overview of aesthetics - canpweb.orgcanpweb.org/canp/assets/file/2016...
TRANSCRIPT
![Page 1: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/1.jpg)
OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD
Beth Haney, DNP, FNP-C
Luxe Aesthetic and Wellness Center - Owner
University of California, Irvine, NP Track - Assistant Clinical Professor
California Association for Nurse Practitioners – Immediate Past
President
![Page 2: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/2.jpg)
DISCLAIMER
• No conflict of interest
• Not sponsored by any company to do this talk
• Large purchaser of Allergan (Pfizer, Formerly Activis) and Galderma (Formerly Medicis) products
Haney, 2016
![Page 3: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/3.jpg)
OBJECTIVES
• Identify basic anatomy and structures of the skin
• Compare the uses, effects, and differences between botulinum toxin type A and hyaluronic acid and synthetic dermal fillers
• List at least 3 FDA approved aesthetic treatments for the face and body
• Identify the newest treatment options for submental fat including uses for deoxycholic acid
• List topical skin care options including effects, mechanism of action and uses for prescription medications tretinoin and hydroquinone
Haney, 2016
![Page 4: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/4.jpg)
TOPICS• Skin and hair anatomy
• Botox, Dysport
• Dermal fillers
• Laser treatments
• Intense pulsed light (IPL)
• Newest treatments
• Products, prices
• Complications
Haney, 2016
![Page 5: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/5.jpg)
SKIN ANATOMY
• Highly specialized structure
• Prevents invasion of microorganisms
• Regulates fluid loss
• Maintains temperature control
• Protects against injury from radiation and electricity
• Provides immunologic surveillance
Haney, 2016
![Page 6: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/6.jpg)
SKIN ANATOMY• Epidermal appendages
• Sebaceous glands
• Hair
• Sweat glands
• Nails
Haney, 2016
![Page 7: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/7.jpg)
Haney, 2016
SKIN ANATOMY
http://hmphysiology.blogspot.com/p/blog-page_10.html
![Page 8: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/8.jpg)
SKIN ANATOMY
• Melanocytes are the primary absorber of ultraviolet light and responsible for pigmentation.
• Scavenges photochemical free radicals
• Exist within in the dermis but are confined to the basal layer of the epidermis
• Transfer melanin to the keratinocytes
Haney, 2016
![Page 9: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/9.jpg)
SEBACEOUS GLANDS
• Epithelial lined structures in conjunction with hair follicles - secrete sebum in rich fatty acids
• Moisturizes the skin
• Has antibacterial effect
• Essential for skin resurfacing after injury
Haney, 2016
![Page 10: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/10.jpg)
THE EFFECTS OF UV RADIATION EXPOSURE
• Shorter wavelengths are more biologically active (UVA and UVB)
• UV light causes: DNA damage, decreased DNA repair, oxidative damage, altered collagen structure (breakdown, synthesis).
Haney, 2016
![Page 11: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/11.jpg)
THE EFFECTS OF UV RADIATION EXPOSURE
Haney, 2016
![Page 12: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/12.jpg)
TWINS
http://www.nima.edu/blog/skin-damage-and-smoking/
Haney, 2016
![Page 13: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/13.jpg)
WEAR YOUR SUNSCREEN
http://blog.pocketderm.com
Haney, 2016
![Page 14: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/14.jpg)
HAIR
• Anagen- Hair Growth
• Catagen-Regression
• Telogen-Resting
Haney, 2016
![Page 15: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/15.jpg)
AESTHETICSAging and Options
![Page 16: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/16.jpg)
WHAT HAPPENS AS WE AGE?
• Young skin is smooth and elastic
• As we age skin loses volume
• Lines and wrinkles appear
• Decrease in production of HA
Haney, 2016
![Page 17: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/17.jpg)
EPIDERMAL AGING
• In youth the epidermis interdigitates with the dermis
• With aging, the interdigitates flatten resulting in: reduced contact between epidermis and dermis, decreased nutrient transfer, increased skin fragility
Haney, 2016
![Page 18: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/18.jpg)
YOUNG VS. OLD SKIN
Abd El-Aal NH, Abd El-Wadood FA, Moftah NH, El-Hakeem MS, El-Shaal AY, Hassan NB. Morphometry and
epidermal fas expression of unexposed aged versus young skin. Indian J Dermatol [serial online] 2012
[cited 2016 Feb 20];57:181-6. Available from: http://www.e-ijd.org/text.asp?2012/57/3/181/96188Haney, 2016
![Page 19: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/19.jpg)
WHAT CAN BE DONE?• Sunscreen!
• Neurotoxins
• Intense Pulsed Light (IPL)
• Dermal Fillers
• Submental Fat Reduction
• Laser Skin Resurfacing
• Peels, Microdermabrasion
• Skin Tightening
• Minimally invasive
cellulite treatment
• Products
Haney, 2016
![Page 20: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/20.jpg)
WHAT ELSE?
• Sclerotherapy (veins)
• Tattoo removal
• Permanent cosmetic tattoos (micropigmentation)
• Light/heat based cellulite treatments
• Surgical procedures
Haney, 2016
![Page 21: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/21.jpg)
WHO IS ALLOWED TO PERFORM TREATMENTS?
• RNs, PAs, NPs, and physicians
• All need additional training and experience when performing aesthetic procedures.
• Very little to no aesthetic aspects are taught in medical or nursing schools (yet).
• UCI Extension courses began Summer 2015
Haney, 2016
![Page 22: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/22.jpg)
HOW DOES THE CONSUMER KNOW WHERE TO START?
ASK friends.
RESEARCH the aesthetic office and staff before first visit.
INQUIRE about the credentials of the clinician.
Training and experience is key
Haney, 2016
![Page 23: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/23.jpg)
AESTHETICSSpecific Treatments
![Page 24: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/24.jpg)
NEUROTOXINS
•Onabotulinumtoxin A: Botox®
•Abobotulinumtoxin A: Dysport®
• Incobotulinumtoxin A: Xeomin®
•No reported deaths from cosmetic use
•One of the most studied drugs in the world
Haney, 2016
![Page 25: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/25.jpg)
TEMPORARY DERMAL FILLERS
• Hyaluronic acids – Juvederm, Restylane, Lyft (Perlane), Voluma, Belotero, Silk
• Radiesse and Sculptra• All of these last much longer
than the older collagens
• Gradually reabsorb into the skin
Haney, 2016
![Page 26: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/26.jpg)
Haney, 2016
![Page 27: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/27.jpg)
HOW ARE FILLERS DIFFERENT FROM NEUROTOXINS?
• Dermal fillers replace volume that is lost with aging.
• Neurotoxins are medications that relax the underlying muscleswhich cause wrinkles
Haney, 2016
![Page 28: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/28.jpg)
LASER SKIN RESURFACING
• Fine lines and wrinkles
• Pore size reduction
•Acne scarring (minimal to moderate results)
• Pigments
• Eye lift
Haney, 2016
![Page 29: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/29.jpg)
Haney, 2016
![Page 30: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/30.jpg)
Haney, 2016
![Page 31: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/31.jpg)
Haney, 2016
![Page 32: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/32.jpg)
LASER HAIR REDUCTION
• Based on hair growth cycles
• Repeated treatments
• 50 - 95% reduction
• Periodic maintenance treatments
•Dark course hair on light skin best result
Haney, 2016
![Page 33: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/33.jpg)
INTENSE PULSED LIGHT (IPL) OR PHOTOFACIAL
• Sun damage effects accumulate as we age and are exposed to the sun
• Very popular to “lay out” using baby oil and iodine in the 70s and 80s
• Wrinkles, cancers, red and brown spots appear 10-20 years later
• IPL reverses sun damage and diminishes brown spots, redness, and vessels using light.
Haney, 2016
![Page 34: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/34.jpg)
IPL CANDIDATE
http://drbotox.tumblr.com/
Haney, 2016
![Page 35: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/35.jpg)
NON- INVASIVE SKIN TIGHTENING
• Many devices i.e Thermage®, Ulthera®, Exilis®
• Ultrasound
• Radiofrequency
• Laser
• Cryolypolosis (Coolsculpt®)
• Combinations
Haney, 2016
![Page 36: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/36.jpg)
NEWEST TREATMENTSDeoxycholic acid and Cellfina®
Haney, 2016
![Page 37: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/37.jpg)
WHAT IS KYBELLA?
Haney, 2016
![Page 38: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/38.jpg)
DEOXYCHOLIC ACID (KYBELLA®)
• Submental fat reduction
• Permanent
• Must choose appropriate candiates
Haney, 2016
![Page 39: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/39.jpg)
WHAT CAN YOU EXPECT?
• Discomfort during treatment
• Burning sensation for about 3 minutes after treatment
• Possibility of Bruising
• Numbness
• Swelling
• Repeat treatments 4 – 6 weeks apart
• RENEWED CONFIDENCE!
Haney, 2016
![Page 40: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/40.jpg)
http://consumers.mykybella.comHaney, 2016
![Page 41: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/41.jpg)
CELLFINA®
• Cellulite procedure
• One treatment
• Local anesthetic
• Approximately 45 minutes
• No down time
• Results in 3 days
• Long lasting (beyond 2 years)
Haney, 2016
![Page 42: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/42.jpg)
CELLFINA®Before and 2 years after
www.cellfina.com
Haney, 2016
![Page 43: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/43.jpg)
PRODUCTS AND TOPICAL TREATMENTS
Haney, 2016
![Page 44: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/44.jpg)
PEELS AND MICRODERMABRASION
• Superficial, moderate, and deep peels
• ViPeel, TCA, Phenol, Glycolic, Salicylic and others
• Peels rejuvenate the skin through exfoliation (peeling) old skin and revealing fresh, more even, youthful skin.
• Microdermabrasion - superficial treatment, stimulates triggers that stimulate collagen production, good once a month
Haney, 2016
![Page 45: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/45.jpg)
Topical Agents for Anti-Aging
•Tretinoin - (Retin-A®)
•Hydroquinone
•Glycolic Acid
•“Natural” Agents
• Kojic acid
• Vit C and E
• Azelaic acid
• Many others www.pinterest.com
Haney, 2016
![Page 46: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/46.jpg)
TREATING PHOTODAMAGE:TOPICAL AGENTS
• Topical tretinoin and hydroquinone
• Tretinoin increases thickness of superficial skin layers, hydroquinone blocks conversion of tyrosinase leading to pigments
• Reduces pigmentary changes androughness
• Increases collagen synthesis
• Claims that other agents decreasephotodamage are not well substantiated
Haney, 2016
![Page 47: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/47.jpg)
EYELASHES• Long, thick, dark lashes are more youthful
• Mascara is the biggest selling cosmetic
• Eyelash extensions or stick-on
• FDA approved 2009 bimatoprost (Latisse®)
www.latisse.com
Haney, 2016
![Page 48: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/48.jpg)
MINIMALLY INVASIVE COSMETIC PROCEDURES
• Total performed in 2014 NOT including surgical procedures:
•13,900,000
Source: (2016) American Society of Plastic Surgeons®
Haney, 2016
![Page 49: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/49.jpg)
2014 TOP FIVE MINIMALLY INVASIVE WOMEN
• Botulinum toxin type A 6,262,695 (6%)*
• Soft tissue fillers 2,191,380 (3%)*
• Chemical peel 1,151,430 (-8%)*
• Laser hair removal hair 921,230 (4%)*
• Microdermabrasion 724,620(8%)*
*Percent change from 2013
Source: American Society of Plastic Surgeons® (2016)
Haney, 2016
![Page 50: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/50.jpg)
2014 TOP FIVE MINIMALLY INVASIVE MEN
• Botulinum toxin type A 410,913 (7%)*
• Laser hair removal 190,816 (0%)*
• Microdermabrasion 157,285 (-12%)*
• Chemical peel 98,629 (4%)*
• Fillers 92,949 (-3%)*
*Percent change from 2013
Source: American Society of Plastic Surgeons® (2016)
Haney, 2016
![Page 51: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/51.jpg)
2014 STATISTICS
• 92% of all procedures are done by women
• 8% of all procedures are done by men
• Region with the most treatments are Mountain/Pacific at 4,556,898 (29%)
Source: American Society of Plastic Surgeons® (2015)
Haney, 2016
![Page 52: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/52.jpg)
BALLPARK COST
BOTOX®
• $10-16 per unit or per area ;
• ex. forehead $350
DYSPORT®
• $4 per unit (use 2.5 times amount d/t formulation)
Microdermabrasion - $100-180
Haney, 2016
![Page 53: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/53.jpg)
BALLPARK COST
• Laser Hair Removal• Depends on area i.e. Full Legs $300 - 600;
Underarms $50 - 100
• Skin Tightening - $400 – 2500
• IPL - $140 - 400
• Laser Skin Resurfacing - Face, $1500 - 4000
Haney, 2016
![Page 54: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/54.jpg)
BALLPARK COSTHyaluronic Acid Fillers
Restylane®: $475 – 600
Silk®: $550 - 750
Juvederm®: $450 - 800
Perlane®: $500 – 750
Voluma®: $700 – 1200
Belotero®: $500 – 750
Synthetic Fillers
Sculptra®, Radiesse®: $700- $1200
Haney, 2016
![Page 55: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/55.jpg)
BUSINESS ASPECTS
• Augments current practice
• Employed vs. owner
• Costly to set up practice
• Profitable
• Training and experience
• State regulatory environment
Haney, 2016
![Page 56: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/56.jpg)
COMPLICATIONS
• Aesthetics is a true medical discipline with potential for serious complications
• Semi-permanent and permanent scarring from burns or vascular compromise
• Disruptive to patient appearance in addition to potential for infection and other health issues
Haney, 2016
![Page 57: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/57.jpg)
LASER BURNS
Courtesy Donna Wilson, RNHaney, 2016
![Page 58: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/58.jpg)
IPL BURN RIGHT ARM DAY 1COURTESY BETH HANEY, DNP, FNP-C
Haney, 2016
![Page 59: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/59.jpg)
IPL BURN LEFT ARM DAY 10Courtesy Beth Haney, DNP, FNP-C
Haney, 2016
![Page 60: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/60.jpg)
IPL BURN LEFT ARM DAY 18 COURTESY Beth Haney, DNP, FNP-C
Haney, 2016
![Page 61: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/61.jpg)
VASCULAR COMPROMISE
Courtesy Beth Haney, DNP, FNP-C
Haney, 2016
![Page 62: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/62.jpg)
Haney, 2016
VASCULARCOMPROMISE
Courtesy Donna Wilson, RN
![Page 63: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/63.jpg)
GOOD STUFF
Haney, 2016
![Page 64: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/64.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 65: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/65.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 66: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/66.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 67: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/67.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 68: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/68.jpg)
Haney, 2016Courtesy www.lumenis.com
![Page 69: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/69.jpg)
Haney, 2016Courtesy www.lumenis.com
![Page 70: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/70.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 71: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/71.jpg)
Haney, 2016Courtesy Beth Haney, DNP, FNP-C
![Page 72: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/72.jpg)
QUESTIONS?Thank you for letting me share!
Haney, 2016
![Page 73: OVERVIEW OF AESTHETICS - canpweb.orgcanpweb.org/canp/assets/File/2016 Conference/Presentations/Overvi… · OVERVIEW OF AESTHETICS: HELPING YOUR PATIENTS PUT THEIR BEST FACE FORWARD](https://reader034.vdocument.in/reader034/viewer/2022050606/5fadcb0ba2998c1a3a38525a/html5/thumbnails/73.jpg)
RESOURCES
• http://www.plasticsurgery.org/news/plastic-surgery-statistics/2013.html
• Carruthers, A. & Carruthers, J. (2012). Botulinum toxin: Procedures in Cosmetic dermatology (3rd ed.).Saunders
• Carruthers, J. & Carruthers, A. (2012). Soft tissue augmentation: Procedures in cosmetic dermatology (3rd ed.) Saunders
• Haney, B. (2012). Be You-T-Full: Looking Your Best With Botox, Lasers, and Other Magical CosmeticTreatments
• Habif, T.P. (2011). Clinical dermatology: Principles and practice (5th ed): Elseiver
Haney, 2016