 • Fax 562-799-1098 • email: info@spsscs.org
1
THE PRESIDENT’S MESSAGE
Nina Spadaccino
T
he cold
winter months
bring more than
just a healthy rosy
glow to the cheeks.
Uncomfortable
dryness, flaking
and cracking can
occur to the skin if not properly treated.
Now is the time to prepare your patient’s
skin for the snow, dry air and freezing
temperatures. Here are just a few tips to
help boost your patient’s winter skin care
regimen.
• Recommend a complimentary “Seasonal
Skin Analysis” to your patients. At that
time, analyze the skin and troubleshoot
their current skin care regimen by
recommending products that can help
shield the skin from the winter’s assault.
• Recommend an oil-based rather than a
water-based moisturizer. The oil will help
Become a Fan
Search “Society of Plastic Surgical
Skin Care Specialists” to find us.
Save
the
Date
to create a protective layer on the skin
that retains more moisture. You can also
suggest products that contain humectants
that attract moisture to the skin.
Typically, creams over lotions in the
winter months.
• Sunscreen, Sunscreen, Sunscreen!!! The
snow glare and winter sun can be very
damaging to the skin. Recommend your
favorite sunscreen that contains a
moisturizer for extra hydration.
• Don’t forget the hands! With thinner
skin and fewer oil glands on the hands,
drying and cracking is very common.
Suggest your favorite hand cream and a
pair of warm cozy gloves to help protect
their hands.
• Recommend an impressive lip balm and
your patients will be well prepared for
the great outdoors!!!
Stay warm and hydrated!!! ▲
Are You Interested
in Advertising in
Specialty
Skin
Care?
PLEASE CONTACT THE
SPSSCS CENTRAL OFFICE
FOR COMPLETE
INFORMATION
22nd Annual Meeting
562-799-0466
Mandalay Bay Hotel
Las Vegas, NV
OR VIA E-MAIL
MISSY@SURGERY.ORG.
March 31– April 4
2
Karen Menard, RN
Chair, Membership/Mentor Committee
Welcome
New
Members
Rhonda D. Abadie—Metairie, LA
Courtney Albritton, MPA, PA-C—Cedar
Rapids, IA
Chantel Bales—Metairie, LA
Julia Denise Branch, RN, BSN—Greensboro, NC
Talor Coughlin—Nashville, TN
Emily de St. Pierre—Naples, FL
John F. Diaz, MD—Beverly Hills, CA
Angela Gary—Rapid City, SD
Anna Gianardi—Santa Fe, NM
Heidi Glood, RN—Rapid City, SD
Sharon Gordon—Bryn Mawr, PA
Lisa Grollman, RN—Chevy Chase, MD
Alexandra Hildebrand—Wichita, KS
Kelly Imperi—Gainesville, FL
Greta Ledford, RN—Lake Oswego, OR
Cuffie McManis, LE—Houston, TX
Amy Pasion, RN—Chevy Chase, MD
Marlene Pietrocola, RN—Wichita, KS
Ashley Pomerville—Houston, TX
Melissa Qualle—Modesto, CA
Erin Riddle, CIDESCO—Greenville, SC
Meghan Rundell—Birmingham, MI
Elizabeth Stanco, LE—San Jose, CA
Emily T. Stewart, APN—Nashville, TN
Vanessa Willams—Tucson, AZ
Cynthia D. Wood, LPN—Tucson, AZ
Member Profile:
Jennifer Derry
PITTSBURGH, PA
I
never had flawless skin
growing up. Covering blemishes was just a
part of my daily routine. I read through
countless beauty magazines, tried every
product, and mixed up potions to fix my
skin. I loved telling friends and family what
they should be using and wanted to hear
what new thing they were trying. In my
teens I looked at skincare as more of a hobby and never realized it
could actually be my career.
While in college I started working part-time for a prestigious
local plastic surgeon. I was impressed by his surgical skill and the
treatments offered in their skincare suite. I was fascinated by the
facial peels and variety of skincare products. I would offer to be the
guinea pig any chance I got! I graduated with my Bachelor’s degree
in Communications/Marketing and started working full-time at
Radio Disney. I managed to still work part time at the plastic surgery
office on my days off, I just loved being a part of such a great team
that helped people feel better about themselves. My office manager
approached me with an offer to become a permanent part of that
team. She could see that I really felt at home when talking about the
skin and that I had a growing passion for all things related. I decided
to go back to school and get my Estheticians license and start
full-time at the office. It’s crazy where life takes you, but it has been
such a wonderful decision. Nine years later, I am now the Skincare
Manager as well as a participating skincare specialist, and oversee all
our office marketing and promotions.
I SOMETIMES FIND MYSELF THINKING ABOUT THAT YOUNG GIRL
ALWAYS TRYING TO FIX HER SKIN.
NOW I LOOK IN THE MIRROR WITH
THE TOOLS TO NOT ONLY HELP MYSELF, BUT HELP OTHERS.
I have been lucky enough to experience so many advancements
in skincare over the years. From just offering microdermabrasion
and micropeels when I first started, to today, where I am proud
to say our office now performs over ten different types of peels,
microdermabrasion, oxygen facials, body treatments, laser resurfacing,
IPL, laser hair reduction, acne treatments, and coolsculpting in our
skincare suite. I am a huge believer in not only helping a patient
with their skin but educating them as well. I try to view each
patient’s needs individually and create a specialized program that fits
their wants but also their lifestyle. Everyone’s skin is so different, just
like their personalities, so I believe that you need to take all of that
into consideration when making a Patient Treatment Plan. I do have
a special place in my heart for patients dealing with acne or
hormone-related skin issues. We have a tendency to connect and
3
seeing them feel better about themselves makes my job very rewarding.
I really think that is a big part of being successful.
I have been able to apply my college degree by overseeing our
Facebook and Twitter accounts, online blog posts, and aiding in the
design of our practice App. I have also had the opportunity to share
information about skincare through local radio and television
interviews.
I sometimes find myself thinking about that young girl always
trying to fix her skin. Now I look in the mirror with the tools to not
only help myself, but help others.
I am virtually new to the SPSSCS starting in 2011. I have been so
impressed with the people involved and proud to belong to such a
respected organization. I remember coming back from my first meeting
held in New York City. I was constantly reviewing my notes and giddy
to try out and research all the new things I had learned. That is what
makes this career so special, it is always new and exciting. I am happy
to be a part of an organization that shares that passion and drive with
me. ▲
W
Social Media
for Skin Care Promotion
Ryan Miller
ould
you like to
connect better
with your existing patients, retain your best
clients and attract more like them, and play
an active part in the growth of your
practice’s skin care business? Then our
challenge to you is to step up the role you
play in your office’s social media.
Did you roll your eyes? We understand
your skepticism given the early hype
surrounding social media. Marketing on
sites like Facebook and Twitter is a longterm strategy; it can take years to develop
the fan base, habits and skills to tap the full
potential of social media. But we’ve proven
that practices can consistently achieve a
positive return on their social investments
and reap the added benefits of reputation
protection and improved search engine
rankings.
We want you to benefit from the
lessons we’ve learned collaborating with
plastic surgery skin care specialists over the
last decade.
TAKE SOCIAL SERIOUSLY
Social media presents an exciting
opportunity to strengthen relationships
with your existing clients and to attract
new ones. It also comes with risks.
Since social media has become
commonplace in aesthetic practice
promotion, we have seen practices drawn in
to lawsuits, patients accidentally pitted
against well-meaning practices, and staff
members forced to resign after foolish
missteps in social space. How can you
avoid the most common mistakes?
• Distinguish between your personal and
professional social media activities, and
take care never to mingle the two.
• Respect patient privacy, always follow
HIPAA guidelines, and secure consent
before posting content.
• Be clear about who is allowed to post in
the name of the practice, and the type
and tone of your content.
• Identify which posts should be escalated
to the attention of the medical director
or practice manager.
We don’t want to scare you, but
beneath social media’s casual, friendly
exterior lies a great deal of power that must
be wielded carefully.
WHAT’S WORKING FOR SOCIAL SKIN
CARE PROMOTION
Practices succeeding with social media
are mindful of more than its risks. Our
clients who find the most success with
promoting their non-surgical services
through social media have these things in
common:
• They post consistently and at least 3
times a week
• Their posts routinely feature photos and
videos of the doctors, patients and staff
• They actively reply to comments,
reviews and messages
• Their posts are dominated by engaging
and informative content rather than
self-promotion
These practices don’t have staff
dedicated to social media and they don’t
have more free time than you do. They
have simply found the right inspiration and
mastered tools that streamline their weekly
social media contributions.
INSPIRATION AND TOOLS TO
SIMPLIFY POSTING
Today there are 2 types of content that
seem to outperform all others: photos and
videos, specifically those that showcase
staff or patients (with consent of course).
So keep your iPhone handy and refer to our
8 favorite ideas the next time you feel at a
loss for posting inspiration:
• Celebrate staff milestones (birthdays,
anniversaries, and certifications)
• Show staff or patients receiving
treatments or during follow-up visits
• Share staff life events (travel pictures,
wedding photos, photos of new babies)
• Capture moments during tradeshows or
industry training events
• Highlight your favorite products and
treatments (don’t forget to discuss
candidacy, benefits, or the best
applications)
• Repurpose before-and-after images and
testimonials
• Answer a question you were asked in
consult
• Address hot topics or misinformation in
the popular press
Continued on Page 14
44
Three Vital Reasons for Creating the Right
Before-and-After Photos
Cheryl Whitman
T
here are three vital reasons for
creating the right before-and-after photos
for your website, and for in-practice photo
albums. Each of these reasons help bring
more business into your practice, and create
more satisfaction among patients. In today’s
intensely-competitive aesthetic market, the
importance of having the right photos
cannot be overstated.
REASON ONE: CREATING TRUST
For any practice, the most important—
and the most risky—patients are first-time
patients. They don’t know what they’re
getting into, or what to expect. Not having
been treated by the physician, their
insecurity over having a first or another
aesthetic procedure is compounded by their
fear of the unknown… doctor.
Consults are trust-building, but if a
prospect hasn’t been pre-sold by either a
family/friend recommendation or by the
practice website, they may not show up at
all. An exceptional set of before-and-after
photos is a remarkable trust-builder,
because, done right, it shows the doctor at
his or her best.
However, most websites fail to deliver
on “done-right” before-and-after photo
galleries, usually by “glamming it up”—
using clothes, hair-styling and cosmetics to
artificially “enhance” the “after” photos.
When people see through this, trust is
significantly eroded.
In Hollywood, each movie or television
production company has someone on-set
who is responsible for what’s called
“continuity”—to make sure that scenes shot
at different times and dates match up. The
actress is in the same position on the same
set, and she has the same hair-style, the
same clothing, the same make-up and the
same accessories.
Take a page out of the Hollywood
playbook and have someone with a
discerning eye make very sure that the
ONLY difference between “before” and
“after” is the results of the procedure.
Background, clothing, hair and make-up,
lighting—all must be the same, with only
the procedure highlighting the difference.
That comes across as honest, and it
builds credibility.
Two other things you can do is write a
sentence or two with each before-and-after,
noting the problem—and the solution. This
helps prospects better understand what was
done, and why. The other credibilitybuilder—though not always possible—is to
have a comment from the patient herself,
praising the results and giving her name. If
she’s willing, don’t list her as “J.R. from
Oklahoma”… but instead, give her name:
“Janet Rankin from Tulsa.”
REASON TWO: MANAGING
EXPECTATIONS
One of the most significant challenges
with new patients is helping them to
realistically see what is possible—and at
least give her a hint of what is not possible.
In sales, and in aesthetics, it is far better to
deliver more than the patient expects, rather
than over-promising and under-delivering.
Effective before-and-after photos allow the
doctor to manage expectations during the
consult, by pointing out what is possible,
while explaining what is not possible.
REASON THREE: ASSISTING PATIENTS IN
DECIDING WHAT THEY REALLY WANT
Some patients think they want the
moon, the stars and the sun—they think
they want an extreme aesthetic makeover. However, an effective
before-and-after gallery or
photo album allows the
doctor to sell the “less is
more” approach to a more
natural kind of aesthetic
procedure.
This may should like “managing
expectation (Reason Two), but it is
both different and vital. Before
receiving an aesthetic procedure,
the patient should know what she
really wants, so she’ll be thrilled
when the doctor actually delivers
on the treatment promise.
55
CONCLUSION
Creating trust is obviously the most
important pre-sale step any doctor must
take. Prospects who don’t “trust” are
unlikely to become patients—and for good
reason. While the consult is the ultimate
arbiter of trust—where the doctor uses his
or her charm, experience, empathy and
understanding to create a sense of
confidence and trust—without a beforeand-after gallery that will help persuade the
prospect to call for a consult, business will
be lost.
In marketing, this is known as
“opportunity cost”—the business and
patients you lose when a prospect doesn’t
call for a consult. A strong before-and-after
that is believable, credible and truly
informative will overcome the risk of
incurring a punitive “opportunity cost” and
strengthen your practice as a business. It
will create satisfied clients—and that, in
turn, creates both return business and
valuable patient-to-prospect referrals.
The information found in this article is based on
a fuller discussion of this issue found in the latest
edition of Cheryl Whitman’s ground-breaking book
on marketing and managing aesthetic practices,
“Beautifully Profitable/Forever Profitable,” available
from Cheryl’s website www.beautifulforever.com or
from Amazon.com. ▲
Don’t Be Afraid of the Dark
Pamela Springer
T
he
population of the
United States is
rapidly become more ethnically and racially
diverse. Aesthetic medicine providers are
now faced with a growing population of
rapidly changing complexions looking for
surgical and non-surgical treatments.
The concern is many providers in their
initial training have not been exposed to
skin assessments based on observation
and quantitative methods to support
implementation of advance treatment
modalities.
SKIN ASSESSMENT
There are many dermatological studies
being performed on the structure, as well as
the function of skin of color. With the
blending of races, it has become impossible
to see where white skin ends and the darker
skin begins. Progress is being made, during
the last two decades to better understand
the mechanisms that regulate skin color
differences. Research shows that some of
the obvious factors of darker skin are that
it is smoother and firmer to the touch,
appears to age less radically than white
skin, showing fewer wrinkles in middle age,
and has a resistance to dermal elastosis,
when exposed to ultraviolent radiation.
The following is a short overview of
skin of color vs. white skin physiology
provided by researchers attempting,
through ethnic-related skin research, to
achieve a better understanding of the
different responses of global skins.
Epidermis
• Stratum Corneum—Even though the
stratum corneum equals the same
thickness when comparing skin of color
with white skin, the cells are more
compact with about 22 layers seen in
darker skin versus only 17 cell layers
seen in white skin. There is a higher
rate of lipid content and greater cellular
cohesion, lending to a more resistant
barrier and less permeability to certain
ingredients.
Some studies showed a greater increase
of transepidermal water loss (TEWL),
especially in climates with high humidity.
The areas TEWL was seen mostly was in
the face, scalp, forearm, back and inner
thighs. When compared with lighter
skinned Caucasian, Hispanic and Asian—
darker skins spontaneously desquamated
and had the lowest amount of ceramides
in the stratum corneum with Asian skin
having the highest. Also noted was
pigmented skin had a lower pH when
compared to other skin types. This may
be in correlation to the excessive dryness
seen in darker skins due to TEWL.
6
• Basal or Stratum Germinativum—The
process of producing melanin is called
melanogenesis. This begins in the
stratum basale or stratum germinativum,
which houses specialized cells called
melanocytes. Melanocytes produce
melanosomes, the pigment granules that
produce skin color. The number of
melanocytes is the same in all skins,
whether African American, European,
Asian or Hispanic.
To differentiate lightness or darkness,
these cells are genetically coded to
produce a light or dark hue. Those of
European or mixed heritage will have a
decrease in the stimulation and pigment
color in the melanosomes and will
produce skins of lighter hues. Individuals
whose ancestral backgrounds are found
in regions that have extreme UV
exposure are predisposed to an increased
production of concentrated pigment cells
and will produce skins of darker tones.
This high concentration of melanin in
darker skin tones has the ability to
produce excessive amounts of pigment,
following trauma.
SPECIFIC SKIN CHALLENGES
While the general population requires
anti-aging products, the Global Skin tones
IV–VI consumer requires specific products
formulated to eradicate or diminish
excessive melanin deposits. Other common
conditions are dry, rough skin, generally
called “ashy skin” and pseudofolliculitis
barbae, known as razor bumps.
High melanin content helps to protect
skin of color from solar skin conditions and
environmental aging. As a result, these
disorders are not always a major concern
for pigmented melanin-rich skin. Common
pigmentary disorders stimulated by heat,
irritation, trauma, chemicals, medical
conditions remain the hallmark of skin of
color. In many cases, melanin inhibitors
such as hydroquinone, arbutin and kojic
acid are used to target tyroinase, the key
regular of melanin production. However,
these inhibitors of tyrosinase may lack
the efficacy due to the more compact cells
and thicker cell layers seen in darker skin.
For deeper penetration of these inhibitors,
removal of cohesive layers should begin
with an enzyme that will reduce the
corneocytes without stripping the
protective layer.
The mechanism of the stratum corneum
provides the first line of defense in
relationship to shielding outside elements
from entering the body. Although there are
different responses to irritants in different
ethnic groups, the myth is that skin of
color is less prone to irritation than white
skin. When removing the outer layers of
the stratum corneum, skin of color was
found to have an increased irritancy level
to certain chemicals. Ingredients with
“moisturizing” abilities and which are
gentle to the skin, relieves irritation. It is
important to use product elements that will
not cause disruption of the skin’s barrier
function.
HOME CARE MANAGEMENT PRODUCTS
Skin of color becomes highly reactive
to certain surfactants found in cleansers.
They remove the outer layers of the
stratum corneum and increase the irritancy
levels. The high detergency of sodium
lauryl sulfate and ammonium lauryl sulfate
tends to leave Asian and darker skins
acutely dry. It’s important to recommend
cleansers that visibly lift dirt, oil and
impurities while pulling in hydration and
other nutrients into the tissues. Products
formulated with topical niacinamide,
the skin’s barrier becomes more
resistant to the damage caused by
destructive agents, such as sodium
lauryl sulfate.
Lotions work well with any
short-term irritation; however lotions
generally are more aqueous with
low oil content. Any long-term
inflammation, such as contact
dermatitis, caused by the exposure to
surfactant solutions, responds best
with oil-base ingredients traditionally
used in creams and ointments. A
survey reported by the Medscape
Dermatology reported dermatitis is a
common dermatologic diagnosis in
black and Asian patients when compared
to white patients.
The acid mantle repair process can
take from 2 to 4 weeks with the proper
professional protocol with the use of
enzymes, and hydrating ingredients.
An occlusive moisturizer is needed to
lock the hydration into the skin. These
products must be included in the overall
treatment plan prior to a chemical
peeling agent.
SUMMARY:
Defining the difference in darker
skin physiology has been difficult.
Demographics have changed considerably
over the past 50 years, but with the
increase of a multi-cultural population,
product formulators are researching
the genetics and physical differences
of melanin-rich skin in comparison
with white skin. A key aspect is in
understanding the complexity of the
melanogensis pathway and the deposition
of pigment within both darker and
lighter skin types. Research has been
limited, but researchers remain
7
optimistic that additional products will be
available targeting the growing needs
of the global community of people with
melanin-rich skin.
What is known about melanin-rich
skin is that the skin is:
• hypersensitive and highly reactive to
certain agents
• prone to large amounts of pigment
particles at an inflamed or irritated site.
• vulnerable to transepidermal water loss
with higher temperatures and humidity
• highly keratinized so there is less
permeability of certain topical agents
• not protected from the sun due to a lack
of diligent compliance
Skin, whether black or white, is a living
organ. Application of penetrating ingredients
will influence or modify the upper layers.
The question is, will the ingredients enhance
the skin, cause a reaction, or do nothing
at all? Ingredient selection, ingredient
knowledge, and ingredient reactivity must
be properly understood before products are
administered to pigmented skins.
Today, aesthetic professionals are on
the cutting edge of a whole new market
opening up to them. Understanding the
methods of skin care and the reactions to
the products you should use on skin types
IV to VI is imperative if you plan to tap
into this growing market. A melting pot
of clients are just waiting and wanting to be
introduced to professional protocols and
products that will reveal and enhance their
natural glow.
Pamela Springer, a licensed aesthetician,
educator and author, is one of the leading experts on
ethnic skins. She trains aesthetic medicine providers
the concept of global skin analysis based on observation,
quantitative methods and modalities that lessen the
potential risk factor for all patients. For the past 20
years, Pamela has invested her acquired knowledge of
this untapped market to research specific ingredients,
formulations and treatments targeting the skin care
needs of pigmented skin. In 2009, Global Skin
Solutions was launched; dermatology tested and
recommended corrective skin care product line. She
believes “Every skin deserves to be flawless!” For
questions or more information on medical aesthetic
provider training: 855-290-5450 or email:
info@pamelaspringer.com. For product information
visit: www.globalskin-solutions.com ▲
I
Get Ready for Skin Care 2016
t’s time to start thinking about
next year’s Annual Meeting in Las Vegas,
Nevada. You want to attend but your
budget is tight. Have you considered asking
your boss for assistance? The idea is not as
unrealistic as you might think. Each year
many of the registration forms we receive
have been submitted by plastic surgeons on
behalf of their staff members. You want to
ask but you aren’t sure how to approach the
situation. You can start by preparing a short
presentation and be ready to discuss the
following:
THE ANNUAL MEETING BROCHURE
Using the brochure as an outline,
discuss the dates of the meeting, the
estimated costs—registration, hotel, flight
and meals—and remember to point out that
there are discounts for early registration.
Review in detail the schedule of
educational courses that will be offered and
how they apply to you and the practice.
HOW THE PRACTICE WILL BENEFIT
Explain the positive impact that
attending the meeting will have on your
level of knowledge and performance. More
education for you means better service to
your clients. Be sure to mention that the
knowledge you gain at the meeting will be
shared with the rest of the staff.
WHO WILL ASSUME YOUR DUTIES
Who will fill your position while you
are away? This will be of concern to your
boss so have a plan in place. Who fulfills
your obligations when you take a vacation?
Perhaps you could suggest making similar
arrangements.
Keep in mind your boss’s perspective
and that he or she is in business to make a
profit and that any investment is made with
anticipation of a return. As you discuss the
above items, think in terms of ‘return on
investment’. The knowledge you bring back
and pass on to your clients and staff will be
the ‘return.’ It doesn’t hurt to ask. If your
boss says ‘No’ you’ve lost nothing, but that
possible ‘Yes’ would make it well worth the
effort. Good luck and we look forward to
seeing you in Las Vegas! ▲
Raising the Stakes
in Skin Care
LasVegas
22nd Annual Meeting
March 31– April 3
Post-Meeting Courses April 4
Mandalay Bay Hotel
Las Vegas, NV
SOCIETY
OF
PLASTIC SURGICAL SKIN CARE SPECIALISTS
8
WWW.SPSSCS.ORG
It’s All About the Education and Networking!
T
he Society of Plastic Surgical Skin Care Specialists is pleased to invite all nurses, aestheticians,
office and skin care clinic administrators, and other medical professionals working within the field
of plastic surgical medical skin care to attend “Skin Care 2016—Raising the Stakes in Skin Care,”
our 22nd Annual Meeting. This program encompasses all aspects of skin care management featuring
presentations by your professional colleagues and experts. Sessions will include ample discussion time for
attendee participation. Exhibits displaying the latest advancements in skin care products and services will be
available during breakfasts, coffee breaks, and luncheons.
Skin Care 2016
Learning Objectives
Hotel Information
Additional guest rooms are
available at the Delano and
Luxor Hotels.
The purpose of the activity is to
enable to learner to:
1.Apply scientific principles and
rationale to formulate effective,
results-oriented skin care
treatment programs.
2.Describe practices and behaviors
that will minimize the risks and
liabilities of skin care practice in a
medical environment.
3.Employ techniques, recommendations for treatment modalities,
and the use of specialty products
to assist in the treatment of
problematic skin conditions.
4.Integrate proven business
practices and strategies into
your skin care practice to provide
exemplary service and evaluate
its success.
5.Recognize plastic surgical skin
care as an integrative therapy to
enhance plastic surgical patient
care outcomes.
Exhibits Available
During our breakfasts, lunches
and breaks, make time to visit all
the exhibits and hear about the
latest products and services
available to benefit your practice.
Hotel reservations may be made
through the Society’s website:
www.spsscs.org/hotel.
All meetings will be held at:
Mandalay Bay Hotel and Casino
3950 S. Las Vegas Blvd.
Las Vegas, NV 89119
702-632-7777
Book your room reservations
early! The reservations
deadline is March 8, 2016 or
until the room block is filled.
The Importance of WHY!!! An educational journey
presented by Michelle Cox Turley
Did you know that
research shows
people with the
highest quality of
knowledge are the
ones who routinely
ask, “Why?” Did you
know that knowing
WHY dramatically
affects where you
begin and where
you end in business
and in life? And,
discovering WHY can give you
exactly what you want and how you
want it?
Keynote Speaker, Michelle Cox
Turley, has been reviewed as,
“inspiring, funny, entertaining and
powerful.” She will take the SPSSCS
audience through a high-spirited
and engaging keynote presentation
where you’ll discover the difference
in the WHY/WHAT/HOW approach
9
to business and life.
Through her talk,
Michelle will lead us
on a journey to
discover how starting
with purpose
dramatically effects
your business
structure and your
patients. Join us
to discover your
WHY and walk away
with a captivating
statement that defines you and
your business.
Michelle has been seen on stages
throughout the US and Canada as a
speaker and entertainer. Her unique
experience as a stage performer and
motivational speaker combined with
23 years as a medical skin care specialist will give the SPSSCS audience
a unique, powerful presentation that
teaches, informs and entertains.
PRELIMINARY PROgRAM
Thursday, March 31
8:30 am – 12:00 pm
Board of Directors Meeting
9:00 am-6:00 pm
Registration Open
1:00 pm – 5:00 pm
OPTIOnal PRE-MEETInG COURSES
(Ticket Required)
6:00 – 9:00 pm
Industry Symposium Hosted
by Galderma—learn the artistry
of lyft to lips
Please join the galderma Aesthetic &
Corrective team as expert faculty present
on the injection techniques of our exciting
products, Restylane® Silk and Restylane®
Lyft. Dinner will be provided.
This event is not sponsored or endorsed
by the SPSSCS.
1:00 – 5:00 pm
Microneedling in the Medical aesthetic
Practice
Thomas Hitchcock, PhD
4 hours
Fee: $100.00
Description: For those just beginning to explore
microneedling or those looking to hone their
skills, this course will provide a broad overview
of microneedling, also known as collagen
induction therapy. Modern microneedling has
been practiced for decades, yet has just
recently come into favor in the medical aesthetic
community. This course will cover the history
of microneedling, its mechanism-of-action, the
medical literature, and complementary skin
care. This year’s course will include updated
information from last year’s course.
3:00 – 5:00 pm
no Fear, Just Fun! The Fundamentals of
Cannula Use: Tips, Techniques and
Mantras M. K. Maloney, RN, CANS
2 hours
Fee: $75.00
Description: Making the switch from the use
of needles to cannulas can be an intimidating
transition. As aesthetic practitioners, we are all
used to working at a certain speed. And we are
all afraid of going through what is known as the
“learning curve,” as generally that experience
contains a few negative or difficult outcomes/
obstacles. The evolution of injection techniques
and products is moving at the same speed of
smartphone technology! If you do not keep
pace through education and practice, you are
likely to be stuck in the past, and risk potentially
losing patients. Through the use of video clips,
anatomical PowerPoint slides, and “hands
on” skin simulation stations utilizing cannulas,
M. K. Maloney will introduce some helpful tips
and techniques that she picked up when she
first began to use cannulas. The rationale for
cannula use and size, knowing the right plane
of injection, and the theoretical reduction in
bruising will also be discussed.
Friday, April 1
6:30 am – 5:15 pm
Registration Open
7:15 – 8:00 am
Continental Breakfast
7:30 – 8:00 am
Mentor/Mentee Breakfast Meeting
8:00 – 8:20 am
SPSSCS Presidential Welcome
Nina Spadaccino
8:20 – 8:30 am
Presidential award for Distinguished
Service
Nina Spadaccino
8:30 – 9:30 am
Keynote Speaker Presentation:
The Importance of WHY
Michelle Cox Turley
9:30 – 9:50 am
Secrets of the Stratum Corneum
Daniel Clary, LE, COE
9:50 – 10:10 am
Coffee Break in the Exhibits
10:10 – 11:00 am
Microneedling Update—Clarifying the
Regulation of Medical Devices
Marc Sanchez, Esq
11:00 – 12:00 pm
Melanogenesis: Physiological Pathways
and Treatment Programs
Candace Noonan, LE, COE
12:00 – 12:30 pm
Member Business Meeting
12:00 – 1:30 pm
nA
One Degree—Your Best Successory
Kyle Mills
This is an empowering session to elevate
communication and interactions for impact. In
today’s world, the average successful individual
is exposed to roughly 4,000 marketing messages
each day. We will take a deeper look at how to
strengthen the most powerful tool in medical
aesthetics, word of mouth, by increasing results,
retention and ultimately revenues without
increasing marketing/advertising budgets. Learn
how to identify and strengthen an industry’s,
the practice’s, and ultimately your brand.
nB
How to Start and Grow Your Practice
Kathy Jones, BSN, RN, CPSN
Contemplating starting your own practice? Acquire
the information needed in a step-by-step
approach. Determine your role for the company
to create a balance between administrative and
clinical. Learn what drives patients to your door
and keeps them there. Discover the top 10 low
cost/no cost ways to grow your practice.
nC
7 Best Kept Secrets for Marketing
Cosmeceuticals In Your Practice
Cheryl Whitman
How do you stand out from the competition?
How do you become seen, not only as different,
but better—more creative, more innovative,
more distinctive and more on-target and
focused? One way to do this is to create, brand
and promote proprietary skincare and body
care product lines—ones that not only build
your brand, but also build your ROI. In this
Breakout Session, you will learn how to find the
right product for your patient base, market your
branded or private-label product line, and train,
motivate and compensate your staff.
nD
Understanding and Treating
Photoageing with a Focus on Pre and
Post Operative Care for Better Results
Franck Joly, LAc, MTOM
Learn the secret to enhanced results and patient
satisfaction. Active molecules of Vitamin A
(Retinoic Acid) and Vitamin C (L-Ascorbic acid)
are very challenging forms to use topically
before and after surgery because of their harsh
topical side effects that often make the skin
extremely photosensitive. This scientific presentation will offer you new perspectives on how to
provide your patients with better and safer skin
treatment options, pre- and post- operatively.
2:45 – 3:15 pm
lunch in the Exhibits
Coffee Break in the Exhibits
BREaKOUT SESSIOnS
Peels: Body Parts and Skin of Color
1:30 – 2:45 pm
3:15 – 3:45 pm
John Kulesza
10
3:45 – 4:15 pm
12:00 – 1:00 pm
Inflammaging: Inflammation and
accelerated Skin ageing
lunch in the Exhibits
4:15 – 4:50 pm
goesel Anson, MD
Chiza Westcarr, BSc
Melasma Mystery
Kristy Van Beek, BSc
4:50 – 5:00 pm
Scholarship Winner—announcements
Adjourn
5:00 – 6:30 pm
Welcome Reception
1:00 – 1:25 pm
approach to Skin Care Ingredients
1:25 – 1:50 pm
Don’t Be afraid of the Dark: Reduce
Risk—Enhance Results for Skin of Color
Pamela Springer, LAE, LI
1:50 – 2:20 pm
The aging Male Face
Steve Yoelin, MD
2:20 – 2:30 pm
Saturday, April 2
7:00 am – 5:30 pm
Registration Open
7:30 – 8:00 am
Continental Breakfast in the Exhibits
8:00 – 8:30 am
announcements—adjourn
2:30 – 3:00 pm
Coffee Break in the Exhibits
3:10 – 5:00 pm
SKIn CaRE SPECIalIST
ROUnDTaBlES
1. Microchanneling for the Beginners
Chotsie Adney
The advantage of Introducing Trauma
when Injecting Dermal Fillers
2. Treatment Modalities to Keep
Patients Interested
8:30 – 8:40 am
3. Post laser Regimens to aid in
Patient Healing
Leslie Fletcher, RN
Combination Therapy: Mechanical
Resurfacing with Topical application
Indicated for Melasma/Pigment
Laura McDermott, BIS, LE, MA
Donna Erb
Jennifer Derry
Patrick Sullivan, MD
6. against all Odds: Fighting
Direct-to-Consumer Sales
9:15 – 10:00 am
Tiffany McCormack, MD
10:00 – 10:20 am
Coffee Break in the Exhibits
10:20 – 11:50 am
PanEl: FaT REDUCTIOn
Moderator: Cindy Steele
10:20 – 10:50
laser Body Contouring
Barry DiBernardo, MD
10:50 – 11:20
non-Surgical: Cryolipolysis
Jennifer Harrington, MD
11:20 – 11:50
non-Surgical: Radio Frequency
Miles graivier, MD
11:50 – 12:00
Q&a
At SkinMedica®, an Allergan company, our
vision is to advance the science of skin
rejuvenation by harnessing the body’s own
healing power. Our goal is to partner with
you in delivering remarkable outcomes for
your patients. Please join us to celebrate
the launch of our latest exciting new
innovation! Dinner will be provided, as
well as samples of some of our products.
On-site registration is available: we look
forward to seeing you there!
This event is not sponsored or endorsed by
the SPSSCS.
Elena Nelson, C-RMA, RST
5. How to Correct Scars and Vitilago
Micro Focused Ultrasound
6:00 – 9:00 pm
Industry Symposium Hosted by
SkinMedica/allergan—a new
approach in Topical Hyaluronic acid:
Going Beyond Instant Benefits to
Restore Epidermal Ha
4. Hormonal Skin Issues
8:40 – 9:15 am
How Do We Choose the Best Protocol
for neck Rejuvenation?
• Recognize and identify areas of vasculature
pathways that should be considered when
injecting dermal fillers in order to avoid
complications of intravascular injection and
possible tissue necrosis
• Learn how to avoid, recognize and manage
complications associated with neuromodulators
and dermal fillers
Course includes hands-on injection on
cadaver head
Rose Marie Beauchemin
Jeannine Dabb
7. Diet, anxiety and acne
Cindy Steele
8. Compensation and Discounts
Susan Eldridge
3:15 – 6:00 pm
nurse Injectors’ Cadaver lab
Al Aly, MD
Fee: $150 (Advance Registration Required)
Space is limited—first come, first served!
Must be an RN, PA or NP to register
Course objectives:
• Identify the anatomy of superficial facial muscles, fat pads, arteries, veins and nerves
• Recognize signs of facial aging by noting
areas of volume loss and bony structural
changes
• Discuss depth, function and surface
landmarks for injection of muscles with
neuromodulators
11
“My nurse and three master
aestheticians have attended the
Skin Care Meetings. They benefitted
from them in so many ways, but
especially they learned from doctors,
nurses, and other aestheticians what
works and what does not for skin
care, treating pigmentation and other
skin conditions. They enjoyed the
wide variety of panel speakers, the
multidisciplinary approach to
education and found the
meetings very informative.”
—Renato Saltz, MD—
Past-President, ASAPS
PRELIMINARY PROgRAM
Sunday, April 3
Cosmetic Medicine
2016—The Power of
Cosmetic Medicine:
Skin Care to Fillers
7:30am – 5:30pm
*Educational Bonus
Presented by ASAPS
Featuring Live Patient Demonstrations
8.5 CME Credits
*Included in your SPSSCS registration fee.
Course will be held at the Mandalay Bay Hotel.
Co-Chairs: Michael Kulick, MD and
Z. Paul Lorenc, MD
Presenters: Julius Few, MD, Miles graivier, MD,
John Hoopman, CMLSO, g. Jackie Yee, MD
(Additional Faculty will be added and are
subject to change)
Course Description:
This comprehensive course, designed for plastic
surgeons and those who assist in their practice,
begins with an update on ablative technology
for facial rejuvenation. The faculty will discuss
wavelength vs. method of delivery and the
protocols of single vs. multiple treatments.
A panel will review the complications and
controversies surrounding ablative devices.
Time will also be spent focusing on pre/post
maintenance strategies with topical agents and
their impact on ablative technologies. Attendees
will have the opportunity to participate in the
Technology Rotations which will feature specific
devices. The goal of the rotations is to give
attendees a closer look at relevant devices
and learn specifics for better and safer patient
outcomes.
The afternoon begins with a focus on new
treatment options for rejuvenating the aging
neck as well as a review of. This will be followed
by panel discussion on Safe Injections—What
Have We Learned as well as an opportunity
for the faculty to review what they are doing
differently now vs. one or two years ago. The
Monday, April 4
faculty will review their approach to facial
rejuvenation followed by live injection
demonstrations on specific facial areas. This
includes a focus on lips, perioral rebuilding and
enhancement, options for replacing lost volume
and hand rejuvenation. Each injector will be
challenged by his/her peers to present a variety
of options for their patient and will be ready to
defend their final treatment plan.
Learning Objectives:
1. Critically assess the array of ablative
technologies available and discuss how to
safely and effectively incorporate these into
your practice. 2. Explain strategies that you can use to
incorporate skin care into pre/post and
maintenance protocols with ablative devices.
3. Describe emerging techniques/products used
to rejuvenate the aging neck
4. Identify injection techniques that have
demonstrated safe and satisfactory patient
outcomes for facial enhancement and/
or rejuvenation
5. Implement strategies to minimize and
manage adverse events of facial injectables
including bruising, infection/biofilms, and
lumps and bumps.
Agenda:
• Discussion:
Is it the Wavelength or the Method
of Delivery?
Single vs. Multiple Treatments
• Ablative Devices: Complications and
Controversies
• Factors Impacting Pre/Post Maintenance
Strategies with Topical Agents
• Technology Rotations
• New Options in Neck Rejuvenation
• Safe Injections—What Have We Learned?
• Panel: What I Do Now That I Did Not Do
One/Two Years Ago
• Live Injection Demonstrations
new This Year!
Saturday, april 2
nurse Injectors Cadaver lab
Monday, april 4
laser Safety Officer Certification Course
12
Optional Post-Meeting Courses
laser Safety Officer Training and
Certification Courses
John Hoopman, CMLSO
You must be registered for the SPSSCS meeting
to sign up for these optional courses.
8:00am – 12:30pm
Course 1—Foundations
(pre-requisite to Course 2)
Fee: $795 for Surgeons, PAs and NPs
$595 for RNs, Aestheticians and Staff
This educational program is designed for the
health care provider utilizing medical laser
technology in the care of his/her patient. The
Foundations of Laser & Light program provides
comprehensive base knowledge in laser physics
and laser safety to physicians, nurses and other
healthcare providers who utilize medical laser
systems in the care of their patients. This program
is structured to comply with the Training Programs/
Certification and Credentialing recommended
by ANSI Z136.3, 2011 “American National
Standard for the Safe Use of Lasers in Health
Care” Section 5.2.2 and 5.2.3. The goals of
the Foundations program are to provide
information regarding:
• Various types of medical lasers
• Laser physics and clinical applications related
to surgical and aesthetic use of lasers
• Laser safety issues and the health care
provider
• Regulatory and non-regulatory agencies
and how they relate to the practice
setting (hospital, surgery center, office based
surgery, mobile services) and health care
provider
1:00pm – 3:00pm
Course 2—laser Safety Officer Training
Fee: $445
This educational program provides the useful
tool to establish and maintain a laser safety
program in your facility and/or practice. It is
geared toward helping offices with regulatory
compliance and establishing a documented safe
environment. The Laser Safety Officer (LSO) is
the one person in each facility or organization,
who is responsible for the laser safety program.
This individual has the training and experience
to administer a laser safety program. The LSO is
authorized by the health care facility (HCF)
administration and is responsible for monitoring
and overseeing the control of laser hazards.
*CEs available—provided by XMedica
Nurse Injector Competence Training
Optional Course Offered by ASAPS
Tuesday, April 5
Earn a Certificate of Course
Completion for Neurotoxins
and FDA Approved Dermal
Fillers—Offered by ASAPS
Successful completion of each of these
courses is the first of two requirements for
participants to receive a certificate of
Nurse/Nurse Practitioner/Physician
Assistant Injector—Level 1 Course
Completion and Level 2 Course
Completion. The second requirement is
participation in a physician sponsored
preceptorship for each of the two courses.
12:00pm – 2:30pm
S16a Physician Extender (Rn/nP/Pa)
Injector Competence Training—
level 1—Understanding the Basics of
Injection Techniques with neurotoxins
and Hyaluronic acid Dermal Fillers
2.5 CME Credits
Discounted pre-registration fee: $175
On-site fee: $225
Chair: Julius W. Few, MD
Additional Faculty: Kathy Jones, BSN, RN,
CPSN and Karen Menard, RN
3:00pm – 5:30pm
S16B Physician Extender (Rn/nP/Pa )
Injector Competence Training—
level 2—advanced/Combination
Injection Techniques with neurotoxins
and the array of FDa-approved
Dermal Fillers
2.5 CME Credits
Discounted pre-registration fee: $175
On-site fee: $225
Co-Chairs: Miles H. graivier, MD and
Z. Paul Lorenc, MD
Additional Faculty: Kathy Jones, BSN, RN,
CPSN and Karen Menard, RN
Special Note: Participation limited to RNs,
NPs, and PAs practicing within their scope of
practice under the direct supervision of a
plastic surgeon.
You are eligible to register for this course
without registering for S17A (Basic) ONLY
if you attended an ASAPS Nurse Injector
Competence Training Course held in
either New York (2013), San Francisco
(2014) or Montréal (2015).
Continuing Education for
Aestheticians
This activity has
been submitted
to the National
Coalition of
Estheticians,
Manufacturers/
Distributors &
Associations
(NCEA) Commission on Accreditation
to award CEs for aestheticians.
A NCEA CE is 45 minutes of a
learning activity, either classroom/
theory or demonstration/practical,
journal-based or web-based. Each
approved class will be allocated
the number of approved CEs.
Attendees should only claim those
CE credits that he/she actually
spends in the educational activity.
A completed Attendance
Verification Form and speaker
Evaluation Form must be
submitted for each session
before CEs will be issued.
Continuing Nursing Education
Visit www.surgery.org/meeting2016 for complete course descriptions and
to download a registration form. You must register through The Aesthetic
Society to participate in either of these courses. All courses will be held at
the Mandalay Bay Hotel.
“Each year, I send one or more skin care specialists
to the SPSSCS Annual Meeting and have always been
amazed at the amount of knowledge and enthusiasm that is
brought back. The staff and my practice has benefited greatly,
not only from the physician and industry expert speakers
but also through the networking and sharing
of information with other skin care
specialists in the industry.”
—Craig W. Colville, MD—
13
This activity has been submitted
to the Midwest Multistate Division
for approval to award nursing
contact hours. The Midwest
Multistate Division is accredited
as an approver of continuing
nursing education by the American
Nurses Credentialing Center’s
Commission on Accreditation.
For more information regarding
contact hours, please call SPSSCS
at 562-799-0466.
The maximum number of eligible
contact hours submitted for approval
is 17.91 hours. A completed
Attendance Verification Form and
speaker Evaluation Form must be
submitted for each session before
contact hours will be issued.
CUTANEOUS IMMUNOMODULATION: A NEW FRONTIER IN CELLULAR REGENERATION
Continued from Cover
Historically, our skin was categorized as
simply being a physico-mechanical barrier
between the environment and the body,
contributing no other purpose than serving
as the body’s proverbial brick wall. And,
that two things in particular would turn
back the clock on the aging process:
removal of the compacted layer of surface
corneocytes, thought to be of as non-viable
and “dead,” and to directly injure the
dermal fibroblast in order to stimulate
production of structural protein. We now
know this is far from the truth. This
misconception has been perpetuated to the
point where convoluted marketing practices
have undermined empirical data and
verified skin science.
The skin is the largest organ of the body,
and aside from acting as a literal shield of
armor, it is a powerful immunologic organ,
maintaining and mounting a host defense
system when facing foreign threats and
unwelcome invasion. In fact, our skin has an
estimated 20 billion T cells, outnumbering
the amount in the circulatory system,
proving that the skin’s number one priority
is defense. This, in addition to the billions
of commensal microbes that take up
residence in our skin, part of the collective
microbiome, show that immunosuppression
is not the answer to sustainable anti-aging
methodologies. Disruption of barrier
homeostasis ignites a strong inflammatory
and immune suppressive response, that
when left in a chronic state, leads to an
imbalance in cellular communication,
cutaneous microbiome ecology and
ultimately cellular senescence. This is the
epitome of the pathophysiology behind
aging skin.
It then begs the question, why is
our industry encouraging a cutaneous
rejuvenation approach that injures, suppresses
and forces the skin to make change, versus
supporting and augmenting this immune
organ, in our favor, to ignite a regenerative
and reparative response, void of
inflammation? Inflammation is NOT a
prerequisite to repair, as has been proven
in the embryonic wound-healing model.
Direct injury to the fibroblast is NOT
required to synthesize new structural
protein, as has been proven by cellular
cross-talk, with the keratinocyte being the
appropriate target for stimulation. And the
skin’s barrier has a far more powerful role in
dermal health than previously thought,
with its integrity being vital to the overall
performance, function and homeostasis of
the skin as a whole. When we know,
definitively, that aging is a direct result of
damage, in what context would damaging
the skin further produce an opposite effect?
The most promising research for cellular
regeneration, without insult or injury, leads
us to tapping into the skin’s defense system,
augmenting and supporting its ability to do
what it does best, and maintaining the
viability of microbiome symbiosis with
topical probiotics and additional
immunomodulators.
The skin and the body are remarkable
and fascinating organs that deserve far
more respect than they have been given for
the latter part of the 20th century. Using
targeted skin care technologies that provide
a synergistic and coordinated effort,
affording us a true partnership with skin
function and design, will allow us to finally
break free from industry complacency and
give us the most sensible and sustainable
way to achieve our collective anti-aging
objectives.
Daniel Clary is the Director of Education at
mybody Skincare. Daniel's unique and innate
understanding of the ever evolving skin care market,
combined with a dynamic passion for driving
education, make him a dedicated professional who is
a valuable asset to the beauty and medical
industry. With over 15 years as a licensed
esthetician in the industry, working with some of the
best world-class spas, skin care companies,
laboratories and medical facilities, he has had his
hands in product formulation, menu creation,
designing protocols, and training. Daniel has fostered
a wealth of knowledge that he brings forth through
his education. A natural born entrepreneur, with
altruistic roots, Daniel's business insight, experience
and deep industry knowledge make him an asset to
the mybody team. Daniel can be contacted at
dclary@mybodyskincare.com ▲
14
FROM THE EDITOR’S DESK
Continued from Cover
meeting in a while, this is the one to
choose. The agenda is amazing and we will
have ASAPS Cosmetic Medicine as our
final all day course on Sunday, April 3, as
well as post meeting optional courses on
Monday, April 4, taught by John Hoopman,
CMLSO on Foundations of Laser and Light
AND Laser Safety Officer Training.
We look forward to seeing you there! In
the meantime, have a busy holiday season
and best wishes for a Happy New Year. ▲
SOCIAL MEDIA FOR SKIN CARE PROMOTION
Continued Page 4
What all of these ideas have in
common is you. While a social media
marketing firm can help you, only you will
have access to those candid moments
around the office (and the ability to secure
patient and employee consent).
Even if you’re full of ideas for great
posts, you may still struggle to find the time
to post regularly. Try out our 3 favorite tools
that make managing social media easier.
• The Post Plan: Block 30 minutes at the
beginning of the month to outline your
posts. Theme days like “Throwback
Thursdays” or “FAQ Fridays” get great
responses.
• Canva.com: Use a graphic design tool
like the free www.canva.com to create
professional-looking post graphics in just
minutes.
• Pre-load Posts With Scheduling Tools:
You can use the free scheduling features
on sites like Facebook and Twitter to
pre-load posts and schedule them to
appear on set days and times.
If you are serious about growing your
skin care clientele, let your team know that
you have the interest, and now the insights,
to play an active role in the practice’s social
media marketing.
Ryan is the founder and president of one of the
aesthetic industry’s most respected online marketing
firms, Etna Interactive. With more than 15 years of
experience serving more than 300 aesthetic clinics
worldwide, Ryan is recognized for his expertise in
everything from SEO to social media, reputation
management to mobile marketing. Ryan can be
reached at ryan@etnainteractive.com ▲
SpecialtySkinCare
SOCIETY OF PLASTIC SURGICAL SKIN CARE SPECIALISTS
11262 Monarch Street, Garden Grove, CA 92841-1441 • www.spsscs.org
Staffing thePractice:
I
What a Plastic Surgeon Needs
t wasn’t long
ago that surgery
was everything in the aesthetic plastic
surgery practice. As surgeons, we receive
years of training to develop the medical
expertise and technical prowess required to
deliver safe and effective surgical results.
Frankly, there’s nothing more rewarding.
But the numbers don’t lie when it comes to
just how dramatically the industry has
changed. And by that, I mean non-surgical
treatments—in both availability and
demand.
DEALING WITH THE DEMAND
The volume of non-surgical business
we see in our practices is nothing short of
outstanding. There were more than 10
million surgical and non-surgical procedures
performed last year by members of the
American Society for Aesthetic Plastic
Surgery (ASAPS), and only 17% were surgical.
Here’s roughly how the top five broke
down, in order of popularity:
Botulinum toxin (40%)
Hyaluronic acid fillers (19%)
Hair removal (9%)
Chemical peels (5%)
Microdermabrasion (5%)
These five represent the majority (78%).
Non-surgical fat reduction came in at
number 10 on the list, but with a 42%
Julius Few, MD
increase compared with 2013, we can also
expect this category to continue to continue
to grow. Add in the procedures performed
by nurse injectors and estheticians and that
number increases to more than 13 million—
not an insignificant number. While surgery
draws in 60% of total patient expenditure,
as also reported by the ASAPS, the fact
is that non-surgical treatments are what
patients want, as they are relatively
affordable and quick, and downtime is
generally minimal if necessary at all. As a
result, one of the biggest questions we face
as surgeons is, how do we keep up with this
growing demand? The answer is simple: by
surrounding ourselves with well trained,
professional staff, including nurses and
estheticians, who can safely and effectively
provide support for these kinds of highvolume treatments to meet patient demand.
A MATTER OF REPUTATION
Finding the right people to add to our
practices isn’t as simple as it may seem. It
can be a long, excruciating process to
ensure that our medical support staff have
the right education, experience, demeanor
and drive. Every component of the practice
is a reflection of the surgeon, from
credentials and research to branding and
patient experience, and, understandably,
every surgeon guards his or her reputation
fiercely. Regardless of who in the practice is
performing specific treatments, patient
experience—good or bad—reflects on the
surgeon. Therefore, hiring the right people
is critical, and that means qualified, licensed
skin care professionals. The nurse or
aesthetician who has both facial aesthetic
skills and business skills makes a very
competitive skin care professional and I’ve
found the Society of Plastic Surgical Skin
Care Specialists (SPSSCS) to be an invaluable
continuing education organization. All of
my nurses and aestheticians are members
of the SPSSCS, which helps me to feel
confident that my team is not only qualified
to provide non-surgical aesthetic treatment
to our patients, but that their clinical skills
are consistently enhanced and improved.
Julius Few, MD, FACS is in private practice at
The Few Institute for Aesthetic Plastic Surgery in
Chicago, IL. Dr. Few serves as a Clinical Associate
Professor for the Division of Plastic Surgery at the
University of Chicago and is the immediate past
president of the Illinois Society of Plastic Surgeons.
Dr. Few has lectured extensively on the subject of
cosmetic facial surgery and safety. In addition, Dr.
Few has appeared on numerous news programs,
including NBC, ABC, CBS, and CNN. He
currently holds advisory positions on the subject of
plastic surgery at CNN and Good Morning
America. ▲