Aesthetic Dermatology Workshop: 21st April 2010

in association with the British Dermatological Nursing Group

 

Conference Aston, Aston Triangle, Birmingham, B4 7ET

View PDF programme | View Conference Aston website | View PDF map/directions

A Which? report, published in January 2008, highlighted that the demand for non-surgical procedures such as the injection of botulinum toxin and dermal fillers has continued to grow at a substantial rate. It is estimated that the number of these procedures undertaken in 2007 has nearly increased 1,500 times when compared to 2002. This demand has been in part met by the increasing number of nurses providing non-surgical cosmetic services.

It has been recognised that the practice of aesthetic medicine by nurses differs to nursing in the public sector, such as the dependency on patient reimbursements and often working in isolation. In view of this, it is essential that nurses need to have a well developed foundation and be kept up to date in this field, which are some of the aims of this workshop. It is hoped that it will be equally as useful for those interested in aesthetic medicine and for seasoned practitioners. There will also be discussion on how certain practices can be suitably applied in a NHS setting, such as the treatment of hyperhidrosis. The nurse presenters will be at hand to provide essential hints and tips that they have found useful in their own clinics.

9.35: Treatment of wrinkles using Botulinum Toxin A
9.35: Treatment of wrinkles using Botulinum Toxin A with demo and mini workshop
Dr Vrajesh Ruparelia, BSc(Hons) BDS - Dentist

This presentation will include the theory and practical knowledge of botulinum toxin A so you can appreciate how to administer it to your own clients for facial aesthetics (wrinkle relaxation). The mode of action and the different brands of botulinum toxin A available for cosmetic use in this country such as Azzalure/Dysport and Vistabel/Botox, patient assessment for wrinkle reduction, the different injection techniques, complications and how to manage them will be discussed. How to follow up patients and the need for further treatments and how to incorporate these treatments into an aesthetic practice and marketing will also be covered. There will be a short practical session on manikin heads where you have the opportunity to handle a syringe and inject.

  1. Learn about the mechanism of action and the different types of Botulinum toxin A available, client consent and handling their expections
  2. Understand the relevant anatomy and the types of wrinkles that can be improved and how to administer botulinum and contraindications
  3. Follow up of the patient, combination treatments and marketing and incorporation of this treatment into your clinic
  1. Procedures in Cosmetic Dermatology by A Carruthers and J Carruthers
  2. Botulinum Toxin in Aesthetic Medicine by M Maio and B Rzany
  3. Nurse Jamie's Botox Diaries: Real Stories from a Fake World by Jamie Sherill

Vrajesh is an experienced general and cosmetic dental practitioner. He qualified from the famous Guy's Hospital in London after winning the Ronald Gain prize there. He now owns a prosperous private practice in the historic market town of Tewkesbury in Gloucestershire. He has a keen interest in facial aesthetics.

11.25: A day in the life of a Laser Nurse Specialist
11.25: A day in the life of a Laser Nurse Specialist
Mrs. Denise Horsley, RN, RM, Dip CHN, SN, Bsc (Hons) - Nurse Aesthetic Practitioner

I will discuss:

  1. the laser treatments that I am offering, which includes managing acne, vascular lesions, tattoos and pigmented lesions
  2. the theory of how lasers work, such as the target chromophore (the molecule responsible for its colour)
  3. how I opened my own clinic and the training I undertook
  4. how to choose the right treatment portfolio and to select the right suppliers and equipment
  5. the difficulties I faced when registering with the CQC.
  1. Conditions that lasers can treat and when to use them
  2. How lasers work?
  3. Possible training routes to becoming a laser practitioner
  4. Outline of laser clinic regulations
More info coming soon

Denise has been practising as an independant aesthetic nurse practitioner for the last 7 years. She has her own aesthetic clinic in Birmingham offering both medical and surgical aesthetic treatments and laser therapy. She also has 15 satellite clinics around the country and has been a trainer for Q-MED (uk) Ltd. Denise is passionate about training and having gained many years teaching within the NHS. Denise is able to offer training and advice in introductory and advanced botox and dermal fillers, chemical facial peels, microsclerotherapy and dental blocks.

11.50: Managing axillary hyperhidrosis, minor ops, own lists
11.50: Managing axillary hyperhidrosis, minor ops, own lists: how can a nurse do it all
Mrs Christine Hoeller, RGN - Outpatient Sister
An introduction to the subject of axillary hyperhidrosis and its assessment, including clips showing the actual procedure e.g. starch iodine test, preparation of the botox.
  • Why a nurse led service?
  • Why I wanted to develop this service, how I gained medical support.
  • Counselling and consent.
  • Discussion on the management and treatment of patients at Taunton with supporting rationale.
  • Outcome measures, how to measure the success of the treatment
  • Short discussion on other areas of interest to include dermatology surgical procedures and assessment and case history recording.
  1. Understand the rationale for the use of Botox for axillary hyperhidrosis
  2. Understand the process of assessing the patient, and preparing and administering Botox
  3. Identify other specialist procedures performed in dermatology outpatients.
British Association Dermatologists-Hyperhidrosis: www.bad.org.uk

I have been nursing since 1975 when I was one of the last of the Taunton cadet nurses.

I qualified in 1979 and worked on the ENT ward at Musgrove Park Hospital. I moved to the General Outpatient department in 1990 after having my children.

I was appointed Sister in 1999 and Matron in 2004. Despite my increasing management responsibilities I have continued in my role in the dermatology clinics, which are my main clinical interest. With Consultant support, I have been able and encouraged to pursue areas of expertise, including surgical procedures and administration of Botox.

13.50: Use of dermal fillers with demonstration
13.50 Use of dermal fillers with demonstration
Ms Debbie-Lee Smith,RM, Dip, BSc - Nurse Aesthetic Practitioner

The injection of dermal fillers is one of the most commonly performed non-surgical procedures by aesthetic practitioners. They are often used to contour the lower face, such as the nasolabial folds, peri-oral lines and oral commissures. Also they can be used to enhance symmetry and definition of the lips and to improve fine lines and scars.

The product that is usually injected into the skin is hyaluronic acid, produced by many manufacturers such as Restylane and Juvaderm. These fillers have the advantage of being non-permanent and uncomplicated in its delivery, with a relatively simple learning curve.

I will introduce you to this essential non-surgical aesthetic procedure by discussing the different types, their indications, and with the use before and after clinical images illustrate what can be achieved. Also I will discuss the practical issues of delivering this essential procedures in various settings. A demonstration of it being injected in the lower face and lips, with the use of dental infiltration for analgesia, is planned.

More info coming soon
More info coming soon

Debbie-Lee has been working full time as a midwife for the last 8 years. Last year, Debbie started her own successful aesthetic business in Scotland and now practises chemical peels, dental blocks, sclerotherapy and advanced dermal filler, Botox treatments. She has successfully made the transition from NHS practice to private aesthetic work and acts as a mentor to many nurses wishing to follow in her footsteps. Debbie’s success is attributable to her amazing energy and enthusiasm about this growing industry and the results they can achieve.

15.20: The importance of having the right malpractice insurance
15.20: The importance of having the right malpractice insurance
Mr Peter Bootes - Chairman and Founder of Ceart Risk Services Ltd

For all aesthetic practitioners it is essential to have medical malpractice insurance in place, which can provide protection against allegations of wrong doing when performing procedures. It is hoped that you will never have to activate the policy, like car insurance, but having an appropriate one will provide some peace of mind. In my presentation I will explore:

  • Who can practice aesthetics
  • What is the size of the market and where is it going
  • The main difference  between medical malpractice and insurance cover
  • What other insurance covers maybe required
  • What do the insurance definitions/terms mean
  • What warrants notification of an incident or possible claim
  • Examples of typical claims & the Risk Management lessons to be learnt
More info coming soon
More info coming soon

Peter Lloyd Bootes is the Chairman and founder of Ceart Risk Services Ltd. Ceart is a niche, London market, insurance intermediary specialising in healthcare related insurance and risk transfer solutions with over 35 years experience in this important and specialist sector.

Peter worked in the NHS for 12 years latterly as a Director of Finance establishing one of the first NHS Trusts in the country before joining in a leading UK and international insurance broker in 1992, The Heath Group (now Heath Lambeth) as Managing Director of their Healthcare Division where he was responsible for all their healthcare business in the UK and Internationally. Peter subsequently left in 2000 to establish Ceart. Peter is responsible for the design and implementation of Ceart’s healthcare and aesthetic insurance programmes co-ordinating their development with various professional association, regulatory bodies, Insurers and in particular individual healthcare clients.

15.50: When are non surgical aesthetic treatments inappropriate?
15.50: When are non surgical aesthetic treatments inappropriate?
Mr Rana Das-Gupta, MBBS, FRCS(Eng) - Plastic Surgeon
It is important to know when non-aesthetic treatments will not be the best for your patient and who and when to refer. I will explore certain areas on the face and body where more caution should be applied when using non-surgical procedures such as the tear tracks, chin, cheek and breast augmentation and the nose. The 6 “U”s are also discussed and for those who don’t know what these are, all shall be revealed on the day! Examples of when to use Macrolene for breast augmentation will be discussed. I will also show that there are exceptions to so called aesthetic rules.
  1. Learn about the limitations of non-surgical aesthetic treatments.
  2. When and who to refer when these treatments are not indicated?
  3. Understand the complications that these treatments can cause.
  4. The uses of Macrolene and when to use it for breast augmentation.
More info coming soon

Mr Rana Das-Gupta is a Consultant plastic surgeon with the Warwickshire NHS Trust. He was born and educated in London, and trained as a doctor at The Royal London Hospital. He has worked as a private consultant in cosmetic surgery in Harley Street and appeared on GMTV, London Tonight, The Gloria Hunniford Show, the Mail on Sunday and in many other media articles related to cosmetic surgery.

Prior to becoming part of the NHS, he had held senior positions in plastic surgery in London, Chester, and Norway. With his gentle and approachable manner, combined with his considerable cosmetic knowledge of the face, Mr Rana is ideally equipped to be a superb aesthetic tutor.



This meeting has been developed in collaboration with the British Dermatological Nursing Group.

Delegates will receive a folder with a copy of the presentations, information from exhibition stands and an attendance certificate. Delegate fee includes all refreshments and lunch on the day of the meeting. Places for this meeting will be allocated on a first come, first served basis. Places are limited and can only be confirmed upon receipt of the delegate fee in full.